Ngaba nawe uneengxaki eziqhubekayo emilenzeni/ezingalweni zakho emva kwe-DVT? Masifunde nge (Post-Thrombotic Syndrome)!

Ukuba wakha waba negazi elijiyileyo emthanjeni onzulu emlenzeni okanye engalweni yakho, eyaziwa ngokuba yiDeep Vein Thrombosis (DVT) , usenokuba neengxaki ezithile ezingapheliyo. Kufana nesilonda esiphola, kodwa sinokushiya isilonda esincinci okanye ukungakhululeki. Namhlanje, siza kuthetha ngemeko enokuba nefuthe elide kwabanye abantu emva kweDVT. Le yinto oogqirha abayibiza ngokuba yiPost-Thrombotic Syndrome okanye iPostphlebitic Syndrome .

Yintoni iPost-Thrombotic Syndrome? Ngamafutshane...

Khawuthelekelele ukuba une-deep vein thrombosis (DVT) emlenzeni okanye engalweni yakho. Nokuba siyiphatha kakuhle, ngamanye amaxesha i-clot inokubangela umonakalo othile emthanjeni. Kufana nento ebambeke kumbhobho wamanzi kwaye ukuba uyayisusa, isenza umonakalo othile kumbhobho.

Lo monakalo unokubangela ukuba imithambo ilahlekelwe bukuguquguquka kwayo kwaye iivalvu ezinceda ukuhamba kwegazi zingasebenzi kakuhle. Oku kubangela ukuba igazi lihlangane kwimithambo eyonakeleyo endaweni yokubuyela entliziyweni. Xa igazi lihlangana ngale ndlela, uxinzelelo ngaphakathi kwimithambo luyanda, okubangela iimpawu ezifana nentlungu kunye nokudumba . Oku kubizwa ngokuba yingqokelela yeempawu (Post-Thrombotic Syndrome). Abanye abantu banokuba neempawu ezincinci kakhulu, kodwa abanye banokuba qatha kangangokuba abakwazi nokusebenza kubomi babo bemihla ngemihla.

Ukuba ubukhe waba ne-DVT kwiminyaka emibini edlulileyo kwaye ngoku uhlangabezana nezi mpawu, bonana nogqirha ngokukhawuleza. Banokuvavanya imeko yakho baze baqalise unyango olufanelekileyo ukuze bakunike isiqabu.

Ixhaphake kangakanani le meko?

I-Post-Thrombotic Syndrome yimeko eqhelekileyo kubantu abaye baba ne-DVT. Ichaphazela abantu abaphakathi kwama-20 nama-50 kwabayi-100 kwiminyaka emibini emva kokufunyaniswa benesifo se-DVT. Oko kuthetha ukuba ichaphazela inani elikhulu labantu.

Ukuba une-Post-Thrombotic Syndrome, kunzima kakhulu ukuba igazi elikuloo mthambo wonakeleyo libuyele entliziyweni. Oku kuhlanganiswa kwegazi yikona okubangela zonke iintlobo zeengxaki.

Zithini iimpawu zoku? Siziva njani?

Iimpawu zePost-Thrombotic Syndrome (PTS) zichaphazela kakhulu umlenze okanye ingalo apho i-DVT yenzeke khona. Usenokuhlangabezana nezinto ezinje:

• Intlungu: Intlungu emlenzeni, ingakumbi xa uhamba okanye umi. Oku ngamanye amaxesha kubizwa ngokuba yi-claudication .
• Intlungu okanye ukuqaqamba ngokungathi kukho umthambo ogoqekayo .
• Ukuziva ubunzima kunye nokudinwa ezingalweni/emilenzeni.
• Ukurhawuzelela (Pruritus) .
• Ukuba ndindisholo, ukurhawuzelela, kunye neemvakalelo ezingaqhelekanga (iParesthesia) .

Ezi mpawu zisenokuba buthathaka kwabanye, kwaye zibe buhlungu kwabanye.Ingakuchaphazela. Usenokufumanisa ukuba ezi mpawu ziyanda xa ume okanye uhamba ixesha elide, kwaye ziyancipha xa uphumle okwethutyana. Ezi ntlungu zinokwanda ngasekupheleni kosuku. Kwabanye abantu, ezi mpawu zisenokuba zihleli, okanye zisenokufika ziphele.

Ziziphi iimpawu zangaphandle zePost-Thrombotic Syndrome?

Iimpawu zizinto esizivayo. Iimpawu zizinto esinokuzibona. Ugqirha wakho naye uza kuzijonga ezi mpawu.

