Kodi nthawi zina mumamva kutupa pang'ono komanso kulemera mukadzuka m'mawa? Kapena mumamva ngati mwakhala mutakhala pampando wa ofesi tsiku lonse, kapena mutakhala m'basi kwa nthawi yayitali, kenako nkutsika m'basi, miyendo ndi akakolo anu atupa kwambiri, ndipo nsapato zanu zimamva zolimba? Izi ndi zomwe zimachitika kwa anthu ambiri. Mu zamankhwala, timatcha vutoli kutupa kapena 'edema'. Nthawi zambiri, izi sizinthu zodetsa nkhawa, koma nthawi zina zimatha kukhala chizindikiro cha matenda ena akuluakulu m'thupi lathu. Chifukwa chake, ndikofunikira kwambiri kudziwa zonse za izi popanda mantha. Tiyeni tikambirane za izi lero.
Ndiye, kodi kutupa kwenikweni n’chiyani?
Mwachidule, kutupa ndi kusonkhana kwa madzi, makamaka madzi, m'maselo a thupi lathu, zomwe zimapangitsa kuti atupane. Tangoganizani kuti matupi athu ali ndi machubu ang'onoang'ono otchedwa mitsempha yamagazi ndi mitsempha ya lymphatic. Izi ndi madzi omwe amanyamula zosowa za thupi ndikuchotsa zinyalala. Nthawi zina, pamene china chake chalakwika ndi dongosololi, madzi ena amatuluka m'maselo ndi kusonkhana pamenepo. Pamenepo ndi pamene dera limenelo limatupa.
Kutupa kumeneku kungachitike kulikonse m'thupi, koma nthawi zambiri kumawoneka mu:
- Pa miyendo iwiri
- Ma ankles ali bwino.
- Pa mapazi
- M'manja onse awiri
- Pankhope
Ngakhale izi zingachitikire aliyense wa msinkhu uliwonse, zimachitika kwambiri mwa amayi apakati komanso anthu azaka zopitilira 65. Nthawi zambiri, ngati ndi kutupa pang'ono, kumatha kokha mkati mwa tsiku limodzi kapena awiri. Chifukwa chake n'zovuta kunena momwe izi zimachitikira kawirikawiri.
Kodi zizindikiro za kutupa m'mimba ndi ziti? Kodi mumazindikira bwanji?
Sikovuta kuzindikira kuti muli ndi kutupa. Chizindikiro chachikulu ndichakuti gawo linalake la thupi lanu limamveka lalikulu komanso lotupa kuposa masiku onse. Muthanso kulabadira zinthu izi.
| Chizindikiro | Momwe mumamvera/mawonekedwe anu |
|---|---|
| Kuoneka kotupa/kokulirapo | Chiwalo cha thupi (monga mwendo, mkono) chimawoneka chachikulu komanso chotupa kuposa masiku onse. |
| Kusintha kwa khungu | Khungu pamalo otupa ndi lotambasuka kwambiri ndipo limawoneka lowala. |
| Kulemera ndi kuuma | Malo otupawo amamveka ngati okhuthala komanso olemera, ngati kuti ali ndi chinachake mkati. |
| Kuyenda movutikira | Miyendo, akakolo, kapena mapazi anu akatupa, zimakhala zovuta kuyenda ndipo zimakhala ngati dzanzi. |
| Ululu pang'ono | Nthawi zina mungamve kupweteka pang'ono kapena kupweteka pamalo otupa. |
| Kutsokomola kapena kupuma movutikira | Ichi ndi chizindikiro choopsa kwambiri. Izi zitha kuchitika ngati madzi asonkhana m'mapapo (pulmonary edema). |
N’chifukwa chiyani thupi langa limatupa chonchi? Kodi zimayambitsa chiyani?
Palibe chifukwa chimodzi chomwe chimayambitsa kutupa, koma pali zambiri. Mukapita kwa dokotala, chinthu choyamba chomwe angachite ndikupeza chomwe chikukuyambitsa kutupa.
