Kodi pali chotupa chaching'ono m'mimba mwanu chapamwamba? Tiyeni tikambirane za hernia ya epigastric!

Kodi mudawonapo, kapena mudamvapo, kutupa pang'ono kapena chotupa m'mimba chapamwamba, makamaka pansi pa fupa la m'mawere, pamwamba pa mchombo? Nthawi zina zimatha kupweteka pang'ono. Anthu ambiri amachita mantha pang'ono akaona chinthu chonga ichi. Lero tikambirana za chifukwa chimodzi chomwe chingayambitse izi, chomwe ndi hernia ya epigastric. Musadandaule, tiyeni tikambirane za izi mosavuta.

Ndiye kodi hernia iyi ya epigastric ndi chiyani?

Mwachidule, hernia ya epigastric ndi mtundu wa hernia yomwe imapezeka pamwamba, pakati pa mimba yanu. Makamaka, imapezeka m'dera lomwe lili pansi pa fupa la pachifuwa chanu komanso pamwamba pa mimba yanu. Uwu ndi mtundu wofala wa hernia womwe umagwera m'gulu la hernia ya ventral, yomwe imapezeka pakhoma lakutsogolo la mimba. Nthawi zina, munthu amatha kukhala ndi hernia yoposa imodzi ya epigastric.

Ma hernia amenewa nthawi zambiri amakhala ang'onoang'ono kwambiri . Ena amakhala pafupifupi theka la inchi (pafupifupi sentimita imodzi) kapena kutalika kwa chogwirira ntchito. Hernia yayikulu pang'ono ikhoza kukhala pafupifupi inchi imodzi ndi theka (pafupifupi masentimita 4) kapena kukula kwa mtedza. Ngati hernia ndi yaying'ono, simungazindikire zizindikiro zilizonse. Komabe, hernia ikakula, imatha kuoneka ngati chotupa chooneka bwino.

Matenda a m'mimba nthawi zambiri si matenda oopsa. Komabe, matenda aakulu nthawi zina angayambitse mavuto oopsa , choncho ndikofunikira kudziwa izi.

Kodi zizindikiro za izi ndi ziti, dokotala?

Nthawi zina simungakhale ndi zizindikiro zilizonse ngati muli ndi hernia ya epigastric. Kapena mungakumane ndi zizindikiro monga izi:

• Chotupa pansi pa khungu: Chotupa chaching'ono kapena kutupa kungawonekere pansi pa khungu pakati pa mimba yanu, pamwamba pa fupa la pachifuwa chanu ndi pansi pa fupa la pachifuwa chanu. Izi nthawi zambiri zimaonekera kwambiri mukamayimirira, koma zingamvekenso ngati chapindika pang'ono mukakhala pansi kapena kugona, kapena chingatha.
• Kupweteka kofanana ndi kupweteka m'mimba: Mungamve kupweteka kopanda nseru , kapena kupweteka pang'ono pakati pa mimba yanu. Kupweteka kumeneku kungaoneke ngati kukukulirakulira tsiku lonse.
• Ululu woopsa: Mungamve ululu woopsa mwadzidzidzi, monga bala lobayidwa, mukatsokomola, mukanyamula chinthu cholemera, kapena mukapita kuchimbudzi.

Tangoganizirani, mukadzuka m'mawa, palibe vuto lililonse, koma masana, mumaona kutupa pang'ono m'mimba mwanu, ndipo madzulo, malo amenewo amaoneka ngati akumva kupweteka pang'ono. Ndicho chimene chingachitike.

Nchifukwa chiyani timapeza hernias chonchi?

Vutoli limachitika pamene chidutswa cha minofu yamafuta m'mimba mwanu, kapena nthawi zina gawo la matumbo anu akuluakulu, chikudutsa mu "Linea Alba" yanu. Kodi "Linea Alba" ndi chiyani? Ndi gulu lopyapyala la minofu yolumikizana yomwe imadutsa kutsogolo, pakati, ndi pansi pa mimba yanu. Ngati pali kufooka kapena cholakwika mu "Linea Alba" iyi, minofu yamafuta kapena gawo la matumbo anu likhoza kudutsa. Ngati minofu yanu ya m'mimba ndi yofooka, muli ndi mwayi waukulu wokhala ndi Epigastric Hernia.

