Kuqhelekile ukuva izihlunu ezibuhlungu xa uzilolonga okanye usenza umsebenzi onzima. Sonke siye sakubona oku. Kodwa ukuba izihlunu zakho zidumbile, uzive ubuthathaka, kwaye umchamo wakho utshintshile umbala, oko akuqhelekanga. Kungaba luphawu lwemeko eyingozi ebizwa ngokuba yi-rhabdomyolysis. Nangona igama lisenokuba nzima ukulibiza, ukwazi ngalo kunokusindisa ubomi bakho.
Yintoni iRhabdomyolysis?
Ngamafutshane, i-rhabdomyolysis yimeko apho izihlunu zakho zonakele kakhulu kwaye iiseli ezikwezo zihlunu ziyaphuka. Cinga ngayo njengengxowa encinci evulekayo kwaye zonke izinto ezingaphakathi ziyaphuma. Xa iiseli zethu zemisipha ziqhekeka, izinto ezingaphakathi kuzo ziya ngqo egazini lethu.
Phakathi kwezinto eziqokelelana egazini ngale ndlela kukho iproteni ebizwa ngokuba yi -myoglobin . Oku kufanele ukuba kufumaneke kuphela kwimisipha. Kodwa kwi-Rhabdomyolysis, isixa esikhulu sale myoglobin siqokelelana egazini size siye kwizintso zethu, ezicoca igazi. Xa izintso zingakwazi ukucoca isixa esikhulu kangaka seproteni, iproteni inamathela kwimijelo ethambileyo yezintso ize iqale ukwenza umonakalo omkhulu kwizintso . Le yeyona nto iyingozi kakhulu kule meko.
Le yimeko enzima kakhulu efuna unyango olungxamisekileyo, ngoko ke kubaluleke kakhulu ukuqaphela iimpawu.
Ziziphi iimpawu eziphambili zale meko?
Iimpawu ze-rhabdomyolysis ngamanye amaxesha ziqala njengentlungu nje yemisipha. Kodwa zihlala zinzima. Ezi mpawu zihlala zibonakala kusuku olunye okanye ezintathu emva kokonakala kwemisipha.
| Uphawu | Inkcazo |
|---|---|
| Intlungu ebuhlungu yemisipha kunye nokudumba | Yintlungu enzima kakhulu kunentlungu eqhelekileyo eyenzeka emva kokuzilolonga. Inokuba buhlungu kangangokuba awukwazi nokuyichukumisa. Indawo isenokuvakala ngathi idumbile kwaye iqinile. |
| Ubuthathaka bemisipha | Izihlunu zinokuba buthathaka kangangokuba awukwazi ukushukumisa ingalo okanye umlenze, okanye nokuhamba. Oku akupheleli nje ekudinweni. |
| Utshintsho kumbala womchamo | Olu lolona phawu lucacileyo noluyingozi lwesi sifo. Umchamo ujika ube mdaka omnyama, ube nombala weti, okanye ube nombala we-cola. Oku kungenxa yokuba iproteni ye-myoglobin eqokelelene egazini ikhutshwa kumchamo. |
| Ezinye iimpawu | Abanye abantu banokufumana iimpawu ezifana nokuphelelwa ngamanzi emzimbeni, ukuncipha kokuphuma komchamo, isicaphucaphu, kunye nokulahlekelwa zingqondo. |
Zithini izizathu ze-rhabdomyolysis?
Akukho sizathu sinye sale meko, kodwa zininzi izinto ezinokubangela loo nto. Ngokwenyani, nantoni na ebangela umonakalo omkhulu kwimisipha inokuba yimbangela.
| Isizathu | Ingcaciso elula |
|---|---|
| Ukuzilolonga kakhulu | Khawucinge ukuba awuzange uzilolonge ixesha elide uze ngequbuliso uphakamise ubunzima obuninzi okanye ubaleke iimayile ezininzi. Umzimba wakho awukwazi ukumelana nolu hlobo lokuzilolonga olugqithisileyo, into ongazange uyiqhele, kwaye iiseli zakho zemisipha zinokuwohloka. |
| Ukonzakala | Izinto ezifana nengozi yemoto, ukuwa kwindawo ephakamileyo, ukwenzakala okutyumkileyo, ukutsha kakhulu, kunye nokutshayiswa ngumbane kunokubangela umonakalo omkhulu kwizihlunu ngephanyazo. |
| Ukuphelelwa ngamanzi emzimbeni kunye nobushushu obuphezulu | Umngcipheko wokuqaqamba kwemisipha uyanda xa umzimba uphelelwe ngamanzi emzimbeni kwaye ushushu kakhulu. Lo mngcipheko uphezulu kwabo basebenza elangeni okanye abenza umthambo ngaphandle kokusela amanzi aneleyo. |
| Amanye amayeza | Le meko inokubangelwa nangamayeza athile e-statin, afana nalawo asetyenziselwa ukunciphisa i-cholesterol, kunye namanye amayeza okugula ngengqondo. Nangona kunjalo , ungaze uyeke ukuthatha amayeza anikwe ngugqirha wakho. Ukuba unamathandabuzo, thetha nogqirha wakho ngayo. |
| Ukuhlala kwindawo efanayo ixesha elide | Xa umntu omdala ewa aze alale phantsi iiyure okanye iintsuku engavuki, izihlunu eziphantsi kobunzima bomzimba zinokonakala ngenxa yokuncipha kokuhamba kwegazi. |
Ngubani osengozini enkulu yokuba nale meko?
