Ingabe ukuhlanza kuqala ngokuzumayo futhi kuhlale izinsuku eziningi? Ake sifunde nge-Cyclic Vomiting Syndrome (CVS)!

Ingabe ingane yakho, noma ngisho nawe, ngokuzumayo uqale ukuhlanza ngamandla ngaphandle kwesizathu esibonakalayo futhi kwaqhubeka usuku olulodwa noma ezimbili? Kwabe sekubuyela esimweni esijwayelekile njengokungathi akwenzekanga lutho? Uma lokhu kwenzeka ngokuphindaphindiwe izinyanga eziningana, kufanele uqaphele lesi simo esikhuluma ngaso namuhla esibizwa ngokuthi i-Cyclic Vomiting Syndrome (CVS). Lokhu akuyona nje isisu esibuhlungu, kuyinto ehluke kakhulu.

Iyini ngempela i-cyclic vomitation syndrome (CVS)?

Kalula nje, i-CVS yisimo lapho ubhekana khona neziqubulo eziphindaphindayo zesicanucanu esinzima nokuhlanza ngaphandle kwesizathu esibonakalayo. Lezi ziqephu zokuhlanza zingahlala kusukela emahoreni ambalwa kuya ezinsukwini ezimbalwa. Kungaba nzima kangangokuthi ungase ungakwazi ukuvuka embhedeni. Ngenxa yokuthi kulahleka uketshezi oluningi emzimbeni wakho, kungadingeka uye esibhedlela noma egumbini lezimo eziphuthumayo (ETU) ukuze uthole uketshezi lwe-IV ukuze uvimbele ukuphelelwa amanzi emzimbeni.

Kodwa into emangalisayo ukuthi, uma lesi sikhathi sokuhlanza okukhulu sesiphelile, uba nempilo enhle ngokuphelele futhi uphile kahle, njengokungathi awunazo nhlobo izinkinga.

Lesi simo singahlala izinyanga, iminyaka, noma ngisho namashumi eminyaka. Kodwa-ke, izimpawu azihlali zikhona. Ngokuvamile, ukuhlanza okunjena kungenzeka izikhathi eziningana ngonyaka. Kwabanye abantu, kungase kwenzeke kanye noma kabili ngenyanga.

Indlela yokuhlanza, isikhathi sosuku, ukuthi kukhulu kangakanani, nokuthi sekuphele isikhathi esingakanani kungahluka kumuntu nomuntu. Kodwa kumuntu ofanayo, izimpawu zivame ukuba zifana kakhulu, zilandela indlela efanayo isikhathi ngasinye.

Ingabe lesi simo sivamile?

I-CVS ivame kakhulu ezinganeni kunabantu abadala. Kulinganiselwa ukuthi cishe izingane ezintathu kweziyi-100,000 zingaba nalesi simo. Sivame kakhulu ukuqala ezinganeni eziphakathi kweminyaka emi-3 nengu-7. Kodwa-ke, singaqala kunoma yimuphi ubudala.

Ziyini izimpawu zalesi simo?

Uphawu oluyinhloko lwe-CVS ukucanuzela kwenhliziyo okuzumayo, okuphindaphindayo, okukhulu kanye nokuhlanza. Kunezigaba eziningana ezihlukene zalokhu.

Ngaphezu kwalokhu, kungase kube nezinye izimpawu:

• Isisu esibuhlungu
• Uhudo (ubuhlungu besisu)
• Isiyezi
• Ukuvuza amathe noma ukuvuza amathe
• Ukoma okukhulu
• Isifiso sokudla
• Isikhumba esikhanyayo
• Ikhanda elibuhlungu kakhulu kanye nokukhathala okukhulu
• Ukuzwela ukukhanya noma umsindo (njengomuntu onesifo sekhanda elibuhlungu)
• Umkhuhlane (kufika ku-101°F / 38.3°C)
• Ukuhlanza (ukuhlanza okomile): Lokhu kusho ukuthi uzizwa sengathi usuzohlanza, kodwa akukho okuphumayo ngoba akukho lutho esiswini sakho.

Yini engabangela i-CVS?

Akukaziwa okwamanje ukuthi lokhu kuyimbangela kuphela ye-CVS, kodwa kunezici eziningana okucatshangwa ukuthi zinegalelo kuyo.

