I-Edema: yini, yiziphi izinhlobo, izimbangela nokuthi kufanele uye nini kudokotela

-Delile

• Izinhlobo eziyinhloko ze-edema
• 1. I-edema ejwayelekile
• 2. ILymphedema
• 3. I-Myxedema
• Izimpawu eziyinhloko
• Izimbangela ezingaba khona
• 1. Ukwanda kwengcindezi ye-capillary
• 2. Ukuncishiswa kwamaprotheni e-plasma
• 3. Ukwanda kwe-capillary permeability
• 4. Ukuvinjelwa kokubuya kwe-lymphatic
• Yelashwa kanjani
• Ukunakekela okuvimbela i-edema

I-Edema, edume kakhulu ngokuthi ukuvuvukala, yenzeka lapho kunokuqongelela okungamanzi ngaphansi kwesikhumba, okuvame ukuvela ngenxa yokutheleleka noma ukusetshenziswa kasawoti ngokweqile, kepha kungenzeka futhi ezimweni zokuvuvukala, ukudakwa kanye ne-hypoxia, okuyilapho i-oxygen ingekho ingxenye ethile yomzimba, ngaphezu kwesifo sohlelo lwezinso, senhliziyo noma se-lymphatic.

Kulokhu, kujwayelekile ukuthi i-edema ivele ezandleni, ezingalweni, emilenzeni, ezinyaweni nasebusweni, okudala ukuthi isikhumba simakwe ngokucindezeleka okuncane uma kunengcindezi efakwa endaweni ethintekile ngomunwe. Ngokuya ngesizathu, ukubonakala kwe-edema kungenzeka ngokuzumayo, noma kancane kancane phakathi nesikhathi sosuku.

Ukwelashwa kwe-edema kufanele kube okomuntu ngamunye futhi kugxile ekuqedeni imbangela, kepha ngokujwayelekile udokotela ojwayelekile ukhombisa ukuphumula, ukuphakama kwesitho esithintekile ngaphezu kwezinga lenhliziyo nokuncipha kwenani likasawoti odliwe nsuku zonke, ngaphezu kokubeka amakhambi okwehlisa isisu, ezisiza ekukhipheni uketshezi oluningi emzimbeni ngomchamo.

Izinhlobo eziyinhloko ze-edema

I-Edema ihlukaniswe ngezinhlobo ezintathu futhi ihlose ukucacisa kangcono imbangela nokwazi kahle ukuthi yini ukwakheka koketshezi oluphunyuke ngaphansi kwesikhumba.

Izinhlobo eziyinhloko ze-edema yilezi:

1. I-edema ejwayelekile

I-edema ejwayelekile yakhiwa ngamanzi namaprotheni futhi imvamisa ihlobene nezimo ezingathi shu, njengokulunywa yizinambuzane, ukuwa noma ukungezwani komzimba nempova, amakha, izimonyo nothuli, ngokwesibonelo.

Kodwa-ke, uma ihlanganiswa, okusho ukuthi, uma itholakala ezingxenyeni ezahlukahlukene zomzimba, kungaba yisimo esibi kakhulu, esidinga usizo lwezempilo esikhungweni sezempilo noma esibhedlela. Lesi simo singaziwa futhi nge-anasarca, esivame kakhulu ezinkingeni zezempilo ezifana nesibindi sokuqina kwesibindi, ukwehluleka kwenhliziyo noma i-nephrotic syndrome. Ukuqonda kangcono ukuthi yini i-anasarca nokuthi ukwelashwa kwenziwa kanjani.

2. ILymphedema

Imvamisa i-lymphedema yakhiwa ngamanzi, amaprotheni kanye nama-lipids, futhi kwenzeka lapho uketshezi oluyingxenye yokujikeleza kwe-lymphatic luphunyela esikhunjeni nasezitho zomzimba. Lokhu kuvame kakhulu ezimweni zomdlavuza, i-elephantiasis kanye nama-lymph node. Bona ukuthi i-lymphedema ingelashwa kanjani.

3. I-Myxedema

Umehluko omkhulu we-myxedema ubukhona obuphezulu bama-lipids ekubunjweni kwawo, okwenza ukuvuvukala kuqine kakhulu kunezinye izinhlobo ze-edema, futhi ngamanzi namaprotheni. I-Myxedema ivame ukuthinta ubuso, ishiye amehlo evuvukele, kepha futhi ingajwayelekile.

Lolu hlobo lwe-edema lwenzeka ikakhulukazi lapho kune-hypothyroidism noma lapho ukwelashwa kwe-hormonal kwenziwe.

Izimpawu eziyinhloko

Uphawu oluyinhloko lwe-edema ukuvuvukala kwesifunda esithintekile, kepha uma ukuvuvukala kukhulu kakhulu, kungenzeka uqaphele ezinye izimpawu, njengesikhumba esikhazimulayo neseluliwe. Uma i-edema isezinyaweni noma emilenzeni, lapho ihamba, umuntu angazizwa esha kancane futhi eshaya.

Uma i-edema inganyamalali ngemuva kwamahora ambalwa, noma uma unezinhlungu eziphansi noma ezilinganiselayo, futhi isikhumba sibucayi, kunconywa ukuthi ufune igumbi labezimo eziphuthumayo ukuhlola isimo nokuhlola, usebenzisa izivivinyo ezinjengokubalwa kwegazi, i-echocardiogram, I-X-ray nomchamo amahora angama-24, uma kungeyona into ebucayi futhi edinga ukwelashwa okuthile.

