Ingabe umzimba wakho uvuvukala ngokuzumayo? Ake sifunde ngale Anasarca!

Ingabe ngezinye izikhathi uzizwa sengathi umzimba wakho uvuvukala ezingxenyeni ezahlukene? Mhlawumbe yimilenze yakho, izingalo zakho, noma ubuso bakho. Kodwa kunezikhathi lapho umzimba wakho wonke uzizwa uvuvukile futhi ukhukhumele njengebhaluni . Yilolo hlobo lwesimo esizokhuluma ngaso namuhla, esibizwa ngokuthi i-Anasarca. Lesi yisimo esingaba sibi kakhulu kunokuvuvukala okuvamile. Yingakho kubalulekile ukwazi kahle ukuthi siyini.

Iyini i-Anasarca? Masiyiqonde kalula!

Kalula nje, i-Anasarca iwukuvuvukala okuvamile (i-generalized edema). Lokhu kuvuvukala kubangelwa ukunqwabelana koketshezi ngokweqile ezingxenyeni ezahlukene zomzimba wethu, isibonelo, ebusweni, esiswini, ezindaweni zangasese, emaphashini, nasezithweni.

Cabanga ngakho, uketshezi luyahamba luye emuva naphambili ngemithambo yegazi engaphakathi emizimbeni yethu. Kudingeka kube nokulinganisela phakathi koketshezi oluphuma kule mithambo yegazi, luye ezicutshini ezizungezile, kanye nobuningi obumuncwa bubuyele emithanjeni yegazi. Kulapho lokhu kulinganisela kulahleka khona lapho izinkinga ziqala khona.

Uma sikhuluma iqiniso, imithambo yegazi emincane kakhulu yomzimba wethu, ebizwa ngokuthi ama-capillary, ingavuza uketshezi oluningi kakhulu ezicutshini ezizungezile. Noma, inqubo yokususa lolu ketshezi oluningi ohlelweni lwethu lwe-lymphatic ingase ingasebenzi kahle. Noma ngabe yikuphi, umphumela uba uketshezi olunqwabelana ezicutshini, okubangela ukuvuvukala.

Cabanga ngakho njengengadi yakho egcwele amanzi ngesikhathi semvula enkulu. Lapho umhlabathi umanzi kakhulu, amanzi ayaphuma, akunjalo? Kunjalo-ke. Lapho imithambo yethu yegazi igcwele kakhulu, uketshezi luphuma luye ezicutshini ezizungezile, okubangela ukuba zivuvuke.

Uma lolu ketshezi oluningi luqoqana emzimbeni wakho, ungase uzizwe sengathi izindandatho zakho ziqinile futhi izicathulo zakho kunzima ukuzigqoka . Kodwa-ke, ngokungafani nokuvuvukala okuvamile, e-Anasarca, lezi zinto zenzeka ezindaweni eziningana emzimbeni wakho ngesikhathi esisodwa.

Ziyini izimpawu zalokhu? Ingabe nawe unazo lezi?

Esimweni sase-Anasarca, ungase ube nezimpawu ezifana nalezi:

• Kukhona ukuvuvukala okubonakalayo nokukhukhumala ezindaweni eziningana zomzimba. Isikhumba kulezi zindawo ezivuvukele singase sibonakale sinwebekile futhi sicwebezela.
• Ukwanda kwesisindo somzimba ngenxa yokugcinwa koketshezi ngokweqile.
• Ukuvuvukala kungabangela ukungakwazi ukuhambisa izingalo nemilenze kahle, kanye nobunzima bokugoba nokwelula amalunga.
• Ukuqongelela koketshezi esiswini, okwaziwa nangokuthi ama-ascites, kungenza isisu sibonakale sivuvukele.
• Ukuzizwa ukhathele kakhulu futhi ukhathele.
• Ukunqwabelana koketshezi emaphashini (i-pulmonary edema). Lokhu kungabangela ubunzima bokuphefumula .
• Ukwehla kokukhishwa komchamo (i-oliguria) noma ngezinye izikhathi ukungabikho kokukhishwa komchamo (i-anuria).

Uma unesinye noma ngaphezulu salezi zimpawu, kubaluleke kakhulu ukuzinakekela.

Yiziphi izimbangela ze-Anasarca?

I-Anasarca ibangelwa kakhulu yizinkinga ezithile enhliziyweni yethu, esibindini, noma ezinso . Ngezinye izikhathi lesi simo singavela nangemva kokuhlinzwa.

