Kodi nthawi zina mumamva ululu wachilendo m'mimba mwanu womwe umawonjezeka pang'onopang'ono tsiku ndi tsiku, komanso kupweteka kwa msana? Mwina mwachepetsa kukodza , mwendo umodzi watupa, ndipo mtundu wa khungu lanu wasintha? Ngakhale izi zingawoneke ngati zachilendo, nthawi zina zimatha kukhala zizindikiro za vuto losowa koma lofunika. Lero tikulankhula za vuto limodzi lotere - Retroperitoneal Fibrosis . Ngakhale dzinalo lingamveke lovuta, tiyeni tipitirizebe kulimvetsa.
Kodi Retroperitoneal Fibrosis ndi chiyani?
Mwachidule, uku ndi kukula kwa minofu ya ulusi kumbuyo (mawu oti retro amatanthauza 'kumbuyo') nembanemba yoteteza (peritoneum) yomwe imazungulira ziwalo monga matumbo m'mimba mwathu. Makamaka, minofu iyi imamera mozungulira mtsempha waukulu wamagazi m'mimba mwathu (mtsempha wa m'mimba) ndi mitsempha ina yomwe imatulukamo.
Tangoganizirani zomwe zimachitika minofu yosafunikira iyi ikakula. Minofu imeneyo imatha kutseka ureter, machubu omwe amanyamula mkodzo kuchokera ku impso zathu kupita ku chikhodzodzo chathu. Izi zitha kuletsa kuyenda kwa mkodzo. Zingakhudzenso ziwalo zina m'mimba. Matendawa amadziwikanso kuti matenda a Ormond.
Minofu yomwe imakula motere imatha kukhala ya khansa kapena yosakhala ya khansa. Iyi ndi matenda ofala kwambiri. Amafala kwambiri mwa amuna azaka zapakati. Koma ngakhale pakati pawo, ndi osowa kwambiri.
Kodi n’chiyani chimayambitsa vutoli?
Madokotala sakudziwabe chomwe chimayambitsa matendawa, koma akatswiri ena amakhulupirira kuti chikugwirizana ndi china chake chomwe chili m'thupi lathu. Izi zikutanthauza kuti chitetezo cha mthupi lathu chikugwira ntchito motsutsana nafe.
Kuphatikiza apo, zinthu zina zingapo zapezeka zomwe zingayambitse vutoli.
| Chifukwa | Kufotokozera |
|---|---|
| Kusuta ndudu | Kusuta fodya kumaonedwa kuti ndi chinthu chachikulu chomwe chimayambitsa izi. |
| Kuvulala kwakuthupi (Kuvulala) | Kuvulala kwambiri pamimba kapena malo ozungulira. |
| Opaleshoni | Zitha kuchitika pambuyo pa opaleshoni ya m'mimba. |
| Mankhwala ena | Kukumana ndi zinthu monga asbestos. |
| Matenda | Matenda ena a bakiteriya kapena bowa. |
| Zotupa/Zotupa | Monga zotsatira zina za matenda ena a khansa. |
| Chithandizo cha Radiotherapy | Chithandizo cha khansa pogwiritsa ntchito radiation. |
| Mankhwala ena | Mankhwala ena akale omwe amagwiritsidwa ntchito pochiza mutu waching'alang'ala. |
| Kugwiritsa ntchito mankhwala osokoneza bongo | Kugwiritsa ntchito mankhwala osokoneza bongo monga cocaine. |
Palibe umboni womveka bwino wosonyeza kuti matendawa amapatsirana kuchokera ku mibadwomibadwo kupita ku mibadwomibadwo . Nthawi zambiri, amapezeka mwachisawawa.
Kodi zizindikiro za matendawa ndi ziti?
Zizindikiro zimatha kusiyana malinga ndi munthu ndi munthu. Komanso, zizindikiro zimasiyana malinga ndi momwe minofu yosafunikira yomwe ndatchulayi yafalikira komanso komwe yapangika.
Masiku oyambirira, mungamve kupweteka kwambiri m'mimba mwanu. Kupweteka kumeneku kungachuluke tsiku ndi tsiku. Nthawi yomweyo, magazi omwe amafika ku miyendo yanu angachepe.Pamene ikuchepa, mungazindikire kusintha kwa mtundu wa mapazi anu kapena kutupa kwa mwendo umodzi .
Chofunika kwambiri ndikutsatira zizindikirozi mwamsanga mukangozindikira. Ngati mulinso ndi ululu m'mimba kapena msana, makamaka ngati kuchuluka kwa mkodzo womwe mumatulutsa kwatsika kwambiri, pitani kwa dokotala nthawi yomweyo.
| Zizindikiro zina zokhudzana ndi Retroperitoneal Fibrosis | |
|---|---|
| - Kusanza ndi kusanza | - Malungo |
| - Kupweteka m'machende (kwa amuna) | - Ludzu loposa masiku onse |
| - Kumva ngati munthu alibe moyo m'thupi | - Kupweteka kwa msana |
| - Kuchepetsa thupi | - Kuvutika kukodza (kulephera kukodza, kutuluka magazi, kukodza pafupipafupi usiku) |
Kodi dokotala amapeza bwanji izi?
Mukapita kwa dokotala, choyamba adzakufunsani za mbiri yanu yachipatala ndikukupimirani thupi. Kenako adzakupimirani mayeso angapo kuti adziwe ngati chomwe chikuyambitsa zizindikiro zanu ndi Retroperitoneal Fibrosis kapena vuto lina.
