Yini Ebangela Ukoma Okweqile?

-Delile

• Izimbangela zokoma ngokweqile
• Ukuhlonza nokwelapha ukoma ngokweqile
• Udingani uketshezi olungakanani?
• Izingozi zokoma ngokweqile: Ukweqisa emzimbeni
• Lapho ufuna ukwelashwa

Ukubuka konke

Kuyinto evamile ukuzizwa womile ngemuva kokudla ukudla okubabayo noma ukuzivocavoca kanzima, ikakhulukazi uma kushisa. Kodwa-ke, kwesinye isikhathi ukoma kwakho kunamandla kunokujwayelekile futhi kuyaqhubeka ngemuva kokuphuza.

Ungase ubhekane nokufiphhala nokukhathala. Lezi yizimpawu zokoma ngokweqile, okungakhombisa isimo esingathi sína sokugula.

Izimbangela zokoma ngokweqile

Izimbangela zingafaka:

• ukudla ukudla okunosawoti noma okubabayo
• ukugula
• ukuvivinya umzimba kanzima
• isifo sohudo
• ukuhlanza
• ukusha
• ukulahleka okuphawulekayo kwegazi
• imishanguzo ethile kadokotela, kufaka phakathi i-lithium, isisu, nama-antipsychotic athile

Ukoma okweqile njalo noma ukoma okungenakucinywa kungaba yizimpawu zezimo ezinzima zezokwelapha, njenge:

• Ukwehla kwamanzi emzimbeni: Lokhu kwenzeka uma untula inani elifanele loketshezi ukuze umzimba wakho usebenze kahle. Ukwehla kwamanzi emzimbeni kusongela impilo, ikakhulukazi ezinganeni nasezinganeni ezisencane. Ukuphela kwamanzi emzimbeni kungabangelwa ukugula, ukujuluka okukhulu, ukukhishwa komchamo omningi, ukuhlanza noma isifo sohudo.
• Isifo sikashukela: Ukoma ngokweqile kungabangelwa ushukela ophakeme wegazi (i-hyperglycemia). Ngokuvamile kungesinye sezimpawu zokuqala eziphawulekayo zalolu hlobo lwesifo sikashukela.
• Isifo sikashukela insipidus: Lolu hlobo lwesifo sikashukela lwenzeka lapho umzimba wakho ungakwazi ukulawula uketshezi kahle. Lokhu kubangela ukungalingani nokulahleka kwamanzi emzimbeni wakho, okuholele ekuchameni ngokweqile nokoma.
• I-Dipsogenic diabetes insipidus: Lesi simo sidalwa ukukhubazeka kokusebenza kokoma, okuholela ekwandeni kokoma nokudla uketshezi ngokuchama kaningi.
• Ukuhluleka kwenhliziyo, isibindi noma izinso
• I-Sepsis: Lesi yisifo esiyingozi esibangelwa ukusabela okunzima kokuvuvukala okutheleleka ngamagciwane noma amanye amagciwane.

Ukuhlonza nokwelapha ukoma ngokweqile

Ukusiza ukuxilonga isizathu sokoma kwakho okweqile, okungaxazululwa, udokotela wakho uzocela umlando ophelele wezokwelapha, kufaka phakathi noma yiziphi izimo ezitholwe ngaphambilini. Zilungiselele ukuklelisa yonke imishanguzo kadokotela kanye nemishanguzo ongayithenga.

Eminye imibuzo ongabuzwa yona ifaka phakathi:

• Unesikhathi esingakanani wazi ngezimpawu zakho?
• Ngabe nawe uchama ngaphezu kokujwayelekile?
• Ngabe izimpawu zakho ziqale kancane noma ngokuzumayo?
• Ingabe ukoma kwakho kuyakhula noma kuyancipha ngezikhathi ezithile zosuku?
• Ngabe wenze ushintsho ekudleni noma kolunye uhlobo lokuphila?
• Ingabe ukuthanda kwakho ukudla kuthintekile?
• Ngabe uzuzile noma wehlile emzimbeni?
• Ngabe usanda kulimala noma washa?
• Ngabe kukhona ukuphuma kwegazi noma ukuvuvukala?
• Wake waba nemfiva?
• Ingabe ubulokhu ujuluka kakhulu?

