Ngaba uziva intlungu ebuhlungu nenzima emilenzeni yakho xa uhamba umgama omfutshane? Okanye uziva intlungu engaqhelekanga emithanjeni yemilenze yakho xa umi nje? Abantu abaninzi bacinga ukuba oku kukudinwa okuqhelekileyo, into eyenzekayo ngokuhamba kweminyaka, kodwa mhlawumbi le yintlungu ebangelwa yingxaki kwinkqubo yakho yemithambo yegazi, oko kukuthi, ukujikeleza kwegazi. Makhe sithethe ngale nto namhlanje.
Yintoni intlungu yemithambo yegazi?
Ngamafutshane, le yintlungu eyenzeka ngenxa yengxaki kwinkqubo yokujikeleza kwegazi emzimbeni wethu, oko kukuthi, kwimithambo yegazi (imithambo yegazi kunye nemithambo yegazi). Khawuthelekelele ukuba sinenethiwekhi yeepayipi zamanzi ezihamba emzimbeni wethu wonke. Ezi payipi zithwala igazi, ioksijini, kunye nezondlo kuwo onke amalungu omzimba. Ngoku, kwenzeka ntoni ukuba ezi payipi zivalekile, zincitshiswe, okanye zonakaliswe ndaweni ithile? Ukuhamba kwamanzi kuyaphazamiseka, akunjalo? Ngendlela efanayo, xa imithambo yegazi yethu yonakele, ukuhamba kwegazi kuyaphazamiseka. Kungenxa yale ngxaki siqala ukuva le meko njengentlungu.
Le ntlungu idla ngokuchaphazela imilenze esezantsi kunye namaqatha. Nangona kunjalo, inokuthi ngamanye amaxesha ichaphazele iingalo. Elinye igama lezonyango elichaza olu hlobo lwentlungu yemilenze yi- vascular claudication . Malunga nomntu omnye kwabalishumi abanale meko unokufumana iintlungu ezingalweni.
Ivakala njani le ntlungu?
Oku akufani nokuqaqamba kwamalungu okuqhelekileyo. Abantu abaninzi banamava ale meko:
- Ubunzima obungakhululekiyo: Kuvakala ngathi iibhola ezimbini zentsimbi zixhonywe emilenzeni yakho.
- Ukubetheka: Intlungu evakala ngathi kukho into etyhala ngaphakathi emithanjeni.
- Ukuqaqamba: Intlungu engapheliyo neqatha.
- Intlungu iyanda xa uhamba okanye uzilolonga: Intlungu iyanda xa uhamba umgama omfutshane kwaye iyancipha xa ume ixesha elifutshane. Olu luphawu oluphambili lwesi sifo.
Ngubani onokuziva kakhulu ezi ntlungu?
Abantu abanesifo semithambo yegazi ngabona basengozini enkulu yokufumana le ntlungu. Ngokubanzi, abantu abangaphezu kweminyaka engama-50 kunye nabo bakula maqela alandelayo basengozini enkulu. Makhe sijonge ukuba bangoobani.
