Kodi munayamba mwamvapo ngati m'mimba mwanu mwatupa komanso kutupa ngati baluni yodzazidwa ndi madzi? Kodi mumavutika kupuma ndipo mumamva ngati simungathe kudya kapena kumwa bwino? Izi zitha kukhala chifukwa chakuti m'mimba mwanu mwadzaza ndi madzi ambiri. Mu zamankhwala, vutoli limatchedwa ascites. Chifukwa chake lero tikambirana za njira yosavuta, koma yofunika kwambiri yochotsera madzi omwe asonkhanawa. Imeneyo ndi paracentesis.
Mwachidule, kodi paracentesis ndi chiyani?
Paracentesis ndi njira yochotsera madzi ochulukirapo (madzi) m'mimba mwanu, kapena m'mimba mwanu. Tangoganizirani kuti ziwalo zomwe zili mkati mwa mimba mwanu, monga chiwindi ndi matumbo anu, zazunguliridwa ndi minofu yopyapyala yotchedwa peritoneum. Iyi ndi malo pakati pa zigawo ziwirizi, komwe madzi otchedwa ascites amasonkhana.
Pa chithandizochi, dokotala amagwiritsa ntchito singano yopyapyala ndi chubu chaching'ono cha pulasitiki (catheter) chomwe chimalumikizidwa nacho kuti achotse madzi omwe asonkhanawa. Zili ngati kutulutsa madzi mu thanki. Madzi akachotsedwa mwanjira imeneyi, kupanikizika ndi kusasangalala m'mimba, monga kutupa, kumachepa kwambiri.
N’chifukwa chiyani chithandizochi chikuchitidwa?
Izi zimachitika pazifukwa ziwiri zazikulu: chimodzi chodziwira matenda , ndi china ngati chithandizo .
- Kuzindikira Paracentesis: Mwachidule, kuti mudziwe chifukwa chake mimba yadzaza ndi madzi. Dokotala amachotsa chitsanzo cha madziwo ndikutumiza ku labu. Zotsatira za mayeso zithandiza kudziwa chomwe chimayambitsa vutoli.
- Kuchiza Paracentesis: Izi zimachitika kuti muchepetse kusasangalala komwe kumachitika chifukwa cha madzi m'mimba. Nthawi zambiri, madokotala amagwiritsa ntchito mankhwalawa ngati mankhwala ochepetsa mphamvu ya madzi m'thupi kapena zakudya zopanda mchere wambiri sizikuthandiza kuthetsa vutoli.
| Mtundu wa chidziwitso | Kufotokozera |
|---|---|
| Zifukwa zazikulu za ascites | |
| Matenda a chiwindi (cirrhosis) | Ichi ndiye chifukwa chofala kwambiri cha kutupa. |
| Kuthamanga kwa Magazi Pachimake | Kuthamanga kwa magazi m'mitsempha yayikulu ya chiwindi. Chofala kwambiri kwa odwala matenda a chiwindi. |
| Matenda | Peritonitis ndi matenda a madzi m'mimba. |
| Khansa | Khansa ya mazira, chiberekero, chiwindi, kapamba, kapena m'matumbo. |
| Kulephera kwa Ziwalo | Kulephera kwa chiwindi kapena mtima. |
| Zizindikiro zomwe zimachepa pamene madzi atuluka | |
| Makhalidwe | Kupweteka m'mimba ndi kupanikizika, kutupa kwa m'mimba, kupuma movutikira, kudzimbidwa, kudzimbidwa, komanso kusowa chilakolako cha chakudya. |
Kodi mumakonzekera bwanji izi?
Iyi si opaleshoni yaikulu, koma muyenera kukonzekera pang'ono pasadakhale. Dokotala wanu adzakufotokozerani zonse.
- Mbiri ya matenda: Dokotala wanu adzakufunsani za matenda anu akale, opaleshoni, ndi ziwengo. Ndikofunikira kuwadziwitsa ngati muli ndi pakati.
- Malangizo okhudza mankhwala: Ngati mukumwa mankhwala ochepetsa magazi monga `(Aspirin)` kapena `(Warfarin),` dokotala wanu angakulangizeni kuti musiye kumwa mankhwala amenewo kwa masiku angapo. Dokotala wanu angakulangizeninso kuti musiye kumwa mankhwala ochepetsa ululu `(NSAIDs)` kapena mankhwala ena a matenda ashuga. Ndikofunikira kwambiri kutsatira malangizo a dokotala wanu.
- Kusala Kudya: Mudzalangizidwa kuti musamadye kapena kumwa kwa maola angapo musanalandire chithandizo.
Kodi chimachitika ndi chiyani panthawi ya chithandizo?
Izi zitha kuchitika ku ofesi ya dokotala kapena kuchipatala. Ndi bwino kukodza ndi kutulutsa madzi m'chikhodzodzo musanalandire chithandizo.
