Kutanthauzira kolondola ndikofunikira kuti asamalire bwino mu ubale wa odwala
Pankhani ya thanzi lanu, kulankhulana ndichinsinsi. Kaya ndikumva ululu, nkhawa yaikulu, kapena kungodziwa chabe sizolondola, kufotokozera momveka bwino zomwe zikuchitika kwa katswiri wa zamankhwala angapangitse kusiyana kwakukulu mu matenda anu, ngakhale mutangodziwa momwe mungatchulire mawu ovuta.
Kumbukirani, chisamaliro ndi mgwirizano. Onetsetsani kuti mukuwonetsa zokonzeka kutenga nawo gawo pa zokambirana ndi adokotala. Kukambirana ndi thanzi lanu lidzakhala bwino kwa iwo. Nazi zotsatira za mkonzi wathu wokhudzana ndi thanzi labwino:
Ankylosing Spondylitis
Ankylosing spondylitis ndi mtundu wa nyamakazi imene imakhala ndi kutupa kosatha komwe kumakhudza kumbuyo ndi khosi. Pa milandu yoopsa, mafupa amawombera, amachititsa kuti msana ukhale wolimba komanso wosasinthika womwe ungapangitse kukhala wodabwitsa.
Zilumikizi za m'chiuno, mawondo, mitsempha, ndi mapewa zingathenso kuthandizidwa monga zikhoza kukhalira ziwalo zosiyanasiyana za thupi. Ankylosing spondylitis ndi gulu la zinthu zotchedwa spondyloarthropathies zomwe zimakhudza kwambiri amuna ndipo zomwe zingakhale zopweteka kwambiri.
Chikungunya
Chikungunya ndi matenda a alphavirus omwe amafalitsidwa kudzera m'mitengo ya udzudzu. Ambiri omwe ali ndi kachilomboka amakhala ndi zizindikiro m'masiku amodzi monga kutentha thupi, kupweteka pamodzi, kutopa, kusowa tulo, kupweteka kwa minofu, ndi ziphuphu, kutchula ziwerengero zochepa chabe.
Zizindikiro zimagwirizanitsa mwamsanga, makamaka pakati pa achinyamata. Palibe chithandizo chapadera kapena katemera wa chikungunya . Koma, CDC imalimbikitsa mpumulo, kusunga madzi, komanso kupweteka kwa malungo ndi mankhwala.
Sacroiliitis
Sacroiliitis, kutukusira komwe kumapezeka pamagulu a sacroiliac m'mimba, ndi chizindikiro chachikulu cha mitundu yambiri ya kutupa nyamakazi. Ambiri amapezeka ku nyamakazi yotupa yomwe imatuluka pamsana ndipo imabweretsa ululu waukulu.
Kuti adziwe, madokotala akhoza kulamula x-ray, MRI, CT scan, kapena ma laboratory kuti aone ngati matenda ali pazu. Kugwiritsa ntchito mankhwala a sacroiliit kumaphatikizapo kumwa mankhwala opweteka, kuchepetsa minofu, injini za corticosteroid, DMARDS, kapena TNF-alpha blockers kuphatikizapo mankhwala opatsirana, kutambasula, ndi kulimbitsa thupi ndi kuyimika.
Atelectasis
Atelectasis ndi kugwa kwa gawo kapena mapapu onse omwe angapangitse kuti kuchepa kwa oxygen kuperekedwe kwa ziwalo ndi matenda anu. Zitha kuchitika mwadzidzidzi kapena kukula kwa nthawi. Zizindikiro zimachokera ku zosachitika zonse zomwe zimakhala zovuta komanso zingaphatikizepo kupuma pang'ono, kukokera, malungo, kupweteka pachifuwa, ndi mantha, kutchula ochepa.
Ngati dokotala akudandaula kuti atelectasis, angayambe kuyeza thupi, chifuwa cha x-ray, CT scan, bronchoscopy, kapena gasi test test. Chithandizo cha atelectasis chidzadalira chifukwa choyambitsa, ndi cholinga chokhazikitsanso gawo la mapapu lomwe linagwa lomwe nthawi zambiri limaphatikizapo mankhwala othandizira.
