Kodi munamvapo za chiwalo chotchedwa ndulu? Mwina dokotala amene anakufufuzani atanena kuti, "ndulu yanu ikuoneka kuti yakula pang'ono," munali ndi chidwi kwambiri komanso mantha pang'ono. Koma musadandaule. ndulu yotupa nthawi zambiri imangosonyeza kuti pali china chake chomwe chikuchitika m'thupi mwathu. Lero, tikambirana izi m'njira yosavuta komanso yomveka bwino.
Tiyeni tione kaye, kodi ndulu iyi ndi chiyani?
Mwachidule, ndulu ndi gawo lofunika kwambiri la chitetezo cha thupi lathu. Ili kumanzere kwa mimba yanu, pamwamba pa nthiti zanu. Ili pafupifupi kukula kwa chibakera chanu.
Chiwalo chaching'ono ichi chimagwira ntchito yabwino kwambiri.
- Kuyeretsa magazi: Izi zimagwira ntchito ngati fyuluta yomwe imasunga ndikuchotsa maselo ofiira akale, owonongeka m'magazi athu.
- Kulimbana ndi matenda: Apa ndi pomwe maselo oyera amagazi omwe amalimbana ndi majeremusi omwe amalowa m'thupi amasungidwa. Izi zikutanthauza kuti amapereka chithandizo chabwino kwambiri ku chitetezo chathu chamthupi.
Kawirikawiri, dokotala akakhudza mimba yanu, sadzamva ndulu yanu. Imakhala mkati, yotetezeka komanso yabwino. Koma imatha kutupa ndikukula chifukwa cha matenda ena, matenda, kapena ngozi. Mu zamankhwala, timatcha izi splenomegaly .
Kodi zifukwa za kutupa kwa ndulu ndi ziti?
Kutupa kwa ndulu si matenda ena. Ndi chizindikiro cha matenda ena. Tangoganizirani, tikakhala ndi matenda m'thupi mwathu, mbali za pakamwa pathu zimatupa ngati ziphuphu, sichoncho? Umu ndi momwe zilili ndi izi. Pali zifukwa zingapo zazikulu zomwe ndulu ingatupa.
| Gulu la zifukwa | Zitsanzo ndi kufotokozera |
|---|---|
| Matenda | Nkhumba imatha kutupa chifukwa imagwira ntchito mopitirira muyeso ikamenyana ndi majeremusi m'thupi. Zitsanzo: matenda opatsirana ndi mavairasi (monga mononucleosis), matenda opatsirana ndi mabakiteriya (monga endocarditis), matenda opatsirana ndi tizilombo toyambitsa matenda (monga toxoplasmosis). |
| Khansa | Mu khansa yokhudzana ndi magazi, maselo osazolowereka amasonkhana mu ndulu ndikuikulitsa. Zitsanzo: Khansa ya m'magazi (khansa ya m'magazi), Lymphoma (khansa ya dongosolo la lymphatic). |
| Matenda a Chiwindi | Matenda monga cirrhosis ya chiwindi amatha kulepheretsa magazi kuyenda m'chiwindi. Izi zingayambitse kupanikizika kwakukulu m'mitsempha yolumikizana ndi ndulu (Portal Hypertension) ndikupangitsa ndulu kutupa. |
| Zifukwa zina | Zina zambiri zomwe zimayambitsa matenda a chitetezo chamthupi (monga lupus, rheumatoid arthritis), magazi kuundana (thrombosis), kuvulala kwambiri m'mimba monga ngozi zamasewera, ndi matenda okhudzana ndi kagayidwe ka thupi m'thupi (monga matenda a Gaucher). |
Kodi zizindikiro za ndulu yotupa ndi ziti?
Chabwino kwambiri n'chakuti, anthu ambiri alibe zizindikiro zilizonse . Nthawi zambiri zimapezeka mwangozi panthawi yoyezetsa matenda. Koma anthu ena akhoza kukhala ndi zizindikiro. Ngati ndi choncho, mungakumane ndi izi:
- Ululu kapena kusapeza bwino m'mimba yakumtunda kumanzere: Zingamveke ngati chinachake chikudzaza m'mimba mwanu, ngati kuti ndi cholemera. Nthawi zina ululuwu ukhoza kufalikira mpaka kuphewa lanu lakumanzere.
