Mimba m'mimba

Mimba yam'mimba ikutupa mbali imodzi yam'mimba (pamimba).

Mimba yam'mimba imapezeka nthawi zambiri pakuwunika thupi. Nthawi zambiri, misa imayamba pang'onopang'ono. Simungathe kumva unyinji.

Kupeza ululu kumathandizira wothandizira zaumoyo wanu kuti adziwe matenda. Mwachitsanzo, m'mimba mutha kugawidwa m'magulu anayi:

• Quadrant yakumanja yakumanja
• Quadrant yakumanzere
• Quadrant yakumanja
• Quadrant yotsika kumanzere

Mawu ena omwe amagwiritsidwa ntchito kupeza komwe kuli kupweteka m'mimba kapena misala ndi awa:

• Epigastric - pakati pamimba pansi pamunsi pa nthiti
• Periumbilical - dera lozungulira batani lamimba

Kukhazikika kwa misa ndi kulimba kwake, kapangidwe kake, ndi zina zomwe zingapereke chidziwitso pazomwe zimayambitsa.

Zinthu zingapo zimatha kubweretsa m'mimba:

• Mimba ya aortic aneurysm imatha kuyambitsa misa kuzungulira mozungulira.
• Chikhodzodzo chikhodzodzo (chikhodzodzo chodzaza ndimadzimadzi) chimatha kupangitsa kuti pakhale pakati pamimba pamwamba pamafupa a m'chiuno. Zikachitika, imatha kufikira mpaka mchombo.
• Cholecystitis imatha kuyambitsa misa yachifundo kwambiri yomwe imamveka pansi pa chiwindi chakumanja-kumtunda kwa quadrant (nthawi zina).
• Khansa ya m'matumbo imatha kuyambitsa misa kulikonse pamimba.
• Matenda a Crohn kapena kutsekeka kwa matumbo kumatha kuyambitsa unyinji wofewa, wopangidwa ndi soseji kulikonse pamimba.
• Diverticulitis imatha kuyambitsa misa yomwe nthawi zambiri imapezeka kumunsi-kumunsi kwa quadrant.
• Chotupa cha gallbladder chimatha kuyambitsa misa, yopanda mawonekedwe mozungulira kumanja-kumtunda kwa quadrant.
• Hydronephrosis (impso yodzaza ndimadzimadzi) imatha kupangitsa kuti thupi likhale losalala, lokhala ndi siponji mbali imodzi kapena mbali zonse ziwiri kapena kumbuyo (m'mbali mwake).
• Khansara ya impso nthawi zina imatha kuyambitsa misa m'mimba.
• Khansara ya chiwindi imatha kupangitsa kuti thupi likhale lolimba, lokwera kumtunda chakumanja kwamanja.
• Kukulitsa kwa chiwindi (hepatomegaly) kumatha kuyambitsa misa yolimba, yosasinthasintha pansi pa nthiti yakumanja, kapena mbali yakumanzere m'mimba.
• Neuroblastoma, chotupa cha khansa chomwe chimapezeka m'munsi mwamimba chimatha kuyambitsa misa (khansara imapezeka kwambiri mwa ana ndi makanda).
• Ovarian cyst imatha kuyambitsa matope osalala, ozungulira, okhala ndi mphira pamwamba pa mafupa a m'mimba.
• Pancreatic abscess imatha kuyambitsa misa kumtunda kwam'mimba mdera la epigastric.
• Pseudocyst ya Pancreatic imatha kuyambitsa misa yam'mimba kumtunda kwa epigastric.
• Renal cell carcinoma imatha kuyambitsa minofu yosalala, yolimba, koma yosakhazikika pafupi ndi impso (nthawi zambiri imakhudza impso imodzi).
• Kukulitsa kwa nthata (splenomegaly) nthawi zina kumamvekera kumtunda chakumanzere chakumtunda.
• Khansa yam'mimba imatha kuyambitsa misa m'mimba-kumanzere kumtunda m'mimba (epigastric) ngati khansara ndi yayikulu.
• Uterine leiomyoma (fibroids) imatha kupangitsa kuzungulira, kotupa pamwamba pamimba pamimba pamimba (nthawi zina kumamveka ngati ma fibroids ndi akulu).
• Volvulus imatha kuyambitsa misa kulikonse m'mimba.
• Kutsekeka kwa mapangidwe a Ureteropelvic kumatha kuyambitsa misa m'mimba.

Masamu onse am'mimba amayenera kufufuzidwa mwachangu ndi omwe amapereka.

Kusintha momwe thupi lanu limakhalira kungathandize kuchepetsa ululu chifukwa chamimba.

Pezani chithandizo chamankhwala nthawi yomweyo ngati muli ndi chotupa m'mimba mwanu komanso ululu wam'mimba. Izi zikhoza kukhala chizindikiro cha kuphulika kwa aortic aneurysm, yomwe ndi vuto ladzidzidzi.

Lumikizanani ndi omwe amakupatsani ngati muwona mtundu uliwonse wamimba.

Muzochitika zosafunikira mwadzidzidzi, omwe amakupatsani mayeso amayesa ndikufunsani mafunso pazokhudza zomwe mukudwala komanso mbiri yazachipatala.

Pakachitika zadzidzidzi, mudzakhazikika poyamba. Kenako, omwe amakupatsirani malo amafufuza m'mimba mwanu ndikufunsani mafunso pazokhudza zomwe mukudwala komanso mbiri yazachipatala, monga:

• Misa ili kuti?
• Munazindikira liti misa?
• Kodi imabwera ndikupita?
• Kodi misa yasintha kukula kapena malo? Kodi chayamba kupweteka?
• Ndi zisonyezo zina ziti zomwe muli nazo?

Kuyezetsa m'chiuno kapena kwammbali kumafunikira nthawi zina. Kuyesa komwe kungachitike kuti mupeze chomwe chimayambitsa m'mimba ndi monga:

• M'mimba mwa CT scan
• M'mimba ultrasound
• X-ray m'mimba
• Zithunzi
• Enema wa Barium
• Kuyezetsa magazi monga CBC ndi magazi
• Zojambulajambula
• EGD
• Kuphunzira kwa Isotope
• Masewera a Sigmoidoscopy

Misa pamimba

• Zizindikiro zanyengo wamkulu - kuwonera kutsogolo
• Dongosolo m'mimba
• Zotupa za Fibroid
• Aortic aneurysm

Mpira JW, Dains JE, Flynn JA, Solomon BS, Stewart RW. Mimba. Mu: Mpira JW, Dains JE, Flynn JA, Solomon BS, Stewart RW, eds. Upangiri wa Seidel ku Kuyesa Thupi. 9th ed. St Louis, MO: Elsevier; 2019: mutu 18.

Landmann A, Bonds M, Postier R. Mimba yam'mimba. Mu: Townsend CM Jr, Beauchamp RD, Evers BM, Mattox KL, eds. Sabiston Buku Lopanga Opaleshoni. Wolemba 21. St Louis, MO: Elsevier; 2022: chaputala 46.

McQuaid KR. Yandikirani kwa wodwalayo ali ndi matenda am'mimba. Mu: Goldman L, Schafer AI, olemba. Mankhwala a Goldman-Cecil. 26 wa. Philadelphia, PA: Elsevier; 2020: chap 123.