Ingabe uphelelwe amanzi emzimbeni? Ake sixoxe ngalokhu (i-Hypervolemia)!

Ingabe ngezinye izikhathi uzizwa umuzwa ongavamile nosindayo emzimbeni wakho, noma izitho zakho zivuvukele? Ingabe isisu sakho sizizwa sivuvukele? Mhlawumbe uzizwa ukhuluphele kancane ngokuzumayo? Lezi akuzona nje izinto ezingahleliwe. Inani loketshezi, noma amanzi, emzimbeni wakho ngezinye izikhathi lingaba ngaphezu kwalokho elikudingayo. Kwezokwelapha, lesi simo sibizwa ngokuthi (i-Hypervolemia) noma (uketshezi oluningi) noma (umthamo ongaphezulu) . Kalula nje, amanzi amaningi emzimbeni.

Kuyini i-Hypervolemia?

Kulungile, ake sikubeke ngendlela elula. Cishe u-50% kuya ku-60% womzimba wethu wakhiwe uketshezi. Lokhu kufaka phakathi izinto ezifana namanzi, igazi, kanye noketshezi lwe-lymph. Lolu ketshezi lusiza izitho zethu ukuthi zisebenze kahle. Ikakhulukazi, lolu ketshezi lubaluleke kakhulu ukuthi igazi lijikeleze kuwo wonke umzimba wethu futhi lithwale izakhamzimba kuzo zonke izingxenye zalo. Cabanga ukuthi kwenzekani uma lolu ketshezi luba luningi kakhulu. Yilapho izinto ezifana nokuvuvukala , umfutho wegazi ophakeme , kanye nezinkinga zenhliziyo ngezinye izikhathi zingavela.

Sivame kangakanani lesi simo? Ngubani onamathuba amaningi okusithola?

Empeleni, noma ubani angaba nalesi simo (i-Hypervolemia). Kodwa-ke, abanye abantu banamathuba amaningi okuba naso. Isibonelo:

• Kulabo abanesifo senhliziyo noma sezinso.
• Kwabomama abakhulelwe.
• Kwabesifazane, ikakhulukazi ngezikhathi zokushintsha kwama-hormone.
• Kulabo abafaka usawoti omningi kakhulu (okungukuthi i-sodium) ekudleni kwabo.

Kunzima ukusho ukuthi lokhu kuvame kangakanani. Ngezinye izikhathi, inani elincane lokugcinwa koketshezi lizophela lodwa. Kodwa uma kukubi kakhulu, kungaba uphawu lwesinye isimo esiyisisekelo.

I-hypervolemia ithinta kanjani umzimba wami?

Uma umzimba wakho unoketshezi oluningi, ungase uzizwe ungakhululekile. Isibonelo, ukuvuvukala kungenza kube nzima ukwenza imisebenzi yansuku zonke. Cabanga ngomlenze wakho uvuvukile. Ukuthola kunzima ukuhamba noma ukuma, akunjalo?

Kodwa-ke, uma izimpawu zakho zingezimbi kakhulu, ungaphumula ngokuphakamisa indawo evuvukele. Isibonelo, uma umlenze wakho uvuvukele, beka umcamelo ngaphansi komlenze wakho ngenkathi ulele phansi. Noma, ungasebenzisa amasokisi okucindezela.

Into ebaluleke kakhulu ukuthi uma lezi zimpawu ziba zimbi kakhulu, noma uma uzizwa sengathi ukuvuvukala kusakazekela kwezinye izingxenye zomzimba, kufanele nakanjani ubone udokotela.

Ziyini izimpawu ze-Hypervolemia?

Izimpawu zalesi simo zingahluka kumuntu nomuntu. Abanye abantu bangase babe nezimpawu ezincane, kanti abanye bangase babe nezimpawu ezinzima kakhulu. Ake sibheke ezinye zezimpawu ezivame kakhulu:

• Ukuvuvukala endaweni eyodwa yomzimba: Ngokuvamile, izandla nezinyawo ziyavuvukala. Zingase zibonakale zinkulu kunosuku olwandulele.
• Ukuqunjelwa/ukuvuvukala: Kungase kuzwakale sengathi isisu sakho sigcwele umoya.
• Ukungakhululeki okuncane: Izinto ezifana nokuqaqamba kwemisipha noma ikhanda elibuhlungu.
• Ukukhuluphala okungazelelwe.

