Kuthetha ukuthini xa ilungu elithile emzimbeni wethu lingasebenzi? (Ukusilela Kwamalungu) Masithethe ngale nto!

Xa umntu esixelela ukuba "uneengxaki zomzimba," iintliziyo zethu zikhawuleza zibethe ngamandla, akunjalo? Ligama eloyikekayo. Kodwa kubalulekile ukuba sonke siqaphele ukuba lithetha ukuthini, kutheni le nto yenzeka, kwaye yintoni enokwenziwa. Ngoko ke namhlanje, masithethe ngayo ngokulula, ngendlela onokuyiqonda.

Yintoni kanye kanye ukungasebenzi kakuhle kwezitho zomzimba?

Ngamafutshane, ukusilela kwamalungu omzimba kuxa elinye okanye ngaphezulu kwamalungu abalulekileyo omzimba wakho eyeka ukusebenza kakuhle. Oku kunokwenzeka kancinci kancinci ngokuhamba kwexesha (oko sikubiza ngokuba kukusilela okungapheliyo ), okanye kungenzeka ngequbuliso (oko sikubiza ngokuba kukusilela okukhawulezileyo ).

Khawucinge nje, sinamalungu athile emzimbeni wethu abalulekileyo ukuze siphile. La malungu esiwabiza ngokuba ngamalungu abalulekileyo . Xa ilungu elinjalo liqala ukungasebenzi kakuhle, sidinga uncedo lwangaphandle ukuze senze umsebenzi ekufuneka wenziwe lelo lungu. Ngamanye amaxesha ngoncedo olunjalo, ilungu linokuphila kwakhona. Kodwa ngamanye amaxesha alisebenzi. Xa ukungasebenzi kakuhle kwamalungu kufikelela kwinqanaba lokugqibela, kunokuba yingozi ebomini.

Ngawaphi amalungu omzimba abalulekileyo anokungaphumeleli?

Amalungu amaninzi abalulekileyo emzimbeni wethu asenokungasebenzi kakuhle ngale ndlela.

Isibindi

Isibindi sakho sisitho esimangalisayo. Senza amakhulu emisebenzi. Eyona ibalulekileyo kukucoca iityhefu egazini. Ukungasebenzi kakuhle kwesibindi kunokwenzeka ngequbuliso okanye kancinci kancinci ngokuhamba kwexesha.

Izintso

Izintso zezona zisusa inkunkuma egazini lakho njengomchamo. Zikwagcina ulwelo lomzimba kunye nee-electrolytes zilungelelene. Ukungasebenzi kakuhle kwezintso kunokwenzeka ngequbuliso okanye kwixesha elide. Kwilizwe lethu, iimeko ezifana nesifo seswekile kunye noxinzelelo lwegazi zinokubangela umonakalo kwizintso.

Intliziyo

Intliziyo yiyo epompa igazi elinomoya-mpilo emizimbeni yethu. Xa intliziyo iqala ukuba buthathaka, ichaphazela wonke umzimba. Kwintliziyo engasebenzi kakuhle , ukusebenza kwentliziyo kunokuncipha ngequbuliso (ukusilela kwentliziyo okukhawulezileyo), okanye kunokonakala kancinci kancinci ngokuhamba kwexesha (ukusilela kwentliziyo okuxineneyo).

Imiphunga

Imiphunga yeyona nto ibalulekileyo kwinkqubo yethu yokuphefumla. Yiyo enika ioksijini kuzo zonke izicwili zomzimba. Ukungaphumeleli kokuphefumla kunokuba ngequbuliso okanye ixesha elide.

Ndibonise uthando

Amathumbu amancinci afunxa uninzi lwezondlo ezifunwa ngumzimba wethu ekutyeni esikutyayo. Ukuba amathumbu amancinci ayasilela, umzimba usenokungafumani izondlo ezaneleyo kwaye iimeko ezifana nokungondleki kakuhle zinokuvela.

