Ukuba ungumntu ofumana unyango lwesifo sezintso, ingakumbi isifo sezintso esingapheliyo (CKD), ngaba ngamanye amaxesha uziva ngathi uyarhawuzelela umzimba wakho wonke ngendlela enganyamezelekiyo? Ngamanye amaxesha oku kurhawuzelela kuba nzima kangangokuba awukwazi nokulala ebusuku. Enyanisweni, ngamanye amaxesha kukho iimeko apho ulusu lonzakala ngokukrwela. Le yimeko ecaphukisayo kodwa eqhelekileyo ebonwa phakathi kwezigulane zezintso. Namhlanje sithetha ngale meko, eyaziwa ngokwezonyango njenge-'Uremic Pruritus'.
Yintoni i-Uremic Pruritus?
Ngamafutshane, le yimeko yokurhawuzelelwa kakhulu eyenzeka kubantu abanesifo sezintso esinganyangekiyo (CKD) kunye nesifo sezintso esikwinqanaba lokugqibela (ESKD). Ingongoma ekhethekileyo yoku kukuba akukho rhawuzelelo okanye isifo solusu esibangela ukurhawuzelelwa. Oko kukuthi, umzimba uyakrweleka ngaphandle kwengxaki yolusu ebonakalayo.
Oku kurhawuzelelwa kunokukuchaphazela ngeendlela ezahlukeneyo:
- Ngamanye amaxesha inokufika iphinde idlule emva kwexesha elithile.
- Abanye abantu banokuba nokurhawuzelelwa oku imini yonke.
- Oku kurhawuzelela kunokwanda, ingakumbi ebusuku, kwaye kuphazamise ubuthongo.
- Ingavakala ngathi iyarhawuzelela emzimbeni wakho wonke ngaxeshanye, okanye ingavakala kuphela kwiindawo ezithile , njengomqolo, ubuso, okanye amalungu omzimba.
- Oku kurhawuzelela kunokuba mandundu xa ulusu lwakho lomile.
- Oku kurhawuzelelwa rhoqo kunokuba nefuthe elikhulu kwimpilo yakho yengqondo kunye nomgangatho wobomi bakho.
Nangona igama elithi "Uremic" lisetyenziswa ukuchaza le meko, akuqinisekwanga ngokupheleleyo ukuba ibangelwa kukuqokelelwa kweetyhefu egazini (Uremia). Ngenxa yoko, ikwabizwa ngokuba yiChronic Kidney Disease-associated Pruritus (CKD-aP).
Ngubani onokuthi abone le meko?
Oku kurhawuzelelwa kuqheleke kakhulu kwizigulana ezisebenzisa i-kidney dialysis. Oko kukuthi, abantu abasebenzisa i-hemodialysis okanye i-peritoneal dialysis banamathuba amaninzi okuba nale meko kunabaguli bezintso abangayisebenzisiyo.
Uphando lubonisa ukuba abantu abanesifo sezintso abaneminyaka engaphezu kwama-70 ubudala banamathuba amaninzi okufumana olu rhashalala kwaye lunokuba qatha ngakumbi.
Cinga ngoku: Ama-70% abantu abakwi-hemodialysis, okanye malunga nesixhenxe kwishumi, bafumana ukurhawuzelelwa kwinqanaba elithile. Oku kuthelekiswa nama-25% abantu abanesifo sezintso esinganyangekiyo abangasebenzisi i-hemodialysis, okanye malunga nesinye kwabane.
Kuphi apho umzimba wakho urhawuzelela khona kakhulu?
Abantu abaninzi bahlangabezana noku kurhawuzelelwa emzimbeni wabo wonke okanye kwiindawo ezinkulu zomzimba wabo. Nangona kunjalo, iindawo ezixhaphakileyo apho izigulane zixela ukuba zirhawuzelelwa kakhulu ngumqolo, ubuso, kunye nengalo ene-dialysis shunt .
Ugqirha uyifumanisa njani le nto kwaye zithini izizathu zayo?
Ukuba unesifo sezintso esingapheliyo kwaye unolu hlobo lokurhawuzelelwa, ugqirha wakho uza kuqala ajonge ezinye izizathu. Baza kujonga ezinye iinguqulelo eluswini, ezifana nokurhawuzelelwa. Banokwenza novavanyo lwegazi. Ukuba akukho sizathu sifunyenweyo, ugqirha wakho uza kuyifumanisa le meko njenge-Uremic Pruritus.
Iingcali azikaqiniseki ncam ukuba kutheni oku kusenzeka, kodwa kukho izinto ezimbalwa ezicinga ukuba zinganegalelo.
| Unobangela onokwenzeka | Kalula nje... |
|---|---|
| Ukuqokelelwa kweetyhefu egazini (iityhefu ze-uremic) | Xa izintso zingasebenzi kakuhle, iityhefu eziyingozi ziyaqokelelana egazini. Ezi tyhefu zinokuvuselela imithambo-luvo eluswini kwaye zibangele ukurhawuzelelwa. |
| Ukungalingani kwenkqubo yomzimba yokuzikhusela | Isifo sezintso sinokutshintsha indlela esebenza ngayo inkqubo yethu yokuzikhusela komzimba. Ezinye zezi nguqu kunye nokwanda kokudumba emzimbeni kunokubangela ukurhawuzelelwa. |
| I-Neuropathy | I-neuropathy inokubangelwa kukungalingani kweekhemikhali emzimbeni. Oku kuxa imithambo-luvo ingathumeli okanye ingafumani zimpawu ngokuchanekileyo. Ezi zimpawu zingachanekanga zinokutolikwa yingqondo 'njengokurhawuzelelwa'. |
| Amayeza owasebenzisayo | Amanye amayeza asetyenziswa kwisifo sezintso anokubangela ukurhawuzelelwa njengesiphumo esibi. |
Ziziphi iindlela zonyango zokurhawuzelela oku?
