Ingaba iinyawo zakho zihlala zimanzi kwaye zibanda kakhulu? Masithethe nge-'Trench Foot'!

Ngaba wakha weva ngento ebizwa ngokuba yi-'Trench Foot'? Eli gama lisenokuba litsha kuwe. Kodwa yimeko enokuchaphazela iinyawo zethu kwaye ifuna ingqalelo ethile. Kubaluleke kakhulu ukuba uyiqaphele ukuba iinyawo zakho zichatshazelwe kukufuma nokubanda ixesha elide. Makhe sijonge ukuba yintoni i-'Trench Foot', kutheni isenzeka, kwaye ungayiphepha njani.

Yintoni iTrench Foot? Ngamafutshane...

Ngamafutshane, 'iTrench Foot' yimeko eyenzeka xa iinyawo zakho zivaleleke kwiikawusi okanye izihlangu ezimanzi ixesha elide, kwaneentsuku, kwaye zichanabeke kumkhuhlane. Abanye abantu babiza le 'Immersion Foot Syndrome'. Khawucinge nje, ukuba sihlala sihlala kwindawo emanzi, ebandayo, kwaye mhlawumbi engcolileyo, ulusu kunye nezicubu zeenyawo zethu ziqala ukonakala.

Olu luhlobo lokulimala okubangelwa yingqele . Oku kuthetha ukuba ubushushu akufuneki bube phantsi njengokuqandisa ukuze kubangele le meko, kodwa bunokwenzeka kumaqondo obushushu angaphezulu kancinci kokuqandisa. Ezinye iimeko ziquka `(Chilblains)` (ezifana nama-blisters), `(Frostnip)` (ukuqandisa ulusu), kunye `(Raynaud's phenomenon)` (imeko apho imithambo yegazi iqina kwaye iminwe ijika ibe mhlophe). Ukuba ulusu kunye nezicubu ziyaqhekeka ngenxa 'yonyawo oluqhekekileyo', kukho umngcipheko omkhulu wosulelo . Oku kunokuba buhlungu kakhulu, kodwa iindaba ezimnandi zezokuba kunokunyangeka kwaye kuthintelwe .

Kutheni le nto yayibizwa ngokuba yi-'Trench Foot'?

Igama elithi 'trench foot' livela kwibali elidala. Le meko yaqala ukuchazwa ngo-1812 ngugqirha womkhosi waseFransi owayenyanga amajoni omkhosi kaNapoleon. Kodwa yaba yaziwa kwihlabathi liphela ngexesha leMfazwe Yehlabathi yokuQala. Ngelo xesha, amajoni kwakufuneka ahlale emiseleni egcwele amanzi, enodaka kangangeentsuku, ngamanye amaxesha iiveki. Ukubanda, ukufuma, kunye nothuli kwabangela inani elikhulu lamajoni ukuba afumane esi sifo. Phakathi kowe-1914 nowe-1915 kuphela, amajoni aseBritane angaphezu kwama-20,000 anyangwa 'trench foot'. Ngethamsanqa, kukho iindlela ezingcono zokuyithintela nokuyinyanga namhlanje. Nangona kunjalo, le meko isasenzeka ngamanye amaxesha .

Ngubani onokuthi abe ne-'trench foot'?

Imeko eyaziwa ngokuba yi-'trench foot' ibonakala kakhulu kwabo basemkhosini, ngexesha loqeqesho lwabo kunye nemisebenzi yokulwa. Nangona kunjalo, inokuchaphazela nabantu abakwezinye iindidi. Umzekelo:

