Sonke siyazi ukuthi igazi ligeleza emizimbeni yethu. Ngaphezu kwemithambo yegazi ethwala igazi elihlanzekile, elinomoya-mpilo lisuka enhliziyweni liye kuzo zonke izingxenye zomzimba, kukhona nenethiwekhi yemithambo yegazi ebizwa ngokuthi imithambo yegazi ethwala igazi elisetshenziswe ngokuphelele futhi eliphelelwe umoya-mpilo libuyela enhliziyweni. Namuhla, sikhuluma ngomthambo omkhulu owenza umsebenzi obaluleke kangaka, lowo odlula ethangeni lethu. Yilokho esikubiza ngokuthi i-External Iliac Vein.
Uyini umthambo we-Iliac wangaphandle ngamagama alula?
Kalula nje, i-External Iliac Vein iwumthambo wegazi omkhulu otholakala ethanjeni lakho. Ithanjeni lakho liyisakhiwo samathambo esixhumanisa umzimba wakho ongezansi kanye nemilenze.
Umsebenzi oyinhloko walo mthambo ukuthwala igazi elingenawo umoya-mpilo lisuka ezingxenyeni ezingezansi zomzimba wakho, ikakhulukazi imilenze yakho, ulibuyisele enhliziyweni. Kufana nokwandiswa kwe-"Femoral Vein", umthambo omkhulu ethangeni lakho. Lokhu kusho ukuthi igazi elingenawo umoya-mpilo lisuka emilenzeni yakho lidlula kulo "Femoral Vein" bese lijoyina "External Iliac Vein" ukuze lihambe liye phezulu.
Kuyini Igazi Elingenawo Umoya-mpilo?
Uhlelo lwethu lokujikeleza kwegazi lwakhiwe ngemithambo yegazi ethwala igazi elinomoya-mpilo kanye nezakhamzimba eziningi eziya kuzo zonke izitho nezicubu zomzimba. Ngemva kokuba umzimba usebenzise lo moya-mpilo, igazi elisele (igazi elingenawo umoya-mpilo) libuyiselwa enhliziyweni ngemithambo. Inhliziyo ibe isipompa igazi emaphashini lapho liphinde lifakwe khona umoya-mpilo. Abanye abantu babiza leli gazi elingenawo umoya-mpilo ngokuthi “igazi eliluhlaza okwesibhakabhaka,” kodwa empeleni linombala obomvu ojulile.
Lo mthambo usebenza kanjani ohlelweni lwethu lokujikeleza kwegazi?
Cabanga ngakho njengemifudlana emincane ehlangana ndawonye ukuze yakhe umfula omkhulu. Lo `(Umthambo Wangaphandle We-Iliac)` unjalo.
Sine-"External Iliac Vein" ezimbili ngakwesokudla nakwesobunxele somzimba wethu. Ngayinye yalezi ihlanganiswe ngomunye umthambo othwala igazi elivela ezithweni ezingaphakathi kwe-pelvis yethu (isibonelo, izinqe, izitho zangasese, namathanga angaphakathi). Siyibiza ngokuthi "Internal Iliac Vein".
Ngakho-ke, i-External Iliac Vein kanye ne-Internal Iliac Vein ziyahlangana ukuze zakhe umthambo omkhulu obizwa ngokuthi i-`(Common Iliac Vein)`. I-`(Common Iliac Vein)` emibili eyakhiwe ngale ndlela, ngakwesokudla nakwesobunxele, ihlangana eduze kwe-vertebra yesihlanu yomgogodla wethu ukuze yakhe i- `(Inferior Vena Cava)` , okuwumthambo omkhulu emzimbeni wethu. Leyo `(Inferior Vena Cava)` yiyo eqoqa lonke igazi elingenawo umoya-mpilo engxenyeni engezansi yomzimba bese iliyisa enhliziyweni.
Ngamafuphi, igazi elivela emilenzeni ligeleza lisuka ku-"Femoral Vein" liye ku-"External Iliac Vein", lisuka lapho liye ku-"Common Iliac Vein", bese ekugcineni liye ku-"Inferior Vena Cava", umthambo omkhulu, ngaphambi kokuba libuyele enhliziyweni.
Yiziphi izimo zezokwelapha ezingathinta lo mthambo?
Lo "(Umthambo Wangaphandle We-Iliac)" kanye nemithambo exhunywe kuwo kungabangela izinkinga ezithile zempilo. Ezinye zalezi zimbi kakhulu. Ngakho-ke, kubaluleke kakhulu ukuqaphela lokhu.
