Kutupa Ankolo ndi Mwendo

Zamkati

• Zithunzi za bondo ndi mwendo wotupa
• Nchiyani chimayambitsa kutupa kapena mwendo?
• Edema
• Nchifukwa chiyani milondo ndi miyendo zotupa zimachitika panthawi yapakati?
• Kutupa kupewa mimba
  
• Kodi ndiyenera kupita kuchipatala liti?
• Kodi bondo kapena mwendo wotupa umathandizidwa bwanji?
• Kusamalira kunyumba
• Chithandizo chamankhwala
• Kodi pali zovuta zotani?
• Kodi ndingapewe bwanji bondo kapena mwendo wotupa?
• Kusamalira zochitika zamankhwala
• Chitani zinthu mosamala
• Masokosi opanikizika
• Zakudya
• Kukweza mwendo

Chidule

Mapazi ndi miyendo ndi malo wamba otupa chifukwa cha mphamvu yokoka pamadzi amthupi la munthu. Komabe, kusungidwa kwa madzi kuchokera ku mphamvu yokoka si chifukwa chokhacho chotupa cha mwendo kapena mwendo wotupa. Kuvulala ndi kutupa komwe kumayambitsanso kumatha kuchititsa kuti madzi asungidwe komanso kutupa.

Bondo kapena mwendo wotupa umatha kupangitsa kuti mbali yakumunsi ya mwendo iwoneke yayikulu kuposa yachibadwa. Kutupa kumatha kupanga zovuta kuyenda. Zitha kukhala zopweteka, ndikhungu pakhungu lanu likumva zolimba ndikutambasula. Ngakhale vutoli silikhala chifukwa chodandaulira nthawi zonse, kudziwa chomwe chimayambitsa kungathandize kuthana ndi vuto lalikulu.

Zithunzi za bondo ndi mwendo wotupa

Nchiyani chimayambitsa kutupa kapena mwendo?

Ngati mungayime gawo lalikulu tsikulo, mutha kukhala ndi chotupa kapena mwendo wotupa. Ukalamba ungapangitsenso kutupa kwambiri. Ulendo wautali kapena kuyenda pagalimoto kumatha kuyambitsa kutupa, mwendo, kapena phazi.

Matenda ena amathanso kupangitsa bondo kapena mwendo kutupa. Izi zikuphatikiza:

• kukhala wonenepa kwambiri
• kusakwanira kwa venous, komwe mavuto ndi mavavu amitsempha amateteza magazi kuti abwerere kumtima
• mimba
• nyamakazi
• magazi aundana mwendo
• kulephera kwa mtima
• impso kulephera
• matenda mwendo
• chiwindi kulephera
• lymphedema, kapena kutupa komwe kumachitika chifukwa cha kutsekeka mu mitsempha yamagazi
• Opaleshoni yapita, monga m'chiuno, mchiuno, bondo, bondo, kapena phazi

Kutenga mankhwala ena kumatha kubweretsa chizindikirochi. Izi zikuphatikiza:

• antidepressants, kuphatikiza phenelzine (Nardil), nortriptyline (Pamelor), ndi amitriptyline
• calcium blockers omwe amagwiritsidwa ntchito pochiza kuthamanga kwa magazi, kuphatikiza nifedipine (Adalat CC, Afeditab CR, Procardia), amlodipine (Norvasc), ndi verapamil (Verelan)
• mankhwala a mahomoni, monga mapiritsi oletsa kubereka, estrogen, kapena testosterone
• mankhwala

Kutupa kwa bondo ndi mwendo kungakhale chifukwa cha kutupa chifukwa chovulala kwambiri kapena kwakanthawi. Zinthu zomwe zingayambitse kutupa koterezi ndi monga:

• bondo
• nyamakazi
• gout
• wosweka mwendo
• Achilles tendon kuphulika
• ACL misozi

Edema

Edema ndi mtundu wa kutupa komwe kumachitika pakakhala madzi owonjezera am'magawo amthupi lanu:

• miyendo
• mikono
• manja
• akakolo
• mapazi

Edema wofatsa amatha kuyambitsa mimba, kusamba kusanachitike, kudya mchere wambiri, kapena kukhala pamalo amodzi kwakanthawi. Mtundu wamiyendo kapena kutupa kwa akakolo kumatha kukhala zotsatira zoyipa zamankhwala ena, monga:

