Ukubiza amagama okubaluleka kubalulekile ekunakekeleni okuphelele ekubudlelwaneni nodokotela neziguli
Uma kuziwa empilweni yakho, ukuxhumana kuyisihluthulelo. Kungakhathaliseki ukuthi ubuhlungu, ukukhathazeka okujwayelekile, noma ukwazi nje okuthile akulungile, ukuchaza ngokucacile ukuthi kwenzekani kuchwepheshe wezempilo kungenza umehluko ekuxilongweni nasekwelapheni kwakho, noma ngabe nje ukwazi ukubiza igama elibi.
Khumbula, ukunakekelwa kwezempilo kungukubambisana. Qinisekisa ukuthi ubonisa ukuthi ulungele ukuhlanganyela ngokugcwele enkulumweni yenkulumo nodokotela wakho. Ingxoxo kanye nempilo yakho kuyoba ngcono kuyo. Nakhu okukhethwa komhleli wethu wezimo zezempilo ezinzima:
I-Ankylosing Spondylitis
I-ankylosing spondylitis uhlobo lwe-arthritis elibhekiselwe ukuvuvukala okungapheli okuthinta ngemuva nangentamo. Ezimweni ezimbi, amathambo ayafiphaza, okwenza umgogodla oqinile futhi ongaguqukiyo ongabangela ukungahambi kahle.
Amalungu ezinkalo, amadolo, amaqaqa, namahlombe angabandakanyeka njengamalungu ahlukahlukene omzimba. I-ankylosing spondylitis ingokwesigaba sezimiso ezibizwa ngokuthi i-spondyloarthropathies esithinta kakhulu amadoda futhi okungaba buhlungu kakhulu.
Chikungunya
I-Chikungunya i-alphavirus ukutheleleka okudluliselwa ngukulunywa ngamangqamu. Abaningi abanesandulela ngculaza bathola izimpawu ezingakapheli izinsuku ezibandakanya umkhuhlane, ubuhlungu obuhlangene, ukukhathala, ukuleleka, imisipha yomzimba, kanye nokuhlukumeza, ukubiza nje ezimbalwa ezijwayelekile kakhulu.
Izimpawu ngokuvamile zixazulula ngokushesha, ikakhulukazi kubantu abasha. Akukho ukwelashwa okuqondile noma ukugonywa kwe- chikungunya . Kodwa, i-CDC itusa ukuphumula, ukugcina u-hydrated, nokulawula ubuhlungu nemfiva ngemithi.
Sacroiliitis
I-Sacroiliitis, ukuvuvukala okutholakala emajoyini e-sacroiliac ekhanda, kuyisibonakaliso esiyinhloko sezinhlobo eziningana ze-arthritis evuthayo. Ngokuvamile kuvela ku-arthritis engapheli emgodini nemiphumela ebuhlungu obujulile.
Ukuze uhlolisise, odokotela bangase bahlele i-x-ray, i-MRI, i-CT scan, noma i-lab yokuhlola ukuze bathole ukuthi ngabe ukutheleleka kusemmpandeni. Ukwelapha okuvamile kwe- sacroiliitis kuhlanganisa ukuphuza imithi yokuphulukisa ubuhlungu, ukuphumula kwemisipha, imijovo ye-corticosteroid, i-DMARDS, noma i-TNF-alpha blockers ehambisana nokwelapha ngokomzimba, ukwelula, nokuqinisa nokuzivocavoca.
Atelectasis
I-Atelectasis ukuwa kwezingxenye noma zonke amaphaphu ezingabangela ukunciphisa oksijeni okunikezwa ezithombeni nasezicukweni zakho. Kungenzeka ngokuzumayo noma ukuthuthuka esikhathini esithile. Izimpawu zivela kunoma yimuphi-zikhona ukuze zivelele futhi zingabandakanya ukuphefumula, ukukhwehlela, umkhuhlane, ubuhlungu besifuba, nokushaqeka, ukubiza amagama ambalwa.
Uma udokotela wakho esolwa nge-atelectasis, bangase bahlole ukuhlolwa ngokomzimba, isifo se-chest ray, CT scan, bronchoscopy, noma i-blood gases test. Ukwelashwa kwe- atelectasis kuzoxhomeka kubangelwa imbangela eyinhloko, ngenhloso yokukhulisa kabusha ingxenye ephukile yamaphaphu evame ukuhlanganisa inhlanganisela yezokwelapha.
