Kuyini Ukuxilongwa Okuhlukile?

-Delile

• Incazelo
• Izinyathelo ezibandakanyeka ekuxilongweni okwehlukile
• Izibonelo zokuxilongwa okwehlukile
• Ubuhlungu besifuba
• Ubuhlungu bekhanda
• Inyumoniya
• Umfutho wegazi ophezulu
• Unhlangothi
• Ukuthatha

Incazelo

Uma ufuna ukunakekelwa ngokukhathazeka kwezokwelapha, udokotela wakho usebenzisa inqubo yokuxilonga ukuthola isimo esingahle sidale izimpawu zakho.

Njengengxenye yale nqubo, bazobuyekeza izinto ezifana nokuthi:

• izimpawu zakho zamanje
• umlando wezokwelapha
• imiphumela yokuhlolwa komzimba

Ukuxilongwa okwehlukile uhlu lwezimo ezingenzeka noma izifo ezingadala izimpawu zakho ezisuselwe kulolu lwazi.

Izinyathelo ezibandakanyeka ekuxilongweni okwehlukile

Lapho wenza ukuxilongwa okwehlukile, udokotela wakho uzoqala aqoqe imininingwane yokuqala maqondana nezimpawu zakho nomlando wezokwelapha.

Ezinye izibonelo zemibuzo udokotela wakho angazibuza zifaka:

• Ziyini izimpawu zakho?
• Unezikhathi ezingakanani uhlangabezana nalezi zimpawu?
• Ngabe kukhona okudala izimpawu zakho?
• Ngabe kukhona okwenza izimpawu zakho zibe zimbi kakhulu noma zibe ngcono?
• Ngabe unomlando womndeni wezimpawu ezithile, izimo, noma izifo?
• Ingabe njengamanje uthatha noma yimiphi imithi kadokotela?
• Usebenzisa ugwayi noma utshwala? Uma kunjalo, kukangaki?
• Ngabe kube nezehlakalo ezinkulu noma izingcindezi empilweni yakho muva nje?

Udokotela wakho angabe esenza izivivinyo ezithile zomzimba noma zaselebhu. Ezinye izibonelo zifaka, kepha azikhawulelwe ku:

• ukuthatha umfutho wegazi lakho
• ukuqapha ukushaya kwenhliziyo yakho
• ulalele amaphaphu akho njengoba uphefumula
• ukuhlola ingxenye yomzimba wakho ekuhluphayo
• uku-oda ukuhlolwa okuyisisekelo kwegazi noma umchamo waselebhu

Lapho sebeqoqe amaqiniso afanele kusuka ezimpawu zakho, umlando wezokwelapha, kanye nokuhlolwa komzimba, udokotela wakho uzokwenza uhlu lwezimo noma izifo ezingenzeka ukuthi zingadala izimpawu zakho. Lokhu ukuxilongwa okuhlukile.

Udokotela wakho angabe esenza izivivinyo ezengeziwe noma ukuhlolwa ukukhipha izimo ezithile noma izifo futhi afinyelele ekuxilongweni kokugcina.

Izibonelo zokuxilongwa okwehlukile

Nazi ezinye izibonelo ezilula zalokho ukuxilongwa okwehlukile kungabukeka kanjani kwezinye izimo ezivamile.

Ubuhlungu besifuba

UJohn uvakashela udokotela wakhe ekhala ngobuhlungu esifubeni sakhe.

Njengoba isifo senhliziyo siyimbangela evamile yobuhlungu besifuba, okubaluleke kakhulu kudokotela wakhe ukuqinisekisa ukuthi uJohn akabhekene nakho. Ezinye izimbangela ezivamile zobuhlungu besifuba zifaka phakathi ubuhlungu odongeni lwesifuba, isifo se-reflux se-gastroesophageal (GERD), ne-pericarditis.

Udokotela wenza i-electrocardiogram ukuhlola umfutho kagesi wenhliziyo kaJohn. Zibuye zi-oda ukuhlolwa kwegazi ukubheka ama-enzyme athile ahlobene nokuhlaselwa yinhliziyo. Imiphumela evela kulokhu kuhlola ijwayelekile.

UJohn utshela udokotela wakhe ukuthi ubuhlungu bakhe buzwa njengokushisa. Imvamisa iza ngemuva nje kokudla. Ngaphezu kobuhlungu besifuba sakhe, kwesinye isikhathi unambitheka omuncu emlonyeni wakhe.

Kusukela encazelweni yezimpawu zakhe kanye nemiphumela yokuhlolwa ejwayelekile, udokotela kaJohn usola ukuthi uJohn angaba ne-GERD. Udokotela unikeza uJohn inkambo yama-proton pump inhibitors agcina eqeda izimpawu zakhe.

Ubuhlungu bekhanda

USue uya kobonana nodokotela wakhe ngoba uphethwe yikhanda eliphikelelayo.

Ngaphezu kokwenza ukuhlolwa komzimba okuyisisekelo, udokotela kaSue ubuza ngezimpawu zakhe. USue wabelana ngokuthi ubuhlungu obuvela ekhanda lakhe buphakathi nobunzima. Kwesinye isikhathi uzizwa enesicanucanu nokuzwela ekukhanyeni ngenkathi kwenzeka.

Ngokolwazi olunikeziwe, udokotela kaSue usola ukuthi izimo ezingabakhona kakhulu kungaba yimigraines, ikhanda lokungezwani, noma mhlawumbe ikhanda elibuhlungu ngemuva.

