Ake sixoxe ngomthambo obalulekile odlula ethangeni lakho: umthambo wangaphandle we-Iliac!

Namuhla sizokhuluma ngomthambo wegazi obaluleke kakhulu emzimbeni wethu okungenzeka awukaze uwuzwe, kodwa ubizwa ngokuthi 'i-External Iliac Vein'. Utholakala ethangeni lethu, okungukuthi, endaweni yesinqe (i-pelvis). Ake sibone ukuthi uyini, kwenzekani kuwo, nokuthi yini esingayenza ukuze uwugcine uphilile.

Iyini imithambo ye-Iliac yangaphandle?

Kalula nje, i-External Iliac Veins yimithambo yegazi emikhulu etholakala endaweni yakho ye-pelvic. Cabanga ngayo njengemithambo esiza ekuthwaleni igazi elisetshenzisiwe, elingenawo umoya-mpilo lisuka emzimbeni wakho ongezansi, okungukuthi, emilenzeni yakho, liyise enhliziyweni yakho.

Empeleni lezi yizandiso ze-'Femoral Veins', imithambo yegazi eyinhloko emathangeni akho. Lokhu kusho ukuthi igazi elingenawo umoya-mpilo elivela emilenzeni yakho liphuma ngale 'Femoral Veins' bese lijoyina 'External Iliac Veins' njengoba likhuphukela enhliziyweni yakho. Uyaqonda?

Ingabe imithambo ye-Iliac yangaphakathi iyinto efanayo?

Yebo, ngaphezu kwe-'External Iliac Veins', kukhona olunye uhlelo lwemithambo olubizwa ngokuthi i-'Internal Iliac Veins'. Zombili lezi zisebenza ngendlela efanayo. Kodwa-ke, i-'Internal Iliac Veins' iqoqa igazi elingenayo i-oxygen ezithweni ezingaphakathi kwe-pelvic cavity yakho. Okungukuthi:

• Kusukela ezinqeni zakho.
• Kusukela ezithweni zangasese zangaphandle.
• Ohlangothini lwangaphakathi lwamathanga.
• kanye nendawo ephakathi kwe-anus kanye nezitho zangasese (`i-Perineum`).

Ngakho-ke, le mithambo 'yangaphandle' kanye 'neyangaphakathi ye-Iliac' iyahlangana ukuze iqoqe lonke igazi elingenawo umoya-mpilo endaweni ye-pelvic kanye nemilenze bese yenza indlela yokulithumela enhliziyweni.

Ngakho-ke kwenzekani ngempela nge-External Iliac Vein?

Le `External Iliac Veins` iyingxenye ebaluleke kakhulu ohlelweni lokujikeleza kwegazi lomzimba wethu. Umsebenzi wayo oyinhloko ukuthutha igazi eliphelelwe umoya-mpilo uliyise enhliziyweni. Livelaphi leli gazi?

• Kusukela ngaphambili kwesisu sakho kanye nezinye izitho ezisesiswini sakho.
• Kusukela emilenzeni engezansi (ngaphansi kwedolo).
• Kusukela endaweni yenkaba kanye nezitho zokuzala.

Igazi elingenawo umoya-mpilo eliqoqa kuzo zonke lezi zindawo liya ohlangothini lwesokudla lwenhliziyo nge-'External Iliac Veins'.

Ubusho ukuthi igazi alinawo umoya-mpilo okwanele? Ingabe yilokho okushiwo "igazi eliluhlaza okwesibhakabhaka"?

Cishe uke wezwa abantu ngezinye izikhathi bebiza ngokuthi “igazi eliluhlaza okwesibhakabhaka” noma “igazi elingenawo umoya-mpilo.” Igazi lethu alilona eliluhlaza okwesibhakabhaka empeleni. Kodwa nakhu eliyikho:

Uhlelo lwethu lokujikeleza kwegazi lwakhiwe ngemithambo yegazi, imithambo yegazi, kanye neminye imithambo yegazi eminingi emincane. Isikhathi esiningi, yimithambo yegazi ethwala "igazi elihle" (igazi elibomvu), eligcwele umoya-mpilo kanye nezakhamzimba, emzimbeni wonke. Lo moya-mpilo yilokho okudingekayo kuwo wonke amaseli nezicubu zomzimba wethu ukuze ziphile futhi zisebenze.