Hyperalgesia
I-hyperalgesia iyisici esivamile esiyinkimbinkimbi yesigaba sezifo ezibizwa ngokuthi i-central senitivity syndromes. Lokhu kufaka phakathi i-fibromyalgia, isifo esingapheliyo sokukhathala (ME / CFS), isifo sofuba esiyingozi (IBS), kanye nesifo sezinyawo ezingenalutho, phakathi kwabanye.
Uma une- hyperalgesia , umzimba wakho wenza izinzwa zibuhlungu kakhulu kunalokho okufanele zibe khona, kungakhathaliseki ukuthi zendawo noma zande. Ngokuthakazelisayo, i-hyperalgesia ayibangeli ngokuqondile ubuhlungu, imane iqinisa. Ukunciphisa i-hyperalgesia kungabandakanya ukusetshenziswa kwemithi ephikisana nokucindezeleka nokulwa ne-anti-seizure. Ukusebenzisa isikhathi eside isikhathi sokuphulukisa ubuhlungu kungabangela ngempela.
I-aestrosclerosis
I-aestrosclerosis yisifo esingapheli, esiqhubekayo lapho ama-plaque akha khona ezindongeni ze-arteries. Lezi zimpawu zakhiwa yi-deposit of cholesterol nezinye i-lipids, i-calcium, namaseli amakhulu okuvuvukala. Uma kukhona i-plaque, ingabangela izinhlobo eziningana zezinkinga, kuhlanganise nokuvinjelwa kwegazi, ukuvimbela igazi, i-aneurysms, isifo, isifo se-artery kanye nesifo sezinso.
Isizathu esiyinhloko esibangelwa imbangela ye- atherosclerosis asisungulwe ngokugcwele. Kodwa-ke, izici eziningi zifaka isandla kulo, kufaka phakathi izakhi zofuzo, umfutho wegazi ophakeme, ukukhuluphala, nesifo sikashukela, ukubiza amagama ambalwa kuphela. Ukwelapha okungcono kunazo zonke zokuphefumula kwamathambo ukukwenza konke ongakwenza ukuze uzivimbele, noma kunjalo, izinguquko zendlela yokuphila zingasiza ekuthuthukeni uma usuvele unayo.
Klebsiella Pneumoniae
I-Klebsiella pneumoniae ivame kakhulu kwizilungiselelo zesibhedlela futhi ingabangela ukuphefumula kwamabhaktheriya. Ingakhuphuka emanzini bese idala i-UTI, igweme nge-catheter ye-urinary, noma ibangele ukutheleleka kwegazi okusongela impilo nokukhathazeka okukhulu, ikakhulukazi phakathi kwezingane.
Amabhaktheriya angaba nzima ukuphatha ngama-antibiotic. Ngakho-ke, kubalulekile ukuthi abasebenzi basebhedlela nezivakashi bahlale behlanzekile imishini kanye nezandla. Njengamanje, kunamaqembu amaningi okucwaninga asebenza emgodini wokugoma, kodwa odokotela bakhetha ukuwuphatha nge-quinolones noma cephalosporins yesithathu noma yesine.
I-Myocardial Infarction
Ubuhlungu obuvame ukuhamba nge- infarction ye-myocardial , noma ukuhlasela kwenhliziyo, kubangelwa ukuvinjelwa okuncane kwemithambo ye-coronary, futhi, i-oksijeni-ibulale indlebe yenhliziyo. Lokhu ngokuvamile ngenxa yesifo se-artery coronary noma i-plaque ephukile emdongeni we-artery.
Ukuhlaselwa kwenhliziyo kuvame ukuveza izimpawu eziphuthumayo neziphawulekayo, kufaka phakathi ukujuluka, ukucabangela, ukuphefumula, ugozi, ukukhathala, ubuthakathaka, ubuhlungu obukhulu besifuba noma ukungahambi kahle, noma, ubuhlungu emhlane, izingalo noma isisu. Noma ubani obhekene nezimpawu ezifana nesifo senhliziyo sidinga usizo lwezokwelapha ngokushesha.
