Ingabe imilenze yakho ihlala isinda? Ingabe ibuhlungu? Mhlawumbe lokhu kungukungakwazi kahle kwemithambo yegazi okungapheli (CVI)!

Ingabe ngezinye izikhathi uzizwa sengathi imilenze yakho isinda njengetshe? Ingabe uzizwa ubuhlungu obuningi uma umi noma uhamba? Ingabe imilenze yakho ivuvukele futhi insundu kwezinye izindawo? Lezi akuzona nje izinto ezingahleliwe. Isizathu salokhu kungaba ukuthi imithambo esemilenzeni yakho, okuyimithambo ethwala igazi elingcolile iye enhliziyweni, ayisebenzi kahle. Namuhla sikhuluma ngalesi simo, okuyi -Chronic Venous Insufficiency (CVI) . Ungakhathazeki, ake sikuqonde kalula lokhu.

Kuyini i-CVI? Kalula nje...

Ukungakwazi ukusebenza kahle kwemithambo yegazi okungapheli, noma i-CVI, yisifo semithambo yegazi emilenzeni yakho esibangelwa ukulimala kwemithambo yegazi. Cabanga ngakho, imithambo yegazi emilenzeni yethu yileyo ethwala igazi elisetshenzisiwe ilibuyisele enhliziyweni. Ngaphakathi kwale mithambo yegazi kukhona ama-valve amancane, njengeminyango. Lawa avumela igazi ukuba ligeleze ohlangothini olulodwa, okungukuthi, phezulu, liye enhliziyweni. Ku-CVI, la ma-valve ayonakala. Bese igazi liqala ukuhlangana emilenzeni esikhundleni sokugeleza phezulu kahle. Lokhu kwandisa ingcindezi ngaphakathi kwemithambo yegazi.

I-CVI ingabangelwa ukulimala kwanoma yimiphi imithambo emilenzeni yakho. Lokhu kufaka phakathi:

• Imithambo ejulile: Lena imithambo emikhulu egijima ngaphakathi emzimbeni wakho, phakathi kwemisipha yakho.
• Imithambo engaphezulu: Lena imithambo eseduze nesikhumba, ngaphansi nje kwesikhumba.
• Imithambo ebhobozayo: Lena imithambo emincane efana nebhuloho exhumanisa imithambo ejulile nengaphezulu.

Nakuba i-CVI ekuqaleni ingase ibangele izimpawu ezincane kuphela, ngokuhamba kwesikhathi lesi simo singathinta impilo yakho yansuku zonke futhi sibangele izinkinga ezinkulu.

Uyini umehluko phakathi kwe-CVI kanye ne-post-thrombotic syndrome?

Manje ungase uzibuze, ingabe le CVI noma 'i-post-thrombotic syndrome' ziyizinto ezimbili ezihlukene? Eqinisweni, zombili lezi zinto zibhekisela enkingeni efanayo yemithambo eyonakele emilenzeni. Kodwa-ke, 'i-post-thrombotic syndrome' ibhekisela ku-CVI ebangelwa ukugoba kwegazi emthanjeni ojulile (i-Deep Vein Thrombosis - DVT). 'I-Post-thrombotic' isho ngemva kokuba i-blood clot (ebizwa nangokuthi 'i-thrombus') seyakhiwe. Ngemva kokuba leli qhubu legazi seliphukile, imithambo kuleyo ndawo ingase yonakale futhi izicubu zesilonda zingase zihlale.

I-Post-thrombotic syndrome ikhula kubantu abangu-20% kuya ku-50% abane-DVT, ngokuvamile phakathi nonyaka noma emibili.

Ivame kangakanani i-CVI?

Isifo semithambo yegazi sivame kakhulu. Isibonelo, imithambo yegazi ephukile ithinta cishe umuntu oyedwa kwabathathu abadala. Unyaka ngamunye, cishe umuntu oyedwa kwabangu-50 abanemithambo yegazi ephukile uzoba ne-CVI.

I-CVI ivame ukwenzeka kaningi kubantu abaneminyaka engaphezu kwengu-50. Le ngozi iyanda njengoba iminyaka ikhula.

Sekukonke, i-CVI ithinta cishe umuntu oyedwa kubantu abadala abangu-20.

Kwenzekani emzimbeni one-CVI?

