Wakambonzwa kurwadziwa kwakakomba, kunobaya padumbu rako, pasi pembabvu dzako here? Dzimwe nguva, kurwadziwa uku kunobuda kumusana nepafudzi rako rekurudyi here? Kurwadziwa uku hakuperi here kunyangwe mushure mekudya kana kuenda kuchimbuzi? Saka, zvakakosha kuti uzive nezvekurwadziwa kwenduru yatiri kutaura nezvayo nhasi.
Kutanga, ngationei, chii chinonzi nduru iyi?
Zvichitaurwa zviri nyore, nduru inhengo diki yakaita sebhegi iri pasi pechiropa chedu, kurudyi rwedumbu redu. Basa rayo guru nderekuchengetedza nduru kwenguva pfupi, iyo inogadzirwa nechiropa chedu. Patinodya chikafu chine mafuta, tinoda nduru iyi kuti inyungudise (kugaya) mafuta. Ipapo nduru inogumira yotumira nduru iyi muura hwedu hudiki kuburikidza nemidziyo yenduru. Iyi ndiyo nzira yakajairika.
Marwadzo emudumbu anonzwa sei?
Kurwadziwa kwenyongo hakusi kwemudumbu. Izvi zvakanyanya kuoma.
- Kurwadziwa kwakakomba kamwe kamwe: Kurwadziwa kwakakomba kamwe kamwe, kubaya nebanga kumusoro kwedumbu. Vamwe vanhu vanogonawo kunzwa kurwadziwa uku pakati pedumbu.
- Kurwadziwa kunogara kuripo: Kurwadziwa uku kunogara kuripo. Kunyangwe tikafamba-famba kana kuchinja nzvimbo, kurwadziwa hakudziki.
- Kuwedzera kwekurwadziwa pakufema: Kurwadziwa kunogona kurwadza zvakanyanya kana ukafema zvakadzika.
- Kuparadzira marwadzo: Dzimwe nguva marwadzo aya anogona kupararira kuenda pafudzi rekurudyi uye kumusana.
- Zvimwe zviratidzo: Pamwe chete nekurwadziwa uku kwakanyanya, unogona zvakare kuona zviratidzo zvakaita sekusvotwa nekurutsa , fivha, uye kutonhorwa .
Marwadzo aya akanyanya zvekuti vamwe vanhu vanotya vofunga kuti chirwere chemwoyo. Uyewo, kana kurwadziwa uku kukagara kwemaawa anopfuura mashoma, kunogona kuva chiratidzo chechirwere chakakomba. Muzviitiko zvakadaro, unofanira kuona chiremba nekukasika, kana kuenda kuchipatara cheEmergency Department (ETU) .
Sei rudzi urwu rwekurwadziwa ruchiitika? Ndezvipi zvikonzero zvikuru?
Chinonyanya kukonzera kurwadziwa kwenyongo imatombo enyongo . Tinoadaidzawo mumashoko ekurapa kuti `(Cholelithiasis).` Aya akafanana nematombo anoumbwa mukati menyongo yedu. Anowanzo umbwa nemafuta echolesterol. Matombo aya anogona kuva madiki setsanga yemunyu kana kuti akakura sebhora regorofu.
Kuwedzera kune chikonzero chikuru ichi, kune zvimwe zvikonzero zvakawanda.
Matombo eBile Duct
Dombo remunduru rinogona kubuda rogara mugwara remunduru, iro riri guru remunduru. Iri idambudziko rakakomba kupfuura matombo emunduru. Rinogona kukonzera mamwe matambudziko, akadai sepancreatitis.
Cholecystitis
Kana dombo remunduru rikadzivira duct yenyongo, rinovharirwa mukati. Izvi zvinobvumira mabhakitiriya kuungana nekutapukira nyongo, zvichiita kuti izvimbe. Izvi ndizvo zvatinodaidza kuti cholecystitis.
Zvimwe Zvirwere zveGallbladder
Izvi zvinogona kusanganisira chero chirwere chinokanganisa nduru kana nduru. Semuenzaniso, nyongo dyskinesia, kuzvimba kwenyongo (cholangitis), nezvimwewo.
