Masithethe ngomthambo obalulekileyo odlula kwi-pelvis yakho: i-External Iliac Vein!

Namhlanje siza kuthetha ngomthambo wegazi obaluleke kakhulu emzimbeni wethu osenokuba awuzange uve ngawo, kodwa ubizwa ngokuba yi-'External Iliac Vein'. Ukwisinqe sethu, oko kukuthi, kwindawo yesinqe (ipelvis). Makhe sibone ukuba yintoni, kwenzeka ntoni kuwo, kwaye yintoni esinokuyenza ukuze siwugcine usempilweni.

Zithini iiVeins zangaphandle ze-Iliac?

Ngamafutshane, imithambo yegazi emikhulu ekwindawo yakho ye-pelvic. Cinga ngayo njengemithambo yegazi enceda ekuthwaleni igazi elisetyenzisiweyo, elingenaoksijini lisuka emzimbeni wakho ongezantsi, oko kukuthi, emilenzeni yakho, libuyele entliziyweni yakho.

Ezi ngokwenene zizinto ezandisiweyo ze-'Femoral Veins', imithambo yegazi ephambili emathangeni akho. Oku kuthetha ukuba igazi elingenaoksijini eliphuma emilenzeni yakho liphuma kwezi 'Femoral Veins' kwaye lijoyina 'External Iliac Veins' njengoko lisiya entliziyweni yakho. Uyayazi?

Ngaba imithambo ye-Iliac yangaphakathi iyafana?

Ewe, ukongeza kwi-'External Iliac Veins', kukho enye inkqubo yemithambo ebizwa ngokuba yi-'Internal Iliac Veins'. Zombini ezi zisebenza ngendlela efanayo. Nangona kunjalo, i-'Internal Iliac Veins' iqokelela igazi elingenaoksijini kwizitho ezingaphakathi kwi-pelvic cavity yakho. Oko kukuthi:

• Ukusuka ezinqeni zakho.
• Ukusuka kwilungu lokuzala langaphandle.
• Ngaphakathi kwethanga.
• kunye nendawo ephakathi kwempundu kunye nezitho zangasese (`Perineum`).

Ngoko ke, le mithambo 'yangaphandle' kunye 'neyangaphakathi ye-Iliac Veins' ziyadibana ukuze ziqokelele lonke igazi elingenaoksijini kwindawo ye-pelvic kunye nemilenze kwaye zenze indlela yokulithumela entliziyweni.

Ngoko ke kwenzeka ntoni kanye kanye nge-External Iliac Vein?

Ezi `External Iliac Veins` ziyinxalenye ebaluleke kakhulu kwinkqubo yokujikeleza kwegazi emzimbeni wethu. Umsebenzi wazo ophambili kukuthwala igazi eliphelelwe yioksijini libuyele entliziyweni. Livela phi eli gazi?

• Ukusuka ngaphambili kwesisu sakho nakwezinye izitho ezisesiswini sakho.
• Ukusuka kwimilenze engezantsi (ngaphantsi kwedolo).
• Ukusuka kwindawo yenkaba kunye namalungu okuzala.

Igazi elingenaoksijini eliqokelela kuzo zonke ezi ndawo liya kwicala lasekunene lentliziyo nge-'External Iliac Veins'.

Ubuthetha ngegazi elingenaoksijini ininzi? Ngaba yiloo nto ithethwa "ligazi eliluhlaza okwesibhakabhaka"?

Usenokuba ukhe weva abantu ngamanye amaxesha beyibiza ngokuba “ligazi eliluhlaza okwesibhakabhaka” okanye “igazi elingenaoksijini.” Igazi lethu aliluhlaza okwesibhakabhaka ngokwenene. Kodwa kukho into ethile ngalo:

Inkqubo yethu yokujikeleza kwegazi yenziwe ngemithambo yegazi, imithambo yegazi, kunye neminye imithambo yegazi emininzi emincinci. Uninzi lwexesha, yimithambo yegazi ethwala "igazi elilungileyo" (igazi elibomvu), elizele yioksijini kunye nezondlo, emzimbeni wonke. Le oksijini yinto efunekayo kwiseli nganye kunye nezicubu zomzimba wethu ukuze ziphile kwaye zisebenze.

