Ingaba imilenze yakho ijika ibe luhlaza okwesibhakabhaka kwaye ibuhlungu kakhulu? Ingaba yi-'Phlegmasia Cerulea Dolens' leyo? Masithethe ngale nto!

Ngaba wakha weva ngemeko apho igazi liqhekeka ngaphakathi emthanjeni emlenzeni okanye engalweni yakho, nto leyo ebangela ukuba lijike libe luhlaza okwesibhakabhaka, lidumbe, lize libe buhlungu? Le yimeko enzima, kodwa ayiqhelekanga kangako. Namhlanje siza kuthetha ngale meko ibizwa ngokuba yi -'Phlegmasia Cerulea Dolens' . Ungakhathazeki, kubalulekile ukuba uyiqaphele.

Yintoni le 'Phlegmasia Cerulea Dolens'?

Ngamafutshane, i-'Phlegmasia Cerulea Dolens' yimeko apho ihlwili legazi elikhulu okanye amahlwili egazi amaninzi kwimithambo enzulu yomzimba wethu, ingakumbi emilenzeni (kwaye ngamanye amaxesha ezingalweni) (ekwaziwa ngokuba yi-'Deep Vein Thrombosis' okanye i-'DVT'), ibangela ukuvaleka ngokupheleleyo kwemithambo. Khawuthelekelele umbhobho wamanzi uvaleka ngodaka olukhulu, nto leyo ebangela ukuba amanzi adibane endaweni yokuba ageleze.

Xa umthambo uvalekile ngolu hlobo, igazi alihambi kakuhle kuwo. Igazi alikwazi ukuhla lize libuyele phezulu. Kwenzeka ntoni ke ngoko? Igazi liyaqokelelana kuloo ndawo, nto leyo ebangela ukuba umlenze udumbe. Oku kudumba kwandisa uxinzelelo ngaphakathi komthambo, kubeka uxinzelelo kwimithambo ethwala ioksijini. Kufana nesiponji esimanzi kakhulu ukuba singafunxa amanzi. Awunakufaka amanzi amaninzi kuwo ude uwucinezele. Yiloo nto eyenzekayo apha. Oku kunciphisa nobungakanani beoksijini efikelela kwizicubu.

Eyona nto ibalulekileyo kukuba le yingxamiseko yezonyango . Ukuba ayifunyaniswanga kwaye inyangwe ngokukhawuleza, umlenze ungonakala kwaye ude ubulale. Kungoko ke, kubaluleke kakhulu ukuzazi ezi mpawu.

Ixhaphake kangakanani le meko?

Enyanisweni, i-'Phlegmasia Cerulea Dolens' yimeko engaqhelekanga kakhulu . Oko kukuthi, yinto engabonakaliyo kakhulu. Abanye oogqirha babona isigulana esinje kube kanye okanye kabini kuphela kumsebenzi wabo wonke. Ke ngoko, akukho zibalo zinkulu ngayo.

Zithini iimpawu ze-'Phlegmasia Cerulea Dolens'?

Eli gama lithetha "ukudumba okubuhlungu okuluhlaza okwesibhakabhaka." Oko kuchaza iimpawu. Khangela nayiphi na kwezi emlenzeni okanye engalweni yakho:

• Ukutshintsha kombala wolusu: Umbala obomvu, oluhlaza okwesibhakabhaka nomfusa unokuvela. Lo mbala ungasasazeka kuwo wonke umlenze.
• Intlungu ebuhlungu: Ayizizo nje iintlungu eziqhelekileyo, kodwa ziintlungu ezibuhlungu ekunzima ukuzinyamezela.
• Ukudumba: Imeko yokudumba kakhulu evakala inzima xa uyichukumisa.
• Amadyungudyungu eluswini: Ngamanye amaxesha amadyungudyungu azele lulwelo (`amadyungudyungu`) anokuvela.
• Ukuba ndindisholo okanye ukurhawuzelela: Kusenokuvakala ngathi kukuhlaba okanye ukurhawuzelela.

Kuthiwa ngenxa yesakhiwo senkqubo yokujikeleza kwegazi emzimbeni wethu, le meko inokwenzeka kakhulu kumlenze wasekhohlo .

Zithini izizathu ze-'Phlegmasia Cerulea Dolens'?

Eyona nto ibangela oku kukuqhekeka kwegazi okukhulu (i-Venous Thromboembolism).Oku kudla ngokuba yingxaki ye-'DVT' emlenzeni. Oko kukuthi, ihlwili legazi lenzeka emthanjeni, likhule libe likhulu, lize livale yonke inkqubo yemithambo yegazi.

