Ngaba unamanxeba emilenzeni akho angapholiyo? Masifunde yonke into malunga neZilonda zeMilenze!

Xa sifumana inxeba elincinci emlenzeni wethu, sonke sicinga ukuba liza kuphola kwiintsuku ezimbalwa. Kodwa ngamanye amaxesha, la manxeba angathatha iiveki, kwaneenyanga, ukuba aphole, akushiye usengxakini. Yiyo loo nto siza kuthetha ngamanxeba acaphukisayo ayenzeka emilenzeni yethu, athatha ixesha elide ukuba aphole. Ngokwezonyango, la abizwa ngokuba yi-`(Leg Ulcers)`.

Zithini ezi zilonda zemilenze ezingapholiyo?

Ngamafutshane, isilonda somlenze sisilonda esingapholiyo kangangeeveki ezingaphezu kwezimbini nangona unyango lukhona . Ezi zilonda zihlala zifumaneka kwindawo ephakathi kweqakala lakho nedolo.

La manxeba adla ngokuphuma ulwelo (mhlawumbi ubomvu) . Ukuba awanyangwa kakuhle, la manxeba anokuba makhulu. Umzekelo, ukuba unenxeba lomlenze kwaye alipholi emva kweenyanga ezintathu zonyango, silijonga njengesifo esingapheliyo .

Ngokwezibalo ezivela kwamanye amazwe aphuhlileyo ehlabathini, malunga ne-1% yabantu abadala banengxaki yesi sifo. Le ngxaki ixhaphake kakhulu kubantu abaneminyaka engaphezu kwama-65 ubudala. Malunga ne-4% yabo basenokuba namanxeba angapholiyo emilenzeni yabo. Ngoko ke oku akuyonto ifanele ithathwe lula.

Kutheni kukho izilonda emilenzeni?

Zininzi izizathu ezibangela ukuba kubekho izilonda emilenzeni. Makhe sijonge ezona ziphambili.

1. Iingxaki zemithambo yegazi (Ukungasebenzi kakuhle kwemithambo yegazi rhoqo)

Esi sesona sizathu sokuba kubekho izilonda emilenzeni. Imithambo esemilenzeni yethu ineevalvu ezincinci ngaphakathi kuyo. Ezi zifana neengcango. Umsebenzi wazo kukuthintela igazi ukuba lingahambi liye phezulu, liye entliziyweni, lize libuyele ezantsi. Kodwa xa ezi valve zingasebenzi kakuhle, igazi linokubuyela umva lize lidibane emilenzeni engezantsi .

Cinga ngayo njengevalvu ephukileyo kumbhobho wamanzi, nto leyo ebangela ukuba amanzi adibane kwindawo enye. Xa igazi lidibane ngolu hlobo, uxinzelelo ngaphakathi kwemithambo emilenzeni luyanda. Emva koko, imithambo yegazi emincinci eluswini inokuqhuma. Oku kubangela ukudumba, ukurhawuzelela, ukoma kolusu, kwaye ekugqibeleni ulusu luyaqhekeka kwaye kubekho izilonda.

2. Isifo seswekile (isifo seswekile)

Uyazi ukuba isifo seswekile (`(Diabetes Mellitus)`) sisifo esinokubangela iingxaki ezininzi. Ngenxa yokuba inqanaba leswekile egazini lomntu onesifo seswekile lihlala liphezulu, amafutha aqokelelwa ngaphakathi kwemithambo yegazi, ayivale . Njengokuba umhlwa uqokelelwa ngaphakathi kombhobho wamanzi omdala.

Xa imithambo ivalekile ngolu hlobo, inani legazi elihamba liye emilenzeni liyancipha. Ngenxa yoko, imithambo-luvo inokonakala . Oku sikubiza ngokuba yi-'(Diabetic Neuropathy)'. Xa imithambo-luvo ibuthathaka ngolu hlobo, usenokungaziva nokuba kukho inxeba elincinci okanye ukunqunyulwa emlenzeni wakho. Ngamanye amaxesha, nokuba kunqunyulwa okuncinci okubambekayo esicathulweni sakho kusenokungabonwa de kube linxeba elikhulu. Kwakhona, amanxeba ayaphola kancinci ngenxa yesifo seswekile .

3. Isifo seMitha ePheleleyo (i-PAD)

Kule meko, kwenzeka into efana nesifo seswekile. Amafutha afakwa kwimithambo yegazi (i-atherosclerosis) akhiwa ngaphakathi kwimithambo yegazi ethwala igazi ukuya emilenzeni yomzimba wethu, nto leyo evala loo mithambo yegazi kancinci kancinci. Ngokuchanekileyo, imithambo yegazi ephambili ethwala igazi ukuya emilenzeni yethu iyavalwa .

