Kupweteka kwambiri m'mimba mukalandira chithandizo cha khansa? Kodi kungakhale typhlitis?

Mwina mukulandira chithandizo cha khansa. Kapena mwina chitetezo chamthupi chanu chili chofooka. Nthawi zina ngati izi, mavuto osiyanasiyana azaumoyo angabuke. Lero tikambirana za vuto ngati ili, makamaka lokhudzana ndi matumbo, lomwe ndi lalikulu pang'ono, koma lingathe kuthetsedwa bwino ngati litapezeka msanga . Ichi ndi chomwe timachitcha Typhlitis.

Kodi Typhlitis ndi chiyani? Mwachidule...

Mwachidule, Typhlitis ndi kutupa kwakukulu kwa m'mimba mwathu, ndiko kuti, matumbo. Kutupa kumeneku kungayambitse matenda a bakiteriya ndi bowa. Ngakhale kuti vutoli ndi losowa, limapezeka kwambiri mwa anthu omwe akulandira mankhwala amphamvu a chemotherapy, makamaka mitundu ina ya khansa ya m'magazi (monga khansa ya m'magazi, khansa ya m'magazi, ndi khansa ya m'magazi yambiri).

Taganizirani matumbo athu ngati chubu chachitali. Matenda a typhlitis amatha kukhudza mbali zosiyanasiyana za matumbo awa:

• Vutoli limapezeka kwambiri mu cecum, gawo la matumbo akulu.
• Kuphatikiza apo, colon yokwera
• Ndipo ileum, yomwe ndi gawo la matumbo ang'onoang'ono, ingakhudzidwenso.

Madokotala nthawi zina amagwiritsa ntchito mayina ena pa vuto limeneli, monga neutropenic enterocolitis , typhlenteritis, kapena ileocecal syndrome. Koma onsewa amanena za vuto lomwelo.

Ndani ali pachiopsezo cha matenda a typhlitis?

Chiwopsezo ichi sichili cha anthu okhawo omwe akulandira chithandizo cha khansa, komanso cha anthu ena angapo.

• Anthu omwe ali ndi kachilombo ka HIV/AIDS amatha kudwala malungo a typhoid.
• Komanso, anthu omwe amamwa mankhwala oletsa chitetezo chamthupi , mwachitsanzo, omwe adasamutsidwapo maselo oyambira/mafupa, kapena omwe adasamutsidwapo ziwalo zina, ali pachiwopsezo chotenga vutoli.

Ngakhale vutoli likhoza kukhala pachiwopsezo , ndikofunikira kukumbukira kuti lingathe kuchiritsidwa ngati zizindikiro zapezeka msanga ndipo chithandizo chimayamba mwachangu.

Kodi zizindikiro za typhlitis ndi ziti?

Zizindikiro za typhlitis nthawi zina zimamveka ngati kupweteka m'mimba kapena kachilombo ka m'mimba. Koma sizili ngati kupweteka m'mimba kokha. Zizindikiro zodziwika bwino ndi izi:

• Kupweteka kwambiri m'mimba ndi kupweteka m'mimba
• Mimba yotupa/ yotupa
• Kutsegula m'mimba
• Malungo
• Kusanza ndi kusanza

Tangoganizirani munthu wina dzina lake Nimali, yemwe akulandira chithandizo cha mankhwala a khansa ya m'magazi. Mwadzidzidzi, amayamba kupweteka kwambiri m'mimba, kutentha thupi, komanso kusanza. Akuganiza kuti mwina wadya chakudya choopsa. Koma ngati zizindikirozi sizikutha patatha masiku awiri kapena atatu, ndikofunikira kwambiri kufunafuna upangiri wa dokotala nthawi yomweyo . Chifukwa mwina ndi Typhlitis.

N’chifukwa chiyani matenda a typhlitis amapezeka? Kodi zimayambitsa chiyani?

Ofufuza amakhulupirira kuti malungo a typhoid amayamba chifukwa cha zinthu zosiyanasiyana. Zinthu zitatu zazikulu ndi izi:

1. Mucositis: Uku ndi kutupa kwa nembanemba ya mucous yomwe ili mkati mwa matumbo athu akuluakulu ndi ang'onoang'ono. Monga momwe zilonda zingapangikire mkamwa mwathu, zilonda ndi kutupa zimathanso kuchitika m'matumbo. Izi zitha kuchitika makamaka ngati zotsatira zoyipa za mankhwala monga chemotherapy.

2. Neutropenia: Neutropenia ndi kuchepa kwa mtundu wa maselo oyera a m'magazi otchedwa neutrophils. Ma neutrophils awa ali ngati asilikali ofunikira mu chitetezo chathu chamthupi . Ndiwo omwe amalimbana ndi matenda. Chemotherapy ingayambitse kuchepa kwa ma neutrophils awa.

