Ingaba ingqondo yakho ivakalelwa kukuba ayisebenzi kakuhle? Isenokuba yiMetabolic Encephalopathy!

Ngaba ngamanye amaxesha uziva udidekile ngendlela engaqondakaliyo, ulahlekelwe yinkumbulo, kunye notshintsho kwindlela oziphatha ngayo, ngokungathi awusenguye umntu owawunguye ngaphambili? Okanye ngaba into efana nale yenzekile kwilungu losapho okanye kumhlobo? Esinye sezizathu eziphambili zokuba ezi zinto zenzeke kukuba enye imeko yezonyango emzimbeni wethu ichaphazela ukusebenza ngokuqhelekileyo kwengqondo. Namhlanje siza kuthetha ngemeko enjalo, ebizwa ngokuba yi -`(Metabolic Encephalopathy)` . Musa ukoyika, siza kuthetha ngale nto ngokulula, ngendlela onokuyiqonda.

Yintoni i-`(Metabolic Encephalopathy)`? Ngamafutshane...

Ngamafutshane, `(Metabolic Encephalopathy)` sisifo sengqondo esibangelwa yimeko yezonyango engaphantsi komzimba wakho. Zininzi izizathu ezinokubangela oku, kodwa uninzi lwezi zizathu luchaphazela kakhulu imetabolism yakho. Cinga ngayo, imizimba yethu ifana nomatshini omkhulu. Lo matshini udinga amandla ukuze usebenze. Loo mandla enziwa ngezinto esizityayo nesiziselayo. Sibiza `(Metabolism)` njengenkqubo yeekhemikhali eguqula ezi zinto zibe ngamandla.

Ngoko ke, xa ukusebenza kwengqondo kuphazamiseka ngale ndlela, kunokuba nefuthe elikhulu kwimo yakho yengqondo, ukucinga, kunye nenkumbulo. Kwezinye iimeko ezinzima, unokulahlekelwa yingqondo (coma) .

Oku kubaluleke kakhulu, kuba zonke ezi meko ze-`(Metabolic Encephalopathy)` ngokuqinisekileyo zifuna ukhathalelo lwezonyango . Ukuba azinyangwa, oku kunokuba yingozi ebomini, okanye kubangele nomonakalo ongunaphakade engqondweni . Ke ngoko, kubaluleke kakhulu ukukwazi oku.

Ziziphi iintlobo eziphambili ze-`(Metabolic Encephalopathy)`?

Singabona iintlobo ezimbini eziphambili zale `(Metabolic Encephalopathy)`:

1. I-Acute Metabolic Encephalopathy: Oku kwenzeka rhoqo xa umzimba wakho ungafumani iivithamini ezaneleyo, ioksijini, okanye iglucose (iswekile). Cinga ngayo njengenjini yemoto engasebenziyo xa iphelelwa yioyile.

2. I-Toxic Metabolic Encephalopathy: Oku kubangelwa kukungasebenzi kakuhle kwamalungu omzimba, njengezintso okanye isibindi, okanye ukungasebenzi kakuhle kwamalungu omzimba. Oku kuthetha ukuba izinto ezinobuthi ziyaqokelelana engqondweni kuba inkunkuma yomzimba ayisuswanga ngokufanelekileyo.

Ixhaphake kangakanani le meko?

Le meko, ebizwa ngokuba yi-"Metabolic Encephalopathy," ixhaphake kakhulu kubantu "abagula kakhulu" ngenxa yemeko yempilo enzulu. Oku kuthetha ukuba umntu osele egula esinye isifo esinzima unokuba nale meko.

Zithini iimpawu zoku? Siziva njani?

Iimpawu zokuqala oza kuzifumana zezi:Umsebenzi wokuqonda unxulumene nokukwazi ukucinga . Nazi:

• Ukudideka nokudideka: Ukuziva ngathi awukhumbuli ukuba ukuphi, lixesha lini, ungubani, okanye ngubani okufutshane nawe. Usenokuvakalelwa ngathi intloko yakho ingenanto ngequbuliso.
• Ukulahlekelwa yinkumbulo: Usenokulibala neziganeko zakutshanje. Usenokungakhumbuli into oyenzileyo kusasa ngokuhlwa.
• Utshintsho kubuntu: Umzekelo, umntu owayekade ezolile kakhulu unokuqalisa ukuba nomsindo ngalo lonke ixesha, okanye asenokucaphuka ngakumbi. Abanye abantu basenokude bathule kakhulu.

