Ngingathanda ukwazi ukuthi ungangitshengisa indlela eya elabhorethri eNingizimu California, ikakhulukazi eSan Bernardino County noma e-LA County noma ngisho nase-Riverside County eyenza ukuhlolwa kwamajini e-EDS (Ehlers-Danlos Syndrome) noma i-Osteogenesis Imperfecta (isifo sokuqina kwamathambo okungaphelelanga) futhi uyazi yini ukuthi lezi zifo ezimbili ziyafana yini ngezimpawu? Ngiyabonga ngosizo lwakho nesikhathi sakho.

Isifinyezo
Ithishu eyokuxhumanisa yinto engaphakathi komzimba wakho esekela izingxenye eziningi zawo. Yiyo "intambo yeseli" enika amathishu akho isimo futhi isize ukuwagcina eqinile. Iphinde isize ezinye zamathishu akho ukwenza umsebenzi wawo. Ikhathilaji namafutha ayizibonelo zethishu eyokuxhumanisa. Kukhona izifo ezingaphezulu kwama-200 ezithinta ithishu eyokuxhumanisa. Ezinye, njengesifo se-cellulitis, zibangelwa ukutheleleka. Ukulimala kungabanga izifo zethishu eyokuxhumanisa, njengezibazi noma amanxeba. Ezinye, njenge-Ehlers-Danlos syndrome, i-Marfan syndrome, kanye ne-osteogenesis imperfecta, zingenziwa yizimilo. Ezinye futhi, njenge-scleroderma, azikabonwa imbangela yazo. Isifo ngasinye sinezimpawu zaso ezihlukile futhi sidinga ukwelashwa okuhlukile.


Ngingumama wentombazane eneminyaka eyi-13 eyatholakala ukuthi ine-endometriosis (isifo somzimba wesifazane). Ngiyazi ukuthi ngingahle ngingasipele kahle leli gama. Udokotela uthe lesi sifo simubi kakhulu futhi asijwayelekile ezinganeni ezingangayo. Wayeneminyaka eyi-12 ngesikhathi etholakala, ngabe kukhona izindlela zokwelapha ezifanele ubudala bakhe? Akakaze athole ukwelashwa, futhi uhlala ezwa ubuhlungu ngaso sonke isikhathi.

Hlobo luni lwemithi ekhona? Uma ukuhlolwa kwe-endometriosis sekwenziwe, ukwelashwa kuhlukaniswa ngalezi zigaba ezilandelayo.

Ukubheka (ukuqapha izimpawu): Ngemva kokuhlolwa nangaphambi kokuqala ukuthatha amahomoni, wena kanye nethimba lakho labanakekeli besitho sangasese sabesifazane (GYN) ningakhetha ukuqapha izimpawu zakho futhi uzame imithi yezinhlungu elula. Leli yisinyathelo sokuqala samantombazane ane-endometriosis engakabi nesikhathi sokuqala.

Ukucindezela ngokwezokwelapha: Ukwelashwa ngamahomoni njengamaphilisi okuhlela aqukethe i-estrogen ne-progesterone athathwa njalo (ukumisa isikhathi) kwelapha izimpawu kwiziguli eziningi. Ukwelashwa kwesibili ukusebenzisa umuthi we-progesterone wodwa. Loku kuza njengephilisi lokuhlela eliqukethe i-progestin kuphela ephaketheni (amagama ezitolo: i-Nor-QD® noma i-Camilla®) noma njengephilisi elijwayelekile eliza ebhodleleni i-Norethindrone acetate (igama lesitolo: i-Aygestin®). Isikali se-Aygestin® singalungiswa ukuze simise ubuhlungu nokophisa kwakho. Olunye uhlobo lomuthi obizwa nge-GnRH agonist (umuthi ovimbela ukukhiqizwa kwamahomoni), njenge-Leuprolide acetate (igama lesitolo: i-Lupron-Depot®). Lo muthi usebenza ngokuvala amahomoni enziwa amasende bese umisa isikhathi sakho okwesikhashana. Ukusetshenziswa kwale ndlela yokwelapha kwehlisa izinga le-estrogen emzimbeni wakho (elinye lamahomoni elenza umzimba wakho ube nesikhathi).

Ukuhlinzwa: I-endometriosis ebonakalayo izobhujiswa ngesikhathi sokuhlinzwa okusetshenziswa ikhamera encane (i-laparoscopy). Ngemva kwalolu hlelo, izintsha eziningi zithola ukudamba kwezimpawu. Eziningi zithi ubuhlungu bazo bungcono, kodwa abuphelanga nya. Khumbula, ayikho impilo ephelele ye-endometriosis. Izintsha eziningi zingaphinda zizwe ubuhlungu futhi.

Izinguquko zendlela yokuphila: Ukubhekana nobuhlungu obungapheli besitho sangasese kungaba inselele. Ukuzivocavoca kujwayele ukusiza ekunciphiseni noma ekupholiseni ubuhlungu besitho sangasese nobuhlungu besikhathi. Ukudla ukudla okunempilo nokuphumula ngokwanele kusiza umzimba wakho ukumelana nobuhlungu. Ukuzijwayeza amasu okuzipholisa njengokuhlala uthule noma ukushaya indlamu kusiza ukwehlisa ubuhlungu.

Izinsiza zokwelapha ubuhlungu: Uma ungazitholi ukudamba ezimpawwini zakho, udokotela wakho wesitho sangasese angakudlulisela ohlelweni lokwelapha ubuhlungu ukuze uhlolwe. Ngemva kokuhlolwa, izinsiza ezifana nokufundiswa ukulawula imizwa yakho (i-biofeedback), ukwelashwa ngokuzivocavoca (i-physical therapy), ukuthotshelwa ngonaliti (i-acupuncture) kanye nezinhlelo zokuzivocavoca zinganikezwa.

Ukwelapha okuhambisanayo: Ukuthotshelwa ngonaliti, imithi yesintu, ukwelapha ngamakhambi amancane kakhulu (i-homeopathy) kanye nokuthinta okuphilisayo kuyizindlela ezidumile "ezingajwayelekile" zokwelapha. Eziningi zalezi zindlela zokwelapha zingasiza, kodwa, hhayi yonke indlela engajwayelekile iye yaqinisekiswa ngokwesayensi ukuthi iphephile futhi iyasebenza. Ucwaningo lukhawulelwe. Ngaphambi kokuzama noma yiluphi uhlobo lokwelapha olungajwayelekile, qiniseka ukuthi usebenza nomnakekeli ogunyaziwe osuke wadluliselwa kuwe.


Anginasiqiniseko ukuthi angikwazi ukuzala, ukukhathazeka kwami ukuthi sekuphele iminyaka emibili ngithandana nalo mfana ngingasebenzisi kokuvikela ukukhulelwa, ngabe kuyinto ejwayelekile ukungakhulelwa yini?

Ukungakwazi ukuthola umntwana kusho ukungakwazi ukukhulelwa emva konyaka uzama. Uma owesifazane ekwazi ukukhulelwa kodwa eqhubeka nokuphunyuka kwezisu noma ukubeletha izingane ezifile, nalokho kubizwa ngokungakwazi ukuthola umntwana. Ukungakwazi ukuthola umntwana kuyinto ejwayelekile. Emva konyaka wokuba nocansi olungavikelekile, cishe amaphesenti angu-15 ezithandani awakwazi ukukhulelwa. Cishe ngesikhathi esisodwa kokuthathu, ukungakwazi ukuthola umntwana kungalandeleka kowesifazane. Kwesinye isikhathi esisodwa kokuthathu, kungenxa yendoda. Ngezinye izikhathi, kungenxa yabantu bobabili noma akukho mbangela otholakala. Kukhona ukwelashwa okuthile okwenzelwe amadoda noma abesifazane. Ezinye zibandakanya abantu bobabili. Imithi yokwelapha noma ukuhlinzwa kuyizindlela zokwelapha ezijwayelekile. Ngokujabulisayo, izithandani eziningi ezilashwa ngokungakwazi ukuthola umntwana zigcina zibe nezingane.


