Kodi kusanza kumayamba mwadzidzidzi ndipo kumatenga masiku ambiri? Tiyeni tiphunzire za Cyclic Vomiting Syndrome (CVS)!

Kodi mwana wanu, kapena inuyo, mwadzidzidzi mwayamba kusanza kwambiri popanda chifukwa chomveka ndipo zinatenga tsiku limodzi kapena awiri? Kenako zinabwerera mwakale ngati kuti palibe chomwe chachitika? Ngati izi zachitika mobwerezabwereza kwa miyezi ingapo, muyenera kudziwa za vutoli lomwe tikukamba lero lotchedwa Cyclic Vomiting Syndrome (CVS). Izi si vuto la m'mimba lokha, koma ndi zosiyana kwambiri.

Kodi vuto la kusanza kwa cyclic (CVS) kwenikweni ndi chiyani?

Mwachidule, CVS ndi vuto lomwe limakupangitsani kumva nseru ndi kusanza mobwerezabwereza popanda chifukwa chomveka. Kusanza kumeneku kumatha kutenga maola angapo mpaka masiku angapo. Kungakhale koopsa kwambiri moti simungathe kudzuka pabedi. Chifukwa madzi ambiri amatuluka m'thupi lanu, mungafunike kupita kuchipatala kapena kuchipatala chadzidzidzi (ETU) kuti mukalandire madzi a IV kuti mupewe kutaya madzi m'thupi.

Koma chodabwitsa n’chakuti, nthawi imeneyi yosanza kwambiri ikatha, mumakhala ndi thanzi labwino komanso labwinobwino, ngati kuti simunakumane ndi vuto lililonse.

Matendawa amatha kukhala kwa miyezi, zaka, kapena zaka makumi ambiri. Komabe, zizindikiro sizimakhalapo nthawi zonse. Kawirikawiri, kusanza kotereku kumachitika kangapo pachaka. Kwa anthu ena, kumatha kuchitika kamodzi kapena kawiri pamwezi.

Kachitidwe ka kusanza, nthawi ya tsiku, kuchuluka kwake, komanso nthawi yomwe kwakhala kukuchitika zingasiyane malinga ndi munthu. Koma kwa munthu yemweyo, zizindikiro zake zimakhala zofanana, nthawi iliyonse zikutsatira kachitidwe komweko.

Kodi izi zimachitika kawirikawiri?

Matenda a CVS amapezeka kwambiri mwa ana kuposa akuluakulu. Akuti ana pafupifupi atatu mwa ana 100,000 akhoza kukhala ndi vutoli. Nthawi zambiri limayamba mwa ana azaka zapakati pa 3 ndi 7. Komabe, limayamba pa msinkhu uliwonse.

Kodi zizindikiro za vutoli ndi ziti?

Chizindikiro chachikulu cha CVS ndi nseru yodzidzimutsa, yobwerezabwereza, komanso yoopsa komanso kusanza. Pali magawo angapo osiyana a izi.

Kuwonjezera pa izi, pakhoza kukhala zizindikiro zina:

• Kuwawa kwam'mimba
• Kutsegula m'mimba (kupweteka m'mimba)
• Chizungulire
• Kutulutsa madzi kapena kutulutsa madzi
• Ludzu lalikulu
• Chilakolako cha chakudya
• Khungu lotumbululuka
• Mutu waukulu komanso kutopa kwambiri
• Kumva kutopa ndi kuwala kapena phokoso (monga munthu amene ali ndi mutu waching'alang'ala)
• Malungo (mpaka 101°F / 38.3°C)
• Kupuma pang'ono (kupuma movutikira): Izi zikutanthauza kuti mukumva ngati mukufuna kusanza, koma palibe chomwe chikutuluka chifukwa mulibe chilichonse m'mimba mwanu.

Kodi n’chiyani chingayambitse CVS?

Sizikudziwikabe ngati ichi ndi chomwe chimayambitsa CVS, koma pali zinthu zingapo zomwe zikuganiziridwa kuti zimayambitsa vutoli.

