Kusho ukuthini Uma Ngilahlekelwa Isisindo Ngaphandle Kokuzama?
Kubonakala sengathi umhlaba wonke uzama ukunciphisa umzimba, kodwa ukulahlekelwa kwesisindo okungavamile kungasabisa. Sonke sizwile ngomuntu olahlekelwe isisindo ngaphandle kwesizathu futhi kwaba into embi. Yiziphi ezinye izimbangela zokulahleka kwesisindo, yiziphi imibuzo odokotela wakho angazibuza, futhi yini ongayilindela njengoba wena nodokotela wakho befuna ukuthola imbangela?
Yini Ukulahlekelwa Isisindo Okungaqondakali?
Ukulahleka kwesisindo esingakazelelwe kuchazwa njengokulahlekelwa okungenhloso okungenani ngamapounds angu-10 noma amaphesenti angu-5 wesisindo somzimba esikhathini esiyizinyanga ezingu-6 kuya kwezingu-12 . Lokhu kungalingana nendoda engamaphilisi angama-200 elahlekelwa ngamapounds angu-10 noma owesifazane wesigidi esingu-130 elahlekelwa amaphilisi ayisithupha kuya kwangu-7.
Ukulahlekelwa isisindo kungase kwenzeke ngoba udla kancane, noma ngoba umzimba wakho usebenzisa izakhi ngendlela ehlukile ngenxa yenguquko kumetabolism yakho noma ukukhula kwesisu.
Nini Ukubona Udokotela Wakho
Uma ulahlekelwa isisindo ngaphandle kokuzama kubalulekile ukwenza i-aphoyintimenti ukuze ubone udokotela wakho, noma ngabe ucabanga ukuthi kukhona incazelo yokulahlekelwa isisindo sakho . Kubalulekile ukuba ngummeli wakho bese uqhubeka ukubuza ukuthi kungani ukuthi ungabe ungazizwa unencazelo eyanele. Buza umbono wesibili uma kudingeka. Izimo eziningi ezingabangela ukulahlekelwa kwesisindo ngokungenasisekelo kunzima ukuxilonga ngezigaba zakuqala.
Ukuxilongwa
Uma unesisindo sokulahlekelwa ngokweqile, udokotela wakho uzothatha umlando ngokucophelela futhi ahlole ukuhlolwa ngokomzimba. Ngokuya kokuthola kwakhe, angase akhuthaze ukuhlolwa okuqhubekayo nezifundo ze-radiology.
Imibuzo UDokotela Wakho Ungabuza
- Uqale uqaphele ukuthi ulahlekelwa isisindo?
- Usheshe ukulahlekelwa isisindo sakho?
- Ingabe wenze ushintsho ekudleni kwakho noma esimweni sokuzivocavoca?
- Uke waba nokulahlekelwa kwesisindo njengalokhu ngaphambili?
- Ukudabukisa kangakanani ukulahlekelwa isisindo kuwe?
- Ingabe unezinye izimpawu ezinjengama- palpitations , ukuphefumula okuncane , i- jaundice (ukukhwabanisa okwesibhakabhaka kwesikhumba), ukukhwehlela okuqhubekayo , ukuthuka , ukoma, noma ukuzwela kubanda noma ukushisa?
- Ungayichaza kanjani impilo yakho jikelele ngokuqhathaniswa na, uthi, ngonyaka odlule?
- Uke wahlola ukuhlola okuphakanyiswe umuntu oneminyaka yakho njengamammogram noma colonoscopy, futhi yimiphi imiphumela?
- Uke waba nesiphithiphithi noma ukuhlanza? Ingabe uke uzihlanza?
- Uke waqedwa noma unesifo sohudo?
- Ingabe uke wazizwa ucindezelekile noma ugxilile kamuva?
- Unayo yini izinkinga zamazinyo ezibangela ubunzima ngokudla?
- Zikhona yini izifo ezigijima emndenini wakho?
