Kodi chifuwa chanu chimadzaza ndi mpweya munthawi ya msambo? (Catamenial Pneumothorax) Tiyeni tiphunzire za izi!

Nthawi zambiri msambo ndi nthawi yovuta kwa akazi athu ena. Ngakhale timaganiza kuti zinthu monga kupweteka m'mimba ndi msana ndi zachilendo, nthawi zina panthawiyi, kupweteka pachifuwa komanso kupuma movutikira kumatha kuchitika. Nthawi ngati zimenezi, tiyenera kusamala pang'ono ndi vuto lapaderali lomwe tikukamba lero. Ngakhale izi ndi zoopsa pang'ono, tiyeni timvetse mosavuta.

Kodi ichi (Catamenial Pneumothorax) n'chiyani?

Mwachidule, `(Catamenial Pneumothorax)` ndi kusonkhana kwa mpweya pakati pa mapapo anu ndi mkati mwa chifuwa chanu, panthawi ya msambo wanu, kapena masiku amenewo. Mawu akuti `Catamenial`` amatanthauza `zogwirizana ndi msambo.`` `Pneumothorax`` amatanthauza kuti pali mpweya m'chifuwa. Kusonkhana kwa mpweya kumeneku kungayambitse kupanikizika kuzungulira mapapo, ndipo nthawi zina mbali imodzi kapena mapapo onse amatha kugwa. Taganizirani ngati buluni yomwe yataya mpweya. Kwa anthu ambiri, izi zimakhudza mapapo akumanja.

Kodi zizindikiro za vutoli ndi ziti?

Tangoganizirani, mnzanu, tiyeni timutche 'Samadhi'. Samadhi wakhala akumva kupweteka kwambiri pachifuwa kumanja kwa masiku awiri kapena atatu asanayambe msambo, ndipo amamva kupuma pang'ono. Amaganiza kuti izi zinali zachilendo, mwina chifukwa cha kuchita khama. Koma ndi pamene adapita kwa dokotala pomwe adadziwa za vutoli lotchedwa `(Catamenial Pneumothorax)`. Chifukwa chake, ngati mukukumananso ndi zizindikiro izi, ndikofunikira kuda nkhawa nazo:

• Kupweteka pachifuwa: Ichi ndiye chizindikiro chachikulu. Chikhoza kukhala mwadzidzidzi, chakuthwa, kubaya, ndipo nthawi zina kubaya. Kupweteka kumeneku kumatha kukulirakulira mukapuma kapena kutsokomola.
• Kupuma movutikira: Kungamveke ngati simungathe kupuma, mukupuma movutikira, kapena pachifuwa panu pali cholimba.
• Chifuwa: Chifuwa chouma komanso chopweteka chingachitike.
• Kutsokomola magazi (Hemoptysis): Nthawi zina, magazi pang'ono angatuluke ndi chimfine. Izi sizichitika kwa aliyense.
• Kuchuluka kwa mpweya wopuma kapena kuchuluka kwa mtima.
• Kusanduka kwa buluu kwa khungu, milomo, kapena zikhadabo (Cyanosis): Ichi ndi chizindikiro choopsa kwambiri. Izi zimachitika thupi likapanda kulandira mpweya wokwanira. Ngati muwona chinthu chonga ichi, muyenera kufunafuna upangiri wa dokotala nthawi yomweyo.

Zizindikiro zimenezi nthawi zambiri zimawonekera masiku angapo msambo wanu usanayambe (tsiku limodzi kapena awiri) kapena mkati mwa masiku ochepa (nthawi zambiri maola 72) utangoyamba.

N’chifukwa chiyani izi zikuchitika? Kodi zifukwa zake ndi ziti?

Ndipotu, kugwirizana pakati pa nthawi yanu ya msambo ndi mapapu anu odzaza ndi mpweya kungawoneke ngati kwachilendo pang'ono, ndipo ngakhale madokotala nthawi zina amavutika kupeza chomwe chimayambitsa vutoli. Koma pali zinthu zingapo zomwe zimakayikiridwa.