Ngo-1964, ngaqala ukuthatha i-Bendectin yokucanuzela ekuseni futhi ngaqhubeka njalo ngesikhathi ngikhulelwe. Ingane yami yesithathu yathola i-meningioma yobuchopho eneminyaka eyishumi nanye, manje indodakazi yami, eneminyaka engama-47, itholakale ne-lesion (isigaxa) sobuchopho. Nginokwethuka okufanele nangokuzwakalayo ngesimo sendodakazi yami futhi ngimangala ukuthi ngabe ngibenomthelela yini esimweni sayo. Nginentshisekelo kuphela ekumsizeni hhayi ngenxa yanoma yisiphi isizathu sokumangalela. Uma kukhona omunye umuntu obenenkinga efanayo futhi wayelashwa ngendlela enhle, ngingajabula kakhulu ukwazi ngakho. Ngiyabonga futhi uNkulunkulu anibusise.

Icala eliphikisana neBendectin alisobala. I-Food and Drug Administration (inhlangano yase-US elawula ukudla nemithi) yavuma lokhu ngonyaka ka-1980, ngemuva kokubuyekezwa okujulile kwezinsuku ezimbili kwedatha etholakalayo. Ithimba lokubuyekeza lathi akukho budlelwano phakathi kweBendectin kanye nezinkinga zokuzalwa ezibonakaliswe. Lanezezela, nokho, ukuthi ngenxa yokuthi kwakungekho ndlela yokufakazisa ukuphepha ngokuphelele kwanoma yimuphi umuthi kubo bonke abesifazane ngaphansi kwanoma yisiphi isimo, kufanele kusale ukungaqiniseki okusasele mayelana nokuthi lomuthi uthinta kanjani ingane engakazalwa.


Ngabe kukhona ubudlelwano phakathi kwe-Leber Congenital Amaurosis (isifo samehlo esizalwa naso) kanye ne-Autism (isifo sokukhubazeka komqondo)?

Kukhona ubufakazi obuningi emibhalweni obuveza ukuthi izingane ezizalwe zingaboni nazo zingaveza izimpawu ezifana nezesifo sokuphazamiseka komqondo sezingane (autism). Ukubaluleka kwezimbangela nokwemfundo mayelana nalokhu kuhlobana akukacaci kahle. Njengoba ukubona kudlala indima ebalulekile ekukhuleni, sazimisela ukuthola ukubaluleka kokuziphatha okufana nokwesifo sokuphazamiseka komqondo sezingane ezinenkinga enkulu yokungaboni kusukela zisencane. Isampula yethu yayiqukethe izingane ezingamashumi amabili nane (abafana abayishumi nantathu, amantombazane ayishumi nanye; iminyaka yobudala ephakathi kwemihlanu nezinyanga ezimbili; ukushayisana kweminyaka yobudala kwaba kusukela kwemibili kuya kweyishumi nanye) ezithinteke ngesifo sokungaboni esibizwa nge-Leber's congenital amaurosis (LCA). Imiphumela yokusetshenziswa kwethu kwesilinganiso sokuhlola izimpawu zesifo sokuphazamiseka komqondo sezingane esiguquliwe - ngaphandle kwesigaba sesikhombisa (Ukukwazi ukuphendula ngokubona) - yaveza ukuthi izingane ezine kuphela zanikeza amamaki aphelele akhombisa ukuba khona kwesifo sokuphazamiseka komqondo sezingane (ngaphezu kwalokho, kwinqanaba eliphansi/eliphakathi). Azikho nhlobo izingane esampuleni yethu ye-LCA ezaveza ukungasebenzi kahle okukhulu ebudlelwaneni bazo nabanye abantu noma ekuphenduleni kwazo kwezenhlalo nezemizwa, ngaleyo ndlela kusivumela ukuthi singaqinisekisi ukuba khona ngempela kwesifo sokuphazamiseka komqondo sezingane. Impela, ubungozi obubhekene nengane engaboni kubonakala buthinta izimo zayo zokuhlangana nabanye abantu kusaqala, ezingathinteka ngenxa yokungakwazi kwayo ukuxhumana nabanye, futhi ezingavinjelwa ngokuthuthukiswa kwamasu athile okungenelela.


Ingabe kukhona okutholakalayo, ngesiNgisi noma ngesiSpanishi, mayelana ne-Physiotherapy eqondene ngqo ne-arthritis yeqakala? Ngifuna nje ukwazi kabanzi ngalokhu. Kukhona isimo emndenini wami futhi silandelwa yidokotela kanye ne-physiotherapist. I-imeyili yami ithi &jfuks@oi.com.br>. Ngiyabonga. Jayme Fuks.

UKWELASHWA NGOKWOMZIMBA  Ukwelashwa ngokwomzimba kungasiza ukuthuthukisa amandla emisipha kanye nokuhamba kwamajoints aqinile kanye nokuma kwakho. Uma ukwelashwa kungakwenzi uzizwe ungcono ngemuva kwamasonto angu-6 kuya kwangu-8, kungenzeka ukuthi ngeke kusebenze nhlobo. Ukwelashwa ngokucindezelwa kungakunika ukwehlisa izinhlungu isikhashana. Qiniseka ukuthi usebenza nomshovi oqeqeshekile ogunyaziwe onesipiliyoni sokusebenza ngamajoints abuthakathaka.


Ingane yami ezinyangeni ezine ine-albinism yamehlo. Ngicela ungisize noma ungiphakamise noma yimuphi umuthi wokuyiphulukisa.

Ukwelashwa   Inhloso yokwelashwa ukwehlisa izimpawu. Ukwelashwa kuncike ekubeni isifo sibi kangakanani. Ukwelashwa kuhlanganisa ukuvikela isikhumba namehlo elangeni:

• Ukwelashwa: Yehlisa ingozi yokushiswa ilanga ngokugwema ilanga, ukusebenzisa isikhuseli selanga, nokuzemboza ngokuphelele ngezingubo uma uvelele elangeni.

• Ukwelashwa: Isikhuseli selanga kufanele sibe nesilinganiso esiphezulu sokuvikela ilanga (SPF - Sun Protection Factor).

• Ukwelashwa: Izibuko zelanga (ezivikelwe ku-UV) zingasiza ukwehlisa ukuzwela ukukhanya.

Ukwelashwa: Izibuko zivame ukuchazwa ukulungisa izinkinga zokubona nokuma kwamehlo. Ukwelashwa: Ukuhlinzwa kwemisipha yamehlo kuyanconywa ngezinye izikhathi ukulungisa ukuhamba okungajwayelekile kwamehlo (i-nystagmus - ukuzamazama kwamehlo).


Ubaba womkami ushone kamuva nje emva kokuba amathumbu akhe amancane afa.Ubebonakala ephile saka wadla isidlo sakusihlwa ngoMgqibelo kwadingeka ukuthi aphuthunyiswe esibhedlela ngeSonto.Ekuqaleni kwangoLwesibili bamhlinza emva kokuba umfutho wegazi wakhe (blood pressure) wehla. Basusa amaphesenti angu-70-80 amathumbu akhe amancane kanye nengxenye yamathumbu akhe amakhulu (ayefile). Ngabe lokhu kuyazwakala ukuthi bathola leli phesenti lamathumbu akhe amancane lifile -- kodwa wayebonakala ephile kahle ngosuku olwandulela lokho.

Ukungabikhona kwegazi emathunjini amancane nokubhubha kwezicubu

Ukungabikhona kwegazi emathunjini nokubhubha kwezicubu kuwukumosheka (ukungabikhona kwegazi) noma ukufa (ukubhubha kwezicubu) kwengxenye yomathumbu. Kubangelwa ukwehla kokuhamba kwegazi endaweni leyo.


Ngizothini? Izinsini zami zamazinyo zinokopha, yimuphi umuthi okufanele ngiwusebenzise?

Udokotela wezinyo wakho angancoma: Ukuhlanzwa kwamazinyo ngendlela yochwepheshe ngaphezu kokuwaxubha nokuwaflosha kabili ngonyaka, noma kaningi kakhulu ezimweni ezimbi zesifo sezinsini. Ukusebenzisa amanzi okuhlamba umlomo abulala amagciwane noma ezinye izinsiza. Ukulungisa amazinyo angahlelekile. Ukushintsha izinsiza zamazinyo nezokuwaqondisa zokuhlelela.


Ubaba wami uhlupheka nge-IBS futhi uyaphelelwa isisindo usuku ngosuku. Ngezinye izikhathi uyaquleka ngenxa yobuthakathaka. Akakwazi ukucubungula ukudla. Ngicela usisize. Sicela usibonise ngalenkinga.

