Ingabe imilenze yakho ivuvukele futhi imithambo yakho inamafindo? Lokhu kungaba yi-Chronic Venous Insufficiency (CVI)

Ingabe nawe unemilenze evuvukele kusihlwa ngemva kokuma usuku lonke? Ingabe imilenze yakho izizwa isinda futhi ibuhlungu? Mhlawumbe isikhumba semilenze yakho siphenduke saba nsundu futhi imithambo yakho iyabonakala? Nakuba ungase ucabange ukuthi lezi zinto ziwukukhathala nje, zingase zibe uphawu lwesimo sezokwelapha esidinga ukunakekelwa okuthile. Namuhla sikhuluma ngesimo esinjalo, i-Chronic Venous Insufficiency, noma i-CVI ngamafuphi.

Kalula nje, iyini i-CVI?

Cabanga ngemithambo emizimbeni yethu njengemigwaqo ehamba ngendlela eyodwa. Inselele enkulu yemithambo, ikakhulukazi leyo esemilenzeni, ukuhambisa igazi libuyele phezulu liye enhliziyweni, ngokumelene namandla adonsela phansi. Ukuze sisize ngalo msebenzi, imithambo yethu inezakhiwo ezincane ezifana nesango ngaphakathi kwayo. Kwezokwelapha, sibiza lawa ngokuthi 'ama-valve.' Lawa ma-valve avimba igazi ukuthi lingaphinde ligeleze phansi uma likhuphuka.

Ukuntuleka Kwemithambo Emikhunjini Okungalapheki (i-CVI) yisimo lapho imithambo esemilenzeni yakho yonakala khona futhi ama-valve engiwashilo angasebenzi kahle. Lokhu kubangela ukuthi igazi lihlangane emilenzeni yakho esikhundleni sokukhuphuka. Lokhu sikubiza ngokuthi i-venous reflux . Uma igazi lihlangana kanje, ingcindezi engaphakathi kwemithambo iyanda. Ngokuhamba kwesikhathi, yilokhu esikubiza ngokuthi i-CVI.

Lo monakalo ungenzeka kunoma yiluphi uhlobo lomthambo emlenzeni wakho:

• Imithambo ejulile: Lena imithambo emikhulu egijima ijule emzimbeni, phakathi kwemisipha.
• Imithambo engaphezulu: Le mithambo itholakala eduze kwesikhumba, ngaphansi nje kobuso.
• Imithambo ebhobozayo: Le mithambo ixhumanisa izinhlobo ezimbili zemithambo okukhulunywe ngayo ngenhla.

Nakuba kungase kuqale ngezimpawu ezincane, ngokuhamba kwesikhathi, i-CVI ingaphazamisa impilo yakho yansuku zonke futhi ibangele izinkinga ezinkulu.

Ingabe i-CVI kanye ne-post-thrombotic syndrome ziyinto efanayo?

Womabili amagama abhekisela enkingeni efanayo, okuwukulimala kwemithambo emilenzeni. Kodwa kunomehluko omncane. I-Post-thrombotic syndrome yisimo se-CVI esibangelwa ukugoba kwegazi emthanjeni ojulile emlenzeni (Deep Vein Thrombosis - DVT). Ngemva kokuphuma kwe-clot, kushiywa isibazi esincane odongeni lwemithambo lapho sasikhona, okungalimaza i-valve. I-Post-thrombotic syndrome cishe ingenzeka kubantu abangu-20% kuya ku-50% abaye baba ne-DVT phakathi nonyaka noma emibili.

I-CVI ivame kangakanani futhi ithinta kanjani umzimba wami?

Isifo semithambo yegazi empeleni sivame kakhulu. Isibonelo, cishe oyedwa kwabathathu abadala unemithambo yegazi ephukile . Kulaba bantu, cishe oyedwa kwabangu-50 uzoba ne-CVI njalo ngonyaka.

I-CVI ivame ukuthinta abantu abangaphezu kweminyaka engu-50. Ingozi iyanda njengoba iminyaka ikhula. Sekukonke, cishe umuntu omdala oyedwa kwabangu-20 une-CVI.

