Kupeza Kuzindikira Kwenikweni kwa Odwala Amtundu Wanu Kungakhale Kosokoneza
Nchifukwa chiyani kuli kovuta kupeza matenda oyenera pamene mukulimbana ndi matenda osadziwika kapena osowa?
Kupeza Kuzindikira Kwambiri kwa Matenda Ovuta
Kupeza matenda abwino nthawi zambiri kumakhala vuto lalikulu kuti muthamangire pofuna kupeza chithandizo choyenera cha matenda anu. Zimakhala zovuta makamaka kwa munthu yemwe ali ndi matenda omwe sadziwike kapena osadziwika. Anthu ambiri satha kupeza matenda , samadziwitsidwa bwino , kapena amakhala ndi mankhwala ambiri, otsutsana ndi madokotala osiyanasiyana.
Kupeza mayankho chifukwa chake mwakhala mukudwala kungakhale kovuta komanso kokhumudwitsa. Anthu ambiri amafotokozera zomwe zimachitika ngati kuyenda kothamanga kapena "ulendo" chifukwa cha kusokonezeka kwa kuyezetsa kuchipatala komanso kuti aziyenda mosavuta.
Chifukwa Chodziwiratu Ndi Chovuta Kwambiri
Pali zifukwa zambiri zomwe dokotala wanu akukumana nazo zovuta kupeza matenda anu. Nazi zina mwazifukwa zomwe zingayambitse kuchedwa kwanu:
Kusanthula Ndikovuta Pamene Matenda Anu Ali Nthawi Zambiri
Mutha kuwona madokotala ambiri musanampeze munthu amene amadziwa za vuto lanu. Matenda ena ndi osowa kwambiri moti mayesero okhawo omwe amapezeka ndi jini (genetic specialist) angadziwe chifukwa choyambitsa.
Nthenda yosaoneka imapezeka pakati pa anthu oposa 200,000 ku United States kapena osachepera 5 pa anthu 10,000 ku European Union. Pokhapokha pali zochitika zolembedwa za zomwe mukukumana nazo, zingakhale zovuta kuyerekeza zizindikiro zanu pa matenda onse omwe alipo.
Kusanthula Ndikovuta Pamene Zizindikiro Zanu Zili Zosafunika
Matenda ena omwe sali osowa ali ndi zizindikiro, monga kufooka , kuchepa kwa magazi , kupweteka, mavuto a masomphenya, chizungulire , kapena kukokera . Matenda osiyanasiyana angayambitse zizindikirozi, choncho amatchedwa "osasamala," kutanthauza kuti sizisonyezo za matenda enaake. Madokotala amaphunzitsidwa kuyang'ana zifukwa zomwe zimayambitsa zizindikiro poyamba, kotero iwo sangaganize pamaganizo ochepa pamene akuyamba kukuonani.
Pali mawu okhudza mankhwala kuti m'munda wa akavalo mumayang'ana kavalo. M'munda umenewo, matenda osadziwika ndi mbidzi. Nthawi zambiri amatha nthawi yayitali asanamwali akuzindikira kuti sakuchita nawo kavalo ndikusintha maganizo awo kuti apeze mbidzi.
Kusanthula Ndikovuta Ngati Zizindikiro Zanu Ndizosazolowereka
Zikuwoneka kuti kukhala ndi chizindikiro chachilendo kungakuthandizeni kufotokozera matenda, koma izi ndi zoona ngati dokotala akukudziwitsani kuti akudziwa matenda omwe amachititsa chizindikiro chomwecho. Ngati dokotala sakudziwa matenda aliwonse omwe amachititsa kuti zizindikiro zimenezo zichitike, ndiye kuti mutha kutumizidwira kwa katswiri yemwe angadziwe zina zokhudza vuto lanu.
Izi zingakhale zokhumudwitsa kwambiri kwa inu ngati muli ndi chizindikiro chachilendo. Mwinamwake mungaganize kuti dokotala wanu sakudziwa kumene angayesetse kufotokozera zizindikiro zanu, koma mukhoza kumverera kuti samakhulupirira kwenikweni zizindikiro zanu. Tsopano, sikuti kokha mukusiyidwa kuthana ndi chizindikiro chosazolowereka, koma mukufunsa ngati dokotala wanu amakukhulupirirani ndikukukhulupirirani. Ino ndi nthawi yomwe mumayenera kukhala mtsogoleri wanu wanu kuchipatala, ndipo kumbukirani kuti ngati dokotala sakukukhulupirirani sikuti muli vuto lanu.
Simukusowa kukhala ndi nkhawa ndikuyesa "kutsimikizira" kuti muli ndi chizindikiro. Ngati mukumva kuti mukuthandizira ku ngodya mwanjira imeneyi, ikhoza kukhala nthawi yachiwiri komanso yopanda tsankho.
Kusanthula ndi kovuta ngati mulibe "Bukuli" Zizindikiro
Mukhoza kukhala ndi matenda osowa kwambiri, koma zizindikiro zanu sizingagwirizane ndi "zakuda" kapena chithunzi cha matendawa. Mukhoza kukhala ndi zizindikiro zomwe sizimayenda ndi matendawa, kapena simungakhale ndi zizindikiro zonse zomwe zikuyembekezeka ndi matendawa. Madokotala akhoza kukayikira kukudziwani kuti muli ndi matenda osadziwika chifukwa cha izi.
