Ngaba wakha waziva ngathi awuchami rhoqo okanye ngobuninzi obuncinci? Ngokwesiqhelo, izintso zethu zivelisa umchamo njengoko kufuneka ukugcina ulungelelwano lomzimba. Oko kukuthi, izintso zenza umsebenzi wazo ngokujonga izinto ezifana nobungakanani bamanzi esiwaselayo kunye nobungakanani bokubila esikuvelisayo. Nangona kunjalo, ukuba ngequbuliso ufumana ukwehla kobungakanani bomchamo owuvelisayo, oko kungaba luphawu lwengxaki yempilo. Namhlanje sithetha ngale meko ibizwa ngokuba yi-'Oliguria'.
Yintoni kanye kanye iOliguria?
Ngamafutshane, i-oliguria kuxa umzimba wakho uvelisa umchamo omncinci kunesiqhelo. Kumntu omdala, siyithatha njenge-oliguria ukuba ubungakanani bomchamo obuveliswayo ngosuku bungaphantsi kweemililitha ezingama-400. Kubantwana abancinci kunye neentsana, esi sixa sibalwa ngokusekelwe kubunzima babo.
Kodwa kunye noku, kukho enye imeko enzima ekufuneka siyazi. Leyo yi -Anuria . Ukuba imeko ye-oliguria ayinyangwanga kakuhle, inokukhula ibe yi-anuria. I-Anuria kuxa ukuveliswa komchamo zizintso kuncipha kakhulu, apho kukhutshwa khona i-100 milliliters okanye ngaphantsi ngosuku. Le yimeko enzima kakhulu. Kuba kuthetha ukuba izintso zilahlekelwa ngamandla azo okucoca igazi. Ke ngoko, kubalulekile ukufuna unyango ngoko nangoko.
Zithini izizathu zokuncipha kokuchama?
Zininzi izizathu ezibangela ukwehla kokuphuma komchamo. Ezinye ziqhelekile, ngelixa ezinye zifuna unyango.
Unobangela oyintloko: Ukuphelelwa ngamanzi emzimbeni
Le yeyona nto ixhaphakileyo ebangela i-oliguria. Ukuphelelwa ngamanzi emzimbeni kwenzeka xa umzimba wethu ungafumani manzi aneleyo, okanye xa kulahleka ulwelo oluninzi emzimbeni. Khawuthelekelele, uyahlanza , okanye isisu sakho sivuvukile. Emva koko kulahleka amanzi amaninzi emzimbeni. Ngelo xesha, izintso zinciphisa imveliso yomchamo ukuze kongiwe amanzi emzimbeni. Ke ngoko, kubaluleke kakhulu ukusela amanzi amaninzi.
Ukutsha kunye neengozi ezinzulu
Emva kokutsha okukhulu, amanzi amaninzi alahleka emzimbeni. Oku kunokukhokelela ekuphelelweni ngamanzi emzimbeni kakhulu kunye nokuncipha kokuphuma komchamo . Kwakhona, iingozi ezinkulu zinokubangela ukopha kakhulu (ukopha kwegazi) , ukothuka kwe-anaphylactic (ukothuka okubangelwa kukusabela okunamandla kwe-allergy) , okanye ukothuka kwe-septic (ukothuka okubangelwa lusulelo emva kotyando).Le meko inokwenzeka nangenxa yezinto ezinje).
Ukuvaleka kwendlela yomchamo
Umchamo oveliswa kwizintso zethu uhamba uye kwisinyi uze uphume ngenkqubo yeetyhubhu. Kufana nenkqubo yemibhobho endlwini. Ukuba kukho into ebambeke ndaweni ithile kule nkqubo, umchamo uyayeka ukuphuma.
- Amatye ezintso
- Izicubu ezibuhlungu ezenzeka emva kotyando
- Izinto ezifana nomhlaza zinokubangela ezi ngxaki.
Amanye amayeza
Amanye amayeza owasebenzisayo anokubangela ukuncipha kokuchama.
| Uhlobo lweziyobisi | Inkcazo |
|---|---|
| Ii-Nonsteroidal Anti-Inflammatories (NSAIDs) | Izithomalalisi zentlungu ezifana ne-aspirin kunye ne-ibuprofen. |
| Ii-antibiotics | Ezinye iintlobo zee-antibiotics. |
| Amayeza e-chemotherapy | Amayeza ee-cancer ezithile. |
| Izithinteli ze-ACE | Iyeza elisetyenziselwa ukulawula uxinzelelo lwegazi oluphezulu. |
| Ulwelo oluQhathanisiweyo | Ezinye izinto ezifakwa emzimbeni ukuze zithathwe ii-X-ray okanye ezinye ii-scan. |
Ezinye izifo
- Isifo sezintso: Ngamanye amaxesha i-oliguria ayibangelwa kukungasebenzi kakuhle kwezintso, kodwa inokuba luphawu lwesifo sezintso. Oko kukuthi, luphawu lokuba izintso azisebenzi kakuhle.
