Ngaba umntwana wakho, okanye wena, ngequbuliso uqale ukuhlanza ngamandla ngaphandle kwesizathu esicacileyo waza wahlala usuku okanye ezimbini? Emva koko kwabuyela esiqhelweni ngokungathi akukho nto yenzekileyo? Ukuba oku kwenzeka ngokuphindaphindiweyo kangangeenyanga eziliqela, kufuneka uqaphele le meko sithetha ngayo namhlanje ebizwa ngokuba yiCyclic Vomiting Syndrome (CVS). Oku akusiyo nje isisu esibuhlungu, yinto eyahlukileyo kakhulu.
Yintoni kanye kanye i-cyclic vomitation syndrome (CVS)?
Ngamafutshane, i-CVS yimeko apho ufumana iziqendu eziphindaphindiweyo zesicaphucaphu esinzima kunye nokuhlanza ngaphandle kwesizathu esicacileyo. Ezi ziqendu zokuhlanza zinokuthatha iiyure ezimbalwa ukuya kwiintsuku ezimbalwa. Kunokuba nzima kangangokuba usenokungakwazi ukuphuma ebhedini. Ngenxa yokuba ulwelo oluninzi luphuma emzimbeni wakho, kunokufuneka uye esibhedlele okanye kwigumbi likaxakeka (ETU) ukuze ufumane ulwelo lwe-IV ukuthintela ukuphelelwa ngamanzi emzimbeni.
Kodwa into emangalisayo kukuba, xa eli xesha lokuhlanza kakhulu liphelile, uba sempilweni ngokupheleleyo kwaye ubuyele esiqhelweni, ngokungathi awunangxaki konke konke.
Le meko inokuhlala iinyanga, iminyaka, okanye amashumi eminyaka. Nangona kunjalo, iimpawu azisoloko zikhona. Ngokwesiqhelo, ukuhlanza okunje kunokubakho amaxesha amaninzi ngonyaka. Kwabanye abantu, kunokubakho kanye okanye kabini ngenyanga.
Indlela yokugabha, ixesha losuku, ukuba buhlungu kangakanani, kunye nokuba ixesha elide kangakanani liqhubeka, zinokuhluka kumntu nomntu. Kodwa kumntu omnye, iimpawu zihlala zifana, zilandela indlela efanayo ngalo lonke ixesha.
Ingaba le meko ixhaphakile?
I-CVS ixhaphake kakhulu ebantwaneni kunakwabantu abadala. Kuqikelelwa ukuba malunga nabantwana abathathu kwi-100,000 banokuba nale meko. Idla ngokuqala kubantwana abaphakathi kweminyaka emi-3 ne-7 ubudala. Nangona kunjalo, ingaqala nakweyiphi na iminyaka.
Zithini iimpawu zale meko?
Uphawu oluphambili lwe-CVS kukucaphuka okukhawulezileyo, okuphindaphindiweyo, okuqatha kunye nokuhlanza. Kukho amanqanaba ahlukeneyo oku.
| Isigaba | Inkcazo elula yoko kwenzekayo |
|---|---|
| Isigaba seProdrome | Kwimizuzu okanye iiyure ezimbalwa ngaphambi kokuba uqale ukuhlanza, ungaqala ukuziva unesicaphucaphu kwaye ubila. Kwabaninzi, olu luvo lufika kusasa. Usenokuziva ngathi "Namhlanje akuyi kuba kuhle." |
| Isigaba sokuhlanza | Ngeli nqanaba, uza kuhlanza rhoqo. Ngamanye amaxesha izihlandlo ezininzi ngeyure. Abantwana abancinci banokuhlanza ngokukhawuleza (ukugabha okubonakalayo). Oku kungathatha iiyure ezimbalwa ukuya kwiintsuku ezimbalwa. Kunokuba nzima kangangokuba ungaziva ngathi awukwazi nokuthetha kwaye ufuna ukuhlala wedwa ebhedini. |
| Isigaba sokuchacha | Ukuhlanza kunye nokucaphuka kuya kuncipha kancinci kancinci kwaye kuya kuba ngcono. Ndiziva ngathi ndifumana amandla kancinci kancinci. |
| Isigaba somthombo | Uza kuziva uphilile ngokupheleleyo kwaye uphilile kwakhona, ngokungathi awunangxaki. Uza kuphila de kube lixesha elilandelayo lokuhlanza. |
Ukongeza kwezi, kunokubakho nezinye iimpawu:
- Isisu esibuhlungu
- Urhudo (intlungu yesisu)
- Isiyezi
- Ukuvuza amathe okanye ukuvuza amathe
- Unxano olukhulu
- Umnqweno wokutya
- Ulusu olukhanyayo
- Intloko ebuhlungu kakhulu kunye nokudinwa kakhulu
- Uvelwano ekukhanyeni okanye kwisandi (njengomntu onesifo sentloko ebuhlungu)
- Umkhuhlane (ukuya kuthi ga kwi-101°F / 38.3°C)
- Ukurhoxa (ukukhupha isisu): Oku kuthetha ukuba uziva ngathi uza kuhlanza, kodwa akukho nto iphumayo kuba akukho nto esiswini sakho.
