Kodi mwachitidwa opaleshoni posachedwapa, makamaka opaleshoni ya m'mimba? Kapena mukuvutika ndi ululu wa m'mimba wosatha komanso wosamveka bwino kapena kumva kukoka m'mimba mobwerezabwereza? Nthawi zina, chifukwa chake chingakhale chinthu chomwe simungachiganizire: ziwalo zamkati zimamatirana. M'mawu azachipatala, timatcha vutoli kuti kumamatirana . Ngakhale dzinalo lingamveke losazolowereka, ndi chinthu chofala kwambiri pambuyo pa opaleshoni. Tiyeni tifotokoze zonse zomwe muyenera kudziwa zokhudza kumamatirana m'mawu osavuta komanso omveka bwino.
Kodi ma Adhesions ndi chiyani kwenikweni?
Mwachidule, zomatira ndi mikwingwirima yamkati ya minofu ya zipsera yomwe imapangika mkati mwa thupi lanu. Taganizirani zomwe zimachitika khungu lanu likadulidwa; pamene bala likuchira, chilonda chimapangidwa. Mofananamo, mkati mwa thupi lanu, zomatira ndi mikwingwirima ya minofu ya zipsera yomwe imatseka mpata pakati pa ziwalo ziwiri kapena minofu yomwe nthawi zambiri siilumikizana. Izi zimatha kuwoneka ngati mapepala opyapyala, ofanana ndi filimu kapena mikwingwirima yokhuthala, ngati chingwe.
Chifukwa chachikulu cha kumatirana ndi njira yachilengedwe yochiritsira thupi lanu. Pamene minofu yanu yawonongeka—kaya ndi opaleshoni, matenda, kuvulala ( kuvulala ), kapena chithandizo cha radiation —thupi lanu limayamba kuchira. Pa nthawi yochira imeneyi, ngati chiwalo chowonongeka chikakhudzana ndi chinthu china, maselo ochiritsa a thupi lanu angavutike kusiyanitsa pakati pawo. Zotsatira zake, amapanga minofu ya zipsera yomwe imagwirizanitsa malo awiriwa, ndikupanga kumatirana.
Kodi ma Adhesions nthawi zambiri amapangidwa kuti?
Ngakhale kuti ma adhesion amatha kupangika kulikonse m'thupi, pali malo enieni omwe amapezeka kawirikawiri:
| Malo | Zotsatira ndi Kufotokozera |
|---|---|
| Kumatira m'mimba | Mtundu uwu ndi wofala kwambiri. Anthu opitilira 90% omwe amachitidwa opaleshoni ya m'mimba kapena m'chiuno amatha kukhala ndi izi. Zingayambitse matumbo kumamatira, kupindika, kapena kupotoka. Chiwopsezo chachikulu ndi kutsekeka kwa matumbo , komwe kuyenda kwa chakudya kudzera m'matumbo kumatsekedwa pang'ono kapena kwathunthu. |
| Kumatira kwa Pelvic | Izi zimatha kupanga pakati pa chiberekero cha mkazi, mazira, ndi machubu a fallopian, nthawi zambiri chifukwa cha matenda monga Pelvic Inflammatory Disease (PID) kapena Endometriosis. Kumatirira m'machubu a fallopian kumatha kuwonjezera chiopsezo cha kusabereka komanso mimba yotuluka m'mimba , komanso ndi chifukwa chofala cha ululu wosatha wa m'chiuno. |
| Kumamatira kwa Pleural | Pambuyo pa chibayo, chifuwa chachikulu, kapena opaleshoni pachifuwa, minofu ya zipsera ingapangidwe pakati pa nembanemba yophimba mapapo, zomwe zingayambitse kupweteka mukapuma mozama. |
| Kumatira Mtima | Ngati pali kugwirizana pakati pa nembanemba yozungulira mtima (pericardial sac), kungalepheretse kugwira ntchito kwa mtima. Matenda monga rheumatic fever angayambitsenso kugwirizana pa ma valve a mtima, zomwe zimachepetsa kugwira ntchito kwa mtima wonse. |
Kodi zizindikiro za Adhesions ndi ziti?
Chofunika kwambiri n'chakuti, ma gluteus ambiri samayambitsa zizindikiro konse . Angakhale m'thupi mwanu kwa zaka zambiri osadziwa kuti alipo. Zizindikiro nthawi zambiri zimangoyamba ngati ma gluteus ayamba kusokoneza ntchito yachibadwa ya chiwalo.
Zizindikiro zomwe zingatheke ndi izi:
- Ngati muli ndi matumbo omamatira, mungamve kupweteka m'mimba mwanu mukukoka kapena mukuchita masewera olimbitsa thupi.
- Kwa akazi, kumamatirana pafupi ndi chiuno kungayambitse kupweteka panthawi yogonana.
- Kumamatira pafupi ndi mapapo kungayambitse kupweteka kwambiri kapena kuvutika kupuma mozama.
- Kumatirira pamtima kungayambitse kupweteka pachifuwa .
Kutsekeka kwa Matumbo - Ichi ndi Chadzidzidzi!
