Ingabe ingane yakho ibidlala kahle futhi ngokuzumayo yaqala ukuhlanza ngamandla? Mhlawumbe amahora, noma ngisho nezinsuku ezimbili noma ezintathu, ihlanza njalo. Bese iqala ukudlala futhi njengokungathi akwenzekanga lutho. Ngemva kwezinyanga ezimbalwa, iqala ukwenza into efanayo futhi. Lokhu kungenzeka hhayi kuwe kuphela, kodwa nakumuntu omdala. Namuhla sikhuluma ngalolu hlobo lokuhlanza okukhulu olufika luphinde luhambe ngaphandle kwesizathu esibonakalayo.
Iyini i-Cyclic Vomiting Syndrome (CVS)?
Kalula nje, i-Cyclic Vomiting Syndrome (CVS) yisimo lapho uzwa khona isicanucanu esinzima nokuhlanza ngaphandle kwesizathu esibonakalayo. Into eyingqayizivele ngayo ukuthi phakathi nalezi ziqephu, uphilile ngokuphelele futhi awunazo izimpawu.
Cabanga ngakho njengokushintsha emzimbeni wethu. Ngokungazelelwe, lokhu kushintsha 'kuvuliwe' bese kuqala ukuhlanza. Kungathatha amahora amaningi, mhlawumbe ngisho nezinsuku. Phakathi nalesi sikhathi, kungaba nzima kangangokuthi awukwazi ngisho nokuvuka embhedeni. Kungase kudingeke uye esibhedlela unikezwe usawoti (i-IV fluids) ukuvimbela ukuphelelwa amanzi emzimbeni. Bese kuthi, njengokungathi ukushintsha 'kuvaliwe', ngokuzumayo zonke izimpawu ziyanyamalala bese ubuyela esimweni esijwayelekile.
Lesi simo singahlala izinyanga noma ngisho neminyaka. Kodwa izimpawu azihlali zikhona. Ngokuvamile, kungenzeka izikhathi ezimbalwa ngonyaka. Kwabanye, kungenzeka kanye noma kabili ngenyanga. Uhlobo lwezimpawu, isikhathi sosuku, ubunzima, kanye nobude bezimpawu kuvame ukufana kumuntu ofanayo isikhathi ngasinye.
Sivame kangakanani lesi simo?
I-CVS ivame kakhulu ezinganeni. Ngokwezibalo, cishe izingane ezintathu kweziyi-100,000 zingase zibe nalesi simo. Ngokuvamile, izingane ziqala phakathi kweminyaka emi-3 nengu-7. Kodwa-ke, kubalulekile ukukhumbula ukuthi ingaqala kunoma yimuphi ubudala.
Ziyini izimpawu ze-CVS?
Singabona ukuthi i-CVS yenzeka ngezigaba ezine eziyinhloko, njengezigcawu emdlalweni.