Ezinye zezimo ezibangela i-Anasarca yilezi:

• Ukwehluleka kwenhliziyo .
• I -Glomerulonephritis yisifo sezinso.
• I-Nephrotic syndrome , inkinga ehlobene nezinso.
• I-cirrhosis yesibindi.
• Ukwehluleka kwezinso.
• Ukwehluleka kwesibindi .
• Imithi efana nama-hormone athile e-steroid kanye nemithi yokwehlisa umfutho wegazi (imithi yokwehlisa umfutho wegazi).
• Ukungondleki kahle - Lokhu kusho ukudla ukudla okunama-calories aphansi kanye namaprotheni isikhathi eside.
• Izimo zokuvuvukala njenge-rheumatoid arthritis (RA).
• Izinkinga zesistimu ye-lymphatic.
• Ezinye izifo zamathumbu (izifo ze-GI), njengesifo se -celiac.
• Ukwehla kokusebenza kwe-thyroid (Hypothyroidism).
• Izifo ezahlukahlukene.
• Ukusabela kokungezwani komzimba .

Kunezici eziningana ezingaba nomthelela esimweni se-Anasarca. Yingakho kubalulekile ukufuna iseluleko sezokwelapha ngaphandle kokuziba ukuvuvukala.

Yiziphi izinkinga ezingaba khona ze-Anasarca?

Uma isimo se-anasarca siqhubeka, singaholela ezinkingeni ezengeziwe. Nazi izibonelo ezimbalwa:

• Izilonda zesikhumba noma izifo ezifana ne-cellulitis. Isikhumba esivuvukele siba sincane futhi singalimala kalula.
• Amahlule egazi emithanjeni ejulile (I-Deep vein thrombosis).
• Ukuqongelela koketshezi esikhwameni esizungeze inhliziyo (i-pericardial effusion).
• Isifo sengcindezi ephathelene nenkinga yokuphefumula engamahlalakhona .
• Izitho zangaphakathi azisebenzi kahle.

Kungcono ukwelapha i-Anasarca ngokushesha okukhulu, ngaphambi kokuba kuvele izinkinga ezinjengalezi.

Uyixilonga kanjani i-Anasarca?

Uma unalolu hlobo lokuvuvukala, uma ubona udokotela, bazokubuza ngomlando wakho wezokwelapha , ukuthi imiphi imithi oyiphuzayo , ukuthi usunesikhathi esingakanani unalezi zimpawu, nokuthi ngabe uke waba nazo yini ngaphambili. Ngemuva kwalokho bazokwenza ukuhlolwa ngokomzimba .

Ngezinye izikhathi, ukushintsha isimo somzimba wakho (isibonelo, ukuphakamisa imilenze yakho) kungasiza ekunciphiseni ukuvuvukala. Futhi, lapho udokotela ecindezela indawo evuvukele ngomunwe wakhe, indawo izovuleka okwesikhashana (i-pitting edema). Ngisho nezinto ezincane ezinjengalezi zingasiza udokotela ukuthola imbangela ye-anasarca.

Yiziphi izivivinyo ezenziwayo?

Odokotela bayalela ukuhlolwa okuhlukahlukene ukuqinisekisa isimo se-Anasarca nokuthola imbangela yaso. Ezinye zazo yilezi:

• Ukuhlolwa kwegazi .
• Ukuhlolwa komchamo .
• I-X-ray yesifuba .
• Ukuhlolwa kwe-echocardiogram (Echo) (Echocardiogram (Echo)) - Lokhu kuhlola ukusebenza kwenhliziyo.
• I-CT scan (i- CT scan).
• Ukuhlolwa kwe-ultrasound kwemilenze noma izinso zakho .
• Ukuhlolwa kwe-MRI (i-Magnetic resonance imaging (MRI)) .
• Ukuhlolwa kwe-Lymphoscintigraphy - Lena indlela ekhethekile ehlola uhlelo lwe-lymphatic.

Kusekelwe olwazini olutholwe kulezi zivivinyo ukuthi udokotela ufinyelela esiphethweni ngesimo sakho futhi uhlela ukwelashwa.

Iphathwa kanjani i-Anasarca?

Into eyinhloko ekwelapheni i-anasarca ukwelapha isimo esiyisisekelo esibangele lokhu.

I-Anasarca ivame ukwelashwa ngemithi ebizwa ngokuthi ama-diuretics . Abanye abantu babiza lawa ngokuthi “amaphilisi amanzi.” Le mithi isiza umzimba wakho ukukhipha usawoti namanzi amaningi ngomchamo wakho. Uma uthatha le mithi, kungadingeka ukuthi uchame kaningi, ikakhulukazi emahoreni ambalwa okuqala. Kodwa-ke, abanye abantu bangase babe nemiphumela emibi njengokuphelelwa amanzi emzimbeni , amazinga aphezulu e-potassium egazini (hyperkalemia), noma amazinga aphezulu e-LDL (amabi) cholesterol (hypercholesterolemia). Ngakho-ke, kufanele isetshenziswe kuphela ngaphansi kweseluleko sikadokotela.

