Ngaba ukhe waba negazi elijiyileyo emthanjeni wakho, nto leyo ebangela iintlungu nokudumba? Makhe sithethe ngeThrombophlebitis!

Ngaba wakha waziva intlungu engaqhelekanga okanye ukudumba emthanjeni emlenzeni okanye engalweni yakho? Ngamanye amaxesha indawo inokuba bomvu kwaye ifudumele xa uyichukumisa. Ukuba ukhe wahlangabezana nento efana nale, usenokuba nesifo esibizwa ngokuba yi-thrombophlebitis. Ungakhathazeki, masithethe ngayo ngokulula.

Yintoni iThrombophlebitis? Ngamafutshane...

Ngamafutshane, i-Thrombophlebitis kukudumba komthambo (phlebitis) okubangelwa kukwakheka kwehlwili legazi (thrombus) emthanjeni wakho. Oku kubizwa ngokuba yi-"thrombophleb-itis."

Ukuba siyayicacisa intsingiselo yoku:

• Igama elithi "Thrombo-" lithetha ihlwili legazi. Eli lihlwili legazi elenzeka ngaphakathi emthanjeni.
• "-phleb-" lithetha umthambo, nto leyo ethetha into enxulumene nemithambo.
• "-itis" ithetha ukudumba, ithetha ukudumba, ukuba bomvu, intlungu, njl.njl.

Ngoko ke xa zonke ezi zinto zidibana, kuvela imeko ebizwa ngokuba yi-thrombophlebitis. Nangona ixhaphake kakhulu kwimithambo yemilenze, inokwenzeka nakweyiphi na imithambo emzimbeni.

Le meko ivela njani? Ingaba lihlwili legazi kuqala? Okanye kukudumba?

Oku kufana nombuzo othi "inkukhu ifike kuqala, okanye iqanda lifike kuqala". Zimbini iindlela ezinokubangela ngazo i-thrombophlebitis:

1. Igazi liqala liqhekeke, emva koko livuvuke: Okwenzekayo apha kukuba ihlwili legazi lenzeke ngaphakathi emthanjeni, nto leyo ebangela ukungakhululeki nokucaphuka eludongeni lomthambo. Yiyo loo nto umthambo uvuvukala, ubomvu, kwaye ube buhlungu.

2. Ukuvuvukala kuqala, kulandele ihlwili legazi: Ngamanye amaxesha, ingaphakathi lomthambo (esiwubiza ngokuba yi-'Phlebitis' kwezonyango) linokuvuvukala kwaye livuvuke ngenxa yosulelo okanye esinye isizathu. Emva koko, kukho ithuba elikhulu lokuba ihlwili legazi linamathele kuloo ndawo ivuvuke kwaye libambeke.

I-Thrombophlebitis idla ngokuba yindawo ethile. Oku kuthetha ukuba inokwenzeka kumthambo omnye okanye kwimithambo emininzi. Nangona kunjalo, inokuba yingozi ukuba isasazeka. Ngokuxhomekeke ekubeni ihlwili legazi lenzeka phi, ngamanye amaxesha inokukhokelela kwimeko embi ebizwa ngokuba yi-deep vein thrombosis (DVT) okanye imeko engxamisekileyo esongela ubomi ebizwa ngokuba yi-pulmonary embolism (Pulmonary Embolism) .

Ingaba (iThrombosis) kunye (iThrombophlebitis) zizinto ezimbini ezahlukeneyo?

Ewe, nangona kukho unxibelelwano phakathi kwezi zimbini, azifani. I-Thrombosis kukwakheka kwehlwili legazi ngaphakathi komnye wemithambo yakho yegazi. Oko kukuthi, i-Thrombophlebitis yinkqubo enxulumene nayo eyenzeka ngamanye amaxesha (kodwa kungekhona rhoqo) kwi-Thrombosis. Kwi-Thrombophlebitis, kufuneka kubekho ukudumba komthambo kunye nehlwili legazi.

Ngaba kukho iintlobo ezahlukeneyo zeThrombophlebitis?

Ewe, i-thrombophlebitis inokwenzeka nakweyiphi na imithambo emzimbeni wakho. Nangona kunjalo, kukho iintlobo ezithile ezithiywe ngokusekwe kwisizathu nendawo yesifo. Makhe sijonge ezinye zazo:

I-Deep Vein Thrombosis (DVT)

Olu lolona hlobo luqhelekileyo lwegazi oluqhekekileyo abantu abaninzi abaluvileyo, kwaye luyingozi ngakumbi. I-deep vein thrombosis (DVT) yi-blood clot eyenzeka kumthambo omkhulu, onzulu emzimbeni wakho (ngesiqhelo emilenzeni yakho). Le yingxamiseko yezonyango. Ukuba i-clot iyaqhekeka ize ibambeke emthanjeni emiphungeni yakho, inokubangela imeko esongela ubomi ebizwa ngokuba yi-pulmonary embolism .

