Xa ujonga imilenze yakho, ngaba ngamanye amaxesha ubona imithambo eluhlaza okwesibhakabhaka okanye emfusa, kwaye kwezinye iindawo imithambo ibonakala ngathi ibotshelelwe ngamaqhina? Abanye abantu baziva iintlungu, ubunzima, kunye nokurhawuzelelwa emilenzeni yabo ngenxa yesi sizathu. Ingakumbi xa unxibe ilokhwe okanye ibhulukhwe emfutshane, le mbonakalo inokukwenza uzive ungakhululekanga. Ngokwezonyango esi sifo sibizwa ngokuba yi-`(Varicose veins)` kunye ne-`(Spider veins)`. Ngoko ke namhlanje siza kuthetha ngonyango oluphumeleleyo, olulula, noluthandwayo loku. Yiyo le 'Sclerotherapy'.
Yintoni kanye kanye i-sclerotherapy?
Ngamafutshane, iSclerotherapy lunyango lwemijovo yemithambo evuvukileyo kunye nemithambo yesigcawu emilenzeni yakho. Ayilotyando. Okwenzekayo apha kukuba ugqirha wakho usebenzisa inaliti ethambileyo ukufaka isisombululo sekhemikhali esikhethekileyo kumthambo obonakalayo.
Cinga ngolu lwelo njengeglu. Xa lungena emthanjeni, lubangela ukurhawuzelelwa okuncinci eludongeni lwemithambo. Okwenzekayo kukuba udonga lwemithambo lunamathelana, ukuhamba kwegazi ngaphakathi emthanjeni kuyema, kwaye umthambo uba njengesilonda uze uvale. Ekuhambeni kwexesha, umzimba wakho uyawufunxa kwaye uwususe lo mthambo uvalekileyo. Emva koko umthambo ongathandekiyo uyaphela kancinci kancinci. Kunye nawo, intlungu kunye nokungonwabi okubangelwe yiyo kuyanyamalala.
Oku kufana nokufaka ulwelo olukhethekileyo ngaphakathi kumbhobho wamanzi omdala, ongasebenziyo uze uluvale ngaphakathi. Emva kwexesha elithile, njengoko umbhobho ubola, lo mthambo nawo uyanyamalala emzimbeni.
Ngubani ofanele olu nyango? Ngubani ongafanelekanga?
I-Sclerotherapy lunyango olukhuselekileyo olunokwenziwa ngabantu abaninzi, kodwa alulungelanga wonke umntu. Ugqirha wakho uya kugqiba ukuba olu nyango lukulungele na. Uza kukuhlola ngaphambi kokuba enze unyango.
Olu nyango alusetyenziswa kubantu abalandelayo:
- Kwabomama abakhulelweyo: Olu nyango alunakwenziwa ukuba ukhulelwe. Ungaluqwalasela kwakhona emva kweenyanga ezintathu ubuncinane emva kokubeleka.
- Kwabomama abancancisayo: Akucetyiswa ukwenza oku ngelixa bencancisa.
- Kubantu abaneengxaki zokunqanda igazi: Oku akunakwenziwa ukuba unezinqanda zegazi ezisebenzayo kwimithambo yakho (i-active deep vein thrombosis okanye i-superficial vein thrombosis).
- Kwabo balele ebhedini: Olu nyango alwenziwa kumntu olele ebhedini kwaye ongakwaziyo ukuhamba nangayiphi na indlela.
Nangona kunjalo, ukuba uthatha iipilisi zokulawula ukukhulelwa, akuyongxaki , ungenza i-'Sclerotherapy'. Kwakhona, nokuba wakha waba ne-blood clot ngaphambili, kuxhomekeke kwisizathu kunye nobunzima bayo, kusenokwenzeka ukuba uyinyange. Kuya kufuneka uthethe nogqirha wakho ngale nto.
