Mlembi: Lewis Jackson
Tsiku La Chilengedwe: 8 Meyi 2021
Sinthani Tsiku: 25 Kuni 2024
Anonim
Chilichonse Chimene Muyenera Kudziwa Zokhudza Chibayo - Thanzi
Chilichonse Chimene Muyenera Kudziwa Zokhudza Chibayo - Thanzi

Zamkati

Chidule

Chibayo ndimatenda m'mapapu amodzi. Mabakiteriya, mavairasi, ndi bowa zimayambitsa.

Matendawa amayambitsa kutupa m'matumba am'mapapu anu, omwe amatchedwa alveoli. Alveoli amadzaza ndimadzimadzi kapena mafinya, zomwe zimapangitsa kupuma kupuma.

Werengani kuti mumve zambiri za chibayo ndi momwe mungachiritsire.

Kodi chibayo chimafalikira?

Majeremusi omwe amachititsa chibayo ndi opatsirana.Izi zikutanthauza kuti amatha kufalikira kuchokera kwa munthu kupita kwa munthu.

Chibayo cha mavairasi ndi bakiteriya chitha kufalikira kwa ena kudzera pakupumira kwa madontho oyenda kuchokera pakuthyola kapena kutsokomola. Muthanso kupeza mitundu iyi ya chibayo mwa kukhudzana ndi malo kapena zinthu zomwe zakhudzana ndi chibayo zomwe zimayambitsa mabakiteriya kapena ma virus.

Mutha kutenga chibayo cha fungus m'deralo. Komabe, sizimafalikira kuchokera kwa munthu wina kupita kwa munthu wina.

Zizindikiro za chibayo

Zizindikiro za chibayo zimatha kukhala zowopsa pangozi. Zitha kuphatikiza:

  • kutsokomola komwe kumatha kupanga phlegm (ntchofu)
  • malungo
  • thukuta kapena kuzizira
  • kupuma movutikira komwe kumachitika pochita zinthu zabwinobwino kapena ngakhale kupumula
  • kupweteka pachifuwa komwe kumakulirakulira mukamapuma kapena kutsokomola
  • kumva kutopa kapena kutopa
  • kusowa chilakolako
  • nseru kapena kusanza
  • kupweteka mutu

Zizindikiro zina zimatha kusiyanasiyana kutengera msinkhu wanu komanso thanzi lanu:


  • Ana ochepera zaka 5 amatha kupuma mwachangu kapena kupumira.
  • Makanda angawoneke ngati alibe zizindikilo, koma nthawi zina amatha kusanza, kusowa mphamvu, kapena kukhala ndi vuto lakumwa kapena kudya.
  • Anthu okalamba akhoza kukhala ndi zizindikiro zochepa. Amathanso kuwonetsa chisokonezo kapena kutsika pang'ono kuposa kutentha kwa thupi.

Zimayambitsa chibayo

Pali mitundu ingapo yamafuta opatsirana omwe angayambitse chibayo.

Chibayo cha bakiteriya

Chifukwa chofala kwambiri cha chibayo cha bakiteriya ndi Streptococcus pneumoniae. Zina mwa zifukwa zake ndi izi:

  • Mycoplasma pneumoniae
  • Haemophilus influenzae
  • Legionella pneumophila

Chibayo cha virus

Ma virus opuma nthawi zambiri amayambitsa chibayo. Zitsanzo zina ndi izi:

  • fuluwenza (chimfine)
  • kupuma kwa syncytial virus (RSV)
  • ziphuphu (chimfine)

Chibayo cha virus nthawi zambiri chimakhala chofatsa ndipo chimatha kusintha sabata limodzi kapena atatu osalandira chithandizo.

