Ukuqhekeka Kwesisu? Izimpawu, Izimbangela, Nokwelashwa

Ukuqhekeka kwesisu kuyisimo esibuhlungu sezempilo lapho isisu sakho siqhekeka noma siqhekeka, kubangele ukuphuma kwegazi. Isisu sakho, esisezingxenyeni eziphezulu ngakwesobunxele sohlangothi lwakho lwesisu phansi kwezinhlangothi zakho, siyasiza ekuhlanzweni kwegazi nasekulweni nezifo.

Uma isisu sakho siqhekeka, igazi lingaphuma esiswini sakho, okungaba yingozi uma ungatholi ukunakekelwa kwezokwelapha ngokushesha. Iningi lokuqhekeka kwesisu kwenzeka ngemva kokulimalala okukhulu esiswini, njengezingozi zezimoto noma ukulimala kwezemidlalo, nakuba ezinye izimo zenzeka ngenxa yezimo zezokwelapha ezibonakala zibuthakathaka ilungu.

Ziyini izimpawu zokuqhekeka kwesisu?

Izimpawu zokuqhekeka kwesisu zingase zihluke kuye kokuthi ukuqhekeka kukhulu kangakanani nokuthi kukhulu kangakanani ukuphuma kwegazi. Abanye abantu baye baba nezimpawu ezinzima ngokushesha, kanti abanye bangaba nezibonakaliso ezilula ezikhula kancane kancane ngamahora noma ngisho nezinsuku.

Nazi izimpawu ezivame kakhulu ongazihlangabezana nazo:

• Ubuhlungu obukhulu, obukhulu ngakwesobunxele phezulu kwesisu olungahamba olukhulu ehlombe lakho elingakwesobunxele
• Ubuhlungu uma othile ephendula ngakwesobunxele noma esiswini sakho esiphezulu
• Ukuzizwa ukhuluphuka, ukhanya, noma ubuthakathaka, ikakhulukazi uma ukuma
• Ukushona kwenhliziyo noma ukuzizwa sengathi inhliziyo yakho iyagijima
• Ukuphefumula nokugabha
• Ukuphazamiseka noma ukukhathazeka
• Ukukhanya kwesikhumba, ikakhulukazi ezindlebeni nasezinzipeni zakho
• Ukuphazamiseka noma ubunzima bokuqonda

Ubuhlungu ehlombe lakho elingakwesobunxele kwenzeka ngoba igazi elivela esiswini sakho esiqhekekile lingakhungathekisa izinzwa e-diaphragm yakho, ezabelana ngokuxhumana nezinzwa zehlombe. Lokhu kubizwa ngokuthi yi-referred pain, futhi empeleni kuyisibonakaliso esisiza esibonisa ukuthi kukhona okuthile okubi okwenzekayo ngaphakathi.

Abanye abantu abaneziqhekeko ezincane bangase baphawule nje ubuhlungu obuncane besisu ekuqaleni. Noma kunjalo, ngisho nezibonakaliso ezilula akufanele ziganjwa ngemva kokulimalala kwesisu, njengoba ukuphuma kwegazi ngaphakathi kungaba sibi ngokushesha.

Yini ebangela ukuqhekeka kwesisu?

Iningi lokuqhekeka kwesisu liphuma ekulimaleni okulimaza okuletha isisindo esinamandla esiswini sakho noma esifubeni esingezansi. Noma kunjalo, ezinye izimo zezokwelapha zingenza isisu sakho sibe sengozini yokuphazamiseka, ngisho nasekuthinteni okuncane.