Kenza yeDundira
Ichi chirwere chisingawanzoitiki, asi rudzi urwu rwekurwadziwa runogonawo kukonzerwa nekukura kwemasero ekenza munduru.
Mishonga yekumba uye kurapwa kwemarwadzo
Pane zvinhu zvishoma zvaunogona kuita kumba kana uine marwadzo enduru. Kuisa bhodhoro remvura inopisa panzvimbo yekurwadziwa kunogona kubatsira. Asi izvi zvinongori mhinduro dzenguva pfupi.
Chinhu chinonyanya kukosha ndechekutsvaga rubatsiro rwechiremba nekukasika kana kurwadziwa kukaramba kuripo kana kuti kwakanyanya. Usazvirape wega.
Kana ukaona chiremba, ivo ndivo vachasarudza marapirwo zvichienderana nemamiriro ako ezvinhu.
- Mishonga Inoderedza Marwadzo: Kana marwadzo acho akaramba aripo, chiremba achanyora mishonga inoderedza marwadzo kuti aadzore.
- Mishonga inorwisa mabhakitiriya: Kana paine hutachiona, mishonga inorwisa mabhakitiriya inopihwa.
- Endoscopic Retrograde Cholangiopancreatography (ERCP): Maitiro aya anosanganisira kupfuudza chubhu ine kamera nemuromo kubvisa matombo madiki akanamira mumigero yenyongo, kuwedzera mugero, kana kutora sampuli yenyama kuti iongororwe.
- Kubviswa kwenyongo (Cholecystectomy): Kana matombo enyongo ari kukonzera matambudziko nguva dzose, mhinduro yakanakisisa uye inogara iripo ndeyekuvhiyiwa nyongo. Nyongo haisi nhengo inokosha muhupenyu. Kana yabviswa, unogona kurarama hupenyu hwakajairika.
Kuvhiyiwa uku kunoitwa nenzira mbiri huru:
1. Kuvhiyiwa kweLaparoscopic Cholecystectomy: Iyi ndiyo nzira inonyanya kushandiswa. Inonziwo "keyhole surgery." Ganda rinobviswa nekucheka kudiki mudumbu uchishandisa kamera. Nzira iyi inokurumidza kupora uye ine mavanga mashoma.
2. Kuvhiyiwa kweOpen Cholecystectomy: Kana gallbladder yakazvimba zvakanyanya, paine matambudziko, kana kenza inofungidzirwa, kuvhiyiwa uku kunoitwa kuburikidza nekucheka kwakakura zvishoma mudumbu.
Pane zvimwe zvirwere zvinoita sekurwadziwa kwenyongo here?
Ehe. Nekuti kune dzimwe nhengo dzinokosha dziri kurudyi rwedumbu, dzimwe nguva kurwadziwa kwemamwe matambudziko ehutano kunogona kunzwika sekurwadziwa kwenyongo. Saka zvakakosha kuziva mutsauko pakati peizvi.
| Dambudziko rehutano | Kusiyana kwazvinoita nekurwadziwa kwenduru |
|---|---|
| Appendicitis | Marwadzo anowanzoonekwa mudumbu repazasi kurudyi . Marwadzo enyongo ari muchikamu chepamusoro. |
| Matombo eItsvo | Pamwe chete nekurwadziwa kwakanyanya, unogona kuona shanduko muweti yako (pink, tsvuku, kunhuwa kwakashata). |
| Chipembenene | Kuwedzera pakurwadziwa, zviratidzo zvakaita sekusvotwa, kurutsa, uye kudzikira kwehuremu zvinowanzoonekwa. |
| Maronda emudumbu | Zviratidzo zvakaita sekuzvimba, kurwadziwa mudumbu, uye manyoka zvinowanzoonekwa kupfuura kurwadziwa mudumbu. |
Mamiriro ezvinhu aya anogona kudzivirirwa here?
Nzira yakanakisisa yekudzivirira kuumbwa kwematombo emunduru uye kurwadziwa kwakabatana nawo ndeyekudya zvine hutano uye mararamiro ane hutano .
