Kuika chiwindi: ikadzawonetsedwa ndikuwonetsa bwino

Zamkati

• Zikuwonetsedwa
• Momwe mungakonzekerere kumuika
• Kodi kuchira kuli bwanji?
• 1. Kuchipatala
• 2. Kunyumba
• Zotsatira zoyipa za mankhwala

Kuika chiwindi ndi njira yochitira opaleshoni yomwe imawonetsedwa kwa anthu omwe awonongeka kwambiri chiwindi, kuti ntchito ya chiwalo ichi isokonekere, monga momwe zimakhalira ndi chiwindi, chiwindi, khansa ya chiwindi ndi cholangitis, mwachitsanzo.

Chifukwa chake, pakakhala chisonyezero cha kumuika chiwindi, ndikofunikira kuti munthuyo azidya zakudya zopatsa thanzi komanso zopatsa thanzi, kuti apewe kuwonongeka kwa chiwalo. Kuphatikiza apo, kumuika ndikololedwa, ndikofunikira kuti munthuyo ayambe kusala kwathunthu kuti kumujambulaku kuchitike.

Atamuika, munthuyo nthawi zambiri amakhala pakati pa masiku 10 mpaka 14 kuchipatala kuti athe kumutsatira ndi azachipatala ndipo amatha kuwunika momwe thupi limagwirira ntchito ku chiwalo chatsopano, komanso ndizotheka kupewa zovuta.

Zikuwonetsedwa

Kuika chiwindi kumatha kuwonetsedwa pomwe chiwalo chimasokonekera kwambiri ndikusiya kugwira ntchito, chifukwa zimatha kuchitika ngati chiwindi, chiwindi cha chiwindi kapena khansa m'chiwalo ichi, mwa anthu amisinkhu iliyonse, kuphatikiza ana.

Pali chisonyezero cha kumuika pamene mankhwala, radiotherapy kapena chemotherapy akulephera kubwezeretsanso magwiridwe antchito. Poterepa, wodwalayo akuyenera kupitiriza kuchita chithandizo chofunidwa ndi adotolo ndikuchita mayeso oyenera kufikira pomwe wopereka chiwindi woyenerana atapezeka, yemwe ali wonenepa komanso wopanda vuto lililonse lathanzi.

Kuika kumatha kuwonetsedwa ngati kuli matenda opatsirana kapena opatsirana, omwe sangakhale ndi mwayi wowonekeranso pambuyo pobzala, monga:

• Matenda a chiwindi;
• Matenda kagayidwe kachakudya;
• Kufufuza cholangitis;
• Biliary thirakiti atresia;
• Matenda a chiwindi;
• Kulephera kwa chiwindi.

Matenda ena omwe sangakhale oyenera kuwaika ndi hepatitis B, chifukwa kachilomboka kamatha kukhazikika 'm'chiwindi' chatsopano komanso ngati chiwindi chimayamba chifukwa cha uchidakwa, chifukwa ngati munthuyo apitilizabe kumwa chiwerewere 'chatsopanocho' kuwonongeka. Chifukwa chake, adokotala ayenera kuwonetsa nthawi yomwe kumuikirako kumatheka kapena sikungachitike potsatira matenda a chiwindi cha munthuyo komanso thanzi la munthuyo.

Momwe mungakonzekerere kumuika

Kukonzekera njirayi, zakudya zabwino ziyenera kusamalidwa, kupewa zakudya zokhala ndi mafuta ndi shuga ambiri, kupereka masamba, zipatso ndi nyama zowonda. Kuphatikiza apo, ndikofunikira kudziwitsa adotolo za zizindikilo zilizonse zomwe zilipo kuti athe kufufuzira ndikuyambitsa chithandizo choyenera.

Dokotala akakumana, ndikuyitanitsa munthu kuti amuike, ndikofunikira kuti munthuyo ayambe kusala kudya kwathunthu ndikupita kuchipatala chomwe chatsimikizidwacho posachedwa.

Yemwe alandire chiwonetserocho ayenera kukhala ndi mnzake wazaka zovomerezeka ndikubweretsa zikalata zonse zofunikira kuti alandire kuti alandire limba. Pambuyo pa opaleshoni sizachilendo kuti munthu akhale ku ICU kwa masiku osachepera 10 mpaka 14.

