Ingabe uzwa ubuhlungu emilenzeni uma uhamba? (I-Claudication)

Zicabange uhamba emgwaqweni ibanga elifushane. Kungazelelwe, uzwa ubuhlungu obukhulu, obuhlabayo emilenzeni yakho, ikakhulukazi amathole akho. Kufanele ume endaweni lapho ungasakwazi ukubekezelela khona. Ngokumangalisayo, uma ume imizuzu embalwa, ubuhlungu buyaphela kancane kancane. Uma uqala ukuhamba futhi, ubuhlungu buphinde buvele ngemva kokuhamba ibanga elifushane. Uke waba nalokhu okuhlangenwe nakho? Khona-ke lesi sihloko sizoba sibaluleke kakhulu kuwe. Namuhla sikhuluma ngalesi simo, okungukuthi, i-claudication.

Kuyini i-Claudication?

Kalula nje, i-claudication ayisona isifo, iyisibonakaliso . Njengoba nje umkhuhlane ungesona isifo, uyisibonakaliso sokutheleleka. Yisimo lapho uzwa khona ubuhlungu bemisipha uma usebenza, njengokuhamba, futhi ubuhlungu buyanyamalala uma uphumula. Lobuhlungu buvame ukuba semilenzeni.

Cabanga ngale ndlela. Uma sisebenza, uma sihamba, imisipha yethu idinga umoya-mpilo owengeziwe kunokujwayelekile. Lo moya-mpilo uyiswa emisipheni yigazi. Ngakho-ke, kwenzekani uma imithambo yegazi ethwala igazi emilenzeni ivinjiwe noma incishisiwe ngesizathu esithile? Uma sihamba, igazi alikwazi ukunikeza umoya-mpilo owengeziwe odingwa yimisipha. Yilapho imisipha izwa ubuhlungu futhi ikunike isignali yokuthi "Anginawo umoya-mpilo owanele." Uma uyeka futhi uphumule, imisipha ayidingi umoya-mpilo omningi. Ngakho-ke inegazi elijwayelekile eligeleza kuyo. Bese ubuhlungu buyaphela.

Ezimweni eziningi, imbangela eyinhloko yalokhu yisimo esibizwa ngokuthi i-Peripheral Artery Disease (PAD) . Lokhu kungukuncipha kwemithambo yegazi ethwala igazi iye ezithweni, ikakhulukazi emilenzeni. Imbangela eyinhloko yalokhu kuncipha kwemithambo yegazi yi -Atherosclerosis , okuwukuqina nokuncipha kancane kancane kwemithambo yegazi ngenxa yokugcwala kwezinto ezifana ne-cholesterol ezindongeni zemithambo yegazi.

Ziyini izimpawu ze-claudication?

Abanye abantu bangase bangabi nazo izimpawu ekuqaleni, kodwa labo abanazo izimpawu bavame ukuzwa lezi zimpawu emilenzeni noma ezinyaweni zabo.

Ubani osengozini enkulu yalesi simo?

Kunezici eziningana eziyingozi zokuthi umuntu angakwazi ukuhlinzwa. Uma unalezi zinto, kufanele uqaphele kakhulu.

• Ukubhema: Lesi yisici esiyinhloko nesiyingozi kakhulu . Ukubhema konakalisa imithambo yegazi futhi kwandisa izinga lokuvaleka kwayo.
• Isifo Sikashukela: Abantu abanesifo sikashukela banamathuba amaningi okulimala kwemithambo yegazi.
• I-Cholesterol Ephakeme: Uma amazinga e-cholesterol egazini enyuka, ahlala odongeni lwemithambo yegazi bese eyivala.
• Umfutho Wegazi Ophakeme: Umfutho wegazi ophezulu wonakalisa imithambo yegazi futhi wandisa ingozi ye-atherosclerosis.
• Isifo Sezinso: Ukungasebenzi kahle kwezinso nakho kungathinta lokhu.
• Ubudala: Ukuthambekela kwemvelo kokukhula kwe-atherosclerosis kuyanda ngokuguga.
• Umlando womndeni: Uma othile emndenini wakho enezimo ezifana nesifo senhliziyo noma i-PAD, nawe usengozini enkulu.

Udokotela ukuthola kanjani lokhu?

Uma unalezi zimpawu, kufanele nakanjani ubonane nodokotela. Uzoqala ngokukubuza ngezimpawu zakho ngokuningiliziwe. Ngemuva kwalokho uzohlola imilenze yakho.

• Ingabe imilenze isishintshile umbala?
• Ingabe unezilonda ezithatha isikhathi eside ukuphola?
• Ingabe izinwele emilenzeni yakho ziwile?
• Uyakuzwa ukushaya kwenhliziyo emilenzeni nasezinyaweni zakho?