- Isifo sentliziyo okanye isifo semiphunga:Kwiimeko ezifana nokusilela kwentliziyo, intliziyo ayikwazi ukupompa igazi elaneleyo emzimbeni. Oku kunciphisa inani legazi eliya kwizintso, nto leyo enciphisa ukuveliswa komchamo. Ukuba unezi meko, kubalulekile ukwazisa ugqirha wakho malunga nokuncipha kokuphuma komchamo wakho.
Uyifumana njani le nto, Gqirha?
Xa usiya kugqirha, uza kukubuza imibuzo embalwa. Unexesha elingakanani unale ngxaki, ungakanani umchamo ophumayo, nokuba unazo naziphi na ezinye iimpawu ezifana nokuhlanza okanye iintlungu zesisu, kunye namayeza owasebenzisayo.
Emva koko, kuya kwenziwa uvavanyo lomzimba kwaye kuya kucelwa isampuli yomchamo . Uvavanyo lomchamo lunokujonga usulelo okanye ezinye iingxaki. Ngamanye amaxesha, i-ultrasound scan inokwenziwa ukujonga izintso okanye amanye amalungu omzimba. Kwezinye iimeko, i-cystoscopy inokwenziwa, equka ukufaka ityhubhu encinci enekhamera (endoscope) kwisinyi ukuze ijonge ngaphakathi.
Eyona nto ibalulekileyo kukuxelela ugqirha ukuba ubona ukwehla komchamo, ngaphandle kokuwutyeshela. Okukhona unobangela ufunyanwa ngokukhawuleza, kokukhona kuya kuba lula ukunyanga.
Iphathwa njani?
Unyango luxhomekeke kwisizathu semeko yakho.
- Ukuba kungenxa yokuphelelwa ngamanzi emzimbeni: Ugqirha wakho uza kukuxelela ukuba usele amanzi amaninzi kunye nolwelo olune -electrolytes, njengeJeevani. Ukuba imeko imbi kakhulu, kunokufuneka unikwe i-saline (IV fluids) emthanjeni.
- Ukuba kungenxa yokuvaleka: Ukuba unamatshe ezintso amancinci, ukusela amanzi amaninzi kuya kuwanceda ukuba adlule. Ngamanye amaxesha, unganikwa amayeza okunceda ukuba adlule amatye. Ukuba amatye makhulu, unokufuna unyango olubizwa ngokuba yi-lithotripsy, olusebenzisa amaza esandi ukuwaqhekeza, okanye utyando.
- Ukuba kungenxa yamayeza: Ugqirha wakho angagqiba ekubeni anciphise umthamo wakho okanye akunike elinye iyeza. Kodwa khumbula, ungaze uyeke ukuthatha amayeza okanye utshintshe umthamo ngaphandle kokuthetha nogqirha wakho kuqala.
- Ukuba kungenxa yesifo sezintso: Uza kuthunyelwa kugqirha ochwephesha kwizifo zezintso, obizwa ngokuba yi-nephrologist . Ukuba imeko imbi kakhulu, unyango lokufakelwa izintso okanye i-dialysis , oluyimatshini ococa igazi, lunokufuneka.
Umyalezo Wokuya Ekhaya
- I-Oliguria kukukhuhla komchamo omncinci kunesiqhelo. Eyona nto ibangela oku kukuphelelwa ngamanzi emzimbeni, kodwa kunokuba yingozi ebomini ukuba akunyangwa.
- Ukuncipha kokuchama kungaba luphawu lweemeko ezinzulu, ezinje ngamayeza athile, isifo sezintso, isifo sentliziyo, okanye ukuvaleka komchamo.
- Ukuba usela amanzi amaninzi kodwa umchamo wakho awukhuphuki, kuya kufuneka ubone ugqirha ukuze ufumane unobangela kwaye ufumane unyango.
- Musa ukuyeka ukuthatha naliphi na iyeza okanye utshintshe umthamo ngaphandle kwengcebiso kagqirha.
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