Ngoko ke, emva kokuba iiseli emzimbeni zisebenzise le oksijini, inqanaba leoksijini kwelo gazi liyehla. Elo gazi lingenaoksijini yilo elibuyela entliziyweni ngemithambo yegazi.Intliziyo ipompa igazi libuyele emiphungeni (ngemithambo yemiphunga) ukuze ifumane ioksijini entsha. Eli gazi lingenaoksijini ngamanye amaxesha libizwa ngokuba "ligazi eliluhlaza okwesibhakabhaka" okanye "igazi elingenaoksijini." Oku mhlawumbi kungenxa yombala eliwukhuphayo phantsi kwesikhumba njengoko lihamba ngemithambo.

Le mivimbo ye-Iliac inxulumene njani nenkqubo yokujikeleza kwegazi?

Umbuzo obaluleke kakhulu. Kumacala asekunene nangasekhohlo omzimba wakho, kukho i-'External Iliac Vein' kunye ne-'Internal Iliac Vein'. Ekubeni ezi zikude kancinci nentliziyo, zikwabizwa ngokuba yi-'peripheral blood veins'. Ngokuhambelana nale 'Iliac Veins', kukho i-'Iliac Arteries' ethwala igazi elineoksijini liyehla.

Ngoku khangela, kwinxalenye esezantsi yomqolo wakho, apho i-sacrum idibana khona ne-pelvis, kwi-joint ye-Sacroiliac (SI), le mithambo ye-Iliac yangaphandle neyangaphakathi iyadibana ukuze yenze imithambo ye-iliac eqhelekileyo yasekunene neyasekhohlo .

Emva koko, phezulu kancinci, malunga ne-vertebra yesihlanu kumqolo wakho, la mathambo e-Common Iliac Veins asekunene nasekhohlo ayadibana ukuze enze umthambo omkhulu emzimbeni wethu, i-Inferior Vena Cava. Loo Inferior Vena Cava yiyo ethwala lonke igazi elingena-oxygen ukusuka emzimbeni ongezantsi ukuya kwi-atrium yasekunene yentliziyo. Ayisiyondlela imangalisayo na le?

Ziphi kanye kanye ii-External Iliac Veins?

Ezi `External Iliac Veins` zifumaneka ngaphakathi kwi-pelvis yakho. Njengoko bekutshiwo ngaphambili, zilulwandiso oluphezulu lwe-`Femoral Veins` emathangeni akho. Ukuchaneka:

• Ezi ziqala ngaphantsi kwenkaba yakho, ngasemva kweendidi ezimbini zezicubu ezibizwa ngokuba yi-Inguinal Ligaments kwindawo yakho yemiphunga. Le ligament idibanisa izihlunu zesisu sakho ne-pelvis yakho.
• Emva koko le mithambo inyuka ihambelane ne-Iliac Arteries, ethwala igazi elineoksijini ukuya emilenzeni, kummandla we-pelvic, nakwizitho zokuzala.
• Ihamba ecaleni komphetho ongaphezulu wepelvis yakho (umphetho wepelvic) ukuya kwi-sacrum.
• Kolu hambo, umchamo udlula kwiityhubhu ezithwala umchamo ukusuka kwizintso ukuya kwisinyi (`ureters`) kunye ne-vas deferens kumadoda okanye kuma-ovari kubasetyhini.
• Ekugqibeleni, i-'Internal Iliac Veins' iyadibana ukuze yenze i-'Common Iliac Veins', ethi yona yenze i-'Inferior Vena Cava'.

Ngaba kukho eminye imithambo emincinci eqokelela igazi kwimithambo ye-Iliac yangaphandle?

