Unowanzo nzwa kurwadziwa mudumbu uye fivha here? Izvi zvinogona kunge zviri "Abdominal Abscess"!

Wakambonzwa kurwadziwa kwakanyanya mudumbu mako uye fivha here? Kana kuti wakambonzwa sekunge uri kudzikira uremu nekuda kwekushaya chido chekudya uye kuda kurutsa? Pamwe chirwere chatiri kutaura nezvacho nhasi chinonzi "Abdominal Abscess". Usazvidya moyo, ngatitaurei nezvazvo zviri nyore.

Chii chinonzi `(Abdominal Abscess)`? Nei ichi chine njodzi?

Zvichitaurwa zviri nyore, Abdominal Abscess ibundu rine urwa rinoumbwa pane imwe nzvimbo mudumbu mako. Urwa urwu mvura inoungana nekuda kwehutachiona. Hurwa urwu kana kuti tupukanana twakazara urwa zvinogona kukonzera kusagadzikana kukuru.

Funga nezvazvo seronda diki paganda, rinobatwa nechirwere uye urwa hunoungana. Asi izvi zvinoitika mukati medumbu, saka hatigoni kuzviona kubva kunze. Asi zvinogona kukonzera kukuvara kukuru kubva mukati. Chinhu chakakosha ndechekuti kana izvi zvikarapwa zvakanaka, hutachiona uhwu hunogona kupararira mumuviri wese uye huchikonzera chirwere chine njodzi chinonzi ``Sepsis''. ``Sepsis'' chinhu chinogona kutouraya. Ndosaka zvichikosha kuziva izvi.

Sei rudzi urwu rwe `(Abdominal Abscess)` ruchiumbwa mudumbu? Ndezvipi zvinokonzera?

Kazhinji, `(Abdominal Abscess)` iyi inokonzerwa nehutachiona hwebhakitiriya. Kana mabhakitiriya aya akapinda mudumbu mako, masoja ekudzivirira muviri, ayo akaita semuchengeti mumuviri wedu, anotanga kurwisa mabhakitiriya aya anopinda. Mukurwa uku, ndiko kuti, mukupindura kwemasoja ekudzivirira muviri, matishu ane chekuita nawo (`Tissue`) anokuvadzwa, uye kuzvimba (`Kuzvimba`) kunoitika. Nekuzvimba uku, matishu akafa nemabhakitiriya anobatana kuti aumbe pus (`Pus`), iyo yakaita sebota (`Abscess`).

Zvino ngationei kuti mabhakitiriya aya anogona kupinda mudumbu mumamiriro ezvinhu api:

• Nekuda kwehutachiona hwebhakitiriya hunotangira mudumbu: Dzimwe nguva, kana buri diki (kuboorwa) rikaitika munzvimbo yakaita semudumbu, mabhakitiriya anogona kupinda mudumbu.
• Zvimwe zvirwere: Semuenzaniso, vanhu vane chirwere cheCrohn (chirwere chisingaperi chekuzvimba kwemudumbu), diverticulitis (utachiona hwemabhegi madiki emudumbu guru), kana chirwere chekuzvimba mudumbu (PID) muvakadzi vari panjodzi yakakura yekuve nebundu mudumbu. Izvi zvinogonawo kukonzera kuzvimba mudumbu.
• Mushure mekuvhiyiwa kwedumbu: Dzimwe nguva, mushure mekuvhiyiwa kwedumbu, mabhakitiriya anogona kupinda muronda okonzera hutachiona, zvichikonzera kuumbwa kwebundu.
• Nekuda kwekukuvara kwedumbu: Semuenzaniso, kukuvara kwekunze, senge ronda rekubaiwa nebanga, kunogona kukonzera kuti mabhakitiriya apinde mudumbu zvakananga.

Chinhu chinonyanya kukosha ndechekuti, chero chikonzero chacho, `(Abdominal Abscess)` iyiKana ikasarapwa nekukurumidza, inogona kutungamira kuzvirwere zvakakomba, zvinotyisidzira hupenyu zvakaita se "Sepsis" (chepfu muropa, uko hutachiona hunopararira mumuviri wese) uye "Kukundikana kwenhengo dzemuviri". Saka, zvakakosha kungwarira zvakanyanya nezveizvi.

"(Abdominal Abscess)" iyi inogona kubuda kupi mudumbu? Pane mhando dzacho here?

Ehe, maronda aya anogona kuumbwa munzvimbo dzakasiyana dzedumbu. Vanachiremba vanoaisa muzvikamu zvichienderana nekuti puronda iri kupi. Tinogona kutaura nezvemhando nhatu:

1. Matumbu emukati medumbu: Aya matumbu anoumbwa mukati medumbu, ndiko kuti, mukati memukati medumbu (peritoneum). Semuenzaniso:

• Pasi pe diaphragm yako (tsandanyama inoparadzanisa chipfuva chako nedumbu).
• Matumbu.
• Huro yechiuno (`Pelvis`) iri panzvimbo yayo.
• Dumbu riri pedyo.
• Imwe nzvimbo inokosha i"Subphrenic Abscess" inoitika pakati pe diaphragm nechiropa.

