Kodi muli ndi mkuwa wambiri m'thupi lanu? Tiyeni tiphunzire bwino za matenda a Wilson!

Kodi nthawi zina mumangomva kutopa? Kapena mumakumana ndi zinthu monga kufooka, kusasangalala m'mimba, komanso kusokonezeka maganizo popanda chifukwa? Pali matenda ena achilendo omwe amakhudza thupi m'njira zomwe sitingathe kuziganizira. Lero tikambirana za matenda omwe amapezeka kawirikawiri, koma ngati mwadziwitsidwa bwino, mutha kuwazindikira msanga ndikuchepetsa kuwonongeka komwe kungachitike pa moyo wanu. Izi zimatchedwa Matenda a Wilson .

Kodi matenda a Wilson ndi chiyani?

Mwachidule, matenda a Wilson ndi matenda osowa kwambiri omwe amayambitsa matupi athu kusonkhanitsa mkuwa wochuluka kuposa momwe amafunikira. Mkuwa uwu umasonkhana m'chiwindi ndi muubongo mwathu. Matupi athu amafunikira mkuwa wochepa kuchokera ku chakudya kuti akhale athanzi. Komabe, ngati munthu amene ali ndi matenda a Wilson sanalandire chithandizo choyenera, mkuwa m'thupi ukhoza kukwera kwambiri, zomwe zimapangitsa kuti ziwalo ziwonongeke.

Ndani amene amakhudzidwa kwambiri ndi matenda a Wilson?

Matenda a Wilson ndi matenda omwe amatengera kwa makolo kupita kwa ana . Kuti mwanayo akule, ayenera kulandira jini imodzi yosazolowereka kuchokera kwa kholo lililonse. Izi zimatchedwa cholowa cha autosomal recessive. N'zovuta kwambiri kunena kuti ndani adzadwala. Izi zili choncho chifukwa nthawi zambiri, makolo sasonyeza zizindikiro zilizonse za kukhala ndi jini yosazolowerekayi m'thupi lawo. Chifukwa chake, sadziwa kuti ndi 'wonyamula' jini iyi. Komabe, ngati wachibale wapafupi m'banja mwanu ali ndi matendawa, inunso mungakhale pachiwopsezo.

Kodi matenda a Wilson ndi ofala bwanji?

Uwu ndi matenda osowa kwambiri . Akuti pafupifupi munthu m'modzi mwa anthu 30,000 ali ndi matendawa. Komabe, ngati wina m'banjamo ali ndi matendawa, mwayi woti ena adwale matendawa ndi waukulu. Anthu ambiri amakhala ndi jini limodzi lokha lolakwika, lotchedwa onyamula matendawa. Nthawi zambiri sakhala ndi zizindikiro, koma amatha kupatsira matendawa kwa ana awo. Popeza onyamula matendawa alibe zizindikiro, n'zovuta kunena kuti ndi anthu angati omwe ali ndi jini lolakwika.

Kodi matenda a Wilson amakhudza bwanji thupi langa?

Matenda a Wilson, ngati sakudziwika ndi kuchiritsidwa msanga, angayambitse mavuto omwe angawononge moyo . Mkuwa umachulukana m'thupi mpaka kufika pamlingo wa poizoni, makamaka m'chiwindi ndi muubongo. Izi zitha kuwononga ziwalo izi. Pamene mkuwa m'thupi ukuwonjezeka, momwe mumamvera zimatha kusintha. Mungamve kutopa kwambiri, kufooka, komanso kupweteka. Ngati muli ndi kufooka kosalekeza, kutopa, kapena kupweteka, ndi bwino kufunafuna upangiri kwa dokotala.

Kodi zizindikiro za matenda a Wilson ndi ziti?

