Ngubani lo Gqirha weMithambo? Masithethe ngale nto ngokulula!

Ngaba wakha weva ngogqirha 'wemithambo yegazi '? Usenokulifumana lingaqhelekanga eli gama, okanye usenokungazi ukuba bangoobani. Kodwa aba liqela loogqirha abaziingcali abadlala indima ebaluleke kakhulu ekunyangeni izifo ezinxulumene nenkqubo yemithambo yegazi emzimbeni wethu. Ngoko ke, namhlanje siza kuthetha ngoobani aba bantu, yintoni kanye kanye abayenzayo, kwaye kuya kwenzeka ntoni ukuba udibana nogqirha onjalo, ngokulula nje.

Ngubani lo gqirha wemithambo yegazi?

Ngamafutshane, ugqirha otyanda imithambo yegazi ngugqirha oxilonga aze anyange izifo ezinxulumene nemithambo yegazi emzimbeni wakho, ngaphandle kwemithambo yegazi esentliziyweni nasengqondweni yakho. Cinga nje, imizimba yethu inenethiwekhi yemithambo yegazi emalunga neekhilomitha ezingama-60,000 ubude, okanye iikhilomitha ezingama-96,000 ubude! Ezi ziquka imithambo yegazi - imithambo yegazi ethwala igazi esuka entliziyweni ukuya emzimbeni wonke, imithambo yegazi - imithambo yegazi ethwala igazi ukusuka emzimbeni ukuya entliziyweni, kunye nemithambo yegazi - imithambo yegazi ethwala ulwelo lwe-lymph, olunceda inkqubo yomzimba yokuzikhusela.

Ngoko ke aba gqirha bemithambo yegazi ziingcali ezinolwazi olunzulu ngazo zonke ezi mithambo yegazi, indlela ezisebenza ngayo, kunye nezifo ezinokuvela kuzo. Ukuba kukho ingxaki ngemithambo yegazi yakho, aba bantu banokukunceda uyilawule kwaye bakugcine usempilweni.

Ungadibana nomnye waba gqirha eofisini yabo, okanye esibhedlele, okanye nokuba kufuneka wenze utyando. Aba bantu banobuchule kakhulu ekusombululeni iingxaki ezinkulu zonyango kunye nokusebenza nge-anatomy entsonkothileyo. Enyanisweni, ngamanye amaxesha babizwa ngokuba " ngugqirha wotyando." Oku kuthetha ukuba ukuba unesifo sokopha esingalindelekanga okanye ukuvaleka kwemithambo yegazi ngexesha lotyando olunye, aba gqirha botyando lwemithambo yegazi ngabona bancedayo.

Benza ntoni aba gqirha?

Kulungile, yintoni kanye kanye eyenziwa ngugqirha wemithambo yegazi? Makhe sibone.

Aba bantu banyanga abantu abanezifo ezichaphazela yonke eminye imithambo yegazi, kungekuphela nje intliziyo okanye ingqondo yakho.

• Baza kuvavanya umngcipheko wakho wokuba neengxaki zemithambo yegazi .
• Ukuchonga izifo.
• Emva koko kuya kwenziwa isicwangciso sonyango esikufaneleyo.

Esi sicwangciso sonyango sinokubandakanya amayeza kunye notshintsho kwimikhwa yakho yemihla ngemihla - umzekelo, ukuzilolonga kunye nokuqaphela into oyityayo neyiselayo.

Ngamanye amaxesha aba gqirha banokukunceda usindise ilungu lakho lomzimba , ngamanye amaxesha ubomi bakho . Banokuthintela iimeko ezifana nestroke , bayeke ukuqhekeka kwe-aneurysm , kwaye banciphise iintlungu ezibangelwa kukuvaleka kwemithambo yegazi.

Kwakhona, iinkqubo ezahlukeneyo kunye notyando lwenziwa ukunyanga izifo zemithambo yegazi. Ezi ziquka unyango olungenalo utyando kangako , olufana nolo lusebenzisa i-catheter, ngokusebenzisa imingxunya emincinci, kwanotyando oluvulekileyo oluntsonkothileyo, olubandakanya imingxunya emikhulu. Ngamanye amaxesha, benza nonyango oluxutyiweyo oludibanisa iingenelo zezi ndlela zombini.

