Nthawi zina mungamve chinthu chachilendo, monga chotupa chaching'ono, m'mimba mwanu. Kapena dokotala angaone chinthu chonga chimenecho mukamakufufuzani. Ndizachibadwa kumva mantha pang'ono mukamva chinthu chonga ichi, eti? Koma musadandaule, chifukwa si zotupa zonse m'mimba zomwe ndi zoopsa. Tiyeni tikambirane za izi mwatsatanetsatane.

Kodi mimba yaikulu ndi chiyani?

Mwachidule, 'Misa ya m'mimba' ndi kukula kosazolowereka kapena chotupa chomwe chimapangika mkati mwa mimba yanu, kutanthauza mkati mwa mimba yanu. Izi zitha kubwera m'njira zosiyanasiyana. Zina ndi zotupa chabe, pomwe zina ndi zotupa zomwe zimayambitsidwa ndi khansa. Matenda ena angayambitsenso zotupa izi.

Chofunika ndichakuti si zotupa zonse za m'mimba zomwe ndi zoopsa . Zina sizili zoopsa ndipo zimangokulirakulira (zosavulaza). Komabe, zina zimatha kupha munthu. Chifukwa chake, ngati mukumva ngati muli ndi chotupa m'mimba mwanu, ndikofunikira kwambiri kuchiwonetsa kwa dokotala kuti mudziwe bwino chomwe chili.

Zotupa zimenezi zimatha kufalikira kulikonse m'mimba. Mwachitsanzo:

• Mu gawo lakumanja la mimba.
• Mu gawo la kumanja la mimba.
• Mu gawo lakumanzere la mimba.
• Mu gawo la kumanzere la mimba.
• Pansi pa nthiti, pakati pa mimba (chigawo cha epigastric).
• M'dera lozungulira umbilicus (periumbilical region).
• Nthawi zina zimatha kupangika ngakhale pakhoma lakunja la m'mimba (khoma la subcutaneous ndi minofu).

Zadzidzidzi! Ngati muli ndi chotupa pakhosi panu chomwe chikumva ngati mtima wanu ukugunda, ndipo muli ndi ululu waukulu m'mimba, pitani kuchipatala nthawi yomweyo . Kungakhale kutupa kwa mtsempha wamagazi, kutupa kwa khoma la mtsempha wanu waukulu wamagazi (aorta). Ngati izi zitaphulika, zingayambitse kutuluka magazi m'thupi lanu ndikuika moyo pachiswe. Izi ndi zadzidzidzi.

Kodi zizindikiro za chotupa cha m'mimba ndi ziti?

Kaya mukupeza zizindikiro kapena ayi zimadalira zinthu zingapo. Izi zikuphatikizapo chomwe chimayambitsa chotupacho, mtundu, kukula, ndi komwe chili. Chodabwitsa n'chakuti nthawi zina dokotala amatha kupeza chotupa chonga ichi musanakhale ndi zizindikiro zilizonse, pokhapokha mukamayesedwa nthawi zonse.

Komabe, ngati zizindikiro zake zimayambitsidwa ndi chotupa cha m'mimba, zingaphatikizepo:

• Kupweteka m'mimba.
• Magazi mu mkodzo (hematuria).
• Kudzimbidwa.
• Kutsegula m'mimba.
• Kumva kukhuta ndi kulemera m'mimba.
• Malungo.
• Kusanza ndi kusanza.
• Kutuluka magazi m'thupi.
• Kutupa kapena kupweteka pamalo pomwe pali chotupa.
• Kusintha kwa kulemera kosayembekezereka (kuchepa kapena kuwonjezeka kwa kulemera popanda chifukwa).

Kodi zifukwa za zilonda zam'mimba ndi ziti?

Matenda osiyanasiyana angayambitse zilonda zam'mimba. Tiyeni tiwone zomwe zimayambitsa matendawa.

Mitundu ya Ma Cysts

Matumba ndi matumba odzaza ndi madzi kapena mafinya. Amatha kupangika kulikonse pathupi. Matumba amapezeka m'mimba motere:

• Ma cysts a ovarian - Awa ndi ma cysts omwe amapangidwa m'ma ovary a akazi.
• Ma cysts a Pancreatic.
• Ma cysts a Pancreatic - Awa si ma cysts enieni, koma amapangidwa ndi kuchuluka kwa madzi m'thupi la kapamba.
• Kuphatikizidwa kwa peritoneal - Peritoneum ndi nembanemba yomwe imaphimba m'mimba. Ziphuphu zomwe zimapangidwa m'derali.
• Seroma (kuchuluka kwa madzi m'thupi) pambuyo pa opaleshoni.

