Sonke besiva intetho ukususela ebuntwaneni: "Musa ukutya ityuwa eninzi, ayilungelanga umzimba wakho." Enyanisweni, siyazi ukuba ityuwa eninzi, okanye i-sodium, inokunyusa uxinzelelo lwegazi kwaye ikhokelele kwisifo sentliziyo. Kodwa ngaba wakha wacinga ukuba ityuwa encinci emzimbeni inokuba yingozi efanayo, kwaye ngamanye amaxesha ibe yingozi nangakumbi? Yiloo nto siyibiza ngokuba yi-hyponatremia kunyango. Nangona oku kunokubonakala ngathi yingongoma enzima, namhlanje siza kuthetha ngayo ngendlela elula kakhulu onokuyiqonda.
Ngamafutshane, yintoni iHyponatremia?
I-Hyponatremia kuxa inqanaba le-sodium egazini lakho (inxalenye ephambili yetyuwa esiyityayo) liphantsi kunesiqhelo. Ngokwesiqhelo, inqanaba le-sodium egazini lomntu ophilileyo kufuneka libe ngaphezulu kwe-135 milliequivalents ngelitha (135 mEq/L). Ukuba eli xabiso liwela ngaphantsi kwe-135, sibiza loo meko ngokuba yi-Hyponatremia.
Ngoku usenokuba ucinga, "Owu... kwenzeka ntoni ukuba silahlekelwa yityuwa encinci?" Kodwa akulula kangako. Ukuze yonke into emizimbeni yethu isebenze kakuhle, yonke into kufuneka ilingane. Ulungelelwano phakathi kwamanzi kunye nesodium lubaluleke kakhulu. Ukuba olu lungelelwano lulahlekile, oko kukuthi, ukuba ubungakanani bamanzi emzimbeni buyanda kwaye isodium iyancipha, amanzi angaphezulu aqala ukungena kwiiseli zomzimba wethu. Emva koko ezo seli ziyadumba. Nangona oku kunokwenzeka naphi na emzimbeni, ukudumba kweeseli zobuchopho kuyingozi kakhulu.
Khawucinge nje ukuba wenza iti. Kwenzeka ntoni ukuba wongeza iswekile encinci kunye namanzi amaninzi? Ubumnandi beti buyalahleka, akunjalo? Yiyo loo nto. Xa ubungakanani bamanzi emzimbeni bukhulu kunobungakanani besodium emzimbeni, uxinaniso lwesodium egazini luyehla. Ukuba izintso zethu zisebenza kakuhle, le meko ayisoloko isenzeka nokuba sisela amanzi amaninzi kakhulu. Nangona kunjalo, ngenxa yezifo ezithile, amayeza, okanye ukuba sibila kakhulu, njengokubaleka i-marathon, kwaye sisela amanzi kuphela ngelo xesha, asinazo ii-electrolytes ezifunekayo emzimbeni wethu.
Ngaba kukho iintlobo eziphambili zeHyponatremia?
Ewe, oogqirha bahlulahlula iHyponatremia kwiintlobo ezintathu eziphambili ukuze kube lula ukufumana unobangela wale meko. Imiselwa sisixa siphela samanzi kunye nesodium emzimbeni. Masiyiqonde ngolu hlobo.
| Uhlobo lwe-Hyponatremia | Kalula nje, kwenzeka ntoni? |
|---|---|
| I-Euvolemic Hyponatremia (i-dilutional) | Okwenzekayo koku kukuba nangona isixa sesodium emzimbeni sikwinqanaba eliqhelekileyo, kuphela isixa samanzi esinyukayo. Ukuchaneka, ityuwa iyaxutywa. |
| I-Hyponatremia egqithisileyo | Kule meko, amanzi kunye nesodium emzimbeni ziyanda. Kodwa ubuninzi bamanzi buninzi kakhulu kunobungakanani besodium. Oku kukwanciphisa isodium. Ungabona ukudumba emzimbeni. |
| I-Hypovolemic Hyponatremia | Kule meko, amanzi kunye nesodium ziyalahleka emzimbeni. Nangona kunjalo, ubungakanani besodium elahlekileyo bukhulu kunobungakanani bamanzi elahlekileyo. Oku kunokwenzeka rhoqo xa kukho ukuhlanza okukhulu okanye urhudo. |
Xa ugqirha wakho efumanise ukuba loluphi uhlobo lwesifo onaso, kuya kuba lula kakhulu ukufumanisa ukuba yintoni unobangela kwaye loluphi unyango olufanelekileyo.
Zithini iimpawu zale meko?
