Umbuzo:
Sawubona, igama lami ngingu-Pa Xiong futhi ngingumfundi eSikoleni Esiphakeme sase-Grant lapha e-Sacramento. Ngibhala umbiko wocwaningo nge-SIDS (Ukufa Okungalindelekile Kwezinsana) futhi bengethemba ukuthi ungangisiza ngeminye imininingwane. Benginentshisekelo ikakhulukazi ekufundeni ukuthi ngabe abazali kufanele bakhathazeke ngokufa kwezingane emibhedeni yezinsana nokuthi ungangiqondisa kwimithombo ethile ngalokho, noma uze ungivumele ukukubuza imibuzo. Ngiyabonga ngesikhathi sakho. Uma unokuthile okunye okungangisiza, ngingakuthokozela kakhulu. Ungangithumelela i-imeyili ku-Pa_xiong25@yahoo.com noma ungithinte ngocingo lami ku-(916)297-1911. Ngiyabonga futhi. Ngiyathemba ukuzwa kuwe maduze.

Impendulo:
Isifinyezo   I-Sudden infant death syndrome (SIDS) noma Isifo sokushona ngokuzuma kwengane ukufa okungalindelekile, okungachazekile komntwana ongaphansi konyaka ubudala. Abanye abantu babiza i-SIDS ngokuthi "ukufa embhedeni wengane" ngoba abantwana abaningi abafa ngenxa ye-SIDS batholakala emibhedeni yabo yezingane. I-SIDS iyimbangela enkulu yokufa kuzingane eziphakathi kwenyanga eyodwa nonyaka ubudala. Ukufa kwe-SIDS okuningi kwenzeka lapho abantwana bephakathi kwezinyanga ezimbili nezine ubudala. Abantwana abazalwe ngaphambi kwesikhathi, abafana, abaMnyama baseAfrika, kanye nezingane zabaMelika abangama-Indian/Alaska Native banengozi enkulu ye-SIDS.  Yize ochwepheshe bezempilo bengazi ukuthi yini ebangela i-SIDS, bayazi izindlela zokunciphisa ingozi. Lezi zifaka:  - Ukubeka abantwana ngemhlane uma belala, ngisho nangezikhathi zokuphumula ezimfushane. "Isikhathi sokudlala ngesisu phansi" sifanele uma abantwana bevukile futhi kukhona obaqaphelayo.  - Ukusebenzisa indawo yokulala eqinile, njengomathilasi wesibungu onambeshelwe ngeshidi elinamathela.  - Ukugcina izinto ezithambile nezingubo kude nendawo yokulala.  - Ukuqinisekisa ukuthi abantwana abashisi kakhulu. Gcina igumbi likulona izinga lokushisa elifanele umuntu omdala.  - Ungabhemi nhlobo ngesikhathi ukhulelwe noma uvumele noma ubani ukuthi abheme eduze komntwana wakho.


Umbuzo:
Ngingazi kanjani ukuthi isizathu sokuthi isitho sami sangasese singakhulanga safika kubude obujwayelekile besitho sangasese samadoda kwakungenca ye-IHH? Futhi ngingaluthola kanjani ukwelashwa nge-hCG? Ngingayithola kuphi imijovo yalolu hlobo?

Impendulo:
Ukwelashwa nge-hCG kwandisa izinga le-testosterone esegazini, ubude besitho sangasese, kanye nobukhulu noma isisindo samasende ezigulini ezine-IHH (isifo esibanga ukungasebenzi kahle kwezitho zokuzala). Imiphumela yethu iphakamisa ukuthi ukwelashwa nge-hCG kunomthelela omuhle ekusebenzeni kwezitho zokuzala kanye nokukhula kwesitho sangasese ezigulini ezine-IHH ezivela nomsindo omncane kakhulu.


Umbuzo:
SENGINESIFO SIKA-PARKINSON IMINYAKA EYISISHIYAGALOMBILI EDLULE. KUZE KUBE MANJE BEKUNGUKUZAMAZAMA OKUNCANE KWESANDLA SAMI SOKUDLA KUPHELA. MANJE SEKUYANDA KAKHULU. NGINEMINYAKA ENGU-84, FUTHI NGINESIFO SESIKHUMBA. NGIYESABA UKWANDISA UMTHAMO WEMITHI, NJENGOBA KUBONAKALA SENGATHI KUNGABA NOMTHELELA ESIFWENI SESIKHUMBA. NGICELA UNGELULEKE NGANOMA YIKUPHI UKUNAKEKELA OKUDINGEKAYO. NGINGABONGA KAKHULU NGESELULEKO SAKHO ESIHLE. NGIYABONGA.

Impendulo:
Kufanele wazi ukuthi abantu abane-Parkinson's disease (isifo sokuqhaqhazela) banethuba elikhulu lokuba ne-melanoma (uhlobo lomdlavuza wesikhumba olubucayi) kunalabo abangenayo i-Parkinson's disease. Akwaziwa ukuthi leli thuba elikhulu libangelwa yi-Parkinson's disease, imithi esetshenziselwa i-Parkinson's disease njenge-rasagiline, noma ezinye izinto. Kufanele uvakashele udokotela wesikhumba (i-dermatologist) njalo ngenyanga noma njalo ngekota ukuze ahlole isikhumba sakho ngokwe-melanoma.


Umbuzo:
BENGUMUNTU OPHUZA NGOKWEQILE IMINYAKA EMININGI FUTHI NGIBA NOBUNZIMA EKUHAMBENI FUTHI NGIPHUZA I-THIAMIN 100mg KANYE NE-VITAMIN B EHLANGANISIWE EQINILE KANYE NE-SENNA NGAKHO NGAPHANDLE KWALOKHU YINI ENYE ENGINGAYITHATHA ???

Impendulo:
Noma kungaba nzima kangakanani inkinga, abantu abaningi abanenkinga yokuphuza utshwala ngokweqile (i-AUD) bangasizakala ngokuthola usizo. Ngeshwa, yingxenye encane kakhulu yabantu abangasizakala ngokwelashwa abathola usizo. Ngonyaka wezi-2012, isibonelo, abantu abadala abayizigidi eziyi-1,4 bathole usizo lwenkinga yokuphuza utshwala ngokweqile (i-AUD) ezikhungweni eziqeqeshiwe zokwelashwa izidakamizwa (okungamaphesenti angu-8,4 abantu abadala abadinga usizo). Lokhu kubandakanya abesifazane abayizi-416 000 (okungamaphesenti angu-7,3 abesifazane abadinga usizo) kanye nabesilisa abayizigidi eziyi-1,0 (okungamaphesenti angu-8,9 abesilisa abadinga usizo). Ekugcineni, ukuthola ukwelashwa kungathuthukisa amathuba omuntu ukuba aphumelele ekunqobeni inkinga yokuphuza utshwala ngokweqile (i-AUD). Xoxa nodokotela wakho ukuze uthole indlela engcono kakhulu yokwenza lokhu, futhi bona "Ukucabanga Kabusha Ngokuphuza" ("Rethinking Drinking") kanye ne-"Ukwelashwa Kwezinkinga Zotshwala: Ukuthola Nokuthola Usizo" ("Treatment for Alcohol Problems: Finding and Getting Help") ukuze uthole ulwazi olwengeziwe.


Umbuzo:
Ngilangazelela izici zofuzo ezicacile ezingase zithinte ubungozi bokuthola isifo somdlavuza wesikhumba kubantu abadala abanebala elimhlophe.

Impendulo:
Isifo somdlavuza sivame ukubangelwa ukuxubana kwezinto ezisemoyeni kanye nezinto ezithathwa ngokuzalwa. Kumdlavuza wesikhumba, izinto ezisemoyeni zidlala indima enkulu. Kodwa abantu bangazalwa benokuthatha isifo somdlavuza noma ukubuthaka okubenza baluthole kalula.

Ubungozi bukhulu kakhulu kubantu abanesikhumba esimhlophe esisheshe sibe namabala. Ngokuvamile labo abanezinwele ezibomvu noma ezimhlophe kanye namehlo aluhlaza noma amhlophe. Nakuba kunjalo, noma ubani angathola umdlavuza wesikhumba.

Umdlavuza wesikhumba uhlobene nokuvela kakhulu emisebeni ye-ultraviolet (UV) ngempilo yonke. Ngakho-ke umdlavuza wesikhumba omningi uvela emva kweminyaka engama-50. Kodwa-ke, imithelela emibi yelanga iqala kusekwangeni.

Abantu abahlala ezindaweni ezithola amazinga aphezulu emikhanya ye-UV evela elangeni banesiphukuphuku esiphezulu sokuthola umdlavuza wesikhumba. Isibonelo, amazinga aphezulu kakhulu omdlavuza wesikhumba atholakala eNingizimu Afrika nase-Australia, izindawo ezithola amazinga aphezulu emikhanya ye-UV.

Cishe amaphesenti ayi-10 abo bonke iziguli ezine-melanoma (uhlobo oluthile lomdlavuza wesikhumba) zinamalungu omndeni aseke athola lesi sifo nabo. Ucwaningo luphakamisa ukuthi ukuguquka kwegene i-CDKN2 (igene elilawula ukukhula kwamaseli) ekromosomini 9 kudlala indima kule nhlobo ye-melanoma. Izifundo ziphinde zaveza amagene akromosomini 1 kanye ne-12 ezigameni ze-melanoma yomndeni.


Umbuzo:
Ngifuna uhlobo lukadokotela ogxile ekwelapheni ukuqaqamba kwemisipha emilenzeni kubantu abadala. Ikakhulukazi, mhlawumbe lowo onikeza ukwelashwa kwezinkinga zokuhamba kwegazi emilenzeni. Yiluphi uhlobo lobuchwepheshe bezokwelapha olubizwa ngalo lolu?

Impendulo:
Mayelana Nobuchwepheshe Bokwelapha Kwe-Osteopathic  Odokotela be-osteopathic, noma oDO (Doctors of Osteopathic Medicine), bagunyazwe ngokugcwele ukuchaza imithi nokwenza zonke izinhlobo zokwelapha, kufaka phakathi nokuhlinza. Kodwa baphinde balethe okuthile okwengeziwe ekwelapheni. ODO bathola uqeqesho olukhethekile mayelana nohlelo lwezicubu namathambonami, okubahlinzeka ngolwazi olujulile nolunzulu. Lolu lwazi lubenza baqonde kahle izindlela ukugula noma ukulimala kwenye ingxenye yomzimba kungathinta enye. Ngaphezu kwalokho, bakwazi ukubona ukuthi lokhu kungenza umthelela kanjani kwezinye izingxenye zomzimba.


Umbuzo:
Ngifuna ucwaningo noma uphenyo nge-IBS kanye nobudlelwano bayo ne-PTSD. Ngiyabonga

Impendulo:
Isifinyezo
I-Irritable bowel syndrome (IBS) inkinga ethinta ikholo. Ingabangela ukucindezeleka kwesisu, ukuvuvukala, kanye nokuguquka kwemikhuba yokuya ngaphandle. Abanye abantu abanalesi sifo baba nokubhinyeka. Abanye baba nohudo. Abanye baguquguquka phakathi kwalokhu kokubili. Yize i-IBS ingabangela ukungaphatheki kahle okukhulu, ayilimazi amathumbu. I-IBS ivame kakhulu. Ithinta abesifazane abaphindwe kabili kunamadoda futhi ivame ukutholakala kubantu abangaphansi kweminyaka engu-45. Akekho owaziyo imbangela eqondile ye-IBS. Akukho ukuhlolwa okuqondile kwayo. Udokotela wakho angenza ukuhlolwa ukuqinisekisa ukuthi awunayo eminye imikhuba yokugula. Lokhu kuhlolwa kungabandakanya ukuhlolwa kwamanyathela, ukuhlolwa kwegazi, kanye nama-x-rays. Udokotela wakho angenza futhi ukuhlolwa okubizwa nge-sigmoidoscopy noma i-colonoscopy. Abantu abaningi abatholakale bene-IBS bangakwazi ukulawula izimpawu zabo ngokudla, ukulawula ingcindezi, izakhamzimba, kanye nemithi.


Umbuzo:
Ngibuza lokhu njengombuzo ojwayelekile. Ingabe umshini wokushaya kwenhliziyo ungasiza ukuvimbela lezi zinkwashu zomzimba?

Impendulo:
Ukwelashwa

Inhloso yokwelashwa ukuqondisa ubuhlungu besifuba nokuvikela ukushaywa yinhliziyo. Umuthi obizwa ngokuthi i-nitroglycerin (umuthi wokukhulula imithambo yegazi) ungasiza ukuqeda ubuhlungu. Udokotela wakho angakuchazela eminye imithi ukuvikela ubuhlungu besifuba. Ungadinga uhlobo lomuthi olubizwa ngokuthi i-calcium channel blocker (umuthi wokuvimba i-calcium) noma i-long-acting nitrate (umuthi wokukhulula imithambo yegazi ohlala isikhathi eside) isikhathi eside. Udokotela wakho angachaza futhi i-short-acting nitrate (umuthi wokukhulula imithambo yegazi osheshe usebenze) ukuyisebenzisa ngesikhathi ubuhlungu besifuba. Ama-beta-blockers angolunye uhlobo lomuthi ongasetshenziswa. Kodwa-ke, ama-beta-blockers angenza isimo sibe sibi kakhulu, futhi angaba yingozi uma esetshenziswa ne-cocaine.

Umphumela (Ukubikezela)

Ukuhlasela kwemithambo yegazi yenhliziyo kuyisifo esihlala isikhathi eside. Kodwa-ke, ukwelashwa kujwayele ukusiza ukulawula izimpawu. Lesi simo singaba uphawu lokuthi usengozini enkulu yokushaywa yinhliziyo noma ukungahleli kahle kwenhliziyo okungaba yingozi yokufa (arrhythmias - ukungahambi kahle kwemijuzo yenhliziyo). Umphumela ujwayele ukuba muhle uma ulandela izincomo zokwelashwa zikadokotela wakho futhi ugwema izinto ezithile ezingabanga lesi simo.


