Ake sifunde kabanzi ngamahlule egazi. Ungakhathazeki, ake sixoxe!

Wake wazibuza ukuthi ziyini lezi zinhlayiya zegazi nokuthi kungani zakheka? Ngezinye izikhathi ziyasisiza kakhulu, kodwa ngezinye izikhathi zingadala nezinkinga ezinkulu. Ngakho-ke, namuhla sizokhuluma ngalezi zinhlayiya zegazi, okungukuthi, ukujiya kwegazi , ngokuningiliziwe nangokulula. Ungakhathazeki, kubaluleke kakhulu ukwazi lokhu.

Kuyini ngempela ukugoba kwegazi? Kwakheka kanjani?

Kalula nje, ihlule legazi uhlobo lwenqwaba yegazi ejiyile, enqwabelanayo eyakheka ngaphakathi kwemithambo yegazi yakho. Lakhiwe ngamaseli egazi nezinye izinto. Cabanga ngakho, uma ulimala endaweni ethile, noma uma uhlinzwa, la mahlule egazi akusiza kakhulu ekukuvikeleni ekuphumeni kwegazi ngokweqile.

Kodwa-ke, ngezinye izikhathi amahlule egazi angakheka ngenxa yezinye izizathu zezokwelapha, okungukuthi, izimo ezithile zesifo. Yilapho la mahlule egazi angadala izimpawu ezahlukahlukene futhi ngezinye izikhathi aze asongele nokuphila kwethu.

Manje ake sibone ukuthi leli hlule legazi lenziwa ngani. Lakhiwe ngokuyinhloko yizingxenye ezimbili : ama-platelet kanye ne-fibrin .

• Ama-platelet , uma siwasho ngqo, ayizingcezu ezincane kakhulu zamaseli angenambala egazini lethu. Akhiqizwa emnkantsheni wakho wamathambo.
• I-Fibrin iyiprotheni ekhethekile etholakala egazini. Inamathela kancane futhi ibukeka njengemicu emide.

Ngakho-ke, uma kwenzeka okuthile emthanjeni wakho wegazi, lawa ma-platelet ne-fibrin ayahlangana bese "kuvala" indawo eyonakele, noma kunalokho, abeka uphawu kuyo. Yile ndlela ukuphuma kwegazi okuphela ngayo. Kufana nokufaka ibhandeji kuyo.

Wake wabona ihlule legazi eduze? Libukeka njengebhola lejeli elibomvu elibanjwe yi-mesh. Uma ubheka eduze, ungabona amaseli afana namapuleti amancane. Lawo ama-platelet. Leyo mesh yi-fibrin. Amahlule egazi abomvu ngoba amaseli egazi abomvu abhajwa ngaphakathi kwale mesh ye-fibrin njengoba igazi liphuma ekulimaleni.

Ingabe amahlule egazi ahlala elungele imizimba yethu? Noma angaba amabi?

Eqinisweni, amahlule egazi afana nenkemba esika nhlangothi zombili. Ngezinye izikhathi ayasiza ngisho nasekusindiseni izimpilo zethu. Uyazi ukuthi kanjani?

Cabanga nje, usikeka kancane ngenkathi ushefa. Noma usikeka kancane esandleni sakho ngenkathi usebenza ekhishini. Kungenxa yalawo maqhubu egazi ukuthi ukopha kuphele ngemizuzwana noma imizuzu embalwa. Yizo izivikelo zokuqala lapho imithambo yakho yegazi ebucayi yonakele.Isebenza ngokuvimbela ukopha nokuvimbela umonakalo omkhulu. Lena inqubo yemvelo emzimbeni.

Kodwa-ke, amahlule egazi awahlali emahle. Ngezinye izikhathi, amahlule egazi angakheka ngokungadingekile , ngaphandle kokulimala. Isibonelo, uma kufanele uhlale endaweni eyodwa isikhathi eside, njengasendizeni ende lapho kufanele uhlale khona uthule amahora amaningi, noma uma kufanele uhlale embhedeni izinsuku eziningi ngemva kokuhlinzwa, ukugeleza kwegazi kuyaphazamiseka futhi amahlule egazi angakheka. Futhi, ezinye izimo zezokwelapha zandisa ingozi yamahlule egazi. Yilapho inkinga iqala khona. La mahlule egazi angadingeki angaphazamisa ukugeleza kwegazi futhi abangele izinkinga ezinkulu zempilo.

Kukuphi emzimbeni lapho kuvame ukwakheka khona amahlule egazi? Yiziphi izingozi ezinkulu ezihlobene nawo?

