Ingaba unehlwili legazi emthanjeni engalweni yakho? (I-Axillo-Subclavian Vein Thrombosis) - Masithethe ngale nto!

Ngaba ngamanye amaxesha uziva intlungu ebukhali ngequbuliso engalweni yakho, ukudumba, okanye umbala oluhlaza okwesibhakabhaka? Okanye ingaba ingalo yakho ivakala ngathi ayisebenzi okanye inzima? Ezi asizompawu zokungazinanzi. Isenokuba lihlwili legazi kumthambo omkhulu engalweni yakho okanye ekhwapheni. Ngokwezonyango, oku sikubiza ngokuba yi- (Axillo-Subclavian Vein Thrombosis) okanye (ASVT) . Ungakhathazeki, siza kuthetha ngale nto ngendlela elula onokuyiqonda.

Yintoni le (i-Axillo-Subclavian Vein Thrombosis)?

Ngamafutshane, i-Axillo-Subclavian Vein Thrombosis (ASVT) kuxa ihlwili legazi lenzeka kwi- subclavian vein , umthambo omkhulu egxalabeni lakho, okanye kwi-axillary vein, umthambo osekhwapheni lakho. Cinga ngemithambo yakho njengemibhobho yamanzi. Ukuba ubambo okanye isiqwenga senyama esikufutshane nalo mthambo sicinezelwa kuyo, sinokuvimba ukuhamba kwegazi kwaye sibangele ukuba ihlwili legazi lenzeke.

Le meko idla ngokubangelwa kukwenzakala engalweni yakho engasentla, okanye luxinzelelo engalweni yakho olubangelwa kukuhamba okuphindaphindiweyo. Abanye abantu bayibiza ngokuba yiPaget-Schroetter syndrome , ngelixa abanye bayibiza ngokuba yi-effort-induced thrombosis , nto leyo ethetha "ukugabha kwegazi okubangelwa kukusebenza nzima."

Ingaba oku (Deep Vein Thrombosis - DVT) kunqabile?

Ewe, unokuba naloo ngxaki. (ASVT) luhlobo lwemeko ebizwa ngokuba yi- (Deep Vein Thrombosis) okanye (DVT) . (DVT) kuxa ihlwili legazi lenzeka emthanjeni nzulu emzimbeni. Kodwa uninzi lwexesha xa sithetha nge-(DVT) sithetha ngamahlwili egazi ayenzeka emilenzeni. Adla ngokubangelwa zizinto ezifana nokutyeba kakhulu, ukungakwazi ukwenza umthambo, ukwaluphala, okanye ezinye izifo ezinxulumene nemithambo.

Nangona kunjalo, amahlwili egazi esandleni, abizwa ngokuba yi-ASVT, adla ngokubangelwa yingozi okanye kukusetyenziswa ixesha elide kwesandla. Iimpawu kunye nonyango lwezi meko zimbini ngamanye amaxesha zinokwahluka.

Ngubani onokuthi aphuhlise oku (ASVT)?

Nangona nabani na enokufumana le meko, abanye abantu basengozini enkulu. Oku kuquka:

• Ihlala isebenza, isempilweni ngokubanzi .
• Ulutsha oluphakathi kweminyaka eli-15 nengama-45 ubudala .
• Abantu abadlala imidlalo (umz. ababhowuli abakhawulezayo kwi-cricket, ababhukudi, abaphakamisi beentsimbi) okanye abantu abasebenza ngeengalo zabo eziphakanyisiweyo rhoqo (umz. abapeyinti, oogesi, abantu abenza imisebenzi yokuphakamisa ubunzima). Khawucinge nje, xa usebenza ngeengalo zakho eziphakanyisiweyo nezijijekileyo ngendlela efanayo, uxinzelelo lufakwa kuloo mithambo.
• Abantu abaneengxaki ezithile zofuzo zokujiya kwegazi .

Ngaba kukho iintlobo ezahlukeneyo ze-(ASVT)?

