Ubungacinga ntoni ukuba ubona igazi elincinci kumchamo kamama wakho, utata wakho, okanye omnye umntu omthandayo? Ubuya kuziva uloyiko kwaye ukhathazekile ngequbuliso, akunjalo? Kuqhelekile ukucinga, "Owu, ngaba esi sisifo esibi?" Nangona kunjalo, igazi kumchamo, esikubiza ngokuba yi-"Hematuria" kwisayensi yezonyango, alisoloko liluphawu lwento enzulu. Nangona kunjalo, akuyonto ilungileyo ukuyityeshela. Ingakumbi ukuba into efana nale yenzeka kumntu omdala onesifo esifana nesifo sika-Alzheimer, kufuneka sikhathazeke kakhulu ngayo. Masithethe ngale nto namhlanje.
Ufanele ufune nini ingcebiso yezonyango ngokukhawuleza?
Ngaphambi kokuba woyike xa ubona igazi kumchamo wakho, jonga ezi mpawu zilandelayo. Ezi zinokuba ziimeko ezinzulu. Ngoko ke kubalulekile ukuba wenze ngokukhawuleza ngexesha elinje.
| Iimpawu ekufuneka uzijonge | |
|---|---|
| Ukuba unale mpawu, zise kwiSebe lezeMpilo eziNgxamisekileyo (ETU) lesibhedlele ngoko nangoko: | |
| Ifiva | Ukuba ubushushu bomzimba buyi-101 Fahrenheit (101°F) okanye ngaphezulu. |
| Intlungu ebuhlungu | Ukuba unentlungu enganyamezelekiyo xa uchama , intlungu eqatha esiswini esisezantsi okanye emqolo ongezantsi. |
| Ezinye iimpawu | Ukuba ulwelo oluphuma kwilungu lobufazi oluhambisana nokudumba lufana nobisi, okanye ukuba kukho amahlwili egazi kumchamo. |
| Ubunzima bokuchama | Ukuba uziva ngathi isinyi sakho sigcwele kodwa awukwazi ukuchama, okanye ukuba awukachami iiyure ezisi-8-12. |
| I-Catheter | Ukuba i-catheter isusiwe. |
| Ukuba unezi mpawu, fowunela ugqirha wosapho lwakho: | |
| Izifo zamva nje | Ukuba usandul’ ukukhwehlela, umphimbo obuhlungu, okanye umkhuhlane. |
| Ukudumba | Ukuba unedumba elitsha emilenzeni okanye ezinyaweni zakho. |
Zithini izizathu eziphambili zokuba kubekho igazi kumchamo?
Kukho izizathu ezininzi eziqhelekileyo zokuba abantu abadala, ingakumbi abo banesifo sika-Alzheimer, babe negazi emchameni wabo.
- Usulelo lweMgudu yoMchamo (UTI): Le yeyona nto ixhaphakileyo. Oku kuyinyani ngakumbi kubantu abangakwaziyo ukuzibamba (esikubiza ngokuba yi-"incontinence") kwaye bafuna ukuchama rhoqo. Iimpawu ezinje ngomkhuhlane kunye neentlungu zomzimba nazo zinokuhamba kunye noku.
- Ukwenzakala: Oku kungenzeka ngenxa yokuba ne-catheter endaweni yayo, ukurhawuzelelwa okanye ukukrwelwa rhoqo kwindawo yesini, okanye ingozi emqolo okanye esinqeni.
- Iingxaki zeprostate: Oku kunokuchaphazela amadoda amadala. Ukuba umchamo uhamba kancinci okanye kukho ukuvuza kwamanzi emva kokuchama, oku kungaba luphawu.
- Amatye ezintso: Le yenye imbangela yentlungu.
- Umhlaza: Umhlaza wesinyi, wezintso, okanye weprostate nawo unokubangela ukopha. Le yimbangela enzulu ngakumbi. Yiyo loo nto kubalulekile ukubona ugqirha.
- Amayeza okunciphisa igazi: Amanye amayeza anikwa izifo ezifana nesifo sentliziyo nawo andisa umngcipheko wokopha.
Kubalulekile: Amanye amayeza (umz. iPhenazopyridine) anokubangela ukuba umchamo ujike ube mdaka. Kwakhona, ukutya ukutya okufana neebhithi, amaqunube amnyama, kunye nerhubarb kunokubangela ukuba umchamo ujike ube bomvu. Musa ukuphambanisa oku nokopha.
