Kodi mwadzidzidzi mwatuluka chotupa chaching'ono pathupi lanu chomwe chimakhala chofiira, chotupa, komanso chopweteka mukachikhudza? Chingamveke ngati kutentha pang'ono. Anthu ambiri amanyalanyaza zinthu izi, koma ndikofunikira kudziwa zomwe zilidi, chifukwa chake zimapanga, komanso nthawi yomwe tiyenera kuzidera nkhawa. Lero, tikambirana za zotupa izi zodzaza ndi mafinya, kapena monga momwe madokotala amatchulira, 'mafinya.'
Kodi thumba ndi chiyani kwenikweni?
Mwachidule, chithupsa ndi chotupa chomwe chimapangika pansi pa khungu lathu chomwe chimapangidwa ndi mafinya, mabakiteriya, ndi maselo akufa. Nthawi zambiri chimakhala ndi mitundu yosiyanasiyana kuyambira pinki mpaka yofiira. Chimamva ngati chofewa komanso chopweteka chikakhudza.
Izi zimatha kupangika kulikonse mthupi. Koma zimapezeka kwambiri mozungulira m'khwapa, m'matako, ndi m'maliseche (monga Bartholin gland abscess), m'munsi mwa msana (pilonidal abscess), muzu wa dzino (dental abscess), ndi m'mimba. Nthawi zina, tsitsi limatsekeka ndipo limadwala, ndipo zithupsa zimenezi zimatchedwanso zithupsa/mafuruncle.
Chofunika ndichakuti, mosiyana ndi matenda ena, nthawi zambiri ziphuphu zimenezi sizimachira ndi maantibayotiki okha. Kuti chiphuphu chichiritse, chiyenera kutsegulidwa ndipo mafinya omwe ali mkati mwake ayenera kuchotsedwa madzi.
N’chifukwa chiyani timatuluka zithupsa zotere m’thupi mwathu?
Ganizirani khungu lathu ngati chishango choteteza thupi lathu. Chishangochi chikasweka ndi bala laling'ono, bala, kapena mkwingwirima, zimakhala zosavuta kuti mabakiteriya ochokera ku chilengedwe alowe m'thupi.
Maselo oteteza thupi lathu (maselo oyera a magazi) amabwera kumeneko kuti amenyane ndi mabakiteriya omwe amalowa. Mabakiteriya omwe amafa pankhondoyi, maselo a thupi, ndi maselo oyera a magazi amaphatikizana kupanga "mafinya." Mafinya awa amawonjezeka pang'onopang'ono ndikupanga kupanikizika pansi pa khungu. Chifukwa cha kupanikizika ndi matenda amenewa timamva kupweteka, kufiira, ndi kutupa.
Nthawi zina vutoli lingayambitsidwenso ndi kutsekeka kwa chiwalo cha thukuta, chiwalo cha mafuta (sebaceous gland), kapena follicle ya tsitsi.
Ndani ali pachiopsezo chachikulu cha kutupa kwa zithupsa?
Ngakhale kuti zingachitikire aliyense, anthu ena amakhala ndi mwayi waukulu woti adwale matendawa. Zotupa zomwe zimayamba, makamaka mwa anthu omwe ali ndi chitetezo chamthupi chofooka, zimatha kukhala zoopsa kwambiri. Anthu omwe ali ndi matenda otsatirawa ayenera kusamala kwambiri ndi izi.
| Zoopsa | Kufotokozera |
|---|---|
| Matenda omwe amachepetsa chitetezo chamthupi | Matenda monga matenda a shuga, khansa, Edzi, ndi matenda a sickle cell. |
| Chithandizo cholandiridwa | Kugwiritsa ntchito mankhwala a steroid ndi chemotherapy kwa nthawi yayitali pa khansa. |
| Mavuto ena azaumoyo | Matenda a Crohn, Ulcerative colitis, Matenda a mitsempha ya m'magazi. |
| Moyo ndi chilengedwe | Ukhondo wosakwanira, kukhala pamalo odetsedwa, kubaya mankhwala osokoneza bongo, kunenepa kwambiri. |
Zinthu zomwe mungachite kunyumba ndi zinthu zomwe muyenera kusamala nazo
Ngati chotupacho chili chochepera masentimita 1 (chosakwana theka la inchi), mutha kuyesa pang'ono kunyumba.
- Chotenthetsera: Zilowerereni nsalu yoyera m'madzi otentha ndikuyiyika pa chithupsa kwa mphindi 20-30, pafupifupi kanayi patsiku. Kutentha kumeneku kumatha kuwonjezera kuyenda kwa magazi, kuthandiza chithupsacho kuphulika mwangozi ndikutulutsa mafinya.
Koma musachite zinthu izi!