| Chifukwa | Kufotokozera kosavuta |
|---|---|
| Mphamvu yokoka | Mukayimirira kapena kukhala pamalo omwewo kwa nthawi yayitali, madzi m'thupi lanu amasonkhana m'miyendo ndi mapazi anu chifukwa cha mphamvu yokoka. Izi zimatchedwanso "dependent edema". |
| Kusakwanira kwa Mitsempha | Mitsempha ya m'miyendo yathu ili ndi ma valve ang'onoang'ono mkati mwake. Izi zimaletsa magazi kuyenda pansi ndikukankhira mmwamba, kupita kumtima. Ma valve awa akafooka, magazi samayenda bwino ndipo amasonkhana m'miyendo. Izi zikugwirizananso ndi vuto la mitsempha yotupa. |
| Matenda ena oyambitsa | Kutupa kungakhalenso chizindikiro cha matenda ena, monga kulephera kwa mtima, mapapo, chiwindi, impso, kapena matenda a chithokomiro . Iyi ndi mfundo yofunika kwambiri. |
| Zotsatirapo zoyipa za mankhwala | Mankhwala ena, mwachitsanzo, mankhwala ena a kuthamanga kwa magazi ndi mankhwala ochepetsa ululu, angayambitsenso kutupa ngati zotsatirapo zina. |
| Zakudya zosayenera | Ngati simudya zakudya zopatsa thanzi, makamaka ngati muwonjezera mchere wambiri (sodium) ku chakudya chanu, thupi lanu limatha kusunga madzi ndi kutupa. Nyama/nsomba zouma, masoseji, sosi, ndi zakudya zomwe timadya zimakhala ndi mchere wambiri. |
| Mimba | Pa nthawi ya mimba, pamene chiberekero chikukula, mitsempha ikuluikulu ya magazi m'mimba ya m'munsi imapanikizika. Chifukwa chake, nthawi zambiri miyendo imatupa, zomwe zimalepheretsa magazi kuyenda kuchokera ku miyendo kupita mmwamba. |
| Mavuto a chitetezo chamthupi | Kutupa kungayambitsidwenso ndi vuto la ziwengo, matenda, kutentha, kuvulala, kapena magazi kuundana. |
Kodi dokotala amazindikira bwanji izi? Kodi pali kutupa kochuluka?
Mukapita kukaonana ndi dokotala, iye adzayamba wafufuza thupi lanu. Iye adzayang'anira zinthu monga kutupa, mtundu wa khungu, ndi kuwala.
Kenako pali mayeso apadera omwe amachita. Amatchedwa 'kuyesa koboola'.Chomwe mumachita apa ndikukanikiza chala chanu mwamphamvu pamalo otupa kwa masekondi pafupifupi 5 mpaka 15. Ngati kachidutswa kakang'ono kakalowa mukamachotsa chala chanu, zimatsimikizira kuti madzi asonkhana mu minofu.
Kuopsa kwa kutupa kumagawidwa m'magawo angapo kutengera momwe zilondazi zimabwerera msanga ku mkhalidwe wabwinobwino.
| Giredi | Kuzama kwa Dzenje | Nthawi Yobwerera M'mbuyo |
|---|---|---|
| Giredi 1 | Dzenje laling'ono lokwana mamilimita awiri kukula kwake | Imabwerera mwakale ikangokanikiza. |
| Giredi 2 | Dzenje lozungulira pafupifupi mamilimita 3-4 | Amachira m'masekondi osakwana 15. |
| Giredi 3 | Dzenje lozungulira pafupifupi mamilimita 5-6 | Idzachira pakatha masekondi 15 mpaka 60. |
| Giredi 4 | Mzere wozama pafupifupi mamilimita 8 | Zimatenga pafupifupi mphindi ziwiri kapena zitatu kuti munthu abwerere mwakale. |
Kodi mumachiza bwanji kutupa?
Chithandizo cha kutupa chimadalira chomwe chimayambitsa kutupa. M'malo mongopereka mankhwala ochepetsa kutupa, madokotala amayesetsa kuchiza chomwe chimayambitsa kutupa.
- Ngati chifukwa cha matenda a m'mapapo:Mwachitsanzo, ngati mumasuta fodya chifukwa cha matenda monga "Emphysema" kapena "Chronic Bronchitis", dokotala wanu adzakulangizani kuti musiye kusuta fodya kotheratu.
- Ngati muli ndi vuto monga matenda a mtima osatha , mungauzidwe kuti muchepetse thupi lanu, muchepetse kumwa madzi tsiku lililonse, komanso muchepetse mchere womwe mumadya. Ngati mumwa mowa, mungauzidwenso kuti muchepetse.
- Zotsatira zoyipa za mankhwala: Ngati zitapezeka kuti kutupa kumachitika chifukwa cha mankhwala omwe mukumwa, dokotala wanu angasiye kumwa mankhwalawo, kuchepetsa mlingo, kapena kukusamutsirani mankhwala ena.