I-Thrombophlebitis engaphezulu

Oku kwenzeka kwimithambo emincinci esezingalweni okanye emilenzeni yakho ekufutshane nolusu. Ayibi yingozi njenge-deep vein thrombosis (DVT). Nangona kunjalo, inokuba luphawu lokuba unokuba ne-deep vein thrombosis (DVT). Ingakhokelela nakwezinye iimeko ezinzulu.

I-Thrombophlebitis efudukayo

Njengoko igama lisitsho, oku kwenzeka xa ihlwili legazi kunye nokuvuvukala okunxulumene nalo "kufuduka" ukusuka komnye umthambo ukuya komnye, oko kuthetha ukuba kuyashukuma. Ngamanye amaxesha, amahlwili egazi amaninzi anokwenziwa kwimithambo emininzi ngaxeshanye. Kwimeko enjalo, kukho umngcipheko omkhulu wokuba ihlwili legazi kumthambo omncinci liye komnye umthambo omkhulu, nto leyo ebangela imeko eyingozi ebizwa ngokuba yi-pulmonary embolism.

I-Thrombophlebitis yeSeptic

Kwimeko enjalo, imeko (iThrombophlebitis) ibangelwa lusulelo, okanye (iThrombophlebitis) ibangela usulelo. Xa usulelo olunjalo lusenzeka, lunokukhokelela kwiimeko ezinzulu. Eminye imizekelo yile:

• (Lemierre syndrome): Oku kwenzeka xa usulelo lwendlela yokuphefumla ephezulu lusasazeka luye kumthambo omkhulu entanyeni (umthambo we-jugular).
• (Pylephlebitis): Kule meko, imithambo ethwala igazi ukusuka esiswini sakho esingaphezulu ukuya esibindini sakho (imithambo ye-portal) iyavuvukala kwaye yosuleleke.
• I-Septic Embolism: I-septic clot yegazi eyosulelekileyo (i-septic clot) inokuqhekeka apho yakheke khona ize ihlale kwenye indawo yomzimba. Oku kunokusasaza usulelo lokuqala, kuthintele imithambo yegazi enye okanye ngaphezulu, okanye zombini.

I-Septic thrombophlebitis yimeko eyingozi kakhulu kuba ithetha ukuba usulelo lusasazeke emzimbeni wonke. Ingakhokelela kwimeko ebizwa ngokuba yi-sepsis , apho amajoni akho omzimba asabela ngokugqithisileyo kusulelo. I-Sepsis yingxamiseko yezonyango esongela ubomi. Ifuna ukuxilongwa ngokukhawuleza kunye nonyango.

Ngubani onokuthi abe nale meko?

Umngcipheko wokuqhekeka kwegazi unokwenzeka nakubani na ubudala, ingakumbi kubantu abaneemeko ezithile zempilo okanye izinto zendlela yokuphila. Nangona kunjalo, umngcipheko wokufumana esi sifo (thrombophlebitis) uyanda kancinci emva kweminyaka engama-45. Lo mngcipheko uyanda njengoko ukhula.

Ixhaphake kangakanani le meko?

Ngokuxhomekeke kuhlobo oluthile lwe-thrombophlebitis, le meko inokwahluka ukusuka kwengaqhelekanga ukuya kweqhelekileyo. Umzekelo oqhelekileyo nowaziwayo woku yi-deep vein thrombosis (DVT). E-United States kuphela, kukho malunga namatyala angama-900,000 e-DVT minyaka le, kwaye phakathi kwama-60,000 kunye nama-100,000 abantu abafayo minyaka le. Le meko ayiqhelekanga eSri Lanka.

Zithini iimpawu zoku?

