Ngaba nawe unokudumba? Makhe sithethe ngale ngxaki yokudumba (i-edema)!

Ngaba wakha waphawula ukuba imilenze, amaqatha okanye izandla zakho ziyadumba ngequbuliso? Okanye ngamanye amaxesha ubuso bakho buziva budumbile? Oku kudumba kwiindawo ezahlukeneyo zomzimba yinto esiyibiza ngokwezonyango ngokuthi `(Edema)` okanye `edima' ngesiSinhala. Oku kwenzeka xa ulwelo luqokelelana ngaphakathi kwizicubu zomzimba wethu.

Ngubani onokuba nolu hlobo lokudumba (i-edema)? Ingaba luqhelekile?

Enyanisweni, le meko ibizwa ngokuba kukudumba inokukhula nakubani na. Kodwa idla ngokubonakala koomama abakhulelweyo nakubantu abaneminyaka engaphezu kwama-65 ubudala. Kwakhona, oku kudumba kuqhelekile kakhulu. Kuba, zininzi izinto ezinokubangela oku. Ekubeni ukudumba okuncinci kusiba ngcono ngokwako, kunzima ukutsho ukuba bangaphi abantu abakhula oku.

Kwenzeka ntoni emzimbeni xa kuvela ukudumba? Zithini iimpawu?

Ngoko ke, xa kuvela oku kuvuvukala `(Edema)`, amanye amalungu omzimba wakho aba makhulu, oko kukuthi, ayadumba. Emva koko kunokuba nzima kancinci ukwenza imisebenzi yakho yemihla ngemihla. Khawucinge nje, ukuba imilenze yakho idumbile, kunzima ukuhamba, akunjalo? Kodwa kukho iindaba ezimnandi. Ngokugcina indawo edumbileyo iphakanyisiwe kancinci, okanye ukuba ubuhleli okanye umi kwindawo enye ixesha elide, uhambahamba kancinci, unganciphisa oku kudumba. Emva koko uya kuziva ukhululekile.

Kodwa khumbula, ngamanye amaxesha oku kudumba kungaba luphawu lwenye imeko efihlakeleyo. Ngoko ke, kungcono ukubona ugqirha ukuba unale mpawu.

Ngoku makhe sibone ukuba zeziphi iimpawu eziphambili zale ngxaki yokudumba:

• Indawo ethile emzimbeni wakho ibonakala inkulu kunosuku olungaphambili, nto leyo ethetha ukuba ibukeka idumbile .
• Ulusu kwindawo evuvukileyo lubonakala lunwebekile kwaye lukhazimla .
• Ukuba imilenze yakho, amaqatha, okanye iinyawo zakho ziyadumba, kunokuba nzima ukuhamba .
• Abanye abantu banokukhohlela kwaye babe nobunzima bokuphefumla .
• Indawo evuvukileyo ivakala igcwele kwaye iqinile .
• Kusenokubakho intlungu okanye ukurhawuzelela okuncinci kwindawo echaphazelekayo.

Kutheni umzimba uvuvukala ngolu hlobo? Zithini izizathu zokudumba?

Kulungile, ngoku ekubeni ugqirha ekuxelele ukuba une-edema, into elandelayo ofuna ukuyenza kukufumanisa ukuba kutheni olu lwelo luqokelelene emzimbeni wakho. Kukho izinto ezininzi ezinokubangela oku. Masibone ukuba ziyintoni.