2. Mazamu emudumbu: Aya anoumbwa kumashure kwedumbu, kunze kweperitoneum. Anonyanya kuonekwa munzvimbo yeitsvo kana pancreas.

3. Visceral Abscess: Izvi zvinoreva muunganidzwa wematumbu anoumbwa mukati menhengo yakasimba, senge chiropa kana chirebvu.

Hazvina mhosva kuti inoitika kupi, zvakakosha kuitsvaga nekurapa nekukurumidza.

Ndezvipi zviratidzo zve"Abdominal Abscess"? Tinozviziva sei?

Zviratidzo zvinogona kusiyana zvishoma zvichienderana nekuti dumbu riri kupi. Asi pane zvimwe zviratidzo zvakajairika. Tarisa kana uine chimwe chezvizvi:

• Marwadzo matsva, akanyanya, uye asingaperi: Marwadzo aya anogona kuitika mudumbu repamusoro, mudumbu rezasi, kumusana wepazasi, papfudzi, kana kunyange pachipfuva.
• Fivha: Chiratidzo chikuru fivha yakanyanya. Dzimwe nguva, fivha inogona kuperekedzwa nechando uye kudedera.
• Kushaya chido chekudya: Kurasikirwa nechido chekudya.
• Kusvotwa nekurutsa: Kusvotwa pamwe nekurutsa zvinogona kuitika pamwe chete nekurwadziwa kwemudumbu.
• Kudzikira kwehuremu kusingatsananguriki: Kana ukangoerekana wadzikira huremu usingade kudya zvakanyanya kana kurovedza muviri, chiratidzo chekuti unofanira kunetseka nacho.

Funga nezvazvo, dzimwe nguva patinonzwa kurwadziwa mudumbu, tinofunga kuti, "Aa, izvi zvinofanira kunge zviri gasi, kana kuti chimwe chinhu chinofanira kunge chaipa." Asi kana rudzi urwu rwekurwadziwa ruchiperekedzwa nefivha kana kurasikirwa nechido chekudya, usazvitore segasi. Kunyanya kana kurwadziwa kwacho kuchiramba kuripo uye kuchikura zuva nezuva, unofanira kutsvaga rubatsiro rwechiremba.

Chiremba angaongorora sei "Abdominal Abscess" nemazvo? (Kuongororwa)

Paunoenda kunoona chiremba (`Mupi weHealthcare`) ane zviratidzo izvi, anotanga akubvunza nezvezviratidzo zvako. Wobva akuongorora (`Kuongororwa Kwemuviri`). Pamusoro pezvo, acharaira bvunzo dzakawanda kuti aone kana iri ``Abdominal Abscess``.

• Kuongororwa kweropa: Kuongororwa kweropa rose (CBC) kunogona kushandiswa kuongorora hutachiona. Kuwanda kwemasero machena eropa chiratidzo chehutachiona.
• Kuyedzwa kweMifananidzo: Izvi zvinobatsira kuona kuti cyst iri kupi uye saizi yayo.
• Ultrasound yedumbu: Izvi zvinogona kutarisa nhengo dzemuviri nemakonzo ari mudumbu.
• X-ray yechipfuva: Izvi zvinogona kubatsira kuona kana paine dambudziko nediaphragm.
• CT Scan: Kuongororwa kwedumbu nechiuno neCT scan ndiyo nzira inonyanya kushandiswa uye yakarurama yekuongorora chirwere ichi. Inogona kuratidza dumbu zviri pachena.
• Kuongororwa kweMRI (Magnetic Resonance Imaging - MRI scan): Kuongororwa uku kunogonawo kudiwa mune dzimwe nguva.

Dzimwe nguva, chiremba angangoda kutora sampuli diki yepus oiedza. Izvi zvinonzi "Fine Needle Aspiration". Tsono diki inopinzwa mubundu uye pus shoma inobviswa yoendeswa kurabhoritari kuti ione kuti mabhakitiriya api ari kukonzera hutachiona. Izvi zvinogona kubatsira kuona marapirwo.

Chii chinoitwa pakurapa `(Abdominal Abscess)`? Chinogona kurapwa here?

Ehe, `(Abdominal Abscess)` chirwere chinorapika. Asi chinoda kurapwa nekukurumidza uye nemazvo. Nzira mbiri huru dzekurapa dzinoshandiswa pamwe chete:

1. Mishonga inorwisa mabhakitiriya: Mishonga iyi inopihwa kuuraya mabhakitiriya akakonzera chirwere ichi. Inogona kutanga semishonga inopinzwa mutsinga (IV) yozochinjwa kuita mishonga inonwiwa.

2. Kubvisa tsvina: Izvi hazvigone kurapwa nemishonga chete. Urwa hwacho hunofanira kubviswa. Nzira inonyanya kushandiswa pakuita izvi inonzi Percutaneous Abscess Drainage (PAD).

Chii chinonzi `(Percutaneous Abscess Drainage - PAD)`?