Chibayo chibayo

Mafangayi ochokera munthaka kapena ndowe za mbalame amatha kuyambitsa chibayo. Nthawi zambiri zimayambitsa chibayo mwa anthu omwe ali ndi chitetezo chamthupi chofooka. Zitsanzo za bowa zomwe zingayambitse chibayo ndi monga:


  • Pneumocystis jirovecii
  • Cryptococcus zamoyo
  • Mitundu ya Histoplasmosis

Mitundu ya chibayo

Chibayo chimatha kugawidwa kutengera komwe chidapezeka kapena momwe chidapezera.

Chibayo chotengera kuchipatala (HAP)

Mtundu wa chibayo wa bakiteriya umapezeka mukakhala kuchipatala. Zitha kukhala zowopsa kuposa mitundu ina, chifukwa mabakiteriya omwe akukhudzidwa amatha kukhala olimbana ndi maantibayotiki.

Chibayo chopezeka pagulu (CAP)

Chibayo chopezeka pagulu (CAP) amatanthauza chibayo chomwe chimapezeka kunja kwa malo azachipatala kapena mabungwe.

Chibayo chokhudzana ndi mpweya wabwino (VAP)

Anthu omwe amagwiritsa ntchito makina opumira amapatsira chibayo, amatchedwa VAP.

Chibayo chibayo

Chibayo chotulutsa chibayo chimachitika mukamatulutsa mabakiteriya m'mapapu anu kuchokera pachakudya, chakumwa, kapena malovu. Mtundu uwu umatha kuchitika ngati muli ndi vuto lakumeza kapena ngati mumakhala osagwiritsa ntchito mankhwala, mowa, kapena mankhwala ena.


Chithandizo cha chibayo

Chithandizo chanu chimadalira mtundu wa chibayo chomwe muli nacho, kulimba kwake, komanso thanzi lanu.

Mankhwala akuchipatala

Dokotala wanu akhoza kukupatsani mankhwala othandizira kuchiza chibayo chanu. Zomwe mwalamulidwa zimadalira chifukwa chenicheni cha chibayo chanu.

Maantibayotiki apakamwa amatha kuchiza chibayo cha bakiteriya. Nthawi zonse tengani mankhwala anu onse, ngakhale mutayamba kumva bwino. Kusachita izi kumalepheretsa kuti matenda amuchotse, ndipo kungakhale kovuta kuchiza mtsogolo.

Mankhwala a antibiotic sagwira ntchito mavairasi. Nthawi zina, adokotala amatha kukupatsani mankhwala ochepetsa ma virus. Komabe, matenda ambiri a chibayo amadziwonekera okha ndi chisamaliro chapakhomo.

Mankhwala antifungal amagwiritsidwa ntchito polimbana ndi chibayo cha fungal. Muyenera kumwa mankhwalawa kwa milungu ingapo kuti muchotse matendawa.

Kusamalira kunyumba

Dokotala wanu angakulimbikitseni mankhwala owonjezera pa-counter (OTC) kuti muchepetse ululu ndi malungo, ngati pakufunika kutero. Izi zingaphatikizepo:

  • aspirin
  • ibuprofen (Advil, Motrin)
  • acetaminophen (Tylenol)

Dokotala wanu amathanso kulangiza mankhwala a chifuwa kuti muchepetse chifuwa chanu kuti mupumule. Kumbukirani kutsokomola kumathandizira kuchotsa madzi m'mapapu anu, chifukwa chake simukufuna kuthetseratu.

Mutha kuthandiza kuchira kwanu ndikupewa kubwerezabwereza popumula kwambiri ndikumwa madzi ambiri.