Ngubani osengozini enkulu yoku?

Izinto ezibangela umngcipheko wokuphuhlisa i-'Phlegmasia Cerulea Dolens' ziyafana nezinto ezibangela umngcipheko wokuqhekeka kwegazi ngokubanzi. Nazi:

• Umhlaza: Le yeyona nto iphambili neyona ixhaphakileyo ebangela umngcipheko.
• Utyando: Emva kotyando olukhulu.
• Ukwenzakala: Ukwenzakala kakhulu, ingakumbi emilenzeni.
• Ukukhulelwa: Ngexesha lokukhulelwa nasemva kokubeleka.
• Iipilisi zokulawula ukuzalwa ezithathwa ngomlomo okanye unyango lweehomoni:
• Isifo samathumbu esibangela ukudumba (IBD):
• Isalathisi soBunzima boMzimba (i-BMI) engaphezulu kwama-30: Oku kuthetha ukutyeba kakhulu.
• Iingxaki zokujiya kwegazi: Abanye abantu banokuzalwa benotyekelo lokuba igazi labo lijiye lula.
• Ukungasebenzi kakuhle kwemithambo yegazi: Iivalvu ezisemithambo yegazi azisebenzi kakuhle.
• Isifo sikaMeyi-Thurner: Umthambo osemlenzeni wasekhohlo ucinezelwa ngumthambo.
• Ukumelwa yintliziyo:
• Ukuba kwindawo enye ixesha elide/ukuvalelwa ebhedini ('Ukungakwazi ukuhambahamba'): Umzekelo, ukuba kufuneka uhlale ebhedini iintsuku ezininzi emva kotyando olukhulu.

Kuthiwa le meko ixhaphake kakhulu kubantu abaneminyaka ephakathi kwama-40 nama-50 ubudala .

Ziziphi iingxaki ezinokubakho ze-'Phlegmasia Cerulea Dolens'?

Le yimeko enzima kwaye iingxaki zinokuba nzima kakhulu.

Malunga nama-50% abantu abane-'Phlegmasia Cerulea Dolens' banokuba nesifo esibizwa ngokuba yi-'Gangrene', esisisifo esibulalayo . Ukuba i-gangrene ikhula, ngamanye amaxesha inokukhokelela ekunqunyulweni komlenze okanye ingalo.

Kwakhona, aba bantu banokuba nesifo esibizwa ngokuba yi-'Pulmonary Embolism', esiluqhubu lwegazi oluya emiphungeni . Oku kukwabeka ubomi esichengeni kakhulu.

Ungayibona njani i-'Phlegmasia Cerulea Dolens'?

Ukuba unale mpawu, ugqirha uza kuthatha imbali yakho yezonyango aze akuhlole ngokwasemzimbeni. Basenokukubuza imibuzo efana nale:

• "Ziqale nini ezi mpawu?"
• "Yintoni ongenakuyenza ngenxa yale nto?"
• "Ngaba wakha wanyangwa iingxaki zemithambo yegazi ngaphambili?"
• "Ngaba kukho umntu kusapho lwakho onengxaki yokugabha igazi?"

Luhlobo luni lovavanyo oluza kwenziwa?

Ukuze aqinisekise ukuba unayo na i-'Phlegmasia Cerulea Dolens', ugqirha wakho unokwenza olu vavanyo lulandelayo:

• Iskeni ye-ultrasound:Jonga ukuba igazi alinamahlwili na emithanjeni kunye nendlela elihamba ngayo igazi.
• Uvavanyo lwegazi: Jonga iimpawu zokujiya kwegazi, imeko yosulelo, njl.njl.
• `I-Computed Tomography Angiogram (CT Angiogram):` Oku kungathatha imifanekiso eneenkcukacha zemithambo yegazi.
• I-Magnetic Resonance Angiogram (MR Angiogram): Le yenye indlela yokufumana imifanekiso yemithambo yegazi.

Indlela yokunyanga i-'Phlegmasia Cerulea Dolens'?

Le yingxamiseko, ngoko ke unyango kufuneka luqale ngoko nangoko.

Ugqirha uza kuqala aphakamise umlenze wakho malunga nama-60 degrees ngaphezu kwentliziyo yakho . Oku kunceda ukuphuma kwegazi emithanjeni emlenzeni wakho, kuphucule ukujikeleza kwegazi, kwaye kunciphise ukudumba. Banokukunika ulwelo, basonge umlenze wakho wonke ngebhandishi yokucinezela, baze bakucele ukuba uhambe kancinci.