Hyperalgesia
Hyperalgesia ndichizoloŵezi cha matenda omwe amatchedwa syndromes pakatikati. Izi zimaphatikizapo fibromyalgia, matenda otupa aakulu (ME / CFS), matenda opweteka a m'mimba (IBS), ndi matenda osapumitsa miyendo, pakati pa ena.
Pamene muli ndi hyperalgesia , thupi lanu limapweteketsa kwambiri kuposa momwe liyenera kukhalira, kaya lapafupi kapena lafala. Chochititsa chidwi n'chakuti hyperalgesia siimabweretsa mavuto, koma imangowonjezera. Kuchepetsa hyperalgesia kungaphatikizepo kugwiritsa ntchito mankhwala oletsa anti-depressant ndi anti-seizure. Kugwiritsidwa ntchito kwa nthawi yaitali kwa kupweteka kwapweteka kungayambitse.
Atherosclerosis
Matenda a atherosclerosis ndi matenda osapitirira, omwe amapangika m'makoma a mitsempha. Mipangidwe imeneyi imapangidwa ndi ma tebulo a kolesterolini ndi ma lipids, calcium, ndi maselo akuluakulu opweteka. Kamodzi kakakhalapo, akhoza kuchititsa mitundu yambiri ya mavuto, kuphatikizapo kuthamanga kwa magazi, thrombosis yokhudzana ndi matenda, kupweteka kwa matenda, kupweteka kwa matenda, matenda a mitsempha, ndi matenda a impso.
Chifukwa chachikulu chomwe chimayambitsa matenda a atherosclerosis sichinakhazikike. Komabe, zifukwa zambiri zimapangitsa kuti izi zikhalepo, kuphatikizapo majini, chiwopsezo chachikulu, kunenepa kwambiri, ndi shuga, kutchula ochepa chabe. Chithandizo chabwino cha matenda a atherosclerosis ndicho kuchita zonse zomwe mungathe kuti muteteze, komabe kusintha kwa moyo kungakuthandizeni kuti mupite patsogolo ngati muli nacho kale.
Klebsiella Pneumoniae
Klebsiella pneumoniae ndi yofala kwambiri m'zipatala ndipo ikhoza kubweretsa chibayo cha bakiteriya. Ikhoza kukwera kuchokera m'matumbo ndikuyambitsa UTI, kupatsirana pogwiritsa ntchito catheter yamakono, kapena kuchititsa kuti magazi aziwopsa komanso kuopsezedwa, makamaka pakati pa ana.
Mabakiteriya angakhale ovuta kuchiza ndi maantibayotiki. Choncho, nkofunikira kuti antchito ogwira ntchito m'chipatala ndi alendo azionetsetsa kuti zipangizo ndi manja aziyera. Pakalipano, pali magulu ambiri ochita kafukufuku ogwira katemera, koma madokotala amasankha kuchiza ndi quinolones kapena cephalosporins yachitatu kapena yachinayi.
Myocardial Infarction
Kupweteka kumene kumakhala kumayenda ndi matenda a mtima, kumayambitsa matenda a mtima, kumayambitsidwa ndi kamphindi kakang'ono ka mitsempha yamtunduwu yomwe inachititsa kuti mpweya wa oxygen ufooke minofu ya mtima. Izi kawirikawiri zimakhala chifukwa cha matenda a mitsempha yamakono kapena mapepala opunthidwa m'mwamba.
Kupweteka kwa mtima nthawi zambiri kumabweretsa zizindikiro mwadzidzidzi, kuphatikizapo kutukuta, kunyoza, kupuma, chizungulire, kutopa, kufooka, kupweteka pachifuwa kapena kupweteka, kapena, kupweteka kumbuyo, mikono, kapena m'mimba. Aliyense amene ali ndi zizindikiro zofanana ndi matenda a mtima amafunikira chithandizo chamankhwala mwamsanga.
