Ingaba ukuhamba kwegazi kwakho kuyancipha kwimilenze yakho? (I-Critical Limb Ischemia) Makhe sithethe ngale nto!

Ngaba ngamanye amaxesha uziva iintlungu eziqatha okanye ukungakhululeki ezandleni zakho, ezinyaweni, okanye kwiminwe yakho? Mhlawumbi nenxeba elincinci lithatha ixesha elide ukuphola? Okanye ngaba iinyawo zakho zihlala zibanda? Ezi azizompawu zokungazinaki nje. Namhlanje siza kuthetha ngemeko enokubangela ezi mpawu, ezinzulu kancinci, kodwa ezinokulawulwa ukuba uyazi kakuhle.

Yintoni iCritical Limb Ischemia (CLI)?

Ngamafutshane, iCritical Limb Ischemia, okanye i-CLI ngamafutshane, kukuvalwa okukhulu kokuhamba kwegazi kwelinye okanye ngaphezulu kwengalo yakho, imilenze, okanye iinyawo. Kufana nomsele ovalekileyo kumbhobho wamanzi. Xa ukuhamba kwegazi kunqanyulwa ngale ndlela, ezo ndawo azifumani ioksijini kunye nezondlo ezizidingayo.

Kwenzeka ntoni ngenxa yoku?

• Kukho intlungu enzima . Ngamanye amaxesha le ntlungu isenokunganyamezeleki.
• Amalungu aba ndindisholo , kwaye uvakalelo luyancipha.
• Amanxeba asezinyaweni, emilenzeni, okanye ezingalweni athatha ixesha elide ukuphola . Ngamanye amaxesha nomkrwelo omncinci ungakhula ube linxeba elikhulu.

Le yimeko enzulu kakhulu kuba inyusa umngcipheko wesifo sentliziyo, ukunqunyulwa kwamalungu omzimba, kwanokufa.

I-Critical Limb Ischemia yimeko enzima kakhulu yeSifo seMithambo yePeripheral , imeko ebizwa ngokuba sisifo semithambo yegazi engaphandle. Le PAD ibangelwa yi-fatty layer ebizwa ngokuba yi-"atherosclerotic plaque" eqokelelana ngaphakathi kwemithambo yethu (imithambo ethwala igazi lisuka entliziyweni ukuya emzimbeni wonke), nto leyo ebangela ukuba inciphe okanye ivaleke. Ngoko ke, xa ukuhamba kwegazi kuthintelwe, kunzima ukuba izihlunu zethu kunye nezicubu zethu zihlale ziphilile, zihlale zomelele, kwaye ziphiliswe ukuba zenzakele. Elinye igama lale meko ye-CLI yi-"chronic limb-threatening ischemia".

Ngubani onokuba nethuba elikhulu lokufumana le meko?

Enyanisweni, nabani na onesifo se-PAD, okanye isifo semithambo yegazi engaphandle, unokuba ne-CLI. Le ngozi iyanda njengoko ukhula .

Ukongeza, kukho nezinye izinto ezininzi ezinobungozi. Jonga ukuba ezi zinto ziyasebenza na kuwe:

• Isifo Sezintso Esingapheliyo : Xa izintso zingasebenzi kakuhle, ezinye iingxaki zinokwenzeka emzimbeni.
• Isifo seswekile : Isifo seswekile sisifo esibangela umonakalo omkhulu kwimithambo yegazi.
• Uxinzelelo lwegazi oluphezulu (uxinzelelo lwegazi oluphezulu) : Ukuba uxinzelelo lwegazi luhlala luphezulu, alulungelanga nemithambo yegazi.
• I-cholesterol ephezulu (i-Hyperlipidemia) : Ukufakwa kwamafutha kwimithambo yegazi kubangelwa kukwanda kwenqanaba le-cholesterol eyingozi egazini.
• Ukutshaya nokusetyenziswa kweemveliso zecuba: Oku kunxulunyaniswa nezifo ezininzi. Kukwabangela umonakalo omkhulu kwimithambo yegazi.

