UtyandoJulayi 16, 2026🔄 Updated: Jul 16, 2026⏱ 9 min

Ingaba unemithambo yegazi evuvukileyo emqolo wakho? Masithethe nge-femoral artery aneurysm!

Creator: Dr. Priya Sammani
Published: 2026-07-15T22:42:35.000Z

Dr. Priya Sammani, MBBS, PG Dip. FMMedical Verification

Ngamanye amaxesha, unokuba neengxaki ezinkulu emzimbeni wakho ungaqondanga. Enye yeengxaki ezinjalo yi-femoral artery aneurysm. Ngamafutshane, umthambo omkhulu wegazi (i-artery) ethangeni lakho, kufutshane ne-hip joint, uvuvukala njengebhaluni, ebizwa ngokuba yi-"Femoral Artery Aneurysm". Le yinto ekufuneka ixhalatyelwe, kuba ngamanye amaxesha unokuba nale meko ngaphandle kwempawu .

Yintoni kanye kanye i-femoral artery aneurysm?

Cinga ngombhobho wamanzi. Udonga lwalo mbhobho luyabuthathaka ngaxesha lithile luze luvuthuluke kancinci kancinci. Yiyo loo nto kunjalo. Umthambo wegazi oyintloko ethangeni lakho (obizwa ngokuba yi-'femoral artery') uyavuthuluka ube malunga nobukhulu obuphindwe kabini kunobo obuqhelekileyo. Oku kwenzeka kuba zonke iileya zodonga lwemithambo yegazi zoluliwe. Xa udonga lwemithambo yegazi lubuthathaka ngale ndlela, kunokwenzeka ukuba luqhume . Ukuba luyaqhuma, lo ngumthambo wegazi omkhulu, ngoko ke igazi elininzi linokulahleka emzimbeni ngaxeshanye. Leyo yimeko eyingozi kakhulu. Kwakhona, kukho ithuba lokuba ihlwili legazi linokuvela kule qhuthu lize libambeke emthanjeni, okanye linokuqhekeka livale umthambo kwenye indawo.

Ngaba kukho iintlobo zezi zifo ezibangelwa kukudumba okuxhomekeke kwindawo ezenzeka kuyo?

Ewe, oogqirha bahlula le "Femoral Artery Aneurysm" ngokwendawo echanekileyo . Umthambo wegazi oyintloko ethangeni lakho, masiwubize ngokuba "yi-common femoral artery", wahlulwe ube ngamasebe amancinci kwiindawo ezahlukeneyo.

Kunokubakho ukudumba okuthile ngaphambi kokuba le mithambo iphambili itshalwe .
Ezinye zinokwenzeka kwindawo apho amasebe ahlukana khona , okanye kumasebe ahlukanayo, ``i-profunda femoral artery`` okanye ``i-superficial femoral artery``.

Olu hlobo lwenziwa ngokwendawo kuba ngamanye amaxesha unyango lunokwahluka kancinci ngokuxhomekeke kwindawo ethile yokudumba.

Ngubani onokuthi abe nale meko?

Nangona nabani na enokuba nale meko, ebizwa ngokuba yi-"Femoral Artery Aneurysm," abanye abantu basengozini enkulu kancinci.

Amadoda anamathuba amaninzi okuba nayo le ngxaki kunabafazi.
Lo mngcipheko uphezulu kakhulu kubantu abaneminyaka engaphezu kwama-70 ubudala .

Ukongeza, usenokuba sengozini ukuba unezi zinto zilandelayo:

Uxinzelelo lwegazi oluphezulu : Ukuba uxinzelelo lwakho lwegazi luhlala luphezulu.
I-cholesterol ephezulu : I-cholesterol ephezulu yinto enamafutha egazini.Ukuba unezinga eliphezulu le-cholesterol .
Izifo zezicubu ezidityanisiweyo : Kukho izifo ezingaqhelekanga ezichaphazela izicubu zomzimba, umzekelo, i-Ehlers-Danlos syndrome okanye i-Marfan syndrome. Abantu abanezi zifo nabo basengozini.
Ukusetyenziswa kwemveliso yecuba : Le ngozi iphezulu kwabo batshaya icuba, i-beedis, i-betel nuts, okanye ezinye iintlobo zecuba.
I-atherosclerosis : Le yeyona nto idla ngokuba yimbangela ephambili. I-atherosclerosis kukuqokelelana kwamafutha eludongeni lwemithambo yegazi , okuyenza inciphe kancinci kancinci. Ukuba ukhe wahlaselwa yintliziyo ngaphambili, okanye ukuba uneengxaki ngemithambo yegazi emilenzeni yakho, njengesifo semithambo yegazi engaphandle, usenokuba sengozini ye-atherosclerosis.
Imbali yosapho : Ukuba umntu kusapho lwakho, njengomama wakho, utata, okanye abantakwenu, ukhe waba ne-aneurysm efana nale ngaphambili, nawe usenokuba sengozini ephantsi.

Ixhaphake kangakanani le meko?

Enyanisweni, le `(Femoral Artery Aneurysm)` yimeko engaqhelekanga kakhulu . Oko kukuthi, ayisiyonto iqhelekileyo. Nangona kunjalo, nangona ingaqhelekanga, abanye abantu banokuba nokudumba kwimilenze yomibini. Abanye banokuba nokudumba (aneurysms) kungekuphela nje kule artery ye-femoral, kodwa nakwezinye imithambo yegazi emzimbeni (umzekelo, kwi-aorta esiswini) ngaxeshanye. Ngokwezibalo, le meko ichaphazela kuphela i-0.007% yamadoda. Phakathi kwabasetyhini, le pesenti iphantsi nangakumbi. Ngoko ke, ungoyiki ukucinga ukuba oku kunqabile kakhulu, kodwa kubaluleke kakhulu ukukwazi oku.

Kwenzeka ntoni emzimbeni xa le mithambo yegazi ivuleka?