Udokotela wakho angenza ukuhlolwa ukuqinisekisa ukuthi awunayo eminye izifo. Lezi zivivinyo zingahlanganisa ukuhlolwa kwamasampula amathunga, ukuhlolwa kwegazi, kanye nama-x-ray. Udokotela wakho angenza futhi ukuhlolwa okubizwa ngokuthi i-sigmoidoscopy (ukuhlolwa kwesigaba esiphansi sezibindi) noma i-colonoscopy (ukuhlolwa kwezibindi zonke). Abantu abaningi abatholakala ukuthi bane-IBS bangakwazi ukulawula izimpawu zabo ngokudla, ukuphatha ingcindezi, ama-probiotics (amagciwane amahle emathunjini), kanye nemithi.


Umyeni wami, oneminyaka engu-89, uhlulekile ukuchama amahora angu-11 emva kokususwa kwekhathethi yakhe. Ngabe sekuyisikhathi esifanele sokubiza udokotela?

Emva kokususwa kwe-catheter
Emva kokuba ikhathethi yakho ikhishiwe:
Ungaba nenkinga yokuchama. Uma lokhu kwenzeka, zama ukuhlala kumanzana afudumele (ukugeza okuncane). Lokhu kungakusiza ukuthi uphumule. Uma uzwa isidingo, kungaba lula ukuchama ngenkathi usesebhavini.
Ungaba nokushisa okuthile izikhathi ezimbalwa zokuqala uma uchama. Uma ukushisa kuqhubeka isikhathi eside, kungaba uphawu lokutheleleka.
Phuza amanzi amaningi, ngokwanele ukuze umchamo wakho ube phuzi okhalweni noma ucwebekazi njengamanzi. Uma unesifo sezinso, senhliziyo, noma sesibindi futhi kufanele unciphise amanzi, khuluma nodokotela wakho ngaphambi kokwandisa inani lamanzi ophuza.
Gqoka izigqoko zangaphansi ezikhululekile zekhothini uma unokuvuvukala noma ukuqubuka okuvela ekhathethi yakho.
Futhi, kubalulekile ukwazi uma unenkinga nokuthi ungabiza nini udokotela wakho. Emva kokususwa kwekhathethi, biza udokotela wakho uma:
Ungachami emva kwamahora ayisi-8 emva kokuba ikhathethi ikhishiwe.


Izinga lami le-creatinine egazini ngu-1.1 amazinga. Ngineminyaka engu-36 futhi nginetshe lezinso. Umbuzo wami uthi, ngabe itshe lezinso lizokuthinta imiphumela ye-creatinine egazini?

Kusho ukuthini umphumela wohlolo? Ibanga Lokuqhathanisa Lecreatinine

Amazinga aphakeme ecreatinine egazini akhombisa izifo noma izimo ezithinta ukusebenza kwezinso. Lokhu kungabandakanya:

Ukulimala noma ukuvuvukala kwemithambo yegazi ezinsweni (i-glomerulonephritis - ukuvuvukala kwezinso) okubangelwa, isibonelo, ukutheleleka noma izifo ze-autoimmune

Ukutheleleka ngamagciwane ezinsweni (i-pyelonephritis)

Ukufa kwamaseli emabhudwini amancane ezinso (i-acute tubular necrosis, ukufa kwamabhudo ezinso) okubangelwa, isibonelo, izidakamizwa noma izidleke

Isifo sesivinini somdidiyela, itshe lezinso, noma ezinye izizathu zokuvimba umgudu womchamo

Ukwehla kokuhamba kwegazi ezinsweni ngenxa yokushayeka, ukwomela, ukwehluleka kwenhliziyo, i-atherosclerosis (ukuqina kwemithambo), noma izinkinga zesifo sikashukela


Udadewethu usesibhedlela sokunakekela iziguli iminyaka unyaka nengxenye. Abanakekeli bakhe baye basho ukuthi ulambile ngaso sonke isikhathi. Ucela ukudla uma ngiya ukuyombona. Ngabe yini engadala lokhu?

Ukucabangela Ukulamba okukhulu kungaba uphawu lwezigulo ezahlukene. Isibonelo, kungaba ngenxa yesimo sengqondo noma inkinga yesigubhu se-endocrine (isitho esikhipha amahomoni). Ukulamba okukhulu kungeza bese kuyahamba (kubuye kuphinde), noma kungahlala isikhathi eside (okungapheli). Lokhu kuzonquma ngesizathu. Akuhlale kusho ukuthi umuntu uzokhuluphala. Amagama athi "hyperphagia" (ukulamba okungapheli) kanye ne-"polyphagia" (ukudla okuningi kakhulu) abhekisela kumuntu ogxile ekudleni kuphela, noma odla ubuningi obukhulu ngaphambi kokuzwa esutha.

Izizathu Izizathu zingabandakanya:
• Ukwesaba
• Imithi ethile (njengama-corticosteroids, i-cyproheptadine, kanye nama-tricyclic antidepressants)
• I-Bulimia (ukudla kakhulu bese uyahlanza, ejwayeleke kakhulu kubantu besifazane abaneminyaka eyi-18 kuya kwengama-30 ubudala)
• I-Diabetes mellitus (isifo sikashukela, kuhlanganise nesifo sikashukela sokukhulelwa)
• Isifo sikaGraves (isifo sethayiroidi)
• I-Hyperthyroidism (ukusebenza kakhulu kwethayiroidi)
• I-Hypoglycemia (ukwehla kwezinga likashukela egazini)
• I-Premenstrual syndrome (izimpawu ezenzeka ngaphambi kwesikhathi sokuya enyangeni)


Indodana yami eneminyaka emihlanu ine-Gangliosidosis GM 1, sifuna umuthi ongamsiza, noma okungenani ongase uwelule impilo yakhe. Usethola iMiglusitat isikhathi seviki. Ungasisiza noma nje usithumele ulwazi oluthile? Singabonga kakhulu ngalokho.

Ingabe kukhona ukwelashwa? Akukho ukwelashwa okuthile okwenziwa kuma-gangliosidoses. Ama-anticonvulsant angaqala ukulawula ukuqhaqhazela. Okunye ukwelashwa okusizayo kufaka phakathi ukudla okunempilo, ukuphuza amanzi ngokwanele kanye nokugcina umgudu wokuphefumula uvulekile.


Ngicela ungisize nomfowethu one-simo sokubanjwa umzimba kodwa ingqondo isebenza eMartinique iminyaka emi-3. Ngicela omunye asize. UNkulunkulu akubusise. UHenri 631-643-5692

Indlela yokwelapha ebizwa ngokuthi i-functional neuromuscular stimulation (ukuvuselela imisipha ngogesi), esebenzisa izinto ezincane ezifakwa esikhumbeni ukuvuselela imilingo yemisipha, ingasiza ukusebenzisa eminye imisipha engasanyakazi ngenxa yokukhubazeka. Zikhona izinto ezahlukene ezisiza ukuxhumana, njengamashadi okukhomba noma izinhlelo zekhompyutha ezikhethekile. Okunye ukwelashwa kuhambisana nokudambisa izimpawu zesifo nokusekela isiguli ngezindlela ezahlukene.


Ngicela ngempela impendulo yakho nosizo lwakho :( Umkami une-allergy kuyo yonke imikhiqizo yobisi futhi uma ephuza noma edla noma yini equkethe inani elincane lanoma yimiphi imikhiqizo yobisi uya esibhedlela. Nginokholo ukuthi kukhona ukwelapha lokhu kodwa angazi ukuthi ngimtshele ukuthini. Ucabanga ukuthi ngeke aphinde alapheke. Ngakho-ke ngicela ungitshele ukuthi kukhona yini ukwelapha kwe-allergy yemikhiqizo yobisi, noma yikuphi ukwelapha? Noma ukwelapha okuzofika maduzane kakhulu? Ngizojabula ngendlela emangalisayo uma uphendula, Ngiyabonga kakhulu. :)

Yiziphi izinhlobo zokwelashwa nokuvimbela ezibe wusizo? Joanna: Akukho ukwelapha kwabantu abadala abanokunganyamelani nokudla. Imithi efana nemijovo ye-epinephrine kanye nama-antihistamines ingalulaza izimpawu, kodwa ukugwema ukudla okubanga lezi zimpawu nokuphethe i-EpiPen (umjovo wokwelapha izimpawu eziphuthumayo) yami ngaso sonke isikhathi yindlela engizigcina ngayo ngiphephile futhi ngiphile kahle.