| Isigaba | Incazelo elula yalokho okwenzekayo |
|---|---|
| 1. Isigaba se-Prodrome | Imizuzu noma amahora ngaphambi kokuba ukuhlanza kuqale, uqala ukuzizwa sengathi, "O, lokhu kuzoba nzima." Ungase uzizwe izinto ezifana nokucanuzela nokujuluka. Kwabaningi, lokhu kuqala ekuseni kakhulu. |
| 2. Isigaba sokuhlanza | Lesi isikhathi esinzima kakhulu. Uhlanza njalo. Ngezinye izikhathi izikhathi eziningana ngehora. Izingane ezincane zingaba nokuhlanza okubangelwa yizinhlayiya. Lokhu kungahlala kusukela emahoreni ambalwa kuya ezinsukwini ezimbalwa. Kunzima kakhulu ngalesi sikhathi kangangokuthi uzizwa sengathi uhlala embhedeni wedwa, awukwazi ukukhuluma noma ukuba nanoma ubani. |
| 3. Isigaba sokululama | Ukuhlanza kanye nesicanucanu kuncipha kancane kancane, futhi uqala ukuzizwa ungcono. Uzizwa sengathi uyaphila. |
| 4. Isigaba somthombo | Uzophinde uphile kahle. Uzobuyela empilweni yakho evamile njengokungathi awukaze ugule. Lesi sikhathi sokuphulukiswa sizoqhubeka kuze kube yilapho uhlanza ngokuzayo. |
Ngaphezu kwalezi zigaba eziyinhloko, ezinye izimpawu eziningana zingabonakala:
- Ubuhlungu obukhulu besisu
- Uhudo (ubuhlungu besisu)
- Isiyezi noma i-vertigo
- Ukuvuza amathe noma ukuvuza amathe
- Ukoma okukhulu
- Isifiso sokudla
- Isikhumba esikhanyayo
- Ikhanda elibuhlungu kakhulu kanye nokukhathala okukhulu
- Ukuzwela ukukhanya noma umsindo (amehlo aluhlaza okwesibhakabhaka, ubunzima bokuzwa imisindo)
- Umkhuhlane (kufika ku-101°F noma ku-38.33°C)
- Ukuhlanza (ukuhlanza okomile) - Lokhu kusho ukuthi uzizwa sengathi ufuna ukuhlanza, kodwa akukho okuphumayo ngoba akukho lutho esiswini sakho.
Kungani lokhu kwenzeka? Yiziphi izizathu?
Akwaziwa ngokuqinisekile ukuthi lokhu kuyimbangela kuphela ye-CVS, kodwa kunezinto ezimbalwa okucatshangwa ukuthi zinegalelo kukho.
- Izinkinga nge-axis yobuchopho bakho namathumbu: Kalula nje, kukhona ukuxhumana phakathi kobuchopho bethu nezinzwa ezisesiswini sethu. Uma kukhona okungahambi kahle ngalokhu 'kuxhumana', ukuhlanza okungalawuleki kungenzeka. Abanye ososayensi bakubiza lokhu ngokuthi ukuphazamiseka kwamathumbu ebuchosheni.
- Izinguquko ohlelweni lwakho lwezinzwa oluzimele:Lolu hlelo lulawula izinto emzimbeni wethu esingenakuzilawula, njengokushaya kwenhliziyo, umfutho wegazi, kanye nokuhlanza. Uma kukhona okungahambi kahle ngalolu hlelo, ukuhlanza kungenzeka.
- Ikhanda elibuhlungu elibangelwa yi-migraine: Cishe u-80% wezingane ezine-CVS kanye no-25% wabantu abadala nabo bane-migraine. I-migraine akuyona nje ikhanda elibuhlungu elinzima. Njenge-CVS, i-migraine ingaba umuzwa ongavamile lapho iqala. Abantu abaningi abane-CVS banomlando womndeni we-migraine.
- I-DNA ye-mitochondrial engajwayelekile: I-Mitochondria iyimithombo yamandla yawo wonke amaseli emzimbeni wethu. Imiyalelo (i-DNA) ebatshela ukuthi basebenze kanjani ingashintshwa yisifo, isimo sofuzo, noma imithi/ubuthi. Amaseli ezinzwa emathunjini ethu adinga amandla amaningi ukuze asebenze kahle. Uma kunenkinga ngalo mthombo wamandla (i-mitochondria), ukuhlanza okungalawuleki kungenzeka.
Yiziphi izimbangela ze-CVS?
Izehlakalo ezithile, ukudla, kanye nezimo zengqondo kungabangela ukuhlanza. Lokhu sikubiza ngokuthi 'izimbangela'.
- Izinguquko zesimo sezulu (ikakhulukazi ekwindla nasebusika)
- Ukudla okufana noshokoledi, ushizi, ikhofi, kanye ne-MSG
- Injabulo enkulu yezingane (isibonelo, iphathi lokuzalwa, ipikiniki)
- Ukucindezeleka okukhulu nokukhathazeka kubantu abadala
- Ukungezwani komzimba, izifo ze-sinus, noma umkhuhlane
- Ukuzikhandla ngokweqile ngokomzimba
- Ukuhamba isikhathi eside ungadli
- Ukusetshenziswa kwensangu isikhathi eside
- Ukuya esikhathini kwabesifazane nyanga zonke
- Ukugula ngokunyakaza
Uma uqaphela ukuthi wena noma ingane yakho iqala nini ukuhlanza, kungaba ngemva kokudla okuthile noma lapho kwenzeka okuthile okucasulayo, kuzoba lula ukubona izimbangela zakho.