Ingqondo

Ingqondo yileyo ixelela onke amanye amalungu omzimba wethu ukuba enze imisebenzi yawo. Ezinye izifo zengqondo eziwohlokayo zinokubangela ukuba ingqondo ingasebenzi kakuhle kancinci kancinci. Ukungaphumeleli kwengqondo okukhawulezileyo yinkqubo ebizwa ngokuba kukufa kwengqondo . Ukuba ingqondo okanye i-brainstem iyafa, amanye amalungu nawo ayasilela kancinci kancinci.

Ngamanye amaxesha, kungekuphela nje ilungu elinye, kodwa amalungu amaninzi anokusilela ngaxeshanye. Oogqirha bakwabiza oku ngokuba kukusilela kwamalungu amaninzi , ukusilela kwamalungu onke , okanye isifo sokungasebenzi kakuhle kwamalungu amaninzi .

Yintoni kanye kanye into yokulahlekelwa zimvakalelo?

Xa sisithi "ukusilela kwamalungu omzimba," sicinga ukuba amalungu omzimba ayekile ukusebenza ngokupheleleyo. Kodwa ke lelo linqanaba lokugqibela. Oko kuthetha ukuba amalungu omzimba akwinqanaba apho angakwaziyo ukwenza umsebenzi wawo opheleleyo. Oko kukuthi, asebenzi kakuhle , enza inxalenye yomsebenzi wawo kuphela. Njengoko inani lomsebenzi lincipha, sifuna uncedo olungakumbi oluvela ngaphandle. Xa ukusilela ngokukhawuleza, olu ncedo lunokufuneka ngequbuliso, kwaye lunokuba lolwexeshana. Xa ukusilela okungapheliyo, kufuneka isicwangciso sexesha elide.

Kwenzeka ntoni xa ilungu lomzimba lingasebenzi?

Ukungasebenzi kakuhle kwamalungu omzimba kudla ngokuhamba ngamanqanaba ahlukeneyo. Oogqirha bachaza la manqanaba ngokwahlukileyo kancinci kwilungu ngalinye. Kudla ngokuba nezigaba ezine okanye ezintlanu. Elokugqibela okanye ezimbini kwezi zithathwa njenge "zigaba zokuphela." Okwangoku, ilungu lonakele kakhulu kwaye umsebenzi walo unciphile kakhulu. Ukuze uphile, uya kufuna inkxaso yobomi yokwenziwa okanye ukufakelwa ilungu .

Ukusilela kwamalungu omzimba ngokukhawuleza kuqala kwezi zigaba zokugqibela okanye kudlulele kuzo ngokukhawuleza. Kufuna unyango olukhawulezileyo. Nangona kunjalo, ukusilela kwamalungu amaninzi ngokukhawuleza kunokwenzeka ngamanqanaba aliqela. Ngenxa yokuba amalungu ethu abalulekileyo ayancedana, ngamanye amaxesha xa elinye ilungu lisilela, kunokubangela ukusabela kwetsheyini okunokubangela ukungaphumeleli kwamanye amalungu.

Siziva njani xa silahlekelwa zimvakalelo?

Ukusilela kwamalungu amaninzi kuneempawu ezininzi eziqhelekileyo:

• Ukuziva ubuthathaka, unesizungu, okanye udiniwe.
• Ukozela okanye ukulahlekelwa zingqondo.
• Ubunzima bokugxila, ukudideka.
• Ukutya akunancasa.
• Isicaphucaphu nokuhlanza.
• Ukuphefumla ngokukhawuleza nangokunganzulu.
• Ukubetha kwentliziyo ngokukhawuleza okanye ngokungangqalanga.
• Umkhuhlane, ukubanda.
• Ukudumba kwamalungu okanye isisu.
• Intlungu engapheliyo esifubeni okanye esiswini.

