Kodi muli ndi mizere yofanana ndi ya mavwende m'mimba mwanu? Tiyeni tikambirane za 'M'mimba mwa mavwende' (GAVE)!

Kodi nthawi zina mumamva kutopa kwambiri popanda chifukwa? Kapena nthawi zambiri mumakhala ndi vuto la m'mimba kapena kusowa chilakolako cha chakudya? Mwina mumawona magazi pang'ono mukamatsuka. Ngakhale nthawi zina sitimasamala kwambiri zinthuzi, pakhoza kukhala matenda ena omwe sitiganizira. Lero, tikambirana za matenda omwe ndi osowa pang'ono, koma ndikofunikira kwambiri kuti aliyense adziwe. Izi zimatchedwa 'M'mimba mwa Chivwende'.

Kodi 'M'mimba mwa chivwende' ichi n'chiyani?

Mwachidule, 'mimba ya mavwende' ndi pamene mitsempha yamagazi m'mimba mwanu, kutanthauza mkati mwa mimba mwanu, imafooka ndikuyamba kutuluka magazi. Kutuluka magazi kumeneku kukachitika, khoma lamkati la mimba yanu limakhala ndi mikwingwirima yayitali, monga momwe mphuno ya mavwende imakhalira. Taganizirani ngati mikwingwirima yobiriwira komanso yopepuka pa mavwende. Ndi chifukwa cha mikwingwirima iyi yomwe imatchedwa 'mimba ya mavwende'.

Madokotala amaona mizere iyi panthawi ya endoscopy . Izi zimaphatikizapo kulowetsa chubu chopyapyala chokhala ndi kamera kakang'ono kudzera pakamwa panu ndikuyang'ana m'mimba mwanu. Dzina lachipatala la vutoli ndi Gastric Antral Vascular Ectasis (GAVE) . Dzina lalitali limenelo, sichoncho? Ndicho chifukwa chake anthu ambiri amatcha GAVE, kapena 'mimba ya chivwende.'

Kodi vutoli ndi lofala bwanji? Ndani amene ali ndi mwayi waukulu wolidwala?

Ndipotu, vuto limeneli lotchedwa 'm'mimba mwa chivwende' silimachitika kawirikawiri. Nthawi zambiri, pakakhala kutuluka magazi m'mimba, limayamba chifukwa cha matenda ena monga zilonda zam'mimba kapena mitsempha yamagazi yotupa (varices).

Ngakhale izi zingachitikire aliyense, zimachitika kwambiri pakati pa akazi azaka zopitilira 70. Komabe, zaka sizomwe zimayambitsa vutoli, pakhoza kukhalanso zifukwa zina.

Kodi zizindikiro za 'm'mimba mwa chivwende' (GAVE) ndi ziti?

Munthu amene ali ndi vutoli akhoza kukumana ndi zizindikiro zosiyanasiyana. Zina zimakhala zofatsa kwambiri, pomwe zina zimakhala zoopsa kwambiri. Onani ngati zizindikirozi zikumveka zachilendo kwa inu:

• Kupweteka m'mimba: Mutha kumva kupweteka m'mimba mutangodya kapena mutangodya.
• Magazi mu ndowe: Nthawi zina ndowe zimatha kukhala zakuda, kapena mutha kuwona magazi ofiira.
• Kumva kutopa nthawi zonse: Mutha kumva kutopa komanso kukhala wopanda moyo ngakhale osachita chilichonse.
• Kutuluka magazi mkati: Ngakhale kuti izi sizingawonekere kuchokera kunja, zitha kukhala kutuluka magazi mkati.
• Kuchepa kwa magazi m'thupi chifukwa cha kusowa kwa ayoni: Kutuluka magazi nthawi zonse kumayambitsa kuchepa kwa ayoni m'thupi, zomwe zimapangitsa kuti pakhale kuchepa kwa magazi m'thupi.
• Kusanza: Kumva ngati ukusanza.
• Kusanza magazi: Ichi ndi chizindikiro choopsa pang'ono.

Komabe, anthu ena akhoza kukhala ndi 'mimba ya mavwende' popanda zizindikiro izi. Vuto ndi limenelo.

