Kuthana ndi khungu

Kuthana ndi khungu ndikutanuka kwa khungu. Ndikutha kwa khungu kusintha mawonekedwe ndikubwerera mwakale.

Khungu lakhungu ndi chizindikiro cha kutayika kwa madzi (kutaya madzi m'thupi). Kutsekula m'mimba kapena kusanza kumatha kuyambitsa madzi. Makanda ndi ana aang'ono omwe ali ndi mikhalidwe imeneyi amatha kutaya madzi ambiri, ngati satenga madzi okwanira. Malungo amafulumizitsa ntchitoyi.

Kuti aone ngati wonyansa pakhungu, wothandizira zaumoyo amatenga khungu pakati pa zala ziwiri kuti likhale lokwera. Nthawi zambiri pamunsi pamimba kapena pamimba amayang'aniridwa. Khungu limasungidwa kwa mphindi zochepa kenako limatulutsidwa.

Khungu lokhala ndi turgor yokhazikika limabwerera mwachangu pamalo ake abwinobwino. Khungu lokhala ndi turgor yosauka limatenga nthawi kuti libwerere pamalo ake abwino.

Kuperewera kwa khungu pakhungu kumachitika ndikuchepa kwamadzimadzi koyerekeza. Kutaya madzi m'thupi pang'ono ndi pomwe kutaya kwamadzimadzi kumafanana ndi 5% ya thupi. Kuchepa kwa madzi m'thupi pang'ono ndi kuchepa kwa 10% ndipo kuchepa kwa thupi kwambiri ndi 15% kapena kuchepa thupi.

Edema ndi vuto lomwe madzi amadzimadzi amadzimangira m'matumba ndikupangitsa kutupa. Izi zimapangitsa khungu kukhala lovuta kwambiri kutsina.

Zomwe zimayambitsa kusalaza khungu ndi:

• Kuchepetsa kudya kwamadzimadzi
• Kutaya madzi m'thupi
• Kutsekula m'mimba
• Matenda a shuga
• Kuchepetsa thupi kwambiri
• Kutopa kozama (kutuluka thukuta mopanda kumwa madzi okwanira)
• Kusanza

Matenda olumikizana ndi minofu monga scleroderma ndi matenda a Ehlers-Danlos angakhudze kufalikira kwa khungu, koma izi sizogwirizana ndi kuchuluka kwa madzimadzi mthupi.

Mutha kuwona msanga kusowa kwa madzi m'thupi kunyumba. Tsinani khungu kumbuyo kwa dzanja, pamimba, kapena kutsogolo kwa chifuwa pansi pa kolala. Izi ziwonetsa wopukutira khungu.

Kuchepetsa madzi m'thupi pang'ono kumapangitsa kuti khungu lichepetse pobwerera mwakale. Kuti mumve bwino, imwani madzi ambiri - makamaka madzi.

Kutupa kwamphamvu kumawonetsa kuchepa kwamadzimadzi pang'ono kapena kwambiri. Onani wothandizira wanu nthawi yomweyo.

Itanani omwe akukuthandizani ngati:

• Kusavulaza khungu kumachitika ndikusanza, kutsegula m'mimba, kapena malungo.
• Khungu ndi lochedwa kubwerera kubwinobwino, kapena khungu limakhala "m'mahema" mukamayendera. Izi zitha kuwonetsa kuchepa kwa madzi m'thupi komwe kumafunikira chithandizo mwachangu.
• Mwachepetsa khungu lotulutsa khungu ndipo mukulephera kuwonjezera kumwa madzi (mwachitsanzo, chifukwa cha kusanza).

Wothandizira adzakayezetsa ndikufunsa mafunso okhudza mbiri yanu yazachipatala, kuphatikiza:

• Kodi mwakhala ndi zizindikilo mpaka liti?
• Ndi zizindikilo zina ziti zomwe zimabwera khungu lisanatuluke (kusanza, kutsegula m'mimba, ndi zina)?
• Kodi mwachita chiyani kuti muyesetse kuchiza matendawa?
• Kodi pali zinthu zomwe zimapangitsa kuti vutoli likhale labwino kapena loipitsitsa?
• Ndi zisonyezo zina ziti zomwe muli nazo (monga milomo yowuma, kutsika kwa mkodzo, komanso kuchepa)?

Mayeso omwe angachitike:

• Magazi amadzimadzi (monga chem-20)
• Zamgululi
• Kupenda kwamadzi

Mungafunike madzi amkati kuti mulowetse madzi kwambiri. Mungafunike mankhwala kuti athetse zina zomwe zimapangitsa kuti khungu likhale losauka komanso kuti likhale lolimba.

Khungu lowuma; Wosauka pakhungu; Khungu labwino pakhungu; Kuchepetsa khungu lochotsa khungu

• Kuthana ndi khungu

Mpira JW, Dains JE, Flynn JA, Solomon BS, Stewart RW. Khungu, tsitsi, ndi misomali. 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: chaputala 9.

Greenbaum, PA. Kuchepetsa mankhwala. Mu: Kliegman RM, St. Geme JW, Blum NJ, Shah SS, Tasker RC, Wilson KM, olemba. Nelson Textbook of Pediatrics. Wolemba 21. Philadelphia, PA: Elsevier; 2020: chap 70.

McGrath JL, DJ wa Bachmann. Kuyeza kwa zizindikilo zofunikira. Mu: Roberts JR, Custalow CB, Thomsen TW, olemba., Eds. Ndondomeko Zachipatala za Roberts ndi Hedges mu Emergency Medicine ndi Acute Care. Wachisanu ndi chiwiri. Philadelphia, PA: Elsevier; 2019: chap 1.

Van Mater HA, Rabinovich CE. Scleroderma ndi Raynaud chodabwitsa. Mu: Kliegman RM, St. Geme JW, Blum NJ, Shah SS, Tasker RC, Wilson KM, olemba. Nelson Textbook of Pediatrics. Wolemba 21. Philadelphia, PA: Elsevier; 2020: chap 185.