Chipatala

Ngati zizindikiro zanu ndizovuta kwambiri kapena muli ndi mavuto ena azaumoyo, mungafunike kupita kuchipatala. Kuchipatala, madokotala amatha kuwerengera kugunda kwa mtima, kutentha, komanso kupuma kwanu. Chithandizo cha chipatala chingaphatikizepo:

  • mankhwala obaya jakisoni wolowetsedwa m'mitsempha
  • mankhwala opumira, omwe amaphatikizapo kuperekera mankhwala m'mapapu anu kapena kukuphunzitsani kuchita masewera olimbitsa thupi kuti mukulitse mpweya wabwino
  • mankhwala a oxygen kuti asunge mpweya wa magazi m'magazi anu (olandilidwa kudzera mu chubu champhongo, chigoba cha nkhope, kapena mpweya wabwino, kutengera kukula kwake)

Chiwopsezo cha chibayo

Aliyense atha kudwala chibayo, koma magulu ena ali pachiwopsezo chachikulu. Magulu awa ndi awa:

  • makanda kuyambira kubadwa mpaka zaka 2
  • anthu azaka 65 kapena kupitirira
  • anthu omwe ali ndi chitetezo chamthupi chofooka chifukwa cha matenda kapena kugwiritsa ntchito mankhwala, monga ma steroids kapena mankhwala ena a khansa
  • anthu omwe ali ndi matenda ena osachiritsika, monga mphumu, cystic fibrosis, matenda ashuga, kapena mtima kulephera
  • anthu omwe posachedwapa ali ndi matenda opuma, monga chimfine kapena chimfine
  • anthu omwe akhala posachedwa kapena omwe ali mchipatala, makamaka ngati anali kapena ali ndi makina opumira
  • anthu omwe adachitapo sitiroko, amavutika kumeza, kapena ali ndi vuto lomwe limayambitsa kusayenda
  • anthu omwe amasuta, amagwiritsa ntchito mankhwala osokoneza bongo, kapena amamwa mowa mopitirira muyeso
  • anthu omwe adakumana ndi zotupa m'mapapu, monga kuipitsa, utsi, ndi mankhwala ena

Kupewa chibayo

Nthawi zambiri, chibayo chimatha kupewedwa.

Katemera

Njira yoyamba yodzitetezera ku chibayo ndiyo katemera. Pali katemera angapo amene angathandize kupewa chibayo.

Pambuyo 13 ndi Pneumovax 23

Katemera wa chibayo uja amateteza ku chibayo ndi meningitis yoyambitsidwa ndi mabakiteriya a pneumococcal. Dokotala wanu angakuuzeni zomwe zingakhale zabwino kwa inu.

Choyambirira 13 Imagwira motsutsana ndi mitundu 13 ya mabakiteriya a pneumococcal. Centers for Disease Control and Prevention (CDC) katemera wa:

  • ana ochepera zaka 2
  • akuluakulu azaka 65 kapena kupitilira apo
  • anthu azaka zapakati pa 2 ndi 64 zaka omwe ali ndi matenda omwe amachulukitsa chiopsezo cha chibayo

Pneumovax 23 Imagwira motsutsana ndi mitundu 23 ya mabakiteriya a pneumococcal. CDC ya:

  • akuluakulu azaka 65 kapena kupitilira apo
  • akuluakulu azaka 19 mpaka 64 zaka omwe amasuta
  • anthu azaka zapakati pa 2 ndi 64 zaka omwe ali ndi matenda omwe amachulukitsa chiopsezo cha chibayo

Katemera wa chimfine

Chibayo nthawi zambiri chimakhala vuto la chimfine, motero onetsetsani kuti mwayambiranso chimfine cha pachaka. CDC kuti aliyense wazaka zisanu ndi chimodzi kapena kupitilira apo adzalandire katemera, makamaka iwo omwe atha kukhala pachiwopsezo cha matenda amfulu.

Katemera wa Hib

Katemerayu amateteza ku Haemophilus influenzae mtundu b (Hib), mtundu wa mabakiteriya omwe angayambitse chibayo ndi meningitis. CDC katemerayu wa:

  • ana onse ochepera zaka 5
  • ana okalamba osalandira katemera kapena achikulire omwe ali ndi matenda ena
  • anthu omwe alandila mafupa

Malinga ndi, katemera wa chibayo sangapewe milandu yonse yamatendawo. Koma ngati mwalandira katemera, mumakhala ndi matenda ochepetsetsa komanso ocheperako komanso chiopsezo chochepa chazovuta.