Ewe, eminye imithambo emincinci emininzi iqokelela igazi elingenaoksijini kwi-'External Iliac Veins'. Nazi imizekelo embalwa:

• Umthambo we-Epigastric ongaphantsi : Lo mthambo uqokelela igazi kwimisipha yesisu engaphambili engaphezulu kwe-inguinal ligament.
• `Deep Iliac Circumflex Vein` : Le idlula kwi`External Iliac Artery` ize iqokelele igazi kwi`External Iliac Vein`.
• `Imithambo ye-Pubic` : Iqokelela igazi kwindawo yenkaba.

Ziziphi iimeko ezinokuchaphazela imithambo ye-Iliac yangaphandle?

Ngelishwa, kukho iimeko ezininzi zempilo ezinokuchaphazela le mithambo ibalulekileyo. Masiqaphele loo nto.

1. I-Deep Vein Thrombosis (DVT)

Le yimeko abantu abaninzi abaye beva ngayo, kwaye inokuba yingozi kakhulu. `Deep Vein Thrombosis` okanye `DVT` kuxa igazi elinye okanye ngaphezulu lenzakala kumthambo onzulu emilenzeni yakho. Eli hlwili legazi (`thrombus`) linokuthintela ngokupheleleyo okanye ngokuyinxenye ukuhamba kwegazi emthanjeni.

Kubalulekile: Ihlwili legazi (`Trombus`) emlenzeni lisenokungabi yingozi ebomini ngoko nangoko. Nangona kunjalo, kufuneka linyangwe ngokukhawuleza ukuze linyibilikise ihlwili. Ngaphandle koko, linokuphuma libe yi-`Embolus` ehamba ngegazi.

2. Amahlwili egazi aya emiphungeni (Pulmonary Embolism)

Oku kungaba ngumphumo oyingozi kakhulu we-'DVT'. Ukuba ihlwili legazi le-'DVT' elenzeka emlenzeni liyaqhekeka, lihambe liye egazini, lize lihlale kwimithambo yegazi ethwala igazi liye emiphungeni ('Pulmonary Arteries'), oko kubizwa ngokuba yi-'Pulmonary Embolism'.

Le yimeko eyingozi kakhulu. Kuba ubungakanani begazi kunye neoksijini efikelela emiphungeni iyancipha, kwaye uxinzelelo kwimithambo yemiphunga luyanda. Oku kunokubangela umonakalo entliziyweni nasemiphungeni. Le yimeko engxamisekileyo efuna unyango olukhawulezileyo.

3. Ukungasebenzi kakuhle kwemithambo yegazi (i-CVI)

Imithambo yemilenze esempilweni ineevalvu ezincinci ngaphakathi kuyo. Ezi zinceda ukuba igazi elingenaoksijini libuyele entliziyweni, eyinxalenye ephezulu yomzimba, ngaphandle kokuya ezantsi kwakhona. Nangona kunjalo, ukuba ezi valve zonakele, igazi liqala ukuvuza kwakhona. Emva koko igazi lingaqokelelana emilenzeni engezantsi, okubangela ukudumba, ubunzima, kunye nentlungu. Oku kubizwa ngokuba yi-'Chronic Venous Insufficiency (CVI). 'DVT', uxinzelelo lwegazi oluphezulu, iithumba ze-pelvic, kunye nokungasebenzi kakuhle kwemithambo yegazi kunokubangela 'CVI'.

4. Isifo sikaMeyi-Thurner

Oku kukwabizwa ngokuba yi-'Iliac Vein Compression Syndrome'. Kule meko, i-'Iliac Artery' yasekunene (umthambo) kunye ne-'Iliac Vein' yasekhohlo (umthambo) zicinezelwe emgogodleni. Xa oku kucinezelwe, igazi alikwazi ukuhamba kakuhle ngaloo mthambo ukuya entliziyweni. Igazi linokubuthana kwindawo enye lize libangele ukudumba emilenzeni, kwaye ngamanye amaxesha i-'DVT' inokubakho.

Ndingayigcina njani imithambo yam yangaphandle ye-Iliac isempilweni?

Ngethamsanqa, kukho izinto esinokuzenza ukugcina le mithambo ibalulekileyo isempilweni nokunciphisa umngcipheko wokuqhekeka kwegazi.