Umbuzo:
Mina ngizwa ukuthamba emzimbeni kakhulu, ngakho kufanele ngenzeni?

Impendulo:
Ukunakekelwa Ekhaya...Nini Lapho Kufanele Uthintane Nodokotela...


Umbuzo:
Ngilimele eqakaleni lomlenze wami wangakwesobunxele cishe izinyanga ezinhlanu ezedlule. Ngaya kudokotela, ngathola i-x-ray, lapho kungafunyanwanga khona umonakalo. Wangiphakamisa ezinye izidambisi zezinhlungu futhi wangeluleka ukuthi ngigqoke isibopho seqakala. Bengilandela imiyalelo kusukela ngaleso sikhathi; Ngaya kudokotela omunye owangeluleka ukuthi ngiye kufiziyotherapy (i-Short Wave Diathermy) futhi wangeluleka ngezinye izivocavoco zokwelapha. Ngizilandelile nazo. Kodwa nokho manje, angikakapholi ngokugcwele ezinhlungwini. Ikakhulukazi uma ngizama ukuhamba ngokushesha noma ngizama ukucindezela ngomlenze wami wangakwesobunxele, ngizwa ubuhlungu. Ngiphatheke kabi kakhulu futhi ngikhathazekile ngalokhu. Ngicela ungiphakamise ukuthi ngingakwehlula kanjani ubuhlungu. Ngiyabonga.

Impendulo:
Imithi ephuzwayo ngomlomo yama-anti-inflammatory, njengoba Ibuprofen, ingasetshenziswa ukunciphisa ubuhlungu, ukuqumba, kanye nokudumba noma ukuphaphama kwesikhumba.


Umbuzo:
Ngihlangabezana nefindo elingangohlamvu lwembumbulu (i-BB) engalweni yami yesokudla, cishe ama-intshi angu-2-3 kusukela esihlakaleni sami. Selikhona cishe iminyaka emihlanu futhi libuhlungu ngezinye izikhathi. Ikakhulukazi ngiyaliqaphela kuphela uma ngilibeka ingcindezi. Alikwazi ukubonakala kodwa ungalizwa kahle uma ulithinta. Liyazamazama cishe u-1 cm (isentimitha) noma yimuphi umkhondo. Ngaya kudokotela cishe iminyaka emine edlule ukuze lihlolwe kodwa abenzanga i-X-ray (umshini wokubona ngaphakathi komzimba) futhi bathi mhlawumbe yihlamvu lwembumbulu kusukela ngisemncane. Manje selibuhlungu kakhulu ngisho noma ngingalibeki ingcindezi, ngakho ngicabanga ukuthi kufanele ngenze okuthile ngalo. Ningaba nemibono yokuthi kungaba yini noma yini okufanele ngiyenze ngalo?

Impendulo:
Ingabe yisigaxa sengalo? Isigaxa sengalo yinto ephakamile noma indawo ekhukhumele esenzeka engalweni. Amanye amagama asetshenziswa ukuchaza izinhlobo ezahlukene zezigaxa zibandakanya isigaxa, inhlumba, ukugaqeka, isimila noma isikhwama. Izigaxa zengalo zingabangelwa yinoma yiziphi izimo, kubandakanya ukutheleleka, ukuvuvukala, izimila noma ukulimala. Kuye ngembangela, izigaxa zingaba yinye noma eziningi, zithambile noma ziqinile, zibuhlungu noma zingenabo ubuhlungu. Zingakhula ngokushesha noma zingashintshi ngobukhulu. Izigaxa zengalo ezibangelwa ukutheleleka endaweni zingabonakala njengamathumba, noma amaqhubu. Izinhlobo eziningi zokutheleleka zibangela ukuba amagquma ezimila zikhuphuke futhi zizwakale njengezigaxa, ikakhulukazi emakhwapheni. Imbangela yokulimala yezigaxa zengalo kusuka ekulunywa yizinambuzane kuya ekulimaleni okubi okungadala ukuqoqeka kwegazi emzimbeni (i-hematoma, ukuqoqana kwegazi ngaphansi kwesikhumba). Kokubili izimila ezingenabungozi (benign) nezinobungozi (malignant) zesikhumba, izitho ezithambile, noma amathambo engalo ngezinye izikhathi zingezwakala njengezigaxa. Izigaxa ezibangelwa ukutheleleka, ukuvuvukala noma ukulimala zivame ukuba zesikhashana futhi zehle njengoba isimo esingaphansi siyaxazululeka. Izigaxa eziqhubeka noma ziqhubeka zikhula ngokuhamba kwesikhathi zingakhombisa izimo ezinzima kakhulu, njengezimila. Uma unaso noma yisiphi isigaxa esiqhubekayo noma esikukhathazayo, funa usizo lwezempilo ngokushesha.


Umbuzo:
Nginesifo sesibindi esibizwa nge-cirrhosis (isibulalo sesibindi). Ngabe amazinga aphezulu e-ammonia anomthelela ekuphefumuleni? Ngiye ngibe nezikhathi lapho ngingakwazi ukuphefumula kahle. Angibuva ubuhlungu.

Impendulo:
IKHARDIYOMAYOPHATHI YOTSHWALA

Ukuphuza kakhulu isikhathi eside kubuthaka umsipha wenhliziyo (heart muscle), kubangele isimo esibizwa ngokuthi ikhardiyomayophathi yotshwala. Inhliziyo ebuthakathaka iyacwila futhi yeluleke futhi ayikwazi ukushuba ngokufanele. Ngenxa yalokho, ayikwazi ukushubisa igazi elanele ukondla izitho. Kwezinye izimo, lokhu kuntuleka kokuhamba kwegazi okungokwanele kubangela umonakalo omkhulu ezithweni nasemathishini. Izimpawu zekhardiyomayophathi zihlanganisa ukuphelelwa umoya kanye nezinye izinkinga zokuphefumula, ukukhathala, ukuvuvukala kwemilenze nezinyawo, kanye nokushaya kwenhliziyo okungalungile. Kungaholela ngisho nasekuhlulekeni kwenhliziyo.

EZINYE IZIMO ZENGQONDO EZIHLOBENE NOTSHWALA

UMONAKALO WESIBINDI OTHINTA UBUCHOPHO

Isifo sesibindi esihlobene notshwala asithinti umsebenzi wesibindi kuphela, sibuye silimaze nobuchopho. Isibindi siqoba utshwala - kanye nobungozi obukhuphula. Ngesikhathi salolu hlelo, imikhiqizo yokusebenza kotshwala ilimaza amaseli esibindi. Lawa maseli esibindi alimele awasasebenzi kahle njengoba kufanele futhi avumela ukuthi lezi zinto ezingozi, i-ammoniya ne-manganese ikakhulukazi, ziye ekhanda. Lezi zinto ziqhubeka zilimaze amaseli obuchopho, zibangele isifo sobuchopho esikhulu nesingaba nobungozi bokuphetha ukufa esaziwa ngokuthi i-hepatic encephalopathy (ukugula kobuchopho okubangelwa ukungasebenzi kahle kwesibindi).


Umbuzo:
Nginesifo somphefumulo esibangelwa ukuzivocavoca. Ngabe ikhona kulawa mathuluzi angasebenzisi imithi angafaneleka ngicela?

Impendulo:
Unganciki kuphela emithini yokulula ngokushesha. Ungasebenzisa futhi imithi yangaphambi kokuzivocavoca njengokwelashwa okusheshayo kwezimpawu. Kodwa-ke, akufanele udinge ukusebenzisa imithi yakho yangaphambi kokuzivocavoca kaningi kunalokho udokotela wakho akuncoma ngakho. Gcina irekhodi lokuthi zingaki izihefuzelo ozisebenzisayo ngesonto ngalinye, kangaki usebenzisa imithi yakho yangaphambi kokuzivocavoca ukuvikela, nokuthi kangaki uyisebenzisa ukwelapha izimpawu. Uma uyisebenzisa nsuku zonke noma uyisebenzisa kaningi ukwelapha izimpawu, udokotela wakho angalungisa umuthi wakho wokulawula isikhathi eside.

Izinyathelo ongazithatha ukuvimbela noma ukunciphisa izimpawu zokuminyana kwemithambo yomoya okubangelwa ukuzivocavoca (exercise-induced bronchoconstriction) zibandakanya lokhu okulandelayo:

Yenza ukufudumala kwemizuzu engu-10 okuhlukahlukene ngokuqina ngaphambi kokuqala ukuzivocavoca okujwayelekile. Phefumula ngekhala lakho ukufudumeza nokufaka umswakama emoyeni ngaphambi kokuba ungene emaphashini akho. Gqoka imaski yobuso noma isikhafu uma uzivocavoca, ikakhulukazi esimweni esibandayo, esomile. Uma unezinto ozwela kuzo, gwema izinto ezingakuvusa. Isibonelo, ungazivocavoci ngaphandle uma amazinga okuvuvukala aphezulu. Gwema ukuzivocavoca ngamandla uma unomkhuhlane noma olunye uhlobo lwesifo somgudu wokuphefumula. Zivocavoce njalo ngokungapheli ukuze uhlale usesimweni esihle futhi ukhuthaze impilo enhle yokuphefumula.


Umbuzo:
Ngibe nesifo sikaTourette kusukela ngineminyaka eyisikhombisa. Kamuva ngineminyaka engu-72, ngenziwe ukufakelwa kweshanti ngenxa ye-hydrocephalus (isifo sokuqoqeka kwamanzi ekhanda). Ingabe yiziphi izibalo eziveza ukuthi umuntu angaba ne-hydrocephalus kanye nesifo sikaTourette? Ingabe kukhona ubufakazi obukhomba ukuthi ukushukuma okungalawuleki kwekhanda nentamo okuhambisana nesifo sikaTourette kungaba yimbangela ye-hydrocephalus?

Impendulo:
Yiziphi izifo ezihlobene ne-TS? Abantu abaningi abane-TS babhekana nezinkinga eziningi zokuziphatha nezengqondo (neurobehavioral) ezihlukumeza kakhulu kunezinyakaziso zomzimba ezingalawuleki (tics). Lokhu kuhlanganisa ukunganaki, ukuxwaya nokushesha (i-Attention Deficit Hyperactivity Disorder—ADHD); izinkinga zokufunda, ukubhala, kanye nokubala; kanye nezimpawu zokuphindaphinda nokuqhubeka nokwenza okuthile (obsessive-compulsive symptoms) njengokucabanga okungapheli/ukukhathazeka kanye nokuziphatha okuphindaphindayo. Isibonelo, ukukhathazeka ngokungcola nemagciwane kungahambisana nokugeza izandla njalo, kanti ukukhathazeka ngezinto ezimbi ezingenzeka kungahambisana nokuziphatha okwenziwa ngendlela ethile efanayo njengokubala, ukuphinda, noma ukulandela uhlelo oluthile. Abantu abane-TS baphinde babika izinkinga zokudangala noma ukwesaba okukhulu, kanye nezinye izinkinga zokuphila, ezingahle zibe noma zingabi nokuxhumana ngqo ne-TS. Ngaphezu kwalokho, yize abantu abaningi abane-TS behlangabezana nokwehla okukhulu kwezinyakaziso zomzimba nezokukhuluma ezingalawuleki emuva kokuphuma ebusheni nasekuqaleni kobudala, izimo ezihambisana nokuziphatha zingaqhubeka. Uma kubhekwa izinkinga eziningi ezingavela, abantu abane-TS baphathwa kahle kakhulu ngokuthola ukunakekelwa kwezempilo okunikeza uhlelo lokwelashwa oluphelele nolubheka zonke izici zesimo.


Umbuzo:
Ngibonile ukuphela kwezinwele eminyeleni engezansi (izitho ezingezansi) kwabesilisa. Ingabe lokhu kubangelwa ukungahambi kahle kwegazi emzimbeni? Unalo yini noma yiluphi iseluleko?

Impendulo:
Izimpawu  Ukulahlekelwa izinwele ngokuvamile kuba yisimpawu esisodwa. Abantu abambalwa bangezwa ukushisa kwesikhumba noma ukwenyezela. I-Alopecia areata (isifo sokulahlekelwa izinwele ngamapheshana) ivame ukuqala ngamapheshana ayi-1 kuya kwama-2 okulahlekelwa izinwele. Ukulahlekelwa izinwele kubonakala kakhulu ekhanda kunezinye izindawo. Kungenzeka futhi kubonakale nasezintshebeni, amashiya, nezingalo noma imilenze kwabanye abantu.


Umbuzo:
Nginemlenze owodwa ngasohlangothini lwesobunxele owalulama iminyaka engama-24 edlule, ezinye izingxenye zomzimba wami zisaphila kahle, kungenzeka yini ukuthi umlenze wami welasheke? Uma kungenzeka ngingakwenza kanjani ukwelashwa futhi kuphi? NGIYABONGA

Impendulo:
Ukwelashwa Kokufa Kwengxenye Yomzimba  Ukwelashwa kuzoncika ekutheni yini imbangela yokufa kwengxenye yomzimba, futhi kungahlanganisa ukwelashwa ngomzimba, ukwelashwa ngokusebenza, ukuhlinzwa, imithi eyalelwe ngudokotela, noma ukuxubana kwalokhu okungenhla. Ukwelashwa kwenzelwe ukubuyisela ukusebenza okuningi ngangokunokwenzeka esigulini, ngenkathi kumsiza ukufunda ukubhekana nanoma yikuphi ukukhubazeka kwesikhathi eside.


Umbuzo:
Ngibe neziqhuqho elibi kakhulu ezinyangeni ezimbili ezedlule. Odokotela abatholanga okuyidalayo. Lihlala limanzi njalo. Ngidinga ukwazi ukuthi yikuphi engingakudla. Futhi ubisi olungenalakthosi kanye neyogathi kungaphephe yini ukukudla?

