Ngezinye izikhathi sizizwa sinamahloni ngomoya omubi esiwutholayo lapho sikhuluma. Uma iphunga lingapheli kungakhathaliseki ukuthi sixubha amazinyo ethu kangakanani, sisebenzisa i-mouthwash, futhi senza noma yini esingayenza ukuze silisuse, kungase kungabi yinto evamile. Ikakhulukazi uma umoya wakho unephunga elingavamile elimnandi kancane, njengezithelo ezibolile, noma amaqanda abolile, kungaba uphawu lwenkinga enkulu yesibindi. Ngokwezokwelapha, lesi simo sibizwa ngokuthi i-Fetor Hepaticus . Namuhla, sizokhuluma ngakho kalula.
Kuyini i-Fetor Hepaticus?
Kalula nje, i-Fetor Hepaticus iyiphunga elithile elivela emoyeni wakho lapho isibindi sakho singasebenzi kahle ngenxa yesimo sempilo. Isibindi siyisihlungi esiyinhloko emzimbeni wethu. Sihlunga ubuthi obuvela egazini, njengokudla esikudlayo kanye nemithi esiyiphuzayo.
Kodwa uma isibindi sigula, le nqubo yokuhlunga ayisebenzi kahle. Bese kuthi, amanye amakhemikhali anobuthi okufanele asuswe egazini aqongeleleke egazini esikhundleni sokususwa. Lawa ma-toxin aqongelelekile abe esephuma nomoya wethu. Ngezinye izikhathi leli phunga lingavela ngisho nasekujulukeni kwakho nasemchameni.
Into ebalulekile ukuthi, lokhu akulona nje iphunga elibi elibangelwa ukuhlanzeka komlomo okungekuhle. Lesi yisibonakaliso esibaluleke kakhulu sesixwayiso sesimo esibucayi esingaphakathi emzimbeni wakho.
Linjani ngempela leli phunga? Lihluke kanjani kwamanye amaphunga?
Kungaba nzima ukulibona leli phunga, njengoba umbono womuntu wonke ngalokho eliyikho ungahluka. Kodwa nansi indlela odokotela abalichaza ngayo:
- Kunuka njengesikhunta.
- Inokunambitheka okumnandi ngendlela exakile.
- Ngezinye izikhathi kunganuka njengendle.
- Iphunga elixubene namaqanda abolile negalikhi.
- Iphunga lotshani obusanda kunqunywa.
Ezinye izimo zezokwelapha zingabangela ukunuka komlomo, kodwa i-Fetor Hepaticus ihlukile. Ake siwuqonde kahle lo mehluko.
| Uhlobo lwephunga | Incazelo kanye nesimo sezokwelapha esihambisanayo |
|---|---|
| Iphunga lesibindi | Iphunga elibi, elimnandi, elibolile njengeqanda/u-anyanisi. LokhuKuhlotshaniswa nesifo sesibindi esibi kakhulu. |
| I-Trimethylaminuria (iphunga lenhlanzi) | Iphunga elifana nelenhlanzi. Lesi esinye isimo se-metabolic. |
| Iphunga le-ammonia (i-uremic fetor) | Iphunga elifana ne-ammonia noma i-bleach. Lokhu kuyisibonakaliso sokwehluleka kwezinso . |
| Ukuphefumula kwe-Keto (Iphunga Lezithelo) | Iphunga le-acetone, njenge-fruit noma i-nail polish remover. Lokhu kungenzeka ku-diabetesic ketoacidosis. |
Kungani kunuka kanje?
Leli phunga elithile libangelwa kakhulu amakhemikhali akhiqizwa emizimbeni yethu abizwa ngokuthi 'i-Dimethyl sulfide' (iphunga likagalikhi) kanye ne-'methyl mercaptan' (iphunga leqanda/iklabishi elibolile). Lawa aziwa nangokuthi 'ama-Volatile Organic Compounds' (i-VOC).
