Ululu pansi pa nthiti yakumanja ndi matenda omwe samachitika kokha m'matenda a ziwalo zomwe zimapezeka m'malo opweteka, komanso amadziwika ndi matenda ena angapo. Zowawa zimatha kufalikira mu hypochondrium kuchokera kumimba yamchiuno, mtima, msana, komanso kuwonetsa matenda azachipatala, opareshoni, a parasitic.
Nchifukwa chiyani chimapweteka mbali pansi pa nthiti kumanja?
Kupweteka kovulaza kumbali yakumanja sikutanthauza matenda. Ndikuthamanga kwambiri, kupweteka kumayambitsidwa ndikutambasula kwa kapisozi wa hepatic. Komabe, muyenera kuwamvera. Zizindikiro zotere zimatha kukwiyitsidwa ndikosakonzekera mokwanira, kupuma kosayenera kapena kutentha pang'ono, koma nthawi zina pamakhala matenda osachiritsika.
Nthawi zina, kupweteka mu mbali yakumanja pansi pa nthiti kumawonetsa momwe matenda amathandizira.
Zimayambitsa kupweteka kumanja
Chizindikiro chomwe chikufunsidwa mwina chikuwononga ziwalo zotsatirazi:
- ndulu (matenda a ndulu, cholecystitis);
- m'mimba (gastritis, zilonda zam'mimba);
- kapamba (kapamba);
- chiwindi (matenda enaake, chiwindi, opisthorchiasis);
- impso (pyelonephritis);
- mtima (angina pectoris, mtima);
- zakulera (chophukacho, kutupa);
- m'mapapo (khansa, chibayo).
Kuwonongeka kwa ziwalo ndi matenda olowa nawo (osteochondrosis) amathanso kukhala chifukwa.
Monga lamulo, kupweteka kovulaza kumatanthauza gawo lalikulu la matendawa; ndi zowawa zopweteka, njira yayitali imachitika.
Momwe mungathanirane ndi zowawa zammbali?
Ngati chizindikirocho chikuchitika mukamathamanga, sikofunikira kuti mupite kuchipatala. Ndikofunikira kuti muchepetse kuthamanga ndikusintha masitepe, yambani kupuma mwamphamvu ndikupumulitsani manja anu. Mukamachita masewera olimbitsa thupi pafupipafupi, muyenera kukumbukira zakufunika koti muzimva kutentha musanathamange, kupuma moyenera (kupuma m'mimba ndi kupuma kozama), ndikusankha katundu wokwanira.
Ngati etiology ya ululu pansi pa nthiti yakumanja siyikudziwika, muyenera kupita kuchipatala posachedwa. Self-mankhwala mu mawonekedwe a compresses, komanso kugwiritsa ntchito mankhwala opha ululu, zitha kukulitsa thanzi thanzi ndi kuvuta matenda a matenda.
Ndikufotokozera kwakumva kupweteka, kuyitanitsa mwachangu ambulansi kumafunika:
- pachimake, kuwonekera mwadzidzidzi;
- kupweteka, osadutsa ola limodzi kapena kupitilira apo;
- kubaya, kukwiyitsidwa ndi gulu lomwe limatha theka la ola.
Ngati, limodzi ndi ululu wosasunthika kumanja kwam'mimba, nseru ndi kusanza kumachitika, ndibwino kukaonana ndi dokotala tsiku lomwelo.
Chithandizo cha matenda mu hypochondrium yoyenera
Pofuna kupewa kukula kwa zovuta, ndizosatheka kuchiza matendawa mwa kumwa mankhwala opha ululu. Doctor molondola kudziwa matenda ndi mankhwala chithandizo, chifukwa zilonda - chabe chizindikiro.
Kutengera matendawa, njira zotsatirazi zimagwiritsidwa ntchito pochiza matendawa:
- kutsatira zakudya zosamalitsa (kupatula zakudya zina kuchokera pachakudyacho mpaka kusala kwakanthawi);
- kumwa mankhwala (maantibayotiki, mankhwala ochepetsa mphamvu ya kachilombo, kuchepetsa ululu monga gawo la mankhwala ovuta, ndi zina zotero);
- ntchito za opaleshoni (mwachangu zomwe zimafunikira kuchitapo kanthu mwachangu).
Pazovuta zilizonse pansi pa nthiti yakumanja (kuluka, kupweteka, kukomoka), muyenera kulumikizana ndi katswiri nthawi yomweyo.
Zomwe zimayambitsa kupweteka pansi pa nthiti yakumanja, kutengera komwe kuli
Malinga kutanthauzira kwa ululu, ndizotheka kudziwa momwe thupi limayendera.
Kumva kupweteka - kutsogolo
Matenda a gallbladder ndiye gwero lalikulu la analgesia pansi pa nthiti kumanja. Mayi amapangidwa m'chiwindi, kenako amawasamutsira ku ndulu, komwe amasonkhana. To normalize chimbudzi mukatha kudya, thupi limatulutsa bile acid.