Dyspepsia
I-Dyspepsia ichaza ukungahambi kahle kwesisu esiswini esivame ukucasula ngokudla. Ungase ukwazi kangcono njenge-indigestion. Izimpawu zingabandakanya ukuqhuma, ukuhlukumeza, ukwehlisa isifo, nokuhlukunyezwa esiswini, ukubiza ezimbalwa. Uma udla ngokweqile, udle ngokusheshisa kakhulu, udle ukudla okumnandi noma okunamafutha, udle i-caffeine kakhulu noma utshwala, noma ubheme noma uthathe ama-antibiotic noma ababulali obuhlungu, i- dyspepsia ingenzeka.
Izizathu ezingathí sina ukuthi kungani izidakamizwa ze-dyspepsia zingase zibangelwe ezinye izimo, kuhlanganise i-GERD, isifo sesilonda se-peptic, noma ngisho nomdlavuza, phakathi kwabanye. Kufanele uxhumane nodokotela wakho uma uhlangabezana nezimpawu ezimbi kakhulu. Ukwelashwa kungabandakanya izinguquko zokuphila kanye ne-over-the-counter noma imithi yemvelo.
I-Polycythemia Vera
I-Polycythemia vera (i-PV) yinkinga lapho umnkantsha we-bone wenza amangqamuzana amaningi obomvu namhlophe negazi. Lokhu kungaholela engozini yokwanda kwezindwangu zegazi. Abantu abane-PV basengozini enkulu yokuthuthukisa i-leukemia, futhi. Nakuba izimpawu zingase zingapheli iminyaka, abantu bangazihlakulela, kuhlanganise ukukhathala, ukuhlambalaza, ukujula ebusuku, ukuphuza amathambo, ukushisa komzimba nokulahlekelwa kwesisindo.
I-PV ingenzeka kunoma yikuphi ubudala kodwa ngokuvamile iyenzeka kamuva ekuphileni. Nakuba kufana nomdlavuza, lesi simo singaphathwa ngokuphumelelayo isikhathi eside kakhulu. Uhlolo olubizwa ngokuthi i-hematocrit concentration lusetshenziselwa kokubili ukuhlola i-PV nokukala impendulo yomuntu ekwelapheni. Ukwelashwa kwe-Phlebotomy kanye nezidakamizwa yizinto ezivamile zokuqala zokwelapha.
I-Myasthenia Gravis
I-Myasthenia gravis iyisifo se-neuromuscular autoimmune, okusho ukuthi ama-antibodies, okuyinto umzimba ovame ukuwenza ukulwa namagciwane, aphazamisa ukudluliselwa kwezibonakaliso zezinzwa emisipha. Lokhu kungabangela izimpawu ezinjengezinyosi zama-drooping, ubuthakathaka bemisipha (okuvame ukutholakala ezingalweni nasemilenzeni), nobunzima bokusebenzisa umlomo.
Ngesikhathi i- myasthenia gravis ingelalifa noma ingenwa igciwane, abacwaningi baxosha ukuthi kungenzeka yini izakhi zofuzo. Kwabesifazane, ukugula ngokuvamile kuqala kuma-20s noma 30; kubantu, ngokuvamile ngemva kweminyaka yobudala engama-50. Ukuhlolwa kwesimo kuhlanganisa ukuhlaziywa kwegazi noma ukuhlola kwe-edrophonium chloride kanye nokwelashwa okuvamile kufaka imithi ehlukahlukene, ukususwa kwe-thymus gland, nokushintshaniswa kwe-plasma.
I-Thalassemia
Abantu abadla i- thalassemia bakhiqiza uhlobo olungavamile lwe-hemoglobin ngaphakathi kwamaseli abomvu obomvu, ngokuvamile okuholela ekudleni kwegazi kanye nezinye izinkinga, ezifana nokwehla kwensimbi, i-osteoporosis, ama-gallstones, ama-blood clots, ukukhiqizwa okunciphise kwezitho zobulili, nokukhuliswa kwesipere, isibindi, umkantsha.