1. Kukukonzekeretsani: Choyamba, mudzalamulidwa kugona pabedi.
2. Kuyeretsa ndi kuchotsa dzanzi: Pambuyo pake, malo oboolerawo amatsukidwa bwino ndipo malowo amachotsedwa dzanzi . Jakisoni kakang'ono kamaperekedwa pa izi. Akabooledwa, amamva kupweteka pang'ono, ngati kulumidwa ndi nyerere, koma pambuyo pake, palibe kupweteka m'deralo.
3. Kuyika catheter: Dokotala nthawi zambiri amagwiritsa ntchito ultrasound scan kuti aone komwe kuli madzi. Kenako, kudzera pamalo obowoledwa, catheter ndi chubu chaching'ono cha pulasitiki (catheter) chomwe chimalumikizidwa nacho chidzalowetsedwa pang'onopang'ono m'mimba.
4. Kuchotsa madzi: Kenako gwiritsani ntchito sirinji kapena botolo losambitsira madzi kuti muchotse madziwo. Ngati muli ndi malita angapo a madzi oti muchotse, gwiritsani ntchito botolo losambitsira madzi ili kuti mufulumizitse ntchitoyi.
5. Kuchotsa mbola ndi bandeji: Madzi akangotuluka, mbola imachotsedwa, kupanikizika kumayikidwa pamalopo kuti magazi asiye kutuluka, ndipo bandeji yoyera imayikidwa.
Kwa anthu ena, ngakhale madziwo atachotsedwa motere, amabwereranso. Kwa anthu otere, chubu chapadera cha nthawi yayitali (Tunneled Peritoneal Drainage Catheter) chimayikidwa. Kenako mutha kuchotsa madziwo kunyumba. Dokotala wanu adzasankha ngati ndi oyenera kwa inu.
Kodi izi zimapweteka? Zitenga nthawi yayitali bwanji?
Mungamve kupweteka pang'ono mukalandira jakisoni wochititsa dzanzi, koma simudzamva kupweteka kwambiri madzi akachotsedwa. Komabe, mungamve kupanikizika pang'ono kapena kusasangalala m'mimba mwanu. Ngati mukumva kusasangalala kulikonse kapena chizungulire, musaope kuuza dokotala kapena namwino pamenepo.
Kawirikawiri njirayi imatenga pakati pa mphindi 20 ndi 45. Imasiyana malinga ndi kuchuluka kwa madzi omwe akuchotsedwa. Pofuna kudziwa matenda, pang'ono, pafupifupi mamililita 25, amatengedwa. Pochiza, nthawi zina malita 5 kapena kuposerapo amatha kuchotsedwa.
Kodi muyenera kusamala bwanji mukapita kunyumba?
Ndi bwino kupuma kwa maola 24 oyambirira mutatha kulandira chithandizo. Dokotala wanu adzakupatsani malangizo a momwe mungasamalire bala.
- Kusamalira mabala: Sambani m'manja mwanu bwino ndi sopo ndi madzi musanasinthe bandeji. Uzani dokotala wanu ngati bala layamba kufiira, kutupa, kapena kutuluka mafinya.
- Zakudya: Muyenera kuchepetsa mchere muzakudya zanu, chifukwa mchere umawonjezera madzi m'thupi.
- Mankhwala: Imwani mankhwala ochepetsa mphamvu ya thupi omwe dokotala wanu wakupatsani panthawi yake.
- Ukhondo:Musalole bala kunyowa mpaka litachira. Chifukwa chake, ndi bwino kupewa kusamba ndi kusamba ndi siponji.
Kodi muyenera kufunafuna upangiri wa dokotala nthawi yomweyo liti?
Mavuto ndi osowa kwambiri, koma ndikofunikira kuchitapo kanthu mwachangu ngati zizindikiro zilizonse zoopsa zapezeka.
| Mwayi | Zizindikiro |
|---|---|
| Imbani dokotala wanu. | |
| Zizindikiro za matenda | Malungo ndi kuzizira, kufiira kapena kupweteka pamalo omwe jakisoniyo waperekedwa, komanso kutuluka magazi kapena mafinya onunkhira bwino. |
| Pitani ku Chipinda Chothandizira Padzidzidzi (ETU) nthawi yomweyo. | |
| Zochitika zadzidzidzi | Kupweteka pachifuwa, kuvutika kupuma kwambiri, chizungulire, kupweteka kwambiri m'mimba kapena kutupa. |
Uthenga Wopita Nawo Kunyumba
- Paracentesis ndi njira yotetezeka kwambiri yachipatala yomwe imachotsa madzi ochulukirapo m'mimba.
- Izi zingakuthandizeni kupeza chomwe chimayambitsa kutupa ndi kuchepetsa ululu womwe umayambitsa.
- Ndikofunikira kwambiri kutsatira malangizo a dokotala wanu molondola, musanayambe komanso mutalandira chithandizo.
- Samalani ndi zizindikiro zochenjeza monga malungo, kutupa kwa bala, ndi kupweteka kwambiri m'mimba. Ngati chilichonse mwa izi chichitika, funsani upangiri wa dokotala nthawi yomweyo.
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