Impendulo:
Ukwelashwa kanjani urhudo oluqhubekayo (chronic diarrhea)? Ukwelashwa korhudo oluqhubekayo kunqunywa yimbangela yalo. Landela iseluleko somhlinzeki wakho wokunakekelwa kwezempilo. Urhudo olubangelwa ukutheleleka ngezinye izikhathi lungalashwa ngama-antibiotics noma ezinye izinhlobo zemithi. Kodwa-ke, kufanele kwenziwe ukuhlolwa okufanele ukuze kunqunywe umuthi ofanele. Urhudo olungabangelwa ukutheleleka lungaba nzima kakhulu ukuluhlola nokululapha. Ukulashwa kwesikhathi eside kanye nokwesekwa kwezokudla kungadingeka. Ukuhlinzwa kungadingeka ukulapha ezinye izimbangela zorhudo oluqhubekayo. Mayelana norhudo olungaziwa imbangela yalo, lezi zihloko ezilandelayo zingasiza ukwehlisa izimpawu. Landela iseluleko somhlinzeki wakho wokunakekelwa kwezempilo. Hlala umanzi kahle futhi ugweme ukoma (dehydration). Izinkinga ezinzima zezempilo zingenzeka uma umzimba ungagcini amazinga afanele amanzi. Urhudo lungaba libi kakhulu futhi kungadingeka ukuba esibhedlela uma ukoma kwenzeka. Gcina ukudla okunempilo okuqukethe zonke izakhamzimba ezidingekayo. Ukwenza lokhu kungasiza ukusheshisa ukululama. Gwema iziphuzo eziqukethe ikofi, njengeti, ikofi, kanye neziphuzo eziningi ezinoshukela. Gwema uphuzo oludakayo; lungaholela ekwomeni okubi kakhulu, okungabeka impilo yakho engcupheni.


Umbuzo:
Nginezikhukhukazi eziphuma ngamakhala ami. Ngaya kudokotela wami kodwa akazange athumele izibonelo esilabhini. Ziphuma nasemehlweni ami, amehlo ami abomvu kakhulu futhi abuhlungu. Nginezikhukhukazi eziphuma, kodwa udokotela wasegunjini lezimo eziphuthumayo wathi nginesifo samehlo esinokuvuvukala kuphela. Naye akazange athumele izikhukhukazi zami esilabhini. Zingigwinya ziphila! Ngikhathele kakhulu, ngiphelelwe amandla ngingakwazi nokusuka embhedeni. Ngivuvukele. Ngidinga usizo olusheshayo! Sekuyiminyaka ngizama ukuthi bahlole izibonelo zami, kodwa akekho ongisizayo. Ngiyaphela!

Impendulo:
Ukwelashwa kuhlanganisa imithi epharalayiza noma ebulala izilo ezincane eziphila emathunjini. Uma kunokuvimbeleka kwamathunjini okudalwa yinani elikhulu lalezi zilo, i-endoscopy (ukuhlolwa kwangaphakathi komzimba ngethubhu elinemkhanyiso) ingasetshenziswa ukuzisusa. Ezimweni ezimbalwa, kudingeka ukuhlinzwa. Abantu abalapha izimpethu eziyizikhukhula (izilo eziyizindende) kufanele baphinde bahlolwe ezinyangeni ezintathu. Lokhu kuhlanganisa ukuhlolwa kwendle ukubheka amaqanda ezimpethu. Uma amaqanda ekhona, ukwelashwa kufanele kuphindwe futhi.


Umbuzo:
Ngisanda kufunda i-athikhili eyathunyelwa nguwe eveza ukuthi ucwaningo lwakho lukhombisa ukuthi ubone indlela ebangela i-burning mouth syndrome (isifo somlomo oshisayo). Futhi ngenxa yalokhu okutholile ungakwazi ukuthola ukwelashwa. Ngibenalokhu iminyaka engu-15 futhi ngisalokhu ngibambelele. Kuzoba nini lapho ukwelashwa okuhle kuzotholakala khona? Ngiyingxenye yeqembu elina-500 labantu abane-BMS. Sihlupheka kakhulu ngendlela emangalisayo futhi sivela emazweni ahlukene emhlabeni. Kuzoba yini ukwelashwa?

Impendulo:
Ukwelashwa Udokotela wakho uzokusiza uthole ukuthoba ubuhlungu. Imithi ingasiza ukulawula ubuhlungu futhi ipholise umlomo owomile. Ngenxa yokuthi i-BMS (isifo sobuhlungu obunzima bomlomo) iyisifo esihlasela imizwa ngendlela enzima, ukwelashwa okusebenza kumuntu oyedwa kungenzeka kungasebenzi komunye. Izimpawu ze-BMS yesibili ziyaphela uma kwelapha isimo sempilo esiyisisekelo, njengesifo sikashukela noma i-thrush (isifo somlomo esibangelwa yizinhlobo ezithile zegciwane), selashiphile. Uma umuthi ubangela i-BMS yesibili, udokotela wakho angakushintshela emthini omusha.


Umbuzo:
Ngiyazi ukuthi ungase ungaphenduli lokhu kodwa umfutho wegazi wami uyenyuka ebusuku uma ngilele. Ngiphuza imithi emine. Ngibuze odokotela ukuthi kungani kwenzeka lokhu kodwa akekho owaziyo. Kulokhu kusa ngo-4 ntathakusa. Bekuyi-164 mmHg futhi ngaphuza i-"clonidine" ukusiza ukwehlisa umfutho wegazi. Kungikhathaza kakhulu lokhu.

Impendulo:
Umfutho wegazi uvame ukuphakama ngokuhamba kweminyaka, ngaphandle uma uthatha izinyathelo zokuvimbela noma ukulawula. Ezinye izinkinga zezempilo - njengesifo sezinso esiqhubekayo, isifo sethayiroidi, kanye ne-sleep apnea (ukumiswa kwokuphefumula ngesikhathi ulele) - zingabangela ukuphakama komfutho wegazi. Eminye imithi nayo ingakhuphula umfutho wegazi. Izibonelo zifaka imithi yesifo somoya (isibonelo, ama-corticosteroids) nemkhiqizo yokwelapha umkhuhlane. Eminye imithi nayo ingabangela umfutho wegazi ophakeme. Uma unomfutho wegazi ophakeme, yazisa udokotela wakho ngayo yonke imithi oyisebenzisayo, kufaka phakathi nemikhiqizo etholakala ngaphandle kwencwadi kadokotela. Kwabanye abesifazane, amaphilisi okuvimba inzalo, ukukhulelwa, noma ukwelashwa ngamahomoni kungabangela ukuphakama komfutho wegazi.


Umbuzo:
Ngineminyaka engu-37 futhi ngihlupheka ngokungabi nandlala, ukulahlekelwa isikhwele sokudla kanye nokungabi nentshisekelo yokudla. Nginenkinga encane yokuphathwa uvalo kanye nesicanucanu. Ngicela ungeluleke ngendlela yokuxazulula le nkinga yami.

Impendulo:
Nini lapho kufanele uthinte uchwepheshe wezempilo: Shayela uchwepheshe wezempilo wakho ngokushesha uma ulahlekelwa yisisindo esikhulu ngaphandle kokuzama. Funa usizo lwezempilo uma ukulahlekelwa inkanuko yokudla kuhambisana nezinye izimpawu zokudumala, ukusetshenziswa kabi kwezidakamizwa noma utshwala, noma isifo sokudla esingalawuleki. Uma ukulahlekelwa inkanuko yokudla kubangelwa ukuthatha imithi, buza uchwepheshe wezempilo wakho ngokushintsha umthamo womuthi noma uhlobo lomuthi. Kubalulekile ukuthi ungayeki ukuthatha imithi ngaphandle kokukhuluma nochwepheshe wezempilo wakho kuqala.


Umbuzo:
Ngangidinga umgomo wetetanus futhi wanginika wona ngemuva kwengalo yami. Manje senginesifo se-cellulitis. Ngisebenzisa amaphilisi amasha i-predisone ne-augmentin. Manje sengithola izibazi eziningi yonke indawo. Ngicela ungisize ngokushesha ukuthi ngiqonde ukuthi kwenzakalani!

Impendulo:
Isibhaxu yisimaka esisesikhumba sakho esidalwa yigazi elibambeke ngaphansi kwesikhumba. Loku kwenzeka uma ukulimala kucindezela imithanjana yegazi kodwa kungaqhekeki isikhumba. Leyo mithanjana yegazi iyaqhekeka bese ivuza igazi ngaphansi kwesikhumba. Izibhaxu zivamise ukuba buhlungu futhi zivuvukale. Ungathola izibhaxu zesikhumba, zezinyama kanye namathambo. Izibhaxu zamathambo yizona ezinzima kakhulu. Kungathatha izinyanga ukuthi isibhaxu sinyamalale, kodwa eziningi zithatha amasonto amabili. Ziqala ngombala obomvu, bese ziba luhlaza okusampula, bese ziba saluhlaza nophuzi ngaphambi kokubuyela esimweni sazo esejwayelekile. Ukunciphisa ukubhaxabhaxa, faka iqhwa endaweni elimalile bese uyiphakamisa ngaphezu kwenhliziyo yakho. Bona umsebenzi wezempilo wakho uma ubona sengathi ubhaxabhaxa ngaphandle kwesizathu, noma uma isibhaxu sibonakala sengathi sinokutheleleka.


Umbuzo:
Ngiqaphela ukuthi amalunga namathambo ezandleni zami abuhlungu kakhulu uma ngisebenza, ngipheka futhi kamuva ngiyazidedela izinto esandleni sami sobunxele; ngisho ukuphenduka okusheshayo kuthuma umuzwa obuhlungu emzimbeni wami wonke - Kuyini lokhu? Yini ingqinamba?

Impendulo:
Isifinyezo  Akunandaba ukuthi uneminyaka emingaki noma wenzani ukuze uphile, uhlale usebenzisa izandla zakho. Uma kukhona okungalungile ngazo, kungenzeka ungakwazi ukwenza imisebenzi yakho yansuku zonke.  Izinkinga zezandla zibandakanya:   I-carpal tunnel syndrome (ukucindezeleka komuzwa esihlakaleni) - ukucindezeleka komuzwa njengoba udlula esihlakaleni, okuvame ukwenza iminwe yakho ingezwa lutho   Ukulimala okubangela ukuphuka kwamathambo, ukudabuka kwezibopho namadislokeshini   I-osteoarthritis - i-arthritis yokuguga nokuguguleka, engaphinde ibangele ukuntshwabeka noma ukugobeka kwamathambo   I-tendinitis - ukukhathazeka kwemisipha   Izifo nokulimala kweminwe yakho nesithupha, okufaka phakathi ukuqinela, ukuphatheka kabi, nokushisa


Umbuzo:
Ngifuna ulwazi olwengeziwe nge-hypertension (ukushaya kwegazi eliphezulu) kanye ne-fibromyalgia (isifo sezinhlungu emzimbeni), kubonakala sengathi ngithola kuphela izihloko ngesifo sikashukela kanti anginaso lesi sifo. Ngiyakuthokozela ukufunda ulwazi lwamanje olunikezwayo. Ngiyabonga Cassie Caldera

Impendulo:
Ngokuvamile, kubantu abanempilo, abangenabo ubuhlungu, uma umfutho wegazi wabo uphakeme, kancane baba nobunzima bezwa ubuhlungu. Kwabanye, lokhu kungaba yinkinga ngoba abazwa ubuhlungu besifuba okungaba yisexwayiso sokuqala sokuthi kukhona iheart attack (ukuhlaselwa yinhliziyo) okuzayo. Uma ubuhlungu obuqhubekayo buqala, izinhlelo ezilawula ubuhlungu nomfutho wegazi zisebenza kabi kangangokuthi ukwenyuka komfutho wegazi akusaholeli ekuncipha kokuzwela ubuhlungu. Umphumela wokugcina ukuthi ubuhlungu obuqhubekayo kubeka engcupheni enkulu yokuba nomfutho wegazi ophakeme (i-hypertension noma umfutho wegazi ophakeme).


Umbuzo:
Bengicabanga ukuthi ngihlanze izindlebe zami ngenxa yokwakheka okuningi kwamafutha ezindlebeni. Ngaso sonke isikhathi ngizwa ukuluma ezindlebeni zombili. Ngezinye izikhathi ziyashisa kancane futhi zibuhlungu kancane. Emini angikuqapheli kakhulu, kodwa kusihlwa nasebusuku kuba kubi kakhulu. Ngezinye izikhathi ngicabanga ukuthi kukhona okuvuzayo, kodwa akukho okuvuzayo ngempela. Uma ngithatha i-Clartin (umuthi wokuqeda i-allergy) kuyasiza, kodwa angithandi ukuyithatha nsuku zonke.

Ucabanga ukuthi kufanele ngenzeni? Odokotela bezindlebe, amakhala nomphimbo (ENT) abavamile ukwenza okuningi ngalokhu noma bacabange ukuthi kuyinkinga enkulu. Ngiphinde ngizwe umsindo omncane ophakeme ezindlebeni ebusuku. Lowo msindo awukhathazi kakhulu, kodwa ukhona. Bahlolile ukuzwa kwami bathi kuhle, ngakho ngiyamangala ukuthi kungaba yini. Kungaba yinto engiyithathayo mayelana nezithumba, noma i-allergy, noma yini enye?

Ingabe kukhona uhlobo lokuhlola olungakhombisa ukuthi yini le nokuthi ngingayinqoba kanjani? Lolu khathazeko lungiphatha kabi. Ngicela usizo lwakho.

Impendulo:
Ama-allergy angabanga izimpawu ezahlukene njengamakhala avuzayo, ithimulo, ukuluma, amaqhubha, ukuvuvuka, noma i-asthma. Ama-allergy angaba ncane noma amakhulu. Ukuvuvuka okusheshayo okubucayi kungaba yingozi engabulala. Odokotela basebenzisa ukuhlolwa kwesikhumba negazi ukuhlola ama-allergy. Ukwelashwa kufaka phakathi imithi, imijovo yokuvikela ama-allergy, nokugwema izinto ezibanga izimpendulo.