Kunezinhlobo eziningi ze-thalassemia ye-alpha ne-beta kanye nobubanzi bokuthi isimo esibucayi sibonakala kanjani-kusukela ekuthwaleni nje isakhi sofuzo esidinga ukumpontshelwa kwegazi okubomvu kwansuku zonke. Abantu ngokuvamile babhekene nesifo sokuhlolwa kokuhlolwa kwegazi okuphelele, kodwa ukuxilongwa kuqinisekiswa yi-profile ye-hemoglobin. Ukwelashwa kungabandakanya imithi, i-folic acid, i-splenectomy, nokudla okuphansi kwe-iron.
Sciatica
I-Sciatica inomsindo wesibindi esikhulu sciatic esikhulu esithweswe ukudlulisela ubuhlungu nolwazi oluzwayo futhi kusukela ebuchosheni nasemisipha. (I-ncious sciatic isakhiwe kusuka ezingxenyeni zomgogodla.) Izimpawu ezivamile ze-sciatica zihlanganisa ubuhlungu bokugabha kagesi phansi komlenze, ukugubha nokugubha amandla, nokuqina kobuthakathaka, okubangelwa yi-disnied spinal dis disc.
Ngokuvamile (futhi ngokuvamile ngokuzumayo), i-sciatica ithinta abantu abaneminyaka engu-30 kuya ku-50 ubudala. Izimo eziningana zingabangela ubuhlungu, ngakho-ke odokotela kumele bawabheke ngokuhlolwa ngaphambi kokuthola nokuphathwa kwe-sciatica. Ukwelapha ngokuvamile kuhloswe ukuvuvukala okuhambisanayo futhi kuhilela ukuphumula, imithi, ukuphumula kwemisipha, futhi, kuye ngokweqile, i-steroids. Ukuzivocavoca, ukwelashwa ngokomzimba, nokupaka / iphakethe leqhwa nakho kuyasiza. Ukuhlinzwa kungacatshangelwa ezimweni ezimbi kakhulu, kodwa abantu abaningi baphila ngaphandle kwemaviki noma izinyanga.
I-Hidradenitis Suppurativa
I-Hidradenitis suppurativa yisifo esinganqamuki, esikhungweni sobunzima esikhwameni esithinta ama-gland, okuvela ikakhulukazi emagqumeni, ubuhlungu, amathanga angaphezulu, amathanga, isikhumba sasekhanda, nangaphansi kwamabele amabhinqa. Kuyisimo esivamile esivame ukungaqondakali, kepha singakhubaza ngempela. Abaningi abakutholayo baneminyaka engama-20 no-40 ubudala. Futhi abesifazane baphindwe kathathu ngaphezu kwamadoda ukuba babe nakho.
Isimo siyaqhubeka sibi kakhulu futhi singaholela emabhokisini amabuhlungu kanye nezinkinga ezibuhlungu. Ngenkathi isizathu esiqondile siphikisana, abanye bakholelwa ukuthi kubangelwa ukwakheka kwama-plugle keratin kuyi-follicles kuyilapho abanye bacabanga ukuthi ukuvinjwa kwe-gland apocrine. Ukukhuluphala nokubhema ugwayi nakho kungabangela.
I-Hidradenitis suppurativa itholakale isekelwe kuphela ekubukeni. Akukwazi ukusabalalisa kwabanye noma umphumela wokuhlanzeka okuhlanzekile. Ukwelashwa kunzima futhi kuvame ukubandakanya ama-antibiotics omlomo, umjovo we-steroid, nokuhlinzwa.
Crepitus
I-Crepitus yimizwa yokuhlwitha noma yokugaya / umsindo ngaphansi kwesikhumba-ngokuvamile ehlangene noma ezungeze amaphaphu. Ngokuvamile ngenxa yegesi noma umoya oye wangena ngaphakathi endaweni futhi uyenziwa uma uhamba.
Ukudalwa kwemvelo kwenzeka lapho kuqhutshwa ama-articular (okuhlangene) okuhlanganisiwe noma okunye okungahlanganisi (okungezona okuhlangene) futhi kungabangela ubuhlungu, ukunganaki, nokugqoka i-cartilage nokuwohloka. Ngokuvamile kuhlotshaniswa nezimo ezinjenge-temporomandibular ukuphazamiseka okuhlangene (TMJ), isifo se-lungs, izimpumputhe zezinsimbi zokujikeleza, nezinhlobo ezingapheli zokuvuvukala kwamathambo.