Ubongo wathu ndi chiwalo chovuta kwambiri komanso chodabwitsa chomwe chimalamulira thupi lathu lonse. Ndiye, ndi zachilendo kuti aliyense achite mantha pang'ono pamene chinthu chachilendo, mwachitsanzo, "chotupa" chikukula pamalo ofunika kwambiri? Mwina mwamvapo za "chotupa cha muubongo" kapena, monga momwe chimatchulidwira mu Chingerezi, chotupa cha muubongo . N'zoona kuti mukamva dzinali, mumaopa pang'ono, koma chofunika kwambiri ndikudziwa zonse zokhudza dzinali momveka bwino komanso molondola. Mukatero simudzakhala ndi mantha osafunikira.
Kodi chotupa cha muubongo n'chiyani?
Mwachidule, chotupa cha muubongo ndi chotupa kapena kuchuluka kwa maselo omwe amakula molakwika mkati kapena mozungulira ubongo wanu. Chili ngati chomera chosafunikira chomwe chimamera m'munda mwanu. Ubongo wathu ndi msana wathu ndizomwe zimapanga dongosolo la mitsempha (CNS) . Chifukwa chake zotupa zimatha kupangika m'malo onsewa.
Pali mitundu iwiri ya zotupa muubongo. Zina ndi zotupa zoopsa , zomwe zikutanthauza kuti zimapangidwa ndi maselo a khansa ndipo zimatha kufalikira mwachangu. Mtundu wina ndi wosaopsa . Awa si maselo a khansa, kotero nthawi zambiri safalikira.
Koma apa pali chinthu chofunikira. Ngakhale chotupacho sichili khansa, kutanthauza kuti, chosaopsa , chingayambitse mavuto ngati chikukulira mu ubongo. Taganizirani izi, mutu wathu ndi chinthu cholimba kwambiri, ngati chipolopolo cha kokonati. Choncho malo omwe ali mkati mwake ndi ochepa. Chotupa chikakula, chimayamba kukanikiza mitsempha yofewa, mitsempha yamagazi, ndi minofu mu ubongo. Kenako ntchito za ubongo zimatha kusokonekera.
Ziphuphu zomwe zimakula muubongo zimatchedwa zotupa zoyambirira . Koma nthawi zina, maselo a khansa ochokera mbali ina ya thupi, monga mapapo, amatha kufalikira kupita ku ubongo ndikupanga zotupa. Izi zimatchedwa zotupa zachiwiri kapena zotupa za ubongo zomwe zimafalikira . M'nkhaniyi, tikambirana makamaka za zotupa zoyambirira zomwe zimakula muubongo.
Ndi mitundu iti ya khansa ya muubongo yomwe ilipo?
Ndipotu, ofufuza apeza mitundu yoposa 150 ya zotupa za muubongo. Koma makamaka timazigawa m'magulu. Chimodzi ndi maselo omwe amapanga kuchokera. Zotupa za glial ndi zotupa zomwe zimapangidwa m'maselo othandizira ubongo otchedwa glial cells , ndipo zotupa zomwe si za glial ndi zotupa zomwe zimapangidwa m'mbali zina za ubongo, monga mitsempha, mitsempha yamagazi, ndi tiziwalo ta m'magazi. Kuphatikiza apo, monga tafotokozera kale, timazigawanso m'magulu a benign (osati khansa) ndi owopsa (khansa).
Mitundu yodziwika bwino ya zotupa za muubongo ndi yosakhala ya khansa (yosaopsa).
Zina mwa izi ndi izi:
- Ma Chordoma: Izi zimapezeka kwambiri pansi pa chigaza ndi pansi pa msana. Zimakula pang'onopang'ono.
- (Craniopharyngiomas): Izi zimapezeka pansi pa ubongo (pituitary gland)Zotupa zomwe zimapangika m'derali zimakhala zovuta kuzichotsa chifukwa zimakhala pafupi ndi malo ovuta kwambiri muubongo.
- (Gangliocytomas, Gangliomas, Anaplastic Gangliogliomas): Izi ndi zotupa zomwe zimapezeka kawirikawiri m'maselo a mitsempha (Neurons).
- (Glomus jugulare): Izi zimakula pansi pa chigaza, pafupi ndi mtsempha waukulu m'khosi (mtsempha wa Jugular).