Ukuba une-`(Femoral Artery Aneurysm)`, kukho iingozi ezimbini eziphambili. 1. I-blood clot : I-blood clot inokwenziwa kwindawo ye-aneurysm ize ibambeke kuloo mthambo. Okanye, i-clot ingaphuma ize ihambe ngegazi ukuze ivale umthambo omncinci wegazi kwenye indawo (umzekelo, emlenzeni ongezantsi okanye enyaweni). Oku kunokuthintela ukuhamba kwegazi kuloo ndawo kwaye kubangele iingxaki. 2. Ukuqhekeka : Oku yeyona nto iyingozi. Udonga olubuthathaka lomthambo lunokudumba luze luqhume ngequbuliso. Ukuba oko kuyenzeka, njengoko bekutshiwo ngaphambili, kunokubangela ukopha okukhulu kwanokufa.

Zithini iimpawu zoku?

Ngamaxesha amaninzi,Malunga nama-40% abantu abanale meko abanazo iimpawu! Yiloo nto yoyikisayo. Nangona kunjalo, ukuba iimpawu ziyavela, zingabandakanya:
Iqhuma elisesinqeni sakho : Usenokuva iqhuma elisesinqeni sakho. Ngamanye amaxesha, eli qhuma lisenokuvakala ngathi liyabetha (liyabetha).
Ukudumba komlenze ongezantsi : Umlenze ongezantsi usenokuba nokudumba.
Intlungu okanye uxinzelelo kwimiqolo okanye emlenzeni : Usenokuba neentlungu kwimiqolo, ethangeni, okanye emlenzeni, okanye uzive uxinezelekile.
Amahlwili egazi : Njengoko bekutshiwo ngaphambili, iimpawu zamahlwili egazi (umz., ukubanda ngequbuliso, ukuphaphatheka, iintlungu eziqatha) zinokubakho.
Ukudumba : Oku kwenzeka rhoqo, kodwa ukuba kwenzeka njalo, kunokubangela ingxaki enkulu ebangela intlungu engxamisekileyo neqatha.
Khumbula, inokubakho ngaphandle kweempawu, ngoko ke kungcono ukuthetha nogqirha ukuba unezinto ezinokubangela umngcipheko.
Yintoni ebangela oku?
Kukho izizathu ezahlukeneyo zokuba udonga lomthambo we-femoral lunokuba buthathaka luze lubangele olu hlobo lokudumba (i-aneurysm).
I-atherosclerosis : Le yeyona nto iphambili neyona ixhaphakileyo . Xa amafutha eqokelelana ngaphakathi kwemithambo yegazi, iindonga zemithambo ziyaqina kancinci kancinci kwaye ziphelelwe bubuthambile bazo, azikwazi ukumelana noxinzelelo lwegazi kwaye zinokuba buthathaka kwaye zidumbe kwezinye iindawo.
Uxinzelelo lwegazi oluphezulu : Xa uxinzelelo lwegazi luphezulu ixesha elide, imithambo yegazi ihlala iphantsi koxinzelelo olukhulu. Oku kunokwenza buthathaka iindonga zemithambo.
Ukonzakala : Ukuba umthambo wegazi kwindawo yethanga wonakele ngenxa yengozi okanye ukwenzakala ngequbuliso, loo ndawo inokuvuvukala kamva. Umzekelo, ukwenzakala okuncinci okuvela kwiinkqubo ezithile zonyango (ezifana nokufaka i-catheter) ngamanye amaxesha kunokuba yimbangela.
Izifo zezicubu ezidityanisiweyo : Njengoko bekutshiwo ngaphambili, abantu abanezifo ezingaqhelekanga ezichaphazela izicubu ezidityanisiweyo zomzimba, ezifana ne-Ehlers-Danlos syndrome, i-Marfan syndrome, okanye isifo se-adventitial cystic, banokuba buthathaka bokuzalwa kweendonga zemithambo yegazi.
Isifo sikaBehçet : Isifo sikaBehçet sinokubangela ukudumba kwemithambo yegazi kwaye sibangele ukudumba okunje.
Yingakho udonga lomthambo wakho we-femoral lubuthathaka kwaye lunwebeka kancinci kancinci phantsi koxinzelelo lwegazi, lwenze i-aneurysm efana nale.
Oogqirha bayibona njani le nto?
Xa usiya kugqirha, banokuziva iqhuma emqolo wakho ngexesha lovavanyo lomzimba. Kodwa ayizizo zonke iqhuma ezimqolo wakho ezibangelwa yi-aneurysm. Ngamanye amaxesha inokuba yi-hernia. Ngoko ke, ukuze ufumane ukuba yintoni kanye kanye, kwaye ufumane ukuba iqhuma likhulu kangakanani, liphi, kwaye liyintoni, ugqirha wakho uya kukucela ukuba wenze iimvavanyo ezifana nezi:
I-ultrasound scan : Olu luvavanyo olulula nolungenabuhlungu olunokujonga ngaphakathi kwemithambo yegazi, apho ukudumba kukhoyo, kwaye bukhulu kangakanani.
I-CT angiogram : Olu luhlobo olukhethekileyo lwe-CT scan. Kolu vavanyo, kufakwa idayi ekhethekileyo (idayi yokwahlula) kwimithambo yakho yegazi, kwaye i-CT scanner ithatha imifanekiso eneenkcukacha ezinemilinganiselo emithathu (3D) yemithambo yegazi. Oku kunokubonelela ngolwazi oluninzi malunga nokuvaleka kwayo.
