Ingabe unenxeba elincane noma umhuzuko emlenzeni wakho ongapholi futhi osekhona? Mhlawumbe liphuma uketshezi? Noma ingabe isikhumba emlenzeni wakho sishintsha umbala futhi sinuka kabi? Lawa akuwona amanxeba avamile. Ngokwezokwelapha, siwabiza ngokuthi amanxeba. Ikakhulukazi uma unesifo sikashukela, kufanele ucabange kabili ngalokhu. Ngoba uma lesi simo singanakekelwa kahle, sinethuba elikhulu lokuba sibi kakhulu. Ngakho-ke, ake sixoxe ngakho konke namuhla.
Kalula nje, ziyini izilonda ezinyaweni?
Isilonda sezinyawo siyisilonda esivulekile esikhumbeni sakho, ikakhulukazi ezinyaweni noma ezinzwaneni zakho, esingapholi, esihlala njalo, noma esiphinde sivele.
Lesi simo sivame ukuhlotshaniswa nesifo sikashukela. I-neuropathy, okuyinkinga yesifo sikashukela, ingabangela ukulahlekelwa umuzwa ezinyaweni. Ngemuva kwalokho, ungase ungaboni ngisho nokuklwebheka okuncane noma ukusikeka onyaweni lwakho. Ngisho noma ungase ungakuzwa, leli nxeba elincane yilona elikhula kancane kancane libe likhulu futhi lijule libe yisilonda.
Lezi zilonda zisengozini enkulu yokutheleleka. Ngezinye izikhathi lezi zifo zingaba zimbi kakhulu kangangokuthi kungadingeka ukunqunywa kwengxenye yonyawo noma uzwane.
Cabanga ngalokhu: Cishe abantu abangu-15% abanesifo sikashukela bazoba nesilonda sezinyawo phakathi nokuphila kwabo. Futhi, ngeshwa, phakathi kuka-14% no-24% walabo abathola lesi silonda kuzodingeka basuswe ingxenye yonyawo lwabo. Ngakho lokhu akuyona into okufanele ithathwe kalula.
Ubani okungenzeka kakhulu ukuthi abhekane nalesi simo?
Nakuba noma ubani angaba nezilonda ezinyaweni, abanye abantu basengozini enkulu. Kubalulekile ukuqapha kakhulu uma unezinye zezimo ezilandelayo:
- Isifo Sikashukela: Lesi yisona sici esiyinhloko esiyingozi.
- Izinkinga zokujikeleza kwegazi: Uma ukugeleza kwegazi emilenzeni kukubi, amanxeba athatha isikhathi eside ukuphola.
- Isifo Senhliziyo: Isifo senhliziyo sithinta nokujikeleza kwegazi.
- Ukukhuluphala ngokweqile: Njengoba isisindo somzimba sikhula, ingcindezi ezinyaweni nayo iyanda.
- Isifo Sezinso.
- Ukukhubazeka kwezinyawo: Isibonelo, izimo ezifana ne-bunion noma i-hammertoe.
- Ukusetshenziswa kukagwayi notshwala: Le mikhuba nayo yandisa ingozi.
Sibukeka kanjani lesi silonda futhi ziyini izigaba zaso?
Izilonda zezinyawo zingaba ngezimo nemibala eminingi. Ngokuvamile zibukeka zijulile, zifana nembobo yentaba.
Ukubukeka nombala wesilonda
Lezi zilonda zingaba phuzi, zipinki, zibomvu, zimpunga, noma zibe mnyama.Uma inxeba lakho limnyama, kusho ukuthi amangqamuzana ezicubu kuleyo ndawo afile (i-Necrosis noma i-Gangrene). Lesi yisimo esibi kakhulu.
Ubukhulu kanye nokujula kwesilonda
Lokhu kungaqala kuncane njengethambo elincane futhi, uma kungelashwa kahle, kungakhula kuze kumboze lonke unyawo. Ukujula kwesilonda nakho kuyanda kancane kancane. Odokotela basebenzisa izindlela ezahlukene ukukala lokhu kujula. Isibonelo, kunezigaba eziyisithupha ngokusho kwesigaba sikaWagner.
| Ibanga | Incazelo elula yesimo |
|---|---|
| Isigaba 0 | Isikhumba asonakele, kodwa siyingozi. |
| Isigaba 1 | Isilonda esingajulile esisengxenyeni engaphezulu yesikhumba kuphela. |
| Isigaba sesi-2 | Inxeba lijulile, mhlawumbe lifinyelela emisipheni. |
| Isigaba 3 | Inxeba selingene lajula ethanjeni, futhi ithambo liyabonakala. |
| Isigaba 4 | Ukufa kwezicubu ngaphambili konyawo (i-Gangrene). |
| Isigaba 5 | Izicubu zonyawo lonke zifile (i-Gangrene). |
Yiziphi izimpawu zokuqala zokuthi isilonda siyakheka?