Umbuzo. Yini isivumelwano sabodokotela bezempilo mayelana nokuthi ingabe isifo somoya singaphola? Futhi ingabe unaye umbhalo oxoxa ngokuthi ingabe isifo somoya singaphola?

I-asthma isifo eside esingenalo ikhambi. Inhloso yokwelashwa kwe-asthma ukulawula isifo.


Ukhala ngenxa yobuhlungu futhi akakwazi ukulala ebusuku ngenxa yalokhu. Ngikholwa ukuthi kuvamile kakhulu ngokweminyaka yakhe ngoba akazalwanga nako. Ngifuna nje ukwazi ukuthi kufanele ngenze kanjani. Uye kudokotela kodwa bathi ngokuhlinzwa kunethuba elilingana nama-50% lokuphila. Yilokho nje angitshele kona, kodwa ngifisa sengathi kukhona engingakwenza ukusiza noma okuthile esingakwenza ukuvimbela ubuhlungu. Noma yiluphi usizo luzoba lusizo olukhulu kakhulu! Usekuthole isikhathi eside manje, cishe izinyanga ezimbalwa, futhi uthi ubuhlungu buyakhula, yingakho ngikhathazeka kangaka.

Ukuphambuka Kwemigodla Okungaqondakali Kubantu Abadala

A) Ukuphambuka kwemigodla kumuntu omdala okuvela kusukela ebudaleni. B) Ukuhlolwa kwemigodla ngaphambili (X-ray) okubonisa ukuphambuka kwemigodla ngenxa yokukhula (ukuphambuka kwemigodla ngenxa yokukhula).

Uma kutholakala ukugoba komgogodla kumuntu omdala, kuvamise ukwehluka kakhulu kunokugoba komgogodla emntwaneni noma osemncane. Izinjongo zokwelapha zivamise ukwehluka njengendawo lapho ukuphambuka kwemigodla kukhona. Ukugoba komgogodla kumuntu omdala kungenzeka kube kukhona kusukela ebunganeni noma kube umphumela wokukhula. Ngaphandle kobuhlungu emhlane, iziguli zingaba nobuhlungu obuya phansi emilenzeni kuze kufike ezinyaweni. Ukwelashwa kokugoba komgogodla kubantu abadala kugxila ekubuyiseleni ukusebenza nasekunciphiseni ubuhlungu ngokuhambisana nokulungisa ukugoba komgogodla.

Imbangela

Kunemibangela eminingi eyehlukene yokugoba komgogodla kumuntu omdala. Izinhlobo ezijwayelekile kakhulu zihlanganisa ukuphambuka kwemigodla okwakukhona ngesikhathi sobudala (iminyaka yobusha) bese kuba kubi ngesikhathi sobudala, nokugoba okwaqala ebudala ngenxa yokugugiswa (ukuguga nokugqwalisa) emgogodleni nokugoba okuvele kamuva empilweni. Ezinye izizathu ezingavamile zihlanganisa ukugoba ngenxa ye-osteoporosis (amathambo abuthakathaka), ukuphuka kwemigodla kwangaphambili ngenxa yengozi, i-spondylolisthesis (ukushibilika kwamathambo omgogodla) futhi kwesinye isikhathi, izifo nezihlava zomgogodla weqolo.


Mahlaleli, nginenkinga yezempilo futhi ngingabonga kakhulu uma ningangisiza. Ngizwa ubuhlungu endaweni yangemuva phakathi kwesinqe nedolo (sengathi kukhona okuhlabayo). Ngiqaphele ukuthi imithambo izibonakala kakhulu kule ndawo. Kungaba yini lokhu? Kungabangelwa yini lokhu? Yimuphi udokotela okufanele ngimbone? Ngiyabonga ngosizo lwenu nangokusebenzisana nami.

Thola Udokotela • Cela Isikhathi Sokubonana • Xhumana Nathi


Abangani bethu ababili banengane eneminyaka eyisishiyagalombili enesifo Sokungalaleli Nokuchasa (Oppositional Defiant Disorder) kanye ne-autism, futhi batshelelwa yisikhungo ukuthi kumele bayibeke esikhungweni. Abangani bethu baphukile. Ngabe zikhona izindawo zelaphi ezinhle ezweni ezigxile kwi-ODD kanye ne-autism ezingahle zibanikeze ezinye izinketho? Siyabonga nganoma yiluphi useluleko onganika lona.

Ukubaluleka Kokuxhaswa Imindeni ivame ukudinga usizo ekuqondeni ukukhubazeka kwengane yabo nokuthi bangabhekana kanjani nezidingo ezidalwa ukukhubazeka. Usizo luyatholakala koodokotela bezengqondo, ochwepheshe bezengqondo, nabanye ochwepheshe bempilo yengqondo abasebenza emkhakheni kahulumeni noma ozimele. Kukhona futhi nethungelelwano lokuxhasa impilo yengqondo elisebenza kuzo zonke izifundazwe kanye nasezindaweni zasekhaya. Ukuthola izinhlelo zokusekela emphakathini wakho noma esifundazweni, vakashela izinhlangano esizibhalile ngezansi. Zingakuxhumanisa nemithombo yosizo yasendaweni, kufaka phakathi amaqembu okuxhasana anikeza ukuxhumana nokuqondana, ulwazi, ukudluliselwa kokulashwa, kanye nokunikelela labo abaphila nokupazamiseka kwemizwa.


Ufuna ukwazi ukuthi ukudonseka kwethunzi leso kuzosuka yini

Izinhloso ezinkulu zokulungisa i-ptosis (ukuwa kweliphezulu leso) ukuphakamisa ukukhushulwa kwezimbobo zamehlo eziphezulu ukuze kuvumeleke ukuthuthuka kwesibuko esijwayelekile ngokuphelele kanye nendawo ephelele yokubona, kanye nokulingana nezimbobo zamehlo eziphezulu ezingesokudla. Kubalulekile ukuqonda ukuthi uma usebenza emsipha ongajwayelekile, isimo sezimbobo zamehlo esiphelele nesebenzayo emva kokulungisa kungenzeka kungafezeki.


Yiziphi izifo ezibangwa ukubhema? Futhi, ingabe ziyithinta kanjani impilo yomzimba womuntu?

Ayikho enye indlela. Ukubhema kubi kempilo yakho. Ukubhema kulimaza cishe zonke izitho zomzimba. Ukubhema ugwayi kubangela amaphesenti angu-87 ezokufa ngomdlavuza wamaphaphu. Kuphinde kube nomthelela kweminye imihlaza kanye nezinkinga zezempilo. Lokhu kumbandakanya isifo samaphaphu, isifo senhliziyo kanye nemithambo yegazi, ukushaywa ubhululu kanye nesifo samehlo. Abesifazane ababhemayo banesethuba esikhulu lezinkinga ezithile zokukhulelwa noma zokuba umntwana afe ngenxa yokufa okungalindelekile komntwana osanda kuzalwa (SIDS). Intuthu yakho iphinde ibe mbi kwabanye abantu - bayiphefumula intuthu yokubhema okwesibili futhi bangathola eziningi izinkinga ezifanayo nalezi ezitholwa ngababhemayo.


Yiziphi izinzuzo noma imihlomulo yokwelashwa ngokuzivocavoca (i-physiotherapy) ekuphathweni ikhanda okuxinayo noma okucindezela?

Ukwelashwa ngokuthintwa — Abanye abantu abanekhanda elibuhlungu ngokujwayelekile bayazuza ukusebenza nomuntu oqeqeshelwe ukwelapha ngokuthintwa onolwazi olujulile ngekhanda elibuhlungu. Lolu hlobo lokwelashwa lungasetshenziswa uma ungaphenduli kahle noma uphendule kancane noma okwesikhashana nje emithini, noma uma ungenakuyisebenzisa imithi (isibonelo, abesifazane abakhulelwe noma abancelisayo).


Yini engingayenza? Uma umuntu ephalaza igazi kancane, ezizwa esindwa ikhanda kancane, bese elala phansi alale, bethi bazolala kuze kudlule. Kodwa mina ngifuna ukumyisa esibhedlela, noma bethi baphilile.