N’chifukwa chiyani mimba ya 'chivwende' imayamba? Kodi chifukwa chake kwenikweni n’chiyani?

Asayansi sakudziwabe chifukwa chake anthu ena amadwala matendawa pomwe ena sadwala. Koma kutengera umboni womwe ulipo, pali zinthu zingapo zomwe zikuganiziridwa kuti zikuyambitsa vutoli:

• Hypergastrinemia: Izi zimachitika thupi lanu likalandira gastrin (hormone yomwe imathandiza kugaya chakudya).
• Achlorhydria: Matenda omwe m'mimba mwanu simupanga hydrochloric acid (yomwe imathandizanso kugaya chakudya).
• Kuchepa kwa 'Pepsinogen': Iyi ndi enzyme yofunika kwambiri pogaya chakudya.
• Kulephera kwa chiwindi: Ngati chiwindi chalephera kugwira ntchito bwino, mitsempha yamagazi imatha kukulirakulira.

Awa ndi maganizo akuluakulu omwe akutsatiridwa pakali pano. Mwina chimodzi kapena zingapo mwa izi, kapena kuphatikiza kwa izo, zikuwonjezera vutoli.

Ndani ali pachiopsezo chachikulu chotenga 'mimba ya mavwende'?

Anthu omwe ali ndi matenda enaake amatha kudwala matenda a 'chivwende'. Matendawa ndi monga:

• Matenda a Autoimmune: Awa ndi matenda omwe chitetezo cha mthupi lanu chimaukira maselo anu.
• Matenda a gastritis osatha: Matenda otupa m'mimba nthawi zonse.
• Matenda a shuga
• Matenda a mtima
• Kulephera kwa impso
• Matenda a chiwindi (cirrhosis)
• Matenda a kagayidwe kachakudya

Ngati muli ndi matenda ena ngati awa, ndi bwino kusamala pang'ono ndi 'm'mimba mwa chivwende'.

Kodi mumazindikira bwanji matendawa molondola?

Ngati muli ndi zizindikiro zomwe tatchula pamwambapa, chinthu choyamba chomwe muyenera kuchita ndikuwonana ndi dokotala. Iye adzakufunsani za zizindikiro zanu ndipo, ngati kuli kofunikira, adzakutumizani kwa dokotala wa matenda a m'mimba . Iye adzakupimirani mayeso ena.

Mayeso akuluakulu omwe amachitika pa izi ndi awa:

• Endoscopy yapamwamba: Iyi ndi njira yofunika kwambiri yoyezera. Amayang'ana m'mimba kuti awone ngati pali mawonekedwe ngati mikwingwirima ya mavwende.
• Biopsy: Pa nthawi ya endoscopy, chidutswa chaching'ono cha minofu chimatengedwa kuchokera pakhoma la m'mimba ndikuwunikidwa pogwiritsa ntchito maikulosikopu. Izi zingapereke zambiri.
• Kuyezetsa magazi: Izi zingakuthandizeni kudziwa ngati muli ndi vuto la kuchepa kwa magazi m'thupi , kapena ngati muli ndi vuto la kuchepa kwa magazi m'thupi.

Kumbukirani, mayesowa angawoneke ovuta pang'ono, koma ndi ofunikira kwambiri pozindikira matendawa molondola.

Kodi mankhwala a 'm'mimba mwa chivwende' (GAVE) ndi otani?

Pali njira zingapo zochizira izi. Dokotala wanu adzakusankhirani chithandizo choyenera kutengera momwe zizindikiro zanu zilili zovuta komanso ngati muli ndi matenda ena. Nthawi zina, ngati mwataya magazi ambiri, mungafunike kupatsidwa magazi mwadzidzidzi .

Zowonjezera za Iron

Ngati matendawa apezeka msanga, n'zotheka kuwathetsa ndi mapiritsi achitsulo (zowonjezera) okha. Koma izi sizigwira ntchito kwa aliyense. Ngakhale ndi mapiritsi achitsulo, nthawi zina pamafunika kuikidwa magazi kamodzi kapena angapo kuti muchepetse kutuluka kwa magazi.