Kukho iimpawu ezininzi ezihlala zibonakala kwimeko ye-thrombophlebitis:

• Ukudumba: Oku kunokuvela ngequbuliso. Oku kudumba kubonakala kakhulu kwimithambo ekufutshane nolusu. Kwiimeko ezinzima, nemithambo ehamba ngaphakathi emzimbeni inokudumba ngokubonakalayo. Ukuba kukho amahlwili egazi angaphezu kwelinye, ezi ndawo zinokubonakala ngathi ziingqumba. Ukuba oku kwenzeka engalweni okanye emlenzeni, kunokwenzeka, nangona kunqabile, ukuba inxalenye esezantsi yengalo/umlenze nayo idumbe.
• Utshintsho kwindlela imithambo evakalelwa ngayo: Xa uchukumisa umthambo ovalwe lihlwili legazi okanye ovuvukileyo, uziva utyebile kwaye unzima kunomthambo oqhelekileyo. Oku kungenzeka kumthambo omnye okanye kwimithambo emininzi ekufutshane nehlwili.
• Intlungu okanye ukuqaqamba: I-Thrombophlebitis idla ngokuba yimeko ebuhlungu. Indawo ejikeleze ihlwili okanye engaphezulu kwayo inokuba buhlungu xa uyichukumisa, ibuhlungu xa uyicinezela, okanye ibe yintlungu nje engapheliyo. Ukuba ihlwili likhulu, likwimithambo emincinci, okanye ukuba kukho amahlwili amaninzi, intlungu inokuba nkulu. Abantu abaninzi bayichaza intlungu ngokuthi "kukurhawuzelelwa sisicaphucaphu ."

Ukongeza kwezi, ezinye iimpawu ezibonakala ngamanye amaxesha, kodwa ezingabonwa rhoqo, zezi:

• Ukutshintsha kombala wolusu kwindawo evuvukileyo: Ulusu olukufutshane nehlwili legazi lunokubonakala lubomvu okanye lumnyama kunolusu olujikelezileyo. Lunokubonakala lubomvu olujikeleze inxeba okanye umkrwelo. Oku kuqheleke kakhulu xa kusenzeka amahlwili egazi kwimithambo ekufutshane nolusu. Nangona kunjalo, lunokwenzeka nakwiihlwili zegazi ezinkulu kwimithambo enzulu okanye xa umthambo uvalekile kakhulu.
• Ukuziva ushushu: Xa uchukumisa indawo yehlwili legazi, okanye indawo ejikeleze lona, ​​​​lisenokuziva lishushu kuneendawo ezikude.

Yintoni ebangela le meko?

I-Thrombophlebitis inokubangelwa zizinto ezahlukeneyo. Ezi zilandelayo zinokubangela ukuba kubekho amahlwili egazi, okanye zonyuse umngcipheko wokuqhekeka kwegazi:

• Iimeko zofuzo (zokuzalwa): Utshintsho (ukuguqulwa kwezakhi zofuzo) kwi -DNA yakho lunokwenza igazi lakho liqhekeke lula. Abanye abantu bazuza olu tshintsho kubazali babo. Nangona ezi meko zofuzo zinokunyangwa, zihlala ixesha elide kwaye azinakuphiliswa.
• Imithambo yeVaricose: Ukuba unemithambo yeVaricose, eluhlaza okwesibhakabhaka, efana nesigcawu emilenzeni yakho, usemngciphekweni omkhulu wokuba ne-thrombophlebitis kuloo ndawo.
• Ukonzakala: Ukwenzakala emithanjeni okanye kufutshane nayo kunokubangela ukudumba, okunokubangela amahlwili egazi. Umzekelo, ukuba uyawa uze wonzakale kakhulu emlenzeni wakho, umthambo kuloo ndawo ungonakala kwaye le meko inokwenzeka.
• Unyango kunye namayeza: Imigca ye-Intravenous (IV) kunye nee-catheters (iityhubhu ezihambisa amayeza kunye nolwelo ngomthambo) zinokubangela amahlwili egazi (thrombophlebitis). Ezinye iindlela zonyango zehomoni (kuquka ezinye iintlobo zeepilisi zokulawula ukuzalwa) nazo zinokunyusa umngcipheko wamahlwili egazi.
• Ukusetyenziswa kweziyobisi nge-IV: Ukuba usebenzisa iziyobisi, usengozini enkulu ye-thrombophlebitis. Oku kungenxa yokuba iinaliti ezingcolileyo okanye ezingasetyenziswanga kakuhle zinokukhokelela kwiintsholongwane ezinzulu. Ezi ntsholongwane zinokukhokelela ekuvuvukeni nakule meko.
• Ukungakwazi ukuhamba: Abantu abahlala kwindawo enye ixesha elide, umzekelo, abo basebenza eofisini okanye abasebenzisa ikhompyutha, banokuba nokujikeleza kwegazi okungekuhle. Oku kwandisa umngcipheko wokuqhekeka kwegazi. Oku kunokwenzeka kubantu abathatha uhambo olude ngeenqwelo-moya, okanye abo bahamba ngemoto okanye ngesinye isithuthi ixesha elide. Cinga ngako, njengaxa uhamba ngebhasi ukusuka eColombo ukuya eJaffna.
• Ezinye iimeko okanye iziganeko ezinokuchaphazela ukujiya kwegazi: Kukho izinto ezahlukeneyo ezinobungozi, ezinje ngomhlaza, ukutyeba kakhulu, isifo sokuzikhusela komzimba esibizwa ngokuba yi-lupus , kunye nezinye iingxaki zegazi. Abantu abalele ebhedini okanye abangakwaziyo ukuhamba ngenxa yemeko efana nokukhubazeka nabo banokuba semngciphekweni omkhulu. Ukutshaya yinto ebeka emngciphekweni indlela yokuphila. Kwakhona, ukuba uphelelwe ngamanzi emzimbeni, umngcipheko wakho uyakhula.
• Ukukhulelwa okanye emva nje kokubeleka: Umngcipheko wokuqhekeka kwegazi unokwanda ngexesha lokukhulelwa ngezizathu ezahlukeneyo. Loo mngcipheko awupheli kwangoko emva kokuba umntwana ezelwe.

