Kutupa M'mimba: Nchiyani Chimayambitsa Zowawa M'mimba mwanga?

Zamkati

• Nchiyani chimayambitsa chotupa m'mimba kupanga?
• Kodi Zizindikiro Zotupa m'mimba ndi ziti?
• Kodi chotupa m'mimba chimapezeka bwanji?
• Ultrasound
• Kusanthula kwa kompyuta ya tomography (CT)
• Kujambula kwamaginito (MRI)
• Kusanthula kwamadzimadzi
• Kodi chotupa m'mimba chimathandizidwa bwanji?

Kodi chotupa m'mimba ndi chiyani?

Abscess ndi thumba la minofu yotupa yodzala ndi mafinya. Ziphuphu zimatha kupanga paliponse pathupi (mkati ndi kunja). Amapezeka kwambiri pakhungu.

Kutupa m'mimba ndi thumba la mafinya lomwe lili pamimba.

Zilonda zam'mimba zimatha kupangika mkati mwamkati mwa khoma lam'mimba, kumbuyo kwamimba, kapena ziwalo zozungulira pamimba, kuphatikiza chiwindi, kapamba, ndi impso. Zilonda zam'mimba zimatha kupezeka popanda chifukwa, koma nthawi zambiri zimakhala zokhudzana ndi chochitika china, monga opaleshoni yam'mimba, kuphulika kwa matumbo, kapena kuvulala pamimba.

Nchiyani chimayambitsa chotupa m'mimba kupanga?

Zilonda zam'mimba zimayambitsidwa ndi mabakiteriya omwe nthawi zambiri amalowa m'mimba chifukwa chazowawa, kutuluka kwa m'mimba, kapena opaleshoni yam'mimba. Zilonda zam'mimba (zotupa m'mimba) zimatha kutuluka m'mimba kapena chiwalo m'mimba mwanjira ina ndipo mabakiteriya amatha kulowa. Zinthu zoterezi zimaphatikizapo appendicitis, kuphulika kwa matumbo, kupwetekedwa kozama, opaleshoni, ndi matenda a Crohn kapena ulcerative colitis. Kutengera komwe thumba la m'mimba limapezeka, zifukwa zina zitha kukhala zolakwika.

Ziphuphu zimatha kupangika pakati pamimba ndi msana. Ziphuphu izi zimadziwika ngati zotupa za retroperitoneal. Retroperitoneum imatanthawuza malo apakati pamimba ndi msana.

Kodi Zizindikiro Zotupa m'mimba ndi ziti?

Zizindikiro zambiri zamatumbo m'mimba ndi monga:

• osamva bwino
• kupweteka m'mimba
• nseru ndi kusanza
• malungo
• kusowa chilakolako

Kodi chotupa m'mimba chimapezeka bwanji?

Zizindikiro za abscess m'mimba zitha kukhala zofananira ndi zizindikilo zina, zovuta kwambiri. Dokotala wanu akhoza kuyesa mayeso kuti ajambulitse bwino. Chida cha ultrasound chingakhale chida choyamba chodziwitsa matenda chomwe chimagwiritsidwa ntchito. Mayeso ena ojambula, monga CT scan kapena MRI, amathandizanso dokotala kuwona ziwalo zam'mimba ndi zotupa.

Ultrasound

Mimba ya ultrasound imagwiritsa ntchito mafunde akumveka pafupipafupi kuti apange zithunzi za ziwalo m'mimba.

Mukamayesa, mudzagona patebulo pamimba panu poyera. Katswiri wa ultrasound adzagwiritsa ntchito gel yowonekera bwino, yamadzi pakhungu pamimba. Kenako adzagwedeza chida chonyamula m'manja chotchedwa transducer pamimba. Transducer imatumiza mafunde akumveka kwambiri omwe amatulutsa ziwalo zathupi. Mafunde amatumizidwa ku kompyuta, yomwe imagwiritsa ntchito mafunde kupanga zithunzi. Zithunzizo zimalola dokotala wanu kuti azitha kuyang'anitsitsa ziwalo zam'mimba.

Kusanthula kwa kompyuta ya tomography (CT)

CT scan ndi X-ray yapadera yomwe imatha kuwonetsa magawo azigawo zina za thupi.

Chojambulira cha CT chikuwoneka ngati bwalo lalikulu lokhala ndi bowo pakati, lotchedwa gantry. Mukamayang'ana, mudzagona pansi patebulo, lomwe lili paganthwe. Kenako gantry imayamba kuzungulira mozungulira, ndikutenga zithunzi zam'mimba mwanu. Izi zimapatsa dokotala wanu mawonekedwe amderali.

Kujambula kwa CT kumatha kuwonetsa zotupa, zotupa zakomweko, ziwalo, kukula m'mimba, ndi zinthu zakunja mthupi.

Kujambula kwamaginito (MRI)

MRI imagwiritsa ntchito maginito akulu ndi ma wailesi kupanga zithunzi za thupi. Makina a MRI ndi chubu lalitali kwambiri.

Mukamayesa izi, mudzagona pabedi lomwe limalowa ndikutsegula kwa chubu. Makinawo amapanga maginito ozungulira thupi lanu ndikugwirizanitsa mamolekyulu amadzi mthupi lanu. Izi zimalola makinawo kujambula zithunzi zowoneka bwino pamimba panu.

MRI imapangitsa kuti dokotala wanu asavutike kuwona zovuta zam'mimba ndi ziwalo zam'mimba.

Kusanthula kwamadzimadzi

Dokotala wanu atha kutenga madzi amadzimadzi kuchokera mu chotupacho ndikuchipimitsa kuti mumve bwino. Njira yopezera madzi amadzimadzi imadalira komwe kuli abscess.

Kodi chotupa m'mimba chimathandizidwa bwanji?

Ngalande ndi imodzi mwanjira zoyambirira zochizira chotupa m'mimba. Ngalande ya singano ndi imodzi mwanjira zomwe amagwiritsira ntchito kukhetsa mafinya kuchokera ku chotupa.

Pogwiritsa ntchito njirayi, dokotala wanu amagwiritsa ntchito CT scan kapena ultrasound kuyika singano kudzera pakhungu lanu komanso molunjika mu abscess. Dokotala wanu amakoka plunger kuti achotse madzimadzi onse. Mukakhetsa chotupacho, dokotala wanu atumiza zitsanzo ku labu kuti zikaunikidwe. Izi zidzakuthandizani kudziwa maantibayotiki omwe angaperekedwe.

Mudzafunikiranso maantibayotiki olowa m'mitsempha yothandizira m'mimba.

Nthawi zina angafunike kuchitidwa opaleshoni. Kuchita opaleshoni kungakhale kofunikira:

• kuyeretsa chotupa bwinobwino
• ngati abscess ndi kovuta kufikira ndi singano
• ngati chiwalo chaphulika

Dokotala wanu adzakupatsani mankhwala oletsa ululu kuti akugoneni nthawi yonse yovutayi. Pochita izi, dokotalayo amadula pamimba ndikupeza chotupacho. Kenako amatsuka thumba ndi kulumikiza ngalande kuti mafinya atuluke. Makinawo amakhalabe mpaka phulusa litachira. Izi nthawi zambiri zimatenga masiku angapo kapena milungu.