Ingabe uvuka ekuseni bese uzizwa sengathi ingalo yakho yesobunxele ayizwakali, iyathuthumela, futhi iyakhasa? Noma wake waba nalo muzwa wokuthuthumela nganoma yisiphi isikhathi sosuku? Lokhu kuyinto evamile kakhulu kubantu abaningi. Ngezinye izikhathi kungaba ngenxa yesizathu esilula kakhulu. Kodwa-ke, ezimweni ezingavamile, kungaba uphawu oluyisixwayiso senkinga enkulu yempilo. Ngakho-ke namuhla, ake sixoxe ngakho konke ngalo muzwa wokuthuthumela engalweni yesobunxele.
Kusho ukuthini ukuthuthumela esandleni sobunxele?
Kalula nje, ingalo yakho yesobunxele ayizwakali, okusho ukuthi awukwazi ukuzwa lutho kusukela ehlombe lakho kuya eminweni yakho. Ngezinye izikhathi lokhu kuzwa kokucasuka kungahambisana nobuthakathaka engalweni, ukuzwa kwezinaliti, noma ngisho nomuzwa wokucasuka oqala ezinyaweni zeminwe.
Yiziphi izimbangela ezilula zokuthuthumela ezandleni?
Ngokuvamile isizathu salokhu kungaba yinto elula kakhulu. Ngaphambi kokuba wethuke, cabanga ngalezi zinto:
- Ukulala endaweni engafanele: Ngezinye izikhathi silala izingalo zethu zifakwe ngaphansi kwamakhanda ethu. Lokhu kungabangela ukuthi imizwa nemithambo yegazi ezingalweni zethu kucindezelwe, kuphazamise ukuhamba kwegazi futhi kubangele ukungakhululeki ezingalweni zethu. Lokhu kuvame ukunyamalala kodwa ngemva kwesikhashana.
- I-Migraine: Abanye abantu bangase babe nokuqaqamba kolunye uhlangothi lomzimba, ikakhulukazi ingalo noma umlenze, ngaphambi noma ngesikhathi esifanayo nekhanda elibuhlungu le-migraine.
Ukuqaqamba okubangelwa yizimbangela ezilula ezifana nalezi kuvame ukuphela ngesikhathi esifushane. Kodwa uma kuqhubeka noma kuhambisana nezinye izimpawu, kufanele sikhathazeke ngakho nakanjani.
Izizathu ezingathi sína ezidinga ukunakwa ngokushesha
Ukuqaqamba kwesandla sobunxele kungaba uphawu lokuqala lwesimo esibi, ngezinye izikhathi esisongela ukuphila. Ake sibheke ngasinye sazo ngasinye ngasinye.
1. Ukuhlaselwa Yinhliziyo
Lesi yisona sizathu esiyinhloko esenza abantu abaningi besabe lapho ingalo yabo yesobunxele ishaya ngamandla. Ngesikhathi sokuhlaselwa yinhliziyo, umthambo wenhliziyo ohlinzeka ngegazi enhliziyweni uyavaleka. Lokhu kuphuca imisipha yenhliziyo igazi nomoya-mpilo oyidingayo. Ngenxa yalokho, ubuhlungu noma ukushaqeka okuphuma engalweni yesobunxele kungenzeka.
Ungakhohlwa: Ngaphezu kokuqaqamba kwengalo yesobunxele, ukuhlaselwa yinhliziyo kungadala nezimpawu ezifana nobuhlungu bokucindezela noma ukucindezeleka maphakathi nesifuba, ubunzima bokuphefumula, isiyezi, isicanucanu, kanye nobuhlungu entanyeni, emhlathini, emhlane, noma emahlombe.
Lesi yisimo esiphuthumayo sezokwelapha. Uma unalezi zimpawu, thatha i-aspirin ngokushesha (ngaphandle kokuthi une-allergy kuyo), shayela i-1990 Ambulance Service noma uye eMnyangweni Wezimo Eziphuthumayo (ETU) wesibhedlela esiseduze.
2. Isifo sohlangothi
Isifo sohlangothi sibangelwa ukuvaleka noma ukuqhekeka komthambo wegazi ohambisa igazi ebuchosheni. Lokhu kuqeda ukuhlinzekwa kwegazi nomoya-mpilo engxenyeni yobuchopho. Lokhu kungabangela ukungakhululeki noma ubuthakathaka ezingxenyeni ezahlukene zomzimba, ikakhulukazi ohlangothini olulodwa, njengengalo yesobunxele.
Ngaphezu kokuba ndikindiki ezandleni, ukukhubazeka kungadala nezimpawu ezifana nokulahlekelwa yibhalansi, ubunzima bokukhuluma, ukukhuluma okungacacile, ukugoba kohlangothi olulodwa lobuso, ukudideka, kanye nekhanda elibuhlungu ngokuzumayo . Lezi zimpawu zingase zibe ukuhlaselwa kwe-ischemic okungapheli (TIA).
Lokhu futhi kuyisimo esiphuthumayo sezokwelapha. Uma unalezi zimpawu, iya ku-ETU ngokushesha.