Kwenzeka ntoni ke ngoko? Imilenze ayifumani gazi laneleyo. Ngoko ke ayifumani ioksijini nezakhamzimba ezaneleyo. Xa oku kusenzeka, kwanenxeba elincinci lithatha ixesha elide ukuphola. Abantu abanesifo seswekile nabo banamathuba amaninzi okufumana esi sifo (i-PAD) .

4. Uxinzelelo lwegazi oluphezulu / uxinzelelo lwegazi oluphezulu

Uxinzelelo lwegazi oluphezulu (uxinzelelo lwegazi oluphezulu) nalo lutshaba oluthuleyo. Ukuba alulawulwa kakuhle, lunokubangela isilonda esibuhlungu kakhulu (i-Martorell ulcer) emlenzeni ongezantsi, ingakumbi eqatheni. Uxinzelelo lwegazi oluphezulu lubangela ukuba imithambo yegazi emincinci (ii-capillaries) eluswini ivaleke, nto leyo ethintela ukuhanjiswa kwegazi eluswini. Iiseli zesikhumba emva koko ziyafa zize zibonakale njengesilonda.

Ngubani osengozini enkulu yokwenzakala emilenzeni?

Abanye abantu banamathuba amaninzi okwenzakala emilenzeni kunabanye. Masibone ukuba bangoobani:

• Kwabasetyhini: Abafazi banamathuba aphindwe kabini okufumana le meko kunamadoda.
• Ubunzima bomzimba obugqithisileyo: Le ngozi inokwanda ngenxa yokutyeba kakhulu okanye ukutyeba kakhulu ngexesha lokukhulelwa.
• Imbali yosapho: Ukuba umntu kusapho lwakho uneengxaki zemithambo yegazi (umz., imithambo yegazi erhabaxa), nawe usenokuba nale meko.
• Ezinye izifo: Abantu abanezifo ezifana nesifo seswekile, uxinzelelo lwegazi oluphezulu, kunye nesifo samathambo.
• Utyando: Kwabo batyandwe ukufakelwa isinqe okanye ukufakelwa idolo.
• Ukwenzakala neengozi: Ukwenzakala okukhulu okufana nokuphuka kwamathambo.
• Ukungawunyamezeli umzimba: Kwabo bahlala kwindawo enye ixesha elide, abangahambiyo, kwaye baneemeko ezifana nokungakwazi ukusebenza kakuhle.
• Ukutshaya: Ukutshaya kungonakalisa imithambo yegazi kwaye kuphazamise ukuhamba kwegazi.
• Ezinye iingxaki zemithambo: Kwabo baneemeko ezifana nemithambo evalekileyo, i-vasculitis, kunye ne-venous thromboembolism.

Zithini iimpawu zesilonda somlenze?

Xa unenxeba emlenzeni, ulibona njani? Nazi ezinye zeempawu eziphambili:

• Inxeba elingapholiyo: Olu luphawu oluphambili. Ukuba inxeba alipholi emva kweeveki ezimbini zonyango, lisenokuba `(Isilonda Somlenze)`.
• Inkangeleko yenxeba: Inxeba linokuba bomvu, mfusa, mdaka, okanye lityheli . Ngamanye amaxesha, imibala emininzi ingabonakala ixutywe kunye. Inxeba lisenokukhupha ulwelo okanye into efana nobomvu .
• Utshintsho lolusu:
• Ulusu olujikeleze inxeba lunokuba lomile, lube namaxolo, kwaye lurhawuzelele .
• Izinto ezifana namaqhuma aqinileyo eluswini zinokubonakala, okanye ulusu lunokuba luqinile.
• Umbala wolusu ungatshintsha uze ubonakale ubomvu, luhlaza okwesibhakabhaka, okanye umfusa, njengomvumbo .
• Intlungu: Usenokuba neentlungu emilenzeni, ingakumbi emva kokuma ixesha elide .
• Ukudumba: Ukudumba (i-edema) kunokubonakala kwimilenze engezantsi.

Ungaziqonda njani izilonda zemilenze?

Ukuba unale mpawu, ngokuqinisekileyo kuya kufuneka ubone ugqirha. Ngokwesiqhelo, ingcali yemithambo yegazi iya kuhlola la manxeba. Iya kuhlola ulusu lwakho kunye nenxeba ngononophelo.