Ukuphalaza igazi (i-hematemesis, okuchaza ukuphuma kwegazi ngomlomo) kusho amanani amakhulu egazi ekuphalaziwe. Imidwa emincane noma amachashaza amancane egazi kulokho okukhuphayo angavela emazinyweni, emlonyeni noma emphinjeni, kodwa lokhu akuthathwa njengokuphalaza igazi ngempela. Igazi ekuphalaziwe lingaba bomvu obugqamile, noma lingabonakala limnyama noma linsundu okujulile lifane nensalela yesiselo esimnyama. Igazi elibhidliziwe, elivela egazini lasekhalaleni noma ekukhohleleleni okunamandla, kungadala ukuphalaza igazi, kodwa ukuphalaza igazi ngempela kuvame ukubonisa isimo esixakile kakhulu futhi sidinga ukunakekelwa kwezempilo ngokushesha.

Ukopha emgudwini wokudla ophezulu (umlomo, umhluzi, isisu kanye nengxenye yesisu encane ephezulu) okuvela ezilondeni zesisu noma emithambo yegazi edabukile kuyimbangela ejwayelekile yokuphalaza igazi. Shayela inombolo yezimo eziphuthumayo ezindaweni zakho uma ukuphalaza igazi kubangela isiyezi ngemva kokuma, ukuphefumula okuphuthuma, okungajulile noma ezinye izimpawu zokushayeka umzimba. Shayela usizo lwezempilo oluphuthumayo uma ukuphalaza igazi kubangela lezi zimpawu zokushayeka umzimba:

- Ukuphefumula ngokushesha, okungajulile
- Ukuzizwa unesiyezi noma ukuthi konke kuyazungeza uma usukuma
- Ukungaboni kahle
- Ukuphaphatheka
- Ukudideka
- Isicabucabu
- Ukuba nesikhumba esibandayo, esimanzi, esimpunga
- Ukuncipha kokuchama

Funa usizo lwezempilo ngokushesha. Cela omunye akuyise ekliniki yezimo eziphuthumayo noma esibhedlela uma ubona igazi ekuphalaziwe kwakho noma uqala ukuphalaza igazi. Kubalulekile ukusheshe uthole imbangela yokopha bese kuvinjwa ukulahlekelwa okukhulu kakhulu igazi kanye nezinye izinkinga, okungaholela ekufeni.


Yiluphi ulwazi ongase ube nalo mayelana nokwelashwa nge-Hyperbaric noma imiphumela yokwelashwa yesifo se-Meniere's?

UFattori nabanye, Audiology 35(6):322-34, 1996. Laba babhali babika imiphumela yokwelashwa izinsuku eziyi-15 ngemizuzu engama-90 yokuhlala ekamelweni lomfutho womoya. Babika imiphumela yokuzwa engcono ezigulini ezilashiwe. Uphawu: Ngenxa yokuntuleka kwesizathu esizwakalayo kanye nokubheka izinkinga ezijwayelekile zokusabela kweplasebo (ukwelashwa okungasebenzi) ku-Menieres (bheka iphepha elisemqoka elibizwa ngokuthi Old and New in Menieres, elibhalwe ngu-N. Torok), lolu kwelapha lusasala lungafakazelwanga.


Yini indlela engcono yokwelapha ngezinto zemvelo umfana oneminyaka eyi-7 one-ADHD (isifo sokungakwazi ukugxila nokuhlala unganyakazi)? Ngaphandle kwemithi eyanyelwe ngudokotela?

Izinhlobo ezahlukene zokwelashwa ngokwengqondo zisetshenziswa ku-ADHD (isifo sokuphazamiseka ekugxileni nasekuziphatheni). Ukwelashwa ngokwesimo sokuphila kuhlose ukusiza ingane ukuba ishintshe indlela yokuziphatha kwayo. Kungahlanganisa ukusizwa ngezinto eziphathekayo, njengokusiza ukuhlela imisebenzi noma ukuqeda umsebenzi wesikole, noma ukubhekana nezimo ezinzima ngokomzwelo. Ukwelashwa ngokwesimo sokuphila kuphinde kufundise ingane ukuba iqaphe indlela yokuziphatha kwayo.


Izolo ngiqaphele isixuku esikhulu samabala abomvu amancane afana nezindawo zokuthonjiswa ngaphansi kwesilevu sami (hhayi entanyeni). Muva nje bengiziphoqa ukuhlanza ngamabomu. Ngiyazi ukuthi i-Petechiae (amabala amancane egazi ngaphansi kwesikhumba) ingabangelwa ukuhlanza kodwa kungenzeka yini ukuthi lokhu kubangele amabala abe ngaphansi kwesilevu?

Amabala amancane egazi (ama-petechiae) ajwayelekile futhi angakhombisa izimo eziningi, kusukela kwezincane kuya kwezinzima kakhulu. Imithambolukhalo emincane kakhulu yegazi ixhumanisa izingxenye ezincane kakhulu zezinsika zakho zegazi nezingxenye ezincane kakhulu zemithambo yakho yegazi. Amabala amancane egazi avela uma imithambolukhalo emincane kakhulu yegazi ipohloka, igazi liphuma lingene ngaphansi kwesikhumba. Izinto eziningi zingabangela lokhu kuphuma kwegazi, okuhlanganisa: Ukucindezeleka okuyisikhathi eside (njengokugubha kakhulu) Izimo ezithile zezempilo Izinhlobo ezithile zokulimala komzimba Imithi Ukulimala nokushiswa yilanga Bona udokotela wakho ngokushesha uma wena noma ingane yakho ithola amabala amancane egazi angaziwa noma amaningi emzimbeni. Kubalulekile ukuthola imbangela, njengoba ezinye zezinkinga ezingase zibe khona zingaba yingozi enkulu empilweni.


Ingabe kukhona indlela esingayisebenzisa yokudamba amakhakhayi amaningi kakhulu?

Amaqhinga okusiza ukususa uketshezi emaphashini akho

Buza umhlinzeki wakho wezempilo ngezindlela ezahlukene zokukusiza ukukhwehlela uketshezi. I-Acapella™ kanye ne-Flutter® izinsiza ezimbili eziphatshwa ngezandla ezisiza ukususa uketshezi emaphashini. Ukufunda ukusebenzisa lezi zinsiza kuzokwenza kube lula ukususa uketshezi emaphashini.

Ukukhwehlela kwe-HUFF: Indlela yokuphefumulela ngaphandle ngamandla
• Phinda lo mshikashika kabili kuya kane.
• Khafula uketshezi.


Ingabe i-diverticulosis noma i-diverticulitis ingabonakala nge-CT scan uma kungekho isifo esithelelanayo ngaleso sikhathi?

Ukuhlolwa Nezivivinyo Umhlinzeki wakho wezempilo uzokuhlola. Ungadinga ukuhlolwa kwegazi ukubona uma unesifo esithathelanayo. Ezinye izivivinyo ezisiza ukubona i-diverticulitis zingabandakanya:

• CT scan (ukuskena okujulile)
• Ultrasound yesisu (ukuhlolwa kwesisu ngamagagasi omsindo)
• Ama-X-ray esisu (izithombe zokukhanya zesisu)


Sawubona mnumzane/nkosikazi. Umama wami uhlaselwe isifo sezindawo eziningi ezivimbelekile ekhanda (Multiple brain infarcts), ngifisa ukwazi ukuthi ingabe inhlangano yenu ehloniphekile yezempilo inalo yini ukwelashwa kwalokhu. Ngiyathokoza

Ngabe kukhona ukwelashwa? Akukho ukwelashwa okutholakalayo ukubuyisela umonakalo wengqondo odalwe ukuvaleka kwemithambo yegazi ebhekiswe ebuchosheni (i-stroke). Ukwelashwa kugxila ekuvimbeleni i-stroke esikhathini esizayo ngokulawula noma ukugwema izifo nezimo zezokwelapha ezibeka abantu ebungozini obuphezulu bayo: umfutho wegazi ophezulu (i-high blood pressure), isifo sikashukela (i-diabetes), amafutha egazini aphezulu (i-high cholesterol), kanye nezifo zenhliziyo nemithambo yegazi (i-cardiovascular disease). Ukwelashwa okungcono kwe-MID (Multi-infarct dementia) ukuvimbela kusekusha empilweni - ukudla ukudla okunempilo, ukuzivocavoca, ukungabhemi, ukuphuza utshwala ngokulinganisiwe, kanye nokugcina isisindo somzimba esiphilile.