Ingaba esi sisifo esosulelayo?

Nangona ngamanye amaxesha kubangelwa lusulelo, i-thrombophlebitis ayisosifo esosulelayo ngokwaso. Oku kukwasebenza nakwiimeko zemfuza. Oko kukuthi, ezi meko, ezidluliselwa kubazali ukuya ebantwaneni (i-DNA), azibangeli ngokuthe ngqo i-thrombophlebitis, kodwa zinokubangela iingxaki zokujiya kwegazi, nto leyo enokubangela le meko.

Oogqirha bayixilonga njani le nto?

Oogqirha badla ngokuxilonga i-thrombophlebitis esibhedlele, ingakumbi kwigumbi likaxakeka. Oku kungenxa yokuba i-thrombophlebitis inxulunyaniswa kakhulu neemeko ezinzulu nezisongela ubomi ezifana ne-DVT.

Ugqirha wakho uza kuxilonga i-thrombophlebitis esebenzisa uvavanyo lomzimba, iimvavanyo zomfanekiso, kunye novavanyo lwelabhoratri.Kubalulekile ukudibanisa ezi ndlela zahlukeneyo, kuba uvavanyo lomzimba lodwa alunakukwazi ukufumanisa i-thrombophlebitis. Kukho ezinye izifo ezininzi ezineempawu ezifanayo, ezinye zazo eziyingozi kakhulu. Ke ngoko, iimvavanyo zomfanekiso kunye novavanyo lwelebhu ziluncedo kakhulu, kwaye ngamanye amaxesha zibaluleke kakhulu, ukuthintela iingxaki ezinkulu.

Zeziphi iimvavanyo ezenziwayo ukuze kufunyaniswe esi sifo?

Xa bekhangela imeko ebizwa ngokuba yi-thrombophlebitis, oogqirha banokwenza uvavanyo olwahlukeneyo. Ezinye zezi ziquka:

• Uvavanyo lomzimba: Apha, ugqirha uza kujonga naziphi na iimpawu ezibonakalayo ze-thrombophlebitis, ingakumbi ukudumba okanye utshintsho kumbala wolusu. Uhlala echukumisa indawo echaphazelekayo. Oku kunokunceda ekufumaneni iimpawu ezingabonakaliyo lula kodwa ezinokuvakala. Angasebenzisa ne-stethoscope ukumamela ukubetha kwentliziyo yakho, ingakumbi kwimilenze okanye ezinyaweni ezisezantsi.
• Uvavanyo lwelebhu: Uvavanyo olwahlukeneyo lwelebhu lunokunceda ekuxilongeni i-thrombophlebitis, njengokuvavanya amandla egazi lakho okujiya, ukukhangela ubungqina bamahlwili akhoyo, okanye ukukhangela iimpawu zosulelo.
• Uvavanyo lwemifanekiso: Indlela ebalulekileyo yokufumanisa i-thrombophlebitis kukubona ihlwili legazi eliyibangelayo. I-Ultrasound (esebenzisa amaza esandi aphezulu, afana ne-sonar) luvavanyo oluqhelekileyo oluhlala lwenziwa ukukhangela iimeko ezibangela amahlwili egazi. Ii-X-reyi (ezidla ngokwenziwa ngokufaka ulwelo emthanjeni ukuze kubonakale ukuvaleka) nazo zihlala zenziwa.