Izimbangela ezivame kakhulu zokulimalala zihlanganisa:

• Izingozi zezimoto, ikakhulukazi uma uhlangothi lwakho olukhulu luthinta isikhali sokuqondisa noma umnyango
• Ukulimala kwezemidlalo okuvela ezemidlalo eziqhakambisayo njengebhola, i-hockey, noma ubuciko bokudlala
• Izingozi zezithuthuthu lapho uwa khona ezindlebeni zakho
• Ukuwa okuvela emazingeni aphezulu
• Ukuhlaselwa ngokomzimba noma udlame lwasekhaya
• Izingozi zezimoto

Ezinye izimo zezokwelapha zingakhulisa noma zibuthakathaka isisu sakho, okwenza kube lula ukuqhekeka ngisho nasekulimaleni okuncane. Lezi zimo eziyisisekelo zihlanganisa i-infectious mononucleosis (mono), i-malaria, i-lymphomas, i-leukemia, nezinye izifo zegazi.

Kwezinye izimo ezingavamile, isisu sakho singaqhekeka ngokungazange kube khona ukulimala okuqondile. Lokhu kuvame ukwenzeka lapho izifo eziyisisekelo zikhulisile noma zonakalise ilungu, okwenza libe buthakathaka futhi liqhekeke kalula.

Nini okufanele ubona udokotela ngokuqhekeka kwesisu?

Kufanele ufune ukunakekelwa kwezokwelapha ngokushesha uma uhlangabezana nobuhlungu obukhulu besisu, ikakhulukazi esiswini sakho esiphezulu ngakwesobunxele, ikakhulukazi ngemva kokulimalala noma ukulimala. Ukuqhekeka kwesisu kuyisimo esibuhlungu sezempilo esidinga ukunakekelwa ngokushesha ukuvimbela izinkinga ezingaba yingozi empilweni.

Shaya u-911 noma uye endlini yokwelapha ngokushesha uma una:

• Ubuhlungu obukhulu esiswini sakho esiphezulu ngakwesobunxele noma ehlombe lakho elingakwesobunxele
• Izibonakaliso zokushona njengokukhuluphuka, ukushona kwenhliziyo, noma ukuzizwa ubuthakathaka
• Ubuhlungu besisu obukhulu kunokuba bube ngcono
• Ukuphefumula nokugabha kanye nobuhlungu besisu
• Nobuhlungu besisu ngemva kokulimalala kwamuva, ngisho noma ubuhlungu bukhulu

Ungalindi ukubona ukuthi izimpawu ziyathuthuka ngokwazo. Ukuphuma kwegazi ngaphakathi okuvela esiswini esiqhekekile kungase kube khona ekuqaleni kodwa kube yingozi empilweni ngokushesha. Ngisho noma uzizwa ukhulu ekuqaleni ngemva kokulimalala kwesisu, kuhlakaniphile ukuhlolwa yisazi sezempilo.

Themba izinzwa zakho. Uma kukhona okuzizwa kubi kakhulu ngemva kokulimalala, kuhlale kungcono ukwenza okuningi futhi ufune ukunakekelwa kwezokwelapha ngokushesha.

Ziyini izinto ezingase zikhulise amathuba okuqhekeka kwesisu?

Izinto eziningi zingase zikhulise amathuba okuqhekeka kwesisu. Ukuqonda lezi zinto ezingase zikhulise amathuba kungakusiza ukuthi uthathe izinyathelo ezifanele futhi uqonde ukuthi nini lapho ungase ube sengozini yalesi simo.

Izinto eziyisisekelo ezingase zikhulise amathuba zihlanganisa:

• Ukuhlanganyela ezemidlalo eziqhakambisayo njengebhola, i-rugby, i-hockey, noma ibhokisi
• Ukuba nesisu esikhulu ngenxa yezifo njenge-mononucleosis
• Izifo zegazi ezinjenge-leukemia noma i-lymphoma ezihlanganisa usayizi wesisu
• Ezinye izifo njenge-malaria ezingakhulisa isisu sakho
• Ukulimala kwesisu kwangaphambili noma ukuhlinzwa
• Ukuhlanganyela emisebenzini engozi enjengokuqhuba imoto noma imidlalo ekhethekile

Abantu abadala abasebasha nabasakhulayo baphakathi kwabantu abasezingozini ezinkulu ngoba banamathuba amaningi okuhlanganyela ezemidlalo eziqhakambisayo nemisebenzi enomfutho ophezulu. Ngaphezu kwalokho, abantu abane-infectious mononucleosis baphakathi kwabantu abasezingozini ezinkulu ngoba le nifo ingakhulisa kakhulu isisu, okwenza libe buthakathaka.

