Umchamo Onuka Kamnandi

-Delile

• Izimbangela ezi-5 zomchamo onuka kamnandi
• 1. UTI
• 2. I-Hyperglycemia nesifo sikashukela
• 3. I-ketoacidosis yesifo sikashukela
• 4. I-foetor hepaticus
• 5. Isifo somchamo wamaple syrup
• Ukuhlonza ukuthi kungani umchamo unuka kamnandi
• Ukwelashwa kwezimo ezingenzeka
• Ukuvimbela umchamo onuka kamnandi

Kungani umchamo wami unuka kamnandi?

Uma ubona iphunga elimnandi noma lesithelo ngemuva kokuchama, kungaba uphawu lwesimo esibi kakhulu sezokwelapha. Kunezizathu ezahlukahlukene zokuthi kungani ipee yakho inuka kamnandi. Iphunga liyathinteka ngoba umzimba wakho ukhipha amakhemikhali emchameni wakho. Lokhu kungaba ngama-bacteria, i-glucose, noma ama-amino acid.

Uma ubona ukuqala okungazelelwe komchamo onuka kamnandi, kufanele uxhumane nodokotela wakho ngokushesha.

Izimbangela ezi-5 zomchamo onuka kamnandi

1. UTI

Ukutheleleka nge-Urinary tract (UTIs) izifo ezijwayelekile kakhulu zohlelo lomchamo. Ukuze ukutheleleka kwenzeke, amabhaktheriya kufanele ahambise i-urethra. I-urethra yishubhu lapho umchamo ugeleza khona usuka esinyeni uye ngaphandle komzimba wakho. Ngenxa ye-anatomy yabesifazane, abesifazane basemathubeni amaningi okuthola ama-UTIs.

Esinye sezibonakaliso zokuqala ze-UTI umchamo oqinile noma onuka kamnandi. Lokhu kungenxa yokuthi amabhaktheriya achithwa emchameni. Ezinye izimpawu yisifiso esiqhubekayo sokuchama nokuzwa okuvuthayo lapho uya.

Udokotela wakho angaxilonga i-UTI esebenzisa i-urinalysis. Ungathenga ukudambisa izinhlungu phezu kwekhawunta okungasiza ngobuhlungu, kepha udokotela kuphela ongahlinzeka ngama-antibiotic azokwelapha ukutheleleka.

2. I-Hyperglycemia nesifo sikashukela

I-Hyperglycemia yenzeka lapho unamazinga aphezulu kashukela ngokweqile. Ushukela ophakeme wegazi uyisibonakaliso sokuxoxa ngohlobo lwesifo sikashukela sohlobo 1 nohlobo 2.

Uma unesifo sikashukela, ungaqaphela ukuthi i-pee yakho inuka kamnandi noma i-fruity. Lokhu kungenxa yokuthi umzimba uzama ukususa ushukela okweqile wegazi futhi ulahla i-glucose ngomchamo wakho.

Kubantu abangatholakali benesifo sikashukela, lesi sibonakaliso singaba esinye sezibonakaliso zokuqala ukuthi banesifo. Isifo sikashukela singatholakala ngokuhlolwa komchamo nokuhlolwa kwegazi. Kulabo abane-diagnostic, kungaba uphawu lokuthi abasiphathi kahle lesi simo.

Ukwelashwa kwesifo sikashukela kuncike ohlotsheni onalo.Ungadinga ukuqapha amazinga eglucose egazini lakho emini bese uthatha ama-insulin shots.

3. I-ketoacidosis yesifo sikashukela

I-ketoacidosis yesifo sikashukela (DKA) yisimo esibulalayo esidalwa yisifo sikashukela esingalawulwa kahle. Ezimweni eziningi, ukuthuthukisa i-DKA yindlela umuntu athola ngayo ukuthi unesifo sikashukela.

I-DKA yenzeka lapho umzimba ungenayo i-glucose eyanele futhi kufanele ishise amanoni ukuthola amandla. Inqubo yokushisa amafutha ikhipha ama-ketone, akha igazi futhi anyuse i-asidi yawo. Lokhu empeleni kungubuthi begazi, obungaholela ekuqulekeni nasekufeni uma kungalashwa ngokushesha egumbini labezimo eziphuthumayo nokwelashwa kwe-insulin.

I-ketoacidosis yesifo sikashukela ivame kakhulu kuhlobo 1 lwesifo sikashukela. Isimo singatholakala ukuthi sisebenzisa ukuhlolwa komchamo nemichilo yokuhlola i-ketone.

4. I-foetor hepaticus

I-foetor hepaticus yisimo esidala ukuthi umoya wakho unuke kamnandi noma u-musty. Leli phunga livame ukuthinta umoya, kepha lingathinta nomchamo. Lesi simo sibizwa ngokuthi “umoya wabafileyo.”

