Kodi munayamba mwamvapo phokoso longa mpweya wochokera kumaliseche anu, ngati kugwedezeka? Mwina zinachitika panthawi yogonana kapena mukuchita masewera olimbitsa thupi. Ndi chinthu chomwe chimachitikira anthu ambiri, ndipo chimakhala chochititsa manyazi komanso chosasangalatsa. Koma chabwino kwambiri ndichakuti nthawi zambiri zimakhala zachilendo komanso zopanda vuto lililonse. Tiyeni tikambirane za izi poyera lero.
Kodi kutuluka kwa nyini kumeneku n’chiyani?
Mwachidule, apa ndi pamene mpweya womwe uli mkati mwa nyini mwanu umatuluka mwadzidzidzi. Izi sizinthu zomwe mungathe kuzilamulira. Mpweya uwu ukatuluka, umapanga phokoso ngati mpweya wotuluka m'malungo mwathu (nthawi zambiri timati 'kusiya'). Ndicho chifukwa chake anthu ambiri amachita manyazi nazo.
Koma kusiyana kwakukulu apa ndikuti mpweya wotuluka mu nyini ulibe fungo lililonse. Chifukwa chake ndi chakuti mpweya uwu si mpweya wochokera m'mimba mwathu. Uwu ndi mpweya woyera basi. Choncho palibe chifukwa chomvera chisoni chilichonse pankhaniyi.
N’chifukwa chiyani izi zikuchitika? Kodi zifukwa zazikulu ndi ziti?
Tangoganizirani, nyini ndi chubu chopangidwa ndi minofu. Chifukwa cha zochita zina, mpweya ukhoza kulowa mu chubuchi. Njira yokhayo ya mpweya womwe walowa ndi kudzera mu nyini kachiwiri. Ndi pamene ukutuluka ndipo umamva phokosolo. Pali zifukwa zingapo zazikulu zomwe zimakhudza izi.
- Kuchita zogonana: Ichi ndi chifukwa chofala kwambiri. Panthawi yogonana, mpweya ukhoza kukankhidwira mu nyini pamene mbolo, chidole chogonana, kapena chala chalowetsedwa ndikuchotsedwa. Chimachitikanso kwambiri m'malo ena ogonana.
- Kugwiritsa Ntchito Ma Tamponi Kapena Makapu a Msambo: Kuyika tampon kapena chikho cha msambo mu nyini panthawi ya msambo kungayambitsenso kuti mpweya utseke. Mukawachotsa, mpweya wotsekeredwawo umatuluka ndi phokoso.
- Minofu yofooka ya pansi pa chiuno: Minofu yomwe ili m'chiuno mwathu yomwe imathandizira ziwalo monga chiberekero ndi chikhodzodzo imatchedwa minofu ya pansi pa chiuno. Minofu imeneyi imatha kufooka chifukwa cha kubereka, kusamba, kapena zifukwa zina. Izi zikachitika, zimakhala zosavuta kuti mpweya ulowe ndikutuluka mu nyini. Vutoli limatchedwanso "kulephera kugwira ntchito kwa pansi pa chiuno".
- Kuyezetsa matenda a akazi: Dokotala akamayesa nyini yanu, amagwiritsa ntchito chipangizo chotchedwa speculum kuti ayang'ane mkati. Mpweya umatha kulowa ukalowetsedwa. Choncho ndi zachilendo kuti mpweya uwu utuluke mukamaliza kuyezetsa.
- Kuchita masewera olimbitsa thupi: Pa nthawi ya masewera olimbitsa thupi monga yoga, masewera olimbitsa thupi, komanso kuthamanga, matupi athu amatambasula, zomwe zimapangitsa kuti nyini itsegule pang'ono, zomwe zimapangitsa kuti mpweya ulowe.
- Fistula ya m'mimba: Iyi ndi matenda oopsa kwambiri omwe amafunika chisamaliro. Fistula ndi kulumikizana kosazolowereka pakati pa nyini ndi chiwalo china m'mimba kapena mkodzo, monga chikhodzodzo, rectum, kapena rectum. Izi zitha kuchitika chifukwa cha opaleshoni, kuvulala panthawi yobereka, kapena matenda ena.