Uma unezimo ezithile ezikhulisa isisu sakho, udokotela wakho uzokuncoma ukugwema imidlalo eziqhakambisayo nemisebenzi engozi enkulu kuze kube yilapho isisu sakho sibuyela esayizini evamile.

Ziyini izinkinga ezingase zenzeke ngenxa yokuqhekeka kwesisu?

Ukuqhekeka kwesisu kungase kube nezinkinga eziningi ezinkulu, nokuphuma kwegazi ngaphakathi kuyinkinga eyingozi kakhulu. Ubunzima bezinkinga buvame ukuncika ekutheni uthole ukwelashwa kwezokwelapha ngokushesha kangakanani.

Izinkinga ezinkulu kakhulu zihlanganisa:

• Ukuphuma kwegazi okukhulu ngaphakathi okungase kube yimbangela yokushona nokwehluleka kwamalungu
• Iziqu ezigqamile ezigqamile eziyisisekelo
• Ukutheleleka esiswini sakho uma amabhaktheriya engena ngesilonda
• Ukonakala kwamalungu aseduze njenge-pancreas, isisu, noma i-colon
• Ukuthuthuka okukhulu kwengozi yezifo ezithile ngemva kokususa isisu

I-hemorrhagic shock iyinkinga eyingozi kakhulu. Lokhu kwenzeka uma ulahlekelwa igazi eliningi kangangokuba inhliziyo yakho ayikwazi ukupompa kahle, okwenza ukucindezeleka kwegazi kwehle kakhulu futhi kuvimbele amalungu akho ukuba athole i-oksijini.

Uma isisu sakho sidinga ukususwa ngokuhlinzwa, uzoba nengozi encane yokutheleleka kwamabhaktheriya empilweni yakho yonke. Noma kunjalo, ngokuqiniswa okuqondile nokukhathalelwa okuvimbelayo, abantu abaningi baphila impilo evamile ngaphandle kwesisu sabo.

Ukuqhekeka kwesisu kuxilongwa kanjani?

Ukuqhekeka kwesisu kuvame ukuxilongwa ngokuhlola ngokomzimba, umlando wezokwelapha, nokulingwa kwezithombe. Udokotela wakho uzofuna ukwenza ngokushesha ukuqinisekisa ukuxilongwa nokuqonda ubunzima bokuphuma kwegazi ngaphakathi.

Udokotela wakho uzoqala ngokuhlola izimpawu zakho bese ehlola isisu sakho ukuze abone ubuhlungu, ukukhuluphuka, noma izibonakaliso zokuthi kukhona ukuphuma kwegazi ngaphakathi. Uzohlola izibonakaliso zakho eziphilayo ukuze abone ubufakazi bokulahlekelwa igazi, njengokucindezeleka kwegazi okuphansi noma ukushona kwenhliziyo okusheshayo.

Izivivinyo ezivame kakhulu zokuxilonga zihlanganisa:

• I-CT scan yesisu sakho, engabonisa kahle ukonakala kwesisu nokuphuma kwegazi ngaphakathi
• I-ultrasound ukuthola ngokushesha i-fluid (igadi) esiswini sakho
• Izivivinyo zegazi ukuhlola i-anemia nokulinganisa isimo sakho sonke
• I-X-ray yesifuba ukuvimbela ezinye izilonda

I-CT scan ngokuvamile iyindlela engcono kakhulu yokuxilonga ukuqhekeka kwesisu ngoba inikeza izithombe eziningi zamalungu angaphakathi futhi ingabonisa ukuthi ukuphuma kwegazi kwenzeka kuphi. Ezimweni eziphuthumayo, i-ultrasound ingase isetshenziswe ekuqaleni ngoba ishesha futhi ingathola ngokushesha ukuphuma kwegazi ngaphakathi.