| Isimo | Incazelo nje |
|---|---|
| I-Deep Vein Thrombosis (DVT) | Lokhu kwenzeka lapho kwakheka ihlule legazi emthanjeni ojulile emzimbeni wethu, ikakhulukazi emilenzeni. Leli hlule legazi lingavimba ukugeleza kwegazi emthanjeni. Izimpawu ezifana nokuvuvukala nobuhlungu emlenzeni zingavela. |
| I-Pulmonary Embolism | Lokhu kungenye yemiphumela eyingozi kakhulu ye-DVT. Ucezu lwegazi oluqhekekile emlenzeni lungaphuka bese luhamba negazi liye emthanjeni emaphashini . Lokhu kungabangela ubunzima bokuphefumula, ubuhlungu besifuba, ngisho nokufa. Lesi yisimo esidinga ukwelashwa okuphuthumayo. |
| Ukungasebenzi kahle kwemithambo yegazi okungapheli (CVI) | Imithambo enempilo inama-valve amancane avimbela igazi ukuthi ligeleze emuva. Uma la ma-valve onakele, igazi liqala ukugeleza phansi ngamandla adonsela phansi. Lokhu kungabangela ukuthi igazi lihlangane emilenzeni, okubangela ukuvuvukala, ubuhlungu, kanye nokushintsha kombala . |
| Isifo sikaMeyi-Thurner | Lesi yisimo esingavamile. Okwenzekayo lapha ukuthi i-Iliac Artery (umthambo) wesokudla icindezela i-Iliac Vein yesokudla (umthambo). Lokhu kucindezela kuvimbela ukugeleza kwegazi kusuka emlenzeni wesokudla, okwandisa ingozi yokuvuvukala komlenze wesobunxele kanye ne-DVT . |
Ngakho-ke singayigcina kanjani le mithambo iphilile?
Kunezinto ezilula ongazenza ukuze ugcine uhlelo lwakho lonke lwemithambo yegazi, okuhlanganisa nemithambo yakho yangaphandle ye-Iliac, luphilile futhi lunciphise ingozi yokuqhekeka kwegazi.
- Ungahlali endaweni efanayo isikhathi eside kakhulu: Ukuhlala noma ukuma isikhathi eside kakhulu kwandisa ingozi yokuqongelela kwegazi nokujiya. Uma kungenzeka, vuka okungenani kanye ngehora bese uhambahamba kancane , unyakazisa imilenze yakho.
- Ukuzivocavoca: Zama ukuvivinya umzimba cishe izinsuku eziningi zesonto. Ukuzivocavoca okufana nokuhamba, ukugijima, nokubhukuda kuhle kakhulu ekujikelezeni kwegazi.
- Ukudla okunempilo kwenhliziyo: Yidla ukudla okunempilo okunamafutha amancane ne-cholesterol, kanye nezithelo nemifino eminingi. Ukugcina isisindo esinempilo nakho kubaluleke kakhulu.
- Gwema ukubhema: Ukubhema kuwumonakalo omkhulu kakhulu ongawenza emithanjeni yakho yegazi. Uma ubhema, thola usizo lokuyeka namuhla.
- Lawula ezinye izifo: Uma unezimo ezifana nesifo sikashukela, umfutho wegazi ophakeme, noma i-cholesterol ephezulu, zilawule kahle ngokwemiyalelo kadokotela wakho.
- Amasokisi Okucindezela: Kwabanye abantu, ikakhulukazi labo abasengozini enkulu ye-DVT, udokotela wakho angase atuse ukugqoka amasokisi akhethekile abizwa ngokuthi amasokisi okucindezela. Lawa asiza ekuvimbeleni igazi ukuthi lingahlangani emilenzeni yakho.
Yiziphi izimpawu okufanele zikushukumisele ukuthi ubonane nodokotela?
Uma uhlangabezana nesinye noma ngaphezulu kwalezi zimpawu ezilandelayo, ungazinaki. Bona udokotela wakho ngokushesha okukhulu. Ezinye izimpawu zingadinga ukwelashwa okuphuthumayo.
- Ubuhlungu obukhulu esifubeni, ehlombe, emhlane, noma emhlathini obuvela ngaphandle kwesizathu.
- Ukukhwehlela igazi.
- Ubunzima bokuhamba, ubuhlungu emilenzeni ngenkathi uhamba noma ulele.
- Isiyezi noma ukuba nekhanda elibuthakathaka.
- Ukuvuvukala emilenzeni (ukuvuvukala) noma ukushintsha kombala wesikhumba (oluhlaza okwesibhakabhaka/ophuzi).
- Ukujuluka ngokweqile okungazelelwe.
- Isilinganiso senhliziyo siyanda.
- Amanxeba angapholi emlenzeni noma onyaweni.
- Isikhumba esikhanyayo, esibandayo, noma esiluhlaza okwesibhakabhaka.
- Ubunzima bokuphefumula ngokuzumayo.
Kubaluleke kakhulu ukuya eMnyangweni Wezimo Eziphuthumayo (ETU) wesibhedlela ngokushesha , ikakhulukazi uma unezimpawu ezinzima njengobuhlungu besifuba obungazelelwe, ubunzima bokuphefumula, kanye nokukhwehlela igazi.
Umlayezo Wokuya Nawe Ekhaya
- Umthambo Wangaphandle We-Iliac uwumthambo omkhulu wegazi othwala igazi elingenawo umoya-mpilo lisuka emilenzeni nasesinqeni liye enhliziyweni.
- Amahlule egazi (i-DVT) akheka kule mithambo angaba yingozi kakhulu. Ingxenye yalo ingahlala emaphashini (i-pulmonary embolism) futhi ingaba yingozi ngisho nokuphila.
- Indlela yokuphila enempilo (ukuvivinya umzimba okuhle, ukudla okulinganiselayo, nokugwema ukubhema) kungavikela impilo yale mithambo yegazi.
- Ubuhlungu besifuba obungazelelwe, ubunzima bokuphefumula, noma ukuvuvukala okungazelelwe kanye nobuhlungu emlenzeni kuyizimpawu eziyisixwayiso ezidinga usizo lwezokwelapha ngokushesha.
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