Amaxesha amaninzi , kunye namayeza, kufuneka unyango . Ukuba umlenze wakho unezibazi okanye ubonisa iimpawu zokubola, oko kuthetha ukuba umlenze wakho usengozini enkulu. Oogqirha baya kuzama ukususa igazi ngokukhawuleza kwaye banyange i-Phlegmasia Cerulea Dolens ngaphambi kokuba i-gangrene iqale.

Iinjongo eziphambili zonyango zezi:

• Ukususa amahlwili egazi.
• Ukuvula imithambo yegazi nokubuyisela ukuhamba kwegazi.
• Yeka imeko ukuba ingabi mbi kakhulu.

Amayeza athile kunye nonyango

Olu nyango lulandelayo lungasetyenziswa kwi-'Phlegmasia Cerulea Dolens':

• Amayeza okulwa nokugabha kwegazi: Umzekelo, amayeza afana neHeparin. La ngamayeza afakwa emithanjeni.
• `I-Thrombolysis`: Kule nto, umbhobho omncinci obizwa ngokuba yi-`catheter` udluliselwa ngomthambo ukuya kwindawo apho igazi liqhekekileyo khona, kwaye kunikwa amayeza ngawo ukuze kunyibilikiswe igazi eliqhekekileyo.
• `I-Thrombectomy`: Oku kuquka ukususa ihlwili legazi nokuba ngomngxunya omncinci okanye ngotyando olukhulu (`inkqubo evulekileyo`).
• Ukufakwa kwe-Angioplasty kunye/okanye i-stent: Oku kwenzelwa ukugcina umthambo uvulekile kubantu abane-May-Thurner syndrome.

Iingxaki/iziphumo ebezingalindelekanga zonyango

Utyando olukhulu (`utyando oluvulekileyo`) lokususa ihlwili legazi lunokubangela iingxaki ezifana nezi:

• Amathuba okuba igazi liphinde lijiye kwakhona ayanda.
• Ukonakala komthambo wegazi.

Ii-anticoagulants kunye nonyango lwe-thrombolysis zinomngcipheko wokopha . Ngenxa yokuba i-thrombolysis inokubangela i-pulmonary embolism, oogqirha ngamanye amaxesha banokucebisa isihluzi se-inferior vena cava (IVC) ukuthintela oku.

Ndiza kuziva bhetele nini emva konyango?

Abanye abantu basenokuqala ukuziva ngcono emva kweyure nje emva kokuqala amayeza okunciphisa igazi. Nangona kunjalo, uninzi lwabantu aluziva bhetele de kube ziiyure ezimbalwa emva kokuqala amayeza. Ukuba imeko ayiphucuki kwiiyure ezi-6-12, ugqirha unokucebisa ukuba kwenziwe inkqubo yokongeza kumayeza.

Ngotyando lokususa ihlwili legazi, ungaqaphela ukuba izinto ezinje ngokudumba kunye nokutshintsha kombala emlenzeni ziyanyamalala ngokukhawuleza. Ungawuva umahluko emva nje kotyando .

Ngaba i-'Phlegmasia Cerulea Dolens' ingathintelwa?

Ewe, ngandlela ithile kunokwenzeka. Le meko inokuthintelwa ngokuthintela i-DVT (deep vein thrombosis) okanye ngokunyanga i-DVT ngaphambi kokuba ikhule ibe yi-Phlegmasia Cerulea Dolens.

Yintoni endinokuyilindela ukuba ndine-`Phlegmasia Cerulea Dolens`?

I-'Phlegmasia Cerulea Dolens' yimeko enokubangela ukuba uphulukane nomlenze okanye ide ibeke ubomi esichengeni. Yiyo loo nto oogqirha besenza ngokukhawuleza baze baqale unyango ukuthintela imeko yakho ukuba ingabi mandundu. Usenokuvakalelwa kukuba bayakukhawulezisa ukuze bakunike amayeza okanye bakulungiselele utyando . Isizathu kukuba, unyango olukhawulezileyo yeyona ndlela ilungileyo yokufumana iziphumo ezilungileyo .

Kuya kufuneka uhlale esibhedlele iintsuku ezimbalwa. Usenokwenza nezinye iimvavanyo zokujonga imifanekiso ukuqinisekisa ukuba onke amahlwili egazi aphelile.

Ujongo lwe `Phlegmasia Cerulea Dolens`

Izinga lempumelelo yonyango lwe-thrombolysis liphakathi kwama-85% ukuya kuma-95%.