Ewe, kukho iintlobo ezimbini eziphambili ze-(ASVT):

1. I-ASVT ePhambili:Olu lolona hlobo luqhelekileyo, olubangelwa ziintshukumo ezinzima neziphindaphindayo zesandla.

2. I-ASVT yesibini: Oku kubangelwa zizixhobo zonyango ezifakwe kwisifuba sakho esingaphezulu. Umzekelo:

• (I-catheter yemithambo ephakathi) (ityhubhu efakwe kumthambo oyintloko)
• (I-Defibrillator) (isixhobo esibuyisela ukusebenza kwentliziyo)
• (Isixhobo sokulawula ukubetha kwentliziyo) (isixhobo esilawula ukubetha kwentliziyo)
• (Isithuba samayeza) (Isixhobo esincinci esibekwa phantsi kwesikhumba ukuze sinike amayeza)

Ezi zixhobo zinokubangela ukuba imithambo yegazi iqine kwaye kubekho amahlwili egazi.

Ixhaphake kangakanani (i-ASVT)?

Enyanisweni, i-ASVT ayisiyonto ixhaphakileyo. Ngokwezibalo, iyenzeka kumntu omnye okanye ababini kwi-100,000 ngonyaka. Nangona kunjalo, yi-10% ukuya kwi-20% kuphela yazo zonke ii-DVTs ezikwicala eliphezulu ezibangelwa yi-ASVT. Ngoko ke, ngokombono, linani elibalulekileyo.

Zithini iimpawu ze-(ASVT)?

Ukuba une-ASVT, unokufumana enye okanye ngaphezulu kwezi mpawu:

• Intlungu yesandla: Iqala ngequbuliso, ngamanye amaxesha ibe qatha.
• Imithambo ebonakalayo ezandleni: Imithambo isenokubonakala idumbile ngenxa yokuhamba kwegazi okunciphileyo.
• Umbala wolusu oluhlaza okwesibhakabhaka (iCyanosis): Ulusu olusezandleni lunokutshintsha lube luhlaza okwesibhakabhaka. Oku kuthetha ukuba kukho ukunqongophala komoya-mpilo.
• Ukuziva unzima okanye udiniwe esandleni: Unokufumana kunzima ukuphakamisa okanye ukuhambisa isandla sakho.
• Ukudumba kwesandla ngequbuliso: Isandla siqala ukudumba ngequbuliso.

Okubalulekileyo kukuba, kwezinye iimeko (10% - 20%) eli hlwili legazi linokuphuma emthanjeni, lihambe ngegazi, lize liye emiphungeni. Oku kubizwa ngokuba yi-Pulmonary Embolism (PE) . Le yimeko eyingozi kakhulu . Ingabangela umonakalo omkhulu emiphungeni, kwaye inokuba yingozi nakubomi. Ke ngoko, ukuba uqala ukufumana naziphi na zezi mpawu, ngokuqinisekileyo kuya kufuneka ubone ugqirha ngaphandle kokuchitha ixesha.

Kutheni le nto (ASVT) yenzeka?

Njengoko besitshilo ngaphambili, unobangela oyintloko kukuhamba kwengalo ngokuphindaphindiweyo. Khawuthelekelele, uhlala uphakamisa iintsimbi okanye udlala imidlalo. Emva koko izihlunu ezijikeleze igxalaba lakho kunye nekhwapha zinokudinwa kwaye zidumbe. Ezi zihlunu zidumbileyo zinokucinezela imithambo yegazi apho (ingakumbi imithambo ye-subclavian okanye ye-axillary).

Ekuhambeni kwexesha, olu xinzelelo lunokonakalisa udonga lwemithambo kwaye lubangele ukuba kubekho izicubu ezibomvu. Emva koko umthambo uyancipha ngaphakathi, unciphise inani legazi elinokugeleza kuwo. Oku kunokukhokelela ekuhambeni kwegazi kakubi kunye nomngcipheko ophezulu wokuqhekeka kwegazi. Le meko ngamanye amaxesha ibizwa ngokuba yiThoracic Outlet Syndrome (TOS).Ikwabizwa ngokuba yi. Kuthetha ukuba isithuba esikwinxalenye ephezulu yesifuba (indawo yokukhupha isifuba) sinciphile, nto leyo ebangela uxinzelelo kwimithambo yegazi kunye nemithambo-luvo.

Ngamanye amaxesha, i-ASVT inokubangelwa kukungaqheleki kwimbambo yokuqala, okanye utshintsho kwimisipha okanye kwimisipha ejikeleze imithambo ekhwapheni nasemagxeni.

Ugqirha uyixilonga njani le nto (ASVT)?