• Mavuto okhudzana ndi ubongo ndi m'mimba mwanu:Mwachidule, pakakhala vuto mu 'kulumikizana' pakati pa ubongo wathu ndi dongosolo la mitsempha m'matumbo, kusanza kosalamulirika kumatha kuchitika. Asayansi ena amatchanso izi kuti ndi matenda a ubongo ndi m'matumbo.
• Kusintha kwa dongosolo lanu la mitsempha lodziyimira pawokha: Ichi ndi gawo la thupi lanu lomwe limalamulira zinthu zomwe simungathe kuzilamulira, monga kugunda kwa mtima wanu, kuthamanga kwa magazi, ndi kusanza. Ngati pali vuto ndi dongosololi, mutha kutaya mphamvu pa kusanza kwanu.
• Mutu wa mutu waching'alang'ala: Pafupifupi 80% ya ana omwe ali ndi CVS ndi 25% ya akuluakulu nawonso ali ndi mutu waching'alang'ala. Mutu waching'alang'ala si mutu wokhawo woopsa. Monga CVS, mutu waching'alang'ala ukhoza kukhala wosasangalatsa poyamba. Anthu ambiri omwe ali ndi CVS ali ndi mbiri ya m'banja lawo ya mutu waching'alang'ala.
• DNA ya mitochondrial yosazolowereka: Mitochondria ili ngati 'magetsi' omwe amapereka mphamvu ku selo lililonse m'thupi lathu. Malangizo a momwe ayenera kugwirira ntchito ali mu DNA. Ngati pali cholakwika mu DNA iyi chifukwa cha matenda, matenda a majini, kapena chifukwa china, maselo amitsempha m'matumbo sapeza mphamvu zomwe amafunikira. Izi zingayambitsenso kusanza kosalamulirika.

Kodi ndi zinthu ziti zomwe zimayambitsa kusanza?

Zochitika zina, malingaliro, kapena zochitika zina zingayambitse kusanza. Timazitcha 'zimayambitsa'. Ngati muli ndi CVS, ndikofunikira kuzindikira zomwe zimayambitsa.

• Kusintha kwa nyengo (makamaka nthawi ya autumn ndi yozizira).
• Zakudya zina: zinthu monga chokoleti, tchizi, khofi, ndi MSG (zokometsera).
• Chimwemwe chochuluka cha ana: Tangoganizirani, izi zingayambe panthawi yomwe mwana ali wokondwa kwambiri, monga usiku woti apite kusukulu, kapena m'mawa wa tsiku lobadwa.
• Kupsinjika maganizo mwa akuluakulu: Zinthu monga nkhawa ndi kupsinjika maganizo kwambiri.
• Matenda a ziwengo, matenda a sinus, kapena chimfine.
• Kutopa thupi.
• Kusala kudya kwa nthawi yayitali.
• Kugwiritsa ntchito chamba kwa nthawi yayitali.
• Kusamba kwa akazi.
• Kudwala kwa kuyenda.

Mavuto omwe angachitike ngati kusanza kukupitirira

Ngati CVS siilamuliridwa, kusanza kwambiri kungayambitse mavuto ena azaumoyo.

Kodi dokotala amazindikira bwanji matendawa?

Kuzindikira matenda a CVS n'kovuta chifukwa palibe mayeso enieni. Dokotala wanu adzaonetsetsa kuti mulibe matenda ena omwe amayambitsa zizindikiro zofanana.

Dokotala wanu adzakufunsani mafunso ambiri okhudza mbiri yanu yachipatala, mbiri yachipatala ya banja lanu, komanso momwe mumasanza. Kenako adzakuyezani thupi lanu ndikuyitanitsa mayeso ena ngati pakufunika kutero.

Ndi mayeso ati omwe amachitidwa?

• Kuyezetsa magazi ndi mkodzo: Yang'anani matenda a kagayidwe kachakudya m'thupi, matenda a mitochondrial, kapena mavuto ndi ziwalo zina.
• Mayeso ojambulira zithunzi: Mungapemphedwe kuti mujambule m'mimba mwa ultrasound, MRI kapena CT scan ya ubongo, kapena X-ray ya mimba. Izi zitha kuwona ngati pali zotsekeka zilizonse m'mimba kapena m'mitsempha.
• Kuyeza kwa endoscopy yapamwamba: Izi zimaphatikizapo kugwiritsa ntchito chubu chopyapyala chokhala ndi kamera kuti muwone m'mero, m'mimba, ndi chiyambi cha matumbo anu ang'onoang'ono kuti muwone mavuto ena omwe angayambitse kusanza kwanu.

Matenda ena omwe angagwirizane ndi CVS

Dokotala asanadziwe za matenda a CVS, ayenera kuonetsetsa kuti mulibe matenda ena omwe amayambitsa zizindikiro zofanana ndi zimenezi.

• Matenda a m'mimba kapena gastritis
• Zilonda zam'mimba
• Kutupa kwa kapamba (pancreatitis)
• Matenda a Appendicitis
• Kupotoza kwa m'mimba (volvulus kapena malrotation)

Kodi mankhwala a CVS ndi ati?