Izimbangela ezingaba khona

Izifo eziyinhloko ezibhekene nokudala i-edema, zingavela ngenxa yezinhlobo ezine zezinguquko emzimbeni, njenge:

1. Ukwanda kwengcindezi ye-capillary

Ukwanda kwengcindezi ye-capillary kuvame ukubangelwa ukuvinjelwa kwemithambo, okungenzeka ngokuqongelela kwamafutha, i-thrombi noma ukucindezelwa kwangaphandle, ngenxa yezingubo eziqinile, ngokwesibonelo. Uma lokhu kwenzeka, ingcindezi eyenziwa uketshezi emithanjeni yegazi iba nkulu kunokujwayelekile, ngakho-ke iziphuzo zigcina sezibaleka ezitsheni bese zihlangana ezicutshini zomzimba.

Imvamisa izimbangela ezihlobene nalolu daba ukuhluleka kwenhliziyo, kwezinso noma kwe-venous, kanti kwezinye izimo, ukudla okunesodium / usawoti omningi. Lapho lezi zimbangela zingelashwa kahle, zingaholela ekuveleni kwe-edema yamaphaphu, lapho uketshezi luqongelela khona emaphashini. Ukuqonda kangcono ukuthi iyini i-lung edema nokuthi iyelashwa kanjani.

2. Ukuncishiswa kwamaprotheni e-plasma

Lapho amazinga amaprotheni e-plasma emzimbeni ancipha, ukubuyiselwa kabusha koketshezi ezingxenyeni ezijulile zesikhumba akwenzeki, futhi lokhu kugcina kuholele ekuqoqeni koketshezi ngaphansi kwesikhumba, ngaleyo ndlela kukhiqize i-edema. Ngenxa yalokhu, lolu ketshezi, manje olweqile ezicutshini, luyeka ukusakazeka, olwehlisa ukukhiqizwa komchamo yizinso, okuholela ekutheni kube noketshezi oluningi ngaphakathi emzimbeni, ngaleyo ndlela kukhulise i-edema.

Imvamisa lolu hlobo lwe-edema luvela kubantu abane-nephrotic syndrome, isifo sesibindi, ukungondleki kahle kwamaprotheni, noma abake basha kanzima.

3. Ukwanda kwe-capillary permeability

Kulesi simo kunokugcwala okukhulu kwemithambo yegazi, okuvame ukubangelwa ukuvuvukala okuthile, ngakho-ke, uketshezi kugcina kuphunyuka emithanjeni bese kunqwabelana ezicutshini zomzimba.

Ezinye izimo ezingadala ukukhuphuka kwengcindezi ye-capillary kanye ne-edema ukungezwani komzimba, ukusha, ukushoda kwevithamini C, izifo, ubuthi noma ukusetshenziswa kwama-vasodilators.

4. Ukuvinjelwa kokubuya kwe-lymphatic

I-edema ebangelwe ukuvinjelwa kokubuya kwe-lymphatic, ebizwa nangokuthi i-lymphedema yenzeka lapho kunokuphazamiseka kwemikhumbi ye-lymphatic. Lokhu kuvamile ku-hypothyroidism, umdlavuza wama-lymph node, noma ngemuva kwe-lymphadenectomy.

Isici esiyinhloko sale edema, ukuthi ukuvuvukala kubonakala kuqina lapho kuthintwa futhi isikhumba singabonakala njengekhasi le-orange. Funda ukuthi i-lymphedema ingelashwa kanjani.

Yelashwa kanjani

Ukwelashwa kokuqeda i-edema kufanele kube ngokuya ngesimo esiyidalile. Ezimweni ezimnene kakhulu, ukuphumula kuyakhonjiswa, kuncishiswe ukungena kasawoti ekudleni kanye nokuhlikihla esifundeni esithintekile, ukusiza ukukhipha uketshezi oluningi, kuze kuphele i-edema.

Ezimweni ezibucayi kakhulu, lapho kunezimo zezempilo ezifana nesibindi, izinso nezinye izitho, kuyadingeka ukwelapha isifo esithile esidale i-edema, ngaphezu kokusetshenziswa kwemithi efana ne-furosemide, bumetanide noma i-spironolactone. Bona ukuthi yimaphi amanye amakhambi angasetshenziswa ukukhipha.

Ukunakekela okuvimbela i-edema

Izinguquko ezinempilo ezinhlelweni zansuku zonke ezigcinwa ngokuhamba kwesikhathi zingasiza ekuvimbeleni nasekunciphiseni ukuqina nokubukeka kwe-edema entsha, efana nale:

• Nciphisa ukusetshenziswa kwesodium nosawoti ekudleni;
• Gcina isisindo esifanele sokuphakama, ubudala nobulili;
• Zijwayeze ukuzivocavoca umzimba njalo;
• Phakamisa imilenze yakho lapho ulele phansi noma uhleli ngaphezu kwenhliziyo yakho.

Lezi zenzo zingenziwa yibo bonke abantu abangenaso isifo esingelapheki, noma kunjalo, kulabo abanenkinga yezempilo, le mikhuba kumele ikhonjiswe ngudokotela obhekele ukwelashwa ngaphambi kokuba kuqale.