Kodwa-ke, ngaphezu kwalokhu, kunezimpawu ezinkulu ezidinga ukwelashwa ngokushesha . Lezi yizi:

• Umfutho wegazi ophezulu.
• Ubunzima bokuphefumula.
• Ukwehluleka kwenhliziyo (ukwehluleka kwenhliziyo).

Uma unezinye zalezi zimpawu ezimbi kakhulu, kufanele uye esibhedlela ngokushesha. Ungakhohlwa lokho.

Kungani lokhu kwenzeka ngenxa ye-hypervolemia?

Kunezizathu eziningana zalokhu. Ake sibheke eziyinhloko.

Usawoti (i-sodium)

Isizathu esiyinhloko salokhu ukwanda kwenani likasawoti, noma i-'sodium', emzimbeni wakho. I-sodium iyiminerali ebalulekile emzimbeni wethu. Inani le-sodium ekudleni esikudlayo lilawulwa ngamanzi. Uma udla ukudla okunosawoti omningi, umzimba usebenzisa amanzi ukuze ukulinganise. Yingakho sizizwa somile ngemva kokudla ukudla okunosawoti. Cabanga ngokuthi usawoti omningi kangakanani ekudleni okumnandi esikudlayo, njenge-pickle, inhlanzi eyomisiwe, inhlanzi, nama-chips. Uma udla lokhu njalo nangobuningi, izinga le-sodium emzimbeni lingakhuphuka.

Ngezinye izikhathi, ngemva kokuhlinzwa noma lapho umzimba uphelelwe amanzi emzimbeni, uketshezi olufakwa ngemithambo yegazi (IV) luqukethe ne-sodium. Kulezi zimo, izimpawu ze-hypervolemia (ukungalingani kwe-sodium emzimbeni) zingavela.

Izimo zezokwelapha eziyisisekelo

Ezinye izimo zezokwelapha zingathinta nendlela umzimba ophatha ngayo uketshezi. Izimo zezokwelapha ezivamile ezingase zibe uphawu lwe-hypervolemia zifaka:

• Ukwehluleka kwenhliziyo.
• Izimo zezinso.
• I-cirrhosis yesibindi.
• I-Hepatitis.
• Isifo sikashukela.

Eminye imithi esetshenziswa ukwelapha lezi zifo, ikakhulukazi imithi yokucindezeleka kwegazi kanye nemithi yokubulala izinhlungu, ingabangela i-hypervolemia njengomphumela ongemuhle.

Ngokwelapha noma ukuphatha lesi sifo esiyisisekelo, i-hypervolemia ingelapheka futhi ivinjelwe ukuthi ingaphinde ivele.

Izinguquko zama-hormone nokukhulelwa

I-Hypervolemia ingabangelwa futhi izinguquko zamahomoni emzimbeni wakho. Ngokuvamile, ngesikhathi sokuya esikhathini noma ngesikhathi sokukhulelwa, umzimba uvame ukugcina i-sodium namanzi. Kuvamile ukuthi abesifazane abakhulelwe bavuvuke izinyawo noma amaqakala. Lokhu kungenxa yokuthi isibeletho sicindezela imithambo yegazi emzimbeni ongezansi. Lokhu kucindezela kuphazamisa ukujikeleza kwegazi okukhululekile emzimbeni wonke (`uhlelo lokujikeleza kwegazi`).

Kungani izinso zibalulekile ekulawuleni uketshezi lomzimba?

Izinso zakho zisiza ekususeni uketshezi oluningi emzimbeni wakho njengomchamo (uhlelo lomchamo). Izinso zakho zifana nesihlungi. Zihlukanisa amanzi namaminerali abalulekile (njenge-sodium ne-potassium) emikhiqizweni yokungcola. Imikhiqizo yokungcola iyakhishwa, bese uketshezi olusele lubuyiselwa egazini ukusiza amaseli ethu nezitho zomzimba zisebenze. Ngakho-ke, uma izinso zakho zingasebenzi kahle, uketshezi luqala ukuqoqana emzimbeni wakho.

