🤔 Ingabe umlenze wakho uvuvukele ngokuzumayo? Ingabe ubuhlungu? Ingabe uzizwa ushisa? Ake sixoxe kancane nge-DVT?

Abantu abaningi balahla ukuvuvukala okungazelelwe emlenzeni owodwa kanye nobuhlungu obukhulu endaweni yesisu njengokukhathala noma ukucindezeleka kwemisipha. Kodwa lokhu akufanele kuthathwe kalula. Lokhu kungaba uphawu lwesifo esibi esibizwa ngokuthi i-deep vein thrombosis (DVT) .

Ake sifunde ngokwesayensi ngezimbangela ze-DVT, ingozi yokuqhekeka kwegazi eya emaphashini (PE), kanye nezindlela zokuvimbela ngengxoxo no-Asela, isikhulu sebhange esineminyaka engu-45 ubudala esize ukuzobona uDkt. Priya enokuvuvukala okungazelelwe, ukubomvu, kanye nobuhlungu emlenzeni wakhe wesobunxele ngemuva kohambo olude lwamahora angu-12.

Ingxoxo phakathi kukadokotela nesiguli: "Kuyini ukuqhekeka kwegazi emlenzeni, dokotela?"

U-Asela: "Dkt. Priya, ngiyisikhulu sebhange. Muva nje ngibuyile endizeni yamahora ayi-12. Iphansi lomlenze wami wesobunxele lavuvukala ngokuzumayo, laba bomvu, futhi libuhlungu kakhulu uma ngihamba. Kuzwakala kushisa kakhulu kunomunye umlenze uma kuthintwa. Ingabe lokhu kungenxa yokukhathala nje, dokotela?"

UDkt. Priya (okhathazekile): "Asela, ungamane nje ungasinaki lesi simo ucabanga ukuthi ukukhathala nje. Lesi kungaba yisimo esibizwa ngokuthi i-Deep Vein Thrombosis (DVT) .

Lokhu kwenzeka lapho kwakheka ihlule legazi (i-thrombus) emithanjeni ejulile yemilenze yethu. Imbangela eyinhloko yalokhu ukuhamba kwegazi okuhamba kancane emilenzeni ngenxa yokuhlala isikhathi eside kakhulu (emsebenzini wakho wasebhange noma endaweni ezungezile). Ngezinye izikhathi izimpawu ezifanayo zingavela ku- cellulitis, ukutheleleka kwesikhumba okubangelwa amagciwane, ngakho-ke kubaluleke kakhulu ukuthola ukuxilongwa okufanele ngokushesha.

UDkt. Priya: "Isici esiyingozi kakhulu se-DVT yilapho ihlule legazi elakheka emlenzeni, noma engxenyeni yalo, liphuka bese lihlala emthanjeni wegazi emaphashini. Ngokwezokwelapha, lokhu kubizwa ngokuthi i-Pulmonary Embolism (PE) futhi kuyisimo esiphuthumayo esisongela impilo. Uma kokubili i-DVT ne-PE zenzeka ndawonye, kubizwa ngokuthi i-Venous Thromboembolism (VTE) ."

🚨 Amafulegi Abomvu adinga ukwelashwa okuphuthumayo ngokushesha

Izimpawu zokuqhekeka kwegazi emlenzeni okuye kwaya emaphashini, okubangela i-pulmonary embolism (PE), zifaka:

1. Ukuphefumula okungazelelwe: Ukuphefumula okungazelelwe, okunzima ngaphandle kwesizathu esibonakalayo.
2. Ubuhlungu besifuba: Ubuhlungu obukhulu, obubukhali esifubeni uma uphefumula noma ukhwehlela.
3. Ukushaya kwenhliziyo: Ukwanda okungazelelwe, okungavamile kwesilinganiso senhliziyo (ukushaya kwenhliziyo).
4. Ukukhwehlela igazi: Ukukhwehlela igazi elixubene namathe.
5. Isiyezi kanye nokuquleka:Ukuzungeza okukhulu, ukuzwa sengathi ikhanda lakho lizoshaya phansi, noma ukulahlekelwa ukwazi.