Udokotela ubuza umbuzo olandelayo: Uke wabhekana nanoma yiluphi uhlobo lokulimala ekhanda muva nje? USue uphendula ngokuthi yebo, wayewile futhi washaya ikhanda lakhe esikhathini esingaphezu kwesonto eledlule.

Ngalolu lwazi olusha, udokotela kaSue manje usola ikhanda elibuhlungu ngemuva kokuhlukumezeka. Udokotela angahle anikeze ama-pain inhibitors noma imishanguzo elwa nokuvuvukala kwesimo sakhe. Ngaphezu kwalokho, udokotela angenza ukuhlolwa kwe-imaging njenge-MRI noma i-CT scan ukukhipha ukuphuma kwegazi ebuchosheni noma isimila.

Inyumoniya

U-Ali uvakashela udokotela wakhe ngezimpawu zenyumoniya: umkhuhlane, ukukhwehlela, ukugodola nezinhlungu esifubeni.

Udokotela ka-Ali wenza ukuhlolwa komzimba, kufaka phakathi ukulalela amaphaphu akhe nge-stethoscope. Benza iX-ray yesifuba ukubuka amaphaphu akhe nokuqinisekisa inyumoniya.

I-pneumonia inezimbangela ezahlukahlukene - ikakhulukazi uma kungamagciwane noma igciwane. Lokhu kungathinta ukwelashwa.

Udokotela ka-Ali uthatha isampula le-mucus ukuhlola ubukhona bama-bacteria. Kubuya okuhle, ngakho-ke udokotela unquma inkambo yama-antibiotic yokwelapha ukutheleleka.

Umfutho wegazi ophezulu

URaquel usehhovisi likadokotela wakhe ukuze ajwayelekile. Lapho udokotela wakhe emnika umfutho wegazi, ukufunda kuba phezulu.

Izimbangela ezivamile zomfutho wegazi ophezulu zibandakanya imishanguzo ethile, isifo sezinso, ukuphazamiseka kokulala nokuphefumula, nezinkinga ze-thyroid.

Umfutho wegazi ophakeme awusebenzi emndenini kaRaquel, yize unina wayenezinkinga ze-thyroid. URaquel akasebenzisi imikhiqizo kagwayi futhi usebenzisa utshwala ngokuzibophezela. Ngokwengeziwe, njengamanje akathathi noma yimiphi imishanguzo engaholela ekunyukeni kwegazi.

Udokotela kaRaquel ube esebuza ukuthi kukhona yini okunye akuqaphelile okubonakala kungajwayelekile ngempilo yakhe muva nje. Uphendula ngokuthi uzwa sengathi kade ancipha emzimbeni nokuthi uvame ukuzwa ukushisa noma ukujuluka.

Udokotela wenza izivivinyo zaselebhu ukuhlola ukusebenza kwezinso ne-thyroid.

Imiphumela yokuhlolwa kwezinso ijwayelekile, kepha imiphumela ye-thyroid kaRaquel ikhombisa i-hyperthyroidism. URaquel nodokotela wakhe baqala ukuxoxa ngezindlela zokwelashwa zegilo lakhe elisebenza ngokweqile.

Unhlangothi

Ilungu lomndeni lithatha uClarence ukuthola ukwelashwa ngokushesha ngoba basola ukuthi unesifo sohlangothi.

Izimpawu zikaClarence zifaka ikhanda, ukudideka, ukulahleka kokuxhumana, nokungaboni kahle. Ilungu lomndeni liphinde lazise udokotela ukuthi omunye wabazali bakaClarence wayenesifo sohlangothi esikhathini esedlule nokuthi uClarence ubhema ugwayi njalo.

Kusuka kwizimpawu nomlando onikeziwe, udokotela usola ngokuqinile isifo sohlangothi, yize i-glucose egazini ephansi nayo ingadala izimpawu ezifana nohlangothi.

Benza i-echocardiogram ukubheka isigqi esingajwayelekile esingaholela kumahlule, angaya ebuchosheni. Baphinde ba-oda ukuskena kwe-CT ukubheka ukopha ebuchosheni noma ukufa kwezicubu. Okokugcina, benza ukuhlolwa kwegazi ukubona ijubane lapho igazi likaClarence ligaxa khona nokuhlola amazinga eglucose egazi lakhe.

I-CT scan ikhombisa ukopha ebuchosheni, okuqinisekisa ukuthi uClarence ubenesifo sohlangothi esopha kakhulu.

Njengoba isifo sohlangothi kuyisimo esiphuthumayo sezokwelapha, udokotela angaqala ukwelashwa okuphuthumayo ngaphambi kokuba kutholakale yonke imiphumela yokuhlolwa.

Ukuthatha

Ukuxilongwa okwehlukile uhlu lwezimo ezingenzeka noma izifo ezingadala izimpawu zakho. Kususelwe kumaqiniso atholakele kwizimpawu zakho, umlando wezokwelapha, imiphumela eyisisekelo yaselebhu, kanye nokuhlolwa komzimba.

Ngemuva kokuhlakulela ukuxilongwa okwehlukile, udokotela wakho angabe esenza izivivinyo ezengeziwe ukuze aqale ukukhipha izimo ezithile noma izifo bese ethola ukuxilongwa kokugcina.