Yintoni enokubangela i-CVS?
Akukaziwa okwangoku ukuba le yeyona nto kuphela ebangela i-CVS, kodwa kukho izinto ezininzi ekucingelwa ukuba zinegalelo kuyo.
Into ebalulekileyo kukuba oku akusiyonto ubuyicinga, kwaye akusiyonto yakho oyiphosileyo. Oku kungenxa yenkqubo eyenzekayo emzimbeni.
- Iingxaki ezimalunga ne-brain-gut axis yakho:Ngamafutshane, xa kukho ingxaki 'kwikhonkco lonxibelelwano' phakathi kwengqondo yethu kunye nenkqubo yemithambo-luvo emathunjini, ukuhlanza okungalawulekiyo kunokwenzeka. Ezinye izazinzulu zikwabiza oku ngokuba yingxaki yobuchopho namathumbu.
- Utshintsho kwinkqubo yakho yemithambo-luvo ezimeleyo: Eli lilungu lomzimba wakho elilawula izinto ezingaphaya kwamandla akho, njengesantya sentliziyo yakho, uxinzelelo lwegazi, kunye nokuhlanza. Ukuba kukho ingxaki ngale nkqubo, ungalahlekelwa lulawulo lokuhlanza kwakho.
- Iintloko ezibuhlungu ze-Migraine: Malunga nama-80% abantwana abane-CVS kunye nama-25% abantu abadala nabo bane-migraine. Ii-Migraine aziyontloko ibuhlungu nje kuphela. Njenge-CVS, ii-migraines zinokuba nzima ekuqaleni. Abantu abaninzi abane-CVS banembali yeentsapho zabo ene-migraines.
- I-DNA engaqhelekanga ye-mitochondrial: I-Mitochondria ifana 'nezityalo zamandla' ezinika amandla kwiseli nganye emzimbeni wethu. Imiyalelo yendlela ekufuneka zisebenze ngayo ifumaneka kwi-DNA. Ukuba kukho isiphene kule DNA ngenxa yesifo, imeko yemfuza, okanye esinye isizathu, iiseli zemithambo-luvo emathunjini azifumani amandla eziwadingayo. Oku kunokubangela nokugabha okungalawulekiyo.
Zithini 'izinto ezibangela ukuhlanza'?
Iziganeko ezithile, iimvakalelo, okanye iimeko zinokubangela ukuhlanza. Ezi sizibiza ngokuba 'zizinto ezibangela ukuhlanza'. Ukuba une-CVS, kubalulekile ukuchonga izinto ezibangela ukuhlanza.
- Utshintsho kwimozulu (ingakumbi ekwindla nasebusika).
- Ukutya okuthile: izinto ezifana netshokholethi, itshizi, ikofu, kunye ne-MSG (ii-flavour agents).
- Ulonwabo olugqithisileyo lwabantwana: Khawuthelekelele, oku kungaqala ngexesha apho umntwana onwabile kakhulu, njengobusuku bangaphambi kohambo lwesikolo, okanye kusasa ngosuku lokuzalwa.
- Uxinzelelo lwengqondo kubantu abadala: Izinto ezifana nokuxhalaba kakhulu kunye noxinzelelo.
- Ukunganyamezelani komzimba, usulelo lwe-sinus, okanye umkhuhlane oqhelekileyo.
- Ukudinwa emzimbeni.
- Ukuzila ukutya ixesha elide.
- Ukusetyenziswa kwe-cannabis ixesha elide.
- Ukuya exesheni kwabasetyhini.
- Ukugula ngentshukumo.
