Kodi kupanikizika kwambiri m'mimba n'koopsa? (Abdominal Compartment Syndrome) Tiyeni tiphunzire mosavuta!

Tonsefe timadziwa za kupweteka m'mimba, kudzimbidwa, ndi zizindikiro zina. Ngakhale izi ndizofala, kodi mudamvapo za vuto lomwe kupanikizika mkati mwa mimba kumawonjezeka kwambiri kotero kuti kumatha kuwononga ziwalo zofunika kwambiri komanso kuopseza moyo? Ndicho chimene madokotala amatcha vuto lalikulu lotchedwa ``Abdominal Compartment Syndrome.'' Dzinalo lingamveke ngati lovuta pang'ono, koma tiyeni tisunge mosavuta. Kudziwa zinthu izi kungakhale kofunikira kwambiri kwa inu ndi okondedwa anu.

Kodi Matenda a M'mimba Okhudza Chipinda Cham'mimba ndi Chiyani?

Mwachidule, "Abdominal Compartment Syndrome" ndi vuto lachipatala . Limachitika pamene kupanikizika mkati mwa mimba mwathu, kapena m'mimba, kupitirira malo omwe kungathe kusunga. Tangoganizirani zomwe zimachitika ngati titapumira mpweya wochuluka mu baluni? Mofananamo, kupanikizika mkati mwa mimba kukawonjezeka chifukwa cha kutupa, kutuluka magazi, kapena zifukwa zina, ziwalo zofunika kwambiri monga matumbo athu, chiwindi, ndi impso zimayamba kufinya.

Kawirikawiri, kuthamanga kwa magazi m'mimba mwa munthu wathanzi kumakhala pakati pa 0 ndi 5 mamilimita a mercury (mmHg). Komabe, mwa odwala omwe ali ndi vuto lalikulu m'zipinda zosamalira odwala kwambiri, kuthamanga kwa magazi kumeneku kumatha kukhala pakati pa 5 ndi 7 mmHg. Pamene kuthamanga kwa magazi kukukwera, mavuto amayamba:

• Kuthamanga kwa magazi m'mimba (IAH): Pachifukwa ichi, kuthamanga kwa magazi kumakhala pakati pa 12 ndi 20 mmHg.
• Matenda a m'mimba (ACS): Apa ndi pomwe vutoli limakhala loopsa. Kupanikizika kumawonjezeka kufika pa 20 mmHg.

Kupanikizika kwakukulu kumeneku kumalepheretsa ziwalo ndi minofu mkati mwa mimba kulandira magazi okwanira. Nthawi yomweyo, mpweya wokwanira umachepanso. Izi zimapangitsa kuti chiwalo chimodzi chilephere kugwira ntchito bwino (multi-organ failure). Ngati izi sizikudziwika ndi kuchiritsidwa panthawi yake, wodwalayo akhoza kufa. Chifukwa chake, ichi ndi vuto lomwe liyenera kuzindikirika ndikuchiritsidwa mwachangu .

Kodi izi zimachitika kawirikawiri?

Ayi, `(Abdominal Copartment Syndrome)` ndi vuto losowa kwambiri . Limakhudza kwambiri anthu omwe ali m'zipatala, makamaka m'zipinda zosamalira odwala kwambiri `(ICU)` omwe ali kale ndi matenda aakulu. Sizokayikitsa kuti munthu amene ali ndi moyo wabwinobwino komanso wathanzi adwale vutoli.

Kodi n’chiyani chimayambitsa matenda a m’mimba otchedwa abdominal copartment syndrome?

Pali zifukwa zingapo zomwe kuthamanga kwa magazi m'mimba kumatha kukwera kwambiri. Zifukwa zazikulu ndi kutuluka magazi kapena kutupa kwambiri m'mimba. Tiyeni tiwone zomwe zimayambitsa izi:

• Opaleshoni yayikulu m'mimba mwanu: Nthawi zina kutupa kumatha kuchitika m'mimba mutachita opaleshoni yayikulu.
• Matenda m'mimba mwanu:Matenda oopsa angayambitsenso kuthamanga kwa magazi.
• Kutsekeka kwa matumbo: Ngati matumbo atsekeka kwinakwake, kungawonjezerenso kupanikizika.
• Kuchuluka kwa madzi m'mitsempha ya m'mimba (kubwezeretsa madzi m'thupi): Pa opaleshoni ina, kapena pakakhala matenda oopsa monga sepsis, thupi limafunika kupatsidwa madzi ambiri ofunikira. Izi nthawi zina zimatha kuwonjezera kuthamanga kwa magazi m'mimba.
• Kupsa kwakukulu: Vutoli likhoza kuchitikanso chifukwa cha momwe thupi limayankhira pamene gawo lalikulu la thupi lapsa.
• Kuika magazi ambiri: Chiopsezochi chimakhalapo ngakhale magazi ambiri atayikidwa nthawi imodzi.
• Pancreatitis: Ichi ndi chifukwa china chomwe chimayambitsa kupanikizika kwa m'mimba.
• Kuphulika kwa aneurysm ya m'mimba ya aorta: Aorta ndiye mtsempha waukulu wamagazi womwe umanyamula magazi kuchokera mumtima mwathu kudzera pachifuwa kupita kumimba. Ngati kutupa (aneurysm) kukuchitika m'mbali mwa mtsempha wa m'mimba uwu ndikuphulika, kungayambitse kutuluka magazi kwambiri komanso kupanikizika kwambiri m'mimba.
• Kuvulala m'mimba mwanu: Vutoli lingachitike ngati mimba yanu yawonongeka kwambiri, monga ngozi ya galimoto kapena kugwa.