Zizindikiro za matenda a Wilson zimatha kusiyana kwambiri malinga ndi munthu aliyense.Ngakhale kuti iyi ndi vuto lobadwa nalo, zizindikiro zimayamba kuonekera pambuyo poti mkuwa waunjikana m'chiwindi, muubongo, m'maso, kapena m'ziwalo zina. Anthu omwe ali ndi matenda a Wilson nthawi zambiri amakhala ndi zizindikiro pakati pa zaka 5 ndi 40. Komabe, anthu ena amatha kukhala ndi zizindikiro ali aang'ono kapena okalamba.

Kumbukirani, nthawi zina zizindikirozi zimafanana ndi matenda ena a chiwindi kapena matenda amisala, kotero anthu angaganize molakwika kuti ndi chinthu china. Zingakhale zovuta kudziwa ngati ndi matenda a Wilson mpaka mutayesa kuchuluka kwa mkuwa m'thupi lanu.

Zizindikiro zokhudzana ndi chiwindi

Anthu ambiri omwe ali ndi matenda a Wilson amakhala ndi zizindikiro za chiwindi. Angathenso kulephera kugwira ntchito kwa chiwindi mwadzidzidzi. Zizindikiro zake ndi izi:

• Kutopa nthawi zonse.
• Kusanza ndi kusanza.
• Chakudyacho sichikoma.
• Ululu kumbali yakumanja ya mimba, pamwamba pa chiwindi.
• Mkodzo wakuda.
• Zopondapo zowala.
• Kuoneka kwachikasu kwa maso ndi khungu (jaundice).

Anthu ena angaone zizindikiro pokhapokha ngati matenda a Wilson ayamba kukhala ndi mavuto monga matenda osatha a chiwindi ndi cirrhosis. Izi zikuphatikizapo:

• Kutopa ndi kufooka kosalekeza.
• Kuchepetsa thupi kosayerekezeka.
• Kutupa kwa m'mimba (ascites).
• Kutupa kwa miyendo ya m'munsi, akakolo, ndi mapazi (edema).
• Khungu loyabwa.
• Nthenda ya chikasu yoopsa.

Zizindikiro zokhudzana ndi dongosolo la mitsempha yapakati

Pamene mkuwa ukuwonjezeka m'thupi, anthu omwe ali ndi matenda a Wilson amatha kukhala ndi zizindikiro zomwe zimakhudza dongosolo la mitsempha, zomwe zingakhudze thanzi la maganizo. Ngakhale kuti izi zimachitika kwambiri kwa akuluakulu, zimathanso kuchitika kwa ana.

Zizindikiro zokhudzana ndi dongosolo la mitsempha zingaphatikizepo:

• Mavuto okhudzana ndi kulankhula, kumeza, kapena kugwirizana kwa thupi.
• Kuuma kwa minofu.
• Kugwedezeka kapena mayendedwe osalamulirika (kusakhazikika).

Zizindikiro za matenda a Wilson zomwe zimakhudza thanzi la maganizo:

• Nkhawa.
• Kusintha kwa maganizo, umunthu, kapena khalidwe.
• Kuvutika maganizo.
• Mkhalidwe umene maganizo ndi malingaliro zimasokonekera ndipo n'kovuta kusiyanitsa pakati pa chowonadi ndi bodza (psychosis).

Zizindikiro zokhudzana ndi maso

Anthu ambiri omwe ali ndi matenda a Wilson ali ndi mphete zobiriwira, zagolide, kapena zofiirira (mphete za Kayser-Fleischer) kuzungulira m'mphepete mwa cornea (gawo lakuda la diso). "Mphete za Kayser-Fleischer" izi zimachitika chifukwa cha kuchuluka kwa mkuwa m'diso. Dokotala wanu amatha kuwona mphete izi panthawi yoyezetsa maso mwapadera (kuyezetsa nyali).

Anthu ambiri omwe ali ndi zizindikiro zomwe zimakhudza dongosolo la mitsempha komanso omwe apezeka ndi matenda a Wilson ali ndi "mphete za Kayser-Fleischer." Pafupifupi theka la anthu omwe ali ndi zizindikiro zomwe zimakhudza chiwindi chokha ndi omwe amatha kuwona mphetezi.