• Kwabo bangenamakhaya: Badla ngokunxiba iikawusi nezihlangu ezifanayo. Bachanabeka kumswakama nokubanda ixesha elide kuba abanandawo ifanelekileyo yokuhlala.
• Kwabo baya kwiikonsathi zomculo: Oku kunokwenzeka nakwabo baya kwiikonsathi zomculo ezinkulu ezibanjelwa ngaphandle kangangeentsuku kwaye zichanabeke kwiindawo ezibandayo, ezimanzi, kwaye mhlawumbi ezimdaka.
• Abantu abasebenza emanzini: Abalobi, abasebenzi basezibukweni, okanye abanye abantu abachitha ixesha elide emanzini ngenxa yemisebenzi yabo banokuba ne-'trench foot'. Kwanakwilizwe lethu, abo basebenza emasimini ngexesha lemvula, okanye abo bachitha ixesha elide emanzini ngexesha leemeko ezifana nezikhukula, nabo kufuneka balumke ngale nto, ingakumbi ukuba imeko-bume ibanda.
• Kwabo babandakanyeka kwimisebenzi yangaphandle: Abo banezinto abazithandayo ezifana nokunyuka intaba nokuhamba ehlathini banokuba sesichengeni sokufumana le meko ukuba abazitshintshi iikawusi nezihlangu zabo ezimanzi kwangethuba. Kulungile ukukhumbula oku xa ubandakanyeka kwimisebenzi enjalo kwiindawo zeentaba zaseSri Lanka (ezifana neNuwara Eliya, eHaputale) kwaye ukuba okusingqongileyo kupholile kwaye kumanzi.

Zithini iimpawu 'zonyawo lomsele'?

Njengoko i-trench foot iba nzima ngakumbi, indlela ebonakala nevakala ngayo iyatshintsha.

Ekuqaleni, usenokuziva iinyawo zakho zingabi nanto, ziqaqamba, okanye zingabi nanto kwaphela . Abanye abantu banokuziva ngathi kukho into etyhalelwa ezinyaweni zabo, okanye iinyawo zabo zingaziva zinzima kakhulu, njengenkuni. Oku kunokukwenza kube nzima ukuhamba. Ekuqaleni, iinyawo zakho zinokuba bomvu obuqaqambileyo . Kodwa ngokuhamba kwexesha, njengoko imithambo yegazi incipha, iinyawo zakho ziya kuba mhlophe, zibe mdaka, zibe mhlophe .

Wakuba uphumile emakhazeni, ulusu lweenyawo zakho luza kuqala ukutshintsha umbala kwakhona. Ukuba unesikhumba esikhanyayo, iinyawo zakho zinokuba luhlaza okwesibhakabhaka okanye zimfusa ngenxa yokuncipha kokuhamba kwegazi . Ukuba unesikhumba esimnyama, olu tshintsho lombala lusenokungabonakali kangako. Ulusu lunokubanda kwaye lube namabala kwezinye iindawo . Ukongeza, kunokubakho ukudumba . Kwezinye iimeko ezinzima, iinyawo zakho zinokuba nobukhulu obuphindwe kabini!

Njengoko iinyawo zakho zifudumala kwakhona, zinokuba bomvu kwakhona . Usenokuziva iintlungu ezinzulu okanye iimvakalelo ezingaqhelekanga njengoko igazi libuyela ezinyaweni zakho. Usenokuba namadyungudyungu, izilonda, okanye izilonda ezivulekileyo ezinyaweni zakho. Ezi zinokukwenza ube sesichengeni sosulelo lwefungus kunye neentsholongwane. Ulusu lwakho lunokuba buthathaka kakhulu kutshintsho lobushushu okanye nokuba kukuchukumisa nje.

Yintoni ebangela i-trench foot?

I-Trench foot ikhula xa iinyawo zakho zichatshazelwa yimozulu ebandayo nemanzi ixesha elide. Khumbula, ubushushu akufuneki bube yingqele ebandayo. I-Trench foot inokukhula nokuba kumaqondo obushushu aphantsi njenge-16 degrees Celsius (60 degrees Fahrenheit) .