Ukongeza kwezi mpawu zisisiseko, ezinye iimpawu zinokuvela, ezinje:

• Isicaphucaphu nokuhlanza
• Ukudinwa kunye nokungalali
• Iimeko zempilo yengqondo ezifana nokudakumba
• Ukuphambana kwengqondo: Ukulahlekelwa zingqondo ngequbuliso, kunye nokuziva udidekile ngokupheleleyo kwaye ulahlekelwe yintsingiselo kwindawo okuyo.
• Ukuphupha izinto ezingekhoyo: Amava okubona, ukuva, okanye ukuva izinto ezingekhoyo ngokwenene.
• Iingxolo
• Iimpawu zesifo sokuwa (ukuxhuzula)
• Ubunzima bokuphefumla
• Ukulahlekelwa yingqondo okanye i-coma

Ngamanye amaxesha ezi mpawu zinokuvela ngequbuliso, ngequbuliso . Kodwa kwabanye abantu, ezi mpawu zikhula kancinci kancinci . Nangona kunjalo, ukuba wena okanye umntu omaziyo uhlangabezana nazo naziphi na kwezi mpawu, khumbula ukubona ugqirha ngokukhawuleza .

Kutheni oku kusenzeka? Zithini izizathu ze-`(Metabolic Encephalopathy)`?

Eyona nto iphambili `(Metabolic Encephalopathy)` yimeko yezonyango engaphantsi echaphazela inkqubo yakho `(Metabolism)` . Njengoko sele sitshilo, imetabolism yinkqubo yeekhemikhali eguqula izinto esizityayo nesiziselayo zibe ngamandla. La mandla abalulekile ukuze ingqondo yethu isebenze ngokufanelekileyo. Ngenxa yemeko yezonyango engaphantsi, ibhalansi yeekhemikhali egazini lakho inokuphazamiseka. Ngenxa yoko, ingqondo ayifumani izondlo kunye neoksijini eyidingayo, nto leyo ebangela iimpawu ze `(Metabolic Encephalopathy)`.

Ezinye zeemeko zonyango ezibangela oku kakhulu zezi:

• Isifo seswekile: Oku kuthetha ukuba inqanaba leswekile egazini liphezulu kakhulu (i-Hyperglycemia) okanye liphantsi kakhulu (i-Hypoglycemia) ngaphandle kolawulo.
• Ukumelwa yintliziyo
• Ukungasebenzi kakuhle kwezintso
• Isifo sesibindi okanye ukungasebenzi kakuhle kwesibindi
• Ukungondleki kakuhle (ukungabikho kwezondlo ezifunekayo emzimbeni)
• I-Pancreatitis
• I-Sepsis (usulelo olunzima olusasazeka emzimbeni wonke)
• I-Vasculitis (ukudumba kwemithambo yegazi)

Kwakhona, i-Metabolic Encephalopathy inokubangelwa kukutya izinto ezithile ezinobuthi . Umzekelo:

• Ukusetyenziswa kotywala ngokugqithisileyo
• Ubuthi besinyithi esinzima obubangelwa kukutya iisinyithi ezinzima ezifana nelothe
• Amanye amayeza okanye amanye amayeza athathwe ngaphandle kwengcebiso kagqirha

Ngubani onokuba nethuba elingcono lokuphuhlisa oku? (Izinto Ezinobungozi)

Usenokuba sengozini enkulu yokuba ne-`(Metabolic Encephalopathy)` ukuba:

• Ukuba unesifo esichaphazela iinkqubo ezahlukeneyo zomzimba ngaxeshanye. (Umzekelo, isifo esichaphazela umzimba wonke, njengesifo seswekile)
• Ukuba uneengxaki ezininzi zempilo (iiComorbidities) ngaxeshanye. (Umzekelo, ukuba nesifo seswekile kunye noxinzelelo lwegazi oluphezulu)
• Ukuba uneminyaka engaphezu kwama-65 ubudala.
• Ukuba sele uneengxaki ngokukwazi kwakho ukucinga (ukuphazamiseka kwengqondo), njengokulahlekelwa yinkumbulo, ubunzima bokufunda izinto ezintsha, ubunzima bokwenza izigqibo, kunye nokungakwazi ukulungelelanisa iingcinga zakho.
• Ukuba unengxaki yokusebenzisa iziyobisi.

Zeziphi iimeko ezinzulu ezinokwenzeka ukuba azinyangwa?