Yiziphi izinkinga ezingavela kulokhu?
Ukuhlanza okuqhubekayo nokunzima kungalimaza imizimba yethu.
| Inkinga | Kalula nje... |
|---|---|
| Ukuphelelwa amanzi emzimbeni | Ukulahlekelwa uketshezi oluningi emzimbeni ngenxa yokuhlanza nohudo. Lokhu kungaba yingozi. |
| I-Esophagitis | Umphimbo wethu ulimele futhi uvuvukele ngenxa ye-asidi yesisu ehambisana nokuhlanza. |
| Izinyembezi zikaMallory-Weiss | Ukucindezela kokuhlanza kungadabula ingxenye engezansi yomphimbo wethu. Lokhu kungabangela ukuba igazi liphume kanye nokuhlanza. |
| Ukubola kwamazinyo | I-asidi yesisu engena emlonyeni ingancibilikisa i-enamel yamazinyo futhi ibangele ukubola kwamazinyo. |
Udokotela uthola kanjani ukuthi lokhu kuyi-CVS?
Ukuthola i-CVS kunzima kancane ngoba akukho ukuhlolwa okukodwa okukuxilonga ngqo. Udokotela wakho uzofuna ukuqinisekisa ukuthi awunazo ezinye izimo ezibangela izimpawu ezifanayo.
Udokotela wakho uzokubuza okuningi ngomlando wakho wezokwelapha, umlando wezokwelapha womndeni, kanye nendlela yakho yokuhlanza. Uzobe esekwenza ukuhlolwa ngokomzimba futhi mhlawumbe ahlele ukuhlolwa okuningana.
Ukuhlolwa okungenziwa
- Ukuhlolwa kwegazi nomchamo (Ukuhlolwa kwelebhu): Lokhu kuhlolwa kusiza ukubona ukuthi kukhona yini izifo ze-metabolic, izifo ze-mitochondrial, noma izinkinga ngezinye izitho zomzimba.
- Ukuhlolwa kwezithombe: Lokhu kungabheka izinkinga ngezitho zomzimba ohlelweni lwakho lokugaya ukudla kanye nohlelo lwezinzwa. Isibonelo, ungase ucelwe ukuthi wenze i-ultrasound yesisu, i-MRI noma i-CT scan yobuchopho bakho, noma uchungechunge lwe-GI oluphezulu. Ukuhlolwa kokukhipha isisu kungadingeka futhi ukuze kuhlolwe ukuthi ukudla kuhamba ngokushesha kangakanani emathunjini akho.
- I-endoscopy Ephezulu: Ukuhlolwa lapho kufakwa khona ikhamera encane ngomlomo ukuze kubhekwe izinkinga emhubheni, esiswini, kanye namathumbu amancane.
Yiziphi izindlela zokwelapha i-CVS?
Ukwelashwa kuncike ekutheni ukusiphi isigaba. Okusho ukuthi, kungakhathaliseki ukuthi uyahlanza noma uzama ukuvimbela isiqephu sokuhlanza.
- Isigaba se-Prodrome: Lapho nje izimpawu ziqala, imithi yokunciphisa isicanucanu, ukunciphisa i-asidi esiswini, kanye nokwelapha i-migraines inganikezwa.
- Isigaba sokuhlanza: Phakathi nalesi sikhathi, uzonikezwa nemithi yokwelapha i-migraines, ukunciphisa i-asidi yesisu, nokunciphisa ukukhathazeka. Kungadingeka ukuthi ulaliswe esibhedlela futhi unikezwe uketshezi lwe-IV ukuze uvimbele ukuphelelwa amanzi emzimbeni. Ukuphumula endaweni emnyama, ethule phakathi nalesi sikhathi kungasiza ekunciphiseni izimpawu.
