Ngaba ungumntu oqhelisela umzimba kakhulu kwaye ubaleka kakhulu? Okanye ngaba kuqhelekile ukuba nezihlunu ezibuhlungu ngosuku olulandelayo emva kokuzilolonga nzima? Sibiza ngokuba 'kubuhlungu kwemisipha'. Kodwa ngamanye amaxesha le ntlungu yemisipha ayiqhelekanga, kwaye inokuba luphawu lwemeko embi kakhulu. Namhlanje sithetha ngemeko embi kangaka, kodwa ekufuneka sonke siyiqaphele. Leyo yiRhabdomyolysis, esiyibiza ngokuba yi'Rhabdo' ngamafutshane.
Ngamafutshane, yintoni iRhabdomyolysis?
Eli ligama lesayensi, kodwa kulula kakhulu ukuliqonda. Khawuthelekelele ukuba izihlunu zakho zenziwe ziintambo ezincinci. Kwi-rhabdomyolysis, ezi zihlunu zonakala kakhulu kwaye iintambo ziyaqhekeka. Xa ziqhekeka, izinto ezingaphakathi kwezo ntambo, ingakumbi iproteni ebizwa ngokuba yi-'myoglobin', zikhutshwa ngqo egazini. Nantsi ingxaki. Izinto ezikhutshwa egazini ngale ndlela ziyingozi kakhulu emizimbeni yethu. Ezi tyhefu zihamba egazini ziye ezintsoni zethu. Umsebenzi wezintso kukucoca igazi. Kodwa xa kufika inani elikhulu leetyhefu ngaxeshanye, izintso azikwazi ukumelana nalo. Kufana nokuba xa ubeka inqwaba yenkunkuma kwisinki yekhitshi, iyavaleka. Oku kunokukhokelela
ekungasebenzini kwezintso . Oko kuthetha ukuba azikwazi ukususa inkunkuma. Le yimeko eyingozi kakhulu. Ukuba ayinyangwa ngokukhawuleza, inokuba yingozi ebomini.
Zithini izizathu ze-rhabdomyolysis?
Akukho sizathu sinye sale meko, zinokubakho izizathu ezininzi. Masizahlule zibe ziindidi ezimbini eziphambili.
1. Izinto Ezibangela Ukonzakala - Umonakalo obangelwa zizinto zangaphandle emzimbeni 2. Izinto Ezingezizo Ezibangela Ukonzakala
| Uhlobo lwesizathu | Imizekelo kunye neenkcazo |
|---|
| Ukwenzakala kweCrash | Uxinzelelo olukhulu lwemisipha ngenxa yengozi yemoto, ukuwa kwindawo ephakamileyo, okanye ukuwa kwesakhiwo. |
| Uxinzelelo olude | Ukuhlala kwindawo efanayo ixesha elide emva kokuwa, ukungakwazi ukuphakama, okanye ukulala ungazi nto kwindawo eqinileyo, njengomgangatho, ixesha elide. |
| Ezinye iingozi ezinzulu | Umothuko wombane, ukubetha kombane, ukutsha kakhulu (ukutsha kwenqanaba lesithathu), ukulunywa yinyoka okanye yizinambuzane ezinobuthi. |
| Uxinzelelo Olugqithisileyo Lwezihlunu | Ingakumbi ukuba umntu ongaqhelanga ukwenza uqeqesho oluphezulu (CrossFit) ngequbuliso ukwenze oko. Oku kunokwenzeka nakubantu abadlala kakuhle. Ukuba umzimba unemisipha emininzi, umonakalo unokuba mkhulu. |
| Iziyobisi notywala | Ukusetyenziswa kweziyobisi ezifana ne-heroin kunye ne-cocaine, kunye nokusela utywala ngokugqithisileyo. |
| Amayeza athile | Xa uthatha iidosi eziphezulu zamayeza athile okwehlisa i-cholesterol (statins) okanye amayeza athile okugula ngengqondo (antipsychotics). |
| Ubushushu bomzimba obuphezulu (iHyperthermia) | Ukutsha lilanga (ubushushu obuphezulu) okanye umkhuhlane ophezulu. Abantu abasebenza elangeni (abalimi, abasebenzi bokwakha) basengozini enkulu. |
| Ezinye iimeko zonyango | Ukuxhuzula, iingxaki ezinxulumene nesifo seswekile (i-ketoacidosis yeswekile), usulelo oluqatha (umkhuhlane, i-COVID-19, i-sepsis), kunye nezinye izifo zemisipha yemfuza (i-myopathy). |
Zithini iimpawu zoku? Uzibona njani?
Iimpawu zesi sifo azifani kuye wonke umntu. Ngamanye amaxesha kunzima ukubona iimpawu. Kodwa eyona "classic triad" iphambili ebonwayo yile: 1.
Intlungu eqatha yemisipha: intlungu enganyamezelekiyo, ingakumbi emagxeni, emathangeni, nasezantsi komqolo. 2.
