Kodi mudamvapo ululu waukulu, wadzidzidzi pamalo enaake m'mimba mwanu—mtundu wa ululu womwe mungaloze malo enieni ndi chala chimodzi? Ndizachibadwa kukhala ndi nkhawa izi zikachitika. Lero, tikufuna kukambirana za vuto lomwe silikudziwika bwino, koma ndikofunikira kudziwa: Epiploic Appendagitis . Ngakhale dzinalo lingamveke lovuta, tiyeni tiligaŵanitse m'mawu osavuta.
Ndiye kodi Epiploic Appendagitis ndi chiyani kwenikweni?
Mwachidule, Epiploic Appendagitis ndi chifukwa cha kupweteka kwadzidzidzi m'mimba. Dzinalo kwenikweni limatanthauza "kutupa kwa epiploic appendage." Tsopano, mungadabwe, kodi "epiploic appendages" ndi chiyani? Izi ndi matumba ang'onoang'ono, odzaza mafuta omwe amapachikidwa pakhoma lakunja la m'mimba mwanu. Ganizirani ngati magulu ang'onoang'ono, ofanana ndi mphesa omwe amapachikidwa m'mbali mwa matumbo anu akuluakulu.
Ndiye, chimachitika ndi chiyani ngati chimodzi mwa matumba ang'onoang'ono amafuta awa (chiwalo cha epiploic) chagwedezeka mwadzidzidzi? Monga momwe payipi yamadzi imaphwanyikira, magazi ake amatsekedwa. Popanda magazi amenewo, minofu imatupa, imatupa, ndipo imafiira, zomwe zimapangitsa kuti mumve ululu m'mimba mwanu.
Ululu nthawi zambiri umabwera mwadzidzidzi, ndipo nthawi zambiri umatha kuzindikira komwe uli. Popeza vutoli silichitika kawirikawiri, ngakhale madokotala nthawi zina amatha kulisokoneza ndi zinthu zina zomwe zimayambitsa ululu m'mimba, monga:
- Appendicitis - kutupa kwa appendix.
- Cholecystitis - kutupa kwa ndulu.
- Diverticulitis - Kutupa kwa matumba ang'onoang'ono omwe ali mu khoma la m'matumbo.
Kodi Epiploic Appendagitis ndi yofala bwanji?
N'zovuta kunena momwe matendawa amachitikira kawirikawiri, chifukwa milandu yambiri siipezeka. Ofufuza akuti mwina ndi pafupifupi 1% ya odwala omwe amalowa m'chipatala omwe ali ndi ululu wa m'mimba mwadzidzidzi. Kuphatikiza apo, zapezeka kuti pafupifupi 5% ya anthu omwe adapezeka ndi Diverticulitis kapena Appendicitis poyamba ali ndi Epiploic Appendagitis. Izi zikutanthauza kuti nthawi zina, chomwe mumawopa kuti chingakhale vuto lalikulu la thanzi chimakhala chocheperako.
Kodi Epiploic Appendagitis ndi vuto lalikulu?
Iyi ndi gawo lofunika kwambiri: Epiploic Appendagitis nthawi zambiri si vuto lalikulu. Komabe, chifukwa lingasokonezedwe ndi matenda ena oopsa kwambiri, limafuna kuyesedwa mosamala. Mosiyana ndi mavuto ena azaumoyo, vutoli nthawi zambiri limadzichiritsa lokha popanda chithandizo chapadera. Pakapita nthawi, thumba la mafuta lotupa limauma, limauma (limauma), kenako limachoka m'matumbo, pomwe kutupa ndi ululu zimachepa mwachibadwa.
Choncho, kumbukirani kuti palibe chifukwa chochita mantha mukamva izi. Komabe, ngati mukumva kupweteka m'mimba, kufunafuna upangiri wa akatswiri ndikofunikira.
N’chiyani chimayambitsa zimenezi?
Pali mitundu iwiri ikuluikulu ya zomwe zimayambitsa Epiploic Appendagitis: yoyamba ndi yachiwiri.
Zifukwa Zazikulu
Izi zikuphatikizapo mavuto omwe amachokera mwachindunji mu thumba la mafuta lomwelo.
- Kupotoka (Kupotoka): Nthawi zambiri (pafupifupi 75%), vutoli limayamba chifukwa cha kupindika kwa gawo la minofu. Kupotoka kumeneku kumadula magazi , zomwe zimapangitsa kuti minofu ife. M'mawu azachipatala, izi zimatchedwa infarction .
- Kutsekeka kwa Magazi (Kutsekeka kwa Magazi): Kawirikawiri, magazi oundana omwe amapangika m'mitsempha ya imodzi mwa matumba awa amatha kuletsa kuyenda kwa magazi , zomwe zimapangitsa kuti magazi aziyenda mofanana.
Zifukwa Zachiwiri
Izi sizichitika kawirikawiri ndipo zimachitika pamene vuto lina likukhudza thumba la mafuta.