Ngemva kokubheka izinto ezinjengalezi, kungenziwa izivivinyo eziningana ukuqinisekisa isimo nokunquma ubukhali baso.

Yiziphi izindlela zokwelapha lokhu?

Kunezindlela eziningana zokwelapha ezitholakalayo zokuphatha lesi simo, kuqala ngezinto ezilula ongazenza wena.

1. Izinguquko zendlela yokuphila (lokhu kuyinto ebaluleke kakhulu!)

Lona umuthi ongcono kakhulu we-claudication. Lezi zinto zizokusiza ngaphezu komuthi udokotela wakho akunika wona.

• Ukuyeka ukubhema: Uma ubhema, udinga ukuyeka namuhla, njengamanje . Lelo usizo olukhulu ongalwenza.
• Ukuhamba ngezinyawo:"Kubuhlungu uma ngihamba, ngakho-ke akufanele ngisahamba?" ungase ucabange. Kodwa lokho akulungile. Ukuzivocavoca okungcono kakhulu kulokhu ukuhamba. Udokotela uzokutshela ukuthi uhambe izinsuku ezingu-3-5 ngesonto, cishe imizuzu engama-50 ngosuku. Yima lapho ubuhlungu buqala, bese uhamba futhi lapho ubuhlungu buphela. Kancane kancane, uzobona ukuthi ibanga ongalihamba ngaphandle kobuhlungu lizokhula.
• Ukudla okunempilo kwenhliziyo: Yidla ukudla okunamafutha amancane, usawoti, noshukela, kanye nezithelo nemifino eminingi.

2. Imithi

Kanye nokushintsha indlela yokuphila, udokotela wakho angase akunike imithi efana nale.

• Imithi yokwehlisa umfutho wegazi (isib. i-ACE inhibitors)
• Imithi yokwehlisa i-cholesterol (isb., `ama-Statins`)
• Imithi evimbela ukujiya kwegazi (isib. i-Aspirin, i-Clopidogrel)
• Imithi evula imithambo yegazi futhi ithuthukise ukugeleza kwegazi (isib., `Cilostazol`)

3. Izindlela Zokwelapha Ezikhethekile (Izinqubo)

Uma isimo sibi kakhulu futhi kunzima ukusilawula ngemithi, udokotela angase asebenzise lolu hlobo lokwelashwa.

• I-Angioplasty: Lokhu kuhilela ukufaka ibhaluni elincane emthanjeni wegazi ovalekile bese ulifutha ukuze uvule ukuvaleka.
• Ukubekwa kwe-stent: Ngemva kokuba i-angioplasty ivule umthambo, kufakwa ithubhu elincane elifana ne-mesh (i-`stent`) ukuze livinjwe futhi.
• Ukuhlinzwa Kokudlula Igazi: Uma ukuvaleka kukhulu, kwakheka umthambo omusha wegazi ngokusebenzisa ucezu lomthambo oluthathwe kwenye ingxenye yomzimba noma umthambo wokwenziwa ukuze kudlule indawo evalekile. Lokhu kwenziwa kuphela ezimweni ezinzima kakhulu.

Ingabe kukhona ezinye izinto okufanele uzikhathalele ngaphandle kwe-claudication?

Yebo. Kunezinye izimo eziningana ezibangela ubuhlungu bomlenze ezingaba nezimpawu ezifana ne-claudication, kodwa zingaba zimbi kakhulu. Ngakho-ke, ubuhlungu bomlenze akufanele bunganakwa.

• I-Deep Vein Thrombosis (DVT): Lokhu kwenzeka lapho kwakheka ihlule legazi emthanjeni ojulile emlenzeni. Uma leli hlule liqhuma futhi lihlala emthanjeni emaphashini, kungaba yisimo esiphuthumayo esisongela impilo . Sibizwa ngokuthi i-'Pulmonary Embolism'. Ngakho-ke, uma ngokuzumayo uzwa ukuvuvukala, ukubomvu, kanye nobuhlungu emlenzeni wakho, kufanele ubone udokotela noma uye e -ETU (Emergency Treatment Unit) ngokushesha.

• I-Chronic Compartment Syndrome: Lokhu kwenzeka lapho ingcindezi inqwabelana ngaphakathi kwegumbi elizungeze imisipha, okuvimbela ukugeleza kwegazi. Lokhu kungabangela nobuhlungu ngesikhathi sokuzivocavoca.

Ngakho-ke, kufanele ushiyele udokotela ukuthi anqume ukuthi yisiphi isimo obhekene naso.