Enye into ebalulekileyo kukuba ngamanye amaxesha olu nyango alwenziwa kwimithambo enokufuna utyando lwe-bypass kwixesha elizayo, njengotyando lwe-coronary artery bypass graft. Nangona kunjalo, ukuba umthambo sele wonakele kakhulu ukuba ungasetyenziswa, uyanyangwa.
Oko kufuneka ukwazi ngaphambi konyango kunye nendlela yokulungiselela
Kukho izinto ekufuneka uzilungiselele phambi kokuba uye kunyango, kunye namayeza ekufuneka uyeke ukuwasebenzisa. Ukulandela ezi zinto kubaluleke kakhulu ukuze unyango luphumelele.
| Ingcebiso | Ulwazi olubalulekileyo |
|---|---|
| Amayeza okuyeka | Musa ukuthatha amayeza okudambisa iintlungu kunye namayeza okunciphisa igazi afana ne -aspirin , i-ibuprofen (efana ne-Advil®, i-Nuprin®), kunye nezinye ii-NSAIDs iiyure ezingama-48 ngaphambi nasemva konyango. Ezi zinokunyusa ukopha. Nangona kunjalo, kulungile ukuthatha i-paracetamol (Tylenol®, Panadol®) xa unesifo sentlungu. |
| Lumka ngamayeza okubulala iintsholongwane. | Amayeza okubulala iintsholongwane anjenge (Tetracycline) okanye (Minocycline) anokubangela utshintsho kumbala wolusu ukuba athathwa kwiintsuku ezisi-7 ukuya kwezili-10 ngaphambi okanye emva konyango. Xelela ugqirha wakho ukuba usebenzisa amanye amayeza okubulala iintsholongwane. |
| Xelela ngePrednisone | Ukuba uthatha amayeza e-steroid afana ne -Prednisone , anokunciphisa ukusebenza kakuhle konyango. Ngoko ke, buza ugqirha wakho ukuba ungayeka na ukuwathatha kwiiyure ezingama-48 ngaphambi konyango lwakho. |
| Musa ukufaka nantoni na eluswini. | Ngomhla wonyango, musa ukuthambisa iloshini, ukhilimu, okanye ioyile emilenzeni yakho. |
| Cinga ngengubo. | Zisa iibhulukhwe ezimfutshane ezikhululekileyo oza kuzinxiba ngexesha lonyango. |
| Zisa iikawusi zokucinezela. | Ukuba une-compression hosiery oye wayithatha kunyango lwangaphambili, yiphathe. Ugqirha angayijonga ukuze abone ukuba iza kufaneleka na ngeli xesha. |
Okubaluleke kakhulu: Ngaphambi kokuba uyeke amayeza owasebenzisayo ngoku, kubalulekile ukuba uthethe nogqirha owakunike wona uze ucele ingcebiso yakhe.
Kwenzeka ntoni ngexesha lonyango?
Olu nyango lwenziwa eofisini kagqirha. Akudingi kulungiswa kakhulu okanye i-anesthesia. Lonke olu nyango luthatha malunga nemizuzu engama-30 ukuya kwengama-45.
1. Indawo: Ngokuxhomekeke ekubeni umthambo onyangwayo ukuphi, uza kucelwa ukuba ulale ebhedini nokuba ngecala lakho okanye ngecala lakho.
2. Ukucoca ulusu: Ulusu olujikeleze indawo yokutofa lucocwa kakuhle.
3. Ukuchongwa kwemithambo: Ngamanye amaxesha, xa enyanga imithambo enzulu, ugqirha angasebenzisa i-ultrasound scan ukuze afumane umthambo ochanekileyo.
4. Inaliti: Emva koko, ugqirha okanye umncedisi uza kutsala ulusu lwakho luqine aze emva koko, esebenzisa inaliti encinci kakhulu, bafake ngononophelo ulwelo olukhethekileyo okanye igwebu emthanjeni.
Uza kuziva nje incasa encinci ephuma kwinaliti . Usenokuziva utshile kancinci njengoko iyeza lingena. Xa iyeza lifakwa kumthambo omkhulu, ungaziva unesicaphucaphu esincinci emlenzeni wakho umzuzu omnye okanye emibini. Konke oku kuqhelekile, ngoko ungakhathazeki ngako.
