Kodi Zimatanthauza Chiyani Ngati Ndikutayika Thupi Popanda Kuyesera?
Zikuwoneka kuti dziko lonse likuyesera kuchepetsa kulemera, komabe kutaya kwake kosawerengeka kungakhale kochititsa mantha. Tonse tamva za wina yemwe adataya thupi popanda chifukwa ndipo zinakhala zolakwika. Kodi ndi zina zotani zomwe zingayambitse kulemera kwake, dokotala angakufunse mafunso ati, ndipo mungayang'ane chiyani pamene inu ndi dokotala mukufuna kudziwa chifukwa chake?
Kodi Kutaya Kwambiri Kwambiri N'kutani?
Kulemera kosayembekezeka ndi amatanthauzidwa ngati osadzimvera kutaya makilogalamu 10 kapena 5 peresenti ya kulemera kwa thupi pa nthawi ya miyezi 6 mpaka 12 . Izi zikanakhala zofanana ndi mwamuna wa mapaundi 200 otaya mapaundi 10 kapena mkazi wa mapaundi 130 ataya makilogalamu asanu ndi limodzi kapena asanu ndi awiri.
Kulemera kwa thupi kungayambe chifukwa mukudya pang'ono, kapena chifukwa thupi lanu likugwiritsa ntchito zakudya zopatsa thanzi chifukwa cha kusintha kwa thupi lanu kapena kukula kwa chotupa.
Nthawi Yomwe Muwone Dokotala Wanu
Ngati mukutopa thupi popanda kuyesera ndikofunika kupanga nthawi yoti muwone dokotala wanu, ngakhale mukuganiza kuti pali chidziwitso cha kuchepa kwanu . Ndikofunika kukhala mtsogoleri wanu ndikupitiriza kufunsa kuti bwanji ngati simukumva kuti muli ndi malingaliro okwanira. Funsani lingaliro lachiwiri ngati likufunikira. Zambiri zomwe zingayambitse kulemera kosafuna mwadzidzidzi zimakhala zovuta kuzipeza poyambirira.
Kudziwa
Ngati muli ndi kulemera kosayembekezereka, dokotala wanu ayambe kusamala mbiri ndikuyesera. Malingana ndi zomwe apeza, akhoza kupempha mayesero ena komanso maphunziro a radiology.
Mafunso Mafunso A Dokotala Wanu Akhoza Kufunsa
- Ndi liti pamene munayamba kuona kuti mutayalemera?
- Kodi mwataya mofulumira bwanji?
- Kodi mwasintha chilichonse pa zakudya zanu kapena nthawi yochita masewera olimbitsa thupi?
- Kodi munayamba mwataya kulemera ngati chonchi?
- Kodi kukukhumudwitsani ndi kulemera kwa inu?
- Kodi muli ndi zizindikiro zina monga mapiritsi , kupuma pang'ono , kupweteka kwa chikasu (khungu loyera la khungu), chifuwa chokhazikika , mantha , ludzu, kapena kukhudzidwa kwa kuzizira kapena kutentha?
- Kodi mungafotokoze bwanji thanzi lanu lonse poyerekeza ndi, kunena, chaka chapitacho?
- Kodi mwakhalapo ndi mayesero owonetsetsa omwe anakulimbikitsani munthu wina wa msinkhu wanu monga mammogram kapena colonoscopy, ndipo zotsatira zake zinali zotani?
- Kodi mwakhala mukusowa kapena kusanza? Kodi mumadzimasula?
- Kodi mwatsimikizika kapena muli ndi kutsekula m'mimba?
- Kodi mwakhala mukuvutika maganizo kapena posachedwa?
- Kodi muli ndi vuto lililonse la mano limene limayambitsa mavuto?
- Kodi pali matenda omwe amayenda m'banja lanu?
Ayesa Dokotala Wanu May Order
Pambuyo pofunsa mafunso ndikukufunsani, dokotala wanu angakulimbikitseni mayesero ena. Ena mwa iwo ndi awa:
- Mayesero a Lab - Mayesero a Lababu - Mayesero omwe amavomereza kawirikawiri amawerengera magazi okwanira (CBC), electrolytes ( mawonekedwe a kagetsi ), mayeso a chiwindi, mayeso a ntchito za impso, kuyesa kutupa (chitetezo chokhazikika, mapuloteni a C-othetsera), shuga wa magazi (shuga), urinalysis, ndi chithokomiro mayesero.
- Maphunziro a zaumoyo - Monga CT ya chifuwa kapena mimba.
- Ndondomeko - Monga endoscopy kapena colonoscopy kuti muyese mimba yanu ndi colon.
Zimayambitsa
Pali zifukwa zambiri zowonongeka kosawerengeka, zina zovuta, ndi zina zovuta. Okalamba achikulire (opitirira zaka 65) chifukwa chofala kwambiri ndi khansa, amatsatiridwa ndi m'mimba komanso m'maganizo. Kufotokozera mwachidule zifukwa zina ndizo:
- Matenda a endocrine - Monga hyperthyroidism (chithokomiro choopsa), hypothyroidism (chithokomiro chosagwira ntchito), matenda a shuga ndi matenda a Addison .
- Matenda - Monga HIV / Edzi , chifuwa chachikulu , matenda otchedwa endocarditis (matenda a mtima wa valves), ndi matenda a parasitic.
- Khansa - Kutaya thupi kungakhale zizindikiro zoyamba za khansa monga khansa ya m'mapapo (makamaka adenocarcinoma yamapapu ), khansara ya coloni , khansara ya ovari ndi khansa ya pancreatic .