Khawucinge nje, sinenkqubo yemibhobho yamanzi endlwini yethu. Ekuhambeni kwexesha, izinto ezifana nomhlwa kunye nothuli ziyaqokelelana ngaphakathi kwezo mibhobho zize ziyivale. Kunjalo ke ngemithambo yegazi yethu. Ngenxa yezi zinto zinobungozi, imithambo yegazi iqala ukuvaleka kancinci kancinci.

Ngaba iCritical Limb Ischemia iyingozi ebomini?

Ewe, ngokuqinisekileyo . Le yimeko enzulu kakhulu. I-Critical Limb Ischemia inyusa kakhulu umngcipheko wakho wokuba neengxaki ezinkulu zempilo ezisongela ubomi, kunye nokufa.

Ngokwezibalo, kungekapheli nonyaka emva kokuba umntu efumene i-Critical Limb Ischemia:

• Malunga nomntu omnye kwabathathu kuya kufuneka anqunyulwe ilungu lomzimba.
• Malunga nomntu omnye kwabane uyafa ngenxa yaso. Izizathu eziphambili zokufa kwezi zizifo ezifana nesifo sentliziyo okanye istroke.

Ezi zibalo zodwa zibonisa ukuba oku kuyingozi kangakanani. Ngoko ke, ukuba uneempawu, kungcono ungalibazisi .

Ixhaphake kangakanani le meko?

Esi asisosimo singenamsebenzi. Abantu abaninzi ehlabathini banengxaki yesi simo. Esi simo sixhaphake kakhulu xa abantu bekhula kwaye siphakathi kwabantu abaneengxaki esithethe ngazo ngaphambili (ezifana nesifo seswekile, uxinzelelo lwegazi oluphezulu, ukutshaya). Ngoko ke, kubaluleke kakhulu ukuqaphela oku.

Zithini iimpawu zesi sifo?

Uphawu oluphambili noluqhelekileyo lweCritical Limb Ischemia ziintlungu eziqatha ezinyaweni okanye emilenzeni . Le ntlungu inokuba nkulu kangangokuba inokukuvusa ebusuku. Abanye abantu bazama ukunciphisa le ntlungu ngokuxhoma imilenze yabo ebhedini, okanye ngokuvuka bahambehamba egumbini.

Nangona kunjalo, abanye abantu basenokungaziva ezi ntlungu. Nangona kunjalo, basenokuba nenye okanye ngaphezulu kwezi mpawu zilandelayo:

• Ukuhlala uziva ubanda ezandleni, ezinyaweni, okanye emilenzeni.
• Ulusu lweenyawo luba bushelelezi, lukhazimle, lungabi naboya, okanye lome kakhulu .
• Ubuthathaka okanye ukulahleka kwemvakalelo emilenzeni okanye ezinyaweni.
• Ukuba ndindisholo okanye ukuphelelwa yimvakalelo emilenzeni, ezinyaweni, okanye ezandleni.
• Amanxeba asezinyaweni okanye emilenzeni athatha ixesha elide kakhulu ukuphola . Nokuba ngumkrwelo omncinci ungajika ube linxeba elikhulu nelinzulu.
• Ngamanye amaxesha, ulusu lunokutshintsha umbala kwaye lubonise iimpawu zesifo sokubola, imeko apho izicubu ziyafa khona.
• Ukujiya kweenzipho zeenyawo.

Ukuba unayo nayiphi na kwezi mpawu, kungcono ukufuna ingcebiso kagqirha ngokukhawuleza.

Yintoni ebangela iCritical Limb Ischemia?

Isizathu esiphambili soku sisifo semithambo yegazi esibizwa ngokuba yiPeripheral Artery Disease (PAD) esithethe ngaso ngaphambili., oko kukuthi, isifo semithambo yegazi engaphandle. Esi simo sibi esibizwa ngokuba yiCritical Limb Ischemia senzeka xa imithambo yakho yegazi inciphile okanye ivalekile kangangeenyanga, kwaneminyaka. Ngokuchanekileyo, eli linqanaba lokugqibela nelona linzima le-PAD.

Sifunyaniswa njani esi sifo?

Ugqirha wakho unokurhanela ukuba uneCritical Limb Ischemia ngokusekelwe kwiimpawu zakho kunye nezinye iingxaki zempilo onazo (ezifana nesifo seswekile okanye uxinzelelo lwegazi oluphezulu).

