Ngaba wakha wazibuza ukuba yintoni engaphakathi emilenzeni yethu, ingakumbi kwindawo yesinqe? Ngamanye amaxesha xa siva iintlungu okanye ukudumba emilenzeni yethu, sizibuza, "Kutheni oku?" Namhlanje siza kuthetha ngendawo encinci yomzimba wethu ebalulekileyo ngamaxesha anje, kodwa asithethi kakhulu ngayo. Loo mthambo ubizwa ngokuba yi-'Posterior Tibial Vein'. Nangona igama lisenokuvakala liyinkimbinkimbi kancinci, umsebenzi walo ulula kakhulu kwaye ubaluleke kakhulu.
Ngamafutshane, yintoni iPosterior Tibial Vein?
I-'Posterior Tibial Vein' ngumthambo wegazi, okanye umthambo, okwinxalenye esezantsi yomlenze wakho, ngaphantsi kwedolo. Le ayisiyo nayiphi na imithambo, kodwa yeyehlobo lomthambo olubizwa ngokuba yi-deep veins . Kukho imithambo emibini emlenzeni wakho wasekunene nemibini emlenzeni wakho wasekhohlo.
Umsebenzi ophambili wale mithambo kukuqokelela igazi entlokweni yakho, emaqatheni, nasemacaleni eenyawo zakho uze ulipompe ulibuyisele phezulu, liye entliziyweni yakho. Cinga ngabo njengenjini encinci ekhupha amanzi ezantsi.
Singakukhumbuza kancinci ngendlela igazi elijikeleza ngayo emizimbeni yethu?
Ukuze siqonde umsebenzi walo mthambo, kuyanceda ukuba nombono omncinci wendlela igazi elihamba ngayo emizimbeni yethu. Yinkqubo emangalisayo kakhulu.
1. Masiqale ngentliziyo: Intliziyo yethu yeyona mpompo iphambili. Ipompa igazi elinomoya-mpilo omninzi emzimbeni wonke ngemithambo yegazi ebizwa ngokuba yimithambo-luvo . Eli gazi lithwala umoya-mpilo kunye nezondlo ukuya kuzo zonke iiseli kunye nezitho zomzimba wethu.
2. Utshintsho kwiiseli: Emva kokuba ioksijini isiwe kwiiseli, i-carbon dioxide, imveliso engcolileyo evela kwezo seli, yongezwa egazini. Ngoku eli gazi "lingcolile".
3. Ukujika kwemithambo: Kulapho imithambo, njengomlinganiswa wethu ophambili, ingena khona indima. Le mithambo iqokelela igazi elingcolileyo nelingenawo umoya-mpilo, elityebileyo kwi-carbon dioxide, eliphuma emzimbeni wonke ize ilibuyisele entliziyweni.
4. Ukuhlanjululwa yimiphunga: Igazi elingcolileyo elingene entliziyweni liphonswa lisuka entliziyweni liye emiphungeni. Ioksijini esiyifunxayo xa siphefumla yongezwa egazini, kwaye ikharbon diokside eyayisegazini iyakhutshwa xa sikhupha umoya. Ngoku igazi licocekile kwakhona, lizele yioksijini.
5. Ukubuyela ekuqaleni: Eli gazi licocekileyo, lineoksijini libuyela entliziyweni, apho liphonswa khona emzimbeni wonke. Lo mjikelo uyaqhubeka logama nje siphila.
Ngoko ke ungabona, i-'Posterior Tibial Vein' yikhonkco elibaluleke kakhulu kulo mjikelo mkhulu. Akulula ukubuyisa igazi lisuka ezantsi kwemilenze.
Iphi kanye kanye le vein?
I-'Posterior Tibial Vein' iqala kwilungu leqakala lakho. Ukusuka apho, inyuka iye ngaphakathi kwethanga lakho. Iphela ngaphantsi kwedolo lakho.
Xa ifikelela kwimisipha ye-popliteus ngasemva kwedolo, le vein idibana nomnye umthambo, i-Anterior Tibial Vein. Ezi zimbini ziyadibana zenze umthambo omkhulu obizwa ngokuba yi-Popliteal Vein. Ukusuka apho, igazi liyahamba liye phezulu ngakumbi.
