Ingabe uzwa ubuhlungu obukhulu emilenzeni yakho, ikakhulukazi izinkonyane zakho, njengokungathi ziyaqaqamba noma ziyagingqika uma uhamba ibanga elifushane? Kodwa ingabe ubuhlungu buyaphela ngokuphelele uma uma futhi uphumule isikhashana? Uma lokhu kuyinto ojwayelene nayo, khona-ke lesi sihloko esixoxa ngaso namuhla sizoba sibaluleke kakhulu kuwe. Lesi simo yilokho esikubiza ngokuthi ``Intermittent Claudication`` kwisayensi yezokwelapha.
Kalula nje, kuyini i-Intermittent Claudication?
Lokhu akusona ngempela isifo, kodwa kuwuphawu lwesifo. Kalula nje, ubuhlungu obuzwayo emisipheni yakho uma usebenza, njengalapho uhamba. Kodwa lobu buhlungu buyaphela uma uphumula. Ngezinye izikhathi lobu buhlungu bukhulu kangangokuthi kufanele uyeke ukuhamba.
Lokhu kungenxa yokuthi umzimba wakho unenkinga yokujikeleza kwegazi . Uma uhamba, amangqamuzana emisipha yemilenze yakho adinga umoya-mpilo owengeziwe kunokuvamile. Kodwa uma leyo misipha ingatholi igazi elanele (nomoya-mpilo) ngemithambo yegazi, uqala ukuzwa ubuhlungu. Uma uyeka futhi uphumule, imisipha idinga umoya-mpilo omncane, ngakho-ke igazi elincane elitholayo likhona. Ngakho ubuhlungu buyaphela.
Buzwakala kanjani lobu buhlungu?
Abantu abaningi bazizwa lokhu njengobuhlungu obubukhali nobungenamsoco. Kuzwakala sengathi umsipha uyadonswa noma uyacindezelwa. Abanye abantu bakubiza nangokuthi "ihhashi likaCharley." Uma uzivocavoca noma uhamba kakhulu, kulapho ubuhlungu buzokwanda khona. Kwezinye izimo, imizwa ingase izwakale indikindiki emilenzeni ngenxa yokugeleza kwegazi okungekuhle.
Lokhu akusibuhlungu bamalunga. Nakuba ubuhlungu buzwakala njengobuhlungu bamalunga, akusibo `(Arthritis).` Futhi, uma ubuhlungu buphela phakathi nemizuzu embalwa yokuphumula, kungenzeka kakhulu ukuthi `(Intermittent Claudication).`
Kungani lokhu kwenzeka? Iyini imbangela eyinhloko?
Imbangela eyinhloko yalesi sibonakaliso yisimo esibizwa ngokuthi i-Peripheral Artery Disease (PAD) . Cabanga ngemithambo yegazi emzimbeni wethu njengamapayipi amanzi. Ngokuhamba kwesikhathi, ukugqwala nokungcola kuyakheka ngaphakathi kwepayipi lamanzi futhi imigodi epayipini iyavaleka, kanjalo namafutha ne-cholesterol kuyakheka ngaphakathi kwemithambo yegazi yethu (imithambo yegazi) bese kwakha lokho okubizwa ngokuthi "i-plaque". Lokhu sikubiza ngokuthi `(i-Atherosclerosis)`.
Uma imithambo yegazi incishiswa ama-platelet, inani legazi eligeleza kuwo liyancipha. Lokhu kuyiqiniso ikakhulukazi uma imithambo enikeza igazi emilenzeni incishiswa ngale ndlela, ebizwa ngokuthi i-PAD. Lokhu kubangela ubuhlungu lapho imilenze yakho ingatholi umoya-mpilo owanele lapho uzivocavoca, njengalapho uhamba.
Yiziphi izivivinyo ezenziwa udokotela ukuze axilonge lokhu?
Uma unezimpawu ezinjengalezi,Kufanele nakanjani ubonane nodokotela. Udokotela angase acele ukuhlolwa okuhlukahlukene ukuthola imbangela eqondile yalobu buhlungu.
| Ukuhlolwa | Kalula nje, wenzani ngakho? |
|---|---|
| Ukuhlolwa Komzimba | Imilenze nezinyawo zakho zizohlolwa ukuthi azinazo yini izimpaphe. Uma izimpaphe zibuthakathaka noma zingazwakali, kuyisibonakaliso senkinga. |
| Inkomba Yeqakala Ne-Brachial (ABI) | Umfutho wegazi engalweni yakho nasemaqakaleni uyalinganiswa futhi uqhathaniswe. Uma kukhona umehluko omkhulu phakathi kwalokhu okubili, kuwuphawu lwe-PAD. |
| I-Angiogram | Kufakwa uketshezi olukhethekile (udayi wokungafani) bese kwenziwa i-X-ray ukuthola izindawo ezivalekile emithanjeni yegazi. |
| I-CT noma i-MRA | Lezi futhi izinhlobo zokuskena. I-CT angiograms noma ukuhlolwa kwe-MRA kungabona ngokucacile ukuthi kunezinkinga kuphi ngemithambo yegazi. |
| I-Vascular Ultrasound | Ukuskena kusetshenziswa amaza omsindo. Lokhu kungathola izindawo lapho imithambo yegazi incishisiwe khona. |
Lesi simo selashwa kanjani?
