Kodi mukumva kupweteka mwadzidzidzi pamalo amodzi m'mimba mwanu? Kodi kungakhale Epiploic Appendagitis?

Kodi munayamba mwamvapo kupweteka kwadzidzidzi m'mimba mwanu? Zili ngati kuti mungakuloze ndi chala chanu. Nthawi zambiri timachita mantha nthawi zina ngati izi, sichoncho? Chifukwa chimodzi cha izi ndi vuto lomwe silikudziwika bwino, koma ndilofunika kudziwa. Izi zimatchedwa Epiploic Appendagitis. Ngakhale dzinalo lingamveke lachilendo pang'ono, tiyeni tifotokoze mwachidule.

Kotero kodi Epiploic Appendagitis ndi chiyani?

Mwachidule, Epiploic Appendagitis ndi kuyamba mwadzidzidzi kwa ululu m'mimba mwanu. Dzinali limatanthauza " kutupa kwa epiploic appendix." Chabwino, tsopano mukudabwa kuti "epiploic appendages" izi ndi ziti. Ndi tinthu tating'onoting'ono tomwe timatuluka kunja kwa m'mimba mwathu. Taganizirani ngati mphesa zazing'ono zomwe zimatuluka pa mpesa.

Ndiye, chimachitika ndi chiyani ngati kachidutswa kakang'ono ka mafuta aka (epiploic appendage) kakugwedezeka mwadzidzidzi (torsion)? Kenako magazi opita kumeneko adulidwa. Tangoganizirani chitoliro cha madzi chomwe chapindika mwamphamvu pamalo amodzi. Kenako madzi sadzadutsamo, sichoncho? Ndicho chimene chimachitika pamene gawo lamafutali lapindika. Pamene gawo la magazi ladulidwa, gawo limenelo limatupa, zomwe zikutanthauza kuti limatupa, limakhala lofiira, ndipo limayambitsa ululu. Umenewo ndi ululu womwe mumamva m'mimba mwanu.

Nthawi zambiri, ululu uwu umabwera mwadzidzidzi. Mutha kudziwa komwe ukupweteka. Koma chifukwa vutoli silili lachilendo, ngakhale madokotala nthawi zina amatha kulisokoneza ndi matenda ena omwe amayambitsa kupweteka kwa m'mimba. Mwachitsanzo:

• Appendicitis - Izi zikutanthauza kutupa kwa appendix.
• Cholecystitis - Izi zikutanthauza kutupa kwa ndulu.
• Diverticulitis - Uku ndi kutupa kwa matumba ang'onoang'ono omwe ali pakhoma la matumbo akulu.

Kodi Epiploic Appendigitis ndi yofala bwanji?

N'zovuta kunena momwe izi zimachitikira kawirikawiri, chifukwa nthawi zambiri sizipezeka. Ofufuza akuyerekeza kuti pafupifupi 1% ya anthu omwe amagonekedwa m'chipatala chifukwa cha kupweteka kwadzidzidzi m'mimba akhoza kukhala ndi vutoli. Komanso, pafupifupi 5% ya anthu omwe amapezeka ndi diverticulitis kapena appendicitis ali ndi chomwe chimatchedwa epiploic appendagitis. Izi zikutanthauza kuti nthawi zina, ngakhale tingaganize kuti ndi vuto lalikulu, chifukwa chake chingakhale chinthu chosavuta ngati ichi.

Kodi Epiploic Appendagitis ndi vuto lalikulu?

Chofunika apa ndi ichi: Epiploic appendagitis nthawi zambiri si vuto lalikulu.Koma, monga tanenera kale, vuto ndilakuti limatha kusokonezedwa ndi matenda ena akuluakulu. Mosiyana ndi matenda ena, nthawi zambiri izi zimatha popanda chithandizo chapadera. Chotupa chamafuta chotupa (epiploic appendage) chimauma pakapita nthawi, chimauma, kenako chimatuluka m'matumbo. Kutupa ndi ululu zonse ziwiri zimatha.

Choncho kumbukirani kuti izi sizinthu zodetsa nkhawa. Komabe, ngati mukumva kupweteka m'mimba, ndikofunikira kufunafuna upangiri wa dokotala.

Kodi n’chiyani chimayambitsa izi?

Pali mitundu iwiri ikuluikulu ya zomwe zimayambitsa Epiploic Appendigitis: zomwe zimayambitsa zoyamba ndi zina.

Zoyambitsa zazikulu

Izi ndi zinthu zomwe zimayambira mkati mwa chidutswa chonenepacho (chowonjezera).

• Kupindika kwa minofu: Nthawi zambiri (pafupifupi 75%) vutoli limayamba chifukwa cha kupindika kwa mafuta omwe atchulidwawa. Chifukwa cha kupindika kumeneku, magazi omwe amaperekedwa kwa mafutawo amatsekedwa kwathunthu, ndipo minofu imafa chifukwa cha kutayika kwa magazi . Izi zimatchedwa (Infarction) mu sayansi ya zamankhwala.
• Thrombosis: Nthawi zambiri, magazi amaundana m'mitsempha m'mafuta awa, zomwe zimaletsa kuyenda kwa magazi .

