Tangoganizirani kuti mwangomaliza kugwiritsa ntchito chimbudzi, mukumva ngati mwatulutsa madzi m'mimba mwanu. Komabe, patangopita mphindi zochepa, mukumva kupanikizika kosalekeza komanso kufunikira kobwerera mwamsanga—ngakhale kuti, ngakhale mutavutike bwanji, palibe chomwe chikuchitika. Kodi mukulimbana ndi vutoli? M'mawu azachipatala, timatcha Tenesmus . Si vuto la kanthawi kochepa chabe; ndi thupi lanu lomwe likuwonetsa kuti pali vuto linalake lomwe likufunika chisamaliro.
Kodi Tenesmus kwenikweni ndi chiyani?
Mwachidule, Tenesmus ndi kumverera kosalekeza kofuna kutulutsa matumbo anu kapena chikhodzodzo, ngakhale mutamaliza kale ndipo palibe chomwe chatsala. Mutha kumva kupweteka m'mimba, kupweteka m'mimba, kapena kumva kulemera, nthawi zambiri kumayenderana ndi chilakolako chofuna kupsinjika mwadzidzidzi.
Vutoli nthawi zambiri limapezeka m'njira ziwiri:
1. Rectal Tenesmus: Izi zikugwirizana ndi mayendedwe a m'mimba. Ndikumva kuti matumbo anu sali opanda kanthu, ngakhale mutangomaliza kumene kuchita chopondapo.
2. Vesical Tenesmus: Izi zikugwirizana ndi kukodza. Ndikumva ngati chikhodzodzo chanu chikudzazabe ndipo muyenera kukodzanso nthawi yomweyo, ngakhale mutatulutsa chikhodzodzo chanu.
Chofunika kwambiri n'chakuti, Tenesmus si vuto lachibadwa. Ndi chizindikiro cha vuto linalake lachipatala. Chifukwa chake, simuyenera kulinyalanyaza.
Kodi n’chiyani chimayambitsa Rectal Tenesmus?
Pali magulu awiri akuluakulu a zifukwa zomwe zimayambitsa rectal tenesmus: kutupa ndi kudzimbidwa. Tiyeni tiwone izi mwatsatanetsatane.
| Gulu | Kufotokozera ndi Zitsanzo |
|---|---|
| Kutupa | Izi zimachitika pamene gawo la m'mimba mwanu (m'matumbo ndi m'matako) latupa ndipo layamba kuoneka ngati lofooka. Pamene ndowe zikudutsa, zimatha kupanga kumva ngati zadzaza, ndipo mitsempha yokwiya imatumiza uthenga ku ubongo wanu woti muyenera kuchita chimbudzi, ngakhale simukuyenera kuchita zimenezo. Zomwe Zimayambitsa: |
| Kudzimbidwa | Ngati chopondapo cholimba komanso chodzimbidwa chikutsalira m'matumbo, chimalimbitsa makoma a matumbo nthawi zonse. Izi zimakupangitsani kumva ngati matumbo anu alibe kanthu, zomwe zimapangitsa kuti muyambe kulakalaka kupita. Zifukwa za Kudzimbidwa: |
Kodi n’chiyani chimayambitsa Vesical Tenesmus?
Ngati mukumva chilakolako chofuna kukodza ngakhale mutamaliza, nthawi zambiri zimakhala chifukwa cha njira zofanana. Izi zitha kuchitika ngati mkodzo ukukhalabe m'chikhodzodzo kapena ngati pali kutupa kapena matenda m'njira ya mkodzo.
| Gulu | Kufotokozera ndi Zitsanzo |
|---|---|
| Kutulutsa Chikhodzodzo Chosakwanira | Ngati chikhodzodzo chanu sichingathe kutulutsa madzi onse pazifukwa zilizonse, mkodzo wotsalawo umalimbikitsa minofu ya chikhodzodzo, zomwe zimapangitsa kuti mukhale ndi chilakolako chofuna kukodza nthawi zonse. Zifukwa: |
| Kutupa/Matenda a Mkodzo | Pamene njira ya mkodzo yatupa, imakhala yovuta kwambiri, zomwe zimapangitsa kuti mitsempha iyambe kugwira ntchito komanso kuti munthu azilakalaka nthawi zonse. Zifukwa: |
Kodi pali kugwirizana pakati pa kupsinjika maganizo ndi vutoli?
Inde, pali mgwirizano. Ngakhale kuti kupsinjika maganizo kapena nkhawa sizimayambitsa Tenesmus zokha , zimatha kukulitsa mavuto omwe amabwera chifukwa cha kupsinjika maganizo. Mukapanikizika, dongosolo lanu la mitsempha limasintha, zomwe zimapangitsa kuti thupi lanu likhale lovuta kulamulira minofu. Izi zitha kuwonjezera minofu yolumikizana ndi Tenesmus. Kuphatikiza apo, kukhala ndi zizindikiro zosathazi kumatha kutopa kwambiri.
Kodi Tenesmus amachiritsidwa bwanji ku Nirogi Lanka?
Ngati mukukumana ndi zizindikiro izi, chinthu chofunika kwambiri ndikufunsa dokotala . Dokotala wanu adzakufufuzani bwino kuti adziwe chomwe chimayambitsa vutoli. Njira zodziwira matenda nthawi zambiri zimaphatikizapo:
- Kuyezetsa kwa digito kwa rectum: Kuwunika thupi la rectum.
- Anoscopy/Flexible Sigmoidoscopy: Pogwiritsa ntchito chubu chaching'ono, chowala kuti muone rectum ndi m'mimba.