Kodi zizindikiro za `(Abdominal Compartment Syndrome)` ndi ziti?

Apa ndi pomwe pali ngozi. Zizindikiro za ``Abdominal Compartment Syndrome'' nthawi zambiri zimawonekera mochedwa , pambuyo poti zawonongeka pang'ono. Ichi ndichifukwa chake madokotala ndi anamwino amawayang'anira odwala omwe ali pachiwopsezo cha vutoli.

Nazi zina mwa makhalidwe omwe angapezeke:

• Kutupa kwa m'mimba: Mimba ingamveke ngati yatupa komanso yolimba .
• Kupweteka m'mimba: Wodwalayo angamve kupweteka kwambiri m'mimba.
• Kuvuta kupuma: Pamene kupanikizika m'mimba kukukwera, chifuwa chimathanso kukhudzidwa, zomwe zimapangitsa kuti zikhale zovuta kupuma.
• Kutsika kwa kuthamanga kwa magazi (hypotension): Kutsika kwa kuthamanga kwa magazi ndi chizindikiro cha izi.
• Kuchepa kwa mkodzo wotuluka (oliguria): Chifukwa cha kukhudzidwa kwa impso, kuchuluka kwa mkodzo wopangidwa kumatha kuchepa kwambiri.

Kodi madokotala amatsimikizira bwanji izi?

Munthu amene ali ndi vuto la "Abdominal Compartment Syndrome" akhoza kukhala ndi zizindikiro monga:

• Kuthamanga kwa magazi pang'ono.
• Kutuluka kwa mkodzo kochepa.
• Ngati mwalumikizidwa ndi chopumira mpweya, kuthamanga kwake kungakwere.

Komabe, zizindikiro izi zokha sizingagwiritsidwe ntchito pozindikira matenda a ACS. Njira yokhayo yodziwira matendawa ndi kuyeza kuthamanga kwa magazi m'mimba.Dokotala anganene kuti muli ndi ACS pokhapokha ngati kuthamanga kwa magazi kuli kopitirira 20 mmHg ndipo pali zizindikiro za kulephera kwa ziwalo.

Njira yayikulu yomwe ikugwiritsidwa ntchito pano poyeza kuthamanga kwa magazi mkati mwa m'mimba ndi kuyeza kuthamanga kwa magazi m'chikhodzodzo . Mwachidule, umu ndi momwe zimachitikira:

1. Choyamba, chubu chopyapyala komanso chosinthasintha (catheter) chimalowetsedwa mu chikhodzodzo. Izi zimachitika kudzera mu urethra.

2. Kenako chubu ichi (catheter) chimalowetsedwa mu chikhodzodzo.

3. Tsopano thumba lokhala ndi madzi lalumikizidwa ku chubu ichi.

4. Pogwiritsa ntchito syringe, madzi ena amalowetsedwa m'chikhodzodzo.

5. Pomaliza, kupanikizika kumeneko kumayesedwa.

Mayesowa amabwerezedwa nthawi ndi nthawi ndi gulu lachipatala kuti aone ngati vutolo likukulirakulira kapena likuipiraipira.

Kuphatikiza apo, dokotala wanu angachitenso mayeso ena kuti aone ngati ziwalo zanu zikugwira ntchito bwino. Mwachitsanzo:

• Mayeso a magazi: Izi zimatha kuyeza kuchuluka kwa mankhwala ndi mpweya wosiyanasiyana m'thupi. Mwachitsanzo, mayeso a creatinine clearance angapereke lingaliro la momwe impso zanu zikugwira ntchito.
• Mayeso ojambulira: Izi zitha kujambula zithunzi za mkati mwa mimba yanu. Mwachitsanzo, CT scan kapena m'mimba ultrasound zitha kuchitidwa.
• Kuyeza kuchuluka kwa mpweya m'thupi: Izi zimaphatikizapo kuyika chinthu chonga chogwirira chala chanu kuti muwone ngati thupi lanu likupeza mpweya wokwanira.

Kodi matenda a m'mimba amachiritsidwa bwanji?

Chithandizo chothandiza kwambiri pa vutoli ndi opaleshoni yochotsa kupsinjika. Dokotala wochita opaleshoni amachita opaleshoni yapadera yotchedwa decompressive laparotomy. Izi zimaphatikizapo kudula khungu kudzera pakhungu ndi khoma la m'mimba, kutsegula m'mimba, ndikuchepetsa kupanikizika kwambiri mkati .