• Ukudumba (Ukudumba): Ukudumba kwengalo okanye umlenze ochaphazelekayo.
• Ubomvu besikhumba okanye ukutshintsha kombala.
• Ukuqina kolusu , ukuziva ngathi lulusu.
• Ukuvela kwemithambo emitsha ye-varicose .
• Imbonakalo yemithambo emincinci yesigcawu .
• Ukuba imeko iba mandundu, amanxeba angapholiyo (izilonda zemithambo yegazi) anokuvela.

Kutheni oku (iPost-Thrombotic Syndrome) kwenzeka? Yintoni unobangela?

Eyona nto ilula kukonakala kwemithambo yakho ngenxa ye -Deep Vein Thrombosis (DVT) .

Imithambo enzulu emilenzeni nasezingalweni zethu ineevalvu eziya kwicala elinye ezivumela igazi ukuba lihambe kwicala elinye kuphela. Njengocango, luvuleka kwicala elinye kuphela. Ezi valve zinceda igazi ukuba libuyele entliziyweni. Nangona kunjalo, xa ihlwili legazi lenzeka ngaphakathi emthanjeni, ihlwili legazi linokonakalisa ezo valve. Emva koko iivalvu azisebenzi kakuhle.

Ngenxa yoko, igazi lihamba kancinci kakhulu. Endaweni yokuba lihambe kakuhle liye entliziyweni, igazi liyaqokelelana emithanjeni. Oku kwandisa uxinzelelo ngaphakathi kweendonga zemithambo, nto leyo ebangela iimpawu ezikhankanyiweyo ngaphambili.

Ngubani osengozini enkulu yokuba nale meko?

Nabani na okhe waba ne-DVT unokufumana i-Post-Thrombotic Syndrome. Nangona kunjalo, umngcipheko uphezulu ukuba uye waba ne-DVT ephindaphindayo , ingakumbi engalweni okanye emlenzeni omnye. Oko kukuthi, ukuba uye waba namahlwili egazi amaninzi kwindawo enye.

Kwakhona, umngcipheko wakho uphezulu ukuba ukhe waba nayo nayiphi na kwezi mpawu zilandelayo zegazi eliqhekekileyo ngaphambili:

• Ukuba ibisasazeke yaya kufikelela kwinxalenye enkulu yomthambo.
• Ihlwili legazi ethangeni eliphezulu okanye entlafunweni (elibizwa ngokuba yi-proximal DVT ) liyingozi ngakumbi kunehlwili legazi entlafunweni (elibizwa ngokuba yi-distal DVT ). Umngcipheko uphezulu ngakumbi ukuba ihlwili legazi lenzeka kumthambo we-iliac okanye kumthambo we-common femoral .
• Ukuba unehlwili legazi kumthambo omkhulu emzimbeni wakho ongasentla, egxalabeni, okanye esifubeni esingaphezulu (oku kubizwa ngokuba yi -axillo-subclavian vein thrombosis) .
• Ukuba bekukho ihlwili legazi (i-residual thrombosis) elinganyibilikanga ngokupheleleyo nasemva konyango.

Ukongeza, kukho nezinye izinto ezininzi ezinobungozi:

• Ukuba unemeko esele ikhona efana nokungasebenzi kakuhle kwemithambo yegazi (CVI) .
• EyakhoUkuba i-body mass index yakho (BMI) ingaphezulu kwama-30 (oko kuthetha ukutyeba kakhulu).

Oogqirha bayixilonga njani i-Post-Thrombotic Syndrome?

Oogqirha baxilonga le meko ikakhulu ngovavanyo lomzimba . Ngexesha lovavanyo, ugqirha wakho uza:

• Buza ngembali yakho yezonyango (njengokuba ubukhe waba ne-DVT njani ngaphambili, unyango olufumeneyo).
• Babuza ngeempawu zakho kunye nendlela ezichaphazela ngayo ubomi bakho bemihla ngemihla.
• Imilenze neengalo zakho ziya kuhlolwa iimpawu zePost-Thrombotic Syndrome (ezifana nokudumba kunye notshintsho lolusu).

Ngokusekelwe kolu lwazi, ugqirha uza kugqiba ukuba unayo na i-Post-Thrombotic Syndrome, kwaye ukuba kunjalo, ingaba imbi kangakanani.

Yintoni isikali seVillalta?

