Unonzwawo kurwadziwa kwakanyanya mudumbu here? (Acute Dumbu)

Wakambova nekurwadziwa kwemudumbu kamwe kamwe, kusingatsungiririki here? Dzimwe nguva, unogona kuva nekurwadziwa kwemudumbu kamwe kamwe. Vanachiremba vanoti chirwere ichi "dumbu rakasimba." Dzimwe nguva, chinogona kuva chakakomba zvekuti chinoda kuvhiyiwa nekukurumidza. Saka zvakakosha kuziva izvi.

Chii chaizvo chinonzi Acute Abdominal Pain?

Zvichitaurwa zviri nyore, kurwadziwa kwakanyanya mudumbu kurwadziwa kwemudumbu kamwe kamwe, kwakanyanya. Izvi dzimwe nguva zvinogona kuva dambudziko rinouraya. Izvi zvinoreva kuti ungangoda kuvhiyiwa nekukasika. Zvisinei, haasi marwadzo ese emudumbu anoda kuvhiyiwa. Mamwe matambudziko ehutano anogonawo kukonzera rudzi urwu rwekurwadziwa.

Vanachiremba vanoshandisa izwi rekuti "acute abdominal" kutsanangura rudzi urwu rwekurwadziwa kwemudumbu kwakakomba uye kamwe kamwe. Zvinoreva kuti unofanira kuziva zviri kuitika nekukasika wotanga kurapwa kana zvichidikanwa.

Ndiani angangonyanya kukanganiswa nemamiriro ezvinhu aya?

Kutaura zvazviri, kurwadziwa kwemudumbu uku kunogona kuitika kune chero munhu . Zvisinei, zvikonzero zvinogona kusiyana zvichienderana nezera rako, kungave uri murume kana mukadzi, uye zvimwe zvirwere zvaungave nazvo.

Funga nezvazvo nenzira iyi:

• Appendicitis chirwere chinowanzoitika kuvanhu vechidiki vari mumakore avo ekuma18 ne20.
• Diverticulitis inowanikwa muvanhu vane makore anopfuura makumi matanhatu.
• Kune mukadzi, dzimwe nguva rudzi urwu rwekurwadziwa kamwe kamwe runogona kuitika nekuda kwekuputika kwepamuviri usina kubereka.
• Murume anogona kurwadziwa kamwe kamwe nekuda kwekukombama kwemachende.

Uyewo, kana uine nhoroondo yezvekurapa, unogona kusanganawo nematambudziko emudumbu akadai.

Dambudziko iri rakajairika zvakadii?

Zvakaoma kutaura kuti vangani chaizvo vanorwadziwa nemudumbu nekukurumidza. Zvisinei, zvinofungidzirwa kuti vanhu vanosvika 7 kusvika 10 pavanhu 100 vanouya kubazi rezvekukurumidzira vanorwadziwa nemudumbu . Saka, izvozvo zvinokupa pfungwa yekuti izvi zvakajairika sei.

Ndezvipi zviratidzo zvekurwadziwa kwemudumbu kwakanyanya?

Kazhinji chiratidzo chikuru chirwere chemudumbu chinongoerekana chaitika . Zvisinei, zvimwe zviratidzo zvinogonawo kuvapo. Izvi zvinosanganisira:

• Dumbu rakazvimba: Izvi zvinoreva kuti dumbu rakazvimba zvakanyanya kupfuura zvakajairika, sebharumu.
• Zviratidzo zvekuvhunduka: Izvi zvinosanganisira kurova kwemoyo nekukurumidza, BP yakaderera, kudikitira, uye dzimwe nguva kuvhiringidzika. Ichi chiratidzo chine njodzi zvikuru.
• Zviratidzo zve peritonitis:Kana dumbu redu rikabatwa nechirwere (peritonitis), panogona kunge paine kurwadziwa kunoramba kuripo. Kana kuti kurwadziwa kunogona kuwedzera kana dumbu rikagunzwa kana kurohwa pane imwe nzvimbo.

Kana uine chimwe chezviratidzo izvi kana kupfuura, usazvitore sezvisina basa.

Chii chinokonzera kurwadziwa kwemudumbu uku kamwe kamwe (Acute Abdomen)?

Matambudziko mazhinji akasiyana-siyana ehutano anogona kukonzera kurwadziwa kwemudumbu kamwe kamwe. Zvimwe zvezvikonzero izvi zvinogona kunge zviri zvekuvhiyiwa . Kureva kuti, zvingangoda kuvhiyiwa. Zvimwe zvinogona kunge zvisiri zvekuvhiyiwa .