3. Chitetezo chamthupi chofooka: Mankhwala a khansa (monga chemotherapy) ndi matenda monga HIV/AIDS akhoza kufooketsa chitetezo chamthupi chathu chonse.

Tsopano tiyeni tiwone momwe izi zimachitikira. Choyamba, mucositis imawononga mkati mwa matumbo. Izi zimalola mabakiteriya oipa ndi bowa kulowa mosavuta m'matumbo . Panthawiyo, ngati thupi lathu lili ndi ma neutrophils ochepa (neutropenia) ndipo chitetezo cha mthupi chili chofooka, thupi silingathe kulimbana ndi olowa awa. Zotsatira zake zimakhala matenda oopsa komanso zovuta zomwe zingakhale zoopsa kumoyo. Zitsanzo:

• Kutuluka magazi m'mimba
• Kuboola kwa m'mimba
• Sepsis ndi septic shock - Iyi ndi matenda oopsa omwe amafalikira mthupi lonse.

Kodi ndi tizilombo toyambitsa matenda titi timene timayambitsa typhlitis?

Kafukufuku wapeza kuti mitundu yosiyanasiyana ya mabakiteriya ndi bowa (omwe timawatcha kuti tizilombo toyambitsa matenda) angayambitse typhlitis. Mitundu ina yodziwika bwino ya mabakiteriya ndi iyi:

• *Clostridium septicum*
• *Enterococci*
• *Enterobacteria yopanda gramu*
• *Pseudomonas aeruginosa*
• *Staphylococcus aureus*
• *Streptococcus*

Komanso, mitundu yofala kwambiri ya bowa ndi iyi:

• *Aspergillus*
• *Candida*

Izi zingawoneke ngati zovuta pang'ono, koma madokotala amadziwa za izi kotero simuyenera kuda nkhawa kwambiri. Chofunika ndikumvetsetsa kuti mitundu iyi ya majeremusi ndi yomwe imapangitsa vutoli kukhala lalikulu.

Kodi madokotala amazindikira bwanji typhlitis?

Ngati muli ndi zizindikiro zomwe zatchulidwa pamwambapa, dokotala wanu adzayamba wakuyezani kaye. Kenako adzakufunsani mafunso okhudza mbiri yanu yachipatala. Mwachitsanzo, adzakufunsani ngati mwalandira chithandizo cha khansa, mwaikidwa maselo oyambira kapena mwaikidwa ziwalo zina, komanso ngati muli ndi kachilombo ka HIV/AIDS. Kuphatikiza apo, mayeso a magazi ndi mayeso apadera ojambulira zithunzi angachitike.

Kuyezetsa magazi

Dokotala akhoza kulamula kuyezetsa magazi motere:

• Kuchuluka kwa Magazi Okwanira (CBC): Izi zitha kuyang'ana zinthu monga kuchuluka kwa neutrophil.
• Mayeso a ntchito ya impso
• Mayeso a ntchito ya chiwindi
• Kuyesa kwa nthawi ya prothrombin: Onani magazi oundana.

Mayeso ojambula zithunzi

Mayeso ofala kwambiri omwe amagwiritsidwa ntchito pa izi ndi CT scan (Computed Tomography - CT scan) . Kujambula kumeneku kumatha kuwona ngati makoma a m'matumbo anu ndi okhuthala kuposa masiku onse. Kukhuthala kumeneku kwa makoma a m'matumbo kumachitika chifukwa cha kutupa.

Kodi typhlitis imachiritsidwa bwanji?

Palibe mankhwala ofanana a malungo a typhoid. Mkhalidwe wa aliyense ndi wosiyana. Koma kawirikawiri, cholinga chachikulu cha chithandizo ndikuwongolera matendawa ndikuthandizira chitetezo cha mthupi lanu . Mungafunike kuphatikiza mitundu yosiyanasiyana ya chithandizo. Nazi zina mwa njira zodziwika bwino:

• Mankhwala opha tizilombo toyambitsa matenda: Kuletsa matenda a bakiteriya. Mankhwala opha bowa angaperekedwenso.
• Kuika magazi: Ngati muli ndi kuthamanga kwa magazi kochepa.
• Kuchotsa kupanikizika kwa m'mimba: Opaleshoni yochitidwa kuti muchepetse kupanikizika m'mimba ngati kuli kokwera kwambiri.
• Granulocyte Colony-Stimulating Factor (G-CSF): Iyi ndi katemera woperekedwa kuti awonjezere kuchuluka kwa neutrophil.
• Madzi olowa m'mitsempha (madzi olowa m'mitsempha): Amateteza thupi kuti lisasowe madzi okwanira m'thupi ndipo amapatsa thupi madzi omwe limafunikira.
• Zakudya Zonse za Parenteral (TPN): Izi zimaphatikizapo kupatsa mpata kugaya chakudya, kulola kuti chichiritse, kenako n’kupereka zakudya zofunikira mwachindunji kudzera m’mitsempha.