Kwiimeko ezingaqhelekanga, i-migratory thrombophlebitis ekhankanyiweyo apha ngasentla inokuba luphawu lweentlobo ezithile zomhlaza, ingakumbi umhlaza wesisu. Ke ngoko, oogqirha banokwenza uvavanyo lokukhangela olo hlobo lomhlaza.

Inganyangwa njani le nto? Ngaba inganyangeka?

Kwimeko ye-thrombophlebitis ebangelwa yi-catheter ye-IV, ukususwa kwe-catheter kudla ngokuba linyathelo lokuqala. Ezinye iindlela zonyango zihlala zilandelayo:

Amayeza

Kukho iintlobo ezahlukeneyo zamayeza anokunceda ukulawula iimpawu ze-thrombophlebitis kunye nokunyibilikisa ihlwili legazi elihambelanayo. Nazi:

• Iintlungu: Ngenxa yokuba i-thrombophlebitis inokuba buhlungu kakhulu, ulawulo lweentlungu ludla ngokuba yeyona nto ibalulekileyo. Oku kudla ngokwenziwa ngeentlungu ezithambileyo ezifana ne -acetaminophen (umz., iPanadol®, iTylenol®), okanye iziyobisi ezichasene nokuvuvukala ezingezizo ii-steroidal (NSAIDs) (umz., i-Ibuprofen, iNaproxen). Ukuba iintlungu zinzima, ugqirha wakho unokukunika iintlungu eziqatha.
• Izithibi zegazi / Izithinteli ukugabha kwegazi:I-Thrombophlebitis ithetha ukuba kukho ubuncinci ihlwili legazi elinye. Nangona kunjalo, apho likhona, kukho umngcipheko wokwakheka okungakumbi. Ukuthintela ukwakheka kwamahlwili egazi angakumbi, ingakumbi amahlwili egazi asongela ubomi njenge-pulmonary embolism, oogqirha badla ngokukunika amayeza okunciphisa igazi. Nangona kunjalo, ukuba ihlwili legazi likwimithambo emincinci, usenokungadingi unyango ngamayeza okunciphisa igazi.
• Amayeza e-Thrombolytic: Akwabizwa ngokuba "zii-clot-busting drugs." La mayeza anyibilikisa ngokukhutheleyo amahlwili egazi asele enziwe. Anganikwa nge-IV, okanye anganikwa ngqo kwi-clot kusetyenziswa ii-catheters ezifakwe kwimithambo yakho.
• Ii-antibiotics: Ukuba imeko (thrombophlebitis) inxulunyaniswa nosulelo, ii-antibiotics zibalulekile. Ii-antibiotics zinokuthintela usulelo ukuba lungasasazeki emzimbeni wonke (sepsis).

Iinkqubo zotyando, ezisekwe kwi-catheter, okanye ezinye iindlela

Kwiimeko ezingaqhelekanga, utyando lunokuba lolona khetho lufanelekileyo lokunyanga imeko enzima ye-thrombophlebitis (ingakumbi emilenzeni). Utyando lunokubandakanya enye okanye ezingaphezulu kwezi nkqubo zilandelayo:

• Ukususwa kwemithambo yegazi ngoomatshini: Oku kungenziwa ngokwenza imingxunya emincinci ukuze ugqirha akwazi ukususa ihlwili emzimbeni wakhe. Enye indlela kukusebenzisa ii-catheters ukufunxa ihlwili.
• Ukususwa kwemithambo: Njengoko igama lisitsho, oku kuquka ukususa umthambo onengxaki. Kule nkqubo, ugqirha wakho uza kwenza imingxunya emininzi emincinci kwindawo echaphazelekayo. Kungale mingxunya apho anokufikelela khona umthambo owonakeleyo, awukhuphe kwinkqubo yakho yokujikeleza kwegazi, aze awususe.
• Ukususa imithambo: Olu luhlobo lokususa imithambo, kodwa lusebenzisa indlela ethile. Xa kususwa imithambo, ugqirha wakho wenza imingxunya embalwa emincinci ukuze afikelele kumthambo ochaphazelekayo aze awukhuphe kwinxalenye yenkqubo yokujikeleza kwegazi. Emva koko bafaka intambo encinci emthanjeni, bayifake ngokuqinileyo emthanjeni, ukuya kuthi ga kwelinye icala. Nje ukuba ifikelele esiphelweni, banokutsala intambo, kwaye umthambo uya kuphuma nayo (njengokufaka isandla sakho kwikawusi uze uyijike ngaphakathi).
• I-Bypass: Ngamanye amaxesha, igazi alikwazi ukuhamba kakuhle ngomthambo owonakaliswe yi-thrombophlebitis. Enye indlela yokunceda kukuthatha iqhekeza lomthambo wegazi kwenye indawo emzimbeni uze ulisebenzisele ukwenza umthambo omtsha we-bypass - oku kusebenza njenge-bypass ejikeleze indawo evalekileyo, okuvumela igazi ukuba lihambe kakuhle.
• Unyango lweSclerotherapy:Kule meko, ugqirha, odla ngokuba ngugqirha wotyando okanye enye ingcali, ufaka isisombululo esikhethekileyo kumthambo ochaphazelekayo. Oku kuyawuvala umthambo. Ngokuwuvala kwiindawo ezinengxaki, amahlwili egazi anokuthintelwa ngokupheleleyo ukuba angaphinde avele.
• Iinkqubo ezisebenzisa i-catheter: Oogqirha banokusebenzisa ezi nkqubo ukwandisa indawo encinci kumthambo ochaphazelekayo. Banokuzisebenzisa nakwiindlela zokukhupha igazi (iinkqubo ezisebenzisa ubushushu ukudala ngabom izicubu ezibomvu kunye nokuthintela ukuhamba kwegazi kwindawo enengxaki).

Izinto zokucinezela ezinokunxitywa

Ugqirha wakho angakuxelela ukuba unxibe iimpahla zokucinezela okanye iisokisi zokucinezela. Ezi zinto, njengeekawusi, iisokisi, okanye iibhandishi, zibeka uxinzelelo oluqhubekayo (kodwa oluthambileyo) kwiindawo ezithile zomzimba wakho. Olu xinzelelo lunceda ekuthinteleni ukwakheka kwamahlwili egazi amatsha kwaye lunciphise iintlungu kunye nokudumba okuvela kumahlwili egazi akhoyo.

Ndingazilawula njani iimpawu zam/ndizinyamekela njani?

Kwiimeko ezininzi, unyango olukhankanyiweyo apha ngasentla aluyomfuneko. Kwiimeko ezinjalo, ugqirha wakho uya kucebisa unyango oluxhasayo olufana nolu:

• Iipilisi zokunciphisa iintlungu: Oku kudla ngokuquka iipilisi zokunciphisa iintlungu ezithengiswa ngaphandle kwemvume kagqirha, ezifana nee-NSAID.
• Ukucinezela okufudumeleyo: Izinto ezifana nokucwilisa emanzini ashushu nazo zinokunceda ekunciphiseni iintlungu ezinxulumene nale meko.
• Ukuphakama: Ukuba indawo echaphazelekayo ikwingalo yakho, ingakumbi umlenze, ukuphakamisa loo ngalo/umlenze kunokunceda ekunciphiseni ukudumba kunye nentlungu.
• Izilonda zoxinzelelo: Njengoko bekutshiwo kunyango lwangaphambili, izilonda zoxinzelelo ezinokunxitywa zinokunceda kwiimpawu zokuqhekeka kwegazi ezikhoyo kwaye zithintele ukwakheka kwezintsha.

Ndiza kuziva bhetele nini emva konyango? Kuza kuthatha ixesha elingakanani ukuze ndiphile?

Ubunzima bemeko yakho kunye nonyango olufumanayo luya kugqiba ukuba kuthatha ixesha elingakanani ukuba uzive ungcono kwaye uphile. Ngokubanzi, njengoko iimpawu zakho zinyangwa, ingakumbi ngamayeza eentlungu, kufuneka uqale uzive ungcono. Uninzi lwabantu luya kuphila kwi-thrombophlebitis kwiintsuku ezimbalwa, kodwa kungathatha ixesha elide kwabanye abantu (ingakumbi ukuba babeneengxaki, ukuba ihlwili legazi lalikwindawo ebalulekileyo, okanye ukuba benze utyando).

Ndingayithintela njani le nto? Ndingayinciphisa njani ingozi?

Eyona nto ibalulekileyo ekuthinteleni i-thrombophlebitis kukwazi ukuba usemngciphekweni wokuba ne-blood clot. Ukuba uyazi oku, ugqirha wakho unokukunika amayeza, anjenge-blood thinners, ukunceda ekuthinteleni ukwakheka kwe-blood clot kwasekuqaleni.