Iimpawu ze-hyponatremia zinokwahluka ngokuxhomekeke ekubeni inqanaba le-sodium liphantsi kangakanani kwaye lihla ngokukhawuleza kangakanani. Ngamanye amaxesha, xa amanqanaba e-sodium ehla kancinci (Chronic Hyponatremia), kusenokungabikho zimpawu zinkulu. Kodwa ukuba ukuhla kwenzeka ngequbuliso (Acute Hyponatremia), iimpawu zinokuba nzima kakhulu.
Ezi ziimpawu ezinokubonwa ngokubanzi:
- Ukushukuma okanye ubuthathaka bemisipha .
- Isicaphucaphu nokuhlanza .
- Ukudinwa kakhulu nokudinwa. Ukuziva ngathi awukwazi ukwenza nto.
- Intloko ebuhlungu .
- Ukudideka: Ukulibala ukuba uphi, ukuba uphi ixesha, nokudideka ngento oyithethayo.
- Ukuxhuzula kukwenzeka kweemeko ezifana nokuxhuzula.
Kutheni oku kusenzeka? Izizathu zeHyponatremia
Kwiimeko ezininzi, eyona nto ibangela i-Hyponatremia yimeko yezonyango ebangela ukuba umzimba ugcine amanzi amaninzi, nto leyo enciphisa i-sodium. Ngaphandle koko, inokubangelwa kukulahleka kakhulu kwe-sodium emzimbeni (okuncinci kancinci).
Nazi ezinye zezizathu eziphambili ezichaphazela le meko:
- I-SIADH (Syndrome of Inappropriate Antidiuretic Hormone Secretion): Le yingxaki yehomoni. Kule meko, ihomoni (ADH) elawula ukukhutshwa kwamanzi emzimbeni wethu ikhutshwa ngokugqithisileyo. Oku kunciphisa ukukhutshwa kwamanzi kwizintso, nto leyo ebangela ukuba amanzi aqokeleleke emzimbeni kwaye kuncitshiswe i-sodium.
- Ukusilela kwentliziyo: Xa intliziyo ibuthathaka, ukujikeleza kwegazi emzimbeni akulunganga. Oku kunokubangela ukuba ulwelo luqokelele emzimbeni.
- Ukungasebenzi kakuhle kwezintso: Omnye wemisebenzi ephambili yezintso kukucoca amanzi angaphezulu kunye nenkunkuma emzimbeni. Xa izintso zibuthathaka, le nkqubo ayisebenzi kakuhle, kwaye amanzi ayaqokelelana emzimbeni.
- I-Liver Cirrhosis: Le meko inokwenzeka xa ukusebenza kwesibindi kuphazamiseka kakhulu.
- Amayeza athile: Le meko inokubangelwa "ziipilisi zamanzi" ezithile (i-diuretics) ingakumbi ezo zisetyenziselwa uxinzelelo lwegazi oluphezulu kunye namayeza athile asetyenziselwa izifo zengqondo (ii-SSRI).
- Urhudo olukhulu okanye ukuhlanza: Ngeli xesha, amanzi amaninzi kunye nesodium ziyalahleka emzimbeni.
- Ukusela kakhulu (iPolydipsia): Oku kunokubangelwa kukunqwenela ukusela amanzi amaninzi ngaphandle kwesizathu, nto leyo enokukhokelela kwezinye iingxaki zempilo yengqondo.
- Ukusela ubhiya okanye utywala kakhulu.
- Ukusetyenziswa kweziyobisi ezifana ne-MDMA (Ecstasy).
Ingaba le yimeko embi kakhulu, esongela ubomi?
Ewe, ngokuqinisekileyo. Ingakumbi ukuba amanqanaba esodium ehla ngequbuliso aze afikelele kwinqanaba eliphantsi kakhulu, inokuba yingozi ebomini.
Njengoko benditshilo ngaphambili, xa i-sodium egazini incipha, amanzi amaninzi ayangena kwiiseli. Ukuba oku kwenzeka kwiiseli zengqondo, ingqondo iyadumba (i-cerebral edema). Ingqondo yethu ivalelwe kwibhokisi eyenziwe ngamathambo ebizwa ngokuba yi-skull. Ngoko ke ingqondo ayinandawo ingako yokudumba. Xa ingqondo idumba ngolu hlobo, icinezela i-skull. Oku kunokubangela umonakalo ongunaphakade engqondweni, i-coma, okanye nokufa.
Ngoko ke, i-Hyponatremia ayisosimo esimele sithathwe lula.
Ugqirha uyifumana njani le nto?
Xa usiya kugqirha, uza kuqala akubuze ngeempawu zakho. Emva koko uza kukuhlola aze akunike uvavanyo oluninzi ukuqinisekisa imeko kunye nokufumanisa unobangela.
- Uvavanyo lwegazi: Olu lolona vavanyo lubalulekileyo. Lunokujonga amanqanaba eetyuwa egazini lakho, njengesodium kunye nepotassium, kunye nokuba izintso zakho zisebenza kakuhle kangakanani na.
