Pamene Mimba Yanu Ikukhumudwitsani, Kuzindikira Kukhoza Kuvuta
Kupweteka kwa m'mimba ndi vuto lalikulu lachipatala, ndipo kuopsa kwa vutoli kumakhala kukhumudwa pang'ono mpaka kuopseza moyo. Ichi ndi chifukwa chakuti madandaulo a m'mimba angakhale ophweka ngati mkondo wokhumudwitsidwa mwana yemwe wakhala ndi maswiti ochulukirapo pambuyo ponyenga kapena kusamalira Halowini kapena zovuta monga wodwala amene akusowa opaleshoni yachangu kuti achotse gawo la matumbo omwe ali ndi njala ya njala .
Ngakhale kuti ululu wamimba ndi wamba, vuto lililonse ndilopadera-monga momwe wodwala aliyense alili wapadera. Mbiri yanu ya umoyo, mtundu wa ululu, msinkhu, chiwerewere, kupweteka kwa nthawi yaitali bwanji, momwe zimakhalira komanso kumene mukuganiza kuti zonse zidzakuthandizani kupeza mayesero omwe akulamulidwa kuti mudziwe vutoli.
Kodi Ndi Opweteka Kapena Amapweteka Kwambiri M'thupi?
Matenda aakulu ndi omwe amayamba mwadzidzidzi komanso oopsa. Chitsanzo cha ululu wamimba kwambiri ndi pamene wodwalayo akudwala matenda owonjezera, pamene matenda amachititsa kuti zowonjezera ziwonjezeke ndikukhala zopweteka kwambiri. Ngakhale kuti matenda ovuta amayamba mofulumira, matenda kapena ululu amatha kwa milungu ingapo kapena miyezi. Mwachitsanzo, mwendo wosweka ndi vuto lalikulu, koma mwendo ungapitirize kuvulaza kwa nthawi yaitali.
Matenda aakulu ndi omwe amatha miyezi sikisi kapena kupitirira. Kupweteka kwa m'mimba kumakhala kupweteka kwa mimba komwe kwakhala kwa miyezi isanu ndi umodzi ndipo kungayembekezere kukhala motalika kwambiri, mwina ngakhale kwa moyo wonse ngati chithandizocho sichingachiritsidwe kapena kuchiritsidwa.
Kupweteka kosautsa kungayambitsidwe ndi mavuto omwe sangathe kuchiritsidwa, monga chiwindi cha chiwindi.
Kupweteka kwa m'mimba kumakhala ndi chifukwa chodziwikiratu komanso njira yopangira chithandizo, kumene ululu wamkati umakhala wofunikira kuti upezedwe koyambirira.
Mbiri Yopeza Mimba Yamimba
Ngati mukukumva ululu waukulu wamimba, musadabwe ngati zikuwoneka ngati wopereka akufunsa mafunso ambiri.
Kupeza mbiri ya matenda, komanso mbiri yachipatala, nthawi zambiri ndi njira yofulumira komanso yosavuta kuthetsera mavuto omwe angayambitse kupweteka m'mimba.
Mwachitsanzo, wodwala yemwe amasonyeza kuti akhala akumwa mowa kwambiri kwa zaka makumi ambiri amakhala ndi vuto la chiwindi, pamene mtsikana yemwe ali ndi zaka zakubadwa yemwe akugonana komanso osagwiritsa ntchito njira yobereka akhoza kukhala ndi vuto zovuta za mimba.
Mafunso ena angawoneke ngati ofunika kwambiri, koma nkofunika kwambiri kuti muyankhe mafunsowo mwakukhoza kwanu, monga momwe mayankho anu angapangire mayeso omwe ali oyenerera pa chikhalidwe chanu.
Kuphunzira Kwambiri
Imodzi mwa njira zabwino kwambiri zodziwira ululu wamimba ndi kuunika kwa thupi la mchipatala wodziwa bwino. Kuyeza kwa thupi kumayendetsedwa motere.
- Kuyendera: Mimba imawululidwa ndipo imafufuzidwa pazinthu zina zakunja zomwe zimayambitsa vutoli. Zowawa, zipsera, ndi zizindikiro zina pakhungu zingathandize kuthetsa mavuto.
- Kuchulukitsa: Kumvetsera ku mbali zosiyanasiyana za mimba ndi stethoscope kungakhale kothandiza kwambiri. Zomwe zimatulutsa matumbo zimapanga-kapena sizipanga-zingathandize kuthetsa mavuto osiyanasiyana kapena kunja.
- Kukambirana: Apa ndi pamene adokotala akugwiritsira ntchito pambali zosiyanasiyana pamimba. Njira iyi ingathandize kuthandizira kukula kwa gulu kapena maphunziro a x-ray kapena imaging.
