Ngaba uva iintlungu eziqatha emilenzeni yakho, ingakumbi amathole akho, ngokungathi ayaqina okanye ayaqengqeleka xa uhamba umgama omfutshane? Kodwa ngaba iintlungu ziyaphela ngokupheleleyo xa uyema uze uphumle okwethutyana? Ukuba le yinto eqhelekileyo kuwe, ke esi sihloko sixoxa ngaso namhlanje siya kuba sibaluleke kakhulu kuwe. Le meko yinto esiyibiza ngokuba yi-"Intermittent Claudication" kwisayensi yezonyango.
Ngamafutshane, yintoni i-Intermittent Claudication?
Esi asisosifo ngokwenene, kodwa luphawu lwesifo. Ngamafutshane, yintlungu oyivayo kwimisipha yakho xa usebenza, njengaxa uhamba. Kodwa le ntlungu iyaphela xa uphumla. Ngamanye amaxesha le ntlungu iba qatha kangangokuba kufuneka uyeke ukuhamba.
Oku kungenxa yokuba umzimba wakho unengxaki yokujikeleza kwegazi . Xa uhamba, iiseli ezikwimisipha yemilenze yakho zifuna ioksijini engaphezulu kunesiqhelo. Kodwa xa ezo zihlunu zingafumani igazi elaneleyo (neoksijini) ngemithambo yegazi, uqala ukuziva iintlungu. Xa uyeka kwaye uphumle, izihlunu zifuna ioksijini encinci, ngoko ke igazi elincinci ezilifumanayo likhona. Ngoko ke iintlungu ziyaphela.
Ivakala njani le ntlungu?
Abantu abaninzi bavakalelwa kukuba oku kubuhlungu kakhulu, kodwa kubuhlungu. Kuvakala ngathi kukho isihlunu esitsalwayo okanye esicinezelweyo. Abanye abantu babiza ngokuba yi "Charley horse." Okukhona uzilolonga okanye uhamba, kokukhona intlungu iya kwanda. Kwezinye iimeko, imithambo-luvo isenokuvakala ngathi ayisebenzi kakuhle emilenzeni ngenxa yokuhamba kwegazi okungalunganga.
Le ayisiyontlungu yamalungu. Nangona intlungu ivakala ngathi yintlungu yamalungu, ayisiyo `(Arthritis).` Kwakhona, ukuba intlungu iphela kwimizuzu embalwa yokuphumla, kusenokwenzeka ukuba yi `(Intermittent Claudication).`
Kutheni oku kusenzeka? Yintoni esona sizathu siphambili?
Eyona nto ibangela olu phawu yimeko ebizwa ngokuba yiPeripheral Artery Disease (PAD) . Cinga ngemithambo yegazi emzimbeni wethu njengemibhobho yamanzi. Ekuhambeni kwexesha, umhlwa kunye nothuli ziyaqokelelana ngaphakathi kombhobho wamanzi kwaye imingxunya embhobho iyavaleka, ngokunjalo namafutha kunye ne-cholesterol ziyaqokelelana ngaphakathi kwemithambo yegazi yethu (imithambo yegazi) kwaye zenze into ebizwa ngokuba yi-"plaque". Siyibiza ngokuba yi-'(Atherosclerosis)'.
Xa imithambo yegazi incitshiswa ziiplatelets, ubuninzi begazi elihamba ngazo buyancipha. Oku kuyinyani ngakumbi xa imithambo yegazi ehambisa igazi emilenzeni incitshiswa ngale ndlela, ebizwa ngokuba yi-PAD. Oku kubangela iintlungu xa imilenze yakho ingafumani ioksijini eyaneleyo xa usenza umthambo, njengaxa uhamba.
Zeziphi iimvavanyo ezenziwa ngugqirha ukuze afumanise oku?
Ukuba uneempawu ezinje,Ngokuqinisekileyo kufuneka ubonane nogqirha. Ugqirha angayalela iimvavanyo ezahlukeneyo ukuze afumane unobangela ochanekileyo wale ntlungu.
| Uvavanyo | Ngamafutshane, wenza ntoni ngayo? |
|---|---|
| Uvavanyo lomzimba | Imilenze neenyawo zakho ziya kuhlolwa ukuba azinazo na ii-pulses. Ukuba ii-pulses zibuthathaka okanye azivakali, luphawu lwengxaki. |
| Isalathisi se-Ankle-Brachial (ABI) | Uxinzelelo lwegazi olungalweni naseqatheni luyalinganiswa kwaye luthelekiswa. Ukuba kukho umahluko omkhulu phakathi kwezi zimbini, luphawu lwe-PAD. |
| I-Angiogram | Kufakwa ulwelo olukhethekileyo (idayi yokwahluka) kwaye kwenziwa i-X-ray ukuze kufunyanwe iindawo ezivalekileyo kwimithambo yegazi. |
| I-CT okanye i-MRA | Ezi zikwaluhlobo lweeskeni. Ii-CT angiograms okanye iimvavanyo ze-MRA zinokubona ngokucacileyo apho kukho iingxaki khona kwimithambo yegazi. |
| I-Vascular Ultrasound | Iskeni esebenzisa amaza esandi. Oku kunokufumanisa iindawo apho imithambo yegazi inciphile khona. |
Inyangwa njani le meko?
