Kodi munamvapo kupweteka kwachilendo komanso kosamveka bwino m'mimba mwanu kapena pansi pa msana? Tikhoza kuganiza kuti ndi matenda a mtima kapena kuvulala pang'ono kwa msana. Komabe, lero tikambirana za vuto lomwe lingakhale ndi zizindikiro zofanana, zomwe sizichitika kawirikawiri, koma ndikofunikira kwambiri kuti tonse tidziwe. Izi zimatchedwa retroperitoneal fibrosis. Nthawi zina zimatchedwanso matenda a Ormond.
Kodi Retroperitoneal Fibrosis ndi chiyani? Mwachidule...
Mwachidule, retroperitoneal fibrosis ndi
kupangika kwa minofu yonga zipsera (fibrosis) kuzungulira ziwalo zomwe zili mu malo otchedwa retroperitoneum, malo omwe ali kumbuyo kwa mimba yathu. Zili ngati chipsera chomwe chimapangika pakhungu lathu, koma zimachitika mkati mwa matupi athu. Chifukwa ndi vuto lomwe limayamba pang'onopang'ono, zizindikiro monga kupweteka ndi kuchepa kwa mkodzo zimatha kukulirakulira pakapita nthawi.
Chabwino, ndiye kodi retroperitoneum iyi ndi chiyani?
Ziwalo zambiri mkati mwa mimba yathu (monga chiwindi, m'mimba, ndi matumbo) zimazunguliridwa ndi nembanemba yoteteza yotchedwa peritoneum.
Malo omwe ali kumbuyo kwa peritoneum iyi, ku msana, amatchedwa retroperitoneum. Malo awa ndi omwe:
- Impso
- Zigawo za dongosolo la mkodzo
- Mitsempha ikuluikulu yamagazi yomwe imanyamula magazi kupita ndi kuchokera ku miyendo (monga inferior vena cava)
- Ziwalo zofunika monga adrenal glands zimapezeka pamenepo.
Kodi izi zimakhudza bwanji matupi athu?
Monga tanenera, fibrosis, kapena minofu ya chilonda, imawonjezeka pang'onopang'ono, zomwe zimakhudza ziwalo ndi ziwalo zina mu retroperitoneum.
Nthawi zambiri, izi zimakhudza kwambiri ureters, machubu omwe amanyamula mkodzo kuchokera ku impso zathu kupita ku chikhodzodzo. Tangoganizirani zomwe zimachitika minofu yokhuthalayo ikazungulira machubu awa ndikulimba? Zili ngati kufinya chitoliro cha madzi, kutseka kuyenda kwa mkodzo. Ngati vutoli likhala lalikulu,
mavuto omwe angawononge moyo monga kulephera kwa impso amatha kuchitika.
Ndani amene ali ndi mwayi waukulu wopeza retroperitoneal fibrosis?
Matendawa
amapezeka kwambiri mwa amuna azaka zapakati pa 40 ndi 60. Izi zikutanthauza kuti amuna azaka zapakati ali pachiwopsezo chachikulu. Kuphatikiza apo, pali zinthu zina zingapo zomwe zimayambitsa matendawa:
- Kwa iwo omwe amagwira ntchito ndi zinthu monga asbestos (chifukwa chokhudzidwa nazo).
- Kwa osuta fodya ndiKwa iwo omwe amagwiritsa ntchito zinthu zopangidwa ndi fodya .
Kodi n’chiyani chimayambitsa izi? Zifukwa za matenda a Ormond
Nthawi zambiri,
zimakhala zovuta kupeza chifukwa chenicheni cha izi. Mu zamankhwala, timachitcha kuti
idiopathic . Izi zikutanthauza "chifukwa chosadziwika." Komabe, pali zochitika zina pomwe zimachitika ngati zovuta za matenda ena. Zina mwa zifukwa zake ndi izi:
- Mankhwala ena (tikambirana za izi posachedwa).
- Mitundu ya khansa , makamaka Hodgkin lymphoma ndi non-Hodgkin lymphoma.
- Matenda opatsirana .
- Chithandizo cha radiation cha zinthu monga khansa.
- Kuwonongeka kwa minofu m'dera limenelo, kaya chifukwa cha opaleshoni kapena ngozi ina.
Ndi mitundu iti ya mankhwala yomwe ingayambitse izi?
Zapezeka kuti vutoli limatha kuchitika ngati mankhwala ena agwiritsidwa ntchito kwa nthawi yayitali. Nazi zitsanzo zingapo:
- Ma Beta- blockers ndi gulu la mankhwala omwe amagwiritsidwa ntchito pochiza matenda a mtima . Zitsanzo zake ndi propranolol, metoprolol, ndi atenolol.
- Mankhwala oletsa dopamine ndi mankhwala omwe amagwiritsidwa ntchito pochiza matenda amisala ndi nseru. Zitsanzo: methyldopa, pergolide.
- Mapiritsi a Hydralazine a kuthamanga kwa magazi.
- Mankhwala monga ergotamine, omwe amagwiritsidwa ntchito pochiza mutu waching'alang'ala.
