Kodi mukumva ululu wachilendowu m'mimba mwanu? Tiyeni tikambirane za (Rectus Sheath Hematoma)!

Kodi munayamba mwamvapo kupweteka kwadzidzidzi kwa m'mimba komwe kumamveka ngati chotupa m'mimba mwanu? Kapena munayamba mwakhala ndi chifuwa cholimba kenako n’kuona malo abuluu pamimba mwanu? Ngakhale kuti zinthuzi sizofala kwambiri, nthawi zina zimakhala zizindikiro za matenda otchedwa `(Rectus Sheath Hematoma)` omwe amapezeka m'mimba mwathu. Chifukwa chake lero, tiyeni tikambirane za izi mwatsatanetsatane, chifukwa ndikofunikira kwambiri kudziwa izi.

Choyamba, tiyeni tiwone kuti `(Rectus Sheath)` iyi ndi chiyani?

Mwachidule, `(Rectus Sheath)` yanu ndi chophimba champhamvu, cholimba chomwe chimazungulira minofu yomwe ili kutsogolo kwa mimba yanu. Kunena zoona, ndi nembanemba yokhuthala (yomwe imatchedwanso `(aponeurosis)`). Mkati mwa chophimba ichi muli minofu ikuluikulu iwiri ya mimba yanu, `(rectus abdominis)` (yomwe nthawi zambiri timaitcha kuti "minofu ya six-pack") ndi `(pyramidalis)`.

Tangoganizirani, `(Rectus Sheath)` iyi ili ndi khoma lakutsogolo (lakutsogolo) ndi khoma lakumbuyo (lakumbuyo). Makoma awa amapangidwa ndi fascia (`(fascia)`) yomwe imazungulira minofu ina m'mimba mwanu. Izi ndi izi:

• "Minofu yanu ya m'mimba yakunja" (minofu ya m'mimba yakunja)
• "Minofu yanu ya m'mimba yamkati" (minofu yamkati ya m'mimba yamkati)
• Minofu yanu ya m'mimba yodutsa m'mimba (transversus abdominis)

"Rectus Sheath" imapangidwa kuchokera ku zophimba za nyama izi.

Komanso, mitsempha ya m'mimba yapamwamba komanso yotsika, yomwe ndi mitsempha ikuluikulu yamagazi yomwe imapereka magazi ku minofu yanu ya m'mimba, imadutsa mu `(Rectus Sheath) iyi. Chifukwa chake ntchito yayikulu ya `(Rectus Sheath)` iyi ndikuteteza minofu iyi, mitsempha yamagazi, ndi ziwalo zozungulira khoma la m'mimba.

Koma pali kachinthu kakang'ono. `(Rectus Sheath)` aka sikaphimba zonse zomwe zili mkati. Pamwamba pa minofu yanu ya `(rectus abdominis)` paphimbidwa ndi `(Rectus Sheath)` iyi mbali zonse ziwiri, kutsogolo ndi kumbuyo. Komabe, pali malire pakati pa pamwamba ndi pansi pa minofu iyi, yomwe imatchedwa `(arcuate line)`. Mzere uwu uli pafupifupi gawo limodzi mwa magawo atatu a njira yotsika kuchokera ku mchombo wanu kupita komwe mafupa anu awiri a m'chiuno amakumana patsogolo (`(pubic symphysis)`).

Chofunika kwambiri n'chakuti, pansi pa `(mzere wozungulira)` uwu, gawo la pansi la minofu yanu ya `(rectus abdominis)` limaphimbidwa ndi `(Rectus Sheath)` kuchokera kutsogolo. Palibe `(posterior rectus sheath)` kuchokera kumbuyo! Izi zikutanthauza kuti palibe chigoba chotere choteteza gawo la pansi la minofu ya `(rectus abdominis)`. Kumbukirani izi, chifukwa izi ndizofunikira pa vuto la `(Rectus Sheath Hematoma)` lomwe tikukamba.

Ndiye kodi `(Rectus Sheath Hematoma)` ndi chiyani?

Mwachidule, `(Hematoma)` ndi gulu la magazi mkati mwa minofu yanu. Tsopano, ngati `(mitsempha ya m'mimba)` mkati mwa `(Rectus Sheath)` yomwe tidakambirana kale ikuyamba kutuluka magazi mwanjira ina, magazi amenewo amatha kusonkhana m'dera limenelo la m'mimba mwanu. Gululi la magazi limatchedwa `(Rectus Sheath Hematoma).`

Pankhaniyi, kutuluka magazi, makamaka kuchokera ku mitsempha ya m'mimba yopanda kanthu, kungakhale koopsa kwambiri. Chifukwa, monga tanenera kale, palibe chophimba pansi pa mzere wozungulira, ndipo ngati magazi ayamba kutuluka kuchokera pamenepo, palibe minofu yoletsa magazi kufalikira. Chifukwa chake, magazi ambiri amatha kuwunjikana.

Ndani amene akukhudzidwa kwambiri ndi vutoli?

