Ingabe unesifo sohudo uma uhamba? Ake sixoxe ngesifo sohudo somhambi!

Cabanga nje ukuthi usohambweni oluya endaweni enhle bese uzizwa ugula ngokuzumayo, kufanele uye endlini yangasese izikhathi eziningana ngosuku... Mhlawumbe ngisho nokuhlanza kanye nomkhuhlane. Lonke uhambo lungaba yisicefe kancane, akunjalo? Isikhathi esiningi, lokhu kungenxa yokuthi sidla noma siphuza into engcolile ngokungazi. Lesi simo sibizwa ngokuthi 'i-Traveler's Diarrhea'. Njengoba igama lisikisela, kuyinto evamile phakathi kwabahambi.

Kuyini Uhudo Lomhambi?

Kalula nje, lesi 'Sifo Sohudo Somhambi' siwukutheleleka okwenzeka esiswini lapho sihamba, ikakhulukazi lapho siya kwesinye isifunda noma izwe, ngenxa yokudla noma iziphuzo ezingahlanzekile. Ukuze kube sobala, lokhu kuyisiphazamiso esincane esithinta uhlelo lwethu lokugaya ukudla (umgudu wokugaya ukudla) . Okusho ukuthi, ukutheleleka okwenzeka emathunjini akho. Nakuba lokhu kuvame ukuba ngcono ezinsukwini ezimbalwa, kuyinto ecasulayo kakhulu phakathi nalezo zinsuku ezimbalwa. Isisu sakho siqala ukubuhlungu, udinga ukuya endlini yangasese njalo, futhi ngezinye izikhathi uyahlanza futhi uzizwe ubuthakathaka. Cabanga ukuthi ubungaphatheka kabi kangakanani uma ungaya endaweni oyithandayo, unambithe ukudla lapho, bese kwenzeka into efana nale!

Ngokuvamile, lokhu kubangelwa amagciwane . Kodwa-ke, ngezinye izikhathi amagciwane noma izimuncagazi zamathumbu nazo zingaba yimbangela. Le ngozi iyanda uma sihamba siya ezindaweni ezihlukile endaweni esihlala kuyo futhi ezinezimo zokuhlanzeka ezingezinhle.

Kuvamile kangakanani lokhu?

Eqinisweni, 'i-Traveler's Diarrhea' iyinkinga yezempilo evamile kakhulu phakathi kwabahambi. Ngokusho kocwaningo, lesi simo singaba phakathi kuka-30% no-70% wabahambi , kuye ngokuthi baya kuphi kanye nesikhathi sonyaka. Lokho kusho ukuthi kubantu abayishumi abahambayo, abathathu kuya kwabayisikhombisa kungenzeka babe naso.

Le ngozi iphezulu kakhulu emazweni anesimo sezulu esishisayo nesinomswakama . Lokhu kungenxa yokuthi amabhaktheriya avame ukukhula ezindaweni ezinjalo. Isibonelo, ezingxenyeni zase-Asia, eMpumalanga Ephakathi, e-Afrika, eMexico, naseMelika Ephakathi naseNingizimu, abantu abaya kulezi zindawo banamathuba amaningi okuthola 'uhudo lwabahambi'.

Ziyini izimpawu?

Uma usola ukuthi une-Traveler's Diarrhea, qaphela lezi zimpawu:

• Ukuchitha indle ekhululekile (njengamanzi) izikhathi ezingaphezu kwezintathu emahoreni angama-24 .
• Isidingo sokuya endlini yangasese njalo nangokuzumayo.
• Ukuqaqamba kwesisu nokuhlanza.
• Isicanucanu nokuhlanza.
• Imfiva.

Esikhathini esiningi, lezi zimpawu azizimbi kakhulu. Uma kungukutheleleka ngamagciwane noma ngegciwane, izimpawu zingase ziqale ukuvela zingakapheli amahora ayi-6 kuya kwangu-24 ngemva kokutheleleka . Kodwa-ke, uma kubangelwa yi-parasite, kungathatha isonto kuya emavikini amathathu ukuthi izimpawu zivele. Yingakho abanye abantu beqhubeka nokuba nalezi zimpawu ngisho nangemva kokubuya ekhaya bevela ohambweni.

Izimpawu zihlala isikhathi esingakanani?

Lokho kuncike esizathwini.

