Nthawi zina timachita manyazi ndi mpweya woipa umene timapuma tikamalankhula. Ngati fungo silikutha ngakhale titatsuka mano athu molimba bwanji, kugwiritsa ntchito chotsukira pakamwa, ndikuchita chilichonse chomwe tingathe kuti tichotse, sizingakhale zachilendo. Makamaka ngati mpweya wanu uli ndi fungo lachilendo lomwe ndi lokoma pang'ono, monga zipatso zowola, kapena mazira owola, zingakhale chizindikiro cha vuto lalikulu la chiwindi. M'mawu azachipatala, timatcha vutoli Fetor Hepaticus . Lero, tikambirana mwachidule.
Kodi Fetor Hepaticus ndi chiyani?
Mwachidule, Fetor Hepaticus ndi fungo linalake lomwe limachokera mumpweya wanu pamene chiwindi chanu sichikugwira ntchito bwino chifukwa cha matenda. Chiwindi ndiye fyuluta yayikulu m'thupi lathu. Chimasefa poizoni wochokera m'magazi, monga chakudya chomwe timadya komanso mankhwala omwe timamwa.
Koma chiwindi chikadwala, njira yoseferayi sigwira ntchito bwino. Kenako, mankhwala ena oopsa omwe ayenera kuchotsedwa m'magazi amasonkhana m'magazi m'malo mochotsedwa. Ma poizoni osonkhanitsidwawa amatuluka ndi mpweya wathu. Nthawi zina fungo ili limatha kuchokera ku thukuta lanu ndi mkodzo.
Chofunika ndichakuti, ichi si fungo loipa lokha lomwe limabwera chifukwa cha kusasamalira bwino pakamwa. Ichi ndi chizindikiro chofunikira kwambiri cha matenda aakulu omwe ali m'thupi lanu.
Kodi fungo limeneli ndi lotani kwenikweni? Kodi limasiyana bwanji ndi fungo lina?
Fungo ili lingakhale lovuta kulizindikira, chifukwa malingaliro a aliyense pa tanthauzo lake amatha kusiyana. Koma madokotala amafotokoza izi motere:
- Kununkha ngati nkhungu.
- Ili ndi kukoma kokoma kodabwitsa.
- Nthawi zina zimatha kununkhiza ngati ndowe.
- Fungo losakaniza ndi mazira ovunda ndi adyo.
- Fungo la udzu wodulidwa kumene.
Matenda ena angayambitse fungo loipa m'kamwa, koma Fetor Hepaticus ndi yosiyana. Tiyeni timvetse kusiyana kumeneku momveka bwino.
| Chikhalidwe cha fungo | Kufotokozera ndi matenda okhudzana nawo |
|---|---|
| Fungo la chiwindi | Fungo loipa, lokoma, lovunda ngati dzira/anyezi. IziKugwirizana ndi matenda aakulu a chiwindi. |
| Trimethylaminuria (fungo la nsomba) | Fungo la nsomba. Ili ndi vuto lina la kagayidwe kachakudya m'thupi. |
| Uremic Fetor (fungo la ammonia) | Fungo ngati ammonia kapena bleach. Ichi ndi chizindikiro cha kulephera kwa impso . |
| Mpweya wa Keto (Fungo la Zipatso) | Fungo la acetone, monga chochotsera utoto wa zipatso kapena misomali. Izi zitha kuchitika mu matenda a shuga a ketoacidosis. |
N’chifukwa chiyani zimanunkhiza chonchi?
Fungo limeneli limayamba chifukwa cha mankhwala omwe amapangidwa m'thupi mwathu otchedwa `Dimethyl sulfide` (fungo la adyo) ndi `methyl mercaptan` (fungo la dzira lovunda/kabichi). Awa amadziwikanso kuti `Volatile Organic Compounds` (VOC).