Ngati mukulandira chithandizo cha khansa, dokotala wanu wa khansa angasinthe chithandizo chanu cha khansa mpaka mutachira ku typhlitis. Ngati typhlitis imayambitsa kubooka kwa matumbo, opaleshoni ingafunike.

Kodi chiwerengero cha anthu akufa ndi chotani? Kodi tiyenera kuopa?

Matenda a typhoid ndi matenda oopsa kwambiri, omwe angathe kupha anthu . Nthawi ina, pafupifupi aliyense amene anadwala matenda a typhoid anamwalira chifukwa cha mavuto monga sepsis. Koma sizili choncho . Popeza anthu ambiri apezeka msanga komanso kulandira chithandizo mwamsanga, tsopano akuchira matenda a typhoid. Kafukufuku waposachedwapa wasonyeza kuti anthu oposa 60% omwe ali ndi matenda a bowa omwe amayamba chifukwa cha matenda a typhoid anachira atalandira chithandizo. Chifukwa chake, ndikofunikira kukhala ndi chiyembekezo .

Ndiyenera kupita liti kwa dokotala wanga?

Zizindikiro za Typhlitis zingawoneke ngati mavuto ena ofala kwambiri m'matumbo mwanu. Koma monga tanenera kale, zizindikiro za Typhlitis si kungopweteka m'mimba. Ngati muli ndi zizindikiro izi, pitani kwa dokotala popanda kukayikira :

• Malungo
• Kusanza ndi kusanza
• Kupweteka kwambiri m'mimba ndi kupunduka

Kukhala ndi zizindikiro izi sizikutanthauza kuti muli ndi matenda a typhoid kachiwiri, koma nthawi zonse ndi bwino kulankhula ndi dokotala wanu ngati muwona kusintha kulikonse m'thupi lanu.

Ndi mafunso ati omwe ndiyenera kufunsa dokotala wanga?

Mwina muli ndi Typhlitis chifukwa cha matenda omwe amakhudza chitetezo chamthupi chanu, kapena chifukwa choti mukulandira chithandizo cha khansa. Nazi mafunso ena omwe mungafunse dokotala wanu:

• Kodi mungandiuze chifukwa chake ndinadwala matenda a Typhlitis?
• Kodi n'zotheka kuti izi zichitikenso?
• Kodi ndiyenera kusiya kulandira chithandizo cha khansa?

Kuchiza matenda aakulu monga khansa kapena HIV/AIDS kungakhale ngati kukwera phiri. Pamene mukukumana ndi mavuto monga zotsatirapo za chithandizo, cholinga chochira ndicho chomwe chimakupangitsani kupitiriza. Pamene vuto latsopano la thanzi monga typhlitis labuka, likhoza kumveka ngati phiri lina loti mukwere. Koma kumbukirani, pali mankhwala omwe angachiritse typhlitis.

Ngakhale zili choncho, mungamve ngati mwataya mtima. Mungadabwe kuti mudzathetsa bwanji vuto latsopanoli ndikuyambiranso kuchira kwanu. Gulu lanu lachipatala likumvetsa momwe matenda atsopano angakulepheretseni. Adzayankha mafunso anu okhudza chithandizo cha typhlitis ndi momwe chingakhudzire kuchira kwanu.

Pomaliza, zinthu zoti muzikumbukira (Uthenga Wopita Nawo Kunyumba)

Matenda a typhlitis ndi owopsa, koma amatha kuchiritsidwa ngati atapezeka msanga ndikuchiritsidwa bwino.

• Ndikofunikira kwambiri kwa iwo omwe akulandira chithandizo cha chemotherapy, omwe ali ndi kachilombo ka HIV/AIDS, komanso omwe akumwa mankhwala oletsa chitetezo chamthupi kuti adziwe izi.
• Ngati mukumva zizindikiro monga kupweteka kwambiri m'mimba, kutentha thupi, ndi kusanza, musaganize kuti ndi kupweteka m'mimba kokha ndipo pitani kwa dokotala nthawi yomweyo.
• Tsatirani malangizo a dokotala molondola. Musasiye chithandizo pakati.
• Khalani olimba mtima. Gulu lanu lachipatala lidzakuthandizani.

Ndikukhulupirira kuti izi zikuthandizani. Khalani ndi thanzi labwino!

Matenda a typhlitis, kutupa kwa matumbo, zotsatira zoyipa za mankhwala a khansa, neutropenia, chemotherapy, kusokonezeka m'mimba, malungo