Ingabe ukugeleza kwegazi kwakho kuyehla ezithweni zakho? (I-Critical Limb Ischemia) Ake sixoxe ngalokhu!

Ingabe ngezinye izikhathi uzizwa ubuhlungu obukhulu noma ukuba ndikindiki ezandleni zakho, ezinyaweni, noma ezandleni zakho? Mhlawumbe ngisho nesilonda esincane sithatha isikhathi eside ukuphola? Noma ingabe izinyawo zakho zihlala zizizwa zibanda? Lezi akuzona izimpawu zokungazinaki nje. Namuhla sizokhuluma ngesimo esingabangela lezi zimpawu, ezingathí sina kancane, kodwa ezingalawulwa uma wazi kahle.

Kuyini i-Critical Limb Ischemia (CLI)?

Kalula nje, i-Critical Limb Ischemia, noma i-CLI ngamafuphi, ukuvaleka okukhulu kokugeleza kwegazi engalweni eyodwa noma ngaphezulu, emilenzeni, noma ezinyaweni zakho. Kufana nomsele ovalekile epayipini lamanzi. Uma ukugeleza kwegazi kunqanyulwa ngale ndlela, lezo zindawo azitholi umoya-mpilo nezakhamzimba ezizidingayo.

Kwenzekani ngenxa yalokhu?

• Kukhona ubuhlungu obukhulu . Ngezinye izikhathi lobu buhlungu bungaba nzima ukububekezelela.
• Izitho zomzimba ziyaba ndikindiki , futhi umuzwa uyancipha.
• Amanxeba ezinyaweni, emilenzeni, noma ezingalweni athatha isikhathi eside ukuphola . Ngezinye izikhathi ngisho nokuklwebheka okuncane kungakhula kube yinxeba elikhulu.

Lesi yisimo esibi kakhulu ngoba sandisa ingozi yesifo senhliziyo, ukunqunywa kwezicubu zomzimba, ngisho nokufa.

I-Critical Limb Ischemia empeleni iyisimo esibi kakhulu se-Peripheral Artery Disease , isimo esibizwa ngokuthi isifo se-peripheral artery. Le PAD ibangelwa ungqimba olunamafutha olubizwa ngokuthi "i-atherosclerotic plaque" oluqongelela ngaphakathi kwemithambo yethu (imithambo ethwala igazi lisuka enhliziyweni liye kuwo wonke umzimba), okubangela ukuba inciphe noma ivaleke. Ngakho-ke, lapho ukugeleza kwegazi kuvinjelwe, kunzima ngemisipha nezicubu zethu ukuthi zihlale ziphilile, zihlale ziqinile, futhi zelapheke uma zilimele. Elinye igama lalesi simo se-CLI yi-"chronic lig-threatening ischemia".

Ubani onamathuba amaningi okuthola lesi simo?

Eqinisweni, noma ubani onesifo se-PAD, noma isifo semithambo yegazi engaphandle, angaba ne-CLI. Le ngozi iyanda njengoba ukhula .

Ngaphezu kwalokho, kunezinye izici eziningana eziyingozi. Bheka ukuthi lezi ziyasebenza yini kuwe:

• Isifo Sezinso Esingapheli : Uma izinso zingasebenzi kahle, ezinye izinkinga zingavela emzimbeni.
• Isifo Sikashukela : Isifo sikashukela siyimbangela enkulu engalimaza imithambo yegazi.
• Umfutho wegazi ophezulu (Umfutho wegazi ophakeme) : Uma umfutho wegazi uphakeme njalo, awulungele imithambo yegazi.
• I-cholesterol ephezulu (i-Hyperlipidemia) : Ukuqongelela kwamafutha emithanjeni yegazi kubangelwa ukwanda kwezinga le-cholesterol eyingozi egazini.
• Ukubhema nokusebenzisa imikhiqizo kagwayi: Lokhu kuyinto ehlotshaniswa nezifo eziningi. Kubangela nomonakalo omkhulu emithanjeni yegazi.