Ukhathalelo lwasekhaya kunye neengcebiso
Nje ukuba unobangela uchongiwe, kukho iindlela ezahlukeneyo zonyango onokuzama ngazo ekhaya, njengoko ugqirha wakho ekucebisa.
Ukuba kubuhlungu xa uchama ...
- Banike amanzi aneleyo okusela: Gcina iziselo abazithandayo (ezineswekile encinci) kufutshane. Xa besela amanzi amaninzi, umchamo wabo uya kuba mthubi okanye ungabi nambala. Oku kuya kunceda ukususa usulelo.
- Iipilisi zokunciphisa iintlungu: Unganika ipilisi zokunciphisa iintlungu ezivunyiweyo ngugqirha wakho, njenge-``(Acetaminophen)``. Kodwa unganiki ngaphezu kwe-3,000 milligrams ngosuku. Ukuba unesifo sesibindi, qiniseka ukuba ubuza ugqirha ngaphambi kokuba uyinike.
- Amayeza akhethekileyo: Sebenzisa amayeza osulelo lomchamo olufana `(Phenazopyridine (Pyridium))` kuphela ukuba ugqirha wakho uyacebisa. Kuqhelekile ukuba umchamo wakho utshintshe umbala o-orenji/obomvu emva kokuwusebenzisa.
Ukuba uneentlungu ezisezantsi okanye emqolo...
- Iyeza elifana nelithi ``(Acetaminophen)`` linokunikwa okwethutyana ngenxa yentlungu.
- Beka ibhotile yamanzi ashushu (i-heating pad) kwindawo ebuhlungu.
- Ukuba intlungu iyaqhubeka okanye iyanda, fowunela ugqirha wakho ngoko nangoko.
Ukuba une-catheter...
- Nika amanzi amaninzi okusela.
- Soloko uqinisekisa ukuba umbhobho womchamo awutshixwanga ndawo kwaye uqhagamshelwe ngokufanelekileyo kwingxowa yokuqokelela umchamo.
- Eyona nto ibalulekileyo kukuba, musa ukubavumela ukuba batsale le tube. Oku kunokubangela ukwenzakala okukhulu. Ukuba ubabona besenza oku, banxibe ngendlela eza kugubungela i tube. Baphazamise, ubagcine bexakekile ngento abayithandayo.
Ukuba uhlala ukrwela okanye ukhuhla indawo yakho yesini...
- Jonga indawo ukuba ayinabo ubomvu, ukudumba, ukukrweleka, okanye ukukhupha okungaqhelekanga.
- Ukuba une-inflammation encinci, ungasebenzisa into efana ne-"Hydrocortisone cream", i-"Zinc Oxide paste", okanye i-petroleum jelly (iVaseline) onokuyithenga kwikhemesti, emva kokubonisana nogqirha wakho.
- Bakhumbuze ngothando ukuba bangayichukumisi loo ndawo, kodwa ungabakhalimeli. Ukuba bayalibala, baphazamise. Ukuba ulusu lonakele kakhulu, fowunela ugqirha .
Ukuba awukwazi ukulawula ukuhamba komchamo wakho (ukungakwazi ukuzibamba)...
- Gcina kude nokufuma: Ukufuma kungonakalisa ulusu kwaye kubangele usulelo.
- Nxiba iimpahla ezilula ukuzikhulula: Iimpahla ezine-elastiki okanye i-Velcro zingcono kuneeqhosha okanye iiziphu.
- Musa ukuyeka ukunika inja yakho amanzi: Musa ukunciphisa amanzi owanika inja yakho kuba ucinga ukuba " iyachama kuba isele amanzi amaninzi." Oku kuya kuyicoca umzimba kwaye kwandise umngcipheko wosulelo lomchamo. Ukuba iyachama rhoqo ebusuku, kulungile ukuyinika amanzi amaninzi emini kwaye uyeke ukuyinika amanzi kwiiyure ezi-3 ngaphambi kokulala.
Zingathintelwa njani ezi meko?
Ukuba ungumntu ohlala efumana usulelo lomchamo okanye amatye ezintso, kubaluleke kakhulu ukulandela le miyalelo.
