Ngaba unenxeba elincinci okanye umkrwelo emlenzeni wakho ongapholiyo kwaye usekhona? Mhlawumbi liphuma ulwelo? Okanye ulusu emlenzeni wakho lutshintsha umbala kwaye lunuka kakubi? La asimanxeba aqhelekileyo. Ngokwezonyango, siwabiza la manxeba. Ingakumbi ukuba unesifo seswekile, kufuneka ucinge kabini ngale nto. Kuba ukuba le meko ayinyangwanga ngokufanelekileyo, inethuba elikhulu lokuba ibe yingozi. Ngoko ke, masithethe ngayo yonke le nto namhlanje.
Ngamafutshane, zithini izilonda zeenyawo?
Isilonda seenyawo sisilonda esivulekileyo eluswini lwakho, ingakumbi ezinyaweni okanye ezinzwaneni zakho, esingapholiyo, esihlala sikhona, okanye esiphinda sibuye.
Le meko idla ngokunxulunyaniswa nesifo seswekile. I-neuropathy, ingxaki yesifo seswekile, inokubangela ukulahleka kwemvakalelo ezinyaweni. Emva koko, usenokungawuboni nomkrwelo omncinci okanye ukusikwa enyaweni yakho. Nangona usenokungawuva, eli nxeba lincinci likhula kancinci kancinci libe nzulu kwaye libe sisilonda.
Ezi zilonda zisengozini enkulu yosulelo. Ngamanye amaxesha ezi zifo zinokuba nzima kangangokuba kusenokufuneka ukuba kunqunyulwe inxalenye yonyawo okanye unyawo.
Khawucinge ngoku: Malunga ne-15% yabantu abanesifo seswekile baya kuba nesilonda seenyawo ebomini babo. Kwaye, ngelishwa, phakathi kwe-14% kunye ne-24% yabo banesifo seenyawo kuya kufuneka basuswe inxalenye yonyawo lwabo. Ngoko ke oku akuyonto ifanele ithathwe lula.
Ngubani onokuthi abe nale meko?
Nangona nabani na enokuba nezilonda ezinyaweni, abanye abantu basengozini enkulu. Kubalulekile ukuba uqaphele ngakumbi ukuba unenye yezi meko zilandelayo:
- Isifo seswekile: Le yeyona nto iphambili ebangela umngcipheko.
- Iingxaki zokujikeleza kwegazi: Ukuba ukuhamba kwegazi emilenzeni akuhambi kakuhle, amanxeba athatha ixesha elide ukuphola.
- Isifo Sentliziyo: Isifo sentliziyo sikwachaphazela ukujikeleza kwegazi.
- Ukutyeba kakhulu: Njengoko ubunzima bomzimba busanda, uxinzelelo lweenyawo nalo luyanda.
- Isifo sezintso.
- Ukukhubazeka kweenyawo: Umzekelo, iimeko ezifana ne-bunion okanye i-hammertoe.
- Ukusetyenziswa kwecuba notywala: Le mikhwa ikwanyusa umngcipheko.
Injani le nto ibangela isilonda kwaye izigaba zayo zithini?
Izilonda zeenyawo zinokuvela ngeendlela ezahlukeneyo kunye nemibala eyahlukeneyo. Zihlala zibonakala zinzulu, zifana nemingxuma.
Inkangeleko kunye nombala wesilonda
Ezi zilonda zinokuba tyheli, pinki, bomvu, ngwevu, okanye mnyama.Ukuba inxeba lakho limnyama, oko kuthetha ukuba iiseli zezicubu ezikuloo ndawo zifile (iNecrosis okanye iGangrene). Le yimeko enzulu kakhulu.
Ubungakanani kunye nobunzulu besilonda
Ezi zinokuqala zincinci njengethambo elincinci, kwaye ukuba azinyangwa kakuhle, zinokukhula zigubungele lonke unyawo. Ubunzulu benxeba buyanda kancinci kancinci. Oogqirha basebenzisa iindlela ezahlukeneyo zokulinganisa obu bunzulu. Umzekelo, kukho izigaba ezi-6 ngokwehlelo likaWagner.
| Ibanga | Inkcazo elula yemeko |
|---|---|
| Inqanaba 0 | Ulusu alonakali, kodwa luyingozi. |
| Inqanaba loku-1 | Inxeba elingaphantsi kakhulu elikwindawo engaphezulu kwesikhumba kuphela. |
| Inqanaba lesi-2 | Inxeba linzulu, mhlawumbi lifikelela kwimisipha. |
| Inqanaba lesi-3 | Inxeba liye laya nzulu ethanjeni, kwaye ithambo liyabonakala. |
| Inqanaba lesi-4 | Ukufa kwezicubu ngaphambili kwenyawo (iGangrene). |
| Inqanaba lesi-5 | Izicubu zonyawo lonke zifile (Gangrene). |
Ziziphi iimpawu zokuqala zokuba kukho isilonda?