Chifukwa chachikulu chimaonedwa kuti ndi vuto lotchedwa ``Endometriosis``. Apa ndi pamene chiberekero chanu chimakula.Endometriosis ndi kukula kwa minofu yofanana ndi mkati mwa chiberekero kunja kwa chiberekero, m'mbali zina za thupi. Mwachitsanzo, ngati minofu iyi ikukula m'mapapu anu, pleurae (nembanemba yopyapyala yomwe imazungulira mapapo) kapena diaphragm (minofu yomwe imalekanitsa chifuwa ndi mimba), minofu iyi imathanso kutuluka magazi kapena kuphulika panthawi ya msambo. Izi zingayambitse mpweya kutuluka m'malo ozungulira mapapo. Apa ndi pamene pneumothorax imachitika. Ngati mukudziwa motsimikiza kuti vutoli limayambitsidwa ndi endometriosis, limatchedwanso endometriotic pneumothorax.

Komabe, si aliyense amene ali ndi catamenial pneumothorax amene ali ndi endometriosis. Kusintha kwa kuchuluka kwa mahomoni ndi kutupa komwe kumachitika panthawi ya msambo kungakhudzenso mapapu anu. Zinthu zina zomwe zingayambitse pneumothorax panthawi ya msambo ndi izi:

• Kuchepa kwa kuyenda kwa magazi chifukwa cha mankhwala otchedwa `(Prostaglandins): Awa ndi mankhwala omwe amagwira ntchito ngati mahomoni. Amapangidwa mopitirira muyeso panthawi ya msambo. Akuti izi zingayambitse matumba a mpweya / kutuluka kwa magazi m'mapapu anu, zomwe zimapangitsa kuti mpweya utuluke m'malo ozungulira mapapu anu.
• Mpweya wodutsa m'thupi lobereka: Nthawi zina, mpweya ukhoza kulowa m'chifuwa kuchokera m'mimba kudzera m'matenda ang'onoang'ono obadwa nawo omwe ali mu diaphragm yanu.

Kodi chimachitika ndi chiyani ngati Endometriosis ifalikira m'mapapo?

Ngati muli ndi endometriosis m'mapapu anu kapena m'zipinda zozungulira, ingayambitse vuto lotchedwa Thoracic Endometriosis Syndrome. Kuwonjezera pa pneumothorax, zinthu izi zitha kuchitikanso:

• Magazi odzaza malo ozungulira mapapo (Hemothorax)
• Matumbo a m'mapapo (tinthu tating'onoting'ono m'mapapo)
• Catamenial hemoptysis (kutsokomola magazi nthawi ya kusamba)

Nthawi zina, ngakhale simunapezeke ndi endometriosis, ngati mukumana ndi pneumothorax pakati pa msambo, mwina chifukwa cha kukula kwa minofu ya endometrial m'mapapo kapena diaphragm.

Ndani amene ali pachiwopsezo chachikulu cha vutoli?

Matenda a catamenial pneumothorax ndi matenda omwe nthawi zambiri amapezeka mwa akazi azaka zapakati pa 30 ndi 40 omwe akutuluka dzira (monga kusamba nthawi zonse). Kawirikawiri, amatha kuchitika kwa akazi omwe amagwiritsa ntchito njira zolerera za mahomoni kapena omwe ali ndi pakati. Ngati inu kapena wina m'banja mwanu muli ndi endometriosis, muli pachiwopsezo chachikulu chotenga matendawa.

Kodi izi zingayambitse mavuto?

Nthawi zina, pneumothorax ingayambitse mavuto aakulu, monga kulephera kupuma kapena kulephera kwa mtima . Ngakhale izi sizichitika kawirikawiri, ndikofunikira kuwona dokotala ngati muli ndi zizindikiro za pneumothorax.Chifukwa zizindikirozi zimatha kufanana ndi za matenda ena akuluakulu, sizimangotha ​​zokha.