Izvi zvinganzwika sedambudziko guru, asi iyi inyaya iri nyore uye isinganyanyi kukuvadza.

Chinoitika pano ndechekuti, chiremba anotarisa `(CT scan)` kana `(Ultrasound scan)` obva aisa chubhu diki (`Catheter` kana `Drain`) kuburikidza neganda (ndizvo zvinoreva `Percutaneous`) chaipo panowanikwa tupukanana. Zvadaro rimwe divi rechubhu iyoyo rakabatana nebhegi diki. Ipapo urwa hunoyerera zvishoma nezvishoma muchubhu uye hunoungana mubhegi.

Uchabatwa nechirwere chemudumbu (local anesthesia) panguva iyi. Izvi zvinoreva kuti uchanzwa wakagwinya, asi nzvimbo inopinzwa chubhu inenge isina simba saka hauzonzwi kurwadziwa. Dzimwe nguva uchafanira kuchengeta chubhu nebhegi munzvimbo yacho kwemazuva mashoma, dzimwe nguva vhiki, kusvika hurwa hwese hwabuda.

Kurapwa uku kwe `(PAD)` kunogona kukonzera matambudziko here?

Sezvinoitwa chero nzira ipi zvayo yekurapa, pane mukana mudiki wekuti pave nematambudziko madiki neiyi nzira ye "PAD". Zvisinei, izvi hazviwanzoitika.

• Kubuda ropa: Ropa diki rinogona kubuda panzvimbo yakaisirwa chubhu.
• Marwadzo: Kana chiveve chapera, unogona kunzwa kurwadziwa. Unogona kunwa mishonga inoderedza marwadzo.
• Utachiona hwemaronda: Dzimwe nguva nzvimbo inopinzwa chubhu inogona kutapukirwa.

Kana chimwe chinhu chakadai chikaitika, chiremba ndiye achapa kurapwa kwakakodzera.

Chii chandingatarisira kana ndiine "Abdominal Abscess"? Chichapora zvachose here?

Kune vanhu vazhinji, mishonga inorwisa mabhakitiriya nePAD zvinogona kurapa Abdominal Abscess zvachose. Uchanzwa zviri nani zvishoma nezvishoma. Fivha yako ichadzikira, kurwadziwa kwako kuchapera, uye kuda kwako kudya kuchadzoka.

Asi pane zvimwe zvakawanda. Dumbu remudumbu haringoitiki chete. Panogona kunge paine chikonzero chiri pachena (semuenzaniso, chirwere cheCrohn, hutachiona mushure mekuvhiyiwa). Kurapa kwakanangana nekubvisa tupukanana uye kudzora hutachiona, kwete nguva dzose kubvisa chikonzero chiri pachena. Saka, zvakakosha kurapa kana kugadzirisa chikonzero chiri pachena zvakare.

Ndichazofanira kuona chiremba zvakare rini?

Kunyangwe uchinzwa zviri nani mushure mekurapwa, ramba uchichenjerera zvimwe zviratidzo. Semuenzaniso:

• Kana fivha ikadzoka.
• Kana kurwadziwa kwemudumbu kukatanga zvakare uye kukaramba kuripo.

Kana zviratidzo izvi zvikaonekwazve, zvinogona kureva kuti dumbu rabuda rimwe. Kana zvakadaro, kurumidza kuona chiremba.

Kunyanya kana uine dambudziko rinowedzera njodzi yako yekuva nebundu mudumbu, senge chirwere cheCrohn kana diverticulitis, taura nachiremba wako nezvezviratidzo zvaunofanira kunetseka nazvo. Nenzira iyi, unogona kuona dambudziko uye kuwana kurapwa nekukurumidza.

Muchidimbu, zvinhu zvakakosha zvaunofanira kuyeuka (Mharidzo Yekuenda Kumba)

Zvakanaka, saka, kubva pane zvatataura nezvazvo, aya ndiwo mapoinzi makuru ekurangarira:

• Abdominal Abscess chirwere chinokura mukati medumbu.Bota rakazara nemapundu. Izvi zvinokonzerwa nehutachiona hwebhakitiriya.
• Izvi hazvizomboperi. Kana zvikasarapwa, zvinogona kuisa upenyu panjodzi, se sepsis.
• Kana uine zviratidzo zvakaita sekurwadziwa mudumbu, fivha, kushaya chido chekudya, uye kuda kurutsa , usangozvifuratira. Enda kuna chiremba nekukasika.
• Kurapa kunowanzo sanganisira mishonga inorwisa mabhakitiriya uye kubvisa mvura mumuviri .
• Kana uine zvinhu zvinokonzera njodzi zvakaita sechirwere cheCrohn, nyatsochenjerera izvi.

Yeuka kuti unoziva muviri wako zvakanyanya. Saka kana uchinzwa chimwe chinhu chisina kujairika, kuchenjera kuti uongororwe. Kurapwa nekukurumidza kunogona kudzivirira matambudziko akawanda makuru.

Dumbu , Dumbu, Marwadzo emudumbu, Fivha, Kurapa, Sepsis, Utachiona hwemudumbu, Kuvhiyiwa kwemudumbu