• Izinkinga nge-axis yakho yobuchopho-amathumbu:Kalula nje, uma kunenkinga 'ekuxhumaneni' phakathi kobuchopho bethu nesimiso sezinzwa emathunjini, ukuhlanza okungalawuleki kungenzeka. Abanye ososayensi babiza lokhu ngokuthi ukuphazamiseka kobuchopho nesisu.
• Izinguquko ohlelweni lwakho lwezinzwa oluzimele: Lena yingxenye yomzimba wakho elawula izinto ongakwazi ukuzilawula, njengokushaya kwenhliziyo yakho, umfutho wegazi, kanye nokuhlanza. Uma kunenkinga ngalolu hlelo, ungase ulahlekelwe ukulawula ukuhlanza kwakho.
• Ikhanda elibuhlungu elibangelwa yi-migraine: Cishe u-80% wezingane ezine-CVS kanye no-25% wabantu abadala nabo bane-migraine. I-migraine ayiyona nje ikhanda elibuhlungu elinzima. Njenge-CVS, i-migraine ingaba yinkinga ekuqaleni. Abantu abaningi abane-CVS banomlando womndeni we-migraine.
• I-DNA ye-mitochondrial engajwayelekile: I-Mitochondria ifana 'nezitshalo zamandla' ezinikeza amandla kuwo wonke amaseli emzimbeni wethu. Imiyalelo yokuthi kufanele zisebenze kanjani iqukethwe ku-DNA. Uma kukhona iphutha kule DNA ngenxa yokugula, isimo sofuzo, noma esinye isizathu, amangqamuzana ezinzwa emathunjini awatholi amandla awadingayo. Lokhu kungabangela nokuhlanza okungalawuleki.

Yiziphi 'izinto ezibangela ukuhlanza'?

Izehlakalo ezithile, imizwa, noma izimo zingabangela ukuhlanza. Lokhu sikubiza ngokuthi 'izimbangela'. Uma une-CVS, kubalulekile ukuhlonza izimbangela zakho.

• Izinguquko zesimo sezulu (ikakhulukazi ekwindla nasebusika).
• Ukudla okuthile: izinto ezifana noshokoledi, ushizi, ikhofi, kanye ne-MSG (izinto zokunambitha).
• Injabulo enkulu yezingane: Cabanga nje, lokhu kungaqala ngesikhathi lapho ingane ijabule kakhulu, njengobusuku bangaphambi kohambo lwesikole, noma ekuseni ngosuku lokuzalwa.
• Ukucindezeleka kwengqondo kubantu abadala: Izinto ezifana nokukhathazeka ngokweqile nokucindezeleka.
• Ukungezwani komzimba, izifo zama-sinus, noma umkhuhlane ovamile.
• Ukukhathala ngokomzimba.
• Ukuzila ukudla isikhathi eside.
• Ukusetshenziswa kwensangu isikhathi eside.
• Ukuya esikhathini kwabesifazane.
• Ukugula ngokunyakaza.

Izinkinga ezingase zenzeke uma ukuhlanza kuqhubeka

Uma i-CVS ingalawulwa, ukuhlanza okukhulu kungaholela kwezinye izinkinga zempilo.

Udokotela usithola kanjani lesi sifo?

Ukuthola i-CVS kuyinkimbinkimbi kancane ngoba akukho ukuhlolwa okuqondile kwayo. Udokotela wakho uzoqinisekisa ukuthi awunazo ezinye izimo ezibangela izimpawu ezifanayo.

Udokotela wakho uzokubuza imibuzo eminingi mayelana nomlando wakho wezokwelapha, umlando wezokwelapha womndeni, kanye nendlela yakho yokuhlanza. Uzobe esekwenza ukuhlolwa ngokomzimba bese eyala ukuhlolwa okwengeziwe uma kudingeka.

Yiziphi izivivinyo ezenziwayo?

• Ukuhlolwa kwegazi nomchamo: Hlola ukuphazamiseka kwe-metabolic, izifo ze-mitochondrial, noma izinkinga ngezinye izitho zomzimba.
• Ukuhlolwa kwezithombe: Ungase ucelwe ukuba wenze i-ultrasound yesisu, i-MRI noma i-CT scan yobuchopho, noma i-X-ray yesisu. Lokhu kungabheka noma yikuphi ukuvinjelwa ohlelweni lokugaya ukudla noma ohlelweni lwezinzwa.
• I-endoscopy Ephezulu: Lokhu kuhilela ukusebenzisa ipayipi elincane elinekhamera ukuhlola umphimbo wakho, isisu, kanye nokuqala kwamathumbu akho amancane ukuhlola ezinye izinkinga ezingase zibangele ukuhlanza kwakho.

Ezinye izifo ezingahlotshaniswa ne-CVS

Ngaphambi kokuba udokotela akwazi ukuxilonga i-CVS, kudingeka aqinisekise ukuthi awunazo ezinye izimo ezibangela izimpawu ezifanayo.

• Ukutheleleka kwesisu noma i-gastritis
• Izilonda zesisu
• Ukuvuvukala kwe-pancreas (i-pancreatitis)
• I-Appendicitis
• Ukusonteka kwamathumbu (i-volvulus noma i-malrotation)

Yiziphi izindlela zokwelapha i-CVS?

