I-nausea ngokuvamile iwuphawu lwesinye isimo
Iningi labantu liyazi ukuthi i-nausea izwa kanjani ngoba iyakwazi ukubhekana ne-virus noma ngisho nokuhamba ngesikebhe noma ukuhamba kwezindiza, futhi abesifazane abakhulelwe bayakwazi kahle. I-nausea ingumzwelo ongenakunyakaziswa esiswini kanti ingase ihambisane nenzwa umuntu angahlanza. Ingahluka ukusuka ekubeni namandla, lapho ukuhlanza kubonakala sengathi kungenzeka nganoma isiphi isikhathi, ezingeni eliphansi lokucasula kwesisu.
I-nausea ingacatshangwa ukuthi iyimimoya futhi iyodwa, kodwa kunalokho isifo senye into eyenzeka ngaphakathi komzimba. Ngesinye isikhathi i-nausea nayo ihambisana nokuntuleka kwesidlo, ukuvuselelwa, ukuhlanza, nobuhlungu besisu noma ukungakhululeki.
Isiyaluyalu esiphezulu noma esiyingozi
I-nausea elula ingase ibangelwe isimo esiza ngokuzumayo, esibizwa ngokuthi siyi-acute. I-nausea elula ingabangelwa igciwane elichaphazela isisu futhi kubangele ukuhlukunyezwa nokuhlanza (lokhu kungukuthi gastroenteritis , evame ukubizwa ngokuthi "isisu somkhuhlane," nakuba ingahlobene nomkhuhlane ). Uketshezi kokudla kungenye imbangela yokufelwa yisisulu (ngezinye izikhathi futhi kuhambisane nokuhlanza nokuhuda) okuzokwenzeka ngokuzumayo futhi ngokuvamile kuzinquma lapho amabhaktheriya esula umzimba.
Ezinye izimbangela ezivamile ze-nausea ezivame ukuzixazulula zodwa zifaka:
- Ukugula imoto (ukugula okuhambayo)
- Ubuhlungu obukhulu
- I-Hangover
- Imiphumela emibi yemithi
- I-Migraine
- Ukudla ngokweqile
- Ukucindezeleka
- I-trauma (njenge-concussion)
Okungapheli isikhathi sokuthi isiyaluyalu singase sikhona ngaso sonke isikhathi noma singase sihambe sihambe. Kwezinye izimo isicashunwe singase sivele ngemuva kokubangela, njengokudla, kuphela ukuthuthukisa bese ubuya futhi emva kokudla okulandelayo. Uma isicasuleki singapheli, futhi asikho isizathu esicacile njengokukhulelwa, sekuyisikhathi sokukhuluma nodokotela ngokuthi kungani kungenzeka ukuthi kwenzeke.
Ngeke kube nokuhlolwa okulodwa okungasiza ekunqumeni imbangela yokucabangela ihlombe ukuze ukuhlolwa kuzoxhomeke kulokho okusolakala ukuthi kubangelwe.
Izimo ezihlanganisiwe
I-nausea iyimpawu yesimo, futhi ezinye zezizathu ezivame ukuhlanganisa:
Ukukhulelwa. Ukuhlukunyezwa okungapheli kuvamile kubantu besifazane abakhulelwe, ikakhulukazi ku-trimester yokuqala, futhi ngokuvamile kuvame ukubizwa ngokuthi "ukugula ekuseni" ngisho noma kungapheli usuku lonke. Kwabaningi besifazane, isisulu sokuhlukunyezwa siyaqhubeka phakathi kwe-trimester yokuqala futhi siphelile okwesibili, kodwa abanye besifazane banesivinini sokukhulelwa kwabo bonke noma babuyela ekupheleni. Uma i-nausea inzima futhi ihambisana nokuhlanza kuze kube sekugcineni lapho kugcinwa ukudla noma amanzi phansi kunzima, lokhu kungaba isimo okuthiwa i-hyperemesis gravidarum.