Usenokuba ukhe weva ugqirha wakho ethetha 'ngesikali saseVillalta' . Le yindlela eqhelekileyo esetyenziswa ngoogqirha ukufumanisa esi sifo nokuvavanya ubukhali baso. Kufana noluhlu lokuhlola olunamanqaku. Luquka iimpawu ezi-5 kunye namanqaku ama-6. Ugqirha unika amanqaku kwimpawu nganye aze abonakalise:

• Amanqaku ayi-0: Ayikho.
• Inqaku 1: Kukho kancinci.
• Amanqaku 2: Ukhona ngokuphakathi.
• Amanqaku 3: Kubi kakhulu.

Ugqirha emva koko udibanisa onke la manqaku. Ukuba amanqaku ewonke angaphantsi kwama-4, awunayo i-Post-Thrombotic Syndrome. Ukuba unamanqaku ama-5 nangaphezulu, unale meko.

Le meko ikwahlulwa njengelula, ephakathi, okanye enzima ngokusekelwe kula manqaku:

• Amanqaku 5 ukuya ku-9: Imeko engentle.
• Amanqaku ali-10 ukuya kweli-14: Imeko ephakathi.
• Ukuba kukho izilonda, okanye amanqaku ali-15 nangaphezulu: imeko enzima.

Ugqirha wakho uza kukuchazela ezi ziphumo aze akuxelele ukuba zithetha ukuthini.

Ngaba kukho naziphi na iimvavanyo ezikhethekileyo zokuxilonga le meko?

Akukho vavanyo lukhethekileyo lokuxilonga ukuze kufunyanwe i-Post-Thrombotic Syndrome. Nangona kunjalo, kwezinye iimeko, oogqirha banokuyalela i -'Duplex ultrasound' ukuze babone ukuba igazi lihamba njani ngemithambo yegazi.

Ziziphi iindlela zonyango lwe-Post-Thrombotic Syndrome?

Unyango ludla ngokubandakanya unyango lokucinezelwa, utshintsho kwindlela yokuphila, kunye nokuzilolonga . Abanye abantu banokufuna utyando okanye unyango lwezilonda zemithambo yegazi. Oogqirha baya kulungelelanisa unyango ngokweemfuno zomntu ngamnye. Injongo ephambili yonyango kukunciphisa iimpawu zakho kunye nokuphucula umgangatho wobomi bakho.

Unyango lokucinezelwa

Ugqirha wakho angakunika iisokisi ezikhethekileyo zokucinezela.Ungathi zinxibe. Ezi zezona ndlela zisetyenziswa kakhulu zonyango lokucinezelwa. Ezi kawusi mazinxitywe rhoqo (rhoqo yonke imihla). Ezi kawusi zibeka uxinzelelo kwimisipha yakho yethole kwaye ziphucula ukujikeleza kwegazi emithanjeni. Nangona zinokuvakala ziqinile xa zinxitywa, akufanele zibe buhlungu.

Kukho iintlobo ezahlukeneyo zeekawusi ezibonelela ngamanqanaba ahlukeneyo okucinezelwa. Ugqirha wakho uya kukunika uhlobo olufanelekileyo lweekawusi oluhambelana neemfuno zakho.

Kungathatha ixesha ukuba uqhele ukunxiba ezi (iisokisi zokucinezela). Kubalulekile ukuthetha nogqirha wakho malunga nendlela ezivakalelwa ngayo kunye nokuba ungazinxiba ngokufanelekileyo na. Ugqirha wakho unokulungisa nenqanaba lokucinezelwa ngokuxhomekeke kwindlela oziva ngayo kunye nokuba iisokisi zibonelela impumuzo engakanani kwiimpawu zakho.

Ezinye iindlela zonyango lwe-thrush ziquka:

• Isixhobo sokuncedisa ukubuya kwemithambo yegazi: Umzekelo , iVenowave® . Esi sisixhobo esifana nephampu osinxiba entanyeni yakho ukunceda ukuphucula ukuhamba kwegazi. Ungayinxiba ekhaya okanye ngelixa uphumile.
• Isixhobo soxinzelelo lwe-pneumatic (IPC) esingenamthungo: Esi sisingxobo esifakwa emlenzeni esibhedlele.

Utshintsho kwindlela yokuphila

Ukwenza utshintsho oluncinci kwindlela ophila ngayo kunokunceda kakhulu ekunciphiseni iimpawu zakho. Ugqirha wakho unokucebisa izinto ezifana nezi:

• Gcina imilenze yakho ingaphezulu kwenqanaba lentliziyo yakho , nokuba uhleli okanye ulele phantsi.
• Gcina ubunzima bomzimba busempilweni .
• Sebenzisa izithambisi-mafutha ukuthintela ulusu ukuba lungatshi okanye luqhekeke.