Kumbukirani chinthu chimodzi chofunikira kwambiri: Musasiye kumwa mankhwala aliwonse kapena kusintha mlingo nokha popanda kufunsa dokotala wanu. Kuchita zimenezi kungapangitse kuti matenda ena onse ayambe kukulirakulira.
Kodi mungachite chiyani kunyumba kuti muchepetse kutupa?
Mukamachiza chifukwa chake, pali zinthu zingapo zosavuta zomwe mungachite nokha kuti muchepetse ululu womwe umabwera chifukwa cha kutupa.
- Kwezani miyendo yanu: Mukakhala pansi kapena mutagona pabedi, ikani mapilo awiri kapena atatu pansi pa miyendo yanu, kuti apitirize kukhala pamwamba pa mtima wanu. Izi zimathandiza kuti madzi abwerere m'thupi lanu motsutsana ndi mphamvu yokoka.
- Musakhale pamalo omwewo: Musakhale kapena kuyimirira pamalo omwewo kwa nthawi yayitali. Imirirani ndikuyenda pang'ono, kusuntha miyendo yanu, osachepera kamodzi pa ola limodzi.
- Gwiritsani ntchito masokosi apadera: Masokisi othandizira kapena masokisi opondereza amapezeka m'ma pharmacy. Izi zimapangitsa kuti malo otupawo asamavutike pang'ono ndipo zimathandiza kuti madzi asasonkhanitsidwe.
- Chepetsani mchere: Izi ndizofunikira kwambiri. Chepetsani mchere womwe mumadya. Chepetsani mchere womwe uli mu zakudya zam'chitini, sosi, masoseji, pickles, ndi nsomba zouma momwe mungathere.
- Tsatirani malangizo a dokotala wanu: Mungapatsidwe mankhwala ochepetsa mphamvu ya madzi m'thupi (omwe nthawi zambiri amatchedwa 'piritsi la madzi') omwe amathandiza thupi lanu kuchotsa madzi ochulukirapo mu mkodzo. Imwani mankhwalawo panthawi yoyenera.
Ndi nthawi ziti zomwe muyenera kupita kwa dokotala mwachangu?
Ngakhale ngati ndi kutupa kwachibadwa, ngati pali zizindikiro zina, kungakhale kwadzidzidzi. Ngati zili choncho, muyenera kuonana ndi dokotala nthawi yomweyo.
| Ngati muli ndi zizindikiro izi, funsani upangiri wa dokotala nthawi yomweyo. |
|---|
| Ngati pali kupweteka kwambiri, kufiira, kapena kusintha kwa mtundu wa khungu pamalo otupa. |
| Ngati khungu lasweka ndipo bala lotseguka lapangika pamalo otupa. |
| Ngati mukuvutika kupuma kapena kupweteka pachifuwa . Izi ndi zadzidzidzi, pitani ku chipatala chapafupi cha Emergency Department (ETU) nthawi yomweyo. |
| Ngati mwendo umodzi kapena mkono umodzi wokha watupa mwadzidzidzi (ichi chingakhale chizindikiro cha magazi kuundana). |
| Ngati kutupako kuli kwakukulu kwambiri moti simungathe kuyenda kapena kusuntha thupi lanu. |
Kutupa si chinthu chongonyalanyaza. Nthawi zina kungakhale chizindikiro choyamba cha vuto lalikulu. Choncho ngati muli ndi kutupa kosazolowereka, nthawi zonse ndi bwino kupita kwa dokotala kuti mudziwe chomwe chikuyambitsa.
Uthenga Wopita Nawo Kunyumba
- Kutupa ndi kusonkhana kwa madzi m'thupi. Kungakhale kwachibadwa kapena chizindikiro cha matenda aakulu.
- Kuyimirira kwa nthawi yayitali, kudya mchere wambiri, mimba, matenda a mtima, impso, ndi chiwindi zonse zingayambitse izi.
- Ngati mukuvutika kupuma limodzi ndi kutupa, kutupa mwendo umodzi wokha, kapena kupweteka pachifuwa, pitani kwa dokotala nthawi yomweyo. Izi zitha kukhala zadzidzidzi.
- Kunyumba, kusunga miyendo yanu mmwamba, kuchepetsa kumwa mchere, komanso kuyenda pang'ono kungathandize kuchepetsa kutupa.
- Musamwe mankhwala momwe mukufunira kapena kusiya kumwa popanda kufunsa dokotala wanu.
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