Ngakho-ke, ngemva kokuba amangqamuzana emzimbeni esebenzisa lo moya, izinga lomoya-mpilo kulelo gazi liyehla. Lelo gazi elingenawo umoya-mpilo yilona elibuyela enhliziyweni ngemithambo yegazi.Inhliziyo ipompa igazi libuyele emaphashini (ngemithambo yamaphaphu) ukuze ithathe umoya-mpilo omusha. Leli gazi elingenawo umoya-mpilo ngezinye izikhathi libizwa ngokuthi “igazi eliluhlaza okwesibhakabhaka” noma “igazi elingenawo umoya-mpilo.” Lokhu kungenzeka kungenxa yombala eliwukhipha ngaphansi kwesikhumba njengoba lihamba ngemithambo.

Le mivimbo ye-Iliac ihlobene kanjani nohlelo lokujikeleza kwegazi?

Umbuzo obaluleke kakhulu. Ngakwesokudla nakwesobunxele somzimba wakho, kukhona 'i-External Iliac Vein' kanye 'ne-Internal Iliac Vein'. Njengoba lezi zitholakala kude nenhliziyo, zibizwa nangokuthi 'imithambo yegazi engaphandle'. Ngokuhambisana nale 'I-Iliac Veins', kune-'Iliac Arteries' ethwala igazi elinomoya-mpilo liye phansi.

Manje bheka, engxenyeni ephansi yomgogodla wakho, lapho i-sacrum ihlangana khona ne-pelvis, esihlanganisi se-Sacroiliac (SI), le Mithambo Yangaphandle Neyangaphakathi Ye-Iliac iyahlangana ukuze yakhe imithambo evamile ye-iliac yesokudla nesobunxele .

Bese kuthi, phezulu kancane, cishe ku-vertebra yesihlanu emgogodleni wakho, lawa ma-Common Iliac Veins ahlangana ngakwesokudla nakwesobunxele ukuze akhe umthambo omkhulu emzimbeni wethu, i-Inferior Vena Cava. Leyo Inferior Vena Cava yiyo ethwala lonke igazi elingenawo umoya-mpilo lisuka emzimbeni ongezansi liye ku-atrium efanele yenhliziyo. Akuyona yini indlela emangalisayo?

Ikuphi ngempela i-External Iliac Veins?

Le `External Iliac Veins` itholakala ngaphakathi kwe-pelvis yakho. Njengoba kushiwo ngaphambili, iyisandiso esiphezulu se-`Femoral Veins` emathangeni akho. Ukusho ngokuqondile:

• Lokhu kuqala ngaphansi kwenkaba yakho, ngemuva kwemigqa emibili yezicubu ezibizwa ngokuthi ama-Inguinal Ligaments endaweni yakho ye-groin. Lo msipha uxhumanisa imisipha yesisu sakho ne-pelvis yakho.
• Le mithambo isuke ihambela phezulu ihambisana ne-Iliac Arteries, ethwala igazi elinomoya-mpilo liye emilenzeni, esifundeni se-pelvic, nasezithweni zokuzala.
• Igijima eceleni komphetho ongaphezulu we-pelvic yakho (umphetho we-pelvic) iye kwi-sacrum.
• Kulolu hambo, umchamo udlula emapayipini athwala umchamo usuka ezinso uye kwesinye ('ureters') kanye nama-vas deferens kwabesilisa noma kuma-ovari kwabesifazane.
• Ekugcineni, i-'Internal Iliac Veins' iyahlangana ukuze yakhe i-'Common Iliac Veins', yona eyakha i-'Inferior Vena Cava'.

Ingabe ikhona eminye imithambo emincane eqoqa igazi emithanjeni ye-Iliac yangaphandle?