Uma ukugeleza kwegazi emilenzeni kuvinjiwe ngenxa ye-CVI, ingcindezi engaphakathi kwemithambo iyanda kakhulu. Uma ingelashwa, le ngcindezi ephezulu ingabangela ukuba imithambo yegazi emincane (ama-capillaries) emzimbeni wethu iqhume. Isikhumba kuleyo ndawo siphenduka umbala obomvu onsundu . Futhi, isikhumba singalimala kalula ngisho noma kukhona ukuklwebheka okuncane kakhulu.

Le mithambo yegazi ephukile ingabangela:

• Ukuvuvukala kwezicubu kuleyo ndawo
• Umonakalo wezicubu
• Izilonda zemithambo yegazi ezihlala zingasebenzi (lezi amanxeba akheka ebusweni besikhumba futhi azipholi kalula)

Lezi zinhlobo zezilonda azipholi kalula, futhi zingatheleleka ngamagciwane. Uma lokhu kutheleleka kusakazekela ezicutshini ezizungezile, sikubiza ngokuthi i-cellulitis . Lokhu kungaba yisimo esiyingozi uma kungelashwa ngokushesha.

Ziyini izimpawu ze-CVI?

Akudingeki ube nazo zonke lezi zimpawu ngesikhathi esisodwa. Ungase ube nesinye noma ezimbili kuphela. Lezi zimpawu zincike ekutheni isimo sakho sithuthuke kangakanani.

Yiziphi izigaba ze-CVI?

Odokotela bahlukanisa izifo zemithambo yegazi ngezigaba 0 kuya ku-6. I-CVI ingenye yalezi. Udokotela wakho uzonquma isigaba ngokusekelwe kulokho akubonayo lapho ekuxilonga.

• Isigaba 0: Azikho izimpawu ezibonakalayo, kodwa ungase ube nezimpawu ezifana nobuhlungu emilenzeni kanye nokukhathala.
• Isigaba 1: Kuvela imithambo yesicabucabu.
• Isigaba sesi-2: Ukubonakala kwemithambo evuvukele engaphezu kuka-3 mm ububanzi.
• Isigaba sesi-3: Kukhona ukuvuvukala (i-edema) emilenzeni, kodwa akukho shintsho lwesikhumba.
• Isigaba 4: Izinguquko kumbala wesikhumba kanye nokuthungwa (isib., ukuba nsundu) ziyaqala.
• Isigaba 5: Isilonda sesivele sakhekile futhi isilonda sesivele sakhekile ngemva kokuba sipholile.
• Isigaba 6: Ukuba khona kwesilonda esisebenzayo, esingapholi.

Yiziphi izimbangela eziyinhloko ze-CVI?

Njengoba ngishilo ngaphambili, imbangela eyinhloko ye-CVI ukuthi ama-valve asemithanjeni emilenzeni angasebenzi kahle. Kunezizathu eziningana zokuthi kungani la ma-valve engonakala.

• Izimbangela zokuzalwa:Abanye abantu bangazalwa bengenazo noma benama-valve abuthakathaka emithanjeni yabo.
• Izimbangela eziyinhloko: Ngaphandle kwesizathu esithile, izindonga zemithambo ziba buthakathaka, imithambo ivuleke, futhi amavalvu angase angavaleki kahle.
• Izimbangela zesibili: Ukulimala kwemithambo yegazi ngenxa yesinye isimo sezokwelapha. Imbangela eyinhloko nevame kakhulu yalokhu yi- deep vein thrombosis (DVT) . Ihlule legazi lilimaza ama-valve.

Udokotela uhlonza kanjani lokhu?

Uma uya kudokotela, into yokuqala ayenzayo ukuhlola imilenze yakho ngokucophelela. Ubheka izinto ezifana nokuvuvukala, izinguquko kumbala wesikhumba, kanye namanxeba.

Ngemuva kwalokho, kwenziwa ukuhlolwa kwe-Vascular Ultrasound ukuze kutholakale lesi sifo ngokunembile. Lokhu kusebenzisa amaza omsindo ukudala isithombe semithambo yakho esikrinini sekhompyutha. Lokhu kungakusiza ukuthi ubone ukuthi yimiphi imithambo eyonakele nokuthi kuphi. Lokhu ukuhlolwa okulula nokungenabuhlungu.