• Musa ukuhlala kwindawo enye ixesha elide. Nciphisa ukuma nokuhlala ixesha elide kakhulu. Oku kwandisa umngcipheko wokuqhekeka kwegazi. Sukuma uhambe kwaye ujikeleze ubuncinane kanye ngeyure ukuba kunokwenzeka. Zama ukuba ngumthambo womzimba uninzi lweentsuku zeveki.
• Yitya ukutya okunempilo okunentliziyo. Yitya ukutya okunesondlo okunamafutha aphantsi kunye ne-cholesterol. Gcina ubunzima obusempilweni.
• Lawula uxinzelelo. Khulula ingqondo yakho ngezinto ezifana nokucamngca okanye ukuhambahamba nomhlobo.
• Lawula izifo ezonakalisa imithambo yegazi. Ukuba unezifo ezifana ne-'Diabetes Mellitus', uxinzelelo lwegazi oluphezulu, kunye namanqanaba aphezulu e-cholesterol, zilawule kakuhle ngokweengcebiso zonyango.
• Yeka ukutshaya neemveliso zecuba ngokupheleleyo. Ukusebenzisa icuba konakalisa imithambo yegazi kunye nemithambo yegazi.
• Nxiba iisokisi zokucinezela ukuba ugqirha wakho uyacebisa. Ezi zinceda ekuthinteleni ukuba igazi lingangeni emilenzeni yakho lize lenze amahlwili egazi.

Ufanele uye nini kugqirha?

Ukuba unempawu enye okanye ezingaphezulu kwezi zidweliswe ngezantsi, nceda ubone ugqirha ngokukhawuleza. Ngamanye amaxesha ezi zinokuba ziimpawu zesifo esinzulu.

• Intlungu ebuhlungu, engachazekiyo esifubeni, emagxeni, emqolo, okanye emhlathini.
• Ukuba ukhohlela igazi .
• Ukuba unengxaki yokuhamba, okanye ukuba uva iintlungu xa uhamba okanye ulele.
• Ukuba unesizungu okanye uphelelwa ngamandla (syncope).
• Ukuba kukho ukudumba ('i-Edema') okanye ukutshintsha kombala emilenzeni.
• Ukuba ubila kakhulu.
• Ukuba ukubetha kwentliziyo kuyakhawuleza.
• Ukuba unezilonda ezingapholiyo emilenzeni okanye ezinyaweni zakho.
• Ukuba ulusu luba mhlophe, lubanda, luze lube nombala oluhlaza okwesibhakabhaka.
• Ukuba unengxaki yokuphefumla okanye ukuphefumla kancinci.

Umyalezo Wokuya Ekhaya

I-'External Iliac Veins' yinkqubo yemithambo ethwala igazi elingena-oxygen ukusuka kwiindawo ezisezantsi zomzimba wethu ukuya entliziyweni. Idibana ne-'Femoral Veins' kunye ne-'Internal Iliac Veins' ukuze zenze i-'Inferior Vena Cava', umthambo omkhulu emzimbeni wethu.

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Amahlwili egazi kwimithambo enzulu yemilenze (DVT) kunye namahlwili aya emiphungeni (Pulmonary Embolism) angakhokelela kwiimeko eziyingozi. Ke ngoko, kubaluleke kakhulu kwimpilo yakho ukuba ufune unyango ngokukhawuleza ukuba ufumana iimpawu ezinxulumene nemithambo. Ukulandela indlela yokuphila enempilo kunokukhusela le nkqubo yemithambo.

Khumbula, kubalulekile ukukhathalela umzimba wakho nokuqaphela naziphi na iimpawu. Ukuqaphela impilo yakho yeyona ndlela ilungileyo yokuphila ubomi obusempilweni.

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Umthambo we - Iliac wangaphandle, Umthambo we-Iliac wangaphakathi, i-Pelvis, imithambo, ukuhamba kwegazi, i-DVT, i-Pulmonary Embolism, amahlwili egazi, ukudumba kwemilenze, isifo semithambo