Chithandizo cha CVS chimadalira ngati muli mu gawo la kusanza kapena muli ndi thanzi labwino pamene mukuyesera kupewa.

• Gawo la Prodrome: Zizindikiro zikayamba, dokotala wanu angakupatseni mankhwala ochepetsa nseru, kuchepetsa asidi m'mimba, komanso kuchepetsa mutu waching'alang'ala/kupweteka m'mimba.
• Gawo la kusanza: Munthawi imeneyi, mudzapatsidwabe mankhwala a mutu waching'alang'ala, kutentha pamtima, ndi nkhawa. Mungafunike kugonekedwa kuchipatala kuti mulandire madzi ndi zakudya zopatsa thanzi kuti mupewe kutaya madzi m'thupi. Kupumula m'chipinda chamdima komanso chete kungathandize kuchepetsa zizindikiro panthawiyi.
• Gawo lochira: Pitirizani kupereka saline ngati pakufunika kutero. Pang'onopang'ono, mutha kuyamba kumwa zakumwa kenako zakudya zolimba.
• Gawo la chitsime: Panthawiyi, dokotala wanu angakupatseni mankhwala a tsiku ndi tsiku kuti mupewe kusanza mtsogolo.

Mitundu ya mankhwala omwe amagwiritsidwa ntchito

• Mankhwala oletsa migraine
• Mankhwala oletsa nseru
• Mankhwala ena oletsa khunyu

Kuphatikiza apo, anthu ena amapeza mpumulo chifukwa cha zakudya zowonjezera monga coenzyme Q10, riboflavin, ndi L-carnitine. Komabe, musayambe kuchita izi popanda chilolezo cha dokotala.

Kodi muyenera kuyembekezera chiyani mukakhala ndi vutoli?

Ana ambiri amakula bwino akamakula. Komabe, amatha kudwala mutu waukulu akakula. Kusanza kosalekeza komanso koopsa kumeneku kungalepheretse ana kupita kusukulu komanso akuluakulu kupita kuntchito. Izi zingakhudze kwambiri moyo watsiku ndi tsiku.

Chofunika kwambiri ndikugwira ntchito ndi dokotala wanu kuti mudziwe mankhwala omwe akukuthandizani komanso zomwe zimayambitsa matendawa. Zomwe aliyense amakumana nazo zimasiyana, kotero zingatenge nthawi kuti mupeze zomwe zikukuthandizani.

Kodi chingachitike n’chiyani kuti tipewe kusanza?

Mukhoza kuchepetsa kusanza kwanu popewa zinthu zomwe zimayambitsa matendawa ndi kumwa mankhwala omwe dokotala wanu wakupatsani. Ganiziraninso zinthu izi:

• Ngati muli ndi vuto la ziwengo ndi matenda a sinus, pitani kuchipatala mwachangu.
• Khalani otanganidwa, koma musapitirire.
• Pewani zakudya ndi zotsekemera zomwe sizili zabwino kwa inu.
• Pewani kudya zakudya zopatsa thanzi kapena kusala kudya mopitirira muyeso.
• Gonani mokwanira.
• Sinthani kupsinjika maganizo ndi nkhawa.

Mafunso oti mufunse dokotala wanu

Mukapita kwa dokotala, musaiwale kufunsa mafunso awa:

• Ndi mayeso ati omwe ndiyenera kuchita kuti ndidziwe bwino ngati ndili ndi CVS?
• Ndi mankhwala ati omwe ndiyenera kumwa kuti ndisiye kusanza pamene kukuyamba, komanso kuti ndipewe kuti kusachitikenso?
• Ndi kusintha kotani komwe ndiyenera kusintha pa moyo wanga kuti ndipewe zinthu zomwe zingandipangitse kukhala ndi vuto la kugonana?
• Ndi zinthu zina ziti zomwe ndingachite kuti ndichepetse zizindikiro?
• Ndi zizindikiro ziti zomwe ndiyenera kukuwonani, kapena kupita ku ETU (Emergency Treatment Unit) ?

CVS ikhoza kukhala vuto lokhumudwitsa komanso loika moyo pachiswe. Palibe mankhwala kapena yankho limodzi. Inu ndi dokotala wanu muyenera kukhala oleza mtima pamene mukupeza chithandizo choyenera komanso zoyambitsa matenda. Pakapita nthawi, anthu ambiri amakhala bwino pozindikira ndikupewa zomwe zimayambitsa matendawa. Pakadali pano, ngati kusanza kukuchitika, pali mankhwala omwe angathandize kuchepetsa zizindikiro.