Ihlolwa kanjani i-Hypervolemia?

Uma ubona udokotela, bazoqala ngokubuza ngezimpawu zakho bese benza ukuhlolwa ngokomzimba. Bese, bangenza izivivinyo zokuhlola amazinga e-sodium egazini lakho nasemchameni. Bangenza futhi ukuhlolwa komthamo wegazi ukuhlola inani legazi emzimbeni wakho. Uma imiphumela yalolu vivinyo ikhombisa ukuthi unegazi eliningi kakhulu, kungasiza ekuxilongeni isimo esibizwa ngokuthi i-hypervolemia.

Uma udokotela wakho esola ukuthi i-hypervolemia yakho ibangelwa esinye isimo esiyisisekelo, angase acele ukuhlolwa kwegazi okwengeziwe noma ukuskena (ukuhlolwa kwezithombe) ukuze kutholakale lesi simo.

Uma unesifo esingaphansi esikubeka engcupheni yokuthola i-hypervolemia, ukuzikala njalo nokuqaphela ukukhuluphala ngokuzumayo kungasiza ekutholeni lesi simo kusenesikhathi.

Iphathwa kanjani i-Hypervolemia?

Izindlela zokwelapha ziyahlukahluka kuye ngembangela, kodwa umgomo oyinhloko ukunciphisa inani loketshezi emzimbeni.

Ukwelashwa okuphumelela kakhulu ukwelapha noma ukuphatha imbangela eyisisekelo, okuzosiza ukuqeda izimpawu nokuvimbela ukuphinda kuvele.

Ezinye izindlela zokwelapha yilezi:

• Ukuthatha ama-diuretics: Lokhu kunciphisa inani loketshezi emzimbeni ngokulukhipha ngomchamo.
• Ukunciphisa usawoti ekudleni.
• Ukunciphisa inani lamanzi nezinye izinto eziphuzwayo oziphuzayo.
• Ukwelashwa okufana ne-dialysis noma i-paracentesis: Lokhu kuhilela ukukhipha uketshezi oluningi emzimbeni ngezindlela ezikhethekile.

Ngingawaphuza yini amanzi uma ngine-hypervolemia?

Yebo, kufanele uphuze amanzi noma ngabe une-hypervolemia. Ngoba amanzi abalulekile emzimbeni wethu, futhi izitho zethu zomzimba ziyawadinga ukuze asebenze kahle. Kodwa-ke, kufanele unciphise inani lamanzi owaphuzayo. Gcina irekhodi lokuthi uphuza uketshezi olungakanani ngosuku. Futhi, buza udokotela wakho ukuthi kufanele uphuze amanzi angakanani ngosuku.

Ngizolulama ngokushesha kangakanani ngemva kokwelashwa?

Kuye ngohlobo lokwelashwa olutholayo, izimpawu zakho zingase ziqale ukuthuthuka zingakapheli amahora angama-24. Noma kungathatha amasonto ambalwa. Udokotela wakho uzoqapha isimo sakho futhi, uma kudingeka, alungise uhlelo lwakho lokwelashwa ukuze asize ekunciphiseni ukungakhululeki kwakho.

Ugwema kanjani lokhu kukhula kwe-hypervolemia?

Nakuba kungenzeki njalo ukuvimbela lokhu ngokuphelele, kunezinto ongazenza ukuze unciphise ingozi:

• Yidla ukudla okungenasawoti omningi. (Isibonelo, gwema izinongo zokwenziwa, ukudla okusemathinini, ama-noodle asheshayo, njll.)
• Qaphela inani loketshezi oluphuzayo ngosuku.
• Zikalele njalo ukuze ubone ukuthi kukhona yini ushintsho olusheshayo esisindweni.
• Phatha noma welaphe kahle noma yiziphi ezinye izimo zezokwelapha eziyisisekelo ongase ube nazo.

Yini umuntu one-hypervolemia angayilindela?