- Meningiomas: Iyi ndi mtundu wofala kwambiri wa chotupa chachikulu cha muubongo . Chimapangidwa m'maselo omwe amaphimba ubongo ndi msana (wotchedwa meninges) . Nthawi zambiri amakula pang'onopang'ono. Komabe, nthawi zambiri sangakhale khansa.
- Pineocytomas: Mtundu wa chotupa chomwe chimakula pang'onopang'ono chomwe chimayamba mu pineal gland , yomwe imapanga hormone ya melatonin , yomwe ili mkati mwa ubongo.
- Matenda a pituitary adenomas: Awa ndi matenda otupa omwe amakula mu pituitary gland pansi pa ubongo. Matendawa amalamulira mahomoni m'thupi lathu. Matendawa nthawi zina angayambitse kutulutsa mahomoni owonjezera.
- Schwannomas: Izi ndi zotupa zomwe si khansa zomwe zimapezeka kwambiri mwa akuluakulu. Zimachokera ku maselo a Schwann, omwe amathandiza kuyendetsa mitsempha. Ma neuromas a acoustic ndi mtundu wofala kwambiri wa chotupa. Zimayambira pa mitsempha ya vestibular, yomwe imayenda kuchokera ku khutu kupita ku ubongo.
Mitundu ya khansa ya ubongo yoopsa
Ma gliomas ndi omwe amachititsa 78% ya zotupa zoyambirira muubongo . Izi zimachokera ku maselo a glial omwe amazungulira ndikuthandizira maselo amitsempha.
- Astrocytoma: Iyi ndi mtundu wofala kwambiri wa glioma . Imachokera ku maselo ooneka ngati nyenyezi otchedwa astrocytes . Amatha kukula m'mbali zosiyanasiyana za ubongo, koma amapezeka kwambiri mu ubongo.
- Ependymomas: Izi zimapangidwa m'ma ventricles a ubongo.
- (Glioblastoma - GBM): Izi ndi zotupa zomwe zimachokera ku maselo otchedwa (Astrocytes) . Komabe, izi ndi zotupa zomwe zimakula mofulumira kwambiri, zomwe zikutanthauza kuti ndi mitundu ya (Astrocytoma) yoopsa kwambiri.
- Oligodendroglioma: Iyi ndi mtundu wosowa wa chotupa chomwe chimayambira m'maselo omwe amapanga chophimba choteteza (myelin ) kuzungulira mitsempha ya muubongo.
Kuphatikiza apo, pali mtundu wa chotupa cha khansa chotchedwa (Medulloblastoma) . Izi zimakula mofulumira ndipo zimapangidwa pansi pa chigaza. Ichi ndi chotupa cha ubongo cha khansa chomwe chimapezeka kwambiri mwa ana aang'ono.
Ndani amene amadwala kwambiri matendawa muubongo?
Aliyense akhoza kudwala matenda a muubongo, koma amaoneka kuti ndi ofala kwambiri mwa amuna .
Komabe, mtundu wa chotupa chomwe tidalankhula kale, chotchedwa Meningioma , chomwe nthawi zambiri sichimayambitsa khansa, ndi chofala kwambiri pakati pa akazi.
Mtundu woyipa kwambiriGlioblastoma ikuwoneka kuti ikuwonjezeka ndi ukalamba mwa anthu onse.
Kodi zotupa za muubongo izi (zoyamba) n’zofala bwanji?
Matenda otupa muubongo oyamba si ofala kwambiri. Ngakhale m'dziko ngati United States, anthu 5 okha pa 100,000 ndi omwe amapezeka ndi matendawa chaka chilichonse.
Komanso, pakati pa ana osakwana zaka 15, anthu pafupifupi 4,100 ku United States amapezeka ndi chotupa cha muubongo kapena chapakati pa mitsempha chaka chilichonse. Ngakhale kuti ziwerengero za ku Sri Lanka sizolondola, titha kupeza lingaliro kuchokera pamenepa.
Kodi khansa ya muubongo ndi yoopsa bwanji?
Chotupa cha muubongo, kaya ndi khansa kapena ayi, chingayambitse mavuto aakulu. Chifukwa chachikulu cha izi ndi chakuti chigaza chathu ndi cholimba kwambiri, zomwe zikutanthauza kuti chotupa mkati mwake chilibe malo oti chikule kapena kufalikira. Chili ngati chinthu chomwe chikukulira mkati mwa bokosi chomwe chamatirira.