Kumbukirani kuti pa mndandanda wa zizindikiro za matenda, anthu ambiri ali ndi zizindikiro zochepa chabe.
Komanso, anthu akhoza kukhala ndi zizindikiro zingapo zosatchulidwa.
Kusanthula ndi kovuta ngati Information ndi Chatsopano kapena Kusintha
Nthawi zina madokotala amatha kupeza zotsatira pa mayesero, koma chifukwa cha kusowa kwadzidzidzi, khalani osamala. Izi, ndiye, mwatsoka zingathe kupitirizidwa, ngati dokotala amapereka lipoti lake kwa madokotala ena pofufuza zizindikiro zanu.
Chitsanzo ndi anthu okhala ndi Tarlov cysts kapena meningeal cysts. Pali umboni wakuti ziphuphuzi zimatha kupweteka kwambiri komanso kulemala kwaumphawi komwe kumasokoneza moyo wa anthu omwe amakhala ndi izi. Ngati mufuna kufufuza kafukufuku waposachedwapa, zikuwonekeratu kuti ziphuphuzi zimayambitsa kuvutika ndi kulemala kwakukulu, koma njira zatsopano zamakono ndi opaleshoni zingabweretse chitonthozo chachikulu kwa anthu ambiri.
Komabe, m'mabukuwa, kawirikawiri ziphuphuzi zimatchulidwa (akadakali) ngati zowoneka mwadzidzidzi za chidziwitso chokayikitsa. Mwa kuyankhula kwina, ngakhale mutakhala ndi matenda omwe "akugwirizana" ndi zizindikiro zanu, zizindikiro zanu zingathetsedwe, ndipo kotero, matendawa sanasowe. Ndipo ndi matenda osokoneza bongo, kutaya mankhwala othandiza kumatsatira.
Wakhala Ukudikira Kwamuyaya Kuti Ukhale Wophunzira
Zingakhale zovuta kuti mukhale ndi nthawi yokaonana ndi dokotala yemwe amadziwika kwambiri ndi matenda osowa, nthawi zina amatenga kulikonse kwa miyezi itatu kapena sikisi kapena mwinamwake musanawone wina. Zingakhale zokhumudwitsa ndi zokhumudwitsa kudikira motalika pokhapokha kuti auzidwe kuti sakudziwa zomwe muli nazo kapena akufuna kuti mupite kukaonana ndi katswiri wina.
Anthu ambiri amene akhala akudikirira monga chonchi akhoza kumasulidwa ngati amva kuti akhoza kuona munthu popanda kuyembekezera konse. Koma kumbukirani kuti chifukwa chake madokotala ena amavutika kuti apeze nthawi yocheza nawo nthawi zambiri chifukwa amapita ma eyite eyiti kuti ayese kupeza yankho. Izi siziri choncho nthawi zonse, koma chinachake choyenera kukumbukira.
Kuwuza Nkhani Yanu Ndi Yosavuta Yoyamba 50 Times
Timadziwa mayi wa mwana yemwe ali ndi matenda osowa kwambiri omwe adalemba mapepala anayi akufotokoza zomwe matenda a mwana wake ali, mbiri yake yachipatala ndi opaleshoni, komanso mankhwala ake omwe alipo. Amapereka mapepala awa kwa dokotala aliyense watsopano yemwe amamuyesa mwana wakeyo kotero kuti sayenera kubwereza zinthu zonse kachiwiri. Mwinamwake mungamve ngati wokhumudwa monga momwe amachitira, ndikuyenera kupereka zomwezo nthawi zambiri. Zikuwoneka ngati madokotala sakuwerenga tchati chanu kapena kuyang'ana zotsatira zanu.
Chifukwa Chake Zimapereka Kubwereza Nkhani Yanu Nthawi Yachiwiri
Chowonadi ndi, komabe, nthawizina simukufuna dokotala wina kuti awerenge zolembera ndi ziganizo za dokotala wina. Si zachilendo kuchipatala kuti mupeze yankho lolunjika mosavuta kuti musamanyalanyaze chifukwa madokotala otsatira akudalira palemba ndi zochitika za madokotala amene adakuwonani kale. Mwachitsanzo, katswiri watsopano akhoza kunyalanyaza mbali yofunika ya kafukufuku wanu ngati kuyesedwa uku kunanenedwa ngati kozolowereka ndi dokotala wakale. (Mu chitsanzo chathu pamwambapa, mwinamwake dokotala yemwe sanagwiritsidwe ntchito mwatsatanetsatane anachotsa zomwe anapeza pa Tarriv cyst pa MRI poganizira kuti ndizovuta kupeza. Pachifukwa ichi, matendawa akhoza kunyalanyazidwa musanakumane ndi dokotala.)