Zvikonzero nei kuvhiyiwa kungadiwa

Izvi zvinosanganisira kubuda ropa, hutachiona, kuvharika kweropa, kuvharika kweura, uye maburi.

1. Kubuda ropa (Kubuda ropa)

Kubuda ropa kunoitika kana ropa richibuda mutsinga yeropa nekuda kwekukuvara. Izvi zvinogona kukonzerwa ne:

• Misodzi yemudumbu (Mallory-Weiss tear)
• Kuputika kwepamuviri we ectopic
• Imwe mhando yetsaona (Kukuvara)
• Chirwatata chakaputika
• Aneurysm yedumbu yakaputika

2. Utachiona

Kurwadziwa kwemudumbu kamwe kamwe kunogona kukonzerwa nehutachiona hwakasiyana-siyana:

• Appendicitis - chirwere cheappendicitis chatinoziva tese
• Cholecystitis
• Chirwere chepeptic ulcer (maronda emudumbu kana maronda madiki emudumbu)
• Chirwere chepancreatitis chakanyanya
• Kutapukirwa kwezvikamu zveura hukuru (Diverticulitis)

3. Kuvharika kweropa (Ischemia)

Ischemia inoitika kana ropa richienda kune chimwe chikamu chemuviri rikadzikira kana kumira.

• Chirwere chaBuerger
• Kuzvimba kweura hukuru (Colitis)
• Kuvharika kwetsinga dzeropa dzinopa matumbu (mesenteric ischemia)
• Hernia yakapwanyika
• Kutenderedzwa kwemachende

4. Zvipingamupinyi

Kuvharika kwemuviri kunoitika kana chimwe chinhu chikabatirira mudumbu, zvichitadzisa chikafu nemvura zvatinodya kuti zvisapfuure nemazvo.

• Chirwere chemudumbu chinozvimba (IBD)
• Kupinda mudumbu (intussusception)
• Kuvharika kwematumbu madiki
• Kuvharika kwematumbu makuru

5. Maburiro

Izvi ndizvo zvinoitika kana maburi aumbwa mumadziro enhengo dzemuviri wedu.

• Esophageal rupture (Boerhaave's syndrome)
• Kuboorwa kwedumbu
• Chironda chemudumbu chakaboorwa
• Kuora kweura

Zvikonzero nei kuvhiyiwa kusingawanzodiwi

Zvikonzero izvi zvekurwadziwa mudumbu hazvidi kuvhiyiwa. Zvinogona kukonzerwa nezvirwere zve endocrine uye metabolic metabolic, zvirwere zveropa, uye chepfu kana mishonga.

1. Matambudziko eEndocrine uye metabolic metabolic

Idzi inyaya dzine chekuita nemahormone, makemikari, uye magland mumuviri wedu (Endocrine system).

• Kuwedzera kwehuwandu hweurea muropa (Uremia)
• Ketoacidosis inokonzerwa nechirwere cheshuga (DKA)
• Chirwere cheAddison
• Porphyria isingaperi

2. Zvirwere zveropa

Izvi zvirwere zvine chekuita neropa redu, masero ari muropa redu, ma lymph nodes, bone moorge, uye blood platelet.

• Chirwere cheSickle cell
• Leukemia yakanyanya
• Zvimwe zvirwere zvemajini
• Kushaya ropa

3. Chepfu

Mimwe mishonga, makemikari, uye chepfu inobva pakurumwa nemhuka zvinogona kukonzerawo dumbu kurwadza kamwe kamwe.

• Chepfu yemutobvu
• Zvimwe zvinodhaka zveheavy metal
• Kubvisa Nikotini
• Chepfu yekurumwa nedandemutande reBlack Widow
• Dzimwe nyere dzinoruma

Unoona sei kurwadziwa kwemudumbu uku kamwe kamwe (Acute Abdomen)?