- Kulumikiza: Iyi ndi njira yomwe mbali zosiyanasiyana za mimba zimakankhira mofatsa kuti adziwe ngati ali achifundo kapena opweteka. Izi zimapangitsa malo omwe akudetsa nkhaŵa kuti awonongeke, ndipo zingathandize kuti mupeze vuto.
Mwachitsanzo, ngati ululu uli m'mimba mwakachetechete, womwe umadziwika kuti wotsika kwambiri, ndiwowonjezera kuti zowonjezera zimakhala chifukwa cha ululu. Ngati chotsatira chapamwamba chakumanzere chimawapweteka pambuyo pangozi yaikulu ya galimoto, chifukwa cha ululu chingakhale chiphuphu.
Mayesero a Lab ogwira ululu wamimba
Njira imodzi yodziwiritsira kuti vuto lalikulu mu thupi ndi kufufuza madzi. Izi zikhoza kutanthauzira kukhetsa magazi, kutenga chotsitsa chachitetezo, kapena kusonkhanitsa sampuli, pakati pa zina zomwe mungasankhe. Kuyezetsa magazi ndi kuyesa mkodzo ndi ena mwa mayesero ambiri omwe amachititsa kupweteka kwa m'mimba, ndipo nthawi zambiri amatsatiridwa ndi mayesero ena pambuyo pa zotsatira.
CBC: Kuwerengera kwathunthu kwa magazi, kapena CBC, ndi kuyesa kwa magazi komwe kungathandize kudziwa ngati matenda alipo m'thupi. Mitundu ina ya maselo a magazi imakula pamene matenda alipo, ndipo kukhalapo kwa matenda kungathandize kudziwa momwe vutolo lirili. Ngati matenda ali m'magazi, chikhalidwe ndi kukhudzidwa kawirikawiri zimachitidwa kuti mudziwe mtundu wa matenda ndi mankhwala abwino.
Mavitamini a Chiwindi / Kuyesedwa kwa Mphamvu: Kutentha kwa chiwindi ndi mayesero omwe, atakwezedwa, amasonyeza vuto ndi chiwindi. Mayeso ena a chiwindi angasonyeze ngati chiwindi chikugwira bwino ntchito yake kuchotsa poizoni woopsa m'thupi. Chiwindi chikhoza kuonongeka m'njira zambiri, kuphatikizapo kumwa mankhwala ambiri omwe amachititsa chiwindi, kumwa mowa mopitirira muyeso, kapena matenda a chilengedwe - ndipo izi zimakhala zopweteka.
Kuwongolera: Izi zikuwoneka mkodzo kuti mudziwe ngati magazi kapena matenda alipo mu tsamba la mkodzo. Katemera wamakina amatha kupweteka mu impso, ureters, chikhodzodzo kapena urethra, kapena kuphatikiza zonse zinayi. Izi zingachititse ululu umene umamveka kumbuyo, m'mimba kapena m'mimba.
Amylase ndi Lipase: Kuyeza magazi kumeneku kumayang'ana ma pulogalamu ya enzyme yomwe imapangidwa ndi mphukira. Zigawo zapamwamba zingasonyeze kuti matendawa ndi operewera, otchedwa pancreatitis, omwe angakhale opweteka kwambiri ndipo angapangitse kuchipatala.
Kuyimira Masewera / Kuyezetsa Kwachidziwitso: Ichi ndi mayeso omwe amawoneka magazi m'magulu , omwe siwowoneka bwino. Magazi m'mphepete omwe sungakhoze kuwonedwa ndi maso amaso angasonyeze vuto mu chigawo chapamwamba cha m'mimba.
Mayeso oyembekezera : Kwa amayi omwe ali ndi zaka zobelera omwe ali ndi ululu m'mimba, kuyesedwa kwa mimba ndi chimodzi mwa mayeso oyambirira omwe amachitidwa. Kuyezetsa mimba moyenera kumatha kufotokoza zizindikiro zambiri, ndipo kupezeka kwa ululu kungasonyeze ectopic pregnancy.
Zojambula Zoganizira Mavuto Amimba
CT: Kafukufuku wa imaging wa CT kapena CT Computing Tomography, nthawi zambiri amatchedwa "kansalu". Mayesowa ndi osavuta, kuyang'ana mkati mwa thupi la munthu popanda ngakhale kukhudza thupi. Chiyesochi chimagwiritsa ntchito zithunzi zambiri za mtundu wa x-ray kuti apange chithunzi cha mkati mwa thupi laumunthu, chomwe chikhoza kuwerengedwa ndi radiologist wodziwa bwino. Zithunzi zoyesedwa zingapangidwe ndi kugwiritsa ntchito kusiyana, zomwe zingapereke zithunzi zambiri koma sungagwiritsidwe bwino mwa odwala ambiri omwe ali ndi mavuto odziwika a impso.