- Colonoscopy: Kufufuza kwathunthu kwa matumbo onse akuluakulu.
Chimene chikuyambitsa vutoli chikadziwika, dokotala wanu ku Nirogi Lanka adzapanga dongosolo la chithandizo logwirizana ndi zosowa zanu.
- Kuchiza vuto lomwe limayambitsa matendawa: Ngati matenda ndi omwe amayambitsa matendawa, maantibayotiki angapatsidwe. Pa kudzimbidwa kwambiri, mankhwala enaake othandizira matumbo angagwiritsidwe ntchito. Nthawi zina, opaleshoni ingafunike.
- Kuchiza kutupa: Mankhwala monga corticosteroids angagwiritsidwe ntchito kuchepetsa kutupa bwino.
- Kuthana ndi zizindikiro za m'matumbo: Mankhwala omwe amachepetsa ululu ndi kuchepetsa kutupa amatha kuperekedwa mwachindunji kudera la m'matumbo pogwiritsa ntchito ma suppositories.
- Kulimbana ndi kupindika kwa minofu: Kuti muchepetse kupindika kwa minofu kosafunikira, dokotala wanu angapereke mankhwala oletsa cholinergics kapena antispasmodics .
- Kuthana ndi zizindikiro zokhudzana ndi khansa:Kuthana ndi vuto la tenesmus lomwe limayambitsidwa ndi khansa n'kovuta. Kutengera ndi momwe zinthu zilili, kuchepetsa ululu kapena opaleshoni kungafunike.
Kodi muyenera kupita kwa dokotala nthawi yomweyo liti?
Nthawi zonse kambiranani za thanzi lanu ndi dokotala wanu. Komabe, ngati mukukumana ndi zizindikiro zotsatirazi zoopsa, pitani kuchipatala nthawi yomweyo .
Ngati mukumva malungo , nseru ndi kusanza , kupweteka kwambiri , kapena magazi m'chimbudzi chanu kapena mkodzo , funani chithandizo chamankhwala mwachangu. Pitani ku dipatimenti yazadzidzidzi yachipatala chapafupi (ER) ngati pakufunika kutero.
Kukhala ndi vuto lamtunduwu n'kovuta. Musachite manyazi kulankhula ndi dokotala wanu ku Nirogi Lanka. Musavutike chete. Tenesmus ndi chizindikiro cha vuto lomwe limafuna thandizo lachipatala. Ngakhale chifukwa chake ndi matenda osatha omwe sangachiritsidwe (monga IBD), ndi chithandizo choyenera, mutha kuthana ndi zizindikirozi ndikukhala ndi moyo wabwinobwino komanso wathanzi.
Mfundo Zofunika Kwambiri
- Tenesmus si matenda okha, koma chizindikiro cha vuto linalake.
- Kusasangalala kumeneku kungagwirizane ndi mayendedwe am'mimba (m'matumbo) kapena kukodza (vesical).
- Ndikofunikira kuzindikira ndi kuchiza chomwe chimayambitsa vutoli; musanyalanyaze zizindikiro izi.
- Fufuzani thandizo lachipatala mwamsanga ngati muli ndi malungo, ululu waukulu, kapena mukuona magazi m'ndowe kapena mkodzo wanu.
👩🏽⚕️ Mafunso Ofunsidwa Kawirikawiri (Mafunso Ofunsidwa Kawirikawiri)
💬 Kodi Disopyramide (Norpace) ndi mankhwala amphamvu kwambiri ochizira matenda wamba?
Iyi ndi mankhwala apadera, osati ogwiritsidwa ntchito nthawi zambiri. Ndi mankhwala amphamvu a Class 1A oletsa kupweteka kwa mtima omwe amagwiritsidwa ntchito pazochitika zinazake zoopsa—monga pamene mitsempha ya mtima imayamba kugunda mosalamulirika kapena mwachangu—kubwezeretsa kayendedwe ka mtima kabwinobwino ndikupewa mavuto omwe angawopseze moyo.
💬 Kodi Disopyramide imalamulira bwanji kayendedwe ka mtima panthawi ya arrhythmia yoopsa?
Kuti mtima ugwire bwino, ma sodium ion ayenera kulowa m'maselo. Disopyramide imagwira ntchito ngati choletsa njira ya sodium pang'ono, zomwe zimaletsa izi. Imawonjezeranso gawo la repolarization (kutseka kwa potaziyamu) kwa kayendedwe ka magetsi a mtima. Pamodzi, izi zimakhazikitsa mphamvu zamagetsi zosasinthasintha komanso kusintha kwa kugunda kwa mtima.
💬 Kodi zotsatira za mankhwala oletsa choleretic ndi machenjezo a Black Box kwa odwala a Norpace ndi ziti?
Mankhwalawa angayambitse zotsatira zoyipa kwambiri za anticholinergic, kuphatikizapo pakamwa pouma, kusunga mkodzo, kusawona bwino, komanso kudzimbidwa kwambiri. Chofunika kwambiri, ali ndi zotsatira zoyipa za inotropic, zomwe zikutanthauza kuti amatha kufooketsa mphamvu ya mtima yopopa. Kwa odwala omwe ali ndi vuto la mtima lomwe lilipo kale, mankhwalawa ali ndi chiopsezo chachikulu chowonjezera vutoli ndipo, chifukwa cha kuthekera kwake kopitilira muyeso, ayenera kuyang'aniridwa mosamala kuti apewe zochitika zomwe zingawopseze moyo.