Malangizo ena othandiza kupewa

Kuphatikiza pa katemera, palinso zinthu zina zomwe mungapewe chibayo:

  • Ngati mumasuta, yesetsani kusiya. Kusuta kumakupangitsani kutenga matenda opatsirana, makamaka chibayo.
  • Nthawi zonse muzisamba m'manja ndi sopo.
  • Phimbani chifuwa ndi kuyetsemula. Kutaya mwachangu matumba omwe agwiritsidwa ntchito.
  • Khalani ndi moyo wathanzi kuti mulimbitse chitetezo cha mthupi lanu. Pumulani mokwanira, idyani zakudya zopatsa thanzi, ndipo yesetsani kuchita masewera olimbitsa thupi.

Pamodzi ndi katemera ndi zina zowonjezera, mungathandize kuchepetsa chiopsezo chanu chotenga chibayo. Nawa malangizo ena opewera.

Matenda achibayo

Dokotala wanu ayamba kutenga mbiri yanu yazachipatala. Adzakufunsani mafunso za nthawi yomwe matenda anu adayamba kuwonekera komanso thanzi lanu.

Kenako akupatsani mayeso athupi. Izi ziphatikizapo kumvera mapapu anu ndi stethoscope pazomveka zilizonse zachilendo, monga kulira. Kutengera kukula kwa zizindikilo zanu komanso chiwopsezo chanu chazovuta, dokotala wanu amathanso kuyitanitsa chimodzi kapena zingapo za mayesowa:

X-ray pachifuwa

X-ray imathandiza dokotala kuti ayang'ane zizindikiro zotupa m'chifuwa mwanu. Ngati kutupa kulipo, X-ray imathanso kudziwitsa dokotala za komwe kuli komanso kutalika kwake.

Chikhalidwe chamagazi

Kuyesaku kumagwiritsa ntchito kuyesa magazi kuti atsimikizire matenda. Kulima kumathandizanso kuzindikira zomwe zingayambitse matenda anu.

Chikhalidwe cha Sputum

Nthawi yachikhalidwe cha sputum, mtundu wa ntchofu umasonkhanitsidwa mutatsokomola kwambiri. Kenako amatumizidwa ku labu kuti akaunike kuti adziwe chomwe chimayambitsa matendawa.

Kutulutsa oximetry

Mapuloteni oximetry amayesa kuchuluka kwa mpweya m'magazi anu. Chojambulira chomwe chayikidwa pa chala chanu chimodzi chitha kuwonetsa ngati mapapu anu akuyendetsa mpweya wokwanira kudzera m'magazi anu.

Kujambula kwa CT

Kujambula kwa CT kumapereka chithunzi chomveka bwino komanso chatsatanetsatane cha mapapu anu.

Chitsanzo chamadzimadzi

Ngati dokotala akukayikira kuti pali timadzi tambiri m'chifuwa chanu, atha kutenga madzi amadzimadzi pogwiritsa ntchito singano yoyikidwa pakati pa nthiti zanu. Kuyesaku kungakuthandizeni kuzindikira chomwe chimayambitsa matenda anu.

Bronchoscopy

Bronchoscopy imayang'ana m'mapapu anu. Imachita izi pogwiritsa ntchito kamera kumapeto kwa chubu chosunthika chomwe chimatsogoza modekha kukhosi kwanu ndi m'mapapu anu. Dokotala wanu akhoza kuyesa izi ngati zizindikiro zanu zoyambirira zili zovuta, kapena ngati muli m'chipatala ndipo simukuyankha bwino maantibayotiki.

Kuyenda chibayo

Chibayo choyenda ndichovuta kwambiri cha chibayo. Anthu omwe ali ndi chibayo choyenda samadziwa kuti ali ndi chibayo, chifukwa zizindikilo zawo zimamveka ngati matenda opumira pang'ono kuposa chibayo.