Nangona oku kunokwenzeka nakubani na, abanye abantu basengozini enkulu.
- Abadlali bokunyamezela: abagijimi be-marathon, abenza umthambo ngamandla aphezulu.
- Abantu abasebenza kwiindawo ezishushu: abacimi-mlilo, abantu abasebenza kwishishini lokwakha.
- Abo baqeqeshwa emkhosini: Ngexesha leeseshoni zoqeqesho olunzulu.
- Abantu abangaphezu kweminyaka engama-65 ubudala: ngenxa yomngcipheko wokuwa nokungakwazi ukuvuka.
Ugqirha uyixilonga aze ayinyange njani le nto?
Xa usiya esibhedlele uneempawu ezikhankanyiweyo apha ngasentla, ugqirha uza kuqala akubuze ngezinto ozenzileyo kutshanje kunye namayeza owasebenzisayo. Emva koko, baza kwenza uvavanyo oluphambili olubini ukuqinisekisa ukuba unesifo.
1. Uvavanyo lwegazi: Oku kujonga inqanaba le-enzyme ebizwa ngokuba yi -creatine kinase (CK) . Xa izihlunu zonakele, eli nqanaba le-CK liba phezulu kakhulu egazini.
2. Uvavanyo lomchamo: Olu vavanyo lujonga i-myoglobin kumchamo.
Xa isifo sifunyenwe, unyango luyaqala. Unyango oluphambili nolubaluleke kakhulu kukunika umzimba isixa esikhulu se-saline (IV fluids) ngomthambo. Oku kulindeleke ukuba kuhlambe zonke izinto ezinobungozi egazini kwaye kuzikhuphe ngokukhawuleza ngezintso kumchamo. Oku kunokunciphisa umonakalo kwizintso.
Ukuba izintso zonakele kakhulu, kunokufuneka wenze i-dialysis ukuze ucoce igazi.
Ndifanele ndimbone nini ugqirha ngoko nangoko?
Le yeyona nxalenye ibalulekileyo kweli nqaku. Kufuneka ulumke kakhulu ngezi mpawu.
Ukuba unentlungu yemisipha enganyamezelekiyo, ubuthathaka, okanye ukudumba kwiintsuku ezimbalwa emva kokuzilolonga kakhulu okanye enye ingozi, ingakumbi ukuba umchamo wakho umdaka okanye unombala weti, yiya kwigumbi likaxakeka esibhedlele (ETU) ngaphandle kokulibazisa. Esi asisosifo esinokunyangwa ekhaya.
Singayinciphisa njani le ngozi?
Nangona iingozi zingenakuthintelwa, kukho izinto esinokuzenza ukunciphisa umngcipheko we-rhabdomyolysis, ingakumbi xa isenzeka ngexesha lokuzilolonga.
- Qala kancinci: Ukuba usandul’ ukuqala ukuzilolonga, musa ukuqala ngoko nangoko ukuphakamisa iintsimbi ezinzima okanye ukubaleka kakhulu. Vumela umzimba wakho uqhele kancinci kancinci.
- Sela amanzi amaninzi: Sela amanzi amaninzi ngaphambi, ngexesha, nasemva kokuzilolonga. Musa ukuzivumela ukuba uphelelwe ngamanzi emzimbeni.
- Mamela umzimba wakho: Ukuba uziva iintlungu ezinganyamezelekiyo okanye ukudinwa ngelixa uzilolonga, yima uphumle. Musa ukuwutyhala umzimba wakho ngaphaya kwemida yawo.
- Kuphephe ubushushu: Kuphephe ukuzilolonga ngaphandle xa kushushu kakhulu.
Umyalezo Wokuya Ekhaya
- Kukho iintlobo ezimbini zokuqaqamba kwemisipha ezenzeka emva kokuzilolonga okunzima: iRhabdomyolysis kunye nentlungu eqatha, ukudumba, kunye nobuthathaka. Qaphela ezi mpawu.
- Ukuba umchamo wakho ujika ube nombala omnyama ofana neti, luphawu olubonisa ukuba kukho imeko eyingozi. Funa ingcebiso kagqirha ngoko nangoko.
- Xa uqala umthambo, qala kwinqanaba umzimba wakho onokulinyamezela. Musa ukubeka uxinzelelo olukhulu emzimbeni wakho ngaxeshanye.
- Kuphephe ukuphelelwa ngamanzi emzimbeni ngokusela amanzi amaninzi xa uzilolonga nakwiindawo ezishushu.
- Okukhona le meko inyangwa ngokukhawuleza, kokukhona amathuba okuthintela umonakalo ongakumbi kwizintso nokuchacha ngokupheleleyo.
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