Kodi mudamvapo ngati m'mimba mwanu mwatupa kwambiri komanso muli ndi mpweya wochuluka? Zikumveka ngati siketi kapena thalauza lanu layamba kulimba. Imeneyi ndi vuto lomwe anthu ambiri amakumana nalo. Izi ndi zomwe madokotala amati kutupa m'mimba, kapena 'Kutupa m'mimba'. Ngakhale izi nthawi zina zimakhala zachilendo, zitha kukhalanso chizindikiro cha matenda. Tiyeni tikambirane za izi mwatsatanetsatane lero.
Kodi kutupa kumeneku n’chiyani kwenikweni?
Kutupa sikungokhudza "kumva kukhuta" kokha. Kwenikweni ndi kutupa kapena kutuluka kwa m'mimba mwanu komwe kumayesedwa, komwe ndi kwakukulu kuposa masiku onse. Ndizachilendo kumva mpweya komanso kusasangalala, ngati kuti simukugaya chakudya.
Koma chifukwa cha izi nthawi zambiri sichimakhala vuto ndi kugaya chakudya. Mwachidule, madokotala amalankhula za zifukwa zazikulu 5 zomwe zimakhudza izi. Izi ndi izi:
- Mpweya woipa m'mimba: Mpweya wochuluka m'mimba.
- Chiberekero (mimba): Kutenga pakati kwa mwana.
- Ndowe: Kutsekeka kwa chopondapo (kudzimbidwa).
- Madzi: Kuchulukana kwa madzi m'mimba (izi zitha kukhala ndi zifukwa zingapo).
- Mafuta: Mafuta amadzaza m'mimba.
Kutupa kumeneku kungakhale vuto ladzidzidzi (ladzidzidzi), kapena kungakhale vuto losatha lomwe limabwera ndi kutha mobwerezabwereza. Nthawi zambiri, kutupa pafupipafupi kumakhudzana ndi vuto linalake m'mimba.
Kodi zifukwa za kutupa m'mimba ndi ziti?
Tikhoza kugawa zomwe zimayambitsa izi m'magulu awiri akuluakulu. Choyamba ndi kutupa komwe kumachitika chifukwa cha matenda enaake akuthupi . China ndi kutupa komwe kumachitika chifukwa cha mavuto ena m'thupi , popanda matenda odziwika bwino.
| Gulu lomwe chifukwa chake chili | Kufotokozera ndi zitsanzo |
|---|---|
| 1. Chifukwa cha matenda akuthupi kapena matenda enaake (Zoyambitsa Zachilengedwe) | |
| Mimba ndi kusamba | Kutupa thupi kungachitike chifukwa cha kukula kwa chiberekero panthawi ya mimba komanso kusunga madzi m'thupi musanayambe kusamba. |
| Kulemera | Mukalemera pang'ono, mafuta amatha kusonkhana m'mimba ndikusokoneza kugaya chakudya. |
| Matenda a m'mimba | Mpweya ndi kudzimbidwa zimatha kuchitika chifukwa cha matenda monga kukula kwa bakiteriya m'matumbo ang'onoang'ono (SIBO) , gluten allergy (Celiac disease) , exocrine pancreatic insufficiency (EPI) , ndi inflammatory bowel disease (IBD) . |
| Mavuto a ziwalo | Matenda a chiwindi angayambitse kudzikundikira kwa madzi m'mimba (ascites) , kusokonezeka kwa ntchito ya m'mimba (gastroparesis) , kutupa kwa membrane wa m'mimba (peritonitis) , komanso kukula kwa ziwalo monga chiwindi, ndulu, ndi chiberekero chifukwa cha zotupa kapena kutupa. |
| Kutsekeka ndi kutuluka magazi | Kusunga mpweya ndi ndowe chifukwa cha kutsekeka kwa matumbo ang'onoang'ono kapena akuluakulu. Kawirikawiri, kutuluka magazi mkati mwa m'mimba . |
| 2. Zoyambitsa Ntchito | |
| Kudzaza gasi | Kusadya bwino, kusalolera chakudya, ndi matenda monga Irritable Bowel Syndrome (IBS) zingayambitse mpweya wambiri komanso kutupa. |
| Kudzimbidwa ndi kusunga mkodzo | Chifukwa chakuti ndowe sizituluka m'mimba, zimasonkhana m'matumbo ndipo zimayambitsa kutupa. Komanso, kusunga mkodzo popanda kukodza ndi chifukwa chake. |
| Kufooka kwa minofu | Minofu ya m'mimba ikafooka, ziwalo za m'mimba zimatha kugwada patsogolo ndi pansi (enteroptosis), zomwe zimapangitsa kuti m'mimba mutuluke. |
Kodi dokotala amayesa bwanji izi?
Mukapita kwa dokotala chifukwa cha vutoli, choyamba adzakufunsani za zizindikiro zanu kenako adzafufuza mimba yanu.
- Kuwunika: Yang'anani ngati mimba yatupa mbali imodzi kapena mimba yonse.
- Kukhudza: Mimba imakanikizidwa pang'onopang'ono ndi dzanja. Izi zingathandize kudziwa ngati ziwalo zilizonse zakula, ngati pali chotupa, kapena ngati pali kupweteka kulikonse.