| Iqela loMngcipheko | Inkcazo |
|---|---|
| Abantu abatshayayo | Ukutshaya lolona tshaba lukhulu lwemithambo yegazi. Iikhemikhali ezikwicuba zonakalisa udonga lwemithambo yegazi, nto leyo ebangela ukuba lube buthathaka kwaye luqine. |
| Abantu abanesifo seswekile okanye uxinzelelo lwegazi | Zombini ezi zifo zibangela umonakalo kwimithambo yegazi. Isifo seswekile esingalawulekiyo kunye noxinzelelo lwegazi oluphezulu zibangela ukuba imithambo yegazi iphelelwe bubuthambile bayo. |
| Abantu abatyebe kakhulu | Njengoko ubunzima bomzimba busanda, inkqubo yemithambo yegazi kufuneka ithwale ubunzima obungakumbi. Kwakhona, ngokutyeba kakhulu, izinto ezifana ne-cholesterol zinokunyuka kwaye zivale imithambo yegazi. |
| Abantu abanezifo ezinjalo kusapho lwabo | Ukuba abazali bakho okanye abantakwenu bakha baba nesifo semithambo yegazi okanye sentliziyo, nawe usenokuba sengozini yofuzo. |
| Abantu abaphila ubomi bokuhlala phantsi kwaye abangenzi misebenzi ininzi yomzimba | Ukuba usebenza uhleli esitulweni imini yonke kwaye ungazilolongi, unokuba nomjikelezo wegazi ophantsi. |
| Oomama abakhulelweyo | Ezi meko zinokwenzeka okwethutyana ngenxa yotshintsho lwehomoni emzimbeni ngexesha lokukhulelwa kunye noxinzelelo kwimithambo yegazi olubangelwa ngumntwana okhulayo. |
Kutheni le nto kukho olu hlobo lwentlungu? Ezona zinto ziphambili ezibangela oku
Le ntlungu ayiyonto izenzekela nje. Kusenokuba kukho imeko yezonyango engabonakaliyo. Ngokuyintloko, le ntlungu ibangelwa kukucinezelwa komthambo wegazi, ukudumba (imeko efana nokudumba), ukuncitshiswa, okanye ukuvaleka ngokupheleleyo.
Nazi ezinye zezizathu eziphambili:
- I-atherosclerosis: Isifo se-atherosclerosis:Le yeyona nto ixhaphakileyo. I-cholesterol kunye namanye amafutha ekutyeni esikutyayo aqokelelana ngaphakathi kwemithambo yegazi, njengomhlwa kumbhobho wamanzi, nto leyo enciphisa umthambo ngaphakathi. Oku kuthintela ukuhamba kwegazi.
- Ukungakwazi ukusebenza kakuhle kwemithambo yegazi okungapheliyo: Imithambo esemilenzeni yethu (imithambo eluhlaza okwesibhakabhaka) ineevalvu ezincinci ezithintela igazi ukuba lingabuyeli phezulu liye entliziyweni. Xa ezi valve zibuthathaka, igazi linokubuthana emilenzeni, nto leyo ebangela ukuba imithambo idumbe kwaye ibe buhlungu.
- I-Deep vein thrombosis (DVT): Ihlwili legazi elenzeka kumthambo omkhulu ngaphakathi emzimbeni. Le yimeko eyingozi kuba ihlwili linokuqhekeka lize lihlale emiphungeni.
- Isifo semithambo yegazi ejikelezayo (i-PAD): Oku kubangelwa kukuncitshiswa kwemithambo yegazi ethwala igazi kwiingalo nasemilenzeni (i-atherosclerosis). Oku kunokubangela iintlungu xa uhamba. Oku kungenxa yokuba izihlunu zifuna igazi elingakumbi ngexesha lokuzilolonga, kodwa imithambo yegazi exineneyo ayikwazi ukulinika.
- Isiganeko sikaRaynaud: Oku kwenzeka xa imithambo yegazi emincinci ethwala igazi iye kwiminwe nakwiinzwane iqina ngequbuliso xa ichaphazeleka ngumkhuhlane okanye uxinzelelo. Oku kubangela ukuba iminwe itshintshe ibe mhlophe, ibe luhlaza okwesibhakabhaka, ize ibe bomvu, nto leyo ebangela intlungu kunye nokungaziva.
- Imithambo yeVaricose: Imithambo evuvukileyo, ejijekileyo, nevuvukileyo emilenzeni, ebonakala ngokucacileyo eluswini. Oku kukwabangelwa yimeko ethi `Ukungasebenzi kakuhle kwemithambo engapheliyo`.
Ziziphi ezinye iimpawu ezikhoyo ngaphandle kwentlungu?
Ukuba unesifo semithambo yegazi, unokufumana ezinye iimpawu ezifana nezi kunye nentlungu. Kubalulekile ukuziqwalasela nezi.