Umbuzo:
Ngizothanda kakhulu ukuzama idayethi engiyidingayo. Ukuzama ukwehlisa isisindo.

Impendulo:
Isifingqo: Ukugcina isisindo esiphilile kubalulekile. Uma uphansi kakhulu ngosisindo, unesisindo esikhulu, noma unzima kakhulu, ungaba nengozi ephakeme yezinkinga ezithile zempilo. Cishe ababili kwabathathu abantu abadala e-U.S. banesisindo esikhulu noma banzima kakhulu. Ukufinyelela isisindo esiphilile kungakusiza ulawule i-cholesterol (amafutha egazini) yakho, umfutho wegazi kanye noshukela egazini. Kungaphinda kukusize uvimbele izifo ezihlobene nokukhula kwesisindo, njengesifo senhliziyo, isifo sikashukela, i-arthritis (ukuqina kwamathambo) kanye nomdlavuza othile.

Ukudla kakhulu noma ukungashukumi ngokwanele kuzokwenza ube nesisindo esikhulu. Ukuze ugcine isisindo sakho, ama-calorie owadlayo kufanele alingane namandla owasebenzisayo. Ukuze wehlise isisindo, kufanele usebenzise ama-calorie amaningi kunalokho okudlayo.

Isu lokulawula isisindo lingahlanganisa:
- Ukukhetha ukudla okuncane amafutha, okuncane ama-calorie
- Ukudla izingcezu ezincane
- Ukuphuza amanzi esikhundleni seziphuzo ezinoswidi
- Ukushukuma

Ukudla ama-calorie angeziwe ngaphakathi kwedayethi ehleleke kahle (ukudla okuxubene kahle) kungasiza ukwengeza isisindo.


Umbuzo:
Ngingathanda ukwazi ukuthi ungangitshengisa indlela eya elabhorethri eNingizimu California, ikakhulukazi eSan Bernardino County noma e-LA County noma ngisho nase-Riverside County eyenza ukuhlolwa kwamajini e-EDS (Ehlers-Danlos Syndrome) noma i-Osteogenesis Imperfecta (isifo sokuqina kwamathambo okungaphelelanga) futhi uyazi yini ukuthi lezi zifo ezimbili ziyafana yini ngezimpawu? Ngiyabonga ngosizo lwakho nesikhathi sakho.

Impendulo:
Isifinyezo
Ithishu eyokuxhumanisa yinto engaphakathi komzimba wakho esekela izingxenye eziningi zawo. Yiyo "intambo yeseli" enika amathishu akho isimo futhi isize ukuwagcina eqinile. Iphinde isize ezinye zamathishu akho ukwenza umsebenzi wawo. Ikhathilaji namafutha ayizibonelo zethishu eyokuxhumanisa. Kukhona izifo ezingaphezulu kwama-200 ezithinta ithishu eyokuxhumanisa. Ezinye, njengesifo se-cellulitis, zibangelwa ukutheleleka. Ukulimala kungabanga izifo zethishu eyokuxhumanisa, njengezibazi noma amanxeba. Ezinye, njenge-Ehlers-Danlos syndrome, i-Marfan syndrome, kanye ne-osteogenesis imperfecta, zingenziwa yizimilo. Ezinye futhi, njenge-scleroderma, azikabonwa imbangela yazo. Isifo ngasinye sinezimpawu zaso ezihlukile futhi sidinga ukwelashwa okuhlukile.


Umbuzo:
Ngingumama wentombazane eneminyaka eyi-13 eyatholakala ukuthi ine-endometriosis (isifo somzimba wesifazane). Ngiyazi ukuthi ngingahle ngingasipele kahle leli gama. Udokotela uthe lesi sifo simubi kakhulu futhi asijwayelekile ezinganeni ezingangayo. Wayeneminyaka eyi-12 ngesikhathi etholakala, ngabe kukhona izindlela zokwelapha ezifanele ubudala bakhe? Akakaze athole ukwelashwa, futhi uhlala ezwa ubuhlungu ngaso sonke isikhathi.

Impendulo:
Hlobo luni lwemithi ekhona? Uma ukuhlolwa kwe-endometriosis sekwenziwe, ukwelashwa kuhlukaniswa ngalezi zigaba ezilandelayo.

Ukubheka (ukuqapha izimpawu): Ngemva kokuhlolwa nangaphambi kokuqala ukuthatha amahomoni, wena kanye nethimba lakho labanakekeli besitho sangasese sabesifazane (GYN) ningakhetha ukuqapha izimpawu zakho futhi uzame imithi yezinhlungu elula. Leli yisinyathelo sokuqala samantombazane ane-endometriosis engakabi nesikhathi sokuqala.

Ukucindezela ngokwezokwelapha: Ukwelashwa ngamahomoni njengamaphilisi okuhlela aqukethe i-estrogen ne-progesterone athathwa njalo (ukumisa isikhathi) kwelapha izimpawu kwiziguli eziningi. Ukwelashwa kwesibili ukusebenzisa umuthi we-progesterone wodwa. Loku kuza njengephilisi lokuhlela eliqukethe i-progestin kuphela ephaketheni (amagama ezitolo: i-Nor-QD® noma i-Camilla®) noma njengephilisi elijwayelekile eliza ebhodleleni i-Norethindrone acetate (igama lesitolo: i-Aygestin®). Isikali se-Aygestin® singalungiswa ukuze simise ubuhlungu nokophisa kwakho. Olunye uhlobo lomuthi obizwa nge-GnRH agonist (umuthi ovimbela ukukhiqizwa kwamahomoni), njenge-Leuprolide acetate (igama lesitolo: i-Lupron-Depot®). Lo muthi usebenza ngokuvala amahomoni enziwa amasende bese umisa isikhathi sakho okwesikhashana. Ukusetshenziswa kwale ndlela yokwelapha kwehlisa izinga le-estrogen emzimbeni wakho (elinye lamahomoni elenza umzimba wakho ube nesikhathi).

Ukuhlinzwa: I-endometriosis ebonakalayo izobhujiswa ngesikhathi sokuhlinzwa okusetshenziswa ikhamera encane (i-laparoscopy). Ngemva kwalolu hlelo, izintsha eziningi zithola ukudamba kwezimpawu. Eziningi zithi ubuhlungu bazo bungcono, kodwa abuphelanga nya. Khumbula, ayikho impilo ephelele ye-endometriosis. Izintsha eziningi zingaphinda zizwe ubuhlungu futhi.

Izinguquko zendlela yokuphila: Ukubhekana nobuhlungu obungapheli besitho sangasese kungaba inselele. Ukuzivocavoca kujwayele ukusiza ekunciphiseni noma ekupholiseni ubuhlungu besitho sangasese nobuhlungu besikhathi. Ukudla ukudla okunempilo nokuphumula ngokwanele kusiza umzimba wakho ukumelana nobuhlungu. Ukuzijwayeza amasu okuzipholisa njengokuhlala uthule noma ukushaya indlamu kusiza ukwehlisa ubuhlungu.

Izinsiza zokwelapha ubuhlungu: Uma ungazitholi ukudamba ezimpawwini zakho, udokotela wakho wesitho sangasese angakudlulisela ohlelweni lokwelapha ubuhlungu ukuze uhlolwe. Ngemva kokuhlolwa, izinsiza ezifana nokufundiswa ukulawula imizwa yakho (i-biofeedback), ukwelashwa ngokuzivocavoca (i-physical therapy), ukuthotshelwa ngonaliti (i-acupuncture) kanye nezinhlelo zokuzivocavoca zinganikezwa.

Ukwelapha okuhambisanayo: Ukuthotshelwa ngonaliti, imithi yesintu, ukwelapha ngamakhambi amancane kakhulu (i-homeopathy) kanye nokuthinta okuphilisayo kuyizindlela ezidumile "ezingajwayelekile" zokwelapha. Eziningi zalezi zindlela zokwelapha zingasiza, kodwa, hhayi yonke indlela engajwayelekile iye yaqinisekiswa ngokwesayensi ukuthi iphephile futhi iyasebenza. Ucwaningo lukhawulelwe. Ngaphambi kokuzama noma yiluphi uhlobo lokwelapha olungajwayelekile, qiniseka ukuthi usebenza nomnakekeli ogunyaziwe osuke wadluliselwa kuwe.


Umbuzo:
Anginasiqiniseko ukuthi angikwazi ukuzala, ukukhathazeka kwami ukuthi sekuphele iminyaka emibili ngithandana nalo mfana ngingasebenzisi kokuvikela ukukhulelwa, ngabe kuyinto ejwayelekile ukungakhulelwa yini?

Impendulo:
Ukungakwazi ukuthola umntwana kusho ukungakwazi ukukhulelwa emva konyaka uzama. Uma owesifazane ekwazi ukukhulelwa kodwa eqhubeka nokuphunyuka kwezisu noma ukubeletha izingane ezifile, nalokho kubizwa ngokungakwazi ukuthola umntwana. Ukungakwazi ukuthola umntwana kuyinto ejwayelekile. Emva konyaka wokuba nocansi olungavikelekile, cishe amaphesenti angu-15 ezithandani awakwazi ukukhulelwa. Cishe ngesikhathi esisodwa kokuthathu, ukungakwazi ukuthola umntwana kungalandeleka kowesifazane. Kwesinye isikhathi esisodwa kokuthathu, kungenxa yendoda. Ngezinye izikhathi, kungenxa yabantu bobabili noma akukho mbangela otholakala. Kukhona ukwelashwa okuthile okwenzelwe amadoda noma abesifazane. Ezinye zibandakanya abantu bobabili. Imithi yokwelapha noma ukuhlinzwa kuyizindlela zokwelapha ezijwayelekile. Ngokujabulisayo, izithandani eziningi ezilashwa ngokungakwazi ukuthola umntwana zigcina zibe nezingane.


Umbuzo:
Ngo-1964, ngaqala ukuthatha i-Bendectin yokucanuzela ekuseni futhi ngaqhubeka njalo ngesikhathi ngikhulelwe. Ingane yami yesithathu yathola i-meningioma yobuchopho eneminyaka eyishumi nanye, manje indodakazi yami, eneminyaka engama-47, itholakale ne-lesion (isigaxa) sobuchopho. Nginokwethuka okufanele nangokuzwakalayo ngesimo sendodakazi yami futhi ngimangala ukuthi ngabe ngibenomthelela yini esimweni sayo. Nginentshisekelo kuphela ekumsizeni hhayi ngenxa yanoma yisiphi isizathu sokumangalela. Uma kukhona omunye umuntu obenenkinga efanayo futhi wayelashwa ngendlela enhle, ngingajabula kakhulu ukwazi ngakho. Ngiyabonga futhi uNkulunkulu anibusise.

Impendulo:
Icala eliphikisana neBendectin alisobala. I-Food and Drug Administration (inhlangano yase-US elawula ukudla nemithi) yavuma lokhu ngonyaka ka-1980, ngemuva kokubuyekezwa okujulile kwezinsuku ezimbili kwedatha etholakalayo. Ithimba lokubuyekeza lathi akukho budlelwano phakathi kweBendectin kanye nezinkinga zokuzalwa ezibonakaliswe. Lanezezela, nokho, ukuthi ngenxa yokuthi kwakungekho ndlela yokufakazisa ukuphepha ngokuphelele kwanoma yimuphi umuthi kubo bonke abesifazane ngaphansi kwanoma yisiphi isimo, kufanele kusale ukungaqiniseki okusasele mayelana nokuthi lomuthi uthinta kanjani ingane engakazalwa.


Umbuzo:
Ngabe kukhona ubudlelwano phakathi kwe-Leber Congenital Amaurosis (isifo samehlo esizalwa naso) kanye ne-Autism (isifo sokukhubazeka komqondo)?

Impendulo:
Kukhona ubufakazi obuningi emibhalweni obuveza ukuthi izingane ezizalwe zingaboni nazo zingaveza izimpawu ezifana nezesifo sokuphazamiseka komqondo sezingane (autism). Ukubaluleka kwezimbangela nokwemfundo mayelana nalokhu kuhlobana akukacaci kahle. Njengoba ukubona kudlala indima ebalulekile ekukhuleni, sazimisela ukuthola ukubaluleka kokuziphatha okufana nokwesifo sokuphazamiseka komqondo sezingane ezinenkinga enkulu yokungaboni kusukela zisencane. Isampula yethu yayiqukethe izingane ezingamashumi amabili nane (abafana abayishumi nantathu, amantombazane ayishumi nanye; iminyaka yobudala ephakathi kwemihlanu nezinyanga ezimbili; ukushayisana kweminyaka yobudala kwaba kusukela kwemibili kuya kweyishumi nanye) ezithinteke ngesifo sokungaboni esibizwa nge-Leber's congenital amaurosis (LCA). Imiphumela yokusetshenziswa kwethu kwesilinganiso sokuhlola izimpawu zesifo sokuphazamiseka komqondo sezingane esiguquliwe - ngaphandle kwesigaba sesikhombisa (Ukukwazi ukuphendula ngokubona) - yaveza ukuthi izingane ezine kuphela zanikeza amamaki aphelele akhombisa ukuba khona kwesifo sokuphazamiseka komqondo sezingane (ngaphezu kwalokho, kwinqanaba eliphansi/eliphakathi). Azikho nhlobo izingane esampuleni yethu ye-LCA ezaveza ukungasebenzi kahle okukhulu ebudlelwaneni bazo nabanye abantu noma ekuphenduleni kwazo kwezenhlalo nezemizwa, ngaleyo ndlela kusivumela ukuthi singaqinisekisi ukuba khona ngempela kwesifo sokuphazamiseka komqondo sezingane. Impela, ubungozi obubhekene nengane engaboni kubonakala buthinta izimo zayo zokuhlangana nabanye abantu kusaqala, ezingathinteka ngenxa yokungakwazi kwayo ukuxhumana nabanye, futhi ezingavinjelwa ngokuthuthukiswa kwamasu athile okungenelela.