I-M.R. Angiogram (i-Magnetic Resonance Angiogram - MRA) : Olu luvavanyo olukhethekileyo lwe-MRI olujonga imithambo yegazi, olufana ne-CT angiogram.
Ugqirha uya kugqiba ukuba loluphi unyango olulungele wena ngokusekelwe kulwazi olufunyenwe kwezi mvavanyo.
Uzinyanga njani ezi mithambo yegazi zidumbileyo emilenzeni yakho?
Umngcipheko wokuqhekeka kwe-"Femoral Artery Aneurysm" uphantsi kakhulu (malunga ne-1% ukuya kwi-14%). Ke ngoko, ayinguye wonke umntu oza kufuna utyando ngoko nangoko . Nangona kunjalo, ugqirha wakho unokucebisa utyando lokulungisa i-aneurysm kwezi meko zilandelayo:
Ukuba uneempawu (umz. iintlungu, ukudumba, ukugabha kwegazi).
Ukuba ukudumba kuyagqabhuka (oku kungxamisekile kwaye kufuna utyando olukhawulezileyo).
Ukuba ukudumba kuyanda (ugqirha uza kuyijonga rhoqo).
Ukuba ububanzi beqhubu bukhulu kuneesentimitha eziyi-2.5 (malunga ne-intshi enye) .
Ukuze balungise le qhubu, oogqirha badla ngokwenza utyando oluvulekileyo . Oko kukuthi, basika ulusu baze bajonge ngqo kwimithambo yegazi. Olu asilotyando lwe-laparoscopic oludla ngokwenziwa ngokusika okuncinci ngekhamera. Ugqirha ususa inxalenye evuvukileyo nebuthathaka yomthambo wegazi aze ayitshintshe ngetyhubhu yokwenziwa, ebizwa ngokuba yi-'fabric graft' (ityhubhu eyenziwe ngohlobo oluthile lwelaphu).
Oku kufana nokusika indawo ebuthathaka kwipayipi yomlilo uze uyifake enye into entsha neyomeleleyo. Emva koko ukuhamba kwegazi kunokubuyela kwakhona kakuhle ngaphandle kokuphazamiseka.
Ziziphi iingxaki ezinokwenzeka emva kolu tyando?
Njengakwezinye iintlobo zotyando, kukho ithuba elincinci lokuba kubekho iingxaki emva kolu tyando lwe-femoral artery bypass grafting. Kodwa oogqirha balumkile kakhulu ngezi zinto.
Usulelo : Inxeba lotyando linokudumba kwaye losuleleke.
Ukopha : Ukopha kungenzeka emva kotyando.
Amahlwili egazi: Amahlwili egazi anokwenziwa emilenzeni.
Ezi zizinto ezidla ngokulawulwa. Ukuba uziva into engaqhelekanga, kufuneka uxelele ugqirha wakho ngoko nangoko.
Kuthatha ixesha elingakanani ukuchacha emva kolu nyango?
Emva kotyando, kuya kufuneka uhlale esibhedlele kangangeentsuku ezintathu ukuya kwezilishumi. Kungathatha inyanga okanye ngaphezulu ukuze uphile ngokupheleleyo kwaye ubuyele kwimisebenzi yakho yesiqhelo. Ngoko ke, kubaluleke kakhulu ukulandela imiyalelo kagqirha ngokuchanekileyo kwaye ube nomonde ngeli xesha.
Ndingenza ntoni ukunciphisa lo mngcipheko?
Njengoko besitshilo ngaphambili, imbangela ephambili yale `(Femoral Artery Aneurysm)` yi`(Atherosclerosis)`, ukuqokelelwa kwamafutha kwimithambo yegazi. Ngoko ke, ukuyilawula kunokunciphisa umngcipheko wezi aneurysms.
Lawula amanqanaba akho e-cholesterol kunye noxinzelelo lwegazi . Sela amayeza owanikwe ngugqirha wakho.
Zilolonge rhoqo . Nokuba yinto elula njengokuhamba imizuzu engama-30 ngosuku ilungile.
Yitya ukutya okunempilo, okungenamafutha amaninzi . Yitya iziqhamo, imifuno kunye nokutya okutyebileyo kwi-fiber.
Ukuba uyatshaya, yeka ngokupheleleyo . Yeka nokusebenzisa iimveliso zecuba. Oku kubaluleke kakhulu.
Kwabanye abantu, ukongeza kwezi nguqu zendlela yokuphila, ugqirha unokucebisa ukuba baqhubeke nokusebenzisa amayeza okunciphisa i-cholesterol.
Ukuba ndinokudumba okunje, ndimele ndilindele ntoni?
Le `(Femoral Artery Aneurysm)` ayizukuphela yodwa ngaphandle konyango. Ukuba ugqirha wakho ukuxelela ukuba unayo, uza kuyijonga rhoqo (akuxelele ukuba uze `ukulandelwa`). Oko kukuthi, uza kwenza iimvavanyo ezifana ne`(Ultrasound scan)` ngamaxesha athile ukuze abone ukuba ukudumba kuyanda okanye ukuba kukho ezinye iingxaki. Ngokusekelwe koko, uza kugqiba ukuba ngaba utyando luyadingeka okanye ukuba alinde ixesha elide. Iziphumo zolu tyando zihlala zilungile kakhulu. Umngcipheko wokufa ngexesha lotyando uphantsi kakhulu, phakathi kwe-1% kunye ne-5%. Nokuba yiminyaka emihlanu emva kotyando, malunga ne-85% yemithambo yegazi elungisiweyo isasebenza kakuhle, ngaphandle kweengxaki zokuhamba kwegazi. Ezi ziindaba ezimnandi ngokwenene.