• Uma kuyisifo esibangelwa amagciwane , uzoqala ukuzizwa ungcono ezinsukwini ezimbili kuya kwezintathu, noma ngabe awuthathi noma yiluphi ukwelashwa. Kodwa-ke, kungathatha isikhathi esingangesonto ukuthi izimpawu ziphele ngokuphelele.
• Uma kuyigciwane elithelelanayo , lizophola ezinsukwini ezimbalwa.
• Kodwa-ke, uma isifo sohudo esibangelwa yi-parasitic sibangelwa ukutheleleka okubangelwa yizinambuzane , izimpawu zingahlala amasonto, ngisho nezinyanga. Uma kunjalo, kufanele nakanjani ubone udokotela.

Kungani kwenzeka isifo sohudo somhambi?

Isifo sohudo sikaTraveler empeleni siyindlela amasosha omzimba wakho asabela ngayo kumhlaseli wangaphandle ongene endleleni yakho yokugaya ukudla. Laba bahlaseli bangaba amabhaktheriya, amagciwane, noma ama-parasite. Kungakhathaliseki ukuthi ayini, isimiso sakho somzimba sokuzivikela sizama ukuwabhubhisa nokuwaxosha emzimbeni wakho. Impendulo yokuvuvukala eyenzeka kulo mzamo yiyo ebangela izimpawu ezifana nesifo sohudo kanye nokuqaqamba kwesisu.

Kalula nje, okwenzekayo lapha kufana namasosha omzimba wakho (amasosha omzimba) elwa nesitha (igciwane) esingene emzimbeni wakho. Lezi zimpawu ziwumphumela waleyo mpi.

Hlobo luni lwamagciwane olubangela lokhu?

Njengoba sishilo ngaphambili, amabhaktheriya, amagciwane, kanye nezinambuzane kungabangela lesi simo.

• Amagciwane: Ukutheleleka ngamagciwane yikona okuvame kakhulu. Phakathi kwawo , i-E. coli iyimbangela eyinhloko. Ngaphezu kwalokho:
• I-Salmonella
• Igciwane lekholera
• i-Campylobacter jejuni
• Amabhaktheriya afana neShigella nawo angabangela lokhu.

• Amagciwane:
• I-Norovirus
• I-Rotavirus
• Amagciwane afana ne-Astrovirus nawo ayakuthinta lokhu.

• Izimuncagazi:
• I-Giardia
• I-Cryptosporidium
• Izimuncagazi ezifana neCyclospora nazo zingadala lesi simo.

Ingabe lokhu kuyathelelana?

Yebo, i-Traveler's Diarrhea ingathelelana. Amagciwane asemgudwini wakho wokugaya ukudla angadluliselwa komunye umuntu ngezinhlayiya ezincane ezisendlini yakho noma ekuhlanzeni. Isibonelo, uma unesifo sohudo bese uya endlini yangasese bese uthinta isinki ngaphambi kokugeza izandla zakho, umuntu olandelayo oyisebenzisayo angathola amagciwane ezandleni zakhe. Uma ethinta umlomo wakhe ngaphandle kokugeza izandla zakhe, angathola amagciwane kuwe. Yingakho kudingeka uqaphele kakhulu ngokuhlanzeka kwakho .

Ubani onamathuba amaningi okuthuthukisa lokhu?

Ukudla ukudla okungcolile namanzi okuphuza kuyisici esiyinhloko esiyingozi, kodwa amanye amaqembu anamathuba amaningi okuba naso kunamanye.

• Abantu abadala abasebasha: Nakuba ochwepheshe bengasazi isizathu esiqondile, abantu abasebasha banamathuba amaningi okuthola isifo sohudo sabahambi kunabantu abadala. Lokhu kungenzeka ngoba abantu abasha banamathuba amaningi okuzama izinto ezintsha, ikakhulukazi ukudla kwasemgwaqweni.
• Abantu abanesimiso somzimba esibuthakathaka: Njenganoma yikuphi ukutheleleka, isifo sohudo somhambi singakhula kalula kumuntu onesimiso somzimba esibuthakathaka kakade.
• Abantu abanezifo zokugaya ukudla ezingamahlalakhona: Isibonelo, abantu abanezimo ezifana nesifo sikaCrohn , i-GERD (i-Gastroesophageal Reflux Disease) , noma i-Irritable Bowel Syndrome (IBS) basengozini enkulu.

Yiziphi izinkinga ezingabangelwa yilokhu?

Ukuphelelwa amanzi emzimbeni kuyinkinga evame kakhulu. Lokhu kusho ukuthi inani lamanzi nosawoti emzimbeni liyancipha. Ukuphelelwa amanzi emzimbeni kakhulu kungaba yisimo esiphuthumayo sezokwelapha.