Ama-gallstones. Ama-gallstones ajwayelekile, ikakhulukazi kwabesifazane, abaphindwe kabili ukuthi babe ngamatshe njengamadoda. Amatshe e-Gallbladder angabangela izimpawu kodwa angabangela ubuhlungu ngemuva, ehlombe, noma esiswini, nesicasule nokuhlanza. Izimpawu zingase zibi nakakhulu ngemva kokudla, ikakhulukazi lapho bedla ukudla okuqukethe amanoni aphezulu. Ama-gallstones angatholakala ukuthi unesinye sezinhlobonhlobo zokuhlola izithombe ezahlukene futhi avame ukuphathwa nge-gallbladder ukususwa.
Isifo se-reflux ye-gastroesophageal (GERD). I-GERD yinto evamile eyenzeka lapho okuqukethwe kwesisu kubuyela phezulu. Lokhu kungabangela izimpawu zokuphefumula, ukuphindaphindiwe, nokucabangela. Izimpawu zingase zibi nakakhulu ngemva kokudla noma ebusuku emva kokulala phansi, futhi ukuqubuka kwesisu kungase kuhlale isikhathi eside, ikakhulukazi uma isisu esiswini sikhuphukela emphinjeni. Ezimweni eziningi i-GERD iyaphathwa nge-over-the-counter noma imishanguzo yemithi (okubandakanya i-antacids, i- histamine-2 receptor antagonists, i-H2RAs ; ne- proton pump inhibitors, i-PPIs ). Izindlela zokuphila eziguqukayo ezifana nokulahlekelwa isisindo nokulala nekhanda eliphakeme, kanye nokugwema izimbangela ezibangelwa izimpawu (njengokubhema, utshwala, ikhofi, ushokoledi, ukudla okunamafutha kanye nokudla okuthosiwe) nakho kungasiza.
I-Migraine. Imisipha ye-Migraine ingase ibangele isicanucanu ngaphambi kokuba ikhanda liqale noma ngesikhathi sekhanda. Ukuthola ikhanda kungase kube yinkimbinkimbi ngoba kunezinhlobo ezihlukahlukene ze-migraines ezinezimpawu ezihlukile. Ukwelashwa kungase kuhileleke kokubili izinguquko zendlela yokuphila kanye nemithi.
Isilonda se-Peptic. Isilonda sophethini yilapho kukhona khona izilonda esiswini, intombazane encane, noma isisu. Ezimweni eziningi, izilonda ze-peptic zibangelwa amabhaktheriya okuthiwa i- Helicobacter pylori ( H pylori ). Enye imbangela yezilonda zamaphilisi yi-non-steroidal anti-inflammatory medications (i-NSAID) njenge-ibuprofen, kodwa lokhu akuvamile. Izilonda ze-Peptic zivame ukubangela ubuhlungu noma ukungakhululeki, kodwa zingabangela nesicanucanu, ukuhlanza, ukulahlekelwa ukudla, ukulahlekelwa isisindo, nokuzwa okugcwele ngemva kokudla okuncane. Ngezilonda ezibangelwa yiH H pylori , imithi elwa namagciwane iyobekwa, kanye neminye imithi yokusiza ukunciphisa izimpawu.
Ukukhathazeka kwesistimu ye-central central. Izimo ezithinta isimiso sezinzwa ezifana nokuqothulwa kwesisu noma ukutheleleka kungase kuhlotshaniswe nesicanucanu. Lezi zimo zinzulu futhi ngokuvamile zihambisana nezimpawu zokudideka, isizungu, noma izinguquko enkumbulweni. Uma lezi zimpawu zenzeka futhi isifo senhliziyo noma ukutheleleka okunjenge-meningitis, kusolakala ukuthi kuyisizathu sokufuna usizo lwezokwelapha ngokushesha.