Komanso, ngati chotupa chikayamba pafupi ndi malo a ubongo omwe amawongolera ntchito zofunika kwambiri, zizindikiro zosiyanasiyana zingachitike. Mwachitsanzo:
- Kumva wopanda moyo.
- Kuyenda movutikira.
- Kutaya mphamvu m'thupi.
- Kutayika pang'ono kapena kwathunthu kwa masomphenya.
- Kumvetsa zomwe zikunenedwa, kapena kukhala ndi vuto polankhula.
- Kukhala ndi mavuto okumbukira.
Matenda a ubongo angayambitse mavuto m'njira zotsatirazi:
- Amalowa mwachindunji ndikuwononga minofu yaubongo yathanzi.
- Zimayambitsa kupanikizika pa minofu yozungulira.
- Kumawonjezera kuthamanga kwa magazi m'mutu .
- Zimapangitsa kuti madzi azisonkhana mu ubongo.
- Zimasokoneza kuyenda kwa madzi a m'mitsempha ya ubongo (CSF) kudzera m'mabowo omwe ali mkati mwa ubongo, zomwe zimapangitsa kuti mabowowo akule.
- Kutuluka magazi mkati mwa ubongo kungachitikenso.
Koma anthu ena ali ndi zotupa muubongo, koma sizingasonyeze zizindikiro kapena kukula mokwanira kuti zikankhire minofu yozungulira.
Kodi zizindikiro za chotupa cha muubongo ndi ziti?
Anthu ena ali ndi chotupa cha muubongo koma sasonyeza zizindikiro zilizonse, makamaka ngati ndi chaching'ono kwambiri.
Zizindikiro za khansa ya muubongo zimasiyana malinga ndi malo, kukula, ndi mtundu wa khansa. Izi zikutanthauza kuti si aliyense amene adzakumane ndi zizindikiro zofanana.
Nazi zizindikiro zina zodziwika bwino:
- Mutu: Izi zitha kukhala zovuta kwambiri m'mawa, kapena zitha kukhala zovuta kwambiri moti zingakudzutseni usiku.
- Kukomoka: Kukomoka mwadzidzidzi ndi kutaya chidziwitso.
- Kuvuta kuganiza, kulankhula, kapena kumvetsetsa chilankhulo.
- Kusintha kwa khalidwe ndi umunthu wa munthu .
- Kufooka kapena kufooka mbali imodzi kapena mbali ina ya thupi.
- Mavuto a kusasinthasintha kapena chizungulire.
- Mavuto a maso: Kuona molakwika, monga kuona m'magawo awiri.
- Mafunso omvetsera.
- Kusanza kapena kumva kuwawa pankhope.
- Kusanza kapena kusanza.
- Kusokonezeka ndi kusokonezeka maganizo.
Chofunika: Ngati muli ndi chimodzi mwa zizindikiro izi, ndikofunikira kuonana ndi dokotala kuti akupatseni upangiri. Si zizindikiro zonsezi zomwe zimayambitsidwa ndi khansa ya muubongo, koma ndikofunikira kupeza chomwe chimayambitsa.
Kodi n’chiyani chimayambitsa matenda a khansa mu ubongo?
Ofufuza akudziwa kuti zotupa muubongo zimayamba majini enaake pa ma chromosome a selo akawonongeka ndipo sagwira ntchito bwino. Koma sakudziwabe chifukwa chake. DNA yomwe ili m'maselo anu imauza maselo m'thupi lanu lonse choti achite - nthawi yoti akule, nthawi yoti agawikane, komanso nthawi yoti afe.
When the DNA of brain cells changes, those cells receive new instructions. Then, abnormal brain cells form in the body, which grow and multiply faster than normal cells, and sometimes live longer than normal cells. When this happens, these abnormal cells gather and take up space inside the brain, which is what appears as a tumor.
Nthawi zina, munthu akhoza kubadwa ndi kusintha kwa majini kumeneku. Pambuyo pake, zinthu zachilengedwe, monga kukhudzidwa ndi kuwala kwamphamvu kuchokera ku X-ray kapena chithandizo cha khansa cham'mbuyomu, zingayambitse kuwonongeka kwina.
Nthawi zina, kuwonongeka kwa chilengedwe kwa majini kungakhale chifukwa chokhacho.