MRI: Magnetic Resonance Imaging amagwiritsa ntchito maginito kuti apange zithunzi za mkati mwa thupi la munthu. Monga CT scan, sizowonongeka ndipo zimalola zithunzi za thupi kupangidwa popanda kugwira thupi mwachindunji. MRI sangathe kuchitidwa pa munthu amene ali ndi zitsulo zina mu thupi lake, pamene mayeso amagwiritsa ntchito maginito amphamvu omwe angathe kuvulaza odwala omwe ali ndi implants. Kusiyanitsa kungagwiritsidwe ntchito kupititsa patsogolo zithunzi, komabe sizingagwiritsidwe ntchito mosamala kwa odwala ena omwe ali ndi mavuto a impso.
Kuyeza kwapiritsi: Kuyezetsa uku kumayang'ana ziwalo zobereka za mkazi poyang'ana mawere ndi mkati mwa mkazi. Chiyesochi, komanso kupeza ma swabs kuchokera pachibelekero kapena kuyesa madzi alionse omwe angakhalepo, angadziwe ngati matenda kapena matenda amachititsa ululu.
Kuwerengera kwapadera: Kuyezetsa magazi pamtundu, kapena DRE, ndiko kufufuza kwa rectum ndi chala. Pakati pa yesesoyi, woyezetsayo adzayika chala chokongoletsedwa ndi chopukutira mu rectum. Iwo akuyang'ana mzere wothandizira, womwe ndi mphamvu yomwe minofu ya anal imakhala yotsekedwa. Adzakhalanso akufufuza za magazi omwe amadziwika bwino, m'matumbo, ndipo akhoza kuyesa prostate mwa odwala amuna. Chitsanzo chochepa chachitetezo chimapezeka panthawi yoyezetsa magazi kuti chiwonetsero chochita zamatsenga chichitike. Kumangika kungathenso kupezedwa pogwiritsa ntchito mtundu umenewu wa zofufuzira, monga momwe mpando umakhala ngati waung'ono, pellets panthawi yoyezetsa magazi.
EGD: Amadziwika ngati Wopambana GI, Esophagogastroduodenoscopy, panendoscopy kapena pamwamba endoscopy, mayesowa amagwiritsidwa ntchito kuti ayang'ane tsamba lapamwamba la m'mimba. Pogwiritsira ntchito endoscope yowonongeka ndi kamera, endoscope imalowetsedwa pakamwa kuti mkati mwa chiwalo, m'mimba ndi duodenum (gawo loyambirira la m'mimba mwachinyamatayo) lingayende. Mayesowa athandizidwe kudziwa ngati kupweteka kwa m'mimba kumayambitsidwa ndi asidi reflux kapena zilonda zakumimba. Chiyesochi chimafuna anesthesia , pamene wodwala amakhala pansi kwa nthawi yonse ya ndondomekoyi, yomwe imachitidwa ndi dokotala wophunzitsidwa.
Colonoscopy: Ichi ndi chiyeso chomwe chimalola dokotala kuyesa mkati mwa coloni (matumbo aakulu) ndi chida chomwe chiri ndi kuwala ndi kamera, ndi zithunzi zomwe zikuwonetsedwa pazowunikira. Pakati pa yesesoyi, woyesa angathe kuyang'anitsitsa matumbo onse omwe amatha kupweteka kapena kutuluka m'magazi, komanso akhoza kutenga zitsanzo zazing'ono panthawi yoyezetsa magazi. Chiyesochi chimafuna anesthesia kuti wodwalayo agone kupyolera mu kufufuza ndikuchitidwa ndi dokotala wophunzitsidwa.
KUB: Ichi ndi x-ray ya mimba yomwe imayang'ana impso, ureters ndi chikhodzodzo komanso m'matumbo ndi mafupa a pelvis ndi msana. Mayesowa ndi othandiza kwambiri pofuna kudziwa ngati gasi mu kapangidwe ka GI kapena kudzimbidwa kumathandizira ululu umene wodwalayo akukumana nawo, kapena ngati miyala ya impso ilipo yomwe ingawonongeke.
Ultrasound: Mayesowa amagwiritsa ntchito mafunde amphamvu kuposa khutu la munthu omwe angaganizire kuti apange zithunzi za mkati mwa thupi la munthu. Pamene mayesowa amadziwika ngati mayeso omwe amagwiritsidwa ntchito panthawi yomwe ali ndi mimba kuti awonetse mwanayo, amatha kuganizira za mimba ndikudziwa ngati pali vuto lomwe lili ndi ziwalo ndi ziwalo. An ultrasound amatha kuzindikira mavuto ndi ndulu, ndipo nthawi zambiri amagwiritsidwa ntchito poyesa impso.
> Zotsatira:
> Malangizo othandizira kuchipatala. Kufufuza Mimba. University of California San Diego.
> Kujambula Zopweteka Zosamalidwa Pakati pa Okalamba.