Kuthetha ukuthini Ukuba Ndilahlekelwa Isisindo Ngaphandle Kokuzama?
Kubonakala ngathi lonke ihlabathi lizama ukunciphisa ubunzima, kodwa ukulahleka kwesisindo esingachazwanga kunokusabisa. Sonke sivile ngomntu olahlekelwe isisiseko ngaphandle kwesizathu kwaye kwaba yinto embi. Ziziphi ezinye zezizathu ezinokubangela ukulahleka kwexabiso, yiyiphi imibuzo enokuthi udokotela wakho abuze, kwaye ungalindela ntoni wena kunye nodokotela wakho ufuna ukufumana isizathu?
Yintoni engabonakaliyo yokulahlekelwa kwesisindo?
Ukulahleka kwesisindo esingachazwanga ichazwa nje ngelahleko elingenakuzenzela ubuncinane ubunzima beepounds ezili-10 okanye iipesenti ezi-5 zesisindo somzimba kwisithuba seenyanga ezi-6 ukuya kwezi-12 . Oku kuya kufana ne-200-pound indoda elahlekelwa iipounds ezili-10 okanye ibhinqa elingu-130 elilahlekelwa ngamaphilisi angama-six.
Ukulahlekelwa kwesisindo kungenzeka ngenxa yokuba udla ngaphantsi, okanye ngenxa yokuba umzimba wakho usebenzisa izondlo ngokuhlukileyo ngenxa yenguqu kwi-metabolism yakho okanye ukukhula kwesisu.
Ngexesha lokujonga uDokotela wakho
Ukuba ulahlekelwa isisindo ngaphandle kokuzama kubalulekile ukwenza i-aphoyintimenti ukubona ugqirha wakho, nokuba ucinga ukuba kukho inkcazo yokulahlekelwa kwesisindo sakho . Kubalulekile ukuba ngummeli wakho kwaye uqhubeke nokubuza ukuba kutheni ukuba ungaziva unayo inkcazelo efanelekileyo. Buza uluvo lwesibini ukuba luyimfuneko. Uninzi lweemeko ezingakhokelela ekulahlekelweni kwesisindo esingenakuzenzela kunzima ukuxilonga kwiindawo zokuqala.
Ukuxilongwa
Ukuba unalo ukulahleka kwesisindo esingenakuzenzela, ugqirha wakho uya kuqala uthathe imbali echanekileyo kwaye enze uvavanyo lomzimba. Ngokuxhomekeke kwiziphumo zakhe, unokuncoma iimvavanyo eziqhubekayo kunye nezifundo ze-radiology.
Imibuzo Igqirha Wakho Unokubuza
- Uqale uqaphele nini ukuba ulahlekelwa isisindo?
- Ukhawuleza kangakanani ukulahlekelwa ubunzima?
- Ngaba wenze nayiphi na utshintsho kwisondlo sakho okanye ixesha lokuzilolonga?
- Ngaba uke wakha ukulahleka kwesisindo njengaleli ngaphambili?
- Ubuhlungu kangakanani ukulahlekelwa kwesisindo kuwe?
- Ngaba unayo nayiphi na impawu ezinjengeepilpitations, ukuphefumula okufutshane , i- jaundice (ukugqithisa okwesibhakabhaka kwesikhumba), ukukhwehlela okuqhubekayo , ukukrakra , ukoma, okanye uvakalelo ekubanda okanye kubushushu?
- Ungayichaza njani impilo yakho jikelele ngokuthelekiswa nayo, ithi, unyaka odlulileyo?
- Ngaba uye wahlola iimvavanyo ezicetyiswa kumntu oneminyaka yakho njengemilmogram okanye i-colonoscopy, kwaye iziphumo zini?
- Ngaba unayo isisongela okanye ukuhlanza? Ngaba uyazihlamba?
- Ngaba uye waqhawulwa okanye unesifo sohudo?
- Ngaba uye waziva uxinezelekile okanye ugxininisekile kungekudala?
- Ingaba unayo nayiphi na ingxaki yamazinyo ebangela ubunzima bokutya?