Iqembu lakho lezokwelapha lizobuye licabange ngomlando wakho wamuva wokulimalala noma ukulimala, njengoba lolu lwazi lubasiza ukuthi baqonde imbangela nobunzima besimo sakho.

Iyini indlela yokwelapha ukuqhekeka kwesisu?

Ukwelashwa kokuphazamiseka kwesisu kuncika ebunzimeni bokulimala nokuthi kukhulu kangakanani ukuphuma kwegazi ngaphakathi. Izinjongo eziyinhloko ukumisa ukuphuma kwegazi, ukuqina isimo sakho, nokugcina umsebenzi wesisu ngangokunokwenzeka.

Ngokuqhekeka okuncane okunegazi elincane, udokotela wakho angase ancome ukuqapha eduze esibhedlela ngaphandle kokuhlinzwa ngokushesha. Le ndlela, ebizwa ngokuthi ukuphathwa okuqondile, ivumela isisu sakho ukuba siphile ngokwemvelo ngenkathi abasebenzi bezokwelapha beqapha izibonakaliso zokuthi ukuphuma kwegazi kuyaba sibi.

Izindlela zokwelapha ngokuhlinzwa zihlanganisa:

• Ukuhlinzwa kokulungisa isisu ukuhlanganisa iziqhekeko nokugcina ilungu
• Ukususwa kwesisu esingaphansi uma ingxenye kuphela yelungu ilimale kakhulu
• Ukususwa kwesisu okuphelele (splenectomy) ngenxa yokulimala okukhulu okubangela ukuphuma kwegazi okubangela ukufa
• Izindlela ezincane zokusika imithambo yegazi ephuma igazi

Ukuhlinzwa okuphuthumayo kuyadingeka uma uhlangabezana nokuphuma kwegazi okukhulu okusongela impilo yakho. Kulezi zimo, ochwepheshe bokuhlinzwa basebenza ngokushesha ukuze bamise ukuphuma kwegazi futhi kungase kudingeke basuse isisu sakho sonke ukuze basindise impilo yakho.

Uma ukuhlinzwa kungadingeki ngokushesha, cishe uzoba esibhedlela izinsuku ezimbalwa ukuze uqashwe. Iqembu lakho lezokwelapha lizoqapha ukucindezeleka kwegazi, ukushona kwenhliziyo, nokubalwa kwegazi ukuqinisekisa ukuthi ukuphuma kwegazi kuye kwama futhi isimo sakho sihlala siqinile.

Ungazinakekela kanjani ngesikhathi sokuphulukana?

Ukuphulukana ngokuqhekeka kwesisu kudinga ukuzeka kade umsindo nokunakekela ngokucophelela inqubo yokwelapha yomzimba wakho. Kungakhathaliseki ukuthi uhlinzwe noma uphulukana ngokwelashwa okuqondile, ukulandela imiyalo yodokotela wakho kubalulekile ukuphulukana ngokuphephile.

Phakathi nenkathi yokuphulukana ekuqaleni, kuzodingeka ugweme noma yimiphi imisebenzi engase ibe yimbangela yokulimala kwesisu. Lokhu kusho ukuthi akukho ukuphakamisa okukhulu, imidlalo eziqhakambisayo, noma ukuzivocavoca okunzima kuze kube yilapho udokotela wakho ekukhulula.

Imiyalo ebalulekile yokuphulukana ihlanganisa:

• Ukuthatha imithi yokwelapha ubuhlungu njengoba kuqondiswe
• Ukuphumula okuningi nokugwema imisebenzi enzima
• Ukudla ukudla okunempilo ukuze usekele ukuphulukana
• Ukuya kuyo yonke imiqhudelwano yokulandelela
• Ukuqapha izibonakaliso zezinkinga ezinjengokwanda kobhlungu noma ukushisa

Uma ususiwe isisu, uzodinga ukuqiniswa okukhethekile ukuvimbela ezinye izifo zamabhaktheriya. Udokotela wakho uzokuxoxela ngalokhu futhi angase ancome ama-antibiotics ezimweni ezithile, njengaphambi kokwelashwa kwamazinyo.