Ukongeza, ungenza iimvavanyo ezifana nezi:

• Uvavanyo lwe-Ankle-brachial index: Olu vavanyo lusebenzisa iteknoloji ye-ultrasound ukulinganisa uxinzelelo lwegazi kunye nokuhamba kwegazi emilenzeni.
• I-Biopsy: Isampulu yeeseli zesikhumba kunye nolwelo oluvela kwinxeba luyathathwa luze luhlolwe phantsi kwemakroskopu ukujonga usulelo okanye ezinye izifo zesikhumba.

Indlela yokunyanga amanxeba emilenzeni?

Izilonda zemilenze zinokuba nzima ukuzinyanga. Ngamanye amaxesha , nokuba zinyangwa, izilonda zinokuhlala iinyanga okanye iminyaka . Kodwa ungakhathazeki, zinokunyangwa ukuba zinyangwa ngokufanelekileyo.

Iindlela zonyango zixhomekeke kwizinto ezifana nohlobo lokwenzakala kunye nesizathu sako. Iinjongo eziphambili zikagqirha zezi:

1. Ukuphola kwenxeba.

2. Ukunciphisa ukudumba.

3. Ukuthintela inxeba ukuba lingaphindi libuye ngelixa liphola.

Nazi ezinye zeendlela eziphambili zonyango:

• Unyango lokucinezelwa: Ukunceda ukuphucula ukujikeleza kwegazi emilenzeni, kusetyenziswa iintlobo ezikhethekileyo zeekawusi (iikawusi zokucinezelwa) okanye iibhandishi. Ezi zifaka uxinzelelo emlenzeni, zinceda ekunyuseni igazi.
• Ukuphakama kwemilenze: Ukugcina imilenze yakho iphakanyisiwe ngaphezu kwentliziyo yakho ubuncinane iyure ngosuku, ubuncinane iintsuku ezintandathu, kunceda igazi libuyele entliziyweni.
• Ukhathalelo lwenxeba: Oku kubaluleke kakhulu.
• Ukuba ugqirha asuse ulusu olufileyo kwinxeba (`(ukususwa kwesikhumba)`).
• Ukusebenzisa ii-antiseptics ezisetyenziswa eluswini ukuthintela usulelo.
• Tshintsha ibhandeji enxebeni rhoqo.
• Amayeza:
• Ukuba kukho usulelo enxebeni, unokunikwa amayeza okubulala iintsholongwane.
• Amayeza (i-vasodilators) anceda ukwandisa imithambo yegazi nokuphucula ukuhamba kwegazi nawo anokunikwa.
• Unyango lwe-oksijini egqithisileyo (`(Unyango lwe-oksijini egqithisileyo)`):Le yindlela ekhethekileyo yonyango. Uhlala kwigumbi eline-hyperbaric kwaye uphefumla ioksijini ecocekileyo. Oku kwandisa ubungakanani beoksijini egazini, nto leyo ekhawulezisa ukuphiliswa kwenxeba.
• Unyango lwemithambo: Ukuba uneengxaki ezifana nemithambo evuvukileyo, ungenza unyango olufana ne-sclerotherapy (ukufaka amayeza kwimithambo) okanye i-endovascular ablation (ukufudumeza imithambo ngaphakathi uze uyivale).
• Utyando: Ngamanye amaxesha utyando lunokufuneka ukuze kususwe, kulungiswe, kutshintshwe, okanye kuthintelwe umthambo owonakeleyo.
• Ii-grafts zesikhumba: Ukuba inxeba likhulu kune-intshi ezi-1.5, okanye ukuba ezinye iindlela zonyango azipholi, ulusu oluvela kwenye indawo yomzimba lungathathwa luze lufakwe phezu kwenxeba.

Ungazithintela njani izilonda emilenzeni?

Nokuba inxeba lomlenze liyaphola, kusenokwenzeka ukuba liphinde libuye . Ngoko ke, kubaluleke kakhulu ukunyamekela ezi zinto:

• Xa uhleli okanye ulele, yenza umkhwa wokugcina imilenze yakho iphezulu kunentliziyo yakho . Ungabeka into efana nomqamelo omncinci phantsi kwemilenze yakho.
• Gcina ubunzima bakho busempilweni . Yenza umthambo omninzi. Ukuhamba kancinci yonke imihla nako kulungile.
• Ukuba uneemeko ezichaphazela ukujikeleza kwegazi, ezifana nesifo seswekile, uxinzelelo lwegazi oluphezulu, i-cholesterol ephezulu, okanye i-Raynaud's syndrome, zilawule kakuhle . Landela imiyalelo kagqirha wakho ngononophelo.
• Ukuba ungumntu otshayayo, yeka . Ungacela uncedo kugqirha ngale nto.
• Ukuthintela ulusu ukuba lungatshi, sebenzisa izicoci ezithambileyo . Faka iloshini yokuthambisa emva kokuhlamba.
• Nxiba iisokisi zokucinezela okanye iibhandishi ubuncinane iyure enye ngosuku. Oku kuya kuphucula ukuhamba kwegazi emilenzeni yakho. Cela ugqirha wakho ukuba akukhethele leyo ifanelekileyo kuwe.