3. Izinkinga Zomgogodla
Intambo yethu yomgogodla yilapho imizwa egijimela kuzo zonke izingxenye zomzimba igijimela khona. Uma inkinga kumathambo omgogodla womlomo wesibeletho (umgogodla) ibangela ukuba imizwa ecindezelwe isuke lapho iye esandleni, kungase kube nokuqaqamba esandleni.
Njengoba nje lapho ipayipi lamanzi licindezelwa, ukugeleza kwamanzi kuncipha, lapho enye yezinzwa zethu icindezelwa, izimpawu ezihamba ngayo ziyaphazamiseka. Yilapho-ke kuvela khona ukuqaqamba nobuhlungu.
Kunezimo eziningana ezingabangela lokhu:
- I-Cervical Spondylosis: Njengoba ukhula, i-cartilage nama-disc aphakathi kwamathambo entanyeni kungaguga, okubangela ukuba imizwa icindezeleke.
- I-Herniated Disk: I-disc ephakathi kwamathambo entanyeni iyavuvukala bese icindezela inzwa.
- I-Spinal Stenosis: Njengoba iminyaka ikhula, isikhala esingaphakathi komgogodla siyancipha, okubangela ingcindezi ezinzwa.
4. Ezinye Izinkinga Zezinzwa
Ezinye izimo zezokwelapha zingalimaza uhlelo lwethu lwezinzwa.
- I-Carpal Tunnel Syndrome: Isimo esibangela ukuqaqamba esandleni naseminweni ngenxa yokucindezelwa kwe-median nerve, i-nerve enkulu edlula esihlakaleni.
- I-Peripheral Neuropathy: Lesi yisimo esivame kakhulu kubantu abanesifo sikashukela i-Mellitus . Singabangelwa futhi ukuntuleka kwevithamini B1 noma i-B12.
- Ukulimala kwe-Brachial Plexus: Ukulimala kwenethiwekhi yezinzwa endaweni yamahlombe.
| Isimo esibucayi | Izimpawu ezengeziwe ezingase zivele | Okufanele ukwenze ngokushesha |
|---|---|---|
| Isifo senhliziyo | Ubuhlungu/ingcindezi esifubeni, ubunzima bokuphefumula, isiyezi, isicanucanu. | Shayela ngokushesha ku-1990 bese uya ku-ETU. |
| Isifo sohlangothi | Ukuvuvukala kolunye uhlangothi lobuso, ubunzima bokukhuluma, ukulahlekelwa yibhalansi yomzimba. | Yiya ku-ETU ngokushesha. |
| Izinkinga zemizwa emhlane/entanyeni | Ubuhlungu bentamo, ukuqina kwentamo, ikhanda elibuhlungu, ubuthakathaka bengalo. | Bona udokotela wakho. |
5. Ezinye izizathu
Ngaphezu kwezizathu eziyinhloko ezishiwo ngenhla, kunezinye izizathu eziningana ezenza isandla sokhohlo sizizwe singakhululekile.
- Ukulimala: Ingozi yesandla, isibonelo ukusha noma ukuphuka, ingalimaza imizwa futhi ibangele ukuqaqamba.
- Ukujikeleza Kwegazi Okubi: Isifo semithambo yegazi, isimo emithanjeni nasemithanjeni ethwala igazi emzimbeni wonke, singabangela ukwehla kokugeleza kwegazi ezandleni, okubangela ukuba umuntu angabi namizwa.
- Ukusabela Kokungezwani Nomzimba: Ngezinye izikhathi, uma isilwane esifana nesicabucabu siluma isandla sakho sobunxele, indawo ingavuvukala, ilume, futhi izwe ukuthuthumela ngenxa yokusabela kokungezwani nomzimba.
- I-Multiple Sclerosis (MS): Lesi yisifo sezinzwa esithinta ubuchopho kanye nomgogodla. Ukuqaqamba kwamalungu kungaba uphawu lokuqala lwe-MS.
- Isifo seLyme: Ukutheleleka ngamagciwane okudluliselwa yizinambuzane ezifana nama-tick.
- Ubuthi Bomthofu: Ukungenisa izinto eziqukethe umthofu, ikakhulukazi upende omdala, kungabangela ukuqaqamba emilenzeni yabantu abadala. Uma unokungabaza ngalokhu, ungaxhumana ngokushesha ne-National Poison Information Center e-Colombo National Hospital ukuze uthole iseluleko.
Zikhona yini izinto ongazenza ekhaya ukuze unciphise ukucasuka?
Uma unezinhlungu ezandleni zakho kuphela futhi ungenazo ezinye izimpawu ezinkulu (njengobuhlungu besifuba noma ubunzima bokuphefumula), ungazama lezi zinto ezilula ngaphambi kokuya kudokotela.
- Beka into eshisayo noma ebandayo endaweni ehlabayo (iphakethe elishisayo/elibandayo).
- Hlikihla leyo ndawo kahle.
- Phumula isandla sakho.
- Yelula ingalo yakho kancane kancane noma wenze ukuzivocavoca okulula.
