Umbhali: Judy Howell
Umhla Wokudalwa: 5 Eyekhala 2021
Hlaziya Umhla: 16 Eyenkanga 2024
Anonim
Residency | Methods | Approach to Abdominal Pain | @OnlineMedEd
Ividiyo: Residency | Methods | Approach to Abdominal Pain | @OnlineMedEd

Umxholo

Ushwankathelo

Intlungu ibhekisa ekuboneni kwenkqubo yemithambo-luvo yomzimba eyenzakalayo. Ubuhlungu bunzima kwaye buhluka kakhulu kumntu kumntu. Oogqirha kunye nabongikazi bahlala bekhetha iintlungu kwiindidi ezahlukeneyo, ezimbini zezona ziqhelekileyo zi-somatic kunye ne-visceral. Funda ezinye zeempawu eziqhelekileyo, unyango, kunye noonobangela bohlobo ngalunye lwentlungu.

Iimpawu kunye nokuchongwa

Intlungu kaSomatic

Intlungu kaSomatic yenzeka xa ii-receptors zentlungu kwizicwili (kubandakanya ulusu, izihlunu, amathambo, amalungu kunye nezicwili). Ngokwesiqhelo, inkuthazo efana namandla, ubushushu, ukungcangcazela, okanye ukudumba kusebenze ezi receptors. Olu hlobo lwentlungu luhlala luchazwa njenge:

  • ukuxinana
  • Iluma
  • ukuba buhlungu
  • ubukhali

Intlungu yaseSomatic ihlala ibekwa kwindawo ethile. Ihlala ihleli kwaye ivuselelwa kukuhamba. Ubuhlungu kwi-pelvis, iintloko, kunye nokusika kwesikhumba konke kuwela phantsi kwentlungu.

Intlungu yaseSomatic ihlala yahlulwa yaziifom ezimbini. Eyokuqala, ebizwa ngokuba yintlungu engaphezulu, yenzeka xa ii-receptors zesikhumba zisebenza kulusu, kwi-mucus, nakwi-mucous membranes. Ngokuqhelekileyo, ukulimala kwansuku zonke kubangela ukuba intlungu ibonakale.


Uhlobo lwesibini lwentlungu ye-somatic yaziwa njengentlungu enzulu ye-somatic. Intlungu enzulu ye-somatic yenzeka xa i-stimuli isebenzise i-receptors ezinzulu emzimbeni kubandakanya umzimba, amalungu, amathambo kunye nezihlunu. Iintlungu ezinzulu ze-somatic zihlala ziziva ngathi "zibuhlungu" kuneentlungu ezingaphaya kwengqondo.

Ukongeza, iintlungu zesomatic zinokuvalelwa kwalapha ekhaya okanye zisasazeke kwiindawo ezinkulu zomzimba ngokuxhomekeke kubungakanani bokwenzakala.

Intlungu ebonakalayo

Intlungu ye-visceral yenzeka xa ii-receptors zentlungu kwi-pelvis, isisu, isifuba, okanye amathumbu zisebenza. Siba namava xa amalungu ethu angaphakathi kunye nezicubu zonakalisiwe okanye zenzakele. Iintlungu ezibonakalayo azicacanga, azikho ndawo, kwaye aziqondwa kakuhle okanye zichazwe ngokucacileyo. Ihlala ivakala ngathi kukucinezela okunzulu, uxinzelelo, okanye ukuqaqanjelwa.

Zeziphi ezinye izizathu zohlobo ngalunye lwentlungu?