Umbuzo:
Ingabe kukhona okutholakalayo, ngesiNgisi noma ngesiSpanishi, mayelana ne-Physiotherapy eqondene ngqo ne-arthritis yeqakala? Ngifuna nje ukwazi kabanzi ngalokhu. Kukhona isimo emndenini wami futhi silandelwa yidokotela kanye ne-physiotherapist. I-imeyili yami ithi &jfuks@oi.com.br>. Ngiyabonga. Jayme Fuks.

Impendulo:
UKWELASHWA NGOKWOMZIMBA  Ukwelashwa ngokwomzimba kungasiza ukuthuthukisa amandla emisipha kanye nokuhamba kwamajoints aqinile kanye nokuma kwakho. Uma ukwelashwa kungakwenzi uzizwe ungcono ngemuva kwamasonto angu-6 kuya kwangu-8, kungenzeka ukuthi ngeke kusebenze nhlobo. Ukwelashwa ngokucindezelwa kungakunika ukwehlisa izinhlungu isikhashana. Qiniseka ukuthi usebenza nomshovi oqeqeshekile ogunyaziwe onesipiliyoni sokusebenza ngamajoints abuthakathaka.


Umbuzo:
Ingane yami ezinyangeni ezine ine-albinism yamehlo. Ngicela ungisize noma ungiphakamise noma yimuphi umuthi wokuyiphulukisa.

Impendulo:
Ukwelashwa   Inhloso yokwelashwa ukwehlisa izimpawu. Ukwelashwa kuncike ekubeni isifo sibi kangakanani. Ukwelashwa kuhlanganisa ukuvikela isikhumba namehlo elangeni:

• Ukwelashwa: Yehlisa ingozi yokushiswa ilanga ngokugwema ilanga, ukusebenzisa isikhuseli selanga, nokuzemboza ngokuphelele ngezingubo uma uvelele elangeni.

• Ukwelashwa: Isikhuseli selanga kufanele sibe nesilinganiso esiphezulu sokuvikela ilanga (SPF - Sun Protection Factor).

• Ukwelashwa: Izibuko zelanga (ezivikelwe ku-UV) zingasiza ukwehlisa ukuzwela ukukhanya.

Ukwelashwa: Izibuko zivame ukuchazwa ukulungisa izinkinga zokubona nokuma kwamehlo. Ukwelashwa: Ukuhlinzwa kwemisipha yamehlo kuyanconywa ngezinye izikhathi ukulungisa ukuhamba okungajwayelekile kwamehlo (i-nystagmus - ukuzamazama kwamehlo).


Umbuzo:
Ubaba womkami ushone kamuva nje emva kokuba amathumbu akhe amancane afa.Ubebonakala ephile saka wadla isidlo sakusihlwa ngoMgqibelo kwadingeka ukuthi aphuthunyiswe esibhedlela ngeSonto.Ekuqaleni kwangoLwesibili bamhlinza emva kokuba umfutho wegazi wakhe (blood pressure) wehla. Basusa amaphesenti angu-70-80 amathumbu akhe amancane kanye nengxenye yamathumbu akhe amakhulu (ayefile). Ngabe lokhu kuyazwakala ukuthi bathola leli phesenti lamathumbu akhe amancane lifile -- kodwa wayebonakala ephile kahle ngosuku olwandulela lokho.

Impendulo:
Ukungabikhona kwegazi emathunjini amancane nokubhubha kwezicubu

Ukungabikhona kwegazi emathunjini nokubhubha kwezicubu kuwukumosheka (ukungabikhona kwegazi) noma ukufa (ukubhubha kwezicubu) kwengxenye yomathumbu. Kubangelwa ukwehla kokuhamba kwegazi endaweni leyo.


Umbuzo:
Ngizothini? Izinsini zami zamazinyo zinokopha, yimuphi umuthi okufanele ngiwusebenzise?

Impendulo:
Udokotela wezinyo wakho angancoma: Ukuhlanzwa kwamazinyo ngendlela yochwepheshe ngaphezu kokuwaxubha nokuwaflosha kabili ngonyaka, noma kaningi kakhulu ezimweni ezimbi zesifo sezinsini. Ukusebenzisa amanzi okuhlamba umlomo abulala amagciwane noma ezinye izinsiza. Ukulungisa amazinyo angahlelekile. Ukushintsha izinsiza zamazinyo nezokuwaqondisa zokuhlelela.


Umbuzo:
Ubaba wami uhlupheka nge-IBS futhi uyaphelelwa isisindo usuku ngosuku. Ngezinye izikhathi uyaquleka ngenxa yobuthakathaka. Akakwazi ukucubungula ukudla. Ngicela usisize. Sicela usibonise ngalenkinga.

Impendulo:
Udokotela wakho angenza ukuhlolwa ukuqinisekisa ukuthi awunayo eminye izifo. Lezi zivivinyo zingahlanganisa ukuhlolwa kwamasampula amathunga, ukuhlolwa kwegazi, kanye nama-x-ray. Udokotela wakho angenza futhi ukuhlolwa okubizwa ngokuthi i-sigmoidoscopy (ukuhlolwa kwesigaba esiphansi sezibindi) noma i-colonoscopy (ukuhlolwa kwezibindi zonke). Abantu abaningi abatholakala ukuthi bane-IBS bangakwazi ukulawula izimpawu zabo ngokudla, ukuphatha ingcindezi, ama-probiotics (amagciwane amahle emathunjini), kanye nemithi.


Umbuzo:
Umyeni wami, oneminyaka engu-89, uhlulekile ukuchama amahora angu-11 emva kokususwa kwekhathethi yakhe. Ngabe sekuyisikhathi esifanele sokubiza udokotela?

Impendulo:
Emva kokususwa kwe-catheter
Emva kokuba ikhathethi yakho ikhishiwe:
Ungaba nenkinga yokuchama. Uma lokhu kwenzeka, zama ukuhlala kumanzana afudumele (ukugeza okuncane). Lokhu kungakusiza ukuthi uphumule. Uma uzwa isidingo, kungaba lula ukuchama ngenkathi usesebhavini.
Ungaba nokushisa okuthile izikhathi ezimbalwa zokuqala uma uchama. Uma ukushisa kuqhubeka isikhathi eside, kungaba uphawu lokutheleleka.
Phuza amanzi amaningi, ngokwanele ukuze umchamo wakho ube phuzi okhalweni noma ucwebekazi njengamanzi. Uma unesifo sezinso, senhliziyo, noma sesibindi futhi kufanele unciphise amanzi, khuluma nodokotela wakho ngaphambi kokwandisa inani lamanzi ophuza.
Gqoka izigqoko zangaphansi ezikhululekile zekhothini uma unokuvuvukala noma ukuqubuka okuvela ekhathethi yakho.
Futhi, kubalulekile ukwazi uma unenkinga nokuthi ungabiza nini udokotela wakho. Emva kokususwa kwekhathethi, biza udokotela wakho uma:
Ungachami emva kwamahora ayisi-8 emva kokuba ikhathethi ikhishiwe.


Umbuzo:
Izinga lami le-creatinine egazini ngu-1.1 amazinga. Ngineminyaka engu-36 futhi nginetshe lezinso. Umbuzo wami uthi, ngabe itshe lezinso lizokuthinta imiphumela ye-creatinine egazini?

Impendulo:
Kusho ukuthini umphumela wohlolo? Ibanga Lokuqhathanisa Lecreatinine

Amazinga aphakeme ecreatinine egazini akhombisa izifo noma izimo ezithinta ukusebenza kwezinso. Lokhu kungabandakanya:

Ukulimala noma ukuvuvukala kwemithambo yegazi ezinsweni (i-glomerulonephritis - ukuvuvukala kwezinso) okubangelwa, isibonelo, ukutheleleka noma izifo ze-autoimmune

Ukutheleleka ngamagciwane ezinsweni (i-pyelonephritis)

Ukufa kwamaseli emabhudwini amancane ezinso (i-acute tubular necrosis, ukufa kwamabhudo ezinso) okubangelwa, isibonelo, izidakamizwa noma izidleke

Isifo sesivinini somdidiyela, itshe lezinso, noma ezinye izizathu zokuvimba umgudu womchamo

Ukwehla kokuhamba kwegazi ezinsweni ngenxa yokushayeka, ukwomela, ukwehluleka kwenhliziyo, i-atherosclerosis (ukuqina kwemithambo), noma izinkinga zesifo sikashukela


Umbuzo:
Udadewethu usesibhedlela sokunakekela iziguli iminyaka unyaka nengxenye. Abanakekeli bakhe baye basho ukuthi ulambile ngaso sonke isikhathi. Ucela ukudla uma ngiya ukuyombona. Ngabe yini engadala lokhu?

Impendulo:
Ukucabangela Ukulamba okukhulu kungaba uphawu lwezigulo ezahlukene. Isibonelo, kungaba ngenxa yesimo sengqondo noma inkinga yesigubhu se-endocrine (isitho esikhipha amahomoni). Ukulamba okukhulu kungeza bese kuyahamba (kubuye kuphinde), noma kungahlala isikhathi eside (okungapheli). Lokhu kuzonquma ngesizathu. Akuhlale kusho ukuthi umuntu uzokhuluphala. Amagama athi "hyperphagia" (ukulamba okungapheli) kanye ne-"polyphagia" (ukudla okuningi kakhulu) abhekisela kumuntu ogxile ekudleni kuphela, noma odla ubuningi obukhulu ngaphambi kokuzwa esutha.

Izizathu Izizathu zingabandakanya:
• Ukwesaba
• Imithi ethile (njengama-corticosteroids, i-cyproheptadine, kanye nama-tricyclic antidepressants)
• I-Bulimia (ukudla kakhulu bese uyahlanza, ejwayeleke kakhulu kubantu besifazane abaneminyaka eyi-18 kuya kwengama-30 ubudala)
• I-Diabetes mellitus (isifo sikashukela, kuhlanganise nesifo sikashukela sokukhulelwa)
• Isifo sikaGraves (isifo sethayiroidi)
• I-Hyperthyroidism (ukusebenza kakhulu kwethayiroidi)
• I-Hypoglycemia (ukwehla kwezinga likashukela egazini)
• I-Premenstrual syndrome (izimpawu ezenzeka ngaphambi kwesikhathi sokuya enyangeni)


Umbuzo:
Indodana yami eneminyaka emihlanu ine-Gangliosidosis GM 1, sifuna umuthi ongamsiza, noma okungenani ongase uwelule impilo yakhe. Usethola iMiglusitat isikhathi seviki. Ungasisiza noma nje usithumele ulwazi oluthile? Singabonga kakhulu ngalokho.

Impendulo:
Ingabe kukhona ukwelashwa? Akukho ukwelashwa okuthile okwenziwa kuma-gangliosidoses. Ama-anticonvulsant angaqala ukulawula ukuqhaqhazela. Okunye ukwelashwa okusizayo kufaka phakathi ukudla okunempilo, ukuphuza amanzi ngokwanele kanye nokugcina umgudu wokuphefumula uvulekile.


Umbuzo:
Ngicela ungisize nomfowethu one-simo sokubanjwa umzimba kodwa ingqondo isebenza eMartinique iminyaka emi-3. Ngicela omunye asize. UNkulunkulu akubusise. UHenri 631-643-5692

Impendulo:
Indlela yokwelapha ebizwa ngokuthi i-functional neuromuscular stimulation (ukuvuselela imisipha ngogesi), esebenzisa izinto ezincane ezifakwa esikhumbeni ukuvuselela imilingo yemisipha, ingasiza ukusebenzisa eminye imisipha engasanyakazi ngenxa yokukhubazeka. Zikhona izinto ezahlukene ezisiza ukuxhumana, njengamashadi okukhomba noma izinhlelo zekhompyutha ezikhethekile. Okunye ukwelashwa kuhambisana nokudambisa izimpawu zesifo nokusekela isiguli ngezindlela ezahlukene.


Umbuzo:
Ngicela ngempela impendulo yakho nosizo lwakho :( Umkami une-allergy kuyo yonke imikhiqizo yobisi futhi uma ephuza noma edla noma yini equkethe inani elincane lanoma yimiphi imikhiqizo yobisi uya esibhedlela. Nginokholo ukuthi kukhona ukwelapha lokhu kodwa angazi ukuthi ngimtshele ukuthini. Ucabanga ukuthi ngeke aphinde alapheke. Ngakho-ke ngicela ungitshele ukuthi kukhona yini ukwelapha kwe-allergy yemikhiqizo yobisi, noma yikuphi ukwelapha? Noma ukwelapha okuzofika maduzane kakhulu? Ngizojabula ngendlela emangalisayo uma uphendula, Ngiyabonga kakhulu. :)

Impendulo:
Yiziphi izinhlobo zokwelashwa nokuvimbela ezibe wusizo? Joanna: Akukho ukwelapha kwabantu abadala abanokunganyamelani nokudla. Imithi efana nemijovo ye-epinephrine kanye nama-antihistamines ingalulaza izimpawu, kodwa ukugwema ukudla okubanga lezi zimpawu nokuphethe i-EpiPen (umjovo wokwelapha izimpawu eziphuthumayo) yami ngaso sonke isikhathi yindlela engizigcina ngayo ngiphephile futhi ngiphile kahle.


Umbuzo:
Umbuzo. Yini isivumelwano sabodokotela bezempilo mayelana nokuthi ingabe isifo somoya singaphola? Futhi ingabe unaye umbhalo oxoxa ngokuthi ingabe isifo somoya singaphola?

Impendulo:
I-asthma isifo eside esingenalo ikhambi. Inhloso yokwelashwa kwe-asthma ukulawula isifo.