Zifukwa zachiwiri

Izi ndi zomwe sizichitika kawirikawiri. Chomwe chimachitika ndi chakuti mafuta awa amakhudzidwa ndi vuto kwina.

• Matenda ofalikira kuchokera kwina: Mwachitsanzo, ngati pali matenda kwina m'mimba, amatha kufalikira mpaka ku chotupa chonenepachi.
• Kutupa kwa minofu yozungulira yomwe imapangitsa kuti mafuta atuluke: Nthawi zina, minofu yozungulira ikatupa, ingayambitse mafuta kutukumuka ndikuyambitsa mavuto.

Ndani amene ali pachiwopsezo chachikulu cha izi?

Kafukufuku wina wasonyeza kuti anthu ena ali ndi mwayi waukulu wopeza Epiploic Appendigitis. Tiyeni tiwone kuti ndi ndani.

• Anthu onenepa kwambiri : Izi zitha kukhala chifukwa chakuti maselo amafuta amenewa amathanso kukula mwa anthu omwe ali ndi mafuta ochulukirapo m'thupi.
• Anthu omwe ali ndi hernia: Hernia ndi kutuluka kwa chiwalo chamkati kapena minofu kudzera pamalo ofooka m'thupi.
• Anthu omwe ali ndi diverticulosis (matumba ang'onoang'ono m'matumbo akulu): Chiwopsezocho chimakhala chachikulu kwambiri pa vutoli.
• Anthu ochita masewera olimbitsa thupi kwambiri: Nthawi zina, zinthu ngati izi zimatha kuchitika ngakhale mutachita masewera olimbitsa thupi molimbika kuposa momwe mukuganizira.
• Anthu azaka zapakati (pakati pa zaka 40-50): Anthu azaka izi amaona zambiri.
• Mbali ya amuna:Akuti izi zimachitika kwambiri pakati pa amuna kuposa akazi.

Koma si aliyense amene amadwala matendawa chifukwa chakuti ali ndi zinthu zoopsazi , ndipo zimathanso kuchitika mwa munthu amene alibe chilichonse mwa izi.

Kodi zizindikiro za izi ndi ziti?

Chizindikiro chachikulu ndi kupweteka m'mbali imodzi ya m'mimba. Izi zingayambe mwadzidzidzi ndipo zimatha kwa milungu ingapo. Ziwalo za epiploic zimapezeka m'munsi mwa m'mimba mwathu. Chifukwa chake, ululuwu nthawi zambiri umapezeka m'munsi mwa m'mimba. Anthu atatu mwa anayi amanena kuti ali ndi ululu m'mimba mwawo. Ndipo oposa theka amati uli kumanzere.

Ululu uwu wafotokozedwa motere:

• Wakuthwa: Monga kubaya ndi mpeni.
• Chosasintha: Chosasintha, kaya ndi kusintha kapena ayi.
• Wamphamvu: Wamphamvu kwambiri moti n'zovuta kupirira.

Komanso, ululu ukhoza kuwonjezeka panthawi ngati izi:

• Mukatsokomola
• Mukatambasula thupi
• Mukapuma mokweza

Kuwonjezera pa ululu uwu, zizindikiro zina zingapo zingawonekere:

• Kuteteza: Tangoganizirani ngati wina ayesa kukhudza mimba yanu, mungamange mwamphamvu malowo, ngati kuti mukuphimba ndi dzanja lanu. Ndicho chimene timachitcha 'kuteteza'.
• Kufewa kwa Rebound: Dokotala akakukanikiza pamimba kenako n’kuchotsa dzanja lake mwadzidzidzi, ululuwo umaoneka kuti ukuwonjezeka kwambiri kuposa kale.
• Chotupa chomveka bwino: Nthawi zina chotupa chamafuta (chowonjezera) chomwe chimatupa chimatha kutupa kwambiri moti chimamveka ngati chotupa chikakhudzidwa kuchokera kunja.

Zizindikiro zimenezi zimafanana ndi zizindikiro za matenda omwe atchulidwa kale monga appendicitis, cholecystitis, ndi diverticulitis. Komabe, m'matenda amenewo, nthawi zambiri pamakhala zizindikiro zina monga kutentha thupi, nseru , ndi kusanza . Chifukwa chake, ngati muli ndi ululu waukulu m'mimba motere, koma mulibe zizindikiro zina (monga kutentha thupi ndi kusanza), dokotala angaganize kuti muli ndi Epiploic Appendagitis.

Kodi mumazindikira bwanji izi?

Katswiri wa radiology akhoza kuchita ultrasound scan kapena CT scan (computed tomography scan).Dziwani kuti vutoli ndi Epiploic Appendagitis.** Epiploic appendix yathanzi nthawi zambiri siioneka pa scan izi. Komabe, kutupa kumatha kuwoneka bwino. Izi zili choncho chifukwa kutupako kumapangitsa kuti ilowe madzi ndikuwoneka yowala pa scan. Imawoneka ngati chotupa chooneka ngati chozungulira pomwe ululu uli.

Kodi chithandizo chabwino kwambiri cha izi ndi chiyani?