Ndingazinyamekela njani?
Ukuba une-`(Femoral Artery Aneurysm)` kwaye uye watyandwa, okanye ujongwa ngugqirha ngaphandle kotyando, kuya kufuneka uhlolwe rhoqo imithambo yakho yegazi ngugqirha ubomi bakho bonke. Olu vavanyo luqhelekileyo lunokunceda ekufumaneni naziphi na ii-aneurysms ezintsha ngaphambi kokuba zibe nkulu kwaye ziqhume. Ukuba uyatshaya, kunokwenza ezi aneurysms zibe nkulu. Ke ngoko, ugqirha wakho ngokuqinisekileyo uya kukucebisa ukuba uyeke ukutshaya. Kwakhona, landela imiyalelo enikiweyo yokulawula i-cholesterol yakho kunye noxinzelelo lwegazi ngokuchanekileyo.
Ndingaya nini kunyango olungxamisekileyo?
Ukuba umlenze okanye unyawo lwakho lubonakalisa ngequbuliso enye okanye ngaphezulu kwezi mpawu, kuya kufuneka uye kwigumbi likaxakeka esibhedlele ngokukhawuleza, ngaphandle kokulibazisa :
Ukuba umlenze uba buthathaka okanye uzive ngathi awunabomi.
Ukuba umlenze uvuvukala ngequbuliso.
Ukuba uva intlungu enganyamezelekiyo.
Ukuba umlenze wakho awunamandla .
Ukuba umlenze wakho uvakala ubanda kunomnye umlenze xa uwuchukumisa.
Ukuba umlenze utshintshile umbala okanye utshintshe umbala.
Ezi mpawu zibonisa ingxaki enkulu ngokuhamba kwegazi emlenzeni, nto leyo ethetha ukuba ukudumba kunokubangela ukuqhekeka kwegazi okanye ukudumba kunokubangela ukuqhuma. Ke ngoko, ukufumana unyango ngokukhawuleza ngaphandle kokuchitha ixesha kunokusindisa ubomi.
Ndingayibuza yiphi imibuzo ugqirha?
Ukuba unemibuzo okanye iinkxalabo malunga nale meko, ungathandabuzi ukubuza ugqirha wakho. Umzekelo, ungabuza imibuzo efana nale:
"Gqirha, yintoni kanye kanye ebangela oku kudumba emithanjeni yam?"
"Ngaba ndiyaludinga ngokwenene utyando ngenxa yoku? Azikho ezinye iindlela zonyango?"
"Ngaba ndingadumba okunje kwezinye iindawo zomzimba wam?"
"Ungandinika iingcebiso malunga nokutya okuza kunceda ekunciphiseni amanqanaba e-cholesterol yam?"
Kubaluleke kakhulu ukubuza imibuzo efana nale ukuze uqonde ngcono imeko yakho.
Yintoni umahluko phakathi kwe-'Femoral Artery Aneurysm' kunye ne-'Pseudoaneurysm'?
Ngamanye amaxesha uya kuva negama elithi `(Pseudoaneurysm)`. Oku kuthetha "ukudumba okungekho sikweni". Le `(Pseudoaneurysm)` ixhaphake kakhulu kune`(Femoral Artery Aneurysm)` yokwenyani ebesithetha ngayo. Ngokwesiqhelo, `(Pseudoaneurysm)` yenziwa emva kwenkqubo yezonyango kumthambo wakho wegazi (umzekelo, xa kwenziwa`(angiogram)` okanye `(catheter)` ifakiwe), kwaye udonga lwaloo mthambo wegazi lonakele kancinci, kwaye igazi elithile liphuma lize liqokeleleke lijikeleze umthambo, lenze iqhuma. Umahluko ophambili kukuba kwi`(aneurysm)` yokwenyani, zonke iileya zodonga lomthambo wegazi ziyanwebeka kwaye zidumbe. Kodwa kwi`(pseudoaneurysm)`, oko akwenzeki, yingqokelela yegazi ephuma ngomngxuma eludongeni lomthambo wegazi.
Sithini isigidimi esifuna ukusithatha sibuyele ekhaya kweli bali?
Ngoko ke, nangona i-femoral artery aneurysm esithethe ngayo ixesha elide ingaqhelekanga, kubaluleke kakhulu ukuba wena nosapho lwakho niyazi.
Oku kudla ngokuba kungabonakali zimpawu .
Ukuba unezinto ezikubangela umngcipheko (uxinzelelo lwegazi oluphezulu, i-cholesterol, ukutshaya, imbali yosapho), funa ingcebiso kagqirha .
Ukuba ugqirha wakho ufumanisa ukuba unayo, ungoyiki. Kukho unyango olusebenzayo olunokusetyenziswa ukuyisusa, nokuba kungotyando, ngaphambi kokuba iqhume .
Ukudibana nogqirha onamava okunyanga ezi ngxaki kuya kuba luncedo kakhulu kuwe.
Soloko unyamekela impilo yakho, phila ubomi obusempilweni, kwaye ulandele imiyalelo kagqirha wakho ngokuchanekileyo.Emva koko ungaphepha iingxaki ezininzi zempilo ezinje kwaye uhlale usempilweni.
Ukuba unemibuzo engaphezulu, qiniseka ukuba uthetha nogqirha wakho wosapho okanye ingcali.