Kuye ngembangela yesimo se-anasarca, kunezinye izindlela zokwelapha:

• Ukunciphisa inani loketshezi nosawoti olusebenzisayo.
• Ukwengeza izakhamzimba ekudleni kwakho.
• Ukunikeza uketshezi lwe-albumin ngomthambo osengalweni (i-Albumin infusions).
• I-Dialysis – Lokhu kwenzelwa abantu abangasebenzi kahle izinso zabo.
• Ukwelashwa ngokucindezela - okungukuthi, ukugqoka amasokisi akhethekile (amasokisi okucindezela) noma amabhandeji.
• Ukugcina imilenze yomibili iphakeme.
• Ukubhucungwa kwamanzi nge-lymphatic drainage.

Udokotela uzonquma indlela yokwelapha efaneleka kakhulu kuwe.

Yini umuntu one-Anasarca angayilindela?

Ukululama kwe-Anasarca kuyahlukahluka kumuntu nomuntu. Kuya ngokuthi yini ebangele lesi simo nokuthi ukwelashwa kushesha kangakanani. Uma ukwelashwa kuphumelele, udokotela angayilapha ngokuphelele i-Anasarca.

Isibonelo, umuntu othola i-anasarca ngenxa yemithi noma ukutheleleka unethuba elihle lokululama. Kodwa-ke, kumuntu othola i-anasarca ngenxa yesimo sezokwelapha sesikhathi eside , isibikezelo singase singabi sihle kangako.

Ingabe lokhu kungavinjelwa?

Yebo, kungenzeka ukuvimbela i-anasarca uma isimo sezokwelapha esibangela lokhu siphathwa kahle. Lokhu kusho ukuthi kubaluleke kakhulu ukulandela imiyalelo kadokotela wakho, kungakhathaliseki ukuthi kumayelana nokushintsha imikhuba yakho yansuku zonke noma ukuphuza imithi yakho ngendlela efanele.

Ngizinakekela kanjani?

Ngaphezu kokuthatha imithi njengoba nje udokotela wakho ekuyalele, ungenza okulandelayo:

• Gcina imilenze yakho iphakeme isikhathi eside ngangokunokwenzeka.
• Yenza umsebenzi womzimba ojwayelekile, njengokuhamba ngezinyawo.
• Gqoka amasokisi okucindezela (njengoba kuqondiswe udokotela wakho).
• Nciphisa inani likasawoti owufaka ekudleni kwakho.

Ngisho nalezi zinto ezincane zingakulethela impumuzo enkulu.

Kufanele ngimbone nini udokotela?

Uma uvuvukala ezindaweni eziningana zomzimba wakho ngesikhathi esisodwa , ikakhulukazi uma kuhambisana nobunzima bokuphefumula , bona udokotela ngokushesha. Lokhu kungaba izimpawu zokwehluleka kwenhliziyo.

Yimiphi imibuzo okufanele ngiyibuze udokotela?

Uma uya kudokotela, ungabuza imibuzo efana nale:

• Iyini imbangela yalokhu kuvuvukala?
• Yikuphi ukwelashwa okungcono kakhulu kimi?
• Ngingalinciphisa kanjani inani likasawoti ekudleni engikudlayo?
• Kufanele ngigqoke amasokisi okucindezela isikhathi esingakanani ?

Kungenzeka ukuthi wake waba nokuvuvukala okuncane ngaphambili. Kodwa-ke, ukuvuvukala okukhulu okuhambisana ne-anasarca kuwuphawu lokuthi kukhona okungathi sína okwenzekayo. Akukhona nje ukuthi akukhululekile, kodwa futhi kunganciphisa ikhono lakho lokuhambahamba. Uma ubona udokotela ngokushesha, kulapho ungathola khona imbangela ngokushesha futhi uthole impumuzo. Ukuba nemininingwane eminingi ngangokunokwenzeka ngezimpawu zakho kungasiza udokotela wakho ukuthola imbangela.

Ngamafuphi (Umyalezo Wokuya Ekhaya)

I-Anasarca yisimo esibangela ukuvuvukala komzimba wonke, futhi kuyinto okufanele uyiqaphele. Ingathinta kakhulu izifo ezihlobene nenhliziyo, isibindi kanye nezinso.

Khumbula, uma uzwa ukuvuvukala ngokuzumayo ezindaweni eziningana zomzimba wakho, ikakhulukazi lapho kunzima ukuphefumula, ungakushayi indiva.

Funa iseluleko sezokwelapha ngokushesha. Ukuxilongwa okufanele kanye nokwelashwa okusheshayo kungakusiza ukuthi ululame kulesi simo futhi uvimbele izinkinga ezingaba khona. Kubalulekile ukulandela imiyalelo kadokotela wakho ngqo.

I- Anasarca, ukuvuvukala, ukugcinwa koketshezi emzimbeni, isifo senhliziyo, isifo sezinso, isifo sesibindi, amaphilisi amanzi