Xa amaqondo obushushu abandayo kunye nokufuma kudibana, imithambo yegazi emincinci (ii-capillaries) ezinyaweni zakho iqala ukuba buthathaka . Oku kungonakalisa izicubu ezingqongileyo. Ukongeza, ukuhamba kwegazi okulinganiselweyo kunokuchaphazela ukujikeleza kwegazi kunye nokusebenza kwemithambo-luvo yakho.

Ukuba neenyawo ezibila kakhulu (iHyperhidrosis) nako kunokuba yimbangela 'yeenyawo ezirhubuluzayo'.

Kudla ngokuthatha ixesha elingakanani ukuba i-trench foot ikhule?

Kwiimeko ezininzi, i-trench foot ifuna usuku olunye ukuya kwezintathu zokuchayeka kwiimeko ezibandayo nezimanzi. Nangona kunjalo, ngamanye amaxesha imeko inokukhula kwiiyure ezili-10 ukuya kwezili-14 . Ngoko ke kubalulekile ukuba uqaphele.

Ugqirha uyibona njani le nto 'njengonyawo lomsele'?

Ugqirha wakho uza kuqala enze uvavanyo lomzimba ukuze afumanise i-trench foot. Uza kuhlola iinyawo zakho aze akubuze ngeempawu zakho. Uza kubuza nangemeko okuyo kutshanje. Ukuba ukhe wachatshazelwa yimozulu ebandayo nefumileyo kangangeeyure ezimbalwa, ugqirha wakho unokurhanela ukuba i-trench foot ikwimeko enjani.

Ugqirha wakho uya kufuna ukuqinisekisa ukuba iimpawu zakho azibangelwa lusulelo okanye enye imeko, efana ne-frostbite. Usenokuyalela ukuba kwenziwe uvavanyo lwe-white blood cell count okanye uvavanyo lwe-ESR (Erythrocyte Sedimentation Rate) . Uvavanyo lwe-ESR lujonga ukudumba emzimbeni wakho. Ungacelwa ukuba wenze i-X-ray okanye i-bone scan ukuba bakrokrela ukuba unesifo samathambo (i-osteomyelitis).

Ngaba ikho indlela yonyango lwe-'trench foot'? Ngaba inganyangeka?

Ewe, ngokuqinisekileyo! I-Trench foot inganyangeka ngokupheleleyo ukuba ifunyaniswe kwangethuba . Unyango lwe-trench foot luquka:

• Ukuzifudumeza kancinci iinyawo: Ukuba uzifudumeza ngokukhawuleza kakhulu, kunokubangela iintlungu eziqatha kunye nokudumba. Ngoko ke, kufuneka uzifudumeze kancinci.
• Ukugcina iinyawo zakho zicocekile, zomile, kwaye zifudumele: Ugqirha wakho uza kukucebisa ukuba ucoce iinyawo zakho kwaye uzigcine zomile kwaye zifudumele.
• Ukuphumla nokugcina iinyawo zakho ziphezulu kunentliziyo yakho: Oku kunceda ukuthintela ukwakheka kwezilonda ezintsha kunye namadyungudyungu.
• Ii-antibiotics: Ugqirha angakunika ii-antibiotics ukuthintela usulelo.
• Inaliti yokunyusa i-tetanus: Nale inikwa ukuba kuyimfuneko.
• Iipilisi zokunciphisa iintlungu: Ungathatha iipilisi zokunciphisa iintlungu ezifana ne-"NSAIDs" (iziyobisi ezichasene nokuvuvukala ezingezizo ii-steroidal) okanye i-"Acetaminophen" (i-paracetamol). Nangona kunjalo, ngamanye amaxesha ugqirha angakunika neyeza elibizwa ngokuba yi-"Amitriptyline".

Ndingazinyamekela njani emva konyango?