- Matenda a m'mimba - Monga matenda a zilonda zam'mimba, matenda a celiac, matenda a Crohn, matenda a zilonda zam'mimba, ndi kuperewera kwamtundu.
- Kulephera kwa mtima
- Kulephera kwa impso .
- Matenda owopsa olepheretsa matendawa - (COPD) - Monga emphysema.
- Zokhudzana ndi ziwalo - monga matenda a chingamu , kuwonongeka kwa dzino, zilonda zam'kamwa, kapena zilonda.
- Kusuta .
- Matenda odya - Mwachitsanzo anorexia nervosa ndi bulimia.
- Zakudya zoperewera - Chifukwa cha zosankha zosayenera, kapena ndalama zomwe zimachepetsa kugula chakudya (njala).
- Mavuto a maganizo - Monga kupsinjika maganizo ndi nkhawa.
- Mankhwala - Pafupipafupi mankhwala alionse angakhale ndi kulemera monga kulingalira. Mankhwala angayambitse kupweteka kwachangu, kapena amachititsa khunyu ndi kusowa kwa chilakolako chomwe chimapangitsa kulemera.
- Kugwiritsa ntchito mankhwala osokoneza bongo - Osati mankhwala okhawo a pamsewu monga methamphetamine koma mankhwala a mankhwala monga adderall ndi mankhwala osokoneza bongo monga mankhwala osokoneza bongo angagwiritsidwe ntchito molakwa.
- Matenda a maganizo - Monga matenda a Parkinson ndi matenda a Alzheimer's .
Kufunika
Kuwonongeka kosayembekezereka n'kofunika osati pofufuza chifukwa china (3/4 mwa anthu omwe ali ndi vuto losayembekezereka mwadzidzidzi ali ndi chifukwa chachikulu chomwe amadedwa ndi madokotala) koma chifukwa cha zomwe zimatanthauza pa thanzi.
Kuwonongeka kosayembekezereka kumagwirizanitsa ndi kuwonjezeka kwa matenda (chitukuko cha matenda) imfa yapamwamba (mlingo wa imfa wapamwamba) ndi moyo wapansi kwa anthu omwe akudwala matenda ambiri. Khansa yotchedwa Cancer cachexia ndi chikhalidwe cha kuchepa kwadzidzidzi kuphatikizapo mavuto ena angapo ndipo imayang'anitsitsa pafupifupi 20 peresenti ya kufa kwa khansa. Ngakhale ndi matenda a mitsempha yamakono, apeza kuti zotsatira zake zinali 62 peresenti zoipitsitsa kwa anthu omwe amavutika ndi kulemera kwadzidzidzi.
Chithandizo
Chithandizo cha kulemera kwa thupi kumene sikuchitika mwadongosolo chidzadalira chifukwa chomwe chimayambitsa. Chifukwa chotheka kwambiri chifukwa cha kulemera kwake, aliyense amene awonongeke popanda kuyesera ayenera kukhala ndi mbiri yakale ndi thupi, kuphatikiza pa maphunziro ena oyenerera. Zina mwa zifukwa zomwe zimayambitsa kulemera kosayembekezereka si zachilendo, ndipo izi zingafunike maulendo ambiri kuti adziwe chifukwa.
Mosasamala kanthu za zomwe zimayambitsa, ziyenera kuchitidwa kuti zithetse kulemera kwake. Pamene vuto limatsimikiziridwa, kutaya zolemera nthawi zina kumakankhidwira kumoto wambuyo. Ngati ndiwe, onetsetsani kuti mungalankhule ndi dokotala wanu za momwe muyenera kuchitira matendawa. Kwa omwe amapezeka kuti ali ndi khansa, kuwonetsetsa kwabwino kumaganiziridwa. Magulu othandizira anthu ogwira ntchito zolimbitsa thupi amachita ntchito yabwino yothetsera mavuto omwe sagwirizana kwambiri ndi khansa (mwachitsanzo, chemotherapy kapena radiation therapy) monga kutaya kwadzidzidzi kolemetsa. Kuchiza kwa kulemera kwake kungathandizenso anthu kulekerera chithandizo pa chilichonse chomwe chimachititsa kuti thupi liwonongeke.
Zotsatira:
Chen, S. et al. Kupenda mwayi wa khansara pakati pa anthu achikulire ndi kutaya kwadzidzidzi kosadziwika bwino. Archives of Gerontology ndi Geriatrics . 2010. 50 Suppl 1: S27-9.
Gaddy, H., ndi K. Holder. kutaya kwadzidzidzi kwa akulu akulu. American Family Physician . 2014. 89 (9): 718-22.
Phukusi, Q., Rodriguez-Escudero, J., Thomas, R. et al. Kufunika kwa Chizindikiro cha Kuwonongeka kwa Kunenepa kwa Corinary Artery Disease: Kukonzekera Mwadongosolo ndi Kusanthula Meta. Mayo Clinic Proceedings . 2014. 89 (10): 1368-77.
Thirunavukarasu, P. et al. Kupweteka koyambirira kosachita mwadzidzidzi kukhala chiopsezo cha zotsatira za opaleshoni pambuyo pakuchita opaleshoni kwa odwala omwe ali ndi khansa yofalitsidwa. International Journal of Surgery . 2015. 18: 7-13.
Wu, J. et al. Kufufuza njira yothandizira odwala achikulire omwe akudziwika kuti ndi osochera thupi: osaphunzira pa chipatala. Archives of Gerontology ndi Geriatrics . 2011. 53 (1): e51-4.