Chiwindi cha chiwindi chomwe chimagwiritsidwa ntchito masiku ano chimagwiritsidwa ntchito pofotokozera chidziwitso, chikhalidwe chake ndi kuwonongeka kwa thupi. Chofunika cha njirayi ndikutenga mfundo (chiwindi chaching'ono) kuti mupitirize kuphunzira.
Zizindikiro za chiwindi cha chiwindi
Perekani zochitika pazochitika izi:
- hepatomegaly (kukulitsa chiwindi);
- jaundice ya chiyambi chosadziwika;
- matenda aakulu a chiwindi (mowa, mankhwala osokoneza bongo kapena etiology);
- TB, brucellosis , matenda opweteka;
- chiwonongeko cha chiwindi cha chiwindi.
Kukonzekera chiwindi
Kukonzekera kwa njirayi ndi motere:
- Kutumizidwa kwa kafukufuku wa kliniki ndi magazi. Zitsanzo zamagazi zimatengedwa ku HIV, AIDS, Rh factor, coagulability, chiwerengero cha platelet.
- Kupita kwa ultrasound ya m'mimba. Phunziroli lapangidwa pofuna kudziwa momwe thupi limakhalira ndi chikhalidwe cha chiwindi.
- Kupatula mphamvu. Chakudya chomaliza chiyenera kukhala maola 10 mpaka 12 chisanachitike;
- Kuyera kwa matumbo. Ndibwino kuti mupange enema kuyeretsa.
Kodi chiwindi cha chiwindi chimapangidwa motani?
Chizindikiro cha chiwindi cha chiwindi chimaperekedwa kuchipatala pogwiritsa ntchito anesthetics. Mwinamwake kumverera kochepa pang'ono pokhapokha kutsekedwa kwa singano ndi kupweteka pang'ono panthawi ya chitsanzo cha nkhaniyo. Pankhani ya mkhalidwe wamantha wosafunikira, ndizotheka kugwiritsa ntchito mankhwala osokoneza bongo. Kumanja kwa chifuwa kapena peritoneum kapangidwe kakang'ono kamapangidwa ndi scalpel ndipo singano imayikidwa pansi pa ulamuliro wa ultrasound. Zopangidwezo zimapangidwira poyambitsa kupanikizika kosalala mu singano ndi kusungidwa mkati mwa gawo limodzi lachiwiri. Pambuyo pake, malo osungirako malo akukonzedwanso ndipo kuvala kumagwiritsidwa ntchito.
Pambuyo pa ndondomeko, wodwalayo akutumizidwa ku ward. Kwa maola awiri, chakudya ndi choletsedwa, ndipo kuzizira kumagwiritsidwa ntchito kumalo olowera. Pambuyo pa tsiku, mphamvu ya ultrasound imachitika. Chotsatira chosasangalatsa cha chiwindi chomwe chimapangidwira bwino chingakhale kupweteka, komwe kumachitika mkati mwa maora 48.
Zovuta za ndondomeko ndi zotsutsana
Monga njira iliyonse yothandizira, chiwindi cha chiwindi chingakhale ndi mavuto:
- magazi ;
- kuwonongeka kwa ziwalo za mkati;
- matenda.
Zotsutsana za chiwindi cha chiwindi ndi:
- matenda okhudza matenda omwe sangathe kuonetsetsa kuti wodwala sakuyenda bwinobwino;
- matenda a mtima;
- magazi otsika kwambiri.