Inani lemithambo enyangwayo kwiseshoni enye lixhomekeke kubukhulu nendawo ekuyo imithambo yakho, kunye nempilo yakho iyonke.
Ndingenza ntoni emva konyango?
Emva kokuba unyango luphelile, uza kucelwa ukuba uhlale ebhedini malunga nemizuzu eli-15. Oku kukujonga ukuba ngaba kukho na ukusabela kwe-allergy kwiyeza. Emva koko, ungavuka uqhube imoto ugoduke wedwa . Ungenza nemisebenzi yakho yesiqhelo. Ukuhamba kakuhle kakhulu , kuba kuphucula ukujikeleza kwegazi.
Kukho imiyalelo ethile ekhethekileyo ekufuneka uyilandele kwiiyure zokuqala ezingama-48 emva konyango.
| Izinto ekufuneka zenziwe/ezingafanele zenziwe | Inkcazo |
|---|---|
| Ukunxiba iisokisi zokucinezelwa | Ugqirha uthi kufuneka uqhubeke unxibe ezi hosiery zokuxhasa okanye ii-compression wraps kangangeentsuku ezi-3 ukuya kwezi-7. Oku kuya kunceda imithambo enyangiweyo ukuba iqine kwaye iphole ngokukhawuleza. |
| Ziphephe izinto ezishushu | Ziphephe iibhafu ezishushu, ii-sauna, kunye nee-whirlpools. Ukuhlamba ngamanzi aqhelekileyo kulungile, kodwa yehlisa ubushushu bamanzi kancinci. Musa ukubeka iibhotile zamanzi ashushu kwiindawo zokujova. |
| Kuphephe ukukhanya kwelanga. | Kuphephe ukuveza iindawo ezicociweyo elangeni ngqo. Kwakhona kuphephe ukutshiswa lilanga. |
| Ucoceko | Hlamba iindawo zokufaka inaliti ngamanzi afudumeleyo kunye nesepha ethambileyo. |
| Izibulali-ntlungu | Ukuba unentlungu, sela iParacetamol. Musa ukuthatha amayeza afana neAspirin okanye iIbuprofen. |
Zithini iingenelo zonyango lweSclerotherapy?
- Akukho mfuneko yokubulala iintlungu: Ekubeni le ingeyonkqubo yotyando, akuyi kufuneka ufakwe i-anesthesia.
- Izinga eliphezulu lempumelelo: Abantu abaninzi bafumana iziphumo ezilungileyo ngale nto. Isebenza ngakumbi kwimithambo emincinci ye-`(Varicose veins)` kunye ne-`(Spider veins)`. Kwiseshoni enyeImithambo ephakathi kwama-50% nama-80% ingasuswa.
- Iziphumo ezikhawulezayo: Imithambo emincinci yesigcawu iyaphela kwiiveki ezi-3-6. Imithambo emikhulu ingathatha iinyanga ezi-3-4.
- Iziphumo ezihlala zihleli: Umthambo onyangwe ngempumelelo awuyi kuvela kwakhona . Nangona kunjalo, imithambo emitsha inokuvela. Kwimeko enjalo, kuya kufuneka inyangwe yodwa.
- Iintlungu ezingaphantsi: Ukunxiba iikawusi ezicinezelweyo emva konyango kunokunciphisa kakhulu iintlungu. Kukwanceda ukulawula ukukrweleka nokudumba.
Ngaba kukho naziphi na iingozi okanye iziphumo ebezingalindelekanga koku?