Anthu ena amabadwa ndi hernia ya epigastric. Izi zikutanthauza kuti hernia iyi imachitika panthawi yomwe mwana wosabadwayo akukula. Komabe, nthawi zambiri hernia iyi imayamba pakapita nthawi (hernia ya epigastric yomwe imapezeka). Itha kuchitika mukakula. Kapena, imathanso kuchitika chifukwa cha mavuto ena omwe amaika mphamvu pa minofu yanu ya "Linea Alba" kapena m'mimba. Hernia iyi nthawi zambiri imapezeka mwa anthu azaka zapakati pa 30 ndi 50.

Pali zifukwa zambiri zomwe zimayambitsa hernia ya epigastric. Nazi zina mwa zifukwa zazikulu:

• Kuchepa kwa ``Linea Alba'' ndi ukalamba: Pakapita nthawi, gulu la minofu yolumikizana iyi limafooka ndikuchepa.
• Chifuwa chosatha: Ngati muli ndi chifuwa chosatha, nthawi iliyonse mukatsokomola, pamakhala kupanikizika kwambiri m'mimba mwanu.
• Kudzimbidwa: M'mimba mumakhala wouma ndipo kupanikizika mkati mwa m'mimba kumawonjezeka ngakhale mutayesa kupita kuchimbudzi.
• Kunenepa Kwambiri: Pamene mafuta m'thupi akuwonjezeka, kupanikizika m'mimba kumawonjezeka kokha.
• Kunyamula zinthu zolemera: Kunyamula zinthu zolemera molakwika, popanda kupuma bwino.
• Mimba: Pa nthawi ya mimba, pamene mwana akukula, pamakhala kupanikizika kwakukulu pa mimba ya mayi.

Kodi izi zingakhale zoopsa? Kodi ndi mavuto otani omwe angakhalepo?

Ngakhale kuti hernia yaying'ono ya m'chigawo cha epigastric nthawi zambiri si nkhani yaikulu, pali mavuto awiri omwe nthawi zina amakhala oopsa. Awa ndi hernia yotsekeredwa ndi hernia yopachikidwa. Zonsezi zimaonedwa kuti ndi zadzidzidzi zoopsa zachipatala . Zitha kukhala zoopsa pa moyo.

• Hernia Yomangidwa: Apa ndi pamene hernia imatsekeredwa pakati pa minofu ya m'mimba mwanu. Izi zikachitika, sizingabwererenso zokha, komanso sizingabwererenso ngakhale mutakakamiza. Izi zingayambitse ululu waukulu.
• Hernia Yotsekeredwa: Izi ndi zoopsa kwambiri. Ngati magazi akuyenda kupita ku gawo la hernia yotsekeredwa atadulidwa, gawo limenelo limayamba kufa. Izi zingayambitse kupweteka kwambiri, malungo, nseru, ndi kusanza. Ili ndi vuto lomwe liyenera kukonzedwa nthawi yomweyo ndi opaleshoni.

Chofunika kwambiri n’chakuti, ngati mwapeza kuti muli ndi hernia, muyenera kusamala ngati pali zizindikiro zilizonse zoti yatsekeredwa kapena yapachikidwa.

Kodi dokotala amazindikira bwanji izi?

Ngati muli ndi zizindikiro zomwe zatchulidwa pamwambapa, ndi bwino kupita kwa dokotala. Dokotalayo adzayamba wakuyezetsa thupi. Izi zikutanthauza kuti adzamva chotupa m'mimba mwanu, adzakupemphani kuti mukhosomole, ndikukugonetsani pansi.

Kuphatikiza apo, mayeso ojambulira zithunzi ngati awa nthawi zina amatha kuchitidwa kuti adziwe kukula kwenikweni, malo, ndi zomwe zili mu hernia:

• Kujambula kwa CT (Computed Tomography - CT scan): Izi zingapereke zithunzi zatsatanetsatane za hernia.
• Kujambula kwa MRI (Magnetic Resonance Imaging - MRI scan): Izi zikufanana ndi kujambula kwa CT, koma zimagwiritsa ntchito ukadaulo wosiyana.
• Ultrasound: Kuyesa komwe kumagwiritsa ntchito mafunde a phokoso kupanga zithunzi za mkati mwa thupi. Iyi nthawi zambiri imakhala mayeso oyamba ochitidwa.

Pambuyo pa mayeso awa, dokotala angakuuzeni ngati muli ndi hernia ya epigastric komanso momwe ilili.

