Khawuthelekelele uhamba esitalatweni umgama omfutshane. Ngequbuliso, uziva intlungu ebukhali, ehlabayo emilenzeni yakho, ingakumbi amathole akho. Kuya kufuneka ume kwindawo apho ungasakwaziyo ukuyinyamezela. Okumangalisayo kukuba, xa ume imizuzu embalwa, intlungu iyaphela kancinci kancinci. Xa uqala ukuhamba kwakhona, intlungu iyavela kwakhona emva kokuhamba umgama omfutshane. Ngaba ukhe waba nalo mava? Eli nqaku liza kuba libaluleke kakhulu kuwe. Namhlanje sithetha ngale meko, oko kukuthi, i-claudication.
Yintoni iClaudication?
Ngamafutshane, i-claudication ayisosifo, luphawu . Njengokuba umkhuhlane ungesosifo, luphawu losulelo. Yimeko apho ufumana iintlungu zemisipha xa usebenza, njengokuhamba, kwaye intlungu iyaphela xa uphumla. Le ntlungu idla ngokuba semilenzeni.
Cinga ngale ndlela. Xa sisebenza, xa sihamba, izihlunu zethu zifuna ioksijini engaphezulu kunesiqhelo. Le oksijini ithwalwa yigazi ukuya kwizihlunu. Ngoko ke, kwenzeka ntoni ukuba imithambo yegazi ethwala igazi ukuya emilenzeni ivalekile okanye inciphile ngesizathu esithile? Xa sihamba, igazi alikwazi ukubonelela ngeoksijini eyongezelelweyo efunekayo kwizihlunu. Kulapho izihlunu ziva iintlungu kwaye zikunika uphawu lokuba "Andinayo ioksijini eyaneleyo." Xa uyeka kwaye uphumle, izihlunu azidingi oksijini ingako. Ngoko ke zinegazi eliqhelekileyo eliya kuzo. Emva koko iintlungu ziyaphela.
I-Claudication ngokwenene sisilumkiso esinzulu esivela emzimbeni wakho sokuba kukho ingxaki ethile kwinkqubo yakho yokujikeleza kwegazi.
Kwiimeko ezininzi, imbangela ephambili yesi sifo yimeko ebizwa ngokuba yiPeripheral Artery Disease (PAD) . Oku kukuncitshiswa kwemithambo yegazi ethwala igazi ukuya emalungeni, ingakumbi emilenzeni. Isizathu esiphambili sokuncitshiswa kwemithambo yegazi yi -Atherosclerosis , okukukuqina nokuncitshiswa kwemithambo yegazi ngenxa yokufumba kwezinto ezifana ne-cholesterol eludongeni lwemithambo yegazi.
Zithini iimpawu ze-claudication?
Abanye abantu basenokungabi nazo iimpawu ekuqaleni, kodwa abo baneempawu badla ngokuzibona ezi mpawu emilenzeni okanye ezinyaweni zabo.
| Uphawu | Indlela evakalelwa ngayo |
|---|---|
| Intlungu efana nokujika iinwele | Olu lolona phawu luqhelekileyo. Xa uhamba, izihlunu zemilenze yakho ziyaqina kwaye zibe buhlungu. |
| Umlinganiswa obuthathaka | Usenokuziva ubuthathaka kwaye ungenabomi emilenzeni yakho. |
| Ukudinwa | Nokuba uhamba umgama omfutshane kunokwenza imilenze yakho idinwe kakhulu. |
| Ukuba ndindisholo | Kunokubakho ukuziva ngathi imilenze okanye iinyawo azinanto. |
| Ukungqungqa | Ngamanye amaxesha ungaziva urhawuzelelwa kancinci emilenzeni yakho. |
Ngubani osengozini enkulu yokuba nale meko?
Kukho izinto ezininzi ezinokubangela ukuba umntu angakwazi ukuziva enesifo se-claudication. Ukuba unazo ezi zinto, kufuneka ulumke ngakumbi.
- Ukutshaya: Le yeyona nto iphambili neyona iyingozi kakhulu . Ukutshaya konakalisa imithambo yegazi kwaye kwandisa izinga lokuvaleka kwayo.
