Mimbulu Yotenga Matenda: Zomwe Muyenera Kuwona ndi Momwe Mungawachiritsire

Zamkati

• Kodi chimayambitsa zotupa zotupa?
• Zizindikiro zake ndi ziti?
• Momwe mungapezere matenda otupa m'mimba
• Momwe mungachiritse nthenda yotupa
• Momwe mungapewere matenda otupa m'mimba
• Maganizo ake ndi otani?

Chidule

Ma hemorrhoids ndi mitsempha yotupa m'munsi mwake. Nthawi zambiri amadzichepetsera okha kapena ndi chithandizo kuchokera kuzinthu zotsatsa. Koma nthawi zina, zotupa zimatha kutenga kachilomboka.

Zotupa zamkati zamkati zimatha kutenga kachilomboka chifukwa cha magazi. Njira, monga kuyanjana kwa mabala a raba ndikuchotsa opaleshoni, zitha kuwonjezera chiopsezo chotenga kachirombo.

Minyewa yotsekemera imafunikira chithandizo chamankhwala kuti ichepetse mwayi wazovuta. Pitirizani kuwerenga kuti mudziwe zomwe zimayambitsa zotupa zamatenda, komanso momwe angachiritsire.

Kodi chimayambitsa zotupa zotupa?

Nthawi zina, mitundu ina ya zotupa ndi zotupa zimatha kubweretsa matenda.

Ma hemorrhoid amatha kutenga kachilomboka magazi akamagwira bwino ntchito m'deralo. Magazi oyenda bwino kumadera akutali amatanthauza kupezeka kwama cell oyera oyera ndi mapuloteni ena omwe ali m'gulu la chitetezo chamthupi. Izi zimathandiza kuchepetsa chiopsezo cha matenda.

Mphuno zamkati sizitenga kachilombo kawirikawiri. Mphuno yamkati ndi imodzi yomwe imapanga m'matumbo. Ili ndiye gawo la m'matumbo akulu lomwe limathera ku anus.

Nthawi zina, zotupa zamkati zamkati zimatha kukankhira pansi kuchokera kumatumbo, omwe amadziwika kuti ndi zotupa zamkati zamkati.

Mphuno yamkati yamkati imatha kukankhidwira kumbuyo mpaka kukhoma la rectum. Koma ndizotheka kuposa mitundu ina kutenga kachilomboka.

Izi ndichifukwa choti magazi amathira mtsempha atadulidwa. Izi zimadziwika ngati zotupa zamkati zamkati. Popanda zakudya, okosijeni, ndi maselo amthupi omwe amatengedwa m'magazi, matenda amatha.

Mutha kukhala ndi chiopsezo chachikulu chotupa m'mimba ndi matenda omwe angatsatidwe ngati muli ndi vuto lomwe limachepetsa kufalikira kwabwino kwa rectum. Zina mwazomwe zingayambitse kuchepa kwa magazi kuderalo ndi izi:

• matenda ashuga
• Matenda a Crohn
• kunenepa kwambiri
• atherosclerosis (kuchepa kwa mitsempha)
• kuundana kwamagazi

Kuphatikiza apo, kukhala ndi HIV kapena vuto lina lomwe limafooketsa chitetezo cha mthupi kumatha kuwonjezera chiopsezo cha zotupa zomwe zili ndi kachilombo.

Matenda amatha kukhalanso pambuyo pa njira zochizira zotupa m'mimba. Makamaka, band ligation band nthawi zina imatha kubweretsa matenda.

Pochita izi, adotolo amayika chingwe mozungulira zotupa, ndikudula magazi ake. Mimbuluyo idzagwa posachedwa ndipo khungu limachira.Munthawi imeneyi, minofu yomwe idakhudzidwa imatha kutenga kachilomboka kuchokera kumatenda omwe ali m'matumbo mwanu.

Vuto lofananalo limatsatira opaleshoni yochotsa hemorrhoid (hemorrhoidectomy), yomwe nthawi zambiri imachitika ngati gulu la raba ligation silikuyenda bwino.

Zizindikiro zake ndi ziti?

Zizindikiro zonse zamatenda atha kukhalapo ngati mwadwala zotupa. Zizindikirozi ndi monga:

• magazi pang'ono mchimbudzi kapena pazimbudzi zanu zakumbudzi mutayenda
• kutupa mozungulira anus
• kuyabwa mkati ndi mozungulira anus
• kupweteka, makamaka mukakhala kapena mukuvutikira poyenda
• chotupa pansi pa chikopa chozungulira thako lako.

Koma matenda amatha kubweretsa zizindikiro zina, nawonso. Zizindikiro za matendawa ndi monga:

• malungo
• ululu womwe umakulirakulira, ngakhale atalandira chithandizo chokwanira cha hemorrhoid
• kufiira mozungulira anus, makamaka pafupi ndi pomwe pamakhala matenda

Ngati mukukayikira kuti zotupa zadwala, pitani kuchipatala. Matendawa amatha kubweretsa zovuta zazikulu, monga peritonitis. Ichi ndi kachilombo koopsa kamene kali m'mimba mwa m'mimba ndi ziwalo zamkati.

Momwe mungapezere matenda otupa m'mimba

Kuti mupeze matenda am'mimba, dokotala wanu adzawunikanso mbiri yanu yazachipatala komanso zomwe muli nazo. Zizindikiro monga kutentha thupi, zitha kuthandiza dokotala kuti adziwe matenda.