Zizindikiro zina za matenda a Wilson

Matenda a Wilson angakhudzenso ziwalo zina za thupi lanu, zomwe zimayambitsa zizindikiro monga:

• Kuchepa kwa magazi m'thupi kumachitika chifukwa cha kusweka kwa maselo a m'magazi.
• Mavuto a mafupa ndi mafupa (nyamakazi kapena osteoporosis).
• Matenda a minofu ya mtima `(cardiomyopathy)`.
• Mavuto a impso (renal tubular acidosis kapena miyala ya impso).

Kodi n’chiyani chimayambitsa matenda a Wilson?

Chifukwa chachikulu cha matenda a Wilson ndi kusintha kwa majini otchedwa ATP7B . Jini iyi imayambitsa kuchotsa mkuwa wochuluka m'thupi lathu.

Kawirikawiri, chiwindi chimatulutsa mkuwa wochulukirapo mu madzi (bile). Mkaka uwu umasungidwa mu ndulu. Umathandiza kugaya chakudya. Mkaka umachotsa mkuwa, komanso poizoni ndi zinyalala zina, kuchokera m'thupi kudzera m'mimba. Ngati muli ndi matenda a Wilson, chiwindi chanu chimatulutsa mkuwa wochepa mu ndulu. Izi zimapangitsa mkuwa wochulukirapo kukhalabe m'thupi lanu.

Kodi ndingathe kulandira matenda a Wilson?

Inde, mutha kulandira kusintha kwa majini a ATP7B komwe kumayambitsa matenda a Wilson. Izi zikutanthauza kuti kusinthaku kumapatsirana kuchokera kwa kholo limodzi kupita kwa lina. Kuti munthu akhale ndi matenda a Wilson, ayenera kulandira majini awiri olakwika - limodzi kuchokera kwa amayi ake ndi lina kuchokera kwa abambo ake (autosomal recessive) .

Anthu omwe ali ndi jini imodzi ya ATP7B yopanda kusintha kwa majini ndipo inayo ili ndi kusintha kwa majini satenga matenda a Wilson. Koma ndi omwe amanyamula matendawa. Izi zikutanthauza kuti, kutengera momwe mnzawo alili, amatha kupatsira jini yathanzi, momwe mnzawoyo alili, kapena matendawa kwa ana awo.

Kodi matenda a Wilson amapezeka bwanji? (Kuzindikira)

Kuti adziwe matenda a Wilson, dokotala wanu adzakufunsani za mbiri ya banja lanu komanso mbiri yanu yachipatala kuti aone ngati zizindikiro zanu zingayambitsidwe ndi matendawa.

Madokotala adzakuyang'anizani kuti aone ngati pali zizindikiro zina zomwe zikusonyeza mavuto a chiwindi, ubongo, kapena maso anu. Pa nthawi yowunika maso, dokotalayo adzakupimirani "slit-lamp example." Iyi ndi mayeso omwe amagwiritsa ntchito nyali yapadera kuti ayang'ane "Kayser-Fleischer rings."

Ngati mukukayikira kuti muli ndi matenda a Wilson, dokotala wanu adzalamula kuti muyesedwe magazi ndi mkodzo.

Ndi mayeso ati omwe amagwiritsidwa ntchito pozindikira matenda a Wilson?

Matenda a Wilson amapezeka kudzera mu mayeso a magazi, mayeso a mkodzo, mayeso a majini, kapena biopsy ya chiwindi.