Ukuba ayinyangwa ngokukhawuleza nangendlela efanelekileyo, iMetabolic Encephalopathy inokuba yingozi ebomini . Inokubangela neziphumo ezibi kakhulu, ezihlala ixesha elide ezifana nezi:

• Ukonakala kwengqondo okungapheliyo.
• Ukulahlekelwa ngokupheleleyo yingqondo (i-Coma) kunye neengxaki zayo.

Yingakho kubaluleke kakhulu ukufuna iingcebiso zonyango ngokukhawuleza xa iimpawu zibonakala, ngaphandle kokulibazisa. Ukufunyaniswa kwangoko kunokuthintela iziphumo ezibi kakhulu.

Ugqirha uyixilonga njani le nto? (Uxilongo)

Ugqirha uza kuxilonga i-metabolic encephalopathy ngokwenza uvavanyo lomzimba , uvavanyo lwe-neurological , kunye nolunye uvavanyo olukhethekileyo . Olu vavanyo luya kunceda ugqirha wakho ukuba angaziboni ezinye iimeko ezibangela iimpawu ezifanayo (oko kukuthi, angaziboni ezinye iimeko) aze amisele ukuba zeziphi izitho kunye neenkqubo zomzimba wakho ezichaphazelekileyo.

Olu vavanyo lungabandakanya:

• Uvavanyo lwegazi: Olu vavanyo lunokujonga izinto ezininzi, ezinje ngamanqanaba eswekile egazini, amanqanaba e-electrolyte, kunye nokusebenza kwesibindi nezintso.
• Uvavanyo lomchamo:Oku kujonga nokuba kukho naziphi na iingxaki emzimbeni.
• I-Electroencephalography (EEG): Le isetyenziselwa ukurekhoda umsebenzi wombane wengqondo. Ingabona nawuphi na umsebenzi ongaqhelekanga engqondweni.
• Ukubhoboza i-Lumbar: Oku kuquka ukuthatha ulwelo oluncinci lwe-cerebrospinal oluvela kumjelo womqolo kwaye uluvavanye. Oku kunokunceda ukujonga izinto ezifana nosulelo lobuchopho.
• I-CT scan okanye i-MRI: Olu hlobo lwe-scan lunokujonga ulwakhiwo lobuchopho okanye ukubona ukuba akukho monakalo na engqondweni.

Inyangwa njani? Zithini iindlela zonyango?

Unyango lwe-metabolic encephalopathy lugxile ekulawuleni imeko engaphantsi okanye ukungasebenzi kakuhle kwamalungu omzimba okubangela iimpawu zakho kunye nokulawula iziphumo ebezingalindelekanga kunye neempawu ezihambisana ne-encephalopathy. Olu nyango lunokwahluka kumntu nomntu, kodwa lunokubandakanya:

• Ukubonelela ngeevithamini okanye izondlo ezongezelelweyo ezifunekayo emzimbeni. (Umzekelo: iivithamini ezifana ne-thiamine)
• Ukunika amayeza athile. (Siza kuthetha ngale nto kamva)
• Ukutshintsha oko ukutyayo nokuselayo: Umzekelo, ukunciphisa ulwelo ukuba unesifo sezintso, okanye ukutya ukutya okuneproteni ephantsi ukuba unesifo sesibindi.
• Iindlela zonyango zokubuyisela kwimeko yesiqhelo ezifana nonyango lomsebenzi (ukukunceda ubuyele kwimisebenzi yemihla ngemihla), unyango lokuziphatha kwengqondo (kwiingxaki zokucinga nokuziphatha), kunye/okanye unyango lokuthetha (kwiingxaki zokuthetha).
• I-Plasmapheresis: Le yinkqubo ekhethekileyo esusa izinto eziyingozi (umz., iityhefu, ii-antibodies) egazini.
• I-Dialysis: Olu nyango lusetyenziselwa ukususa inkunkuma emzimbeni kwizigulana ezinengxaki yezintso.
• Ukufakelwa amalungu omzimba: Kwezinye iimeko ezinzima, umzekelo, ukuba isibindi okanye izintso azisebenzanga ngokupheleleyo, ukufakelwa amalungu omzimba kunokufuneka.

Ngenxa yokuba ungaziva uxhalabile kwaye udidekile ngeli xesha, iqela lakho lezonyango liza kukuphatha esibhedlele, kwindawo ezolileyo, engenaxinzelelo, nekhuselekileyo . Kwakhona, ukuba kukhuselekile kuwe, baya kucwangcisa amaxesha okuvuka ebhedini kwaye ujikeleze kancinci phantsi kweliso labo ukuze baphephe iingxaki (umz., amahlwili egazi, izilonda zokulala) ezinokubakho ngenxa yokuphumla ixesha elide ebhedini.