Njengoba isilonda siqala ukukhula, ungase uqaphele izinguquko esikhumbeni onyaweni lwakho ezinjengalezi:
- Isikhumba esomile, esiqhekekile
- Isikhumba siba njenge-coral
- Ukubomvu kwesikhumba
- Ukubukeka okufana nokuqubuka
Uma ukulimala kukubi kakhulu, izimpawu ezifana nalezi:
- Ukuqina kwesikhumba esizungeze inxeba (njenge-callus)
- Uketshezi noma uketshezi olufana nobovu oluphuma enxebeni (kungase kube kusokisi lakho)
- Amabala ansundu esikhumbeni
- Iphunga elinamandla nelibi
Kunezinhlobo ezimbili eziyinhloko zalezi zilonda zezinyawo:
Kunezinhlobo ezimbili eziyinhloko zezilonda ezingathinta izinyawo zakho. Ukwazi umehluko phakathi kwalezi zibili kubaluleke kakhulu ekwelapheni.
| Isici | Izilonda ze-Neurotrophic | Izilonda Zemithambo |
|---|---|---|
| Isizathu esiyinhloko | I-neuropathy ebangelwa isifo sikashukela. | Ukuncipha kokugeleza kwegazi ngenxa yokuncipha kwemithambo yegazi (i-Peripheral Arterial Disease). |
| Ubuhlungu | Ngokuvamile abukho ubuhlungu. | Kukhona ubuhlungu obukhulu , ikakhulukazi ebusuku. |
| Indawo | Ngokuvamile ezinyaweni, lapho isisindo somzimba sehla khona kakhulu. | Izithende, izinzwane, phakathi kwezinzwane, nasezindaweni lapho izicathulo zicindezela khona. |
| Ukubukeka | Umbala opinki/obomvu. Imiphetho yesilonda iphakanyisiwe. | Ophuzi, ompunga, noma omnyama. Ngokuvamile akukho ukuphuma kwegazi. |
Kuphathwa kanjani lokhu?
Imigomo eyinhloko yokwelashwa ukwelapha inxeba, ukunciphisa ubuhlungu, nokuvimbela ukuthi lingaphinde livele. Uhlelo lokwelashwa luzohluka kuye ngohlobo lwesilonda onaso kanye nembangela.
Ukwelashwa Okungahlinzwa
Lokhu kwelashwa kungaphumelela ezilonda ezigabeni zokuqala.
- Ukunakekelwa kwezilonda ezingaphandle: Amanxeba aphola ngokushesha uma egcinwa emanzi futhi emboziwe.
- Ama-antibiotic: Uma kukhona ukutheleleka.
- Ukukhipha umthwalo: Ukulimala kususwa isisindo ngokusebenzisa izicathulo ezikhethekile, i-cast, noma mhlawumbe isihlalo sabakhubazekile.
- Ukugcina unyawo luphakanyisiwe.
Ukwelashwa Kokuhlinzwa
Uma isilonda sibi kakhulu, ikakhulukazi uma sinegciwane, kungase kudingeke ukuhlinzwa.
- Ukususwa kwezicubu ezinesifo noma ezifile.
- Izingxenyana zesikhumba: Izingxenyana zesikhumba zisetshenziselwa ukumboza amanxeba.
- Ukususa noma ukulungisa izingxenye zamathambo uma kudingeka.
Yini engingayenza ukuze nginciphise ingozi?
Lena yingxenye ebaluleke kakhulu. Ngokulandela le mikhuba, ungavimbela ukuthi lezi zilonda zingakheki, futhi noma ngabe ziyakheka, zingazivimba ukuthi zingabuyeli.
Into ebaluleke kakhulu ukuthi, uma unesifo sikashukela, kwenze umkhuba ukuhlola izinyawo zakho nsuku zonke.