Yebo, eminye imithambo emincane eminingana iqoqa igazi elingenawo umoya-mpilo liye 'emithanjeni ye-Iliac yangaphandle'. Nazi izibonelo ezimbalwa:

• Umthambo We-Epigastric Ophansi : Lokhu kuqoqwa kwegazi emisipheni yesisu engaphambili ngaphezu komsipha we-inguinal.
• `I-Deep Iliac Circumflex Vein` : Lokhu kudlula `ku-External Iliac Artery` bese kuqoqwa igazi `ku-External Iliac Vein`.
• `Umthambo Wesitho Sangasese` : Uqoqa igazi endaweni yenkaba.

Yiziphi izimo ezingathinta imithambo ye-External Iliac?

Ngeshwa, kunezimo eziningana zezokwelapha ezingathinta le mithambo ebalulekile. Masiqaphele nalokho futhi.

1. I-Deep Vein Thrombosis (DVT)

Lesi yisimo abantu abaningi abake bezwa ngaso, futhi singaba sibi kakhulu. I-`Deep Vein Thrombosis` noma i-`DVT` yilapho kwakheka khona amahlule egazi elilodwa noma ngaphezulu emthanjeni ojulile emilenzeni yakho. Leli hlule legazi (`thrombus`) lingavimba ngokuphelele noma ngokwengxenye ukugeleza kwegazi emthanjeni.

Okubalulekile: Ihlule legazi (`Trombus`) emlenzeni lingase lingasongeli impilo ngokushesha. Kodwa-ke, lidinga ukwelashwa ngokushesha ukuze lincibilikise ihlule. Ngaphandle kwalokho, lingagqashuka libe yi-`Embolus` ehamba egazini.

2. Amahlule egazi aya emaphashini (i-Pulmonary Embolism)

Lokhu kungaba umphumela oyingozi kakhulu we-'DVT'. Uma ihlule legazi le-'DVT' elakheka emlenzeni liphuka, lihamba liye egazini, bese lihlala emithanjeni ethwala igazi liye emaphashini ('Pulmonary Arteries'), lokho kubizwa ngokuthi 'Pulmonary Embolism'.

Lesi yisimo esiyingozi kakhulu. Ngoba inani legazi nomoya-mpilo ofinyelela emaphashini liyancipha, futhi ingcindezi emithanjeni yamaphaphu iyanda. Lokhu kungabangela umonakalo enhliziyweni nasemaphashini. Lesi yisimo esiphuthumayo esidinga usizo lwezokwelapha ngokushesha.

3. Ukungasebenzi kahle kwemithambo yegazi okungapheli (i-CVI)

Imithambo yemilenze enempilo inama-valve amancane ngaphakathi kwawo. Lawa asiza igazi elingenawo umoya-mpilo ukuthi libuyele enhliziyweni, okuyingxenye engenhla yomzimba, ngaphandle kokugeleza libuyele phansi. Kodwa-ke, uma la ma-valve onakele, igazi liqala ukuvuza libuyele phansi. Ngemuva kwalokho igazi lingahlangana emilenzeni engezansi, okubangela ukuvuvukala, ukusinda, nobuhlungu. Lokhu kubizwa ngokuthi 'Ukungasebenzi kahle kwemithambo yegazi okungapheli (i-CVI). 'I-DVT', umfutho wegazi ophakeme, izimila ze-pelvic, kanye nokukhubazeka kwemithambo yegazi kungabangela 'i-CVI'.

4. Isifo sikaMeyi-Thurner

Lokhu kubizwa nangokuthi 'Iliac Vein Compression Syndrome'. Kulesi simo, i-'Iliac Vein' yangakwesokudla (umthambo) kanye ne-'Iliac Vein' yangakwesokunxele (umthambo) icindezelwa emgogodleni. Uma lokhu kucindezelwa, igazi alikwazi ukugeleza kahle ngalowo mthambo liye enhliziyweni. Igazi lingahlangana endaweni eyodwa futhi libangele ukuvuvukala emilenzeni, futhi ngezinye izikhathi i-'DVT' nayo ingenzeka.

Ngingayigcina kanjani imithambo yami yangaphandle ye-Iliac iphilile?