Njengoko isilonda siqala ukuvela, unokubona utshintsho kulusu olusezinyaweni zakho olufana nolu:
- Ulusu olomileyo noluqhekekileyo
- Ulusu luba njengekorale
- Ubomvu bolusu
- Inkangeleko efana nerhashalala
Xa ukwenzakala kukubi kakhulu, iimpawu ezifana nezi:
- Ukujiya kolusu olujikeleze inxeba (njengesinqe)
- Ulwelo okanye ukungcola okufana nobovu okuvela enxebeni (kusenokuba kusesokisini sakho)
- Amabala amdaka eluswini
- Ivumba elibi nelinamandla
Kukho iintlobo ezimbini eziphambili zezi zilonda zeenyawo:
Kukho iintlobo ezimbini eziphambili zezilonda ezinokuchaphazela iinyawo zakho. Ukwazi umahluko phakathi kwezi zimbini kubaluleke kakhulu kunyango.
| Uphawu | Izilonda ze-Neurotrophic | Izilonda zeArterial |
|---|---|---|
| Isizathu esiphambili | I-Neuropathy ebangelwa sisifo seswekile. | Ukuncipha kokuhamba kwegazi ngenxa yokuncitshiswa kwemithambo yegazi (i-Peripheral Arterial Disease). |
| Intlungu | Ngokwesiqhelo akukho ntlungu. | Kukho iintlungu eziqatha , ingakumbi ebusuku. |
| Indawo | Idla ngokuba semazantsi eenyawo, apho ubunzima bomzimba buhla khona kakhulu. | Izithende, iinzwane, phakathi kweenzwane, nakwiindawo apho izihlangu zicinezeleka khona. |
| Inkangeleko | Umbala opinki/obomvu. Imiphetho yenxeba iphakanyisiwe. | Umthubi, ngwevu, okanye umnyama. Ngokwesiqhelo akukho gazi. |
Iphathwa njani le nto?
Iinjongo eziphambili zonyango kukuphilisa inxeba, ukunciphisa iintlungu, nokuthintela ukuba lingaphindi libuye. Isicwangciso sonyango siya kwahluka ngokuxhomekeke kuhlobo lwesilonda onaso kunye nesizathu.
Unyango olungelulo utyando
Olu nyango lunokuba yimpumelelo kwizilonda ezikwinqanaba lokuqala.
- Ukhathalelo lwenxeba elisecaleni: Amanxeba aphola ngokukhawuleza xa egcinwa emanzi kwaye egqunyiwe.
- Ii-antibiotics: Ukuba kukho usulelo.
- Ukukhupha umthwalo: Ukwenzakala kunciphisa ubunzima ngokusebenzisa izihlangu ezikhethekileyo, isamente, okanye mhlawumbi isitulo esinamavili.
- Ukugcina unyawo luphakanyisiwe.
Unyango lotyando
Ukuba isilonda sibi kakhulu, ingakumbi ukuba sinesifo, utyando lunokufuneka.
- Ukususwa kwezicubu ezisulelekileyo okanye ezifileyo:
- Ii-Skin grafts: Ii-Skin grafts zisetyenziselwa ukugquma amanxeba.
- Ukususa okanye ukulungisa iindawo zamathambo ukuba kuyimfuneko.
Ndingenza ntoni ukunciphisa umngcipheko?
Le yeyona nxalenye ibalulekileyo. Ngokulandela le mikhwa, unokuthintela ukwakheka kwezi zilonda, kwaye nokuba ziyavela, zinokuzithintela ukuba zingabuyi.
Eyona nto ibalulekileyo kukuba, ukuba unesifo seswekile, zenze umkhwa wokujonga iinyawo zakho yonke imihla.