Empeleni, ihlule legazi lingakheka noma kuphi emzimbeni wakho. Ngoba imithambo yegazi isakazeke kuwo wonke umzimba wakho, kusukela ekhanda lakho kuya ezinyaweni zakho. Kodwa-ke, kunezindawo ezimbalwa eziyinhloko lapho kungenzeka khona ukuthi zenzeke futhi kwandise ingozi.

• Amahlule egazi emithanjeni: Lokhu kuvame ukwakheka ezingalweni nasemilenzeni yakho, ikakhulukazi emithanjeni ejulile yemilenze yakho . Lesi simo ngokwezokwelapha sibizwa ngokuthi i-deep vein thrombosis (DVT). Lesi yisimo esiyingozi ngoba ihlule elivela emlenzeni wakho lingaqhekeka lihambe negazi lakho lihlale kwesinye isitho esibalulekile, njengamaphaphu.
• Amahlule egazi emithanjeni: Imithambo yegazi ithwala igazi lisuka enhliziyweni liye emzimbeni wonke. Uma kwakheka amahlule egazi kule mithambo yegazi, okulandelayo kungenzeka:
• Ngezinye izikhathi lawa mahlule egazi angahlala emithanjeni yamaphaphu . Lokhu kubizwa ngokuthi i-pulmonary embolism . Lesi yisimo esibi kakhulu, esisongela ngisho nokuphila.
• Futhi, uma ihlule legazi lihlala emthanjeni ohambisa igazi ebuchosheni , ukunikezwa kwegazi engxenyeni yobuchopho kungaphazamiseka, okubangela isifo sohlangothi .
• Uma kwakheka ihlule legazi emithanjeni yenhliziyo ehambisa igazi enhliziyweni , imisipha yenhliziyo iyantula igazi futhi kungase kube nokuhlaselwa yinhliziyo .

Lokhu kubaluleke kakhulu: Izimo esisanda kuxoxa ngazo, `(DVT)`, `(Pulmonary Embolism)`, `( Stroke )` kanye `(Heart Attack), zimbi kakhulu. Ngakho-ke, ukuqaphela izimpawu zalezi kubaluleke kakhulu ukuvikela impilo yakho kanye nokuphila kwabathandekayo bakho.

Wazi kanjani ukuthi une-blood clot? Ziyini izimpawu?

Izimpawu zingahluka kuye ngokuthi ihlule legazi liyakheka yini emthanjeni noma emthanjeni, kanye nokuthi lakheka kuphi. Ake sibheke izimpawu eziyinhloko.

• Izimpawu ze-deep vein thrombosis ( DVT ) emlenzeni:
• Ungase uzizwe ubuhlungu obungazelelwe noma ukuqina emlenzeni wakho, ikakhulukazi ethangeni noma enkomeni.
• Umlenze othintekile ungase uvuvuke .
• Isikhumba emlenzeni singashintsha umbala (sibe bomvu, siphenduke sibe luhlaza okwesibhakabhaka, noma sibe mhlophe).
• Umlenze othintekile ungase uzizwe ufudumele kunomunye umlenze.
• Izimpawu ezingase zivele uma igazi ligoba emaphashini (i-Pulmonary Embolism):
• Kungazelelwe, ukuphelelwa umoya okungachazeki kungase kwenzeke.
• Ubuhlungu obukhulu esifubeni (lobu buhlungu bungase bube bubi kakhulu, ikakhulukazi uma uphefumula kakhulu noma ukhwehlela).
• Ukukhwehlela (mhlawumbe ngisho nokukhwehlela igazi elincane).
• Ukushaya kwenhliziyo okusheshayo ngendlela engavamile .
• Ukuzizwa unesizungu (vertigo) noma ubuthakathaka .
• Izimpawu zokuhlaselwa yinhliziyo okubangelwa ukuqhekeka kwegazi enhliziyweni:
• Umuzwa wokuqina, ukucindezela, noma ukucindezela maphakathi noma ohlangothini lwesobunxele lwesifuba . Lobuhlungu bungadlulela engalweni yesobunxele, entanyeni, emhlathini, ehlombe, noma emhlane.
• Ubunzima bokuphefumula .
• Ukujuluka ngokweqile okungazelelwe .
• Ukucanuzela noma ukuhlanza .
• Isiyezi (i-vertigo) noma umuzwa wokuphelelwa amandla .
• Izimpawu zesifo sohlangothi esibangelwa ukuqhekeka kwegazi ebuchosheni (isifinyezo esithi FAST kulula ukusikhumbula):
• F (Ubuso Obugobile): Uhlangothi olulodwa lobuso luyagobile noma lugobile. Ikhona elilodwa lomlomo libonakala ligobile uma umomotheka.
• A (Ubuthakathaka Bengalo): Ukuba ndikindiki noma ubuthakathaka engalweni noma emlenzeni owodwa. Uma ucelwa ukuba uphakamise zombili izingalo ngesikhathi esisodwa, ingalo eyodwa ingase iwe.
• S (Ubunzima Bokukhuluma): Ukukhuluma amagama angacacile, ukusebenzisa amagama okunzima ukuwaqonda, noma ngisho nokungakwazi ukukhuluma nhlobo.
• T (Isikhathi sokushayela izinsizakalo eziphuthumayo): Uma kukhona noma yiziphi zalezi zimpawu, isiguli kufanele siyiswe esibhedlela ngokushesha ngaphandle kokulibala .

