Kodi munayamba mwazindikirapo kuti mukatsokomola kwambiri, magazi pang'ono amatuluka osakanikirana ndi ntchofu? Ndizachilendo kumva mantha pang'ono ndi kudabwa mukaona chinthu chonga chimenecho. Mungaganize kuti, "O, kodi ndili ndi vuto lalikulu?" Koma zoona zake n'zakuti, nthawi zambiri, izi sizinthu zoyenera kuopa. Komabe, kudziwa bwino lomwe kuti izi ndi chiyani, chifukwa chake zimachitika, komanso nthawi yomwe tiyenera kuda nkhawa nazo ndikofunikira kwambiri kuti mukhale ndi mtendere wamumtima komanso thanzi labwino .
Kodi kutsokomola magazi (hemoptysis) kwenikweni n’chiyani?
Mwachidule, uku ndi kutuluka magazi kuchokera pansi pa dongosolo lanu lopumira, kutanthauza kuchokera m'mapapo kapena pakhosi panu . Magazi awa omwe amatuluka ndi chifuwa nthawi zambiri amakhala ngati thovu komanso otuwa. Izi zimachitika chifukwa amatuluka osakanizidwa ndi ntchofu ndi malovu. Nthawi zina amawoneka ngati pinki, ofiira pang'ono, kapena amitundu ngati dzimbiri. Nthawi zambiri, amakhala ochepa kwambiri .
Koma, izi ndi zosiyana ndi kusanza magazi. Tiyeni tiwone zimenezo.
Kodi kutsokomola magazi ndi kusanza magazi ndi chinthu chimodzi?
Inde, apa ndi malo omwe anthu ambiri amasokonezeka. Zinthu ziwirizi ndi zosiyana kwambiri.
- Kutsokomola magazi (Hemoptysis): Izi zimachokera m'mapapo, pakhosi. Nthawi zambiri zimakhala ndi thovu pang'ono, losakanikirana ndi mamina ndi malovu.
- Kutuluka magazi m'thupi: Izi zimachokera ku gawo lapamwamba la m'mimba mwanu (m'mimba, m'matumbo ang'onoang'ono). Nthawi zambiri zimakhala ndi magazi ambiri omwe amatuluka nthawi imodzi. Izi nthawi zambiri zimakhala chizindikiro cha kutuluka magazi mkati mwa thupi.
Ngati mukusanza magazi, muyenera kuiona ngati yadzidzidzi ndipo muyenera kuonana ndi dokotala nthawi yomweyo . Ndi bwino kusachedwa.
Kodi izi zingakhale vuto lalikulu?
Yankho la funsoli ndi "inde, n'zotheka" komanso "ayi, n'zotheka." Zimatengera chifukwa chomwe mukutuluka magazi komanso kuchuluka kwa magazi.
Nkhani yabwino ndi yakuti zifukwa zambiri si zazikulu ndipo zimatha kuchiritsidwa mosavuta. Mwachitsanzo, chifuwa cholimba chingayambitse kudula pang'ono pakhosi ndikupangitsa kuti magazi atuluke pang'ono. Komabe, nthawi zina izi zitha kukhala chizindikiro cha matenda oopsa kapena matenda oopsa, monga khansa ya m'mapapo. Komanso, kutsokomola magazi ambiri nthawi imodzi kumatha kupha munthu.
Kumbukirani, kaya chifukwa chake ndi chotani, dokotala wanu yekha ndi amene angakuuzeni kuopsa kwa vutoli. Choncho, ndi bwino kufunafuna uphungu kwa dokotala m'malo mongoganizira.
Kodi zifukwa za kutsokomola magazi ndi ziti?