Ukungakwazi ukusebenza kahle kwemithambo yegazi okungapheli (i-CVI) kunciphisa ukugeleza kwegazi kusuka emilenzeni yakho kuya enhliziyweni yakho. Uma kungelashwa, i-CVI ingabangela ukucindezeleka ngaphakathi kwemithambo yakho yemilenze ukuthi kwande kakhulu kangangokuthi ngisho nemithambo yegazi emincane kakhulu (ama-capillaries) emzimbeni wakho ingaqhuma. Uma lokhu kwenzeka, isikhumba kuleyo ndawo siphenduka umbala obomvu onsundu, futhi singalimala kalula ngokusikeka okuncane noma ukulimala.

Lezi ziqhumane ze-capillary zingabangela lezi zinto ezilandelayo:

• Ukuvuvukala kwezicubu kuleyo ndawo.
• Ukulimala kwezicubu .
• Izilonda zemithambo yegazi ezihlala zingasebenzi . Lezi yizilonda ezakheka ebusweni besikhumba futhi ezithatha isikhathi eside ukuphola.

Lezi zilonda zemithambo yegazi azipholi kalula futhi zingatheleleka. Uma ukutheleleka kusakazekela ezicutshini ezizungezile, kubizwa ngokuthi i-cellulitis . Lokhu kungaba yingozi uma kungelashwa ngokushesha.

Ziyini izimpawu ze-CVI?

Izimpawu zokungakwazi ukusebenza kahle kwemithambo yegazi okungapheli (i-CVI) zingafaka:

• Ukuzwa ubuhlungu noma ukukhathala emilenzeni: Ukuzwa isisindo nobuhlungu emilenzeni, njengokungathi ubukhathele usuku lonke futhi awukwazi ukuyishukumisa.
• Ukusha, ukungazweli, noma ukuzwa "izikhonkwane nezinaliti" emilenzeni.
• Ukuqaqamba kwemilenze ebusuku.
• Ukushintsha kombala wesikhumba: Kuvela njengombala obomvu onsundu.
• Ukuvuvukala kwemilenze namaqakala (i-Edema): Lokhu kungabonakala ikakhulukazi ngemva kokuma isikhathi eside noma ekupheleni kosuku. Kufana nemilenze yakho evuvukala ngemva kokwehla ebhasini eligcwele abantu.
• Isikhumba esomile, esiqhekekile, noma esilumayo emilenzeni noma ezinyaweni.
• Ukuzwa ukugcwala nokusinda emilenzeni.
• Isikhumba emilenzeni sibukeka siqinile futhi sinjengesikhumba.
• Izilonda: Lezi zivame ukwenzeka emaqakaleni. Uma lezi zilonda zibuhlungu kakhulu, zingase zibe negciwane.
• Imithambo ye-Varicose: Imithambo evuvukalayo futhi ebonakala igobile ngaphezu kobuso besikhumba.

Uma une-edema enkulu endaweni yakho ye-groin, izicubu zesibazi zingakheka. Lezi zicubu zesibazi zibangela uketshezi oluqongeleleka ngaphakathi kwezicubu zakho. I-groin yakho ingaba nkulu futhi izwakale iqinile uma uyithinta. Uma lokhu kwenzeka, isikhumba sakho cishe sizophuka.

Akudingeki ube nazo zonke lezi zimpawu ngesikhathi esisodwa. Ungase ube nesinye noma ezimbili kuphela. Izimpawu zakho zizoncika ekutheni isimo sakho sithuthuke kangakanani.

Yiziphi izigaba ze-CVI?

Isifo semithambo yegazi sihlukaniswe ngezigaba 0 kuya ku-6. Igama elithi "isifo semithambo yegazi" liyigama elijwayelekile lezinkinga eziningi ezingase zenzeke emithanjeni yakho, okuhlanganisa ne-CVI. Lezi zigaba zihlukaniswa ngokusekelwe kulokho udokotela akubonayo (izimpawu zomtholampilo) lapho ehlola imilenze yakho.

Nazi izigaba zesifo semithambo yegazi:

• Isigaba 0: Azikho izimpawu ezibonakalayo, kodwa ungase ube nezimpawu ezifana nobuhlungu emilenzeni kanye nokukhathala.
• Isigaba 1: Imithambo yegazi ebonakalayo, imithambo yesicabucabu, kanye nemithambo yesicabucabu kungabonakala.
• Isigaba 2: Imithambo ye-Varicose ingaphezu kwamamilimitha amathathu ububanzi.
• Isigaba 3: Kukhona ukuvuvukala (i-edema), kodwa akukho zinguquko zesikhumba.
• Isigaba 4: Kukhona izinguquko embala wesikhumba kanye/noma ukuthungwa kwaso.
• Isigaba 5: Kukhona inxeba elipholile.
• Isigaba 6: Kukhona isilonda esisebenzayo (esingapholi).