Rectus Sheath Hematoma imapezeka kwambiri mwa akazi kuposa amuna, komanso imapezekanso kwambiri kwa anthu azaka zopitilira 60 .

Kodi vutoli ndi lofala bwanji?

Matenda a Rectus Sheath Hematoma ndi vuto losowa kwambiri . Limakhudza 1% mpaka 2% yokha ya odwala omwe ali ndi ululu m'mimba. Chifukwa chake, simungamve za izi kawirikawiri.

Kodi zizindikiro zake ndi ziti?

Chizindikiro chodziwika bwino cha vutoli ndi kupweteka m'mimba . Ululu uwu:

• Mukhoza kuyamba nthawi yomweyo.
• Kungakhale kupweteka kwakukulu, kosapiririka.
• Zingakhalenso ululu wosalekeza.
• Ululu ukhoza kuwonjezeka mukagwedeza, kupindika, kapena kupsinjika minofu ya m'mimba.

Kuphatikiza apo, nthawi zina mukakhudza mimba yanu, mungamve ngati pali chotupa .

Zizindikiro zina zomwe zingawonekere ndi izi:

• Kusanza ndi kusanza
• Malungo
• Khungu lofiirira kapena mabala (makamaka m'mimba)
• Kuchepa kwa magazi m'thupi (kutanthauza kuchepa kwa magazi m'thupi)
• Kuwonjezeka kwa kugunda kwa mtima (tachycardia)
• Kuthamanga kwa magazi pang'ono (hypotension)

Kodi n’chiyani chimayambitsa izi?

Chifukwa chachikulu cha `Rectus Sheath Hematoma` ndikutuluka magazi mu `(Rectus Sheath).` Izi nthawi zambiri zimachitika pakakhala kuvulala kwina kwa khoma la m'mimba .

Mwachidule, vutoli lingachitike ngati `(mtsempha wa epigastric)`, mitsempha yaying'ono yamagazi yomwe imatulukamo, kapena minofu ya `(rectus abdominis)` yawonongeka. Monga tanenera kale, minofu ya m'mimba imaperekedwa magazi ndi mitsempha yapamwamba ndi yotsika ya `(mtsempha wa epigastric)`. Apanso, ngati `(mtsempha wotsika wa epigastric)` wawonongeka, vutoli likhoza kukhala lalikulu kwambiri, chifukwa lilibe chitetezo kumbuyo kwake pansi pa `(mzere wa arcuate)`.

Tangoganizirani, ngati mwamenyedwa mwachindunji m'mimba mwanu, kapena ngati mwadzidzidzi mwagwiritsa ntchito mphamvu zambiri ku minofu ya m'mimba (mwachitsanzo, ngati mukutsokomola kwambiri kwa nthawi yayitali, kapena ngati mukuvutitsa m'mimba mwanu mukunyamula chinthu cholemera), `(mtsempha wa epigastric)` uwu ukhoza kuphulika ndikuyamba kutuluka magazi, ndikupanga `(hematoma)`.

Kodi ndi zinthu ziti zomwe zimayambitsa izi?

Choopsa chachikulu chomwe chimayambitsa `Rectus Sheath Hematoma` ndi kugwiritsa ntchito mankhwala omwe amaletsa magazi kuundana (`(anticoagulants)` kapena ``blood thinners``) . Pafupifupi 70% ya anthu omwe amapanga ``Rectus Sheath Hematoma`` akumwa mankhwala enaake a ``(anticoagulant)``. Mankhwalawa amachepetsa kutuluka kwa magazi, zomwe zimapangitsa kuti ``(hematoma)`` ikule.

Chinthu china chachikulu chomwe chimayambitsa vutoli ndi matenda a impso osatha . Pafupifupi 60% ya anthu omwe ali ndi rectus sheath hematoma ali ndi matenda a impso a gawo lachitatu kapena kuposerapo.

Zina mwa zinthu zoopsa ndi izi:

• Opaleshoni ya m'mimba yaposachedwa
• Kugwiritsa ntchito ma steroid kapena mankhwala oletsa kupanikizika kwa thupi
• Kutsokomola koopsa kwambiri komanso kosalekeza
• Kutenga mankhwala oletsa ma platelet (mankhwala omwe amaletsa ma platelet a magazi kuti asaphatikane)
• Mimba
• Matenda osatha, monga kuthamanga kwa magazi ndi atherosclerosis (kuchepa kwa mitsempha yamagazi chifukwa cha mafuta omwe ali pamakoma a mitsempha yamagazi)

Chofunika: Ngati mukumwa mankhwala oletsa magazi kuundana ngati awa, muyenera kusamala kwambiri ngati mwadzidzidzi mukumva kupweteka m'mimba.

Kodi matenda amachitika bwanji?

Nthawi zina zimakhala zovuta kuzindikira hematoma ya rectus sheath, chifukwa zizindikiro zake zimatha kufanana ndi za matenda ena am'mimba.