Ukuqinisekisa ukurhanelwa nokufumanisa ubunzulu bemeko, ugqirha unokwenza ezinye iimvavanyo ezininzi. Ezinye zezi ziquka:

• Iiskeni ze-CT
• Ii-MRI Scans (ii-MRI)
• Ii-Angiograms : Kule nto, kufakwa ulwelo olukhethekileyo kwimithambo yegazi kwaye kuthathwa i-X-ray ukuze kubonwe ukuba ivaliwe phi kwaye ingakanani.
• Ii-ultrasound : Ezi zinokusetyenziswa ukubona izinto ezifana nokuhamba kwegazi kunye nemeko yemithambo yegazi.

Olu vavanyo lujonga ikakhulu oku:

• Indlela igazi elijikeleza ngayo ezandleni zakho, eminweni, emaqatheni, ezinyaweni nasezinzwaneni.
• Isantya kunye nohlobo lokuphiliswa kwamanxeba, ukuba akhona.
• Indlela umthambo oxinaniswe okanye ovalekileyo ngayo.

Zithini iindlela zonyango zoku?

I-Critical Limb Ischemia yimeko ekufuneka inyangwe ngoko nangoko . Ukubuyisela ukuhamba kwegazi ngokufanelekileyo emilenzeni yakho ngokukhawuleza kunokunciphisa umngcipheko wokunqunyulwa kwelungu.

Ugqirha wakho unokucebisa olu nyango lulandelayo:

• Amayeza : Amayeza afana namayeza okunciphisa igazi, amayeza okunciphisa uxinzelelo lwegazi, kunye namayeza okunciphisa i-cholesterol anganikwa.
• Unyango lwe-Endovascular : Olu lunyango olwenziwa ngendlela encinci, ngaphandle kokwenza umsikelo omkhulu njengotyando.
• I-Angioplasty : Oku kuquka ukufaka isixhobo esifana nebhaluni kumthambo ovalekileyo uze uwuvuthele ukuze wandise umthambo. Ngamanye amaxesha kufakwa i -stent , ityhubhu encinci efana ne-mesh, ukuthintela umthambo ukuba ungaphinde unciphe.
• Utyando lwe-atherectomy : Kule nkqubo, kusetyenziswa isixhobo esikhethekileyo ukususa umaleko wamafutha obizwa ngokuba yi-plaque eqokelelene ngaphakathi kwemithambo yegazi.
• Utyando : Ngamanye amaxesha utyando lunokufuneka ukuze kulungiswe umthambo okanye kufakwe umthambo omtsha (umthambo ovela kwenye indawo emzimbeni wakho okanye ityhubhu yokwenziwa).

Khawucinge nje, ukuba akukho nanye kwezi ndlela zonyango enokubuyisela ukuhamba kwegazi ngokufanelekileyo, ugqirha kuya kufuneka agqibe ekubeni anqumle umnwe, inxalenye yesandla, uzwane, inxalenye yonyawo, okanye inxalenye yomlenze. Kubantu abaneCritical Limb IschemiaMalunga nomntu omnye kwabahlanu ekugqibeleni kuya kufuneka enziwe olu hlobo lotyando, ingakumbi kubantu abanesifo seswekile .

Ingancitshiswa njani le ngozi?

Ukuze unciphise umngcipheko wakho wokuba neCritical Limb Ischemia, into yokuqala ekufuneka uyenze kukufumana unyango olufanelekileyo lwe-PAD (isifo semithambo yegazi ejikeleze imithambo yegazi) yakho. Ukongeza, kufuneka uzame ukunciphisa izinto ezinokubangela umngcipheko esizixubushe ngaphambili.

• Gcina ubunzima obusempilweni obuhambelana neminyaka yakho, isini, kunye nohlobo lomzimba wakho.
• Zilolonge rhoqo . Faka uqeqesho lokuqinisa umzimba, ukuzilolonga ngokuguquguquka, kunye nokuzilolonga nge-aerobics kwinkqubo yakho yokuzilolonga. Ukuhamba ubuncinane imizuzu engama-30 ngosuku nako kuyingcinga elungileyo.
• Zama ukugcina amanqanaba oxinzelelo lwegazi kunye ne-cholesterol yakho ekwinqanaba elifanelekileyo .
• Ukuba unezinye izifo, ezifana nesifo seswekile, zilawule kakuhle . Landela imiyalelo kagqirha wakho ngokuchanekileyo.
• Nciphisa uxinzelelo . Zama ukuphumla ngeendlela ezisempilweni, ezinje ngokucamngca okanye ukuthetha nomhlobo ngonyango.

