Zachidule za Kutsekula m'mimba
Kutsekula m'mimba ndizosavuta kumva kukhala ndi zotayirira ndi madzi. Mwachidule ichi, mudzaphunzira zomwe muyenera kudziwa kuti muthane ndi chizindikiro cha kutsekula m'mimba, kaya zangoyamba kuchitika, kapena zikuchitika kwa masabata ndipo sizikuwoneka ngati zikuchoka.
Kodi Kutsekula m'mimba N'kutani?
Kuwonjezera pa zinyumba zosasunthika ndi madzi, zizindikiro zina za kutsegula m'mimba zimaphatikizapo kuwonjezeka kwa kayendedwe kake kamene katatu patsiku.
Kutsekula m'mimba kumatha kukhala kovuta, komwe kumakhala kosawoneka msanga komanso kosachepera masabata awiri; kupitiriza, zomwe zimatenga masiku 14 mpaka 28; kapena matenda, omwe zizindikiro zakhalapo kwa milungu yaitali.
Matenda otsegula m'mimba ndiwowoneka bwino ndipo angayambidwe ndi zinthu zosiyanasiyana, koma nthawi zambiri amayamba chifukwa cha mtundu wina wa matenda. Nthawi zambiri, akuluakulu amakhala ndi matenda otsegula m'mimba ambiri pachaka, pamene ana ang'onoang'ono, amabadwa, amakhala ndi matenda otsegula m'mimba ambiri pachaka.
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Kodi Ndi Zakudya Ziti Zimene Simuyenera Kudya Pamene Ali ndi Kutsekula m'mimba?
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Zimene Muyenera Kuchita Pamene Kudya Kumakutumizirani Kuthamangira ku Malo Ochipatala Nthawi Zonse
Kutsekula m'mimba, kumbali ina, kukhozanso kuyambitsa matenda kapena kungakhale chizindikiro chochokera ku mitundu ina ya matenda.
Nthawi zambiri, anthu omwe amatha kutsekula m'mimba amawongolera okha. Komabe, kutsegula m'mimba kungakhale moyo wowopsya kwa ana, akuluakulu, ndi anthu omwe ali ndi chitetezo cha m'thupi monga matenda a khansa kapena kachilombo ka HIV .
Zizindikiro Zodziwika ndi Matenda a Kutsekula m'mimba
Monga tafotokozera pamwambapa, chizindikiro chenicheni cha kutsegula m'mimba ndikumasowa ndi madzi. Zizindikiro zina zingakhalepo:
- kuchulukanso kwa kayendedwe kake
- ziwalo za m'mimba
- lingaliro la kupuma kwa msana
- ngozi zoopsa
Ngati chifukwa cha kutsegula m'mimba ndi matenda, zizindikiro zotsatirazi zingakhalenso zodziwika:
- kunyoza
- kusanza
- malungo
- zovuta
- magazi
Anthu omwe ali ndi matenda otsekula m'mimba amatha kupeza zigawo zolepheretsa ndi madzi. Nthawi zina, zigawo izi zidzachitika mwachidule. Amakhalanso ndi zizindikiro zina zomwe zimachokera ku vuto lalikulu la thanzi. Mwachitsanzo, anthu omwe ali ndi matendawa amatha kulemera komanso kusowa zakudya m'thupi.
Zizindikiro ndi Zizindikiro
Chimodzi mwa zoopsa zokhudzana ndi kutsekula m'mimba ndi chakuti munthu akhoza kutaya madzi. Kutaya madzi m'thupi ndi malo omwe thupi liribe madzi okwanira ndi electrolytes. Ngati osatulutsidwa, kutaya madzi m'thupi kungabweretse mavuto aakulu azaumoyo komanso imfa. Ana aang'ono, akuluakulu, ndi anthu omwe ali ndi matenda ena (monga matenda a mtima, chiwindi cha matenda a chiwindi) onse ali pangozi yaikulu yothetsera mavuto aakulu okhudzana ndi kuchepa kwa madzi.
Kwa akuluakulu, zizindikiro za kuchepa kwa madzi zikuphatikizapo:
- Mlomo wouma
- ludzu
- kuchepa kwa mkodzo
- mkodzo ndi chikasu chakuda kapena amber
- khungu louma
- kutopa
- chizungulire kapena kumutu
Kutaya madzi m'thupi mwa ana ndi ana ang'onoang'ono kudzadzipereka ndi zina kapena zizindikiro zotsatirazi:
- lilime louma ndi pakamwa
- pamene akulira, palibe misozi kapena yochepa
- kuchepa kuyamwa - Kwa makanda, izi sizikutanthauza kuti amathawa otentha kwa maola atatu kapena oposa
- ludzu
- maso, masaya, ndi malo ofewa m'khanda (mu makanda) akuwidwa
- khungu louma
- malungo
- kugona kapena kusowa mphamvu
- kukwiya
- kudzimbidwa
- chizungulire kapena kumutu
Zizindikiro zoopsa za kutaya madzi m'thupi, zomwe zimafuna kuchipatala mwamsanga, ziphatikizapo:
- kukhumudwa kwakukulu, kugona, makanda (makanda), ndi / kapena kusokonezeka (akuluakulu)
- mkamwa, khungu, ndi makoswe onse ndi owuma
- maso akuwoneka, mu makanda "malo ofewa" angayambenso
- kulira sikumabweretsa misonzi
- pang'ono kuti musadye; chimene chikudutsa ndi mdima kwambiri
- khungu sichimasintha pamene likulumikizidwa
- kupuma mofulumira ndi mtima
- kuthamanga kwa magazi
- malungo
- zokondweretsa kapena kusowa
Zifukwa za Kutsekula m'mimba
Chizindikiro cha kutsegula m'mimba chingakhale ndi zifukwa zambiri. Kutsekula m'mimba kumabwera kuchokera ku kudya zipatso zochuluka kapena zowonjezera.