Kuunikanso thupi kudzachitikanso kuti muwone ngati pali matenda, monga kufiyira mozungulira ma hemorrhoid. Ngati muli ndi zotupa zamkati zamkati, dokotala angaganize zochotsa musanatenge kachilomboka.

Kuyezetsa magazi, monga kuchuluka kwa maselo oyera a magazi, kumachitidwanso ngati matenda akuganiziridwa. WBC yotsika imatha kuwonetsa matenda. Mayeso owonjezera, monga urinalysis kapena X-ray, atha kuchitidwa kuti ayang'ane matenda omwe afalikira mbali zina za thupi.

Momwe mungachiritse nthenda yotupa

Maantibayotiki, monga doxycycline (Doxteric), amagwiritsidwa ntchito pochizira zotupa kapena zotupa zomwe zili ndi kachilombo koyambitsa matenda am'mimba.

Maantibayotiki omwe amaperekedwa kwa peritonitis amaphatikizapo cefepime (Maxipime) ndi imipenem (Primaxin). Mtundu wa maantibayotiki omwe mwapatsidwa umadalira kuopsa kwa matenda anu komanso mavuto aliwonse kapena chifuwa chomwe mungakhale nacho ndi mankhwala ena.

Kuchita opareshoni yochotsa minofu yomwe ili ndi kachilombo pamatumbo, kapena minofu mkati mwa mimba (ngati matenda afalikira), kungakhale kofunikira pamavuto akulu. Izi zimatchedwa kuchotsera ndipo zimatha kuthandiza kuti thupi lichiritse matenda.

Kuphatikiza pa mankhwala ndi njira zopangira opaleshoni, zithandizo zapakhomo zitha kuthandizira kuthetsa zizindikilo. Izi zikuphatikiza:

• mapaketi oundana kapena ma compress ozizira ozungulira anus yanu
• kuchepetsa ululu wamlomo, monga acetaminophen (Tylenol) kapena ibuprofen (Advil)
• mapadi omwe ali ndi wothandizira dzanzi.

Komanso, kusintha zakudya zanu kumatha kukupangitsani kuti musamapanikizike kwambiri poyenda matumbo. Chakudya chomwe chimakhala ndi zakudya zamafuta ambiri, monga zipatso, ndiwo zamasamba, ndi mbewu zonse, zitha kuthandiza kuti chopondapo chanu chikhale chofewa ndikuwonjezera chocheperako ndikuchepetsa kupsinjika.

Nthawi zonse muzifunsa dokotala musanayese mtundu uliwonse wa chithandizo chamankhwala. Simukufuna kuopseza kufalitsa matenda kapena kusokoneza chithandizo chamankhwala chomwe mukulandira.

Momwe mungapewere matenda otupa m'mimba

Njira yabwino yopewera zotupa zotuluka ndikupewa kutenga mtundu uliwonse wamatenda. Kuphatikiza pa zakudya zamafuta ambiri - magalamu 20 mpaka 35 tsiku lililonse - komanso madzi ambiri, mutha kuthandizira kupewa zotupa ndi:

• kukhala wathanzi labwino
• kupewa kukhala maola ambiri nthawi
• kuchita masewera olimbitsa thupi pafupipafupi, kuphatikizapo kuchita masewera olimbitsa thupi, monga kuyenda mwachangu, tenisi, kapena kuvina
• kupita kuchimbudzi mukangofunika, chifukwa kuchedwetsa matumbo kumatha kupangitsa kuti chopondapo chikhale chovuta kudutsa

Ngati muli ndi zotupa m'mimba, mutha kuchepetsa matenda anu pokawona dokotala mukangokhala ndi zisonyezo.

Zizindikiro zofatsa zitha kuchiritsidwa ndi mapaketi ndi mafuta odula, komanso ukhondo komanso kulowetsa m'malo osambira ofunda. Kutsatira upangiri wa dokotala ndikofunikira pakuwonetsetsa kuti mankhwalawa ndi othandiza, ndikuchepetsa mwayi wanu wodwala.

Ngati mwapatsidwa maantibayotiki pambuyo potsatira njira, imwani mankhwala onse ndipo musayime msanga. Ngati muli ndi zovuta kuchokera ku maantibayotiki, pitani ku ofesi ya dokotala kuti muwone ngati mankhwala ena akhoza kugwira ntchito.

Maganizo ake ndi otani?

Kukula kwa matendawa kumatsimikizira kuti zimatenga nthawi yayitali bwanji kuti mankhwalawa athe ndipo ngati mankhwala angafunike zoposa maantibayotiki. Doxycycline ya sabata limodzi itha kukhala yokwanira, koma matenda akulu angafunike njira yayitali kapena mankhwala owonjezera.

Kutsatila dokotala wanu mukamalandira chithandizo kumachepetsa zovuta zomwe mumakumana nazo.

Ngati muli ndi mbiri yamunthu kapena banja lanu ya zotupa, mumakhala ndi zotupa mtsogolo. Komabe, kukhala ndi nthenda yotupa kamodzi sikutanthauza kuti hemorrhoid yotsatira ndiyotheka kukhalanso ndi kachilombo. Chofunikira ndikuti mumvetsetse zizindikilo ndi chithandizo koyambirira.

Mukayamba kukhala ndi zotupa zam'mimba zamkati, muyenera kukaonana ndi dokotala. Ndipo ngati simukudziwa ngati muli ndi zotupa m'mimba, lalani mosamala ndikupita kukaonana ndi dokotala wanu.