Ingabe uyabhema? Noma ingabe usebenzisa ugwayi? Ingabe uvame ukuzwa ubuhlungu kanye nokungazweli ezithebeni zeminwe yakho, izinzwane, kanye nezinzwane? Ingabe iminwe yakho ngezinye izikhathi iba luhlaza okwesibhakabhaka noma ibe mhlophe? Ungazinaki lezi zinto. Lokhu kungaba ukuqala kwesimo esibi esibizwa ngokuthi 'isifo sikaBuerger', esiyingqayizivele kubantu ababhemayo. Namuhla, sizoxoxa ngalokhu ngendlela elula ongayiqonda.
Iyini ngempela i-Buerger's Disease?
Kalula nje, isifo sikaBuerger siyisifo esingavamile esithinta imithambo yegazi (imithambo yegazi) ezingalweni nasemilenzeni yakho. Imithambo yegazi emincane nephakathi nendawo eholela ezinzwaneni zakho yiyo ethinteka kakhulu.
Kukhona elinye igama lezokwelapha lalokhu, elithi `(Thromboangiitis Obliterans)` . Leli gama libonakala liyinkimbinkimbi kancane, akunjalo? Masiliqonde kalula.
- 'I-Thrombo' isho ihlule legazi.
- I-'Angiitis' ibhekisela ekuvuvukeni, noma ekuvuvukeni, kwemithambo yegazi.
- 'Ama-Obliterans' asho into evinjiwe, ingabi khona nhlobo.
Ngakho-ke, kafushane nje, lesi yisifo lapho imithambo yegazi ivuvukala khona, kwakheke amahlule egazi ngaphakathi kuyo, futhi ukugeleza kwegazi kuvaleke ngokuphelele .
Cabanga ngepayipi lamanzi elivalekile ngokugqwala nokungcola. Yilokho okwenzeka emithanjeni yethu yegazi kulesi sifo. Lapho ukugeleza kwegazi emithanjeni yegazi kuphazamiseka, izicubu ezikude njengeminwe azitholi umoya-mpilo nezakhamzimba ezizidingayo. Lokhu kubangela ubuhlungu obukhulu ekuqaleni, bese izicubu ziqala ukufa.
Lesi sifo sivame kakhulu emazweni afana neSri Lanka lapho ukusetshenziswa kukagwayi kuphezulu khona. Kodwa-ke, izindaba ezinhle ukuthi njengoba inani lababhemayo lincipha, inani lamacala alesi sifo nalo lehle kakhulu.
Ziyini izimpawu zalesi sifo? Uzibona kanjani?
Izimpawu zesifo sikaBuerger azibonakali ngokuzumayo. Zikhula kancane kancane ngokuhamba kwesikhathi. Kunezimpawu ezibonakala kusenesikhathi, kanye nezimpawu ezibonakala njengoba isifo siqhubeka.
| Uhlobo oluyisici | Incazelo |
|---|---|
| Izimpawu zokuqala |
|
| Izimpawu ezikhula ngokuhamba kwesikhathi |
|
Into ebaluleke kakhulu ukuthi lezi zimpawu zivame ukuqala ezinzwaneni bese zisakazeka kancane kancane phezulu, okungukuthi, ezingalweni nasemilenzeni.
Kungani lesi sifo senzeka? Ubani osengozini enkulu?
Ososayensi abakayazi imbangela eqondile yesifo sikaBuerger, kodwa isixhumanisi esinamandla nesicacile esitholakale kuze kube manje ukusetshenziswa kukagwayi .
Ososayensi bakholelwa ukuthi ikhemikhali egwayi ilimaza ulwelwesi lwemithambo yegazi futhi ibangele ukuvuvukala. Lokhu kubangela ukuthi imithambo yegazi ivuvuke futhi ivalwe amahlule egazi. Abanye ososayensi bakholelwa ukuthi lokhu kungaba umphumela wezakhi zofuzo noma isifo sokuzivikela komzimba.
Kunezici eziningana ezandisa ingozi yalesi sifo:
- Ukusetshenziswa kukagwayi: Ukubhema noma yini efana nogwayi, ama-beedis, ugwayi ohlafunwayo kuyisici esiyinhloko esiyingozi. Ukusetshenziswa kwensangu nakho kungase kuhileleke.