Dyspepsia
Dyspepsia imalongosola vutolo m'mimba pamimba nthawi zambiri limakhumudwa ndi kudya. Mwinamwake mungadziwe bwino ngati kudzikuza. Zizindikiro zimatha kuphatikizapo kupweteka, kunyoza, flatulence, ndi kupweteka kowawa mmimba, kutchula ochepa. Ngati mudya kwambiri, idyani mofulumira, muzidya zokometsera kapena mafuta, muzidya kwambiri za khofi kapena mowa, kapena musute fodya kapena mutenge antibiotics kapena opha ululu, dyspepsia ikhoza kuchitika.
Zifukwa zikuluzikulu zomwe zimachititsa kuti dyspepsia mphatso zikhale chifukwa cha zinthu zina, kuphatikizapo GERD, matenda achilonda, kapena khansa, pakati pa ena. Muyenera kufunsa dokotala wanu ngati muli ndi zizindikiro zoopsa. Chithandizo chingaphatikize kusintha kwa moyo ndi zina zowonongeka.
Polycythemia Vera
Polycythemia vera (PV) ndi matenda omwe mafupa amachititsa maselo ambiri ofiira ndi oyera ndi maselo. Izi zingachititse ngozi yowonjezereka ya magazi. Anthu omwe ali ndi PV ali pachiopsezo chachikulu chokhalira ndi khansa ya m'magazi, nayonso. Ngakhale kuti zizindikiro sizingatheke kwa zaka zambiri, anthu angathe kuzikonza, kuphatikizapo kutopa, kutentha, kutuluka kwa usiku, kupweteka kwa mafupa, malungo, ndi kuwonongeka kwa thupi.
PV ikhoza kuchitika pa msinkhu uliwonse koma nthawi zambiri imachitika m'moyo. Ngakhale kuti ndi ofanana ndi khansa, mkhalidwewo ukhoza kusamalidwa bwino kwa nthawi yaitali. Chiyeso chotchedwa hematocrit concentration chimagwiritsidwa ntchito podziwa PV ndikuyesa yankho la munthu pa mankhwala. Mankhwala a phlebotomy ndi mankhwala ndizoyamba zoyambira za mankhwala.
Myasthenia Gravis
Myasthenia gravis ndi matenda osokoneza bongo, omwe amatanthauza kuti ma antibodies, omwe thupi limapanga kulimbana ndi majeremusi, amalepheretsa kufalitsa mitsempha ya mitsempha ku minofu. Izi zingapangitse zizindikiro monga maolidi otupa, kuperewera kwa minofu (zambiri ku mikono ndi miyendo), ndi kuvutika kugwiritsa ntchito pakamwa.
Ngakhale kuti myasthenia gravis sichibadwa kapena yopatsirana, ochita kafukufuku amaganiza kuti akhoza kupanga chibadwa. Kwa amayi, matendawa amayamba zaka 20 kapena 30; kwa amuna, kawirikawiri atakwanitsa zaka 50. Kuyesedwa kwa chikhalidwechi kumaphatikizapo kusanthula magazi kapena kupima kwa edrophonium chloride komanso mankhwala ochiritsira akuphatikizapo mankhwala osiyanasiyana, kuchotsedwa kwa thymus gland, ndi kusintha kwa plasma.
Thalassemia
Anthu omwe alandira thalassemia amapanga mawonekedwe osadziwika a hemoglobini mkati mwa maselo ofiira ofiira, omwe amachititsa kuti magazi asapitirire kuchepa kwa magazi, monga kuwonjezereka kwa chitsulo, kufooka kwa magazi, mitsempha ya magazi, kupha magazi, kuchepa kwa ziwalo zogonana, ndi kukulitsa kwa mphala, chiwindi, ndi fupa la fupa.