- Isifo seswekile: Abantu abanesifo seswekile banamathuba amaninzi okulimala kwemithambo yegazi.
- I-Cholesterol Ephezulu: Xa amanqanaba e-cholesterol egazini enyuka, ahlala eludongeni lwemithambo yegazi aze ayivale.
- Uxinzelelo Lwegazi Oluphezulu: Uxinzelelo lwegazi oluphezulu lonakalisa imithambo yegazi kwaye lwandisa umngcipheko we-atherosclerosis.
- Isifo Sezintso: Ukungasebenzi kakuhle kwezintso nako kunokuchaphazela oku.
- Ubudala: Ukuthambekela kwendalo kokuba i-atherosclerosis ikhule kuyanda ngokuhamba kweminyaka.
- Imbali yosapho: Ukuba umntu kusapho lwakho uneemeko ezifana nesifo sentliziyo okanye i-PAD, nawe usengozini enkulu.
Ugqirha uyifumana njani le nto?
Ukuba unale mpawu, ngokuqinisekileyo kuya kufuneka ubone ugqirha. Uza kuqala akubuze ngeempawu zakho ngokweenkcukacha. Emva koko uza kuhlola imilenze yakho.
- Ngaba imilenze itshintshile umbala?
- Ngaba unazo naziphi na izilonda ezithatha ixesha elide ukuphola?
- Ngaba iinwele ezisemilenzeni yakho ziwile?
- Ngaba uyayiva i-pulse emilenzeni nasezinyaweni zakho?
Emva kokujonga izinto ezinje, kunokwenziwa uvavanyo oluninzi ukuqinisekisa imeko kunye nokufumanisa ubukhali bayo.
| Uvavanyo | Kalula nje... |
|---|---|
| Isalathisi se-Ankle-Brachial (ABI) | Luvavanyo olulula kakhulu. Balinganisa uxinzelelo lwegazi lakho engalweni naseqatheni lakho baze bathelekise la maxabiso mabini. Ukuba uxinzelelo olusemilenzeni yakho luphantsi kakhulu kunoxinzelelo olusengaloni yakho, oko kuthetha ukuba kukho ingxaki ngokuhamba kwegazi emilenzeni yakho. |
| Iskena se-Ultrasound | Oku kusebenzisa amaza esandi asebenzisa isandi esiphezulu ukwenza umfanekiso wemithambo yegazi emilenzeni. Oku kusenza sibone ngokucacileyo ukuba imitha yegazi ivaliwe kangakanani kwaye phi. |
| I-Angiography | Kule meko, kufakwa idayi ekhethekileyo kwimithambo yegazi, kwaye kusetyenziswa i-X-ray, i-CT, okanye i-MRI scan ukuze kufunyanwe imephu eneenkcukacha zemithambo yegazi. Oku kunokunceda ekufumaneni indawo echanekileyo yokuvaleka kwayo. |
Zithini iindlela zonyango zoku?
Kukho iindlela ezahlukeneyo zonyango ezikhoyo zokulawula le meko, uqala ngezinto ezilula onokuzenza ngokwakho.
1. Utshintsho kwindlela yokuphila (le yeyona nto ibalulekileyo!)
Eli lelona yeza lilungileyo le-claudication. Ezi zinto ziya kukunceda ngaphezu kwamayeza anikwa ngugqirha wakho.
- Ukuyeka ukutshaya: Ukuba ungumntu otshayayo, kufuneka uyeke namhlanje, ngoku . Lolona ncedo lukhulu onokulwenza.
- Ukuhamba ngeenyawo:"Kubuhlungu xa ndihamba, ngoko ke akufuneki ndiphinde ndihambe?" unokucinga. Kodwa oko akulunganga. Eyona ndlela ilungileyo yokuzilolonga kukuhamba. Ugqirha uza kukuxelela ukuba uhambe iintsuku ezi-3-5 ngeveki, malunga nemizuzu engama-50 ngosuku. Yima xa intlungu iqala, uze uhambe kwakhona xa intlungu iphela. Kancinci kancinci, uya kuqaphela ukuba umgama onokuwuhamba ngaphandle kwentlungu uya kwanda.
