Ubusazi na ukuba phakathi kwama-50% nama-60% emizimba yethu yenziwe ngolwelo? Oko kuthetha ukuba izinto ezifana namanzi negazi. Ukugcina olu nqanaba lolwelo lulungelelene kubalulekile kwimpilo yethu. Kodwa ukuba ngesizathu esithile olu lungelelwaniso luyaphazamiseka, ingakumbi ukuba ubungakanani bolwelo emzimbeni buyanda kakhulu, lunokukhokelela kwiingxaki ezininzi zempilo ezinzulu. Namhlanje sithetha ngale meko yokwanda kolwelo emzimbeni.
Yintoni i-Fluid Overload (i-Hypervolemia)?
Ngamafutshane,
i-Fluid Overload kuxa une-fluid eninzi emzimbeni wakho. Igama lezonyango lale nto yi
-Hypervolemia . Intsingiselo yeli gama ilula kakhulu. 'Hyper' ithetha "okuninzi kakhulu", kwaye 'vol' ithetha "umthamo" okanye "umthamo". Ngoko ke i-Hypervolemia ithetha ukwanda komthamo wolwelo emzimbeni. Kukwakho nelinye icala lale nto, elibizwa ngokuba yi-Hypovolemia. 'Hypo' ithetha "ukuhla". Ithetha ukwehla kwenqanaba lolwelo emzimbeni, okanye imeko efana nokuphelelwa ngamanzi emzimbeni. Kodwa namhlanje sigxile kwimeko ye-Hypervolemia, ekonyuka kolwelo. Le meko inokubangelwa zizizathu ezahlukeneyo ezifana nokusilela kwentliziyo, ukusilela kwezintso, isifo sesibindi (i-cirrhosis), kunye nokukhulelwa.
Zithini iimpawu zobuninzi bolwelo?
Xa ulwelo luqokelelana emzimbeni, iimpawu ezahlukeneyo zinokuvela. Ngamanye amaxesha ezi mpawu zinokubangelwa yimeko yezonyango ebangela ulwelo olugqithisileyo. Oku kunokubangelwa zizifo ezinzulu, ngoko ke ukuba unezinye zezi mpawu zilandelayo,
ngokuqinisekileyo kuya kufuneka ubone ugqirha wakho .
| Uphawu | Ingcaciso elula |
|---|
| Ukudumba | Usenokudumba emilenzeni, emaqatheni, ezandleni, okanye ebusweni. Ukuba le ndawo idumbileyo ihlala inemingxuma okwethutyana xa uyicinezela ngobhontsi wakho, ibizwa ngokuba yi-pitting edema . |
| Igazi elonyukayo | Ulwelo olongezelelekileyo emzimbeni wakho lwenza intliziyo yakho isebenze nzima, nto leyo eyonyusa uxinzelelo lwegazi. |
| Ubunzima bokuphefumla | Ukuba ulwelo olongezelelekileyo luqokelelana emiphungeni, lunokwenza kube nzima ukuphefumla. Usenokuva isandi esithi "crackle" xa uphefumla. Le yingxamiseko kwaye kufuneka ufune unyango ngokukhawuleza. |
| Iintlungu zesifuba | Oku kungaba luphawu lwemeko ebizwa ngokuba yi -Pulmonary Edema . Oku kuthetha ukuba imiphunga izaliswa ngamanzi. Oku kukwangungxamiseko, yiya kwiSebe leeNgxamiseko lesibhedlele (ETU) ngokukhawuleza. |
| Ukungonwabi komzimba | Usenokungakhululeki ngenxa yezinto ezifana nentloko ebuhlungu, ukudumba, okanye iintlungu zesisu. |
| Ukutyeba kwakho | Olu luphawu lokuqala lobuninzi bolwelo. Uninzi lwabantu lufumana malunga neekhilogram ezi-3-7 ngaphambi kokuba baqaphele ukudumba emilenzeni okanye esiswini. |
Kutheni oku kusenzeka? Ngubani osengozini enkulu?
Ubuninzi bolwelo buyenzeka xa izintso zakho ziqala ukugcina i-sodium (ityuwa) emzimbeni wakho. Ngokwesiqhelo, izintso zilawula ibhalansi yetyuwa kunye nolwelo emizimbeni yethu. Xa imeko yempilo ibangela ukuba izintso zigcine i-sodium, amanqanaba esodium emzimbeni ayenyuka. Ngenxa yoko, umzimba uqala ukuvelisa ulwelo oluninzi kakhulu.
Ngamafutshane, xa umzimba unetyuwa eninzi, ugcina amanzi ukuze unciphise ityuwa. Le yeyona nto ibangela ukudumba.
Kukho izizathu ezininzi kunye namaqela omngcipheko anokubangela oku:
- Ukusilela kwentliziyo : Xa izihlunu zentliziyo yakho ziba buthathaka, azikwazi ukupompa igazi ngokufanelekileyo. Oku kuthetha ukuba izintso zakho azifumani igazi ezilifunayo. Umzimba wakho uzama ukubuyisela igazi ngokugcina ityuwa namanzi. Isiphumo kukuba kubekho ulwelo oluhlala lukhona.
- Ukungasebenzi kakuhle kwezintso : Izintso zicoca igazi lethu kwaye zisuse ubuthi . Xa izintso zingasebenzi kakuhle, azikwazi ukususa ulwelo olungaphezulu kunye netyuwa emzimbeni kwaye ziyaqokelelana emzimbeni.Oku kungenzeka nangenxa yeemeko zezintso ezifana neNephrotic Syndrome .