Kodi mumazindikira bwanji izi?

Madokotala nthawi zambiri amazindikira matenda otchedwa ``Catamenial Pneumothorax'' mwa kumvetsera mosamala zizindikiro zanu, kumvetsera mapapu anu, komanso kugwiritsa ntchito mayeso osiyanasiyana ojambula. Mayesowa akuphatikizapo:

• X-ray ya pachifuwa: Izi zingathandize kuona ngati mapapu ali opanikizika kapena odzaza ndi mpweya.
• Kujambula kwa CT: Izi zingapangitse zithunzi zomveka bwino komanso zatsatanetsatane kuposa X-ray. Zingathenso kuyang'ana endometriosis.
• Ultrasound ya m'mapapo: Izi zimathandizanso kuzindikira pneumothorax.

Kuti dokotala apeze chifukwa chake, zingakhale zothandiza kuwauza izi:

• Kodi nthawi yanu iyamba posachedwa?
• Kaya nthawi yanu yayamba posachedwapa.
• Kaya munakhalapo ndi zizindikiro izi nthawi ya msambo wanu kale ndi mfundo yofunika kwambiri.

Nthawi zina, popanda opaleshoni (monga laparoscopy kapena thoracoscopy) kapena biopsy, dokotala sangathe kudziwa ngati chomwe chimayambitsa pneumothorax ndi endometriosis kapena china chake.

Kodi mankhwala ochizira izi ndi otani?

Nthawi zambiri, pneumothorax yaying'ono imatha yokha. Komabe, ngati zizindikiro zanu zili zazikulu kapena mapapu anu agwa kwambiri, mungafunike kuchita opaleshoni yotchedwa thoracentesis kuti muchotse mpweya pachifuwa chanu, kapena chubu cha pachifuwa. Izi zimathandiza kuti mapapu anu ayambenso kukula.

Kuti vutoli lisabwererenso, dokotala wanu angakulangizeni izi:

• Kujambula thoracoscopy pogwiritsa ntchito kanema (VATS): Izi zimaphatikizapo kuyika kamera ndi zida kudzera m'mabala ang'onoang'ono, kulola dokotala kuchotsa minofu ya endometrial, kukonza mabowo mu diaphragm, kapena kutseka matumba a mpweya (mabala).
• Mankhwala: Dokotala wanu angakupatseni mankhwala oletsa kuchuluka kwa mahomoni m'thupi lanu, kuchepetsa kukula kwa endometriosis, komanso kuletsa dzira kutuluka. Mwachitsanzo, dokotala wanu angakupatseni mapiritsi oletsa kubereka, gonadotropin-releasing hormone agonists (GnRH agonists), kapena danazol.
• Pleurodesis: Pa opaleshoni, mapapo anu amalumikizidwa ku khoma la chifuwa, kaya pogwiritsa ntchito mankhwala kapena mwa kudula pang'ono mkati mwa mapapu anu (pleura). Izi zimaletsa mapapo kuti asagwe chifukwa palibe malo oti mpweya usonkhane.
• Kuchotsa mimba ndi opaleshoni ya ophorectomy ya mbali ziwiri: Ngati njira zina zonse zalephera, ndipo zizindikiro zake n’zoopsa kwambiri, opaleshoni imachotsa chiberekero ndi mazira onse awiri, zomwe zimalepheretsa ovulation ndi kusamba.

Chofunika: Mankhwalawa amasankhidwa ndi dokotala wanu kutengera matenda anu, zaka zanu, zolinga zanu zobereka, ndi zina zambiri. Chifukwa chake, ndikofunikira kwambiri kutsatira malangizo a dokotala wanu ndikukambirana mafunso kapena nkhawa zilizonse zomwe mungakhale nazo ndi dokotala wanu.

Kodi ndiyenera kupita kwa dokotala liti?

