Ingaba unenxeba eliphola kancinci emlenzeni wakho? Masifunde ngesi Silonda Semithambo!

Ngaba unenxeba emlenzeni wakho, ingakumbi elijikeleze iqakala lakho, elithatha ixesha elide ukuphola, ngamanye amaxesha iinyanga? Okanye ingaba ulusu apho inxeba lalikhona, lujike umbala kwaye luqinile? Ngamanye amaxesha eli asilonxeba eliqhelekileyo, kodwa yinto ekufuneka ixhalatyelwe. Namhlanje siza kuthetha ngemeko enjalo, ebizwa ngokuba yi-`(Venous Ulcer)` okanye isilonda esiphuma kwimithambo yegazi (isilonda esiphuma sijikeleze umthambo). Masifumanise ukuba yintoni kanye kanye le nto, kutheni isenzeka, kwaye singayilumkela njani.

Yintoni iVenous Ulcer?

Ngamafutshane, "i-Venous Ulcer" sisilonda esikhula emilenzeni yakho, ingakumbi ngaphezulu kwamaqatha, kwaye sithatha ixesha elide ukuphola kunenxeba eliqhelekileyo . Oku kungenxa yeengxaki zemithambo emzimbeni wethu, iintlobo zemithambo ethwala igazi libuyele entliziyweni, kunye neengxaki ezithile zokujikeleza kwegazi.

Cinga ngayo, ngesiqhelo xa ufumana inxeba, liyaphola kwiintsuku ezimbalwa, iveki okanye ezimbini. Kodwa le `(Venous Ulcer)` ayinjalo. Ngamanye amaxesha ezi zinto zingathatha iinyanga. Kwiimeko ezinzima, zisenokungapholi ngokupheleleyo. Yiyo loo nto kubaluleke kakhulu ukuba sikuqaphele oku.

Ivela njani le Venous Ulcer?

Oku kuyimfihlakalo encinci. Imithambo esemilenzeni yethu ithwala igazi elisetyenzisiweyo, elingenaoksijini libuyele entliziyweni. Cinga ngalo njengomlambo othwala amanzi enyuka intaba. Ngoko ke, ukunceda eli gazi libuyele phezulu, lisiya entliziyweni, kukho iivalvu ezincinci ngaphakathi kwezi mithambo. Ezi valve zifana neengcango, zithintela igazi ukuba lingabuyeli phantsi xa sele linyukile.

Nangona kunjalo, kwabanye abantu, ezi valve zisenokungasebenzi kakuhle, okanye ngenxa yezinye iingxaki ngemithambo yegazi, igazi alihambi kakuhle kwaye liqala ukuqokelelana kwiindawo ezisezantsi zemilenze. Xa igazi liqokelelana ngolu hlobo, uxinzelelo olungaphakathi kwemithambo yegazi luyanda. Olu xinzelelo lunyukayo lonakalisa ulusu olujikelezileyo, kwaye kancinci kancinci kuvela inxeba, okanye "isilonda". Lifana ne-blister egcwele amanzi, apho uxinzelelo olungaphakathi lonakalisa udonga.

Zithini izizathu eziphambili zezilonda zemithambo yegazi?

Enye yezinto eziphambili ezichaphazela le meko yimeko ebizwa ngokuba yi -'Chronic Venous Insufficiency '. Ngamafutshane, okwenzekayo koku kukuba iivalvu kwimithambo endikhankanyileyo ngaphambili ziba buthathaka okanye zingasebenzi kakuhle, nto leyo ethintela ukuhamba kwegazi ukuya entliziyweni. Le yingxaki ebisoloko iqhubeka ixesha elide.

Ukongeza, kukho ezinye izizathu ezininzi:

• Uxinzelelo lwegazi oluphezulu (uxinzelelo lwegazi oluphezulu): Xa uxinzelelo luphezulu ixesha elide, lungonakalisa udonga lwemithambo yethu yegazi.
• Ukuvaleka kwemithambo yegazi: Ngamanye amaxesha umthambo unokuvaleka ngenxa yezinto ezifana nokuqhekeka kwegazi. Oku kuphazamisa nokuhamba kwegazi.
• Ukubuyela kwemithambo yegazi:Xa ezi valves zibuthathaka okanye zonakele, igazi liqala ukuhla kwakhona endaweni yokuya phezulu. Oku kukwangunobangela omkhulu wezilonda.

Ngubani osengozini enkulu yokufumana izilonda zemithambo yegazi?

