Ngaba ungumntu otshayayo? Okanye usebenzisa icuba? Ngaba uhlala uziva iintlungu kunye nokungakhululeki kwiincam zeminwe yakho, iinzwane, kunye neenzwane? Ngaba ngamanye amaxesha iminwe yakho ijika ibe luhlaza okwesibhakabhaka okanye ibe mhlophe? Ungazityesheli ezi zinto. Oku kungaba sisiqalo sesifo esibi esibizwa ngokuba yi-'Buerger's disease', esifunyanwa ngabantu abatshayayo kuphela. Namhlanje, siza kuthetha ngale nto ngendlela elula onokuyiqonda.
Yintoni kanye kanye iBuerger's Disease?
Ngamafutshane, isifo sikaBuerger sisifo esingaqhelekanga esichaphazela imithambo yegazi (imithambo yegazi) ezingalweni nasemilenzeni. Imithambo yegazi emincinci nephakathi ekhokelela kwiminwe yakho yiyo echaphazeleka kakhulu.
Kukho elinye igama lezonyango lale nto, elithi `(Thromboangiitis Obliterans)` . Eli gama libonakala liyinkimbinkimbi kancinci, akunjalo? Masiliqonde ngokulula.
- Igama elithi 'Thrombo' lithetha ihlwili legazi.
- Igama elithi 'Angiitis' libhekisa ekuvuvukeni, okanye ekudumbeni, kwemithambo yegazi.
- Igama elithi 'obliterans' lithetha into evalwayo, ingabikho kwaphela.
Ngoko ke, ngokufutshane, esi sisifo apho imithambo yegazi idumba khona, kuvele amahlwili egazi ngaphakathi kuyo, kwaye ukuhamba kwegazi kuvaliwe ngokupheleleyo .
Khawucinge ngombhobho wamanzi ovalwe ngumhlwa nothuli. Yiloo nto eyenzekayo kwimithambo yegazi yethu kwesi sifo. Xa igazi lihamba ngemithambo yegazi liphazamiseka, izicubu ezikude njengeminwe azifumani ioksijini kunye nezondlo ezizidingayo. Oku kubangela intlungu enzulu ekuqaleni, kwaye emva koko izicubu ziqala ukufa.
Esi sifo sixhaphake kakhulu kumazwe afana neSri Lanka apho ukusetyenziswa kwecuba kuphezulu khona. Nangona kunjalo, iindaba ezimnandi zezokuba ngenxa yokuncipha kwenani labantu abatshayayo, inani lamatyala esi sifo nalo liye lehla kakhulu.
Zithini iimpawu zesi sifo? Uzibona njani?
Iimpawu zesifo sikaBuerger azibonakali ngequbuliso. Zikhula kancinci kancinci ngokuhamba kwexesha. Kukho iimpawu ezibonakala kwangethuba, kunye neempawu ezibonakala njengoko isifo siqhubeka.
| Uhlobo oluneempawu | Inkcazo |
|---|---|
| Iimpawu zokuqala |
|
| Iimpawu ezikhula ngokuhamba kwexesha |
|
Eyona nto ibalulekileyo kukuba ezi mpawu zihlala ziqala kwiminwe zize zisasazeke kancinci kancinci phezulu, oko kukuthi, ngeengalo nemilenze.
Kutheni esi sifo senzeka? Ngubani osengozini enkulu?
Izazinzulu azikayazi eyona nto ibangela isifo sikaBuerger, kodwa ikhonkco elinamandla nelicacileyo elifunyenweyo ukuza kuthi ga ngoku kukusetyenziswa kwecuba .
Izazinzulu zikholelwa ukuba ikhemikhali ekwicuba yonakalisa ulwelo lwemithambo yegazi kwaye ibangela ukudumba. Oku kubangela ukuba imithambo yegazi idumbe ize ivalwe ngamahlwili egazi. Ezinye izazinzulu zicinga ukuba isenokuba yimbangela yemfuza okanye isifo sokuzikhusela komzimba.
Kukho izinto ezininzi ezibangela umngcipheko wokufumana esi sifo:
- Ukusetyenziswa kwecuba: Ukutshaya nantoni na efana neecuba, ii-beedis, ii-cigar, kunye necuba lokuhlafuna yeyona nto iphambili eyingozi. Ukusetyenziswa kwe-cannabis nako kusenokuba negalelo.