Iyintoni ikamva lale meko?

I-Critical Limb Ischemia yimeko enokubangela iingxaki ezinkulu kwaye inciphise ubomi. Ngoko ke, ukuba uneempawu zale meko, okanye iimpawu ze-PAD (isifo semithambo yegazi), bona ugqirha ngokukhawuleza . Okukhona ufumana unyango ngokukhawuleza, kokukhona amathuba okuba ungabi neengxaki ezinkulu kwaye uphulukane nelungu .

Ungaphila ixesha elingakanani uneCritical Limb Ischemia?

Enyanisweni, izinga lokufa ngeCritical Limb Ischemia liphezulu kancinci. Emva kokufunyaniswa ukuba unayo le ngxaki, malunga nesiqingatha kuphela sabantu abanale meko baphila iminyaka engaphezu kwemihlanu . Uninzi lwaba bantu lufa ngenxa yeengxaki zesifo sentliziyo okanye istroke. Yiyo loo nto unyango lwangethuba kunye notshintsho kwindlela yokuphila kubaluleke kangaka.

Yeyiphi imibuzo onokuyibuza ugqirha?

Ukuba uneCritical Limb Ischemia, okanye ukuba uyayikrokrela, ungabuza ugqirha wakho imibuzo efana nale:

• Ziziphi iimpawu zokuqala zeCritical Limb Ischemia?
• Zeziphi iimvavanyo ezenziwayo ukuze kufunyaniswe esi sifo?
• Ziziphi iindlela zonyango lweCritical Limb Ischemia?
• Kunokwenzeka ntoni ukuba andinyangwa ngolu hlobo?
• Ukuba ndine-PAD, ndingayinciphisa njani ingozi yokuba ne-Critical Limb Ischemia?

Ungaze woyike ukubuza le mibuzo. Kubaluleke kakhulu ukuba ube nolwazi olupheleleyo ngemeko yakho.

Ngaba ungahamba uneCritical Limb Ischemia?

Ewe, ukuhamba ngamanye amaxesha kunokunceda ukunciphisa iintlungu ezinxulumene neCritical Limb Ischemia . Kwakhona, ukuhambisa umzimba wakho nokuhamba rhoqo kuya kwandisa ukuhamba kwegazi emilenzeni yakho. Le yinto ecetyiswayo kwiCritical Limb Ischemia. Nangona kunjalo, ukuba uziva ukuba iintlungu zakho zomlenze ziya zisiba mandundu xa uhamba, ngokuqinisekileyo kufuneka uthethe nogqirha wakho ngayo .

Okokugqibela, khumbula oku (Umyalezo Wokuya Ekhaya)

Ngoko ke, iCritical Limb Ischemia, esithethe ngayo namhlanje, yimeko enzulu eyenzeka xa ukuhamba kwegazi emilenzeni yakho kuvaliwe kakhulu . Olu luhlobo olunzima lwemeko ebizwa ngokuba yiPeripheral Artery Disease (PAD). Oku kwandisa umngcipheko weengxaki zentliziyo kwaye kunciphisa ubomi bakho.

Eyona nto ibalulekileyo kukufuna ingcebiso kagqirha ngokukhawuleza xa iimpawu zibonakala ngaphandle kokulibazisa . Ukuba wenza njalo, uya kuba nethuba elingcono lokufumana iziphumo ezilungileyo kwaye uphephe ukulahlekelwa lilungu lomzimba. Ukulandela indlela yokuphila enempilo kukwanceda ekukhuselekeni kwiimeko ezinjalo.

Ukuba unemibuzo engaphezulu malunga noku, ungathandabuzi ukuthetha nogqirha wakho wosapho. Yena angakunika iingcebiso ozifunayo.

Ischemia ebalulekileyo yemilenze, iintlungu zomlenze, ukuvaleka kwemithambo yegazi, isifo semithambo esecaleni, i-gangrene, i-angioplasty, isifo seswekile