Pakhoza kukhala zifukwa zambiri. Tiyeni tigawane m'magulu awiri: wamba ndi wamba. Tebulo ili likuthandizani kumvetsetsa bwino.
| Chifukwa | Kufotokozera mwachidule |
|---|---|
| Zifukwa zofala zomwe nthawi zambiri zimawonedwa | |
| Matenda a m'mphuno | Matenda a m'njira yopumira. Nthawi zambiri kutsokomola kumatulutsa mamina. |
| Chibayo | Matenda oopsa m'mapapo. |
| Chifuwa chachikulu | Matenda a bakiteriya omwe amakhudza mapapo. |
| Zina zomwe zingayambitse | |
| Matenda a bronchiectasis | Kufalikira kosatha kwa njira zopumira m'mapapo. |
| Kutsekeka kwa M'mapapo | Uwu ndi vuto lalikulu lomwe limafuna chithandizo chamankhwala chadzidzidzi. |
| COPD (Matenda Osatha a M'mapapo Oletsa Kutsekeka) | Matenda a m'mapapo a nthawi yayitali, makamaka ofala kwa osuta fodya. |
| Khansa ya M'mapapo | Chiwopsezochi chili chachikulu makamaka kwa anthu osuta fodya azaka zopitirira 40. |
| Kulephera kwa Mtima Wodzaza ndi Mitsempha | Kuchulukana kwa madzi m'mapapo chifukwa cha kusagwira bwino ntchito kwa mtima. |
| Kugwiritsa ntchito mankhwala ochepetsa magazi | Anthu omwe akumwa mankhwalawa amakhala ndi mwayi waukulu wotuluka magazi. |
| Chinthu chachilendo chakhala munjira yopumira | Ndi zofala kwambiri pakati pa ana aang'ono. |
Kodi dokotala amapeza bwanji chifukwa cha izi?
Mukapita kukaonana ndi dokotala, choyamba adzakufunsani mafunso angapo.
- Kodi magazi angati amatayika?
- Kodi vutoli lakhalapo kwa nthawi yayitali bwanji?
- Kodi mumatuluka magazi kangati patsiku?
- Kodi magazi angati amasakanikirana ndi mamina?
- Kodi mumasuta? Kodi pali zizindikiro zina zilizonse?
Kutengera ndi mayankho anu ku mafunso awa, dokotala wanu akhoza kupeza lingaliro lomveka bwino la chomwe chayambitsa vutoli. Kenako, angachite mayeso ena kuti atsimikizire chomwe chayambitsa, monga:
- X-ray ya pachifuwa: Kufufuza ngati pali chotupa, madzimadzi, kapena vuto lina lililonse m'mapapo.
- Kujambula pachifuwa kwa CT: Kuyang'ana mozama chinthu chomwe chawonedwa pa X-ray.
- Bronchoscopy: Kuyesa komwe chubu kakang'ono kokhala ndi kamera kamadutsa m'njira zopumira kuti adziwe komwe kwachokera magazi.
- Kuchuluka kwa magazi (CBC): Kumafufuza kuchuluka kwa magazi omwe atayika m'thupi komanso ngati pali zizindikiro za matenda.
- Kumera kwa makoswe: Tengani chitsanzo cha makoswe kuti muwone ngati pali zinthu zoyambitsa matenda monga mabakiteriya ndi mavairasi.
- Kuyesa Kutsekeka kwa Magazi: Kufufuza ngati pali vuto lililonse lokhudza kutsekeka kwa magazi.
Kodi mankhwala ochizira izi ndi otani?
Chithandizo chimadalira kuchuluka kwa magazi omwe atuluka komanso chifukwa chake.
Ngati kutuluka magazi kwachuluka:
Ngati mukutaya magazi ambiri nthawi imodzi, mudzalowetsedwa mu chipinda chosamalira odwala kwambiri (ICU) ndipo chinthu choyamba chomwe chidzachitike ndikuchepetsa kutuluka kwa magazi. Izi zidzafuna kuchitidwa bronchoscopy.Munthu akhoza kuchita kuchotsa magazi oundana kapena kuchita chithandizo chotchedwa Bronchial Artery Embolization , chomwe chimatseka mtsempha wamagazi.
Chithandizo malinga ndi chifukwa:
Ngati magazi achepa, kapena ngati magaziwo achepa, dokotalayo adzapereka chithandizo kutengera chomwe chayambitsa.
- Mankhwala opha tizilombo: Ngati chifukwa chake ndi matenda a bakiteriya monga chibayo kapena chifuwa chachikulu.
- Ma Steroids: Ngati chifukwa chake ndi kutupa.
- Opaleshoni ndi chithandizo cha khansa: Ngati chifukwa chake ndi chotupa cha khansa m'mapapo.
Kodi ndiyenera kupita kwa dokotala nthawi yomweyo?