Ngelishwa, zininzi izinto ezinokubangela ukuba ukuthintela kube nzima, ukuba akunakwenzeka. Esinye isizathu kukuba usenokungazi ukuba unesifo (esibangelwa lufuzo okanye ngenye indlela) esibangela amahlwili egazi. Omnye umzekelo kukuba amahlwili egazi yingxaki engaqhelekanga kwimeko eqhelekileyo yobomi, njengokukhulelwa.

Nangona kunjalo, zikho izinto onokuzenza ukunciphisa umngcipheko wokuba nehlwili legazi (thrombophlebitis). Eyona nto ibalulekileyo kukunciphisa okanye ukususa naziphi na izinto ezinokubangela umngcipheko onokuzilawula. Ezona unokuba nefuthe kakhulu zezi:

• Ukusebenzisa icuba: Yeka ukusebenzisa icuba (kuquka ukutshaya icuba okanye ukulihlafuna). Ukuba awulisebenzisi icuba, musa ukuqala.
• Ukusetyenziswa kweziyobisi ngemithambo: Ukuba usebenzisa iziyobisi ngemithambo yegazi, ukuyeka ukusebenzisa iziyobisi kunokunciphisa kakhulu umngcipheko wakho wale meko. Ukuba uyaqhubeka nokusebenzisa iziyobisi, unganciphisa umngcipheko wakho ngezinto ezifana neenkqubo zokutshintshiselana ngeenaliti, ezinceda ekuthinteleni ukosuleleka ekwabelaneni ngeenaliti ezingcolileyo.
• Ukuhambahamba: Ukuba uhlala kwindawo enye ixesha elide, nokuba usemsebenzini okanye ngexesha lekhefu lakho, ukuvuka nokuhambahamba kunokwenza umahluko omkhulu. Ukuba ukwinqwelo-mafutha ende okanye inqwelo-moya, unokufumana neendlela zokuvuka nokuhambahamba.
• Sela amayeza akho ngokuchanekileyo: Ukuba ugqirha wakho ubhale amayeza okunciphisa igazi, qiniseka ukuba uwathatha kanye njengoko kuyalelwe. Ukuba uyeka ukuwasebenzisa ngequbuliso, umngcipheko wakho wokuba nehlwili legazi (elinokukhokelela kwi-thrombophlebitis) uyanda kakhulu.
• Sela amanzi amaninzi: Ukusela amanzi amaninzi kunceda ekunciphiseni umngcipheko wokuba ne-thrombophlebitis.
• Ziphathe kakuhle impilo yakho: Enye yezona ndlela zibalaseleyo zokunyamekela impilo yakho nokuba sempilweni kukuba notyelelo lomzimba rhoqo ngonyaka (oludla ngokubizwa ngokuba lutyelelo lomzimba okanye impilo-ntle). Olu tyelelo lonyaka lithuba elihle lokuba ugqirha wakho afumane naziphi na iingxaki zempilo onokuba nazo ngaphandle kweempawu, kuquka neemeko ezinyusa umngcipheko wakho wokuqhekeka kwegazi (thrombophlebitis). Ukuba uneemeko ezinyusa umngcipheko wakho, ingakumbi iingxaki zokuqhekeka kwegazi okanye umhlaza, buza ugqirha wakho malunga neenkxalabo zakho malunga nale meko.
• Zikhathalele: Ukutya ukutya okunempilo, ukuhlala usebenza (ubuncinane imizuzu eli-150 yokuzilolonga ngokulinganisela ngeveki), kunye nokugcina ubunzima obusempilweni konke oku kubalulekile. Oku kunokunceda ukunciphisa umngcipheko wokuba nezifo ezininzi ezinzulu, kubandakanya i-thrombophlebitis.
• Nxiba iikawusi zokucinezela okanye iikawusi zokucinezela: Ugqirha wakho unokucebisa iikawusi zokucinezela okanye iikawusi zokucinezela ukunceda ukuthintela ukuqhekeka kwegazi (thrombophlebitis).

Ndingalindela ntoni ukuba ndinayo le meko?

I-Thrombophlebitis yimeko enzima kakhulu, kodwa ayisoloko ibangela iingxaki ngokwayo. Ihlala iluphawu lweengxaki zokujiya kwegazi. Ezi ngxaki zinokukhokelela kwiimeko ezinzulu ngakumbi, ngamanye amaxesha ezibulalayo. Ukuba ifunyenwe kwangethuba, i-thrombophlebitis inokunyangeka, kwaye iingxaki azifumaneki rhoqo. Nangona kunjalo, okukhona imeko ifunyaniswa kwaye inyangwa ixesha elide, kokukhona umngcipheko wokuba neengxaki ezinzulu ngakumbi uyanda.