Kodwa khumbula, lokhu kufanele kwenziwe kuphela uma kungekho ezinye izimpawu ezinkulu. Uma ungabaza, kungcono ukubona udokotela.
Kufanele ubonane nodokotela ngokushesha nini?
Uma uhlangabezana nanoma yiziphi izimpawu ezilandelayo kanye nokuqaqamba kwesandla sobunxele, funa iseluleko sezokwelapha ngokushesha.
- Ukudideka, isiyezi, noma ubunzima bokulawula umzimba wakho.
- Umbala wesikhumba uyashintsha (oluhlaza okwesibhakabhaka noma okhanyayo).
- Ikhanda elibuhlungu kakhulu.
- Ukucanuzela noma ukuhlanza.
- Ubuhlungu esifubeni, emhlane, entanyeni, ebusweni, noma ehlombe.
- Ukukhubazeka kwehlombe, ingalo, isandla, noma ubuso.
- Ubunzima bokuhamba.
- Ubunzima bokukhuluma noma ukugwinya amagama.
- Ukuvuvukala noma kuphi emzimbeni, ikakhulukazi ezandleni noma ezinyaweni.
- Ubunzima bokuphefumula noma ukugwinya.
Uma unezinye zalezi zimpawu, ungazinaki. Kubalulekile ukufuna ukwelashwa ngokushesha, ngoba zingaba uphawu lokuthile okungathí sina.
Umlayezo Wokuya Nawe Ekhaya
- Ukuqaqamba kwesandla sobunxele kungabangelwa yizimbangela ezilula (njengokulala endaweni engafanele) kanye nezimbangela ezingathi sína kakhulu njengokuhlaselwa yinhliziyo kanye nohlangothi.
- Uma unezimpawu ezifana nobuhlungu besifuba, ubunzima bokuphefumula, ukuvuvukala kobuso, noma ubunzima bokukhuluma kanye nokuqaqamba, kuyisimo esiphuthumayo sezokwelapha. Yiya ku-ETU ngokushesha.
- Izimo ezifana nesifo sikashukela, ukuntuleka kwamavithamini, kanye nokucindezelwa kwemizwa entanyeni nakho kungabangela ukuba ndikindiki isikhathi eside ezandleni.
- Uma unokungabaza ngokuqaqamba kwesandla sakho, noma uma kuphazamisa imisebenzi yakho yansuku zonke, qiniseka ukuthi ubona udokotela womndeni wakho (udokotela) ukuze uthole imbangela.
👩🏽⚕️ Imibuzo eyengeziwe (ama-FAQ)
💬 Amaphilisi e-Niacin (Niacin / Vitamin B3 / Niacor) ayimuthi onikezwa yisiphi isifo?
Nakuba lokhu kuyi-vithamini evamile (i-Vitamin B3 / i-Nicotinic Acid), uma inikezwa ngemithamo ephezulu, isebenza njengephilisi le-cholesterol elinamandla kakhulu (i-Antihyperlipidemic agent)! Umlingo omkhulu nobaluleke kakhulu walokhu ukuthi uwukuphela komuthi emhlabeni wonke ongakhuphula 'i-cholesterol enhle (i-HDL)' ngenani eliphakeme kakhulu (kufika ku-35%) (futhi futhi wehlise i-cholesterol embi kanye ne-triglycerides).
💬 Leli philisi levithamini liyilawula kanjani i-cholesterol yegazi uma linikezwa ngemithamo ephezulu (i-Niacin High-dose)?
Isibindi somzimba wethu sithola amafutha/amafutha avela kumaseli amafutha omzimba (izicubu zamafutha). Lapho nje leli philisi lingena emzimbeni, livimba/livala futhi livale ukukhishwa kwamafutha (ama-Free Fatty Acids) avela kulawo maseli amafutha ngo-100% (livimbela i-lipolysis). Ngemuva kwalokho, njengoba isibindi singawatholi amafutha, isibindi asikwazi ukwenza i-VLDL entsha kanye ne-cholesterol 'embi (LDL)'. Ngesikhathi esifanayo, livimba ukuwohloka kwe-cholesterol 'enhle (HDL)' emzimbeni futhi liyandise.
💬 Yiziphi izingozi ezibulalayo kanye nemiphumela emibi engabekezeleleki (ukuhlanza) yokuphuza leli philisi le-cholesterol (i-Niacin)?
Inkinga enkulu ukuthi kungakapheli imizuzu engama-20 uphuze lokhu, umzimba/ubuso bakho bonke buzosha njengomlilo futhi bube bomvu, futhi uzoba nokulunywa okukhulu (Intense Niacin Flush / Prostaglandin eqondiswe)! (Ukuze uyeke, udinga ukuthatha iphilisi le-Aspirin isigamu sehora ngaphambi kokuthatha umuthi). Enye into eyingozi kakhulu ukuthi lokhu kubangela 'ushukela/isifo sikashukela' kanye ne-asidi yegazi (i-uric acid) ukuthi kukhuphuke ngendlela engavamile (i-gout iyakhula)! Futhi, kunengozi enkulu yezinkinga/ukulimala okukhulu kwesibindi.
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