Ukwelashwa kwe-CVS kuncike ekutheni usesigabeni sokuhlanza noma usesigabeni esinempilo lapho uzama khona ukuvimbela lokho.

• Isigaba se-Prodrome: Lapho nje izimpawu ziqala, udokotela wakho angase akunikeze imithi yokunciphisa isicanucanu, ukunciphisa i-asidi yesisu, kanye nokuqeda ubuhlungu bekhanda/isisu.
• Isigaba sokuhlanza: Phakathi nalesi sikhathi, usazonikezwa imithi ye-migraines, isilungulela, kanye nokukhathazeka. Kungase kudingeke ukuthi ulaliswe esibhedlela ukuze uthole uketshezi lwe-IV kanye nokudla okunomsoco ukuze uvimbele ukuphelelwa amanzi emzimbeni. Ukuphumula ekamelweni elimnyama, elithule kungasiza ekunciphiseni izimpawu phakathi nalesi sikhathi.
• Isigaba sokululama: Qhubeka nokunikeza usawoti uma kudingeka. Kancane kancane, uketshezi bese kuba ukudla okuqinile kungafakwa.
• Isigaba Sokuhlanza: Phakathi nalesi sikhathi, udokotela wakho angase akunike imithi yansuku zonke yokuvimbela ukuhlanza esikhathini esizayo.

Izinhlobo zemithi esetshenziswayo

• Imithi yokulwa ne-migraine
• Imithi yokulwa nesicanucanu
• Eminye imithi yokulwa nokuquleka

Ngaphezu kwalokho, abanye abantu bathola impumuzo ezithasiseleni ezifana ne-coenzyme Q10, i-riboflavin, ne-L-carnitine. Kodwa-ke, ungalokothi uqale into efana nale ngaphandle kwemvume kadokotela wakho.

Yini okufanele uyilindele uma uphila nalesi simo?

Iningi lezingane likhula lidlule kulesi simo se-CVS njengoba likhula. Kodwa-ke, zingase zibe nesifo esibuhlungu kakhulu lapho sezikhulile. Lokhu kuhlanza okuqhubekayo nokunamandla kungavimbela izingane ukuthi ziye esikoleni kanye nabantu abadala ukuthi baye emsebenzini. Lokhu kungaba nomthelela omkhulu empilweni yansuku zonke.

Into ebaluleke kakhulu ukusebenzisana nodokotela wakho ukuthola ukuthi yiziphi izindlela zokwelapha ezikusebenzelayo nokuthi yiziphi izimbangela zakho. Okuhlangenwe nakho kwawo wonke umuntu kuhlukile, ngakho kungathatha isikhathi ukuthola ukuthi yini ekusebenzelayo.

Yini engenziwa ukuvimbela ukuhlanza?

Unganciphisa ukuhlanza kwakho ngokugwema izinto ezikubangela lokhu bese uthatha imithi udokotela wakho ayikuyalelayo. Cabanga nangezi zinto ezilandelayo:

• Uma unezinkinga zokungezwani komzimba kanye nezinkinga zama-sinus, zitholele ukwelashwa ngokushesha.
• Hlala umatasa, kodwa ungaweqisi.
• Gwema ukudla kanye nezinto ezibangela ubumnandi ezingakulungeli.
• Gwema ukudla okuqinile noma ukuzila ukudla.
• Lala ngokwanele.
• Lawula ukucindezeleka nokukhathazeka.

Imibuzo okufanele uyibuze udokotela wakho

Uma uya kudokotela, ungakhohlwa ukubuza le mibuzo:

• Yiziphi izivivinyo okufanele ngizihlole ukuze ngiqiniseke uma ngine-CVS?
• Yimuphi umuthi okufanele ngiwuthathe ukuze ngiyeke ukuhlanza uma kuqala, futhi ngikuvimbele ukuthi kungenzeki futhi?
• Yiziphi izinguquko okudingeka ngizenze endleleni yami yokuphila ukuze ngigweme izinto ezingibangela lokhu?
• Yiziphi ezinye izinto engingayenza ukuze nginciphise izimpawu?
• Yiziphi izimpawu okufanele ngikubone ngazo, noma ngiye e-ETU (Emergency Treatment Unit) ?

I-CVS ingaba yisimo esicasulayo nesisongela impilo. Akukho ikhambi elilodwa noma ikhambi. Wena nodokotela wakho kudingeka nibekezele njengoba nithola ukwelashwa okufanele kanye nezinto ezibangela lesi sifo. Ngokuhamba kwesikhathi, abantu abaningi baba ngcono ekuboneni nasekugwemeni izinto ezibangela lesi sifo. Okwamanje, uma ukuhlanza kwenzeka, kunemithi engasiza ekulawuleni izimpawu.