Vuto lalikulu kwambiri la kutsekeka kwa m'mimba ndi kutsekeka kwa matumbo. Izi ndi zadzidzidzi zachipatala pomwe matumbo amatsekeka, zomwe zimalepheretsa kuti chakudya chisadutse. Kuzindikira zizindikiro izi ndikofunikira:
- Kupweteka kwa m'mimba mwadzidzidzi, koopsa, komwe kumatenga mphindi zingapo, nthawi zambiri kumawonjezeka mukatha kudya.
- Kusanza komwe kumayenderana ndi ululu; mutha kumva mpumulo kwakanthawi mutatha kusanza.
- Kutupa ndi kutupa m'mimba .
- Kulira kwa m'mimba mokweza komanso mokweza.
- Ngati zizindikiro zikupitirira, ululu ukhoza kukhala wosalekeza, mawu abwinobwino a m'mimba amatha kutha, ndipo mutha kukumana ndi vuto lolephera kutulutsa mpweya kapena chopondapo, nthawi zambiri limodzi ndi malungo.
Ngati mukukumana ndi zizindikiro izi, makamaka ngati mudachitidwapo opaleshoni yam'mimba kale, musanyalanyaze . Izi zitha kukhala vuto la matumbo. Pitani kuchipatala nthawi yomweyo ku Dipatimenti Yoona Zadzidzidzi (ER) yapafupi nanu.
Kodi ma Adhesions amapezedwa bwanji?
Kumatirira n'kovuta kwambiri kuona pa mayeso odziwika bwino monga X-ray kapena CT scans. Ngakhale kuti mayesowa angasonyeze kutsekeka kwa matumbo, sangathe kutsimikizira kuti pali kugwirizana pakati pa matumbo.
Njira yokhayo yodziwira bwino ngati pali kugwirizana ndi opaleshoni ndi kudzera mu njira monga Laparoscopy . Pa nthawi imeneyi, dokotala wa opaleshoni amadula pang'ono ndikuyika kamera kuti aone m'mimba. Ngati pali kugwirizana, dokotalayo nthawi zambiri amatha kuwachotsa panthawi yomweyi.
Kodi mankhwala ake ndi otani?
Ngati ma adhesions ali ndi zizindikiro, palibe chithandizo chofunikira. Komabe, ngati ayambitsa zizindikiro zazikulu, chithandizo chikufunika. Njira yoyamba ndi kuchotsa opaleshoni, yomwe imadziwika kuti Adhesiolysis .
Pali njira ziwiri zazikulu zopangira opaleshoni:
| Njira Yopangira Opaleshoni | Kufotokozera |
|---|---|
| Laparoscopy | Njira imeneyi, yomwe imadziwika kuti "opaleshoni ya keyhole," imafuna kudula pang'ono pang'ono kuti iikidwe kamera ndi zida zodulira ndikuchotsa zomatirazo molondola. |
| Laparotomy | Imeneyi ndi "opaleshoni yotseguka." Kuduladula kwakukulu kumapangidwa m'mimba, zomwe zimathandiza dokotalayo kuona bwino malowo kuti achotse zomatira. |
Chodabwitsa cha chithandizochi ndichakuti opaleshoniyo yokha ingayambitse ma gluing atsopano, chifukwa momwe thupi limachiritsira zimayambitsidwiranso ndi opaleshoni.
Kodi kumatira kungapewedwe?
Ngakhale kuti nthawi zonse sizingathe kupewedwa mokwanira, madokotala ochita opaleshoni amatenga njira zingapo zodzitetezera panthawi ya opaleshoni kuti achepetse chiopsezo:
- Kuchepetsa nthawi yomwe imatenga pa opaleshoni.
- Kugwira minofu mwaulemu komanso mosamala kwambiri.
- Kusunga minofu yonyowa panthawi yonse yochita opaleshoni.
- Kugwiritsa ntchito magolovesi apadera opanda sitachi komanso opanda latex.
- Nthawi zina, kuyika zotchinga zapadera zotsutsana ndi kumatira (zofanana ndi filimu) pakati pa ziwalo.
Ngati mukukonzekera opaleshoni, musazengereze kukambirana njira zodzitetezera ndi dokotala wanu.
Mfundo Zofunika Kwambiri
- Ma adhesions ndi mikwingwirima yamkati ya minofu yomwe imapangika, nthawi zambiri pambuyo pa opaleshoni.
- Mabatire ambiri ndi osavulaza, koma ena angayambitse ululu, kusabereka, kapena mavuto aakulu monga kutsekeka kwa matumbo.
- Ngati mwakhalapo ndi mbiri ya opaleshoni ndipo mukumva kupweteka kwambiri m'mimba, kusanza, ndi kudzimbidwa, chitani izi ngati vuto lachipatala ndipo funani chithandizo nthawi yomweyo.
- Kuzindikira matendawa nthawi zambiri kumatsimikiziridwa panthawi yochita opaleshoni.
- Ngakhale mutachotsa opaleshoni, pali chiopsezo choti ma adhesion abwererenso.
- Nthawi zonse funsani dokotala wanu ngati mukukumana ndi zizindikiro zachilendo mutachita opaleshoni.