- Ukuba ufumana usulelo oluqhelekileyo lwendlela yomchamo (UTIs):
- Bakhuthaze ukuba baye kwigumbi lokuhlambela rhoqo emva kweeyure ezimbini.
- Ungazama ukunika ijusi yecranberry okanye iipilisi. Kodwa jongana nogqirha ukuqinisekisa ukuba akukho ngxaki ngamanye amayeza abawasebenzisayo.
- Yondla ukutya okunefayibha eninzi ukuze uthintele ukuqhinwa.
- Ukuba ungumfazi, soloko usula isini sakho ukusuka ngaphambili ukuya ngasemva xa ucoca. Oku kuya kunceda ukuthintela iintsholongwane ukuba zingangeni kwisisu sakho.
- Ukuba une-catheter:
- Khupha ingxowa yomchamo xa sele igcwele ngaphezulu kwesiqingatha.
- Soloko ubeke ingxowa yomchamo ngaphantsi komgangatho wesinyi, kodwa ungawuchukumisi umgangatho.
- Coca umphandle we-catheter yonke imihla ngesepha namanzi afudumeleyo.
- Ukuze uzikhusele wena kunye nomntu omthandayo, qiniseka ukuba unxiba iiglavu ezilahlwayo xa umnceda okanye ucoca izinto ezingcolileyo. Hlamba izandla zakho kakuhle ngaphambi nasemva kokunceda.
Umyalezo Wokuya Ekhaya
- Xa ubona igazi kumchamo womntu omdala, kufuneka uliqwalasele, kodwa ungoyiki ngoko nangoko.
- Ukuba uneempawu ezinje ngomkhuhlane ophezulu, iintlungu ezinganyamezelekiyo, kunye nokungakwazi ukuchama, yiya kwiYunithi yoNyango oluNgxamisekileyo (ETU) yesibhedlele ngoko nangoko.
- Izinto ezibangela okuqhelekileyo, ezinje ngezifo zomchamo (UTIs), zinokunyangwa ngonyango.
- Ukusela amanzi amaninzi nokugcina ucoceko olufanelekileyo kunceda ekuthinteleni izifo ezininzi.
- Ukuba unamathandabuzo, iinkxalabo, okanye iinkxalabo, soloko uqhagamshelana nogqirha wakho ngaphambi kokuba uthathe naluphi na unyango.
👩🏽⚕️ Imibuzo eyongezelelweyo (Ii-FAQ)
💬 🩺 Luthini olu vavanyo lwegazi lwe-MCH? (Luyintoni uvavanyo lwegazi lwe-MCH?)
I-MCH (i-Mean Corpuscular Hemoglobin) sisilinganiselo sobungakanani be-hemoglobin kwiiseli zakho ezibomvu zegazi. Ihlala ijongwa xa kwenziwa ingxelo yeFull Blood Count (FBC). Eli xabiso libaluleke kakhulu ukwazi ukuba une-anemia.
💬 🩸 Kutheni kufuneka ujonge ixabiso le-MCH xa kukho igazi kumchamo (iHematuria)? (Kutheni kufuneka ujonge igazi kumchamo kwi-MCH?)
Ukuba uqhubeka unegazi kumchamo wakho, kukho ithuba elikhulu lokuba usenokuba ne-anemia. Ukuba ixabiso le-MCH liphantsi, oko kuthetha ukuba usenokuba nokungabikho kwe-iron ngenxa yokulahleka kwegazi. Yiyo loo nto abantu abadala abaneengxaki zomchamo bevavanywa eli xabiso xa igazi labo livavanywa.
💬 🤔 Ngaba kufuneka ndikhathazeke ukuba ixabiso le-MCH liyatshintsha? (Ngaba kufuneka ndikhathazeke ukuba i-MCH iphantsi?)
Awunakuyifumanisa isifo ngokujonga ixabiso le-MCH kuphela. Nangona kunjalo, ukuba i-MCH iphantsi ngelixa ukhupha igazi kumchamo, oko kuthetha ukuba usenokuba une-anemia ngenxa yokopha ngaphakathi. Ke ngoko, kungcono ungoyiki kwaye ubone ugqirha ngoko nangoko kwaye wenze uvavanyo lomchamo (Urine Full Report) ukuze kufunyanwe unobangela wegazi.
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