Ngokuvamile, lezi ziyimikhiqizo ye-metabolism yethu. Zihamba ngegazi ziye esibindini, lapho zihlungwa khona futhi zisuswe khona. Kodwa lapho isibindi sigula, asikwazi ukuzihlunga futhi amazinga azo ayanda egazini. Yilapho leli phunga liqala ukuphuma khona emoyeni.
Kungaba nezizathu ezimbili eziyinhloko zalokhu:
1. Ukwehluleka Kwesibindi: Amaseli esibindi ayonakele (isib. ngenxa yesifo sokuqina kwesibindi) futhi isibindi asikwazi ukwenza kahle umsebenzi waso wokuhlunga.
2. Ukuba ne-Portosystemic Shunt: I- portal vein iwumthambo oyinhloko othwala igazi lisuka ohlelweni lwethu lokugaya ukudla liye esibindini. Ngezinye izikhathi, lo mthambo ungasuswa futhi igazi elinobuthi lingageleza ngqo egazini elijwayelekile lomzimba. Lokhu kungenxa yokuthi umzimba udala i-shunt ukuvimbela igazi ukuthi lidlule esibindini.
Yiziphi ezinye izimpawu ezihambisana ne-Fetor Hepaticus?
Uma une-Fetor Hepaticus, ezinye izimpawu zingase zivele ngenxa yesifo sesibindi esiyisisekelo noma i-Portal Hypertension. Kubalulekile ukuqaphela lezi zimpawu futhi.
| Ezinye izimpawu okufanele uziqaphele | |
|---|---|
| Izimpawu ezivamile zokwehluleka kwesibindi | |
| Ukuphuzi kwesikhumba namehlo (i-Jaundice) | Ukuphuzi kwesikhumba kanye nokumhlophe kwamehlo. |
| Ubuhlungu ohlangothini oluphezulu kwesokudla lwesisu | Ubuhlungu endaweni yesibindi. |
| Izinguquko kumchamo kanye nendle | Umchamo omnyama (njengetiye) kanye nendle encane (njengobumba). |
| Isikhumba esilumayo | Ukuluma umzimba wonke ngaphandle kwamabala noma ukuqubuka okubonakalayo. |
| Ukopha kanye nokudumba | Ukopha okunganqamuki kalula ngisho noma kunokulimala okuncane futhi umzimba uyalimala ngokungadingekile. |
| Izimpawu ze-Portal Hypertension | |
| Ukuvuvukala kwesisu nemilenze | Ukuvuleka kwesisu (ukuqongelela koketshezi esiswini) kanye nokuvuvukala kwemilenze namaqakala. |
| Ukuhlanza igazi noma ukuphuma kwegazi esitulweni | Lesi yisimo esiphuthumayo kakhulu nesibucayi. |
| Izinguquko zememori nokuziphatha | Ukudideka, ukozela, kanye nokulahlekelwa ukwazi okubangelwa yimiphumela enobuthi ebuchosheni. (Hepatic Encephalopathy) |
Ingabe lokhu kuyisibonakaliso esiyisixwayiso sokuthi kufanele ubonane nodokotela ngokushesha?
Yebo, nakanjani! I-Fetor Hepaticus iyisibonakaliso esibucayi kakhulu esiyisixwayiso okufanele sifune usizo lwezokwelapha ngokushesha, kungakhathaliseki ukuthi usuvele wazi ukuthi unesifo sesibindi noma cha.
Lesi sibonakaliso sibonisa ukuthi isimo sesibindi sakho siya siba sibi kakhulu. Ubuthi obunqwabelana egazini lakho bufinyelela ezingeni lapho bukhishwa khona, okusho ukuthi lobu buthi bungase buqale ukuthinta ubuchopho bakho kanye nesimiso sezinzwa.
Uma ingelashwa, lesi simo singaholela ezinkingeni ezinkulu kakhulu.
- Ukopha okungalawuleki okuvela emgudwini wokugaya ukudla.
- Ukwehluleka kwezinso (i-Hepatorenal syndrome).
- Ukwehluleka kokuphefumula (i-Hepatopulmonary syndrome).
- Ukungasebenzi kahle kobuchopho (i-hepatic encephalopathy).