Xa usiya kugqirha oneempawu ezikhankanyiweyo ngaphambili, uza kuqala akuhlole. Ugqirha uza kukwazi ukubona izinto ezifana nokudumba esandleni sakho, utshintsho kumbala, kunye nokudumba kwemithambo yegazi ngokujonga nje.

Emva koko, kunokufuneka wenze iimvavanyo ezimbalwa ukuqinisekisa ukuba:

• (I-Duplex ultrasound): Olu luvavanyo lokuqala oluqhutywayo. Lusebenzisa amaza omsindo ukujonga ukuhamba kwegazi ngaphakathi emithanjeni kunye nokujonga ukuba kukho na amahlwili egazi. Olu luvavanyo olungenabuhlungu nolulula.
• I-venography ekhokelwa yiCatheter: Ngamanye amaxesha olu vavanyo lwenziwa. Kolu vavanyo, ityhubhu encinci, ebhityileyo (i-catheter) idluliselwa ngomthambo ukuya apho kucingelwa ukuba ihlwili legazi, kwaye kufakwa idayi ekhethekileyo emthanjeni nge-catheter. Emva koko kuthathwa ii-X-reyi ukuze kubonwe apho umthambo uvalekile khona kunye nokuba ihlwili likhulu kangakanani.
• (CTA - i-computerized tomography angiography): Oku kufana ne-CT scan, kodwa ijonga ngqo imithambo yegazi. Ikwasetyenziswa ngokufaka idayi.
• (MRA - magnetic resonance angiography): Uvavanyo olusebenzisa i-MRI scan ukujonga imithambo yegazi.

Olu vavanyo lunokufumanisa ukuba imeko (ASVT) ikhona na, iphi, kwaye imbi kangakanani.

Ziziphi iindlela zonyango (ASVT)?

Eyona nto ingcono kukuba, kukho unyango olusebenzayo lwe-ASVT. Unyango oluphambili lubizwa ngokuba yi-thrombolysis okanye i-thrombolytic therapy .

Oku kuquka ukufaka iyeza elinyibilikisa ihlwili legazi lize lisuswe, njengoko bekutshiwo ngaphambili, ngqo emthanjeni apho ihlwili legazi lifumaneka khona ngetyhubhu encinci (i-catheter) . Oku kuyayinyibilikisa ihlwili legazi kwaye kubuyisele ukuhamba kwegazi emthanjeni.

Ngamanye amaxesha, olu nyango (lwe-thrombolysis) luhamba nento ebizwa ngokuba yi- (thrombectomy) . Oko kukuthi, ukususwa kwehlwili legazi, nokuba kungoomatshini okanye ngotyando oluncinci.

Emva kolu nyango, uza kunikwa amayeza okunciphisa igazi, njengeWarfarin okanye amanye amayeza anamhlanje, kangangeenyanga eziliqela ukuthintela ukwakheka kwamahlwili egazi kwakhona. Kubaluleke kakhulu ukuthatha la mayeza ixesha elichanekileyo ugqirha wakho akuxelele lona.

Ukongeza, ugqirha uya kukunika iingcebiso ezilandelayo:

• Nciphisa ukusetyenziswa kwesandla esichaphazelekileyo de iimpawu ziphele ngokupheleleyo.
• Gcina iingalo zakho ziphakanyisiwe kancinci xa kunokwenzeka (ukuphakama kweengalo).
• Ulungiso lwenyamaJonga. Oku kuya kukunceda ufumane intshukumo namandla esandleni sakho.
• Nxiba isingxobo sokucinezela (njengesokisi eqinileyo) engalweni echaphazelekayo. Oku kuya kunceda ekunciphiseni ukudumba nokuphucula ukujikeleza kwegazi.

Ngaba utyando luza kufuneka?

Kwezinye iimeko, ewe. Utyando lunokucetyiswa ukuze kususwe ngokupheleleyo ukuvaleka nokunciphisa umngcipheko wokuphinda kubekho amahlwili egazi. Olu tyando lubandakanya ukususa ukuvaleka. Umzekelo, iqhekeza lembambo yokuqala okanye iqhekeza lenyama elibangela ukuvaleka linokususwa. Oku kuvumela igazi ukuba lihambe ngokukhululekileyo ngemithambo yegazi.

Yintoni esinokuyenza ukuthintela uphuhliso lwe (ASVT)?