Mankhwala

Dokotala wanu angakulembeninso mankhwala ena kuti achepetse kutuluka magazi m'mimba. Ngakhale kuti chitetezo cha mankhwalawa sichinadziwike bwino kwa nthawi yayitali, amagwira ntchito bwino pakapita nthawi.

• Corticosteroids
• Octreotide
• 'Chithandizo cha mahomoni'

Mankhwala a Endoscopic

Chithandizo chofala kwambiri cha 'm'mimba mwa chivwende' ndi opaleshoni ya endoscopic. Izi zimaphatikizapo kutseka kapena kuwononga mitsempha yamagazi yomwe imayambitsa kutuluka magazi.

• Kugawanika kwa magazi m'magazi a Argon (APC): Iyi ndiyo njira yomwe imagwiritsidwa ntchito kwambiri. Pachifukwa ichi, mpweya wotchedwa ``Argon'' umagwiritsidwa ntchito kutseka mitsempha yamagazi.
• Kulumikiza mtsempha wamagazi ndi Endoscopic band (EBL): Izi zimaphatikizapo kuyika mtsempha wamagazi pang'ono mozungulira mtsempha uliwonse wamagazi ndikuumanga. Nthawi zina izi zimachitika limodzi ndi APC.
• Kuchotsa ma radiofrequency (RFA): Izi zimagwiritsa ntchito kutentha kuchokera ku mafunde a wailesi kuti ziwononge mitsempha yamagazi.
• Cryotherapy: Njira imeneyi imagwiritsa ntchito mpweya wotchedwa nitrous oxide kuti uume mitsempha yamagazi.

Kawirikawiri, chithandizo cha endoscopic ichi sichichitika nthawi imodzi. Machiritso angapo amafunika kuti mupeze zotsatira zomwe mukufuna .

Kuika Magazi

Ngati mukutuluka magazi ambiri, mungafunike kuikidwa magazi kamodzi kapena zingapo . Komabe, pakapita nthawi, zinthu monga mapiritsi achitsulo, mankhwala, ndi endoscopy zingathandize kuchepetsa kuchuluka kwa nthawi zomwe mungafunike kuikidwa magazi. Mungafunike kuikidwa magazi nthawi zina kuti mulowe m'malo mwa magazi omwe atayika mpaka dokotala wanu atatha kuwongolera magaziwo mokwanira.

Opaleshoni

Kwa iwo omwe sayankha mapiritsi achitsulo, mankhwala, kapena endoscopy, opaleshoni yotchedwa partial gastrectomy imachitika. Izi zimaphatikizapo kudula gawo la m'mimba lomwe lili ndi matenda. Nthawi zambiri, simuyenera kupereka magazi kachiwiri mukatha opaleshoniyi.

Ngakhale opaleshoni iyi ndi yofunika kwambiri kuposa njira zochizira matenda a endoscopic monga 'APC', ndiyo njira yokhayo yochiritsira kwathunthu vuto la 'm'mimba mwa chivwende'.

Kodi zinthu zili bwanji mutalandira chithandizo?

Zimadalira momwe zizindikiro zanu zilili zovuta. Ngakhale cholinga cha chithandizo ndikuletsa kutuluka magazi, anthu ena akhoza kukhala ndi mavuto enanso mutalandira chithandizo. Ngati zimenezo zitachitika, mungafunike kupitiriza kulandira magazi. Komabe, anthu ambiri amachira pambuyo pa chithandizo choyamba. Dokotala wanu adzakuuzani zomwe mungayembekezere kutengera vuto lanu.

Kodi pali njira yopewera izi kuti zisachitike?

Popeza chifukwa chenicheni sichikudziwikabe, palibe chomwe mungachite kuti mupewe 'm'mimba mwa chivwende'. Chinthu chabwino kuchita ndikuonana ndi dokotala mukangoona zizindikiro zatsopano kapena zachilendo. Ngati muyamba chithandizo msanga, mutha kuyimitsa kutuluka magazi kusanafike poipa kwambiri.

