Chipatala cha Minsk City Clinical Emergency (GKBSMP)

Matenda ofalaKhunyu, yomwe imakhudza anthu opitilira 50 miliyoni padziko lonse lapansi, imayambitsa gawo lalikulu la matenda padziko lonse lapansi. Akuyerekeza kuti gawo la anthu onse okhala ndi khunyu (ndiye kuti, pogwirira ntchito mosalekeza kapena kufunika kwa chithandizo) munthawi yochokera ndikuchokera kwa 4 mpaka 10 pa anthu 1000. Komabe, zotsatira za kafukufuku wina m'maiko otsika ndi ochepa amapeza kuti kuchuluka kumeneku ndikwambiri - kuchokera pa 7 mpaka 15 pa anthu 1000.Akuti padziko lonse lapansi, khunyu umapezeka chaka chilichonseAnthu 2.4 miliyoni. M'mayiko omwe amalandila ndalama zambiri, chiwerengero cha anthu omwe amadwala chaka ndi chaka pamatenda opezeka pakati pa 30 ndi 50 pa 100,000. M'mayiko omwe amalandila ndalama zochepa komanso apakati, chiwerengerochi chingakhale chokwera kawiri.Mitengo okwera kwambiri m'maiko otsika ndi apakati imatha kuphatikizidwa ndi chiwopsezo cha matenda opezeka ndi malungo ndi neurocysticercosis; kuchuluka kwa ngozi zapamsewu; kuvulala kwa kubala, komanso kusiyana pakumanga kwachipatala, kupezeka kwa mapulogalamu othandizira kupewa komanso kulandira chithandizo chamankhwala chodalirika.nullnullnullnullmankhwala, opaleshoni ingathandize.KupewaIdiopathic khunyu sitingapewere. Komabe, pazifukwa zodziwika za khunyu yachiwiri, njira zoteteza zingathe kuchitidwa.    Kupewa kuvulala kumutu ndiye njira yothandiza kwambiri yopewa matenda amkati.     Kusamalira moyenera kumathandizira kuchepetsa zovuta za khunyu zatsopano chifukwa chovulala pakubadwa.     Kugwiritsa ntchito mankhwala osokoneza bongo komanso njira zina zochepetsera kutentha kwa thupi kwa ana omwe ali ndi malungo kumachepetsa mwayi wolandidwa.     Matenda amitsempha chapakati ndiomwe amachititsa kwambiri matenda a khunyu m'malo otentha kumenepali mayiko ambiri akutukuka. Kuwonongeka kwa majeremusi pansi pa mikhalidwe iyi ndi ntchito yophunzitsira yokhudza kupewa matenda ndi njira zabwino zochepetsera kulemera kwa khunyu padziko lonse lapansi, mwachitsanzo, khunyu chifukwa cha neurocysticercosis.Allhospital akufuna kuvomereza Profesa Antonio Russi (Teknon Kiron Clinic, Barcelona), m'modzi mwa akatswiri othandiza kwambiri matenda akhunyu ku Europe. Malinga ndi Pulofesa Russi, odwala 95 mwa 100 aliwonse amatha kuthetseratu matendawa atalandira chithandizo choyenera.Siyani pempho patsamba lathu ndipo akatswiri athu adzakupezani ndi kukuthandizani kusankha chipatala chabwino kwambiri malinga ndi vuto lanu.

Ndemanga:Opaleshoni yochotsa chotupa muubongo imachitidwa ndi katswiri wa neurosurgeon kuti amuchotse pang'ono kapena kuti athetse chotupacho. Kutalika kwakukulu kukakhala kunja: 6 mpaka 8 milunguZimatengera mtundu wa opaleshoni, pakufunika kwake komanso nthawi yayitali komanso momwe wodwalayo akuchira.

Kayezetsa kachirombo ka HIV nthawi zambiri kumatchedwa kuyesa kapena kukayezetsa, kuchokera ku Chingerezi kukayezetsa, mayeso aumoyo wa wodwalayo. Kayezetsa kuchipatala kumatha kuthandizanso kuzindikira mavuto anu kuyambira pachiyambire, ngakhale isanayambike zizindikiro, komanso kungalimbikitse odwala omwe ali ndi nkhawa chifukwa cha thanzi lawo kapena ali ndi zizindikiro zokayikitsa.Kuyesedwa kwakanthawi kachipatala (kuyendera) ndikulimbikitsidwa kuti kuchitike zaka zingapo zilizonse. Makamaka kwa odwala omwe ali ndi zochulukirapokulemera, zizolowezi zoipa, kapena mbiri ya banja yakudwala monga matenda a mtima, khansa, kapena matenda ashuga. Kupimidwa kungathandize kuzindikira mavuto monga kuthamanga kwa magazi kapena matenda a mtima oyamba. Odwala azitha kusintha momwe amakhalira ndi moyo wawo, ndipo ngati kuli kotheka, ayambe kumwa mankhwala, kupewa matenda opitilira muyeso.Pali mayeso osiyanasiyana osiyanasiyana komanso mayeso omwe angaphatikizidwe kokayezetsa kuchipatala, kuphatikizakuyezetsa magazi, kulingalira za matenda, kufufuza mtima ndi ena ambiri. Kufufuzako kungaphatikizeponso kuyesa kwa magazi kwa zotupa zomwe zimazindikira ma cell a khansa mthupi.Kuyendera ndikulimbikitsidwa kwa aliyense amene amakayikira za thanzi lawo kapena amene ali ndi zizindikilo zomwe zimafuna kuwunikidwa nthawi zonse.YalangizidwaKuyesedwa kwachipatala kwakanthawi zonse kumalimbikitsidwa kwa odwala onse, makamaka iwo omwe ali pachiwopsezo chachikulu chotenga matenda ena.