- Ukuzenzela iicuba zakho: Abantu abasebenzisa iicuba eziziqengqelekayo basengozini enkulu.
- Isini: Amadoda anamathuba amaninzi okufumana esi sifo kunabafazi.
- Ubudala:Esi sifo sidla ngokubonakala kubantu abancinci nabakwiminyaka ephakathi abaphakathi kweminyaka engama-20 ukuya kwengama-45.
Ziziphi iingxaki ezinokubakho ngenxa yesifo sikaBuerger?
Ukuba esi sifo asilawulwa ngokufanelekileyo, oko kukuthi, ukuba ukusetyenziswa kwecuba kuyaqhubeka, iingxaki ezinkulu zinokubakho. Nangona kunjalo, ezi azibonakali rhoqo kwiimeko ezininzi.
- Ukunqunyulwa kwelungu: Le yeyona ngxaki ixhaphakileyo. Xa kuvela ithumba elibi, izicubu ezifileyo kufuneka zisuswe ngotyando. Kungenjalo, usulelo lunokusasazeka emzimbeni wonke.
- Istroke
- Ukuhlaselwa yintliziyo
- Uhlaselo lwe-ischemic olufutshane
- Iingxaki ngemithambo yegazi emathunjini.
- Iingxaki ezinxulumene nenkqubo yemithambo-luvo.
Ugqirha uyixilonga njani le nto?
Ukuba unale mpawu, ngokuqinisekileyo kuya kufuneka ubone ugqirha. Uza kukubuza imibuzo, akuhlole, aze azame ukufumanisa ukuba esi sisifo na.
Ezi zilandelayo zihlala ziluncedo ekuxilongeni isifo:
1. Imbali yakho yezonyango: Uza kubuzwa ngezinto ezifana nokuba uyatshaya na, ukuba sele utshaya ixesha elingakanani, kunye nokuba zingaphi iicuba ozitshayayo ngosuku.
2. Uvavanyo lomzimba: Ukubetha kwentliziyo yakho kuya kuhlolwa. Kwisifo sikaBuerger, ukubetha kwentliziyo okukude (umz., emilenzeni nasezingalweni) kunokuba buthathaka.
3. Uvavanyo olukhethekileyo lwemithambo yegazi:
- I-Ultrasound Scan: Oku kunokujonga ukuba akukho mahlwili egazi ngaphakathi kwemithambo yegazi.
- I-Ankle-Brachial Index (ABI): Le ilinganisa uxinzelelo lwegazi emlenzeni wakho nasengalweni yakho kwaye ithelekisa la maxabiso mabini. Ukuba uxinzelelo lwegazi emlenzeni wakho luphantsi kakhulu kunasengalweni yakho, oko kuthetha ukuba kukho ukuhamba kwegazi okuncinci emlenzeni wakho.
- I-Angiogram: Olu lolona vavanyo lubalaseleyo lokujonga ukuvaleka kwemithambo yegazi yakho. Kule meko, kufakwa idayi ekhethekileyo kwenye yemithambo yegazi yakho kwaye kwenziwa i-X-ray okanye i-CT/MRI scan. Oku kuvumela ugqirha ukuba abone ngokucacileyo ukuba ukuvaleka kukuphi kwaye kungakanani.
Yeyiphi eyona ndlela ilungileyo yokunyanga oku?
Khumbula oku. Akukho nyango lwesifo sikaBuerger okwangoku. Kodwa eyona ndlela ilungileyo nekuphela kwayo yokuthintela esi sifo ukuba singabi mandundu nokulawula iimpawu kukuyeka ngoko nangoko nokusebenzisa icuba kunye ne-nicotine, kuquka nokutshaya.
Olu lolona nyango luphambili noluphambili kwesi sifo. Nokuba utshaya icuba elinye ngosuku okanye unxibe i-nicotine patch, esi sifo asiyi kuphila, siya kuba sibi kakhulu.
Izigulane ezininzi zifumana utshintsho olukhulu kwiimpawu zazo xa ziyeka ukutshaya. Ezinye zide zibuyele esiqhelweni.