🛠️ Izinyathelo Zokuthola Impumuzo Ku-DVT

Isinyathelo Sokuqala: Uma izimpawu zesixwayiso se-PE ezingenhla zikhona, iya egumbini lezimo eziphuthumayo esibhedlela esiseduze ngokushesha.
Isinyathelo Sesibili: Uma nje uzwa ukuvuvukala nobuhlungu emlenzeni wakho, bonana nodokotela ohlinzayo wemithambo yegazi noma udokotela ojwayelekile ukuze aqinisekise ukuthi unesifo futhi wenze i -Doppler ultrasound yomlenze wakho .
Isinyathelo Sesithathu: Thatha ama -anticoagulant (ama-blood thinners) anikezwe udokotela wakho, njenge-Warfarin, i-Rivaroxaban, noma i-Heparin, njengoba kuchazwe futhi kumthamo ofanele.
Isinyathelo Sesine: Gqoka amasokisi akhethekile okucindezela athuthukisa ukujikeleza kwegazi emilenzeni, njengoba kunqunywe udokotela wakho.
Isinyathelo Sesihlanu: Ngesikhathi sohambo olude noma emsebenzini, vuka uhambehamba njalo emahoreni angu-1-2, welula imilenze yakho futhi ujikelezisa amaqakala akho.

📊 Okumele Ukwenze Nokungafanele Ukwenze

Okufanele ukwenze	Okungafanele ukwenze
Zivocavoce ngokunyakaza imilenze yakho njalo phakathi nohambo olude lwendiza noma lwebhasi.	Uma uvuvukile noma ubuhlungu emlenzeni wakho, ungawuhlikihli ngamandla ngamafutha (lokhu kungakhipha ihlule legazi bese kuhamba liye emaphashini).
Phuza amanzi ahlanzekile anele nsuku zonke (kuvimbela igazi ukuthi lingaqini).	Ungahlali endaweni efanayo imilenze yakho iphambane isikhathi eside.
Thatha imithi yokunciphisa igazi ngesilinganiso esifanele kuphela ngaphansi kweseluleko sikadokotela.	Ungayeki ukuthatha imithi yokunciphisa igazi ngaphandle kweseluleko sikadokotela.
Gcina isisindo esinempilo futhi uphile impilo esebenzayo.	Gwema ukubhema ngokuphelele (ukubhema kwandisa kakhulu ingozi yokuqhekeka kwegazi).

❓ Imibuzo Evame Ukubuzwa (Imibuzo Evame Ukubuzwa)

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#### Ingabe kuyingozi ukuhlikihla umlenze nge-DVT?

Yebo, kuyingozi kakhulu. Uma une-DVT blood clot emlenzeni wakho, ukuhlikihla noma ukuhlikihla umlenze wakho ngamafutha kungabangela ukuthi i-clot iphume emthanjeni bese ihamba ngegazi iye emaphashini, okubangela i-pulmonary embolism (PE) ebulalayo. Ngakho-ke, ungalokothi uhlikihle umlenze wakho uma uvuvukele.

#### Ubani okungenzeka kakhulu ukuthi athole i-DVT?

Abantu abangaphezu kweminyaka engama-60 ubudala, omama abakhulelwe, iziguli ezinomdlavuza, abakhuluphele ngokweqile, ababhemayo, abesifazane abaphuza amaphilisi okuvimbela inzalo, kanye nalabo abalele embhedeni ngemva kokuhlinzwa noma ukuphuka kwesisu basengozini enkulu yokuthola i-DVT.

#### Ziyini izingozi zemithi yokunciphisa igazi ngenxa ye-DVT?

Le mithi yokuvimbela ukujiya kwegazi inciphisa ukujiya kwegazi, okungaholela ekuphumeni kwegazi ngaphakathi noma ngaphandle. Ngakho-ke, iziguli ezithatha le mithi kufanele zihlolwe njalo ngobuningi begazi (isb., ukuhlolwa kwe-INR), njengoba kuqondiswe udokotela wazo.

#### Kungenzeka yini ukuba ne-DVT ngaphandle kokubonisa izimpawu?

Yebo. Cishe ama-50% eziguli ze-DVT aziboni zimpawu ezisobala (ukuvuvukala noma ubuhlungu) ezigabeni zokuqala. Zitholakala zinalesi sifo kuphela ngemva kokuba ihlule legazi liye emaphashini futhi libangele ukuphelelwa umoya (PE). Ngakho-ke, kubalulekile ukuqaphela uma kunezici eziyingozi.

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