Kuyezetsa magazi

Kuyezetsa magazi kungathandize kudziwa zinthu zambiri m'magazi mwanu:

• Ceruloplasmin: Ceruloplasmin ndi puloteni yomwe imanyamula mkuwa m'magazi. Anthu omwe ali ndi matenda a Wilson ali ndi ceruloplasmin yochepa.
• Mkuwa: Anthu omwe ali ndi matenda a Wilson akhoza kukhala ndi mkuwa wambiri kapena wotsika m'magazi awo.
• Alanine transaminase (ALT) ndi aspartate transaminase (AST): ALT ndi AST ndi ma enzyme a chiwindi omwe amawonjezeka chiwindi chikawonongeka.
• Maselo ofiira a m'magazi: Anthu omwe ali ndi matenda a Wilson angakhale ndi kuchuluka kochepa kwa maselo ofiira a m'magazi (anemia).

Ngati mayeso ena azachipatala sangathe kutsimikizira kapena kuchotsa matenda a Wilson, dokotala wanu angakupatseni mayeso a magazi kuti aone ngati pali kusintha kwa majini komwe kumayambitsa matenda a Wilson.

Kuyesa kwa mkodzo kwa maola 24

Kwa maola 24, mudzatenga mkodzo wanu kunyumba, m'chidebe chapadera chopanda mkuwa chomwe dokotala wanu wakupatsani. Laboratory idzayesa kuchuluka kwa mkuwa mu mkodzo wanu. Anthu omwe ali ndi matenda a Wilson ali ndi mkuwa wambiri kuposa womwewo mu mkodzo wawo.

Kufufuza chiwindi

Ngati mayeso a magazi ndi mkodzo sangatsimikizire kapena kuletsa matenda a Wilson, dokotala wanu angafune kuti ayesedwe ndi chiwindi. Mu njira imeneyi, dokotala wanu amatenga chitsanzo cha minofu kuchokera ku chiwindi chanu. Katswiri wa matenda amafufuza minofuyo pogwiritsa ntchito maikulosikopu kuti aone zizindikiro za matenda enaake a chiwindi monga matenda a Wilson, kuwonongeka kwa chiwindi, ndi matenda a chiwindi. Chidutswa cha minofu ya chiwindi chimatumizidwa ku labu kuti chikayesedwe ngati chili ndi mkuwa.

Mayeso ojambula zithunzi

Ngati muli ndi zizindikiro zokhudzana ndi dongosolo lanu la mitsempha, dokotala wanu angagwiritse ntchito mayeso ojambulira zithunzi kuti aone zizindikiro za matenda a Wilson kapena matenda ena muubongo. Izi zingaphatikizepo:

• MRI (Kujambula kwa Magnetic Resonance)
• `X-ray`
• `CT scan` (Computerized Tomography Scan)

Kodi matenda a Wilson amachiritsidwa bwanji?

Cholinga chachikulu cha chithandizo cha matenda a Wilson ndikuchepetsa kuchuluka kwa mkuwa woopsa m'thupi lanu, kupewa kuwonongeka kwa ziwalo, komanso kupewa zizindikiro zomwe zimachitika ziwalo zikalephera kugwira ntchito bwino . Chithandizochi chimaphatikizapo:

• Kumwa mankhwala ochotsa mkuwa m'thupi (mankhwala ochepetsa ululu - mwachitsanzo D-penicillamine, Trientine, Tetrathiomolybdate).
• Kutenga zinc kuti mkuwa usalowe m'matumbo.
• Kudya zakudya zokhala ndi mkuwa wochepa.

Anthu omwe ali ndi matenda a Wilson amafunika chithandizo cha moyo wawo wonse. Ngati chithandizo chayimitsidwa, chiwindi chingalephere kugwira ntchito bwino. Dokotala wanu adzachita mayeso a magazi ndi mkodzo nthawi zonse kuti awone ngati chithandizocho chikugwira ntchito bwino.

Kodi mankhwala a matenda a Wilson ndi ati?

Dokotala wanu angakulangizeni mankhwala osiyanasiyana kuti muchepetse kuchuluka kwa mkuwa m'thupi lanu.