• thiazolidinediones (amagwiritsidwa ntchito pochiza matenda ashuga)
• kuthamanga kwa mankhwala a magazi
• mankhwala
• mankhwala oletsa kutupa
• estrogen

Edema ikhoza kukhala chizindikiro cha vuto lalikulu lazachipatala, monga:

• matenda a impso kapena kuwonongeka
• congestive mtima kulephera
• Mitsempha yofooka kapena yowonongeka
• dongosolo la mitsempha yamagazi lomwe silikugwira ntchito moyenera

Edema wofatsa nthawi zambiri amatha popanda chithandizo chilichonse chamankhwala. Komabe, ngati muli ndi vuto lalikulu la edema, lingachiritsidwe ndi mankhwala.

Nchifukwa chiyani milondo ndi miyendo zotupa zimachitika panthawi yapakati?

Kutupa ndi miyendo ndizofala mukakhala ndi pakati chifukwa cha zinthu monga:

• kusungidwa kwa madzi achilengedwe
• kupanikizika kwa mitsempha chifukwa cha kulemera kwina kwa chiberekero chanu
• kusintha mahomoni

Kutupa kumatha pambuyo poti mubereke mwana wanu. Mpaka nthawiyo, yesani malangizowa kuti muchepetse kapena kutupa.

Kutupa kupewa mimba

• Pewani kuyimirira kwa nthawi yayitali.
• Khalani mutakweza mapazi anu.
• Khalani ozizira momwe mungathere.
• Khalani ndi nthawi padziwe.
• Khalani ndi chizolowezi chochita masewera olimbitsa thupi monga momwe dokotala amavomerezera.
• Mugone kumanzere kwanu.

Musachepetse kumwa madzi ngati mwatupa. Mumafunika madzi ambiri mukakhala ndi pakati, nthawi zambiri makapu 10 patsiku.

Ngati kutupa ndikumva kuwawa, muyenera kukaonana ndi dokotala kuti awonetsetse kuti kuthamanga kwa magazi ndikwabwino. Dokotala wanu adzafunikanso kufufuza ngati muli ndi magazi ndikuwongolera zina zomwe zingachitike, monga preeclampsia.

Kodi ndiyenera kupita kuchipatala liti?

Funani chithandizo chadzidzidzi ngati muli ndi zizindikiro zokhudzana ndi mtima. Izi zingaphatikizepo:

• kupweteka pachifuwa
• kuvuta kupuma
• chizungulire
• kusokonezeka m'maganizo

Muyeneranso kufunafuna chithandizo chadzidzidzi ngati muwona zachilendo kapena zopindika ku akakolo komwe kunalibe kale. Ngati kuvulala kumakulepheretsani kulemera mwendo wanu, izi zimakhalanso chifukwa chodera nkhawa.

Ngati muli ndi pakati, pitani kuchipatala ngati muli ndi zizindikiro zokhudzana ndi preeclampsia kapena kuthamanga kwa magazi koopsa. Izi zikuphatikiza:

• mutu wopweteka kwambiri
• nseru
• kusanza
• chizungulire
• mkodzo wocheperako pang'ono

Funsani chithandizo chamankhwala ngati chithandizo chanyumba sichikuthandizani kuchepetsa kutupa kapena ngati kusapeza kwanu kukuwonjezeka.

Kodi bondo kapena mwendo wotupa umathandizidwa bwanji?

Kusamalira kunyumba

Pofuna kuthandizira bondo kapena mwendo wotupa kunyumba, kumbukirani RICE:

• Pumulani. Khalani pachilonda kapena mwendo mpaka mutakafika kwa dokotala kapena mpaka kutupa kutatha.
• Ice. Ikani ayezi pamalo otupa mwamsanga momwe mungathere kwa mphindi 15 mpaka 20. Kenako bwerezani maola atatu kapena anayi aliwonse.
• Kupanikizika. Manga mkondo wanu kapena mwendo mosasunthika, koma onetsetsani kuti musadule magazi. Masheya othandizira atha kukhala osankha.
• Kukwera. Kwezani bondo lanu kapena mwendo wanu pamwamba pamtima mwanu (kapena kuposa momwe mungathere). Mapilo awiri nthawi zambiri amakupatsani kukwera kolondola. Izi zimalimbikitsa madzimadzi kuchoka pamiyendo yanu.

