Kutupa m'mapazi ndi minofu ndi chizindikiro chofala kwambiri ndipo kungakhale ndi zifukwa zosiyanasiyana. Njira imodzi imene madokotala amavomerezera chifukwa cha kutupa ndikutchula ngati zikuchitika mu gawo limodzi, kapena onse awiri mofanana.
Pezani Chithandizo Chamankhwala Kukula Kwambiri Mwadzidzidzi
Nthaŵi zambiri, chifukwa cha kutupa ndi chinthu chimene chimafuna kuchipatala, monga matenda kapena kuvulala.
Ngati kutupa kuli ndidzidzidzi, chithandizo cha mankhwala chiyenera kufunidwa nthawi yomweyo. Zina mwazovuta kwambiri zomwe zingayambitse phazi kapena minofu kutupa ndi izi:
Zovuta
Kuponderezeka kwa minofu ndi minofu zomwe zimayambitsa kutupa zimaphatikizapo kupopera makola, ntchentche zong'ambika, ndi ziphuphu. Kusokonezeka maganizo kapena kugwiritsidwa ntchito mopitirira muyeso kungapangitse tendonitis , bursitis , ndi ligament kapena mitsempha ya minofu, zonse zomwe zingayambitse kutupa. Izi ndizochitika zomwe zingakhale zochitika ndi maseŵera a masewera kapena kuwonjezeka kwaposachedwa mu ntchito, monga kuyenda kapena kuthamanga kumalo atsopano.
Arthritis
Matenda a nyamakazi, kapena kutukumula, angayambitse kutupa m'mapazi kapena pamphuno. Osteoarthritis ndi mtundu wamba wa nyamakazi yomwe ingayambitse kutupa nthawi zina, kawirikawiri mumodzi umodzi. Gout ndi mtundu wina wa nyamakazi umene umayambitsa kupweteka kwambiri, kofiira, kotupa kwakukulu . Gout ingasokonezenso mimba.
Matenda ena omwe amachititsa kuti thupi likhale lopweteka limayambitsa kutupa ndi nyamakazi zomwe zimakhudza mapazi onse awiri, monga nyamakazi ya nyamakazi , psoriatic nyamakazi , lupus, ndi nyamakazi yowonongeka (Matenda a Reiter).
Vuto Mavuto: Varicose kapena Spider Veins
Mavuto ndi mitsempha ya m'mimba nthawi zambiri amachititsa kutupa m'mimba. Mitsempha imabweretsanso magazi osokonezeka m'mtima, ndipo pamene tikukalamba akhoza kuonongeka, zomwe zimabweretsa kutupa kwa miyendo ndi mabotolo.
Izi zimadziwika kuti sizingatheke, ndipo zizindikiro zomwe zimapezeka nthawi zambiri zimakhala ndi chiwalo chimodzi chimene chimapweteka nthawi zina (ngakhale kuti zonsezi zingakhudzidwe), varicose kapena mitsempha yamphongo pamlendo kapena mchiuno, komanso kutuluka kwa khungu kofiira komwe kumatha kupitirira nthawi.
Magazi Odzipha: Mthunzi Wozama Thrombosis (DVT)
Kupweteka ndi kutupa m'munsi mwendo kungakhalenso zizindikiro za magazi, omwe amadziwikanso ndi mitsempha yambiri ya thrombosis (DVT) , yomwe ingayambitse mavuto oopsa komanso amafunika kuchipatala mwamsanga. Zinthu zomwe zimapangitsa kuti miyendo ikhale yosasunthika zingathe kuika munthu pangozi kwa DVT-monga kuyenda kwa mpweya, mwendo wa mwendo, kapena matenda omwe amafuna kuti mpumulo ukhalepo. Zina mwaziopsezo zimaphatikizapo kunenepa kwambiri, kusuta fodya, kutenga pakati, kugwiritsa ntchito mankhwala oletsa kubereka, komanso matenda otha kubereka. Ngati ndinu mayi wogwiritsira ntchito mankhwala oletsa kubereka, chiopsezo chanu cha DVT chikuwonjezeka ngati mumasuta kapena muli ndi matenda omwe amachotsa magazi omwe amadziwika kuti Factor V Leiden.
Kutenga
Matenda a khungu ndi omwe amachititsa kuti kutupa kukhale kofala ndipo nthawi zambiri kumakhala ndi ululu ndi kuphulika. Kupepuka kumawoneka ndi tizilombo toyambitsa matenda (onychocryptosis), matenda pakati pa zala zazing'ono, ndi miyendo yovuta ya wothamanga . Njira zina matenda angathe kuchitika pamapazi ndi zoopsa, monga zilonda zam'mimba kapena kuvulala msomali komanso kudzera m'mabala a shuga .
Ngakhale zochepa kwambiri, kachilombo kangakhoze kuchitika m'magulu ngakhale popanda vuto linalake.
Zochitika Zamankhwala
Matenda omwe amadziwika kuti amachititsa kutupa omwe amakhudza miyendo yonse mofanana ndi monga matenda a mtima, matenda a impso, matenda a chiwindi, matenda a chiwindi, ndi matenda a shuga . Matenda a Premenstrual (PMS) ndiwodziwika bwino chifukwa cha kutupa m'makumbo ndi mapazi.
Mankhwala
Ma ARV ena amachititsa kutupa kumene kumakhudza miyendo yonse mofanana. Amaphatikizapo mapiritsi oletsa kubereka kapena mankhwala ochotsera maantirogen, mankhwala a testosterone, corticosteroids ndi mankhwala ena oletsa kutupa monga NSAIDS, mankhwala ena a magazi, komanso mankhwala a shuga Avandia ndi Actos.
Mowa ungayambitsenso kutupa m'magulu awiri kapena mapazi.
Mimba
Kutupa m'mimba ndi m'mapazi nthawi ya mimba ndizochitika zofala. Zimayambitsidwa ndi ma homoni omwe ali ndi mimba, kuchulukanso kwa madzi akumwa m'mitsempha ya magazi, ndi chiberekero chokula, chomwe chimapangitsa kuti mitsempha imanyamula magazi kuchokera kumilingo. Kutupa m'milingo kungatheke pakatha kubereka, ndipo kungathe masiku angapo pambuyo pa kubadwa. Kutupa pa nthawi ya mimba kuyenera kukambidwa ndi dokotala kapena mzamba. Kutuluka kwadzidzidzi kwadzidzidzi kumafuna kuchipatala mwamsanga, monga kungatanthauzire preeclampsia.
Zotsatira:
John W. Ely, MD, MSPH; Jerome A. Osheroff, MD; M. Lee Chambliss, MD, MSPH; Mark H. Ebell, MD, MS. Kufikira ku Edema Wamtundu wa Etiology Yosavomerezeka. Journal ya American Board of Family Medicine. 2006; 19 (2): 148-160. Nkhani Zamakono Zamakono.