Ngaphezu kokuhlolwa komzimba, udokotela wakho angalawula ukuhlolwa kwegazi nomchamo ukusiza ukuhlinzeka ngokuxilongwa. Lezi zivivinyo zingafaka:

• ukuhlolwa kweglucose yegazi
• ukubalwa kwegazi nokuhlolwa kokuhlukaniswa kwegazi
• ukuhlolwa kwe-urinalysis, i-osmolality yomchamo, nokuhlolwa kwe-electrolyte yomchamo
• i-serum electrolyte ne-serum osmolality izivivinyo

Ngokuya ngemiphumela yokuhlolwa, udokotela wakho angakudlulisela kuchwepheshe. Ukwelashwa nokubukwa kuzoncika ekuhlolweni.

Udingani uketshezi olungakanani?

Ukuze uhlale uphilile, udinga ukuphuza uketshezi njalo usuku lonke. Ungakhuphula ukungenisa kwakho amanzi ngokudla ukudla okunothile kwamanzi, okufana nalokhu:

• isilimo esidliwayo esinamagatsha anamanzi
• ikhabe
• utamatisi
• amawolintshi
• amakhabe

Indlela enhle yokwazi ukuthi uthola yini uketshezi olwanele ukuhlola umchamo wakho. Uma likhanya ngombala, liphezulu ivolumu, futhi ayinalo iphunga elisindayo, cishe uthola uketshezi olwanele.

Zonke izitho, izicubu, neseli emzimbeni wakho zidinga amanzi. Amanzi asiza umzimba wakho uku:

• gcina izinga lokushisa elijwayelekile
• gcoba futhi uhlanganise amalunga akho
• vikela ubuchopho nomgogodla
• susa imfucumfucu emzimbeni wakho ngomjuluko, ukuchama nokuhamba kwamathumbu

Udinga ukuthatha uketshezi oluthe xaxa lapho:

• zingaphandle uma kushisa
• benza umsebenzi onzima
• uhudo
• ziyahlanza
• ube nomkhuhlane

Uma uhluleka ukugcwalisa uketshezi olulahlekile bese uhluleka ukuphendula ukoma kwakho ngokuphuza uketshezi, ungaphelelwa amanzi emzimbeni.

Izingozi zokoma ngokweqile: Ukweqisa emzimbeni

Uma uzama ukuqeda ukoma ngokweqile, kungenzeka ukuthi uphuze uketshezi oluningi. Ukungenisa amanzi amaningi kunalawo owakhiphayo kubizwa ngokweqile. Lokhu kungenzeka uma uphuza uketshezi oluningi ukukhokhela ukulahleka koketshezi. Kungenzeka futhi uma unezinkinga ezinso, isibindi noma inhliziyo.

Ukweqisa ngokweqile emzimbeni kungadala izinga eliphansi kakhulu le-sodium egazi elingadala ukudideka nokuquleka, ikakhulukazi uma kukhula ngokushesha.

Lapho ufuna ukwelashwa

Okomile yindlela yomzimba wakho yokukutshela ukuthi incane koketshezi. Ezimweni ezijwayelekile, kufanele ukwazi ukuqeda ukoma kwakho ngokushesha okukhulu.

Kodwa-ke, uma isifiso sakho sokuphuza sihlala singaguquki, noma singapheli ngemuva kokuphuza, kungaba uphawu lwenkinga enkulu yempilo, ikakhulukazi uma ihlanganiswe nezinye izimpawu. Lesi sifiso esihlala njalo sokuphuza singaba inkinga yezengqondo.

Kufanele uthintane nodokotela wakho uma:

• ukoma kuyaphikelela, noma ngabe uphuza uketshezi olungakanani
• futhi unombono ofiphele, ukulamba ngokweqile, noma ukusikeka noma izilonda ezingapholi
• usukhathele
• uchama ngaphezu kwamalitha angu-2,5 (amalitha angu-2.64) ngosuku