Ngaba ngamanye amaxesha ubona imithambo eluhlaza okwesibhakabhaka okanye emfusa emilenzeni yakho? Okanye ngaba imilenze yakho iziva inzima, irhawuzelela, okanye ibuhlungu? Abanye abantu banokucinga ukuba oku kuqhelekile, into eyenzekayo emva kokuma ixesha elide okanye emva kokuzilolonga kancinci. Nangona kunjalo, ezi mpawu ngamanye amaxesha zinokuba ziimpawu zokuqala zengxaki kwinkqubo yemithambo yomzimba wethu, inkqubo yemithambo ethwala igazi elingcolileyo. Ke namhlanje, masithethe ngale nto ngokweenkcukacha, siyintoni isifo semithambo, indlela esikhula ngayo, kunye nento esinokuyenza ukuzikhusela kuso.
Yintoni iSifo seMingxunya? Masiyiqonde ngokulula!
Ngamafutshane, i-Venous Disease yiyo nayiphi na imeko echaphazela imithambo yegazi emzimbeni wethu, uhlobo lwemithambo yegazi ethwala igazi elingcolileyo ukuya entliziyweni. Uyazi, le mithambo yegazi ifana nemibhobho eguquguqukayo nengenanto. Ziyinxalenye ebaluleke kakhulu kwinkqubo yokujikeleza kwegazi ethwala igazi emzimbeni wethu wonke.
Umsebenzi ophambili wemithambo yegazi kukuthwala igazi eliphelelwe yioksijini (masilibize ngokuba "ligazi elingcolileyo") ulibuyisele entliziyweni emva kokuba lisetyenziswe kwiindawo ezahlukeneyo zomzimba wethu. Intliziyo emva koko iyalicoca eli gazi, yongeze ioksijini, ize ilipompe ilibuyisele emzimbeni wonke. Kwelinye icala, imithambo yegazi ithwala igazi elicocekileyo nelicebileyo ngeoksijini lisuka entliziyweni liye emzimbeni wonke. Kubaluleke kakhulu kwimpilo yethu ukuba ezi zimbini zisebenze ngokufanelekileyo.
Ngoku khangela, kukho into emangalisayo ngaphakathi kwezi veins. Zibizwa ngokuba ziivalvu . Ezi zifana neengcango ezincinci. Xa sishukuma, xa sihamba, xa izihlunu zethu zifinyela, ezi valve ziyavuleka. Emva koko igazi lihamba kwicala elinye, oko kukuthi, ukuya entliziyweni, phezulu. Xa izihlunu ziphumla kwakhona, ezi valve ziyavaleka. Emva koko igazi liyayeka ukugeleza libuyele ezantsi ngenxa yomxhuzulane. Cinga ngayo njengevalvu ethintela amanzi ekugelezeni kwakhona xa ugalela amanzi kwitanki yamanzi.
Nangona kunjalo, ukuba iivalvu ezingaphakathi kwimithambo zonakele ngandlela ithile ngenxa yesi sifo semithambo, zisenokungavaleki kakuhle. Kwenzeka ntoni ukuba oko kuyenzeka? Khawuthelekelele, ukuba loo mnyango awukwazi ukuvala kakuhle, igazi liqala ukuvuza umva, okanye linokugeleza macala omabini. Kulapho ke iingxaki, oko kukuthi, iimpawu ezinxulumene nesifo semithambo, ziqala ukuvela nganye nganye.
Ziziphi iintlobo zezifo zemithambo yegazi? Masiqaphele!
Kukho iintlobo ezininzi ezahlukeneyo zesifo semithambo yegazi. Makhe sijonge iintlobo eziphambili:
- Amahlwili egazi: Oku kungenzeki kuphela emilenzeni nasezingalweni, kodwa nakwimithambo yamalungu angaphakathi afana nezintso, ipleyini, amathumbu, nesibindi, kwimithambo yobuchopho (Cerebral Vein Thrombosis), kwimithambo yezintso (Renal Vein Thrombosis), kwanasemiphungeni (Pulmonary Embolism).
- I-Deep Vein Thrombosis (DVT): Le yimeko abantu abaninzi abaye beva ngayo, kwaye inokuba yinto eyoyikisayo. Yenzeka xa igazi liqhekeka kumthambo onzulu (ngokuqhelekileyo emilenzeni, ngamanye amaxesha ezingalweni) ohamba nzulu emzimbeni.I -DVT enye ayisongeli ubomi. Nangona kunjalo, ukuba eli hlwili legazi liyaphuma lize lihambe egazini lize libhajwe emthanjeni emiphungeni, sibiza ngokuba yi-Pulmonary Embolism (PE), eyingozi esongela ubomi.