Luhlobo luni lwamayeza asetyenziswayo?

Uhlobo lwamayeza olunikwa ngugqirha wakho luxhomekeke kwisizathu seempawu zakho. Amanye amayeza asetyenziselwa ukunyanga nokulawula iimpawu zeMetabolic Encephalopathy aquka:

• IiBenzodiazepines (kwiimeko ezifana nokuxhalaba, isifo sokuwa) kunye/okanye ii-opiate antagonists (umz. iNaloxone - xa kutyhefwa iziyobisi)
• Iiglucocorticoids (uhlobo lwe-steroid - kwiimeko ezifana nokudumba kobuchopho)
• I-Thiamine (iVitamin B1 - ingakumbi kwi-encephalopathy enxulumene notywala)
• I-Lactulose (yokususa iityhefu ezifana ne-ammonia emzimbeni kwiimeko ze-encephalopathy ezibangelwa sisifo sesibindi)
• Amayeza okulwa nesifo sokuwa afana neLevetiracetam okanye iValproic acid
• Amayeza e-antipsychotic ngamayeza anikwa ukulawula iimpawu zengqondo (umz., `Ukuphupha kakubi`, `Ukuphupha izinto ezingekhoyo`).

Ngaba unyango lunokubangela iziphumo ebezingalindelekanga?

Kakade ke, njengazo zonke iindlela zonyango, kukho ezinye iziphumo ebezingalindelekanga ezinokubakho . Ziyahluka kumntu nomntu. Umzekelo, amanye amayeza anokubangela ukozela okanye isiyezi. Iqela lakho lezempilo liza kukujonga ngokusondeleyo ezi ziphumo bezingalindelekanga ngelixa ufumana unyango kwaye liza kulungisa unyango lwakho ukuba kuyimfuneko. Ukuba unemibuzo malunga nesicwangciso sakho sonyango, ixesha lokuchacha, okanye indlela oziva ngayo, ungathandabuzi ukuthetha nogqirha wakho.

Ingaba iza kuphola ngokukhawuleza kangakanani? Ingaba iyafana nakubo bonke abantu?

Lo ngumbuzo abantu abaninzi abawubuzayo. Abantu abaneengxaki ezithile, ezifana ne-"Metabolic Encephalopathy", banokuphila kungekapheli usuku okanye ezimbini, kwaye ukusebenza kwengqondo yabo kunokubuyela esiqhelweni, ukuba isifo sichongiwe kwangethuba kwaye unobangela unyangwa ngokufanelekileyo .

Nangona kunjalo, ngamanye amaxesha, ingakumbi ukuba unyango lulibaziseka, isifo esisisiseko sibi kakhulu, okanye kukho umonakalo othile engqondweni, abanye abantu basenokungapholi ngokupheleleyo. Basenokufuna unyango kunye nenkxaso yexesha elide, mhlawumbi ubomi bonke. Ngoko ke kungcono ukufumanisa isifo kwaye uqale unyango ngokukhawuleza.

Iyintoni ikamva lale meko?

Ikamva lakho, oko kukuthi, izinga lokuchacha kwakho, lixhomekeke kakhulu kwizinto ezimbini:

1. Ufumene unyango emva kokuba iimpawu zakho ziqalile.

2. Yintoni imbangela eyintloko yemeko ethi `(Metabolic Encephalopathy)` kwaye ingalawulwa kangakanani ?

Ukuba unyango luqale kwangoko, iziphumo zinokuba zintle kakhulu . Uninzi lwabantu lubuyela ekusebenzeni kwengqondo okuqhelekileyo emva konyango. Nangona kunjalo, njengoko besitshilo ngaphambili, kwezinye iimeko, `(Metabolic Encephalopathy)` inokubangela umonakalo osisigxina engqondweni, onokuba yingozi. Ukuba imeko ibangela umonakalo engqondweni, unokufuna inkxaso yobomi bonke kunye nonyango lokubuyisela kwimeko yesiqhelo (umz., unyango lomzimba, unyango lokuthetha).

Singenza ntoni ukuthintela oku?