Iingxaki ezinokubakho ukuba ukuhlanza kuyaqhubeka
Ukuba i-CVS ayilawulwa, ukuhlanza kakhulu kunokukhokelela kwezinye iingxaki zempilo.
| Ingxaki | Ingcaciso elula |
|---|---|
| Ukuphelelwa ngamanzi emzimbeni | Ukulahlekelwa kakhulu lulwelo emzimbeni ngenxa yokuhlanza norhudo. Oku kunokuba yingozi. |
| I-Esophagitis | Umbhobho osuka emqaleni uye esiswini (umphimbo) wonzakele kwaye uvuvukile yi-asidi yesisu ehambisana nokuhlanza. |
| Inyembezi kaMallory-Weiss | Uxinzelelo lokuhlanza kakhulu lunokukrazula inxalenye esezantsi yomqala. Oku kunokubangela ukuba igazi liphume kunye nokuhlanza. |
| Ukubola kwamazinyo | Ukuchanabeka rhoqo kwi-asidi yesisu kubangela ukuba i-enamel yamazinyo inyibilike kwaye ikhokelele ekuboleni kwamazinyo. |
Ugqirha uxilonga njani esi sifo?
Ukuchonga i-CVS kunzima kancinci kuba akukho vavanyo lucacileyo lwayo. Ugqirha wakho uya kuqinisekisa ukuba awunazo ezinye iimeko ezibangela iimpawu ezifanayo.
Ugqirha wakho uza kukubuza imibuzo emininzi malunga nembali yakho yezonyango, imbali yezonyango yosapho, kunye nendlela ohlanza ngayo. Emva koko uza kwenza uvavanyo lomzimba aze acele uvavanyo olongezelelweyo ukuba kuyimfuneko.
Zeziphi iimvavanyo ezenziwayo?
- Uvavanyo lwegazi nomchamo: Jonga iingxaki zemetabolism, izifo ze-mitochondrial, okanye iingxaki ngamanye amalungu omzimba.
- Uvavanyo lwemifanekiso: Usenokucelwa ukuba wenze i-ultrasound yesisu, i-MRI okanye i-CT scan yobuchopho, okanye i-X-ray yesisu. Ezi zinto zinokujonga naziphi na izithintelo kwinkqubo yokugaya ukutya okanye kwinkqubo yemithambo-luvo.
- I-Upper endoscopy: Oku kuquka ukusebenzisa ityhubhu encinci enekhamera ukuhlola umphimbo wakho, isisu, kunye nokuqala kwamathumbu akho amancinci ukujonga ezinye iingxaki ezinokubangela ukuhlanza kwakho.
Ezinye izifo ezinokunxulunyaniswa ne-CVS
Ngaphambi kokuba ugqirha akwazi ukuxilonga i-CVS, kufuneka aqinisekise ukuba awunazo ezinye iimeko ezibangela iimpawu ezifanayo.
- Usulelo lwesisu okanye i-gastritis
- Izilonda zesisu
- Ukudumba kwepancreas (i-pancreatitis)
- I-Appendicitis
- Ukujija kwamathumbu (i-volvulus okanye i-malrotation)
Ziziphi iindlela zonyango lwe-CVS?
Unyango lwe-CVS luxhomekeke ekubeni ukwinqanaba lokuhlanza okanye ukwinqanaba elisempilweni apho uzama ukuthintela khona.
- Isigaba seProdrome: Ngokukhawuleza nje xa iimpawu ziqala, ugqirha wakho unokukunika amayeza okunciphisa isicaphucaphu, ukunciphisa i-asidi yesisu, kunye nokunciphisa iintloko ezibuhlungu/iintlungu zesisu.
- Isigaba sokuhlanza: Ngeli xesha, uya kunikwa amayeza e-migraines, isitshiso sentliziyo, kunye nokuxhalaba. Kusenokufuneka ulaliswe esibhedlele ukuze ufumane ulwelo lwe-IV kunye nesondlo sokuthintela ukuphelelwa ngamanzi emzimbeni. Ukuphumla kwigumbi elimnyama, elithuleyo kunokunceda ukunciphisa iimpawu ngeli xesha.
- Isigaba sokuchacha: Qhubeka unika ityuwa ukuba kuyimfuneko. Kancinci kancinci, ulwelo kunye nokutya okuqinileyo kunokungeniswa.
- Isigaba seWell: Ngeli xesha, ugqirha wakho unokukunika amayeza emihla ngemihla ukuthintela ukuhlanza kwixesha elizayo.