- Ngaba zikhona izifo ezisebenzayo kwintsapho yakho?
Uvavanya uDokotela wakho ngoMeyi
Emva kokubuza imibuzo kunye nokuhlolisisa, ugqirha wakho unokuncoma iimvavanyo ezongezelelweyo. Ezinye zazo ziquka:
- Uvavanyo lwebhabhi - Iimvavanyo eziqhelekileyo ziyalwa ziquka inani elipheleleyo legazi (i-CBC), i-electrolytes ( iphaneli yamathambo ), iimvavanyo zesibindi, iimvavanyo zomsebenzi weentso, iimvavanyo ezivuthayo (izinga elide, iprotheyini esebenzayo yeC), ishukela legazi (i-glucose), urinalysis, ne-thyroid iimvavanyo.
- Ucwaningo lwe-Radiology - Njenge-CT yesifuba sakho okanye isisu.
- Iinkqubo - ezifana ne-endoscopy okanye i-colonoscopy ukuvavanya isisu sakho kunye nekholoni.
Izizathu
Kukho izizathu ezininzi zokulahlekelwa kwesisindo esingachangekiyo, ezinye izinto ezinzulu, kunye nezinye izinto eziyingozi. Abantu abadala (ngaphezu kweminyaka yobudala engama-65) eyona nto ibangela umdla ngumhlaza, ilandelwa zizifo zesisu kunye nezimo zengqondo. Ukujonga ngokubanzi izizathu kubandakanya:
- Izimo ze-Endocrine - Njenga-hyperthyroidism (i-thyroid engasebenzi), i- hypothyroidism (i-thyroid engasebenzi), isifo sikashukela nesifo se- Addison .
- Izifo- ezinjenge- HIV / AIDS , isifo sofuba , i- endocarditis (ukusuleleka kwintliziyo yamagundane), kunye nezifo ezithintekayo.
- I-Cancer - Ukulahleka kwesisindo kungaba yimpawu zokuqala zeekhensi ezifana nomhlaza wemiphunga (ikakhulukazi i- adenocarcinoma yomphunga ), umdlavuza wekoloni , umdlavuza womhlaza kunye nomdlavuza we-pancreatic .
- Ingxaki zamathumbu - Njengengxaki yesifo sezilonda, isifo se-celiac, isifo sikaCrohn, i-ulcerative colitis, kunye ne-pancreatitis.
- Ukumelwa yintliziyo
- Ukuhluleka kweengso .
- Isifo esingasigxina se-pulmonary disease - (COPD) - Njenge-emphysema.
- Ukukhathazeka ngomlomo - Njengesifo segum , ukubola kwezinyo, izilonda zomlomo, okanye i-braces.
- Ukutshaya .
- Ukuphazamiseka kokutya - Ngokomzekelo i-anorexia nervosa kunye ne-bulimia.
- Ukungondleki kwesondlo - Ngenxa yokukhetha ukutya okungafanelekanga, okanye iimali ezinciphisa ukuthenga ukutya (indlala).
- Izimo zengqondo - ezifana nokudandatheka kunye nokuxhalabisa.
- Amachiza - Phantse nayiphina imithi inokulahlekelwa ngumzimba njengokwenza ingqalelo. Amachiza angenza ukulahleka kwesisindo ngokuthe ngqo, okanye kubangele i-nausea kunye nokulahleka kwesidlo esiya ekulahlekeni kwesisindo.
- Ukusetyenziswa kakubi kweziyobisi - kungekhona nje kuphela izidakamizwa zesitalato ezifana ne-methamphetamine kodwa amayeza enyango njengoko adderall kunye nezidakamizwa ezingaphezulu kwezilwanyana ezinokuthi zisebenzise kakubi.
- Izimo ze-neurological - ezifana nesifo sika-Parkinson nesifo se-Alzheimer .
Kubaluleka
Ukulahleka kokunciphisa ukungabikho kokubaluleka kungabalulekanga nje kuphela ekukhangela isizathu esisisiseko (3/4 yabantu abanokulahlekelwa kwesisindo esingalindelekanga banesisiseko esibangelwa oogqirha babo) kodwa ngenxa yoko kuthetha ntoni kwimpilo.