Emva kokuba unyangiwe i-trench foot, kukho izinto ezimbalwa ekufuneka uzenze ukuqinisekisa ukuba iinyawo zakho ziyaqhubeka ziphila. Nazi:

• Nxiba iikawusi ezicocekileyo nezomileyo yonke imihla.
• Musa ukunxiba iikawusi xa ulele. Ngale ndlela ungagcina iinyawo zakho zomile.
• Hlola iinyawo zakho yonke imihla.Lumkela iimpawu ezibonisa ukuba iimpawu ziya zisiba mandundu okanye naziphi na iimpawu zosulelo.
• Kuphephe ukutshaya nokusebenzisa ezinye iimveliso ezine-nicotine. I-nicotine inokunciphisa ukuhamba kwegazi ezinyaweni zakho.
• Yitya ukutya okutyebileyo kwiproteni. Oku kuya kunceda inkqubo yokuphiliswa.

Ungakuthintela njani uphuhliso lwe-'trench foot'?

I-Trench foot yimeko enokuthintelwa . La manyathelo alandelayo anokukunceda uphephe ukuba nale meko:

• Tshintsha iikawusi nezihlangu/izihlangu ezimanzi ngokukhawuleza.
• Yomisa iinyawo zakho ngokuzibeka emoyeni. Qiniseka ukuba iinyawo zakho zomile ngamaxesha onke.
• Gcina iinyawo zakho ziphakanyisiwe nanini na xa kunokwenzeka.
• Tshintsha ube neekawusi ezintsha ubuncinane kanye ngemini.
• Nxiba izihlangu okanye izihlangu ezikulingana kakuhle kwaye ezingakuxinanisi kakhulu.

Khumbula, intetho ethi "ukuthintela kungcono kunokunyanga" iyasebenza nakweli 'trench foot'.

Kuza kwenzeka ntoni ukuba unesifo 'sokuqaqanjelwa yi-trench foot'? Ngaba yinto omele uyoyike?

Ngaphambili, i-trench foot yayisisimo esibi kakhulu esasinokukhokelela ekufeni. Nangona kunjalo, namhlanje, ukuba ifunyaniswe kwaye inyangwa kwangethuba, uninzi lweemeko ze-trench foot zinokunyangwa ngokupheleleyo . Ungalindela ukuba uphile ngokupheleleyo kule meko. Nangona kunjalo, kunokubakho iintlungu okwethutyana ngelixa imvakalelo epheleleyo enyaweni ibuyiselwa.

Ngaba 'i-trench foot' ingabangela iingxaki eziyingozi?

Ewe, ukuba ayinyangwa, iingxaki ezinkulu zinokwenzeka. Iimeko ezifana ne-`(Cellulitis)` (usulelo lwebhaktheriya lolusu) okanye `(Gangrene)` (ukufa kwezicubu) zinokwenzeka. Kwiimeko ezinzima, ukunqunyulwa kwenxalenye yomlenze kunokufuneka ukuthintela imeko ye-`(Gangrene)` ukuba ingasasazeki ngakumbi. Ezinye iingxaki ziquka i-`(Sepsis)` (ityhefu egazini) kwanokufa.

'I-Trench foot' yimeko ebuhlungu eyathiywa igama layo ngenxa yemisele eyayinyanyekelwa ngamajoni ngexesha leMfazwe Yehlabathi yokuQala. Amajoni amaninzi aphulukana nemilenze yawo kwaye amanye afa ngenxa yayo. Kodwa namhlanje, siyazi okuninzi malunga nendlela yokuyithintela nokunyanga.

Okokugqibela, khumbula oku !

Eyona ndlela ilungileyo yonyango lwe-trench foot kukuthintela . Ukuba uyazi ukuba uza kuba kwindawo ebandayo nefumileyo ixesha elide, ngokuqinisekileyo thatha amanyathelo okhuseleko . Soloko uphethe iikawusi ezongezelelweyo, kwaye uqinisekise ukuba izihlangu zakho zilingana kakuhle. Ngezinto ezilula ezinje, akuyi kufuneka ukhathazeke nge-trench foot. Nyamekela iinyawo zakho, kwaye uzigcine ziphilile!

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