Ngenxa yokuthi uketshezi oluningi emzimbeni lungaba nemiphumela emibi kakhulu, kubalulekile ukufuna ukwelashwa ukuze kuvinjelwe umonakalo wesikhathi eside. Uma kutholakale futhi kwelashwa kusenesikhathi, abantu abane-hypervolemia banethuba elihle lokululama. Ngandlela thile, i-hypervolemia iyisibonakaliso sesimo esingaphansi, futhi ukululama kuncike ekutheni isimo esingaphansi siphathwa kahle kangakanani.

Khuluma nodokotela wakho mayelana nokuxilongwa kwakho nokuthi ngabe udinga ukwenza noma yiziphi izinguquko endleleni yokuphila (isib., ukunciphisa usawoti ekudleni kwakho, ukunciphisa inani lamanzi owaphuzayo).

I-hypervolemia ihlala isikhathi esingakanani?

Amacala amancane e-hypervolemia angase axazululeke ngokwawo ezinsukwini ezimbalwa. Kodwa-ke, kungcono ukubona udokotela ukuze anqume ukuthi udinga ukwelashwa yini. Ezimweni ezimbi kakhulu, ukululama kungathatha isikhathi eside, ikakhulukazi uma kubangelwa isimo sezokwelapha esingaphansi. Ukwelapha isimo esingaphansi esibangele i-hypervolemia kungakusiza ukuthi ululame ngokushesha, kodwa izimpawu zingase ziqhubeke amasonto ambalwa ngemva kokuqala kokwelashwa.

Kufanele ngimbone nini udokotela?

Uma unezimpawu ze-hypervolemia, khuluma nodokotela wakho. Ukuxilongwa kusenesikhathi kanye nokwelashwa kungakusiza ukuthi uthole imiphumela emihle kakhulu. Kungasiza futhi ekunciphiseni ukungakhululeki okuzwayo ngenxa yoketshezi oluningi emzimbeni wakho.

Kufanele ngiye nini e-Emergency Treatment Unit (ETU) ?

Uma unezimpawu ezinzima ezenza kube nzima ukuphefumula, ukushaya kwenhliziyo okungajwayelekile, noma ubuhlungu obukhulu , iya ekamelweni eliphuthumayo ngokushesha.

Yimiphi imibuzo okufanele ngiyibuze udokotela wami?

• Yini ebangela lesi simo kimi?
• Ngingaphuza amanzi angakanani ngosuku?
• Kufanele ngiqale nini ukuthatha ama-diuretics futhi isikhathi esingakanani?
• Ngingasiphatha kanjani isimo sami esiyisisekelo ukuze ngivimbele ukuphinda ngibe ne-hypervolemia?

Uyini umehluko phakathi kwe-Hypervolemia ne-Hypovolemia?

(I-Hypervolemia) kanye (i-Hypovolemia)yizimo ezimbili ezibhekisela enanini loketshezi noma igazi emzimbeni wakho. Ku-Hypervolemia, ingxenye ethi "hyper" isho "okuningi kakhulu." Ku-Hypovolemia, ingxenye ethi "hypo" isho "okuncane kakhulu." "vol" yivolumu. Ngakho-ke, uma une-Hypervolemia, unoketshezi oluningi kakhulu emzimbeni wakho. Uma une-Hypovolemia, unoketshezi oluncane kakhulu emzimbeni wakho.

Okokugcina, izinto okufanele uzikhumbule (Umyalezo Wokuya Ekhaya)

Bangani abathandekayo, ngithemba ukuthi manje seniyaqonda kangcono i-Hypervolemia.

Ukugcinwa koketshezi ngezinye izikhathi kungaba yinto engakhululekile. Kubalulekile ukubonana nodokotela ngokushesha nje lapho uqala ukuzwa izimpawu ukuze kutholakale ukuthi ukwelashwa kuyadingeka yini.

Nakuba izimo eziningi ezincane zixazululeka zodwa, i-hypervolemia engapheli nengelashwa ingaba yingozi. Ngakho-ke, zama ukunciphisa ingozi yakho yokuthola i-hypervolemia ngokunciphisa ukudla kwakho usawoti nokuphatha ezinye izimo zakho zezokwelapha. Hlala uphilile!

I- Hypervolemia, ukwanda koketshezi emzimbeni, ukuvuvukala, umfutho wegazi ophakeme, isifo sezinso, i-sodium, ukwehluleka kwenhliziyo