Pali matenda angapo osowa, obadwa nawo a majini okhudzana ndi zotupa za muubongo:
- (Neurofibromatosis mtundu 1 - jini la NF1)
- (Neurofibromatosis mtundu wachiwiri - jini la NF2)
- (Turcot syndrome - jini la APC)
- (Gorlin syndrome - jini la PTCH)
- (Tuberous sclerosis complex - majini a TSC1 ndi TSC2)
- (Li-Fraumeni syndrome - jini ya TP53)
Komabe, 5% mpaka 10% yokha ya anthu omwe ali ndi chotupa cha muubongo ndi omwe ali ndi mbiri ya m'banja lawo ya matendawa. Izi zikutanthauza kuti nthawi zambiri, sichiri cholowa.
Kodi mumadziwa bwanji ngati muli ndi chotupa cha muubongo?
Kuzindikira khansa ya muubongo nthawi zina kungakhale kovuta, komwe kumakhudza akatswiri angapo. Komabe, nthawi zina madokotala amapeza khansa ya muubongo mwangozi akamayesa kujambula vuto lina lachipatala.
Ngati muli ndi zizindikiro za chotupa cha muubongo, dokotala wanu adzachita kaye mayeso akuthupi. Adzakufunsaninso za zinthu monga:
- Zizindikiro zanu.
- Matenda akale ndi amakono.
- Mitundu ya mankhwala omwe akugwiritsidwa ntchito panopa.
- Maopaleshoni ndi chithandizo chamankhwala chachitidwa.
- Mbiri ya matenda a m'banja.
Kuphatikiza apo, dokotalayoKuyezetsa ubongo kungachitikenso. Izi zikuyang'ana kusintha kulikonse mu:
- Kulinganiza ndi kugwirizana.
- Mkhalidwe wamaganizo.
- Kumva.
- Masomphenya.
- Kusinkhasinkha.
Kusintha kumeneku kumapereka chidziwitso cha gawo la ubongo lomwe lingakhudzidwe ndi chotupa.
Ngati dokotala wanu akukayikira kuti mwina muli ndi chotupa cha muubongo, sitepe yotsatira nthawi zambiri ndikuchita scan ya ubongo. Iyi nthawi zambiri imakhala MRI .
Ndi mayeso ati omwe amagwiritsidwa ntchito pozindikira chotupa cha muubongo?
Madokotala amagwiritsa ntchito mayeso angapo kuti adziwe chotupa cha muubongo:
- Kujambula kwa ubongo (Brain MRI) kapena CT scan: Kujambula kwa maginito (MRI) ndiye njira yabwino kwambiri yodziwira zotupa muubongo. Ngati simungathe kuchita MRI , kujambulidwa kwa computed tomography (CT) ndi njira ina yabwino. Musanayambe mayesowa, mankhwala osiyanitsa amaikidwa mumtsempha wanu kuti chotupacho chiwonekere bwino. Mayesowa amatha kuwonetsa kukula kwa chotupacho ndi malo ake enieni mwatsatanetsatane. Nthawi zina dokotala wanu amafufuzanso ziwalo zina za thupi lanu, monga mapapo anu, m'matumbo, kapena bere, kuti awone ngati chotupacho chafalikira.
- Kufufuza za khansa: Kuti mudziwe mtundu weniweni wa chotupacho komanso ngati ndi khansa, chidutswa chaching'ono cha chotupacho nthawi zambiri chimachotsedwa ndikuwunikidwa pogwiritsa ntchito maikulosikopu ( biopsy ). Dokotala wa opaleshoni ya mitsempha angachite izi panthawi ya opaleshoni kuti achotse chotupa chonse kapena gawo lake. Ngati chotupacho chili chovuta kuchifikira, kuyezetsa kwa stereotactic kungachitike mwa kupanga dzenje laling'ono m'chigaza ndikugwiritsa ntchito singano kuchotsa minofu kuchokera ku chotupacho.
- Kuboola kwa msana / Kuboola kwa msana: Mu mayeso awa, dokotala amagwiritsa ntchito singano yaying'ono kuchotsa madzi a m'mitsempha (CSF) pang'ono kuchokera pamalo ozungulira msana wanu. Madziwo amayesedwa mu labu kuti awone ngati pali maselo a khansa. Kuyesaku kumachitika ngati pali kukayikira kuti chotupacho chafalikira ku nembanemba zomwe zimaphimba ubongo ( meninges ).