Khumbula, ukuba unenye okanye ngaphezulu kwezi mpawu, musa ukuzityeshela. Bona ugqirha wakho ngokukhawuleza ukuze akunike icebiso.
| Uphawu | Ithetha ntoni le nto? |
|---|---|
| Izandla okanye iinyawo ezibandayo | Kukuba akukho gazi lifudumeleyo elaneleyo eliya kwezo ndawo. |
| Utshintsho lombala kwiminwe (mhlophe, luhlaza okwesibhakabhaka, bomvu) | Ingakumbi kwiimeko ezifana `nesiganeko sikaRaynaud', xa ukunikezelwa kwegazi ngequbuliso kuncipha kuze kubuye kubuyiselwe, olo tshintsho lombala lunokubonwa. |
| Ukungaziva mnandi okanye ukurhawuzelelwa | Ezi mvakalelo zenzeka xa imithambo-luvo ingenawo umoya-mpilo kunye nezondlo ezifunekayo ngenxa yokuncipha kokuhamba kwegazi. |
| Ukudumba `(Ukudumba)` | Xa imithambo ingakwazi ukuthwala igazi libuyele entliziyweni, ulwelo luphuma kwimithambo luye kwizicubu ezijikelezileyo, nto leyo ebangela ukuba imilenze namaqatha adumbe. |
| Ubuthathaka | Xa izihlunu zingafumani igazi elifunekayo, ukusebenza kwazo kuba buthathaka. |
| Amanxeba angapholiyo (ingakumbi ezinyaweni) | Ukunikezelwa kwegazi okuhle kubalulekile ukuze inxeba liphole. Xa ukuhamba kwegazi kuncipha, nokuba linxeba elincinci linokuba linxeba elikhulu nelinzima. Lo mngcipheko uphezulu kakhulu kubantu abanesifo seswekile. |
Ugqirha uyifumana njani le nto?
Xa uxelela ugqirha wakho ngezi mpawu, into yokuqala aza kuyenza kukubuza umbuzo oneenkcukacha. Izinto ezifana nokuba intlungu iqala nini, ukuba iqhubeka ixesha elingakanani, kunye nokuba yintoni ebangela ukuba iphele. Emva koko, baza kwenza uvavanyo lomzimba.
Kolu vavanyo,
- Jonga ukuba ulusu alunambala, amanxeba, okanye izilonda emilenzeni okanye ezingalweni.
- Sijonga ukuba ukubetha kwentliziyo kubuthathaka okanye akunjalo kwiindawo ezifana namaqatha nezandla.
- Jonga ukuba akukho ukudumba.
Emva kwezi mvavanyo zokuqala, kunokwenziwa ezinye iimvavanyo ezininzi ukuqinisekisa isifo kunye nokufumana unobangela ochanekileyo.
- I-Arteriogram: Idayi ekhethekileyo ifakwa kwimithambo yegazi, kwaye kuthathwa uthotho lwemifanekiso ye-X-reyi. Oku kuvumela i-X-reyi ukuba ibonise ngokucacileyo ukuhamba kwegazi kwimithambo yegazi kunye nokuba kukho na ukuvaleka.
- I-Doppler ultrasound:Olu luvavanyo olungenabuhlungu. Lusebenzisa amaza esandi ukulinganisa isantya kunye necala lokuhamba kwegazi ngaphakathi kwemithambo yegazi. Lunokubhaqa lula ukuvaleka.
- I-Magnetic Resonance Angiogram (MRA): Le yinxalenye ye-MRI scan. Isebenzisa iimagnethi kunye namaza erediyo ukwenza imifanekiso eneenkcukacha zemithambo yegazi. Ingasetyenziselwa nedayi koku.
Zithini iindlela zonyango zoku?
Unyango luxhomekeke kwisizathu seempawu zakho. Ugqirha wakho uya kukhetha unyango olulungele wena.
Nazi ezinye zeendlela eziphambili zonyango:
1. Amayeza: Amayeza afana namayeza okunciphisa uxinzelelo lwegazi, amayeza okunciphisa i-cholesterol, kunye namayeza okunciphisa igazi anokunceda ukulawula unobangela wesifo kunye nokunciphisa iintlungu.
2. I-Angioplasty: Le yinkqubo engenabungozi kangako kuneyotyando. Ityhubhu encinci kakhulu (i-catheter) ifakwa kumthambo ovalekileyo ngomlenze okanye ingalo, kwaye ibhaluni encinci ekupheleni iyafuthwa ukuze kwandiswe ukuvaleka. I -stent , umbhobho omncinci we-mesh, ibekwa kuloo ndawo ukuze ithintele umthambo ukuba ungavaleki kwakhona.
