Ngaba ukutshaya kunokubangela ukunqunyulwa kwamalungu omzimba? Funda ngeSifo sikaBuerger

Ngaba wakha wacinga ngomonakalo omkhulu onokwenziwa yicuba ngalinye olitshayayo, icuba ngalinye olisebenzisayo, ezandleni nasezinyaweni zakho? Abantu abaninzi bacinga ukuba ukutshaya kuyonakalisa imiphunga nentliziyo kuphela. Kodwa namhlanje sithetha ngesifo esiyingozi ngokulinganayo, kodwa esingathethwa kakhulu ngaso. Esi sifo sinokubangela ukuba ulahlekelwe yiminwe yakho, izandla, kwaneenyawo zakho. Oku kubizwa ngokuba yiBuerger's Disease .

Ngamafutshane, yintoni isifo sikaBerger?

Ngamafutshane, isifo sikaBuerger sisifo apho imithambo yegazi (imithambo) esezingalweni nasemilenzeni yakho idumba ize ivalwe ngamahlwili egazi . Sifana nombhobho wamanzi ovalwa luthuli. Elinye igama oogqirha abalisebenzisayo koku yi-`(Thromboangiitis Obliterans)` okanye i-TAO.

Akukho nyango lucacileyo lwesi sifo okwangoku. Kodwa into emangalisayo kukuba uninzi lwabantu abafumana esi sifo, phantse i-100%, basebenzisa icuba. Oku kungabandakanya nantoni na ukusuka kwicuba, iicuba, icuba elihlafunwayo kunye nesnuff.

Kutheni olu hlobo lwesifo lusenzeka?

Oogqirha abakayazi kakuhle into ebangela esi sifo. Kusenokuba kukho into ebangelwa yimfuza. Oku kuthetha ukuba abanye abantu basenokuba nethuba lokufumana esi sifo ngokwemvelo.

Kodwa into ebangela ukuba icuba lirhanelwe kakhulu. Zimbini iindlela iingcali ezicinga ngazo:

1. Amanye amakhemikhali akwicuba anokucaphukisa udonga lwemithambo yegazi yakho aze abangele ukuba idumbe.

2. Okanye, icuba liphazamisa inkqubo yomzimba wakho yokuzikhusela , libangele ukuba ihlasele imithambo yegazi yayo elungileyo, njengetyhefu .Isenokuba iqalisa ukuhlasela, njengokuhlasela.

Ngaba nawe unazo ezi mpawu?

Rhoqo uphawu lokuqala lwesi sifo ziintlungu ezingalweni okanye emilenzeni. Le ntlungu ingasasazeka kancinci kancinci kwiingalo nasemilenzeni. Le ntlungu ngamanye amaxesha inokuba qatha kakhulu. Le ntlungu inokubakho xa uhamba, uzilolonga (ngokwezonyango ebizwa ngokuba yi-"claudication``), okanye naxa umi nje. Le ntlungu inokuba qatha ngakumbi xa kubanda okanye xa uxinezelekile.

Ukongeza, ungabona utshintsho olunje ezandleni nasezinyaweni zakho.

Izinto ezimbi zinokwenzeka ukuba uyazityeshela.

Ekuhambeni kwexesha, isifo sikaBuerger sinokuyithintela ngokupheleleyo indlela igazi elihamba ngayo ukuya kwiminwe yakho nasezinzwaneni. Oku kunokukhokelela kwimeko embi ebizwa ngokuba yi-"Gangrene." Oku kuthetha ukuba ulusu kunye nezicubu ezikuloo ndawo ziqala ukufa. Emva koko ezo ndawo zilahlekelwa yimvakalelo kwaye zijike zibe luhlaza okwesibhakabhaka okanye zibe mnyama.

Ukuba unesilonda esibhidlayo, oogqirha badla ngokufuna ukususa indawo eyonakeleyo ngotyando.

Kunqabile kakhulu, esi sifo sinokubangela neemeko ezifana nestroke okanye ukuhlaselwa yintliziyo.