Khansa

Mwatsoka, zotupa zina za m'mimba zimatha kukhala khansa. Nazi mitundu ina ya khansa zotere:

• Khansa ya m'matumbo.
• Khansa ya endometrial.
• Khansa ya ndulu.
• Khansa ya impso.
• Khansa ya chiwindi.
• Khansa ya mitsempha (Neuroblastoma) - makamaka imapezeka mwa ana aang'ono.
• Khansa ya m'mimba.
• Sarcoma ya m'mimba.
• Mtundu wapadera wa khansa womwe umapezeka m'mimba (Gastrointestinal stromal tumor - GIST).

Matenda ena

Kuwonjezera pa khansa ndi ma cysts wamba, zotupa za m'mimba zimatha kuyambitsidwa ndi matenda ena osiyanasiyana . Zitsanzo zina ndi izi:

• Kutupa kwa mtsempha wa m'mimba - vuto lomwe tidakambirana kale.
• Matenda a Crohn - matenda osatha otupa m'mimba.
• Diverticulitis - kutupa kwa matumba ang'onoang'ono m'matumbo akulu.
• Chiwindi chokulirapo (hepatomegaly).
• Nthata yokulirapo.
• Kutupa kwa ndulu (cholecystitis).
• Hydronephrosis (kutupa kwa impso chifukwa cha mkodzo).
• Matenda a m'mimba - Izi nthawi zambiri si khansa.

Kodi ndi mavuto ati omwe angayambitse chotupa cha m'mimba?

Chotupa m'mimba chingakanikizire ziwalo zina zozungulira, zomwe zimayambitsa mavuto ofala monga:

• Ululu.
• Kutupa.
• Kutupa.
• Chakudyacho sichikoma.

Kuphatikiza apo, mavuto ena amatha kuchitika kutengera chomwe chimayambitsa chotupacho. Mwachitsanzo, chotupa chomwe chimayambitsidwa ndi matenda a Crohn chingayambitse kutsekeka kwa matumbo. Ma fibroids a uterine angayambitse kutuluka magazi kosazolowereka mu uterine.

Kodi mumadziwa bwanji ngati muli ndi chotupa m'mimba mwanu?

Mukapita kukaonana ndi dokotala, choyamba adzakuyesani thupi. Iye adzakufunsani za matenda anu akale, matenda a banja lanu, komanso zizindikiro zomwe muli nazo panopa.

Kenako, dokotala adzakugonetsani pabedi ndikukhudza mimba yanu. Izi zidzamuthandiza kuona ngati pali chotupa m'mimba mwanu, ngati pali ziwalo zina zotupa, kapena ngati chikupweteka mukachikhudza.

Ngati dokotala angamve ululu uwu akamaumva m'mimba mwanu, timautcha kuti 'm'mimba womveka bwino.' 'Womveka bwino' amatanthauza kuti ukhoza kumvedwa kapena kukhudzidwa.

Mayeso ozindikira zotupa zam'mimba

Pambuyo pomuyeza thupi, dokotala angafunike kuchita mayeso ena kuti adziwe zambiri. Mayesowa akuphatikizapo:

• Angiogram - Imafufuza mitsempha yamagazi kuti ione ngati pali zotsekeka zilizonse m'mitsempha.
• Kuyezetsa magazi - Kuyezetsa kuchuluka kwa mahomoni ndikuwona ngati pali matenda m'thupi.
• Colonoscopy kapena Upper Endoscopy - Chitoliro chokhala ndi kamera chimayikidwa kuti chiyang'ane mkati mwa njira yogayira chakudya.
• Mayeso ojambulira zithunzi - mwachitsanzo, X-ray ya m'mimba, CT scans (computed tomography scans) kapena MRI scans (magnetic resonance imaging).
• Kuyeza kwa ultrasound kwa transvaginal - Kuyeza kwa ultrasound komwe kumachitika kudzera mu nyini kuti aone ngati pali zotupa m'chiberekero cha akazi.
• Kusanthula mkodzo - Yang'anani ngati pali vuto lililonse mu dongosolo la mkodzo.

Kodi mankhwala a zotupa za m'mimba ndi ati?

Chithandizo cha chotupa cha m'mimba chimadalira chomwe chimayambitsa chotupacho. Dokotala adzayesa kuchiza vuto lomwe lili mkati mwake.

Njira zochiritsira khansa ya m'mimba zingaphatikizepo:

• Mankhwala ochizira vuto lomwe limayambitsa vutoli.
• Opaleshoni yochotsa chotupa m'mimba.
• Chemotherapy kapena radiation therapy kuti muchepetse chotupa (nthawi zambiri opaleshoni isanachitike).
• Popanda chithandizo chilichonse, kuyang'anitsitsa chotupacho kuti muwone ngati chikusintha pakapita nthawi (kuyang'aniridwa kapena kudikira mosamala).

