Ubani lo 'Dokotela Wemithambo Yegazi'? Ake sixoxe ngalokhu ngokuningiliziwe!

Wake wezwa 'ngoDokotela Wemithambo'? Mhlawumbe yebo, mhlawumbe cha. Kodwa lesi yisihloko esibaluleke kakhulu, ngoba laba odokotela babhekana nohlelo olubaluleke kakhulu emzimbeni wethu. Kalula nje, laba odokotela abangochwepheshe emithanjeni yegazi emzimbeni wethu, okungukuthi, ohlelweni lwemithambo yegazi . Ake sixoxe ngalokhu ngemininingwane ethe xaxa, akunjalo?

Ngakho-ke ngubani lo 'Dokotela Wemithambo'?

Kulula kakhulu. 'Udokotela Wemithambo' udokotela onakekela futhi elapha uhlelo lwakho lwemithambo yegazi , okungukuthi, imithambo yegazi yakho. Uhlelo lwakho lwemithambo yegazi lunezingxenye ezintathu eziyinhloko. Lezi yizi:

• Imithambo yegazi: Lena yimithambo yegazi ethwala igazi elinomoya-mpilo futhi elicebile ngezakhamzimba lisuka enhliziyweni yakho liye kuzo zonke izicubu namaseli emzimbeni wakho. Ifana nohlelo oluyinhloko lokuphakelwa kwamanzi edolobheni.
• Imithambo: Ngemva kokuba amangqamuzana akho esethole izakhamzimba nomoya-mpilo azidingayo, le mithambo ithwala imfucuza esele, ikakhulukazi i-carbon dioxide, iyibuyisele enhliziyweni. Njengesistimu yendle eqoqa amanzi asetshenzisiwe.
• Ama-capillary: Lawa yimithambo yegazi emincane kakhulu. Lawa axhumanisa imithambo yegazi nemithambo yegazi. Afana namapayipi amancane asabalalisa amanzi esuka emapayipini amakhulu aye emakhaya.

Ngakho-ke, ukugcina lonke lolu hlelo luphilile kubalulekile empilweni yethu. Udokotela wemithambo yegazi angakusiza ukuphatha imiphumela yesikhathi eside yalolu hlelo. Bangaphinde baphathe futhi basebenzisane nabanye odokotela bakho uma unenkinga ethile.

Cabanga nje, lokhu kusakazeka emizimbeni yethu yonke. Uhlelo lokujikeleza kwegazi lufana nenethiwekhi yemigwaqo edlula ezweni. Uma leyo migwaqo isesimweni esihle, konke kuzohamba kahle. Futhi kunjalo nangemithambo yegazi!

Yini ngempela eyenziwa 'nguDokotela Wemithambo'?

Udokotela wemithambo yegazi ugxile kakhulu ekuvimbeleni, ekuxilongeni, nasekwelapheni izifo zemithambo yegazi yakho, okuyimithambo yegazi nemithambo yegazi. Njengoba sishilo ngaphambili, wonke amaseli nezicubu emzimbeni wethu zidinga ukuhlinzekwa njalo komoya-mpilo nezakhamzimba. Ngakho-ke, imithambo yegazi enempilo ibaluleke kakhulu.

Ubuwazi ukuthi emazweni anjengeMelika, laba 'oDokotela beMithambo' basiza ngezifo eziningana ezivamile kubantu, futhi ngezinye izikhathi ezingaba yingozi? Nazi izibonelo ezimbalwa:

• Isifo semithambo yegazi engaphandle (`(Isifo Semithambo Engasogwini (i-PAD): Lesi yisimo lapho imithambo yegazi ethwala igazi iye emalungeni incipha noma ivaleke khona. Abantu baseMelika ababalelwa ezigidini ezingu-8.5 banalesi sifo!
• Ukuqhekeka Kwemithambo Yegazi Noma Ukuqhekeka Kwemithambo Yegazi: Lokhu kwenzeka lapho i-aorta, umthambo omkhulu kunayo yonke emzimbeni wethu, iba buthakathaka futhi ivuvukale (i-aneurysm) noma idabuke odongeni lwayo (i-dissection). Lokhu kuyingozi kakhulu. Ngo-2019 kuphela, abantu ababalelwa ku-10,000 e-United States bafa ngenxa yalokhu.
• Isifo sohlangothi: Lesi simo senzeka lapho umthambo wegazi ohambisa igazi ebuchosheni uvalekile noma uqhuma. Kulinganiselwa ukuthi abantu abangaba ngu-800,000 e-United States bahlushwa isifo sohlangothi minyaka yonke.

Laba odokotela abangochwepheshe bakhona ukuze belaphe izimo ezibucayi njengalezi.

Yiziphi izindlela zokwelapha ezitholakala ku-'Dokotela Wemithambo Yegazi'?