Udokotela wakho uzokutshela ukuthi une-chronic venous insufficiency (CVI) uma usesigabeni sesi-3 noma ngaphezulu. Lokhu kusho ukuthi ukuthi une-varicose veins akusho ukuthi une-CVI. Kodwa i-varicose veins iyisibonakaliso senkinga yokugeleza kwegazi, futhi ingaba yimbi kakhulu ngokuhamba kwesikhathi. Ngakho-ke, uma ubona i-varicose vein entsha, kubalulekile ukutshela udokotela wakho ngayo.

Yiziphi izimbangela ze-CVI?

Ukungakwazi ukusebenza kahle kwemithambo yegazi (CVI) kwenzeka lapho ama-valve angaphakathi kwemithambo yakho yemilenze engasebenzi kahle. Njengoba ngishilo ekuqaleni, la ma-valve asiza ukugcina igazi ligeleza ohlangothini olulodwa (libheke enhliziyweni). Uma elinye lala ma-valve lonakele, alivaleki kahle. Amandla adonsela phansi enza kube nzima ukuthi igazi ligeleze phezulu. Esikhundleni salokho, igazi liqala ukugeleza libuyele emuva. Lokhu kubizwa ngokuthi i-venous reflux .

Izizathu zokuthi kungani ama-valve engasebenzi kahle zingaba ukuzalwa nawo, okuyinhloko, noma okwesibili.

• Izimbangela zokuzalwa: Lezi yizinkinga emithanjeni yemilenze yakho ozalwa nazo. Isibonelo, abanye abantu bazalwa bengenazo izivalo emithanjeni yemilenze yabo.
• Izimbangela eziyinhloko: Lezi yinoma yiziphi izinguquko endleleni imithambo esemilenzeni yakho esebenza ngayo ezivimbela ukusebenza kahle. Isibonelo, omunye wemithambo yakho ungase ube mkhulu kakhulu futhi ivalvu yawo ingase ingavaleki ngokuphelele.
• Izimbangela zesibili: Lezi ukulimala kwemithambo emilenzeni yakho okubangelwa ezinye izifo. I-Deep Vein Thrombosis (DVT) iyimbangela eyinhloko. Ngemva kokuba ihlule legazi (i-thrombus) liphukile, izicubu zesilonda zihlala kuleyo ndawo, zilimaze ama-valve.

Iyini imbangela eyinhloko ye-CVI?

I-deep vein thrombosis (DVT) iyimbangela eyinhloko yokungakwazi ukusebenza kahle kwemithambo yegazi isikhathi eside (CVI). Lokhu kugoba kwegazi kulimaza ama-valve emithanjeni yakho yemilenze. Abantu abanomlando we-DVT basengozini enkulu yokuthola i-CVI.

Ngingamthola kanjani udokotela we-CVI?

Ukungasebenzi kahle kwemithambo yegazi okungapheli (i-CVI) kutholakala ngokuhlolwa ngokomzimba kanye ne-ultrasound. Ngesikhathi sokuhlolwa ngokomzimba, udokotela uzokwenza okulandelayo:

• Imilenze yakho izohlolwa ngokucophelela:Udokotela uzobheka izimpawu ze-CVI, njengezilonda kanye nokushintsha kombala wesikhumba.
• I-Vascular ultrasound: Lokhu ukuhlolwa okungenabuhlungu okusebenzisa amaza omsindo ukuthatha izithombe zemithambo yakho. Lokhu kungasiza ekunqumeni ukuthi yiziphi izingxenye zemithambo yakho ezilimele.

Udokotela uzohlola nezinye izimo ezingase zibangele izimpawu zakho. Lokhu kungafaka phakathi ezinye izivivinyo, njenge-MRI.

Abantu abaningi abane-CVI nabo banesifo esibizwa ngokuthi i-Peripheral Artery Disease (PAD) . Ngakho-ke, udokotela wakho angase abuze imibuzo futhi enze izivivinyo ukuze athole ukuthi unayo yini i-PAD. Uma une-CVI kanye ne-PAD, udokotela wakho uzokweluleka ngezinketho zokwelapha kanye nezinyathelo zokuphepha okufanele uzithathe lapho usebenzisa ukwelashwa kokucindezela .