• Umxhuzulane: Ngamafutshane, ukuba uhleli okanye ume kwindawo enye ixesha elide, izinto ezifana namanzi emzimbeni wakho ziyaqokelelana ngokwemvelo ezandleni zakho, emilenzeni nasezinyaweni. Oku kubizwa ngokuba yi-"dependent edema." Khawucinge nje, umntu osebenza esitulweni imini yonke aze azive ngathi imilenze yakhe idumbile kancinci ngokuhlwa? Yiyo loo nto kunjalo.
• Ubuthathaka beevalvu kwimithambo yegazi (ukungasebenzi kakuhle kwemithambo yegazi):Imithambo yethu ineevalvu ezincinci ngaphakathi kuyo. Xa ezi ziba buthathaka, kuba nzima ukuba imithambo ithwale igazi libuyele entliziyweni. Oku kunokubangela ukuba igazi lihlangane emilenzeni lize lidumbe, nto leyo ebangela ukuba loo mithambo iluhlaza okwesibhakabhaka ivele (imithambo ye-varicose).
• Ezinye izifo emzimbeni: Ukudumba kungaba luphawu lwezinye izifo. Umzekelo, abantu abaneengxaki zentliziyo , imiphunga, isibindi , izintso kunye nezifo ze-thyroid banokuba nokudumba. Eli linqaku elibaluleke kakhulu, kuba ukuba oku kuyenzeka, isifo esisisiseko kufuneka sinyangwe.
• Iziphumo ebezingalindelekanga zamayeza: Ukudumba kunokubakho njengeziphumo ebezingalindelekanga zamanye amayeza, afana namayeza oxinzelelo lwegazi oluphezulu kunye neentlungu .
• Ukunqongophala kwezondlo: Ukuba awutyi ukutya okunesondlo esifanelekileyo, okanye ukuba utya ukutya okuninzi okunetyuwa eninzi (i-sodium) , umzimba wakho ungagcina ulwelo kwaye ubangele ukudumba.
• Ukukhulelwa : Njengoko isibeleko sikhula, imithambo yegazi esezantsi kwesisu iyanwebeka, yiyo loo nto imilenze evuvukileyo ixhaphakile ngexesha lokukhulelwa.
• Iingxaki zenkqubo yomzimba yokuzikhusela: Ukudumba kunokubangelwa zizinto ezifana neempendulo ze-allergy, usulelo, ukutsha, ukwenzakala , okanye amahlwili egazi.

Ugqirha ufumanisa njani ngokuchanekileyo i-edema?

Xa usiya kugqirha, uza kuqala akuhlole ukuze abone ukuba kukho na ukudumba. Emva koko uza kwenza uvavanyo lokufumana unobangela. Ugqirha uza kujonga ngononophelo iindawo ezidumbileyo emzimbeni wakho, ingakumbi naziphi na iindawo apho ulusu lubonakala lunwebekile kwaye lukhazimla.

Emva koko, ukuze kufunyaniswe ubungakanani bokudumba, kwenziwa uvavanyo olubizwa ngokuba yi-"pitting test" . Kolu vavanyo, ugqirha ucinezela ulusu lwakho oludumbileyo ngomnwe wakhe malunga nemizuzwana emi-5 ukuya kweli-15. Emva kokususa isandla sakhe, kuvela umngxuma omncinci kuloo ndawo. Loo mngxuma ubonisa ukuba ulwelo luqokelelene ngaphakathi kwithishu yakho.

Emva kolu vavanyo "lokufaka imingxunya", izinga lokudumba (ukubeka imigangatho) limiselwa kukuba kuthatha ixesha elingakanani ukuba imingxunya ibuyele esiqhelweni. Oku kulandelayo:

• Ibanga loku-1: Kuvela umngxuma omalunga ne-2 mm, ophola ngokukhawuleza (ngokukhawuleza nje ukuba uqiniswe).
• Ibanga lesi-2: Umngxuma we-3-4 mm uyenziwa kwaye uphola ngaphantsi kwemizuzwana eli-15.
• Ibanga lesi-3: Kwenziwa umngxuma ongama-5-6 mm, kwaye inxeba liyaphola kwimizuzwana engaphezu kwe-15, kodwa ngaphantsi komzuzu omnye (imizuzwana engama-60).
• Ibanga lesi-4: Umngxuma omkhulu, omalunga neemilimitha ezisi-8, uyakheka kwaye kuthatha malunga nemizuzu emi-2-3 ukuphola.

Unganyanga njani ukudumba? Yintoni enokwenziwa ukunciphisa ukudumba?

Unyango lokudumba luxhomekeke ekubeni yintoni ebangela oku. Ingakumbi ukuba ukudumba kubangelwa yenye imeko yempilo engaphantsi, unyango lolona lubalulekileyo.