Kana ukaenda kuchipatara chekukurumidzira (ETU) uchirwadziwa zvakanyanya mudumbu, vanachiremba nevanamukoti varipo vachakurumidza kuedza kuziva chiri kukonzera izvi. Chiremba achakubvunza mibvunzo mishoma:

• Nhoroondo yako yezvekurapa: Matambudziko eGI akamboitika pamwe nezvimwe zvirwere.
• Kurwadza kuri papi chaipo: Kunorwadza pane imwe nzvimbo mudumbu.
• Nguva yekutanga kwekurwadziwa uye tsananguro yekurwadziwa: Kwakatanga rini uye rudzii rwekurwadziwa kwacho (kurwadziwa, kucheka, kudzvanya).
• Zvekuita kuderedza marwadzo, uye zvekuita kuti awedzere.
• Wakambova nezviratidzo zvakadai here?
• Pane zvimwe zvinhu zvitsva here?
• Ndeipi mishonga (inotorwa nachiremba uye isiri yachiremba) yaunotora?
• Wakambovhiyiwa dumbu here?
• Wakambova nekuchinja kwemaitiro emudumbu kana weti munguva pfupi yapfuura here?

Uyewo, vachakubvunza kana une pamuviri kana kuti pane mukana wekuti uve nepamuviri.

Chiremba achabva aita bvunzo yemuviri, kunyanya dumbu rako. Achatarisa ganda redumbu rako kuti aone kana paine zvinhu zvisina kumira zvakanaka. Achashandisa stethoscope kuti anzwe ruzha rwematumbu ako. Achabva anyatsobata dumbu rako kuti aone kana paine kurwadza kana mapundu.

Kuona kwaunonzwa kurwadziwa kunogona kubatsira chiremba wako kuziva chikonzero chekurwadziwa kwako. Semuenzaniso, kurwadziwa kwe diverticulitis kunowanzoonekwa mudumbu rezasi kuruboshwe, ukuwo kurwadziwa kwecholecystitis kunowanzoonekwa mudumbu rekumusoro kurudyi.

Kana paine fungidziro yekuti pane dambudziko rekugaya chikafu kana kuti prostate, bvunzo ye digital rectal inogona kuitwa. Kana paine fungidziro yekuti pane dambudziko revakadzi, bvunzo yechiuno inogona kuitwa. Kana paine fungidziro yekuti pane torsion yetesticular, bvunzo yetesticular inogona kuitwa.

Zvichibva pamhinduro dzenyu kumibvunzo iyi nezvakawanikwa kubva pakuongororwa kwemuviri, chiremba anogona kuwana pfungwa yekuti chirwere chacho chingave chii. Zvichibva pane izvozvo, ndiye achasarudza kuti ndeapi maedzo ekuongorora chirwere anofanira kuitwa.

Ndedzipi mhando dzebvunzo dzinoitwa pakuita izvi?

Dzimwe nguva, kana chiremba wako akakwanisa kuziva chikonzero chezviratidzo zvako, anogona kukutumira zvakananga kuvhiyiwa pasina kumwe kuongororwa. Zvisinei, kana usina chokwadi nezvechikonzero chacho, ungangoda kuongororwa kakawanda kuti usimbise chirwere chacho. Miedzo yauchafanira kuita inoenderana nezvauchawana panguva yekuongororwa kwako kwemuviri uye mamiriro ezvinhu anofungidzirwa.

Kuongororwa kweropa neweti (kuongororwa kwerabhoritari) kunogona kusanganisira:

• Kuverengwa kweropa rose (CBC)
• Paneri yakazara yemetabolism (CMP)
• Kuongororwa kwegasi reropa reArterial (ABG)
• Kuedzwa kweAmylase
• Kuongororwa kwebasa rechiropa
• Kuongororwa kwebasa reitsvo
• Kuongororwa kweweti

Miedzo yekufungidzira inogona kusanganisira:

• Ultrasound yemudumbu
• Kuongororwa kwemudumbu (CT scan)
• Ultrasound ye endoscopic

Unobata sei kurwadziwa kwemudumbu uku kwakangoerekana kwaitika (Acute Abdomen)?

Kurapwa kunosiyana zvichienderana nechikonzero . Chero chikonzero chipi zvacho, zvakakosha kuongorora chirwere chacho uye kutanga kurapwa nekukurumidza. Kana uchida kuvhiyiwa nekukurumidza, chiremba achakurumidza kukutumira kuna chiremba wekuvhiya kuti akupe mazano uye anogona kutokuendesa kunzvimbo yekuvhiya.

Kana chikonzero chekurwadziwa kwemudumbu kamwe kamwe chisiri chekuvhiyiwa, mishonga inotevera inogona kukurudzirwa:

• Kudzikamisa uye kutarisa zviratidzo zvako zvehupenyu.
• Kupa muviri mvura nemaelectrolyte aunoda.
• Kupa mishonga inorwisa mabhakitiriya ine hunyanzvi hwakasiyana-siyana.
• Kupa mishonga inoderedza marwadzo.
• Kupa mishonga yekuderedza kurutsa nekurutsa.