Intlungu kaSomatic

Ngenxa yokuba iintlungu ze-somatic zivela kwimithombo eyahlukeneyo, inezinto ezininzi ezahlukeneyo ezinokubangela. Oku kubandakanya:

  • ukwenzakala okuncinci okanye okukhulu kumalungu okanye amathambo
  • nakuphi na ukwenzakala okanye ukusikwa kwesikhumba
  • ukuwa okanye ukungqubana okonakalisa izicubu ezinxibelelanayo
  • umsipha oxineneyo ngenxa yokusebenzisa kakhulu
  • ukwaphuka kwamathambo
  • izifo ezichaphazela izicwili ezinjenge-osteoporosis
  • Umhlaza ochaphazela amathambo okanye ulusu
  • isifo samathambo esikhokelela ekudumbeni kwamalungu

Intlungu ebonakalayo

Intlungu ye-visceral yenzeka xa kukho umonakalo okanye ukuphazamiseka kwizitho zangaphakathi kunye nezicubu. Izizathu zibandakanya oku kulandelayo:


  • ukwenzakala kwizitho zangaphakathi, ezinjenge-gallbladder, amathumbu, isinyi, okanye izintso
  • umonakalo kwimisipha engundoqo okanye eludongeni lwesisu
  • spasms kwimisipha engundoqo
  • ukugaya iasidi
  • ezinye iingxaki zokugaya ukutya njengokuqhinwa
  • usulelo kwinkqubo yokwetyisa kunye nezintso
  • iingxaki kumalungu athile afana nepancreas okanye isibindi
  • umhlaza ochaphazela amalungu angaphakathi njengomhlaza wesisu
  • endometriosis
  • iintlungu zokuya exesheni
  • Umonakalo wendlala

Imiba yomngcipheko

Ngokubanzi, abasetyhini kunokwenzeka ukuba bafumane zombini iintlobo zentlungu. Oku kungenxa yezizathu ezibini eziphambili. Okokuqala, abasetyhini ngokubanzi banobuntununtunu obuphezulu kwiintlungu kunamadoda. Okwesibini, abantu basetyhini banamathuba aphezulu okuphuhla kweemeko ezinje ngokuqhekeka, i-osteoporosis, kunye nemicimbi yokuzala enokubangela ezi ntlungu.

Imfuza inokudlala indima ekuboneni kwezi ntlobo zimbini zentlungu. Ngokwesiqhelo, ukuba unee-receptors ezingaphezulu zentlungu, uya kuva iintlungu ezingakumbi. Iimeko zempilo yengqondo ezinje ngoxinzelelo kunye noxinzelelo zinokuba negalelo kwingqondo ephezulu yeentlungu ngokunjalo.


Izinto ezinxulumene neemeko ezithile ezibuhlungu zikwangumngcipheko weentlungu. Imizekelo ibandakanya ukuthathwa kwecalcium esezantsi kwintlungu ye-somatic ebangelwa yi-osteoporosis kunye nokunyusa ukutshaya kwintlungu ebonakalayo ebangelwa ngumhlaza wesisu.

Ufanele umbone nini ugqirha wentlungu?

Ngokwesiqhelo, zombini iintlungu ze-somatic kunye ne-visceral ziya kuncipha kwiintsuku ezimbalwa. Nangona kunjalo, ukuba ufumana iintlungu ezibuhlungu okanye iintlungu ezingapheliyo ubuncinci iveki, kuya kufuneka ubone ugqirha wakho. Baza kukubuza malunga neempawu zakho, ukuba ziphi iintlungu, zimbi kangakanani, zenzeka kangaphi, kwaye zichaphazela ntoni. Xa ubona ugqirha wakho, kubalulekile ukubanika olu lwazi lulandelayo:

  • unexesha elingakanani uneentlungu
  • xa uqala ukufumana intlungu
  • ubunzima beentlungu
  • apho uva khona iintlungu
  • imbali yakho yonyango

Baya kuthi emva koko babeke iimpawu zakho kwimeko yembali yakho yezonyango kunye nezinye iingxaki zempilo onokuba unayo. Amaxesha amaninzi, ugqirha uya kuqhuba uvavanyo lweenjongo ezinje ngokuhlalutya ilebhu kunye novavanyo lomzimba.

Emva kokujonga iimpawu kunye nezinye izinto, ugqirha uya kukunika isicwangciso sonyango. Oku kunokubandakanya ukubona ingcali ukuze ijongane nesizathu esisisiseko, esifana nodokotela wamathambo wentlungu edibeneyo okanye i-gastroenterologist yesisu. Banokucebisa ukuba ubone ugqirha wolawulo lwentlungu.