Umbuzo:
Ukhala ngenxa yobuhlungu futhi akakwazi ukulala ebusuku ngenxa yalokhu. Ngikholwa ukuthi kuvamile kakhulu ngokweminyaka yakhe ngoba akazalwanga nako. Ngifuna nje ukwazi ukuthi kufanele ngenze kanjani. Uye kudokotela kodwa bathi ngokuhlinzwa kunethuba elilingana nama-50% lokuphila. Yilokho nje angitshele kona, kodwa ngifisa sengathi kukhona engingakwenza ukusiza noma okuthile esingakwenza ukuvimbela ubuhlungu. Noma yiluphi usizo luzoba lusizo olukhulu kakhulu! Usekuthole isikhathi eside manje, cishe izinyanga ezimbalwa, futhi uthi ubuhlungu buyakhula, yingakho ngikhathazeka kangaka.

Impendulo:
Ukuphambuka Kwemigodla Okungaqondakali Kubantu Abadala

A) Ukuphambuka kwemigodla kumuntu omdala okuvela kusukela ebudaleni. B) Ukuhlolwa kwemigodla ngaphambili (X-ray) okubonisa ukuphambuka kwemigodla ngenxa yokukhula (ukuphambuka kwemigodla ngenxa yokukhula).

Uma kutholakala ukugoba komgogodla kumuntu omdala, kuvamise ukwehluka kakhulu kunokugoba komgogodla emntwaneni noma osemncane. Izinjongo zokwelapha zivamise ukwehluka njengendawo lapho ukuphambuka kwemigodla kukhona. Ukugoba komgogodla kumuntu omdala kungenzeka kube kukhona kusukela ebunganeni noma kube umphumela wokukhula. Ngaphandle kobuhlungu emhlane, iziguli zingaba nobuhlungu obuya phansi emilenzeni kuze kufike ezinyaweni. Ukwelashwa kokugoba komgogodla kubantu abadala kugxila ekubuyiseleni ukusebenza nasekunciphiseni ubuhlungu ngokuhambisana nokulungisa ukugoba komgogodla.

Imbangela

Kunemibangela eminingi eyehlukene yokugoba komgogodla kumuntu omdala. Izinhlobo ezijwayelekile kakhulu zihlanganisa ukuphambuka kwemigodla okwakukhona ngesikhathi sobudala (iminyaka yobusha) bese kuba kubi ngesikhathi sobudala, nokugoba okwaqala ebudala ngenxa yokugugiswa (ukuguga nokugqwalisa) emgogodleni nokugoba okuvele kamuva empilweni. Ezinye izizathu ezingavamile zihlanganisa ukugoba ngenxa ye-osteoporosis (amathambo abuthakathaka), ukuphuka kwemigodla kwangaphambili ngenxa yengozi, i-spondylolisthesis (ukushibilika kwamathambo omgogodla) futhi kwesinye isikhathi, izifo nezihlava zomgogodla weqolo.


Umbuzo:
Mahlaleli, nginenkinga yezempilo futhi ngingabonga kakhulu uma ningangisiza. Ngizwa ubuhlungu endaweni yangemuva phakathi kwesinqe nedolo (sengathi kukhona okuhlabayo). Ngiqaphele ukuthi imithambo izibonakala kakhulu kule ndawo. Kungaba yini lokhu? Kungabangelwa yini lokhu? Yimuphi udokotela okufanele ngimbone? Ngiyabonga ngosizo lwenu nangokusebenzisana nami.

Impendulo:
Thola Udokotela • Cela Isikhathi Sokubonana • Xhumana Nathi


Umbuzo:
Abangani bethu ababili banengane eneminyaka eyisishiyagalombili enesifo Sokungalaleli Nokuchasa (Oppositional Defiant Disorder) kanye ne-autism, futhi batshelelwa yisikhungo ukuthi kumele bayibeke esikhungweni. Abangani bethu baphukile. Ngabe zikhona izindawo zelaphi ezinhle ezweni ezigxile kwi-ODD kanye ne-autism ezingahle zibanikeze ezinye izinketho? Siyabonga nganoma yiluphi useluleko onganika lona.

Impendulo:
Ukubaluleka Kokuxhaswa Imindeni ivame ukudinga usizo ekuqondeni ukukhubazeka kwengane yabo nokuthi bangabhekana kanjani nezidingo ezidalwa ukukhubazeka. Usizo luyatholakala koodokotela bezengqondo, ochwepheshe bezengqondo, nabanye ochwepheshe bempilo yengqondo abasebenza emkhakheni kahulumeni noma ozimele. Kukhona futhi nethungelelwano lokuxhasa impilo yengqondo elisebenza kuzo zonke izifundazwe kanye nasezindaweni zasekhaya. Ukuthola izinhlelo zokusekela emphakathini wakho noma esifundazweni, vakashela izinhlangano esizibhalile ngezansi. Zingakuxhumanisa nemithombo yosizo yasendaweni, kufaka phakathi amaqembu okuxhasana anikeza ukuxhumana nokuqondana, ulwazi, ukudluliselwa kokulashwa, kanye nokunikelela labo abaphila nokupazamiseka kwemizwa.


Umbuzo:
Ufuna ukwazi ukuthi ukudonseka kwethunzi leso kuzosuka yini

Impendulo:
Izinhloso ezinkulu zokulungisa i-ptosis (ukuwa kweliphezulu leso) ukuphakamisa ukukhushulwa kwezimbobo zamehlo eziphezulu ukuze kuvumeleke ukuthuthuka kwesibuko esijwayelekile ngokuphelele kanye nendawo ephelele yokubona, kanye nokulingana nezimbobo zamehlo eziphezulu ezingesokudla. Kubalulekile ukuqonda ukuthi uma usebenza emsipha ongajwayelekile, isimo sezimbobo zamehlo esiphelele nesebenzayo emva kokulungisa kungenzeka kungafezeki.


Umbuzo:
Yiziphi izifo ezibangwa ukubhema? Futhi, ingabe ziyithinta kanjani impilo yomzimba womuntu?

Impendulo:
Ayikho enye indlela. Ukubhema kubi kempilo yakho. Ukubhema kulimaza cishe zonke izitho zomzimba. Ukubhema ugwayi kubangela amaphesenti angu-87 ezokufa ngomdlavuza wamaphaphu. Kuphinde kube nomthelela kweminye imihlaza kanye nezinkinga zezempilo. Lokhu kumbandakanya isifo samaphaphu, isifo senhliziyo kanye nemithambo yegazi, ukushaywa ubhululu kanye nesifo samehlo. Abesifazane ababhemayo banesethuba esikhulu lezinkinga ezithile zokukhulelwa noma zokuba umntwana afe ngenxa yokufa okungalindelekile komntwana osanda kuzalwa (SIDS). Intuthu yakho iphinde ibe mbi kwabanye abantu - bayiphefumula intuthu yokubhema okwesibili futhi bangathola eziningi izinkinga ezifanayo nalezi ezitholwa ngababhemayo.


Umbuzo:
Yiziphi izinzuzo noma imihlomulo yokwelashwa ngokuzivocavoca (i-physiotherapy) ekuphathweni ikhanda okuxinayo noma okucindezela?

Impendulo:
Ukwelashwa ngokuthintwa — Abanye abantu abanekhanda elibuhlungu ngokujwayelekile bayazuza ukusebenza nomuntu oqeqeshelwe ukwelapha ngokuthintwa onolwazi olujulile ngekhanda elibuhlungu. Lolu hlobo lokwelashwa lungasetshenziswa uma ungaphenduli kahle noma uphendule kancane noma okwesikhashana nje emithini, noma uma ungenakuyisebenzisa imithi (isibonelo, abesifazane abakhulelwe noma abancelisayo).


Umbuzo:
Yini engingayenza? Uma umuntu ephalaza igazi kancane, ezizwa esindwa ikhanda kancane, bese elala phansi alale, bethi bazolala kuze kudlule. Kodwa mina ngifuna ukumyisa esibhedlela, noma bethi baphilile.

Impendulo:
Ukuphalaza igazi (i-hematemesis, okuchaza ukuphuma kwegazi ngomlomo) kusho amanani amakhulu egazi ekuphalaziwe. Imidwa emincane noma amachashaza amancane egazi kulokho okukhuphayo angavela emazinyweni, emlonyeni noma emphinjeni, kodwa lokhu akuthathwa njengokuphalaza igazi ngempela. Igazi ekuphalaziwe lingaba bomvu obugqamile, noma lingabonakala limnyama noma linsundu okujulile lifane nensalela yesiselo esimnyama. Igazi elibhidliziwe, elivela egazini lasekhalaleni noma ekukhohleleleni okunamandla, kungadala ukuphalaza igazi, kodwa ukuphalaza igazi ngempela kuvame ukubonisa isimo esixakile kakhulu futhi sidinga ukunakekelwa kwezempilo ngokushesha.

Ukopha emgudwini wokudla ophezulu (umlomo, umhluzi, isisu kanye nengxenye yesisu encane ephezulu) okuvela ezilondeni zesisu noma emithambo yegazi edabukile kuyimbangela ejwayelekile yokuphalaza igazi. Shayela inombolo yezimo eziphuthumayo ezindaweni zakho uma ukuphalaza igazi kubangela isiyezi ngemva kokuma, ukuphefumula okuphuthuma, okungajulile noma ezinye izimpawu zokushayeka umzimba. Shayela usizo lwezempilo oluphuthumayo uma ukuphalaza igazi kubangela lezi zimpawu zokushayeka umzimba:

- Ukuphefumula ngokushesha, okungajulile
- Ukuzizwa unesiyezi noma ukuthi konke kuyazungeza uma usukuma
- Ukungaboni kahle
- Ukuphaphatheka
- Ukudideka
- Isicabucabu
- Ukuba nesikhumba esibandayo, esimanzi, esimpunga
- Ukuncipha kokuchama

Funa usizo lwezempilo ngokushesha. Cela omunye akuyise ekliniki yezimo eziphuthumayo noma esibhedlela uma ubona igazi ekuphalaziwe kwakho noma uqala ukuphalaza igazi. Kubalulekile ukusheshe uthole imbangela yokopha bese kuvinjwa ukulahlekelwa okukhulu kakhulu igazi kanye nezinye izinkinga, okungaholela ekufeni.


Umbuzo:
Yiluphi ulwazi ongase ube nalo mayelana nokwelashwa nge-Hyperbaric noma imiphumela yokwelashwa yesifo se-Meniere's?

Impendulo:
UFattori nabanye, Audiology 35(6):322-34, 1996. Laba babhali babika imiphumela yokwelashwa izinsuku eziyi-15 ngemizuzu engama-90 yokuhlala ekamelweni lomfutho womoya. Babika imiphumela yokuzwa engcono ezigulini ezilashiwe. Uphawu: Ngenxa yokuntuleka kwesizathu esizwakalayo kanye nokubheka izinkinga ezijwayelekile zokusabela kweplasebo (ukwelashwa okungasebenzi) ku-Menieres (bheka iphepha elisemqoka elibizwa ngokuthi Old and New in Menieres, elibhalwe ngu-N. Torok), lolu kwelapha lusasala lungafakazelwanga.


Umbuzo:
Yini indlela engcono yokwelapha ngezinto zemvelo umfana oneminyaka eyi-7 one-ADHD (isifo sokungakwazi ukugxila nokuhlala unganyakazi)? Ngaphandle kwemithi eyanyelwe ngudokotela?

Impendulo:
Izinhlobo ezahlukene zokwelashwa ngokwengqondo zisetshenziswa ku-ADHD (isifo sokuphazamiseka ekugxileni nasekuziphatheni). Ukwelashwa ngokwesimo sokuphila kuhlose ukusiza ingane ukuba ishintshe indlela yokuziphatha kwayo. Kungahlanganisa ukusizwa ngezinto eziphathekayo, njengokusiza ukuhlela imisebenzi noma ukuqeda umsebenzi wesikole, noma ukubhekana nezimo ezinzima ngokomzwelo. Ukwelashwa ngokwesimo sokuphila kuphinde kufundise ingane ukuba iqaphe indlela yokuziphatha kwayo.


Umbuzo:
Izolo ngiqaphele isixuku esikhulu samabala abomvu amancane afana nezindawo zokuthonjiswa ngaphansi kwesilevu sami (hhayi entanyeni). Muva nje bengiziphoqa ukuhlanza ngamabomu. Ngiyazi ukuthi i-Petechiae (amabala amancane egazi ngaphansi kwesikhumba) ingabangelwa ukuhlanza kodwa kungenzeka yini ukuthi lokhu kubangele amabala abe ngaphansi kwesilevu?

Impendulo:
Amabala amancane egazi (ama-petechiae) ajwayelekile futhi angakhombisa izimo eziningi, kusukela kwezincane kuya kwezinzima kakhulu. Imithambolukhalo emincane kakhulu yegazi ixhumanisa izingxenye ezincane kakhulu zezinsika zakho zegazi nezingxenye ezincane kakhulu zemithambo yakho yegazi. Amabala amancane egazi avela uma imithambolukhalo emincane kakhulu yegazi ipohloka, igazi liphuma lingene ngaphansi kwesikhumba. Izinto eziningi zingabangela lokhu kuphuma kwegazi, okuhlanganisa: Ukucindezeleka okuyisikhathi eside (njengokugubha kakhulu) Izimo ezithile zezempilo Izinhlobo ezithile zokulimala komzimba Imithi Ukulimala nokushiswa yilanga Bona udokotela wakho ngokushesha uma wena noma ingane yakho ithola amabala amancane egazi angaziwa noma amaningi emzimbeni. Kubalulekile ukuthola imbangela, njengoba ezinye zezinkinga ezingase zibe khona zingaba yingozi enkulu empilweni.


Umbuzo:
Ingabe kukhona indlela esingayisebenzisa yokudamba amakhakhayi amaningi kakhulu?