Chii chinoitika kana ndikarwadziwa mudumbu kamwe kamwe (Acute Abdomen)?

Kufanotaura kwako nezvechirwere kunoenderana nechikonzero chechirwere. Kana ukakurumidza kuwana kurapwa, mikana yako yekupora inowedzera.

Kana kurwadziwa kwemudumbu kamwe kamwe kukasarapwa, matambudziko ane njodzi anogona kuitika. Izvi zvinosanganisira:

• Kubatana kusina kujairika pakati pezvikamu zvemuviri zvisingafanirwe kubatanidzwa (Fistula).
• Kufa kwedumbu rako.
• Kuchetura muropa (Sepsis).
• Kunyangwe rufu runogona kuitika.

Saka, kana ukanzwa kurwadziwa mudumbu kamwe kamwe, usambozviregeredza. Chinhu chakanakisa chekuita kutsvaga rubatsiro rwechiremba nekukasika.

Ndingadzivirira here kurwadziwa kwemudumbu uku kusingatarisirwi (Acute Abdomen)?

Sezvo paine zvikonzero zvakawanda zvinokonzera kurwadziwa kwemudumbu kamwe kamwe, zvakaoma kudzivirira zvese izvi. Zvisinei, unogona kuderedza njodzi iyi nekutevera mararamiro ane hutano . Izvi zvinoreva:

• Kudya chikafu chakakwana.
• Kurovedza muviri nguva dzose.
• Kuenda kunoongororwa nachiremba nguva dzose.
• Kurega kusvuta.

Ndinofanira kuona chiremba rini?

Kana uine kurwadziwa kwemudumbu kwenguva refu, zvichireva kurwadziwa kwave kuchiitika kwemavhiki uye kusingaratidzike sekuri nani, unofanira kuona chiremba. Pane zvakawanda zvinokonzera kurwadziwa mudumbu. Chiremba anogona kuona mamiriro ako ezvinhu uye kukurudzira kurapwa kwakakodzera.

Ndinofanira kuenda kuEmergency Treatment Unit (ETU) riini?

Kana muine kurwadziwa kwemudumbu kwakakomba kamwe kamwe, fonerai 911 (1990 muSri Lanka) nekukasika, kana kuenda kuchipatara chiri pedyo. Ichi chirwere chinogona kuisa upenyu panjodzi, saka kurapwa nekukurumidza kwakakosha.

Mibvunzo ipi yandinofanira kubvunza chiremba wangu?

Kana muine kurwadziwa kwemudumbu kamwe kamwe, munogona kubvunza chiremba wenyu mibvunzo iyi:

• Sei ndakangoerekana ndarwadziwa nemudumbu?
• Ndichada kurapwa kumwe here?
• Ndingaitei kuti ndidzivise chimwe chinhu chakadai kuti chisaitike zvakare?
• Musiyano uripo pakati pekurwadziwa kwemudumbu kwakanyanya nekurwadziwa kwemudumbu kwenguva refu ndeupi?

Munhu wese anonzwa kurwadziwa mudumbu pane imwe nguva muhupenyu hwake. Kazhinji, hazvina kuipa uye zvinopera zvega. Zvisinei, kurwadziwa mudumbu kunogona kuva chiratidzo chekukurumidzira kwekurapa. Kana ukangoerekana wanzwa kurwadziwa mudumbu zvakanyanya, zvakakosha kuenda kuchipatara nekukurumidza. Nenzira iyi, vanachiremba vanogona kuwana chikonzero chekurwadziwa kwako votanga kurapwa nekukasika. Kana kusarapwa, kurwadziwa mudumbu kunogona kukonzera matambudziko akakomba.

Yeuka chinhu chinonyanya kukosha (Mharidzo Yekuenda Kumba)

Kurwadziwa kwakanyanya mudumbu kamwe kamwe hakusi chinhu chekuregeredza . Panogona kunge paine chikonzero chakakomba. Saka, kana iwe kana mumwe munhu waunoziva akangoerekana arwadziwa mudumbu, tsvaga rubatsiro rwechiremba nekukasika . Kurapwa nekukurumidza kunogona kuponesa hupenyu. Kurarama mararamiro ane hutano kunogonawo kukubatsira kukudzivirira kubva kuzvirwere izvi kusvika pamwero wakati. Kupfuura zvese, tarisira muviri wako uye teerera chero chinhu chisingawanzoitika.

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