Yiziphi izindlela zokwelapha i-CVI?

Kunemigomo embalwa eyinhloko yokwelashwa kwe-CVI:

• Ukuthuthukisa ukujikeleza kwegazi emilenzeni.
• Ukusiza amanxeba ukuba aphulukise futhi kuvimbele ukuphinda avele.
• Ukuthuthukisa ukubukeka kwesikhumba.
• Ukunciphisa ubuhlungu nokuvuvukala.

Izindlela zokwelapha zingahlukaniswa zibe izingxenye eziningana eziyinhloko.

1. Izinguquko Zendlela Yokuphila

Lesi yisinyathelo sokuqala nesibaluleke kakhulu ekwelashweni.

• Ukuphakamisa imilenze yakho: Phakamisa imilenze yakho ngaphezu kwenhliziyo yakho cishe imizuzu engama-30, cishe kathathu ngosuku. Lokhu kuzonciphisa ukucindezeleka emithanjeni yakho.
• Ukuzivocavoca: Ukuhamba kuhle kakhulu. Uma uhamba, imisipha yethole iyasiza ekupompeni igazi emithanjeni. Lokhu kubizwa nangokuthi "inhliziyo yesibili."
• Ukulawula isisindo: Njengoba isisindo somzimba wakho sanda, ingcindezi eyengeziwe ibekwa emithanjeni yakho. Kubaluleke kakhulu ukugcina isisindo esinempilo sobude bakho.

2. Ukwelashwa Kokucindezela

Lena yingxenye ebaluleke kakhulu yokwelashwa kwe-CVI. Kuhilela ukugqoka amasokisi aqinile aklanyelwe ngokukhethekile (amasokisi okucindezela). La masokisi afaka ingcindezi ngaphandle kwemilenze, esiza ekunciphiseni ukuhlangana kwegazi nokulihambisa phezulu.

3. Imithi

• Ama-antibiotic: Uma izilonda zesikhumba zingenwa amagciwane, zinikezwa ukuze zelaphe.
• Ama-anticoagulant:Lokhu kuyanconywa uma unesifo esifana ne-DVT noma usengozini.
• Isihlangu se-Unna: Lesi yibhandeji elikhethekile elinejeli yokwelapha elifakwe kulo. Lisiza amanxeba ukuba aphole ngenkathi futhi linikeza ingcindezi emlenzeni.

4. Ukwelashwa nokuhlinzwa okungeyona eyokuhlinzwa

Uma izinguquko zendlela yokuphila kanye nokwelashwa ngokucindezela kungalawuli lesi simo, udokotela angase acabangele ezinye izindlela zokwelapha.

I-CVI ingavinjelwa kanjani?

Ngezinye izikhathi lesi simo asikwazi ukuvinjelwa ngokuphelele. Kodwa kunezinto ezithile ongazenza ukuze unciphise ingozi:

• Gwema ukubhema.
• Ungahlali endaweni efanayo (uma noma uhleli) isikhathi eside. Shintsha izikhundla njalo bese uhambahamba kancane.
• Gcina isisindo esinempilo.
• Vivinya umzimba njalo.
• Nciphisa ukudla usawoti bese udla ukudla okunempilo kwenhliziyo.

Kufanele ubonane nini nodokotela?

Uma unezimpawu ze-CVI noma izinto eziyingozi, qiniseka ukuthi ubona udokotela. Ikakhulukazi,

• Uma izimpawu zakho zintsha noma zimbi kakhulu.
• Uma amasokisi okucindezela anikezwe wona engakufaneli kahle (akufanele abe nemibimbi, njengoba lokhu kungavimbela kakhulu ukuhamba kwegazi).

Izinkinga zemithambo yegazi ngezinye izikhathi aziyona nje inkinga yobuhle. I-CVI yisifo esiqhubekayo esingathinta ikhwalithi yempilo yakho. Ngakho-ke, ngokuthola iseluleko sezokwelapha esifanele nokulandela ukwelashwa ngqo, ungasilawula kahle lesi simo futhi uphile impilo ekhululekile.