Sonke siyazi ukuba igazi lihamba emizimbeni yethu. Ukongeza kwimithambo yegazi ethwala igazi elicocekileyo nelinomoya-mpilo lisuka entliziyweni lisiya kuzo zonke iindawo zomzimba, kukwakho nenethiwekhi yemithambo yegazi ebizwa ngokuba yimithambo yegazi ethwala igazi elisetyenzisiweyo neliphelelwe yioksijini libuyela entliziyweni. Namhlanje, sithetha ngomthambo omkhulu owenza umsebenzi obaluleke kangaka, lowo udlula kwi-pelvis yethu. Yiloo nto siyibiza ngokuba yi-External Iliac Vein.
Iyintoni i-External Iliac Vein ngokulula?
Ngamafutshane, i-External Iliac Vein ngumthambo omkhulu wegazi okwi-pelvis yakho. I-pelvis yakho sisakhiwo samathambo esidibanisa umzimba wakho ongezantsi kunye nemilenze.
Umsebenzi oyintloko wale vein kukuthwala igazi elingenaoksijini lisuka kwiindawo ezisezantsi zomzimba wakho, ingakumbi imilenze yakho, libuyele entliziyweni. Kufana nolwandiso lwe-"Femoral Vein"`, umthambo omkhulu ethangeni lakho. Oku kuthetha ukuba igazi elingenaoksijini elivela emilenzeni yakho lidlula kule "Femoral Vein"` lize lidibanise ne-"External Iliac Vein"` ukuze lihambe liye phezulu.
Yintoni iGazi elingenaoksijini?
Inkqubo yethu yokujikeleza kwegazi yenziwe ngemithambo yegazi ethwala igazi elineoksijini nelinezakha-mzimba ezithwala kuzo zonke izitho zomzimba. Emva kokuba umzimba usebenzise le oksijini, igazi eliseleyo (igazi elingenaoksijini) libuyiselwa entliziyweni ngemithambo yegazi. Intliziyo emva koko ipompa igazi liye emiphungeni apho liphinde lifakwe khona ioksijini. Abanye abantu babiza eli gazi lingenaoksijini ngokuthi "ligazi eliluhlaza okwesibhakabhaka," kodwa eneneni linombala obomvu onzulu.
Lo mthambo usebenza njani kwinkqubo yethu yokujikeleza kwegazi?
Cinga ngayo njengemijelo emincinci edibanayo ukuze yenze umlambo omkhulu. Le `(External Iliac Vein)` injalo.
Sine "External Iliac Veins" ezimbini kwicala lasekunene nelasekhohlo lomzimba wethu. Ngayinye kwezi idityaniswe ngomnye umthambo othwala igazi elivela kwizitho ezingaphakathi kwi-pelvis yethu (umzekelo, iimpundu, amalungu esini, kunye namathanga angaphakathi). Siyibiza ngokuba yi "Internal Iliac Vein".
Ngoko ke, i-External Iliac Vein kunye ne-Internal Iliac Vein ziyadibana ukuze zenze umthambo omkhulu obizwa ngokuba yi-`(Common Iliac Vein)`. Ezi `(Common Iliac Vein)` zimbini ezenziwe ngale ndlela, kwicala lasekunene nelasekhohlo, zidibana kufutshane ne-vertebra yesihlanu yomqolo wethu ukuze zenze i- `(Inferior Vena Cava)` , elona mthambo likhulu emzimbeni wethu. Loo `(Inferior Vena Cava)` yiyo eqokelela lonke igazi elingena-oxygen kwinxalenye esezantsi yomzimba ize ilithwale liye entliziyweni.
Ngamafutshane, igazi elivela emilenzeni liphuma kwi-"Femoral Vein" liye kwi-"External Iliac Vein", ukusuka apho liye kwi-"Common Iliac Vein", kwaye ekugqibeleni liye kwi-"Inferior Vena Cava", umthambo omkhulu, ngaphambi kokuba ubuyele entliziyweni.
Ziziphi iimeko zempilo ezinokuchaphazela le mthambo?
Le ``(External Iliac Vein)`` kunye nemithambo edibene nayo inokubangela iingxaki ezithile zempilo. Ezinye zezi zinzima kakhulu. Ngoko ke, kubaluleke kakhulu ukuqaphela oku.
| Imeko | Ingcaciso nje |
|---|---|
| I-Deep Vein Thrombosis (DVT) | Oku kwenzeka xa ihlwili legazi livela emthanjeni onzulu emzimbeni wethu, ingakumbi emilenzeni. Eli hlwili legazi linokuthintela ukuhamba kwegazi emthanjeni. Iimpawu ezinje ngokudumba kunye nentlungu emlenzeni zinokubakho. |
| Ukubethelwa kweMiphunga | Le yenye yezona ziphumo ziyingozi ze-DVT. Iqhekeza legazi elenziwe emlenzeni linokwaphuka lize lihambe negazi liye emthanjeni osemiphungeni . Oku kunokubangela ubunzima bokuphefumla, iintlungu esifubeni, kwanokufa. Le yimeko efuna unyango olungxamisekileyo. |
| Ukungasebenzi kakuhle kwemithambo yegazi (i-CVI) | Imithambo ephilileyo ineevalvu ezincinci ezithintela igazi ukuba lingabuyeli umva. Xa ezi valve zonakele, igazi liqala ukubuyela umva ngenxa yomxhuzulane. Oku kunokubangela ukuba igazi lihlangane emilenzeni, nto leyo ebangela ukudumba, iintlungu, kunye nokutshintsha kombala . |
| Isifo sikaMeyi-Thurner | Le yimeko engaqhelekanga. Okwenzekayo apha kukuba i-Iliac Artery yasekunene icinezela i-Iliac Vein yasekhohlo (umthambo). Olu xinzelelo luthintela ukuhamba kwegazi ukusuka emlenzeni wasekhohlo, nto leyo enyusa umngcipheko wokudumba komlenze wasekhohlo kunye ne-DVT . |
Ngoko ke singayigcina njani le mithambo isempilweni?