Ugqirha usifumanisa njani esi sifo?

Akukho vavanyo lunye olunokuqinisekisa ukuba esi sisifo sikaBerger. Ugqirha wakho uza kuqala akubuze malunga nokusebenzisa kwakho icuba kunye neempawu zakho.

Emva koko, kwenziwa uvavanyo oluninzi ukujonga ukuhamba kwegazi lakho nokuthintela ezinye izifo ezinokuba neempawu ezifanayo. Umzekelo, isifo semithambo yegazi engaphandle sinokubangela iintlungu emilenzeni. Nangona kunjalo, imbangela ayikokudumba kwemithambo yegazi, kodwa kukugcwala kwamafutha ngaphakathi kuyo.

Kusenokufuneka wenze uvavanyo olufana nolu:

• Uvavanyo lwe-Allen: Olu luvavanyo lokujikeleza kwegazi olulula kakhulu. Ugqirha ukucela ukuba ucinezele isandla sakho ngokuqinileyo. Oku kuya kususa inxalenye yegazi esandleni sakho. Emva koko, ugqirha uya kubamba imithambo emibini ephambili kufutshane nesandla sakho aze akucele ukuba uvule isandla sakho. Isandla sakho siya kuba mhlophe. Emva koko, ugqirha uya kukhulula umthambo omnye kwicala elinye. Kumntu oqhelekileyo, igazi liya kuzalisa isandla sakho ngokukhawuleza lize libuyele kumbala walo oqhelekileyo. Nangona kunjalo, ukuba kuthatha ixesha elide ukuba igazi lizale, kunokuba luphawu lwesifo sikaBuerger.
• I-Angiogram: Olu luhlobo lwe-X-ray. Lusetyenziswa ukujonga imithambo yegazi evalekileyo ezingalweni nasemilenzeni yakho. Ugqirha ufaka ityhubhu encinci kakhulu (i-catheter) kwenye yemithambo yakho aze afake idayi ekhethekileyo kuyo. Emva koko kuthathwa i-X-ray ekhawulezileyo ukujonga imeko yemithambo yegazi. I-CT okanye i-MRI scan inokuvelisa imifanekiso efanayo.
• Uvavanyo lwegazi: Olu vavanyo lunceda ukuqinisekisa ukuba awunazo ezinye izifo, ezifana nesifo seswekile kunye ne-lupus.

Zithini iindlela zonyango?

Ukongeza, unyango olufana nolu lunokunceda ukuphucula ukujikeleza kwegazi nokunciphisa iintlungu:

• Amayeza anjenge-vasodilators okanye amayeza okunciphisa igazi.
• Ukuzilolonga ngokuhamba.
• Ukucinezelwa kweengalo nemilenze ngamathuba athile kusetyenziswa izixhobo ezikhethekileyo.
• Utyando lokusika imithambo-luvo kwindawo echaphazelekayo (i-sympathectomy).

Ukususwa kwelungu lomzimba kungafuneka ukuze kususwe inxalenye eyonzakeleyo okanye ebolileyo ngotyando.

Ngaba ukuyeka ukutshaya kuya kunceda ngokwenene?

Impilo yakho yexesha elizayo ixhomekeke ngokupheleleyo ekubeni uyeka ukutshaya na. Ngokwezibalo, malunga nama-43% ezigulana eziqhubeka nokusebenzisa icuba kuya kufuneka zinqunyulwe umlenze zingadlulanga iminyaka esi-8 emva kokuba zixilongiwe.

Nangona kunjalo, oku kwenzeka kwi-6% kuphela yabo baye bayeka ukutshaya. Eli nani lisondele kwi-zero phakathi kwabo baxilongwa kwangethuba baze bayeke ukutshaya. Oku kubonisa indlela ekubaluleke ngayo ukuyeka ukutshaya, akunjalo?

Ukuba unengxaki yokuyeka ukutshaya, thetha nogqirha wakho malunga neenkqubo ezinokukunceda. Musa ukuba neentloni. Sisigqibo esisindisa ubomi.