Isicanucanu nokuhlanza - abantu abadala

Isicanucanu ukuzwa ukufisa ukuhlanza. Kuvame ukubizwa ngokuthi "ukugula esiswini sakho."

Ukuhlanza noma ukuphonsa kuphoqa okuqukethwe yisisu phezulu ngepayipi lokudla (umphimbo) nangaphandle komlomo.

Izinkinga ezijwayelekile ezingadala isicanucanu nokuhlanza zibandakanya:

• Ukungezwani kokudla
• Ukutheleleka kwesisu noma kwamathumbu, njengokuthi "umkhuhlane wesisu" noma ubuthi ekudleni
• Ukuvuza kokuqukethwe kwesisu (ukudla noma uketshezi) kuya phezulu (okubizwa nangokuthi i-reflux ye-gastroesophageal noma i-GERD)
• Imithi noma izindlela zokwelashwa, ezinjengomdlavuza wamakhemikhali noma ukwelashwa ngemisebe
• Migraine ikhanda
• Ukugula kwasekuseni ngesikhathi sokukhulelwa
• Ukugula kwasolwandle noma ukunyakaza kokuhamba
• Ubuhlungu obukhulu, njengamatshe ezinso
• Ukusetshenziswa ngokweqile kwensangu

I-nausea nokuhlanza nakho kungaba yizimpawu zokuxwayisa zakuqala zezinkinga ezinkulu zezempilo, njenge:

• Isithasiselo
• Ukuvaleka emathunjini
• Umdlavuza noma isimila
• Ukufaka umuthi noma ubuthi, ikakhulukazi izingane
• Izilonda emgqeni wesisu noma emathunjini amancane

Lapho umhlinzeki wakho wezokunakekelwa kwempilo esethole imbangela, uzofuna ukwazi ukuthi ungayilapha kanjani isicanucanu noma ukuhlanza.

Ungadinga uku:

• Thatha umuthi.
• Shintsha indlela odla ngayo, noma zama ezinye izinto ukuze uzizwe ungcono.
• Phuza amanani amancane oketshezi olucacile kaningi.

Uma unokugula kwasekuseni ngesikhathi ukhulelwe, cela umhlinzeki wakho mayelana nokwelashwa okungenzeka.

Okulandelayo kungasiza ekwelapheni ukugula okunyakazayo:

• Ukuhlala kunganyakazi.
• Ukuthatha ama-antihistamine e-counter, njenge-dimenhydrinate (Dramamine).
• Kusetshenziswa amabala wesikhumba we-scopolamine (njengeTransderm Scop). Lokhu kuyasiza ekuhambeni okweluliwe, njengohambo lwasolwandle. Sebenzisa isichibi njengoba umhlinzeki wakho ekuyala. IScopolamine ingeyabantu abadala kuphela. Akufanele inikezwe izingane.

Shayela ku-911 noma uye egumbini lezimo eziphuthumayo uma:

• Cabanga ukuthi ukuhlanza kubangelwa ubuthi
• Qaphela igazi noma okomnyama, okombala wekhofi ehlanzweni

Shayela umhlinzeki ngokushesha noma funa ukunakekelwa kwezokwelapha uma wena noma omunye umuntu ene:

• Uhlanza isikhathi eside kunamahora angama-24
• Awukwazanga ukugcina noma yikuphi uketshezi phansi amahora ayi-12 noma ngaphezulu
• Ubuhlungu bekhanda noma intamo elukhuni
• Awuchamile amahora angu-8 noma ngaphezulu
• Ubuhlungu obukhulu besisu noma besisu
• Kuhlonziwe izikhathi ezi-3 noma ngaphezulu osukwini olungu-1

Izimpawu zokuphelelwa amandla kwamanzi zifaka:

• Ekhala ngaphandle kwezinyembezi
• Umlomo owomile
• Ukoma okwengeziwe
• Amehlo abonakala eshonile
• Izinguquko zesikhumba: Isibonelo, uma usithinta noma usikhama isikhumba, asibuyeli emuva ngendlela esivame ukwenza ngayo
• Ukuchama kaningi noma ube nomchamo ophuzi omnyama

Umhlinzeki wakho uzokwenza ukuhlolwa komzimba futhi azobheka izimpawu zokwehla emzimbeni.

Umhlinzeki wakho uzobuza imibuzo mayelana nezimpawu zakho, njenge:

• Ukuhlanza kwaqala nini? Kuthathe isikhathi esingakanani? Kwenzeka kaningi kangakanani?
• Ingabe kwenzeka ngemuva kokudla, noma esiswini esingenalutho?
• Ingabe zikhona ezinye izimpawu ezinjengobuhlungu besisu, umkhuhlane, uhudo, noma ikhanda?
• Uyahlanza igazi?
• Ngabe uhlanza noma yini ebukeka njengezindawo zekhofi?
• Ingabe uhlanza ukudla okungadliwe?
• Wagcina nini ukuchama?

Eminye imibuzo ongabuzwa yona ifaka phakathi:

• Ngabe ulahlekelwe isisindo?
• Uke wavakasha? Kuphi?
• Imiphi imithi oyiphuzayo?
• Ngabe abanye abantu abadla endaweni efanayo nawe banezimpawu ezifanayo?
• Ngabe ukhulelwe noma ungakhulelwa?
• Uyayisebenzisa insangu? Uma kunjalo, uyisebenzisa kangaki?

Ukuhlolwa kokuhlola okungenziwa kufaka phakathi:

• Ukuhlolwa kwegazi (okufana ne-CBC ngamahluko, amazinga we-electrolyte egazi, nokuhlolwa kokusebenza kwesibindi)
• Ukuhlolwa komchamo
• Ukucwaninga izifundo (i-ultrasound noma i-CT) yesisu

Ngokuya ngesizathu nokuthi udinga uketshezi oluthe xaxa kangakanani, kungadingeka ukuthi uhlale esibhedlela noma emtholampilo isikhathi esithile. Ungadinga uketshezi olunikezwa ngemithambo yakho (ngemithambo yegazi noma nge-IV).

Emesis; Ukuhlanza; Isisu sicasukile; Isisu esibuhlungu; Isethembiso

• Sula ukudla oketshezi
• Ukudla okugcwele ketshezi

• Uhlelo lokugaya ukudla

I-Crane BT, ama-Eggers SDZ, iZee DS. Ukuphazamiseka okuphakathi kwe-vestibular. Ku: Flint PW, Haughey BH, Lund V, et al, ama-eds. I-Cummings Otolaryngology. Umhlaka 6. IPhiladelphia, PA: Elsevier Saunders; 2015: isahluko 166.

UGuttman J. Isicanucanu nokuhlanza. Ku: Walls RM, Hockberger RS, Gausche-Hill M, ama-eds. Imithi Ephuthumayo yaseRosen: Imiqondo kanye Nokuzijwayeza Komtholampilo. Umhlaka 9. IPhiladelphia, PA: Elsevier; 2018: isahluko 26.

Mcquaid KR. Sondela esigulini ngesifo samathumbu. Ku: IGoldman L, iSchafer AI, ama-eds. Imithi yeGoldman-Cecil. Umhla ka-26. IPhiladelphia, PA: Elsevier; 2020: isahluko 123.