Yintoni eyahlukileyo yokuchonga isifo?

Umxholo

• Ingcaciso
• Amanyathelo abandakanyekayo ekuchongeni ukwahluka
• Imizekelo yovavanyo olwahlukileyo
• Iintlungu zesifuba
• Intloko ebuhlungu
• Ukukrala kwemiphunga
• Uxinzelelo lwegazi
• Ukubetha
• Ukuthatha

Ingcaciso

Xa ufuna ingqalelo kwinkxalabo yezonyango, ugqirha wakho usebenzisa inkqubo yokuqonda isifo ukumisela imeko enokubangela iimpawu zakho.

Njengenxalenye yale nkqubo, baya kuthi baphonononge izinto ezinje:

• iimpawu zakho zangoku
• imbali yezonyango
• iziphumo ezivela kuvavanyo lomzimba

Ukuchongwa okwahlukileyo luluhlu lweemeko ezinokubakho okanye izifo ezinokubangela iimpawu zakho zisekwe kolu lwazi.

Amanyathelo abandakanyekayo ekuchongeni ukwahluka

Xa usenza isifo esahlukileyo, ugqirha wakho uya kuqala aqokelele ulwazi lokuqala malunga neempawu zakho kunye nembali yonyango.

Eminye yemibuzo ugqirha anokuyibuza ibandakanya:

• Ziintoni iimpawu zakho?
• Kude kube nini ufumana ezi mpawu?
• Ngaba ikhona into ebangela iimpawu zakho?
• Ngaba ikhona into eyenza ukuba iimpawu zakho zibe mandundu okanye zibengcono?
• Ngaba unembali yosapho yeempawu ezithile, iimeko, okanye izifo?
• Ngaba okwangoku uthatha amayeza amiselweyo?
• Ngaba uyasebenzisa icuba okanye utywala? Ukuba kunjalo, kukangaphi?
• Ngaba zikhona iziganeko eziphambili okanye uxinzelelo ebomini bakho kutshanje?

Ugqirha wakho emva koko angenza uvavanyo olusisiseko lomzimba okanye elebhu. Eminye imizekelo ibandakanya, kodwa ayikhawulelwanga:

• ukuthatha uxinzelelo lwegazi
• Ukujonga ukubetha kwentliziyo yakho
• ukumamela imiphunga yakho njengoko uphefumla
• ukuvavanya ilungu lomzimba wakho elikukhathazayo
• uku-odola uvavanyo lwelabhoratri lwegazi okanye umchamo

Xa beqokelele iinyani ezifanelekileyo kwiimpawu zakho, imbali yezonyango, kunye novavanyo lomzimba, ugqirha wakho uya kwenza uluhlu lweemeko okanye izifo ezinokubangela iimpawu zakho. Oku kukuchongwa okwahlukileyo.

Ugqirha wakho emva koko angenza iimvavanyo okanye uvavanyo olongezelelweyo ukulawula imeko ezithile okanye izifo kunye nokufikelela kwisifo sokugqibela.

Imizekelo yovavanyo olwahlukileyo

Nayi eminye imizekelo eyenziwe lula yokuqonda ukuba imeko yovavanyo olwahlukileyo inokubonakala njani kwiimeko ezithile.

Iintlungu zesifuba

UJohn utyelela ugqirha wakhe ekhalaza ngentlungu esifubeni sakhe.

Kuba isifo sentliziyo sisizathu esivakalayo sokuqaqanjelwa sisifuba, eyona nto iphambili kugqirha wakhe kukuqinisekisa ukuba uJohn akafumani nenye. Ezinye izizathu eziqhelekileyo zentlungu yesifuba zibandakanya iintlungu kudonga lwesifuba, isifo se-reflux sesifo se-gastroesophageal (GERD), kunye ne-pericarditis.

Ugqirha wenza i-electrocardiogram ukuvavanya iimpembelelo zombane zentliziyo kaJohn. Bayayalela novavanyo lwegazi ukukhangela ii-enzymes ezithile ezinxulunyaniswa nesifo sentliziyo. Iziphumo ezivela kolu vavanyo ziqhelekile.

UJohn uxelela ugqirha wakhe ukuba iintlungu zakhe zivakala njengokutsha. Ngokuqhelekileyo kuza kungekudala emva kokutya. Ukongeza kwintlungu esifubeni, ngamanye amaxesha unencasa emuncu emlonyeni wakhe.

Ukusuka kwinkcazo yeempawu zakhe kunye neziphumo zovavanyo eziqhelekileyo, ugqirha kaJohn ukrokrela ukuba uJohn unokuba ne-GERD. Ugqirha umisela uJohn ikhosi yeproton pump inhibitors ethi ekugqibeleni ikhulule iimpawu zakhe.

Intloko ebuhlungu

USue uya kubona ugqirha wakhe kuba enentloko eqhubekayo.

Ukongeza ekwenzeni uvavanyo olusisiseko lomzimba, ugqirha kaSue ubuza malunga neempawu zakhe. Ukwabela uSue ukuba iintlungu ezivela kwintloko yakhe ziphakathi ukuya kwezomeleleyo. Ngamanye amaxesha uziva isicaphucaphu kunye nemvakalelo ekukhanyeni ngelixa zisenzeka.