Othandizira kuyeretsa

Mankhwala oletsa kutupa amagwira ntchito pochotsa mkuwa m'thupi lanu. Zitsanzo za izi ndi izi:

• Penicillamine
• Trientine

Chithandizo chikayamba, madokotala amawonjezera pang'onopang'ono mlingo wa mankhwala ophera chelating. Mlingo wokwera umafunika mpaka mkuwa wochulukirapo m'thupi utachotsedwa. Zizindikiro za matenda a Wilson zikayamba kukwera ndipo mayeso atsimikizira kuti mkuwa uli pamlingo wabwino, dokotalayo angapereke mlingo wocheperako wa mankhwala ophera chelating ngati chithandizo chosamalira. Chithandizo chosamalira moyo wonse chimaletsa mkuwa kuti usasonkhanitsidwenso.

Mankhwalawa akhoza kukhala ndi zotsatirapo zake, choncho ndikofunikira kufunsa dokotala wanu ngati mukufuna kumwa mankhwala enaake owonjezera, monga mavitamini, kapena kusamala musanachite opaleshoni.

Zinki

Zinc imaletsa kuyamwa kwa mkuwa m'matumbo. Dokotala wanu angakulembeni zinc ngati chithandizo chosamalira mutachotsa mkuwa wochuluka ndi mankhwala ophera tizilombo toyambitsa matenda. Ngati muli ndi matenda a Wilson koma mulibe zizindikiro, dokotala wanu angakulembeni zinc.

Kodi matenda a Wilson amachiritsidwa bwanji panthawi ya mimba?

Ngati muli ndi pakati, muyenera kufunsa dokotala wanu momwe mungathanirane ndi matenda a Wilson's panthawi yonse yomwe muli ndi pakati. Popeza mwana wosabadwayo amafunikira copper pang'ono, dokotala wanu angakupatseni mankhwala ochepetsa kuchuluka kwa shuga m'magazi. Zingakhale zothandiza kukhala ndi dokotala wa ana oyembekezera yemwe amadziwa bwino matenda a Wilson's.

Komanso, funsani dokotala wanu ngati kuli kotetezeka kuyamwitsa mwana pamene mukulandira chithandizo cha matenda a Wilson.

Ndi zakudya ziti zomwe simuyenera kudya ngati muli ndi matenda a Wilson?

Ngati muli ndi matenda a Wilson, dokotala wanu angakulangizeni kuti mupewe zakudya zina zomwe zili ndi mkuwa wambiri. Makamaka, muyenera kupewa:

• Nsomba zotchedwa Shellfish, monga clams ndi oysters
• Chiwindi

Zakudya zina zokhala ndi mkuwa wambiri:

• Chokoleti
• Zipatso zouma
• Nyemba zouma ndi nandolo
• Bowa
• Mtedza (monga ma cashew, mtedza)

Mukamaliza kuchepetsa kuchuluka kwa mkuwa m'thupi lanu chifukwa cha chithandizo ndikuyamba kulandira chithandizo chosamalira, lankhulani ndi dokotala wanu ngati mungadye zina mwa zakudyazi pang'onopang'ono.

Ngati madzi anu a pampopi akuchokera m'chitsime kapena kudzera m'mapaipi amkuwa, yang'anani mulingo wa mkuwa m'madzi anu. Mungafunenso kugwiritsa ntchito fyuluta yamadzi kuti muchotse mkuwa m'madzi anu amkuwa.

Ngati mukuganiza zomwa mankhwala owonjezera, monga mavitamini, lankhulani ndi dokotala musanamwe. Mankhwala ena owonjezera akhoza kukhala ndi mkuwa.

Kodi pali zovuta zilizonse pa chithandizochi?

Matenda a Wilson angayambitse mavuto, koma kuwazindikira msanga ndi kuchiza kungachepetse chiopsezo cha zotsatirapo zake. Mankhwala omwe amagwiritsidwa ntchito pochiza matenda a Wilson angayambitsenso zotsatirapo zake, choncho funsani dokotala wanu zomwe muyenera kusamala nazo.

