Ubuwazi ukuthi phakathi kuka-50% no-60% wemizimba yethu yakhiwe uketshezi? Lokho kusho izinto ezifana namanzi negazi. Ukugcina leli zinga loketshezi lilinganisela kubalulekile empilweni yethu. Kodwa uma ngesizathu esithile lokhu kulinganisela kuphazamiseka, ikakhulukazi uma inani loketshezi emzimbeni landa kakhulu, kungaholela ezinkingeni eziningi zempilo ezimbi. Namuhla sikhuluma ngalesi simo sokwanda koketshezi emzimbeni.
Kuyini Ukugcwala Okungaphezulu Koketshezi (i-Hypervolemia)?
Kalula nje,
i-Fluid Overload yilapho unoketshezi oluningi emzimbeni wakho. Igama lezokwelapha lalokhu yi
-Hypervolemia . Incazelo yaleli gama ilula kakhulu. 'Hyper' isho "okuningi kakhulu", kanti 'vol' isho "umthamo" noma "umthamo". Ngakho-ke i-Hypervolemia isho ukwanda komthamo woketshezi emzimbeni. Kukhona nolunye uhlangothi lwalokhu, olubizwa ngokuthi i-Hypovolemia. 'Hypo' isho "okuphansi". Isho ukwehla kwezinga loketshezi emzimbeni, noma isimo esifana nokuphelelwa amanzi emzimbeni. Kodwa namuhla sigxile esimweni se-Hypervolemia, okuwukwanda koketshezi. Lesi simo singabangelwa yizizathu ezahlukahlukene njengokwehluleka kwenhliziyo, ukwehluleka kwezinso, isifo sesibindi (i-cirrhosis), kanye nokukhulelwa.
Ziyini izimpawu zokugcwala koketshezi?
Uma uketshezi luqoqana emzimbeni, kungavela izimpawu ezahlukahlukene. Ngezinye izikhathi lezi zimpawu zingabangelwa yisimo sezokwelapha esiyisisekelo esibangela ukugcwala koketshezi. Lokhu kungabangelwa yizimo ezibucayi, ngakho-ke uma unezinye zezimpawu ezilandelayo, kufanele
nakanjani ubone udokotela wakho .
| Isibonakaliso | Incazelo elula |
|---|
| Ukuvuvukala | Ungase uvuvuke emilenzeni, emaqakaleni, ezandleni, noma ebusweni. Uma le ndawo evuvukile ihlala inezimbobo isikhathi esifushane uma uyicindezela ngesithupha sakho, ibizwa ngokuthi i-pitting edema . |
| Umfutho Wegazi Ophakeme | Uketshezi oluningi emzimbeni wakho lwenza inhliziyo yakho isebenze kanzima, okwandisa umfutho wegazi lakho. |
| Ubunzima bokuphefumula | Uma uketshezi olwengeziwe luqoqana emaphashini, lungenza kube nzima ukuphefumula. Ungase uzwe umsindo "wokuqhekeka" lapho uphefumula. Lesi yisimo esiphuthumayo futhi kufanele ufune usizo lwezokwelapha ngokushesha. |
| Ubuhlungu besifuba | Lokhu kungaba uphawu lwesimo esibizwa ngokuthi i-Pulmonary Edema . Lokhu kusho ukuthi amaphaphu agcwala amanzi. Lokhu futhi kuyisimo esiphuthumayo, hamba uye eMnyangweni Wezimo Eziphuthumayo wesibhedlela (ETU) ngokushesha. |
| Ukungakhululeki komzimba | Ungase uzizwe ungakhululekile ngenxa yezinto ezifana nekhanda elibuhlungu, ukuqunjelwa, noma ubuhlungu besisu. |
| Ukwanda kwesisindo | Lokhu kuvame ukuba uphawu lokuqala loketshezi oluningi. Abantu abaningi bathola cishe amakhilogremu angu-3-7 ngaphambi kokuba baqaphele ukuvuvukala emilenzeni noma esiswini sabo. |
Kungani lokhu kwenzeka? Ubani osengozini enkulu?
Uketshezi oluningi lwenzeka lapho izinso zakho ziqala ukugcina i-sodium (usawoti) emzimbeni wakho. Ngokuvamile, izinso zilawula ibhalansi kasawoti kanye noketshezi emizimbeni yethu. Lapho isimo sezokwelapha sibangela ukuba izinso zigcine i-sodium, amazinga e-sodium emzimbeni ayakhuphuka. Ngenxa yalokho, umzimba uqala ukukhiqiza uketshezi oluningi kakhulu.
Kalula nje, uma umzimba unosawoti omningi, ugcina amanzi ukuze unciphise usawoti. Lena imbangela eyinhloko yokuvuvukala.
Kunezizathu eziningana kanye namaqembu ayingozi angabangela lokhu kwenzeke:
- Ukwehluleka Kwenhliziyo : Uma imisipha yenhliziyo yakho iba buthakathaka, ayikwazi ukupompa igazi ngendlela efanele. Lokhu kusho ukuthi izinso zakho azitholi igazi ezilidingayo. Umzimba wakho uzama ukubuyisa imali ngokugcina usawoti namanzi. Umphumela uba ukugcinwa koketshezi.
- Ukwehluleka Kwezinso : Izinso zihlanza igazi lethu futhi zisuse ubuthi . Uma izinso zingasebenzi kahle, azikwazi ukukhipha uketshezi nosawoti owengeziwe emzimbeni bese ziqoqana emzimbeni.Lokhu kungenzeka futhi ngenxa yezimo zezinso ezifana ne -Nephrotic Syndrome .