Yiziphi izindlela zokwelapha i-CVI?

Ukushintsha indlela yokuphila kanye nokwelashwa kokucindezela yizindlela zokwelapha eziyinhloko zokungasebenzi kahle kwemithambo yegazi okungapheli (i-CVI). Uma lokhu kunganele, udokotela wakho angase ancome inqubo noma ukuhlinzwa. Ukwelashwa okungcono kakhulu kuzoncika ekutheni isimo sakho sithuthuke kangakanani nokuthi yiziphi ezinye izimo zezokwelapha onazo. Udokotela wakho uzokwenza uhlelo lwakho lokwelashwa luhambisane nezidingo zakho.

Imigomo yokwelashwa yile:

• Ukusiza ukuthuthukisa ukujikeleza kwegazi emithanjeni yakho.
• Kusiza ekwelapheni amanxeba nokunciphisa ukuphinda kwawo.
• Ukuthuthukisa ukubukeka kwesikhumba sakho.
• Ukunciphisa ubuhlungu nokuvuvukala.

Izinguquko zendlela yokuphila

Ngokuvamile, odokotela batusa izinguquko zendlela yokuphila njengomugqa wokuqala wokwelashwa kwe-CVI. Lokhu kufaka phakathi:

• Ukuphakama kwemilenze: Ukuphakamisa imilenze yakho ngaphezu kwezinga lenhliziyo yakho kungasiza ekunciphiseni ingcindezi emithanjeni emilenzeni yakho. Udokotela wakho angakutshela ukuthi wenze lokhu okungenani kathathu ngosuku imizuzu engama-30 noma ngaphezulu.
• Ukuzivocavoca: Ukuhamba ngezinyawo kanye nezinye izivivinyo kungathuthukisa ukujikeleza kwegazi emithanjeni yemilenze yakho. Njalo uma uthatha isinyathelo, imisipha yakho yethole iyafinyela futhi isize imithambo ukuthi ipompe igazi libuyele enhliziyweni yakho. Le "pompo yemisipha yethole" ibizwa nangokuthi "inhliziyo yakho yesibili." Yilokho okuhambisa igazi emilenzeni yakho ngokumelene nokudonsa amandla, okubaluleke kakhulu ekujikelezeni kwegazi lakho. Ngakho-ke, ukuqinisa imisipha yakho yethole kungathuthukisa ukujikeleza kwegazi lakho. Udokotela wakho angase futhi ancome izivivinyo ezelula futhi zigobe imilenze namaqakala akho.
• Ukulawula isisindo: Ukukhuluphala ngokweqile kungacindezela imithambo yakho futhi kulimaze ama-valve akho. Buza udokotela wakho ukuthi isisindo esinempilo siyini kuwe. Sebenzisana nodokotela wakho ukuze wakhe uhlelo olunempilo nolulawulekayo lokufinyelela leso sisindo.

Ukwelashwa ngokucindezela

Odokotela bavame ukuncoma ukwelashwa kokucindezela ukuze kwelashwe i-CVI. Ukwelashwa kokucindezela kusiza ekunciphiseni ukuvuvukala nokungakhululeki emilenzeni yakho.

Kunezinhlobo ezahlukene zamasokisi okucindezela kanye namasokisi. Amanye aqinile kunezinye. Amasokisi aqinile kakhulu adinga ukunikezwa udokotela kadokotela. Amanye amasokisi "aqediwe," okusho ukuthi ayanda ekuqineni eqakaleni futhi anciphe ekuqineni njengoba unyuka umlenze. Kubalulekile ukulandela imiyalelo kadokotela wakho mayelana nokuthi hlobo luni lokucindezela oludingayo nokuthi ulusebenzise nini.

Abantu abaningi abane-CVI banenkinga yokugqoka amasokisi okucindezela isikhathi eside. Kodwa ukwelashwa kokucindezela kubaluleke kakhulu ukugcina imithambo yakho isebenza kahle futhi kunciphise izimpawu zakho. Uma unenkinga ngokwelashwa kokucindezela, khuluma nodokotela wakho. Ungadinga uhlobo oluhlukile lwesitokisi. Noma, udokotela wakho angase akwazi ukukunikeza iseluleko esingenza uhlelo lwakho lokwelashwa lube lula kancane.

