Odwala oposa 70% omwe ali ndi chifuwa chachikulu chotchedwa pulmonary tuberculosis, wothandizira matendawa amapezeka m'mimba. Kuwonjezera apo, malo omwe ali pafupi amakhudzidwa, monga methm nodes, mesitoneum, malo osadziwika. Chifuwa cha m'matumbo chimayambitsa mapangidwe ambiri a zilonda za m'thupi, zomwe zimadzaza ndi maonekedwe, kutuluka kwa minofu ndi maonekedwe a zotupa.
Kodi TB ya m'matumbo imayambitsidwa?
Kawirikawiri matenda omwe akuganiziridwa akutsutsana ndi chiyambi cha kupweteka kwakukulu kwa mapapo, omwe amaimira mtundu wachiwiri wa matenda otsegula, omwe ali owopsa kwambiri. Koma palinso njira zina za matenda.
Apa ndi momwe matumbo a chifuwa amathandizira:
- kudzera m'mimba mwa mayi;
- mwachindunji;
- ndi chakudya kapena zakumwa;
- kukhudzana ndi khungu lowonongeka ndi mankhwala owonongeka.
Kuonjezerapo, nthawi zambiri matendawa amayamba chifukwa cha kumeza kwa mfupa ndi mfuti, kuchotsedwa m'mapapo omwe amayamba ndi chifuwa chachikulu cha mycobacteria.
Zizindikiro za m'mimba chifuwa chachikulu
Poyamba matendawa, zizindikiro zikhoza kukhala palibe kapena zimakhala ngati chimfine, chimfine:
- thukuta;
- chiwombankhanga;
- mala;
- kuwonongeka kwa chilakolako;
- chisokonezo;
- kulemera m'mimba;
- flatulence.
Kupititsa patsogolo kwa chifuwa cha m'mimba kumakhala ndi mawonetseredwe otere:
- kutsegula m'mimba, kudzimbidwa;
- kupweteka kwa m'mimba mwamphamvu, makamaka kuzungulira phokoso;
- kupweteka;
- zizindikiro za m'mimba;
- chithandizo;
- Kukhalapo kwa mitsempha yambiri m'mimba yamimba, yomwe ndi yosavuta kuizindikira pamene imayesedwa;
- ascites .
Kuzindikira matumbo a m'mimba
Kafukufuku wamatenda amapezeka kawirikawiri pa phwitiatric reception pambuyo poyesa ndi palpation ya mimba.
Kuphatikiza apo, njira zotsatirazi zofufuzira zimagwiritsidwa ntchito:
- mafilimu;
- Ultrasound;
- mayendedwe a tuberculin;
- kusanthula magazi, nyansi;
- colonoscopy ;
- biopsy;
- chiwonetsero;
- kufesa zofuna zakuthupi.
Kuchiza kwa m'mimba chifuwa chachikulu
Mankhwala a mycobacterium okondedwa a ziwalo za peritoneum ali ofanana ndi chithandizo cha chifuwa chachikulu cha m'magazi:
- Kulandira mankhwala a chemotherapy ndi antibiotics - Streptomycin, PASK, Etambutol, Ftivazid, Ethionamide, Tibon, Cycloserin, Tubazid.
- Kugwirizana ndi zakudya ndi mapuloteni oyenera, mavitamini, chakudya, amino acid ndi mafuta.
- Mankhwala osamveka - antipirinovye, chamomile enemas, kutenthetsa kumapweteka m'mimba, kulengeza (intravenously and intramuscularly) ya ma vitamini B, shuga ndi ascorbic acid.