Ukuvuvukala Emzimbeni

I-Edema, igama lezokwelapha lokuvuvukala komzimba, lithinta izigidi zabantu emhlabeni jikelele. Lesi simo siqala lapho uketshezi lunqwabelana ezicutshini zomzimba futhi lubangele ukwanda okubonakalayo kwezindawo ezithintekile. Abantu abaningi babhekana nalesi simo phakathi nokuphila kwabo, nakuba ukuvuvukala okuncane ngokuvamile kungabonakali.

Umzimba wakho uvuvukele ngenxa yezizathu eziningi. Ukuvuvukala kwangaphandle kwesikhumba ngokuvamile kubangelwa ukulunywa yizinambuzane, ukulimala, imishayo, Futhi isifuba. Kodwa izimo zempilo ezimbi kakhulu njengokuhluleka kwenhliziyo, isifo sezinso, noma isibindi i-cirrhosis yizimbangela zokuvuvuka komzimba wonke. Ukusabela kwemvelo komzimba ekulimaleni kuvame ukulandela iphethini - ubuhlungu buza kuqala, bese kulandela ukuvuvukala. Uhlobo oluthile olubizwa ngokuthi i-pitting edema lushiya imbobo encane esicutshini esithintekile lapho icindezelwa ngokuqinile.

Lesi sihloko sichaza izimpawu, izimbangela, izingozi, kanye nezinkinga eziza nokuvuvukala komzimba. Iphinde ihlanganise izindlela zokuxilonga nokwelapha isimo, izindlela zokuvikela, nezimpawu ezikhombisa ukuthi udinga usizo lwezempilo. 

Izimpawu Zokuvuvuka komzimba

Izindawo ezivuvukele zibukeka zikhukhumele ngesikhumba esinwetshiwe, esicwebezelayo esishiya i-dimple ngemva kokucindezela imizuzwana embalwa. Abantu baqaphela izicathulo zabo, amasokisi, noma ubucwebe bubampintsha ngendlela engavamile. Izingxenye zomzimba ezivuvukele zizwa zisinda, ziqinile, futhi zibuhlungu, okunganciphisa ukunyakaza kwamalunga. Ukuzuza kwesisindo esisheshayo samakhilogremu angu-2-3 ngobusuku obubodwa ngokuvamile kubonisa ukugcinwa koketshezi.

Izimbangela Zokuvuvukala Komzimba

Okulandelayo ezinye izimbangela ezivamile zokuvuvukala komzimba: 

• Ukuhlala noma ukuma isikhathi eside kakhulu
• Ukusetshenziswa kukasawoti omningi
• Imithi ethile njengezidakamizwa zomfutho wegazi, ama-steroid, namaphilisi okuvimbela inzalo 
• Izimo zezempilo njengokuhluleka kwenhliziyo, isifo sezinso, i-cirrhosis yesibindi, ukungasebenzi kahle kwe-venous
• Ukulimala noma ukuvinjelwa ohlelweni lwe-lymphatic 
• Ukuvuvukala kwangaphandle kwesikhumba kuvame ukubangelwa ukulunywa yizinambuzane, ukulimala, ukuqubuka, nokuqunjelwa. 

Ingozi Yokuvuvukala Komzimba

• Izinguquko ezihlobene nobudala ekujikelezeni kwegazi zenza abantu abadala asebekhulile babe sengozini ye-edema. 
• Abesifazane babhekana nokuvuvukala kaningi, ikakhulukazi ngesikhathi sokukhulelwa noma ukuya esikhathini. 
• Isimo sezulu esishisayo nezimo ezingamahlalakhona kwandisa amathuba omuntu okuba ne-edema.

Inkinga Yokuvuvukala Komzimba

I-Edema ngaphandle kokwelashwa iphumela ku:

• Ukuvuvukala okubuhlungu
• Ukugubha
• Eqinisiwe isikhumba esilumayo
• Ingozi ephezulu yokutheleleka
• Ukunyakaza kukhawulelwe nge-edema engapheli 
• Ukuvuvukala okuhlala isikhathi eside kubhidliza isikhumba futhi kudala izilonda. 