Enyanisweni, ayizizo zonke iimeko zeMetabolic Encephalopathy ezinokuthintelwa, njengoko ezinye iimeko ezifihlakeleyo zinokuvela ngequbuliso. Nangona kunjalo, kukho izinto onokuzenza ukunciphisa umngcipheko wakho nokugcina impilo yakho iyonke :

• Yitya ukutya okunempilo nokunokulinganisela (yitya imifuno emininzi, iziqhamo, kunye neenkozo ezipheleleyo, kwaye unciphise ukutya okunencasa nokunamafutha).
• Sela amanzi aneleyo imini yonke (hlala unamanzi aneleyo).
• Ukuzilolonga rhoqo (nokuba kukuhamba imizuzu engama-30 ngosuku kulungile).
• Ukugcina ingqondo yakho isebenza: Gcina ingqondo yakho isebenza ngokufunda iincwadi, ukugqiba iiphazili, ukufunda into entsha, nokuzibandakanya kwimisebenzi yemfundo.
• Ukuba unezifo ezingapheliyo ezifana nesifo seswekile okanye uxinzelelo lwegazi oluphezulu, landela imiyalelo kagqirha wakho ukuze uzilawule ngokufanelekileyo.

Sifanele siye kugqirha nini?

Oku kubaluleke kakhulu. Ukuba wena okanye umntu osondeleyo kuwe uneempawu ze-`(Metabolic Encephalopathy)` (ezifana nokudideka, ukulahlekelwa yinkumbulo, utshintsho kwindlela yokuziphatha, kunye ne-dementia esixoxe ngayo ngaphambili), bona ugqirha ngokukhawuleza, ngaphandle kokulibazisa .

Ezinye iimeko zinokuba yingxamiseko yezonyango . Ingakumbi ukuba unesifo esifihlakeleyo esifana nesifo seswekile, isifo sesibindi, okanye isifo sezintso, ugqirha wakho angakuxelela ukuba uye kwigumbi likaxakeka lesibhedlele ngoko nangoko ukuba ufumana ezi mpawu. Ukufumana unyango kwangethuba kunokwenza umahluko omkhulu.

Yeyiphi imibuzo ebalulekileyo ekufuneka uyibuze ugqirha?

Xa ubona ugqirha wakho, kungcono ukubuza imibuzo efana nale ukuze uqonde kakuhle imeko yakho:

• "Luhlobo luni lwemeko `(Encephalopathy)` ebangele iimpawu mna/isigulana sethu esinazo?"
• "Yintoni ebangela oku?"
• "Ucebisa uhlobo luni lwesicwangciso sonyango?"
• "Zithini iziphumo ebezingalindelekanga ezinokubakho zezi ndlela zonyango?"
• "Isigulane sam/sethu siza kuhlala ixesha elingakanani esibhedlele ukuze sifumane unyango?"
• "Kuza kuthatha ixesha elingakanani ukuze umntu aphile ngokupheleleyo? Luhlobo luni lonyango lokubuyisela okanye lonyango oluya kufuneka?"
• "Zeziphi izinto ekufuneka sizilumkele ngakumbi emva kokuba sibuyele ekhaya?"

Okokugqibela, izinto ekufuneka uzikhumbule (Umyalezo Wokuya Ekhaya)

I-Metabolic Encephalopathy sisifo esoyikekayo, ngaphandle kwamathandabuzo. Ukuba asifunyanwanga okanye asinyangwa kwangethuba, esi sifo sinokuchaphazela ukusebenza kwengqondo yakho ngokusisigxina.

Kodwa, okona kubaluleke kakhulu, ukuba ufuna uncedo lwezonyango ngokukhawuleza nje xa uqaphela iimpawu, uninzi lwabantu luya kuphila ngokupheleleyo. Ngonyango olufanelekileyo lwesizathu esiyintloko, ukusebenza kwengqondo kunokubuyela esiqhelweni.

Iindlela zokubuyisela umva ezifunekayo emva konyango ziya kukunceda ubuyele ngokukhawuleza kwimisebenzi yakho yemihla ngemihla kwaye uphile ubomi obuqhelekileyo. Ke ngoko, uya kuqala ukuziva ungcono ngokukhawuleza, engqondweni nasemzimbeni.

Ukuba unemibuzo malunga nesicwangciso sakho sonyango okanye isifo ngokwaso, ungoyiki okanye ungathandabuzi ukubuza ugqirha wakho. Bakho ukukunceda.

I- Metabolic Encephalopathy, isifo sobuchopho, imetabolism, ukusebenza kobuchopho, ukudideka, ukulahleka kwenkumbulo, iimpawu, unyango