I-hepatitis. Ukushisa kwesibindi kungukuvuvukala kwesibindi futhi kungenzeka ngenxa yesifo sofuba noma isifo sokushisa kwesifo sofuba noma isifo sofuba esibangelwa yi-alcoholic hepatitis. I-hepatitis ingaba yinkimbinkimbi noma engapheli futhi ingabangela isicanucanu kanye ne- jaundice , umkhuhlane, ikhanda, nobuhlungu obuhlangene. Ukwelashwa kuzoxhomeka esibangelwa ukushisa kwesifo sofuba kodwa kuzovela ekuguqulweni kwendlela yokuphila ukuya emithini yokulwa namagciwane ku-steroids.
I-heratal hiatal. I-hernia yilapho ikhona iphuzu elibuthakathaka edongeni lomzimba futhi isisu siyaphuma kuyo futhi singene esifubeni. I-Hernias ingabangela izimpawu ze-reflux kanye nobuhlungu noma ukungakhululeki futhi kwezinye izimo, kungase kube nesicefe. Ama-hernias amancane angase angabonakali, abangele noma yiziphi izimpawu, noma aze afune ukwelashwa, kodwa ezinkulu zingadinga ukuhlinzwa.
Isifo sesifo sofuba (IBD). I-IBD ihlanganisa isifo se-Crohn, i-ulcerative colitis, ne-indeterminate colitis, okuyizifo zendlela yokugaya. Lezi zifo zibangelwa ukuvuvukala ezingxenyeni ezihlukahlukene zesimiso sokugaya futhi zingase zihlotshaniswe nesicupho sezinyosi ezingapheliyo. Kwezinye izimo, ukufelwa yisisulu kungase kube umthelela omubi wemithi noma kube umphumela wenkinga (njengokuvimbela isisu). Ukwelashwa kuzoxhomeka esibangelwa isicashunwe futhi kungase kubandakanye ukwelashwa okuphumelelayo kokuvuvukala okubangelwa yi-IBD.
Ukuvimbela emathunjini. Ukuvimbela lapho umathumbu omncane noma omkhulu uvinjelwa. Ukuvinjwa kungabangelwa esinye sezizathu eziningana, kufaka phakathi izicubu ezincane noma ikink noma ukuphazamiseka emathunjini. Ngokuvamile, uphawu oluvelele kakhulu lokuvimbela emathunjini ubuhlungu, kodwa ukuhlanza izinhlanzi nokuhlanza kungase kwenzeke kwezinye izimo. Izivimbelo zivame kakhulu kubantu abane-IBD (ikakhulukazi isifo se-Crohn) kodwa kungenzeka kunoma ubani. Ukuvinjelwa kungaba yisimo esiphuthumayo sezokwelapha, ngakho-ke kubalulekile ukunakekelwa ngokushesha uma umuntu ecatshangwa. Ezimweni eziningi, izivimbelo zingelashwa esibhedlela ngaphandle kokuhlinzwa.
Pancreatitis. I-pancreas iyisitho esikhipha ama-enzyme ngokugaya esiswini nase-hormone egazini legazi. I-Pancreatitis yilapho i-pancreas ivuvuka, engabangela izimpawu zobuhlungu eziba zimbi nakakhulu ngemva kokudla, ukushisa, ukucabangela, nokuhlanza. I-Pancreatitis ayivamile futhi abantu abanesimo ngokuvamile bagula kakhulu ngoba yisimo esibi kakhulu. Ukwelashwa kuzoxhomeke kulokho okubangela ukuphefumula.