- I-Exficial Thrombophlebitis: Oku kwenzeka xa ihlwili legazi lenzeka kumthambo ongaphezulu , kufutshane nolusu. Olu hlobo lwehlwili legazi aluhlali luye emiphungeni ngaphandle kokuba luqale luye kwinkqubo yemithambo enzulu. Nangona kunjalo, lunokubangela iintlungu eziqatha.
- Ukungasebenzi kakuhle kwemithambo yegazi: Le meko yenzeka xa igazi emithanjeni lingashukumi kakuhle kwaye lihlala limile. Oku kunokubangela ukudumba okuqhubekayo emilenzeni, uxinzelelo oluphezulu emithanjeni, ukutshintsha kombala wolusu (omnyama okanye omdaka), kunye namanxeba angapholiyo, aziwa ngokuba zizilonda zemithambo yegazi .
- Imithambo yeVaricose kunye neMithambo yesigcawu: Ezi zizinto eziqhelekileyo ezibonwa ngabantu abaninzi, kwaye ngamanye amaxesha zithathwa njengengxaki yobuhle. Kulapho iindonga zemithambo ziba buthathaka, nto leyo ebangela ukuba imithambo ijijeke, idumbe, kwaye ibonakale ngaphezu komphezulu wolusu. Imithambo yesigcawu mincinci, imithambo efana nesigcawu.
- Izilonda zemithambo: La ngamanxeba athatha ixesha elide ukuphola okanye aphinda abuye emva kokuphola. Ahlala efumaneka ngaphantsi kwedolo, ngaphakathi komlenze, nangasentla kweqakala.
- I-Arteriovenous Fistulas: Le yimeko engaqhelekanga apho umthambo (umthambo wegazi othwala igazi elicocekileyo) kunye nomthambo (umthambo wegazi othwala igazi elingcolileyo) zidibana ngokuthe ngqo ngaphandle kokuba kubekho nto iphakathi.
Zixhaphake kangakanani ezi zifo zemithambo yegazi?
Ezi zifo zixhaphake kakhulu kunokuba unokucinga. Umzekelo, kwilizwe elifana neMelika, kuxelwe ukuba abantu abangaphezu kwezigidi ezingama-30 banezi meko. Abaphandi bathi eli nani liza kwanda kwixesha elizayo. Kuba njengoko abantu bephila ixesha elide kwaye betyeba, umngcipheko wokufumana ezi zifo zemithambo yegazi nawo uyanda.
Kuqikelelwa ukuba malunga nama-33% abantu abadala, okanye malunga nomnye kwabathathu, banemithambo erhabaxa . Kwakhona, malunga ne-1% yabantu abadala banesilonda emilenzeni .
Zithini iimpawu zesifo semithambo yegazi? Qaphela oku!
Xa une-venous disease, unokufumana iimpawu ezifana nezi emilenzeni okanye ezingalweni zakho:
- Intlungu, ukuqaqamba, okanye ukungakhululeki emilenzeni.
- Ubomvu besikhumba okanye ukuziva ufudumele kuloo ndawo.
- Ukuziva ubunzima emilenzeni okanye ezingalweni.
- Ukurhawuzelelwa okanye ukutsha kwesikhumba.
- Ukudumba.
- Imithambo evuvukileyo.
Ukuba unenye okanye ngaphezulu kwezi mpawu, bubulumko ukufuna icebiso kugqirha kunokuba ungalihoyi.
Kutheni ezi zifo zemithambo yegazi zenzeka? Zithini izizathu?
Kukho izizathu ezininzi zesifo semithambo yegazi:
- Ukuba nesiphene ekwakhekeni kwemithambo yegazi xa uzalwa.
- Ingozi ethile okanye ukwenzakala kwimithambo yegazi.
- Iziphumo ezibangelwa zezinye izifo zemithambo yegazi.
- Ukubuthathaka kweendonga zemithambo yegazi ngenxa yezinto ezifana nokukhulelwa, ukwaluphala, ii-cysts okanye iithumba.
- Igazi elonyukayo.
Ngubani osengozini enkulu yokufumana ezi zifo zemithambo yegazi?
Abanye abantu banamathuba amaninzi okufumana isifo semithambo yegazi kunabanye. Makhe sijonge ukuba bangoobani:
- Ukuba kukho nabani na kusapho onesifo semithambo yegazi (imbali yosapho).