Ziziphi ezinye iintlobo zemithambo enzulu ekhona emlenzeni?
Kukho iintlobo ezintathu eziphambili zemithambo enzulu emilenzeni yethu engaphantsi kwedolo. Zonke ezintathu zikufutshane kwaye ziqokelela igazi kwiindawo ezahlukeneyo.
| Igama lemithambo yegazi | Indawo yokuqokelelwa kwegazi | Indawo |
|---|---|---|
| Umthambo weTibial ongasemva | Iqokelela igazi elivela ezinyaweni. | Ihamba ngaphakathi kweenwele. |
| Umthambo weTibial wangaphambili | Igazi liqokelelwa kwinxalenye ephezulu yomlenze (dorsum). | Ihamba ngaphandle kweenwele. |
| Umthambo weTibial oPheleleyo | Iqokelela igazi kwicala lomlenze. | Ihamba iyehla embindini weenwele. |
Iimeko ezinokuchaphazela i-Posterior Tibial Vein
Nangona sisenokungaziboni ezi zinto de yonke into isebenze kakuhle, iingxaki zinokuvela ezichaphazela ukusebenza kwezi mithambo-luvo. Kulapho ke siqala khona ukuba neempawu.
| Imeko yezonyango | Icacisiwe ngokulula |
|---|---|
| I-Deep Vein Thrombosis (DVT) | Oku kukwakheka kwehlwili legazi ngaphakathi komthambo onzulu. Oku kunokuba yingozi kakhulu. Kuba ukuba eli hlwili legazi liyaqhekeka lize livale umthambo emiphungeni (i-Pulmonary Embolism), linokuba yingozi ebomini. |
| Imithambo yeVaricose | Xa iindonga zemithambo zibuthathaka okanye iivalvu ezingaphakathi kuzo zingasebenzi kakuhle, igazi liqala ukuhamba umva. Emva koko imithambo iyajikajika, idumbe, ize ibonakale iluhlaza okwesibhakabhaka kwaye inamaqhina phezu kolusu. |
| Ukungasebenzi kakuhle kwemithambo yegazi okungapheliyo | Imeko apho imithambo esemilenzeni inengxaki yokubuyisela igazi entliziyweni. Oku kubangelwa kukuba iivalvu ezingaphakathi kwemithambo ziba buthathaka kwaye zibangele ukuba igazi livuzele ezantsi. Oku kunokubangela ukudumba kwemilenze, iintlungu, kunye notshintsho kumbala wolusu. |
Uyijonga njani impilo yale mithambo?
Ukuba uneempawu ezifana nokudumba emlenzeni wakho, iintlungu ezikhawulezileyo, okanye ukubomvu kolusu, kufuneka ubone ugqirha wakho ngoko nangoko . Uza kukuhlola aze, ukuba kuyimfuneko, akuthumelele uvavanyo olulandelayo:
- I-Duplex Ultrasound: Olu lolona vavanyo luqhelekileyo. Lufana nokuskena komntwana. Lunokujonga ukuhamba kwegazi ngokulula nangokungenabuhlungu na kwaye lujonge ukuba kukho na amahlwili egazi.
- I-Venogram: Oku kuquka ukufaka ulwelo olukhethekileyo (izinto ezichaseneyo) emthanjeni kunye nokuthatha uthotho lwemifanekiso ye-X-ray. Oku kukuvumela ukuba ubone ngokucacileyo ukuba kukho na ukuvaleka kwendlela igazi elihamba ngayo.
Ziziphi iindlela zonyango zezi meko?
Indlela yonyango ixhomekeke kwimeko yakho kunye nobunzima bayo. Ugqirha wakho uza kukunika icebiso elifanelekileyo ngale nto.
- Iisokisi zokucinezelwa: Ezi ziisokisi ezenzelwe ngokukodwa ezinika ucinezelo oluthambileyo emlenzeni. Oku kunceda ekunciphiseni ukuhlangana kwegazi kwaye kunceda ukuba ubuyele phezulu.