Gome ili m'munsimu limatithandiza kumvetsetsa bwino kusiyana pakati pa zifukwa zofalazi ndi matenda akuluakulu omwe amafunika chisamaliro.
| Khalidwe / Choyambitsa | Kufotokozera ndi zomwe muyenera kudziwa |
|---|---|
| Zochitika zomwe nthawi zambiri siziyenera kuopedwa | |
| Kuchita masewera olimbitsa thupi/zogonana | Nthawi imeneyi n'zofala kwambiri kutulutsa mpweya. Palibe fungo. Palibe ululu. Izi ndi zachilendo. |
| Kufooka kwa minofu ya m'chiuno | Zitha kuchitika munthu akabereka kapena akakalamba. Ngati palibe fungo kapena ululu , nthawi zambiri sikoyenera kuda nkhawa. Komabe, kuchita masewera olimbitsa thupi kungathandize kulimbitsa minofu. |
| Nthawi yoti mupeze chithandizo chamankhwala mwachangu (zizindikiro za matenda a fistula) | |
| Fungo lamphamvu | Ngati mpweya wotuluka uli ndi fungo lamphamvu , lofanana ndi fungo la ndowe, mwina chifukwa cha kugwirizana (fistula) pakati pa nyini ndi matumbo. |
| Kutuluka kwa mkodzo kapena ndowe | Ngati chinthu monga mkodzo kapena ndowe zatuluka m'maliseche pamodzi ndi mpweya, ndi chizindikiro chodziwikiratu cha fistula. |
| Ululu ndi matenda opatsirana | Ngati mukumva kupweteka m'mimba kapena m'mimba kapena matenda opatsirana pafupipafupi m'njira ya mkodzo (UTIs), pitani kwa dokotala nthawi yomweyo. |
Chenjezo lofunika kwambiri: Musapume mpweya mwadala kapena kulowetsa mpweya mu nyini pazifukwa zilizonse, ngakhale ngati nthabwala. Izi zitha kukhala zoopsa kwambiri. Ngati mutero, thovu la mpweya likhoza kulowa m'mitsempha yamagazi ndikuyambitsa matenda oopsa otchedwa "air embolism."
Kodi njira zochiritsira ndi zopewera izi ndi ziti?
Monga tafotokozera pamwambapa, kutuluka kwa madzi m'mimba mwa mkazi ndi chinthu chachibadwa, choncho nthawi zambiri sikufuna chithandizo chapadera. Komabe, ngati kukuchitikirani pafupipafupi ndipo kukusokonezani moyo wanu, pali zinthu zingapo zomwe mungachite.
Kulimbitsa minofu ya m'chiuno (Maseŵero a Pansi pa Pelvic)
Yankho labwino kwambiri pa izi ndikuchita masewera olimbitsa thupi omwe amalimbitsa minofu ya pansi pa chiuno. Timatchanso kuti ``Kegels```.
Momwe mungachitire masewera olimbitsa thupi a Kegel: Tangoganizirani kuti mukuyenera kukodza ndipo mukuyesera kuletsa. Iyi ndi minofu yomwe mumalimbitsa panthawiyo.
- Gwirani minofuyo mwamphamvu kwa masekondi 5-10.
- Kenako masulani minofu kwathunthu.
- Chitani izi kangapo patsiku, pafupifupi nthawi 10-15 panthawi imodzi.
Ngati simukudziwa bwino momwe mungachitire masewerowa, mutha kufunsa katswiri wa physiotherapist kapena dokotala wanu.
Njira zina
- Kusintha malo ogonana: Ngati mukuona kuti izi zimachitika kwambiri panthawi inayake yogonana, mutha kuchepetsa mwa kupewa malo amenewo kapena kuyesa malo ena.
- Chithandizo cha fistula: Ngati dokotala wanu atsimikiza kuti muli ndi fistula, nthawi zambiri imafunika kuchitidwa opaleshoni.
Kodi ndiyenera kupita kwa dokotala liti?
Kawirikawiri, izi sizimafuna kukaonana ndi dokotala. Komabe, ngati muli ndi zizindikiro zotsatirazi, onetsetsani kuti mwawonana ndi dokotala wa matenda a akazi kapena dokotala wa banja lanu.