Kawirikawiri, izi ndi zotsatira za kagayidwe kathu ka thupi. Zimayenda kudzera m'magazi kupita ku chiwindi, komwe zimasefedwa ndikuchotsedwa. Koma chiwindi chikadwala, sichingathe kuzisefa ndipo kuchuluka kwawo kumawonjezeka m'magazi. Pamenepo ndi pomwe fungoli limayamba kutuluka mumpweya.
Pakhoza kukhala zifukwa ziwiri zazikulu izi:
1. Kulephera kwa Chiwindi: Maselo a chiwindi amawonongeka (monga chifukwa cha matenda a chiwindi) ndipo chiwindi sichingathe kugwira bwino ntchito yake yosefera.
2. Kukhala ndi Portosystemic Shunt: Mtsempha wa portal ndiye mtsempha waukulu womwe umanyamula magazi kuchokera m'thupi lathu kupita ku chiwindi. Nthawi zina, mtsempha uwu ukhoza kupewedwa ndipo magazi oopsa amatha kuyenda mwachindunji m'thupi lonse. Izi zili choncho chifukwa thupi limapanga shunt kuti magazi asadutse m'chiwindi.
Ndi zizindikiro zina ziti zomwe zimayenderana ndi Fetor Hepaticus?
Ngati muli ndi Fetor Hepaticus, zizindikiro zina zingachitike chifukwa cha matenda a chiwindi kapena Portal Hypertension. Ndikofunikira kudziwa zizindikiro izi.
| Zizindikiro zina zoti muzisamala nazo | |
|---|---|
| Zizindikiro zodziwika bwino za kulephera kwa chiwindi | |
| Kutuluka kwachikasu pakhungu ndi maso (Jaundice) | Khungu ndi maso oyera zimaoneka zachikasu. |
| Ululu m'mimba pamwamba kumanja | Ululu m'dera la chiwindi. |
| Kusintha kwa mkodzo ndi ndowe | Mkodzo wakuda (monga tiyi) ndi ndowe zopepuka (monga dongo). |
| Khungu loyabwa | Kuyabwa thupi lonse popanda mawanga kapena ziphuphu zooneka. |
| Kutuluka magazi ndi kuvulala | Kutuluka magazi komwe sikutha mosavuta ngakhale chifukwa cha kuvulala pang'ono ndipo thupi limavulala mosafunikira. |
| Zizindikiro za Kuthamanga kwa Magazi kwa Portal | |
| Kutupa kwa m'mimba ndi miyendo | Kutupa kwa m'mimba (kuchuluka kwa madzi m'mimba) ndi kutupa kwa miyendo ndi akakolo. |
| Kusanza magazi kapena kutulutsa magazi m'chimbudzi | Iyi ndi nkhani yofunika kwambiri komanso yofunika kwambiri. |
| Kusintha kwa kukumbukira ndi khalidwe | Kusokonezeka, kugona tulo, ndi kutaya chidziwitso chifukwa cha zotsatirapo zoopsa pa ubongo. (Hepatic Encephalopathy) |
Kodi ichi ndi chizindikiro chochenjeza kuti muyenera kupita kwa dokotala nthawi yomweyo?
Inde, ndithudi! Fetor Hepaticus ndi chizindikiro chachikulu cha chenjezo chomwe chiyenera kukupatsani chithandizo chamankhwala mwachangu, kaya mukudziwa kale kuti muli ndi matenda a chiwindi kapena ayi.
Chizindikiro ichi chikusonyeza kuti vuto la chiwindi chanu likuipiraipira. Ma poizoni omwe akusonkhana m'magazi anu akufikira poti akutulutsidwa, zomwe zikutanthauza kuti poizoniyo akhoza kuyamba kukhudza ubongo wanu ndi dongosolo lanu la mitsempha.
Ngati vutoli silichiritsidwa, lingayambitse mavuto aakulu kwambiri.
- Kutuluka magazi kosalamulirika kuchokera m'mimba.
- Kulephera kwa impso (Hepatorenal syndrome).
- Kulephera kupuma (Hepatopulmonary syndrome).