Zotsatirazi ndi mayeso omwe angagwiritsidwe ntchito pa izi:
- Kuyezetsa magazi : Dziwani za matenda m'thupi ndi momwe impso zimagwirira ntchito.
- Kuyezetsa mkodzo : Yang'anani magazi kapena zinthu zina zolakwika mu mkodzo.
- Ultrasound ya impso: Yang'anani momwe impso ndi ureter zilili.
- Kujambula mimba ndi CT scan:Izi zimakupatsani mwayi wowona bwino malo, kukula, ndi momwe minofu yowonjezerayo imakhudzira ziwalo zozungulira.
- Kujambula mimba ndi MRI: Kujambula mimba kofanana ndi kujambula kwa CT, koma ndi zithunzi zambiri.
- Mayeso a X-ray: Nthawi zina zingakhale zofunikira.
- Kufufuza za khansa: Izi zimaphatikizapo kutenga chidutswa chaching'ono kwambiri cha minofu yomwe ikukula ndikuchiyang'ana pansi pa maikulosikopu kuti muwone ngati ndi khansa kapena ayi.
Kodi chimachiritsidwa bwanji? Kodi chingachiritsidwe?
Inde, pali chithandizo cha matendawa. Njira yochizira imadalira chomwe chayambitsa matendawa, kuopsa kwa matendawa, komanso kuwonongeka komwe kwachitika kale.
Pali njira zingapo zazikulu zochizira:
- Mankhwala oletsa kutupa: Mankhwala ambiri monga corticosteroids amaperekedwa kuti achepetse kutupa ndi kukula kwa minofu m'thupi.
- Kuchiza chomwe chimayambitsa matendawa: Ngati vutoli layamba chifukwa cha matenda kapena khansa, chomwe chimayambitsa matendawa chimachiritsidwa.
- Opaleshoni: Kuchotsa chotupacho ndi opaleshoni. Izi ndizofunikira makamaka ngati mkodzo watsekeka.
- Kuchotsa mkodzo mu impso: Ngati ureter yatsekeka kwathunthu, chubu chaching'ono (stent) chimayikidwa kudzera pakhungu kuti chichotse mkodzo womwe umasonkhana mu impso.
- Mankhwala oletsa chitetezo chamthupi: Ngati izi zachitika chifukwa cha chitetezo chamthupi chomwe chimagwira ntchito mopitirira muyeso, mankhwala amaperekedwa kuti azilamulira.
Nkhani yabwino ndi yakuti anthu ambiri amalandira bwino chithandizo. Pakatha milungu iwiri kuchokera pamene anayamba kulandira chithandizo, zizindikiro za kuchira kwa impso zimayamba kuonekera. Vutoli nthawi zambiri limakhala loti impso sizigwira ntchito bwino.
Koma kumbukirani, ngakhale mutalandira chithandizo ndi kuchira, ndikofunikira kupita kwa dokotala nthawi zonse kuti akalandire chithandizo. Izi zili choncho chifukwa kwa anthu ena, matendawa amatha kubwereranso ngakhale patapita zaka zambiri kuchokera pamene adalandira chithandizo.
Anthu omwe ali ndi matenda a Retroperitoneal Fibrosis omwe si a khansa (osaopsa) ali ndi mwayi wabwino wochira komanso kupulumuka kuposa omwe ali ndi matenda a khansa (oopsa).
Kodi pali njira yopewera izi?
Popeza matenda amenewa ndi osowa, pali zinthu zochepa zomwe zingathandize kupewa matendawa. Koma pali chinthu chimodzi chofunikira. Kafukufuku wapeza kuti kugwiritsa ntchito mankhwala a `methysergide` kwa nthawi yayitali, omwe amagwiritsidwa ntchito pochiza mutu waching'alang'ala, kungayambitse matendawa. Chifukwa chake, musagwiritse ntchito mankhwalawa kwa nthawi yayitali popanda upangiri wa dokotala.
Chofunika kwambiri ndikupempha upangiri kwa dokotala zizindikiro zikangoyamba kuonekera. Matendawa akapezeka msanga, mwayi wopewa mavuto ndi chithandizo umawonjezeka.
Uthenga Wopita Nawo Kunyumba
- Retroperitoneal Fibrosis ndi vuto losowa kwambiri pomwe minofu yosafunikira ya ulusi imakula kumbuyo kwa ziwalo zam'mimba.
- Zizindikiro zazikulu zitha kukhala kupweteka msana ndi m'mimba mosadziwika bwino, kuchepa kwa kukodza, komanso kutupa kwa miyendo.
- Ngati muli ndi zizindikiro izi, musanyalanyaze ndipo pitani kwa dokotala nthawi yomweyo. Kuzindikira matendawa msanga n'kofunika kwambiri.
- Chithandizo nthawi zambiri chimatha kuchiza matendawa, koma kutsatira nthawi zonse ndikofunikira chifukwa matendawa amatha kubwereranso.
- Pewani kugwiritsa ntchito mankhwala aliwonse kwa nthawi yayitali popanda upangiri wa dokotala.
Retroperitoneal Fibrosis, Matenda a Ormond, Kupweteka kwa msana, Kupweteka m'mimba, Matenda a mkodzo, Matenda a impso, Thanzi la amuna
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