- Ukuzenzela ugwayi wakho: Abantu abasebenzisa ugwayi wakho basengozini enkulu.
- Ubulili: Amadoda anamathuba amaningi okuthola lesi sifo kunabesifazane.
- Ubudala:Lesi sifo sivame ukwenzeka kubantu abasebasha nasebekhulile abaneminyaka ephakathi kuka-20 no-45.
Yiziphi izinkinga ezingaba khona ngenxa yesifo sikaBuerger?
Uma lesi sifo singalawulwa kahle, okungukuthi, uma ukusetshenziswa kukagwayi kuqhubeka, kungavela izinkinga ezinkulu. Kodwa-ke, lezi azivamile ukubonwa ezimweni eziningi.
- Ukunqunywa kwezicubu: Lena inkinga evame kakhulu. Uma kwenzeka i-gangrene, izicubu ezifile kumele zisuswe ngokuhlinzwa. Ngaphandle kwalokho, ukutheleleka kungasakazeka emzimbeni wonke.
- Isifo sohlangothi
- Isifo senhliziyo
- Ukuhlaselwa kwe-ischemic okwesikhashana
- Izinkinga ngemithambo yegazi emathunjini.
- Izinkinga ezihlobene nohlelo lwezinzwa.
Udokotela uhlonza kanjani lokhu?
Uma unalezi zimpawu, kufanele nakanjani ubonane nodokotela. Uzokubuza imibuzo, akuhlole, bese ezama ukuthola ukuthi lesi yisifo yini.
Lokhu okulandelayo kuvame ukuba wusizo ekuxilongeni:
1. Umlando wakho wezokwelapha: Uzobuzwa ngezinto ezifana nokuthi uyabhema yini, ukuthi usubheme isikhathi esingakanani, nokuthi ubhema ugwayi ongakanani ngosuku.
2. Ukuhlolwa komzimba: Ukushaya kwenhliziyo yakho kuzohlolwa. Esifweni sikaBuerger, ukushaya kwenhliziyo okukude (isib. emilenzeni nasezingalweni) kungase kube buthakathaka.
3. Ukuhlolwa okukhethekile kwemithambo yegazi:
- I-Ultrasound Scan: Lokhu kungahlola amahlule egazi ngaphakathi kwemithambo yegazi.
- I-Ankle-Brachial Index (ABI): Lokhu kulinganisa umfutho wegazi emlenzeni wakho nasengalweni yakho bese kuqhathanisa amanani amabili. Uma umfutho wegazi emlenzeni wakho uphansi kakhulu kunasengalweni yakho, kusho ukuthi kunokugeleza kwegazi okuncane emlenzeni wakho.
- I-Angiogram: Lesi isivivinyo esingcono kakhulu sokubheka ukuvaleka kwemithambo yegazi yakho. Kulokhu, kufakwa idayi ekhethekile komunye wemithambo yegazi yakho bese kwenziwa i-X-ray noma i-CT/MRI scan. Lokhu kuvumela udokotela ukuthi abone ngokucacile ukuthi ukuvaleka kuphi nokuthi kungakanani.
Yikuphi ukwelashwa okungcono kakhulu kwalokhu?
Khumbula lokhu. Akukho ukwelashwa kwesifo sikaBuerger okwamanje. Kodwa indlela engcono kakhulu newukuphela kwayo yokuvimba lesi sifo ukuthi singabi sibi kakhulu nokulawula izimpawu ukuyeka ngokushesha nangokuphelele konke ukusetshenziswa kukagwayi kanye ne-nicotine, okuhlanganisa nokubhema.
Lena yindlela eyinhloko neyokuqala yokwelapha lesi sifo. Ngisho noma ubhema ugwayi owodwa ngosuku noma ugqoka i-nicotine patch, lesi sifo ngeke silulame, sizoba sibi kakhulu.
Iziguli eziningi zithola ukuthuthuka okukhulu ezimpawini zazo lapho ziyeka ukubhema. Ezinye zize ziphumule.