Umgomo oyinhloko wokwelashwa ukuthuthukisa ukutholakala kwegazi emilenzeni. Nakuba lokhu kwelashwa kungeke kuphulukise ngokuphelele lesi sifo, kungalawula izimpawu futhi kwenze impilo ibe lula. Izindlela zokwelapha zingahlukaniswa ngezigaba ezintathu eziyinhloko.
1. Izinguquko zendlela yokuphila
Ungenza lezi zinto ngokwakho.
- Ukuhamba njalo:Hamba okungenani imizuzu engama-30 ngosuku, izinsuku ezi-3 ngesonto. Yeka uma uzwa ubuhlungu, phumula, bese uhamba futhi. Lokhu kuzosiza ekwakheni imithambo yegazi emisha emilenzeni yakho.
- Ukugcina isisindo esinempilo: Lesi simo singaba sibi kakhulu njengoba isisindo somzimba sikhula.
- Ukudla okunempilo: Yidla ukudla okusiza ukulawula izinto ezifana nesifo sikashukela, i-cholesterol ephezulu, kanye nomfutho wegazi ophakeme.
- Ukuyeka ukubhema nokusebenzisa ugwayi ngokuphelele: Lokhu kuyingozi kakhulu emithanjeni yegazi.
- Ukulawulwa kokucindezeleka: Impilo yengqondo ithinta ngqo impilo yenhliziyo kanye nohlelo lokujikeleza kwegazi.
2. Imithi
Udokotela wakho angase akunike imithi efana nalokhu:
- Izinto zokunciphisa igazi: Lezi zivimbela izinkinga ezinkulu njengokwakheka kwamahlule egazi nokuvimba imithambo yegazi ngokuzumayo.
- Ama-statin: Lawa anciphisa amazinga e-cholesterol futhi alawula ukwakheka kwe-plaque ngaphakathi kwemithambo yegazi.
- Imithi yokucindezela kwegazi: Le mithi ivula imithambo yegazi futhi yenza kube lula ukuhamba kwegazi.
- Imithi yesifo sikashukela: Uma unesifo sikashukela, kubaluleke kakhulu ukusilawula kahle.
3. Ukuhlinzwa noma ezinye izinqubo
Uma izinguquko zendlela yokuphila kanye nemithi kungayilawuli leso simo, udokotela wakho angase akuncomele ukuhlinzwa noma enye inqubo.
- I-Angioplasty: Idivayisi efana nebhaluni ifakwa emthanjeni wegazi oncishisiwe bese ivuvukala ukuze inwebe umthambo.
- Ukubekwa kwe-stent: Ngemva kwe-angioplasty, kufakwa idivayisi efana ne-mesh (stent) ngaphakathi komthambo wegazi ukuze ivimbele ukuthi ingaphinde inciphe.
- Ukuhlinzwa Kokudlula: Kudalwa indlela entsha kusetshenziswa umthambo wegazi othathwe kwenye ingxenye yomzimba, okufana nokudala indlela entsha yokuthi igazi ligeleze eduze nendawo evalekile.
Kufanele ubonane nini nodokotela?
Uma usuvele wazi ukuthi une-"Intermittent Claudication"`, qaphela kakhulu lezi zimpawu ezilandelayo. Uma unanoma yiziphi zalezi zimpawu, bona udokotela wakho ngokushesha noma uye eMnyangweni Wezimo Eziphuthumayo (ETU) .
- Uma uzizwa ubanda kakhulu noma ungezwani emlenzeni noma onyaweni.
- Uma amanxeba emilenzeni ethatha isikhathi eside ukuphola, noma uma kuvela amanxeba amasha (izilonda).
- Uma kunezimpawu zokutheleleka (ukuvuvukala, ukubomvu, ubuhlungu, ukufudumala) eduze kwesilonda.
- Uma uzwa ubuhlungu besifuba noma ubunzima bokuphefumula kanye nobuhlungu bemilenze.
- Uma uzwa ubuhlungu emilenzeni ngisho nalapho uphumule .
- Uma uzwa ubuhlungu obungazelelwe, obukhulu noma uma ubuhlungu busuka lapho buvame ukuba khona buye kwenye indawo.
Lesi simo singenza ukuhamba ngisho nemisebenzi yansuku zonke ibe nzima. Kodwa-ke, ngokutholakala kusenesikhathi kanye nokwelashwa okufanele, kungavinjelwa ekubeni kube nzima futhi ungaphila impilo evamile.
Umlayezo Wokuya Nawe Ekhaya
- Ukuqunjelwa ngezikhathi ezithile akusona isifo, kodwa uphawu olubangelwa inkinga yokujikeleza kwegazi. Imbangela eyinhloko yi-Peripheral Artery Disease (PAD).
- Uma uzwa ubuhlungu emilenzeni yakho (ikakhulukazi ematholeni) lapho uhamba futhi buphela uma uphumula, qiniseka ukuthi ukhuluma nodokotela wakho ngakho.
- Ukuyeka ukubhema, ukuhamba njalo, ukudla ukudla okunempilo, nokulawula isisindo sakho kungasiza kakhulu ekulawuleni lesi simo.
- Kubaluleke kakhulu ukusebenzisa imithi njengoba nje udokotela emyalile.
- Uma uzwa ubuhlungu ngisho nalapho uphumule, imilenze yakho indikindiki, noma amanxeba akho engapholi, funa iseluleko sezokwelapha ngokushesha.
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