I-Edema: yintoni, ziphi iintlobo, zibangela kwaye nini ukuya kugqirha

Umxholo

• Iindidi eziphambili ze-edema
• 1. I-edema eqhelekileyo
• 2. ILymphedema
• 3. IMyxedema
• Iimpawu eziphambili
• Izizathu ezinokubangela
• 1. Ukwanda koxinzelelo lwe-capillary
• 2. Ukunciphisa iiproteni zeplasma
• 3. Ukonyuka kwe-capillary permeability
• 4. Ukuvaleka kwembuyekezo ye-lymphatic
• Unyango lwenziwa njani
• Inkathalo ethintela i-edema

I-Edema, eyaziwa ngokuba kukudumba, yenzeka xa kukho ingqokelela yolwelo phantsi kolusu, edla ngokubonakala ngenxa yosulelo okanye ukusetyenziswa gwenxa kwetyuwa, kodwa inokwenzeka nakwimeko yokudumba, ukunxila kunye ne-hypoxia, kulapho ioksijini isilela khona. ilungu elithile lomzimba, ukongeza kwizintso, intliziyo okanye isifo se-lymphatic system.

Kule meko, kuqhelekile ukuba i-edema ivele ezandleni, ezingalweni, emilenzeni, ezinyaweni nasebusweni, ibangele ukuba ulusu luphawulwe ngoxinzelelo oluncinci nanini na xa uxinzelelo lusetyenziswa kwindawo echaphazelekayo ngomnwe. Kuxhomekeka kwisizathu, ukubonakala kwe-edema kunokwenzeka ngequbuliso, okanye ngokuthe ngcembe ekuhambeni kwemini.

Unyango lwe-edema kufuneka lube lolomntu ngamnye kwaye lujolise ekupheliseni unobangela, kodwa ngokubanzi ugqirha oqhelekileyo ubonisa ukuphumla, ukuphakama kwelungu elichaphazelekayo ngaphezulu kwenqanaba lentliziyo kunye nokuncitshiswa kwenani leetyuwa elisetyenziswe yonke imihla, ukongeza ekumiseleni amayeza e-diuretic ezinceda ukukhupha ulwelo olungaphezulu emzimbeni ngomchamo.

Iindidi eziphambili ze-edema

I-Edema ihlelwa kwiindidi ezintathu kwaye ijolise ekucaciseni ngcono unobangela kwaye yazi ngokuchanekileyo ukuba luyintoni na ulwelo oluphume phantsi kolusu.

Ezona ntlobo ziphambili zeedema zezi:

1. I-edema eqhelekileyo

I-edema eqhelekileyo inamanzi kunye neeproteni kwaye ihlala inxulumene neemeko ezingathandekiyo, njengokulunywa zizinambuzane, ukuwa okanye ukungezwani komzimba nomungu, iziqholo, izithambiso kunye nothuli, umzekelo.

Nangona kunjalo, xa yenziwe ngokubanzi, oko kukuthi, xa ikho kwiindawo ezahlukeneyo zomzimba, inokuba yimeko ebaluleke ngakumbi, efuna unyango kwiziko lempilo okanye esibhedlele. Le meko inokwaziwa ngokuba yi-anasarca, exhaphake kakhulu kwiingxaki zempilo ezinjengesibindi sokuqina kwesibindi, ukusilela kwentliziyo okanye isifo se-nephrotic. Ukuqonda ngcono ukuba yintoni i-anasarca kunye nokuba lwenziwa njani unyango.

2. ILymphedema

Ngokwesiqhelo i-lymphedema inamanzi, iiproteni kunye neepids, kwaye kuyenzeka xa ulwelo oluyinxalenye yokujikeleza kwe-lymphatic lubalekela kulusu nakwizitho zomzimba. Oku kuqheleke kakhulu kwimeko yomhlaza, i-elephantiasis kunye ne-lymph node eziphazamisayo. Jonga indlela i-lymphedema enokunyangwa ngayo.

3. IMyxedema

Umahluko ophambili kwi-myxedema bubukho obuphezulu be-lipids ekubunjweni kwawo, okwenza ukudumba kuqine ngakumbi kunezinye iintlobo ze-edema, kunye namanzi kunye neeproteni. I-Myxedema ihlala ichaphazela ubuso, ishiya amehlo edumbile, kodwa inokuthi yenziwe ngokubanzi.

Olu hlobo lwe-edema lwenzeka ikakhulu xa kukho i-hypothyroidism okanye xa kwenziwe unyango lwehomoni.

Iimpawu eziphambili

Olona phawu luphambili lwe-edema kukudumba kommandla ochaphazelekayo, kodwa ukuba ukudumba kukhulu kakhulu, kunokwenzeka ukuba uqaphele ezinye iimpawu, ezinje ngesikhumba esikhazimlayo ngakumbi nesoluliweyo. Ukuba i-edema isezinyaweni okanye emilenzeni, xa ihamba, umntu lowo unokuziva esitsha kancinci kunye nokugungqa.

Ukuba i-edema ayinyamalali emva kweeyure ezimbalwa, okanye ukuba unentlungu ethambileyo okanye ephakathi, kwaye ulusu lubuthathaka, kuyacetyiswa ukuba ufune igumbi likaxakeka lokuvavanya imeko kwaye ujonge, usebenzisa iimvavanyo ezinje ngokubala kwegazi, i-echocardiogram, IX-reyi kunye nomchamo iiyure ezingama-24, ukuba ayisiyonto imbi ngakumbi kwaye ifuna unyango oluthile.