Kulephera kwa chiwindi mwachangu

Matenda a Wilson angayambitse kulephera kwa chiwindi mwachangu. Apa ndi pamene chiwindi chimataya ntchito yake mwadzidzidzi popanda chenjezo. Pafupifupi 5% ya anthu omwe ali ndi matenda a Wilson amakhala ndi kulephera kwa chiwindi mwachangu panthawi yodziwira matendawa. Matendawa angafunike kuikidwa chiwindi.

Anthu omwe ali ndi vuto la chiwindi chifukwa cha matenda a Wilson nthawi zambiri amakhala ndi vuto la impso komanso mtundu wina wa kuchepa kwa magazi wotchedwa hemolytic anemia.

Matenda a chiwindi

Matenda a chiwindi otchedwa cirrhosis ndi matenda omwe minofu ya chiwindi yathanzi imalowedwa m'malo ndi minofu ya chilonda, zomwe zimapangitsa kuti chiwindi chisagwire bwino ntchito. Minofu ya chilonda imaletsanso kuyenda kwa magazi m'chiwindi mpaka pamlingo winawake. Pamene matenda a chiwindi akupita patsogolo, chiwindi chimayamba kulephera kugwira ntchito.

Pakati pa 35% ndi 45% ya anthu omwe amapezeka ndi matenda a Wilson amakhala ndi cirrhosis panthawi yomwe matendawa amapezeka.

Matenda a cirrhosis amawonjezera chiopsezo chotenga khansa ya chiwindi. Komabe, madokotala apeza kuti anthu omwe amadwala cirrhosis chifukwa cha matenda a Wilson sakhala ndi mwayi wochuluka wotenga khansa ya chiwindi poyerekeza ndi omwe amadwala cirrhosis chifukwa cha zifukwa zina.

Kulephera kwa chiwindi

Matenda a chiwindi amatha kupangitsa kuti chiwindi chisagwire bwino ntchito. Kulephera kwa chiwindi kumachitika pamene chiwindi chanu chawonongeka kwambiri moti chimasiya kugwira ntchito. Izi zimatchedwanso matenda a chiwindi otsiriza. Matendawa angafunike kuikidwa chiwindi.

Kodi mavuto a matenda a Wilson amachiritsidwa bwanji?

Ngati matenda a Wilson amayambitsa matenda a chiwindi (cirrhosis), dokotala wanu akhoza kuchiza mavuto anu ndi mankhwala kapena opaleshoni.

Ngati matenda a Wilson amayambitsa kulephera kwa chiwindi kapena kulephera kwa chiwindi chifukwa cha matenda a chiwindi, mungafunike kuikidwa chiwindi. Anthu ena omwe adaikidwa chiwindi amachira kwathunthu ku matenda a Wilson. Koma dokotala wanu adzakuyang'anirani mosamala kuti atsimikizire kuti kuikidwa chiwindi kwapambana.

Kodi ndidzakhala bwino nthawi yayitali bwanji nditatha kulandira chithandizo?

Chithandizo cha matenda a Wilson ndi njira ya moyo wonse . Nthawi yomwe imatenga kuti mumve bwino imadalira kuopsa kwa zizindikiro zanu. Komabe, mutatha miyezi inayi mpaka isanu ndi umodzi ya chithandizo, kutsatiridwa ndi chithandizo chokhazikika, zizindikiro zanu zimatha kuchepa kwambiri. Dokotala wanu adzachita mayeso nthawi zonse kuti awone momwe chithandizo cha matenda a Wilson chikugwira ntchito. Iye adzasinthanso mlingo wa mankhwala anu kuti agwirizane ndi zosowa za thupi lanu.

Ngati ndili ndi matenda a Wilson, ndiyenera kuyembekezera chiyani?