⚠️ Important: The medical articles and information on Nirogi Lanka are for general awareness only, and are by no means a substitute for professional medical advice, diagnosis, or treatment. For any medical problem you have, consult a qualified physician immediately.

💬 Comments (0)

Akukho zimvo zithunyelweyo okwangoku. Faka uluvo lwakho apha okokuqala.

Faka uluvo lwakho

UtyandoJulayi 16, 2026
Ingaba unemithambo yegazi evuvukileyo emqolo wakho? Masithethe nge-femoral artery aneurysm!
Dr. Priya SammaniMedical Verification
⏱ 9 min read
📋Table of Contents
1. Yintoni kanye kanye i-femoral artery aneurysm?
2. Ngaba kukho iintlobo zezi zifo ezibangelwa kukudumba okuxhomekeke kwindawo ezenzeka kuyo?
3. Ngubani onokuthi abe nale meko?
4. Ixhaphake kangakanani le meko?
5. Kwenzeka ntoni emzimbeni xa le mithambo yegazi ivuleka?
6. Zithini iimpawu zoku?
7. Yintoni ebangela oku?
8. Oogqirha bayibona njani le nto?
9. Uzinyanga njani ezi mithambo yegazi zidumbileyo emilenzeni yakho?
10. Ziziphi iingxaki ezinokwenzeka emva kolu tyando?
11. Kuthatha ixesha elingakanani ukuchacha emva kolu nyango?
12. Ndingenza ntoni ukunciphisa lo mngcipheko?
13. Ukuba ndinokudumba okunje, ndimele ndilindele ntoni?
14. Ndingazinyamekela njani?
15. Ndingaya nini kunyango olungxamisekileyo?
16. Ndingayibuza yiphi imibuzo ugqirha?
17. Yintoni umahluko phakathi kwe-'Femoral Artery Aneurysm' kunye ne-'Pseudoaneurysm'?
18. Sithini isigidimi esifuna ukusithatha sibuyele ekhaya kweli bali?
Ngamanye amaxesha, unokuba neengxaki ezinkulu emzimbeni wakho ungaqondanga. Enye yeengxaki ezinjalo yi-femoral artery aneurysm. Ngamafutshane, umthambo omkhulu wegazi (i-artery) ethangeni lakho, kufutshane ne-hip joint, uvuvukala njengebhaluni, ebizwa ngokuba yi-"Femoral Artery Aneurysm". Le yinto ekufuneka ixhalatyelwe, kuba ngamanye amaxesha unokuba nale meko ngaphandle kwempawu .
Yintoni kanye kanye i-femoral artery aneurysm?
Cinga ngombhobho wamanzi. Udonga lwalo mbhobho luyabuthathaka ngaxesha lithile luze luvuthuluke kancinci kancinci. Yiyo loo nto kunjalo. Umthambo wegazi oyintloko ethangeni lakho (obizwa ngokuba yi-'femoral artery') uyavuthuluka ube malunga nobukhulu obuphindwe kabini kunobo obuqhelekileyo. Oku kwenzeka kuba zonke iileya zodonga lwemithambo yegazi zoluliwe. Xa udonga lwemithambo yegazi lubuthathaka ngale ndlela, kunokwenzeka ukuba luqhume . Ukuba luyaqhuma, lo ngumthambo wegazi omkhulu, ngoko ke igazi elininzi linokulahleka emzimbeni ngaxeshanye. Leyo yimeko eyingozi kakhulu. Kwakhona, kukho ithuba lokuba ihlwili legazi linokuvela kule qhuthu lize libambeke emthanjeni, okanye linokuqhekeka livale umthambo kwenye indawo.
Ngaba kukho iintlobo zezi zifo ezibangelwa kukudumba okuxhomekeke kwindawo ezenzeka kuyo?
Ewe, oogqirha bahlula le "Femoral Artery Aneurysm" ngokwendawo echanekileyo . Umthambo wegazi oyintloko ethangeni lakho, masiwubize ngokuba "yi-common femoral artery", wahlulwe ube ngamasebe amancinci kwiindawo ezahlukeneyo.
Kunokubakho ukudumba okuthile ngaphambi kokuba le mithambo iphambili itshalwe .
Ezinye zinokwenzeka kwindawo apho amasebe ahlukana khona , okanye kumasebe ahlukanayo, ``i-profunda femoral artery`` okanye ``i-superficial femoral artery``.
Olu hlobo lwenziwa ngokwendawo kuba ngamanye amaxesha unyango lunokwahluka kancinci ngokuxhomekeke kwindawo ethile yokudumba.
Ngubani onokuthi abe nale meko?
Nangona nabani na enokuba nale meko, ebizwa ngokuba yi-"Femoral Artery Aneurysm," abanye abantu basengozini enkulu kancinci.
Amadoda anamathuba amaninzi okuba nayo le ngxaki kunabafazi.
Lo mngcipheko uphezulu kakhulu kubantu abaneminyaka engaphezu kwama-70 ubudala .
Ukongeza, usenokuba sengozini ukuba unezi zinto zilandelayo:
Uxinzelelo lwegazi oluphezulu : Ukuba uxinzelelo lwakho lwegazi luhlala luphezulu.
I-cholesterol ephezulu : I-cholesterol ephezulu yinto enamafutha egazini.Ukuba unezinga eliphezulu le-cholesterol .
Izifo zezicubu ezidityanisiweyo : Kukho izifo ezingaqhelekanga ezichaphazela izicubu zomzimba, umzekelo, i-Ehlers-Danlos syndrome okanye i-Marfan syndrome. Abantu abanezi zifo nabo basengozini.
Ukusetyenziswa kwemveliso yecuba : Le ngozi iphezulu kwabo batshaya icuba, i-beedis, i-betel nuts, okanye ezinye iintlobo zecuba.
I-atherosclerosis : Le yeyona nto idla ngokuba yimbangela ephambili. I-atherosclerosis kukuqokelelana kwamafutha eludongeni lwemithambo yegazi , okuyenza inciphe kancinci kancinci. Ukuba ukhe wahlaselwa yintliziyo ngaphambili, okanye ukuba uneengxaki ngemithambo yegazi emilenzeni yakho, njengesifo semithambo yegazi engaphandle, usenokuba sengozini ye-atherosclerosis.