Kuchepetsa kapena kutsekeka kwa ndulu ya ndulu kumayambitsa kupweteka mukadya chakudya chamafuta chifukwa chofunikira kukumba ma bile acid ambiri.
Kuchuluka kwa malingaliro opweteka kutsogolo kumadziwika ndi matenda monga matenda am'mimba, kusintha kwa mankhwala a bile, ndi cholecystitis.
Pamaso pamiyala mu ndulu, chikhalidwe cha kuvutikacho chimadalira kukula kwake: ngati miyala ndi yayikulu, kupweteka kumakhalapo nthawi zonse ndipo pomwe thupi limasintha, limakhala lamphamvu.
M'matenda a chiwindi, chifukwa chakuchulukirachulukira, kupweteka kumamvekanso kutsogolo ndikuwala kunkhongo.
Kukhazikitsa kwakumbuyo kwa ululu - kumbuyo
Ndikubwezeretsanso msana kwa ululu wammbuyo, matenda a ndulu kapena matenda am'mapapo mwanga amapezeka. Ndizovuta kusiyanitsa ndi momwe akumvera. Mu hypochondrium yoyenera, imapweteka ndi chibayo komanso matenda am'mimba. Kupweteka m'mikhalidwe yonseyi kumakulitsidwa ndi kupuma. Komabe, kuwonongeka kwa mapapo sikukuyenda limodzi ndi ululu mukatha kudya.
Gulu lina la zovuta zomwe ululu umamveka kumbuyo ndi matenda a impso. Zowawa zomwezo zimayambitsidwa chifukwa cha impso yoyenera, monga ndulu, pansi pa chiwindi.
Chimodzi mwazomwe zimapweteka kumanja pansi pa nthiti kuchokera kumbuyo kwa akazi ndikutupa kwa zowonjezera (ma tubesian fallopian and ovaries), ngati zimayambitsidwa ndi ma STD. Kutupa komwe kumayambitsidwa ndi matenda a bakiteriya kumakhudza kapisozi wa hepatic.
Nthawi zambiri zowawa mu hypochondrium yoyenera
Pafupipafupi pansi pa nthiti kumanja, kusapeza kumachitika m'matenda am'mimba. Matenda opatsirana pogonana (opisthorchiasis, giardiasis) amayambitsa kukokana chifukwa cha kutsekeka kwa mitsempha ya ndulu ndi ziwombankhanga ndi protozoa. Kulimbitsa kapena kufooketsa matenda opweteka pamene ziwalo zawonongeka ndi nyongolotsi zimadalira nyengo ya moyo wawo.
Kutsekedwa kwa ma ducts amadzimadzi kumachitika ndikuwonjezeka kwa anthu. Ndi echinococcosis, kumverera kumakula pamene gawo lokwanira la minofu ya chiwindi limakhudzidwa.
Matenda omwe akufunsidwayo amathanso kuwonetsa kupatsirana koopsa kapena zovuta pambuyo pake.
Matenda opweteka a hepatic
Awa ndi mayina azachipatala amamva kupweteka kwakanthawi kochepa mu hypochondrium yoyenera panthawi yochita masewera olimbitsa thupi komanso masewera.
Etiology ya ululu wotere mwa othamanga ndi kuwonongeka kofulumira kwa glycogen m'chiwindi, komwe kumachitika thupi likapanda mphamvu. Chifukwa cha ichi, munthu amatha kupitiliza kuchita masewera olimbitsa thupi kwakanthawi.
Kupweteka kwapadera kwa amayi azaka zoberekera
Kutenga kwanthawi yayitali kwa amayi azaka zoberekera kumatha kuchitika nthawi yovulaza. Izi ndichifukwa choti dzira, mawonekedwe amadzimadzi amadzikundikira mu peritoneum, yomwe imayambitsa kukwiya, komwe kumatsagana ndi ululu.
Kuonda kumatha kuwonekeranso m'matenda osiyanasiyana azamayi komanso matenda am'mbuyomu.
Malingaliro a madokotala - momwe angathandizire?
Pamene subcostal analgesia imawoneka pansi pa nthiti yoyenera popanda chifukwa chilichonse (monga masewera olimbitsa thupi kapena premenstrual syndrome), malingaliro a madokotala amagwirizana - kufunafuna thandizo kwa katswiri. Kungowunika ndikuwunika molondola komwe kungathandize kupanga njira zoyenera zochiritsira ndikuchepetsa zovuta.
Chifukwa chake, kupweteka kwa hypochondrium yoyenera nthawi zina kumatha kuchitika motsutsana ndi momwe thupi limayambira, kapena kumatha kuwonetsa momwe matenda amathandizira. Ngati chifukwa cha matendawa sichikudziwika, m'pofunika kukaonana ndi dokotala, chifukwa popanda kuzindikira sikutheka kuti muzitha kudziwa nokha matenda osiyanasiyana omwe ali ndi vuto la hypochondrium yoyenera.