- Mayeso apadera: Nthawi zina pamakhala mayeso apadera omwe angathandize kupeza matenda. Mwachitsanzo, dokotala wanu angakupatseni mayeso kuti aone ngati magazi anu ndi madzi a m'mitsempha yanu ali ndi zinthu ( zizindikiro za chotupa ) zomwe zimatulutsidwa ndi zotupa zina. Angayang'anenso zolakwika zinazake za majini zomwe zimapezeka pa zotupa zina.
Kodi mankhwala a khansa ya muubongo ndi otani?
Chithandizo cha khansa ya muubongo chimadalira zinthu zingapo:
- Malo a chotupacho, kukula kwake, ndi mtundu wake.
- Chiwerengero cha mtedza.
- zaka zanu.
- Thanzi lanu lonse.
Wosakhala ndi khansa (Wosavulaza)Zotupa za muubongo nthawi zambiri zimatha kuchotsedwa bwino ndi opaleshoni, ndipo sizimabweranso kawirikawiri. Komabe, zimadalira kwambiri ngati dokotala wanu wa opaleshoni ya ubongo angathe kuchotsa chotupacho mokwanira komanso mosamala.
Mankhwala omwe ndi otetezeka kwa akuluakulu kuti azitha kupirira popanda kuwononga ubongo kwambiri, monga chithandizo cha radiation , angasokoneze kukula kwa ubongo wa mwana wamng'ono, makamaka mwana wosakwana zaka zisanu. Ichi ndichifukwa chake madokotala amasamala kwambiri akamachiza ana.
Madokotala nthawi zambiri amagwiritsa ntchito njira zosiyanasiyana zochizira chotupa. Nazi njira zina zochizira zomwe mungakhale nazo:
- Kuchotsa ubongo ndi ubongo: Nthawi iliyonse ikatheka, madokotala a opaleshoni ya mitsempha amachotsa chotupacho. Amachita opaleshoniyo mosamala kwambiri, nthawi zina mukakhala maso (simukumva kupweteka kulikonse), kuti achepetse kuwonongeka kwa malo ofunikira muubongo.
- Chithandizo cha radiation: Izi zimaphatikizapo kugwiritsa ntchito X-ray yambiri kuti muwononge maselo a khansa muubongo kapena kuchepetsa chotupacho.
- Opaleshoni ya Radiosurgery: Iyi ndi njira inanso yochizira matenda pogwiritsa ntchito radiation. Komabe, imagwiritsa ntchito radiation ray (gamma rays kapena proton beams) kuti iwononge chotupacho. Iyi si opaleshoni yeniyeni, chifukwa siimafuna kuduladula.
- Brachytherapy: Iyi ndi mtundu wa chithandizo cha radiation. Mu izi, mbewu kapena ma pellets a radioactive amaikidwa opaleshoni mkati kapena pafupi ndi chotupa cha khansa.
- Chemotherapy: Izi zimagwiritsa ntchito mankhwala oletsa khansa kuti aphe maselo a khansa muubongo wanu komanso m'thupi lanu lonse. Mungalandire chemotherapy kudzera mu mitsempha kapena ngati piritsi. Dokotala wanu angakulangizeni kuti mulandire chemotherapy kuti muphe maselo aliwonse a khansa otsala mutachita opaleshoni, kapena kuti mulepheretse kukula kwa maselo aliwonse a khansa otsala.
- Chithandizo cha Immunotherapy: Chomwe chimatchedwanso kuti chithandizo cha biological, chimagwiritsa ntchito chitetezo cha mthupi la thupi lanu polimbana ndi khansa. Chimalimbikitsa chitetezo cha mthupi lanu ndikuchithandiza kugwira ntchito yake bwino kwambiri.
- Chithandizo Cholunjika: Mu chithandizochi, mankhwala amalimbana ndi zinthu zinazake za maselo a khansa popanda kuvulaza maselo athanzi. Dokotala wanu angakulangizeni izi ngati mukuvutika kupirira zotsatirapo za mankhwala a chemotherapy , monga kutopa ndi nseru.