Njengakwezinye iindlela zonyango, kukho iziphumo ebezingalindelekanga ezincinci ezinokubakho. Nangona kunjalo, ezinobungozi azifumaneki rhoqo.
| Imiphumela | Inkcazo |
|---|---|
| Iziphumo ebezingalindelekanga eziqhelekileyo, ezingezizo ezinzulu | |
| Ukuxinana/ukuqina kwemithambo yegazi | Xa kunyangwa imithambo emikhulu, isenokuziva inamaqhuqhuva kwaye iqinile kangangeenyanga ezimbalwa. Oku kuya kuphela kancinci kancinci. |
| Ububomvu | Ububomvu kwindawo efakwe kuyo inaliti buya kuphela emva kweentsuku ezimbalwa. |
| Amabala amdaka | Imicu okanye amabala amdaka angabonakala kwiindawo ezinyangiweyo. Ezi zihlala ziphela kwiinyanga ezi-3-6. Nangona kunjalo, kwipesenti encinci yabantu, malunga ne-5%, ezi zinokuhlala ngonaphakade. |
| Imivumbo | Kunokwenzeka ukudumba kwindawo efakwe kuyo inaliti. Oku kuya kuphela emva kweeveki ezimbalwa. |
| Iimpendulo ze-allergy | Kusenokwenzeka ukuba umntu abe ne-allergy xa efumana iyeza, kodwa ayiqhelekanga. Iimpawu zingabandakanya ukurhawuzelela nokudumba. |
| Iimpawu ezinokuthi zivele rhoqo kwaye kufuneka zixelwe kugqirha ngoko nangoko | |
| Ukudumba kwemisipha | Ukuba uqalisa ukudumba kwindawo yakho yamathumbu. |
| Ukudumba kwemilenze ngequbuliso | Ukuba umlenze onyangiweyo uqala ukudumba ngequbuliso. |
| Amanxeba amancinci | Ukuba kuvela amanxeba amancinci (izilonda) kwindawo yokufakwa inaliti. |
| Umgca obomvu | Ingakumbi ukuba kuvela imicu ebomvu isiya ngasesinqeni. |
Ukuba kwenzeka into efana nale, kufuneka ufowunele ugqirha wakho ngoko nangoko .
Ngaba i-inshorensi iya kuyihlawulela le nto? Ngaba unyango lwe-laser lungcono?
Iinkampani zeinshorensi azihlali zigubungela unyango lwe-sclerotherapy ngezizathu zobuhle. Nangona kunjalo, ukuba unezizathu zonyango zemithambo yegazi ephukileyo, njengentlungu okanye ubunzima emilenzeni yakho, ezinye iinkampani zeinshorensi zinokugubungela oku. Oku kuya kufuna ileta evela kugqirha wakho. Kungcono ukufowunela inkampani yakho yeinshorensi ngaphambi kokuba ufumane unyango kwaye ubuze ngalo mba.
Unyango lwe-laser, okanye i-endovenous thermal ablation, lolunye unyango olufanelekileyo lwemithambo ye-varicose. Inokubangela neziphumo ebezingalindelekanga. Nangona kunjalo, kunzima ukunyanga imithambo ye-varicose ejijekileyo kakhulu ngonyango lwe-laser. Ugqirha wakho uya kukumisela unyango olungcono kuwe ngokusekelwe kwimeko yemithambo yakho.
Umyalezo Wokuya Ekhaya
- I-Sclerotherapy lunyango olusebenzayo nolukhuselekileyo lwemithambo ye-varicose kunye nemithambo yesigcawu emilenzeni yakho.
- Kubalulekile ukuxelela ugqirha wakho ngemeko yakho yempilo kunye nawo onke amayeza owasebenzisayo ngaphambi kokuba unyango luqale.
- Ukuze ufumane iziphumo ezilungileyo, landela imiyalelo kagqirha wakho ngononophelo emva konyango, ingakumbi ukunxiba iisokisi ezixineneyo.
- Kuthatha ixesha ukubona iziphumo. Musa ukulindela ukuba imilenze yakho ibukeke intle ngobusuku obunye. Yiba nomonde.
- Ukuba ufumana isiphumo esibi kakhulu (njengokudumba ngequbuliso okanye ukukrweleka), musa ukoyika kwaye yazisa ugqirha wakho ngoko nangoko.
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