Ingabe ngezinye izikhathi uzizwa uvuvukele futhi usinda kancane uma uvuka ekuseni? Noma uzizwa sengathi ubulokhu uhleli esihlalweni sehhovisi usuku lonke, noma uhleli ebhasini isikhathi eside, bese wehla ebhasini, imilenze namaqakala akho kuvuvukele kakhulu, futhi izicathulo zakho zizwakala ziqinile? Lokhu kuyinto eyenzeka kubantu abaningi. Kwezokwelapha, lesi simo sibizwa ngokuthi ukuvuvukala noma 'i-edema'. Esikhathini esiningi, lokhu akusikho okufanele sikhathazeke ngakho, kodwa ngezinye izikhathi kungaba uphawu lwesinye isifo esibi emzimbeni wethu. Ngakho-ke, kubaluleke kakhulu ukwazi konke ngalokhu ngaphandle kokwethuka. Ake sixoxe ngalokhu namuhla nje.
Ngakho-ke, kuyini ngempela ukuvuvukala?
Kalula nje, i-edema ukunqwabelana koketshezi, ikakhulukazi amanzi, ezicutshini zomzimba wethu, okubangela ukuba zivuvuke. Cabanga ukuthi imizimba yethu igcwele inethiwekhi yamapayipi amancane abizwa ngokuthi imithambo yegazi kanye nemithambo ye-lymphatic. Lawa uketshezi oluthwala izidingo zomzimba futhi lususe imfucuza. Ngezinye izikhathi, lapho kukhona okungahambi kahle ngalolu hlelo, olunye lwalolu ketshezi luvuza ezicutshini bese luqoqana lapho. Yilapho leyo ndawo ivuvukala khona.
Lokhu kuvuvukala kungenzeka noma kuphi emzimbeni, kodwa kuvame ukubonakala ku:
- Ngemilenze emibili
- Amaqakala alungile.
- Ezinyaweni
- Ezandleni zombili
- Ebusweni
Nakuba lokhu kungenzeka kunoma ubani wanoma yimuphi ubudala, kuvame kakhulu kwabesifazane abakhulelwe nakubantu abaneminyaka engaphezu kwengu-65. Esikhathini esiningi, uma kungukuvuvukala okuncane, kuzophela ngokwako phakathi nosuku olulodwa noma ezimbili. Ngakho-ke kunzima ukusho ukuthi lokhu kuvame kangakanani.
Ziyini izimpawu zokuqunjelwa? Uzibona kanjani?
Akunzima kangako ukubona ukuthi uvuvukile. Uphawu oluyinhloko ukuthi indawo ethile yomzimba wakho izwakala inkulu futhi ivuvukele kakhulu kunokujwayelekile. Unganaka futhi lezi zinto.
| Isibonakaliso | Indlela ozizwa/obukeka ngayo |
|---|---|
| Ukubukeka okukhukhumele/okukhulisiwe | Ingxenye yomzimba (isib. umlenze, ingalo) ibonakala inkulu futhi ivuvukele kunokujwayelekile. |
| Ushintsho lwesikhumba | Isikhumba endaweni evuvukele sinwebekile kakhulu futhi sibukeka sicwebezela. |
| Ubunzima nokuqina | Indawo evuvukele izwakala iqinile futhi isinda, njengokungathi igcwele okuthile ngaphakathi. |
| Ubunzima bokuhamba | Uma imilenze yakho, amaqakala, noma izinyawo zakho zivuvukala, kungaba nzima ukuhamba futhi uzizwe ungaphilile kahle. |
| Ubuhlungu obuncane | Ngezinye izikhathi ungase uzwe ubuhlungu noma izinhlungu ezincane endaweni evuvukele. |
| Ukukhwehlela noma ubunzima bokuphefumula | Lokhu kuyisibonakaliso esibi kakhulu. Lokhu kungenzeka uma uketshezi luqoqana emaphashini (i-pulmonary edema). |
Kungani umzimba wami uvuvukala kanje? Ziyini izimbangela?
