Isicaphucaphu nokugabha - abantu abadala

Isicaphucaphu kukuziva ufuna ukugabha. Ihlala ibizwa ngokuba "kukugula esiswini sakho."

Ukuphalaza okanye ukuphosa kunyanzelisa imixholo yesisu phezulu ngombhobho wokutya (ngomqala) nangaphandle komlomo.

Iingxaki eziqhelekileyo ezinokubangela isicaphucaphu kunye nokugabha kubandakanya:

• Ukutya kokutya
• Usulelo lwesisu okanye amathumbu, "njengomkhuhlane wesisu" okanye ukutya okunetyhefu
• Ukuvuza kwesiqulatho sesisu (ukutya okanye ulwelo) ngaphezulu (ekwabizwa ngokuba yi-gastroesophageal reflux okanye i-GERD)
• Amayeza okanye unyango, njengonyango lomhlaza okanye unyango ngemitha
• Intloko ye-Migraine
• Ukugula kwasekuseni ngexesha lokukhulelwa
• Ukugula kwaselwandle okanye ukugula kokuhamba
• Intlungu ebuhlungu, njengamatye ezintso
• Ukusetyenziswa kakhulu kwentsangu

Isicaphucaphu kunye nokugabha nako kunokuba ziimpawu zesilumkiso zakwangoko zeengxaki zonyango ezinzulu, ezinje:

• Isihlomelo
• Ukuvaleka emathunjini
• Umhlaza okanye ithumba
• Ukungenisa ichiza okanye ityhefu, ngakumbi ngabantwana
• Izilonda kumgca wesisu okanye emathunjini amancinci

Nje ukuba umboneleli wakho wezempilo afumane unobangela, uya kufuna ukwazi indlela yokuphatha isicaphucaphu okanye ukugabha.

Ungadinga uku:

• Thatha amayeza.
• Guqula indlela otya ngayo, okanye uzame ezinye izinto ukuze uzive ungcono.
• Sela ulwelo oluncinci rhoqo.

Ukuba unokugula kwasekuseni ngexesha lokukhulelwa, cela umboneleli wakho malunga nonyango olunokwenzeka.

Oku kulandelayo kunokunceda ukunyanga ukugula kwesindululo:

• Ukuhlala uzolile.
• Ukuthatha i-antihistamine ye-anti-counter, njenge-dimenhydrinate (iDramamine).
• Sebenzisa ii-scopolamine prescription patches (ezinje ngeTransderm Scop). Oku kuluncedo kuhambo olwandisiweyo, njengohambo lwaselwandle. Sebenzisa isichibi njengoko umboneleli wakho eyalela. IScopolamine yeyabantu abadala kuphela. AKUFANELE inikwe abantwana.

Tsalela umnxeba ku-911 okanye uye kwigumbi likaxakeka ukuba:

• Cinga ukuba ukugabha kubangelwa yityhefu
• Qaphela igazi okanye izinto ezimnyama, ezinombala wekofu ekugabheni

Shayela umnikezeli ngokukhawuleza okanye ufune unyango ukuba wena okanye omnye umntu unayo:

• Ndigabhe ixesha elingaphezulu kweeyure ezingama-24
• Khange ukwazi ukugcina naluphi na ulwelo phantsi iiyure ezili-12 okanye nangaphezulu
• Intloko okanye intamo elukhuni
• Ungachami kangangeeyure ezisi-8 nangaphezulu
• Isisu esibuhlungu okanye iintlungu zesisu
• Ukhuphe amaxesha ama-3 okanye nangaphezulu kusuku olunye

Iimpawu zokuphelelwa ngamanzi emzimbeni zibandakanya:

• Ukulila ngaphandle kweenyembezi
• Umlomo owomileyo
• Ukwanda ukoma
• Amehlo avela atshonile
• Utshintsho kulusu: Umzekelo, ukuba uchukumisa ulusu okanye ulukhame, alubuyisi ngendlela oluqhele ukwenza ngayo
• Ukuchama rhoqo okanye ube nomchamo omnyama otyheli

Umboneleli wakho uya kwenza uvavanyo lomzimba kwaye uya kujonga iimpawu zokoma.

Umboneleli wakho uya kubuza imibuzo malunga neempawu zakho, ezinje:

• Kwaqala nini ukugabha? Ithathe ixesha elingakanani? Kwenzeka kangaphi?
• Ngaba iyenzeka emva kokuba utye, okanye kwisisu esingenanto?
• Ngaba zikhona ezinye iimpawu ezinje ngeentlungu esiswini, umkhuhlane, urhudo, okanye iintloko?
• Ngaba uyagabha igazi?
• Ngaba uyagabha nantoni na ebonakala ngathi yindawo yekhofi?
• Ngaba uyagabha ukutya okungacetywanga?
• Ugqibele nini uchama?

Eminye imibuzo onokuyibuzwa ibandakanya:

• Ngaba uye wehla emzimbeni?
• Ubukhe wakhenketha? Phi?
• Ngawaphi amayeza owasebenzisayo?
• Ngaba abanye abantu abatya kwindawo enye nawe baneempawu ezifanayo?
• Ngaba ukhulelwe okanye unokukhulelwa?
• Ngaba uyayisebenzisa intsangu? Ukuba ewe, uyisebenzisa kangaphi?

Uvavanyo lokuchonga olunokuthi lwenziwe lubandakanya:

• Uvavanyo lwegazi (njenge-CBC eyahlukileyo, amanqanaba e-electrolyte egazi, kunye novavanyo lomsebenzi wesibindi)
• Uhlalutyo lomchamo
• Izifundo zokulinganisa (i-ultrasound okanye i-CT) yesisu

Kuxhomekeka kwisizathu kunye nobungakanani obongezelelekileyo bolwelo oludingayo, kungafuneka uhlale esibhedlele okanye eklinikhi kangangexesha elithile. Unokufuna ulwelo olunikezwe ngemithambo yakho (efakwa ngaphakathi okanye nge-IV).

Emesis; Ukuphalaza; Isisu sikhathazekile; Isisu esimoshakele; UQeqesho

• Sula ukutya okungamanzi
• Ukutya okungamanzi okugcweleyo

• Inkqubo yokwetyisa

I-Crane BT, ii-Eggers SDZ, iZee DS. Iingxaki eziphambili ze vestibular. Ku: Flint PW, Haughey BH, Lund V, et al, ii-eds. Ukutsha kweOtolaryngology. Umhla wesi-6. IPhiladelphia, PA: Elsevier Saunders; 2015: isahluko 166.

UGuttman J. Isicaphucaphu kunye nokugabha. Ku: Iindonga RM, iHockberger RS, iGausche-Hill M, ii-eds. Unyango lukaRosen oluNgxamisekileyo: iikhonsepthi kunye nokuziqhelanisa neklinikhi. Umhla we-9. IPhiladelphia, PA: Elsevier; I-2018: isahluko 26.

UMcquaid KR. Sondela kwisigulana ngesifo samathumbu. Ku: IGoldman L, iSchafer AI, ii-eds. Amayeza eGoldman-Cecil. Ngomhla wama-26. IPhiladelphia, PA: Elsevier; 2020: isahl. 123.