- Ngesikhathi sokululama: Uma kudingeka, qhubeka nokunikeza usawoti, kancane kancane uqhubekele koketshezi bese kuba ukudla okuqinile.
- Esigabeni Sokuhlanzwa: Udokotela angase anikeze imithi yokuvimbela ukuhlanza esikhathini esizayo.
Imithi yokulwa nemigraine, imithi yokulwa nesicanucanu, futhi ngezinye izikhathi ngisho nemithi yokulwa nokuquleka isetshenziswa ekwelapheni.
Abanye abantu bathole izinzuzo ngezithasiselo ezifana ne-coenzyme Q10, i-riboflavin, ne-L-carnitine. Kodwa-ke, ungalokothi uqale noma yini ngaphandle kokubonisana nodokotela wakho.
Ingabe lesi simo singavinjelwa?
Nakuba kungenakuvinjelwa ngokuphelele, ingozi yokuhlanza okuphindaphindiwe ingancishiswa.
- Thola izinto ezikubangela (ukudla, imicimbi) bese uzigwema ngangokunokwenzeka.
- Sebenzisa umuthi njengoba nje udokotela emyalile.
- Uma unezinkinga zokungezwani komzimba kanye nezinkinga zama-sinus, zitholele ukwelashwa ngokushesha.
- Hlala umatasa, kodwa ungazikhandleli ngokweqile.
- Bhala kahle.
- Lawula ukucindezeleka nokukhathazeka.
Imibuzo okufanele uyibuze udokotela
Uma ubona udokotela wakho, kungabaluleka ukubuza le mibuzo.
- Yiziphi izivivinyo okufanele ngizihlole ukuze ngiqiniseke uma ngine-CVS?
- Yimuphi umuthi okufanele ngiwuthathe ukuze ngiyeke ukuhlanza futhi ngikuvimbele ukuthi kungabuyi?
- Yiziphi izinguquko zendlela yokuphila okufanele ngizenze ukuze ngigweme izinto ezingibangela lokhu?
- Yiziphi ezinye izinto engingayenza ukuze nginciphise izimpawu?
- Yiziphi izimpawu okufanele ngikubone ngazo, noma kufanele ngiye ngqo e-ETU (Emergency Treatment Unit) yesibhedlela?
I-CVS ivame ukuba yisimo esicasulayo nesicasulayo. Asikho ikhambi elilodwa elifanela wonke umuntu kule nkinga, futhi akukho ukushintsha kwendlela yokuphila okufanayo okufanela wonke umuntu. Wena nodokotela wakho kuzodingeka nisebenzisane nawe ukuze nithole ukwelashwa okufanele kanye nezinto ezibangela lokhu. Ngokuhamba kwesikhathi, abantu abaningi baba ngcono ekugwemeni izinto nezimo ezibenza bangakhululeki.
Umlayezo Wokuya Nawe Ekhaya
- I-CVS akuyona nje ubuhlungu besisu. Yisimo sangempela esishintshashintsha phakathi kwezikhathi zokuhlanza kanye nezikhathi zempilo ephelele.
- Nakuba kunzima ukuthola imbangela, kunezindlela zokwelapha. Into ebaluleke kakhulu ukuthola ukuxilongwa okunembile.
- Ukuhlonza izinto ezibangela (njengokudla, ukucindezeleka) kuwe noma enganeni yakho kuwusizo olukhulu ekulawuleni lesi sifo.
- Uma ukuhlanza kunzima, ikakhulukazi uma umzimba ungakwazi ukugcina uketshezi luphansi, kubaluleke kakhulu ukuya esibhedlela i-ETU (Emergency Treatment Unit) ukuze uvimbele ukuphelelwa amanzi emzimbeni.
- Ungalokothi uthathe imithi wedwa. Hlala uthintana nodokotela ofanelekayo ukuze uthole iseluleko.
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