Chithandizo chamankhwala

Ngati mukufuna chithandizo chamankhwala, dokotala wanu atha kudziwa chomwe chikuyambitsa matenda anu. Kuyesera kungaphatikizepo:

• kuyesa magazi
• X-ray
• chojambula chamagetsi
• kusanthula kwamkodzo

Ngati kutupa kumayambitsidwa ndi matenda monga congestive mtima kulephera, adokotala amatha kupereka mankhwala okodzetsa. Mankhwalawa amakhudza impso ndikuwathandiza kuti atulutse madzi.

Ngati matenda omwe akupitirirabe monga nyamakazi ndi omwe amayambitsa vutoli, chithandizo chanu chitha kukhala kasamalidwe komanso kupewa kwa vutoli.

Kutupa chifukwa chovulala kungafune kukhazikitsidwa kwa mafupa, kuponyedwa, kapena opaleshoni kukonzanso malo ovulalawo.

Pazotupa zomwe zimapweteka, dokotala amatha kupereka mankhwala ochepetsa ululu kapena owonjezera pa anti-inflammatory, monga ibuprofen (Advil) kapena naproxen sodium (Aleve).

Kutupa pang'ono pathupi kapena kuvulala pang'ono kumatha pakokha pambuyo pobereka mwana kapena ndi kupumula kokwanira.

Mukalandira chithandizo, muyenera kufunsa dokotala ngati:

• kutupa kwanu kumawonjezeka
• mumavutika kupuma kapena kupweteka pachifuwa
• mumamva chizungulire kapena kukomoka
• kutupa kwanu sikuchepera mwachangu monga momwe dokotala ananenera

Kodi pali zovuta zotani?

Zovuta za mwendo wotupa kapena bondo zingaphatikizepo:

• kuchuluka kwa kutupa
• kufiira kapena kutentha
• kupweteka kwadzidzidzi komwe kunalibe kale
• kupweteka pachifuwa kumatenga nthawi yopitilira mphindi imodzi kapena zitatu
• kumva kukomoka kapena kuchita chizungulire
• chisokonezo

Izi zikachitika, muyenera kulumikizana ndi achipatala mwachangu. Atha kuwunika, kuweruza, kapena kuchiza matenda akulu.

Kodi ndingapewe bwanji bondo kapena mwendo wotupa?

Kusamalira zochitika zamankhwala

Ngati muli ndi matenda omwe angayambitse kutupa, tengani mankhwala anu ndikuwongolera matenda anu mosamala. Anthu omwe ali ndi vuto la mtima kapena matenda a impso angafunikire kuchepetsa kuchuluka kwa madzimadzi omwe amatenga tsiku lililonse.

Chitani zinthu mosamala

Ngakhale kuti nthawi zonse simungapewe kuvulala panthawi yochita masewera olimbitsa thupi, kutentha koyamba kungathandize. Izi zimaphatikizapo kuyenda kapena kuthamanga pang'ono musanachite masewera olimbitsa thupi.

Sankhani nsapato zothandizira. Nsapato zoyenera zimatha kukonza zovuta zilizonse ndikupewa kuvulala. Muyenera kusankha nsapato zomwe zikugwirizana ndi zomwe mukuchita kapena zosowa zanu. Ngati muthamanga kapena kuthamanga, konzekerani ndi akatswiri kuti mupeze nsapato yolondola.

Masokosi opanikizika

Masokosi opanikizika amapondereza mwendo wanu wapansi. Nthawi zina, izi zitha kuthandiza kupewa ndikuchepetsa kutupa kwa akakolo ndi phazi komwe kumachitika chifukwa cha zinthu zina, monga:

• thrombosis yakuya kwambiri
• lymphedema
• Mitsempha ya varicose
• kusowa kwa venous

Muyenera kukaonana ndi dokotala musanagwiritse ntchito masokosi apakhungu anu. Masokosi apaderawa ayenera kukhala oyenera inu ndi zosowa zanu. Komanso, onetsetsani kuti muzivala masana ndikuzichotsa musanagone.

Zakudya

Chakudya chochepa cha sodium chimalepheretsa kusungunuka kwamadzimadzi. Zimaphatikizapo kupewa kudya chakudya chosachedwa. Zakudya zambiri zachisanu ndi msuzi zamzitini nthawi zambiri zimakhala ndi sodium yochulukirapo, choncho werengani zolemba zanu mosamala.

Kukweza mwendo

Mukaimirira kwambiri masana, yesetsani kukweza mapazi anu kapena kuwalowetsa m'madzi mukafika kunyumba kuti muteteze kutupa.