- Matenda akufalikira kuchokera kwina: Ngati pali matenda m'mbali ina ya mimba, akhoza kufalikira mpaka ku ziwalo zina za m'mimba.
- Kupsinjika: Kutupa m'minofu yozungulira kumatha kukakamiza thumba, zomwe zimayambitsa kuyabwa ndi kutupa.
Ndani ali pachiwopsezo chachikulu?
Kafukufuku wina akusonyeza kuti anthu ena akhoza kukhala pachiwopsezo chachikulu chotenga Epiploic Appendagitis. Izi zikuphatikizapo:
- Anthu onenepa kwambiri : Mafuta ochulukirapo m'thupi angayambitse ziwalo zazikulu za thupi, zomwe zingawonjezere chiopsezo.
- Anthu omwe ali ndi hernia: Pamene minofu yamkati imadutsa pamalo ofooka pakhoma la minofu.
- Anthu omwe ali ndi Diverticulosis: Kukhala ndi matumba a m'matumbo awa kumawonjezera kale chiopsezo.
- Anthu ochita masewera olimbitsa thupi kwambiri: Nthawi zina, kuchita masewera olimbitsa thupi kwambiri kungayambitse vutoli.
- Anthu azaka zapakati (zaka 40-50): Amaonekera kwambiri m'gulu la anthu azaka zimenezi.
- Amuna: Akuti matendawa amapezeka kwambiri mwa amuna kuposa akazi.
Komabe, kukhala ndi zinthu zoopsazi sikutsimikizira kuti mudzakhala nazo, ndipo zitha kuchitika mwa anthu omwe alibe chilichonse mwa izi.
Kodi zizindikiro zake ndi ziti?
Chizindikiro chachikulu ndi kupweteka m'dera linalake la m'mimba. Kumayamba mwadzidzidzi ndipo kumatha kwa milungu ingapo. Popeza kuti ziwalo za epiploic izi zimakhala zambiri m'munsi mwa m'matumbo, ululu nthawi zambiri umapezeka m'mimba ya m'munsi. Pafupifupi 75% ya odwala amanena kuti kupweteka m'mimba ya m'munsi, ndipo oposa theka amanena kuti ululuwo uli kumanzere.
Ululu nthawi zambiri umafotokozedwa motere:
- Wakuthwa: Ngati kumenyedwa ndi mpeni.
- Chokhazikika: Chimapitirirabe ndi mphamvu yosinthasintha.
- Kwambiri: Zingakhale zopweteka kwambiri.
Ululu ukhoza kukulirakulira panthawi ya zochita monga:
- Kutsokomola
- Kutambasula
- Kupumira mpweya wozama
Zizindikiro zina ndi izi:
- Kuteteza: Mwachibadwa, mungamange minofu ya m'mimba mwanu kapena kuphimba malo ngati wina ayesa kuigwira.
- Kupweteka kobwerezabwereza: Ululu womwe umakula kwambiri dokotala akakankhira pamimba ndikutulutsa mwadzidzidzi kupanikizika.
- Kuchuluka kwa minofu komwe kungamveke: Nthawi zina, thumba lotupa limatha kutupa mokwanira kotero kuti lingamveke ngati chotupa chaching'ono pamwamba pa mimba.
Ngati mukumva kupweteka kwambiri m'mimba kapena kosalekeza, musanyalanyaze. Chonde funsani chipatala chapafupi kapena ogwira ntchito zadzidzidzi nthawi yomweyo kuti akawunikidwe ndi akatswiri ndi gulu la Nirogi Lanka kapena wopereka chithandizo chamankhwala kwanuko.
Zizindikiro zimenezi zingafanane ndi matenda monga appendicitis, cholecystitis, ndi diverticulitis. Komabe, matenda amenewo nthawi zambiri amatsagana ndi zizindikiro zina monga malungo, nseru , ndi kusanza . Ngati mukumva kupweteka kwambiri m'dera linalake la m'mimba mwanu koma mulibe zizindikiro izi monga malungo kapena kusanza, dokotala wanu angaganize kuti epiploic appendagitis ndi matenda omwe angachitike.
Kodi matendawa amawapeza bwanji?
Katswiri wa radiology amatha kuzindikira bwino epiploic appendagitis kudzera mu ultrasound scan kapena CT scan (computed tomography scan). Kachiwalo kabwino ka epiploic nthawi zambiri sikaoneka pa ma scan awa, koma kotupa kamawonekera bwino. Izi zili choncho chifukwa kutupa kumayambitsa madzimadzi, zomwe zimapangitsa kuti azioneka owala kapena owonekera kwambiri pazithunzi. Nthawi zambiri zimawoneka ngati chotupa chooneka ngati chozungulira chomwe chili pomwe mumamva ululu.
Kodi mankhwala abwino kwambiri ndi ati?