Ukwelashwa udokotela wemithambo yegazi azokunikeza kuncike esimweni sakho. Ngokuvamile bazokunikeza lokhu kwelashwa okulandelayo:

• Izinguquko zendlela yokuphila: Iseluleko sokuthi kufanele uvivinye umzimba kangakanani nokuthi yini okufanele uyidle. Ngezinye izikhathi izinguquko ezincane zingenza umehluko omkhulu.
• Imithi: Imithi ingase inikezwe ukwehlisa umfutho wegazi , amazinga e-cholesterol, noma ukuvimbela ukuqhekeka kwegazi.
• Izinqubo Zokwelapha: Kunezinqubo ezahlukene zokwelapha ezingasiza ekuthuthukiseni ukujikeleza kwegazi lakho. Ezinye zazo zilula kakhulu futhi azibandakanyi ukuhlinzwa okukhulu.
• Ukuhlinzwa: Laba odokotela bangenza nokuhlinzwa okukhulu ukuvimbela isifo sohlangothi noma ukuvimba i-aortic aneurysm ukuthi ingaqhekeki.

Kufanele ubonane nini nodokotela wemithambo yegazi?

Uma unezici ezilandelayo eziyingozi, kungenzeka kakhulu ukuthi ube nesifo semithambo yegazi, ngakho-ke kuwumqondo omuhle ukubona udokotela wemithambo yegazi:

• Uma unesifo sikashukela (`(Diabetes Mellitus)`) .
• Uma une -high blood pressure .
• Uma usebenzisa imikhiqizo kagwayi (njengogwayi, i-beedis) .

Futhi, kuwukuhlakanipha ukubona udokotela wemithambo yegazi uma unezinye zalezi zimpawu:

• Uma uzwa ubuhlungu esifubeni ngenkathi uzivocavoca.
• Uma unezinhlungu , izinhlungu, noma ukuvuvukala emilenzeni yakho (ikakhulukazi uma uhamba).

Njengoba nje uma kukhona ukuvaleka endaweni ethile ohlelweni lwamanzi lwekhaya lakho, ukutholakala kwamanzi kuzoma, kwenzeka okufanayo uma kunenkinga ngemithambo yegazi yethu. Ngakho-ke, kubaluleke kakhulu ukuqaphela izimpawu ezinjalo.

Ngezinye izikhathi, uma usesibhedlela, udokotela wemithambo yegazi angase eze ukuzokusiza ngenxa yenkinga yemithambo yegazi engelashwanga. Laba odokotela banekhono lokwenza konke kusukela ezinqubweni ezincane kakhulu, ezingangeni kakhulu kuya ekuhlinzweni okuyinkimbinkimbi kakhulu. Ngemva kwesikole sezokwelapha, udinga ukudlula eminye iminyaka emihlanu kuya kweyisikhombisa yokuqeqeshwa okukhethekile ukuze ube udokotela ohlinzayo wemithambo yegazi.

Yiziphi izimo zezokwelapha udokotela wemithambo yegazi azelapha noma asize ekuzivimbeleni?

Odokotela Bemithambo Yegazi baphatha izinkinga eziningi, okuhlanganisa:

• I-Aneurysm (njengeqhubu) odongeni lomthambo
• Ukuvuvukala kwemithambo yegazi - ` (Vasculitis)`
• Ukuqongelela kwamafutha (i-cholesterol) emithanjeni yegazi - `(I-Atherosclerosis)` (Lokhu kuvame ukuba yimbangela yokuvaleka kwemithambo yegazi)
• Ihlule legazi emthanjeni emlenzeni - ` (Deep Vein Thrombosis - DVT)`
• Ukuncipha noma ukuvaleka kwemithambo yegazi emilenzeni - ` (Isifo Semithambo Engasogwini - I-PAD)`
• I-Pulmonary Embolism (lokhu kungaba umphumela oyingozi we-DVT)
• Ukuncishiswa kwemithambo yegazi ezandleni nasezinyaweni ngenxa yomkhuhlane - ` (Isifo sikaRaynaud)` (Cishe uke wabona iminwe yabanye abantu iphenduka ibe luhlaza okwesibhakabhaka emakhazeni, akunjalo? Lokho kungaba ngenxa yalokhu)
• Ukuvaleka noma ukuncipha kwemithambo yegazi ehambisa igazi enhliziyweni - `(Isifo Semithambo Yenhliziyo)` (Lesi yisona sizathu esiyinhloko sokuhlaselwa yinhliziyo)
• Imithambo ye-Varicose
• Ukuvaleka noma ukuncishiswa komthambo (entanyeni) ohlinzeka ngegazi ebuchosheni - `(Isifo Semithambo Ye-Carotid)` (Lokhu kuyimbangela yokukhubazeka)
• Ukuphazamiseka okungazelelwe kokugeleza kwegazi ebuchosheni - `(Stroke)`
• Ukulungiselela umthambo wegazi ukuze uhlanzwe nge-dialysis ngemva kokwehluleka kwezinso.
• Ukudabuka kwengqimba yangaphakathi ye-aorta (i-aorta) - (Ukuhlukaniswa kwe-Aorta)

Bheka ukuthi zingaki izinto laba odokotela abasiza ngazo!

Yiziphi izivivinyo ezenziwa udokotela wemithambo yegazi?