Ukongeza kwezi, kukho nezinye iimpawu ezinxulumene nokungasebenzi kakuhle kweemvakalelo ezithile. Umzekelo:

• Ukutyheli kolusu lwakho namehlo ( i-jaundice - oku kwenzeka xa isibindi singasebenzi).
• Umbala oluhlaza okwesibhakabhaka phantsi kwemilebe yakho kunye neenzipho ( i-cyanosis - oku kunokwenzeka xa uphefumla okanye intliziyo ingasebenzi kakuhle).

Kutheni le nto amalungu omzimba engasebenzi kakuhle? Zithini izizathu?

Kukho izizathu ezininzi eziphambili zokungasebenzi kakuhle kwamalungu omzimba.

Izifo ezingapheliyo

Izifo ezingapheliyo zingonakalisa amalungu omzimba wakho kancinci kancinci ngokuhamba kwexesha. Ezinye izifo zikhona xa uzalwa, ngelixa ezinye zikhula kamva ebomini. Xa isifo esingapheliyo sivela, asihlali siphola ngokupheleleyo. Kodwa kukho iindlela zokunciphisa umonakalo. Lo monakalo unokwakheka kwaye uthathe iminyaka ukuchaphazela ukusebenza kwesitho okanye ufune unyango.

• Isifo sesibindi esingapheliyo: Umzekelo, izifo ezifana nesifo sesibindi esinamafutha kunye ne-hepatitis C zinokubangela ukungasebenzi kakuhle kwesibindi okungapheliyo.
• Isifo sezintso esingapheliyo: Iimeko ezifana ne -glomerulonephritis kunye nesifo sezintso esine-polycystic zinokubangela ukungasebenzi kakuhle kwezintso okungapheliyo. Uxinzelelo lwegazi oluphezulu kunye nesifo seswekile nazo zezona zinto ziphambili.
• Isifo sentliziyo esingapheliyo: Izinto ezifana nesifo semithambo yegazi kunye nesifo sentliziyo sokuzalwa zinokukhokelela ekusileleni kwentliziyo kancinci kancinci.
• Izifo zamathumbu ezingapheliyo: Iimeko zamathumbu ezingapheliyo ezivuvukalayo, ezifana nesifo sikaCrohn , kunye nokuvaleka kwamathumbu okubangelwa kukungalungelelani kakuhle kwamathumbu zinokubangela ukungasebenzi kakuhle kwamathumbu okungapheliyo.
• Izifo zokuphefumla ezingapheliyo: Isifo sombefu kunye nesifo esingapheliyo semiphunga (COPD) zinokubangela ukungasebenzi kakuhle kokuphefumla okungapheliyo.
• Izifo zengqondo eziwohlokayo ixesha elide: Izifo ezifana nesifo sika-Alzheimer kunye nesifo sikaParkinson zibangela ukungasebenzi kakuhle kwengqondo ixesha elide ( i-dementia) .

Ukwenzakala okubuhlungu

Ukuba wenzakele kakhulu kwelinye lamalungu akho omzimba, oku kunokukhokelela ekusileleni kwamalungu omzimba ngokukhawuleza. Ngamanye amaxesha, nokuba ilungu liyaphola, ukuba ukwenzakala kubangele umonakalo osisigxina, kunokukhokelela ekusileleni kwamalungu omzimba okungapheliyo. Oku kuthetha ukuba ilungu alisakwazi ukusebenza kakuhle njengangaphambili. Ingozi enkulu echaphazela umzimba wonke inokubangela ukothuka , okuyekisa lonke igazi ukuya kuzo zonke izitho zakho zomzimba. Oku kunokukhokelela ekusileleni kwamalungu amaninzi ngequbuliso.

• Ukuba inxalenye enkulu yamathumbu akho amancinci isusiwe ngotyando, ngokufuthi ngenxa yesifo (oku kubizwa ngokuba yi- short bowel syndrome) , yimbangela enkulu yokungasebenzi kakuhle kwamathumbu amancinci ngokusisigxina.
• Akukho bungqina bucacileyo bokuba ukwenzakala kwengqondo okubangela ukungasebenzi kakuhle kwengqondo okungapheliyo. Nangona kunjalo, kunokubangela ukufa kwengqondo (ukungasebenzi kakuhle kwengqondo ngokukhawuleza) .