3. Utyando lokudlula kwimithambo yegazi: Oku kwenziwa ukuba umthambo uvalekile kakhulu. Njengendlela evalekileyo, ugqirha uthatha iqhekeza legazi eliphilileyo kwelinye ilungu lomzimba wakho (ngesiqhelo emlenzeni okanye esifubeni sakho) aze adale indlela entsha yokuba igazi lihambe lijikeleze indawo evalekileyo.
Ungayilawula kwaye uyithintele njani intlungu ekhaya?
Kunye nonyango, utshintsho kwindlela ophila ngayo lubaluleke kakhulu ekulawuleni le ntlungu.
- Zilolonge rhoqo: Yenza ubuncinci imizuzu eli-150 yokuzilolonga nge-aerobic, njengokuhamba okanye ukukhwela ibhayisekile, ngeveki. Oku kuya kuphucula ukujikeleza kwegazi.
- Musa ukuhlala phantsi: Ukuba unomsebenzi ofuna ukuba uhlale ixesha elide, vuka ubuncinane kanye ngeyure uze uhambehamba kancinci, wolule umzimba wakho.
- Nxiba iikawusi zokucinezela: Ukuba ume ixesha elide okanye uhamba imigama emide, ukunxiba ezi kawusi zikhethekileyo kuya kubeka uxinzelelo oluncinci kwimithambo esemilenzeni yakho kwaye kuthintele igazi ukuba lingadibani. Cela ingcebiso kugqirha wakho ngale nto.
- Yitya ukutya okunempilo: Yitya ukutya okutyebileyo kwiziqhamo, imifuno, iimbotyi, kunye neenkozo ezipheleleyo. Nciphisa ioyile, ityuwa, kunye neswekile.
- Yeka ukutshaya ngokupheleleyo: Le yeyona nto ilungileyo onokuyenza.
- Lawula ezinye izifo: Ukuba unezifo ezifana nesifo seswekile, uxinzelelo lwegazi oluphezulu, okanye i-cholesterol, landela imiyalelo kagqirha wakho kwaye uyilawule kakuhle.
Masifunde kancinci ngeVasculitis.
I-Vasculitis kukudumba kwemithambo yegazi, nto leyo ebangela ukudumba. Le yenye yezizathu ezinokubangela iintlungu zemithambo yegazi. Ezinye iintlobo ze-Vasculitis zinokubangela iintlungu zentamo nesifuba. Kunye noku,
- Ukutshintsha kombala kwamalungu
- Isiyezi
- Uxinzelelo lwegazi olunyukileyo
- Ukusebenza nzima
- Intloko ebuhlungu
- Iimpawu ezinje ngokukhubazeka kokubona nazo zinokuvela.
Esi sifo sikwayimeko ekufuneka ixilongwe kakuhle kwaye inyangwe ngugqirha.
Umyalezo Wokuya Ekhaya
- Musa ukuyityeshela intlungu, ubunzima, kunye nokurhawuzelela emilenzeni yakho, ingakumbi xa uhamba, njengokudinwa nje okuqhelekileyo.
- Oku kungaba luphawu lwengxaki kwinkqubo yakho yokujikeleza kwegazi.
- Ukutshaya, isifo seswekile, i-cholesterol ephezulu, kunye noxinzelelo lwegazi oluphezulu zezona zinto ziphambili ezibangela esi sifo.
- Ukuba uneempawu ezifana nokudumba kwemilenze, ukutshintsha kombala, ukuba ndindisholo, okanye amanxeba angapholiyo, lumka kakhulu.
- Ukuba unale mpawu, musa ukuya kugqirha, kodwa qiniseka ukuba ubonana nogqirha wakho ukuze ufumane ukuxilongwa okufanelekileyo kunye nesicwangciso sonyango. Ngonyango olufanelekileyo kunye notshintsho kwindlela ophila ngayo, ungayilawula kakuhle le meko kwaye uhlale usempilweni.
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