- Jonga iinyawo zakho yonke imihla: Emva kokuhlamba nangaphambi kokuba unxibe izihlangu, jonga ngononophelo ezinyaweni zakho, phakathi kweenzwane zakho, nangaphakathi kweenzipho zakho. Khangela amadyungudyungu, amanxeba, imikrwelo, ukubomvu, okanye ukudumba. Sebenzisa isipili ukujonga iinyawo zakho. Ukuba awukwazi, cela ilungu losapho ukuba lenze njalo.
- Lawula isifo sakho seswekile kakuhle: Landela imiyalelo kagqirha wakho ngokuchanekileyo.
- Ungaze uhambe ngeenyawo, nokuba ungaphakathi endlwini.
- Nxiba izihlangu ezikulingana kakuhle nezikhululekileyo. Izihlangu akufuneki ziqine kakhulu okanye zibe nkulu kakhulu.
- Lumka xa usika iinzipho zakho: Sika iinzipho zakho ngqo xa zithambile emva kokuhlamba.
- Kuphephe ukutshaya ngokupheleleyo.
- Lawula uxinzelelo lwegazi kunye namanqanaba e-cholesterol.
- Gcina ubunzima bakho busempilweni.
- Ukuba ubona ingxaki encinci, bona ugqirha wakho ngoko nangoko.
Umyalezo Wokuya Ekhaya
- Ukuba unesifo seswekile, kubaluleke kakhulu kunangaphambili ukujonga iinyawo zakho yonke imihla.Ngokuqinisekileyo yenze loo nto. Yenza oku kube ngumkhwa wobomi bakho bonke.
- Ukuba ubona inxeba elingapholiyo, ukuba bomvu, ukudumba, ivumba elibi, okanye utshintsho kumbala emlenzeni okanye ezinzwaneni zakho , bonana nogqirha ngokukhawuleza .
- Kuphephe ukuhamba ngeenyawo, nokuba usekhaya. Nokuba yingozi encinci ezinyaweni zakho inokuba yingozi kakhulu.
- Ukutshaya kungayenza mandundu le meko kuba kuphazamisana nokuhamba kwegazi. Ngoko ke, kubaluleke kakhulu ukuphepha ukutshaya.
- Musa ukoyika le meko. Ukuba ifunyenwe kwangethuba kwaye inyangwa ngokufanelekileyo, ingalawulwa kakuhle ngaphandle kweengxaki ezinkulu.
👩🏽⚕️ Imibuzo eyongezelelweyo (Ii-FAQ)
💬 Iikhaphu/iipilisi ze-Isradipine (Isradipine / DynaCirc) zisetyenziselwa siphi isifo?
Le yipilisi yoxinzelelo lwegazi esebenza kakhulu (iCalcium Channel Blocker - CCB) eyenzelwe ukulawula 'uxinzelelo lwegazi oluphezulu'! Eli yeza alinciphisi nje kuphela uxinzelelo lwegazi, kodwa alichaphazeli nesantya sentliziyo, ngoko ke oogqirha balisebenzisa njengeyeza elikhuselekileyo.
💬 Ukusela le pilisi yoxinzelelo lwegazi (Isradipine) kukunciphisa njani uxinzelelo lwegazi ngokukhawuleza?
Ukuze umthambo wegazi unciphe/unciphe kwaye uxinzelelo lunyuke, amasuntswana 'eCalcium' kufuneka angene kwimisipha yomthambo wegazi! Kwangoko nje eli yeza lingena egazini, livala/livale kwaye litshixe zonke iingcango zecalcium (iitshaneli zecalcium zohlobo lwe-L) kuloo mithambo yegazi nge-100%! Ekubeni icalcium ingangeni, umthambo wegazi awuncipheli kwaye ukhululeke kakhulu (iVasodilation). Emva koko igazi lihamba ngokulula njengomlambo kwaye uxinzelelo luyehla.
💬 Zithini iziphumo ebezingalindelekanga ezicaphukisayo zokusebenzisa eli yeza (Isradipine)?
Iziphumo ezimbi nezicaphukisayo zoku kukuba abanye abantu banokuba 'neentloko ezibuhlungu' kunye 'nokuhlanza' (ngenxa yokwanda kwemithambo yegazi). Kwakhona, njengezinye iipilisi ze-CCB, kukho umngcipheko wokudumba kweqatha/umlenze (i-peripheral edema) kunye nokubetha kwentliziyo okukhawulezayo ngequbuliso (ii-palpitations) (i-reflex tachycardia).
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