Nausea uye kurutsa - vakuru

Nausea kunzwa kuda kurutsa. Inowanzodaidzwa kuti "kurwara kusvika padumbu rako."

Kurutsa kana kukanda-kumanikidza kumanikidza zvirimo mudumbu kumusoro kuburikidza nepombi yekudya (esophagus) uye kunze kwemuromo.

Zvinetso zvakajairika zvinogona kukonzera kusvotwa uye kurutsa zvinosanganisira:

• Kurwara kwechikafu
• Zvirwere zvemudumbu kana ura, senge "dumbu furu" kana chepfu yekudya
• Kudonha kwemukati memudumbu (chikafu kana mvura) kumusoro (inonziwo gastroesophageal reflux kana GERD)
• Mishonga kana kurapwa, senge cancer chemotherapy kana radiation radiation
• Migraine misoro
• Morning chirwere panguva yepamuviri
• Kurwara kwegungwa kana kufamba kwekufamba
• Kurwadziwa kwakanyanya, senge neitsvo matombo
• Kunyanya kushandiswa mbanje

Nausea uye kurutsa zvinogona zvakare kuve ekutanga nyevero zviratidzo zvematambudziko akakomba ekurapa, akadai se:

• Appendicitis
• Kuvharika mumatumbu
• Gomarara kana bundu
• Kuisa mushonga kana chepfu, kunyanya nevana
• Maronda ari mukati memudumbu kana mudumbu

Kamwe kana mupi wako wezvehutano awana chikonzero, iwe uchazoda kuziva maitiro ekurapa yako svoto kana kurutsa.

Ungangoda ku:

• Tora mushonga.
• Chinja dhayeti yako, kana kuyedza zvimwe zvinhu kuti unzwe zvirinani.
• Inwa zvishoma zvishoma zvinwiwa zvakajeka kazhinji.

Kana iwe uine chirwere chamangwanani panguva yekuzvitakura, bvunza mupi wako nezve zvinogona kurapwa.

Izvi zvinotevera zvinogona kubatsira kubata chirwere chekufamba:

• Kuramba wakamira.
• Kutora pamusoro-the-counter antihistamines, senge dimenhydrinate (Dramamine).
• Uchishandisa scopolamine prescription yeganda zvigamba (senge Transderm Scop). Izvi zvinobatsira panzendo dzakareba, senge rwendo rwegungwa. Shandisa chigamba sekupa kwaunopihwa nemupi wako. Scopolamine ndeyevanhu vakuru chete. Haifanirwe kupihwa vana.

Fonera 911 kana enda kuimba yekukurumidzira kana iwe:

• Funga kuti kurutsa kunobva kune chepfu
• Cherekedza ropa kana rakasviba, kofi-ruvara zvinhu mumarutsi

Fonera mupiki ipapo kana kutsvaga kurapwa kana iwe kana mumwe munhu aine:

• Wanga uchirutsa kwenguva yakareba kupfuura maawa makumi maviri nemana
• Wakatadza kuchengeta chero mvura inoyerera pasi kwemaawa gumi nemaviri kana kudarika
• Kutemwa nemusoro kana kuomesa mutsipa
• Kwete weti kwemaawa masere kana anopfuura
• Yakanyanya dumbu kana dumbu kurwadziwa
• Yakarutsirwa katatu kana kupfuura nguva muzuva rimwe

Zviratidzo zvekushayikwa kwemvura zvinosanganisira:

• Kuchema pasina misodzi
• Muromo wakaoma
• Kuwedzera nyota
• Maziso anoita kunge akanyura
• Kuchinja kweganda: Semuenzaniso, kana ukabata kana kusvina ganda, haridzokere shure nenzira yarinowanzoita
• Kuita weti kushoma kana kuve nerima yero weti

Wako mupi achaita bvunzo dzepanyama uye achatsvaga zviratidzo zvekushaya mvura mumuviri.

Wako mupi achabvunza mibvunzo nezve ako zviratidzo, senge:

• Kurutsa kwakatanga riini? Yakareba zvakadii? Zvinoitika kangani?
• Zvinoitika mushure mekudya, kana padumbu risina chinhu?
• Pane zvimwe zviratidzo zviripo sekurwadziwa mudumbu, fivha, manyoka, kana kutemwa nemusoro?
• Uri kurutsa ropa here?
• Uri kurutsa chero chinhu chinoita senge kofi nzvimbo?
• Uri kurutsa chikafu chisina kugayiwa here?
• Wakapedzisira riini kuita weti?

Mimwe mibvunzo iwe yaungabvunzwe inosanganisira:

• Wanga uchirasikirwa nehuremu here?
• Wanga uchifamba rwendo here? Kupi?
• Unotora mishonga ipi?
• Pane vamwe vanhu vaidya panzvimbo imwechete newe vane zviratidzo zvakafanana here?
• Une nhumbu here kana kuti unogona kuve nepamuviri?
• Unoshandisa mbanje here? Kana hongu, unoishandisa kangani?

Bvunzo dzekuongorora dzinogona kuitwa dzinosanganisira:

• Ropa bvunzo (senge CBC ine musiyano, ropa electrolyte mazinga, uye chiropa mashandiro ebasa)
• Kuongorora urinal
• Kufungidzira zvidzidzo (ultrasound kana CT) yedumbu

Zvichienderana nechakakonzera uye nemvura yakawanda sei yaungade, ungatofanira kugara muchipatara kana kukiriniki kwenguva yakati. Ungangoda zvinwiwa zvinopihwa kuburikidza netsinga dzako (intravenous kana IV).

Emesis; Kusvipa; Dumbu rinogumbuka; Kugumbuka mudumbu; Queasiness

• Bvisa mvura yekudya
• Chizere chemvura chikafu

• Kugaya chirongwa

Crane BT, Mazai SDZ, Zee DS. Matambudziko epakati epakati. Mune: Flint PW, Haughey BH, Lund V, et al, eds. Cummings Otolaryngology. 6th ed. Philadelphia, PA: Elsevier Saunders; 2015: chits. 166.

Guttman J. Nausea uye kurutsa. Mune: Masvingo RM, Hockberger RS, Gausche-Hill M, eds. Rosen's Emergency Medicine: Concepts uye Clinical Practice. 9th ed. Philadelphia, PA: Elsevier; 2018: chitsiko 26.

Mcquaid KR. Kusvika kune murwere ane chirwere chemudumbu. Mune: Goldman L, Schafer AI, eds. Goldman-Cecil Mushonga. 26th ed. Philadelphia, PA: Elsevier; 2020: chap 123.