Injongo ephambili yonyango kukuphucula ukuhanjiswa kwegazi emilenzeni. Nangona olu nyango lungenakunyanga ngokupheleleyo esi sifo, lunokulawula iimpawu kwaye lwenze ubomi bube lula. Iindlela zonyango zinokwahlulwa zibe ziindidi ezintathu eziphambili.
1. Utshintsho kwindlela yokuphila
Ungazenza ezi zinto ngokwakho.
- Ukuhamba rhoqo:Hamba ubuncinane imizuzu engama-30 ngosuku, iintsuku ezi-3 ngeveki. Yeka xa uziva iintlungu, phumla, uze uhambe kwakhona. Oku kuya kunceda ukwakha imithambo yegazi emitsha emilenzeni yakho.
- Ukugcina ubunzima obusempilweni: Le meko inokuba mandundu njengoko ubunzima bomzimba busanda.
- Ukutya okunempilo: Yitya ukutya okunceda ukulawula izinto ezifana nesifo seswekile, i-cholesterol ephezulu, kunye noxinzelelo lwegazi oluphezulu.
- Ukuyeka ukutshaya nokusebenzisa icuba ngokupheleleyo: Ezi zinto ziyingozi kakhulu kwimithambo yegazi.
- Ulawulo loxinzelelo: Impilo yengqondo ichaphazela ngqo impilo yentliziyo kunye nenkqubo yokujikeleza kwegazi.
2. Amayeza
Ugqirha wakho angakunika amayeza anjengala:
- Izinto zokunciphisa igazi: Ezi zithintela iingxaki ezinkulu ezifana nokwakheka kwamahlwili egazi kunye nokuvala imithambo yegazi ngequbuliso.
- IiStatins: Ezi zinciphisa amanqanaba e-cholesterol kwaye zilawula ukwakheka kwe-plaque ngaphakathi kwemithambo yegazi.
- Amayeza oxinzelelo lwegazi: La mayeza andisa imithambo yegazi aze enze kube lula ukuhamba kwegazi.
- Amayeza esifo seswekile: Ukuba unesifo seswekile, kubaluleke kakhulu ukusilawula kakuhle.
3. Utyando okanye ezinye iinkqubo
Ukuba utshintsho kwindlela yokuphila kunye namayeza awayilawuli imeko, ugqirha wakho unokucebisa utyando okanye olunye unyango.
- I-Angioplasty: Isixhobo esifana nebhaluni sifakwa kwimithambo yegazi emincinci size sivuthelwe ukuze sivuleke ngakumbi.
- Ukubekwa kwe-stent: Emva kwe-angioplasty, isixhobo esifana ne-mesh (stent) sifakwa ngaphakathi kwemithambo yegazi ukuze kuthintelwe ukuba ingaphinde inciphe.
- Utyando Lokudlula Kwigazi: Indlela entsha yenziwa kusetyenziswa umthambo wegazi othathwe kwenye indawo yomzimba, ngendlela efanayo nokudala indlela entsha yokuba igazi lijikeleze indawo evalekileyo.
Ufanele uye nini kugqirha?
Ukuba sele uyazi ukuba une-"Intermittent Claudication"`, qaphela ngakumbi ezi mpawu zilandelayo. Ukuba unayo nayiphi na kwezi, bona ugqirha wakho ngoko nangoko okanye uye kwiSebe leNgxamiseko (ETU) .
- Ukuba uziva ubanda kakhulu okanye uziva ungakhululekanga emlenzeni okanye elunyaweni.
- Ukuba amanxeba asemilenzeni athatha ixesha elide ukuphola, okanye ukuba kuvela amanxeba amatsha (izilonda).
- Ukuba kukho iimpawu zosulelo (ukudumba, ukubomvu, iintlungu, ukufudumala) ezijikeleze inxeba.
- Ukuba ufumana iintlungu esifubeni okanye ubunzima bokuphefumla kunye nentlungu yomlenze.
- Ukuba uneentlungu emilenzeni nokuba uphumle .
- Ukuba unentlungu ekhawulezileyo, enzima okanye ukuba intlungu isuka apho ihlala ikhona iye kwenye indawo.
Le meko inokwenza ukuhamba kunye nemisebenzi yemihla ngemihla ibe nzima. Nangona kunjalo, xa ufumanisa kwangoko kwaye unyangwa ngokufanelekileyo, inokuthintelwa ekubeni ibe nzima kwaye ungaphila ubomi obuqhelekileyo.
Umyalezo Wokuya Ekhaya
- Ukuvaleka kwemithambo yegazi rhoqo akusiso isifo, kodwa luphawu olubangelwa yingxaki yokujikeleza kwegazi. Isizathu esiphambili sisifo semithambo yegazi ejikeleze imithambo yegazi (i-PAD).
- Ukuba ufumana iintlungu emilenzeni yakho (ingakumbi ematholeni) xa uhamba kwaye ziyaphela xa uphumle, qiniseka ukuba uthetha nogqirha wakho ngayo.
- Ukuyeka ukutshaya, ukuhamba rhoqo, ukutya ukutya okunempilo, kunye nokulawula ubunzima bakho kunokunceda kakhulu ekulawuleni le meko.
- Kubaluleke kakhulu ukusebenzisa amayeza kanye njengoko ugqirha ewayalele.
- Ukuba unentlungu nokuba uphumle, imilenze yakho ayisebenzi kakuhle, okanye amanxeba akho awapholi, funa ingcebiso kagqirha ngokukhawuleza.
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