Madokotala nthawi zambiri amayamba ndi kupereka mankhwala oletsa kutupa omwe si a steroidal (NSAIDs) . Mankhwalawa amachepetsa kutupa ndi ululu. Mwachitsanzo, ibuprofen. Ngati pakufunika, mankhwala ena ochepetsa ululu amatha kuperekedwanso. Anthu ambiri amapeza mpumulo mwachangu ndi mankhwalawa. Ngati izi sizithandiza, nthawi zina opaleshoni ingafunike kuti muchotse appendix yotupa.

Kodi nthawi zambiri zimatenga nthawi yayitali bwanji kuti Epiploic Appenditis ichiritse?

Ngakhale popanda chithandizo, zizindikiro za Epiploic Appendagitis sizimatenga nthawi yoposa sabata imodzi. Nthawi zina zimatha mpaka milungu inayi. Komabe, ndi mankhwala, zizindikirozo nthawi zambiri zimatha mkati mwa masiku ochepa. Chifukwa chake, palibe chodetsa nkhawa.

Kodi opaleshoni imafunika liti?

Opaleshoni ya epiploic appendagitis ndi yosowa kwambiri. Komabe, ngati zizindikiro zanu sizikusintha konse, kapena ngati pali kukayikirabe za matenda anu, dokotala wanu angafunike kuyang'ana m'mimba mwanu kuti apeze chomwe chimayambitsa ululu wanu wopitirira.

Amagwiritsa ntchito njira yochepetsera kufalikira kwa matendawa yotchedwa laparoscopy kuti achite izi. Mu njira imeneyi, dokotalayo amaduladula katatu kapena kanayi m'mimba mwanu (pafupifupi theka la inchi) ndikuyika kamera kakang'ono kotchedwa laparoscope kudzera mwa iwo. Dokotalayo amagwiritsa ntchito kamera ya kanema kuti awone zithunzizo pazenera kenako n’kudutsa zida zazitali, zopyapyala kudzera m’duladula laling'ono kuti achotse appendix yotupa.

Kodi mawu anu omaliza ndi otani pankhaniyi?

Epiploic appendagitis ikhoza kukhala yopweteka komanso yoopsa. Koma nthawi zambiri, palibe chodetsa nkhawa nacho. Mosiyana ndi appendix yanu, ndulu, kapena diverticula, epiploic appendage siili pachiwopsezo chophulika chifukwa cha kutupa. Nthawi zambiri, kutupa kumachepa pang'onopang'ono, chotupa chamafuta chimafa, ndipo chilichonse chimatha mkati mwa sabata imodzi.

Kodi pali kugwirizana pakati pa Epiploic Appendigitis ndi Cancer?

Palibe mgwirizano wodziwika pakati pa Epiploic Appendagitis ndi khansa, choncho musadandaule nazo.

Kodi pali zakudya zilizonse zoti mudye kapena kupewa kuti mupewe izi?

Palibe mgwirizano wodziwika pakati pa Epiploic Appendagitis ndi kadyedwe kanu. Chifukwa chake, palibe zakudya zinazake zoti mudye kapena kupewa.

Kotero, ngati muli ndi Epiploic Appendigit, mwina idzakhala nthawi yoyamba komanso yomaliza kumva za izi. Mutha kuchita mantha ndi ululu wadzidzidzi, ndipo mutha kupita kuchipatala chodzidzimutsa, mukuganiza kuti chinachake chachikulu chichitika. Koma chithandizo cha Epiploic Appendigit ndi chosavuta kwambiri, ndipo opaleshoni siifunikira kawirikawiri. Mutha kubwera kunyumba ndi nkhani yachilendo yoti muuze aliyense amene sanamvepo za izi.

Zinthu zofunika kwambiri zomwe muyenera kukumbukira (Uthenga Wopita Nawo Kunyumba)

• Epiploic appendagitis ndi ululu wa m'mimba womwe umabwera mwadzidzidzi chifukwa cha kachidutswa kakang'ono ka minofu yamafuta yomwe imapachikidwa kunja kwa matumbo akulu (m'mimba) kupotoka, kutaya magazi ake, ndikutupa.
• Ngakhale kuti nthawi zambiri izi zingasokonezedwe ndi matenda ena monga appendicitis , zizindikiro monga malungo ndi kusanza nthawi zambiri sizimakhala zovuta kwambiri.
• Uwu si vuto lalikulu, ndipo nthawi zambiri umachira wokha mkati mwa sabata imodzi kapena ziwiri.
• Chithandizo chimachitika makamaka ndi mankhwala ochepetsa ululu ndi mankhwala oletsa kutupa omwe si a steroidal (NSAIDs). Opaleshoni siifunikira kawirikawiri.
• Komabe, ngati mukumva kupweteka kwadzidzidzi komanso koopsa m'mimba, muyenera kufunafuna upangiri wa dokotala, chifukwa izi zitha kukhala chizindikiro cha matenda ena aakulu.

Kotero ndikukhulupirira kuti mwamvetsa bwino za Epiploic Appendagitis. Khalani ndi thanzi labwino!