Matenda a m'mimba: chiyani, zizindikiro ndi chithandizo
Zamkati
Matenda a m'mimba ndi matenda am'matumbo ndi chifuwa chachikulu cha TB, chomwe chitha kupatsirana kudzera m'malovu amalovu ochokera kwa anthu omwe ali ndi matendawa, kapena pakudya ndi kumwa nyama kapena mkaka kuchokera ku nyama zomwe zili ndi kachilomboka, kawirikawiri.
Matendawa amapezeka kwambiri kwa anthu omwe ali ndi chitetezo chofooka kwambiri, monga anthu omwe ali ndi Edzi, mwachitsanzo, ndipo zimachitika pomwe munthuyo ali ndi chifuwa chachikulu cha m'mapapo komanso kumeza zotsekemera ndi bacillus. Chifukwa chake, chithandizo chimachitidwa chimodzimodzi ndi chifuwa chachikulu cha m'mapapo mwanga, ndi maantibayotiki kwa miyezi 6 mpaka 9.
Zizindikiro zazikulu
Matenda a m'mimba amachititsa zizindikiro m'mimba ndi m'matumbo, zomwe zimayamba kukhala zofewa ndikuipiraipira pakapita nthawi. Mfundo zazikuluzikulu ndi izi:
- Kulimbikira kupweteka m'mimba;
- Kutsekula m'mimba;
- Magazi mu chopondapo;
- Kutupa kapena kupezeka kwa chotupa chogwirika m'mimba;
- Kutentha kwakukulu;
- Kusowa kwa njala ndi kuchepa thupi;
- Kutuluka thukuta usiku.
Zizindikirozi zimayambitsidwa ndi mabala omwe matendawa amayambitsa pakhoma la m'matumbo, omwe amafanana kwambiri ndi omwe amayamba ndi matenda a Crohn kapena khansa, chifukwa chake zimakhala zovuta kusiyanitsa matendawa.
Momwe imafalira
Nthawi zambiri, bacillus yomwe imayambitsa chifuwa chachikulu imafalikira ndimitsempha yopuma yomwe ili mlengalenga, ndikupangitsa matenda m'mapapu. Komabe, imatha kufikira m'matumbo pomwe munthu yemwe ali ndi chifuwa chachikulu cham'mapapo ameza zotsekemera zake, kapena akamadya nyama ya ng'ombe yopanda mafuta kapena mkaka wodetsedwa ndi chifuwa chachikulu cha bovine, makamaka anthu omwe ali ndi chitetezo chofooka kwambiri, monga anthu omwe ali ndi Edzi kapena omwe amagwiritsa ntchito mankhwala osokoneza bongo, chifukwa Mwachitsanzo.
Pofuna kutsimikizira kuti ali ndi matendawa ndikudziwika kuti ali ndi matendawa, colonoscopy imachitika ndi zilonda zam'mimba, zomwe zimatumizidwa ku labotale kuti zikawunikidwe kuti athe kuzindikira chifuwa chachikulu cha chifuwa chachikulu.
Momwe mankhwalawa amachitikira
Matenda a m'mimba amatha kuchiritsidwa, ndipo chithandizo chimachitidwa chimodzimodzi ndi chifuwa chachikulu cha m'mapapo, ndi mankhwala otsatirawa, operekedwa ndi wodwalayo:
- Isoniazid, rifampicin, pyrazinamide ndi ethambutol, piritsi, kwa miyezi iwiri;
- Kenako, isoniazid, rifampicin kwa miyezi 4 mpaka 7.
Mwa anthu omwe samayamba kulandira chithandizo posachedwa, matendawa amatha kufika m'matumbo kwambiri, kufikira ziwalo zina zam'mimba ndi kuzungulira, zomwe zingayambitse matumbo, kukha magazi ndi fistula, zomwe zimatha kuyambitsa chiopsezo cha imfa.
Kuphatikiza apo, munthawi yamankhwala ndikofunikira kupewa kumwa zakumwa zoledzeretsa komanso kudya zakudya zabwino, zipatso, ndiwo zamasamba ndi ndiwo zamasamba, kuthandiza thupi kulimbana ndi matendawa. Onani malangizo azakudya kuti alimbikitse chitetezo chamthupi.