Ngaba uva iintlungu eziqatha emilenzeni yakho, ingakumbi xa uhamba umgama omfutshane? Ngaba iintlungu ziyaphela emva kwexesha elithile zize zibuye xa uhamba? Okanye ngaba uva iintlungu emilenzeni yakho, okanye uphola kancinci emva kokwenzakala? Ezi azizo iimpawu zokungazinanzi. Ezi zinokubangelwa kukuncitshiswa kancinci kwemithambo yegazi emilenzeni yakho. Namhlanje, sithetha ngonyango olubizwa ngokuba yi-'Leg Revascularization'.
Yintoni iLeg Revascularization?
Ngamafutshane, oku kukususa naluphi na uvalo okanye ukuvaleka kwemithambo yegazi (imithambo yegazi) emilenzeni yakho kwaye uvumele igazi lihambe kakuhle kwakhona. Kufana nokucoca umbhobho wamanzi ovalekileyo nokuvumela amanzi ukuba ahambe kwakhona.
Eyona nto ibangela le meko yimeko ebizwa ngokuba sisifo semithambo yegazi engaphandle , okanye "Isifo semithambo yegazi engaphandle (i-PAD)". Oku kwenzeka xa izinto ezinamafutha ezifana ne-cholesterol ziqokelelana ngaphakathi kwemithambo yegazi, zinciphisa ukuhamba kwegazi kancinci kancinci. Ukunyanga oku, oogqirha banokusebenzisa zombini iinkqubo ze-endovascular kunye notyando oluvulekileyo.
Zithini ezi ndlela zonyango?
Indlela yonyango oyikhethayo ugqirha wakho inokwahluka ngokuxhomekeke kwimeko yakho. Kukho iindlela ezininzi eziphambili ezisetyenziswayo.
| Indlela yonyango | Ngamafutshane, oku kwenzekayo. |
|---|---|
| I-Angioplasty | Ibhaluni encinci ifakwa kumthambo wegazi ovalekileyo ize ivuthe. Umaleko wamafutha ovalekileyo emva koko ucinezele eludongeni lomthambo, nto leyo eyandisa indlela yokuhamba kwegazi kwakhona. |
| Ukubeka i-stent (i-Stent) | Okwenziwayo koku kukubeka ityhubhu encinci yesinyithi ebonakala ngathi yi-mesh ngaphakathi komthambo emva kwe-angioplasty ukuze umthambo ungaphinde udilike. |
| Utyando lwe-atheromy | Kule nto, isixhobo esine-blade okanye i-laser beam sidlula kwityhubhu encinci size sikhuphe umaleko wamafutha (i-plaque) oqokelelene ngaphakathi kwimithambo yegazi. |
| Utyando lokudlula ngendlela engafanelekanga | Ukudala indlela entsha yokuba igazi lijikeleze umthambo ovalekileyo. Oku kungenziwa kusetyenziswa umthambo othathwe kwenye indawo yomzimba wakho okanye ityhubhu yokwenziwa (i-graft). |
| Utyando lwe-Endarterectomy | Oku kufana notyando lwe-atherectomy, kodwa okwenziwayo apha kukunqumla ulusu, ukususa umthambo wegazi ovalekileyo, nokususa ngotyando ungqimba olunamafutha olungaphakathi kuwo. |
Ngubani ofuna olu nyango?
Ayinguye wonke umntu one-PAD oya kufuna utyando. Kwinqanaba lokuqala, iimpawu zinokulawulwa ngokuyeka ukutshaya, ukuthatha amayeza achazwe ngugqirha wakho, nokuhamba yonke imihla .
Nangona kunjalo, ukuba iimpawu zinzima kakhulu, oko kuthetha ukuba unentlungu emlenzeni nokuba umi, okanye ukuba unamanxeba emlenzeni wakho angapholiyo, siwubiza loo meko ngokuthi `(Critical Limb Ischemia)`. Kwimeko enjalo, utyando okanye unyango olukhankanyiweyo apha ngasentla ngokuqinisekileyo luyafuneka. Ukuba alwenziwanga, ukuhamba kwegazi emlenzeni kunokuyeka ngokupheleleyo, kwaye umlenze unokude ususwe.
Eyona nto ibalulekileyo kukubona ugqirha ukuze ufumane unobangela ochanekileyo, endaweni yokucinga ukuba iintlungu zomlenze yingxaki nje yomqolo.
Ulungiselela njani ngaphambi konyango?