Le meko iza kuhlala ixesha elingakanani?

I-Thrombophlebitis idla ngokuba yimeko yexesha elifutshane, ingakumbi xa uxilongwa kwaye unyangwa ngokukhawuleza. Akunqabile ukuba ihlale ixesha elingaphezulu kweeyure ezimbalwa, kuba okukhona unesifo ixesha elide, kokukhona umngcipheko wokuba ibe yingxaki enkulu ngakumbi.

Iyintoni ikamva lale meko?

I-thrombophlebitis ngokwayo ayisiyongozi. Nangona kunjalo, ukuba nayo kuthetha ukuba usemngciphekweni omkhulu wokufumana ezinye iimeko, ezifana ne-DVT okanye i-Pulmonary Embolism. Zombini ezi ziimeko ezingxamisekileyo zonyango. Okukhona ulinda ixesha elide ukufumana unyango, kokukhona le meko iba yingozi ngakumbi. Ukulibazisa unyango kwandisa umngcipheko weengxaki zexesha elide, njengentlungu engapheliyo kwimithambo echaphazelekayo okanye amanxeba (anokuthi athintele ukuhamba kwegazi).

Ndingazinyamekela njani?

Ukuba uneemeko ezibangela ukuba ube namahlwili egazi (thrombophlebitis), eyona nto ingcono onokuyenza kukulawula ezo meko. Oku kuquka:

• Bona ugqirha wakho rhoqo.
• Thatha amayeza akho njengoko ugqirha wakho ekuxelela.
• Ziphephe iindlela zokuziphatha okanye iimeko ezinokwandisa umngcipheko wakho.

Ndingathetha nini nogqirha wam okanye ndifune unyango?

Ukuba uneempawu ze-thrombophlebitis, ngokuqinisekileyo kufuneka uthethe nogqirha wakho. Bona ugqirha wakho ukuba unembali ye-thrombophlebitis (okanye ezinye iingxaki zokujiya kwegazi, ezifana ne-DVT), kwaye ukuba naziphi na iimpawu zakho ziyabuya okanye ziba mandundu ngequbuliso.

Yiya esibhedlele xa kukho imeko engxamisekileyo!

Ukuba uneempawu zehlwili legazi, kufuneka uye esibhedlele ngoko nangoko. Ukuba ihlwili lichaphazela ingalo okanye umlenze wakho, ezi mpawu zihlala zilandelayo:

* Ukutshintsha kombala wengalo/umlenze ochaphazelekayo (ubonakala umhlophe kunesiqhelo).

* Ukuba ulusu olukwindawo echaphazelekayo okanye engalweni/emlenzeni lubanda kakhulu xa uluchukumisa kunolusu olukwiindawo ezingachaphazelekanga.

* Ukuba une-thrombophlebitis okanye ezinye iimpawu ze-blood clot ezivakala ngathi zisuka kwenye indawo ziye kwenye. Oku kubaluleke kakhulu ukuba unentlungu esifubeni okanye ukuphefumla okufutshane, okanye naziphi na ezinye iimpawu ze-blood clot ezenzeka emva okanye kungekudala emva koko. Le yi -pulmonary embolism.Oku kungaba luphawu lwengxakeko yezonyango esongela ubomi. Ukuba oku kuyenzeka, kufuneka utsalele umnxeba ku-1990 (Suwa Seriya) ngoko nangoko, okanye inombolo yakho yengxakeko yasekuhlaleni.

Isishwankathelo kunye nezinto ekufuneka uzikhumbule

I-Thrombophlebitis inokuba luphawu olubalulekileyo lwesilumkiso semeko embi kakhulu. Nangona idla ngokungaba yingozi ngokwayo, kufuneka ubone ugqirha ukuze ubone ukuba unengxaki na. Ezinye iimpawu zifuna ukuba ufune unyango olungxamisekileyo ngokukhawuleza. Xa uxilongwa kwaye unyangwa ngokukhawuleza, i-thrombophlebitis ayinakwenzeka ukuba ibangele iingxaki ezinkulu okanye iphazamise ubomi bakho. Ke ngoko, kubalulekile ukuba uqaphele ezi mpawu. Ukuba ucinga ukuba unokuba nayo, ungathandabuzi ukubona ugqirha.

I- Thrombophlebitis, ihlwili legazi, i-phlebitis, i-DVT, i-Pulmonary Embolism, iintlungu zemilenze, ukudumba kwemithambo yegazi