Iindidi zamayeza asetyenzisiweyo
- Amayeza okulwa nemigraine
- Amayeza okulwa nesicaphucaphu
- Amanye amayeza okulwa nokuxhuzula
Ukongeza, abanye abantu bafumana isiqabu kwizongezo ezifana ne-coenzyme Q10, i-riboflavin, kunye ne-L-carnitine. Nangona kunjalo, ungaze uqale into efana nale ngaphandle kwemvume kagqirha wakho.
Yintoni omele uyilindele xa uphila nale meko?
Uninzi lwabantwana luyayeka le meko ye-CVS njengoko bekhula. Nangona kunjalo, banokuba neentloko ezibuhlungu xa bebadala. Oku kuhlanza okungapheliyo nokuqatha kunokuthintela abantwana ukuba baye esikolweni kwaye abantu abadala bangayi emsebenzini. Oku kunokuba nefuthe elikhulu kubomi bemihla ngemihla.
Eyona nto ibalulekileyo kukusebenzisana nogqirha wakho ukuze ufumane ukuba loluphi unyango olusebenzayo kuwe kunye nezinto ezibangela ukuba uqalise unyango. Amava omntu wonke ahlukile, ngoko ke kungathatha ixesha ukufumana ukuba loluphi unyango olusebenzayo kuwe.
Yintoni enokwenziwa ukuthintela ukuhlanza?
Ungakunciphisa ukuhlanza kwakho ngokuphepha izinto ezikubangela oku kwaye uthathe amayeza achazwe ngugqirha wakho. Kwakhona cinga ngezi zinto:
- Ukuba uneengxaki ze-allergies kunye ne-sinus, fumana unyango ngokukhawuleza.
- Hlala ukhuthele, kodwa ungagqithisi.
- Ziphephe ukutya kunye nezinto ezibangela iincasa ezingakulungelanga.
- Kuphephe ukunciphisa ukutya okanye ukuzila ukutya ngokungqongqo.
- Lala ngokwaneleyo.
- Lawula uxinzelelo kunye nexhala.
Imibuzo omele uyibuze ugqirha wakho
Xa usiya kugqirha, ungalibali ukubuza le mibuzo:
- Zeziphi iimvavanyo ekufuneka ndizifumane ukuze ndiqiniseke ukuba ndine-CVS?
- Ngawaphi amayeza endifanele ndiwasebenzise ukuze ndiyeke ukuhlanza xa kuqala, kwaye ndithintele ukuba kungenzeki kwakhona?
- Zeziphi iinguqu ekufuneka ndizenze kwindlela endiphila ngayo ukuze ndiphephe izinto ezibangela ukuba ndibe neengxaki?
- Ziziphi ezinye izinto endinokuzenza ukunciphisa iimpawu?
- Zeziphi iimpawu ekufuneka ndikubone kuzo, okanye ndiye kwi-ETU (iYunithi yoNyango oluNgxamisekileyo) ?
I-CVS inokuba yimeko ecaphukisayo nesongela ubomi. Akukho nyango okanye isisombululo esinye. Wena nogqirha wakho kufuneka nibe nomonde njengoko nifumana unyango olufanelekileyo kunye nezinto ezibangela ukuba nibe nesifo. Ekuhambeni kwexesha, uninzi lwabantu luyaphucuka ekuboneni nasekuphepheni izinto ezibangela eso sifo. Okwangoku, ukuba kuyenzeka ukuba kuhlanzwe, kukho amayeza anokunceda ukulawula iimpawu.
Umyalezo Wokuya Ekhaya
- I-CVS yimeko yokwenyani yezonyango ebonakaliswa ziziqendu eziphindaphindiweyo zokuhlanza kakhulu ngaphandle kwesizathu esicacileyo, kulandele amaxesha okuchacha ngokupheleleyo.
- Kukholelwa ukuba oku akusiyo nje "intlungu yesisu", kodwa kubangelwa yingxaki enxulumene nobuchopho kunye nenkqubo yokugaya ukutya.
- Ukuchonga nokuphepha izinto ezibangela ukuhlanza kuwe okanye emntwaneni wakho yinxalenye ebaluleke kakhulu yonyango.
- Kubalulekile ukusebenzisana ngokusondeleyo nogqirha wakho ukuze uxilonge esi sifo ngokuchanekileyo kwaye ufumane isicwangciso sonyango.
- Kwimeko yokuhlanza kakhulu, kunokuba kubalulekile ukufumana i-intravenous saline (IV fluids) esibhedlele okanye kwi-ETU ukuthintela ukuphelelwa ngamanzi emzimbeni.
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