Nangona nabani na enokuba nale meko, abanye abantu basengozini enkulu. Jonga ukuba ezi nyaniso ziyasebenza na kuwe:

• I-Deep Vein Thrombosis (DVT): Ukuba igazi liqhekeka kwimithambo emikhulu yomlenze, izilonda ezinje zinokuvela kamva.
• Ukuba nembali yosapho yesifo semithambo yegazi: Kusenokubakho nefuthe lemfuza.
• Ukutyeba kakhulu: Xa ubunzima bomzimba busanda, uxinzelelo olungakumbi lubekwa kwimithambo esemilenzeni.
• Ukwaluphala: Njengoko ukhula, iivalvu ezisemithanjeni yakho zinokuba buthathaka.
• Iimeko ezinje ngokufa amalungu omzimba: Ukujikeleza kwegazi kuyancipha kuba imilenze ayikwazi ukuhamba.
• Ukulimala kwemilenze kwangaphambili: Ukuba imithambo yonakele, njengakwingozi enkulu.
• Ukungazilolongi, indlela yokuphila yokuhlala phantsi: Abantu abahlala phantsi imini yonke kwaye bengahambi banomjikelezo wegazi ophantsi.
• Ukutshaya: Ukutshaya konakalisa imithambo yegazi.
• Ezinye iintlobo zotyando: Umzekelo, emva kokufakelwa idolo.
• Imithambo yeVaricose kunye neMithambo yeSpider: Ezi zikwazimpawu zeengxaki zemithambo.

Ukuba unenye okanye ngaphezulu kwezi zinto ziyingozi, kungcono ukuba uqaphele ngakumbi utshintsho olusemilenzeni yakho.

Ukuba unesilonda esikwimithambo yegazi, sibonakala njani? Sivakala njani?

Ezi zilonda zihlala zibonakala njengezilonda ezinganzulu, ezingaqhelekanga, nezisasazekayo . Ulusu olujikeleze isilonda lunokuba lukhuni kwaye lube nombala onsundu .

Ukongeza, ezi mpawu zilandelayo zinokubonakala:

• Intlungu ebuhlungu nengathethekiyo: Indawo apho inxeba likhoyo ingavakala ngathi yintlungu ebuhlungu nengathethekiyo.
• Ivumba elibi: Inxeba lisenokuba nevumba elibi, ingakumbi ukuba kukho usulelo.
• Ukurhawuzelela: Indawo ejikeleze inxeba isenokurhawuzelela kancinci.
• Ubomvu okanye olunye ulwelo oluphuma enxebeni: Kusenokuvela ubomvu obumthubi okanye obuluhlaza.
• Ukudumba: Amaqatha kunye nemilenze esezantsi zinokudumba.

Ukuba uneempawu ezinje, kungcono ukubona ugqirha kunokuba ucinge ukuba kukwenzakala nje okuqhelekileyo.

Ugqirha usixilonga njani isilonda esikwimithambo yegazi?

Ngokwesiqhelo, xa ugqirha ehlola umlenze wakho, unokubona ukuba sisilonda esiphuma emithanjeni ngokubonakala kwenxeba. Ukongeza, imbali yakho yempiloBuza ngembali yakho yezonyango. Oku kuthetha ukubuza ngezinye iimeko zempilo onazo (ezifana nesifo seswekile okanye uxinzelelo lwegazi oluphezulu), nokuba kukho nabani na kusapho lwakho onale ngxaki, kunye namayeza owasebenzisayo. Olu lwazi lunokukunceda uqonde unobangela wokwenzakala.

Luhlobo luni lovavanyo oluza kwenziwa?

Ugqirha wakho unokucebisa uvavanyo oluthile ukuze kuchongwe ubunzulu bokwenzakala kunye nobungakanani bengxaki yokuhamba kwegazi. Olu vavanyo kuya kufuneka luphindwe rhoqo ukuze kujongwe ukusebenza kakuhle konyango lwakho.

Ezinye zeemvavanyo eziphambili ezenziweyo zezi:

• Uvavanyo lwe-Ankle-Brachial Index (ABI): Olu vavanyo lulinganisa uxinzelelo lwegazi ezingalweni zakho nasemilenzeni. Oku kunokukunika umbono wokuhamba kwegazi emilenzeni yakho.
• Uphononongo lweDoppler: Oku kufana ne-ultrasound scan. Ingajonga indlela igazi elihamba ngayo emithanjeni, ukuba kukho na ukuvaleka, kunye nokuba iivalvu zisebenza kakuhle na.
• Ezinye iimvavanyo zokuthatha imifanekiso: Ngamanye amaxesha, into efana ne-CT scan inokwenziwa ukujonga umonakalo kwimithambo yegazi kunye nendlela esebenza kakuhle ngayo iivalvu.

