Wake wahlanza igazi ngokuzumayo? Noma ingabe indle yakho yaphenduka yaba mnyama kakhulu futhi yanamathela? Lezi izinto ezesabekayo nezikhathazayo, akunjalo? Kodwa lezi yizimpawu eziyinhloko zesimo esiyingozi esikhuluma ngaso namuhla esibizwa ngokuthi 'i-Bleeding Varices'. Lokhu akuyona into okufanele ithathwe kalula, njengoba ingaba yingozi ngisho nokuphila. Ngakho-ke ake sithole okwengeziwe ngalokhu namuhla.
Kalula nje, yini 'i-varices'?
Imithambo yegazi evuvukele futhi ikhulisiwe emphinjeni noma esiswini sethu. Cabanga ngemilenze yabanye abantu enemithambo eluhlaza okwesibhakabhaka, egobile, akunjalo? Lokhu kuyinto efana naleyo. Kodwa lokhu kwenzeka ngaphakathi emizimbeni yethu, endleleni yokugaya ukudla.
Le mithambo evuvukile, noma imithambo evuvukile, ngokuvamile ayibonisi zimpawu kuze kube yilapho iqhuma bese iqala ukopha. Abantu abaningi abazi nokuthi banazo. Kodwa inkinga iqala lapho le mithambo iqhuma, iqhuma, bese iqala ukopha. Yilapho-ke kuba yisimo esiphuthumayo sezokwelapha esingathi sína kakhulu.
Yiziphi izimpawu eziyingozi zokuphuma kwegazi emithanjeni ye-varicose?
Uma umuntu ene-Bleeding Varices, kufanele ibonakale ngokushesha. Ngoba umzuzwana ngamunye uyabaluleka. Nakisisa izimpawu ezingezansi.
| Isibonakaliso | Kusho ukuthini lokhu? |
|---|---|
| Ukuhlanza igazi | Umthambo ovuvukile uwuphawu olucacile lokuthi uqhumile. |
| Izihlalo ezimnyama, ezihlala isikhathi eside, ezinamathelayo | Igazi elidlule engxenyeni engenhla yomgudu wokugaya ukudla liyagaywa futhi likhishwe ngale ndlela. |
| Isiyezi esikhulu kanye nokuzizwa uphelelwe amandla | Ukwehla komfutho wegazi ngenxa yokulahleka kwegazi eliningi emzimbeni. |
| Ukwanda kwesilinganiso senhliziyo | Inhliziyo iqala ukusebenza ngokushesha ukuze ibuyisele ukulahleka kwegazi emzimbeni. |
| Ukushaqeka | Lesi yisimo esibi kakhulu. Ukopha ngokweqile kubangela ukuthi izitho zomzimba zingatholi igazi elanele. |
Uma unalezi zimpawu, ungahlali ekhaya umzuzwana. Yiya eMnyangweni Wezimo Eziphuthumayo wesibhedlela (ETU) ngokushesha. Uma ukopha kungalawulwa ngokushesha, umuntu angaze afe.
Ngisho noma ukuphuma kwegazi kuyeka, izinkinga ezinkulu ezifana ne-pneumonia, i-sepsis, kanye nokwehluleka kwesibindi nezinso kungenzeka.
Kungani le mithambo evuvukalayo yakheka futhi yopha igazi? Iyini imbangela eyinhloko?
Isizathu esiyinhloko salokhu yisimo esibizwa ngokuthi 'i-Portal Hypertension' . Manje bheka, umthambo wegazi oyinhloko othwala igazi lisuka ohlelweni lwethu lokugaya ukudla uliyise esibindini ubizwa ngokuthi 'i-Portal Vein'. 'I-Portal Hypertension' yilapho umfutho wegazi ngaphakathi kwalo mthambo ukhuphuka ngokweqile ngenxa yesizathu esithile.
Kulungile, kungani lokhu kucindezela kukhula?
Imbangela evame kakhulu yalokhu yi-cirrhosis yesibindi, okusho ukuthi isibindi siba nezibazi futhi sibe lukhuni njengedwala. Ngokwezokwelapha lokhu sikubiza ngokuthi 'i-Cirrhosis' .
- Kulabo abaphuza utshwala ngokweqile.
- Abantu abanezifo ezithathelwanayo zegciwane isikhathi eside njenge-Hepatitis B no-C.
- I-cirrhosis ingenzeka kwabanye abantu abanesifo sesibindi esinamafutha.
Cabanga ukuthi kwenzekani uma kunesiminyaminya sezimoto emgwaqweni omkhulu? Izimoto zizama ukuhamba ngemigwaqo eseceleni, emigwaqweni emincane yamatshe, akunjalo? Yilokho okwenzekayo nalapha. Uma kunzima ngegazi (izimoto) ukudlula esibindini (umgwaqo omkhulu), lelo gazi lizama ukudlula emithanjeni emincane, ethambile (imigwaqo eseceleni) emhubheni nasesiswini.