Kutengera ndi matenda anu, mwina muli ndi zizindikiro zokhudzana ndi matenda a Wilson kapena ayi. Ngati muli ndi zizindikiro, zitha kukhala zoopsa ngati simulandira chithandizo. Chofunika kwambiri ndikutsatira ndondomeko ya chithandizo ya dokotala wanu kuti muchotse mkuwa woopsa m'thupi lanu ndikupewa kuwonongeka kwa ziwalo.

Matenda a Wilson ndi matenda omwe munthu amakhala nawo kwa moyo wake wonse, ndipo palibe mankhwala. Matenda a Wilson omwe sanachiritsidwe amakhala ndi moyo wautali. Anthu omwe amapezeka ndi matenda a Wilson ndikupatsidwa chiwindi chokwanira amakhala ndi moyo wabwino. Komabe, ngakhale atapatsidwa chiwindi, amafunika kuyang'aniridwa ndi dokotala kwa moyo wawo wonse.

Kodi matenda a Wilson angapewedwe?

Matenda a Wilson ndi chifukwa cha kusintha kwa majini komwe kunabadwa, kotero sikungapeweke. Ngati muli ndi mbiri ya banja la matenda a Wilson, lankhulani ndi dokotala wanu za kuyezetsa majini kuti mumvetse chiopsezo chanu chotenga matenda a Wilson kapena kukhala ndi mwana wokhala ndi vutoli.

Kodi ndingadzisamalire bwanji?

Ngati muli ndi matenda a Wilson, mutha kudzisamalira nokha mwa kumwa mankhwala anu monga momwe dokotala wanu wanenera ndikuchotsa zakudya zokhala ndi mkuwa wambiri muzakudya zanu. Ndi chithandizo, mutha kuchepetsa zizindikiro zanu ndikupewa zovuta zomwe zingakupheni.

Ndiyenera kupita liti kwa dokotala wanga?

Ngati zizindikiro za matenda a Wilson zikuipiraipira, makamaka ngati zidayamba bwino kale, muyenera kuonana ndi dokotala. Izi zikutanthauza kuti mlingo wa mankhwala anu uyenera kusinthidwa.

Ngati zizindikiro za matenda a Wilson zikukulepheretsani kuchita zinthu zanu zatsiku ndi tsiku, makamaka ngati simungathe kudya, mukusanza nthawi zonse, mukuyamba kudwala matenda amisala, khungu lanu limasanduka lachikasu (jaundice), kapena muli ndi ululu waukulu m'mimba, pitani kuchipatala mwamsanga kapena imbani 911.

Ndi mafunso ati omwe ndiyenera kufunsa dokotala wanga?

• Kodi ndikufunika kuikidwa chiwindi?
• Kodi zotsatirapo zoyipa za mankhwala omwe amaperekedwa pochiza matenda a Wilson ndi ziti?
• Ngati nditenga mimba, kodi mwana wanga adzadwala matenda a Wilson?
• Kodi ndingatenge mankhwala anga ngati ndili ndi pakati?
• Kodi ndiyenera kumwa mankhwala omwe mwandipatsa kwa nthawi yayitali bwanji?

Pomaliza, kumbukirani (Uthenga Wopita Nawo Kunyumba)

Kuzindikira msanga ndi kuchiza matenda a Wilson ndiyo njira yabwino kwambiri yochiritsira matenda a majini omwe amabwera chifukwa cha moyo wanu wonse. Mungafunike kusintha moyo wanu kuti muchepetse mkuwa muzakudya zanu. Onetsetsani kuti mwaonana ndi dokotala wanu kuti muwonetsetse kuti chithandizo chanu chikugwira ntchito kuti muchepetse mkuwa m'thupi lanu. Chithandizo choyenera chingakuthandizeni kuti mukhale bwino ndikupewa mavuto omwe angakupheni. Musachite mantha, chofunika kwambiri ndikudziwa ndikutsatira malangizo a dokotala wanu.

Matenda a Wilson, mkuwa, chiwindi, ubongo, matenda a majini, cirrhosis, mphete za Keiser-Fleischer