Uma amasokisi engasizi, udokotela wakho angase asikisele indlela ebizwa ngokuthi i-intermittent pneumatic compression (IPC) . Amadivayisi e-IPC afana nemikhono efuthwayo oyigqoka emilenzeni yakho. Lawa asiza ukugcina igazi ligeleza emithanjeni yakho.

Abantu abanesifo semithambo yegazi engaphandle (i-PAD) kufanele baqaphele kakhulu ngokwelashwa ngokucindezela. Kuye ngokuthi i-PAD yakho ibucayi kangakanani, udokotela wakho angakutshela ukuthi ungayisebenzisi nhlobo. Landela imiyalelo kadokotela wakho ngqo.

Imithi

Imithi esetshenziswa ukwelapha i-CVI yile:

• Ama-antibiotic: Yelapha izifo zesikhumba noma amanxeba abangelwa yi-CVI. Le mithi ayilaphi isifo esiyisisekelo.
• Ama-anticoagulant (ama-blood thinner): Yelapha ama-blood clots futhi uvimbele ama-clots esikhathini esizayo.
• Ibhuthi le-Unna : Leli bhandeji liyibhandeji eliqinile elenziwe ngezingqimba eziningi zokucindezela kanye nebhandeji lesilonda eliqukethe ijeli le-zinc oxide.

Ukwelashwa ngaphandle kokuhlinzwa

Ukwelashwa kwe-CVI okungeyona ukuhlinzwa kuhlanganisa:

• Ukwelashwa nge-Sclerotherapy: Udokotela wakho ufaka i-foam noma isisombululo soketshezi emithanjeni yakho yesicabucabu noma emithanjeni ekhuphukile. Lokhu kubangela ukuthi imithambo inciphe futhi inyamalale.
• Ukususwa kokushisa okuzimele: Le ndlela ihlose imithambo emikhulu. Isebenzisa imisebe ye-laser noma amaza omsakazo aphezulu ukudala ukushisa okukhulu. Lokhu kushisa kuvala umthambo onesifo, kodwa ngenxa yokuthi utholakala emzimbeni, akukho ukuphuma kwegazi noma ukuklwebheka okuncane kakhulu.

Ukwelashwa ngokuhlinzwa

Izinketho zokuhlinzwa ze-CVI yilezi:

• Ukubopha nokususa izintambo:Lezi zinqubo ezimbili zivame ukwenziwa ndawonye. Ekuboshweni kwemithambo, udokotela usika futhi abophe imithambo enenkinga. Ukususa imithambo kuyindlela yokuhlinzwa yokususa umthambo omkhulu ngokusebenzisa izimbobo ezimbili ezincane.
• Ukususwa kwe-microincision/ambulatory phlebectomy: Lena inqubo engangenisi kakhulu. Ihlose imithambo ekhuphukile engenhla nje kwesikhumba. Udokotela wenza ukubhoboza okuncane noma ukubhoboza emithanjeni yakho ngenaliti. Ngemuva kwalokho, kusetshenziswa i-phlebectomy hook ukususa imithambo enenkinga.
• Ukuhlinzwa Kokuhlinza I-Subfascial Endoscopic Perforator (SEPS): Lokhu futhi kuyindlela encane yokungenelela. Iqondisa imithambo ebhobozayo ngaphezu kweqakala lakho. Udokotela usebenzisa i-clip ukuvala imithambo eyonakele ukuze ingophi. I-SEPS isiza amanxeba ukuthi aphole futhi iyasiza ekuvimbeleni ukuthi aphinde akheke.
• Ukuhlinzwa kwemithambo yegazi: Lokhu kufana nokuhlinzwa kwenhliziyo, kodwa kwenziwa endaweni ehlukile. Udokotela wakho uthatha umthambo ophilile kwenye ingxenye yomzimba wakho awusebenzisele ukudala indlela entsha yokuthi igazi ligeleze emthanjeni owonakele. Odokotela basebenzisa le nqubo kuphela ezimweni ezimbi kakhulu, lapho zonke ezinye izindlela zokwelapha zehlulekile.

Ubani osengozini enkulu yokuthola i-CVI?