- Kudikira/kuyang'anitsitsa mosamala: Ngati chotupa cha muubongo wanu ndi chaching'ono kwambiri ndipo mulibe zizindikiro, dokotala wanu angakulangizeni kuti muyang'anire chotupacho mosamala ndi mayeso pafupipafupi kuti muwone ngati chikukula.
Pali mankhwala ena omwe angathandize ndi zizindikiro zoyambitsidwa ndi zotupa za muubongo:
- Shunt: Ngati chotupacho chikuyambitsa kupanikizika kwambiri mkati mwa chigaza, mungafunike opaleshoni yoyika shunt (chubu) muubongo wanu kuti muchotse madzi ochulukirapo a m'mitsempha ya ubongo .
- Mankhwala monga Mannitol ndi Corticosteroids : Mankhwalawa amathandiza kuchepetsa kuthamanga kwa magazi mkati mwa chigaza ndikuchepetsa kutupa kozungulira chotupacho.
- Chisamaliro cha palliative: Ichi ndi chithandizo chapadera chomwe chimapereka mpumulo, chitonthozo, komanso chithandizo kwa anthu omwe ali ndi matenda aakulu. Chimaperekanso chithandizo kwa iwo omwe akusamalira wodwalayo ndi omwe akukhudzidwa ndi vuto la wodwalayo.
Kodi zizindikiro za matendawa ndi ziti?
Chiyembekezo cha anthu omwe ali ndi khansa ya muubongo chimasiyana kwambiri. Zinthu zomwe zimakhudza izi ndi izi:
- Mtundu, mtundu, ndi malo a chipatsocho.
- Kaya chotupacho chinachotsedwa kotheratu ndi opaleshoni.
- Zaka zanu ndi thanzi lanu lonse.
Nthawi zambiri, madokotala amatha kuchiza chotupa cha muubongo bwino. Anthu ena amakhala ndi moyo wokhutiritsa komanso wosangalatsa ndi zotupa za muubongo zomwe sizimawonetsa zizindikiro. Kwa anthu ena, zotupa za muubongo zimatha kubwereranso (kubwereranso) mutalandira chithandizo. Ngati izi zitakuchitikirani, mungafunike kupitiriza kulandira chithandizo, monga chemotherapy kapena radiation therapy, kuti chotupacho chisakule kapena kufalikira.
Kodi chiŵerengero cha kuchira ndi chiyani?
Chiwerengero cha anthu omwe amapulumuka chimasiyana malinga ndi mtundu wa chotupa cha muubongo. Chimasiyananso malinga ndi zaka zanu, mtundu wanu, komanso thanzi lanu lonse. Chiwerengerochi ndi chiwerengero cha anthu omwe amapulumuka zaka zisanu ndi chiwerengero cha anthu omwe amakhala ndi moyo zaka zosachepera zisanu atapezeka ndi chotupa cha muubongo.
Mwachitsanzo, kuchuluka kwa zaka zisanu za moyo wa khansa yoyambirira ya muubongo (Meningioma) yofala kwambiri (yomwe si khansa) ndi motere:
- Oposa 96% kwa ana azaka 14 ndi pansi.
- 97% kwa anthu azaka zapakati pa 15 ndi 39.
- Oposa 87% kwa akuluakulu azaka 40 kapena kupitirira apo.
Popeza kuchuluka kwa kuchira kumasiyana kwambiri ndipo kumadalira zinthu zingapo, ndi bwino kukambirana ndi dokotala wanu zomwe mungayembekezere mutazindikira matendawa.
Kodi zotupa za muubongo zingapewedwe?
Mwatsoka, sizingatheke kupewa khansa ya muubongo kwathunthu. Komabe, mutha kuchepetsa chiopsezo chanu chokhala ndi khansa ya muubongo popewa zoopsa zachilengedwe, monga kupewa kusuta fodya komanso kukhudzidwa ndi kuwala kwambiri.
Ngati wachibale wanu wapafupi (mchimwene, mlongo, kapena kholo) wakhala ndi chotupa cha muubongo, ndikofunikira kuuza dokotala wanu. Angakutumizireni kuti mukalandire upangiri wa majini kuti akaone ngati muli ndi vuto la majini lomwe limagwirizanitsidwa ndi chotupa cha muubongo.
Ndiyenera kupita kwa dokotala liti?
Ngati mwapezeka ndi chotupa cha muubongo, muyenera kukumana ndi gulu lanu lachipatala nthawi zonse kuti mulandire chithandizo ndikuyang'anira zizindikiro zanu.