- Ngexesha lokukhulelwa (utshintsho lweehomoni kunye noxinzelelo kwimithambo yegazi olubangelwa ngumntwana okhulayo)
- Ukuba i-BMI yakho (i-Body Mass Index) ingaphezulu kwama-30. (Oko kuthetha ukuba utyebile kakhulu xa kuthelekiswa nobude bakho)
- Kwabasetyhini. (ngenxa yeziphumo zehomoni)
- Abantu abachitha ixesha elininzi bekwindawo enye, ingakumbi bemi okanye behleli. (umz. ootitshala, abasebenzi basevenkileni, abantu abasebenza eofisini behleli ixesha elide)
- Kwabo bathatha iipilisi zokulawula ukukhulelwa okanye unyango lokutshintshwa kweehomoni.
- Kwabo basebenzisa iimveliso zecuba (abatshayayo).
Ziziphi ezinye iingxaki ezinokwenzeka ngenxa yesifo semithambo yegazi?
Ukuba isifo semithambo asinyangwa kakuhle, sinokukhokelela kwezinye iingxaki zempilo. Khawucinge nje, ingxaki enye ikhokelela kwezinye iingxaki ezininzi.
- Amahlwili egazi kwimithambo engaphezulu kolusu (i-superficial thrombophlebitis) anokubangela i- deep vein thrombosis (DVT) .
- I-DVT inokukhokelela kwi- chronic venous insufficiency (CVI) okanye i-pulmonary embolism (PE) .
- I-pulmonary embolism ingabangela uxinzelelo lwegazi oluphezulu emaphaphu .
- Imithambo ye-Varicose ingabangela i-thrombophlebitis engaphezulu okanye izilonda zemithambo yegazi .
- Ukuba izilonda zemithambo aziphili kakuhle, zinokosulelwa zize zibangele usulelo oluyingozi olufana ne -gangrene .
Ngoko ke, ukuba uneempawu zesifo semithambo yegazi, kubaluleke kakhulu ukuba ungazityesheli, kodwa ufune iingcebiso zonyango kwaye ufumane unyango olufanelekileyo.
Ufumanisa njani ukuba unesifo semithambo yegazi?
Ukuba ucinga ukuba uneempawu zesifo semithambo yegazi, into yokuqala omawuyenze kukubona ugqirha. Ugqirha uza kukubuza ngeempawu zakho nokuba kukho nabani na kusapho lwakho okhe waba nezi meko (imbali yezonyango yosapho). Emva koko baza kwenza uvavanyo lomzimba. Ukuba kuyimfuneko, banokucebisa uvavanyo oluthile ukuqinisekisa ukuxilongwa.
Zeziphi iimvavanyo ezenziwayo koku?
Uvavanyo olufana nolu lunokuba luncedo ekuchongeni isifo semithambo yegazi:
- Isalathisi se-Ankle-brachial (ABI): Oku kulinganisa ukuhamba kwegazi ukuya emilenzeni.
- I-Ultrasound: Olu lolona vavanyo luqhelekileyo, olungenazintlungu. Lunokujonga izinto ezifana nendlela igazi elihamba ngayo ngaphakathi emithanjeni, ukuba kukho amahlwili egazi, kunye nokuba iivalvu zisebenza kakuhle na.
- I-intravascular ultrasound (IVUS): Oku kuquka ukufaka ikhamera encinci emthanjeni ukuze uyihlole.
- I-CT scan (i-Computed Tomography - i-CT): Oku kungathatha imifanekiso eneenkcukacha zangaphakathi lomzimba.
- I-MRI scan (Magnetic Resonance Imaging - MRI): Olu lolunye uvavanyo olubonelela ngemifanekiso ecacileyo yangaphakathi lomzimba.
- Uvavanyo lwe-Angiogram: Kolu vavanyo, kufakwa ulwelo olukhethekileyo emithanjeni kwaye kuthathwa i-X-ray ukuze kubonwe ukuba kukho naziphi na izithintelo ekuhambeni kwegazi.
Ugqirha uza kugqiba ukuba zeziphi iimvavanyo ekufuneka zenziwe ngokusekelwe kwimeko yakho.
Ziziphi iindlela zonyango lwezifo zemithambo yegazi?
Unyango lwesifo semithambo luxhomekeke kwizinto ezininzi, kuquka uhlobo lwesifo, ubukhali baso, kunye nempilo yakho iyonke. Kukho olu hlobo lonyango:
- Amayeza: Amayeza anokunikwa ukuthintela ukuqhekeka kwegazi, ukunyibilikisa ukuqhekeka kwegazi okukhoyo, kunye nokunciphisa iintlungu.