Matenda otsekula m'mimba amayamba chifukwa cha kachirombo ka HIV, matenda omwe amatchedwa viral gastroenteritis. Zitsanzo za matenda a tizilombo ndi rotavirus, mawonekedwe omwe amawathandiza kwambiri, komanso norovirus, nthawi zina amatchedwa "kutsekula m'mimba."
Matenda otsegula m'mimba angayambitsenso mabakiteriya (bacterial gastroenteritis) kapena matenda a parasitic. Matenda a bakiteriya nthawi zambiri amabwera chifukwa chodya zakudya kapena madzi, kuphatikizapo C. difficile , E. coli , salmonella , shigella ndi campylobacter . Mafinya amatha kukhazikitsidwa kudzera mu zakudya ndi madzi owonongeka.
Kutsekula m'mimba kungakhalenso ndi zotsatira za mankhwala ena, kuphatikizapo maantibayotiki, antacids, chemotherapy, mankhwala a mtima, antidepressants, mankhwala othamanga kwambiri a magazi, ndi ma diuretics.
Kutsekula m'mimba kumachitika pambuyo pa opaleshoni ya bereatric kapena kuchotsa ndulu .
Matenda a matenda omwe amatha kukhala ndi matenda otsegula m'mimba monga chizindikiro chimaphatikizapo matenda a celiac, matenda opweteka a matenda a Crohn, matenda a zilonda zam'mimba, matenda osokoneza bongo (IBS), komanso kusalana kwa chakudya (monga fructose kapena lactose malabsorption).
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Chilichonse Chimene Mukuyenera Kudziwa Kukhalabe Chabwino Mukamayenda
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Kuyesedwa Kwabasi: Kuzindikira Chifukwa cha Kutsekula ndi Lab Lab
Zomwe zimayambitsa matenda otsekula m'mimba zimakhala ndi khansa yamtundu, matenda opatsirana opatsirana, komanso ma ARV.
Kudzikonda Kwambiri Mankhwala Otsekula m'mimba
Nthawi zambiri, kutsekula m'mimba kumakhala kokha. Komabe, pali zinthu zomwe mungachite kuti muthandize mwana wanu kapena thupi lanu kuchiritsa:
Chinthu chofunikira kwambiri kuchita ndikutsimikizira kuti munthu amene ali ndi kutsekula m'mimba amadzipiritsa bwino. Izi zikutanthauza kuti akutenga madzi ambiri kuposa momwe amachitira. Madzi awa angaphatikizepo:
- msuzi wofiira ndi madontho
- masamba abwino
- chomwa cha electrolyte monga Pedialyte kapena zakumwa za masewera
Pali zakudya ndi zakumwa zimene muyenera kuzipewa kwa masiku angapo mutayamba kutsekula m'mimba momwe angathere kuti zizindikiro zanu ziwonjezere. Izi zikuphatikizapo:
- mkaka ndi zina za mkaka
- zolemetsa, zonenepa, zakudya zonunkhira
- zakumwa zomwe zili ndi caffeine, monga khofi, tiyi, ndi makola
Mudzafuna kudya zakudya zofewa ndi zovuta mpaka zizindikiro zanu zikupita patsogolo. Zakudya zabwino ndizitsamba, kaloti zophika, mbatata, toast, mpunga, ndi nkhuku.
Onetsetsani kuti mupuma mokwanira kuti muthandize thupi lanu kulimbana ndi matenda oopsa.
Mankhwala owonjezera, monga Imodium , Pepto-Bismol, ndi Kaopectate, ayenera kugwiritsidwa ntchito ndi akulu omwe alibe zizindikiro za malungo kapena m'magazi. Mankhwalawa savomerezedwa kwa ana ndipo motero ayenera kugwiritsidwa ntchito moyenera ndi dokotala.
