Ngaba nawe uva iintlungu eziqatha emilenzeni yakho, ingakumbi xa uhamba umgama omfutshane? Ngaba iintlungu ziyaphela xa uyeka okwethutyana, zize ziphinde zivele xa uqala ukuhamba kwakhona? Okanye ngaba wakha waziva ukuba nenxeba elincinci emlenzeni wakho lithatha ixesha elide ukuphola? Oku kusenokubangelwa kukuba amafutha agciniwe ngaphakathi kwimithambo yegazi (imithambo yegazi) ethwala igazi emilenzeni yakho, nto leyo eyenza ibe mxinwa, kwaye imilenze yakho ayifumani igazi neoksijini eyaneleyo. Namhlanje siza kuthetha ngendlela yonyango enyanga le meko kwaye ibuyisele ukujikeleza kwegazi okuhle emilenzeni yakho.
Yintoni iLeg Revascularization?
Ngamafutshane, oku kuyenzeka xa kukho ukuvaleka okanye ukuvaleka ngokupheleleyo kwemithambo yegazi emilenzeni yakho, ize iyilungise ize ivumele igazi ukuba liphinde lihambe kakuhle. Khawuthelekelele umbhobho wamanzi ovalwe luthuli kwaye ungahambi kakuhle. Kufana nokucoca umbhobho nokuwenza ubuye uhambe kakuhle. Oogqirha banokukwenza oku ngotyando oluvulekileyo okanye ngeendlela ezingafunekiyo.
Zithini ezi ndlela zonyango?
Kukho iindlela ezahlukeneyo zokubuyisela ukuhamba kwegazi emilenzeni yakho. Ugqirha wakho uza kukhetha indlela efanelekileyo kuwe ngokusekelwe kwizinto ezifana nobunzima bemeko yakho kunye nendawo umthambo ovalekileyo kuyo. Makhe sijonge iindlela eziphambili.
| Indlela yonyango | Kalula nje... |
|---|---|
| I-Angioplasty | Ucingo oluncinci olunencam yebhaluni ludlula kwimithambo yegazi kwaye ibhaluni iyavuthelwa kwindawo evalekileyo, nto leyo eyandisa imithambo yegazi. Kufana nokwakha indlela ngaphakathi kwipayipi evalekileyo. |
| Iistenti | Emva kokuba umthambo ukhuliswe nge-angioplasty, kufakwa umbhobho omncinci wesinyithi, ofana ne-mesh, ngaphakathi ukuze uthintele ukuba ungaphinde unciphe. |
| Utyando lwe-atheromy | Ukukhuhla amafutha (i-plaque) aqokelelene eludongeni lwemithambo yegazi ngencakuba encinci okanye ngomqadi we-laser. |
| Utyando lokudlula ngendlela engafanelekanga | Kufana nokwakha indlela entsha (i-flyover) ukuze idlule indlela exakekileyo. Ukudala indlela entsha yokuba igazi lidlule umthambo ovalekileyo, kusetyenziswa omnye umthambo okanye ityhubhu yokwenziwa emzimbeni. |
| Utyando lwe-Endarterectomy | Le yindlela yotyando. Umthambo wegazi ovalekileyo uyasikwa ngqo, umaleko wamafutha ngaphakathi uyasuswa, kwaye umthambo uthungwe ndawonye. |
Ngubani ofuna olu nyango?
Olu nyango lufuneka kakhulu kubantu abanemeko ebizwa ngokuba yiPeripheral Artery Disease (PAD) , apho kuqokelelwa khona amafutha kwimithambo yegazi ethwala igazi ukusuka entliziyweni ukuya emilenzeni, nto leyo eyenza ukuba ibe mxinwa kwaye ithintele ukuhamba kwegazi.
Kodwa ayinguye wonke umntu one-PAD odinga olu tyando. Amanyathelo okuqala okulawula le meko kukuyeka ukutshaya, ukusela amayeza anikwe ngugqirha, kunye nokwenza umthambo wokuhamba.
Kodwa ukuba iimpawu zinzima kakhulu, oko kuthetha ukuba unentlungu eqatha emilenzeni yakho nokuba awukwenzi nto , okanye ukuba amanxeba emilenzeni yakho awapholi (oku kubizwa ngokuba yi-'Critical Limb Ischemia'), ngoko ke kukho ithuba elikhulu lokuba kufuneka utyando.
Ndingazilungiselela njani ngaphambi konyango?
Ugqirha wakho uza kuyihlola ngononophelo imeko yakho aze axoxe nawe ngeyona ndlela ilungileyo yonyango kuwe. Ngaphambi kokuba asebenzise utyando, uza kuzama ukwenza inkqubo engangenisi ntsholongwane kangako nanini na xa kunokwenzeka.
Ngaphambi kokuba unyango luqale, ugqirha wakho uza kukuxilonga, akubuze ngemeko yakho yempilo, aze akunike uvavanyo oluninzi oluyimfuneko.
- Uvavanyo lwegazi (Uvavanyo lwelebhu)
- Iskeni ye-ultrasound
- Uvavanyo olujonga ukusebenza kwentliziyo (i-Electrocardiogram - EKG)
- I-CT angiogram (i-computed tomography angiogram)
- I-MR angiogram (i-Magnetic resonance angiogram)
- Uvavanyo loxinzelelo
- I-Angiogram
Olu vavanyo lunokufumanisa ukuba imithambo yegazi yakho ivalekile phi na kwaye ivalekile kangakanani.
Ukwengeza,
- Uya kucetyiswa ukuba ungatyi okanye usele ukususela ezinzulwini zobusuku ngaphambi konyango.
- Ukuba ungumntu otshayayo, ukuyeka ngokupheleleyo kubaluleke kakhulu ukuze ufumane iziphumo ezilungileyo.