- Iikawusi okanye iibhandishi zokucinezela: Ezi ziikawusi okanye iibhandishi ezikhethekileyo ezinxitywa emilenzeni. Zifaka uxinzelelo emithanjeni, zinceda igazi ukuba lihambe liye phezulu kwaye linciphise ukudumba.
- Utshintsho kwindlela yokuphila: Oku kubaluleke kakhulu. Izinto ezifana nokutya ukutya okunamafutha aphantsi, ukuzilolonga imihla ngemihla, kunye nokuyeka ukutshaya.
- Iinkqubo okanye utyando olukhethekileyo: Kwezinye iimeko, iinkqubo okanye utyando olukhethekileyo kwimithambo yegazi lunokufuneka.
Amayeza athile kunye nonyango
Amayeza kunye nonyango olunikwayo luyahluka ngokuxhomekeke kuhlobo lwesifo. Nazi ezinye zemizekelo:
- Ii-Anticoagulants: Ezi zikwabizwa ngokuba zi-blood thinners.
- I-Thrombolytics: Ezi zinikwa kwiimeko zokuqhekeka kwegazi okukhulu, kwiimeko ezingxamisekileyo.
- Ukususwa kwemithambo ye-varicose engapheliyo:Oku kuquka ukusebenzisa ubuchwepheshe obufana ne-laser, i-sclerotherapy, okanye i-radiofrequency ukuvala inxalenye eyonakeleyo yomthambo ngaphakathi.
- Ukususwa kwehlwili legazi ngotyando (Thrombectomy): Amanye amahlwili egazi amakhulu asuswa ngale ndlela.
- Isihluzo seVena Cava: Sisixhobo esincinci esifana nesihluzo esifakwa kumthambo omkhulu ukuthintela ukuba igazi lingahambi liye emiphungeni, kubantu abane-DVT kodwa abangenakuthatha amayeza okunciphisa igazi.
- Utyando lwemithambo: Utyando lokususa okanye ukulungisa imithambo eyonakeleyo.
Eyona nto ibalulekileyo kukuthetha nogqirha wakho malunga nonyango olukulungeleyo. Cacisa malunga neengenelo, iingxaki, kunye nemiphumo emibi yonyango ngalunye.
Ngaba kukho naziphi na iziphumo ebezingalindelekanga zonyango?
Ewe, njengalo naluphi na unyango lwezonyango, unyango lwemithambo lunokuba nemiphumo emibi. Kuxhomekeke kuhlobo lonyango olufumanayo. Ke ngoko, kubalulekile ukuxoxa ngale miphumo nogqirha wakho ngaphambi kokuba uqale unyango.
Ndiza kuziva bhetele nini emva konyango?
Oku kuyahluka kuye ngomntu ngamnye kwaye kuxhomekeke kuhlobo lonyango. Ezinye iindlela zonyango zinokubonelela ngoncedo olukhawulezileyo. Imeko efana ne-thrombophlebitis engaphezulu ingaphela kwiiveki ezimbalwa. Nangona kunjalo, ezinye izifo zemithambo yegazi zingathatha ixesha elide ukuba ziphele. Abanye abantu banokuba nesifo semithambo yegazi esingapheliyo , oko kuthetha ukuba kufuneka baphile nale meko ixesha elide. Ugqirha wakho uya kukwazi ukukunika iingcebiso ngokusekelwe kwimeko yakho.
Ungayinciphisa njani ingozi yesifo semithambo yegazi? Ukuthintela yeyona ndlela ilungileyo!
Ukugcina impilo yemithambo yethu kunye nenkqubo yonke yentliziyo (inkqubo yentliziyo kunye nemithambo yegazi) kunokunciphisa umngcipheko wokuba nesifo semithambo yegazi. Nazi ezinye izinto onokuzenza ukuze wenze oku:
- Ukuba unezifo ezifana noxinzelelo lwegazi oluphezulu, i-cholesterol ephezulu, kunye nesifo seswekile sohlobo lwesibini, zilawule kakuhle.
- Zilolonge ubuncinane imizuzu engama-30-60 ngosuku, uninzi lweentsuku zeveki. Izinto ezifana nokuhamba ngeenyawo, ukukhwela ibhayisekile, kunye nokudada zilungile.
- Ukuba ungumntu ohlala okanye oma ixesha elide, hambahamba ubuncinane kanye ngeyure. Kunjalo naxa uhamba.