Ubuthathaka bemisipha: Kuba nzima ukushukumisa okanye ukuphakamisa iingalo nemilenze yakho. 3. Umchamo omnyama: Olu lolona phawu lubalulekileyo noluyingozi . Umchamo uba bomvu-mdaka, njengombala we-cola . Ubungakanani bomchamo ophumayo bunokuncipha. Kodwa khumbula, malunga nesiqingatha sabantu abanale meko basenokungabi nantlungu okanye ubuthathaka bemisipha. Ngoko ke kufuneka uqaphele nezinye iimpawu. Ezinye iimpawu eziqhelekileyo:
Uyifumana njani le nto, Gqirha?
Ukuba unale mpawu, kuya kufuneka ubone ugqirha ngoko nangoko. Ugqirha uya kwenza uvavanyo oluninzi ukuqinisekisa ukuba unesifo.- Uvavanyo lwegazi lweCreatine Kinase (CK): I-CK yeyona khemikhali iphambili ekhutshwa egazini xa izihlunu zemisipha ziqhekeka. Kwi- rhabdomyolysis , amanqanaba e-CK aphezulu kakhulu. Olu vavanyo lwenziwa amaxesha amaninzi ukuze kubonwe ukuba amanqanaba ehla na ngexesha lonyango.
- Uvavanyo lomchamo we -Myoglobin: Olu vavanyo lweproteni endikhankanyileyo ngaphambili, ekhutshwa kwizihlunu, kumchamo. Nangona kunjalo, oku akuchanekanga njengovavanyo lwe-CK, kuba i-myoglobin ikhutshwa ngokukhawuleza emzimbeni.
- Ezinye iimvavanyo: Ezinye iimvavanyo zingenziwa, ezifana novavanyo lokusebenza kwesibindi kunye ne-EKG.
Ufanele uye nini esibhedlele ngoko nangoko?
Le yeyona nxalenye ibalulekileyo. Iimpawu zihlala ziqala emva kweeyure ezingama-24 ukuya kwezingama-72 emva kokonakala kwemisipha. Kulula ukubhidanisa imisipha ebuhlungu eyenzeka emva kokuzilolonga okuqhelekileyo kunye nemisipha ebuhlungu evela kwi-rhabdomyolysis. Ukuba ufumana iintlungu ezinganyamezelekiyo neziqatha zemisipha, ubuthathaka, kwaye uqaphela ukuba umchamo wakho uguquke waba mdaka okanye waba nombala we-cola, musa ukucinga kabini. Yiya kwiSebe lezeMpilo eziNgxamisekileyo lesibhedlele esikufutshane (ETU) ngoko nangoko.
Iphathwa njani?
Ukuba i-rhabdomyolysis iqinisekisiwe, ngokuqinisekileyo uza kulaliswa esibhedlele kwaye unyangwe.- Ii-IV Fluids (i-Saline ): Unyango oluphambili kukunika i-saline ngemithambo yegazi. Oku kunceda ukugcina umzimba unamanzi aneleyo, kunyusa ukuphuma komchamo, kunye 'nokukhupha' ezo tyhefu kwizintso.
- I-Dialysis: Xa izintso zonakele kakhulu kwaye zingakwazi ukucoca igazi, kunokufuneka zenziwe i-dialysis, inkqubo yokucoca igazi kusetyenziswa umatshini.
- Utyando: Ngamanye amaxesha, izihlunu ezonakeleyo zinokudumba kwaye zicinezele imithambo yegazi ejikelezileyo kunye nemithambo-luvo. Oku kubizwa ngokuba yi-'compartment syndrome'. Kwiimeko ezinjalo, utyando oluncinci (i-fasciotomy) lunokwenziwa ukunciphisa uxinzelelo.
- Ukunyanga unobangela oyintloko: Ukuba imeko ibangelwa sisifo seswekile, usulelo, okanye amayeza athile, kuya kunikwa nonyango olufanelekileyo lwaloo nto.
Umyalezo Wokuya Ekhaya
- I-Rhabdomyolysis yimeko embi kakhulu ebangelwa kukwaphuka kwemisipha. Oku kungonakalisa izintso.
- Iimpawu eziphambili ziintlungu eziqatha zemisipha, ubuthathaka, ingakumbi umchamo omdaka omnyama/onombala we-cola.
- Ukuba ubona enye okanye ezingaphezulu kwezi mpawu, musa ukuchitha ixesha kwaye yiya kwiSebe lezeMpilo eziNgxamisekileyo (ETU) lesibhedlele ngoko nangoko.
- Xa uzilolonga, ingakumbi ngeentsuku ezishushu, sela amanzi aneleyo ukuze umzimba wakho uhlale unamanzi. Musa ukuzilolonga ngaphezu kokuba umzimba wakho unako.
- Ukuxilongwa kwangoko kunye nonyango kunokukhokelela ekuchacheni ngokupheleleyo. Ngoko ke ungaze uzityeshele iimpawu.
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