Ngati mukukumana ndi zizindikiro zosasangalatsa monga izi (makamaka kupweteka pachifuwa, kupuma movutikira) zokhudzana ndi msambo wanu, musamangoganiza kuti ndi "msambo wanu wokha" ndipo lankhulani ndi dokotala.

Zingakhale zothandiza kufunsa dokotala wanu mafunso monga awa:

• Mukuganiza kuti n’chiyani chikundipangitsa kukhala ndi vutoli?
• Kodi ndi njira ziti zochiritsira zomwe ndili nazo? Kodi ubwino ndi kuipa kwake ndi kotani?
• Ngati ndiyenera kuyika chubu cha pachifuwa, ndiyenera kuchisunga nthawi yayitali bwanji?
• Kodi ndiyenera kukhalabe kuchipatala?
• Kodi ndiyenera kudzisamalira bwanji kunyumba? Ndi zinthu ziti zomwe sindiyenera kuchita?
• Kodi ndingagwiritse ntchito bwanji mankhwala omwe ndapatsidwa? Kodi angayambitse zotsatirapo zake?

Kodi ndiyenera kupita liti ku Emergency Treatment Unit (ETU) ?

Ngati muli ndi zizindikiro za pneumothorax, monga kupweteka kwambiri pachifuwa, kuvutika kupuma, kapena milomo yabuluu, pitani ku Chipinda Chodzidzimutsa (ER) nthawi yomweyo. Izi zitha kukhala zizindikiro za matenda ena akuluakulu, ndipo mungafunike chithandizo chadzidzidzi. Musataye nthawi.

Kodi ndingayembekezere chiyani ndi vutoli?

Matenda a catamenial pneumothorax nthawi zambiri si matenda oopsa. Komabe, ngati muwadwala kamodzi koma osalandira chithandizo, nthawi zambiri amatha kuchitikanso, nthawi zambiri miyezi ingapo iliyonse. Ichi ndichifukwa chake ndikofunikira kupeza chithandizo choyenera. Mungafunike njira zosiyanasiyana zochizira (monga opaleshoni ndi mankhwala) kuti muthane nawo.

Kodi `(Catamenial Pneumothorax)` ingapewedwe?

Matenda a catamenial pneumothorax ndi matenda omwe amatha kubwereranso pafupipafupi. Komabe, kutengera chifukwa chake, opaleshoni (makamaka VATS), mankhwala oletsa mahomoni, kapena kuphatikiza zonse ziwiri kungathandize kupewa kapena kuchepetsa kubwereranso.

Ndiye, ndi zinthu ziti zofunika kwambiri zomwe tiyenera kukumbukira kuchokera munkhaniyi?

Ngakhale kuti ndi zachilendo kukhala ndi vuto linalake panthawi ya msambo, si zachilendo kukhala ndi vuto la m'mapapo. Mwamwayi, vutoli, lotchedwa "Catamenial Pneumothorax," nthawi zambiri silili pachiwopsezo. Ndipo pali mankhwala omwe angathandize kupewa kuti lisabwerenso.

Chofunika kwambiri ndichakuti ngati muli ndi zizindikiro zosatha monga kupweteka pachifuwa ndi kupuma movutikira panthawi ya msambo, musanyalanyaze ndipo muuzeni dokotala. Kenako akhoza kudziwa ngati izi ndi `(Catamenial Pneumothorax)` kapena china chake, ndikukupatsani upangiri woyenera komanso chithandizo. Kumbukirani, chinthu chofunikira kwambiri ndikusamalira thanzi lanu ndikukambirana momasuka za mavuto anu. Musadandaule, pali njira zothetsera mavuto onse!

` Catamenial Pneumothorax, pneumothorax, kusamba, msambo, kupweteka pachifuwa, kupuma movutikira, endometriosis, thanzi la mapapo, thanzi la akazi, Msambo, kupweteka pachifuwa, kupuma movutikira, mapapo, endometriosis, thanzi la akazi