Ngati zizindikiro za chotupa cha muubongo wanu zikuipiraipira, kapena ngati zizindikiro zatsopano zikuwonekera, muyenera kuwona dokotala.
Ngakhale mutalandira chithandizo cha khansa ya muubongo, ndikofunikira kuti muzilankhulana ndi dokotala nthawi zonse.
Ndi mafunso ati omwe muyenera kufunsa dokotala okhudza chotupa cha muubongo?
Ngati mwapezeka ndi chotupa cha muubongo, zingakhale zothandiza kufunsa dokotala mafunso awa:
- Kodi chotupa ichi ndi khansa (choopsa) kapena chosakhala khansa (choipa)?
- Ndi chotupa chamtundu wanji chomwe ndili nacho?
- Kodi chithandizo chabwino kwambiri kwa ine ndi chiti?
- Kodi chithandizo changa chingayambitse zotsatirapo zoyipa?
- Kodi akatswiri omwe akugwira ntchito yosamalira odwala anga ndi ndani?
- Kodi chiyembekezo changa cha matenda ndi chiyani?
- Kodi achibale anga ali pachiwopsezo chotenga khansa ya muubongo?
- Kodi mukudziwa magulu ena othandizira anthu omwe ali ndi zotupa muubongo pa intaneti kapena pamasom'pamaso?
Uthenga wofunika kwambiri woti upite nawo kunyumba
Ndizachibadwa kuchita mantha komanso kutopa kwambiri mukazindikira kuti muli ndi chotupa cha muubongo. Koma kumbukirani kuti si zotupa zonse za muubongo zomwe ndi khansa. Ndipotu, pafupifupi magawo awiri mwa atatu ndi abwino . Komabe, zimatha kuyambitsa mavuto muubongo wanu. Chofunika kwambiri ndikukhulupirira kuti gulu lanu lachipatala lidzagwira ntchito nanu kuti lipange dongosolo lathunthu la chithandizo lomwe lingakuthandizeni, kuchiza chotupacho, ndikukweza moyo wanu. Musachite mantha, pezani chidziwitso choyenera, ndikutsatira upangiri wa dokotala wanu.
👩🏽⚕️ Mafunso ena (Mafunso Ofunsidwa Kawirikawiri)
💬 Kodi matenda a mtima otchedwa Heart Block ndi matenda a cholesterol omwe amatseka mitsempha yamagazi mumtima?
Ayi ndithu! Anthu ambiri samvetsa bwino mawu awa. Pamene cholesterol imaletsa kuyenda kwa magazi, imatchedwa matenda a mtima/CAD. Koma 'Heart Block' ndi chipika mu 'chizindikiro chamagetsi' cha mtima! Uwu ndi mkhalidwe womwe 'ma signal amagetsi' ochokera m'zipinda zapamwamba kupita m'zipinda zotsika amasokonezedwa, kuchedwa, kapena kuyimitsidwa kwathunthu, zomwe zimapangitsa mtima kugunda molakwika.
💬 Kodi ndi kusasangalala kotani komwe timamva magetsi mumtima mwathu akatha kotheratu?
Kutsekeka kwa mtima kwa digiri yoyamba sikumayambitsa zizindikiro zilizonse (kumawonekera kokha pa ECG). Komabe, ngati kupitirira kukhala koopsa kwambiri (Third-degree / Complete heart block), wodwalayo akhoza kuchepa mwadzidzidzi kwa kugunda kwa mtima (Bradycardia), chizungulire, komanso kulimba pachifuwa. Anthu ambiri amamva kukomoka/kukomoka akamayenda.
💬 Kodi chithandizo cha blocka yamagetsi iyi mumtima ndi chiyani?
Palibe mapiritsi a izi! Ngati zingwe zamagetsi mumtima zasweka/zofooka, njira yokhayo yopambana yozikonzera ndi kuyika makina ang'onoang'ono (pacemaker) pansi pa khungu omwe amapereka magetsi kumtima mwadala. Makinawa amatumiza zizindikiro zamagetsi zofunika kumtima panthawi yoyenera.
Chotupa cha Ubongo , Khansa, Khansa ya Ubongo, Zizindikiro, Chithandizo, Thupi Lathupi











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