Le mithambo emincane ayikwazi ukusingatha igazi elingaka kanye nokucindezeleka okungaka. Umphumela uba ukuthi imithambo ivuvukala njengamabhaluni, izindonga zayo ziba zincane, futhi ekugcineni iqhume futhi yophe ngisho noma kuyisicashunwa esincane.
Yiziphi izindlela zokwelapha lesi simo esiyingozi?
Okokuqala, lapho bengeniswa esibhedlela, umgomo wokuqala wodokotela ukuvimba ukopha nokuqinisa impilo yesiguli. Lokhu kungafaka phakathi ukubaxhumanisa nomshini wokuphefumula ukuze kuvinjelwe igazi ukuthi lingangeni emaphashini, nokubanika ama-antibiotic ukuvimbela ubuthi egazini.Kufanele futhi inikezwe.
Uma ukopha sekulawulwe, kunezindlela ezahlukene zokuvimbela ukopha kabusha nokwelapha imithambo yegazi ephukile.
| Indlela yokwelapha | Kuchazwe kalula |
|---|---|
| Ukubopha | Udokotela wezifo zamathumbu usebenzisa i-endoscope ukungena emhubheni bese ebeka amabhande amancane enjoloba azungeze imithambo evuvukele. Lokhu kumisa ukugeleza kwegazi futhi kubangele ukuthi imithambo ife. |
| Ukwelashwa nge-Sclerotherapy | Esikhundleni sokufaka amabhande enjoloba, ikhambi elikhethekile elivala imithambo evuvukele lifakwa nge-endoscope. |
| AMACEBISO (i-Transjugular Intrahepatic Portosystemic Shunt) | Lena inqubo ye-radiology. I-catheter ifakwa ngomthambo osentanyeni bese kufakwa 'i-stent' (ithubhu elincane) enkabeni yesibindi. Lokhu kuxhuma umthambo we-portal ocindezelekile kakhulu nomthambo ojwayelekile, kunciphisa ukucindezeleka. |
| I-DSRS (i-Distal Splenorenal Shunt) | Lena inqubo yokuhlinzwa ehilela ukuxhuma umthambo we-spleen nomthambo wezinso zesobunxele ukuze kuncishiswe ingcindezi emithanjeni ekhuphukile futhi kulawulwe ukopha. |
| Ukufakelwa Kwesibindi | Uma isibindi singasebenzi kahle ngokuphelele futhi lesi sifo sisesigabeni sokugcina (isifo sesibindi sesigaba sokugcina), lesi yisisombululo esingcono kakhulu. |
Ingabe lesi simo singavinjelwa?
Yebo kungenzeka. Indlela engcono kakhulu yokuvimbela lokhu ukwelapha kahle imbangela eyinhloko, okuyisifo sesibindi.Uma isifo sesibindi sitholakala kusenesikhathi futhi ukwelashwa kuqala, ukuthuthukiswa kwale mithambo ye-varicose kungavinjelwa kakhulu.
- Gwema utshwala ngokuphelele. Lena yimbangela eyinhloko yesifo sokuqina kwesibindi.
- Thola ukwelashwa okufanele kwe-Hepatitis B kanye ne-C.
- Lawula isibindi esinamafutha ngokudla okunempilo kanye nokuzivocavoca.
Futhi, eminye imithi, njenge -beta-blockers yesifo senhliziyo, ingasiza ekunciphiseni ingozi yokopha ngokunciphisa ingcindezi emthanjeni we-portal. Kubalulekile ukuxoxa ngakho konke lokhu nodokotela wakho bese ulandela imiyalelo yakhe ngokucophelela.
Umlayezo Wokuya Nawe Ekhaya
- Ama-Varice ayimithambo evuvukele emphinjeni noma esiswini. Ngokuvamile awabonisi izimpawu kuze kube yilapho eqhuma futhi ephuma igazi.
- Ukuhlanza igazi nokuphuma umnyama, indle ehlala isikhathi eside yizimpawu ezimbi kakhulu. Uma ubona lokhu, hamba uye eMnyangweni Wezimo Eziphuthumayo esibhedlela (ETU) ngokushesha.
- Isizathu esiyinhloko salokhu yisimo esibizwa ngokuthi i-Portal Hypertension, esibangelwa yisifo sesibindi (ikakhulukazi i-cirrhosis).
- Ukugwema ukuphuza utshwala ngokweqile nokuthola ukwelashwa okufanele kwesifo sesibindi kunganciphisa ingozi yalesi simo.
- Uma unesifo sesibindi, hlala uthintana nodokotela wakho futhi ulandele ukwelashwa okunqunyiwe kanye nokuhlolwa kahle.
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