- Mankhwala ena ochepetsa ululu, makamaka ochepetsa ululu ndi NSAIDs .
Chofunika: Ngati mukugwiritsa ntchito mankhwala amtunduwu, musachite mantha. Si aliyense amene angakumane ndi vutoli. Koma ndikofunikira kudziwa izi ndikukambirana ndi dokotala wanu za izi.
Kodi zizindikiro za izi ndi ziti?
Zizindikiro zimatha kusiyana malinga ndi munthu. Zimatengera komwe fibrosis ili komanso momwe ilili yoopsa.
Poyamba, mungamve kupweteka m'mimba, m'munsi mwa msana, kapena m'mbali mwa ntchafu. Ululu uwu ukhoza kukhala wosamveka bwino, zomwe zikutanthauza kuti n'zovuta kuzindikira "pano ndi apo," ndipo ukhoza kukhala kupweteka wamba. Zizindikiro zina ndi izi:
- N'zovuta kusuntha miyendo yanu ndikuyendayenda.
- Hydrocele: Iyi ndi vuto lomwe ma testicular a amuna amatupa.
- Kutupa kwa miyendo, kupweteka kwa miyendo, kapena kusintha kwa mtundu wa khungu pa miyendo.
- Kuchepa kwa mkodzo.
Kodi mavuto omwe angakhalepo chifukwa cha matenda a Ormond ndi ati?
Ngati retroperitoneal fibrosis ikupita patsogolo, zomwe zikutanthauza kuti minofu ya chilonda imawonjezeka ndikuyamba kufinya ziwalo, mavuto
osiyanasiyana angachitike. Ena mwa iwo ndi awa:
- Kuchepa kwa magazi m'thupi: Izi zikutanthauza kuchepa kwa maselo ofiira a magazi m'thupi, kapena kungoti "kusowa kwa magazi".
- Anuria: Iyi ndi vuto lomwe mkodzo sutuluka konse. Izi ndi zadzidzidzi.
- Thupi loyabwa.
- Jaundice: Kuoneka kwachikasu m'maso ndi pakhungu.
- Kusanza ndi kusanza.
- Mavuto a mitsempha.
- Kufa kwa minofu ya m'mimba (necrosis).
- Kuchepetsa thupi.
Kodi matenda a retroperitoneal fibrosis amapezedwa bwanji?
Ngati muli ndi zizindikiro izi, pitani kwa dokotala ndipo adzakuyesani. Izi zingaphatikizepo:
- Kuyezetsa thupi: Dokotala adzakhudza mimba yanu kuti aone ngati pali zotupa zachilendo.
- Kuyezetsa magazi: Kuyezetsa magazi kumeneku kumatha kuzindikira zizindikiro zoyambirira za matenda a impso ndi mavuto monga kuchepa kwa magazi m'thupi.
- Ultrasound ya impso (impso): Ngati zizindikiro zikusonyeza vuto la impso, mayesowa amatha kuwona fibrosis ndi mavuto ena.
- Kujambula kwa CT: Izi zitha kuyeza kuopsa kwa fibrosis. Zingathandizenso kuchotsa matenda ena, monga kutupa kwa ma lymph nodes m'mimba kapena zotupa zina.
Kodi ndikofunikira kuchita biopsy?
Nthawi zambiri, retroperitoneal fibrosis imatha kupezeka pogwiritsa ntchito mayeso a magazi ndi mayeso ojambulidwa omwe atchulidwa pamwambapa (ultrasound, CT scan). Komabe, nthawi zina zapadera
, biopsy ingafunike. Izi zikutanthauza kutenga chidutswa cha minofu ndikuchiyang'ana pansi pa maikulosikopu. Milandu yotereyi ikuphatikizapo:
- Ngati pali kukayikira kuti pali khansa kapena matenda.
- Ngati chithandizo choyamba sichinapambane.
Kodi ndi chithandizo chamtundu wanji chomwe ndikufunika?
Njira zabwino kwambiri zochiritsira matenda zimadalira malo ndi kuopsa kwa fibrosis. Poyamba matenda a Ormond, chithandizo chanu chingaphatikizepo:
- Mankhwala a Corticosteroids:Mankhwalawa amachepetsa kutupa m'thupi mwachangu ndikuletsa kukula kwa fibrosis.
- Mankhwala Oletsa Kutupa kwa Thupi: Mankhwalawa amagwira ntchito posintha momwe chitetezo cha mthupi chimagwirira ntchito. Izi zitha kuchepetsa chiopsezo cha fibrosis chomwe chingabwerenso mtsogolo. Komabe, popeza mankhwala oletsa kutupa kwa thupi amatha kutenga miyezi ingapo kuti agwire ntchito, amatha kuperekedwa limodzi ndi corticosteroids.
- Kusamalira mankhwala: Nthawi zina, ngati fibrosis imayamba chifukwa cha mankhwala omwe mukumwa, dokotala wanu angasinthe mankhwalawo kapena kuchepetsa mlingo wake.