Kupanikizika mkati mwa mimba kudzayamba kuchepa patangopita maola ochepa opaleshoni itatha. Komabe, zingatenge masiku angapo kuti kuthamangako kubwerere mwakale. Mpaka nthawi imeneyo, bala la opaleshoni silingakhale litatsekedwa kwathunthu. Odwala ena angafunike opaleshoni iyi yochepetsa kuthamanga kwa magazi kachiwiri.

Kodi vutoli silingathe kupewedwa?

Musanayambe kufika pa siteji ya `(Abdominal Compartment Syndrome - ACS)`, kutanthauza kuti, pamene pali kuthamanga kwa magazi m'mimba (IAH), mutha kuyesa kuthana ndi vutoli popanda opaleshoni. Mankhwala osagwiritsa ntchito opaleshoni awa angathandize kuletsa `(IAH)` kupita ku `(ACS)`. Mankhwala oterewa akuphatikizapo:

• Kusintha malo a thupi: Kuika wodwalayo pamalo omwe amachepetsa kupanikizika ndikumupangitsa kukhala womasuka.
• Mankhwala Ochepetsa Kutuluka kwa Madzi M'thupi: Mankhwalawa amathandiza kuchotsa madzi ochulukirapo m'thupi.
• Kuchotsa madzi m'mimba kudzera mu chubu.
• Kutulutsa madzi m'matumbo: Izi zimachepetsa kupanikizika m'mimba ndikupanga malo ambiri.
• Kupereka mankhwala ochepetsa ululu.
• Kuchepetsa kuchuluka kwa madzi omwe amaperekedwa m'thupi.

Kodi kuchuluka kwa odwala omwe ali ndi ``Abdominal Compartment Syndrome'' kuli bwanji?

Iyi ndi mfundo yofunika kwambiri. Ngati ``Abdominal Compartment Syndrome'' sinachiritsidwe bwino, ikhoza kupha. Chifukwa, pamene kuthamanga kwa magazi m'mimba kukupitirira kukwera, ziwalo zimayamba kulephera kugwira ntchito. Komanso, ngati matenda ndi chithandizo zikuchedwa, mwayi wochira umachepanso.

Komabe, ngati matendawa apezeka msanga ndipo chithandizo chikuyamba mwachangu, n'zotheka kuchira kwathunthu ku Abdominal Compartment Syndrome.

Komabe, zingatenge milungu, ngakhale miyezi, kuti vuto la matenda lomwe linayambitsa ACS lithe. Panthawi imeneyo, wodwalayo angafunike:

• Chithandizo cha dialysis kuti chigwire ntchito ya impso.
• Chithandizo cha nthawi yayitali m'chipatala.
• Kuletsa madzimadzi kapena mankhwala okodzetsa.
• Kuyang'anira ntchito ya mtima nthawi zonse.
• Makina opumira mpweya (makina opumira mpweya) kuti athandize kupuma.

Matenda a m'mimba ndi vuto ladzidzidzi lomwe lingachitike mwa anthu odwala kwambiri. Ndi vuto lomwe kutupa ndi kupanikizika m'mimba kumafika pamlingo woopsa. Kuzindikira ndi kulandira chithandizo mwachangu ndikofunikira kuti tipewe mavuto aakulu komanso imfa.

Zinthu zofunika kwambiri kuzikumbukira (Uthenga Wopita Nawo Kunyumba)

Chabwino, tsopano mwamvetsa bwino zomwe takhala tikulankhula, Abdominal Compartment Syndrome. Ngakhale kuti iyi ndi vuto lalikulu, ndikofunikira kudziwa za vutoli.

• Kupanikizika kwapakati pa mimba (ACS) ndi vuto ladzidzidzi lomwe limayamba chifukwa cha kupanikizika kwambiri mkati mwa mimba. Izi zitha kuwononga ziwalo.
• Ngakhale izi sizichitika kawirikawiri , zimatha kuchitika kwa odwala omwe ali m'zipinda zosamalira odwala kwambiri.
• Kuzindikira msanga zizindikiro, kuyeza kuthamanga kwa magazi, kutsimikizira matendawa, ndi kuyamba kulandira chithandizo mwachangu kumapulumutsa moyo. Chithandizo chachikulu ndi opaleshoni yochepetsa kupanikizika.
• (IAH) , zomwe zikutanthauza kuti kupanikizikako kwakwera pang'ono koma osati koopsa ngati ``(ACS)``, kungathetsedwe popanda opaleshoni.
• Kuchira kumadalira momwe chithandizo chimayambidwira mwachangu.

Tikukhulupirira kuti izi zikuthandizani. Ngati munthu amene mumamudziwa ali m'chipinda chosamalira odwala kwambiri, chidziwitsochi chidzakuthandizani kumvetsetsa nthawi yomwe madokotala amalankhula za matenda awa. Nthawi zonse tsatirani malangizo a dokotala wanu ndipo funsani dokotala wanu ngati muli ndi mafunso.

'Matenda a m'mimba, kuthamanga kwa magazi m'mimba, kuthamanga kwa magazi m'mimba, opaleshoni, chipinda chosamalira odwala kwambiri, kulephera kwa ziwalo, zadzidzidzi zachipatala