Impendulo:
Amaqhinga okusiza ukususa uketshezi emaphashini akho

Buza umhlinzeki wakho wezempilo ngezindlela ezahlukene zokukusiza ukukhwehlela uketshezi. I-Acapella™ kanye ne-Flutter® izinsiza ezimbili eziphatshwa ngezandla ezisiza ukususa uketshezi emaphashini. Ukufunda ukusebenzisa lezi zinsiza kuzokwenza kube lula ukususa uketshezi emaphashini.

Ukukhwehlela kwe-HUFF: Indlela yokuphefumulela ngaphandle ngamandla
• Phinda lo mshikashika kabili kuya kane.
• Khafula uketshezi.


Umbuzo:
Ingabe i-diverticulosis noma i-diverticulitis ingabonakala nge-CT scan uma kungekho isifo esithelelanayo ngaleso sikhathi?

Impendulo:
Ukuhlolwa Nezivivinyo Umhlinzeki wakho wezempilo uzokuhlola. Ungadinga ukuhlolwa kwegazi ukubona uma unesifo esithathelanayo. Ezinye izivivinyo ezisiza ukubona i-diverticulitis zingabandakanya:

• CT scan (ukuskena okujulile)
• Ultrasound yesisu (ukuhlolwa kwesisu ngamagagasi omsindo)
• Ama-X-ray esisu (izithombe zokukhanya zesisu)


Umbuzo:
Sawubona mnumzane/nkosikazi. Umama wami uhlaselwe isifo sezindawo eziningi ezivimbelekile ekhanda (Multiple brain infarcts), ngifisa ukwazi ukuthi ingabe inhlangano yenu ehloniphekile yezempilo inalo yini ukwelashwa kwalokhu. Ngiyathokoza

Impendulo:
Ngabe kukhona ukwelashwa? Akukho ukwelashwa okutholakalayo ukubuyisela umonakalo wengqondo odalwe ukuvaleka kwemithambo yegazi ebhekiswe ebuchosheni (i-stroke). Ukwelashwa kugxila ekuvimbeleni i-stroke esikhathini esizayo ngokulawula noma ukugwema izifo nezimo zezokwelapha ezibeka abantu ebungozini obuphezulu bayo: umfutho wegazi ophezulu (i-high blood pressure), isifo sikashukela (i-diabetes), amafutha egazini aphezulu (i-high cholesterol), kanye nezifo zenhliziyo nemithambo yegazi (i-cardiovascular disease). Ukwelashwa okungcono kwe-MID (Multi-infarct dementia) ukuvimbela kusekusha empilweni - ukudla ukudla okunempilo, ukuzivocavoca, ukungabhemi, ukuphuza utshwala ngokulinganisiwe, kanye nokugcina isisindo somzimba esiphilile.


Umbuzo:
Ngifuna ubufakazi bakamuva obusekelwe ekusetshenzisweni mayelana nemihlahlandlela yokuhlola nokwelapha ukuphuma kotshwala kanye ne-opiate. Ngiyabonga.

Impendulo:
Iziguli ezibonisa izimpawu ezincane zokudabuka otshwaleni zingalashwa njengeziguli zangaphandle, uma nje kungekho izimo ezingaphansi ezidinga ukwelashwa esibhedlela. Iziguli ezibonisa izimpawu eziphakathi nendawo noma ezinzima zokudabuka otshwaleni kanye ne-delirium tremens zidinga ukwelashwa esibhedlela nokucatshangelwa kokufakwa eWadini Yokunakekelwa Okujulile (ICU). Imithi yokudambisa nokuletha ubuthongo iyiyona yokuqala ekhethwayo yokwelapha i-sindromu yokudabuka otshwaleni ngoba iyimithi ebekezelelana nesinye nesilandelayo esilawula imisebenzi ye-gamma-aminobutyric acid (GABA) emzimbeni. Le mithi ivame ukufaka phakathi ama-benzodiazepine, ama-barbiturate (imithi yokudambisa umzimba), i-propofol (umuthi wokulalisa), kanye (kwezinye izimo ezimbalwa) utshwala.


Umbuzo:
Angikwazi ukudla, ngilahlekelwe amakilogramu ayishumi nesithupha. Anginagazi elivuzayo. Ingabe ukuhlinzwa kwezokwelapha kungangisiza? Angikwazi ngisho nokuphuza ibhiya elilula, anginakuphuza itiye noma ikhofi. Sengikhathele kakhulu. Bengihlale ngizigcina ngisempilweni. Ngidle ihemu nesaladi nama-chips (izambane eziqinile), kwadingeka ngiphalaze. Bengingamakilogramu angama-57, manje sengingama-44. Sengingunombolo 8 ekugqokeni manje, bengiyinombolo 14. Ngizoba ngcono? Kukhona ukwelapha? Senginakho lokhu izinyanga eziningi. Sengiyekile ukuphuza amaphilisi, angisakholelwa ezintweni. Ngizoba nje impilo yami yonke?

Impendulo:
Ukulahlekelwa isisindo - ngokungahlosiwe

Ukulahlekelwa isisindo okungachazekile kuyehla kwesisindo somzimba, uma ungazazamanga ukulahlekelwa isisindo ngokwakho. Abantu abaningi bayakhuphuka futhi behle esisindweni phakathi nonyaka. Ukulahlekelwa amaphawundi ayi-10 NOMA 5% wesisindo sakho esijwayelekile somzimba phakathi nezinyanga eziyi-6 kuya kwezi-12 noma ngaphansi, futhi ungazi isizathu. Le nkinga ingabizwa ngokuthi ukulahlekelwa isisindo okungahlosiwe.

Imbangela

Ukulahlekelwa inkanuko yokudla kungabangelwa:
• Ukuzizwa udangele
• Umdlavuza, ngisho noma kungekho izimpawu ezinye
• Ukutheleleka okubambekayo njengegciwane le-AIDS
• Ukugula okubambekayo, njenge-COPD (isifo esibambekayo sokuphefumula) noma isifo sikaPakinsoni (isifo sokukhinyabeza)
• Imithi, kufaka phakathi nemithi ye-chemotherapy, nemithi yeglandula yethayiroidi
• Ukusetshenziswa kabi kwezidakamizwa njenge-amphetamine ne-cocaine
• Ukucindezeleka noma ukwesaba

Izinkinga zohlelo lokugaya ukudla ezibambekayo ezinciphisa inani lama-calorie nokondla umzimba wakho owatholayo, kufaka phakathi:
• Uhudo nokusuleleka okunye okuthatha isikhathi eside, njengezikhukhulwane
• Ukuvuvukala okubambekayo noma ukutheleleka kwephankreyasi
• Ukususwa kwengxenye yesitho sokuya ngaphansi
• Ukusetshenziswa ngokweqile kwezidambisi

Ezinye izizathu:
• Izifo zokudla, i-anorexia nervosa engakabonwa
• Isifo sikashukela esingakabonwa
• Iglandula yethayiroidi esebenza ngokweqile

Okungenzeka ekhaya

Udokotela wakho anganikeza izeluleko mayelana noguquko ekudleni nasekuzilolongeni kwakho kuye ngembangela yokulahlekelwa kwakho isisindo.


Umbuzo:
Ngilympoma. Yini imbangela yomunyu ngemva kokwelashwa ngamakhemikhali okulwa nomdlavuza?

Impendulo:
Imiphumela emibi yokwelashwa ngamakhemikhali — Iningi leziguli ezilashwa nge-R-CHOP lithola imiphumela emibi, okuhlanganisa lokhu okulandelayo:

● Umkhuhlane namazinga aphansi wegazi — Umphumela omubi ongaba yingozi empilweni wokwelashwa ngamakhemikhali umkhuhlane namazinga aphansi esitho esimhlophe segazi, esibizwa ngokuthi i-neutrophils (isimo esibizwa ngokuthi i-febrile neutropenia, okusho ukushisa okuhambisana namazinga aphansi ama-neutrophils). Noma ubani othola ukwelashwa ngamakhemikhali futhi uthola izinga lokushisa elingaphezu kuka-100.4°F noma 38°C (okulingana nama-digirii angu-38 ngomumo waseNingizimu Afrika) kufanele ashayele ngokushesha umhlinzeki wakhe wezempilo. Lesi simo siyisimo esiphuthumayo sezokwelapha futhi sidinga ukwelashwa ngokushesha. Ngokuvamile kudingeka ukungena esibhedlela nokwelashwa ngama-antibiotics ngomthambo (IV).

● Isicabucabu nokuphalaza — Cishe iziguli ezingu-30 kuya ku-90 ekhulwini zithola isicabucabu nokuphalaza ngemva kwe-R-CHOP. Imithi eminingana inganikezwa ngaphambi nangemva kokwelashwa ngamakhemikhali ukunciphisa ubunzima balezi zimpawu. Lokhu kuvame ukuhlanganisa i-dexamethasone ne-aprepitant (Emend), kanye nomuthi ovimbela izimpawu zokuphalaza obizwa nge-5-HT3 receptor antagonist (isibonelo, i-ondansetron/Zofran, i-granisetron/Kytril, i-dolasetron/Anzemet, i-palonosetron/Aloxi, noma i-tropisetron/Navoban).

● Ukubamba okuphezulu — Ukubamba okuphezulu kungenzeka ngesikhathi sokuqala kunikezwa umuthi wokwelashwa ngamakhemikhali noma i-immunotherapy. Lokhu kungabangela ukubomba; ukuluma; ubuhlungu besifuba, bemuva noma besisu; umkhuhlane; isicabucabu; isiyezi; nezinye izimpawu. Akucaci ukuthi lolu hlobo lokusabela lwenzeka ngani. Imithi eminingana ivame ukunikezwa ngaphambi kokwelashwa ngamakhemikhali ukunciphisa ubunzima balezi zimpawu. Le mithi ihlanganisa i-acetaminophen (Tylenol), i-diphenhydramine (Benadryl), i-hydrocortisone (i-steroid), kanye nomuthi wokunciphisa i-asidi yesisu, njenge-ranitidine (Zantac).

● I-Tumor lysis syndrome — I-Tumor lysis syndrome (isimo sokubhidlika kwamadlavuza okusheshayo) isimo esiyingozi, esingaba yingozi empilweni esingenzeka ngemva kokuqala ukwelashwa ngamakhemikhali. Kwenzeka ngoba amaseli wamdlavuza afa ngokushesha bese ekhipha imikhiqizo yokuqhekeka enobungozi emithanjeni yegazi. Izimpawu zingahlanganisa isicabucabu, ukuphalaza, uhudo, ukungabi nentshisekelo yokudla, ukukhathala, igazi emchaMweni, izinkinga zenhliziyo, ukuwa, amakhetho ezinyama, nokunye. Ukwelashwa kokuvikela kuvame ukunikezwa ngaphambi kokwelashwa ngamakhemikhali ukunciphisa ubungozi balesi simo. Lokhu kuhlanganisa ukunikezwa kwamanzi we-IV nemithi ethile. Ngaphezu kwalokho, ukuhlolwa kwegazi kuvame ukwenziwa ngesikhathi nangemva kokwelashwa ukuqapha lesi simo.

● Ezinye izinkinga ezingenzeka — Ezinye izinkinga ezingenzeka zokwelashwa ngamakhemikhali zihlanganisa ukulimala kwenhliziyo (okubizwa ngokuthi i-cardiotoxicity) noma ukulimala kwemizwa (okubizwa ngokuthi i-neurotoxicity). Kungaphinde kube nokulahlekelwa yikhono lokuba nezingane (ukungabi nanzalo). Lezi zingozi, kanye nezindlela zokulawula noma ukuqapha zona, kufanele kuxoxwe ngakho nomhlinzeki wezempilo ngaphambi kokuqala ukwelashwa.


Umbuzo:
Uma umuntu esebenzise i-morphine iminyaka eminingi (10) ukwelapha ubuhlungu, futhi ebonisa izimpawu ezifana nomkhuhlane zokungakwazi ukucabanga noma ukuxhumana, njengomngane othandayo, ungakwazi yini ukungilinganisela/ungibalele ukuthi lesi simo esibuhlungu kakhulu ababhekene naso singathatha isikhathi esingakanani? Isonto elilodwa, unyaka owodwa?

Impendulo:
"Ngizwe ukuthi i-Morphine inezinhlangothi eziningi ezimbi, futhi sengizizwa ngingaphilile kakade." Zonke izidakamizwa eziyiopiodi (ezifana ne-Morphine) zingabanga isicabucabu, ukozela kanye nokubhitsha. Kodwa-ke, zonke izinhlangothi ezimbi zijwayele ukuma emva kwezinsuku ezimbalwa, njengoba umzimba wakho ujwayela umuthi, futhi ukubhitsha kungalashwa kalula ngokushesha.


Umbuzo:
Ngabe kukhona ukwelashwa okutholakalayo?

Impendulo:
Akukho ukwelashwa kwefibromyalgia (isifo sezinhlungu emzimbeni), kodwa imithi ingakusiza ukuphatha izimpawu zakho. Ukulala ngokwanele, ukuzivocavoca, nokudla kahle kungabuye kusize.


Umbuzo:
Ngicela uphakamise udokotela oyingcweti ongameluleka ngokwelashwa.