Cabanga nje, sinesistimu yamapayipi amanzi endlini yethu. Ngokuhamba kwesikhathi, izinto ezifana nokugqwala nokungcola ziyanqwabelana ngaphakathi kwalawo mapayipi bese ziyawavala. Kunjalo ngemithambo yethu yegazi. Ngenxa yalezi zici eziyingozi, imithambo yegazi iqala ukuvaleka kancane kancane.

Ingabe i-Critical Limb Ischemia isongela ukuphila?

Yebo, impela . Lesi yisimo esibi kakhulu. I-Critical Limb Ischemia yandisa kakhulu ingozi yakho yokuthola izinkinga ezinkulu zempilo ezisongela impilo, kanye nokufa.

Ngokwezibalo, phakathi nonyaka wokuthuthukisa i-Critical Limb Ischemia:

• Cishe umuntu oyedwa kwabathathu kuzodingeka anqunywe umlenze.
• Cishe oyedwa kwabane uyafa ngenxa yalesi sifo. Izimbangela eziyinhloko zalokhu kufa yizimo ezifana nesifo senhliziyo noma isifo sohlangothi.

Lezi zibalo zodwa zibonisa ukuthi lokhu kuyingozi kangakanani. Ngakho-ke, uma unezimpawu, kungcono ukungalibali .

Sivame kangakanani lesi simo?

Lesi akusona isimo esincane. Abantu abaningi emhlabeni bahlushwa yilesi simo. Lesi simo sivame kakhulu ngokweminyaka naphakathi kwabantu abanezici eziyingozi esikhulume ngazo ngaphambili (njengesifo sikashukela, umfutho wegazi ophakeme, ukubhema). Ngakho-ke, kubaluleke kakhulu ukuqaphela lokhu.

Ziyini izimpawu zalesi sifo?

Uphawu oluyinhloko noluvame kakhulu lwe-Critical Limb Ischemia ubuhlungu obukhulu ezinyaweni noma emilenzeni . Lobuhlungu bungaba bukhulu kangangokuthi bungavusa ebusuku. Abanye abantu bazama ukuqeda lobu buhlungu ngokulengisa imilenze yabo embhedeni, noma ngokuvuka bahambehamba egumbini.

Kodwa-ke, abanye abantu bangase bangazizwa lezi zimpawu zobuhlungu. Kodwa-ke, bangase babe nesinye noma ngaphezulu kwezinye izimpawu ezilandelayo:

• Ukuzizwa ubanda njalo ezandleni, ezinyaweni, noma emilenzeni.
• Isikhumba ezinyaweni siba bushelelezi, sicwebezele, singabi nazinwele, noma some kakhulu .
• Ukuzwa okubuthakathaka noma okulahlekile emilenzeni noma ezinyaweni.
• Ukuba ndikindiki noma ukulahlekelwa umuzwa emilenzeni, ezinyaweni, noma ezandleni.
• Amanxeba ezinyaweni noma emilenzeni athatha isikhathi eside kakhulu ukuphola . Ngisho nokuklwebheka okuncane kungaphenduka isilonda esikhulu nesijulile.
• Ngezinye izikhathi, isikhumba singashintsha umbala futhi sibonise izimpawu ze-gangrene, okuyisimo lapho izicubu zifa khona.
• Ukujiya kwezinzipho zezinyawo.

Uma unezinye zalezi zimpawu, kungcono ukufuna iseluleko sezokwelapha ngokushesha.

Yini ebangela i-Critical Limb Ischemia?

Isizathu esiyinhloko salokhu yi -Peripheral Artery Disease (PAD) esikhulume ngayo ngaphambilini., okungukuthi, isifo semithambo yegazi engaphandle. Lesi simo esibi esibizwa ngokuthi i-Critical Limb Ischemia senzeka lapho imithambo yakho incishisiwe noma ivalekile izinyanga, ngisho neminyaka. Ukuze kube sobala, lesi yisigaba sokugcina nesinzima kakhulu se-PAD.

Lesi sifo sitholakala kanjani?

Udokotela wakho angase asole ukuthi une-Critical Limb Ischemia ngokusekelwe ezimpawini zakho kanye nezinye izinkinga zempilo onazo (njengesifo sikashukela noma umfutho wegazi ophakeme).