- Hlola izinyawo zakho nsuku zonke: Ngemva kokugeza nangaphambi kokugqoka izicathulo, bheka ngokucophelela izithende zezinyawo zakho, phakathi kwezinzwane zakho, kanye nezizungeze izinzipho zakho. Bheka amabhamuza, ukusikeka, imifantu, ukubomvu, noma ukuvuvukala. Sebenzisa isibuko ukuze ubheke izinyawo zakho. Uma ungakwazi, cela ilungu lomndeni ukuthi lenze kanjalo.
- Phatha kahle isifo sikashukela sakho: Landela imiyalelo kadokotela wakho kahle.
- Ungalokothi uhambe ngezinyawo, ngisho nangaphakathi endlini.
- Gqoka izicathulo ezikulingana kahle futhi ezikhululekile. Izicathulo akufanele zibe ziqinile kakhulu noma zibe nkulu kakhulu.
- Qaphela lapho usika izinzipho zakho: Sika izinzipho zakho ziqonde ngqo uma zithambile ngemva kokugeza.
- Gwema ukubhema ngokuphelele.
- Lawula umfutho wegazi kanye namazinga e-cholesterol.
- Gcina isisindo esinempilo.
- Uma ubona ngisho nenkinga encane kakhulu, bona udokotela wakho ngokushesha.
Umlayezo Wokuya Nawe Ekhaya
- Uma unesifo sikashukela, kubaluleke kakhulu kunanini ngaphambili ukuhlola izinyawo zakho nsuku zonke.Nakanjani kwenze. Yenza lokhu kube umkhuba wokuphila konke.
- Uma ubona isilonda esingapholi, ukubomvu, ukuvuvukala, iphunga elibi, noma ukushintsha kombala emlenzeni noma ezinzwaneni zakho , bona udokotela ngokushesha .
- Gwema ukuhamba ngezinyawo, ngisho nasekhaya. Ngisho nokulimala okuncane ezinyaweni zakho kungaba kubi kakhulu.
- Ukubhema kungenza lesi simo sibe sibi kakhulu ngoba kuphazamisa ukujikeleza kwegazi. Ngakho-ke, kubaluleke kakhulu ukugwema ukubhema.
- Ungesabi lesi simo. Uma sitholakale kusenesikhathi futhi selashwa kahle, singaphathwa kahle ngaphandle kwezinkinga ezinkulu.
👩🏽⚕️ Imibuzo eyengeziwe (ama-FAQ)
💬 Ama-capsule/amaphilisi e-Isradipine (Isradipine / DynaCirc) asetshenziselwa siphi isifo?
Leli iphilisi lomfutho wegazi elisebenza kahle kakhulu (iCalcium Channel Blocker - CCB) elenzelwe ukulawula 'umfutho wegazi ophezulu'! Lo muthi awugcini nje ngokunciphisa umfutho wegazi, kodwa futhi awuthinti izinga lokushaya kwenhliziyo, ngakho odokotela bawusebenzisa njengomuthi ophephile.
💬 Ukuthatha leli philisi lomfutho wegazi (i-Isradipine) kwehlisa kanjani umfutho wegazi ngokushesha?
Ukuze umthambo wegazi unciphe/unciphe futhi ingcindezi ikhuphuke, izinhlayiya ze-'Calcium' kumele zingene emisipheni yomthambo wegazi! Lapho nje lo muthi ungena egazini, uvimba/uvala futhi uvale wonke amasango e-calcium (iziteshi ze-calcium zohlobo lwe-L) kulezo mithambo yegazi ngo-100%! Njengoba i-calcium ingangeni, umthambo wegazi awunciphi futhi uba mkhulu kakhulu (i-Vasodilation). Bese igazi ligeleza kalula njengomfula bese ingcindezi iyehla.
💬 Yimiphi imiphumela emibi ecasulayo yokusebenzisa lo muthi (i-Isradipine)?
Imiphumela emibi emikhulu necasulayo kakhulu yalokhu ukuthi abanye abantu bangase babe 'nekhanda elibuhlungu' kanye 'nokuhlanza' (ngenxa yokwanda kwemithambo yegazi). Futhi, njengamanye amaphilisi e-CCB, kunengozi yokuvuvukala kweqakala/umlenze (i-peripheral edema) kanye nokushaya kwenhliziyo okusheshayo okungazelelwe (ukushaya kwenhliziyo okusheshayo) (i-reflex tachycardia).
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