Ukunika imizekelo embalwa:

• Ukuba ukudumba kubangelwa sisifo semiphunga, esifana ne-emphysema okanye i-bronchitis engapheliyo, kwaye ungumntu otshayayo , ugqirha wakho uya kukucebisa ukuba uyeke ukutshaya .
• Ukuba unesifo sentliziyo esingapheliyo kunye nokudumba, unokuxelelwa ukuba wenze utshintsho kwindlela ophila ngayo, njengokujonga ubunzima bakho, ulwelo oluselayo, kunye nokutya ityuwa. Ungaxelelwa nokuba unciphise ukutya kwakho utywala.
• Ukuba unesiphumo esibi sokudumba ngenxa yeyeza olisebenzisayo, ugqirha wakho unokukwazi ukuyeka ukusebenzisa iyeza okanye ukunciphisa umthamo. Kodwa ungaze uyeke ukusebenzisa amayeza akho ngaphandle kwengcebiso kagqirha wakho.

Ukongeza ekunyangeni unobangela oyintloko, kukho izinto ezininzi onokuzenza ngokwakho ukuze uyeke ukugcina ulwelo:

• Xa uhleli okanye ulele phantsi, beka umqamelo phantsi kwemilenze yakho uze uyigcine ingaphezulu kwenqanaba lentliziyo yakho.
• Endaweni yokuhlala okanye yokuma ixesha elide, hambahamba kancinci uze uhambe kancinci.
• Nxiba iikawusi/iikawusi okanye imikhono ekhethekileyo yokuxhasa. Ezi zinika uxinzelelo oluncinci kwezo ndawo zomzimba kwaye zinciphisa ukwakheka kolwelo. Kwabo baneentlungu ezingapheliyo, kukho nezihlangu ezikhethekileyo (izihlangu ze-edema) ezenzelwe ukunceda ekudumbeni.
• Nciphisa ubuninzi betyuwa ekutyeni kwakho.
• Sela amayeza achazwe ngugqirha wakho kanye njengoko ekuxelela. Ugqirha wakho angakunika uhlobo lonyango olubizwa ngokuba 'yipilisi yamanzi' (i-diuretic). Oku kunceda umzimba wakho ukhuphe ulwelo olugqithisileyo ngomchamo.

Zeziphi izinto ekungafanele uzitye xa une-edema?

Ngamanye amaxesha ukudumba kunokubangelwa yityuwa eninzi (i-sodium) ekutyeni kwakho. Ityuwa ibangela ukuba umzimba wakho ugcine amanzi, nto leyo enokuvuza kwizicubu zakho ize ibangele ukudumba. Ke ngoko, ukunciphisa ityuwa ekutyeni kwakho kunokuba yindlela entle yokunceda ekunciphiseni ukudumba. Oku kuthetha ukuba ukutya okupakishwe kwiipakethe, ukutya okusemathinini, kunye neenoodles ezikhawulezayo zinotyuwa omninzi, ngoko ke ngumbono olungileyo ukunciphisa ukutya oku.

Ndingaphila ngokukhawuleza kangakanani emva konyango?

Ngokuxhomekeke kwisizathu sokudumba kwakho, oku kunokuba kokwexeshana okanye okungapheliyo. Ukudumba kudla ngokuncipha kwiintsuku ezimbalwa. Ukudumba kubonakala kakhulu kwiintsuku ezimbini zokuqala, kwaye kufanele kuqale ukwehla ngosuku lwesithathu. Ungakunciphisa ukudumba ngokulandela imiyalelo kagqirha wakho ngokuchanekileyo. Ukuba ukudumba akuyehli emva kweentsuku ezimbalwa zonyango, thetha nogqirha wakho kwakhona.

Ngaba ukudumba kungathintelwa?

Ngamanye amaxesha, ukuba imbangela yokudumba yimeko efihlakeleyo efana nesifo sentliziyo, isifo sesibindi, okanye isifo sezintso, kusenokungabi lula ukuyithintela ngokupheleleyo. Kodwa ungasebenzisana nogqirha wakho ukulawula iimpawu.

Kodwa ukuba unobangela wokudumba kukutya ityuwa eninzi, ungakuthintela ukudumba ngokunciphisa ityuwa ekutyeni kwakho.

Kwakhona, ukuhambahamba rhoqo kunokunceda ukuthintela ukudumba. Ukuhlala okanye ukuma kwindawo enye kunokubangela ukuba ulwelo luqokelele kwizicwili zomzimba wakho. Ukuba uzifumana uhleli ixesha elide, vuka ujikeleze kancinci ukuba kunokwenzeka. Oku kunokunceda ukunciphisa ukudumba.

Ndimele ndilindele ntoni xa ndine-edema? Ndingazinyamekela njani?