Izizathu ezinokubangela

Izifo eziphambili ezinoxanduva lokudala i-edema, zinokuvela ngenxa yeendlela ezi-4 zotshintsho emzimbeni, ezinje:

1. Ukwanda koxinzelelo lwe-capillary

Ukonyuka koxinzelelo lwe-capillary kuhlala kubangelwa kukuthintelwa kwemithambo, enokuthi yenzeke ngokuqokelelana kwamafutha, i-thrombi okanye ngoxinzelelo lwangaphandle, ngenxa yeempahla ezixineneyo, umzekelo. Xa oku kusenzeka, uxinzelelo olwenziwa lulwelo kwimithambo yegazi lukhulu kunesiqhelo, ke ulwelo luye luphele lubaleka kwimithambo luze luqokeleleke kwizicwili zomzimba.

Ngokwesiqhelo oonobangela abanxulumene nalo mba ziintliziyo, i-renal okanye ukusilela kwe-venous, kwaye kwezinye iimeko, ukutya okune-sodium / ityuwa ephezulu. Xa ezi zizathu zingaphathwa kakuhle, zingakhokelela ekubonakaleni kwe-edema yemiphunga, apho ulwelo luthatha khona umphunga. Ukuqonda ngcono ukuba yintoni i-lung edema kunye nendlela yokuyinyanga.

2. Ukunciphisa iiproteni zeplasma

Xa amanqanaba eeproteni zeplasma emzimbeni ancitshisiwe, ukuphinda kubuyiselwe ulwelo kumaleko anzulu esikhumba akwenzeki, kwaye oku kuphelela kukhokelela ekufumaneni ulwelo phantsi kolusu, yiyo loo nto ivelisa i-edema. Ngenxa yoko, olu lwelo, olugqithisileyo kwizicwili, luyayeka ukuba semjikelezweni, nto leyo enciphisa ukuveliswa komchamo zizintso, nto leyo ekhokelela kulwelo oluninzi ngaphakathi emzimbeni, nto leyo eyonyusa ukudumba.

Ngokwesiqhelo olu hlobo lwe-edema lubonakala kubantu abane-nephrotic syndrome, isifo sesibindi, ukungondleki kweprotein, okanye abo batshiswe kanobom.

3. Ukonyuka kwe-capillary permeability

Kule meko kukho ukugcwala okukhulu kwemithambo yegazi, ihlala ibangelwa kukudumba okuthile, kwaye, ke, ulwelo luphela lubaleka emithanjeni kwaye luqokeleleke kwizicwili zomzimba.

Ezinye zeemeko ezinokubangela ukunyuka koxinzelelo lwe-capillary kunye ne-edema zi-allergies, ukutsha, ukunqongophala kwe-vitamin C, usulelo, i-toxins okanye ukusetyenziswa kwe-vasodilators.

4. Ukuvaleka kwembuyekezo ye-lymphatic

I-edema ebangelwe kukuvaleka kokubuya kwe-lymphatic, ekwabizwa ngokuba yi-lymphedema yenzeka xa kukho ukuphazamiseka kwemithambo ye-lymphatic. Oku kuqhelekileyo kwi-hypothyroidism, umhlaza we-lymph nodes, okanye emva kwe-lymphadenectomy.

Olona phawu luphambili lwale edema, kukuba ukudumba kubonakala kuqinile ekubanjweni kwaye ulusu lungajongeka njengexolo leorenji. Funda ngendlela i-lymphedema enokunyangwa ngayo.

Unyango lwenziwa njani

Unyango lokuphelisa i-edema kufuneka luhambisane nemeko ebangele oko. Kwiimeko ezinobulali, ukuphumla kubonisiwe, kuncitshiswe ukutyiwa kwetyuwa ekutyeni kunye nokuthanjiswa kwengingqi echaphazelekayo, ukunceda ukukhupha ulwelo olugqithisileyo, ide iduke i-edema.

Kwiimeko ezinzima kakhulu, apho iimeko zempilo ezinje ngesibindi, izintso kunye namanye amalungu akhoyo, kufuneka kunyangwe isifo esithile esibangele ukudumba, ukongeza ekusebenziseni amayeza afana ne-furosemide, bumetanide okanye i-spironolactone. Jonga ukuba loluphi olunye ulungiso olunokusetyenziselwa ukucutha.

Inkathalo ethintela i-edema

Utshintsho olusempilweni kwinkqubo yemihla ngemihla egcinwa ngokuhamba kwexesha lunokunceda ukuthintela kunye nokunciphisa amandla kunye nokubonakala kwe-edema entsha, enje:

• Ukunciphisa ukusetyenziswa kwesodium kunye netyuwa ekutyeni;
• Gcina ubunzima obufanelekileyo bokuphakama, ubudala kunye nesini;
• Yenza umthambo rhoqo;
• Nyusa imilenze yakho xa ulele phantsi okanye uhleli ngaphezulu kwenqanaba lentliziyo yakho.

Ezi ntshukumo zinokwenziwa ngabo bonke abantu abangenasifo singanyangekiyo, nangona kunjalo, kwabo banengxaki yempilo, ezi zinto kufuneka ziboniswe ngugqirha onoxanduva lonyango ngaphambi kokuba ziqalwe.