Impendulo:
Thola udokotela we-ACFAS (American College of Foot and Ankle Surgeons)


Umbuzo:
Ubaba wami oneminyaka engu-65 unokubuhlungu okungapheli emilenzeni, okwenza asebenzise umuthi

Impendulo:
Ubuhlungu bomkhono bungabangelwa ukuqanjelwa kwezicubu (okubizwa ngokuthi i-charley horse). Izizathu ezijwayelekile zokuqanjwa zibandakanya:

Ukuphelelwa amanzi emzimbeni noma ukuba phansi kwezinga le-potassium, i-sodium, i-calcium, noma i-magnesium egazini
Imithi (njenge-diuretics ne-statins)
Ukukhathala kwezicubu noma ukucindezeleka ngenxa yokusebenzisa kakhulu, ukuzivocavoca kakhulu, noma ukugcina izicubu zime ndawonye isikhathi eside

Ukunakekelwa Ekhaya
Uma unokubuhlungu emkhonweni ngenxa yokuqanjwa noma ukusetshenziswa kakhulu, qala ngalezi zinyathelo:

Phumula kakhulu ngokusemandleni.
Phakamisa umlenze wakho.
Faka iqhwa imizuzu engafiki ku-15. Yenza lokhu izikhathi ezine ngosuku, kaningi ezinsukwini zokuqala.
Nweba kancane uphinde umasajise izicubu eziqanjiwe.
Phuza imithi yokwelapha ubuhlungu engathengiwe njenge-acetaminophen noma i-ibuprofen.

Ukunakekelwa okunye kwekhaya kuzothembela esizathwini sobuhlungu bakho emkhonweni.

Nini Lapho Kumele Uxhumane Nochwepheshe Wezempilo
Shayela umhlinzeki wakho wezempilo uma:

Umlenze obuhlungu uvuvukele noma ubomvu.
Unomkhuhlane.
Ubuhlungu bakho buya baba bubi uma uhamba noma uzivocavoca futhi bube ngcono uma uphumula.
Umlenze umnyama futhi uluhlaza.
Umlenze ubanda futhi umhlophe.
Uphuza imithi engase ibange ubuhlungu emkhonweni.
Izinyathelo zokunakekela wena uqobo azisizi.

UNGAYEKI ukuphuza noma ukushintsha noma iyiphi imithi yakho ngaphandle kokuxoxa nomhlinzeki wakho wezempilo.


Umbuzo:
izindlela ezingasebenzisi imithi zokuzivikela nokuthoba izimpawu zokuphela kwesikhathi sokuthomba

Impendulo:
Kukhona izindlela ezahlukene zokusiza ukwelapha izimpawu zokushuba kwezinsuku zokuphela kwesikhathi sokuba sezinsukwini (ukushuba). I-National Institute on Aging, noma iSikhungo Sikazwelonke Sokuguga, sinikeza ulwazi olunzulu ngezinye zezindlela zokwelapha ukushuba. Ngaphezu kwalokho, iHhovisi Lezempilo Yabesifazane le-Department of Health and Human Service nalo linikeza ulwazi mayelana nokwelashwa kwakho. Izigaba ezingezansi zinikeza olunye ulwazi olwengeziwe.


Umbuzo:
Amashashazi esikhathi athuthukela ekugqwaleni kwesitho sangasese. Bese kuthuthuka isifo sommbila esineketshezi elimhlophe eliqinile. Ngibe sengiphuza i-flucanazole (umuthi wokulwa nezilwanyana ezincane) okwelapha lokhu. Kodwa ngikhathazekile ngokuphuza imithi ye-allopathic (imithi yaseNtshonalanga). Ngicela ungitshele ukuthi yimaphi amasiko okwelapha engingawasebenzisa ukugwema lokhu. Ngiphinde ngibe nesikhumba esinezinkenenkene.

Impendulo:
Ngingayivikela kanjani i-yeast infection (ukutheleleka okubangwa yi-yeast)? Ungathatha izinyathelo zokunciphisa amathuba okuthola i-yeast infection: •Ungakwenzi ukugeza ngaphakathi kwesitho sangasese. Ukugeza ngaphakathi kususa amanye amabacteria ajwayelekile esithweni sangasese esikuvikela ekuthelelekeni. •Ungasebenzisi imikhiqizo yabesifazane enephunga, kufaka phakathi nobhafu onephunga, izifutho, amaphedisi, namatampons. •Shintsha amatampons, amaphedisi, namamapanti layina njalo. •Ungagqoki izicathulo ezincane kakhulu, amapantyhose, amabhulukwe, noma amajini. Lokhu kungakhuphula ukushisa komzimba nokufudumala esithweni sakho sangasese. •Gqoka izingubo zangaphansi ezine-cotton crotch. Izingubo zangaphansi ze-cotton zikusiza ukuthi uhlale womile futhi azigcini ukushisa nokufudumala. •Shintsha masinyane uma ungaphuma emanzini noma emva kokuzivocavoca. •Emva kokusebenzisa indlu yangasese, hlala usula usuka phambili uye emuva. •Gwema amahot tub namabhavu ashisayo kakhulu. •Uma unesifo sikashukela, qiniseka ukuthi i-blood sugar yakho ikulawulekile. Ingabe iyogathi ivimbela noma yelaphela i-yeast infection? Mhlawumbe. Izifundo ziphakamisa ukuthi ukudla ama-ounce ayisishiyagalombili eyogathi ene-"live cultures" nsuku zonke noma ukuthatha amaphilisi e-Lactobacillus acidophilus (uhlobo lwama-bacteria alungile) kungasiza ukuvikela ukutheleleka.5,6 Kodwa, ucwaningo oluningi lusadingeka ukwenziwa ukuze kuthiwe ngokuqinisekile uma iyogathi ene-Lactobacillus noma ezinye i-probiotics zingavikela noma zelaphele i-yeast infection yesitho sangasese sabesifazane. Uma ucabanga ukuthi une-yeast infection, bona udokotela noma unesi wakho ukuze uqiniseke ngaphambi kokuthatha noma yimuphi umuthi ongadinga incwadi kadokotela.


Umbuzo:
Mnumzane ohloniphekile,

Ngokuzithoba ngifisa ukubonga ngokwenza le webhusayithi. NginguSunil waseNdiya futhi ngifuna ukuzisiza ngawe, ngicela ungisize mnumzane, ngizokubonga kakhulu (uxolo mnumzane isiNgisi sami asihle kakhulu).

Ukuziphathaphatha kuyisiko lami, kuyinto okungavumelekile. Mnumzane, manje sengikhathele, ngifuna ukuzishintsha. Ngicela mnumzane unginike izincomo ezithile...

Lesi yisimilo esibi empilweni yami kodwa futhi ngingumfundi ohlabahlosile kusukela ngonyaka odlule... ... ... ... Ngiyakhala... Uxolo... Ngicela ungisize mnumzane, ngicela ungiphendule ku-id ye-imeyili yami... Futhi ungifisele inhlanhla.

Ngiyazi unenhliziyo yegolide...

Impendulo:
Beka usuku lokubonana nodokotela wakho nomphakathi noma nini uma unemibuzo mayelana nokudlala ngocansi noma ezinye izindaba zocansi.


Umbuzo:
Mnumzane, NGISIZE UKUNQOBA UKUPHUMA KWAMOYA EMATHUNJINI NGOKUNGAPHELI (UKUBHODLA NJALO) Ngiphethwe yilokhu okungenhla unyaka wonke manje. Ngicela ungisize ngezixazululo zezokwelapha zokwelapha. Ngiyabonga

Impendulo:
Umswani eziswini uvela emithonjeni emibili: umoya owugwinyayo kanye nokubola kokudla okungagayekile okwenziwa amagciwane emathunjini amakhulu (ikholo). Ukudla okuthile kungabanga umswani. Ukudla okubanga umswani kumuntu oyedwa kungase kungabangi umswani komunye. Unganciphisa umswani onawo ngokuthi   • Uphuze amanzi amaningi neziphuzo ezingenagesi   • Udle kancane ukuze ungagwinyi umoya omningi uma udla   • Ugweme imikhiqizo yobisi uma unenkinga yokungakwazi ukugaya ilakthosi   Imithi ingasiza ukunciphisa umswani noma ubuhlungu nokuvuvukala okubangwa umswani. Uma izimpawu zakho zisaqhubeka zikukhathaza, bona udokotela wakho.


Umbuzo:
Sidinga ukwelashwa kwesifo sokungaqiniseki. Ubaba wami ulahlekelwa ukuqiniseka ngenkathi ehamba noma egibela izitebhisi, ngakho-ke sicela, ngakho-ke sicela usisize ekulapheni lesi sifo.

Impendulo:
Zilaphwa kanjani izifo zokungalingani? Into yokuqala udokotela azoyenza uma unenkinga yokungalingani ukuthola ukuthi ngabe kunesifo esinye sezempilo noma umuthi obangela lokhu. Uma kunjalo, udokotela wakho uzokulapha leso sifo, aphakamise umuthi ohlukile, noma akudlulisele kososayensi uma leso sifo singaphandle kolwazi lwakhe.

Uma une-BPPV (isifo sokuzulazula okubangwa ukushintsha kwesikhundla sekhanda), udokotela wakho angancoma ukuthi wenze uhla lweminyakazo elula, njenge-Epley maneuver (uhlelo lweminyakazo yokwelapha), engasiza ukukhipha ama-otoconia (amatshe amancane endlebeni) esitubeni esiyisiyingi. Ezimweni eziningi, iseshini eyodwa iyasebenza. Abanye abantu badinga inqubo kaningana ukuze kwelaphere isiyezi sabo.

Isithombe 1: Indlebe kanye nohlelo lwe-vestibular (ingxenye yendlebe ebhekene nokulingana komzimba)
Ukukhipha ama-otoconia kusetshenziswa i-Epley maneuver
Isiqinisekiso: NIDCD

Uma utholakala une-Ménière's disease (isifo sendlebe sangaphakathi), udokotela wakho angancoma ukuthi wenze ezinye izinguquko ekudleni kwakho futhi, uma ubhema, ukuthi uyeke ukubhema. Imithi yokulwa nesiyezi noma yokulwa nokubuyisa ingasiza izimpawu zakho, kodwa ingakwenza uphathwe ubuthongo.

Eminye imithi, njenge-gentamicin (umuthi wokubulala amagciwane) noma ama-corticosteroids (imithi yokwehlisa ukuvuvukala) ingasetshenziswa. Yize i-gentamicin inganciphisa isiyezi ngcono kunama-corticosteroids, ngesinye isikhathi ibangela ukulahlekelwa ukuzwa okungapheli. Kwezinye izimo ezinzima ze-Ménière's disease, ukuhlinzwa kwezitho ze-vestibular kungadingeka.

Abanye abantu abanesifo sokungalingani bangeke bakwazi ukwelapha ngokugcwele isiyezi sabo futhi bazodinga ukuthola izindlela zokubhekana naso. Umteraphi wokuvuselela i-vestibular angakusiza ukuthuthukisa uhlelo lokulapha oluzimele.

Khuluma nodokotela wakho ngokuthi ingabe kuphephile yini ukushayela, kanye nezindlela zokunciphisa ubungozi bakho bokuwa nokuzilimaza ngesikhathi wenza imisebenzi yansuku zonke. Lokhu kufaka phakathi ukwenyuka noma ukwehla izitebhisi, ukusebenzisa indlu yangasese, noma ukuzilolonga.

Ukuze unciphise ubungozi bakho bokulimala ngenxa yesiyezi:
- Gwema ukuhamba ebumnyameni.
- Gqoka izicathulo ezinensinzwa ephansi noma izicathulo zokuhamba ngaphandle.
- Uma kunesidingo, sebenzisa ukhashana noma i-walker.
- Guqula izimo ekhaya lakho nasendaweni yokusebenza, njengokuthi ufake izibambo zokubamba.


Umbuzo:
Kuba njani ukubuyela esimweni ngemuva kwesifo sohlangothi (i-stroke)?

Impendulo:
Okungenzeka (Okulindelekile)

Ukuthi umuntu uyaphila kanjani emva kokushaywa yisifo sohlangothi kuncike:

    • Uhlobo lwesifo sohlangothi
    • Ukuthi mangakanani amasosha obuhlalu bobuchopho alimele
    • Yiziphi izinhlaka zomzimba ezithintekile
    • Ukushesha kokuthola ukwelashwa

Izinkinga zokuhamba, ukucabanga, nokukhuluma zivame ukuthuthuka emasontweni noma ezinyangeni emva kwe-stroke. Abantu abaningi abake baba ne-stroke bayaqhubeka nokuthuthuka ezinyangeni noma eminyakeni emva kwe-stroke yabo. Amaphesenti angaphezu kuka-50 abantu ababa ne-stroke bayakwazi ukusebenza nokuhlala emakhaya. Abanye abakwazi ukunakekela bona.

Uma ukwelashwa ngamakhambi okuhlakazela amahluli egazi kuphumelela, izimpawu ze-stroke zingashabalala. Kodwa-ke, iziguli zivame ukungafiki esibhedlela ngokushesha okwanele ukuthola lawa makhambi, noma zingakwazi ukuwathatha ngenxa yesimo sezempilo.

Abantu ababa ne-stroke ngenxa yokuqina kwegazi (i-stroke yokuvaleka kwemithambo) banamathuba amahle okuphila kunalabo ababa ne-stroke ngenxa kokopha ebuchosheni (i-stroke yokopha).

Ingozi yokuba ne-stroke yesibili iphakeme kakhulu emasontweni noma ezinyangeni emva kwe-stroke yokuqala. Ingozi iqala ukuncipha emva kwalesi sikhathi.


Umbuzo:
Ubani udokotela wezo wamahlone oqeqeshiwe nogunyaziwe oseduzane noma endaweni yase-Nashville, TN owenza ukuhlinzwa kwe-strabismus (ukuphambana kwamehlo). Ngicela ukhombise udokotela onobuchwepheshe nothembekile owenza lolu hlobo oluthile lokuhlinza.

Impendulo:
Thola udokotela oqeqeshelwe amehlo (i-American Academy of Ophthalmology - inhlangano yodokotela bamehlo base-Melika)


Umbuzo:
Ngifisa ukuthola olunye ulwazi mayelana nezindlela zokwelapha i-hiatal hernia kanye nokuphuma kweasidi esinyeni. Sengikhathele yi-Nexium (umuthi wokuhlanza isisu).

Impendulo:
UKWELASHWA KWE-REFLUX Isifo se-gastroesophageal reflux selashwa ngokwebanga lobungozi baso esiphimbeni (umphimbo).