Ukulahleka kwesisindo esingenalutho kunxulumene nokuhlutha okuphezulu (ukuphuhliswa kwezifo) ukufa okuphezulu (izinga eliphezulu lokufa) kunye nomgangatho ophantsi wobomi kubantu abaphethwe zizifo ezininzi. I-cachexia ye-Cancer yimeko yokulahlekelwa kwesisindo esingenakuzenzela kunye nezinye iinkxalabo ezincinci kwaye ixanduva ngqo malunga neepesenti ezingama-20 zesifo somhlaza. Ngaphandle kwesifo se-coronary disease, kuye kwafumanisa ukuba iziphumo zaba ngamaphesenti angama-62 ezibi kakhulu kubantu abafumana ukulahleka kwexabiso lokungazinzi.
Unyango
Ukunyanga kokulahlekelwa kwesisindo esingenzi ngokuzithandela kuya kuxhomekeka kwizinto ezibangela okanye izizathu. Ukubonelelwa kwimeko ephezulu yokubangela ukulahleka kwesisindo, nabani na oye wafumana ukulahleka kwesisindo ngaphandle kokuzama kufuneka abe neembali ezipheleleyo kunye nokwenziwe ngokomzimba, ngaphezu kwezinye iifundo ezifunekayo. Ezinye zezinto ezibangela ukulahlekelwa kwesisindo ngokungenasisiseko aziqhelekanga, kwaye oku kungadinga ukutyelela ezininzi ukufumana isizathu.
Kungakhathaliseki ukuba yintoni isizathu, kufuneka kuthathwe amanyathelo okuphatha ukulahleka kwesisindo. Xa isizathu sinqunywe, ukulahlekelwa kwesisindo ngokwawo ngamanye amaxesha kuqhutyelwa kwi-burner yangemuva. Ukuba ngaba nguwe, qiniseka ukuba uthethe ugqirha malunga nendlela ofanele uyenze ngayo le mpawu. Kwabo bafumene ukuba banomdlavuza, kufuneka baqwalaselwe ngokunyamekela. Amaqela okunyamekela asebenzayo enza umsebenzi obalaseleyo wokujongana neengxaki ezingahambelani ngqo nomhlaza (umzekelo, i-chemotherapy okanye unyango lwe-radiation) ezifana nokulahlekelwa kwesisindo esingenziyo. Ukunyanga kokulahlekelwa kwesisindo kunokunceda abantu babekezele unyango nokuba yintoni na imeko eye yabangela ukulahleka kwesisindo.
Imithombo:
Chen, S. et al. Ukuvavanya amathuba okuba nomhlaza phakathi kwabantu asebekhulile abangazange baxelele, ukulahleka kwesisindo esingenasenzo. IiNqoloba zeGerontology kunye neGeriatrics . 2010. I-Suppl 1: S27-9.
UGaddy, H., noK. Holder. ukulahlekelwa kwesisindo esingafunekanga kubantu abadala. WaseMerika ugqirha . 2014. 89 (9): 718-22.
Pake, Q., Rodriguez-Escudero, J., Thomas, R. et al. Ukubaluleka kokuxhaswa kweMithwalo yokuLawula isisindo kwiCoronary Artery Disease: UkuHlola okuSingqinisisiweyo kunye nokuHlola kweMeta. IMayo Clinic Proceedings . 2014. 89 (10): 1368-77.
I-Thirunavukarasu, uP. et al. Ukuqala kokusebenza ngokungahambi ngokungazenzisiyo njengobungozi bokufumana iziphumo zokuhlinzwa emva kokuhlinzwa okhethwayo kwizigulane ezasasazwa ngumhlaza. International Journal of Surgery . 2015. 18: 7-13.
Wu, J. et al. Ukuphonononga isicwangciso sokuxilonga sezigulane ezidlulileyo kunye nokulahlekelwa kwesisindo somzimba esingacacanga: isifundo esisekelwe esibhedlele. IiNqoloba zeGerontology kunye neGeriatrics . 2011. 53 (1): e51-4.