Chikhazikitso cha mano ndi lingaliro laling'ono lomwe limapangidwa pachibwano la nsagwada kuti lilowe m'malo mwa dzino lachilengedwe. Imagwira ngati mizu ya dzino ndipo pamapeto pake imatsatira mwamphamvu fupa lachilengedwe.Nthawi zambiri, amadzalamo fupa la nsagwada ndipo mkati mwa miyezi 1.5-6 mumamera mizu mkati mwake, nkumasakaniza. Chifukwa chake, amachiritsa osakakamizidwa chifukwa cha kutafuna, komwe kumachepetsa chiopsezo cha kuchira osachiritsidwa. Pambuyo poti ziziwalirazo, dotolo wam mano amapanga chithunzi kuti apange korona, yemwe adzaikapo pamwambakulowetsa ndi kutulutsa (cholumikizira).Kutengera ndi kupindika kwa fupa la nsagwada ndi zina, nthawi yomwe ikulowetsedwa ndikukhazikika kwa chikhazikitso chokhazikika imakhala yosiyana pa milandu iliyonse. Madokotala ena amati masabata 6 ndi okwanira, mwa ena amawaika mano tsiku lililonse tsiku lililonse pogwiritsa ntchito malowedwe ofanana ndi Straumann.Chowalitsira mano chitha kugwiritsidwa ntchito kukhazikitsa dzino limodzi kapena ngati chinthu chothandizira kukhazikitsa mano. Pankhani ya ma prostate athunthu amadzala a 4 ndi milatho ina ndipomano opeka onyenga ozikidwa pamalowo amagwiritsidwa ntchito molingana ndi mtundu wina wa ma prostate omwe amathandizira gawo lonse la mano (mpaka mano 10 kapena 12).Zilowetso zamano zimagwiritsidwa ntchito kwa odwala omwe amaphonya mano ndikufufuza njira yokhazikika, yomwe imawalola kuti azikhala olimba mtima ndi mawonekedwe awo, komanso mphamvu yodya komanso kuyankhula bwino.Nthawi zambiri, amadzalamo amaikidwa m'nsagwada kenako nkuchiritsidwa (ndikusokonekera kwambiri) pakati pa masabata 6 mpaka 6 miyezi.Izi zimathandizira wofunikayo kuchira popanda kukakamizidwa ndi kutafuna komanso kumachepetsa chiopsezo chakulephera kulowa. Kapangidweko kukakhala kotetezeka, dokotala wamano amatenga lingaliro pakamwa kuti apange korona kuti akhale pamwamba pamalowo ndi cholumikizira (cholumikizira, pakati pa awiri).Nthawi yofunikira pakati pa kuyikidwa kwa chikhazikitso ndikugwiritsidwa ntchito kwa chidziwitso chomaliza cha mankhwalawa imatha kusiyanasiyana, kutengera kutsekeka kwa chibwano ndi zina. Madokotala ena amati masabata 6 ndiokwanira, ndipo zipatala zina zimapereka mano atsopano patsiku pogwiritsa ntchito machitidwe mongaInstantum Straumann Katundu wam'mano.Chingwe chama mano chitha kugwiritsidwa ntchito kuchirikiza dzino limodzi, komanso chitha kukhala gawo la kubwezeretsa pakamwa konse. Zosankha monga All-4 ndi ena Kukwaniritsa-Kothandizidwa ndi Miyezo Yamalowedwe Opangira Ma mano Dongosolo limagwiritsa ntchito mitundu ingapo ya mano kuti ithandizire kuyimitsa mutu wonse (mpaka mano 10 kapena 12).YalangizidwaZilowetso zamano zimalimbikitsidwa ngati mano atayika, ngati njira yokhazikika yokhazikika yomwe ingapatse wodwalayo chidaliro chawo, imawalola kudya ndi kuyankhula popanda zopinga.