Ukuqinisekisa ukusola nokunquma ubukhali besimo, udokotela angenza ezinye izivivinyo eziningana. Ezinye zalezi zifaka:

• Ukuskena kwe-CT
• Ama-MRI Scan (ama-MRI)
• Ama-Angiogram : Kulokhu, kufakwa uketshezi olukhethekile emithanjeni bese kuthathwa i-X-ray ukuze kubonakale ukuthi ukuvaleka kukuphi nokuthi kungakanani.
• Ama-ultrasound : Lokhu kungasetshenziswa ukubona izinto ezifana nokugeleza kwegazi kanye nesimo semithambo yegazi.

Lezi zivivinyo zibheka kakhulu:

• Indlela igazi elijikeleza ngayo ezandleni zakho, eminweni, emaqakaleni, ezinyaweni nasezinzwaneni.
• Ijubane kanye nohlobo lokuphulukiswa kwamanxeba, uma ekhona.
• Ukuthi umthambo uncishisiwe noma uvalekile kangakanani .

Yiziphi izindlela zokwelapha lokhu?

I-Critical Limb Ischemia yisimo okumele selashwe ngokushesha . Ukubuyisela ukugeleza kwegazi okufanele ezithweni zakho ngokushesha ngangokunokwenzeka kunganciphisa ingozi yokunqunywa.

Udokotela wakho angase ancome izindlela zokwelapha ezilandelayo:

• Imithi : Imithi efana nemithi yokwehlisa igazi, imithi yokwehlisa umfutho wegazi, kanye nemithi yokwehlisa i-cholesterol ingase inikezwe.
• Ukwelashwa kwe-Endovascular : Lokhu ukwelashwa okwenziwa ngendlela encane, ngaphandle kokwenza ukusikwa okukhulu njengokuhlinzwa.
• I-Angioplasty : Lokhu kuhilela ukufaka idivayisi efana nebhaluni emthanjeni ovinjiwe bese uyifutha ukuze inwebe umthambo. Ngezinye izikhathi kufakwa i -stent , ipayipi elincane elifana ne-mesh, ukuze kuvinjelwe umthambo ukuthi ungaphinde unciphe.
• Ukususwa Kwemithambo : Kule nqubo, kusetshenziswa ithuluzi elikhethekile ukususa ungqimba olunamafutha olubizwa ngokuthi i-plaque eqongeleleke ngaphakathi kwemithambo yegazi.
• Ukuhlinzwa : Ngezinye izikhathi kungase kudingeke ukuhlinzwa ukuze kulungiswe umthambo noma kufakwe umthambo omusha (umthambo ovela kwenye indawo emzimbeni wakho noma ipayipi lokwenziwa).

Cabanga nje, uma kungekho kulezi zindlela zokwelapha ezingabuyisela ukugeleza kwegazi okufanele, khona-ke udokotela kuzodingeka anqume ukunquma umunwe, ingxenye yesandla, uzwane, ingxenye yonyawo, noma ingxenye yomlenze. Kusuka kubantu abane-Critical Limb IschemiaCishe umuntu oyedwa kwabahlanu ekugcineni kuzodingeka enze lolu hlobo lokuhlinzwa, ikakhulukazi kubantu abanesifo sikashukela .

Ingancishiswa kanjani le ngozi?

Ukuze unciphise ingozi yakho yokuthola i-Critical Limb Ischemia, into yokuqala okudingeka uyenze ukuthola i-PAD yakho (isifo semithambo yegazi engaphandle) ngendlela efanele. Ngaphezu kwalokho, udinga ukuzama ukunciphisa izici eziyingozi esixoxe ngazo ngaphambili.

• Gcina isisindo esinempilo esifanele iminyaka yakho, ubulili kanye nohlobo lomzimba wakho.
• Vivinya umzimba njalo . Faka ukuqeqeshwa kwamandla, ukuzivocavoca okuguquguqukayo, kanye nokuzivocavoca kwe-aerobic ohlelweni lwakho lokuzivocavoca. Ukuhamba okungenani imizuzu engama-30 ngosuku nakho kungumqondo omuhle.
• Zama ukugcina amazinga akho omfutho wegazi kanye ne-cholesterol esezingeni elifanele .
• Uma unezinye izimo zezokwelapha, njengesifo sikashukela, zilawule kahle . Landela imiyalelo kadokotela wakho kahle.
• Nciphisa ukucindezeleka . Zama ukuphumula ngezindlela ezinempilo njengokuzindla noma ukukhuluma nomngane wakho ngokwelapha.