- Ukutya okunempilo kwintliziyo: Yitya ukutya okunamafutha amaninzi, ityuwa encinci, neswekile encinci, kwaye utye iziqhamo nemifuno emininzi.
2. Amayeza
Kunye notshintsho kwindlela ophila ngayo, ugqirha wakho unokukunika amayeza afana nala.
- Amayeza okwehlisa uxinzelelo lwegazi (umz. ii-ACE inhibitors)
- Amayeza okwehlisa i-cholesterol (umz., `ii-Statins`)
- Amayeza athintela ukujiya kwegazi (umz. i-Aspirin, i-Clopidogrel)
- Amayeza avula imithambo yegazi aze aphucule ukuhamba kwegazi (umz., `Cilostazol`)
3. Iindlela Zonyango Olukhethekileyo (Iinkqubo)
Ukuba imeko inzima kwaye kunzima ukuyilawula ngamayeza, ugqirha angasebenzisa olu hlobo lonyango.
- I-Angioplasty: Oku kuquka ukufaka ibhaluni encinci kumthambo wegazi ovalekileyo uze uyivuthele ukuze uvule ukuvalwa.
- Ukubekwa kwe-stent: Emva kokuba i-angioplasty ivule umthambo, kufakwa ityhubhu encinci efana ne-mesh (i-'stent') ukuze ingaphinde ivaleke.
- Utyando lokudlula kwimithambo yegazi: Ukuba ukuvaleka kukhulu, kuveliswa umthambo omtsha wegazi ngokusebenzisa iqhekeza lomthambo elithathwe kwenye indawo yomzimba okanye umthambo owenziweyo ukuze kudlule indawo evalekileyo. Oku kwenziwa kuphela kwiimeko ezinzima kakhulu.
Ngaba kukho ezinye izinto ekufuneka uzixhalabele ngaphandle kwe-claudication?
Ewe. Kukho ezinye iimeko ezininzi ezibangela iintlungu zomlenze ezinokuba neempawu ezifana neze-claudication, kodwa zinokuba yingozi ngakumbi. Ke ngoko, iintlungu zomlenze akufanele zinganakwa.
- I-Deep Vein Thrombosis (DVT): Oku kwenzeka xa ihlwili legazi lenzeka kumthambo onzulu emlenzeni. Ukuba eli hlwili liqhekeka lize lihlale emthanjeni osemaphashini, linokuba yingxamiseko esongela ubomi . Libizwa ngokuba yi-'Pulmonary Embolism'. Ke ngoko, ukuba ngequbuliso ufumana ukudumba, ukubomvu, kunye nentlungu emlenzeni wakho, kufuneka ubone ugqirha okanye uye kwi- ETU (iYunithi yoNyango oluNgxamisekileyo) ngoko nangoko.
- Isifo Segumbi Elingapheliyo: Oku kwenzeka xa uxinzelelo luqokelelana ngaphakathi kwigumbi elijikeleze izihlunu, nto leyo ethintela ukuhamba kwegazi. Oku kunokubangela iintlungu ngexesha lokuzilolonga.
Ngoko ke, kufuneka uyishiyele kugqirha ukuze afumanise ukuba yeyiphi imeko onayo.
Umyalezo Wokuya Ekhaya
- Ukufakwa kwe-claudication akuqhelekanga. Sisilumkiso esivela emzimbeni wakho.
- Eyona nto ibangela oku yimeko ebizwa ngokuba yiPeripheral Artery Disease (PAD), enokuchaphazela intliziyo nengqondo.
- Ukuyeka ukutshaya nokuhamba ngeenyawo zezona ndlela zimbini zonyango zibalaseleyo onokuzenza.
- Ungaze uyityeshele intlungu yemilenze. Bona ugqirha wakho ngokukhawuleza ukuze akunike icebiso.
- Ngonyango olufanelekileyo kunye notshintsho kwindlela yokuphila, ungayilawula kakuhle le meko kwaye uphile ubomi obusempilweni.
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