Ukuvuvukala

Ukuvuvukala ukukhuliswa kwezitho, isikhumba, noma ezinye izitho zomzimba. Kubangelwa ukwakheka koketshezi ezicutshini. Uketshezi olungeziwe kungaholela ekwandeni okusheshayo kwesisindo esikhathini esifushane (izinsuku kuya emasontweni).

Ukuvuvukala kungenzeka kuwo wonke umzimba (okwenziwe jikelele) noma engxenyeni eyodwa kuphela yomzimba (okwenziwe kwaba okwasendaweni).

Ukuvuvukala okuncane (i-edema) kwemilenze engezansi kuvamile ezinyangeni ezifudumele zasehlobo, ikakhulukazi uma umuntu emi noma ehamba kakhulu.

Ukuvuvukala okujwayelekile, noma i-edema enkulu (ebizwa nangokuthi ama-anasarca), kuyisibonakaliso esivamile kubantu abagula kakhulu. Yize i-edema encane ingaba nzima ukuyibona, inani elikhulu lokuvuvukala lisobala kakhulu.

I-Edema ichazwa njenge-pitting or non-pitting.

• Ukufaka i-edema kushiya isifaca esikhumbeni ngemuva kokucindezela indawo ngomunwe cishe imizuzwana emi-5. I-dent izogcwalisa kancane kancane.
• I-edema engagadli ayishiyi lolu hlobo lwesifaca lapho icindezela indawo evuvukele.

Ukuvuvukala kungadalwa nganoma yikuphi okulandelayo:

• I-glomerulonephritis enamandla (isifo sezinso)
• Burns, kufaka phakathi ukushiswa yilanga
• Isifo sezinso esingalapheki
• Ukwehluleka kwenhliziyo
• Ukwehluleka kwesibindi kusuka ku-cirrhosis
• I-Nephrotic syndrome (isifo sezinso)
• Ukungondleki kahle
• Ukukhulelwa
• Isifo sendlala yegilo
• I-albhamuin encane kakhulu egazini (hypoalbuminemia)
• Usawoti omningi noma i-sodium
• Ukusetshenziswa kwemithi ethile, njenge-corticosteroids noma izidakamizwa ezisetshenziselwa ukwelapha isifo senhliziyo, umfutho wegazi ophakeme, isifo sikashukela

Landela izincomo zokwelashwa komhlinzeki wakho wezokunakekelwa kwempilo. Uma unokuvuvukala kwesikhathi eside, cela umhlinzeki wakho mayelana nezinketho zokuvimbela ukubola kwesikhumba, okufana nalokhu:

• Indandatho ye-Flotation
• Iphedi yoboya beWundlu
• Omatilasi abanciphisa ingcindezi

Qhubeka nemisebenzi yakho yansuku zonke. Lapho ulele phansi, gcina izingalo nemilenze yakho ingaphezu kwezinga lenhliziyo yakho, uma kungenzeka, ukuze uketshezi lukwazi ukuphuma. UNGAKWENZI lokhu uma uthola ukuphefumula okuncane. Bona umhlinzeki wakho esikhundleni salokho.

Uma ubona noma yikuphi ukuvuvukala okungaqondakali, xhumana nomhlinzeki wakho.

Ngaphandle kwezimo eziphuthumayo (ukwehluleka kwenhliziyo noma i-edema yamaphaphu), umhlinzeki wakho uzothatha umlando wakho wezokwelapha futhi azokwenza ukuhlolwa komzimba. Ungabuzwa ngezimpawu zokuvuvukala kwakho. Imibuzo ingafaka lapho ukuvuvukala kwaqala khona, noma ngabe kugcwele umzimba wakho wonke noma kusendaweni eyodwa kuphela, ukuthi yini oyizamile ekhaya ukusiza ukuvuvukala.

Ukuhlolwa okungenziwa kufaka phakathi:

• Ukuhlolwa kwegazi le-albhamu
• Amazinga we-electrolyte egazi
• I-Echocardiography
• I-Electrocardiogram (ECG)
• Ukuhlolwa kokusebenza kwezinso
• Ukuhlolwa kokusebenza kwesibindi
• Ukuhlolwa komchamo
• Ama-X-ray

Ukwelashwa kungabandakanya ukugwema usawoti noma ukuthatha amaphilisi amanzi (isisu). Ukuphuza kwakho okukhipha uketshezi kanye nokukhipha kufanele kubhekwe, futhi kufanele ukalwe nsuku zonke.

Gwema utshwala uma isifo sesibindi (i-cirrhosis noma i-hepatitis) sibangela inkinga. I-hose yokusekela inganconywa.

I-Edema; Anasarca

• Ukufaka i-edema emlenzeni

UMcGee S. Edema kanye ne-vein thrombosis ejulile. Ku: McGee S, ed. Ukuxilongwa Komzimba Okusekelwe Ebufakazini. Umhla wesi-4. IPhiladelphia, PA: Elsevier; 2018: isahluko 56.

I-Swartz MH. Uhlelo lwe-vasheripheral. Ku: Swartz MH, ed. I-Textbook of Physical Diagnosis: Umlando Nokuhlolwa. Umhlaka 8. IPhiladelphia, PA: Elsevier; 2021: isahluko 15.