Ungakhohlwa: Uma wena noma othile omaziyo enanoma yiziphi zalezi zimpawu, funa usizo lwezokwelapha ngokushesha. Isikhathi sibaluleke kakhulu. Ukwelashwa okusheshayo kungasindisa impilo futhi kuvimbele ukukhubazeka kwesikhathi eside.

Yiziphi izimo zezokwelapha ezihambisana nokuqhekeka kwegazi?

Izinkinga zokujiya kwegazi zingahlotshaniswa nezimo ezahlukahlukene zezokwelapha. Njengoba sixoxile ngaphambili, kuvamile ukuthi amahlule egazi akheke ngemva kokulimala. Kuyindlela yemvelo yokuzivikela yomzimba. Kodwa-ke, kunezinhlobo ezimbili zezifo ezidinga ukunakwa okukhethekile uma kukhulunywa ngokujiya kwegazi. Lezi yizifo ezivimbela igazi ukuthi lijiye kalula kanye nezifo ezibangela ukuba igazi lijiye ngendlela engavamile.

Izinkinga Zokopha

Kulesi simo, igazi lakho alivali kahle futhi uma kufanele livalwe. Lokhu kusho ukuthi ngisho nokusikeka okuncane kungabangela ukopha ngokweqile. Lokhu kungaba yingozi kakhulu, njengoba kwenza kube nzima ukulawula ukopha.

Nazi ezinye izibonelo:

• Isifo sikaVon Willebrand: Kwabaningi, lesi sifo sizuzwe njengefa kubazali babo. Okusho ukuthi, sizuzwe njengefa. Kodwa-ke, singakhula kamuva ekuphileni njengenkinga yezinye izifo, njengomdlavuza, izifo ezibangelwa amasosha omzimba (lapho amasosha omzimba ehlasela khona amangqamuzana awo), kanye nesifo senhliziyo.
• I-Thrombocytopenia: Lokhu kwenzeka lapho inani lama-platelet egazini lakho lehla ngendlela engavamile. Uma ama-platelet ephansi, ukujiya kwegazi kuyaphazamiseka.
• I-Hemophilia Ezuzwe Njengefa: Lesi futhi yisifo esizuzwa njengefa kakhulu. Okwenzekayo lapha ukuthi umzimba awukhiqizi amaprotheni athile anele (abizwa ngokuthi izinto ezibangela ukujiya kwegazi ) abalulekile ekujiya kwegazi.

Izinkinga Zokuvinjelwa Kwegazi / Isimo Sokuvinjelwa Kwegazi

Lokhu kuphambene ngokuphelele nesimo esishiwo ngenhla. Ukungakwazi komzimba ukukhiqiza amahlule egazi ngendlela engadingekile. Ezinye zalezi zimo zingaba khona lapho kuzalwa (okungukuthi, izakhi zofuzo), kanti ezinye zingakhula kamuva ekuphileni.

Nazi ezinye izibonelo:

• I-Factor V Leiden: Lesi yisifo esivame kakhulu sokujiya kwegazi esizuzwe njengefa. Siyandisa kancane ingozi yokuba ne- deep vein thrombosis (DVT) noma i-pulmonary embolism .
• Ukuguqulwa Kwezakhi Zofuzo ze-Prothrombin: Lesi futhi yisimo esizuzwe njenge-Factor V Leiden. Futhi sandisa kancane ingozi ye-DVT noma i-Pulmonary Embolism.
• I-Antiphospholipid Syndrome: Lesi yisifo sokuzivikela komzimba esikhuphula kakhulu ingozi yokuqhekeka kwegazi.