- Kumva kukhuta ngakhale mutadya pang'ono: Pamene ndulu yakula, imakanikiza mimba, kotero mutha kumva kukhuta ngakhale mutadya pang'ono. Izi zingayambitsenso kulephera kudya.
Chofunika: Ngati ndulu yayamba kugwira ntchito molakwika, zizindikiro monga kutopa, kufooka , kuvulala pang'ono , ndi matenda opatsirana pafupipafupi monga chimfine zingachitike chifukwa cha kuchepa kwa magazi m'thupi.
Kodi mwapeza bwanji izi, Dokotala?
Ngati muli ndi zizindikiro zomwe zili pamwambapa kapena ngati mukukayikira kuti ndulu yanu ili ndi chifukwa china chilichonse, chinthu choyamba chomwe dokotala wanu angachite ndikukufunsani mafunso ndikukuyesani. Pa nthawi imeneyi, adzakukhudzani mosamala pamimba kuti aone ngati ndulu yanu yakula.
Kenako, adzayitanitsa mayeso angapo kuti adziwe chifukwa chenicheni.
- Mayeso a magazi:Izi zimathandiza kuona momwe maselo anu ofiira a magazi, maselo oyera a magazi, ndi ma platelet alili, komanso momwe chiwindi chanu chikugwirira ntchito.
- Kujambula: Kujambula kwa ultrasound kapena CT kungathe kudziwa kukula kwenikweni kwa ndulu komanso ngati ikukankhira ziwalo zina zozungulira.
- Kujambula kwa MRI: Izi zimathandiza kuona bwino momwe magazi amayendera kudzera mu ndulu.
Kodi chimachiritsidwa bwanji? Ndipo mavuto ake ndi otani?
Chofunika kumvetsetsa apa ndichakuti sitikuchiza ndulu yotupa yokha, koma vuto lomwe limayambitsa kutupa . Mwachitsanzo, ngati ndulu yatupa chifukwa cha matenda a bakiteriya, maantibayotiki angathandize matendawa kuchira ndipo nduluyo idzabwerera kukula kwake.
Komabe, ngati sichichiritsidwa, mavuto oopsa angachitike.
1. Kuphulika kwa ndulu: Ngati nduluyo ikukula kwambiri, imatha kuphulika ndi ngozi yaying'ono, kuvulala kwambiri, kapena popanda chifukwa chilichonse. Izi zingayambitse kutuluka kwa magazi ambiri m'thupi ndipo zingakhale zoopsa kwa moyo. Izi ndi zadzidzidzi zachipatala.
2. Hypersplenism: Nkhumba imayamba kugwira ntchito mopitirira muyeso ndipo imayamba kuwononga maselo ambiri abwino a magazi (ofiira, oyera, ndi ma platelet). Izi zingayambitse kuchepa kwa magazi m'thupi, matenda, komanso kutuluka magazi.
Kodi ndulu iyenera kuchotsedwa?
Nthawi zambiri, ndulu siifunika kuchotsedwa pambuyo poti vuto lomwe limayambitsa matendawa lachiritsidwa. Komabe, ngati chifukwa chake sichipezeka, vutoli silingathe kuchiritsidwa, kapena pali chiopsezo chachikulu cha ndulu kuphulika, dokotala angasankhe kuchotsa nduluyo mwa opaleshoni (splenectomy) .
N'zotheka kukhala popanda ndulu. Koma chitetezo cha mthupi chimafooka pang'ono. Chifukwa chake, munthu amene wachotsedwa ndulu ayenera kumwa katemera wapadera ndi mankhwala kwa moyo wake wonse kuti adziteteze ku matenda enaake.
Uthenga Wopita Nawo Kunyumba
- Splenomegaly si matenda, koma chizindikiro cha matenda ena.
- Popeza anthu ambiri saona zizindikiro zilizonse, izi zitha kuzindikirika akamayesedwa ndi dokotala.
- Ngati mukumva kupweteka kosalekeza, kusapeza bwino, kapena kumva kukhuta m'mimba mwanu, ngakhale mutadya pang'ono, musanyalanyaze. Pitani kwa dokotala nthawi yomweyo.
- Chofunika kwambiri ndikupeza chifukwa chenicheni cha kutupa kwa ndulu ndikuchiza matendawa.
- Chithandizo choyenera chingabwezeretse ndulu kuti ikhale bwino komanso kupewa mavuto aakulu.
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