Okubaluleke kakhulu, ugqirha wemithambo yegazi uya kukwazi njengomntu kwaye akunike inkxaso yexesha elide . Oku kungenxa yokuba izifo zemithambo yegazi zihlala zizifo ezihlala ixesha elide ezifuna unyango kangangeminyaka. Abantu abaninzi abaneengxaki zemithambo yegazi nabo banezinye iingxaki zempilo. Ke ngoko, izicwangciso zabo zonyango zinokuba nzima ngakumbi. Kwiimeko ezinjalo, oogqirha bemithambo yegazi basebenza nezinye iingcali ukulungelelanisa unyango lwakho.

Zeziphi izifo ezinyangwa ngaba bantu?

Ngoku makhe sijonge izifo eziphambili ezinyangwa ngoogqirha bemithambo yegazi. Olu luhlu lunokuba lude kancinci, kuba banyanga iintlobo ngeentlobo zezifo:

• Ii-aneurysms ze-aorta - Oku kukudumba eludongeni lwe-aorta yakho.
• I-atherosclerosis - Olu lolona hlobo luqhelekileyo lwe-atherosclerosis. Oku kwenzeka xa amanqatha eqokelelana ngaphakathi kwimithambo yegazi, nto leyo enciphisa imithambo yegazi.
• Izifo ezihlasela imithambo yegazi ngokuzenzekelayo - izifo apho inkqubo yomzimba yokuzikhusela ihlasela iiseli zomzimba.
• Amahlwili egazi - Oku kunokwenzeka kwimithambo yegazi okanye kwimithambo yegazi.
• Isifo semithambo ye-carotid - Oku kukuvaleka okanye ukuncitshiswa komthambo omkhulu entanyeni ohambisa igazi engqondweni.
• Isifo semithambo yegazi - izifo ezinxulumene nemithambo yegazi ehambisa igazi engqondweni.
• I-ischemia esongela amalungu omzimba engapheliyo yimeko esongela ubomi ebangelwa kukuphazamiseka kokunikezelwa kwegazi kwilungu.
• Ukungasebenzi kakuhle kwemithambo yegazi okungapheliyo okubangelwa kukonakala kwemithambo yegazi emilenzeni.
• I-Deep Vein Thrombosis (DVT) .
• I-Dialysis(I-Dialysis) Ukulungiselela ukufikelela kunye nokugcinwa - Oku kuyimfuneko kubantu abaneengxaki zezintso.
• Izilonda zeenyawo ezinxulumene nesifo seswekile .
• I-Endoleak (ukuvuza kwegazi kwindawo engafanelekanga) emva konyango olungenalo utyando lwe-aneurysm.
• Imeko ebangelwa kukucinezelwa komthambo esiswini (iMedian arcuate ligament syndrome - MALS) .
• Ukuncipha kokunikezelwa kwegazi emathunjini (i-Mesenteric ischemia) .
• Ukucinezelwa kwemithambo yesisu (i-Nutcracker syndrome) .
• Ukucinezelwa kwemithambo yegazi kunye nemithambo-luvo entanyeni nasezingalweni (i-Thoracic outlet syndrome) .
• Ukuncitshiswa kwemithambo yegazi emilenzeni (isifo semithambo yegazi ejikelezayo - i-PAD) .
• Imithambo yegazi ejikeleze igazi kunye nemithambo yegazi ene-aneurysms .
• Isifo sokubanjwa kwemithambo ye-popliteal artery .
• Ukucinezelwa komthambo kwi-pelvis (i-May-Thurner syndrome) .
• Istroke - Ngamanye amaxesha oku kubangelwa kukuvaleka kwemithambo yegazi.
• I-thrombosis yemithambo yegazi engaphezulu .
• Imithambo yeVaricose .

Xa ujonga olu luhlu, ungabona ukuba uluhlu olubanzi lwezifo ezinyangwa ngaba gqirha lubanzi kangakanani. Zonke ezi zifo zibangelwa yingxaki ethile kwinkqubo yegazi.

Zeziphi iimvavanyo ezisetyenziswayo ukufumanisa isifo?