Nthawi zina madokotala amaphunzitsidwa ku sukulu ya zachipatala kapena kumakhala kuti aone wodwala ngati kuti wodwalayo sanayambe kuyendera kapena kuyendera. Uthenga wa phunziro ili ndikuti matenda oyenerera amatha kunyalanyaza chifukwa madokotala akudalira pa kuyesedwa ndi zotsatira za kuyesa kwa madokotala omwe awona wodwalayo kale. Ngati kulakwitsa kunayambitsidwira mofulumira, zolakwitsazi nthawi zina zimapitilirapo pokhapokha dokotala akupita kumbuyo ndikuyang'ana vutoli ngati latsopano komanso mwatsopano. Pali mawu oti "maganizo awiri ali abwino kuposa mmodzi," komano, pamene adokotala awerenga kale za ntchito yanu mpaka pano, maganizo ake sali malingaliro atsopano. Tonsefe timasokonezedwa komanso timasokonezedwa ndi zomwe tamva kale.
Madokotala ena samaphunzira mtsogolo (chifukwa chake amakufunsani mafunso omwewo) chifukwa safuna kunyalanyaza mfundo zina zofunika zomwe mungapereke. Dokotala yemwe akukupemphani kuti muyambe kumayambiriro ndikumvetsa mopweteka mbiri yanu kachiwiri angakhale amene angapeze yankho losavuta limene linanyalanyazidwa monga momwe tawonedwera kale.
Ngati Palibe Matenda Opezekapo
Nthawi zina, ngakhale mukuwona akatswiri abwino kwambiri, simungathe kupeza matenda oyenerera. Madokotala angagwiritse ntchito mawu monga "a etiology osadziwika" kapena "idiopathic" (kutanthauza kuti, "sitikudziwa chomwe chimayambitsa" kapena, monga momwe anachipatala amati, "tilibe chidziwitso") kapena "atypiki" ( kutanthauza "zachilendo").
Mutha kupatsidwa chithandizo chimene chikugwirizana kwambiri ndi zizindikiro zanu, kapena kupatsidwa zizindikiro ziwiri kapena zambiri pamodzi. Podziwa kuti anthu omwe ali ndi matenda osowa kwambiri angakhale ovuta kupeza matenda, a US National Institutes of Health (NIH) anayamba Chigawo cha Undiagnosed Diseases Programme mu September 2008.
Ndondomeko ya kafukufuku wa NIH ikuyesa matenda pafupifupi 50 mpaka 100 kuti ayese kupereka mayankho kwa anthu osadziwika bwino komanso kuti adziwe za matendawa. Ngati muli ndi matenda koma mulibe matenda, kambiranani ndi dokotala kuti mutengepo nawo pulogalamuyi.
Ndikofunika kuti mupitirize kumuwona dokotala wanu pafupipafupi ngakhale mutakhala kuti simukudziwa kuti mukudwala bwanji. Dokotala wanu amatha kuyang'ana kusintha kwa thanzi lirilonse, akupeza zatsopano monga nthawi ikupita ndi kusonkhanitsa zizindikiro zomwe zingapangitse kuti atha kuganiziridwa.
Ngati simunakhale ndi mwayi kwa dokotala kuti aone ngati mukudwala matenda atsopano komanso opanda tsankho, izi ndizofunikira.
Kulimbana ndi Matenda Ovuta
Imodzi mwa mavuto ovuta polimbana ndi matenda omwe siwodziwikiratu ndikuti palibe magulu othandizana nawo monga momwe zilili, nenani, khansa ya m'mawere. Chokondweretsa, anthu ambiri omwe ali ndi matenda omwe sali ochepa tsopano akupeza thandizo kudzera m'magulu osathandiza omwe sali ndi matenda komanso anthu omwe alibe matenda osowa kwambiri, koma amvetsetsa zovuta ndi zovuta zomwe anthu omwe amavutika kuti azindikire kapena osadziwa. .
Ngati mukudikira kuti mupeze matendawa, yang'anani maganizo awa pa kuyembekezera zovuta zodziŵika .
Zotsatira:
Kasper, Dennis L .., Anthony S. Fauci, ndi Stephen L .. Hauser. Mfundo za Harrison za Mankhwala a M'kati. New York: maphunziro a Mc Graw Hill, 2015. Print.
Klekamp, J. A Utumiki Watsopano wa Kugonjetsedwa kwa Mimba Yam'mimba, Gawo 1: Zigawo Zambiri, Kusokonezeka, ndi Ectasias. Neurosurgery . 2017 Mar 17. (Epub patsogolo pa kusindikiza).
Murphy, K., Oaklander, A., Elias, G., Kathuria, S., ndi D. Long. Kuchiza kwa 213 Odwala ndi Symptomatic Tarlov Cysts ndi CT-Guided Kuwonongeka kwa Percutaneous kwa Fibrin Sealant. AJNR American Journal of Neuroradiology . 2016. 37 (2): 373-9.
Weigel, R., Polemikos, M., Uksul, N., ndi J. Krauss. Zilonda Zambiri: Kukhalitsa Kwambiri Kwambiri Pambuyo pa Microsurgical Inverted Plication ndi Sacroplasty. European Spine Journal . 2016. 25 (11): 3403-3410.