Imbali yosapho : Ukuba umntu kusapho lwakho, njengomama wakho, utata, okanye abantakwenu, ukhe waba ne-aneurysm efana nale ngaphambili, nawe usenokuba sengozini ephantsi.
Ixhaphake kangakanani le meko?
Enyanisweni, le `(Femoral Artery Aneurysm)` yimeko engaqhelekanga kakhulu . Oko kukuthi, ayisiyonto iqhelekileyo. Nangona kunjalo, nangona ingaqhelekanga, abanye abantu banokuba nokudumba kwimilenze yomibini. Abanye banokuba nokudumba (aneurysms) kungekuphela nje kule artery ye-femoral, kodwa nakwezinye imithambo yegazi emzimbeni (umzekelo, kwi-aorta esiswini) ngaxeshanye. Ngokwezibalo, le meko ichaphazela kuphela i-0.007% yamadoda. Phakathi kwabasetyhini, le pesenti iphantsi nangakumbi. Ngoko ke, ungoyiki ukucinga ukuba oku kunqabile kakhulu, kodwa kubaluleke kakhulu ukukwazi oku.
Kwenzeka ntoni emzimbeni xa le mithambo yegazi ivuleka?
Ukuba une-`(Femoral Artery Aneurysm)`, kukho iingozi ezimbini eziphambili. 1. I-blood clot : I-blood clot inokwenziwa kwindawo ye-aneurysm ize ibambeke kuloo mthambo. Okanye, i-clot ingaphuma ize ihambe ngegazi ukuze ivale umthambo omncinci wegazi kwenye indawo (umzekelo, emlenzeni ongezantsi okanye enyaweni). Oku kunokuthintela ukuhamba kwegazi kuloo ndawo kwaye kubangele iingxaki. 2. Ukuqhekeka : Oku yeyona nto iyingozi. Udonga olubuthathaka lomthambo lunokudumba luze luqhume ngequbuliso. Ukuba oko kuyenzeka, njengoko bekutshiwo ngaphambili, kunokubangela ukopha okukhulu kwanokufa.
Zithini iimpawu zoku?
Ngamaxesha amaninzi,Malunga nama-40% abantu abanale meko abanazo iimpawu! Yiloo nto yoyikisayo. Nangona kunjalo, ukuba iimpawu ziyavela, zingabandakanya:
Iqhuma elisesinqeni sakho : Usenokuva iqhuma elisesinqeni sakho. Ngamanye amaxesha, eli qhuma lisenokuvakala ngathi liyabetha (liyabetha).
Ukudumba komlenze ongezantsi : Umlenze ongezantsi usenokuba nokudumba.
Intlungu okanye uxinzelelo kwimiqolo okanye emlenzeni : Usenokuba neentlungu kwimiqolo, ethangeni, okanye emlenzeni, okanye uzive uxinezelekile.
Amahlwili egazi : Njengoko bekutshiwo ngaphambili, iimpawu zamahlwili egazi (umz., ukubanda ngequbuliso, ukuphaphatheka, iintlungu eziqatha) zinokubakho.
Ukudumba : Oku kwenzeka rhoqo, kodwa ukuba kwenzeka njalo, kunokubangela ingxaki enkulu ebangela intlungu engxamisekileyo neqatha.
Khumbula, inokubakho ngaphandle kweempawu, ngoko ke kungcono ukuthetha nogqirha ukuba unezinto ezinokubangela umngcipheko.
Yintoni ebangela oku?
Kukho izizathu ezahlukeneyo zokuba udonga lomthambo we-femoral lunokuba buthathaka luze lubangele olu hlobo lokudumba (i-aneurysm).
I-atherosclerosis : Le yeyona nto iphambili neyona ixhaphakileyo . Xa amafutha eqokelelana ngaphakathi kwemithambo yegazi, iindonga zemithambo ziyaqina kancinci kancinci kwaye ziphelelwe bubuthambile bazo, azikwazi ukumelana noxinzelelo lwegazi kwaye zinokuba buthathaka kwaye zidumbe kwezinye iindawo.
Uxinzelelo lwegazi oluphezulu : Xa uxinzelelo lwegazi luphezulu ixesha elide, imithambo yegazi ihlala iphantsi koxinzelelo olukhulu. Oku kunokwenza buthathaka iindonga zemithambo.
Ukonzakala : Ukuba umthambo wegazi kwindawo yethanga wonakele ngenxa yengozi okanye ukwenzakala ngequbuliso, loo ndawo inokuvuvukala kamva. Umzekelo, ukwenzakala okuncinci okuvela kwiinkqubo ezithile zonyango (ezifana nokufaka i-catheter) ngamanye amaxesha kunokuba yimbangela.
Izifo zezicubu ezidityanisiweyo : Njengoko bekutshiwo ngaphambili, abantu abanezifo ezingaqhelekanga ezichaphazela izicubu ezidityanisiweyo zomzimba, ezifana ne-Ehlers-Danlos syndrome, i-Marfan syndrome, okanye isifo se-adventitial cystic, banokuba buthathaka bokuzalwa kweendonga zemithambo yegazi.
Isifo sikaBehçet : Isifo sikaBehçet sinokubangela ukudumba kwemithambo yegazi kwaye sibangele ukudumba okunje.
Yingakho udonga lomthambo wakho we-femoral lubuthathaka kwaye lunwebeka kancinci kancinci phantsi koxinzelelo lwegazi, lwenze i-aneurysm efana nale.
Oogqirha bayibona njani le nto?
Xa usiya kugqirha, banokuziva iqhuma emqolo wakho ngexesha lovavanyo lomzimba. Kodwa ayizizo zonke iqhuma ezimqolo wakho ezibangelwa yi-aneurysm. Ngamanye amaxesha inokuba yi-hernia. Ngoko ke, ukuze ufumane ukuba yintoni kanye kanye, kwaye ufumane ukuba iqhuma likhulu kangakanani, liphi, kwaye liyintoni, ugqirha wakho uya kukucela ukuba wenze iimvavanyo ezifana nezi:
I-ultrasound scan : Olu luvavanyo olulula nolungenabuhlungu olunokujonga ngaphakathi kwemithambo yegazi, apho ukudumba kukhoyo, kwaye bukhulu kangakanani.
I-CT angiogram : Olu luhlobo olukhethekileyo lwe-CT scan. Kolu vavanyo, kufakwa idayi ekhethekileyo (idayi yokwahlula) kwimithambo yakho yegazi, kwaye i-CT scanner ithatha imifanekiso eneenkcukacha ezinemilinganiselo emithathu (3D) yemithambo yegazi. Oku kunokubonelela ngolwazi oluninzi malunga nokuvaleka kwayo.
I-M.R. Angiogram (i-Magnetic Resonance Angiogram - MRA) : Olu luvavanyo olukhethekileyo lwe-MRI olujonga imithambo yegazi, olufana ne-CT angiogram.
Ugqirha uya kugqiba ukuba loluphi unyango olulungele wena ngokusekelwe kulwazi olufunyenwe kwezi mvavanyo.
Uzinyanga njani ezi mithambo yegazi zidumbileyo emilenzeni yakho?
Umngcipheko wokuqhekeka kwe-"Femoral Artery Aneurysm" uphantsi kakhulu (malunga ne-1% ukuya kwi-14%). Ke ngoko, ayinguye wonke umntu oza kufuna utyando ngoko nangoko . Nangona kunjalo, ugqirha wakho unokucebisa utyando lokulungisa i-aneurysm kwezi meko zilandelayo:
Ukuba uneempawu (umz. iintlungu, ukudumba, ukugabha kwegazi).
Ukuba ukudumba kuyagqabhuka (oku kungxamisekile kwaye kufuna utyando olukhawulezileyo).
Ukuba ukudumba kuyanda (ugqirha uza kuyijonga rhoqo).
Ukuba ububanzi beqhubu bukhulu kuneesentimitha eziyi-2.5 (malunga ne-intshi enye) .
Ukuze balungise le qhubu, oogqirha badla ngokwenza utyando oluvulekileyo . Oko kukuthi, basika ulusu baze bajonge ngqo kwimithambo yegazi. Olu asilotyando lwe-laparoscopic oludla ngokwenziwa ngokusika okuncinci ngekhamera. Ugqirha ususa inxalenye evuvukileyo nebuthathaka yomthambo wegazi aze ayitshintshe ngetyhubhu yokwenziwa, ebizwa ngokuba yi-'fabric graft' (ityhubhu eyenziwe ngohlobo oluthile lwelaphu).
Oku kufana nokusika indawo ebuthathaka kwipayipi yomlilo uze uyifake enye into entsha neyomeleleyo. Emva koko ukuhamba kwegazi kunokubuyela kwakhona kakuhle ngaphandle kokuphazamiseka.
Ziziphi iingxaki ezinokwenzeka emva kolu tyando?
Njengakwezinye iintlobo zotyando, kukho ithuba elincinci lokuba kubekho iingxaki emva kolu tyando lwe-femoral artery bypass grafting. Kodwa oogqirha balumkile kakhulu ngezi zinto.
Usulelo : Inxeba lotyando linokudumba kwaye losuleleke.
Ukopha : Ukopha kungenzeka emva kotyando.
Amahlwili egazi: Amahlwili egazi anokwenziwa emilenzeni.
Ezi zizinto ezidla ngokulawulwa. Ukuba uziva into engaqhelekanga, kufuneka uxelele ugqirha wakho ngoko nangoko.
Kuthatha ixesha elingakanani ukuchacha emva kolu nyango?
Emva kotyando, kuya kufuneka uhlale esibhedlele kangangeentsuku ezintathu ukuya kwezilishumi. Kungathatha inyanga okanye ngaphezulu ukuze uphile ngokupheleleyo kwaye ubuyele kwimisebenzi yakho yesiqhelo. Ngoko ke, kubaluleke kakhulu ukulandela imiyalelo kagqirha ngokuchanekileyo kwaye ube nomonde ngeli xesha.
Ndingenza ntoni ukunciphisa lo mngcipheko?
Njengoko besitshilo ngaphambili, imbangela ephambili yale `(Femoral Artery Aneurysm)` yi`(Atherosclerosis)`, ukuqokelelwa kwamafutha kwimithambo yegazi. Ngoko ke, ukuyilawula kunokunciphisa umngcipheko wezi aneurysms.
Lawula amanqanaba akho e-cholesterol kunye noxinzelelo lwegazi . Sela amayeza owanikwe ngugqirha wakho.
Zilolonge rhoqo . Nokuba yinto elula njengokuhamba imizuzu engama-30 ngosuku ilungile.
Yitya ukutya okunempilo, okungenamafutha amaninzi . Yitya iziqhamo, imifuno kunye nokutya okutyebileyo kwi-fiber.
Ukuba uyatshaya, yeka ngokupheleleyo . Yeka nokusebenzisa iimveliso zecuba. Oku kubaluleke kakhulu.
Kwabanye abantu, ukongeza kwezi nguqu zendlela yokuphila, ugqirha unokucebisa ukuba baqhubeke nokusebenzisa amayeza okunciphisa i-cholesterol.
Ukuba ndinokudumba okunje, ndimele ndilindele ntoni?
Le `(Femoral Artery Aneurysm)` ayizukuphela yodwa ngaphandle konyango. Ukuba ugqirha wakho ukuxelela ukuba unayo, uza kuyijonga rhoqo (akuxelele ukuba uze `ukulandelwa`). Oko kukuthi, uza kwenza iimvavanyo ezifana ne`(Ultrasound scan)` ngamaxesha athile ukuze abone ukuba ukudumba kuyanda okanye ukuba kukho ezinye iingxaki. Ngokusekelwe koko, uza kugqiba ukuba ngaba utyando luyadingeka okanye ukuba alinde ixesha elide. Iziphumo zolu tyando zihlala zilungile kakhulu. Umngcipheko wokufa ngexesha lotyando uphantsi kakhulu, phakathi kwe-1% kunye ne-5%. Nokuba yiminyaka emihlanu emva kotyando, malunga ne-85% yemithambo yegazi elungisiweyo isasebenza kakuhle, ngaphandle kweengxaki zokuhamba kwegazi. Ezi ziindaba ezimnandi ngokwenene.
Ndingazinyamekela njani?