Ngati fibrosis yapita patsogolo, mankhwala ena angafunike:
- Opaleshoni: Opaleshoni ingafunike kuchotsa minofu ya fibrotic ndikukonza kuwonongeka kulikonse kwa minofu yozungulira.
- Ma stenti: Monga tanenera kale, ngati ureter yatsekedwa, chipangizo chaching'ono chonga chubu (stent) chikhoza kuyikidwa mkati mwake kuti chikhale chotseguka.
Kodi tingapewe bwanji kukula kwa retroperitoneal fibrosis?
Popeza vutoli nthawi zambiri limakhala losazolowereka,
n'zovuta kupewa kotheratu. Komabe, popeza mankhwala ena amadziwika kuti ndi omwe amachititsa, dokotala wanu angakuyang'anireni ngati muli ndi zizindikiro za fibrosis, makamaka ngati mukumwa mankhwalawa kwa nthawi yayitali.
Kodi mwayi woti izi zichitikenso ungachepe mutalandira chithandizo?
Ngati mukuyenera kuchitidwa opaleshoni, nthawi zina minofu yamafuta imazungulira mkodzo panthawi ya opaleshoni. Izi zimanenedwa kuti zimapangitsa kuti zikhale zovuta kuti fibrosis ibwererenso.
Kodi ndidzakhala bwino nthawi yayitali bwanji?
Ngati mukumwa mankhwala monga corticosteroids, kapena mutalandira mankhwala
, mungayambe kumva bwino pakatha milungu ingapo. Komabe, ngati mukufuna ma immunomodulators, stents, kapena opaleshoni, zimatenga nthawi yayitali kuti muchire.
Kodi chiyembekezo cha anthu omwe ali ndi retroperitoneal fibrosis ndi chotani?
Anthu ambiri amachira mokwanira. Mwayi wabwino kwambiri wopeza chithandizo chabwino ndi
pamene matendawa apezeka msanga. Komabe, ndikofunikira kukumbukira kuti fibrosis imatha kubwereranso miyezi kapena zaka pambuyo pa chithandizo.
Kodi zimakhala bwanji kukhala ndi matenda a Ormond?
Kwa iwo omwe ali ndi matenda ocheperako,
muyenera kupitiliza kuyang'aniridwa ndi dokotala. Izi zikutanthauza kuti muyenera kuwona dokotala wanu nthawi zonse kuti muwone ngati zizindikiro za matendawa zabwerera.
Kodi chimachitika ndi chiyani pambuyo pa opaleshoni kuti akonze kutsekeka kwa mkodzo?
Hydronephrosis imachitika pamene, patangopita masiku ochepa kuchokera pamene opaleshoni yachitika, madokotala mwadzidzidzi amatulutsa mkodzo womwe wasonkhana mu impso zanu.Dziwani vuto lotchedwa "kusunga mkodzo." Pamene mkodzo womwe watsekeredwa m'thupi watuluka mwadzidzidzi, zotsatirazi zingachitike:
- Kusalinganika kwa ma electrolyte m'thupi.
- Kusowa madzi m'thupi.
- Kugwedezeka kwa magazi m'thupi (hypovolemic shock) (vuto lomwe limayamba chifukwa cha kuchepa kwa magazi m'thupi).
Matenda a Retroperitoneal fibrosis, kapena matenda a Ormond, ndi matenda omwe minofu yonga zipsera imapangika kumbuyo kwa mimba. Anthu omwe amamwa mankhwala enaake ali pachiwopsezo chachikulu chotenga matendawa. Ngati mwapezeka ndi matendawa, lankhulani ndi dokotala wanu za mafunso kapena nkhawa zomwe mungakhale nazo. Alipo kuti akuthandizeni.
Zinthu zofunika kwambiri kuzikumbukira (Uthenga Wopita Nawo Kunyumba)
Chabwino, tsopano tamvetsetsa bwino tanthauzo la Retroperitoneal Fibrosis.
Ngakhale kuti ndi vuto losowa, ndikofunikira kwambiri kulidziwa.- Kumbukirani, iyi ndi minofu yokhuthala yomwe imapangidwa mozungulira ziwalo zomwe ziyenera kukhala mkati mwa mimba, kulowera kumsana.
- Kawirikawiri zimakhudza ma ureter ndipo zimatha kuwononga impso.
- Choyambitsa matendawa nthawi zina sichimveka bwino, koma zinthu monga mankhwala ena, khansa, ndi matenda ena zimathanso kukhala zomwe zimayambitsa.
- Ndikofunikira kufunafuna upangiri wa dokotala ngati muli ndi zizindikiro monga kupweteka m'mimba/msana kosamveka bwino komanso kuchepa kwa kukodza.
- Pali mankhwala abwino ngati apezeka msanga. Choncho musanyalanyaze zizindikiro zake.
- Ngati muli ndi mafunso okhudza izi, musaope kufunsa dokotala wanu.
Tikukhulupirira kuti izi zikuthandizani. Khalani ndi thanzi labwino!
Retroperitoneal Fibrosis, matenda a Ormond, matenda a impso, kupweteka m'mimba, mavuto a mkodzo, fibrosis, opaleshoni
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