Zizindikiro za chibayo choyenda zimatha kuphatikizira zinthu monga:

  • malungo ochepa
  • chifuwa chouma chimatha nthawi yayitali kuposa sabata
  • kuzizira
  • kupuma movutikira
  • kupweteka pachifuwa
  • kuchepetsa kudya

Kuphatikiza apo, mavairasi ndi mabakiteriya, monga Streptococcus pneumoniae kapena Haemophilus influenzae, Nthawi zambiri zimayambitsa chibayo. Komabe, poyenda chibayo, mabakiteriya onga Mycoplasma pneumoniae, Chlamydophilia pneumoniae, ndipo Legionella pneumoniae amachititsa vutoli.

Ngakhale kuti chibayo chimakhala chofewa, pamafunika nthawi yochulukirapo kuposa chibayo.

Kodi chibayo ndi kachilombo?

Mitundu ingapo yamafuta opatsirana imatha kuyambitsa chibayo. Mavairasi ndi amodzi mwa iwo. Zina zimaphatikizapo mabakiteriya ndi bowa.

Zitsanzo zina za matenda opatsirana omwe angayambitse chibayo ndi awa:

  • fuluwenza (chimfine)
  • Matenda a RSV
  • ziphuphu (chimfine)
  • kachilombo ka parainfluenza virus (HPIV)
  • Matenda a metapneumovirus (HMPV)
  • chikuku
  • nthomba (varicella-zoster virus)
  • Matenda a adenovirus
  • kuyambukiridwa kwa kachilombo ka corona

Ngakhale kuti chibayo cha mabakiteriya chimafanana kwambiri, chibayo cha chibayo chimakhala chofatsa kwambiri kuposa chibayo cha bakiteriya. Malinga ndi, anthu omwe ali ndi chibayo cha virus ali pachiwopsezo chotenga chibayo cha bakiteriya.

Kusiyana kwakukulu pakati pa chibayo cha bakiteriya ndi kachilombo ndi chithandizo. Matenda a kachilombo samayankha maantibayotiki. Matenda ambiri a chibayo amatha kuchiritsidwa kunyumba, ngakhale ma virus nthawi zina amatha kupatsidwa mankhwala.

Chibayo vs. bronchitis

Chibayo ndi bronchitis ndi zinthu ziwiri zosiyana. Chibayo ndimatumba am'mapapo mwanu. Bronchitis ndikutupa kwamachubu anu a bronchial. Awa ndi machubu omwe amatsogolera kuchokera pachapaipi chanu kupita m'mapapu anu.

Matendawa amayambitsa chibayo komanso chifuwa chachikulu. Kuphatikiza apo, bronchitis yolimbikira kapena yanthawi yayitali imatha kukula kuchokera pakupumira zowononga, monga utsi wa ndudu.

Matenda a tizilombo kapena mabakiteriya amatha kudwala bronchitis yovuta. Vutoli likapanda kuchiritsidwa, limatha kukhala chibayo. Nthawi zina zimakhala zovuta kudziwa ngati izi zachitika. Zizindikiro za bronchitis ndi chibayo ndizofanana kwambiri.

Ngati muli ndi bronchitis, ndikofunikira kuti muchiritsidwe kuti mupewe chibayo.

Chibayo mwa ana

Chibayo chimatha kukhala chizolowezi chaubwana. Ochita kafukufuku akuti pamakhala matenda a chibayo padziko lonse lapansi chaka chilichonse.

Zomwe zimayambitsa chibayo chaubwana zimatha kusiyanasiyana ndi zaka. Mwachitsanzo, chibayo chifukwa cha mavairasi opuma, Streptococcus pneumoniae, ndi Haemophilus influenzae Ndizofala kwambiri kwa ana ochepera zaka 5.

Chibayo chifukwa cha Mycoplasma pneumoniae imawonedwa kawirikawiri mwa ana azaka zapakati pa 5 ndi 13. Mycoplasma pneumoniae ndi chimodzi mwazomwe zimayambitsa chibayo. Ndi mtundu wofatsa wa chibayo.