- Kulephera kugwira ntchito kwa ubongo (hepatic encephalopathy).
Kale, vutoli linkatchedwanso "mpweya wa akufa." Zimenezi zikusonyeza momwe izi zilili zoopsa pa moyo. Koma musachite mantha. Masiku ano, mankhwala ndi apamwamba kwambiri. Pali mankhwala monga kuika chiwindi ndi mankhwala abwino kwambiri oletsa zizindikiro.
Chofunika kwambiri ndikuonana ndi dokotala wanu nthawi yomweyo mukaona zizindikiro izi. Iye adzakuyesani, adzakuyesani mayeso ofunikira, ndikukupatsani chithandizo choyenera kwambiri.
Uthenga Wopita Nawo Kunyumba
- Fetor Hepaticus ndi fungo lokoma komanso losasangalatsa lochokera mumpweya. Ndi chizindikiro cha matenda aakulu a chiwindi.
- Uwu si mpweya wabwinobwino womwe umabwera chifukwa cha kusasamalira bwino pakamwa.
- Ngati inu kapena munthu wina amene mumamudziwa ali ndi chizindikiro ichi, chiganizeni kuti ndi chenjezo lalikulu .
- Chonde pitani kwa dokotala mwamsanga mwamsanga.
- Ngakhale mutapezeka kale ndi matenda a chiwindi, ndikofunikira kufunafuna upangiri wa dokotala kachiwiri, chifukwa chizindikiro chatsopanochi chimasonyeza kuti vuto lanu likuipiraipira.
👩🏽⚕️ Mafunso ena (Mafunso Ofunsidwa Kawirikawiri)
💬 Kodi kutupa kwa machende ndi chiyani?
Izi sizachilendo! Izi zimachitika pamene 'Testicles/Scrotum' ya mwamuna mmodzi kapena onse awiri imakula mwadzidzidzi/kutupa (Scrotal tumor), nthawi zina ndi ululu wosapiririka (nthawi zina palibe ululu). Ichi ndi chizindikiro chachikulu cha hernia, madzi oundana, kapena kuwonongeka koopsa/khansa mkati mwa scrotum.
💬 Kodi zifukwa zazikulu zomwe zimapangitsa kuti machende a mwamuna atuluke/kukulirakulira mwadzidzidzi ndi ziti?
Pali zifukwa zingapo zazikulu zomwe zimayambitsa izi: 1) 'Hydrocele' - thumba lodzaza madzi lozungulira tchende lomwe limakula (lopanda ululu). 2) Inguinal Hernia - diski ya herniated mu scrotum. 3) 'Epididymitis' - matenda opatsirana m'njira ya mkodzo/matenda opatsirana pogonana omwe amachititsa tchende kuti liwole (lopweteka ndi malungo). 4) Chifukwa choopsa kwambiri: Ngati chotupa chaching'ono, cholimba ngati mwala chikaonekera popanda ululu uliwonse, ndithudi ndi 'Khansa ya Matende'!
💬 Kodi 'Testicular Torsion' ndi chiyani, vuto lalikulu lomwe limayambitsa kutupa kwa ma testicular? Nchifukwa chiyani muyenera kuthamangira kuchipatala?
Choopsa chachikulu komanso chachikulu kwambiri ndi 'Kutupa kwa Matumbo'! Izi zikutanthauza kuti pamene mukugona/kusewera, mtsempha wamagazi womwe uli mkati mwa matumbo umapindika mwadzidzidzi ndipo umamangidwa. Kenako, kwa kanthawi kochepa, pamakhala ululu/kutupa kosapiririka, kofuula! Ngati izi zitachitika, pitani kuchipatala mkati mwa maola 6 ndipo mupatsidwe opaleshoni kuti mutsegule mfundo, matumbowo adzasanduka akuda, ovunda kwathunthu ndipo adzayenera kudulidwa kwamuyaya (Gangrene/Kutaya matumbo)!
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