Kodi mankhwala a izi ndi otani? Kodi amathandizidwa bwanji?

Chithandizo chokhacho chokhazikika cha hernia ya epigastric ndikukonzedwa ndi opaleshoni (hernia repair surgery) . Izi zikutanthauza kuti gawo lotuluka limabwezeretsedwanso, malo ofooka kapena dzenje mu ``Linea Alba`` limasokedwa, ndipo nthawi zina chinthu chonga mesh chimagwiritsidwa ntchito kulimbitsa malowo.

Komabe, si ma hernia onse a epigastric omwe amafunika opaleshoni yachangu. Dokotala wanu angasankhe kuchita kudikira mosamala m'malo mochita opaleshoni pazochitika zotsatirazi:

• Ngati hernia ndi yaying'ono kwambiri (yosakwana inchi imodzi, pafupifupi sentimita imodzi).
• Ngati mulibe ululu kapena nseru chifukwa cha hernia.
• Ngati mulibe vuto lalikulu ndi chotupa chimenecho,
• Ngati dokotala akuganiza kuti chiopsezo cha mavuto chifukwa cha hernia ndi chochepa .

Zikatero, dokotala wanu adzakuuzani kuti mubwererenso kudzaonana ndi dokotala nthawi zina . Izi zikutanthauza kuti mufufuze ngati hernia ikukulirakulira kapena ngati zizindikiro zatsopano zikuwonekera.

Kodi zimatenga nthawi yayitali bwanji kuti munthu achire pambuyo pa opaleshoni?

Izi n'zovuta kunena ndendende, chifukwa zimasiyana malinga ndi munthu. Zinthu zambiri zimakhudza izi, monga zaka zanu, kukula kwa hernia, mtundu wa opaleshoni yomwe yachitidwa, komanso thanzi lanu lonse.

Kawirikawiri, mutha kuyambiranso ntchito zanu za tsiku ndi tsiku patatha milungu iwiri mutachita opaleshoni. Komabe, ngati muchita ntchito yovuta, monga kunyamula zolemera, zingatenge milungu inayi kapena kuposerapo kuti mubwerere kuntchito. Chofunika kwambiri ndikutsatira malangizo a dokotala wanu molondola.Adzakuuzani nthawi yomwe muyenera kupuma, nthawi yomwe mungayambe kuchita zinthu zachizolowezi, komanso nthawi yomwe mungayambe kunyamula zolemera.

Kodi izi zingabwererenso pambuyo pa opaleshoni? (Outlook)

Nkhani yabwino ndi yakuti hernia ya epigastric ikhoza kuchiritsidwa kwathunthu ndi opaleshoni. Izi zikutanthauza kuti chotupacho chidzatha.

Komabe, nthawi zina hernia imatha kubwereranso, kapena yatsopano ikhoza kupangika. Chifukwa chachikulu cha izi ndichakuti minofu yanu ya m'mimba kapena ``Linea Alba`` imayikidwanso pansi pa kupanikizika, kapena imafookanso. Mutha kulankhula ndi dokotala wanu za mwayi wanu wopeza hernia kachiwiri mutachitidwa opaleshoni. Iye angakuuzeninso zomwe mungachite kuti isabwererenso.

Kodi pali chilichonse chomwe tingachite kuti izi zisachitike?

Ngakhale kuti sizingatheke kupeweratu izi, pali zinthu zingapo zomwe mungachite kuti muchepetse chiopsezo chanu chokhala ndi hernia ya epigastric:

• Khalani ndi kulemera koyenera: Ndikofunikira kwambiri kuwongolera kulemera kwa thupi lanu, chifukwa kunenepa kwambiri ndi chifukwa chachikulu chomwe chimayambitsa hernia.
• Chiritsani matenda omwe amaika mphamvu pa minofu ya m'mimba mwanu: Ngati muli ndi chifuwa chosatha kapena kudzimbidwa, landirani chithandizo choyenera ndipo chitanipo kanthu.
• Samalani mukanyamula zinthu zolemera: Musayese kunyamula zinthu zolemera nthawi imodzi. Ngati mutero, khalani ndi kaimidwe koyenera, sungani mpweya wanu, ndipo pemphani thandizo ngati n'kotheka.

Kodi ndi liti pamene tiyenera kupita kwa dokotala?