Kodi munthu amene ali ndi 'mimba ya mavwende' ayenera kusamala ndi zomwe amadya?

Palibe mndandanda wa zakudya zomwe anthu omwe ali ndi vutoli ayenera kudya komanso zomwe sayenera kudya. Komabe, ndi bwino kupewa zakudya zina mutachitidwa opaleshoni yayikulu:

• Chakudya chokometsera
• Zakudya zokhala ndi asidi (monga mandimu, malalanje, chinanazi)
• Zakumwa zokhala ndi caffeine monga khofi ndi tiyi
• Mowa

Mpaka chithandizocho chitatha, ndi bwino kudya zakudya zofewa komanso zosavuta kudya monga mazira, tofu, supu, ma smoothies, ndi nyama yopanda mafuta ambiri . Ndi bwino kufunsa dokotala wanu zakudya zabwino kwa inu.

Ndiyenera kupita kwa dokotala nthawi yanji?

Ngati mukupeza zizindikiro zatsopano, monga nseru kapena kutopa, nthawi zonse muyenera kuuza dokotala wanu. Ngati mukuona kuti pali vuto linalake, musayembekezere. Ngati mwazindikira matendawa ndikuyamba chithandizo msanga, mutha kuchepetsa kufunikira kwa opaleshoni yayikulu.

Ngati muli ndi zizindikiro zoopsa, monga kusanza magazi, pitani kuchipatala chapafupi nthawi yomweyo. Chofunika kwambiri ndikupeza chomwe chikuyambitsa ndikuletsa kutuluka magazi mwachangu momwe mungathere.

Ndi mafunso ati omwe muyenera kufunsa dokotala?

Ngati mwapeza kuti muli ndi 'mimba ya mavwende', ndi bwino kufunsa dokotala wanu mafunso awa:

• Kodi vuto langa ndi loipa bwanji?
• Kodi ndi chithandizo chamtundu wanji chomwe ndikufunika?
• Kodi padzafunika chithandizo chamankhwala angati?
• Kodi ndiyenera kupereka magazi? Ngati ndi choncho, kangati?

Kusanza magazi kapena kuona magazi m'chimbudzi chanu kungakhale koopsa. Ngakhale izi zitha kukhala zizindikiro zakuti muli ndi vuto la m'mimba, zizindikiro sizimaonekera nthawi zonse. Mwina mwakhala mukutopa kwa miyezi ingapo. Kapena mwina mwangoyamba kumene kupweteka m'mimba m'mawa uno. 'M'mimba mwa chivwende' ndi vuto losowa, ndipo zizindikiro zake zimafanana ndi matenda ena am'mimba. Chifukwa chake, zingatenge nthawi kuti mudziwe bwino matendawa. Pakadali pano, mutha kumva kupsinjika maganizo chifukwa cha kusatsimikizika komwe mukumva. Chifukwa chake, kaya muli ndi zizindikiro zotani, lankhulani ndi dokotala wanu za izi. Kenako akhoza kupeza chomwe chikuyambitsa ndikukulangizani chithandizo choyenera.

Kotero, zinthu zingapo zomaliza zomwe muyenera kukumbukira:

Ngakhale kuti 'm'mimba mwa chivwende' ndi dzina loopsa pang'ono, ndikofunikira kudziwa za dzinali. Kumbukirani:

• Zizindikiro zimatha kusiyana malinga ndi munthu, ndipo anthu ena sangakhale ndi zizindikiro zilizonse.
• Musanyalanyaze zinthu monga kutopa pafupipafupi, kuvutika m'mimba, komanso magazi m'chimbudzi.
• Mukafuna upangiri wa dokotala mwachangu, mutha kuwongolera matendawa asanafike poipa kwambiri.
• Pali njira zingapo zochiritsira, ndipo dokotala wanu adzasankha chomwe chili chabwino kwa inu.

Tikukhulupirira kuti mwapeza izi kukhala zothandiza. Khalani ndi thanzi labwino!

` mimba ya chivwende, GAVE, gastric antral vascular ectasis, mimba ya chivwende, kutuluka magazi m'mimba, endoscopy, kupweteka m'mimba