Ngaphezu kwalokho, nakuba kungavamile, uhudo lwe-traveler lungenza isimo sokugaya ukudla sibe sibi kakhulu. Isibonelo, ungase ube nesifo esibizwa ngokuthi i-post-infectious irritable bowel syndrome (PI-IBS) . Uma unezakhi zofuzo ezibangela isifo sohudo lwe-inflammatory bowel (IBD) , izimpawu zakho zokuqala ze-IBD zingase zenzeke ngemva kokuba unesifo sohudo lwe-traveler. Uma uhudo lwe-traveler lwakho lubi kakhulu futhi lubangelwa ukutheleleka ngamagciwane, ungase futhi ube nezimpawu ezifana negazi noma i-mucus esitulweni sakho kanye nomkhuhlane.

Udokotela ukubona kanjani lokhu?

Esikhathini esiningi, udokotela angabona ukuthi unesifo sohudo esihambisana nohambo ngokubuza ngezimpawu zakho nokuthi ubukuphi. Kodwa ngezinye izikhathi, udokotela wakho angase ancome ukuhlolwa kwendle ukuze athole ukuthi hlobo luni lokutheleleka onalo. Lokhu kungasiza ekunqumeni ukwelashwa okufanele, ikakhulukazi uma kusolwa ukutheleleka okubangelwa yizinambuzane. Kungadingeka ukuhlola amasampula angaphezu kweyodwa ukuqinisekisa ukutheleleka.

Yiziphi izindlela zokwelapha?

Udokotela wakho uzokutshela ukuthi uphumule ngokwanele futhi uphuze uketshezi oluningi . Ezinye iziphuzo zemidlalo kanye namafomula okubuyisela amanzi emzimbeni ngaphandle kwemithi kadokotela angasiza ekubuyiseleni ama-electrolyte alahlekile.

Kodwa-ke, uma izimpawu zakho zinkulu futhi zingathuthuki ezinsukwini ezimbalwa, kufanele ubonane nodokotela.Unganikwa imithi yokwelapha uhudo noma ama-antibiotic .

Imithi yokulwa nohudo

Le mithi ilawula kuphela uhudo lwakho, ayilaphi ukutheleleka. Imane yehlisa ijubane lokuhamba kwamathumbu akho (ukunyakaza) - ukufinyela kwemisipha esunduza indle emathunjini akho - kancane. Lokhu kunikeza amathumbu akho isikhathi esengeziwe sokumunca amanzi avela endle yakho abuyele emzimbeni wakho.

Okubi ukuthi amagciwane asesemzimbeni wakho. Usagula, futhi usengasabalalisa lesi sifo kwabanye. Ngakho-ke kufanele ulandele imiyalelo kadokotela wakho ngqo lapho usebenzisa le mithi. Kuwukuhlakanipha ukuphatha eminye yale mithi lapho uhamba:

• I-Atropine diphenoxylate (isib. i- Lomotil® )
• I-Bismuth (isb. i-Pepto-Bismol® )
• I-Loperamide (isib. Imodium® )

Ama-antibiotic

Uma unesifo esibi kakhulu sebhaktheriya, noma uma isifo sakho sohudo singathuthuki ngemva kwezinsuku ezimbalwa, udokotela wakho angase akunike ama-antibiotic. Ezinye zezinhlobo ezivame kakhulu zama-antibiotic yilezi:

• I-Ciprofloxacin (isib. i-Cipro® )
• I-Levofloxacin (isib. i-Levaquin® )
• I-Azithromycin (isib. i-Zmax® )
• I-Rifaximin (isib. i -Xifaxan® )
• I-Metronidazole (isib. i-Flagyl® ) (ikakhulukazi ezifweni ezibangelwa yizinambuzane)
• I-Nitazoxanide (isib. i-Alinia® ) (yezifo ezibangelwa yizinambuzane)

Okubalulekile: Ungalokothi uthathe ama-antibiotic ngokwakho ngaphandle kokubonisana nodokotela. Ukwenza kanjalo kungabangela ezinye izinkinga.

Ingabe kukhona ukwelashwa kwemvelo?

Ezinye izindlela zokwelapha zemvelo, njenge -oyela ye-oregano noma i-extract ye-echinacea, kuthiwa ziyasiza ekuvimbeleni izifo ezibangela uhudo lwe-traveler. Kodwa-ke, kufanele uhlale uhlola nodokotela wakho ukuqinisekisa ukuthi lezi ziphephile ukuthi uzisebenzise.

Yini ongayilindela uma unesifo sohudo se-Traveler?