Madokotala nthawi zambiri amayamba ndi kupereka mankhwala oletsa kutupa (NSAIDs) osagwiritsa ntchito steroidal , monga ibuprofen, omwe amathandiza kuchepetsa kutupa ndikuwongolera ululu. Ngati pakufunika, kuchepetsa ululu wina kungaperekedwe. Odwala ambiri amapeza mpumulo waukulu mwachangu ndi mankhwalawa. Ngati simukuchira, opaleshoni yochotsa mafuta otupa siifunikira kawirikawiri.
Kodi nthawi zambiri zimatenga nthawi yayitali bwanji kuti munthu achire matenda a epiploic appendagitis?
Ngakhale popanda chithandizo, zizindikiro za epiploic appendagitis sizimatenga nthawi yoposa sabata imodzi, ngakhale nthawi zina zimatha kupitirira mpaka milungu inayi. Komabe, mukalandira mankhwala, mutha kuyembekezera kuti zizindikiro zanu ziyamba kusintha mkati mwa masiku ochepa. Nthawi zambiri palibe chifukwa chodera nkhawa kwambiri.
Kodi opaleshoni imafunika liti?
Opaleshoni ya epiploic appendagitis ndi yosowa kwambiri. Komabe, ngati zizindikiro zanu sizikusintha kapena ngati palibe chitsimikizo chokhudza matendawa, dokotala wanu angafunike kufufuza mimba yanu kuti adziwe chomwe chimayambitsa ululu wosatha.
Kuti achite izi, amagwiritsa ntchito njira yochepetsera kuvulala yotchedwa laparoscopy. Pa opaleshoniyi, dokotalayo amaduladula katatu kapena kanayi m'mimba mwanu (pafupifupi theka la inchi iliyonse) ndipo amaika laparoscope, yomwe ndi kamera kakang'ono. Motsogozedwa ndi zithunzi zomwe zili pa chowunikira, amagwiritsa ntchito zida zopyapyala kudzera m'duladula kuti achotse bwino mafuta omwe ali ndi kutupa.
Maganizo omaliza pa vutoli
Epiploic appendagitis ikhoza kukhala yopweteka komanso yodetsa nkhawa, koma kawirikawiri, si vuto loti munthu achite mantha nalo. Mosiyana ndi appendix yotupa, ndulu, kapena diverticula, palibe chiopsezo chakuti epiploic appendage iphulike. Nthawi zambiri, kutupako kumangotha, minofu yamafuta imatha, ndipo vutoli limatha mkati mwa sabata imodzi.
Kodi pali kugwirizana pakati pa epiploic appendagitis ndi khansa?
Malinga ndi chidziwitso cha zachipatala, palibe kugwirizana pakati pa epiploic appendagitis ndi khansa. Chonde musadandaule ndi izi.
Kodi pali zakudya zoyenera kudya kapena kupewa kuti izi zitheke?
Palibe ubale wodziwika pakati pa epiploic appendagitis ndi zakudya zanu. Chifukwa chake, palibe zakudya zinazake zomwe muyenera kudya kapena kupewa kuti mupewe vutoli.
Ngati mwapezeka ndi epiploic appendagitis, mwina ndi nthawi yoyamba komanso yomaliza yomwe mudzakumane nayo. Mungadandaule ndi ululu wadzidzidzi ndipo mungapite ku dipatimenti yothandiza anthu mwadzidzidzi, mwina mukuopa kuti mukufunika opaleshoni yaikulu. Komabe, chithandizo cha epiploic appendagitis n'chosavuta, ndipo opaleshoni siifunikira kawirikawiri. Mwina mudzapita kunyumba ndi nkhani yapadera yoti mugawane ndi ena omwe sanamvepo za vutoli.
Uthenga Wopita Nawo Kunyumba
- Epiploic appendagitis ndi ululu wa m'mimba womwe umayamba mwadzidzidzi chifukwa cha kupindika ndi kutupa kwa thumba laling'ono lamafuta lomwe limamatira ku m'matumbo anu, lomwe limalepheretsa magazi kulowa m'matumbo.
- Ngakhale nthawi zambiri imasokonezedwa ndi matenda ena monga appendicitis , nthawi zambiri siimakhala ndi zizindikiro za thupi monga malungo kapena kusanza.
- Si matenda oopsa ndipo nthawi zambiri amachira okha mkati mwa sabata imodzi kapena ziwiri.
- Chithandizo makamaka chimaphatikizapo kuchepetsa ululu ndi mankhwala oletsa kutupa (NSAIDs). Opaleshoni imafunika pokhapokha ngati pali zochitika zinazake.
- Komabe, ngati mukumva kupweteka kwadzidzidzi komanso koopsa m'mimba, chonde pitani kuchipatala nthawi yomweyo,chifukwa chingakhale chizindikiro cha vuto lina lalikulu.
Ndikukhulupirira kuti izi zikukuthandizani kumvetsetsa bwino za epiploic appendagitis. Khalani ndi thanzi labwino ndi Nirogi Lanka!