Kutheni kubaluleke kangaka ukunyanga izilonda zemithambo yegazi?

Le yeyona nto ibalulekileyo. Izilonda zemithambo azilohlobo lwenxeba elizipholayo lodwa. Ukuba awuzinyangi, imeko inokuba mandundu.

Ukuba ayinyangwa, izicwili ezijikeleze inxeba zinokonakala ngonaphakade. Lo monakalo ungasasazeka kwaye ukhokelele kwiintsholongwane eziyingozi. Ezinye izifo, ezifana ne -gangrene (ukufa kwezicubu) , zinokuba yingozi ngokwaneleyo ukuba zibe yingozi ebomini okanye zikhokelele ekulahlekelweni lilungu lomzimba.

Kwiimeko ezinzima kakhulu, ukuba usulelo alunakulawuleka, ukususwa kwelungu elichaphazelekayo ngotyando (ukunqunyulwa kwelungu) kunokufuneka. Ke ngoko, ukufuna unyango kugqirha onamava okuphiliswa kwenxeba ngokukhawuleza kunokwenzeka kunokunciphisa kakhulu le ngozi.

Ziziphi iindlela zonyango lwezilonda zemithambo yegazi?

Unyango olungcono kuwe luya kuxhomekeka kwizinto ezifana nendawo yokwenzakala kunye nobunzima bayo. Ngokwesiqhelo, emva kokuqala unyango, kuya kufuneka ubone ugqirha wakho ukuze ufumane amadinga okulandela rhoqo ukuqinisekisa ukuba uyasebenza.

Iindlela zonyango ezisetyenziswa kakhulu zezi:

• Ii-antibiotics: Lawula usulelo olusenxebeni ukuba lukhona.
• Iibhandishi zokucinezela okanye iikawusi: Ezi zifaka uxinzelelo lwangaphandle kwimithambo esemilenzeni, zinceda ukuba igazi libuyele entliziyweni. Olu lunyango olubaluleke kakhulu.
• Izithambiso zokuThintela iintsholongwane: Zikhusela inxeba kwiintsholongwane.
• Izibulali-ntlungu: Lawula iintlungu ukuba kukho iintlungu.
• Ukucoca inxeba nokususa izicwili ezifileyo (Ukususwa kwezicubu):Ugqirha uza kucoca aze asuse naluphi na ulusu olufileyo kunye nobovu enxebeni. Oku kuya kunceda inxeba liphole ngokukhawuleza.
• Ukuthunyelwa kwiingcali ukuze zilawule ezinye izifo ezingapheliyo: Ukuba unezifo ezifana nesifo seswekile, kubalulekile ukuzilawula kakuhle ukuze amanxeba aphole.
• Iibhandishi kunye neebhanti ezikhethekileyo: Ezi zinceda ukugquma inxeba, ukulawula ukufuma, kunye nokudala imeko-bume efanelekileyo yokuphiliswa.
• Hlamba inxeba imihla ngemihla: Oku kubalulekile ukugcina inxeba licocekile ekhaya nokususa iintsholongwane. Kodwa oku kufanele kwenziwe kanye njengoko ugqirha ekuxelela.

Ngaba kukho ezinye iindlela zonyango ezikhethekileyo?

Ukuba unesilonda esibuhlungu kakhulu esingenakuphiliswa ngonyango oluqhelekileyo, ungadinga unyango olukhethekileyo olufana nolu:

• Unyango lweGrowth Factor: Kule nto, kufakwa izinto ezikhethekileyo enxebeni ezitsala iiseli ezinceda inxeba ukuba liphilise.
• Unyango lwe-Hyperbaric Oxygen: Kule meko, isigulana sifakwa kwigumbi elinoxinzelelo olukhethekileyo kwaye senziwe ukuba siphefumle i-oksijini ecocekileyo. Oku kwandisa isantya sokuphiliswa kwenxeba.
• Unyango lwe-Lymphedema: Abanye abantu baqala ukudumba ngenxa yokuqokelelana kolwelo lwe-lymph. Banyangwa ngeendlela ezikhethekileyo zokuphulula, iindlela zokunyamekela ulusu, kunye neebhandishi.
• Ukufakelwa Kwesikhumba: Ukuba inxeba likhulu, ulusu olusempilweni luyathathwa kwenye indawo yomzimba luze lufakwe kwindawo yenxeba.
• Unyango lweeStem Cell: IiStem cells ezithathwe kumongo wethambo zisetyenziselwa ukuvelisa izicubu ezisempilweni ezinceda ekuphiliseni amanxeba.
• Unyango lwesifo semithambo: Kwiingxaki zokudibanisa igazi, unyango olusetyenziswa ngqo kwimithambo ukuze kuphuculwe ukuhamba kwegazi (umz. utyando, unyango lwelaser).