Ngati muli ndi chotupa ngati chimene ndatchula pamwambapa m'mimba mwanu ndipo chikuwoneka ngati chikukulirakulira, muyenera kuwonana ndi dokotala. Chifukwa hernia ya epigastric yomwe ikukula imakhala ndi mwayi waukulu wokhala ``Incarcerated Hernia`` kapena ``Strangulated Hernia`` chifukwa cha kutsekedwa kwa magazi.

Ngati mukukumana ndi zizindikiro zotsatirazi, ziyenera kuonedwa ngati zadzidzidzi. Pitani kuchipatala chapafupi nthawi yomweyo, kapena ngati muli ku Sri Lanka, imbani 1990 Suwaseriya Ambulance Service:

• Ululu watsopano, woopsa, womwe ukuwonjezeka mofulumira m'mimba chapamwamba.
• Kusanza ndi kusanza.
• Khungu lomwe lili ndi hernia limasanduka mtundu (mwachitsanzo, likhoza kukhala lofiira, lofiirira, labuluu, kapena lakuda).

Ngati mukumva zizindikiro izi, musachedwe ngakhale mphindi imodzi . Kufunafuna thandizo lachipatala nthawi yomweyo kungapulumutse moyo.

Ndi mafunso ati omwe muyenera kufunsa dokotala?

Mukapita kwa dokotala, ndi bwino kufunsa mafunso awa:

• Dokotala, nchifukwa chiyani ndili ndi hernia iyi?
• Kodi izi zidzakula?
• Kodi zinthu zingachitike bwanji ngati izi zitakula?
• Kodi ndikufunikadi opaleshoni? Kodi palibe njira zina?
• Ngati ndichitidwa opaleshoni, ndiyenera kusamala ndi chiyani ndikachita opaleshoniyi?

Ndikofunikira kwambiri kufunsa mafunso ngati awa ndikupeza kumvetsetsa bwino za vuto lanu.

Kodi hernia ya epigastric ingayambitse acid reflux?

Ayi. Zizindikiro monga kutentha pamtima ndi acid reflux nthawi zambiri zimayambitsidwa ndi mtundu wina wa hernia wotchedwa hiatal hernia. Hernia ya epigastric imayambitsa kupweteka kosawoneka bwino komanso koopsa m'mimba. Sizimayambitsa zizindikiro za acid reflux.

Choncho, ngati muli ndi chotupa m'mimba mwanu chapamwamba, pansi pa fupa la pachifuwa chanu komanso pamwamba pa nthiti zanu, chikhoza kukhala chotupa cha epigastric hernia. Komabe, pakhoza kukhala zifukwa zina zomwe zimayambitsa chotupa chotere. Chifukwa chake, ndi bwino kupita kwa dokotala kuti mudziwe chomwe chimayambitsa ndikupeza chithandizo choyenera kwa inu.

Ndiye ndi zinthu ziti zofunika kwambiri zomwe tiyenera kukumbukira? (Uthenga Wopita Nawo Kunyumba)

Chabwino, kuchokera pa zomwe takambirana zokhudza Epigastric Hernia, nazi zinthu zofunika kwambiri zomwe muyenera kukumbukira:

• Hernia ya epigastric ndi kutupa pang'ono m'mimba, pamwamba, pakati.
• Nthawi zambiri, izi si zoopsa, koma ngati zitakula, zingayambitse mavuto monga kutsekeka ndi kutayika kwa magazi.
• Zizindikiro zake zingakhale monga chotupa, kutupa, ndi kupweteka kwambiri. Anthu ena sangakhale ndi zizindikiro zilizonse.
• Izi zitha kuchitika chifukwa cha zinthu monga kunenepa kwambiri, chifuwa chosatha, kudzimbidwa, kunyamula katundu wolemera, komanso mimba.
• Opaleshoni ndiyo njira yokhayo yochiritsira izi, koma si aliyense amene amafunika opaleshoni nthawi yomweyo.
• Kusunga kulemera kwabwino komanso kuchepetsa zinthu zomwe zimaika m'mimba pamavuto kungathandize kupewa izi.
• Ngati chotupacho chikukulirakulira, kapena ngati mukumva zizindikiro monga kupweteka kwambiri, nseru, kusanza, kapena kusintha mtundu wa khungu, pitani kwa dokotala nthawi yomweyo.

Ndikukhulupirira kuti izi zikuthandizani. Ngati muli ndi nkhawa iliyonse, musazengereze kulankhula ndi dokotala. Khalani ndi thanzi labwino!

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