Ngifuna ubufakazi bakamuva obusekelwe ekusetshenzisweni mayelana nemihlahlandlela yokuhlola nokwelapha ukuphuma kotshwala kanye ne-opiate. Ngiyabonga.

Iziguli ezibonisa izimpawu ezincane zokudabuka otshwaleni zingalashwa njengeziguli zangaphandle, uma nje kungekho izimo ezingaphansi ezidinga ukwelashwa esibhedlela. Iziguli ezibonisa izimpawu eziphakathi nendawo noma ezinzima zokudabuka otshwaleni kanye ne-delirium tremens zidinga ukwelashwa esibhedlela nokucatshangelwa kokufakwa eWadini Yokunakekelwa Okujulile (ICU). Imithi yokudambisa nokuletha ubuthongo iyiyona yokuqala ekhethwayo yokwelapha i-sindromu yokudabuka otshwaleni ngoba iyimithi ebekezelelana nesinye nesilandelayo esilawula imisebenzi ye-gamma-aminobutyric acid (GABA) emzimbeni. Le mithi ivame ukufaka phakathi ama-benzodiazepine, ama-barbiturate (imithi yokudambisa umzimba), i-propofol (umuthi wokulalisa), kanye (kwezinye izimo ezimbalwa) utshwala.


Angikwazi ukudla, ngilahlekelwe amakilogramu ayishumi nesithupha. Anginagazi elivuzayo. Ingabe ukuhlinzwa kwezokwelapha kungangisiza? Angikwazi ngisho nokuphuza ibhiya elilula, anginakuphuza itiye noma ikhofi. Sengikhathele kakhulu. Bengihlale ngizigcina ngisempilweni. Ngidle ihemu nesaladi nama-chips (izambane eziqinile), kwadingeka ngiphalaze. Bengingamakilogramu angama-57, manje sengingama-44. Sengingunombolo 8 ekugqokeni manje, bengiyinombolo 14. Ngizoba ngcono? Kukhona ukwelapha? Senginakho lokhu izinyanga eziningi. Sengiyekile ukuphuza amaphilisi, angisakholelwa ezintweni. Ngizoba nje impilo yami yonke?

Ukulahlekelwa isisindo - ngokungahlosiwe

Ukulahlekelwa isisindo okungachazekile kuyehla kwesisindo somzimba, uma ungazazamanga ukulahlekelwa isisindo ngokwakho. Abantu abaningi bayakhuphuka futhi behle esisindweni phakathi nonyaka. Ukulahlekelwa amaphawundi ayi-10 NOMA 5% wesisindo sakho esijwayelekile somzimba phakathi nezinyanga eziyi-6 kuya kwezi-12 noma ngaphansi, futhi ungazi isizathu. Le nkinga ingabizwa ngokuthi ukulahlekelwa isisindo okungahlosiwe.

Imbangela

Ukulahlekelwa inkanuko yokudla kungabangelwa:
• Ukuzizwa udangele
• Umdlavuza, ngisho noma kungekho izimpawu ezinye
• Ukutheleleka okubambekayo njengegciwane le-AIDS
• Ukugula okubambekayo, njenge-COPD (isifo esibambekayo sokuphefumula) noma isifo sikaPakinsoni (isifo sokukhinyabeza)
• Imithi, kufaka phakathi nemithi ye-chemotherapy, nemithi yeglandula yethayiroidi
• Ukusetshenziswa kabi kwezidakamizwa njenge-amphetamine ne-cocaine
• Ukucindezeleka noma ukwesaba

Izinkinga zohlelo lokugaya ukudla ezibambekayo ezinciphisa inani lama-calorie nokondla umzimba wakho owatholayo, kufaka phakathi:
• Uhudo nokusuleleka okunye okuthatha isikhathi eside, njengezikhukhulwane
• Ukuvuvukala okubambekayo noma ukutheleleka kwephankreyasi
• Ukususwa kwengxenye yesitho sokuya ngaphansi
• Ukusetshenziswa ngokweqile kwezidambisi

Ezinye izizathu:
• Izifo zokudla, i-anorexia nervosa engakabonwa
• Isifo sikashukela esingakabonwa
• Iglandula yethayiroidi esebenza ngokweqile

Okungenzeka ekhaya

Udokotela wakho anganikeza izeluleko mayelana noguquko ekudleni nasekuzilolongeni kwakho kuye ngembangela yokulahlekelwa kwakho isisindo.


Ngilympoma. Yini imbangela yomunyu ngemva kokwelashwa ngamakhemikhali okulwa nomdlavuza?

Imiphumela emibi yokwelashwa ngamakhemikhali — Iningi leziguli ezilashwa nge-R-CHOP lithola imiphumela emibi, okuhlanganisa lokhu okulandelayo:

● Umkhuhlane namazinga aphansi wegazi — Umphumela omubi ongaba yingozi empilweni wokwelashwa ngamakhemikhali umkhuhlane namazinga aphansi esitho esimhlophe segazi, esibizwa ngokuthi i-neutrophils (isimo esibizwa ngokuthi i-febrile neutropenia, okusho ukushisa okuhambisana namazinga aphansi ama-neutrophils). Noma ubani othola ukwelashwa ngamakhemikhali futhi uthola izinga lokushisa elingaphezu kuka-100.4°F noma 38°C (okulingana nama-digirii angu-38 ngomumo waseNingizimu Afrika) kufanele ashayele ngokushesha umhlinzeki wakhe wezempilo. Lesi simo siyisimo esiphuthumayo sezokwelapha futhi sidinga ukwelashwa ngokushesha. Ngokuvamile kudingeka ukungena esibhedlela nokwelashwa ngama-antibiotics ngomthambo (IV).

● Isicabucabu nokuphalaza — Cishe iziguli ezingu-30 kuya ku-90 ekhulwini zithola isicabucabu nokuphalaza ngemva kwe-R-CHOP. Imithi eminingana inganikezwa ngaphambi nangemva kokwelashwa ngamakhemikhali ukunciphisa ubunzima balezi zimpawu. Lokhu kuvame ukuhlanganisa i-dexamethasone ne-aprepitant (Emend), kanye nomuthi ovimbela izimpawu zokuphalaza obizwa nge-5-HT3 receptor antagonist (isibonelo, i-ondansetron/Zofran, i-granisetron/Kytril, i-dolasetron/Anzemet, i-palonosetron/Aloxi, noma i-tropisetron/Navoban).

● Ukubamba okuphezulu — Ukubamba okuphezulu kungenzeka ngesikhathi sokuqala kunikezwa umuthi wokwelashwa ngamakhemikhali noma i-immunotherapy. Lokhu kungabangela ukubomba; ukuluma; ubuhlungu besifuba, bemuva noma besisu; umkhuhlane; isicabucabu; isiyezi; nezinye izimpawu. Akucaci ukuthi lolu hlobo lokusabela lwenzeka ngani. Imithi eminingana ivame ukunikezwa ngaphambi kokwelashwa ngamakhemikhali ukunciphisa ubunzima balezi zimpawu. Le mithi ihlanganisa i-acetaminophen (Tylenol), i-diphenhydramine (Benadryl), i-hydrocortisone (i-steroid), kanye nomuthi wokunciphisa i-asidi yesisu, njenge-ranitidine (Zantac).

● I-Tumor lysis syndrome — I-Tumor lysis syndrome (isimo sokubhidlika kwamadlavuza okusheshayo) isimo esiyingozi, esingaba yingozi empilweni esingenzeka ngemva kokuqala ukwelashwa ngamakhemikhali. Kwenzeka ngoba amaseli wamdlavuza afa ngokushesha bese ekhipha imikhiqizo yokuqhekeka enobungozi emithanjeni yegazi. Izimpawu zingahlanganisa isicabucabu, ukuphalaza, uhudo, ukungabi nentshisekelo yokudla, ukukhathala, igazi emchaMweni, izinkinga zenhliziyo, ukuwa, amakhetho ezinyama, nokunye. Ukwelashwa kokuvikela kuvame ukunikezwa ngaphambi kokwelashwa ngamakhemikhali ukunciphisa ubungozi balesi simo. Lokhu kuhlanganisa ukunikezwa kwamanzi we-IV nemithi ethile. Ngaphezu kwalokho, ukuhlolwa kwegazi kuvame ukwenziwa ngesikhathi nangemva kokwelashwa ukuqapha lesi simo.