Ukulimala okunobuthi

Iityhefu zingabangela umonakalo okhawulezileyo nongapheliyo kwizitho zomzimba. Zinokuchaphazela naliphi na okanye onke amalungu akho abalulekileyo. Zinokuvela kwizinto ezikwindalo esingqongileyo, kwiintsholongwane ezivelisa iityhefu emzimbeni wakho, okanye kwizinto ozityayo. Isibindi kunye nezintso zethu zihluza inani elincinci leetyhefu egazini lakho yonke imihla. Ukuba azisebenzi kakuhle, ezi tyhefu zinokuqokelelana emzimbeni wakho kwaye zonakalise amanye amalungu omzimba.

• Ukusetyenziswa kweziyobisi okanye utywala ixesha elide kunokubangela ukungasebenzi kakuhle kwesibindi ( i-hepatitis enobuthi ), ukungasebenzi kakuhle kwentliziyo okungapheliyo ( i-cardiomyopathy ebangelwa butywala) , okanye ukungasebenzi kakuhle kwengqondo okungapheliyo (umonakalo wengqondo onxulumene notywala ). Oku kukwanegalelo elikhulu kwisifo samathumbu nezintso sexesha elide. Ukungasebenzi kakuhle kwentliziyo, isibindi, okanye izintso ngequbuliso kunokubangelwa kukusebenzisa iziyobisi ngokugqithisileyo okanye ukutyhefwa butywala ngequbuliso.
• Iityhefu ezikwindalo zinokubangela ukungasebenzi kakuhle kokuphefumla, izifo zezintso okanye zesibindi, kunye nezifo zobuchopho eziwohlokayo.
• Iintsholongwane zivelisa iityhefu njengemveliso ephumayo. Ezi zinokuchaphazela ilungu elinye okanye, ukuba ziqokelelana egazini, zonke izitho. Ukuba kukho usulelo egazini, lunokukhokelela kwi -sepsis kunye ne -shock .

Ukulahleka kwegazi/umoya-mpilo

Izitho zethu zifumana ioksijini ngokuhamba kwegazi. Ukuba, nangasiphi na isizathu, ukuhanjiswa kwegazi kwilungu elithile kunqanyulwe, alifumani ioksijini eliyidingayo ukuze lisebenze ( i-hypoxia ). Ngokuxhomekeke ekubeni ukuhanjiswa kwegazi kunqanyulwe kangakanani, oku kunokukhokelela ekusileleni kwamalungu ngequbuliso okanye ngokusisigxina.I-Ischemia kukuncipha kokunikezelwa kwegazi kwisitho somzimba. Isenokuba yingxaki ekhawulezileyo okanye kancinci kancinci. Umothuko kukulahlekelwa ngequbuliso kokuhamba kwegazi emzimbeni wonke.

• I-Ischemia kuyo nayiphi na ilungu lomzimba inokubangela ukudumba, okunokukhokelela ekufeni kwezicubu. Oku kungenzeka ngokukhawuleza okanye kancinci. I-ischemic stroke kwenye inxalenye yobuchopho inokubangela umonakalo ngequbuliso engqondweni, kwaye kwezinye iimeko, ukufa kwengqondo. I-Ischemic cardiomyopathy yeyona nto iphambili yokusilela kwentliziyo okungapheliyo.
• Isiganeko esikhulu sentliziyo, esifana nokuhlaselwa yintliziyo , ukuminxeka kwentliziyo , okanye isifo sohlangothi, sinokunqamla igazi kunye neoksijini kwamanye amalungu omzimba. Oku kunokukhokelela ekusileleni kwentliziyo ngequbuliso okanye ekonakaleni kwengqondo, kunye nokusilela kwamalungu amaninzi omzimba. Ukuba intliziyo okanye i-brainstem iyafa, amanye amalungu aya kulandela.
• I-shock kukulahlekelwa ngequbuliso kokuhamba kwegazi emzimbeni wonke. Inokuba nezizathu ezininzi, kubandakanya usulelo egazini ( i-septic shock ), umonakalo wentliziyo ( i-cardiogenic shock ), ukuvaleka kwentliziyo ( i-obstructive shock) , kunye neempendulo ze-allergy (i-anaphylactic shock) . Oku kunokukhokelela ekusileleni ngequbuliso kwamalungu amaninzi omzimba.

