Nseru ndi kusanza - akulu

Nsautso ndikumverera kofuna kusanza. Nthawi zambiri amatchedwa "kudwala mpaka m'mimba mwako."

Kusanza kapena kuponya ndiko kukakamiza zomwe zili mmimba kudzera pa chitoliro cha chakudya (zotupa) ndikutuluka pakamwa.

Mavuto omwe angayambitse kusanza ndi kusanza ndi awa:

• Zakudya zolimbitsa thupi
• Matenda am'mimba kapena matumbo, monga "chimfine cham'mimba" kapena poyizoni wazakudya
• Kutuluka m'mimba (chakudya kapena madzi) kumtunda (komwe kumatchedwanso gastroesophageal reflux kapena GERD)
• Mankhwala kapena chithandizo chamankhwala, monga khansa chemotherapy kapena chithandizo chama radiation
• Migraine mutu
• Morning matenda pa mimba
• Matenda oyenda panyanja kapena kuyenda
• Kupweteka kwambiri, monga miyala ya impso
• Kugwiritsa ntchito chamba kwambiri

Kusuta ndi kusanza kungakhale zizindikilo zoyambirira za mavuto azachipatala, monga:

• Zowonjezera
• Kutsekedwa m'matumbo
• Khansa kapena chotupa
• Kumeza mankhwala kapena poizoni, makamaka ndi ana
• Zilonda zamkati mwa m'mimba kapena m'matumbo ang'ono

Wothandizira zaumoyo wanu akapeza chifukwa chake, mudzafuna kudziwa momwe mungachitire ndi mseru wanu kapena kusanza.

Mungafunike:

• Tengani mankhwala.
• Sinthani kadyedwe kanu, kapena yesani zinthu zina kuti mukhale bwino.
• Imwani zakumwa zochepa zomveka bwino nthawi zambiri.

Ngati muli ndi matenda am'mawa mukakhala ndi pakati, funsani omwe akukuthandizani zamankhwala omwe angakhalepo.

Zotsatirazi zitha kuthandiza kuchiritsa matenda oyenda:

• Kukhala chete.
• Kutenga antihistamines, monga dimenhydrinate (Dramamine).
• Kugwiritsa ntchito zigamba za khungu la scopolamine (monga Transderm Scop). Izi ndizothandiza pamaulendo ataliatali, monga ulendo wapanyanja. Gwiritsani ntchito chigambacho monga omwe amakupatsani. Scopolamine ndi ya akulu okha. Sayenera kupatsidwa kwa ana.

Itanani 911 kapena pitani kuchipinda chadzidzidzi ngati:

• Ganizirani kuti kusanza kumeneku ndi chifukwa chakupha
• Zindikirani magazi kapena zakuda, zakuda kofi m'masanzi ake

Imbani wothandizira nthawi yomweyo kapena pitani kuchipatala ngati inu kapena munthu wina muli:

• Ndakhala ndikusanza kwa nthawi yayitali kuposa maola 24
• Sanathe kusunga madzi aliwonse kwa maola 12 kapena kupitilira apo
• Mutu kapena khosi lolimba
• Osakodza kwa maola 8 kapena kupitilira apo
• Kupweteka kwambiri m'mimba kapena m'mimba
• Vomited katatu kapena kupitilira apo tsiku limodzi

Zizindikiro zakusowa kwa madzi m'thupi ndi monga:

• Kulira popanda misozi
• Pakamwa pouma
• Kuchuluka kwa ludzu
• Maso omwe amawoneka akumira
• Kusintha kwa khungu: Mwachitsanzo, ngati mumakhudza kapena kufinya khungu, silibwezera m'mbuyo momwe limakhalira
• Kukodza pafupipafupi kapena kukhala ndi mkodzo wachikasu wakuda

Wothandizira anu amayesa thupi ndipo adzawona zizindikiritso za kuchepa kwa madzi m'thupi.

Wothandizira anu adzafunsa mafunso okhudzana ndi zizindikilo zanu, monga:

• Kusanza kunayamba liti? Zakhala nthawi yayitali bwanji? Zimachitika kangati?
• Kodi zimachitika mukatha kudya, kapena pamimba yopanda kanthu?
• Kodi pali zizindikiro zina monga kupweteka m'mimba, malungo, kutsegula m'mimba, kapena kupweteka mutu?
• Kodi mukusanza magazi?
• Kodi mukusanza chilichonse chomwe chikuwoneka ngati khofi?
• Kodi mukusanza chakudya chosagayidwa?
• Ndi liti pamene mudakodza?

Mafunso ena omwe mungafunsidwe ndi awa:

• Kodi mwakhala mukutaya thupi?
• Kodi mwakhala mukuyenda? Kuti?
• Mumamwa mankhwala ati?
• Kodi anthu ena omwe amadya pamalo omwewo muli ndi zisonyezo zomwezo?
• Kodi muli ndi pakati kapena mutha kukhala ndi pakati?
• Mumagwiritsa ntchito chamba? Ngati inde, mumagwiritsa ntchito kangati?

Mayeso ozindikira omwe atha kuchitidwa ndi awa:

• Kuyezetsa magazi (monga CBC yokhala ndi kusiyanasiyana, kuchuluka kwa magazi pamagetsi, komanso kuyesa kwa chiwindi)
• Kupenda kwamadzi
• Kujambula maphunziro (ultrasound kapena CT) pamimba

Kutengera ndi zomwe zimayambitsa komanso madzi ena owonjezera omwe mungafune, mungafunike kukhala mchipatala kapena kuchipatala kwakanthawi. Mungafunike madzi amadzimadzi omwe amaperekedwa kudzera mumitsempha yanu (intravenous or IV).

Emesis; Kusanza; Kutupa m'mimba; Kukhumudwa m'mimba; Chokhalitsa

• Chotsani zakudya zamadzi
• Zakudya zamadzi zonse

• Dongosolo m'mimba

Crane BT, Mazira SDZ, Zee DS. Matenda apakati a vestibular. Mu: Flint PW, Haughey BH, Lund V, et al, olemba. Cummings Otolaryngology. Lachisanu ndi chimodzi. Philadelphia, PA: Elsevier Saunders; 2015: chap 166.

Guttman J. Nausea ndi kusanza. Mu: Makoma RM, Hockberger RS, Gausche-Hill M, eds. Rosen's Emergency Medicine: Concepts and Clinical Practice. 9th ed. Philadelphia, PA: Elsevier; 2018: mutu 26.

Mcquaid KR. Yandikirani kwa wodwalayo ali ndi matenda am'mimba. Mu: Goldman L, Schafer AI, olemba. Mankhwala a Goldman-Cecil. 26 wa. Philadelphia, PA: Elsevier; 2020: chap 123.