Yiziphi ezinye izinto ezandisa ingozi yokuqhekeka kwegazi?

Ngaphezu kwezimo ezithile zezokwelapha esixoxe ngazo, kunezinye izinto eziningi ezingandisa ingozi yokuqhekeka kwegazi. Ake sibheke ukuthi ziyini. Ukuqaphela lokhu kungasiza ekunciphiseni ingozi yakho.

• Ubudala:Ngokuvamile, abantu abangaphezu kweminyaka engama-65 basengozini enkulu yokuthola amahlule egazi kunabantu abasebasha.
• Ukukhulelwa kanye nokukhulelwa: Ngenxa yezinguquko zamahomoni nezinye izinguquko emzimbeni ngesikhathi sokukhulelwa, ngisho nangemva kokubeletha, abesifazane basengozini enkulu yokuba namahlule egazi.
• Ukukhuluphala ngokweqile: Ingozi yokuqhekeka kwegazi iyanda njengoba isisindo somzimba sikhula.
• Umdlavuza: Ezinye izinhlobo zomdlavuza kanye nokwelashwa okuthile komdlavuza (isb., i-chemotherapy) kungandisa ingozi yokuqhekeka kwegazi.
• Amaphilisi okuvimbela inzalo noma ukwelashwa ngama-hormone: Amanye amaphilisi okuvimbela inzalo, ikakhulukazi lawo aqukethe i-hormone i-estrogen , kanye namanye ama-hormone therapy nawo andisa ingozi yokuqhekeka kwegazi.
• Ukubhema: Ukubhema kuyimbangela enkulu yokulimala kwemithambo yegazi, izinguquko ekwakhekeni kwegazi, futhi kwandisa kakhulu ingozi yokuqhekeka kwegazi.
• Ukungasebenzi: Njengoba sesixoxile ngaphambili, ukuba sendaweni eyodwa isikhathi eside , kungaba yindiza ende, uhambo lwesitimela, ukuphumula embhedeni ngemva kokuhlinzwa, noma yisiphi esinye isizathu, kunganciphisa ukugeleza kwegazi futhi kwandise ingozi yokuqhekeka kwegazi.
• I-COVID-19: Ucwaningo lwezokwelapha luthole ukuthi abantu abatheleleke kakhulu ngesifo se-coronavirus sika-2019 (COVID-19) basengozini enkulu yokuthola amahlule egazi.
• Ezinye izimo zezokwelapha ezingamahlalakhona: Ezinye izimo zezokwelapha ezingamahlalakhona ezifana nesifo sikashukela, umfutho wegazi ophakeme, isifo senhliziyo, kanye nesifo sezinso nazo zingandisa ingozi yokuqhekeka kwegazi.
• Umlando womndeni wamahlule egazi: Uma izihlobo eziseduze emndenini wakho (abazali, izingane zakini) ziye zaba namahlule egazi, nawe ungase ube sengozini ethile.

Yini esingayenza ukuze sivimbele ukwakheka kwalezi zinhlayiya zegazi eziyingozi?

Lona umbuzo obalulekile kubantu abaningi. Eqinisweni, uma unesifo sokuzalwa, okungukuthi, ufuzo, sokuwa kwegazi (isib. `I-Factor V Leiden`), lesi sifo asinakuvinjelwa ngokuphelele. Kunzima futhi ukuvimba ngokuphelele ukuqhekeka kwegazi okwenzeka ngenxa yalesi sifo. Kodwa, ungesabi! Ngokuthatha imithi (isib., imithi yokunciphisa igazi ) nokulandela imiyalelo enikezwe udokotela wakho, ungalawula lesi simo futhi unciphise kakhulu ingozi yokuqhekeka kwegazi.

Kwabanye, okungukuthi, labo abangenazo izifo zofuzo, kunezinto eziningana abangazenza ukuze banciphise ingozi yabo yokuqhekeka kwegazi. Ukulandela lezi zinyathelo kungakusiza ukuthi uphile impilo enempilo:

• Thola ukuhlolwa kwaminyaka yonke: Kubalulekile ukubona udokotela womndeni wakho njalo ukuze uhlolwe ngokomzimba. Lokhu kuzosiza ekuboneni noma yiziphi izici eziyingozi zokuqhekeka kwegazi.
• Thola ukuhlolwa komdlavuza njalo njengoba kufanele iminyaka yakho:Ngokuthola ukuhlolwa komdlavuza okuhambisana neminyaka yakho kanye nengozi yakho, unganciphisa ingozi yakho yokuthola amahlule egazi ngenxa yomdlavuza.
• Gcina isisindo somzimba esinempilo: Zama ukugcina isisindo esinempilo esifanelana nobude bakho. Uma kudingeka, cela iseluleko kuchwepheshe wezokudla noma kudokotela.
• Gwema ukubhema ngokuphelele: Uma ubhema, yenza yonke imizamo yokuyeka. Lokhu kuzokusiza hhayi ekuvikeleni amahlule egazi kuphela, kodwa nakwezinye izifo eziningi. Uma udinga usizo lokuyeka ukubhema, khuluma nodokotela.
• Hlala Umanzi: Ukuphuza inani elidingekayo lamanzi ngosuku (ngokuvamile izingilazi ezingu-8-10) kunciphisa ukujiya kwegazi futhi kusiza ukujikeleza kwegazi.
• Qaphela ngokwelashwa kokuvimbela inzalo kanye nama-hormone: Uma usebenzisa amaphilisi okuvimbela inzalo, khuluma nodokotela wakho ngezinye izindlela ezingenayo i-estrogen . Futhi, khuluma nodokotela wakho ngokwelashwa kwama-hormone, njengoba kungandisa ingozi yokuqhekeka kwegazi kwabanye abantu.
• Hlala usebenza ngangokunokwenzeka: Ungahlali endaweni eyodwa isikhathi eside kakhulu, futhi uvivinye umzimba nsuku zonke. Ungenza izinto ezifana nokuhamba, ukugijima, ukubhukuda, noma ukugibela ibhayisikili okungenani imizuzu engama-30 ngosuku. Ngisho nalapho usebenza ehhovisi, vuka uzulazule kancane, welula izingalo nemilenze yakho, okungenani kanye ngehora. Uma uhamba isikhathi eside, noma usemotweni noma endizeni, shukumisa imilenze yakho ngangokunokwenzeka, futhi vuka uzulazule kancane ngezikhathi ezithile.

Okokugcina, izinto ezibaluleke kakhulu okudingeka sizikhumbule (Umyalezo Wokuya Ekhaya)

Kulungile, ngakho-ke namuhla sixoxe ngolwazi olubaluleke kakhulu mayelana namaClot Egazi. Ngithemba ukuthi usukuqonda kahle lokhu manje. Ungakhohlwa, ulwazi luyisivikelo esingcono kakhulu.

Kalula nje, amahlule egazi abalulekile emizimbeni yethu, kodwa futhi angaba yingozi kakhulu ngezinye izikhathi. Ngakho-ke kubalulekile ukuqaphela lokhu.

Lawa mahlule egazi, asiza ekumiseni ukuphuma kwegazi ngenxa yokulimala okuncane, ngezinye izikhathi angakheka ngokungadingekile, ezindaweni ezingafanele, avimbe imithambo yegazi futhi abangele izimo zempilo ezingathi sína nezisongela ukuphila njengokuhlaselwa yinhliziyo, isifo sohlangothi, kanye ne-pulmonary embolism .

Kunezizathu eziningi ezenza ukuthi amahlule egazi akheke. Ezinye zazo asikwazi ukuzivimbela, njengezimo zofuzo. Kodwa-ke, noma ngabe unesifo esinjalo, ungalawula ingozi yakho futhi uphile impilo evamile ngokulandela iseluleko sezokwelapha nokwenza izinguquko ezinhle endleleni yokuphila.

Ngakolunye uhlangothi, kunezici eziningi eziyingozi esingazilawula. Izinto ezilula njengokugwema ukubhema, ukugcina isisindo esinempilo, ukusebenza nsuku zonke, ukuphuza amanzi anele, nokulandela iseluleko sezokwelapha kunganciphisa kakhulu ingozi yokuqhekeka kwegazi.

Uma unenkinga noma ukungabaza mayelana nokwakheka kwamahlule egazi, noma uma wena noma othile omaziyo enezimpawu esixoxe ngazo, sicela ukhulume nodokotela ngakho. Uzohlola impilo yakho iyonke futhi akunikeze iseluleko nokwelashwa okungcono kakhulu. Ungalokothi ungazinaki noma ungazinaki izimpawu. Khumbula, isinyathelo sokuqala singasindisa impilo.

Ngakho-ke, hlalani niphilile futhi nijabule nonke! Sizophinde sihlangane ngolunye usuku ngesinye isihloko esibalulekile sezempilo esifana nalesi!

Amahlule Egazi , i-DVT, i-Pulmonary Embolism, i-Stroke, i-Heart Attack, amahlule Egazi, imithambo yegazi