Uma unezici eziyingozi ze-CVI, unamathuba amaningi okuthola lesi sifo kunezinye. Izici eziyingozi yilezi:

• Ukuba nomlando we-deep vein thrombosis (DVT) (lokhu kuyinto ebaluleke kakhulu).
• Imithambo ye-Varicose noma umlando womndeni wemithambo ye-varicose.
• Ukukhuluphala ngokweqile.
• Ukukhulelwa.
• Ukungawutholi umsebenzi owanele womzimba.
• Ukubhema nokusebenzisa ugwayi.
• Ukuhlala noma ukuma isikhathi eside (isib. othisha, abasizi basesitolo, onogada, njll.).
• Ukulala esihlalweni noma esihlalweni esingaphansi.
• I-May-Thurner syndrome.
• Ukuba ngowesifazane.
• Ukuba neminyaka engaphezu kwengu-50 ubudala.

Ingabe i-CVI ingavinjelwa?

Ngezinye izikhathi i-CVI ayinakuvinjelwa. Kodwa unganciphisa ingozi yakho yokuthola i-CVI nezinye izinkinga zemithambo yegazi ngokwenza izinguquko ezithile endleleni yokuphila. Lokhu kufaka phakathi:

• Gwema ukubhema nokusebenzisa ugwayi.
• Gwema ukugqoka izingubo eziqinile, okusho ukugqoka amabhande noma amabhande aqinile.
• Ungahlali noma ume isikhathi eside. Sukuma futhi uzulazule kaningi ngangokunokwenzeka.
• Yidla ukudla okunempilo kwenhliziyo. Lokhu kuhlanganisa nokunciphisa ukudla kwakho usawoti (i-sodium).
• Vivinya umzimba njalo .
• Gcina isisindo esinempilo.

Uma usune-DVT, udokotela wakho angase akunike imithi yokunciphisa igazi (ama-anticoagulant).

Kwenzekani kumuntu one-CVI?

I-CVI ngokuvamile ayisongeli impilo noma isongela impilo. Kodwa-ke, iyisifo esiqhubekayo esingabangela ukungakhululeki, ubuhlungu, kanye nokuncipha kokujabulela impilo. Ukwelashwa kungasiza ekulawuleni izimpawu zakho futhi kuthuthukise ikhwalithi yokuphila kwakho.

Izilonda zemithambo yegazi kunzima ukuzelapha futhi zingaphinde zivele ngisho noma sezelashwe. Kubaluleke kakhulu ukuya kuzo zonke izikhathi zokubonana nodokotela wakho bese ulandela imiyalelo kadokotela wakho ngqo.

Ingabe i-CVI ingalapheka ngokuphelele?

Ukwelashwa akukwazi ukuqeda umonakalo kuma-valve akho emithambo yegazi. Kodwa unganciphisa izimpawu zakho futhi uphile impilo engcono. Ezinye izinqubo kanye nokuhlinzwa kungaqondisa futhi kususe imithambo yegazi eyonakele ukuze igazi lingadluli kuyo.

Futhi, ukungasebenzi kahle kwemithambo yegazi okungapheli (i-CVI) akukwazi ukwelapheka ngokuphelele. Kodwa ungasiphatha lesi simo ngokushintsha indlela yokuphila kanye nezinye izindlela zokwelapha ezinconywe udokotela wakho.

Umuntu one-CVI uzinakekela kanjani?

Udokotela wakho uzokutshela ukuthi ungayiphatha kanjani i-CVI ekhaya. Nazi ezinye izeluleko ezijwayelekile:

• Ungami noma uhlale isikhathi eside. Emigijimweni emide yemoto noma endizeni, phakamisa futhi welule imilenze, izinyawo, namaqakala akho cishe izikhathi eziyi-10 njalo ngemizuzu engama-30. Lokhu kusiza igazi ukuthi ligeleze ngemithambo emilenzeni yakho. Uma kufanele ume isikhathi eside, thatha ikhefu njalo bese uhlala phansi imilenze yakho iphakanyisiwe.
• Hlola isikhumba sakho. Hlola isikhumba sakho njalo uma ugeza. Uma ubona noma yiziphi izinguquko, njengezilonda ezintsha, shayela udokotela wakho.
• Gcina imilenze yakho iphakeme. Uma uhleli noma ulele phansi, gcina imilenze yakho ingaphezulu kwesilinganiso senhliziyo yakho.
• Vivinya umzimba njalo . Ukuhamba kuhle kakhulu emithanjeni yemilenze yakho.
• Lawula isisindo sakho. Gcina isisindo sakho siphilile. Khuluma nodokotela wakho mayelana nokuthi siyini leso sisindo.
• Gcina inhlanzeko yesikhumba enhle. Geza isikhumba sakho nsuku zonke bese ufaka i-moisturizer. Buza udokotela wakho ukuthi iyiphi i-moisturizer engcono kakhulu esikhumbeni sakho. Ukugcina isikhumba sakho simanzi kungasiza ekuvimbeleni ukuthi some, siqhekeke, futhi singangenwa yigciwane. Udokotela wakho angase futhi ancome ama-creams ukuze anciphise ukulunywa, avikele isikhumba sakho, noma avimbele ukutheleleka nge-fungus.
• Gqoka amasokisi okucindezela uma udokotela wakho ekuncoma. Lena enye yezindlela ezinhle kakhulu zokuphatha i-CVI. Kunezinhlobo ezahlukene, ngakho landela imiyalelo kadokotela wakho yokuthi yiluphi uhlobo olufanele wena. Futhi, buza udokotela wakho ukuthi uwageza futhi uwanakekele kanjani amasokisi akho.

