Ngaba amalungu akho aphelelwe ngamandla? Ngaba imithambo yakho ivakala ngathi iyabetha? Isenokuba yiTetany.

Ngamanye amaxesha usenokuba ukhe wayiva loo nto, akunjalo? Iminwe neenzwane zakho ziyaphela, umlomo wakho uzive urhawuzelela, okanye izihlunu zakho ziqina ngokungathi kukho umthambo oqhumayo. Uninzi lwexesha, sicinga ngezi zinto njengezinto eziqhelekileyo, kodwa ngamanye amaxesha oku kungaba luphawu lwemeko efuna ingqalelo ethile. Yiloo nto sithetha ngayo namhlanje, ebizwa ngokuba yi-'Tetany.' Esi asisosifo, kodwa luphawu. Ukuchaneka, inkqubo yemithambo-luvo yomzimba wethu ivuseleleka kakhulu, nto leyo ebangela ukuba izihlunu ziqhawuke ngokuzenzekelayo.

Ngoko ke zithini iimpawu zeTetany?

I-Tetany inokuzibonakalisa ngeendlela ezininzi ezahlukeneyo. Ezinye iimpawu zincinci kakhulu, ngelixa ezinye zinokuba yingozi kakhulu. Masizihlukanise zibe ziindidi zazo ezahlukeneyo.

I-Tetany ayisoloko isongela ubomi, kodwa kwiimeko ezinzima inokuba njalo. Ukuqaqamba kwemisipha okunamandla kunokukhokelela ekuqhekekeni kwezicubu zemisipha, kude kukhokelele kwimeko eyingozi ebizwa ngokuba yi-'Rhabdomyolysis'.

Ingaba i-tetany kukuxhuzula?

Hayi. Ezi zimbini zimbini. Kodwa kulula ukudideka. I-tetany enzulu inokubangela ukuxhuzula.

Ngamafutshane, ukuxhuzula ngumsebenzi wombane okwethutyana, ongalawulekiyo engqondweni. Nangona kunjalo, i-tetany ayibangelwa yingxaki engqondweni, kodwa kukuvuselelwa kakhulu kwemithambo-luvo kunye nemisipha ngenxa yokungalingani kwe-electrolyte emzimbeni wethu.

Kutheni kukho i-tetany? Zithini izizathu eziphambili?

Eyona nto ibangela i-tetany kukungalingani kwe-electrolyte emzimbeni. Zithini ii-electrolyte? Ezi zizinto ezithwala itshaja yombane xa inyibilika emzimbeni wethu. Khawuthelekelele ukuba ama-60% omzimba wethu ngamanzi. Ngoko ke, phantse yonke iseli kunye nolwelo ngalunye luqulethe ii-electrolyte. Ezi electrolyte zibalulekile kwizinto ezininzi emzimbeni wethu, ezifana neempendulo zeekhemikhali, ukudluliselwa kwemithambo-luvo, kunye nokuxinana kwemisipha.

Xa ezi electrolytes zingalingani, iimpawu ze-tetany zinokubakho. Makhe sijonge ezona zizathu ziphambili.

• I-calcium ephantsi egazini (Hypocalcemia): Le yeyona nto ixhaphakileyo ebangela i-tetany. I-calcium egazini lethu yiyo enceda ukusebenza kwemithambo-luvo, ukuxinana kwemisipha, ukujiya kwegazi, kunye nokusebenza kwentliziyo ngokufanelekileyo. Amanqanaba e-calcium anokuba phantsi ngezizathu ezahlukeneyo, ezifana ne-hormone ephantsi ye-parathyroid (Hypoparathyroidism) okanye ukunqongophala kwe-vitamin D.

• I-magnesium ephantsi egazini (i-Hypomagnesemia): I-magnesium yi-electrolyte ebalulekileyo kwimisebenzi emininzi emzimbeni wethu. Ukunqongophala kwe-magnesium kunokubangelwa zizifo ezingapheliyo, ukusela utywala kakhulu, izifo zenkqubo yokugaya ukutya, kunye nezifo zezintso.

• I-potassium ephantsi egazini (i-Hypokalemia): I-potassium ibalulekile ekusebenzeni kakuhle kwemithambo-luvo kunye neeseli zemisipha, ingakumbi izihlunu zentliziyo. Ezinye ii-diuretics, ukuhlanza okungapheliyo okanye urhudo, kunye nesifo sezintso esingapheliyo zinokubangela amanqanaba aphantsi e-potassium.

• I-Metabolic Alkalosis: Ibhalansi ye-acid-base (pH) yegazi lethu ibaluleke kakhulu. Nokuba ukuphambuka okuncinci koku kunokusenza sigule. Kule meko, ubungakanani be-bicarbonate (isiseko) emzimbeni buyanda.

• Ukuphefumla ngokukhawuleza (i-Respiratory Alkalosis):Khawucinge nje, xa ngequbuliso uziva usoyika kakhulu okanye uxhalabile, uqala ukuphefumla ngokukhawuleza, akunjalo? Ngamaxesha anjalo, sikhupha i-carbon dioxide engaphezulu kunokuba kuyimfuneko. Emva koko inqanaba le-carbon dioxide egazini liyehla, kwaye igazi liba yi-alkaline. Oku kunokubangela neempawu ze-tetany.

Inyangwa njani le meko?

Kukho iinjongo ezimbini ekunyangeni i-tetany.

1. Injongo yexesha elifutshane: Ukulungisa ukungalingani kwe-electrolyte ngokukhawuleza.

2. Injongo yexesha elide: Ukuchonga nokunyanga isifo esibangela le meko.

Ukuba uneempawu ze-tetany ezibangelwa kukungabikho kwe-calcium encinci (hypocalcemia), ugqirha wakho unokucebisa oku kulandelayo:

• Izongezo zeKhalsiyam
• Izongezo zeVithamin D
• Iipilisi zeMagnesium

I-tetany eqatha yingxakeko yezonyango efuna ukulaliswa esibhedlele ngoko nangoko. Isenokufuna unyango olufana ne-calcium efakwa kwimithambo yegazi (IV). Xa ingxakeko iphelile, oogqirha baya kuqala ukunyanga imeko ebangela oko.

Ngaba iTetany ingathintelwa?

I-Tetany isenokungathintelwa ngokupheleleyo ukuba kukho imeko yezonyango ebangela ukungalingani kwe-electrolyte. Nangona kunjalo, njengakwesiphi na isifo, ukufunyanwa kwangethuba kunye nonyango kubalulekile.

Ngokuthetha nogqirha wakho kwangoko nje ukuba uqaphela iimpawu ezincinci ezifana nokurhawuzelela emlonyeni kunye nemithambo evuvukileyo, ungayilawula le meko ngaphambi kokuba ibe mandundu.

Eyona nto ibalulekileyo kukuba ukuba ezi mpawu sele zikho, kunzima ukulungisa oku kungalingani kwe-electrolyte ngokutya nokusela ekhaya. Ke ngoko, kubalulekile ukufuna ingcebiso kagqirha.