Iyini ikusasa lalesi simo?

I-Critical Limb Ischemia yisimo esingabangela izinkinga ezinkulu futhi sinciphise impilo. Ngakho-ke, uma unezimpawu zalesi simo, noma izimpawu ze-PAD (isifo semithambo yegazi), bona udokotela ngokushesha . Uma uthola ukwelashwa ngokushesha, mancane amathuba okuba nezinkinga ezinkulu futhi ulahlekelwe yilungu .

Ungaphila isikhathi esingakanani ne-Critical Limb Ischemia?

Eqinisweni, izinga lokufa nge-Critical Limb Ischemia liphakeme kancane. Ngemva kokuxilongwa, cishe ingxenye yabantu abanalesi simo baphila iminyaka engaphezu kwemihlanu . Iningi lalaba bantu liyafa ngenxa yezinkinga zesifo senhliziyo noma isifo sohlangothi. Yingakho ukwelashwa kusenesikhathi kanye nokushintsha indlela yokuphila kubaluleke kangaka.

Yimiphi imibuzo ongayibuza udokotela?

Uma une-Critical Limb Ischemia, noma uma usola ukuthi ikhona, ungabuza udokotela wakho imibuzo efana nale:

• Yiziphi izimpawu zokuqala ze-Critical Limb Ischemia?
• Yiziphi izivivinyo ezenziwayo ukuze kutholakale lesi sifo?
• Yiziphi izindlela zokwelapha i-Critical Limb Ischemia?
• Yini engenzeka uma ngingelashwa lokhu?
• Uma ngine-PAD, ngingayinciphisa kanjani ingozi yami yokuthola i-Critical Limb Ischemia?

Ungesabi ukubuza le mibuzo. Kubaluleke kakhulu ukuthi ube nolwazi oluphelele ngesimo sakho.

Ungakwazi yini ukuhamba ne-Critical Limb Ischemia?

Yebo, ukuhamba ngezinye izikhathi kungasiza ekunciphiseni ubuhlungu obuhambisana ne-Critical Limb Ischemia . Futhi, ukuhambisa umzimba wakho nokuhamba njalo kuzokwandisa ukugeleza kwegazi emilenzeni yakho. Lokhu kuyinto enconywayo nge-Critical Limb Ischemia. Kodwa-ke, uma uzizwa sengathi ubuhlungu bomlenze wakho buya ngokuya buba bubi uma uhamba, kufanele nakanjani ukhulume nodokotela wakho ngakho .

Okokugcina, khumbula lokhu (Umyalezo Wokuya Ekhaya)

Ngakho-ke, i-Critical Limb Ischemia, esikhulume ngayo namuhla, iyisimo esibi kakhulu esenzeka lapho ukugeleza kwegazi ezithweni zakho kuvinjiwe kakhulu . Lolu uhlobo olubi kakhulu lwesimo esibizwa ngokuthi i-Peripheral Artery Disease (PAD). Lokhu kwandisa ingozi yezinkinga zenhliziyo futhi kufinyeze isikhathi sakho sokuphila.

Into ebaluleke kakhulu ukufuna iseluleko sezokwelapha ngokushesha nje lapho izimpawu zivela ngaphandle kokulibala . Uma wenza kanjalo, uzoba nethuba elingcono kakhulu lokuthola umphumela omuhle nokugwema ukulahlekelwa yilungu. Ukulandela indlela yokuphila enempilo nakho kuyasiza ekuzivikeleni ezimweni ezinjalo.

Uma uneminye imibuzo mayelana nalokhu, ungangabazi ukukhuluma nodokotela womndeni wakho. Angakunikeza iseluleko osidingayo.

Ischemia yemilenze ebucayi , ubuhlungu bomlenze, ukuvaleka kwemithambo yegazi, isifo semithambo eseceleni, i-gangrene, i-angioplasty, isifo sikashukela