Njengabantu abaningi, uzolulama ezinsukwini ezimbalwa. Uma unezimpawu ezinzima, noma uma izimpawu ziqhubeka, futhi usahamba, buza inxusa lakho ezweni lakini, umuntu omethembayo, noma udokotela omuhle endaweni.

Ungasinda kanjani kulokhu?

Akunakwenzeka ukugwema wonke amagciwane abangela isifo sohudo somhambi, kodwa unganciphisa kakhulu ingozi yakho ngokulandela lezi zinyathelo:

• Geza izandla zakho kahle , ikakhulukazi ngaphambi kokudla. Faka insipho bese uhlikihla izandla zakho okungenani imizuzwana engama-20.
• Sebenzisa ezindaweni lapho izindawo zokugeza izandla zingatholakali khona.Phatha isihlanzi sezandla esinotshwala.
• Uma ugeza, qaphela ukuthi amanzi avela eshaweni angangeni emlonyeni wakho .
• Sebenzisa amanzi asemabhodleleni ukuxubha amazinyo akho. Ungalokothi usebenzise amanzi ompompi.
• Gwema iziphuzo ezinama-ice cubes, njengoba ama-ice cubes kungenzeka ukuthi enziwe ngamanzi ompompi.
• Uma udla imifino nezithelo ezintsha, khetha kuphela lezo ongazihluba wena. Gwema ukuthenga izithelo ezisikiwe esitolo.
• Yidla ukudla okuphekiwe kahle nokushisayo kuphela. Ungayi kuzo zonke izindawo zokudla ozitholayo.
• Sebenzisa iziphuzo ezisemathinini noma ezisemabhodleleni kuphela. Hlola futhi ukuthi zivaliwe kahle.

Ngizinakekela kanjani?

Uma wena noma ingane yakho nithola isifo sohudo esihambisana nohambo, lezi zinto zingasiza:

• Phuza uketshezi oluningi: Amanzi asemabhodleleni, iziphuzo ezithile zezemidlalo, kanye nezixazululo zokubuyisela amanzi emzimbeni njengoJeevani, ongazithenga ekhemisi, konke kusiza ekugcineni amazinga amanzi emzimbeni.
• Yidla, kodwa qaphela: Okokuqala , zama amasobho alula namaphakethe eqhwa . Bese uzama ukudla kwe-BRAT (ubhanana, ilayisi, isosi yama-apple, isinkwa esithosiwe ). Lokhu kulula ukukugaya. Kungcono ukugwema ukudla okunamafutha, okubabayo, nobisi izinsuku ezimbalwa.

Kunini lapho udinga ukubonana nodokotela?

Uma uhlangabezana nanoma yiziphi zalezi zimpawu, qiniseka ukuthi ubona udokotela:

• Uma unegazi noma i-mucus esitulweni sakho , noma uma ubona noma yikuphi kwalokhu ngemva kokuya endlini yangasese nokusula.
• Umkhuhlane ophezulu (ngaphezu kwama-degree Celsius angu-38.5 / 101.3 degrees Fahrenheit).
• Uma unendle ekhululekile izikhathi ezingaphezu kwezintathu ngosuku , kungaba ngesikhathi sokwelashwa noma ngenkathi uthatha imithi.
• Uma unesifo sesisu esibuhlungu kakhulu .
• Uma unezimpawu zokuphelelwa ngamanzi emzimbeni (umlomo owomile, amehlo acwilisiwe, ukuncipha kokuchama, umchamo omnyama, ukoma ngokweqile, ukushaya kwenhliziyo okusheshayo, isiyezi).
• Uma izimpawu zingathuthuki ngemva kwezinsuku ezimbalwa noma ziba zimbi kakhulu.

Into ebaluleke kakhulu (Umyalezo Wokuya Ekhaya)

Uhudo lomhambi lungase lungabi yimbangela ezinhlelweni zakho zokuhamba, kodwa kungenzeka uma udla ukudla noma isiphuzo esingcolile ngengozi. Unganciphisa ingozi yakho ngokugeza izandla zakho njalo, ukuphuza amanzi asemabhodleleni, nokunciphisa ukudla okuphekiwe kahle neziphuzo ezisemathinini .

Uma ngeshwa uthintekile yilesi simo, ungesabi. Phumula ngokwanele futhi uphuze uketshezi oluningi. Esikhathini esiningi uzozizwa ungcono ezinsukwini ezimbalwa. Uma kungenjalo, bona udokotela ngokushesha. Yiba nohambo oluphephile nolunempilo!

Uhudo lomhambi, uhudo, isisu esibuhlungu, amagciwane, uhambo, ubuthi bokudla, ukuphelelwa amanzi emzimbeni