● Ezinye izinkinga ezingenzeka — Ezinye izinkinga ezingenzeka zokwelashwa ngamakhemikhali zihlanganisa ukulimala kwenhliziyo (okubizwa ngokuthi i-cardiotoxicity) noma ukulimala kwemizwa (okubizwa ngokuthi i-neurotoxicity). Kungaphinde kube nokulahlekelwa yikhono lokuba nezingane (ukungabi nanzalo). Lezi zingozi, kanye nezindlela zokulawula noma ukuqapha zona, kufanele kuxoxwe ngakho nomhlinzeki wezempilo ngaphambi kokuqala ukwelashwa.


Uma umuntu esebenzise i-morphine iminyaka eminingi (10) ukwelapha ubuhlungu, futhi ebonisa izimpawu ezifana nomkhuhlane zokungakwazi ukucabanga noma ukuxhumana, njengomngane othandayo, ungakwazi yini ukungilinganisela/ungibalele ukuthi lesi simo esibuhlungu kakhulu ababhekene naso singathatha isikhathi esingakanani? Isonto elilodwa, unyaka owodwa?

"Ngizwe ukuthi i-Morphine inezinhlangothi eziningi ezimbi, futhi sengizizwa ngingaphilile kakade." Zonke izidakamizwa eziyiopiodi (ezifana ne-Morphine) zingabanga isicabucabu, ukozela kanye nokubhitsha. Kodwa-ke, zonke izinhlangothi ezimbi zijwayele ukuma emva kwezinsuku ezimbalwa, njengoba umzimba wakho ujwayela umuthi, futhi ukubhitsha kungalashwa kalula ngokushesha.


Ngabe kukhona ukwelashwa okutholakalayo?

Akukho ukwelashwa kwefibromyalgia (isifo sezinhlungu emzimbeni), kodwa imithi ingakusiza ukuphatha izimpawu zakho. Ukulala ngokwanele, ukuzivocavoca, nokudla kahle kungabuye kusize.


Ngicela uphakamise udokotela oyingcweti ongameluleka ngokwelashwa.

Thola udokotela we-ACFAS (American College of Foot and Ankle Surgeons)


Ubaba wami oneminyaka engu-65 unokubuhlungu okungapheli emilenzeni, okwenza asebenzise umuthi

Ubuhlungu bomkhono bungabangelwa ukuqanjelwa kwezicubu (okubizwa ngokuthi i-charley horse). Izizathu ezijwayelekile zokuqanjwa zibandakanya:

Ukuphelelwa amanzi emzimbeni noma ukuba phansi kwezinga le-potassium, i-sodium, i-calcium, noma i-magnesium egazini
Imithi (njenge-diuretics ne-statins)
Ukukhathala kwezicubu noma ukucindezeleka ngenxa yokusebenzisa kakhulu, ukuzivocavoca kakhulu, noma ukugcina izicubu zime ndawonye isikhathi eside

Ukunakekelwa Ekhaya
Uma unokubuhlungu emkhonweni ngenxa yokuqanjwa noma ukusetshenziswa kakhulu, qala ngalezi zinyathelo:

Phumula kakhulu ngokusemandleni.
Phakamisa umlenze wakho.
Faka iqhwa imizuzu engafiki ku-15. Yenza lokhu izikhathi ezine ngosuku, kaningi ezinsukwini zokuqala.
Nweba kancane uphinde umasajise izicubu eziqanjiwe.
Phuza imithi yokwelapha ubuhlungu engathengiwe njenge-acetaminophen noma i-ibuprofen.

Ukunakekelwa okunye kwekhaya kuzothembela esizathwini sobuhlungu bakho emkhonweni.

Nini Lapho Kumele Uxhumane Nochwepheshe Wezempilo
Shayela umhlinzeki wakho wezempilo uma:

Umlenze obuhlungu uvuvukele noma ubomvu.
Unomkhuhlane.
Ubuhlungu bakho buya baba bubi uma uhamba noma uzivocavoca futhi bube ngcono uma uphumula.
Umlenze umnyama futhi uluhlaza.
Umlenze ubanda futhi umhlophe.
Uphuza imithi engase ibange ubuhlungu emkhonweni.
Izinyathelo zokunakekela wena uqobo azisizi.

UNGAYEKI ukuphuza noma ukushintsha noma iyiphi imithi yakho ngaphandle kokuxoxa nomhlinzeki wakho wezempilo.


izindlela ezingasebenzisi imithi zokuzivikela nokuthoba izimpawu zokuphela kwesikhathi sokuthomba

Kukhona izindlela ezahlukene zokusiza ukwelapha izimpawu zokushuba kwezinsuku zokuphela kwesikhathi sokuba sezinsukwini (ukushuba). I-National Institute on Aging, noma iSikhungo Sikazwelonke Sokuguga, sinikeza ulwazi olunzulu ngezinye zezindlela zokwelapha ukushuba. Ngaphezu kwalokho, iHhovisi Lezempilo Yabesifazane le-Department of Health and Human Service nalo linikeza ulwazi mayelana nokwelashwa kwakho. Izigaba ezingezansi zinikeza olunye ulwazi olwengeziwe.


Amashashazi esikhathi athuthukela ekugqwaleni kwesitho sangasese. Bese kuthuthuka isifo sommbila esineketshezi elimhlophe eliqinile. Ngibe sengiphuza i-flucanazole (umuthi wokulwa nezilwanyana ezincane) okwelapha lokhu. Kodwa ngikhathazekile ngokuphuza imithi ye-allopathic (imithi yaseNtshonalanga). Ngicela ungitshele ukuthi yimaphi amasiko okwelapha engingawasebenzisa ukugwema lokhu. Ngiphinde ngibe nesikhumba esinezinkenenkene.

Ngingayivikela kanjani i-yeast infection (ukutheleleka okubangwa yi-yeast)? Ungathatha izinyathelo zokunciphisa amathuba okuthola i-yeast infection: •Ungakwenzi ukugeza ngaphakathi kwesitho sangasese. Ukugeza ngaphakathi kususa amanye amabacteria ajwayelekile esithweni sangasese esikuvikela ekuthelelekeni. •Ungasebenzisi imikhiqizo yabesifazane enephunga, kufaka phakathi nobhafu onephunga, izifutho, amaphedisi, namatampons. •Shintsha amatampons, amaphedisi, namamapanti layina njalo. •Ungagqoki izicathulo ezincane kakhulu, amapantyhose, amabhulukwe, noma amajini. Lokhu kungakhuphula ukushisa komzimba nokufudumala esithweni sakho sangasese. •Gqoka izingubo zangaphansi ezine-cotton crotch. Izingubo zangaphansi ze-cotton zikusiza ukuthi uhlale womile futhi azigcini ukushisa nokufudumala. •Shintsha masinyane uma ungaphuma emanzini noma emva kokuzivocavoca. •Emva kokusebenzisa indlu yangasese, hlala usula usuka phambili uye emuva. •Gwema amahot tub namabhavu ashisayo kakhulu. •Uma unesifo sikashukela, qiniseka ukuthi i-blood sugar yakho ikulawulekile. Ingabe iyogathi ivimbela noma yelaphela i-yeast infection? Mhlawumbe. Izifundo ziphakamisa ukuthi ukudla ama-ounce ayisishiyagalombili eyogathi ene-"live cultures" nsuku zonke noma ukuthatha amaphilisi e-Lactobacillus acidophilus (uhlobo lwama-bacteria alungile) kungasiza ukuvikela ukutheleleka.5,6 Kodwa, ucwaningo oluningi lusadingeka ukwenziwa ukuze kuthiwe ngokuqinisekile uma iyogathi ene-Lactobacillus noma ezinye i-probiotics zingavikela noma zelaphele i-yeast infection yesitho sangasese sabesifazane. Uma ucabanga ukuthi une-yeast infection, bona udokotela noma unesi wakho ukuze uqiniseke ngaphambi kokuthatha noma yimuphi umuthi ongadinga incwadi kadokotela.