Nangona ingenakuthintelwa ngokupheleleyo, kukho izinto ezininzi esinokuzenza ukunciphisa umngcipheko:

• Soloko ushukumisa izihlunu ezingalweni zakho ngobunono kwaye wenze umthambo ofana nokuzolula umzimba .
• Musa ukuzisebenzisa kakhulu izihlunu zakho ngalo lonke ixesha .
• Ukuba uphakamisa iintsimbi okanye uzilolonga ngamandla, phumla kancinci phakathi koku .
• Nanini na xa kunokwenzeka, zama ukusebenza ngengalo yakho engoyikiyo . (umz. ukuba usebenzisa isandla sasekunene, sebenzisa ingalo yakho yasekhohlo xa kunokwenzeka).

Iza kuba njani imeko emva konyango?

Uninzi lwabantu abane-ASVT baphila kakuhle emva konyango. Izifundo zibonise ukuba ukuba isifo sifunyenwe kwaye sinyangwa kwangethuba, kwangoko nje ukuba iimpawu ziqale, kukho izinga lempumelelo eliyi-90% ukuya kwi-95% .

Nangona kunjalo, abanye abantu banokuba nengxaki ebizwa ngokuba yiPost-thrombotic Syndrome (PTS) . Kule meko, iimpawu ezifana nentlungu ende, ubunzima, kunye nokudumba engalweni echaphazelekayo zisenokuqhubeka. Ke ngoko, kubalulekile ukulandela imiyalelo kagqirha wakho nasemva konyango.

Sifanele siye nini kugqirha ngokukhawuleza?

Ukuba ubona naziphi na iimpawu zokuqala ze-ASVT, funa ingcebiso kagqirha ngoko nangoko . Musa ukulibazisa, ingakumbi ukuba ufumana nayiphi na kwezi zilandelayo:

• Iintlungu zesifuba
• Ukuba ndindisholo kwiingalo zombini okanye emilenzeni
• Ubunzima bokuphefumla (ukuphelelwa ngamandla)

Ezi zinokuba ziimpawu zemeko eyingozi efana ne-Pulmonary Embolism (PE).

(ASVT) Ukuba kunjalo, yeyiphi imibuzo omele uyibuze ugqirha?

Ukuba ugqirha wakho ukuxelela ukuba une-ASVT, kulungile ukubuza imibuzo efana nale:

• Zeziphi iinguqu endinokuzitshintsha kwindlela yam yokuphila ukuze ndinciphise umngcipheko wokuba negazi eliqhekekileyo?
• Ndingaqhubeka nokwenza umthambo nokwenza umsebenzi wezandla?
• Ndingenza ntoni ukuthintela ukwakheka kwamahlwili egazi kwakhona?
• Kufuneka uthathe amayeza okunciphisa igazi ixesha elingakanani?

Eyona nto ibalulekileyo ekufuneka uyikhumbule (Umyalezo Wokuya Ekhaya)

Ndiyathemba ukuba ngoku uyiqonda ngcono into esiyixoxe ngayo namhlanje (i-Axillo-Subclavian Vein Thrombosis - ASVT). Ngamafutshane:

• (ASVT) kuxa ihlwili legazi lenzeka kumthambo omkhulu engalweni okanye ekhwapheni lakho.
• Oku kwenzeka rhoqo kuba isandla sisetyenziswa ngendlela eqhubekayo nedinisayo.
• Ungakukrokrela ukuba ufumana iimpawu ezifana nentlungu ekhawulezileyo, ukudumba, kunye nolusu oluluhlaza esandleni sakho.
• I-Thrombolysis (iyeza lokunyibilikisa amahlwili egazi) kunye ne -thrombectomy (ukususwa kwamahlwili egazi) zezona ndlela ziphambili zonyango.
• Eyona nto ibalulekileyo kukufumanisa isifo kwangethuba uze uqale unyango. Ukuba wenza njalo, unethuba elingcono lokuchacha ngokupheleleyo.

Ukuba unale mpawu, ungoyiki kwaye ubone ugqirha ngokukhawuleza. Hlala usempilweni!

` i-axillo-subclavian vein thrombosis, i-ASVT, ihlwili legazi, imithambo yengalo, iintlungu zamagxa, ukudumba kwengalo, i-DVT, i-Pulmonary Embolism, i-Paget-Schroetter syndrome