Ngaphezu kokuyeka ukubhema, udokotela wakho angase ancome nezinye izindlela zokwelapha ezizosiza ukulawula izimpawu zakho.
| Indlela yokwelapha | Incazelo |
|---|---|
| Imithi |
|
| Ezinye izindlela zokwelapha |
|
Yini okufanele ngiyiqaphele ngenkathi ngiphila nalesi sifo?
Uma unesifo sikaBuerger, kuzodingeka wenze izinguquko ezincane endleleni yakho yokuphila.
- Gwema ugwayi ngokuphelele: Lena yinto ebaluleke kakhulu. Ama-Nicotine patches kanye nensangu nakho kuyizinketho ezinhle. Uma udinga usizo lokuyeka ukubhema, khuluma nodokotela wakho ngakho.
- Zivikele emakhazeni:Isimo sezulu esibandayo singabangela ukuthi imithambo yegazi inciphe kakhulu, ngakho-ke gqoka amasokisi afudumele namagilavu ngezinsuku ezibandayo.
- Vimbela ukulimala ezandleni nasezinyaweni zakho: Ngisho nokulimala okuncane kungathatha isikhathi eside ukuphola, ngakho-ke qaphela lapho ugqoka izicathulo futhi usebenza.
- Sebenzisa umuthi njengoba nje udokotela emyalile.
- Qaphela lapho uthatha eminye imithi: Eminye imithi (isib. eminye imithi yomkhuhlane) ingavimba imithambo yegazi. Ngakho buza udokotela wakho ngaphambi kokuthatha noma yimuphi umuthi.
Khumbula, cishe abantu abangu-50% abaqhubeka nokubhema, noma oyedwa kwababili, ekugcineni kuzodingeka bahlinzwe ngomunwe noma ngezinzwane (banqunywe izicubu). Kodwa ngokumangalisayo, abantu abayeka ukubhema abavamile ukuhlinzwa okunjalo.
Kufanele ngimbone nini udokotela?
Uma unezinye zezimpawu ezishiwo kulesi sihloko, ikakhulukazi uma ubhema, bona udokotela ngokushesha. Uma izimpawu zakho ziba zimbi kakhulu noma kuvela izimpawu ezintsha, yazisa udokotela wakho.
Kufanele ngiye nini eMnyangweni Wezimo Eziphuthumayo (i-ETU)?
Uma uzwa izimpawu zokuhlaselwa yisifo sohlangothi noma ukuhlaselwa yinhliziyo (isib. ubuhlungu besifuba obungazelelwe, ubunzima bokukhuluma, ukulahlekelwa umuzwa ohlangothini olulodwa lomzimba), iya emnyangweni wezimo eziphuthumayo wesibhedlela (ETU) ngokushesha. Futhi, uma inxeba eminweni yakho libangela ubuhlungu obukhulu, ukuvuvukala, noma iphunga elibi, kungaba uphawu lokutheleleka okukhulu. Ezimweni ezinjalo, funa iseluleko sezokwelapha ngokushesha.
Umlayezo Wokuya Nawe Ekhaya
- Isifo sikaBuerger yisifo semithambo yegazi esihlobene kakhulu nokusetshenziswa kukagwayi.
- Ukwelashwa okungcono kakhulu nokuhamba phambili kwalesi sifo ukuyeka ngokuphelele yonke imikhiqizo kagwayi ne-nicotine, okuhlanganisa ugwayi, ama-bidis, ugwayi ohlafunwayo, kanye nama-nicotine patches.
- Uma ubhema, ungathathi kalula izimpawu ezinjengobuhlungu, ukungazweli, ukushintsha kombala, kanye namanxeba angapholi ezithweni zakho, ikakhulukazi ezandleni zakho.
- Uma uxilonga lesi sifo kusenesikhathi futhi uyeka ukubhema, ungagwema cishe ngokuphelele izinkinga ezinkulu njengokunqunywa kwesikhumba.
- Uma unokungabaza ngalokhu noma udinga ukwesekwa ekuyekeni ukubhema, khuluma nodokotela wakho ngokukhululekile.
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