Kodi tingaganize chiyani pankhaniyi? (Outlook)

Zotsatira zanu zonse zidzadalira chomwe chayambitsa chotupacho. Ziphuphu zina za m'mimba, monga mitundu ina ya ma cysts, sizingafunike chithandizo chilichonse. Komabe, ziphuphu zina za m'mimba, monga khansa, zingafunike chithandizo chapadera. Izi zingaphatikizepo opaleshoni, chemotherapy, kapena radiation therapy.

Ndi luso losiyanasiyana lotere, khulupirirani dokotala wanu. Iye akhoza kuzindikira vuto lanu molondola ndikupanga dongosolo la chithandizo lomwe lili loyenera kwa inu.

Kodi zilonda zam'mimba zingapewedwe?

Sizotheka nthawi zonse kupewa zilonda zam'mimba. Chifukwa nthawi zina sitidziwa ngati pali chiopsezo. Zinthu zina zimachitika popanda chifukwa chomveka.

Chinthu chabwino kwambiri chomwe mungachite ndi kuchiza ndikuwongolera matenda aliwonse omwe mungakhale nawo. Ndikofunikanso kuonana ndi dokotala nthawi zonse kuti akakuwoneni nthawi zonse.

Kodi ndiyenera kupita kwa dokotala liti?

Ngati muli ndi zizindikiro za chotupa cha m'mimba, monga kupweteka m'mimba, kunenepa mosayembekezereka, kapena kusintha kwa matumbo, pangani nthawi yoti mukaone dokotala nthawi yomweyo . Ngati mukumva chilichonse "chosazolowereka," uzani dokotala wanu. Iye akhoza kuchita mayeso kuti adziwe chomwe chikukuyambitsani zizindikiro.

Kodi muyenera kupita ku Chipinda Chothandizira Anthu Odwala Mwadzidzidzi (ETU) liti?

Ngati muli ndi zizindikiro izi, imbani 911 (1990 Suwaseriya Ambulance Service ku Sri Lanka) kapena pitani ku chipinda chapafupi chadzidzidzi cha chipatala:

• Kupweteka kwambiri m'mimba.
• Ngati chotupa m'mimba chikumva ngati chikugunda, ngati kugunda kwa mtima.

Izi ndi zadzidzidzi zachipatala. Zizindikirozi zingasonyeze kuti muli ndi aortic aneurysm, yomwe ndi kutupa kwa mtsempha wanu waukulu wamagazi (aorta). Ngati kutupaku kuphulika, kungakhale koopsa.

Ndi mafunso ati omwe muyenera kufunsa dokotala?

Mukangodziwa kuti muli ndi chotupa m'mimba, mutha kufunsa dokotala mafunso monga awa:

• Ndi chotupa chamtundu wanji chomwe ndili nacho?
• Kodi iyi ndi khansa? Kapena si khansa?
• Kodi ndi chithandizo chamtundu wanji chomwe ndikufunika?
• Kodi ndikufunika opaleshoni? Ngati ndi choncho, ndi liti?
• Kodi ndikufunika chemotherapy kapena radiation therapy kuti ndichepetse chotupa?
• Kodi chithandizo changa chidzakhala cha nthawi yayitali bwanji?
• Nanga chimachitika ndi chiyani ngati sindilandira chithandizo chilichonse?
• Kodi mukuti chiyani za matenda anga onse?

Ndizachilendo kumva mantha ndi mantha mukamva mawu oti "misa" ndi "diagnosis" pamodzi. Ngati mafunso monga "Ndi mtundu wanji wa kulemera?", "Kodi ndili ndi khansa?", "Kodi izi zikuika moyo pachiswe?" akukuvutitsani, simuli nokha. Dokotala wanu adzakuthandizani kudziwa chifukwa chake muli ndi zizindikirozi, mtundu wa kulemera komwe muli nako, komanso mankhwala omwe angakuthandizeni.

Chinthu Chofunika Kwambiri (Uthenga Wopita Nawo Kunyumba)

Ngati mukumva chinthu chachilendo m'mimba mwanu, monga chotupa, kutupa, kapena kupweteka kosalekeza, musachinyalanyaze. Pitani kuchipatala nthawi yomweyo. Ngakhale kuti si zotupa zonse za m'mimba zomwe ndi zoopsa, ndi bwino kudziwa bwino zomwe zili ndi kuyamba chithandizo mwamsanga, ngati pakufunika kutero. Kumbukirani, matendawa akapezeka msanga, chithandizocho chidzakhala chopambana. Samalani thanzi lanu ndipo musaope kulankhula ndi dokotala.

Chotupa cha m'mimba , chotupa cha m'mimba, khansa ya m'mimba, mavuto am'mimba, kupweteka m'mimba, zizindikiro, chithandizo