Ukuba une-`(Femoral Artery Aneurysm)` kwaye uye watyandwa, okanye ujongwa ngugqirha ngaphandle kotyando, kuya kufuneka uhlolwe rhoqo imithambo yakho yegazi ngugqirha ubomi bakho bonke. Olu vavanyo luqhelekileyo lunokunceda ekufumaneni naziphi na ii-aneurysms ezintsha ngaphambi kokuba zibe nkulu kwaye ziqhume. Ukuba uyatshaya, kunokwenza ezi aneurysms zibe nkulu. Ke ngoko, ugqirha wakho ngokuqinisekileyo uya kukucebisa ukuba uyeke ukutshaya. Kwakhona, landela imiyalelo enikiweyo yokulawula i-cholesterol yakho kunye noxinzelelo lwegazi ngokuchanekileyo.
Ndingaya nini kunyango olungxamisekileyo?
Ukuba umlenze okanye unyawo lwakho lubonakalisa ngequbuliso enye okanye ngaphezulu kwezi mpawu, kuya kufuneka uye kwigumbi likaxakeka esibhedlele ngokukhawuleza, ngaphandle kokulibazisa :
Ukuba umlenze uba buthathaka okanye uzive ngathi awunabomi.
Ukuba umlenze uvuvukala ngequbuliso.
Ukuba uva intlungu enganyamezelekiyo.
Ukuba umlenze wakho awunamandla .
Ukuba umlenze wakho uvakala ubanda kunomnye umlenze xa uwuchukumisa.
Ukuba umlenze utshintshile umbala okanye utshintshe umbala.
Ezi mpawu zibonisa ingxaki enkulu ngokuhamba kwegazi emlenzeni, nto leyo ethetha ukuba ukudumba kunokubangela ukuqhekeka kwegazi okanye ukudumba kunokubangela ukuqhuma. Ke ngoko, ukufumana unyango ngokukhawuleza ngaphandle kokuchitha ixesha kunokusindisa ubomi.
Ndingayibuza yiphi imibuzo ugqirha?
Ukuba unemibuzo okanye iinkxalabo malunga nale meko, ungathandabuzi ukubuza ugqirha wakho. Umzekelo, ungabuza imibuzo efana nale:
"Gqirha, yintoni kanye kanye ebangela oku kudumba emithanjeni yam?"
"Ngaba ndiyaludinga ngokwenene utyando ngenxa yoku? Azikho ezinye iindlela zonyango?"
"Ngaba ndingadumba okunje kwezinye iindawo zomzimba wam?"
"Ungandinika iingcebiso malunga nokutya okuza kunceda ekunciphiseni amanqanaba e-cholesterol yam?"
Kubaluleke kakhulu ukubuza imibuzo efana nale ukuze uqonde ngcono imeko yakho.
Yintoni umahluko phakathi kwe-'Femoral Artery Aneurysm' kunye ne-'Pseudoaneurysm'?
Ngamanye amaxesha uya kuva negama elithi `(Pseudoaneurysm)`. Oku kuthetha "ukudumba okungekho sikweni". Le `(Pseudoaneurysm)` ixhaphake kakhulu kune`(Femoral Artery Aneurysm)` yokwenyani ebesithetha ngayo. Ngokwesiqhelo, `(Pseudoaneurysm)` yenziwa emva kwenkqubo yezonyango kumthambo wakho wegazi (umzekelo, xa kwenziwa`(angiogram)` okanye `(catheter)` ifakiwe), kwaye udonga lwaloo mthambo wegazi lonakele kancinci, kwaye igazi elithile liphuma lize liqokeleleke lijikeleze umthambo, lenze iqhuma. Umahluko ophambili kukuba kwi`(aneurysm)` yokwenyani, zonke iileya zodonga lomthambo wegazi ziyanwebeka kwaye zidumbe. Kodwa kwi`(pseudoaneurysm)`, oko akwenzeki, yingqokelela yegazi ephuma ngomngxuma eludongeni lomthambo wegazi.
Sithini isigidimi esifuna ukusithatha sibuyele ekhaya kweli bali?
Ngoko ke, nangona i-femoral artery aneurysm esithethe ngayo ixesha elide ingaqhelekanga, kubaluleke kakhulu ukuba wena nosapho lwakho niyazi.
Oku kudla ngokuba kungabonakali zimpawu .
Ukuba unezinto ezikubangela umngcipheko (uxinzelelo lwegazi oluphezulu, i-cholesterol, ukutshaya, imbali yosapho), funa ingcebiso kagqirha .
Ukuba ugqirha wakho ufumanisa ukuba unayo, ungoyiki. Kukho unyango olusebenzayo olunokusetyenziswa ukuyisusa, nokuba kungotyando, ngaphambi kokuba iqhume .
Ukudibana nogqirha onamava okunyanga ezi ngxaki kuya kuba luncedo kakhulu kuwe.
Soloko unyamekela impilo yakho, phila ubomi obusempilweni, kwaye ulandele imiyalelo kagqirha wakho ngokuchanekileyo.Emva koko ungaphepha iingxaki ezininzi zempilo ezinje kwaye uhlale usempilweni.
Ukuba unemibuzo engaphezulu, qiniseka ukuba uthetha nogqirha wakho wosapho okanye ingcali.
⚠️ Important: The medical articles and information on Nirogi Lanka are for general awareness only, and are by no means a substitute for professional medical advice, diagnosis, or treatment. For any medical problem you have, consult a qualified physician immediately.
Related Articles

Ngaba kufuneka sifunde ngeengxaki emva kotyando?
Ngaba nawe unengxaki yokuphefumla? Ingaba kungenxa yeTracheal Stenosis? Masifumanise ngokuqinisekileyo!
Utyando lwesisu: Masifunde ngeGastrojejunostomy ngokulula (iGastrojejunostomy)
Masifunde ngokulula ngeNkqubo kaRoss, ethatha indawo yevalvu yentliziyo.
Masifunde ngokutshintshwa kwevalvu yentliziyo ngokulula.
Ngaba kunzima ukulawula isantya sentliziyo yakho? Masithethe nge-AV Node Ablation!
💬 Comments (0)
Akukho zimvo zithunyelweyo okwangoku. Faka uluvo lwakho apha okokuqala.
Faka uluvo lwakho
Igama lakho *
Email (will not be published)
Izimvo zakho *
Nceda ubale: 2 + 8 =