Kufanele ngimbone nini udokotela?

Uma unezici eziyingozi zokungakwazi ukusebenza kahle kwemithambo yegazi isikhathi eside (i-CVI), bona udokotela wakho. Udokotela wakho angahlola izici eziyingozi futhi akusize uzinciphise.

Uma une-CVI, iya kuzo zonke izikhathi zokubonana nodokotela wakho bese ulandela imiyalelo kadokotela mayelana nokuthi uzobuya nini.

Shayela udokotela ngalesi sikhathi:

• Uma unemibuzo mayelana nesimo sakho.
• Uma unezimpawu ezintsha noma izimpawu zakho zishintsha.
• Uma amasokisi akho okucindezela engaqinile ngokwanele, akufanele ashwabene noma ashwabene. Amasokisi anwebekayo angaqinile ngokwanele angenza isimo sakho sibe sibi kakhulu, njengoba engavimbela ukuhamba kwegazi endaweni eshwabene.

Nini ukuya ekunakekelweni okuphuthumayo

Uma unezimpawu ze-pulmonary embolism, shayela inombolo yakho yesimo esiphuthumayo ngokushesha. Lokhu kuyinkinga esongela impilo ye-deep vein thrombosis (DVT). Kudinga ukunakekelwa kwezokwelapha okusheshayo.

Yimiphi imibuzo okufanele uyibuze udokotela?

Kuningi okufanele kufundwe ngokungakwazi ukusebenza kahle kwemithambo yegazi okungapheli (i-CVI). Ungangabazi ukubuza udokotela wakho noma yimiphi imibuzo onayo. Ungase ufune nokubuza le mibuzo:

• Ngikusiphi isigaba sokungakwazi ukusebenza kahle kwemithambo yegazi okungapheli (CVI)?
• Ngingayiphatha kanjani i-CVI ekhaya?
• Ungangisiza kanjani ukuthi ngiqhubeke nokwelashwa ngokucindezela?
• Ingabe ngidinga inqubo noma ukuhlinzwa?
• Yini engingayenza ukuze ngivimbele isimo sami se-CVI ukuba singabi sibi kakhulu?

Okokugcina, izinto okufanele uzikhumbule

Izinkinga zemithambo yegazi zivame ukuba ngaphezu nje kwenkinga yobuhle. Ukungasebenzi kahle kwemithambo yegazi okungapheli (i-CVI) kuyawohloka ngokuhamba kwesikhathi, futhi kungaba nomthelela omkhulu ezingeni lempilo yakho.

Uma ubulokhu uhlushwa yimithambo yegazi evuvukele isikhathi eside, ungase uzizwe ukhungathekile futhi ufisa sengathi ngabe iphelile ngokushesha. Ngenhlanhla, kunezinto eziningi ongazenza wedwa ukuze uphathe izimpawu zakho futhi uhlale uphilile. Kodwa kubalulekile ukunamathela ohlelweni. Khuluma nodokotela wakho ngamasu okugcina uhlelo lokwelashwa lwansuku zonke nokwenza ukwelashwa kokucindezela kube yinto ongayenza. Awuwedwa, futhi ungesabi ukucela usizo.

Ukungasebenzi kahle kwemithambo yegazi okungapheli , i-CVI, ukuvuvukala kwemilenze, imithambo evuvukele, isifo semithambo yegazi, ubuhlungu bemilenze, i-DVT