- Iimeko zeSibindi : Iimeko zesibindi ezifana ne -cirrhosis zinokubangela ukuba isibindi singasebenzi kakuhle. Oku kunokubangela ulwelo oluqokelelene esiswini (olubizwa ngokuba yi-ascites ), kunye nokudumba ezandleni, ezinyaweni nasebusweni.
- Isifo seswekile : Isifo seswekile singonakalisa izintso, nto leyo enokubangela ukuba ulwelo luqokelele emzimbeni.
- Ukutya ityuwa eninzi: Ukuba wongeza ityuwa eninzi ekutyeni kwakho, ingakumbi ukuba utya ukutya okuninzi okucutshungulweyo, umzimba wakho udla ngokugcina amanzi.
- Amayeza athile: Amanye amayeza oxinzelelo lwegazi oluphezulu kunye neentlungu anokubangela ukugcinwa kolwelo emzimbeni njengesiphumo esingesihle.
- Ukukhulelwa: Utshintsho lweehomoni ngexesha lokukhulelwa kunye noxinzelelo kwimithambo yegazi yi-uterus ekhulayo kwandisa umkhwa wokuba ulwelo luqokelele emzimbeni.
Iphathwa njani?
Xa unyanga ulwelo olugqithisileyo, ugqirha wakho uza kuqala azame ukunyanga imeko engundoqo ebangele oko. Iindlela zonyango zinokwahluka ngokuxhomekeke kwimeko yakho.
Unyango lwezonyango
- I-Diuretics: Ezi zikwaziwa ngokuba 'ziipilisi zamanzi.' La mayeza anceda umzimba ukuba ukhuphe ulwelo olugqithisileyo ngomchamo.
- I-Dialysis: Olu nyango lusetyenziselwa izigulana ezinengxaki yezintso. Umatshini ucoca igazi kwaye ususa ulwelo olugqithisileyo.
- I-Paracentesis: Inkqubo yokususa ulwelo esiswini (i-ascites) kusetyenziswa umbhobho omncinci.
Utshintsho kwindlela yokuphila
Kunye nonyango, utshintsho olumbalwa esinokulwenza kwindlela esiphila ngayo lunokunceda kakhulu ekulawuleni le meko.
- Lawula ityuwa: Le yeyona nto ibalulekileyo. Nciphisa ubungakanani betyuwa oyongeza ekutyeni kwakho. Ingakumbi ukutya okucutshungulweyo okufana neesosi, ukutya okusemathinini, iisoseji, iikeyiki, kunye neebhisikithi ezinetyuwa eninzi.
- Zilinganisele imihla ngemihla: Zilinganisele ngaxeshanye, unxibe iimpahla ezifanayo. Ukuba ngequbuliso utyeba, kusenokuba kukugcinwa kwamanzi emzimbeni. Yazisa ugqirha wakho ngaloo nto.
- Ukunciphisa ulwelo: Abanye abaguli bayacetyiswa ngugqirha wabo ukuba banciphise ulwelo abanokulusela ngosuku. Landela le miyalelo ngononophelo.
- Sela amayeza amiselweyo kanye njengoko kuyalelwe: Sela amayeza amiselwe ngugqirha, ngexesha elifanelekileyo nangedosi echanekileyo.
- Indlela yokuphila esempilweni:Kuphephe ukutshaya, lawula ukusetyenziswa kotywala, yitya ukutya okunempilo, kwaye wenze umthambo ofanelekileyo njengoko ugqirha wakho eyalele.
Iingxaki xa zinganyangwanga
Ubuninzi bolwelo bunokubangela iingxaki ezinkulu ukuba abunyangwanga kakuhle.
- I-Pulmonary Edema: Ingxaki esongela ubomi ebangela ubunzima bokuphefumla.
- Ukungasebenzi kwentliziyo: Ukongeza uxinzelelo olungakumbi kwintliziyo esele ibuthathaka kunokuyenza mandundu imeko.
- Ukuphola kwenxeba okulibazisekileyo.
- Ukwaphuka kwezicubu.
Kungoko ke, kubaluleke kakhulu ukufuna iingcebiso zonyango ngokukhawuleza emva kokuba iimpawu zichongiwe.
Umyalezo Wokuya Ekhaya
- Ukugqithiswa kolwelo (i-Hypervolemia) kukwanda okugqithisileyo kolwelo emzimbeni.
- Ukudumba kwemilenze, izandla, nobuso, ukunyuka kobunzima ngequbuliso, ubunzima bokuphefumla, kunye noxinzelelo lwegazi oluphezulu zezona mpawu ziphambili.
- Iimeko ezifana nesifo sentliziyo, isifo sezintso, kunye nesifo sesibindi zinokuba zezona zinto ziphambili ezibangela oku.
- Ukuba unengxaki yokuphefumla okanye iintlungu esifubeni , yithathe njengengxamiseko kwaye ufune uncedo lwezonyango ngokukhawuleza.
- Unyango luquka 'iipilisi zamanzi' (i-diuretics) kunye nonyango lwesifo esisisiseko.
- Ukulawula ityuwa ekutyeni kunye nokulinganisa ubunzima bemihla ngemihla kubaluleke kakhulu ekulawuleni le meko.
- Ukuba unenkxalabo malunga noku, ngokuqinisekileyo thetha nogqirha wakho .
Ubunzima bokugcwala kolwelo, i-Hypervolemia, ukudumba komzimba, i-Edema, isifo sezintso, isifo sentliziyo, uxinzelelo lwegazi oluphezulu, ulwelo lomzimba, i-Pulmonary Edema, i-Diuretics, i-Dialysis, uLawulo lwetyuwa
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