Onani dokotala wanu mukawona mwana wanu:

  • akuvutika kupuma
  • alibe mphamvu
  • amasintha njala

Chibayo chimatha kukhala chowopsa mwachangu, makamaka kwa ana aang'ono. Nazi njira zopewera zovuta.

Mankhwala chibayo kunyumba

Ngakhale mankhwala am'nyumba samachiritsira chibayo, pali zinthu zina zomwe mungachite kuti muchepetse zizindikiro.

Kukhosomola ndi chimodzi mwa zizindikiro zofala kwambiri za chibayo. Njira zachilengedwe zothetsera chifuwa zimaphatikizapo kumeza madzi amchere kapena kumwa tiyi wamadzimadzi.

Zinthu monga mankhwala opweteka a OTC ndi ma compress oziziritsa amatha kugwira ntchito kuti athetse malungo. Kumwa madzi ofunda kapena kukhala ndi mbale yabwino yotentha ya msuzi kumatha kuthandizira kuzizira. Nawa njira zina zisanu ndi imodzi zoyeserera kunyumba.

Ngakhale mankhwala apanyumba atha kuthandiza kuchepetsa zizindikilo, ndikofunikira kutsatira dongosolo lanu. Tengani mankhwala aliwonse amene akupatsani.

Chibayo kuchira

Anthu ambiri amalandira chithandizo ndipo amachira chibayo. Monga chithandizo chanu, nthawi yanu yochira idzadalira mtundu wa chibayo chomwe muli nacho, kulimba kwake, komanso thanzi lanu.

Wachichepere amatha kumva kuti wabwerera mwakale pambuyo pa sabata atalandira chithandizo. Ena amatenga nthawi kuti achire ndipo amatopa. Ngati zizindikiro zanu ndizovuta, kuchira kwanu kumatha kutenga milungu ingapo.

Ganizirani zotenga izi kuti zikuthandizeni kuchira ndikuthandizira kupewa zovuta kuti zisachitike:

  • Tsatirani dongosolo lamankhwala lomwe dokotala wanu wakonza ndikumwa mankhwala onse monga mwauzidwa.
  • Onetsetsani kuti mupumule mokwanira kuti muthandize thupi lanu kulimbana ndi matendawa.
  • Imwani madzi ambiri.
  • Funsani dokotala wanu nthawi yomwe muyenera kukonzekera nthawi yotsatira. Angafune kuchita X-ray china pachifuwa kuti atsimikizire kuti matenda anu atha.

Matenda achibayo

Chibayo chimatha kubweretsa zovuta, makamaka kwa anthu omwe ali ndi chitetezo chamthupi chofooka kapena matenda, monga matenda ashuga.

Kukula kwanthawi yayitali

Ngati muli ndi matenda ena omwe alipo kale, chibayo chingawawonjezere. Izi zimaphatikizapo kulephera kwa mtima komanso kupwetekedwa mtima. Kwa anthu ena, chibayo chimawonjezera chiopsezo chokhala ndi vuto la mtima.

Bacteremia

Mabakiteriya ochokera kumatenda a chibayo amatha kufalikira m'magazi anu. Izi zitha kubweretsa kuthamanga kwa magazi koopsa, mantha am'magazi, ndipo nthawi zina, kulephera kwa ziwalo.

Ziphuphu zotupa

Awa ndi zibowo m'mapapu omwe mumakhala mafinya. Maantibayotiki amatha kuwachiza. Nthawi zina angafunike ngalande kapena opaleshoni kuchotsa mafinya.

Kupuma kovuta

Mutha kukhala ndi vuto lopeza mpweya wokwanira mukamapuma. Mungafunike kugwiritsa ntchito makina opumira.

Ntenda yopuma movutikira

Uwu ndiye mawonekedwe ovuta a kupuma. Ndizovuta zachipatala.