- Amayeza: Ugqirha wakho unokukunika amayeza athintela ukujiya kwegazi (i-anticoagulants) kunye namayeza anciphisa amanzi agqithisileyo emzimbeni (i-diuretics).
- Unyango olukhethekileyo: Ngamanye amaxesha, kukho unyango lwanamhlanje olufana nonyango oluqondiswe kwi-catheter thrombolytic, ``unyango lwe-laser``, kunye nonyango olusebenzisa i-Sclerotherapy``, olufaka ikhemikhali emthanjeni ukuze lungasebenzi.
- Utyando: Kwezinye iimeko ezinzima, utyando lunokufuneka ukuze kususwe, kulungiswe, okanye kudalwe enye indlela yokuhamba kwegazi ('i-bypass') eya kumthambo owonakeleyo.
Izinto ezilula esinokuzenza ukugcina impilo yemithambo yethu
Bathi, “Ukuthintela kungcono kunonyango.” Ngoko ke, ukuze kuthintelwe okanye kuncitshiswe ukwenzeka kweengxaki ezinjalo, kukho imikhwa embalwa elula esinokuyifaka kubomi bethu bemihla ngemihla.
- Musa ukunqumla imilenze yakho uhleli. Ukunqumla umlenze omnye phezu komnye kunokuphazamisana nokuhamba kwegazi.
- Gcina imilenze yakho iphakanyisiwe kancinci. Xa uhleli esitulweni, phakamisa imilenze yakho kwibhentshi encinci. Xa ulele, beka umqamelo phantsi kwemilenze yakho. Oku kunceda igazi libuyele entliziyweni ngoncedo lomxhuzulane.
- Ukuzilolonga rhoqo. Ukuzilolonga okufana nokuhamba, ukubaleka, nokudada kuvuselela izihlunu emilenzeni yakho, kwaye xa ezo zihlunu zifinyela, zinceda ukwandisa imithambo yegazi nokupompa igazi liye phezulu.
- Musa ukuhlala kwindawo enye ixesha elide. Ukuba umsebenzi wakho ufuna uhlale okanye ume endaweni enye, hamba kancinci, ushukumise imilenze yakho, kwaye utshintshe indawo ubuncinci kanye ngeyure.
- Lawula ubunzima bakho. Njengoko ubunzima bomzimba wakho busanda, uxinzelelo olungakumbi lubekwa kwimithambo esemilenzeni yakho.
- Kuphephe ukutshaya. Ukutshaya kungonakalisa imithambo yegazi.
Ngoko ke, i-'Posterior Tibial Vein' yinxalenye encinci, kodwa ebaluleke kakhulu emzimbeni wethu. Ukunyamekela impilo yayo kubaluleke kakhulu kwimpilo yethu iyonke.
Umyalezo Wokuya Ekhaya
- I-'Posterior Tibial Vein' ngumthambo okwicala lomlenze wakho. Uqokelela igazi elivela ezinyaweni zakho nakwicala lomlenze uze ulibuyisele entliziyweni.
- Amahlwili egazi kule mithambo (`Deep Vein Thrombosis` - DVT) angaba yimeko eyingozi. Ukuba unentlungu ekhawulezileyo, ukudumba, okanye ukuba bomvu emlenzeni wakho, funa ingcebiso kagqirha ngokukhawuleza.
- Imithambo ye-Varicose kunye nokungakwazi ukusebenza kakuhle kwemithambo engapheliyo zezinye zezifo eziqhelekileyo ezichaphazela le mithambo.
- Ukuzilolonga rhoqo, ukulawula ubunzima, ukuphepha ukuhlala ixesha elide, kunye nokugcina imilenze yakho iphakanyisiwe kunokunceda ukukhusela impilo yemithambo yakho.
- Ukuba ubona nayiphi na into engaqhelekanga emilenzeni yakho, ungaze uyityeshele. Kubaluleke kakhulu ukuthetha nogqirha wakho ukuze ufumane icebiso elifanelekileyo.
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