Sifo 

Odokotela basebenzisa inqubo yesinyathelo ngesinyathelo ukuxilonga ukuvuvukala komzimba:

• Ukuhlolwa komzimba: Udokotela uhlola ukuthi izindawo ezivuvukele ziyalimala yini lapho zithintwa. Ukuhlola okulula kuhilela ukucindezela izindawo ezivuvukele imizuzwana emi-5-15 ukuze ubone ukuthi i-dimple iyamafomu. Lokhu kuhlolwa komgodi kusiza odokotela balinganise ubulukhuni be-edema esikalini sika-1-4 ngokubuka ukuthi i-dimple ibuya ngokushesha kangakanani. 
• Ukuhlolwa kwegazi: Siza ekuboneni izinkinga ezifana nezinkinga zezinso noma zesibindi, izinkinga zenhliziyo, izifo, noma amaprotheni aphansi egazini.
• Ukuhlaziywa komchamo: Bheka izimpawu zesifo sezinso, izifo, noma amaprotheni avuza emchameni.
• Ukuhlolwa kwesithombe: I-Ultrasound noma i-MRIs ingabonisa ukuthi kukhona yini ukuvinjelwa, ukuvuvukala noma uketshezi olwengeziwe.

Ukwelashwa Kokuvuvukala Komzimba

Uhlelo lokwelapha luyashintsha ngokusekelwe ekutheni kungani lwenzeka. 

• Odokotela bangase batuse ukuhlinzwa uma izimila noma amathumba kubangela ukuvuvukala. 
• Ezinye iziguli zidinga ama-diuretics ukuze zikhiphe uketshezi oluthe xaxa, kanti ezinye zisabela kangcono kuma-antihistamine ukuze zingezwani nomzimba. 
• Ukwelapha isifo esiyinhloko kuba yingxenye ebalulekile yohlelo lokuhlinzeka ngempumuzo ezimpawini.

Uzoyibona Nini Udokotela

Kufanele uthole usizo lwezempilo ngokushesha uma une:

• Ivela ngokuzumayo ngaphandle kwesizathu esicacile
• Ithinta isitho esisodwa (ikakhulukazi ngobuhlungu)
• Kwenzeka ngezinkinga zokuphefumula, ubuhlungu besifuba, noma ukushaya kwenhliziyo okungajwayelekile
• Iza imfiva noma ububomvu/ukufudumala endaweni
• Ibangela ubuhlungu obuba bubi kakhulu ngokushesha 

Indlela Yokuvimbela Ukuvuvukala Emzimbeni

Izinyathelo ezilula zingasiza ekuvimbeleni ukuvuvukala:

• Phakamisa imilenze yakho ngaphezu kwezinga lenhliziyo yakho imizuzu engu-30 izikhathi eziningana ngosuku. 
• Yehlisa ukudla kwakho usawoti
• Hlala usebenza
• Gqoka izingubo zokucindezela
• Phuza amanzi anele
• Ungazama futhi ukubhucunga inhliziyo yakho ukusiza ukuhambisa uketshezi olunamathele ohlelweni lwakho lwe-lymphatic.

Isiphetho

Abantu abaningi babhekana nokuvuvukala komzimba ngesikhathi esithile, nakuba ngokuvamile bengazinaki izimpawu zokuqala. Ukubona izimpawu kusiza ukuphatha udaba ngokushesha futhi kugweme izinkinga ezinkulu. Ukuvuvukala, noma i-edema, yindlela umzimba wakho obonisa ngayo ukuthi okuthile kuvaliwe-kungaba ukuma isikhathi eside noma inkinga yezempilo efihliwe edinga ukuhlolwa.

Ukwazi ukuthi yini ebangela ukuvuvukala kukusiza ukuthi uphendule ngendlela efanele. Ukuvuvukala ngenxa yokusebenza ngokomzimba noma ukudla usawoti omningi ngokuvamile kuyaphela lapho uphakamisa indawo ethintekile futhi ulungisa imikhuba yakho. Nokho, ukuvuvukala okubangelwa yinhliziyo, izinso noma izinkinga zesibindi kudinga ukunakekelwa udokotela.