Ukusuka kulwazi olunikiweyo, ugqirha kaSue ukrokrela ukuba ezona meko zinokubakho yimigraines, iintlungu zentloko, okanye mhlawumbi intloko ebuhlungu yasemva kwentloko.

Ugqirha ubuza umbuzo olandelayo: Ngaba ukhe walufumana naluphi na uhlobo lokulimala entloko kutshanje? USue uphendula athi ewe, waye wawa kwaye wabetha entloko ngaphezulu kweveki ephelileyo.

Ngolu lwazi lutsha, ugqirha kaSue ngoku urhanela intloko ebuhlungu emva kwentloko. Ugqirha unokuyalela ukuba kuthintelwe imeko yentlungu. Ukongeza, ugqirha unokwenza iimvavanyo zokucinga ezifana neMRI okanye i-CT scan ukulawula ukuphuma kwegazi kwingqondo okanye ithumba.

Ukukrala kwemiphunga

UAli utyelela ugqirha wakhe eneempawu zenyumoniya: umkhuhlane, ukukhohlela, ukugodola kunye neentlungu esifubeni.

Ugqirha ka-Ali wenza uvavanyo lomzimba, kubandakanya ukumamela imiphunga yakhe nge-stethoscope. Benza i-X-ray yesifuba ukujonga imiphunga kunye nokuqinisekisa inyumoniya.

I-pneumonia inezizathu ezahlukileyo-ngakumbi ukuba ibacteria okanye intsholongwane. Oku kunokuchaphazela unyango.

Ugqirha ka-Ali uthatha isampuli yencindi ukuvavanya ubukho beentsholongwane. Ibuya ilungile, ke ugqirha umisela ikhosi ye-antibiotics ukunyanga usulelo.

Uxinzelelo lwegazi

URaquel useofisini kagqirha wakhe ngokwasemzimbeni. Xa ugqirha wakhe ethatha uxinzelelo lwegazi, ukufundwa kuphezulu.

Izizathu eziqhelekileyo zoxinzelelo lwegazi zibandakanya amayeza athile, isifo sezintso, isithintelo sokuphefumla kokulala, kunye neengxaki ze-thyroid.

Uxinzelelo lwegazi aluhambi kusapho lukaRaquel, nangona umama wakhe wayenengxaki ye-thyroid. URaquel akasebenzisi iimveliso zecuba kwaye usebenzisa utywala ngokufanelekileyo. Ukongeza, okwangoku akathathi nawaphi na amayeza anokukhokelela kuxinzelelo lwegazi.

Ugqirha kaRaquel emva koko ubuza ukuba ukhe waqaphela enye into ebonakala ingaqhelekanga ngempilo yakhe mva nje. Uyaphendula ukuba uziva ngathi uyehla emzimbeni kwaye uhlala eziva eshushu okanye ebilile.

Ugqirha wenza iimvavanyo zaselebhu ukuvavanya ukusebenza kwezintso kunye ne-thyroid.

Iziphumo zovavanyo lwezintso ziqhelekile, kodwa iziphumo ze-Raquel's thyroid zibonisa i-hyperthyroidism. URaquel kunye nogqirha wakhe baqala ukuxoxa ngeendlela zonyango kwi-thyroid engasebenzi.

Ukubetha

Ilungu losapho lithatha uClarence ukufumana unyango kwangoko kuba barhanela ukuba unestroke.

Iimpawu zikaClarence zibandakanya intloko ebuhlungu, ukudideka, ukuphulukana nokulungelelanisa, kunye nokungaboni kakuhle. Ilungu losapho likwazisa ugqirha ukuba omnye wabazali bakaClarence wayenestroke ngaphambili kwaye uClarence utshaya imidiza rhoqo.

Ukusuka kwiimpawu kunye nembali ebonelelweyo, ugqirha ukrokrela kakhulu ukubetha, nangona iswekile esezantsi yegazi inokubangela iimpawu ezifanayo nokubetha.

Benza i-echocardiogram ukukhangela isingqisho esingaqhelekanga esinokukhokelela kumahlwili, anokuhamba aye kwingqondo. Bayayalela kwakhona i-CT scan ukujonga ukopha kwengqondo okanye ukufa kwethishu. Okokugqibela, benza uvavanyo lwegazi ukuze babone isantya apho igazi likaClarence lijiyileyo kunye nokuvavanya amanqanaba eglucose egazini.

Iskena se-CT sibonisa ukopha ebuchotsheni, eqinisekisa ukuba uClarence ubenesifo sokopha.

Kuba ukubethwa yintlungu kukungxamiseka kwezonyango, ugqirha usenokuqalisa unyango olungxamisekileyo phambi kokuba kufunyanwe zonke iziphumo zovavanyo.

Ukuthatha

Ukuchongwa okwahlukileyo luluhlu lweemeko ezinokubakho okanye izifo ezinokubangela iimpawu zakho. Isekwe kude kwiinyani ezifunyenwe kwiimpawu zakho, imbali yezonyango, iziphumo ezisisiseko zelebhu, kunye novavanyo lomzimba.

Emva kokuphuhlisa ukuxilongwa okwahlukileyo, ugqirha wakho unokwenza uvavanyo olongezelelweyo ukuze aqale ukulawula iimeko ezithile okanye izifo kwaye afike kwisifo sokugqibela.