- Kugogoda: Dokotala amagogoda mimba ndi chala chake kuti amve phokoso lomwe ikupereka. Ngati yadzaza ndi mpweya, phokoso lina lidzamveka, ndipo ngati yadzaza ndi madzi, phokoso lina lidzamveka.
Pambuyo pomuyeza, dokotalayo amatha kudziwa chomwe chikuyambitsa izi. Mwachitsanzo, amatha kumvetsetsa ngati chiwalo cholimba monga chiwindi kapena chiberekero chakulirakulira chifukwa cha kutupa kapena chotupa, kapena ngati chiwalo chopanda kanthu monga m'mimba kapena matumbo chadzaza ndi mpweya kapena ndowe.
Ngati mukufuna kudziwa chifukwa chenicheni, dokotala wanu adzakufunsani kuti muyesedwe kujambula zithunzi, monga ultrasound scan .
Kodi mankhwala ochizira izi ndi otani?
Chithandizo chimadalira kwathunthu chifukwa chake.
- Ngati ndi chifukwa cha matenda enaake: Chithandizo chimadalira chomwe chimayambitsa. Mwachitsanzo, maantibayotiki a matenda, chithandizo cha chotupa, chithandizo cha kutsekeka kwa matumbo, ndi zina zotero.
- Ngati ndi chifukwa cha kusunga madzi m'thupi (ascites): Mankhwala ochepetsa mphamvu ya madzi m'thupi amaperekedwa kuti achotse madzi ochulukirapo m'thupi.
- Ngati kudzimbidwa ndiko chifukwa: Mankhwala otsegula m'mimba amaperekedwa kuti athandize matumbo kuyenda mosavuta.
- Ngati ndi chifukwa cha mpweya: Mankhwala ena omwe amachepetsa mpweya (monga makala oyambitsidwa) amaperekedwa.
- Ngati palibe chifukwa chomwe chingapezeke: Pa nthawi imeneyo, dokotala wanu angakulangizeni kusintha zakudya zanu, kuyesa zinthu monga ma probiotics , ndi kuchita masewera olimbitsa thupi.
Kodi vutoli lingathetsedwe kunyumba?
Inde, nthawi zambiri mungathe kuletsa izi. Makamaka ngati kutupa m'mimba kumachitika mukatha kudya, yesani izi.
- Dziwani zakudya zomwe sizili bwino kwa inu:Anthu ena sakonda mkaka, ufa wa tirigu, ndi ndiwo zamasamba. Dziwani zakudya zotere ndipo chepetsani zakudya zanu.
- Idyani chakudya chochepa nthawi zambiri: M'malo modya chakudya chachikulu nthawi imodzi, idyani pang'ono kangapo patsiku. Tafunani chakudya chanu bwino ndipo idyani pang'onopang'ono.
- Zakudya zokhala ndi madzi ndi ulusi wambiri: Imwani madzi ambiri tsiku lonse. Komanso, onjezerani zipatso, ndiwo zamasamba, ndi zitsamba zomwe zili ndi ulusi wambiri muzakudya zanu. Izi zingathandize kupewa kudzimbidwa.
- Kuchita masewera olimbitsa thupi: Kuchita masewera olimbitsa thupi tsiku lililonse kumathandiza kugaya chakudya.
Kodi ndi liti pamene tiyenera kuda nkhawa ndi izi? Kodi ndi liti pamene tiyenera kufunsa upangiri kwa dokotala?
Ngakhale kuti kudzimbidwa nthawi zambiri kumakhala vuto la kugaya chakudya kwakanthawi, nthawi zina kungakhale chizindikiro cha matenda aakulu, choncho ndikofunikira kulabadira zizindikirozi.
Ngati muli ndi zizindikiro zotsatirazi , pitani kwa dokotala.
- Ngati kutupa kumawonjezeka tsiku ndi tsiku ndipo sikuchepa.
- Ngati muli ndi ululu waukulu komanso wosapiririka m'mimba komanso kutupa.
- Ngati pali zizindikiro zina monga kutentha thupi, kusanza, ndi magazi m'chimbudzi .
- Ngati vutoli likuchitika mobwerezabwereza ndipo simukudziwa chomwe chimayambitsa.
Ndikofunikira kwambiri kupita ku Dipatimenti Yoona za Zadzidzidzi (ETU) ya chipatala chapafupi, makamaka ngati vutoli likuchitika ndi kupweteka kwambiri m'mimba.
Uthenga Wopita Nawo Kunyumba
- Kutupa thupi kungakhale chizindikiro cha chilichonse kuyambira kusadya bwino chakudya mpaka matenda aakulu monga mimba ndi matenda a chiwindi.
- Kupeza chifukwa chenicheni cha kusasangalala kwanu ndikofunikira kwambiri pa chithandizo, ndipo njira yabwino kwambiri yochitira zimenezi ndikuonana ndi dokotala.
- Ngati nthawi zambiri mumadzimva kutupa mukatha kudya, yesani kusintha pang'ono zakudya zanu ndi moyo wanu.
- Ngati muli ndi ululu waukulu m'mimba, kutentha thupi, ndi kusanza pamodzi ndi kutupa, musanyalanyaze zimenezo. Funsani dokotala nthawi yomweyo.
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