Oogqirha botyando lwemithambo yegazi kunye namaqela abo basebenzisa iintlobo ngeentlobo zovavanyo ukuze bafumanise iingxaki zemithambo yegazi. Nazi ezinye zazo:

• I-Ankle/brachial index (ABI) - Olu luvavanyo olulula oluthelekisa ubungakanani bokuhamba kwegazi emilenzeni kunye noxinzelelo lwegazi engalweni.
• I-X-ray yesifuba - Oku kunokuba luncedo nakwezinye iingxaki zemithambo yegazi.
• I-CT angiogram - Olu luvavanyo olukhethekileyo lwe-CT olunokuthabatha imifanekiso eneenkcukacha, enemilinganiselo emithathu (3D) yemithambo yegazi.
• I-Magnetic resonance angiogram (MRA) - Olu lolunye uhlobo lokuskena ukujonga imithambo yegazi. Lusebenzisa umatshini we-MRI.
• I-Vascular ultrasound / i-Doppler ultrasound - Oku kusebenzisa amaza esandi ukujonga ukuhamba kwegazi ngaphakathi kwemithambo yegazi kunye nokujonga ukuba kukho naziphi na izithintelo kwimithambo yegazi. Olu luvavanyo olungenabuhlungu nolukhuselekileyo.

Olu vavanyo lunceda oogqirha bafumanise ukuba yintoni kanye kanye ingxaki yemithambo yegazi yakho.

Loluphi uhlobo lotyando/unyango abalwenzayo aba bantu?

Oogqirha bemithambo yegazi bayakwazi ukwenza iintlobo ngeentlobo zonyango kunye notyando. Konke oku bakwenza ngokusekelwe kwimeko yakho, bekhetha indlela efanelekileyo kuwe. Nazi ezinye zazo:

• Utyando lwe-arterial aneurysms(Utyando lwe-Aneurysm) - Olu lutyando oluvulekileyo lwendabuko.
• I-Angioplasty - Inkqubo yokususa i-plaque okanye amahlwili egazi kumthambo okanye kwimithambo yegazi kunye nokuvula umthambo wegazi ngokufutha ibhaluni. Ngamanye amaxesha kufakwa i -stent , ityhubhu encinci ye-mesh, ukugcina umthambo uvulekile.
• Ukususwa kwe-atherectomy - Ukususwa okuncinci kwamafutha (i-plaque) kwimithambo yegazi.
• I-Endarterectomy - Enye indlela yokususa ngotyando amanqatha kwimithambo yegazi (umz., i-carotid endarterectomy).
• Ukulungiswa kwemithambo yegazi ye-aortic aneurysms yesisu, isifuba kunye nesifuba (EVAR, TEVAR) - Olu lunyango olubandakanya ukufaka i-catheter nge-incision encinci e-groin uze udlule kwityhubhu, ngaphandle kokwenza i-incision enkulu.
• Utyando lokudlula kwiingxaki ezikwimithambo emikhulu kunye nemithambo ekwimilenze - ukudlula kwiingxaki ezibangelwa kukuvalwa kwazo nokudala indlela entsha kusetyenziswa isiqwenga somthambo esithathwe kwenye inxalenye yomzimba okanye ityhubhu yokwenziwa.
• Utyando lokubanjwa kwesisu .
• Ukubekwa kwe-stent kwimithambo yegazi.
• Ukubekwa kwesihluzo seVena cava - Isihluzo esincinci esibekwe kwi-great vein ukuthintela amahlwili egazi ayenzeka emilenzeni ukuba angahambi aye entliziyweni okanye emiphungeni.
• Ukuvuselelwa kwemithambo yegazi ye-Transcarotid (TCAR) ukuphucula ukuhamba kwegazi kwimithambo yegazi entanyeni.
• Utyando lokukhupha igazi esifubeni ukulungisa ukucinezelwa kwemithambo yegazi kunye nemithambo-luvo entanyeni nasezingalweni.
• Ukulungiswa nokugcinwa kweendlela zokufikelela (umz. i-fistula, i-graft) ze -dialysis .
• I-Thrombectomy kukususwa kwamahlwili egazi kwimithambo yegazi okanye kwimithambo yegazi.
• Ukunika amayeza okunyibilikisa amahlwili egazi (unyango lweThrombolytic - abaqhawuli bamahlwili egazi) .
• Utyando oluvulekileyo lokulungisa i- median arcuate ligament syndrome .
• Utyando oluvulekileyo lokulungisa idiski ene-herniated (i-Nutcracker syndrome) .
• Ukususwa kwemithambo yegazi enganeleyo - Olu lunyango lwemithambo ebuthathaka nevuzayo emilenzeni kusetyenziswa iilaser okanye amaza erediyo.