Nangona kunjalo, ukuba ayinyangwa, i-Phlegmasia Cerulea Dolens inokukhokelela kwi-gangrene. Ukuba i-gangrene iyavela, umngcipheko wokunqunyulwa kwelungu uphakathi kwe-20% kunye ne-50% . Ukuba i-gangrene okanye ingenayo, umngcipheko wokuba le meko ibe yingozi uphakathi kwe-20% kunye ne-40%.

Ukuba ayinyangwanga kakuhle, i-`Phlegmasia Cerulea Dolens` inokuphinda ivele.

Nokuba unyango lukhawulezileyo, abantu abaninzi abafumana i-'Phlegmasia Cerulea Dolens' banokuba neengxaki ngeevalvu kwimithambo yabo kunye nemeko ebizwa ngokuba yi -'Post-thrombotic syndrome' kwixesha elizayo.

Ndingazinyamekela njani?

Emva konyango lokuqala, kuya kufuneka uqhubeke nokuthatha amayeza okunciphisa igazi (i-anticoagulants) ukuthintela ukuba imeko ingaphindi ivele. Ngokuxhomekeke kwimeko yakho, kunokufuneka uthathe la mayeza kangangeenyanga eziliqela okanye nangaphezulu.

Ndifanele ndimbone nini ugqirha?

Ugqirha wakho kuya kufuneka ahlole igazi lakho rhoqo ukuqinisekisa ukuba igazi lakho lijiyile kwinqanaba elifanelekileyo. Kuya kufuneka ukuba undwendwelwe rhoqo ukuze ubone ukuba kukho naziphi na iingxaki ezinokwenzeka kamva.

Ndingaya nini kwiSebe leeNgxamiseko (i-ETU) ?

Ukuba uneempawu ze-'Phlegmasia Cerulea Dolens', okanye ukuba ubukhe waba nazo ngaphambili iimpawu kwaye ngoku uzifumana kwakhona, funa ingcebiso kagqirha ngokukhawuleza . Kwakhona, ukuba ufumanisa iimpawu zelinye ihlwili legazi okanye iimpawu ze-'Pulmonary Embolism', kufuneka uye esibhedlele ngoko nangoko.

Ndingayibuza yiphi imibuzo ugqirha wam?

Ungabuza ugqirha wakho imibuzo efana nale:

• "Kuza kufuneka ndithathe ezi anticoagulants ixesha elingakanani?"
• "Kufuneka ndize kangaphi ukuze ndilandelelwe?"
• "Yintoni enokuba ibangele i-'DVT' yam?"

Yintoni umahluko phakathi kwe-'Phlegmasia Alba Dolens' kunye ne-'Cerulea Dolens'?

I-'Phlegmasia Alba Dolens' nayo yingxaki ebangelwa kukuqhekeka kwegazi. Nangona kunjalo, ayithinteli ukuhanjiswa kwegazi kwizicwili zakho. Igama elithi `alba` egameni lithetha 'mhlophe'. Oku kuthetha ukuba umlenze uba mthubi. I-'Alba Dolens' inokwenzeka ngaphambi kokuba i-'Phlegmasia Cerulea Dolens' ivele.

I-`Phlegmasia Cerulea Dolens` yimeko enzima ngakumbi. Ichaphazela ukujikeleza kwegazi. Ukuhanjiswa kwegazi kwiithishu apho ihlwili likhoyo kuyanqanyulwa.

Eyona nto ibalulekileyo ekufuneka siyikhumbule kweli bali!

Ixesha libaluleke kakhulu kwimeko ye-'Phlegmasia Cerulea Dolens'. Ukuba wena okanye umntu omthandayo unale mpawu, ungathandabuzi ukufuna unyango ngokukhawuleza. Unyango olukhawulezileyo lubalulekile ukusindisa umlenze, mhlawumbi nobomi.

Ngamanye amaxesha ungaziva uxhalabile xa oogqirha besenza izigqibo ngokukhawuleza baze bathathe amanyathelo ngokukhawuleza. Kodwa bonke bakwenzela okulungileyo. Ukuba kukho into ongayiqondiyo, ungoyiki ukubuza imibuzo. Ukwaziswa lelona nyathelo lilungileyo lokhuseleko.

I- Phlegmasia Cerulea Dolens, i-DVT, iClot yegazi, ukudumba kwemilenze, ukuvaleka kwemithambo yegazi, i-Gangrene, i-Pulmonary Embolism