Dokotala wanu mwina adzachita kaye mayeso a magazi kuti ayeze kuchuluka kwa hemoglobin ndi hematocrit yanu. Anthu opitilira theka omwe ali ndi rectus sheath hematoma amakhala ndi kuchuluka kwa hemoglobin kotsika kwambiri (kutanthauza kuti ali ndi magazi ochepa).

Kenako, dokotala wanu angachite ultrasound pa khoma lanu la m'mimba. Izi zingathandize kudziwa ngati pali madzi ofanana ndi magazi mkati mwa khoma la m'mimba komanso kukula kwa hematoma.

Nthawi zina, CT scan ingachitike kuti mupeze chithunzi cholondola komanso chomveka bwino cha vutoli. CT scan, makamaka yomwe imagwiritsa ntchito utoto wosiyanitsa, imatha kuwonetsa komwe utoto ukutuluka kuchokera m'mitsempha yamagazi yowonongeka. Izi zingathandizenso dokotala kudziwa komwe kutuluka magazi kukuchokera.

Kodi imachiritsidwa bwanji?

Nkhani yabwino ndi yakuti ma hematoma ambiri a rectus sheath amadzichiritsa okha ndipo safuna chithandizo chapadera chamankhwala. Chithandizo cha vutoli nthawi zambiri chimaphatikizapo:

• Kugwiritsa ntchito mapaketi a ayezi (ayezi kapena ozizira)
• Mpumulo
• Kugwiritsa ntchito mankhwala ochepetsa ululu wamba (`(mankhwala ochepetsa ululu)`)

Pafupifupi 80% ya ma hematoma a rectus sheath amachiritsidwa ndi mankhwala osavuta ngati awa.

Komabe, ngati njira zosavutazi sizithandiza, kapena ngati vutoli ndi lalikulu kwambiri, dokotala angagwiritse ntchito njira yotchedwa ``angioembolization``. Iyi si opaleshoni. Ikuphatikizapo kuphatikiza ``angiography`` (njira yojambulira zithunzi za mitsempha yamagazi) ndi ``embolization`` (njira yotsekera mitsempha yamagazi), kuti apeze mitsempha yamagazi ndikutseka.

Ngati njira iyi ya ``angioembolization`` siigwira ntchito, opaleshoni ingafunike ngati njira yomaliza. Pa opaleshoni, magazi oundana (``hematoma``) amachotsedwa ndipo mtsempha wotuluka magazi umatsekedwa.

Pa nthawi ya chithandizo ndi pambuyo pake, dokotala wanu adzayang'anira vuto lanu pogwiritsa ntchito mayeso a magazi ndi ma ultrasound. Izi zingathandize kuzindikira kubwereranso kwa magazi kapena matenda.

Kodi chidzachitike n’chiyani pambuyo pake? Kodi adzachira?

Ma hematoma ambiri a rectus sheath amatha okha mkati mwa miyezi iwiri kapena itatu . Anthu ambiri omwe ali ndi vutoli amachira bwino ndipo sakumana ndi mavuto ena.

Komabe, nthawi zina - makamaka pakati pa anthu omwe akumwa mankhwala oletsa magazi kuundana - vutoli limatha kupha . Komabe, nthawi zambiri silimachitika kawirikawiri. Malinga ndi deta yaposachedwa, anthu osakwana 2% amafa chifukwa cha Rectus Sheath Hematoma.

Monga momwe zilili ndi matenda ena aliwonse, kuzindikira matenda msanga ndi kulandira chithandizo msanga kumawonjezera mwayi wochira . Chifukwa chake, ngati mukuganiza kuti muli ndi zizindikiro za `Rectus Sheath Hematoma`, onetsetsani kuti mwapeza upangiri wa dokotala.

Pomaliza, zinthu zoti muzikumbukira

Chigoba chanu cha `(Rectus Sheath)` ndi chigoba chofunikira chomwe chimateteza ziwalo, minofu, ndi mitsempha yamagazi m'khoma lanu la m'mimba. Ngati khoma lanu la m'mimba lavulala mwanjira iliyonse, `(mtsempha wa m'mimba)` ukhoza kuphulika ndikuyambitsa `(Rectus Sheath Hematoma)`.

Nthawi zambiri, vutoli silifuna chithandizo chachikulu chamankhwala. Zinthu zosavuta monga kugwiritsa ntchito ayezi, kupuma, komanso kumwa mankhwala ochepetsa ululu zingathandize.

Komabe, milandu ina ingakhale yoopsa kwambiri. Ngati muli ndi ululu waukulu komanso wadzidzidzi m'mimba, nthawi zonse ndi bwino kupita kwa dokotala kuti mudziwe ngati mukufuna chithandizo. Musachite mantha, koma ndikofunikira kuti inu ndi banja lanu mudziwe izi.

` Rectus Sheath Hematoma, kupweteka m'mimba, kutuluka magazi m'mimba, mtsempha wa m'mimba, mankhwala oletsa magazi kuundana, kugundana kwa m'mimba, kupweteka m'mimba