- Izimo Zesibindi : Izimo zesibindi ezifana ne -cirrhosis zingabangela ukuthi isibindi singasebenzi kahle. Lokhu kungabangela uketshezi olunqwabelana esiswini (olubizwa ngokuthi ama-ascites ), kanye nokuvuvukala ezandleni, ezinyaweni nasebusweni.
- Isifo Sikashukela : Isifo sikashukela singalimaza izinso, okungabangela nokuthi uketshezi luqongelelane emzimbeni.
- Ukudla usawoti omningi: Uma ufaka usawoti omningi ekudleni kwakho, ikakhulukazi uma udla ukudla okuningi okucutshunguliwe, umzimba wakho uvame ukugcina amanzi.
- Imithi ethile: Eminye imithi yokucindezeleka kwegazi okuphezulu kanye nobuhlungu ingabangela ukugcinwa koketshezi emzimbeni njengomphumela ongemuhle.
- Ukukhulelwa: Izinguquko zamahomoni ngesikhathi sokukhulelwa kanye nokucindezela emithanjeni yegazi ngesibeletho esikhulayo kwandisa ukuthambekela kokuqongelela uketshezi emzimbeni.
Iphathwa kanjani?
Lapho welapha uketshezi oluningi ngokweqile, udokotela wakho uzoqala azame ukwelapha isimo esiyisisekelo esibangele lokhu. Izinketho zokwelapha zingahluka kuye ngesimo sakho.
Ukwelashwa kwezokwelapha
- Ama-Diuretics: Lawa abizwa nangokuthi 'amaphilisi amanzi.' Le mithi isiza umzimba ukukhipha uketshezi oluningi ngomchamo.
- I-Dialysis: Lokhu kwelashwa kusetshenziselwa iziguli ezinenkinga yezinso. Umshini uhlanza igazi futhi ususa uketshezi oluningi.
- I-Paracentesis: Inqubo yokukhipha uketshezi esiswini (ama-ascites) kusetshenziswa ipayipi elincane.
Izinguquko zendlela yokuphila
Kanye nokwelashwa, izinguquko ezimbalwa esingazenza endleleni yethu yokuphila zingasiza kakhulu ekulawuleni lesi simo.
- Lawula usawoti: Lena yinto ebaluleke kakhulu. Nciphisa inani likasawoti olifaka ekudleni kwakho. Ikakhulukazi ukudla okucutshungulwe njengososo, ukudla okusemathinini, amasoseji, amakhekhe, kanye namabhisikidi kuqukethe usawoti omningi.
- Zikalele nsuku zonke: Zikalele ngesikhathi esifanayo, ugqoke izingubo ezifanayo. Uma ukhuluphala ngokuzumayo, kungaba ukugcinwa kwamanzi. Yazisa udokotela wakho ngakho.
- Ukunciphisa uketshezi olusetshenziswayo: Ezinye iziguli zelulekwa odokotela bazo ukuthi zinciphise uketshezi ezingaluphuza ngosuku. Landela le miyalelo ngokucophelela.
- Phuza imithi ebhalwe ngudokotela njengoba nje uyalelwe: Phuza imithi ebhalwe ngudokotela, ngesikhathi esifanele nangesilinganiso esifanele.
- Indlela yokuphila enempilo:Gwema ukubhema, lawula ukusetshenziswa kotshwala, yidla ukudla okunempilo, futhi uhlanganyele ekuzivocavoceni okufanele njengoba uqondiswa udokotela wakho.
Izinkinga uma zingelashwa
Uketshezi oluningi kakhulu lungabangela izinkinga ezinkulu uma lungelashwa kahle.
- I-Pulmonary Edema: Isimo esiphuthumayo esisongela ukuphila esibangela ubunzima bokuphefumula.
- Ukwehluleka Kwenhliziyo: Ukwengeza ukucindezeleka okwengeziwe enhliziyweni ebuthakathaka kakade kungenza isimo sibe sibi kakhulu.
- Ukupholisa amanxeba okulibaziseka.
- Ukuqhekeka kwezicubu.
Ngakho-ke, kubaluleke kakhulu ukufuna iseluleko sezokwelapha ngokushesha nje lapho izimpawu zibonakala.
Umlayezo Wokuya Nawe Ekhaya
- Ukugcwala ngokweqile koketshezi (i-Hypervolemia) ukwanda ngokweqile koketshezi emzimbeni.
- Ukuvuvukala kwemilenze, izandla, nobuso, ukukhuluphala ngokuzumayo, ubunzima bokuphefumula, kanye nomfutho wegazi ophakeme yizimpawu eziyinhloko.
- Izimo ezifana nesifo senhliziyo, isifo sezinso, kanye nesifo sesibindi kungaba yizimbangela eziyinhloko.
- Uma unenkinga yokuphefumula noma ubuhlungu besifuba , kubheke njengesimo esiphuthumayo bese ucela usizo lwezokwelapha ngokushesha.
- Ukwelashwa kuhlanganisa 'amaphilisi amanzi' (izidakamizwa zokuhlanza) kanye nokwelashwa kwesifo esiyisisekelo.
- Ukulawula usawoti ekudleni kanye nokukala isisindo nsuku zonke kubaluleke kakhulu ekuphatheni lesi simo.
- Uma unenkinga ngalokhu, khuluma nodokotela wakho nakanjani.
Ukwanda Koketshezi, I-Hypervolemia, Ukuvuvukala Komzimba, I-Edema, Isifo Sezinso, Isifo Senhliziyo, Umfutho Wegazi Ophakeme, Uketshezi Lomzimba, I-Pulmonary Edema, I-Diuretics, I-Dialysis, Ukulawulwa Kosawoti
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