Kutheni uthunyelwa kugqirha wemithambo yegazi?

Ugqirha wakho oyintloko angakuthumela kugqirha wemithambo yegazi ukuba unemeko ebangela ukuba imithambo yegazi yakho ingasebenzi kakuhle. Cinga ngayo, imithambo yegazi esempilweni ithwala igazi kuwo onke amalungu omzimba wakho. Ngoko ke, ukuba umthambo wegazi omnye wonakele, unokuchaphazela wonke umzimba. Yiyo loo nto oogqirha bemithambo yegazi benendima ebaluleke kangaka ekufumaneni ukuba yintoni engalunganga kwaye bayilungise.

Ngokwesiqhelo, umntu uqala adibane nogqirha wemithambo yegazi xa efuna olu hlobo lonyango olukhethekileyo. Nangona kunjalo, ngamanye amaxesha, njengakwimeko engxamisekileyo yezonyango, unokudibana nomnye ngokungalindelekanga.

Igama elithi 'ugqirha' linokuba loyikisa kancinci. Uninzi lwabantu alwazi kakuhle ukuba yintoni ugqirha wemithambo yegazi de bafune omnye. Kodwa eneneni, aba gqirha benza okungaphezulu nje kokwenza utyando. Banyanga iingxaki ezininzi ngamayeza, utshintsho kwindlela yokuphila, kunye neenkqubo ezingangenisi mandla kangako.

Nangona kunjalo, ukuba uyatyandwa, kuya kufuneka uqhubeke ubona ugqirha ukuze ajonge imeko yakho emva koko. Emva koko, wena nogqirha ninokusebenzisana ukujonga naziphi na iingxaki ezintsha ezivelayo.

Ukuba ugqirha wakho ukuthumele kugqirha wemithambo yegazi, usenokuba nemibuzo emininzi. 'Kutheni kufuneka ndidibane nalo gqirha?', 'Kuza kwenzeka ntoni emva koko?', 'Ngaba ndiza kufuna utyando?' Khumbula ukuba ngenxa yokuba oogqirha bemithambo yegazi benyanga iimeko ezahlukeneyo kwaye baneendlela ezahlukeneyo zonyango, usenokungadingi utyando. Nangona kunjalo, ukuba kufuneka utyando, ugqirha wakho uza kuchaza isizathu kunye noko kuza kwenzeka. Xoxa ngayo nayiphi na imibuzo okanye iinkxalabo onokuba nazo nabo. Ngaleyo ndlela, unokufumana unyango olulungele wena, ukusuka ekuxilongweni ukuya ekuchacheni.

Khumbula ngokufutshane.

Kulungile, masikhumbule ngokufutshane izinto ezimbalwa ezibalulekileyo kuwe kwizinto esithethe ngazo:

• Ugqirha wemithambo yegazi yingcali enyanga izifo zayo yonke imithambo yegazi ngaphandle kwentliziyo nengqondo yakho.
• Aba bantu abenzi utyando nje kuphela. Basebenzisa izinto ezininzi ezifana namayeza, utshintsho kwindlela yokuphila, kunye nonyango oluncinci.
• Ukuba ucinga ukuba unengxaki yemithambo yegazi , okanye ukuba ugqirha wakho ukuthumele kwingcali enjalo, ungoyiki.
• Funda ngemeko yakho kunye nonyango lwakho. Kubaluleke kakhulu ukuthetha ngokukhululekileyo nogqirha wakho.
• Impilo yemithambo yegazi ibaluleke kakhulu kwimpilo yomzimba wonke , ngoko ke kufanelekile ukuyinyamekela.

Ngoko ke, ndiyathemba ukuba ngoku uyaqonda ngcono oogqirha abatyanda imithambo yegazi. Ukuba unemibuzo malunga noku, ungathandabuzi ukuthetha nogqirha!

Ugqirha Wemithambo, Izifo Zemithambo, Imithambo, Imithambo, Utyando, Ukuhamba Kwegazi