Ayikho imbangela eyodwa yokuvuvukala, zingaba ziningi. Uma uya kudokotela, into yokuqala azokwenza ukuthola ukuthi yini ebangela ukuvuvukala kwakho.
| Isizathu | Incazelo elula |
|---|---|
| Amandla adonsela phansi | Uma ume noma uhlala endaweni efanayo isikhathi eside, uketshezi emzimbeni wakho luqoqana ngokwemvelo emilenzeni nasezinyaweni zakho ngenxa yamandla adonsela phansi. Lokhu kubizwa nangokuthi "i-dependent edema". |
| Ukuntuleka Kwemithambo Yemithambo | Imithambo esemilenzeni yethu inama-valve amancane ngaphakathi kwayo. Lawa avimba igazi ukuthi lingagelezi phansi bese elisunduzela phezulu, liye enhliziyweni. Uma la ma-valve eba buthakathaka, igazi aligelezi kahle futhi lihlangana emilenzeni. Lokhu kuhlobene futhi nesimo semithambo evuvukele. |
| Ezinye izifo eziyisisekelo | Ukuvuvukala kungaba uphawu lwezinye izifo, njengokwehluleka kwenhliziyo, amaphaphu, isibindi, izinso, noma isifo se-thyroid . Leli iphuzu elibaluleke kakhulu. |
| Imiphumela emibi yemithi | Eminye imithi, isibonelo, eminye imithi yomfutho wegazi ophakeme kanye nemithi yokubulala izinhlungu, ingabangela nokuvuvukala njengomphumela ongemuhle. |
| Ukudla okungalungile | Uma ungadli ukudla okulinganiselayo, ikakhulukazi uma ufaka usawoti omningi (i-sodium) ekudleni kwakho, umzimba wakho ungagcina amanzi futhi uvuvuke. Inyama/inhlanzi eyomisiwe, amasoseji, amasoseji, kanye nokudla okupakishiwe esikudlayo kunosawoti omningi. |
| Ukukhulelwa | Ngesikhathi sokukhulelwa, njengoba isibeletho sikhula, imithambo yegazi emikhulu esiswini esingezansi iyacindezelwa. Ngakho-ke, kuvamile ukuthi imilenze ivuvuke, okuvimbela ukugeleza kwegazi kusuka emilenzeni kuya phezulu. |
| Izinkinga zesimiso somzimba sokuzivikela | Ukuvuvukala kungabangelwa futhi ukusabela kokungezwani komzimba, ukutheleleka, ukusha, ukulimala, noma ukuqhekeka kwegazi. |
Udokotela ukuxilonga kanjani lokhu? Ingabe kukhona amazinga okuvuvukala?
Uma uya kudokotela, uzoqala ahlole umzimba wakho. Uzonaka izinto ezifana nokuvuvukala, umbala wesikhumba, nokukhanya.
Bese kuba nokuhlolwa okukhethekile akwenzayo. Kubizwa ngokuthi 'ukuhlolwa kokufaka imigodi'.Okwenzayo lapha ukucindezela umunwe wakho ngokuqinile endaweni evuvukele cishe imizuzwana emi-5 kuya kweyi-15. Uma kuvela ukugoba okuncane lapho ususa umunwe wakho, kuqinisekisa ukuthi uketshezi luqongelele esicutshini.
Ubukhulu bokuvuvukala buhlukaniswe ngamazinga amaningana kuye ngokuthi lezi zilonda zibuyela ngokushesha kangakanani esimweni esijwayelekile.
| Ibanga | Ukujula Komgodi | Isikhathi Sokubuyela Emuva |
|---|---|---|
| Ibanga 1 | Umgodi omncane ongaba amamilimitha amabili ngobukhulu | Ibuyela esimweni esijwayelekile ngokushesha nje lapho icindezelwa. |
| Ibanga lesi-2 | Umgodi ongaba ngamamilimitha angu-3-4 | Ilulama ngaphansi kwemizuzwana eyi-15. |
| Ibanga lesi-3 | Umgodi ongaba ngamamilimitha angu-5-6 | Izolulama ngemizuzwana eyi-15 kuya kwengama-60. |
| Ibanga lesi-4 | Umsele ongaba ngamamilimitha angu-8 ukujula | Kuthatha cishe imizuzu emi-2-3 ukubuyela esimweni esijwayelekile. |
Ukwelapha kanjani ukuvuvukala?
Ukwelashwa kokuvuvukala kuncike esibangweni. Esikhundleni sokumane banikeze imithi yokunciphisa ukuvuvukala, odokotela bazama ukwelapha imbangela eyinhloko.
- Uma kubangelwa isifo samaphaphu:Isibonelo, uma ubhema ngenxa yesifo esifana ne-"Emphysema" noma "Chronic Bronchitis", udokotela wakho uzokweluleka ukuthi uyeke ukubhema ngokuphelele.
- Uma unesifo esifana nokwehluleka kwenhliziyo okungapheli , ungase utshelwe ukuthi ulawule isisindo sakho, unciphise amanzi owaphuza nsuku zonke, futhi ulawule inani likasawoti ekudleni kwakho. Uma uphuza utshwala, ungase utshelwe nokuthi unciphise.
- Umphumela omubi womuthi: Uma kuvela ukuthi ukuvuvukala kubangelwa umuthi owuthathayo, udokotela wakho angase ayeke umuthi, anciphise umthamo, noma akushintshele komunye umuthi.