Oogqirha bakuqonda njani oku kanye kanye?

Oogqirha basebenzisa uvavanyo oluthile ukuze babone ukungasebenzi kakuhle kwamalungu omzimba ahlukeneyo. Umzekelo:

• Uvavanyo lokusebenza kwesibindi kunye novavanyo lokusebenza kwezintso zilinganisa iikhemikhali egazini lakho nasemchameni ukuze zifumane ulwazi malunga nendlela amalungu akho asebenza ngayo. Emva koko ungenza i-renal scan okanye i-scan ukuze ujonge ukuqina kwesibindi sakho ( elastography ).
• Uvavanyo lwegazi lokungondleki kakuhle, olulandelwa yi -enteroscopy yamathumbu amancinci, lunokuchonga ukungasebenzi kakuhle kwamathumbu amancinci okubangelwa kukungafunxwa kakuhle okanye ukuvaleka kwesisu okungaziwayo.
• I-echocardiogram inokulinganisa ubungakanani begazi eliphampa intliziyo yakho ( i-ejection fraction) kwaye ibone ukuba isebenza kakuhle kangakanani.
• Uvavanyo lwe-neurocognitive kunye ne-brain scans zinokunceda ekuchongeni umonakalo wobuchopho.
• Uvavanyo lomsebenzi wemiphunga lunokuvavanya ukuba inkqubo yakho yokuphefumla isebenza kakuhle kangakanani. I-pulse oximetry (i-pulse ox)Ungalinganisa inqanaba leoksijini egazini lakho ngovavanyo lwegesi yegazi emithanjeni .
• Uvavanyo lwemifanekiso yamalungu omzimba, olufana ne -ultrasound okanye i-CT scan .

Zithini iindlela zonyango zoku?

Xa amalungu omzimba engasebenzi kakuhle, oogqirha baya kukunika uncedo lokuxhasa imeko yakho. Oku kungabandakanya:

• Ulwelo olufakwa emthanjeni (ulwelo lwe-IV).
• Amayeza okubulala iintsholongwane.
• Utofelo-gazi.
• Isondlo esifakwa kwimithambo yegazi (isondlo se-IV).
• Unyango lweoksijini okanye umoya ophuma ngomatshini.
• Amayeza e-Vasopressor okunyusa ukuhamba kwegazi.
• I-Dialysis.

Kwezinye iimeko, ukufakelwa amalungu omzimba kunokunyanga ukungasebenzi kakuhle kwamalungu omzimba ngequbuliso.

Kwizitho zomzimba ezingasebenzi kakuhle, oogqirha bacebisa oku kulandelayo:

• Kwimeko yokungasebenzi kakuhle kwesibindi okungapheliyo, iingcebiso zokutya nendlela yokuphila zinokukunceda ukulawula okanye ukuguqula ukuqhubela phambili kwaso. Xa sifikelela kwinqanaba lokugqibela, unokufuna ukufakelwa isibindi .
• I-Dialysis isetyenziselwa ukunyanga ukungasebenzi kakuhle kwezintso okungapheliyo okuya kuba mandundu. Xa ifikelela kwinqanaba lokugqibela, kuya kufuneka utyandwe ukufakelwa izintso .
• Kwimeko yokungasebenzi kakuhle kokuphefumla okungapheliyo , kukho iintlobo ngeentlobo zenkxaso yokuphefumla ezinokukunceda ufumane ioksijini engaphezulu. Kwinqanaba lokugqibela, unokufuna ukufakelwa imiphunga okanye umoya ohlala uhleli.
• Amayeza okunceda intliziyo engasebenzi kakuhle kunye neemeko zayo ezisisiseko, ezifana noxinzelelo lwegazi oluphezulu kunye nesifo semithambo yegazi. Kwinqanaba lokugqibela, kukho izixhobo ezahlukeneyo ezifakelweyo ezinceda intliziyo isebenze, kwaye ekugqibeleni , iindlela zotyando lwentliziyo ezifana nokufakelwa kwentliziyo .
• Isondlo se-Parenteral sokungasebenzi kakuhle kwamathumbu. Ungaphila ubomi bakho bonke, kodwa unyango lwexesha elide lunokubangela iingxaki. Ungafakelwa amathumbu .
• Amayeza eempawu zesifo sengqondo esixhalabisayo esiba mandundu kancinci kancinci. Okwangoku akukho nyango lokucothisa okanye lokubuyisela umva inkqubela yaso. Akukho nyango lokufa kwengqondo .

Ngaba kunokwenzeka ukuba uphile emva kokungasebenzi kakuhle kwezitho zomzimba?

Ngamanye amaxesha, emva kokusilela kwamalungu omzimba ngokukhawuleza, amalungu omzimba ayaphila. Oku kunokwenzeka nokuba amalungu amaninzi aphulukene ngaxeshanye. Kwimeko enjalo, unokufuna inkxaso yobomi okwethutyana kuphela. Kwinqanaba lokuqala lokusilela kwamalungu omzimba okungapheliyo, ukuba unobangela oyintloko unokunyangeka ngokufanelekileyo, unokuguqulwa. Nangona kunjalo, kwizigaba zokugqibela, umonakalo ongenakuguqulwa uhlala usenzeka. Umzekelo, ukuvaleka kwamalungu omzimba ( i-fibrosis ) okanye ukufa kwezicubu.

Nokuba sele ufunyenwe unesifo sezintso esikwinqanaba lokugqibela, ungalahli ithemba . Kusenokwenzeka ukuba uza kuthatha iminyaka emininzi uzama ukuguqula imeko yakho. Kukho unyango oluninzi olufumanekayo lokunceda izintso zakho ezingasebenzi kakuhle nokunciphisa iimpawu zakho. Abanye abantu abafiki kwinqanaba lokugqibela lesifo sezintso esikwinqanaba lokugqibela. Xa ufikelela kwelo nqanaba, ungafaka isicelo sokufakelwa amalungu omzimba.

Ukungasebenzi kakuhle kwamalungu omzimba ngequbuliso kudla ngokubangelwa kukugula okanye ingozi engalindelekanga. Kunzima ukuyithintela, kwaye iba yingxamiseko xa isenzeka. Oogqirha abakwiyunithi yokhathalelo olunzulu (ICU) benza konke okusemandleni abo ukuxhasa ezinye iinkqubo zomzimba wakho ngelixa bezama ukubuyisela amalungu omzimba okanye amalungu angasebenziyo.

Izinto ezibaluleke kakhulu ekufuneka sizikhumbule

Nangona ukungasebenzi kakuhle kwamalungu omzimba kuyimeko enzima, kubalulekile ukuba uyiqonde ngokuchanekileyo . Ukuzinika ingqalelo iimpawu, ukufuna ingcebiso efanelekileyo kwezonyango, kunye nokuthatha unyango olumiselweyo kunokunceda kakhulu ekulawuleni imeko. Kwakhona, ukuphila ubomi obusempilweni kunye nokulawula ngokufanelekileyo naziphi na izifo ezingapheliyo kunokunciphisa umngcipheko wokungasebenzi kakuhle kwamalungu omzimba. Ukuba wena okanye umntu osondeleyo kuwe unamathandabuzo malunga noku, ungathandabuzi ukuthetha nogqirha.

Ukungasebenzi kakuhle kwamalungu omzimba, isibindi, izintso, intliziyo, imiphunga, ubuchopho, iimpawu, unyango