Ukuba uneqhuma emzimbeni wakho, kubalulekile ukubona ugqirha ngoko nangoko. Oku kungenxa yokuba iqhuma linokubangela ukuba ulusu lwakho loluleke, kwaye ukuba alinyangwa, iqhuma linokuba mandundu kwaye libangele iingxaki ezinkulu zempilo.

Ukudumba kunokuba lixesha elifutshane okanye elide, kuxhomekeke kwisizathu. Kukho unyango lokulawula iimeko ezingaphantsi ezinokubangela ukudumba. Okanye, ungenza utshintsho olulula kwindlela ophila ngayo ukuze unciphise ukugcinwa kwamanzi emzimbeni kunye nokudumba.

Ukuba unesidumba, yenza ezi zinto ukunciphisa ukudumba:

• Yenza utshintsho kwindlela ophila ngayo, njengokuyeka ukutshaya nokutshintsha indlela otya ngayo.
• Hamba-hamba rhoqo.
• Gcina imilenze yakho iphakanyisiwe xa ulele okanye uhleli.
• Nxiba iikawusi zokucinezela, imikhono, okanye iikawusi.

Kubaluleke kakhulu: Kubaluleke kakhulu ukukhusela iindawo zakho ezidumbileyo kuxinzelelo olongezelelekileyo, ukwenzakala, kunye nobushushu obuphezulu. Oku kungenxa yokuba ukuba ulusu luphukile kwiindawo ezidumbileyo, kuya kuthatha ixesha elide ukuphola kwaye kukho amathuba aphezulu osulelo.

Ndifanele ndimbone nini ugqirha ngoko nangoko?

Ukuba unayo nayiphi na kwezi zinto zilandelayo , funa ingcebiso kagqirha ngoko nangoko:

• Ukuba kukho intlungu okanye utshintsho kumbala wolusu kwindawo evuvukileyo.
• Ukuba kukho isilonda esivulekileyo eluswini kwindawo evuvukileyo.
• Ukuba unengxaki yokuphefumla .
• Ukuba ingalo okanye umlenze omnye kuphela kwelinye icala lomzimba uvuvukile .
• Ukuba unengxaki yokuhamba okanye ukuhambahamba.

Yeyiphi imibuzo omele uyibuze ugqirha?

Kungcono ukubuza le mibuzo xa ubona ugqirha wakho:

• Kutheni ndinokudumba (i-edema)?
• Ngaba ndifanele ndinciphise ityuwa ekutyeni kwam?
• Ngaba kukho naziphi na iziphumo ebezingalindelekanga zonyango?
• Ngaba kufuneka ndinxibe iikawusi ezikhethekileyo zokucinezela ukuze ndinciphise ukudumba eqatheni lam?

Ngoko ke, zeziphi izinto ezibalulekileyo ekufuneka sizikhumbule malunga nokudumba (ukudumba)?

Kulungile, kuyo yonke into esithethe ngayo, ngoku ufanele uqonde ukuba yintoni i-edema, kutheni isenzeka, kwaye yintoni enokwenziwa ngayo.

Kalula nje:

• Ukudumba kubangelwa kukuqokelelana kolwelo kwizicubu zomzimba.
• Zininzi izizathu zoku. Ezinye zilula, ngelixa ezinye zinokuba luphawu lwesifo esithile esingabonakaliyo.
• Ukuba unesidumba esingaqhelekanga, ingakumbi ubunzima bokuphefumla, ukudumba engalweni/emlenzeni omnye kuphela, okanye ukudumba okuhambisana nentlungu, bonana nogqirha ngokukhawuleza.
• Kwiimeko ezininzi, le meko inokulawulwa ngokutshintsha indlela yokuphila kancinci (ukunciphisa ukutya ityuwa, ukuzilolonga, ukugcina iindawo ezidumbileyo ziphezulu) kunye nonyango olunikezelwa ngugqirha wakho.
• Ungaze uyeke ukuthatha amayeza okanye utshintshe umthamo ngaphandle kokubonisana nogqirha.

Ngoko ke, ukuba wena okanye umntu omaziyo unengxaki yolu hlobo lokudumba, musa ukoyika. Kungalawulwa ngeengcebiso zonyango ezifanelekileyo kunye nonyango. Eyona nto ibalulekileyo kukuhlala unyamekela umzimba wakho.