Unyango

Ubuhlungu bunzima kwaye buzithoba kakhulu. Ke ngoko, ukunyanga iintlungu kunokuba yinto enzima. Oogqirha baphatha iintlungu zomzimba kunye neze-visceral ngokujongana nezizathu ezibangela iintlungu. Umzekelo, ukuba umntu une-osteoarthritis, ugqirha unokuyalela elinye lamayeza amaninzi ukunciphisa iimpawu.

Intlungu kaSomatic

Oogqirha baya kuhlala besebenzisa iziyobisi ukunyanga iintlungu ezithile. Amayeza angaphezulu kwe-counter onokuwathatha aquka:

  • Ii-NSAID, ezinje nge-aspirin, naproxen (Aleve), kunye ne-ibuprofen (Advil)
  • i-acetaminophen (iTylenol)

Iindlela zentlungu ebukhali zinokunyangwa kusetyenziswa amayeza kagqirha. Ugqirha wakho unokukunika amayeza anje:

  • baclofen
  • iccylobenzaprine (Flexeril)
  • metaxalone
  • iiopioid, kubandakanya i-hydrocodone kunye ne-oxycodone

Kubalulekile ukuba uqaphele kakhulu ngala mayeza kuba ayakhobokisa. Oogqirha, ngakumbi i-orthopedists kunye ne-rheumatologists, banokusebenzisa inaliti ukunyanga iintlungu kumalungu nakumathambo.

Intlungu ebonakalayo

Ngamanye amaxesha oogqirha basebenzisa iziyobisi ezibuyisa iintlungu ukunyanga iintlungu ezibonakalayo. Nangona kunjalo, kuba iintlungu ze-visceral azichazwanga kwaye zisasazeka ngakumbi, kunzima ukuphawula elona nyango liza kunceda. Ukongeza, amanye amayeza afana nee-NSAID anokubangela imiba yesisu. Njengoko abaphandi befunda okungakumbi malunga neentlungu ezibonakalayo, iindlela ezintsha ziya kuphuhliswa ukuzinyanga.

Utshintsho kwindlela yokuphila

Amayeza kunye nokunyanga oyena nobangela wentlungu ayisiyiyo kuphela kwendlela yokulawula iimpawu zentlungu. Amaxesha amaninzi, unokutshata iindlela zonyango zesiko kunye nokutshintsha kwendlela yokuphila ukuze ulawule iintlungu:

  • ukwenza imisebenzi yokuphumla
  • ukutya okunesondlo, ngakumbi iintlungu ezibonakalayo
  • iyoga
  • ukucamngca
  • tai chi
  • ulungiso lwenyama
  • ukugcina incwadana apho ungavakalisa khona iingcinga zakho
  • ukuzilolonga okunempembelelo ephantsi, njengokuqubha nokuhamba
  • umthambo ophezulu (kunye nemida efanelekileyo)
  • unyango lokuziphatha
  • ukulala ngokwaneleyo
  • ukunciphisa okanye ukuyeka ukutshaya nokusela
  • ukulungiswa komzimba (kunye nobungqina obuxubekileyo)
  • Unyango lwe-osteopathic manipulation (OMT)

Khumbula: kubalulekile ukukhangela ugqirha ngaphambi kokuzibandakanya kwezinye zezi zinto. Umzekelo, ukuba unentlungu edolweni ebangelwe kukonzakala, ezinye iindlela zokuzilolonga zisenokungabi bubulumko.

Imbonakalo

Uninzi lweentlungu ezibonakalayo kunye ne-somatic azikho nzima kwaye ziya kuhamba kwiintsuku ezimbalwa. Ukuba intlungu yakho inzima kwaye iyaqhubeka, kuya kufuneka ugqirha. Baza kuba nakho ukukunika isicwangciso sonyango esinciphisa iintlungu ngabo bobabini ngokunyanga oyena nobangela kunye nokunciphisa ngokuthe ngqo uvakalelo lwentlungu. Ukongeza, unokuluxhasa unyango lwegqirha lakho ngeendlela ezahlukeneyo zasekhaya, ucinga ukuba azichaphazeli impilo yakho.

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