Udokotela wemithambo yegazi angase acele ukuhlolwa okufana nalokhu ukuhlola impilo yemithambo yegazi yakho:

• I-Catheter Angiogram: Ipayipi elincane lidlula emthanjeni wegazi bese kuthathwa i-X-ray kusetshenziswa udayi okhethekile.
• I-CT Angiogram (`(I-Computed Tomography Angiogram - I-CT Angiogram)`): Umshini wokuskena we-CT usetshenziselwa ukuthatha izithombe ezinemininingwane zemithambo yegazi.
• I-M.R. Angiogram (`(I-Magnetic Resonance Angiogram - I-MR Angiogram)`):Iskena se-MRI sisetshenziselwa ukuthatha izithombe zemithambo yegazi.
• I-Vascular Ultrasound: Lokhu ukuhlolwa okulula, okungenabuhlungu okusebenzisa amaza omsindo ukubheka ukugeleza kwegazi emithanjeni yegazi.
• I-Venogram: Ukuhlolwa kwe-X-ray ukuze kubhekwe ukugeleza kwegazi emithanjeni.
• I-Ankle-Brachial Index (ABI): Ilinganisa umfutho wegazi emlenzeni nasengalweni ukuze ithole ukuthi igazi lijikeleza kanjani emilenzeni.

Lezi zivivinyo yizo ezizosiza udokotela ukuthola ukuthi inkinga yakho iyini ngempela.

Ingabe 'uDokotela weMithambo' kanye 'noDokotela wenhliziyo' bangumuntu ofanayo?

Yebo, laba ababili bayafana. 'Udokotela wenhliziyo' udokotela ogxile enhliziyweni. Welapha izifo ezihlobene nenhliziyo.

Udokotela wemithambo yegazi welapha imithambo yegazi emzimbeni wonke. Lokhu kufaka phakathi imithambo yegazi emikhulu njenge-aorta. Kodwa-ke, udokotela wemithambo yegazi akelaphi inhliziyo ngokwayo ngokuqondile.

Kodwa-ke, ngezinye izikhathi zombili lezi zingahlanganiswa ukuze zelaphe, ngoba inhliziyo nemithambo yegazi kuyizinhlelo ezimbili ezixhumene kakhulu.

Ingabe udinga i-referral ukuze ubone udokotela wemithambo yegazi?

Lokhu kungahluka kuye ngohlelo lwakho lomshwalense. Ngezinye izikhathi ungadinga ukudluliselwa kudokotela womndeni wakho (uMhlinzeki Wokunakekelwa Okuyinhloko) ukuze ubone udokotela wemithambo yegazi. Uma unezimpawu zesifo semithambo yegazi, udokotela womndeni wakho angakudlulisela kudokotela wemithambo yegazi.

Yini ongayilindela uma uvakashela udokotela wemithambo yegazi?

Uma uya kudokotela wemithambo yegazi, uzoqala ngokukuhlola ngokomzimba. Ngemuva kwalokho uzokhuluma nawe ngezimpawu zakho. Ungakhohlwa ukutshela udokotela konke okucabangayo, konke okubonakala kuhlobene nalokhu.

Ngaphezu kwalokho, udokotela uzobuza imibuzo mayelana nomlando wakho wezokwelapha wangaphambilini kanye nomlando womndeni, njengoba ezinye izinkinga zemithambo yegazi zingase zivele emindenini.

Udokotela wakho angase akucele ukuhlolwa kwegazi noma okunye ukuhlolwa kwezithombe ukuze kutholakale ukuthi yini ngempela engalungile ngawe. Imiphumela yalezi zivivinyo izosiza ekutholeni ukwelashwa okungcono kakhulu kwesimo sakho.

Khumbula, ungesabi lutho uma uya kudokotela. Buza yonke imibuzo onayo engqondweni. Udokotela ukhona ukuzokusiza.

Odokotela bemithambo yegazi basebenza kuphi?

Odokotela Bemithambo Yegazi basebenza ezibhedlela nasemahhovisi okusebenza azimele, kanye nasezikhungweni zezempilo ezigxile emkhakheni owodwa wezokwelapha ngemithambo yegazi, njengezifo zemithambo yegazi.

Ekugcineni, khumbula lokhu.

Udokotela wemithambo yegazi udokotela ogxile ekwelapheni imithambo yegazi yakho, noma imithambo yegazi. Bangasiza ngezinkinga ezahlukahlukene ezithinta imithambo yegazi yakho. Udokotela womndeni wakho angancoma udokotela wemithambo yegazi ongakusiza ngenkinga yakho ethile.

Into ebaluleke kakhulu ukulandela imiyalelo kadokotela wakho wemithambo yegazi kanye nohlelo lokwelashwa ngqo. Yilapho-ke kuphela lapho uzokwazi ukuthola ukululama okungcono kakhulu. Njengoba ezinye izinkinga zemithambo yegazi zingahlala isikhathi eside, udokotela wakho wemithambo yegazi angaba ngumhlinzeki wakho wezempilo wesikhathi eside. Ngakho-ke, kubaluleke kakhulu ukugcina ubuhlobo obuhle naye.

Ngakho-ke, uma wena noma othile omaziyo enale nkinga, ungesabi ukubonana nodokotela wemithambo yegazi. Kuzoba utshalomali olukhulu empilweni yakho!

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