Zvekudya zvekudzivisa:
- Zvikafu zvine mafuta akawanda (mafuta, bota, chizi, nyama tsvuku)
- Shuga yakawanda uye sodium (munyu)
- Zvekudya zvakakangwa
- Kudya zvakanyanya makabhohaidhiretsi akacheneswa akadai sechingwa nemupunga
Zvinhu zvekuwedzera pakudya kwako:
- Nyama isina mafuta nehove
- Muriwo nemichero
- Zvikafu zvine fiber yakawanda
- Muriwo nezviyo zvakakwana
- Zvigadzirwa zvemukaka zvisina mafuta akawanda
Pamusoro pe,Kudya panguva yakakodzera, kusaedza kudzikisa huremu kamwe kamwe, uye kurovedza muviri nguva dzose zvinobatsira zvikuru mukuderedza njodzi yekubatwa nematombo emunduru.
Mharidzo Yekuenda Nayo Kumba
- Kurwadziwa kwenyongo kunorwadza kamwe kamwe, kwakanyanya, uye kunogara kwenguva refu kunotangira kumusoro kurudyi kwedumbu.
- Chikonzero chikuru cheizvi kuumbwa kwematombo emunduru.
- Kana kurwadziwa kwacho kuchitora maawa anopfuura mashoma, kana kuti kuchiperekedzwa nezviratidzo zvakaita sefivha nekurutsa, enda kuna chiremba nekukasika kana kuenda kuchipatara cheEmergency Department (ETU).
- Kudya zvine hutano uye kurovedza muviri nguva dzose kunogona kuderedza njodzi yechirwere ichi.
- Kubviswa kwenyongo kuvhiyiwa kwakajairika, uye unogona kurarama hupenyu hwakajairika mushure mezvo. Saka hapana chikonzero chekutya.
👩🏽⚕️ Mibvunzo yekuwedzera (Mibvunzo Inowanzo bvunzwa)
💬 Mapiritsi eFlecainide (Tambocor) mushonga une simba zvikuru unoshandiswa pakurapa chirwere chipi?
Iri harisi piritsi reBP rakajairika! Ndiro rimwe remishonga ine simba zvikuru (Class 1C Antiarrhythmic) inoshandiswa navanachiremba kudzosa moyo ku'rhythm yakajairika' apo makamuri epamusoro kana ezasi emwoyo emurwere anongoerekana arova zvisina kujairika/nekukurumidza zvakakwana zvekuti anogona kuisa hupenyu panjodzi (Atrial Fibrillation / SVT / Ventricular Arrhythmias)!
💬 Kana moyo wako uchirova zvisina musoro, ungagadzirisa sei rhythm yemoyo nekupa mushonga uyu (Flecainide)?
Mwoyo unorova nekukurumidza nekuda kwezviratidzo zvemagetsi (Action Potentials)! Pakurova kwekutanga, zvidimbu zve'Sodium' zvinofanirwa kupinda kuti zvichaje masero. Kana piritsi iri richipinda mumoyo, magedhi ese anobvumidza sodium kupinda anovharwa (zvakanyanya) 100%, uye rinogara rakavharwa uye rakakiyiwa kwenguva yakareba (Marked Phase 0 depression/Slow unbinding). Sezvo sodium isiri kupinda zvachose, zvinotora nguva yakareba kuti masero achaje. Ipapo moyo haugone kurova nekukurumidza zvakakwana uye unodzokera kune rhythm yawo yakajairika.
💬 Chii chinonzi 'Black Box Yambiro' iyo vanhu vanotora mushonga uyu (Tambocor) vanofanira kuziva nezvayo?
Ndiyo njodzi huru uye mamiriro ezvinhu anouraya! Kana wakambova ne'chirwere chemwoyo' kare kana kuti wakambova ne (Structural heart disease/LV dysfunction), mushure mekunwa piritsi iri, 'moyo mutsva unouraya (Proarrhythmic effect)' unogona kuitika uye murwere anogona kufa kamwe kamwe (izvi zvakaratidzwa neCast Trial)! Saka, izvi hazvinyorerwi nyore kunze kwekunge paine mamiriro ezvinhu anotyisidzira hupenyu chero nguva.
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