Musafinye kapena kufinya chithupsacho. Kuchita zimenezi kungayambitse kuti matenda afalikire kwambiri ndikupangitsa kuti vutoli liipireipire. Komanso, musabaya chithupsacho ndi zinthu zakuthwa monga singano kapena mapini. Kuchita zimenezi kungawononge mtsempha wamagazi womwe uli pansi kapena kufalitsa matendawo.
Kodi muyenera kupita kwa dokotala liti?
Mankhwala apakhomo sagwira ntchito nthawi zonse. Pazochitika zotsatirazi, muyenera kuonana ndi dokotala wanu. Nthawi zina, mungafunike kupita ku Dipatimenti Yothandiza Padzidzidzi (ETU) ya chipatala nthawi yomweyo.
| Chizindikiro kapena chikhalidwe | Zoyenera kuchita |
|---|---|
| Kaonaneni ndi dokotala wanu... | |
| Ngati chotupacho chili chachikulu kuposa 1 cm. | Funani upangiri wa dokotala nthawi yomweyo. |
| Ngati chotupacho chikupitiriza kukula kapena ululu ukuwonjezeka. | |
| Ngati chotupacho chili pafupi ndi mphuno, m'chiuno, kapena m'malo oberekera. | |
| Ngati muli ndi malungo. | |
| Ngati muwona mizere yofiira ikufalikira kuchokera ku chithupsa (chizindikiro cha kufalikira kwa matenda). | |
| Pitani ku chipatala cha Emergency Treatment Unit (ETU) nthawi yomweyo... | |
| Ngati muli ndi malungo opitirira 38.9°C (makamaka ngati muli ndi matenda ena osatha kapena mukumwa mankhwala a steroid/mankhwala oletsa khansa). | Izi ndi zadzidzidzi ndipo zimafuna kuti munthu agonekedwe kuchipatala nthawi yomweyo. |
| Ngati pali mzere wofiira wochokera pa chotupacho kupita pachifuwa kapena ngati pali zotupa (ma nodules) m'chifuwa/m'khwapa. | |
| Ngati muli ndi chotupa pankhope panu chomwe chili chachikulu kuposa sentimita imodzi. | |
Kodi dokotala amapereka chithandizo chanji?
Mukapita kwa dokotala, adzafufuza thumba ndipo, ngati kuli kofunikira, adzasankha kuchotsa mafinya kudzera mu opaleshoni yaying'ono. Izi zimatchedwa `(Kudula ndi Kutulutsa Madzi - I&D)`. Palibe chodetsa nkhawa nacho.
- Choyamba, mankhwala oletsa kumva dzanzi amabayidwa mozungulira chotupacho.
- Kenako, malowo amatsukidwa bwino ndi mankhwala ophera tizilombo toyambitsa matenda.
- Dokotalayo adadula pang'ono ndipo adachotsa mkati mwakeMafinya ndi zinthu zina zachotsedwa kwathunthu.
- Mukachotsa mafinya, mutha kuyika bandeji yaying'ono mkati mwa bala. Ngati pali mafinya otsala, zithandiza kupanga njira yoti atulukire.
- Pomaliza, bala limaphimbidwa ndi bandeji yoyera.
Pambuyo pa chithandizochi, anthu ambiri amamva bwino ululu wawo nthawi yomweyo. Dokotala angakupatseni mankhwala opha maantibayotiki ndi opha ululu kuti mumwe kwa masiku angapo.
Kodi mumatani mukalandira chithandizo?
Ndikofunikira kwambiri kutsatira malangizo a dokotala wanu molondola. Iye adzakuuzani momwe mungasungire bala loyera komanso momwe mungasinthire mabandeji. Musaiwale kufunsa dokotala wanu nthawi yomwe yakhazikitsidwa. Ngati mukumva malungo, kupweteka kwambiri, kutupa, kapena kufiira pabala mutalandira chithandizo, uzani dokotala wanu nthawi yomweyo.
Kawirikawiri, ndi chithandizo choyenera, bala limachira kwathunthu mkati mwa masiku 10-14.
Uthenga Wopita Nawo Kunyumba
- Chifuwa ndi matenda a bakiteriya, kotero ukhondo ndi wofunika kwambiri.
- Musamafinye chotupacho kapena kuchibaya ndi chinthu chakuthwa chifukwa kuchita zimenezi kungayambitse matenda.
- Ngati chotupacho ndi chaching'ono kwambiri, kuchinyowetsa m'madzi ofunda kungathandize.
- Ngati chotupacho ndi chachikulu, chopweteka, chili ndi malungo, kapena chili pamalo ovuta (nkhope, m'chiuno, m'matako) , pitani kwa dokotala nthawi yomweyo.
- Chithandizo chabwino kwambiri cha zithupsa zambiri ndikuzidula ndikutulutsa mafinya (Incision and Drainage). Palibe chifukwa choopera izi.
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