I-foetor hepaticus ingumphumela oseceleni we-portal hypertension kanye nesifo sesibindi. Ukwelashwa kuyahlukahluka kuye ngokuthi yini ebangela i-foetor hepaticus futhi kungafaka imithi nokuhlinzwa.

5. Isifo somchamo wamaple syrup

Okwaziwa ngokomtholampilo ngokuthi yi-branched chain ketoaciduria, isifo se-maple syrup urine is a rare disorder. Kufanele uzuze ifa eliguqukile kubazali bakho ukuze uthole lesi sifo.

I-MSUD imisa umzimba wakho ekuqhekekeni ama-amino acid, adingekayo ukugcina ukusebenza komzimba.

Lesi sifo sitholakala sisencane kusetshenziswa umchamo, ukuhlolwa kofuzo, nezindlela zokuhlola ezisanda kuzalwa. Izimpawu ezivamile yilezi:

• umchamo onuka kamnandi, njenge-caramel noma isiraphu ye-maple
• ukungondli kahle
• isithuthwane
• intuthuko ebambezelekile

Ukushiya i-MSUD kungalashwa kungadala ukulimala kobuchopho kanye ne-coma. Ukwelashwa kwesikhashana kwe-MSUD i-amino acid supplementation kusetshenziswa ulayini we-intravenous (IV). Izinhlelo zokwelashwa zesikhathi eside zivame ukufaka uhlelo lokudla olugadwe ngudokotela wezokudla.

Ukuhlonza ukuthi kungani umchamo unuka kamnandi

Yize izimbangela zomchamo onuka kamnandi ziyahlukahluka, zonke izimo zingatholakala zisebenzisa ukuhlolwa komchamo, noma ukuhlolwa komchamo. Ngokuya ngokuthi udokotela ucabanga ukuthi iyini imbangela yephunga, bangahlolela izinto ezahlukahlukene.

Ungase futhi ukwazi ukusebenzisa ukuhlolwa komchamo ngokwakho. Isibonelo, imichilo yokuhlolwa komchamo we-ketone engahlola i-ketoacidosis yesifo sikashukela iyatholakala ezitolo eziningi zezidakamizwa. Imithi yokudambisa izimpawu ze-UTI iyatholakala ekhawunteni. Kodwa-ke, noma ngabe uzama ukuthatha elilodwa bese iphunga liyaphela, kusamele uvakashele udokotela wakho ukuqinisekisa ukuxilongwa nokuthola incwadi kadokotela ye-antibiotic.

Ukwelashwa kwezimo ezingenzeka

Izindlela zokwelashwa zomchamo onuka kamnandi zixhomeke kwisizathu sophawu.

Ama-antibiotic neminye imishanguzo kadokotela kungaba inkambo engcono kakhulu yokwelashwa kwezifo zomgudu wokuphefumula nokuphefumula kwabafileyo.

Ukwelashwa kwe-insulini ukwelashwa okungcono kakhulu kwesifo sikashukela kanye ne-ketoacidosis yesifo sikashukela.

Ukuphathwa kokudla kanye ne-amino acid supplementation kuyindlela yokwelashwa ephumelelayo yesifo se-maple syrup urine.

Ukuvimbela umchamo onuka kamnandi

Kunezindlela ezahlukahlukene zokuvimbela ukuqala kwepee enephunga elimnandi.

Ukuvimbela i-UTI, qiniseka ukuthi:

• uchame ngaphambi nangemuva kocansi
• usule ngaphambili nangemuva ngemuva kokuya endlini yangasese
• gwema ukufafaza i-douching kanye nesifutho sangasese
• funda uhlu lwemiphumela emibi yokulawulwa kokuzalwa kwakho ngaphambi kokuyithatha

Uhlobo lwesifo sikashukela sohlobo 1 luyofuzo futhi alunakuvinjelwa. Thayipha i-2 yesifo sikashukela, noma kunjalo, kungaba. Zombili zingaphathwa ngezeluleko ezilandelayo:

• zijwayeze futhi udle ukudla kokudla okuphelele ukuze ugcine isisindo esinempilo sokuphakama kwakho
• qapha amazinga kashukela egazini lakho
• gwema ukudla okunjengama-dessert, izinkwa, nobhiya okungakhuphula ushukela wegazi lakho

Ukuphathwa kwesifo sikashukela okungaguquki kungavimbela i-ketoacidosis yesifo sikashukela.

Ukuvimbela i-foetor hepaticus:

• gwema ukuphuza ngokweqile
• thatha i-beta-blockers

Isifo se-maple syrup umchamo yisimo sezakhi zofuzo. Ngenkathi ungeke uzivikele ekutholeni, kungenzeka uvimbele ukukudlulisela ezinganeni zakho. Ngaphambi kokucabanga ukukhulelwa, wena nomlingani wakho kufanele nenze ukuhlolwa kofuzo ukubheka isakhi sofuzo esiguqukile. Uma nobabili ninofuzo, kunethuba lokuthi ingane yenu ingaba nalesi sifo.