Isikhathi sokuphulukana sihluke kuye ebunzimeni bokulimala kwakho nohlobo lokwelashwa. Abanye abantu bazizwa bekhulu ngaphakathi kwamasonto ambalwa, kanti abanye bangadinga izinyanga eziningi ukuze baphucuke ngokuphelele. Lalela umzimba wakho futhi ungaphuthumi ukubuyela emisebenzini evamile ngokushesha kakhulu.

Kufanele uzilungiselele kanjani i-aphoyintimenti yakho nodokotela?

Uma uhlangabezana nezibonakaliso ezingase zibonise ukuqhekeka kwesisu, lokhu cishe kuyisimo esiphuthumayo esidinga ukunakekelwa kwezokwelapha ngokushesha kunokuba kube yi-aphoyintimenti ehlelwe. Noma kunjalo, ukuqonda ukuthi yiluphi ulwazi oluzosiza kungenza ukuvakashela kwakho endlini yokwelapha kube lula.

Uma ufika esibhedlela, lungela ukunikeza imininingwane mayelana nanoma yikuphi ukulimala kwamuva noma ukulimala, ngisho noma kwakubonakala kuncane ngaleso sikhathi. Lolu lwazi lusiza odokotela ukuthi baqonde ukuthi yini engase ibe yimbangela yezimpawu zakho.

Imininingwane ebalulekile yokwabelana ihlanganisa:

• Nini lapho izimpawu zakho zaqala futhi zishintshe kanjani
• Noma yikuphi ukulimala kwamuva, ukuwa, noma izingozi
• Umlando wakho wezokwelapha, ikakhulukazi noma yiziphi izifo zegazi noma izifo
• Imithi yamanje nezifo
• Ukuhlinzwa kwesisu kwangaphambili noma izinkinga zesisu

Letha uhlu lwemithi yakho yamanje noma amabhodlela wemithi yangempela uma kungenzeka. Uma unezimo zezokwelapha ezihlanganisa isisu sakho noma ukuqina kwegazi, qiniseka ukuthi ukhuluma ngalokhu ngokushesha.

Ukuba nomngani othembekile noma ilungu lomndeni olukude kungaholela ekuphumeleleni, njengoba bangakwazi ukunikeza imininingwane eyengeziwe mayelana nokulimala kwakho noma izimpawu uma uzizwa ungaphili kahle noma udidekile.

Iyini into ebaluleke kakhulu mayelana nokuqhekeka kwesisu?

Into ebaluleke kakhulu okufanele uyikhumbule mayelana nokuqhekeka kwesisu ukuthi kuyisimo esiphuthumayo sezempilo esidinga ukunakekelwa ngokushesha. Ukuqaphela izimpawu ngokushesha nokufuna ukunakekelwa kwezokwelapha ngokushesha kungasindisa impilo futhi kuvame ukuletha imiphumela emihle.

Nakuba ukuqhekeka kwesisu kuzwakala kukhulu, abantu abaningi abatholakala ukwelashwa kwezokwelapha ngokushesha baphucuka ngokuphelele. Ngisho noma isisu sakho sidinga ukususwa, ungaphila impilo egcwele, enempilo ngokunakekelwa kwezokwelapha okuqondile nezinyathelo zokuphepha.

Into ebaluleke kakhulu ukungagcini ubuhlungu besisu ngemva kokulimalala, kungakhathaliseki ukuthi ukulimala kwakubonakala kuncane kangakanani. Themba izinzwa zakho futhi ufune ukunakekelwa okuphuthumayo uma uhlangabezana nobuhlungu obukhulu besisu, ikakhulukazi esiswini sakho esiphezulu ngakwesobunxele noma ehlombe lakho elingakwesobunxele.