Ukuzilolonga

Ukuzilolonga kunokunceda ukuphucula ukujikeleza kwegazi nokunciphisa iimpawu. Umzekelo, ukuba i-Post-Thrombotic Syndrome ichaphazele imilenze yakho, ugqirha wakho unokucebisa ukuzilolonga okuqinisa izihlunu zemilenze yakho.

Kungenxa yokuba izihlunu zakho zethole ziimpompo ezinamandla ezisebenza "njengentliziyo yesibini." Xa uhamba, ukuxinana kwezihlunu zakho zethole kunceda ukupompa igazi ukusuka emilenzeni nasezinyaweni zakho libuyele entliziyweni yakho. Ngoko ke, xa uqinisa ezo zihlunu, imithambo yakho ifumana uncedo olufunekayo ukuze ithwale igazi ngokufanelekileyo.

Ukuzilolonga kuphucula ukuguquguquka kwakho kunye nokuqina kwentliziyo. Soloko uthetha nogqirha wakho ngaphambi kokuba uqalise inkqubo entsha yokuzilolonga. Uza kukuxelela ukuba zeziphi izilolonga ezikhuselekileyo nezifanelekileyo kwiimfuno zakho.

Utyando

Kwezinye iimeko ezikhethekileyo, oogqirha banokucebisa utyando okanye unyango lwe-endovenous (umzekelo, ukutshiza i-stenting) ukuphucula ukuhamba kwegazi emithanjeni. Ugqirha wakho uza kukuxelela ukuba olo nyango lufanelekile na kuwe.

Unyango lwezilonda zemithambo yegazi

Ukuba imeko iba mandundu , izilonda zemithambo yegazi zinokuvela. Kubaluleke kakhulu ukunyanga ezi zilonda ngokufanelekileyo nangononophelo. Ukuba akunjalo, iingxaki ezinkulu, ezinje ngokunqunyulwa kwelungu, zinokwenzeka. Ugqirha wakho unokucebisa enye okanye ezingaphezulu kwezi zilandelayo:

• Amayeza okubulala iintsholongwane.
• Iibhandishi okanye iibhandishi zokuvala inxeba.
• Iibhandishi zokucinezela okanye iikawusi.
• Ukucoca amanxeba imihla ngemihla.
• Izithambiso.
• Izithomalalisi zentlungu.
• Ukungcoliswa kukususwa kwezicubu ezifileyo.
• Ukuthunyelwa kwiingcali ukuze zincede ekulawuleni izifo ezingapheliyo ezifana nesifo seswekile.

Ihlala ixesha elingakanani i-Post-Thrombotic Syndrome?

I-Post-thrombotic syndrome yimeko engapheliyo . Oku kuthetha ukuba ugqirha wakho unokukunceda uyilawule, kodwa ayinakunyangwa . Unyango lunokunciphisa iimpawu zakho kwaye luphucule amandla akho okusebenza, ukuncokola, kunye nokonwaba ngendlela ongathanda ngayo.

Ngaba i-Post-Thrombotic Syndrome ingathintelwa?

I-Post-Thrombotic Syndrome ayinakuthintelwa rhoqo. Oku kungenxa yokuba i-Deep Vein Thrombosis (DVT) ayinakuthintelwa rhoqo. Nangona kunjalo, wena nogqirha wakho ninokusebenzisana ukunciphisa umngcipheko wakho:

• Chonga kwaye unciphise izinto ezinobungozi kwi-DVT: Eyona ndlela ilungileyo yokuthintela i-DVT (i-Post-Thrombotic Syndrome) kukuthintela ukuba ingakhuli kwasekuqaleni. Zama ukunciphisa izinto ezinobungozi onokuzitshintsha. Umzekelo, unganciphisa umngcipheko wakho ngokuphepha iimveliso zecuba, ukuhlala usebenza, kunye nokugcina ubunzima obusempilweni. Ugqirha wakho uza kukuxelela ukuba zeziphi izinto ezinobungozi ekufuneka uziqwalasele kunye nendlela yokwenza isicwangciso sazo.
• Ukuxilongwa kwangoko kunye nonyango olufanelekileyo lwe-DVT: Ukuba une-DVT, ukuxilongwa kwangoko kunye nonyango kunokunceda ukunciphisa umonakalo kwimithambo yakho. Kunokunceda nasekuthinteleni i-DVTs yexesha elizayo. Oku kungenxa yokuba ukuba une-DVT enye, usengozini enkulu yokuba ne-post-thrombotic syndrome. Ugqirha wakho uya kumisela isicwangciso sonyango esifanelekileyo kuwe. Oku kudla ngokubandakanya ukuthatha amayeza okunciphisa ukugabha kwegazi kangangeenyanga eziliqela okanye ngaphezulu.