Iyi ndi gawo lofunika kwambiri. Kodi ndi liti pamene tiyenera kuganizira izi ngati zadzidzidzi?
Ngati mukutuluka magazi ochulukirapo kuposa supuni zingapo, kapena ngati mwakhala mukutuluka magazi kwa nthawi yoposa sabata, onetsetsani kuti mwawonana ndi dokotala.
Ngati mukutuluka magazi ndi zizindikiro zotsatirazi, pitani ku Dipatimenti Yothandiza Padzidzidzi (ETU) ya chipatala nthawi yomweyo.
| Chenjerani! Ngati muli ndi zizindikiro izi, pitani ku ETU nthawi yomweyo. | |
|---|---|
| Malungo | Kuvuta kupuma |
| Kupweteka pachifuwa | Kuchepetsa thupi mwadzidzidzi kapena mwachangu |
| Thukuta la usiku | Chizungulire kapena kukomoka |
| Magazi mu mkodzo kapena ndowe | |
Uthenga Wopita Nawo Kunyumba
- Kuchuluka kwa magazi pang'ono mukatsokomola nthawi zambiri sikoopsa, koma musanyalanyaze.
- Ngati magazi akutuluka kwambiri, kapena ngati apitirira sabata imodzi, kapena ngati muli ndi zizindikiro zina monga kupweteka pachifuwa, kupuma movutikira, kapena kutentha thupi, funsani upangiri wa dokotala nthawi yomweyo.
- Chofunika kwambiri ndikupeza chomwe chikuyambitsa vutoli ndikupeza chithandizo choyenera. Choncho musaope kupita kwa dokotala.
- Kutuluka magazi m'thupi ndi kutuluka magazi m'thupi ndi zinthu ziwiri. Kusanza magazi pamodzi ndi kutsokomola magazi kungakhale vuto lalikulu.
👩🏽⚕️ Mafunso ena (Mafunso Ofunsidwa Kawirikawiri)
💬 Kodi mapiritsi a Nisoldipine (Nisoldipine / Sular) amalembedwa matenda ati?
Iyi ndi Calcium Channel Blocker (CCB) yomwe idapangidwa kuti ichepetse kuthamanga kwa magazi. Ndi imodzi mwa mapiritsi amphamvu kwambiri padziko lonse lapansi! Chapadera cha izi ndichakuti ili ndi mphamvu yochepa kwambiri pa kayendedwe ka mtima kuposa mapiritsi ena (CCB) (Vascular Selectivity). Chifukwa chake, siivulaza mtima, koma imagwira ntchito mwachindunji kuti ipumule mitsempha yamagazi.
💬 Kodi kumwa piritsi la kuthamanga kwa magazi (Nisoldipine) kumachepetsa bwanji kuthamanga kwa magazi?
Kuti mitsempha yamagazi ifupike/ifupike ndipo kuthamanga kwa magazi kukwere, tinthu ta 'Calcium' tiyenera kulowa mu minofu ya mitsempha yamagazi! Mankhwalawa akangolowa m'magazi, amatseka/kutseka ndikutseka zipata zonse za calcium (njira za calcium zamtundu wa L) m'mitsempha yamagaziyo 100%! Popeza calcium silowa, mitsempha yamagazi siifupika ndipo imakhala yomasuka kwambiri (Vasodilation). Kenako magazi amatuluka mosavuta ndipo kuthamanga kwa magazi kumatsika.
💬 Kodi zotsatirapo zoyipa za kumwa mankhwalawa (Nisoldipine) ndi ziti? N’chifukwa chiyani amanena kuti musamwe pamodzi ndi chakudya/mafuta (chakudya chokhala ndi mafuta ambiri)?
Vuto lalikulu ndilakuti simuyenera kudya 'chakudya cholemera kwambiri' mukamamwa piritsili! Ngati mutero, kuyamwa kwa mankhwalawa m'thupi kungachuluke kwambiri (Kuyamwa kosinthidwa) ndipo kuthamanga kwa magazi kumatha kuchepa ndipo mutha kufa. Zotsatirapo zina zoyipa kwambiri ndi izi: izi zingayambitse 'kutupa kwa akakolo/miyendo (Peripheral Edema)' komanso kugunda kwa mtima mwachangu/kufiira kwa nkhope (Reflex tachycardia/Flushing).
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