Chiwombankhanga

Chigawenga ndi imfa ya minofu m'thupi.

Chigawenga chimachitika pamene gawo limodzi la thupi limataya magazi. Izi zitha kuchitika kuvulala, matenda, kapena zifukwa zina. Muli pachiwopsezo chachikulu chotupa chilonda ngati muli:

• Kuvulala koopsa
• Matenda a mitsempha yamagazi (monga arteriosclerosis, yotchedwanso kuuma kwa mitsempha, m'manja kapena miyendo yanu)
• Matenda a shuga
• Kutetezedwa kwa chitetezo cha mthupi (mwachitsanzo, kuchokera ku HIV / AIDS kapena chemotherapy)
• Opaleshoni

Zizindikiro zimadalira malo komanso chifukwa cha chilondacho. Ngati khungu likuphatikizidwa, kapena chotupacho chili pafupi ndi khungu, zizindikilo zake zimatha kukhala:

• Kutulutsa mawonekedwe (buluu kapena wakuda ngati khungu lakhudzidwa; ofiira kapena amkuwa ngati dera lomwe lakhudzidwa lili pansi pa khungu)
• Kutulutsa konyansa
• Kumva kumaloko (komwe kumatha kuchitika pambuyo powawa kwambiri m'deralo)

Ngati dera lomwe lakhudzidwa lili mkati mwa thupi (monga chotupa cha ndulu kapena chotupa cha gasi), zizindikilozo zingaphatikizepo izi:

• Kusokonezeka
• Malungo
• Gasi m'matumba pansi pa khungu
• Kumva kudandaula
• Kuthamanga kwa magazi
• Kupweteka kosalekeza kapena kwakukulu

Wopereka chithandizo chamankhwala amatha kudziwa kuti ali ndi chilonda poyesedwa. Kuphatikiza apo, mayeso ndi njira zotsatirazi zitha kugwiritsidwa ntchito pozindikira chilonda chodwala:

• Arteriogram (x-ray yapadera kuti muwone zotchinga zilizonse m'mitsempha yamagazi) kuthandiza kukonza chithandizo cha matenda amitsempha yamagazi
• Mayeso amwazi (kuchuluka kwama cell oyera [WBC] atha kukhala okwera)
• CT scan kuti muwone ziwalo zamkati
• Chikhalidwe cha minyewa kapena madzimadzi ochokera mabala kuti azindikire matenda a bakiteriya
• Kuunika minofu pansi pa microscope kuti ayang'ane kufa kwa selo
• X-ray

Chiwombankhanga chimafuna kuwunika mwachangu ndi chithandizo. Mwambiri, minofu yakufa iyenera kuchotsedwa kuti machiritso azinyama zakuzungulira ndikupewa matenda enanso. Kutengera ndi malo omwe ali ndi chilonda, momwe munthu alili, komanso zomwe zimayambitsa chilondacho, chithandizo chitha kukhala:

• Kudula gawo la thupi lomwe lili ndi chotupitsa
• Ntchito yadzidzidzi yopeza ndi kuchotsa minofu yakufa
• Ntchito yopititsa patsogolo magazi m'derali
• Maantibayotiki
• Ntchito zobwerezabwereza kuchotsa minofu yakufa (kuchotsa)
• Chithandizo m'chipinda cha anthu odwala mwakayakaya (kwa anthu odwala kwambiri)
• Thandizo la Hyperbaric oxygen kuti muchepetse kuchuluka kwa mpweya wamagazi

Zomwe mungayembekezere zimatengera komwe kuli chilonda mthupi, kuchuluka kwa chilonda, komanso momwe munthu alili. Ngati mankhwala achedwa, chilonda chimachuluka, kapena munthuyo ali ndi mavuto ena azachipatala, munthuyo amatha kufa.

Mavuto amatengera komwe mthupi muli chotupa, kuchuluka kwa chilonda, kuchuluka kwa chilonda, komanso momwe munthu alili. Zovuta zitha kukhala:

• Kulemala pakudulidwa kapena kuchotsa minofu yakufa
• Kuchira kwa nthawi yayitali kapena kufunika kochita opaleshoni yomangidwanso, monga kulumikiza khungu

Itanani omwe akukuthandizani nthawi yomweyo ngati:

• Bala silichira kapena pamakhala zilonda pafupipafupi
• Dera lakhungu lanu limasanduka labuluu kapena lakuda
• Pali zotuluka zonunkhira kuchokera pachilonda chilichonse mthupi lanu
• Mukumva kupweteka kosalekeza, kosafotokozedwa m'deralo
• Muli ndi malungo osatha

Chiwombankhanga chikhoza kupewedwa ngati chithandizidwa chisanawonongeke minofuyo. Zilonda ziyenera kuthandizidwa moyenera ndikuwonetsetsa mosamala zizindikiro za matenda (monga kufalikira kufiira, kutupa, kapena ngalande) kapena kulephera kuchira.

Anthu omwe ali ndi matenda ashuga kapena matenda am'mitsempha yamagazi amayenera kuwunika mapazi awo pafupipafupi ngati ali ndi zovulala, matenda, kapena kusintha khungu ndikufunafuna chisamaliro pakufunika.

• Chiwombankhanga

A Brownlee M, Aiello LP, Sun JK, et al. Zovuta za matenda ashuga. Mu: Melmed S, Auchus RJ, Goldfine AB, Koenig RJ, Rosen CJ, olemba. Buku la Williams la Endocrinology. Wolemba 14th. Philadelphia, PA: Elsevier; 2020: chap 37.

Bury J. Mayankho akuvulala kwama cell. Mu: Cross SS, yokonzedwa. Underwood's Pathology: Njira Yachipatala. Wachisanu ndi chiwiri. Philadelphia, PA: Elsevier; 2019: mutu 5.

Zowona R, Shah SK. Chiwopsezo cha phazi. Mu: Cameron AM, Cameron JL, olemba., Eds. Chithandizo Chamakono Cha Opaleshoni. Wolemba 13. Philadelphia, PA: Elsevier; 2020: 1047-1054.