Ndingazinyamekela njani?

Ugqirha wakho uza kukunika imiyalelo yokuba ungazinyamekela njani xa usekhaya. Landela loo miyalelo ngononophelo, kwaye ubuze imibuzo ukuba kukho into engacacanga. Ngokwesiqhelo ungenza izinto ezinje:

• Sela amayeza akho njengoko uyalelwe .
• Ngethuba uhleli okanye ulele phantsiGcina imilenze yakho iphezulu.
• Kuphephe ukuhlala ixesha elide kangangoko unako. Thatha ikhefu elifutshane ukuhambahamba kwaye wolule umzimba wakho.
• Sebenzisa i-moisturizer ukugcina ulusu lwakho lusempilweni.

Kubalulekile nokuba ukhathalele impilo yakho yengqondo . Ukuphila nePost-Thrombotic Syndrome kunokuba nexhala engqondweni nangokweemvakalelo. Abantu abanale meko banokuba noxinzelelo, ixhala, kunye nokungazithembi. Basenokuxhalaba ngokuba nelinye ihlwili legazi. Basenokuziva belusizi kuba abasakwazi ukwenza izinto ababezenza ngaphambili ngenxa yeempawu zabo.

Ukuba uziva ngale mvakalelo, ukuthetha nomcebisi okanye ingcali yezonyango kunokuba luncedo kakhulu. Banokukunceda ujongane nale mvakalelo kwaye ufumane izisombululo ezikwenza uzive ungcono.

Ndifanele ndimbone nini ugqirha wam?

Ugqirha wakho uza kukunika ulwalathiso ukuze ajonge imeko yakho. Kubaluleke kakhulu ukubakho kuzo zonke ezi ntlanganiso ukuze ugqirha wakho akwazi ukulungisa isicwangciso sakho sonyango njengoko kufuneka.

Ukuba ufumanisa naziphi na iimpawu ezintsha okanye ukuba iimpawu zakho ziyatshintsha , fowunela ugqirha wakho ngoko nangoko.

Ndingayibuza yiphi imibuzo ugqirha wam?

Le mibuzo iza kukunceda ufunde okungakumbi malunga nokuxilongwa kwakho:

• Ngaba ndinayo i-Post-Thrombotic Syndrome ngenene? ​​Ukuba kunjalo, ingaba iyingozi kangakanani?
• Loluphi unyango olundicebisayo?
• Zeziphi iinguqu ekufuneka ndizenze kwindlela endiphila ngayo?
• Zeziphi iindlela zokuzilolonga ezifanelekileyo kum?
• Iza kuba njani imbono yam?

Xa ufunyaniswa ukuba unePost-Thrombotic Syndrome, usenokuba nemibuzo emininzi kunye noloyiko. Kodwa ungakhathazeki, ugqirha wakho ukhona ukuphendula imibuzo yakho kwaye akukhokele kunyango. Nangona le meko ixhaphakile, iimfuno zakho kunye neenkxalabo zakho zahlukile. Sebenzisana nogqirha wakho ukuze ufumane izixhobo ezixhasa impilo yakho yomzimba neyengqondo.

Umyalezo Wokuya Ekhaya

I-Post-Thrombotic Syndrome (PTS) yimeko enokwenzeka emva kwe-DVT kwaye inokuba yingxaki kakhulu. Kodwa inokulawulwa .

Eyona nto ibalulekileyo kukufuna unyango olukhawulezileyo nolufanelekileyo ukuba une-DVT, ukuqaphela naziphi na iimpawu ezilandelayo, kunye nokufuna iingcebiso zonyango ukuba kuyimfuneko.

Ukulandela icebiso likagqirha wakho, ukwenza utshintsho olufunekayo kwindlela ophila ngayo, ingakumbi ukusebenzisa iisokisi zokucinezela ngokufanelekileyo kunokukunceda ufumane isiqabu esikhulu. Khumbula, awuwedwa, kwaye kukho oogqirha abanokukunceda ujongane nale meko.

Isifo sePost-Thrombotic, i-DVT, amahlwili egazi, isifo semithambo yegazi, iintlungu zomlenze, ukudumba komlenze, ukwenzakala kwemithambo yegazi