Kodi kuchira kuli bwanji?

Akatha kumuika chiwindi, munthuyo nthawi zambiri amakhala mchipatala kwa milungu ingapo kuti thupi liyang'anire ndikuwona zomwe thupi likuchita, kupewa zovuta zomwe zingachitike.Pambuyo pa nthawi imeneyi, munthuyo amatha kupita kwawo, komabe, ayenera kutsatira malangizo azachipatala kuti alimbikitse moyo wawo, monga kugwiritsa ntchito mankhwala osokoneza bongo, mwachitsanzo.

Pambuyo pomuika, munthuyo akhoza kukhala ndi moyo wabwinobwino, wofunikanso kutsatira malangizo a adotolo, kuyang'aniridwa pafupipafupi kudzera pamafunso azachipatala ndi mayeso ndikukhala ndi moyo wathanzi.

1. Kuchipatala

Atamuika, munthuyo ayenera kulowetsedwa kuchipatala pafupifupi 1 mpaka 2 masabata kuti awone kuthamanga, kuchuluka kwa magazi m'magazi, kutseka magazi, magwiridwe antchito a impso ndi zina zofunika kudziwa ngati munthuyo ali bwino ndipo matenda akhoza kupewedwa.

Poyamba, munthuyo amayenera kukhala ku ICU, komabe, kuyambira pomwe amakhala wolimba, amatha kupita kuchipinda kuti akapitilize kuyang'aniridwa. Adakali mchipatala, munthuyo amatha kuchita masewera olimbitsa thupi kuti athe kupuma bwino komanso kuti achepetse mavuto azovuta zamagalimoto monga kuuma kwa minofu ndi kufupikitsa, thrombosis ndi ena.

2. Kunyumba

Kuyambira pomwe munthuyo wakhazikika, palibe zisonyezo zakukanidwa ndipo mayesowo amawerengedwa kuti ndi abwinobwino, adotolo amatha kumulola munthuyu malinga ngati munthuyo atsatira chithandizo kunyumba.

Mankhwalawa ayenera kuchitidwa pogwiritsa ntchito mankhwala osokoneza bongo omwe dokotala akuwawonetsa komanso omwe amateteza chitetezo cha mthupi, zomwe zimachepetsa chiopsezo chokana chiwalo chozikidwa. Komabe, chifukwa chake pali chiopsezo chachikulu chotenga matenda. Chifukwa chake, ndikofunikira kuti kuchuluka kwa mankhwalawo ndikwanira kuti chamoyocho chitha kulimbana ndi opatsirana omwe akubwera nthawi imodzimodzi pomwe kukanidwa kwa ziwalo sikuchitika.

Mankhwala ena omwe angagwiritsidwe ntchito ndi prednisone, cyclosporine, azathioprine, globulins ndi ma monoclonal antibodies, koma mlingowu umasiyanasiyana malinga ndi munthu wina chifukwa zimadalira pazifukwa zingapo zomwe dokotala ayenera kuyesa, monga matenda omwe adayambitsa kumuika, msinkhu, kulemera ndi matenda ena amapezeka monga mavuto amtima ndi matenda ashuga.

Kuphatikiza pa kugwiritsa ntchito mankhwala, tikulimbikitsidwa kuti munthuyo azikhala ndi moyo wathanzi, kupewa kumwa zakumwa zoledzeretsa komanso zakudya zamafuta, komanso kuchita masewera olimbitsa thupi opepuka omwe akuyenera kulimbikitsidwa ndi akatswiri azolimbitsa thupi.

Zotsatira zoyipa za mankhwala

Pogwiritsira ntchito ma immunosuppressants, zizindikilo monga kutupa kwa thupi, kunenepa, kuchuluka kwa tsitsi mthupi, makamaka pamaso pa azimayi, kufooka kwa mafupa, kuchepa kwa chakudya, kutaya tsitsi ndi thrush zitha kuwoneka. Chifukwa chake, munthu ayenera kuwona zizindikilo zomwe zimawonekera ndikulankhula ndi adotolo kuti athe kuwonetsa zomwe zingachitike kuti athetse izi, osayika pachiwopsezo cha chitetezo chamthupi.