Wake waya esibhedlela? Noma wake wavakashela umuntu ohlinzwe? Khona-ke kumelwe ukuthi uke wabona iziguli ezinemikhono engavamile emilenzeni yazo evuvukala futhi ikhipha umoya ngezikhathi ezithile. Abantu abaningi bacabanga ukuthi lo mshini ohlinza imilenze. Nakuba kukhona iqiniso elithile kulokho, empeleni kuyinto ebaluleke kakhulu futhi esindisa impilo. Namuhla sikhuluma ngale divayisi ebizwa ngokuthi i-Intermittent Pneumatic Compression (IPC).
Kalula nje, uyini lo mshini we-IPC?
I-Intermittent Pneumatic Compression, noma i-IPC ngamafuphi, iyithuluzi elisetshenziselwa ukuvimbela ukuqhekeka kwegazi emilenzeni yakho, ikakhulukazi ematholeni . Liqukethe imikhono emibili yepulasitiki. Le mikhono ibekwa emilenzeni yakho futhi ixhunywe emshinini omncane. Umshini ube usufutha futhi ukhiphe imikhono ngezikhathi ezithile.
Elinye igama lalokhu yi-Sequential Compression Device, noma i-SCD . Ngakho-ke uma udokotela noma umhlengikazi ethi i-IPC noma i-SCD, babhekisela kudivayisi efanayo.
Isetshenziswa nini le divayisi?
Le divayisi ye-IPC ivame ukusetshenziswa ngenkathi uthola ukwelashwa esibhedlela, ikakhulukazi uma unenkinga yokuhambahamba noma ukuhamba. Inamathela emilenzeni yakho uma uphumule embhedeni isikhathi eside noma uhleli esihlalweni.
Le divayisi ivame ukusetshenziswa ezibhedlela kubantu abalulama ezimweni ezifana nalezi:
- Ngemva kokuhlinzwa okukhulu
- Ngemva kwesimo esifana nesifo sohlangothi
- Ngemva kokugula okukhulu
Kungani lokhu kubaluleke kangaka kulesi sikhathi?
Cabanga ngakho, uma sihamba futhi sisebenza usuku lonke, imisipha emilenzeni yethu iyasebenza. Le misipha isebenza njengephampu, isunduza igazi emilenzeni yethu libuyele phezulu, liye enhliziyweni.
Kodwa kwenzekani uma ulele embhedeni izinsuku eziningi, kungaba ngemva kokuhlinzwa noma ukugula? Imisipha emilenzeni yakho ayisebenzi. Khona-ke ukugeleza kwegazi emilenzeni yakho kuyehla. Lapho igazi lihlangana endaweni eyodwa kanje, ingozi yokuqhekeka kwegazi iyanda kakhulu.
Lokhu kuqhekeka kwegazi emithanjeni ejulile yemilenze kwaziwa ngokwezokwelapha ngokuthi i-Deep Vein Thrombosis (DVT) . Lena yinto eyinhloko umshini we-IPC ozama ukuyivimbela.
Iyingozi kangakanani i-DVT?
I-DVT iyingozi ngoba ihlule legazi lingaqhekeka, lidlule emthanjeni wegazi, bese libhajwa emaphashini akho . Lokhu kubizwa ngokuthi i-Pulmonary Embolism (PE).Lesi yisimo esiyingozi kakhulu. Lokhu kungabangela ubunzima obungazelelwe bokuphefumula futhi kungaba yingozi ngisho nokuphila.
Ngakho ungabona ukuthi lo mshini we-IPC awuyona nje idivayisi enikeza ukubhucungwa, kodwa uyidivayisi esindisa impilo esiza ekuvimbeleni izimo eziyingozi njenge-DVT kanye ne-PE.
Le divayisi isetshenziselwa nokuvimbela amahlule egazi kwabanye abantu abadinga ukuphumula embhedeni isikhathi eside ngesikhathi sokukhulelwa. Ngezinye izikhathi isetshenziswa njengokwelapha isimo esibizwa ngokuthi i-lymphedema , esibangela ukuvuvukala emilenzeni.
Lo mshini usebenza kanjani ngempela?
Indlela esebenza ngayo ilula kakhulu. Imikhono enamathele emilenzeni yakho ifuthwa umoya imizuzwana ephakathi kuka-20 no-60 kusetshenziswa iphampu. Imikhono ibe isicindezela imilenze yakho kancane kancane. Bese umoya uncipha, bese ukucindezela kukhululwa. Lokhu kuyaqhubeka.
Uma ubungachaza indlela ozizwa ngayo, bekuyoba sengathi othile ucindezela imilenze yakho kancane kancane bese eyihlukanisa .
Uma lokhu kucindezelwa, igazi emithanjeni yemilenze liphushelwa phezulu, liye enhliziyweni. Lapho i-cuff iphumula futhi, igazi elisha, elinomoya-mpilo ligeleza liye emilenzeni. Le nqubo ifana nomsebenzi owenziwa yimisipha yemilenze uma uhamba. Lokhu kuvimbela igazi ukuthi lihlangane futhi lijikeleze kahle, okuvimbela ukwakheka kwamahlule egazi.
Yiziphi izinzuzo kanye nokungalungi kokusebenzisa i-IPC?