Uvivinya Udokotela Wakho May Order
Emva kokubuza imibuzo nokukuhlola, udokotela wakho angancoma ukuhlolwa okuqhubekayo. Ezinye zazo zihlanganisa:
- Izivivinyo zeLeb - Izivivinyo ezivame ukubizwa zihlanganisa inani eliphelele legazi (i-CBC), i-electrolytes ( iphaneli yamandla ), izivivinyo zesibindi, izivivinyo zomsebenzi wezinso, izivivinyo zokuvuvukala (isilinganiso sed, i-pro-proactive c-reactive), ushukela wegazi (i-glucose), i-urinalysis, ne-thyroid ukuhlolwa.
- Ucwaningo lwe-Radiology - Efana ne-CT yesifuba noma isisu sakho.
- Izinqubo - Efana ne-endoscopy noma i-colonoscopy ukuhlola isisu sakho ne-colon.
Izimbangela
Kunezizathu eziningi zokulahleka kwesisindo esingachaziwe, okunye okungathí sina, kanye nokunye okukhathazayo. Kubantu asebekhulile (abangaphezu kweminyaka engama-65) imbangela evame kakhulu ngumdlavuza, kulandelwa izimo zamathumbu kanye nezifo. Ukubuka kabanzi kwezimbangela ezithile kuhlanganisa:
- Izimo ze-endocrine - Njenge- hyperthyroidism (i-thyroid engasebenzi), i- hypothyroidism (i-thyroid engasebenzi), isifo sikashukela nesifo sika-Addison .
- Izifo - ezifana ne- HIV / AIDS , isifo sofuba , i- endocarditis (ukutheleleka kwamagundane enhliziyo), kanye nokutheleleka kwe-parasitic.
- I-Cancer - Ukulahleka kwesisindo kungase kube izibonakaliso zokuqala zomdlavuza ezifana nomdlavuza wamaphaphu (ikakhulukazi i- adenocarcinoma yamaphaphu ), umdlavuza wekoloni , umdlavuza we-ovarian nomdlavuza we-pancreatic .
- Izinkinga zesisu - Njengezifo zesilonda se-peptic, isifo se-celiac, isifo sikaCrohn, i-ulcerative colitis, ne-pancreatitis.
- Ukuhluleka kwenhliziyo
- Ukuhluleka kwezinso .
- Isifo se-lung obstructive pulmonary - (COPD) - Efana ne-emphysema.
- Ukukhathazeka ngomlomo - Njengesifo sezinsini , ukubola kwezinyo, izilonda zomlomo noma ama-braces.
- Ukubhema .
- Ukuphazamiseka kokudla - Isibonelo i-anorexia nervosa ne-bulimia.
- Ukudla okunomsoco - Ngenxa yokukhetha okungalungile kokudla, noma izimali ezinciphisa ukuthenga kokudla (indlala).
- Izimo zengqondo - Efana nokucindezeleka nokukhathazeka.
- Imithi - Kungakhathaliseki ukuthi imiphi imithi ingase isetshenziswe njengesisindo. Imithi ingabangela ukulahlekelwa isisindo ngqo, noma kubangele ukucwenga nokulahlekelwa kwesidlo esiholela ekulahlekeni kwesisindo.
- Ukusebenzisa kabi izidakamizwa - Akukhona nje izidakamizwa zasemgwaqeni ezifana ne-methamphetamine kodwa imishanguzo yemithi efana ne- Adderall kanye nezidakamizwa ezingaphezu kwe-counter-the-counter ezingase zihlukumezwe.
- Izimo ze-neurological - Ezifana nesifo sika-Parkinson nesifo se-Alzheimer .
Okubalulekile
Ukulahleka kwesisindo okungenasisekelo kubalulekile hhayi kuphela ekubheka imbangela eyinhloko (3/4 yabantu abanokulahlekelwa kwesisindo okungalindelekile banesizathu esiyinhloko esitholwa odokotela babo) kodwa ngenxa yalokho okushoyo ngokuphathelene nempilo.