Ngaba Izilonda Zemithambo Zingathintelwa?

Ewe, zikho izinto esinokuzenza ukuthintela le meko ukuya kuthi ga kwinqanaba elithile. Ukuba ukhe waba nesilonda semithambo yegazi kwaye saphila, ezi zinto zibalulekile ukuthintela ukuba singaphindi sivele.

• Ulawulo lwezifo ezingapheliyo: Ukuba unezifo ezichaphazela impilo yemithambo yegazi, ezifana noxinzelelo lwegazi oluphezulu nesifo seswekile, zinyange kwaye zilawulwe kakuhle.
• Gcina ubunzima bakho busempilweni: Ukuba utyebile kakhulu, yehlisa ubunzima.
• Kuphephe ukutshaya: Ukuba uyatshaya, yeka.
• Ukusela amayeza okunciphisa igazi (i-anticoagulants): Ukuba ugqirha wakho ubhalele wona, wasele njengoko kuyalelwe.
• Ukuzilolonga rhoqo: Ukuzilolonga okulula njengokuhamba kuphucula ukujikeleza kwegazi emilenzeni.
• Musa ukuhlala kwindawo enye ixesha elide: Hambahambahamba nanini na xa kunokwenzeka. Gcina imilenze yakho iphakanyisiwe kancinci nokuba uhleli.
• Ukunxiba iisokisi zokucinezela:Ukuba ugqirha uyacebisa, ukunxiba ezi zinto kuxhasa imithambo yegazi, ingakumbi abo basebenza bemi imini yonke.

Injani imeko yomntu onesilonda esikwimithambo yegazi?

Ngonyango olufanelekileyo, uninzi lwabantu abanezilonda zemithambo yegazi banokuchacha ngokupheleleyo. Nangona kunjalo, wakuba unezilonda zemithambo yegazi, kunokwenzeka ukuba ufumane esinye kwixesha elizayo. Zihlala ziphinda zibuye kwindawo enye apho kwakukho isilonda sangaphambili. Yiyo loo nto kubalulekile ukuqhubeka nokulandela amanyathelo okuthintela.

Ubomi bemihla ngemihla bunjani xa une-venous ulcer?

Ngelixa ufumana unyango, ungenza nezinto eziya kunceda inxeba liphilise ngokukhawuleza:

• Ukutya okunempilo: Xa ufumana ukutya okunempilo, amandla omzimba wakho okuphiliswa ngokwendalo ayakhula.
• Ukugcina inxeba kunye nolusu olujikelezileyo lucocekile: Landela imiyalelo kagqirha wakho.
• Ukugcina imilenze yakho iphakanyisiwe ngamaxesha athile xa uhleli: Oku kunciphisa ukuhlangana kwegazi.
• Ukwenza umthambo olula: Izinto ezifana nokuhamba zinokuphucula ukujikeleza kwegazi, kodwa ngaphandle kokonakalisa inxeba.
• Ukusebenzisa iisokisi zokucinezela ngokuchanekileyo: Ukuba ugqirha wakho ubhalele zona, zinxibe kanye njengoko kuyalelwe.

Amanqaku amafutshane ekufuneka uwakhumbule

Kulungile, masikhumbule ezinye zezona ngongoma zibalulekileyo koko sithethe ngako:

• Izilonda zemithambo yegazi ngamanxeba aphola kancinci aphuma emilenzeni ngenxa yeengxaki zemithambo yegazi.
• Ezi aziyi kuphola zodwa , ngoko ke kubalulekile ukufuna unyango kugqirha.
• Ukuba ayinyangwa, iimeko ezinzima ezifana nosulelo, ukubola kwesikhumba, kunye nokunqunyulwa kwesikhumba zinokwenzeka.
• Unyango luquka ukucoca inxeba, ukufaka amabhandeji okucinezela, kunye namayeza.
• Nokuba iyaphilisa, inokuphinda ivele, ngoko ke kubalulekile ukulandela iindlela zokuthintela.
• Le meko ingalawulwa kakuhle ngokulandela indlela yokuphila enempilo kunye nokulandela iingcebiso zikagqirha wakho.

Ukuba wena okanye umntu omaziyo unengxaki efana nale, nceda ufune ingcebiso kagqirha. Ingathintela iingxaki ezininzi.

Isilonda semithambo yegazi , isilonda somlenze, amanxeba angapholiyo, ukuhamba kwegazi, izilonda zomlenze, iingxaki zemithambo yegazi