Khumbula into eyodwa ebaluleke kakhulu: Ungalokothi uyeke ukuthatha noma yimuphi umuthi noma ushintshe umthamo ngokwakho ngaphandle kokubonisana nodokotela wakho. Ukwenza kanjalo kungase kube kubi kakhulu kwezinye izimo zakho zezokwelapha.
Yini ongayenza ekhaya ukuze unciphise ukuvuvukala?
Ngesikhathi welapha imbangela, kunezinto ezimbalwa ezilula ongazenza wena ukuze unciphise ukungakhululeki okubangelwa ukuvuvukala.
- Phakamisa imilenze yakho: Uma uhleli noma ulele embhedeni, beka imicamelo emibili noma emithathu ngaphansi kwemilenze yakho, uyigcine ingaphezu kwezinga lenhliziyo yakho. Lokhu kusiza uketshezi ukuthi lubuyele emzimbeni wakho ngokumelene namandla adonsela phansi.
- Ungahlali endaweni efanayo: Ungahlali noma ume endaweni efanayo isikhathi eside kakhulu. Sukuma uhambe kancane, unyakazise imilenze yakho, okungenani kanye ngehora.
- Sebenzisa amasokisi akhethekile: Amasokisi okusekela noma amasokisi okucindezela ayatholakala emakhemisi. Lawa anikeza ukucindezela okuthambile endaweni evuvukele futhi asiza ekuvimbeleni uketshezi ukuthi luqongelelane.
- Nciphisa usawoti: Lokhu kubaluleke kakhulu. Nciphisa inani likasawoti olidlayo. Nciphisa inani likasawoti ekudleni okusemathinini, amasoso, amasoseji, ama-pickle, kanye nezinhlanzi ezomisiwe ngangokunokwenzeka.
- Landela iseluleko sikadokotela wakho: Ungase unikezwe umuthi wokukhipha isisu (ovame ukubizwa ngokuthi 'iphilisi lamanzi') osiza umzimba wakho ukhiphe amanzi angaphezulu emchameni. Thatha umuthi ngesikhathi esifanele.
Kukuziphi izimo lapho udinga ukubonana nodokotela ngokushesha?
Ngisho noma kungukuvuvukala okuvamile, uma kunezimpawu ezithile, kungaba yisimo esiphuthumayo. Uma kunjalo, kufanele ubonane nodokotela ngokushesha.
| Uma unalezi zimpawu, funa iseluleko sezokwelapha ngokushesha. |
|---|
| Uma kukhona ubuhlungu obukhulu, ukubomvu, noma ukushintsha kombala wesikhumba endaweni evuvukele. |
| Uma isikhumba siphukile futhi kwakhiwe inxeba elivulekile endaweni evuvukele. |
| Uma unenkinga yokuphefumula noma ubuhlungu besifuba . Lesi yisimo esiphuthumayo, hamba ngokushesha esibhedlela esiseduze noMnyango Wezimo Eziphuthumayo (ETU). |
| Uma umlenze noma ingalo eyodwa kuphela ivuvukala ngokuzumayo (lokhu kungaba uphawu lokuqhekeka kwegazi). |
| Uma ukuvuvukala kukhulu kangangokuthi awukwazi ukuhamba noma ukuhambisa umzimba wakho. |
Ukuvuvukala akuyona into okufanele uyinake nje. Ngezinye izikhathi kungaba uphawu lokuqala lwesimo esibucayi kakhulu. Ngakho-ke uma unokuvuvukala okungavamile, kuhlale kuwukuhlakanipha ukubona udokotela ukuze uthole imbangela.
Umlayezo Wokuya Nawe Ekhaya
- Ukuvuvukala kuwukuqongelela koketshezi ezicutshini zomzimba. Kungaba okuvamile noma uphawu lokugula okukhulu.
- Ukuma isikhathi eside, ukudla usawoti omningi, ukukhulelwa, kanye nezifo zenhliziyo, izinso, kanye nesibindi konke kungabangela lokhu.
- Uma unenkinga yokuphefumula kanye nokuvuvukala, ukuvuvukala emlenzeni owodwa kuphela, noma ubuhlungu besifuba, bona udokotela ngokushesha. Lokhu kungaba yisimo esiphuthumayo.
- Ekhaya, ukugcina imilenze yakho iphakeme, ukunciphisa usawoti odlayo, nokuhamba kancane kungasiza ekunciphiseni ukuvuvukala.
- Ungalokothi uthathe imithi ngendlela othanda ngayo noma uyeke ukuyithatha ngaphandle kokubonisana nodokotela wakho.
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