Ngenhlanhla, kunezinto esingazenza ukuze sigcine le mithambo ebalulekile iphilile futhi sinciphise ingozi yokuqhekeka kwegazi.

• Ungahlali endaweni efanayo isikhathi eside kakhulu. Nciphisa ukuma nokuhlala isikhathi eside kakhulu. Lokhu kwandisa ingozi yokuqhekeka kwegazi. Vuka uhambe futhi unyakaze okungenani kanye ngehora uma kungenzeka. Zama ukuvivinya umzimba cishe izinsuku eziningi zesonto.
• Yidla ukudla okunempilo kwenhliziyo. Yidla ukudla okunempilo okunamafutha amancane kanye ne-cholesterol. Gcina isisindo esinempilo.
• Lawula ukucindezeleka. Khulula ingqondo yakho ngezinto ezifana nokuzindla noma ukuhamba nomngane.
• Lawula izifo ezilimaza imithambo yegazi. Uma unezimo ezifana ne-'Diabetes Mellitus', umfutho wegazi ophakeme, kanye namazinga aphezulu e-cholesterol, zilawule kahle ngokweseluleko sezokwelapha.
• Yeka ukubhema nemikhiqizo kagwayi ngokuphelele. Ukusetshenziswa kukagwayi konakalisa imithambo yegazi kanye nemithambo yegazi.
• Gqoka amasokisi okucindezela uma udokotela wakho ekuncoma. Lawa asiza ekuvimbeleni ukuthi igazi lingahlangani emilenzeni yakho bese kwakheka amahlule egazi.

Kufanele ubonane nini nodokotela?

Uma unesinye noma ngaphezulu kwalezi zimpawu ezibalwe ngezansi, sicela ubonane nodokotela ngokushesha. Lezi ngezinye izikhathi zingaba izimpawu zesimo esibucayi.

• Ubuhlungu obukhulu, obungachazeki esifubeni, emahlombe, emhlane, noma emhlathini.
• Uma ukhwehlela igazi .
• Uma unenkinga yokuhamba, noma uma uzwa ubuhlungu ngenkathi uhamba noma ulele.
• Uma uzwa isiyezi noma ukuquleka (i-syncope).
• Uma kukhona ukuvuvukala ('i-Edema') noma ukushintsha kombala emilenzeni.
• Uma ujuluka kakhulu.
• Uma ukushaya kwenhliziyo kushesha.
• Uma unezilonda ezingapholi emilenzeni noma ezinyaweni zakho.
• Uma isikhumba siba mhlophe, sibanda, futhi sinombala oluhlaza okwesibhakabhaka.
• Uma unenkinga yokuphefumula noma ukuphefumula kanzima.

Umlayezo Wokuya Nawe Ekhaya

I-'External Iliac Veins' iyisimiso semithambo yegazi ethwala igazi elingenawo umoya-mpilo lisuka ezingxenyeni ezingezansi zomzimba wethu libuyele enhliziyweni. Ihlangana ne-'Femoral Veins' kanye ne-'Internal Iliac Veins' ukuze kwakhiwe i-'Inferior Vena Cava', umthambo omkhulu kunayo yonke emzimbeni wethu.

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Amahlule egazi emithanjeni ejulile yemilenze (DVT) kanye nalawo mahlule aya emaphashini (Pulmonary Embolism) kungaholela ezimweni eziyingozi. Ngakho-ke, kubaluleke kakhulu empilweni yakho ukufuna usizo lwezokwelapha ngokushesha uma uhlangabezana nezimpawu ezihlobene nemithambo. Ukulandela indlela yokuphila enempilo kungavikela nalesi simiso semithambo yegazi.

Khumbula, kubalulekile ukunakekela umzimba wakho nokuqaphela noma yiziphi izimpawu. Ukuqaphela impilo yakho kuyindlela engcono kakhulu yokuphila impilo enempilo.

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Umthambo Wangaphandle We-Iliac, Umthambo Wangaphakathi We-Iliac, I-Pelvis, Imithambo, Ukujikeleza Kwegazi, i-DVT, i-Pulmonary Embolism, Amahlule Egazi, Ukuvuvukala Kwemilenze, Isifo Semithambo