Akukho nyango lulodwa olusebenzela wonke umntu. Nangona kunjalo, ugqirha wakho unokukunceda ukhethe unyango olulungele wena. Nazi ezinye zeendlela zonyango ezikhoyo ngoku.
| Indlela yonyango | Inkcazo |
|---|---|
| Utshintsho kwi-hemodialysis | Ugqirha wakho angenza utshintsho oluthile kwindlela yakho yokuhlaziya i-dialysis ukunceda ukunciphisa ukurhawuzelela. |
| Unyango olukhanyayo (iPhototherapy) | Olu lunyango olusebenzisa ukukhanya ukunyanga iimeko zesikhumba. Ezinye iintlobo zonyango lokukhanya zibonakalisiwe zisebenza kakuhle ekunciphiseni ukurhawuzelela. |
| Amayeza eentlungu zemithambo-luvo | Amanye amayeza anikwe ukunciphisa iintlungu zemithambo-luvo anokunceda ekulawuleni ukurhawuzelela. Umzekelo, amayeza abizwa ngokuba yiGabapentin kunye nePregabalin. |
| Amayeza e-Kappa-opioid agonists | La mayeza asebenza ngokunciphisa imiqondiso yemithambo-luvo ebangela ukurhawuzelelwa. I-Diphenhydramine kunye ne-Nalbuphine zimizekelo yolu hlobo lwamayeza. |
| Ukufakelwa kwezintso | Oku akuyonyango lokurhawuzelela. Nangona kunjalo, uphando lubonisa ukuba emva kokufakelwa izintso, ukurhawuzelela kuyaphela ngokupheleleyo kwizigulane ezimalunga nama-75%. |
Ndingenza ntoni ekhaya ngenxa yokurhawuzelelwa?
Thetha nogqirha wakho malunga neendlela ezikhuselekileyo zokulawula ukurhawuzelela ekhaya. Ungafumana isiqabu kwezi zinto:
- Ukufaka i-moisturizer eluswini. Kungcono ukuyifaka emva kokuhlamba ngelixa ulusu lusamanzi.
- Sebenzisa ezinye izinto zokuthintela ukurhawuzelelwa. Kodwa buza ugqirha wakho ngaphambi kokuba usebenzise nantoni na.
- Abantu abaninzi bathatha ii-antihistamines xa befumana ukurhawuzelelwa. Kodwa iingcali zithi la mayeza awasebenzi kakuhle kwimeko yokurhawuzelelwa yi-uremic. Kwaye anokubangela iziphumo ebezingalindelekanga.
Zithini iingozi ukuba azinyangwa?
Oku kurhawuzelelwa rhoqo kunokuchaphazela impilo yakho yomzimba neyengqondo.
- Ukukrwela rhoqo kunokonakalisa ulusu kwaye kukhokelela kwiintsholongwane.
- Ukungalali ngokwaneleyo kunokunciphisa umgangatho wobomi bakho.
- Enyanisweni, ezinye izifundo zibonise ukuba izinga lokufa kwabantu abanesifo sezintso esibangelwa kukurhawuzelelwa liphezulu kancinci kunelo labantu abangenaso isifo sokurhawuzelelwa. Kucingelwa ukuba isizathu esiphambili soku kusenokuba ziingxaki ezibangelwa kukungakwazi ukulala ngokwaneleyo.
Ngoko ke musa ukuyithatha njengento “ebangela ukurhawuzelelwa nje.” Ichaphazela impilo yakho iyonke.
Ngaba ikho indlela yokuthintela oku?
Akukho ndlela ithile yokuthintela ukurhawuzelelwa okunxulunyaniswa nesifo sezintso. Nangona kunjalo, ukuba unokuchonga ezinye zezinto (izinto ezibangela ukuba kube mandundu), ungalawula ukurhawuzelelwa ngokuziphepha. Umzekelo:
- Jonga ukuba izinto ezifana nolusu olomileyo, ubushushu okanye ukubanda okukhulu, okanye uxinzelelo ziyakwandisa na ukurhawuzelela.
- Kuphephe ukuhlamba ixesha elide.
- Faka i-moisturizer ngoko nangoko emva kokuhlamba.
- Ukuba imozulu yomile, sebenzisa i-humidifier egumbini.
Ukuba kukho ukurhawuzelelwa, xelela ugqirha wakho ukuba kubi kangakanani. Musa ukungayinaki nje. Ugqirha wakho unokukunceda ukuba ulawule oku ngokwenza utshintsho kunyango lwakho okanye ngokusebenzisa ezinye iindlela.
Umyalezo Wokuya Ekhaya
- Ukurhawuzelela kuxhaphake kakhulu kubantu abanesifo sezintso esinganyangekiyo (CKD) kunye nesifo sezintso esikwinqanaba lokugqibela (ESKD).
- Oku kurhawuzelelwa akubangelwa kukurhawuzelelwa okubonakalayo okanye esinye isifo, ngoko ke musa ukukutyeshela njengoku "kurhawuzelelwa nje."
- Nokuba ukurhawuzelela kwakho kuncinci kangakanani na, qiniseka ukuba uxelela ugqirha wakho ngako kwaye uchaze indlela okukuchaphazela ngayo ubomi bakho.
- Kukho iindlela ezahlukeneyo zonyango zokulawula oku kurhawuzelelwa, ngoko ke akufuneki ukhathazeke ngako.
- Ngenxa yokuba ukurhawuzelela okuqhubekayo kunokuchaphazela ubuthongo, impilo yengqondo, kunye nobomi bonke, kubalulekile ukufuna iingcebiso zonyango ngokukhawuleza.
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