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Kutalika mchombo<br />
Mchombo umene umatalika<br />
chotere si vuto ayi. Mankh<strong>wa</strong>la<br />
kapena chithandizo china<br />
chilichonse nzosafunikira<br />
kufupikitsira mchombo.<br />
Kumanga mimba ndi kansalu<br />
kapena lamba <strong>wa</strong> pamimba<br />
sizingathandize.<br />
Tchende lotupa (Hydrocele kapena Hernia)<br />
Ngati tchende la m<strong>wa</strong>na litupa mbali imodzi, ichi ndi chifuk<strong>wa</strong><br />
choti ladzadza madzi kapena chifuk<strong>wa</strong> choti kanthu kena kake<br />
ka mbali ya thupi kathawira kumeneko (hernia). Kuti mudziwe<br />
chochititsa chenicheni, unikani ndi nyali <strong>kuti</strong> muwone ngati<br />
ku<strong>wa</strong>la kudutsa chotupacho.<br />
Ngati ku<strong>wa</strong>la kudutsa<br />
chotupacho msangamsanga<br />
ndiye <strong>kuti</strong> m’tchendemo muli<br />
madzi (hydrocele).<br />
Madzi nthawi zambiri amachoka<br />
okha pakapita nthawi popanda<br />
chithandizo chapadera. Koma<br />
pakatha chaka chathunthu,<br />
kafuneni chithandizo ku<br />
chipatala.<br />
Ngati ku<strong>wa</strong>la sikudutsa m’katimo,<br />
komanso ngati chotupa chikula<br />
m<strong>wa</strong>na akamatsokomola kapena<br />
kulira, ndiye <strong>kuti</strong> kachi<strong>wa</strong>lo kena<br />
kake kam’thupi kathawira<br />
kumeneko (hernia).<br />
Hernia imafunika opaleshoni (onani<br />
tsamba 97).<br />
Ana oganiza moched<strong>wa</strong> (operewera), ogontha kapena<br />
opu<strong>wa</strong>la<br />
Nthawi zina makolo adzakhala ndi m<strong>wa</strong>na amene adzabad<strong>wa</strong> osamva, woganiza<br />
moched<strong>wa</strong>, kapena <strong>wa</strong> mavuto obad<strong>wa</strong> nawo (chomwe chikusonyeza china chake<br />
cholakwika pa thupi pake). Nthawi zambiri palibe chifuk<strong>wa</strong> chimene chingaperekedwe.<br />
Palibe aliyense amene ayenera kudzudzulid<strong>wa</strong>. Nthawi zambiri<br />
zimangochitika m<strong>wa</strong>ngozi.<br />
Komabe, zinthu zina zimakulitsa mpata woti m<strong>wa</strong>na abadwe ndi<br />
mavuto ena. Ndi povuta <strong>kuti</strong> m<strong>wa</strong>na abadwe ndi vuto lina lake la<br />
pathupi ngati makolo atsatira machenjezo ena ake.<br />
1. Kuso<strong>wa</strong> k<strong>wa</strong> zakudya zokhala ndi zonse zofunikira m’thupi<br />
nthawi imene mayi ali ndi pakati kukhoza kuchititsa kuganiza<br />
moched<strong>wa</strong> kapena vuto lina lobad<strong>wa</strong> nalo lapathupi pa m<strong>wa</strong>na.<br />
Kuti mukhale ndi <strong>ana</strong> athanzi, amayi apakati ayenera kudya<br />
zakudya zokhala ndi zonse zofunikira m’thupi (tsamba 115).<br />
2. Kusoweka k<strong>wa</strong> mchere <strong>wa</strong> ayodini mu zakudya za mayi<br />
<strong>wa</strong>pakati kungabweretse vuto lina lobad<strong>wa</strong> nalo lotched<strong>wa</strong> cretinism<br />
m’chingerezi.<br />
337<br />
Ngakhale mchombo<br />
<strong>wa</strong>ukulu chotere ngati uwu<br />
si owopsa ndipo udzatha<br />
wokha. Ngati udakalipobe<br />
kufikira ali ndi zaka 5,<br />
opaleshoni itha kuchitika.<br />
Kalandireni malangizo<br />
kuchipatala.<br />
Nthawi zina hernia imachititsa<br />
chotupa pam<strong>wa</strong>mba komanso<br />
mbali imodzi ya tchende, osati<br />
m’kati.<br />
Mukhoza kudzi<strong>wa</strong> izi powona<br />
chotupacho (tsamba 89)<br />
chifuk<strong>wa</strong> hernia imatupa ngati<br />
m<strong>wa</strong>na akulira kapena <strong>wa</strong>imirira<br />
mowongoka, ndipo imaso<strong>wa</strong> ngati<br />
iye akhala chete.
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