Kutupa phazi, mwendo, ndi akakolo

Kutupa kopanda chisoni kwa mapazi ndi akakolo ndi vuto lofala, makamaka pakati pa okalamba.

Kukhazikika kwamadzi m'mapazi, kumapazi, ndi miyendo kumatha kupangitsa kutupa. Kutupa ndi madzimadzi kotereku kumatchedwa edema.

Kutupa kopanda tanthauzo kumatha kukhudza miyendo yonse ndipo kuphatikizira ng'ombe kapena ntchafu. Mphamvu yokoka imapangitsa kuti kutupa kuzindikirike kwambiri kumunsi kwa thupi.

Kutupa kwa phazi, mwendo, ndi akakolo ndizofala ngati munthu nawonso:

• Ndi wonenepa kwambiri
• Ali ndi magazi m'magazi
• Ndi wamkulu
• Ali ndi matenda mwendo
• Ali ndi mitsempha m'miyendo yomwe imalephera kupopera magazi kubwerera kumtima (wotchedwa venous insufficiency)

Kuvulala kapena opaleshoni yokhudza mwendo, bondo, kapena phazi zimayambitsanso kutupa. Kutupa kumatha kuchitika pambuyo poti opaleshoni ya m'chiuno, makamaka khansa.

Ndege zazitali kapena kukwera magalimoto, komanso kuyimirira kwa nthawi yayitali, nthawi zambiri zimabweretsa kutupa pamapazi ndi akakolo.

Kutupa kumatha kuchitika mwa amayi omwe amatenga estrogen, kapena nthawi yakusamba. Amayi ambiri amatupa nthawi yapakati. Kutupa kwambiri pamimba kumatha kukhala chizindikiro cha preeclampsia, vuto lalikulu lomwe limaphatikizapo kuthamanga kwa magazi komanso kutupa.

Kutupa miyendo kungakhale chizindikiro cha kulephera kwa mtima, kulephera kwa impso, kapena kufooka kwa chiwindi. M'mikhalidwe imeneyi, mumakhala madzi ambiri m'thupi.

Mankhwala ena amathanso kupangitsa miyendo yanu kutupa. Zina mwa izi ndi izi:

• Antidepressants, kuphatikiza MAO inhibitors ndi tricyclics
• Mankhwala a magazi otchedwa calcium channel blockers
• Mahomoni, monga estrogen (m'mapiritsi oletsa kubereka kapena mankhwala obwezeretsa mahomoni) ndi testosterone
• Steroids

Malangizo ena omwe angathandize kuchepetsa kutupa:

• Ikani miyendo yanu pamapilo kuti muwakweze pamwamba pamtima panu mukugona.
• Chitani masewera olimbitsa thupi. Izi zimathandiza kutulutsa madzi kuchokera kumapazi anu kubwerera kumtima kwanu.
• Tsatirani chakudya chamchere wochepa, chomwe chingachepetse kuchuluka kwa madzi ndi kutupa.
• Valani masitonkeni othandizira (ogulitsidwa m'malo ogulitsa kwambiri mankhwala ndi malo ogulitsa).
• Mukamayenda, pumulani nthawi zambiri kuti muyimirire ndikuyenda mozungulira.
• Pewani kuvala zovala zolimba kapena magalasi mozungulira ntchafu zanu.
• Kuchepetsa thupi ngati mukufuna.

Osasiya kumwa mankhwala aliwonse omwe mukuganiza kuti angayambitse kutupa musanalankhule ndi wothandizira zaumoyo wanu.

Imbani 911 kapena nambala yadzidzidzi yakomweko ngati:

• Mukumva kupuma pang'ono.
• Mukumva kupweteka pachifuwa, makamaka ngati mukumva ngati kukakamizidwa kapena kulimba.

Itanani omwe akukuthandizani nthawi yomweyo ngati:

• Muli ndi matenda amtima kapena impso ndipo kutupa kumangokulira.
• Muli ndi mbiri ya matenda a chiwindi ndipo tsopano mwatupa m'miyendo kapena m'mimba.
• Phazi lanu lotupa kapena mwendo ndi wofiira kapena wotentha mpaka kukhudza.
• Muli ndi malungo.
• Muli ndi pakati ndipo mumangokhala ndi zotupa zochepa kapena mumangowonjezera mwadzidzidzi.

Komanso itanani omwe akukuthandizani ngati njira zodzisamalirira sizikuthandizani kapena kutupa kukukulira.

Wopereka chithandizo adzatenga mbiri yakuchipatala ndikuwunika mokwanira, mosamalitsa kwambiri mtima wanu, mapapo, mimba, ma lymph node, miyendo, ndi mapazi.

Wothandizira anu adzafunsa mafunso monga:

• Ndi ziwalo ziti za thupi zotupa? Mapazi anu, mapazi, miyendo? Pamwamba pa bondo kapena pansipa?
• Kodi mumakhala ndi kutupa nthawi zonse kapena kumakhala koyipa m'mawa kapena madzulo?
• Nchiyani chimapangitsa kutupa kwanu kukhala bwinoko?
• Nchiyani chimapangitsa kutupa kwanu kukuipiraipira?
• Kodi kutupa kumakhala bwino mukakweza miyendo?
• Kodi mudagwidwa ndi magazi m'miyendo kapena m'mapapu?
• Kodi mudakhala ndi mitsempha ya varicose?
• Ndi zisonyezo zina ziti zomwe muli nazo?

Mayeso ozindikira omwe angachitike ndi awa:

• Kuyezetsa magazi, monga CBC kapena chemistry yamagazi
• X-ray pachifuwa kapena x-ray kumapeto
• Kuwunika kwa Doppler ultrasound pamitsempha yanu yamiyendo
• ECG
• Kupenda kwamadzi

Chithandizo chanu chiziwunika pazomwe zimayambitsa kutupa. Wothandizira anu akhoza kukupatsani diuretics kuti muchepetse kutupa, koma izi zimatha kukhala ndi zovuta. Chithandizo chanyumba chotupa mwendo chomwe sichikugwirizana ndi vuto lalikulu lazachipatala chikuyenera kuyesedwa mankhwala asanafike.

Kutupa kwa akakolo - mapazi - miyendo; Kutupa kwa bondo; Kutupa kwa phazi; Kutupa kwamiyendo; Edema - zotumphukira; Edema zotumphukira

• Kutupa phazi
• Edema ya mwendo wakumunsi

Goldman L. Njira kwa wodwala yemwe ali ndi matenda amtima. Mu: Goldman L, Schafer AI, olemba. Mankhwala a Goldman-Cecil. Wolemba 25. Philadelphia, PA: Elsevier Saunders; 2016: chap 51.

Wogulitsa RH, Symons AB. Kutupa kwa miyendo. Mu: Wogulitsa RH, Symons AB, eds. Kusiyanitsa Kusiyanitsa kwa Madandaulo Omwe Amakonda. Wachisanu ndi chiwiri. Philadelphia, PA: Elsevier; 2018: mutu 31.

Matayala KP, Studdiford JS, Pickle S, Tully AS. Edema: kuzindikira ndi kuwongolera. Ndi Sing'anga wa Fam. 2013; 88 (2): 102-110. PMID: 23939641 pubed.ncbi.nlm.nih.gov/23939641/.