I-Nausea engapheliyo ye-Idiopathic
Idiopathic kusho ukuthi akukho isizathu sangokwenyama esingatholakala ngesicashu. Lokhu akusho ukuthi akukho isizathu, noma kunjalo, noma ukuthi ngeke kuvezwe esikhathini esizayo. Kwezinye izimo, lokhu kungase kuthiwa isicashunwe sokusebenza. Ngenxa yokuthi akubonakali ukuthi iyisisusa esibangelwa ukusikwa kwesiphithiphithi, ukwelashwa kuvame ukugxila ekunciphiseni ukunganaki kwesicanucanu, ukuphatha noma yiziphi ezinye izimo ezingase zenzeke ngesikhathi esifanayo njenge-migraines, izinkinga ze-balance, noma izifo zokugaya, nokuvimbela ukuhlanza.
Ukwelapha
Ukwelapha isicupho sezinyosi ezingapheli kuyoxhomeka ikakhulukazi ekubangela imbangela, ngakho-ke ukuthola ukuxilongwa okunembile kubalulekile. Kodwa-ke, uma imbangela iqondakala, kunezinto eziningana ezingenziwa ukuze kusize ukuthola i-nausea ngaphansi kokulawula ngakho kungakhathazeki kakhulu. Ukwelapha isicanucanu ekhaya kungabandakanya:
- Ama-Antihistamine noma ama-anti-emetics (ngeseluleko sodokotela)
- Ukugxila ekujuleni, ngisho nokuphefumula
- Ukudla ukudla okungenakwenzeka ukuthi kubangele izinambuzane (izinkuni, isinkwa, ilayisi)
- Ukudla okuqukethe i- ginger noma okuncelisayo nge-candy ye-ginger
- Imithi yokuguqula imishanguzo (njengeDamamine) ngeseluleko sodokotela
- Ukuya ekamelweni elipholile
- Ukufaka amanzi abandayo, i-ginger ale, noma itiye
- Ukuthatha ukudla okuncane, okuvamile
Nini Ukubona Udokotela
I-nausea akuyona into ephuthumayo kodwa shayela udokotela ngokushesha lapho kwenzeka:
- Izitshalo ezimnyama noma zokuhlala
- Igazi egumbini noma uhlanza
- Ukudideka
- Isizungu
- Umkhuhlane omkhulu
- Ubuhlungu obukhulu besisu
- Izimpawu zokuphelelwa amandla kwamanzi
- Ukunciphisa lokho ngeke kume
Izwi elivela
I-nausea yisimpawu esingenasici. Kungaba yinselele ukuchofoza ngqo ukuthi yini ebangela yona. Ezimweni eziningi, izimpawu ezihlobene (ezifana nobuhlungu, umkhuhlane, noma ukuhlanza) zinganikeza udokotela ukuthi aqonde kangcono ukuthi yini engase ibangele isisindo sakho. Ukuba nesicefe esiza noma esihambayo noma esingapheli yisizathu sokuhlela i-aphoyintimenti nodokotela ukuze ufike phansi.
Izimo ezivamile ezihambisana nesicupho sezinyosi zingase ziphathwe ngezindlela ezehlukene kepha izikhambi zasemakhaya zingase zisize esikhathini esifushane ukuze sibhekane nesicashu. Uma i-nausea ihambisana nezimpawu ezibomvu zezindiza ezifana nobuhlungu obukhulu noma ukuhlanza noma igazi emanzini okuhlanza noma esitokisini, kungesizathu sokuxhumana nodokotela ngokushesha.
> Imithombo:
> Feuerstein JD, Cheifetz AS. "Izifo ze-Crohn: i-Epidemiology, i-diagnosis, kanye nokuphathwa." I-Mayo Clin Proc . 2017; 92: 1088-1103.
> I-Kovacic K, i-Chelimsky G. "Isisindo sokuphuza i-idiopathic." I- Pediatr Ann 2014; 43 (4): e89-94.
> Abasebenzi beMayo Clinic. "I-heratal hiatal." I-Mayo Clinic. 21 Dec 2017.
> Isikhungo Sikazwelonke seMpilo Ephelele kanye Nezohlanganiswa (NCCIH). "Ginger." I-NCCIH Yokuqapha. Sept 2016.