- Ungacelwa ukuba uyeke okwethutyana ukuthatha amayeza athile . Musa ukuyeka ukuthatha naliphi na iyeza ngaphandle kwengcebiso kagqirha wakho.
- Uza kufundiswa nendlela yokuhlamba umzimba wakho ngendlela ekhethekileyo ngobusuku bangaphambi konyango.
Kwenzeka ntoni emva konyango?
Emva konyango, kuya kufuneka ulale ebhedini iiyure ezimbalwa. Imeko yakho iya kuhlolwa rhoqo kwaye uya kunikwa amayeza afunekayo. Ugqirha uya kwenza olunye uvavanyo ukuze abone ukuba unyango luphumelele na kwaye ukuba umthambo wegazi uvalekile kwakhona.
- Isalathisi se-Ankle-brachial
- Iskeni ye-ultrasound
- I-CT okanye i-MR angiogram
Kuthatha ixesha elingakanani ukuphiliswa?
Oku kuya kwahluka ngokuxhomekeke kunyango olufumeneyo.
- Ukuba ukhe wahlinzwa i-angioplasty okanye i-atherectomy , kuya kufuneka uhlale esibhedlele ubusuku bonke. Kungathatha malunga neveki ukuze uphile ngokupheleleyo.
- Ukuba utyando lwe-bypass , kuya kufuneka uhlale esibhedlele iintsuku ezimbini ukuya kwezintlanu. Kungathatha iiveki ezintandathu ukuya kwezisibhozo ukuba uphile ngokupheleleyo.
Lusebenza kangakanani unyango? Ungalugcina njani iziphumo zexesha elide?
Olu nyango lusebenza kakhulu. Lunokunciphisa iintlungu zomlenze, luphucule umgangatho wobomi, kwaye luthintele nokunqunyulwa kwemilenze kwiimeko ezinzima.
Kodwa impumelelo yexesha elide yonyango ixhomekeke kuwe. Kubalulekile ukutshintsha indlela ophila ngayo emva konyango.
- Ukuba uyatshaya, yeka namhlanje. Le yeyona nto ibalulekileyo.
- Ukuba ugqirha wakho ukunike amayeza okunciphisa i-cholesterol, wathathe kanye njengoko uyalelwe.
- Ukuba unikwe amayeza okukhusela intliziyo (umz., i-aspirin), wathathe kanye njengoko uyalelwe.
- Hamba yonke imihla. Ukuhamba ngeenyawo yeyona ndlela ilungileyo yokuzilolonga kwesi sifo.
Ngaba kukho naziphi na iingozi kunye neengxaki ezinokubakho kwezi ndlela zonyango?
Njengakwezinye iindlela zonyango, kukho iingozi ezithile ezibandakanyekileyo. Musa ukuzoyika, kodwa kubalulekile ukuba uqaphele.
- Iimeko ezifana nesifo sentliziyo
- Ukopha
- Usulelo lwenxeba elisikiweyo
- Ukugabha kwegazi
- Usulelo lomthambo okanye ityhubhu esetyenziswa ngexesha lotyando lwe-bypass
- Ukuphinda kweempawu
- Umonakalo wezintso
- Ukonakala komthambo wegazi
- Ukufa (oku kwenzeka rhoqo)
Ugqirha wakho uza kukuchazela kakuhle ezi ngozi.
Ukuba unale mpawu, bonana nogqirha ngokukhawuleza.
Uza kunikwa iintsuku zokulandelela emva konyango. Nangona kunjalo, ukuba ufumana naziphi na kwezi mpawu zilandelayo, kufuneka utsalele umnxeba ugqirha wakho ngokukhawuleza ngaphandle kokulinda ukuba loo mini ifike.
| Iimpawu zesilumkiso ekufuneka uziqaphele | |
|---|---|
| 🌡️ Umkhuhlane okanye ukubanda | 🩸 Ukopha okanye ubomvu obuvela kwisilonda |
| 🩹 Ububomvu, ukudumba, ubushushu, okanye intlungu engakumbi ejikeleze inxeba | ❤️ Intlungu yesifuba |
| 🦵 Ukuba ndindisholo okanye ubunzima bokushukumisa umlenze onyangiweyo | umlenze_ovuvukileyo: Ukwanda kokudumba emlenzeni |
Isifo semithambo yegazi ejikeleze umzimba (i-PAD) sisifo esibangela iimpawu ezingathandekiyo eziphazamisa ubomi bakho bemihla ngemihla. Kodwa ngolu hlobo lonyango, ungaphila kwakhona kwaye uphile ubomi obonwabisayo. Thetha nogqirha wakho malunga nonyango olungcono kuwe. Ungoyiki ukubuza imibuzo malunga nonyango kunye nokuba kuza kwenzeka ntoni emva kwalo. Luya kukunceda uzive ungcono.
Umyalezo Wokuya Ekhaya
- Musa ukuyityeshela intlungu yomlenze xa uhamba njengoko kuyinto eqhelekileyo. Isenokuba luphawu lokuba umthambo wegazi uvalekile. Bonana nogqirha ngokukhawuleza.
- Isifo semithambo yegazi esibizwa ngokuba yi-peripheral arterial disease (PAD) sisifo esinokunyangwa, kwaye ukuvuselelwa kwemithambo yegazi emilenzeni lunyango olusebenzayo kakhulu.
- Impumelelo yexesha elide yonyango lwakho isezandleni zakho. Kubalulekile ukuyeka ukutshaya, ukutya ukutya okunempilo, ukuzilolonga, kunye nokusela amayeza achazwe ngugqirha wakho ngqo.
- Buza ugqirha wakho nayiphi na imibuzo onayo malunga nonyango okanye imeko yakho. Musa ukoyika, ukucacisa yinxalenye yonyango.
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