- Kuphephe ukusebenzisa iimveliso zecuba ngokupheleleyo.
- Gcina ubunzima bakho bufanelekile ngokweenqanaba lakho lobude.
- Yitya ukutya okunetyuwa encinci kunye namafutha agcweleyo.
- Lawula uxinezeleko kakuhle.
Kwenzeka ntoni ukuba unesifo semithambo yegazi? Ungakhathazeki, singalawuleka!
Ukuba ayinyangwa, isifo semithambo yegazi sinokuba mandundu kancinci kancinci size sichaphazele umgangatho wobomi bakho. Ke ngoko, ukufumana unyango olufanelekileyo kunokunceda ekulawuleni le meko kwaye kuphucule umgangatho wobomi bakho.Ezinye izifo zemithambo yegazi, umzekelo imithambo yegazi ephukileyo kunye nemithambo yesigcawu , zinokuphinda zibuye emva konyango. Izilonda zemithambo yegazi nazo zinokuphinda zibuye.
Kungoko ke, kubaluleke kakhulu ukuqhubeka nokuvavanywa njengoko ugqirha emyalele kwaye ulandele imiyalelo kagqirha. Kusenokufuneka uphinde uvavanyo olufana ne -ultrasound ukuze ubone ukuba izinto zihamba njani.
Ndingazinyamekela njani? Zikho izinto onokuzenza nawe!
Nokuba uhleli okanye umile, ukuba kunokwenzeka , hambahamba kwaye ushukumise imilenze yakho ubuncinane kanye ngeyure. Oku kuya kunceda ukuhamba kwegazi lakho. Ukuzigcina kude neemveliso zecuba kukwaluncedo olukhulu kwimpilo yemithambo yegazi yakho. Ukuba ufuna uncedo lokuyeka lo mkhwa, buza ugqirha wakho ngawo.
Ndifanele ndimbone nini ugqirha?
Gcina zonke iidipozithi ozinikwe ngugqirha wakho. Kwakhona, ukuba ubona naluphi na utshintsho kwiimpawu zakho eziqhelekileyo, okanye ukuba zibonakala zisiba mandundu, yazisa ugqirha wakho ngoko nangoko.
Kufuneka uye nini kwiYunithi yoNyango oluNgxamisekileyo (ETU) ? Lumka kakhulu ngale nto!
Ukuba uthatha amayeza okunciphisa igazi/anciphisa igazi kwaye wopha kakhulu , funa unyango olungxamisekileyo ngoko nangoko.
Kwakhona, ukuba ufumana iimpawu zokuqhekeka kwegazi emiphungeni (i-Pulmonary Embolism - PE) , fowunela u-911 okanye inombolo yakho yongxamiseko yasekuhlaleni ngoko nangoko. Ezi mpawu ziquka:
- Ukuphefumla okukhawulezileyo.
- Iintlungu zesifuba.
- Ukubetha kwentliziyo ngokukhawuleza.
- Ukukhohlela, ngamanye amaxesha kunye negazi.
- Ulusu oluluhlaza okwesibhakabhaka.
Ukuba uneempawu ezinje, cinga ukuba yingxaki engxamisekileyo kwaye uye esibhedlele ngokukhawuleza.
Yeyiphi imibuzo omele uyibuze ugqirha?
Xa usiya kugqirha, ungabuza imibuzo efana nale ukuze uqonde kakuhle imeko yakho:
- Isifo sam semithambo yegazi sibi kangakanani?
- Ndingenza ntoni ukuze ndilawule le meko ekhaya?
- Ngaba ndifuna amayeza? Okanye ngaba ndifuna uhlobo oluthile lonyango okanye utyando?
- Ziziphi iindlela zonyango endinokuzifumana kwikliniki yakho?
Okokugqibela, khumbula...
Isifo semithambo-luvo sisifo esichaphazela abantu abaninzi, ngoko ke awuwedwa. Eyona nto ibalulekileyo kukuthetha ngokukhululekileyo nogqirha wakho ngemeko yakho kwaye uzame ukuyilawula ngoncedo lwakhe. Okukhona usazi ngakumbi ngemeko yakho, kokukhona uya kukwazi ukwenza izigqibo ezinolwazi kwaye uzinyamekele ngcono. Ngoko ke, ungoyiki ukubuza imibuzo, yaziswe. Ndikunqwenelela impilo entle!
Isifo semithambo yegazi , amahlwili egazi, i-DVT, imithambo ye-Varicose, imithambo yegazi, ukudumba kwemilenze, ukuhamba kwegazi











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