Njenganoma iyiphi idivayisi yezokwelapha, lena inezinzuzo zayo kanye nokungalungi kwayo. Ake sibheke.
| Izinzuzo | Izingozi Nokungakhululeki |
|---|---|
| Kunciphisa kakhulu ingozi yokuba namahlule egazi ayingozi (i-DVT). | Ngenxa yokuthi zimboziwe, imilenze yakho ingase izwakale ishisa futhi ijuluka. |
| Njengoba lokhu kungeyona imithi , azikho imiphumela emibi. | Kungase kuzwakale kungakhululekile kancane. Kungase kuzwakale sengathi kunzima ukugcina imilenze yakho ikhululekile. |
| Kuyindlela ephephile kakhulu kulabo abangakwazi ukuthatha ama-anticoagulant noma abasengozini enkulu yokopha. | Kuthatha isikhathi ukukhumula lokhu ngezinto ezifana nokuvuka embhedeni noma ukuya endlini yangasese. |
| Kusiza ekusindiseni izimpilo ngokunciphisa amahlule egazi, okuyimbangela ehamba phambili yokufa okungavinjelwa ezibhedlela. | Abanye abantu bangase babe nokubomvu, ukulunywa, noma ukuphuka kwesikhumba. |
| Akuvamile kakhulu ukuthi ukulimala kwengcindezi kwenzeke ngenxa yengcindezi emsipheni noma esikhumbeni. |
Okubaluleke kakhulu: Nakuba lo mshini we-IPC ungase uzizwe ungajwayelekile kuwe, akufanele neze ukubangele ubuhlungu. Uma uzwa ubuhlungu, ungacabangi ukuthi kuyinto evamile. Tshela udokotela wakho noma umhlengikazi ngokushesha.
Ngingashayela nini udokotela ucingo?
Kubaluleke kakhulu ukunaka imilenze yakho ngenkathi usebenzisa idivayisi ye-IPC. Uma uhlangabezana nanoma yiziphi izimpawu ezilandelayo, tshela udokotela noma umhlengikazi ngokushesha.
| Isici okufanele usiqaphele | Yini engenzeka? |
|---|---|
| Omunye wemilenze yakho uvuvukile, ubomvu, noma uzizwa ushisa kakhulu kunomunye. | Lokhu kungaba uphawu lwe- DVT (i-blood clot) . |
| Ubuhlungu obukhulu emlenzeni. | Kungaba ukuthi idivayisi ayifakiwe kahle noma kukhona enye inkinga. |
| Ukubona izilonda zesikhumba, ukuxebuka , noma amabhamuza ngaphansi kwesihenqo. | Kungase kube nokucasuka kwesikhumba. |
| Ukuphelelwa umoya ngokuzumayo noma ubuhlungu besifuba. | Lokhu kungaba uphawu oluyingozi kakhulu lwe -Pulmonary Embolism (PE) . Bika ngokushesha. |
Yini enye engingayenza?
- Yenza izivivinyo ezilula: Uma usembhedeni, uma kungenzeka, welula izinzwane zakho phambili (emaphethelweni ombhede) bese uzidonsela emuva ebusweni bakho cishe kanye ngehora. Ngisho nalokhu kunyakaza okuncane kusiza ukujikeleza kwegazi.
- Ukuhamba: Uma udokotela wakho ekunika imvume yokuvuka uhambe, ungabi buvila. Ukuhambahamba kafushane ewadini noma ephaseji izikhathi ezine noma ezinhlanu ngosuku kungenye yezindlela ezinhle kakhulu zokuvimbela ukuqhekeka kwegazi.
- Khumula uma uhamba: Ungakhohlwa ukukhumula la masokisi ngaphambi kokuba uhambe. Uma uhamba nawo, cishe uzokhubeka bese uwe. Uma udinga usizo lokuwakhumula, cela umhlengikazi.
Ingabe zikhona ezinye izindlela zokwelapha?
Yebo. Udokotela wakho angase akunike imithi yokuvimbela ukuqhekeka kwegazi (isib. amaphilisi noma imijovo) kanye nedivayisi ye-IPC. Le mithi isebenza kahle kakhulu ukuvimbela ukuqhekeka kwegazi kunedivayisi ye-IPC. Kodwa-ke, ingaba nemiphumela emibi, njengokwanda kwengozi yokopha. Kuye ngesimo sakho, udokotela wakho uzonquma ukuthi uzosebenzisa zombili izindlela ndawonye noma eyodwa kuphela.
Umlayezo Wokuya Nawe Ekhaya
- I-IPC noma i-SCD iyithuluzi elibaluleke kakhulu elisetshenziselwa ukuvimbela ukuqhekeka kwegazi (i-DVT) emilenzeni ngemva kokuhlinzwa. Akuyona nje umshini wokuhlikihla.
- Lokhu kuyadingeka kakhulu uma ulele embhedeni futhi ungakwazi ukunyakaza kakhulu.
- Le divayisi ikuvikela ezimweni eziyingozi nezisongela ukuphila njenge-DVT kanye ne-Pulmonary Embolism (PE).
- Akufanele uzwe ubuhlungu uma usebenzisa lokhu. Uma uzwa ubuhlungu noma ubona ukuvuvukala, ukubomvu, noma ubuhlungu emlenzeni wakho, yazisa abasebenzi bezokwelapha ngokushesha.
- Ngokweseluleko sikadokotela, ukuvuka nokuhamba ngokushesha okukhulu kuyindlela yemvelo engcono kakhulu yokuvimbela ukuqhekeka kwegazi.
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