Kutupa

Kutupa ndikukulitsa kwa ziwalo, khungu, kapena ziwalo zina za thupi. Amayamba chifukwa cha kuchuluka kwa madzimadzi m'matumba. Madzi owonjezerawa amatha kubweretsa kuwonjezeka kwakanthawi kolemera kwakanthawi kochepa (masiku mpaka masabata).

Kutupa kumatha kuchitika pathupi lonse (zowombetsa mkota) kapena mbali imodzi yokha ya thupi (yakomweko).

Kutupa pang'ono (edema) kwamiyendo yakumunsi kumakhala kofala m'miyezi yotentha ya chilimwe, makamaka ngati munthu wakhala akuyimirira kapena kuyenda kwambiri.

Kutupa kwakukulu, kapena edema yayikulu (yomwe imadziwikanso kuti anasarca), ndichizindikiro chodziwika mwa anthu omwe akudwala kwambiri. Ngakhale edema yaying'ono imatha kukhala yovuta kuzindikira, kuchuluka kwakukulu ndikowonekera kwambiri.

Edema amafotokozedwa ngati akuponya kapena osaponya.

• Kuyika edema kumachoka pakhungu pakhungu mutasindikiza malowo ndi chala kwa masekondi pafupifupi 5. Kutulutsa kumadzaza pang'onopang'ono.
• Edema yosagunda siyimitsa mtundu uwu pakakakamira pamalo otupa.

Kutupa kumatha kuyambitsidwa ndi izi:

• Pachimake glomerulonephritis (matenda a impso)
• Burns, kuphatikizapo kutentha kwa dzuwa
• Matenda a impso
• Mtima kulephera
• Kulephera kwa chiwindi kuchokera ku chiwindi
• Nephrotic syndrome (matenda a impso)
• Chakudya choperewera
• Mimba
• Matenda a chithokomiro
• Albumin yochepa kwambiri m'magazi (hypoalbuminemia)
• Mchere wochuluka kapena sodium
• Kugwiritsa ntchito mankhwala ena, monga corticosteroids kapena mankhwala omwe amagwiritsidwa ntchito pochiza matenda amtima, kuthamanga kwa magazi, matenda ashuga

Tsatirani malangizo a omwe akukuthandizani. Ngati muli ndi kutupa kwakanthawi, funsani omwe akukuthandizani pazomwe mungachite kuti muteteze khungu, monga:

• Flotation mphete
• Padi wa ubweya wa nkhosa
• Matiresi ochepetsa kupanikizika

Pitirizani ndi zochita zanu za tsiku ndi tsiku. Mukagona, ikani manja ndi miyendo yanu pamwamba pamtima panu, ngati zingatheke, kuti madzi amadzere. Musachite izi ngati simupuma bwino. Onani wothandizira wanu m'malo mwake.

Mukawona zotupa zosadziwika, kambiranani ndi omwe amakupatsani.

Kupatula pazochitika zadzidzidzi (kulephera kwa mtima kapena m'mapapo mwanga), omwe amakupatsani amatenga mbiri yanu yazachipatala ndipo adzakuwunika. Mutha kufunsidwa pazizindikiro za kutupa kwanu. Mafunso atha kuphatikizira pomwe kutupa kunayamba, kaya ndi thupi lanu lonse kapena dera limodzi, zomwe mwayesera kunyumba kuti zithetse kutupa.

Mayeso omwe angachitike ndi awa:

• Kuyesa magazi kwa Albumin
• Magazi a electrolyte amwazi
• Zojambulajambula
• Electrocardiogram (ECG)
• Ntchito ya impso
• Kuyesa kwa chiwindi
• Kupenda kwamadzi
• X-ray

Chithandizo chake chingaphatikizepo kupewa mchere kapena kumwa mapiritsi amadzi (okodzetsa). Kudya kwanu kwamadzimadzi ndi kutulutsa kwanu kuyenera kuyang'aniridwa, ndipo muyenera kuyesedwa tsiku lililonse.

Pewani mowa ngati matenda a chiwindi (cirrhosis kapena hepatitis) akuyambitsa vutoli. Payipi yothandizira ingalimbikitsidwe.

Edema; Anasarca

• Kuluma edema pa mwendo

McGee S. Edema ndi thrombosis yakuya m'mitsempha. Mu: McGee S, mkonzi. Kuzindikira Kwathupi Kutengera Umboni. Wolemba 4. Philadelphia, PA: Elsevier; 2018: mutu 56.

Swartz MH. The zotumphukira mtima dongosolo. Mu: Swartz MH, mkonzi. Textbook of Physical Diagnosis: Mbiri ndi Kufufuza. 8th ed. Philadelphia, PA: Elsevier; 2021: chap.