Kukho izinto ezilula onokuzenza ukugcina inkqubo yemithambo yomzimba wakho isempilweni, kuquka nemithambo yakho yangaphandle ye-Iliac Veins, kwaye inciphise umngcipheko wokuqhekeka kwegazi.
- Musa ukuhlala kwindawo efanayo ixesha elide: Ukuhlala okanye ukuma ixesha elide kwandisa umngcipheko wokudibana kwegazi kunye nokuqhekeka kwegazi. Ukuba kunokwenzeka, vuka ubuncinane kanye ngeyure uze uhambehamba kancinci , ushukumisa imilenze yakho.
- Ukuzilolonga: Zama ukuzilolonga umzimba phantse yonke imihla evekini. Ukuzilolonga okufana nokuhamba, ukubaleka, kunye nokudada kulungele ukujikeleza kwegazi.
- Ukutya okunempilo kwentliziyo: Yitya ukutya okunesondlo okunamafutha aphantsi kunye ne-cholesterol, kunye neziqhamo kunye nemifuno eninzi. Ukugcina ubunzima obusempilweni nako kubaluleke kakhulu.
- Kuphephe ukutshaya: Ukutshaya ngowona monakalo mkhulu onokuyenza kwimithambo yegazi yakho. Ukuba uyatshaya, fumana uncedo lokuyeka namhlanje.
- Lawula ezinye izifo: Ukuba unezifo ezifana nesifo seswekile, uxinzelelo lwegazi oluphezulu, okanye i-cholesterol ephezulu, zilawule kakuhle ngokwemiyalelo kagqirha wakho.
- Iisokisi Zoxinzelelo: Kwabanye abantu, ingakumbi abo basengozini enkulu ye-DVT, ugqirha wakho unokucebisa ukuba unxibe iisokisi ezikhethekileyo ezibizwa ngokuba ziisokisi zoxinzelelo. Ezi zinceda ekuthinteleni ukuba igazi lingangeni emilenzeni yakho.
Zeziphi iimpawu ekufuneka zikukhuthaze ukuba ubone ugqirha?
Ukuba ufumana enye okanye ngaphezulu kwezi mpawu zilandelayo, musa ukuzityeshela. Bona ugqirha wakho ngokukhawuleza. Ezinye iimpawu zinokufuna unyango olungxamisekileyo.
- Intlungu ebuhlungu esifubeni, egxalabeni, emqolo, okanye emhlathini eyenzeka ngaphandle kwesizathu.
- Ukukhohlela igazi.
- Ubunzima bokuhamba, iintlungu zomlenze xa uhamba okanye ulele.
- Ukuba nesiyezi okanye ukuba nentloko ebuthathaka.
- Ukudumba emilenzeni (ukudumba) okanye ukutshintsha kombala wolusu (oluhlaza okwesibhakabhaka/omfusa).
- Ukubila okugqithisileyo ngequbuliso.
- Isantya sentliziyo siyanda.
- Amanxeba angapholiyo emlenzeni okanye ezinyaweni.
- Ulusu olukhanyayo, olubandayo, okanye oluluhlaza okwesibhakabhaka.
- Ubunzima bokuphefumla ngequbuliso.
Kubaluleke kakhulu ukuya kwiSebe lezeMpilo eziNgxamisekileyo (ETU) esibhedlele ngokukhawuleza , ingakumbi ukuba uneempawu eziqatha ezifana nentlungu yesifuba ngequbuliso, ubunzima bokuphefumla, kunye nokukhohlela igazi.
Umyalezo Wokuya Ekhaya
- Umthambo we-Iliac wangaphandle ngumthambo omkhulu wegazi othwala igazi elingenaoksijini ukusuka emilenzeni nakwisinqe ukuya entliziyweni.
- Amahlwili egazi (DVT) ayenzeka kule mithambo anokuba yingozi kakhulu. Inxalenye yalo ingahlala emiphungeni (pulmonary embolism) kwaye inokuba yingozi nakubomi.
- Indlela yokuphila enempilo (ukuzilolonga kakuhle, ukutya okunempilo, kunye nokuphepha ukutshaya) kunokukhusela impilo yale mithambo yegazi.
- Intlungu yesifuba ngequbuliso, ubunzima bokuphefumla, okanye ukudumba ngequbuliso kunye nentlungu emlenzeni ziimpawu ezilumkisayo ezifuna unyango olukhawulezileyo.
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