Kudziphatika

Ma adhesions ndi tinthu tating'onoting'ono tokhala ngati zipsera zomwe zimapanga pakati pamagawo awiri mkati mwa thupi ndikuwapangitsa kuti aziphatikana.

Ndikusuntha kwa thupi, ziwalo zamkati monga matumbo kapena chiberekero zimatha kusuntha ndikudutsirana. Izi ndichifukwa choti ziwalo ndi ziwalo zam'mimbazi zimakhala zosalala, zoterera. Kutupa (kutupa), opaleshoni, kapena kuvulala kumatha kuyambitsa zomata kuti zizipanga ndikuletsa kusunthaku. Adhesions imatha kuchitika pafupifupi kulikonse m'thupi, kuphatikiza:

• Ziwalo, monga phewa
• Maso
• Mkati mwa mimba kapena m'chiuno

Ma adhesions amatha kukulira kapena kuwongolera patapita nthawi. Mavuto amatha kuchitika ngati zomata zimayambitsa chiwalo kapena gawo la thupi ku:

• Kupotokola
• Tulutsani pamalo
• Sizingathe kusuntha mwachizolowezi

Chiwopsezo chopanga zomata chimakhala chachikulu pambuyo pochita matumbo kapena ziwalo zazimayi. Kuchita opaleshoni pogwiritsa ntchito laparoscope sikungayambitse zomata kuposa opaleshoni yotseguka.

Zina mwazomwe zimamangirira m'mimba kapena m'chiuno zimaphatikizapo:

• Appendicitis, nthawi zambiri pamene zakumapeto zimatseguka (ziphuphu)
• Khansa
• Endometriosis
• Matenda m'mimba ndi m'chiuno
• Chithandizo cha ma radiation

Zomatira mozungulira zimfundo zimatha kuchitika:

• Pambuyo pa opaleshoni kapena kuvulala
• Ndi mitundu ina ya nyamakazi
• Ndi kugwiritsira ntchito molumikizana kapena tendon

Zomatira zolumikizira, ma tendon, kapena mitsempha zimapangitsa kuti zikhale zovuta kusunthira cholumikizacho. Zitha kupwetekanso.

Kumata m'mimba (pamimba) kumatha kuyambitsa kutsekeka kwamatumbo. Zizindikiro zake ndi izi:

• Kutupa kapena kutupa kwa mimba yanu
• Kudzimbidwa
• Nseru ndi kusanza
• Kusathenso kupititsa mafuta
• Zowawa m'mimba zomwe ndizolimba komanso zopindika

Kumamatira m'chiuno kumatha kupweteketsa m'mimba nthawi yayitali.

Nthawi zambiri, zomata sizimawoneka pogwiritsa ntchito ma x-ray kapena mayeso ojambula.

• Hysterosalpingography itha kuthandizira kuzindikira kumata mkati mwa chiberekero kapena machubu.
• Ma X-ray am'mimba, maphunziro osiyanitsa barium, ndi ma scan a CT angathandize kuzindikira kutsekeka kwa matumbo komwe kumayambitsidwa ndi zomata.

Endoscopy (njira yoyang'ana mkati mwa thupi pogwiritsa ntchito chubu chosinthasintha chomwe chili ndi kamera yaying'ono kumapeto) itha kuthandizira kuzindikira zomata:

• Hysteroscopy imayang'ana mkati mwa chiberekero
• Laparoscopy imayang'ana mkati mwa mimba ndi m'chiuno

Opaleshoni itha kuchitidwa kuti ipatule zomata. Izi zitha kupangitsa kuti limba lipezenso kuyenda bwino ndikuchepetsa zizindikilo. Komabe, chiopsezo chodziphatika kwambiri chimapita ndi maopaleshoni ambiri.

Kutengera ndikumamatira komwe kulumikizidwa, chotchinga chitha kuikidwa panthawi yochitidwa opaleshoni kuti muchepetse mwayi womangirizidwa.

Zotsatira zake zimakhala zabwino nthawi zambiri.

Adhesions imatha kubweretsa zovuta zosiyanasiyana, kutengera minofu yomwe yakhudzidwa.

• M'diso, kulumikizana kwa mandala kumatha kubweretsa khungu.
• M'matumbo, kumata kumatha kuyambitsa matumbo pang'ono kapena kwathunthu.
• Kumata mkati mwa chiberekero kumatha kuyambitsa matenda otchedwa Asherman syndrome. Izi zitha kupangitsa kuti mayi azisamba nthawi zonse ndikulephera kutenga pakati.
• Zomatira za m'mimba zomwe zimakhudzana ndi zipsera zamachubu zam'mimba zimatha kubweretsa kusabereka komanso mavuto obereka.
• Kuphatikizana kwa m'mimba ndi m'chiuno kumatha kupweteketsa mtima.

Imbani wothandizira zaumoyo wanu ngati muli ndi:

• Kupweteka m'mimba
• Kulephera kupititsa mafuta
• Nsautso ndi kusanza zomwe sizichoka
• Zowawa m'mimba zomwe ndizolimba komanso zopindika

Mgwirizano wamatenda; Kulumikizana kwapakati; Kumamatira kwa intrauterine

• Kumangiriza kwapelvic
• Chotupa chamchiberekero

Kulaylat MN, Dayton MT. Matenda opangira opaleshoni. Mu: Townsend CM Jr, Beauchamp RD, Evers BM, Mattox KL, eds. Sabiston Buku Lopanga Opaleshoni. Wolemba 20th. Philadelphia, PA: Elsevier; 2017: mutu 12.

Kuemmerle JF. Matenda otupa komanso anatomic amatumbo, peritoneum, mesentery, ndi omentum. Mu: Goldman L, Schafer AI, olemba. Mankhwala a Goldman-Cecil. 26 wa. Philadelphia, PA: Elsevier; 2020: chap 133.

National Institute of Diabetes ndi tsamba la Digestive and Impso Diseases. Kumata m'mimba. www.niddk.nih.gov/health-information/digestive-diseases/abdominal-adhesions. Idasinthidwa mu June 2019. Idapezeka pa Marichi 24, 2020.