Ukuvimbela kuhlale kungcono kunokwelapha. Uma uhlanganyela ezemidlalo eziqhakambisayo noma imisebenzi engozi enkulu, gqoka izingubo zokuphepha ezifanele futhi ulandele imiyalo yokuphepha. Uma unezimo ezikhulisa isisu sakho, sebenzisana nodokotela wakho ukuze uqonde imingcele yakho futhi uthathe izinyathelo zokuphepha ezifanele.

Imibuzo evame ukubuzwa mayelana nokuqhekeka kwesisu

Ungaphila yini ngaphandle kwesisu?

Yebo, ungaphila impilo evamile ngaphandle kwesisu. Nakuba isisu sakho lisiza ekuqaleni kwezifo nokuhlanzweni kwegazi, ezinye izitho zingase zithathe eminye yale misebenzi. Noma kunjalo, uzoba nengozi encane yokutheleleka kwamabhaktheriya athile, ngakho-ke uzodinga ukuqiniswa okukhethekile futhi ungase udinga ama-antibiotics ezimweni ezithile. Abantu abaningi abasuswe isisu sabo baqhubeka bephila impilo enempilo, esebenzayo ngalezi zinyathelo zokuphepha.

Kuthatha isikhathi esingakanani isisu esiqhekekile ukuphulukana?

Isikhathi sokuphulukana sihluke kakhulu kuye ebunzimeni bokulimala nendlela yokwelapha. Iziqhekeko ezincane eziphulukana ngaphandle kokuhlinzwa zingase zithathe amasonto angu-4-6, kanti ukuphulukana ngokuhlinzwa kokususa isisu kuvame ukuthatha amasonto angu-6-8 ngemisebenzi eyisisekelo nezinyanga ezingu-3-4 ukuze uphulukane ngokuphelele. Udokotela wakho uzonikeza izikhathi ezithile eziqondile eziqondile ngesimo sakho futhi aqaphe intuthuko yakho ngemiqhudelwano yokulandelela.

Isisu esiqhekekile singaphila yini ngokwalo?

Iziqhekeko ezincane esiswini ngezinye izikhathi zingaphila ngokwazo ngokuqapha okucophelelayo esibhedlela. Le ndlela eqondile isebenza kangcono uma ukuphuma kwegazi kuncane futhi izibonakaliso zakho eziphilayo zihlala ziqinile. Noma kunjalo, iziqhekeko ezinkulu noma ukuphuma kwegazi okukhulu kuvame ukudinga ukuhlinzwa. Iqembu lakho lezokwelapha lizoqapha ukuthi isisu sakho siyaphila kahle noma uma ukuhlinzwa kudingeka.

Ubuhlungu besisu buzwakala kanjani?

Ubuhlungu besisu obuvela ekuqhekekeni kuvame ukuzwakala njengobhlungu obukhulu, obukhulu esiswini sakho esiphezulu ngakwesobunxele, ngaphansi kwezinhlangothi zakho. Abantu abaningi bayachaza njengokuthi kuyisimo sokuthunga noma sokuqhekeka esingase sihambe ehlombe lakho elingakwesobunxele noma emuva. Ubuhlungu buvame ukuba sibi uma uthatha imimoya ejulile, ukhwehle, noma uhamba. Abanye abantu nabo baye baba nokuzizwa begcwele noma becindezelwe esiswini sabo esiphezulu ngakwesobunxele.

Ukuqhekeka kwesisu kubangelwa yilimalala njalo?

Nakuba iningi lokuqhekeka kwesisu liphuma ekulimaleni okulimaza njengezingozi zezimoto noma ukulimala kwezemidlalo, ezinye zingase zenzeke ngokungazange kube khona ukulimala noma ngenxa yokulimala okuncane lapho isisu sikhulile noma silimala. Izimo ezinjenge-infectious mononucleosis, i-malaria, i-leukemia, noma i-lymphoma zingakhulisa isisu futhi zilienze libe buthakathaka. Kwezinye izimo ezingavamile, isisu esikhulu singaqhekeka ngento elula njengokukhwehlela noma ukwelula, nakuba lokhu kungavamile.