Kutulutsa kwa Pleural

Ngati chibayo chanu sichichiritsidwa, mutha kukhala ndimadzi m'mapapu anu mu pleura, yotchedwa pleural effusion. Mimbayi ndi timadzi timene timatulutsa kunja kwa mapapu anu komanso mkati mwa nthiti zanu. Madziwo amatha kutenga kachilomboka ndipo amafunika kukhetsedwa.

Imfa

Nthawi zina, chibayo chimatha kupha. Malinga ndi CDC, anthu ku United States adamwalira ndi chibayo mu 2017.

Kodi chibayo chimachiritsidwa?

Mankhwala opatsirana osiyanasiyana amayambitsa chibayo. Ndi kuzindikira ndi chithandizo choyenera, milandu yambiri ya chibayo imatha kuthetsedwa popanda zovuta.

Pazakudya za bakiteriya, kuyimitsa maantibayotiki anu koyambirira kumatha kuyambitsa matendawa kuti asafalikire. Izi zikutanthauza kuti chibayo chanu chimatha kubwerera. Kuyimitsa maantibayotiki koyambirira kungathandizenso kuti maantibayotiki akane. Matenda olimbana ndi maantibayotiki ndi ovuta kuchiza.

Chibayo cha virus nthawi zambiri chimatha sabata limodzi kapena atatu ndikuthandizidwa kunyumba. Nthawi zina, mungafunike ma antivirals. Mankhwala oletsa antifungal amachiza chibayo cha fungal ndipo amatha chithandizo chotalikirapo.

Chibayo magawo

Chibayo chimatha kugawa m'magulu omwe amakhudza:

Matenda am'mimba

Bronchopneumonia imatha kukhudza madera m'mapapu anu onse. Nthawi zambiri imapezeka pafupi kapena pafupi ndi bronchi yanu. Awa ndi machubu omwe amatsogolera kuchokera pachapaipi chanu kupita m'mapapu anu.

Chibayo cha Lobar

Chibayo cha chibayo chimakhudza mbali imodzi kapena zingapo zamapapu anu. Mapapu aliwonse amapangidwa ndi ma lobes, omwe amatanthauzidwa magawo am'mapapu.

Chibayo cha chibayo chimatha kugawidwa m'magawo anayi kutengera momwe chimayendera:

  1. Kusakanikirana. Minofu ya m'mapapo imawoneka yolemera komanso yodzaza. Madzi odzaza ndi tizilombo toyambitsa matenda akupezeka m'matumba amlengalenga.
  2. Kufiyira kofiira. Maselo ofiira ofiira am'magazi ndi ma chitetezo amthupi amalowa mumadzimadzi. Izi zimapangitsa kuti mapapo awonekere ofiira komanso olimba.
  3. Imvi hepatization. Maselo ofiira ofiira ayamba kuwonongeka pomwe maselo amthupi amateteza. Kuwonongeka kwa maselo ofiira am'magazi kumayambitsa kusintha kwa utoto, kuchokera kufiyira kufikira imvi.
  4. Kusintha. Maselo achitetezo amayamba kuchotsa kachilomboka. Chifuwa chopindulitsa chimathandiza kutulutsa madzi otsala m'mapapu.

Mimba ya chibayo

Chibayo chomwe chimachitika panthawi yapakati chimatchedwa chibayo cha amayi. Amayi oyembekezera amakhala pachiwopsezo chotenga chibayo. Izi ndichifukwa chakuchepetsa kwachilengedwe kwa chitetezo chamthupi chomwe chimachitika mukakhala ndi pakati.

Zizindikiro za chibayo sizimasiyana ndi trimester. Komabe, mutha kuzindikiranso zina pambuyo pake mukakhala ndi pakati chifukwa cha zovuta zina zomwe mungakumane nazo.

Ngati muli ndi pakati, funsani dokotala mukangoyamba kumene kukhala ndi zizindikiro za chibayo. Chibayo cha amayi chimatha kubweretsa zovuta zosiyanasiyana, monga kubadwa msanga komanso kuchepa thupi.

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