- Ngati kutuluka kwa madzi m'mimba kuli ndi fungo lamphamvu (monga fungo la ndowe).
- Ngati mukumva kupweteka mkati kapena mozungulira nyini panthawi yogonana.
- Ngati chinthu monga mafinya kapena ndowe zatuluka mu nyini.
- Ngati muli ndi matenda a mkodzo pafupipafupi (UTIs).
- Kutuluka kwa mpweya sikukhudzana ndi kugonana kapena kuchita masewera olimbitsa thupi,Ngati zimachitika kawirikawiri.
Pa nthawi ngati iyi, dokotala adzakuyang'anirani ndikuyang'ana matenda aliwonse omwe angayambitse vutoli.
Uthenga Wopita Nawo Kunyumba
- Kutuluka kwa madzi m'mimba mwa akazi ndi chinthu chofala kwambiri ndipo nthawi zambiri chimakhala chosavulaza akazi ambiri. Chimachitika makamaka panthawi yogonana komanso masewera olimbitsa thupi.
- Mpweya uwu ndi wopanda fungo, chifukwa suchokera m'mimba, koma ndi mpweya basi.
- Kuchita masewera olimbitsa thupi a Kegel, omwe amalimbitsa minofu ya m'chiuno, kungathandize kuchepetsa vutoli.
- Ngati mukumva zizindikiro monga fungo lamphamvu m'magazi anu, kupweteka, kapena kutuluka magazi kosazolowereka kumaliseche, funsani dokotala nthawi yomweyo chifukwa izi zitha kukhala chizindikiro cha fistula.
- Musamapumire mpweya mwadala mu nyini. Zitha kukhala zoopsa pa moyo.
👩🏽⚕️ Mafunso ena (Mafunso Ofunsidwa Kawirikawiri)
💬 Mapiritsi a Quinidine ndi mankhwala amphamvu kwambiri komanso akale omwe amagwiritsidwa ntchito pochiza matenda ati?
Iyi si mankhwala wamba! Iyi ndi mankhwala akale kwambiri odziwika (Class 1A Antiarrhythmic / otengedwa kuchokera ku khungwa la mtengo wa Cinchona) padziko lonse lapansi. Amaperekedwa kuti athetse kugunda kwa mtima komwe kumawopseza moyo, kosazolowereka/kofulumira m'zipinda zapamwamba za mtima (Atrial Fibrillation) kapena m'zipinda zapansi (Ventricular Arrhythmias) ndikubwezeretsa mtima ku 'normal rhythm', ndikuchiza malungo.
💬 Mtima ukakhala kuti ukugunda kwambiri, kodi umatha bwanji kusintha kagwiridwe ka mtima mwa kupereka mankhwala awa (Quinidine)?
Mtima umagunda mofulumira chifukwa cha magetsi (Action Potentials)! Pa kugunda koyamba, tinthu ta 'Sodium' tiyenera kulowa kuti tiwongolere maselo. Piritsi ili likalowa mumtima, limatseka ndikutseka zipata zonse zomwe zimalola sodium kulowa. Kuphatikiza apo, limawonjezera nthawi yomwe maselo amawongolere ndikuyambiranso/kupumulanso (mwa kutseka calcium ndi potaziyamu) ndikuyichedwetsa (Kumawonjezera mphamvu ya zochita/nthawi ya QT)! Kenako mtima sungagunde mofulumira ndipo kamvekedwe kake kamachepetsa.
💬 Kodi ndi zifukwa ziti zomwe zingayambitse Cinchonism ndi 'Black Box Chenjezo' zomwe anthu omwe akumwa mankhwalawa (Quinidine) ayenera kudziwa?
Choopsa chachikulu ndichakuti izi zimayambitsa vuto la mtima, ndipo mukangomwa mapiritsi angapo, mutha kukhala ndi mtima watsopano (Torsades de pointes / Proarrhythmia) ndipo wodwalayo akhoza kufa mwadzidzidzi (Death risk)! Matenda ena ovutitsa kwambiri amakhudza thupi lonse! Mukamwa izi, mutha kukhala ndi 'Cinchonism' syndrome yoopsa yokhala ndi 'tinnitus', chizungulire, kusawona bwino komanso nseru.
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