Udinga ukubona udokotela ezimeni ezithile. Ukuvuvukala okungazelelwe okukhulu nobuhlungu kudinga ukunakekelwa kwezokwelapha ngokushesha. Akufanele neze uzibe ukuvuvukala uma kuziwa ngezinkinga zokuphefumula, ubuhlungu besifuba, noma imfiva.

Umzimba wakho uxhumana ngezimpawu ezinjengokuvuvukala. Ukufunda ukuhumusha nokwenza ngalezi zimpawu kuzokunikeza imiphumela engcono yezempilo. Ukunaka lezi zimpawu kungase kwembule izindaba ezibalulekile zezempilo ngaphambi kokuba zibe izinkinga ezinkulu.

Imibuzo Evame Ukubuzwa

1. Ngingakuqeda kanjani ukuvuvukala komzimba?

Ukwelashwa kwakho kudinga ukukhomba izindlela ezingemuva kwe-edema. Nakhu okusizayo ngokuvuvukala okuncane:

• Phakamisa indawo ethintekile ngaphezu kwezinga lenhliziyo imizuzu engama-30 kathathu ngosuku
• Gqoka izingubo zokucindezela njengamasokisi noma imikhono
• Yehlisa usawoti omningi
• Hlala umatasatasa ngokuhamba okuvamile
• Phuza amanzi amaningi ukuze usekele ukusebenza kwezinso
• Gcoba iqhwa ezindaweni ezilimele ukuze uqinise imithambo yegazi
• Thatha ama-diuretics anqunyiwe ("amaphilisi amanzi") uma udokotela wakho encoma 

2. Yikuphi ukutheleleka okubangela ukuvuvukala komzimba?

I-Cellulitis yenza umzimba wakho ugcwale isikhumba esibukeka sibomvu, sifudumele, futhi sibuhlungu. Lokhu kutheleleka kwebhaktheriya kwenzeka lapho amagciwane e-streptococcus noma e-staphylococcus engena ngokuphuka kwesikhumba. Ukutheleleka kungasakazeka ngokushesha emzimbeni wakho wonke ngaphandle kokwelashwa okusheshayo.

3. Yikuphi ukuntula okubangela ukuvuvukala?

Umzimba wakho ungase uvuvuke ngenxa yokuntuleka kwamavithamini. Amazinga aphansi amavithamini B1 kanye no-C angaholela ekuvuvukeni kwamalunga noma edema. Kuyenzeka futhi ukuthi ukuntuleka kwamaprotheni (kwashiorkor) kuholela ekuvuvukeni kwesisu ngenxa yokugcinwa koketshezi, ikakhulukazi uma unezingane.

4. Yisiphi isigaba sokuqala sokuvuvukala?

Izimpawu zokuqala ze-edema zibonakala njengokukhukhumala okuncane ezindaweni ezithintekile. Odokotela bahlola ukuvuvukala kusenesikhathi ngokusebenzisa "i-pitting test" - ukucindezela indawo cishe imizuzwana engu-15 kushiya i-dimple ehlala isikhashana. Isikhumba sakho singase sibukeke sinwetshiwe futhi sicwebezela kancane.

5. Ngazi kanjani ukuthi ukuvuvukala kubi?

Udinga usizo lwezokwelapha ngokushesha uma umzimba wakho uvuvuka:

• Kuthinta isitho esisodwa nje 
• Ukuvuvukala komzimba okungazelelwe, izindawo ezifudumele, ububomvu, noma imfiva.
• A umlenze ovuvukele ohlangothini olulodwa nje olunobuhlungu lungasho i-deep vein thrombosis. 
• Iza nomkhuhlane noma ububomvu/ukufudumala endaweni
• Ibangela ubuhlungu obuba bubi kakhulu ngokushesha

UDkt. Sowmya Bondalapati

I-MBBS, MD (Imithi Yangaphakathi)
CARE Hospitals, HITEC City, Hyderabad

Ukuze Ubhukhe Isikhathi, shayela:

+ 91 40-68106529