Ziziphi iingxaki ezinokubakho ngenxa yezilonda emilenzeni?

Ukuba amanxeba angapholiyo ayaqhubeka, anokubangela ezinye iingxaki.

• Usulelo lwamathambo (i-Osteomyelitis): Inxeba linokuthi lingene nzulu lize libangele usulelo emathanjeni. Ukuba oku kuba nzima, kunokukhokelela ekunqunyulweni kwethambo.
• I-Cellulitis: Usulelo olukhulu lwebhaktiriya eluswini nakwizicwili ezingaphantsi kolusu. Indawo ejikeleze inxeba inokuba bomvu, idumbe, kwaye ifudumale.
• I-Sepsis: Ukuba usulelo lufikelela egazini, lunokuba yingozi ebomini.
• Umhlaza wolusu: Uhlobo lomhlaza wolusu (i-squamous cell carcinoma) ngamanye amaxesha lunokukhula ngenxa yamanxeba ahlala ixesha elide, angapholiyo.

Injani imeko yomntu onzakele emlenzeni?

Ukulimala emilenzeni ngamanye amaxesha kunokukhokelela ekukhubazekeni . Oku kwenzakala kunokwenza kube nzima ukuhamba, ukusebenza, nokuphila ubomi obuqhelekileyo. Kunokufuna ukutyelela oogqirha rhoqo, iikliniki zamanxeba, kwanokulaliswa esibhedlele.

Ndifanele ndimbone nini ugqirha?

Ukuba unenxeba elingapholiyo emlenzeni wakho kwaye uhlangabezana nazo naziphi na ezi mpawu, bona ugqirha ngokukhawuleza :

• Umkhuhlane okanye ukuziva ubanda.
• Ukuba kukho intlungu enzima enxulumene nokwenzakala okukuthintelayo ekulaleni okanye ekwenzeni imisebenzi yemihla ngemihla .
• Iimpawu zokuba inxeba lisulelekile: ukubomvu okujikeleze inxeba, ubushushu, ukudumba, kunye nokukhupha okunuka kakubi kwinxeba.

Ndimele ndibuze ntoni kugqirha wam?

Xa usiya kugqirha, kungcono ukubuza le mibuzo:

• "Gqirha, kutheni ndifumene eli nxeba emlenzeni wam?"
• "Yeyiphi eyona ndlela ilungileyo yonyango endinokuyifumana?"
• "Zeziphi iinguqu endinokuzenza ukuze ndiphilise eli nxeba ndize ndilithintele ukuba lingaphindi lenzeke?"
• "Zeziphi iimpawu ezithile ekufuneka ndizixhalabele xa kukho iingxaki?"

Izilonda zemilenze zibuhlungu, azikhululeki, kwaye zithatha ixesha elide ukuphola. Ke ngoko, kufuneka unyango olukhethekileyo lwenxeba ukuthintela usulelo nokunceda inxeba liphole.

Okokugqibela, izinto ekufuneka uzikhumbule (Umyalezo Wokuya Ekhaya)

Ngoko ke, njengoko besitshilo, isilonda somlenze esingapholiyo (`(Isilonda Somlenze)`) asinto enokunyangwa lula. Kodwa, ungoyiki. Ukuba unale ngxaki, into yokuqala ekufuneka uyenze kukubona ugqirha ofanelekileyo, ufumane unobangela ochanekileyo, kwaye uqale unyango olufanelekileyo.

Ukulandela imiyalelo kagqirha wakho ngononophelo, ukukhathalela inxeba lakho ngokufanelekileyo, ukuyeka ukutshaya ukuba uyatshaya, ukulawula ubunzima bakho, kunye nokulawula naziphi na iimeko ezingaphantsi ezifana nesifo seswekile kunokukunceda kakhulu ekulawuleni le meko. Khumbula, la manxeba anokuphinda abuye nasemva kokuba epholile, ngoko ke kubalulekile ukuqhubeka nokulandela imiyalelo kagqirha wakho. Ndikunqwenelela ukuchacha ngokukhawuleza!

Izilonda zemilenze , isifo seswekile, uxinzelelo lwegazi oluphezulu, iingxaki zemithambo yegazi, ukuphiliswa kwamanxeba, izifo zolusu