Ukulahleka kwesisindo okungenasisekelo kuhlotshaniswa nokuhlukumeza okuphakeme (ukuthuthukiswa kwezifo) ukufa okuphezulu (izinga eliphezulu lokufa) kanye nekhwalithi ephansi yokuphila kubantu ababhekene nezifo eziningi. I-cachexia ye-Cancer isimiso sokulahlekelwa kwesisindo esingenhloso ngaphandle kokunye okukhathazayo futhi ngokuqondile ngokuqondile ngamaphesenti angaba ngu-20 okufa komdlavuza. Ngisho ne-coronary artery disease, kutholakale ukuthi imiphumela yaba ngamaphesenti angu-62 ababi kakhulu kubantu abahlangabezana nokulahlekelwa kwesisindo esingenasisekelo.
Ukwelapha
Ukwelashwa kwesisindo esingahlosile kuzoxhomeka ekubangela imbangela noma izimbangela. Njengoba kunikezwe ithuba eliphakeme lokubangela ukulahlekelwa isisindo, noma ubani oye wahlaselwa isisindo ngaphandle kokuzama kufanele abe nomlando ophelele kanye nokwenziwe ngokomzimba, ngaphezu kwezinye izifundo ezidingekayo. Eminye yezimbangela zokulahlekelwa kwesisindo ngokungenasisekelo akuvamile, futhi lokhu kungadinga ukuvakashelwa eziningana ukucacisa imbangela.
Kungakhathaliseki imbangela, kufanele kuthathwe izinyathelo zokuphatha ukulahlekelwa kwesisindo. Uma imbangela inqunywe, ukulahlekelwa isisindo ngokwayo ngezinye izikhathi kuqhutshelwa kumshini wokushisa emuva. Uma ngabe nguwe, qiniseka ukuthi ukhuluma nodokotela wakho ngokuthi kufanele uphathe kanjani lesi sibonakaliso. Kulabo abathintekayo abanomdlavuza, ukubonisana nokunakekelwa kwezinkinga kufanele kuthathelwe. Amaqembu okunakekelwa ngamaphilisi enza umsebenzi omuhle wokubhekana nokukhathazeka okungahlobene ngqo nomdlavuza (isibonelo, i-chemotherapy noma imithi yokwelashwa) njengokulahlekelwa kwesisindo esingenhloso. Ukwelapha isisindo sokulahlekelwa kwesisindo kungasiza abantu ukuba babekezelele ukwelashwa kunoma yisiphi isimo esiye sabangela ukulahlekelwa isisindo.
Imithombo:
Chen, S. et al. Ukuhlola amathuba okuba nomdlavuza kubantu asebekhulile abanokulahlekelwa kwesisindo esingachaziwe, esingenhloso. I-Archives ye-Gerontology ne-Geriatrics . 2010. 50 Ukusekela 1: S27-9.
UGaddy, H., noK. Holder. ukulahlekelwa kwesisindo okungenalutho kubantu abadala asebekhulile. I-American Family Physician . 2014. 89 (9): 718-22.
Pack, Q., Rodriguez-Escudero, J., Thomas, R. et al. Ukubaluleka kokubikezelwa kokulahlekelwa kwesisindo ku-Coronary Artery Disease: Ukubuyekezwa okuhlelekile kanye nokuhlaziywa kwe-Meta-Analysis. I-Mayo Clinic Proceedings . 2014. 89 (10): 1368-77.
I-Thirunavukarasu, uP. et al. Ukulahleka kwesisindo ngaphambi kokusebenza ngokungenasisekelo njengengozi engozini yokuthola imiphumela emva kokuhlinzwa okhethweni ezigulini ezine-cancer yomsakazo. I-International Journal of Surgery . 2015. 18: 7-13.
Wu, J. et al. Ukuhlola isu lokuxilonga lamagciwane asebekhulile ngokulahlekelwa kwesisindo somzimba esingalindelekile: isifundo esisekelwe esibhedlela. I-Archives ye-Gerontology ne-Geriatrics . 2011. 53 (1): e51-4.