Nthawi Yomwe Muwone Dokotala Wanu
Ngakhale kuti matenda ambiri amatha kudzisintha okha, palinso nthawi zina pamene chithandizo chamankhwala chili chofunikira kwambiri pofuna kupewa matenda aakulu kapena imfa. Ngati muwona zizindikiro za kutsekula m'mimba mwa khanda kapena khanda, pitani dokotala nthawi yomweyo. Muyeneranso kutchula dokotala wanu ngati inu kapena mwana wanu muli ndi zizindikiro zotsatirazi:
- Kutsekula m'mimba kumatenga maola oposa 24 mu mwana kapena maola 48 kwa munthu wamkulu
- Zonse mwazizindikiro zapamwamba za kuchepa kwa madzi
- zitsulo zomwe ziri zamagazi, zophimba, zakuda, kapena zotsalira
Zizindikiro zotsatirazi zimafuna kuchipatala mwamsanga:
- zizindikiro zilizonse zoopsa zokhudzana ndi kutaya madzi kwa madzi
- ululu waukulu wamimba kapena wamkati
- malungo a madigiri 102 kapena pamwamba
- Zizindikiro za kufooka kwakukulu kapena chisokonezo
Mayesero Oyenera Kuyembekezera
Dokotala wanu sangayese mayesero mpaka kutsekula kwanu kutakhala kwa nthawi yaitali kuposa maora 48, ngakhale izi sizingakhale choncho malinga ndi mbiri yanu ya zamankhwala ndi zina, monga ulendo wamakono.
Ngati dokotala akuganiza kuti awonetseredwa, akhoza kuyesa kuyesa mabakiteriya kapena tizilombo toyambitsa matenda, makamaka ngati mwatuluka posachedwa komanso / kapena mukudwala malungo. Angasankhire kuyesa magazi kuti athetse matenda ena.
Ngati mukudwala matenda otsekula m'mimba, dokotala wanu akhoza kuyesa mozama ndikuyesera kuti azindikire zomwe zingayambitse zizindikiro zanu. Kuyesedwa kumeneku kungaphatikizepo mapepala apamwamba otchedwa endoscopy , sigmoidoscopy , ndi / kapena colonoscopy .
Kuchiza kwa Matenda
Ngati munthu akusonyeza zizindikiro za kuchepa kwa madzi, ziweto zidzasonyezedwa. Ku chipatala, i IV idzayambidwa kuti idzalowe m'malo mwa madzi omwe atayika ndi electrolytes.
Kwa mitundu ina ya matenda a bakiteriya, antibiotic ikhoza kulamulidwa.
Kuchiza kwa matenda otsegula m'mimba kudzakhala makamaka pofuna kuthetsa vutoli. Kugwiritsiridwa ntchito kwa mankhwala owonjezera omwe ali ngati Imodium akhoza kutonthozedwa kuti athetsere bwinobwino chizindikiro cha kutsekula m'mimba.
Kupewa Kutsekula m'mimba
Inde, njira yabwino yothetsera kutsekula m'mimba ndikuti musayambe kutero! Kusamba m'manja ndi sopo kungakhale kothandiza kwambiri popewera matenda. Izi ndizofunikira makamaka pakuphika, mutagwiritsa ntchito chimbudzi, kapena poyera.
Anthu omwe ali pachiopsezo chachikulu kuti adwale kwambiri ngati ali ndi ziwalo zovulaza ayenera kuonetsetsa kuti asadwale. Monga tafotokozera pamwambapa, izi zikuphatikizapo ana, akuluakulu, ndi anthu amene asokoneza machitidwe a chitetezo cha mthupi. Azimayi ayenera kutenga njira zowonjezera. Zakudya kwa aliyense m'magulu awa kuti muzipewa zikuphatikizapo:
- zakudya zophikidwa pansi ndi zakudya zopanda zakudya
- Zakudya zopangidwa ndi mkaka zopanda kanthu, komanso zakumwa zofewa
- nkhumba zakuda
Aliyense ayenera kusunga zakudya ndi zakumwa zotetezeka akachoka kunja kwawo kuti athe kutsegula m'mimba . Izi zikutanthauza kupeĊµa kugwiritsa ntchito, kapena kumwa, madzi a pamphepete ndikupewa nyama zonse, nsomba, zipatso, masamba, ndi mkaka. Zakudya zophika ziyenera kudyedwa ngati zitatentha. Mukhoza kudya zipatso zosapsa koma ngati muli ndi pepala limene mwachotsa. Mukhoza kumwa madzi otsekemera, zakumwa zotentha, ndi zakumwa zofewa. Musanayambe ulendo, mungafune kuyankhula ndi dokotala wanu za momwe mungafunikire kumwa mankhwala opha antibiotics musanachoke kapena kuti mukhale nawo ngati mukudwala.
Zotsatira:
> Kutsekula m'mimba. National Institute of Diabetes & Digestive & Impso Matenda a webusaiti. Inapezeka pa July 5, 2016.
Kutsekula m'mimba - Zovuta ndi Zosatha. Webusaiti ya American College of Gastroenterology . Inapezeka pa July 5, 2016.
Guerrant RL, Van Gilder T, Steiner TS, et al. Gwiritsani Ntchito Malangizi othandizira Kuteteza Matenda Otsekula Mankhwala. Matenda opatsirana pogonana 2001; 32 (3): 331-351.
Minocha A. & Adamec C. The Encyclopedia of the Digestive System ndi Digestive Disorders (2nd Ed.) New York: Mfundo pa Faili. 2011.