Ugqirha wakho uza kuxoxa nawe ngeyona ndlela ifanelekileyo yonyango kuwe. Oku kuya kuxhomekeka kwizinto ezininzi, kuquka ubukhali bemeko yakho, indawo ekuyo ivalekile, kunye nazo naziphi na ezinye iimeko zempilo onokuba nazo.
Ngaphambi kokuba unyango luqale, ugqirha uza kukuxilonga, akubuze ngembali yakho yezonyango, aze akuyalele ukuba wenze uvavanyo oluthile.
- Uvavanyo lwegazi (Uvavanyo lwelebhu)
- Iskeni ye-ultrasound `(Ultrasound)`
- Uvavanyo lwe-ECG (i-Electrocardiogram)
- I-CT angiogram `(I-computed tomography (CT) angiogram)`
- I-MR angiogram `(i-Magnetic resonance angiogram)`
- I-Angiogram
Uya kucetyiswa ukuba uyeke ukutya nokusela iiyure ezimbalwa ngaphambi konyango, rhoqo emva kobusuku.Ukuyeka ukusebenzisa icuba kubaluleke kakhulu ukuze ufumane iziphumo eziphumelelayo. Ngokuxhomekeke kwingcebiso kagqirha wakho, kunokufuneka uyeke okwethutyana ukuthatha amayeza athile. Musa ukwenza nanye kwezi ngaphandle kwengcebiso kagqirha wakho.
Kwenzeka ntoni emva konyango kwaye kuthatha ixesha elingakanani ukuba umntu aphile?
Emva konyango, kuya kufuneka ulale ebhedini iiyure ezimbalwa. Abasebenzi basesibhedlele baya kukujonga baze bakunike naluphi na unyango olufunekayo. Banokuphinda iiskeni owazenzayo ngaphambili ukuze babone ukuba imithambo yakho ivalekile kwakhona na.
Ixesha lokuchacha liyahluka ngokuxhomekeke kunyango olufumeneyo:
- I-Angioplasty okanye i-atherectomy: Emva kwenkqubo encinci efana nale, uhlala esibhedlele malunga nosuku kwaye ungaphila ngokupheleleyo malunga neveki.
- Utyando lokungena emzimbeni: Ekubeni olu lutyando olukhulu, kuya kufuneka uhlale esibhedlele iintsuku ezimbalwa. Kungathatha malunga neeveki ezi-6 ukuya kwezi-8 ukuze uphile ngokupheleleyo.
Izinto ezibangela umngcipheko kunye nexesha lokubona ugqirha ngoko nangoko
Njengakwezinye iindlela zonyango, kukho iingozi ezithile. Umzekelo, kukho ithuba elincinci lokopha, usulelo, amahlwili egazi, kunye neengxaki zentliziyo. Kodwa ezi zinto zinokulawulwa rhoqo. Ugqirha wakho uza kukuchazela konke oku.
Ukuba unezinye zeempawu ezilandelayo, kufuneka ufowunele ugqirha wakho ngokukhawuleza:
- Inxeba kwindawo yotyando liba losulelo okanye lidumbe.
- Ukopha okuqhubekekayo.
- Ububomvu, ukudumba, okanye intlungu egqithisileyo kwindawo yenxeba.
- Umkhuhlane okanye ukubanda.
- Iintlungu zesifuba.
- Ukuba ndindisholo okanye ubunzima bokushukumisa umlenze onyangiweyo.
Eyona nzuzo inkulu yale nyango kukuba iintlungu zakho zomlenze ziya kuphela, umgangatho wobomi bakho uya kuphucuka, kwaye uya kusindiswa kwingozi embi yokulahlekelwa ngumlenze.
Umyalezo Wokuya Ekhaya
- Intlungu xa uhamba, ukungaziva, kunye namanxeba angapholiyo emilenzeni yakho zinokuba ziimpawu zesifo semithambo yegazi esikwi-peripheral arterial disease (PAD). Musa ukuyityeshela le miqondiso.
- Ukuvuselelwa kwemithambo yegazi emilenzeni lunyango oluvula kwakhona imithambo yegazi evalekileyo kwaye lubuyisele ukuhamba kwegazi emilenzeni.
- Ukuze ugcine iziphumo ezinde emva konyango, kubalulekile ukuyeka ngokupheleleyo ukutshaya, ukulawula i-cholesterol, kunye nokuzilolonga yonke imihla .
- Zive ukhululekile ukubuza ugqirha wakho malunga nonyango olukulungeleyo wena kunye neengozi zalo. Ungathandabuzi ukubuza nayiphi na imibuzo.
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