Mnumzane ohloniphekile,

Ngokuzithoba ngifisa ukubonga ngokwenza le webhusayithi. NginguSunil waseNdiya futhi ngifuna ukuzisiza ngawe, ngicela ungisize mnumzane, ngizokubonga kakhulu (uxolo mnumzane isiNgisi sami asihle kakhulu).

Ukuziphathaphatha kuyisiko lami, kuyinto okungavumelekile. Mnumzane, manje sengikhathele, ngifuna ukuzishintsha. Ngicela mnumzane unginike izincomo ezithile...

Lesi yisimilo esibi empilweni yami kodwa futhi ngingumfundi ohlabahlosile kusukela ngonyaka odlule... ... ... ... Ngiyakhala... Uxolo... Ngicela ungisize mnumzane, ngicela ungiphendule ku-id ye-imeyili yami... Futhi ungifisele inhlanhla.

Ngiyazi unenhliziyo yegolide...

Beka usuku lokubonana nodokotela wakho nomphakathi noma nini uma unemibuzo mayelana nokudlala ngocansi noma ezinye izindaba zocansi.


Mnumzane, NGISIZE UKUNQOBA UKUPHUMA KWAMOYA EMATHUNJINI NGOKUNGAPHELI (UKUBHODLA NJALO) Ngiphethwe yilokhu okungenhla unyaka wonke manje. Ngicela ungisize ngezixazululo zezokwelapha zokwelapha. Ngiyabonga

Umswani eziswini uvela emithonjeni emibili: umoya owugwinyayo kanye nokubola kokudla okungagayekile okwenziwa amagciwane emathunjini amakhulu (ikholo). Ukudla okuthile kungabanga umswani. Ukudla okubanga umswani kumuntu oyedwa kungase kungabangi umswani komunye. Unganciphisa umswani onawo ngokuthi   • Uphuze amanzi amaningi neziphuzo ezingenagesi   • Udle kancane ukuze ungagwinyi umoya omningi uma udla   • Ugweme imikhiqizo yobisi uma unenkinga yokungakwazi ukugaya ilakthosi   Imithi ingasiza ukunciphisa umswani noma ubuhlungu nokuvuvukala okubangwa umswani. Uma izimpawu zakho zisaqhubeka zikukhathaza, bona udokotela wakho.


Sidinga ukwelashwa kwesifo sokungaqiniseki. Ubaba wami ulahlekelwa ukuqiniseka ngenkathi ehamba noma egibela izitebhisi, ngakho-ke sicela, ngakho-ke sicela usisize ekulapheni lesi sifo.

Zilaphwa kanjani izifo zokungalingani? Into yokuqala udokotela azoyenza uma unenkinga yokungalingani ukuthola ukuthi ngabe kunesifo esinye sezempilo noma umuthi obangela lokhu. Uma kunjalo, udokotela wakho uzokulapha leso sifo, aphakamise umuthi ohlukile, noma akudlulisele kososayensi uma leso sifo singaphandle kolwazi lwakhe.

Uma une-BPPV (isifo sokuzulazula okubangwa ukushintsha kwesikhundla sekhanda), udokotela wakho angancoma ukuthi wenze uhla lweminyakazo elula, njenge-Epley maneuver (uhlelo lweminyakazo yokwelapha), engasiza ukukhipha ama-otoconia (amatshe amancane endlebeni) esitubeni esiyisiyingi. Ezimweni eziningi, iseshini eyodwa iyasebenza. Abanye abantu badinga inqubo kaningana ukuze kwelaphere isiyezi sabo.

Isithombe 1: Indlebe kanye nohlelo lwe-vestibular (ingxenye yendlebe ebhekene nokulingana komzimba)
Ukukhipha ama-otoconia kusetshenziswa i-Epley maneuver
Isiqinisekiso: NIDCD

Uma utholakala une-Ménière's disease (isifo sendlebe sangaphakathi), udokotela wakho angancoma ukuthi wenze ezinye izinguquko ekudleni kwakho futhi, uma ubhema, ukuthi uyeke ukubhema. Imithi yokulwa nesiyezi noma yokulwa nokubuyisa ingasiza izimpawu zakho, kodwa ingakwenza uphathwe ubuthongo.

Eminye imithi, njenge-gentamicin (umuthi wokubulala amagciwane) noma ama-corticosteroids (imithi yokwehlisa ukuvuvukala) ingasetshenziswa. Yize i-gentamicin inganciphisa isiyezi ngcono kunama-corticosteroids, ngesinye isikhathi ibangela ukulahlekelwa ukuzwa okungapheli. Kwezinye izimo ezinzima ze-Ménière's disease, ukuhlinzwa kwezitho ze-vestibular kungadingeka.

Abanye abantu abanesifo sokungalingani bangeke bakwazi ukwelapha ngokugcwele isiyezi sabo futhi bazodinga ukuthola izindlela zokubhekana naso. Umteraphi wokuvuselela i-vestibular angakusiza ukuthuthukisa uhlelo lokulapha oluzimele.

Khuluma nodokotela wakho ngokuthi ingabe kuphephile yini ukushayela, kanye nezindlela zokunciphisa ubungozi bakho bokuwa nokuzilimaza ngesikhathi wenza imisebenzi yansuku zonke. Lokhu kufaka phakathi ukwenyuka noma ukwehla izitebhisi, ukusebenzisa indlu yangasese, noma ukuzilolonga.

Ukuze unciphise ubungozi bakho bokulimala ngenxa yesiyezi:
- Gwema ukuhamba ebumnyameni.
- Gqoka izicathulo ezinensinzwa ephansi noma izicathulo zokuhamba ngaphandle.
- Uma kunesidingo, sebenzisa ukhashana noma i-walker.
- Guqula izimo ekhaya lakho nasendaweni yokusebenza, njengokuthi ufake izibambo zokubamba.


Kuba njani ukubuyela esimweni ngemuva kwesifo sohlangothi (i-stroke)?

Okungenzeka (Okulindelekile)

Ukuthi umuntu uyaphila kanjani emva kokushaywa yisifo sohlangothi kuncike:

    • Uhlobo lwesifo sohlangothi
    • Ukuthi mangakanani amasosha obuhlalu bobuchopho alimele
    • Yiziphi izinhlaka zomzimba ezithintekile
    • Ukushesha kokuthola ukwelashwa

Izinkinga zokuhamba, ukucabanga, nokukhuluma zivame ukuthuthuka emasontweni noma ezinyangeni emva kwe-stroke. Abantu abaningi abake baba ne-stroke bayaqhubeka nokuthuthuka ezinyangeni noma eminyakeni emva kwe-stroke yabo. Amaphesenti angaphezu kuka-50 abantu ababa ne-stroke bayakwazi ukusebenza nokuhlala emakhaya. Abanye abakwazi ukunakekela bona.

Uma ukwelashwa ngamakhambi okuhlakazela amahluli egazi kuphumelela, izimpawu ze-stroke zingashabalala. Kodwa-ke, iziguli zivame ukungafiki esibhedlela ngokushesha okwanele ukuthola lawa makhambi, noma zingakwazi ukuwathatha ngenxa yesimo sezempilo.

Abantu ababa ne-stroke ngenxa yokuqina kwegazi (i-stroke yokuvaleka kwemithambo) banamathuba amahle okuphila kunalabo ababa ne-stroke ngenxa kokopha ebuchosheni (i-stroke yokopha).

Ingozi yokuba ne-stroke yesibili iphakeme kakhulu emasontweni noma ezinyangeni emva kwe-stroke yokuqala. Ingozi iqala ukuncipha emva kwalesi sikhathi.


Ubani udokotela wezo wamahlone oqeqeshiwe nogunyaziwe oseduzane noma endaweni yase-Nashville, TN owenza ukuhlinzwa kwe-strabismus (ukuphambana kwamehlo). Ngicela ukhombise udokotela onobuchwepheshe nothembekile owenza lolu hlobo oluthile lokuhlinza.

Thola udokotela oqeqeshelwe amehlo (i-American Academy of Ophthalmology - inhlangano yodokotela bamehlo base-Melika)


Ngifisa ukuthola olunye ulwazi mayelana nezindlela zokwelapha i-hiatal hernia kanye nokuphuma kweasidi esinyeni. Sengikhathele yi-Nexium (umuthi wokuhlanza isisu).

UKWELASHWA KWE-REFLUX Isifo se-gastroesophageal reflux selashwa ngokwebanga lobungozi baso esiphimbeni (umphimbo).