Ukudumba

Ukudumba kukwanda kwamalungu, ulusu, okanye amanye amalungu omzimba. Kubangelwa kukukhula kolwelo kwizicwili. Amanzi ongezelelweyo anokukhokelela ekukhuleni okukhawulezileyo kobunzima ngaphezulu kwexesha elifutshane (iintsuku ukuya kwiiveki).

Ukudumba kunokwenzeka kuwo wonke umzimba (ngokubanzi) okanye kwelinye icala lomzimba (elenzelwe indawo).

Ukudumba okuncinci (i-edema) yemilenze esezantsi kuqhelekile kwiinyanga ezishushu zehlobo, ngakumbi ukuba umntu ebemile okanye ehamba kakhulu.

Ukudumba ngokubanzi, okanye i-edema enkulu (ekwabizwa ngokuba yi-anasarca), luphawu oluqhelekileyo kubantu abagula kakhulu. Nangona i-edema encinci inokuba nzima ukuyifumana, isixa esikhulu sokudumba sicacile.

I-Edema ichazwa njengepitshi okanye ingafaki ndawo.

• Ukubeka i-edema kushiya isifotho kulusu emva kokucinezela indawo ngomnwe malunga nemizuzwana emi-5. Isifotho siyakugcwalisa kancinci kancinci.
• Ukungadibani nokudumba akushiyi olu hlobo lwesifotho xa ucinezela kwindawo edumbileyo.

Ukudumba kunokubangelwa zezi zinto zilandelayo:

• Acute glomerulonephritis (isifo sezintso)
• Ukutsha, kubandakanya ukutshiswa lilanga
• Isifo sezintso esinganyangekiyo
• Ukumelwa yintliziyo
• Ukusilela kwesibindi kwi-cirrhosis
• I-Nephrotic syndrome (isifo sezintso)
• Ukungondleki
• Ukukhulelwa
• Isifo se-thyroid
• I-albhamuin encinci egazini (hypoalbuminemia)
• Ityuwa eninzi okanye isodiyam
• Ukusetyenziswa kwamachiza athile, njenge-corticosteroids okanye iziyobisi ezisetyenziselwa ukunyanga isifo sentliziyo, uxinzelelo lwegazi oluphezulu, isifo seswekile

Landela iingcebiso zonyango lwakho zomboneleli wezempilo. Ukuba unokudumba kwexesha elide, buza umboneleli wakho malunga nokukhetha ukuthintela ukonakala kolusu, njenge:

• Isangqa sokuhamba
• Iphedi yoboya beMvana
• Iimatrasi zokunciphisa uxinzelelo

Qhubeka nemisebenzi yakho yemihla ngemihla. Xa ulele phantsi, gcina iingalo kunye nemilenze yakho ngaphezu kwentliziyo yakho, ukuba kunokwenzeka, ukuze ulwelo lunokukwazi ukuphuma. SUKWENZE oku ukuba uphefumla kancinci. Jonga umboneleli wakho endaweni yoko.

Ukuba ubona ukudumba okungachazwanga, nxibelelana nomboneleli wakho.

Ngaphandle kweemeko zongxamiseko (ukusilela kwentliziyo okanye i-edema yemiphunga), umboneleli wakho uya kuthatha imbali yakho yezonyango kwaye uya kwenza uvavanyo lomzimba. Unokubuzwa malunga neempawu zokudumba kwakho. Imibuzo inokubandakanya ukuqala kokudumba, nokuba kukuwo wonke umzimba wakho okanye kwindawo enye, yintoni ozamile ekhaya ukunceda ukudumba.

Uvavanyo olunokwenziwa lunokubandakanya:

• Uvavanyo lwegazi lweAlbumin
• Amanqanaba e-electrolyte egazi
• Echocardiography
• I-Electrocardiogram (ECG)
• Uvavanyo lwezintso
• Uvavanyo lomsebenzi wesibindi
• Uhlalutyo lomchamo
• X-reyi

Unyango lunokubandakanya ukuthintela ityuwa okanye ukuthatha iipilisi zamanzi (i-diuretics). Ukungeniswa kwamanzi kunye nokuveliswa kwakho kufuneka kuhlolwe, kwaye kufuneka ulinganiswe imihla ngemihla.

Gwema utywala ukuba isifo sesibindi (i-cirrhosis okanye i-hepatitis) ibangela ingxaki. Umbhobho wenkxaso unokucetyiswa.

Edema; Anasarca

• Ukubetha i-edema emlenzeni

UMcGee S. Edema kunye ne-vein thrombosis enzulu. Ku: McGee S, ed. Ubungqina obuSekwe ePhameni. Ngomhla we-4. IPhiladelphia, PA: Elsevier; 2018: isahluko 56.

Swartz MH. Inkqubo yemithambo yegazi. Ku: Swartz MH, ed. Incwadi yokubhalwa kweempawu zomzimba: Imbali kunye noVavanyo. Ngomhla we-8. IPhiladelphia, PA: Elsevier; 2021: isahluko 15.