Pali mitundu yambiri ya alpha ndi beta thalassemia ndi mndandanda wa momwe matendawa amasonyezera-kuchokera kumangokhala ndi jini yomwe ikufunikira kuika magazi magazi. Anthu amadziwika kuti ali ndi matenda omwe amawayezetsa magazi nthawi zonse, koma matendawa amatsimikiziridwa ndi mbiri ya hemoglobin. Kuchiza kungaphatikizepo mankhwala, folic acid, splenectomy, ndi zakudya zochepa zachitsulo.
Sciatica
Sciatica imakwiyitsa kwambiri mitsempha yayikulu kwambiri yomwe imayambitsa kupweteka ululu ndi chidziwitso chodziwika bwino kuchokera ku ubongo ndi minofu. (Sciatic nerve imapangidwa kuchokera kumagulu a msana.) Zizindikiro zozoloŵereka za sciatica zimapweteka kupweteka kwa magetsi pamlendo, kupweteka ndi kugwedeza, ndi kufooka kwa minofu, ndi chifukwa chofala kwambiri chokhala ndi mimba ya msana.
Kawirikawiri (ndipo kawirikawiri), sciatica imakhudza anthu a zaka 30 mpaka 50. Zambiri zingayambitse kupweteka, kotero madokotala ayenera kuwalamulira ndi mayesero asanayambe kupeza ndi kuchiza sciatica. Chithandizo nthawi zambiri chimayambitsa kutupa komwe kumagwirizanitsa ndipo kumaphatikizapo kupuma, mankhwala, kupuma kwa thupi, ndi, malinga ndi kuuma, steroid. Kuchita masewera olimbitsa thupi, mankhwala othandizira thupi, ndi mapaketi a kutentha / ayezi amathandizanso. Kuchita opaleshoni kungalingaliridwenso nthawi zambiri, komabe anthu ambiri amatha kupuma popanda milungu ingapo kapena miyezi.
Hidradenitis Suppurativa
Hidradenitis suppurativa ndi matenda aakulu a khungu omwe amachititsa kuti tizirombo ta thukuta timayambira, makamaka m'mapiko, m'mimba, m'matumbo, m'matako, pamphuno, ndi pansi pa mawere aakazi. Ndichizoloŵezi chomwe kawirikawiri chimakhala chosadziŵika bwino, koma chingakhale cholepheretsa. Ambiri omwe amapeza ali pakati pa zaka 20 ndi 40. Ndipo akazi ali oposa katatu kusiyana ndi amuna kuti akhale nawo.
Matendawa amayamba kuipiraipira ndipo angapangitse zovuta komanso zopweteka zopweteka. Ngakhale kuti chifukwa chenichenicho chikutsutsana, ena amakhulupirira kuti zimayambitsidwa ndi mapangidwe a keratin plugs mu follicles pamene ena amaganiza kuti ndikutseka kwa apocrine gland. Kunenepa kwambiri ndi kusuta fodya kungakhalenso kuyambitsa.
Hidradenitis suppurativa imapezeka kuti imachokera pokhapokha pa maonekedwe. Sangathe kufalikira kwa ena kapena chifukwa cha umoyo wabwino. Chithandizo n'chovuta ndipo kawirikawiri chimaphatikizapo mankhwala a antibiotics, jekeseni ya steroid, ndi opaleshoni.
Crepitus
Chombo chotchedwa Crepitus ndikumverera kapena kupweteka pakati pa khungu-kawirikawiri pamodzi kapena m'mapapo. Nthawi zambiri zimakhala chifukwa cha mpweya kapena mpweya umene umalowa mkati mwawo ndipo umapangidwira pamene umayenda.
Kukonzekera kumachitika pamene malo opangidwa ophatikizana (ophatikizana) opangidwa kapena owonjezera (osalumikizidwa) akuphatikizana palimodzi ndipo amatha kuwapweteka, kusasangalatsa, ndi kuvala kwala. Nthawi zambiri zimagwirizanitsidwa ndi matenda monga temporomandibular disorder (TMJ), matenda opatsirana ammapapo, misonzi ya ozungulira, komanso matenda aakulu a nyamakazi.