Esikhathini esidlule, lesi simo sasibizwa nangokuthi "ukuphefumula kwabafileyo." Lokho kubonisa ukuthi lokhu kusongela kanjani impilo. Kodwa ungesabi. Namuhla, ezokwelapha zithuthuke kakhulu. Kunezindlela zokwelapha ezifana nokufakelwa kwesibindi kanye nezindlela zokwelapha ezinhle kakhulu zokulawula izimpawu.
Into ebaluleke kakhulu ukubona udokotela wakho ngokushesha nje lapho ubona noma yiziphi zalezi zimpawu. Uzokuhlola, enze izivivinyo ezidingekayo, futhi akunikeze ukwelashwa okufanele kakhulu.
Umlayezo Wokuya Nawe Ekhaya
- I-Fetor Hepaticus iyiphunga elimnandi nelingcolile elivela emoyeni. Kuwuphawu lwesifo sesibindi esibi kakhulu.
- Lokhu akuyona iphunga elibi elivamile elibangelwa ukuhlanzeka komlomo okungekuhle.
- Uma wena noma othile omaziyo enalesi sibonakaliso, sibheke njengesixwayiso esingathi sína kakhulu .
- Sicela ubone udokotela wakho ngokushesha okukhulu ngaphandle kokulibala.
- Ngisho noma usuvele utholakale unesifo sesibindi, kubalulekile ukufuna iseluleko sezokwelapha futhi, njengoba lesi sibonakaliso esisha sibonisa ukuthi isimo sakho siya siba sibi kakhulu.
👩🏽⚕️ Imibuzo eyengeziwe (ama-FAQ)
💬 Kuyini Ukuvuvukala Kwamasende?
Lokhu akuvamile! Lokhu kwenzeka lapho 'Amasende/I-Scrotum' yendoda eyodwa noma zombili zivele zibe nkulu/zivuvukele ngendlela engavamile (ukuvuvukala kwe-Scrotal), ngezinye izikhathi kube nobuhlungu obungabekezeleleki (ngezinye izikhathi kungabi buhlungu). Lokhu kuyisibonakaliso esikhulu sesixwayiso se-hernia, ukunqwabelana koketshezi, noma umonakalo omubi/womdlavuza ngaphakathi kwe-scrotum.
💬 Yiziphi izizathu eziyinhloko ezenza ukuthi amasende endoda avuvuke/akhule ngokuzumayo?
Kunezizathu eziningana eziyinhloko zalokhu: 1) 'I-Hydrocele' - isikhwama esigcwele uketshezi esizungeze isende esikhula (esingenabuhlungu). 2) I-Inguinal Hernia - i-herniated disc esinqeni sesisu. 3) 'I-Epididymitis' - ukutheleleka komgudu womchamo/i-STI okubangela ukuba isende libole (elibuhlungu ngenxa yomkhuhlane). 4) Isizathu esiyingozi kakhulu: Uma kuvela iqhubu elincane, eliqinile njengetshe ngaphandle kobuhlungu, ngokuqinisekile 'kuwumdlavuza wamasende'!
💬 Kuyini 'i-Testicular Torsion', isimo esiphuthumayo esisongela ukuphila esenzeka ngokuvuvukala kwe-testicle? Kungani udinga ukuphuthuma esibhedlela?
Ingozi enkulu nenkulu kakhulu 'yi-Testicle Torsion'! Lokho kusho ukuthi ngenkathi ulele/udlala, umthambo wegazi ngaphakathi kwe-testicle uyaphenduka ngokuzumayo bese uboshwa. Bese kuthi, okwesikhashana, kube nobuhlungu/ukuvuvukala okungabekezeleleki, okumemezayo! Uma lokhu kwenzeka, hamba uye esibhedlela zingakapheli amahora ayi-6 bese uhlinzwa ukuze ukhulule ifindo, i-testicle izophenduka ibe mnyama, ibole ngokuphelele futhi kuzodingeka inqunywe unomphela (i-Gangrene/Ukulahlekelwa yi-testicle)!
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