Ukongeza ekuyekeni ukutshaya, ugqirha wakho unokucebisa nezinye iindlela zonyango ezinokukunceda ukulawula iimpawu zakho.
| Indlela yonyango | Inkcazo |
|---|---|
| Amayeza |
|
| Ezinye iindlela zonyango |
|
Yintoni endifanele ndiyiqwalasele xa ndiphila nesi sifo?
Ukuba unesifo sikaBuerger, kuya kufuneka wenze utshintsho oluncinci kwindlela ophila ngayo.
- Yiphephe ngokupheleleyo icuba: Le yeyona nto ibalulekileyo. Iipatches zeNicotine kunye ne-marijuana nazo zilungile. Ukuba ufuna uncedo lokuyeka ukutshaya, thetha nogqirha wakho ngayo.
- Zikhusele kwingqele:Imozulu ebandayo inokubangela ukuba imithambo yegazi iqine ngakumbi, ngoko ke nxiba iikawusi ezifudumeleyo kunye neeglavu ngeentsuku ezibandayo.
- Thintela ukwenzakala ezandleni nasezinyaweni zakho: Nokuba ukwenzakala okuncinci kungathatha ixesha elide ukuphola, ngoko ke lumka xa unxiba izihlangu kwaye usebenza.
- Sebenzisa amayeza kanye njengoko ugqirha ewayalele.
- Lumka xa usebenzisa amanye amayeza: Amanye amayeza (umz., amanye amayeza omkhuhlane) anokuxinanisa imithambo yegazi. Ngoko buza ugqirha wakho ngaphambi kokuba usebenzise naliphi na iyeza.
Khumbula, malunga nama-50% abantu abaqhubeka nokutshaya, okanye omnye kwabababini, ekugqibeleni kuya kufuneka basuswe umnwe okanye iinzwane ngotyando (ukususwa kwezicubu). Kodwa okumangalisayo kukuba, abantu abayeka ukutshaya abafane bafuneke benze utyando olunjalo.
Ndifanele ndimbone nini ugqirha?
Ukuba unezinye zeempawu ezikhankanyiweyo kweli nqaku, ingakumbi ukuba ungumntu otshayayo, bona ugqirha ngokukhawuleza. Ukuba iimpawu zakho ziya zisiba mandundu okanye kuvela iimpawu ezintsha, yazisa ugqirha wakho.
Ndingaya nini kwiSebe leeNgxamiseko (i-ETU)?
Ukuba ufumana iimpawu zestroke okanye ukuhlaselwa yintliziyo (umz. iintlungu zesifuba ngequbuliso, ubunzima bokuthetha, ukuphelelwa zimvakalelo kwelinye icala lomzimba), yiya kwicandelo likaxakeka lesibhedlele (ETU) ngokukhawuleza. Kwakhona, ukuba inxeba eliseminweni yakho libangela iintlungu eziqatha, ukudumba, okanye ivumba elibi, oko kungaba luphawu losulelo olukhulu. Kwiimeko ezinjalo, funa ingcebiso kagqirha ngokukhawuleza.
Umyalezo Wokuya Ekhaya
- Isifo sikaBuerger sisifo semithambo yegazi esinxulunyaniswa kakhulu nokusetyenziswa kwecuba.
- Eyona ndlela ilungileyo neyona iphambili yonyango lwesi sifo kukuyeka ngokupheleleyo zonke iimveliso zecuba kunye ne-nicotine, kuquka icuba, i-bidis, i-cigar, icuba lokuhlafuna, kunye nee-nicotine patches.
- Ukuba ungumtshayi, musa ukuthatha iimpawu ezinje ngentlungu, ukuba ndindisholo, ukutshintsha kombala, kunye namanxeba angapholiyo emalungeni akho, ingakumbi ezandleni zakho, kancinci.
- Ukuba ufumanisa esi sifo kwangethuba uze uyeke ukutshaya, ungaphepha phantse ngokupheleleyo iingxaki ezinzima ezifana nokunqunyulwa kwelungu lomzimba.
- Ukuba unamathandabuzo malunga noku okanye ufuna inkxaso yokuyeka ukutshaya, thetha ngokukhululekileyo nogqirha wakho.
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