- Uvavanyo lomchamo: Ngokujonga inqanaba lesodium kunye noxinzelelo kumchamo, ungaqikelela ukuba yintoni unobangela.
- Ezinye iimvavanyo: Ukuba kuyimfuneko, kuxhomekeke kwisizathu, izinto ezifana ne-X-ray yesifuba okanye i-CT scan yobuchopho zinokwenziwa.
Ugqirha angakubuza nangezinto ezifana nezi:
- Ingaba uthatha awaphi amayeza?
- Ziziphi ezinye izifo onazo?
- Uyasela utywala?
- Usela amanzi angakanani ngemini?
Iphathwa njani iHyponatremia?
Unyango luxhomekeke ekubeni inqanaba le-sodium yakho liphantsi kangakanani, ukuba iimpawu zakho zinzima kangakanani, kwaye yintoni ebangele oko.
- Ukunyanga unobangela: Inyathelo lokuqala kukulawula imeko yezonyango ebangela le meko. Umzekelo, ukuba ibangelwa liyeza, iyeza linokuyekiswa okanye litshintshwe.
- Ukunciphisa ukungenisa amanzi: Rhoqo, ingakumbi ukuba amanqanaba akho esodium akaphantsi kakhulu, ugqirha wakho uya kukucebisa ukuba unciphise umlinganiselo wamanzi owaselayo ngosuku.
- I-IV saline: Ukuba amanqanaba akho esodium aphantsi kakhulu okanye iimpawu zakho zinzima, kunokufuneka ulaliswe esibhedlele kwaye unikwe isodium ngemithambo yegazi (i-saline).
- Amayeza akhethekileyo: Kwezinye iimeko, amayeza akhethekileyo, anjenge-tolvaptan, anikwa ukunceda ukususa amanzi angaphezulu emzimbeni.
Ingongoma ekhethekileyo ekufuneka uyilumkele ngexesha lonyango!
Oku kubaluleke kakhulu. Xa benyanga i-hyponatremia, oogqirha baqaphela kakhulu.
Kubaluleke kakhulu: Kuyingozi kakhulu ukubuyisela amanqanaba e-sodium kumanqanaba aqhelekileyo ngokukhawuleza, njengoko ehlile kakhulu. Ukwenza njalo kunokukhokelela kwimeko ebizwa ngokuba yi-"Central Pontine Myelinolysis" okanye "Osmotic Demyelination Syndrome", enokuyonakalisa ingqondo ngokusisigxina. Ke ngoko, oku kufanele kunyangwe esibhedlele kuphela, phantsi kweliso likagqirha. Ungaze uzame ukulungisa oku ngokwakho ekhaya ngokusela amanzi anetyuwa okanye ngokutya iikhaphu zetyuwa.
Ndifanele ndimbone nini ugqirha? Ndifanele ndiye nini kwi-ETU?
Le yinto ekufuneka uyazi ngokuqinisekileyo, kuba ukwenza izinto ngexesha elifanelekileyo kunokusindisa ubomi.
| Ukuba unayo nayiphi na kwezi mpawu, bona ugqirha ngokukhawuleza: | |
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| Ukuba ezi mpawu zikhona, thatha isigulane usise kwi-ETU (iYunithi yoNyango oluNgxamisekileyo) ngoko nangoko: | |
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Umyalezo Wokuya Ekhaya
- I-Hyponatremia yimeko apho amanqanaba etyuwa (i-sodium) emzimbeni esezantsi. Oku akuyonto yokuthatha lula okanye ukudlala ngayo.
- Ixesha elininzi, oku kubangelwa ngamanzi amaninzi emzimbeni, endaweni yokutya ityuwa encinci.
- Iimpawu zingaqala ekuqhaqhazeleni kwemisipha, ukudinwa, kunye nentloko ebuhlungu ukuya kwiimeko eziqatha ezifana nokudideka kunye nokuxhuzula.
- Ukuba ubona naziphi na iimpawu ezinzulu, ezinje ngokudideka okanye ukuxhuzula, ungenzi nto yimbi kwaye ngoko nangoko thatha isigulana usise kwiYunithi yoNyango oluNgxamisekileyo (ETU) yesibhedlele.
- Oku kufanele kunyangwe kuphela phantsi kweliso likagqirha. Musa ukuzama ukunyanga oku ekhaya, kuba ukunyusa amanqanaba e-sodium ngokukhawuleza kunokubangela umonakalo engqondweni.
- Ukuba unenye imeko yezonyango ekubeka emngciphekweni wokuba nale meko, thetha nogqirha wakho ngayo uze ulandele imiyalelo efunekayo.











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