Wake waba sembhedeni wesibhedlela ngemuva kokuhlinzwa wabona umhlengikazi engena efaka umkhono ongajwayelekile emlenzeni wakho awuxhume emshinini omncane? Ngemva kwesikhashana, umkhono ugcwala umoya, uqinise umlenze wakho kancane, bese umoya ukhishwa futhi. Kuzwakala sengathi othile ukuhlikihla kancane umlenze wakho. Kwabaningi, lokhu kuyinto engavamile kakhulu. Ngakho-ke, lokhu kwenzani ngempela? Kungani lokhu kwenziwa esibhedlela? Namuhla, sizoxoxa ngalokhu ngendlela elula ongayiqonda.
Kuyini ukucindezela komoya okungapheli (i-IPC)?
Kalula nje, leli igama lezokwelapha lenqubo esikhulume ngayo ngenhla. I-Intermittent Pneumatic Compression (IPC) iyithuluzi elifana nesiketi esifuthwayo. Lokhu kuvame ukugqokwa ezinqeni zakho, okungukuthi, ingxenye yomlenze wakho engaphansi kwedolo. Ngezinye izikhathi lokhu kubizwa nangokuthi i-Sequential Compression Device (SCD) .
Inhloso eyinhloko yale divayisi ukuvimbela ukwakheka kwamahlule egazi emilenzeni yakho. Ikwenza kanjani lokho? Umshini omncane oxhunywe kulesi sigqoko uyawufutha futhi uwukhiphe umoya ngezikhathi ezithile. Ngale ndlela, njengoba umlenze uqina futhi uphumula, ukujikeleza kwegazi emithanjeni emilenzeni kuyathuthuka.
Kuziphi izimo lapho la madivayisi e-IPC esetshenziswa khona?
Le divayisi ivame ukusetshenziswa uma uthola ukwelashwa esibhedlela, ikakhulukazi uma ungakwazi ukuhambahamba kakhulu. Igqokwa ngenkathi uphumule embhedeni noma uhleli esihlalweni.
Lokhu kuvame ukusetshenziswa:
- Ngemva kokuhlinzwa okukhulu: Kungaba nzima ukuhamba izinsuku ezimbalwa ngemva kokuhlinzwa.
- Ngemva kokuhlaselwa yisifo sohlangothi: Iziguli ezinesifo sohlangothi nazo zinobunzima bokunyakaza.
- Ngenxa yokugula okukhulu: Ezigulini okumele zihlale embhedeni izinsuku eziningana ngenxa yokugula.
Cabanga ngemithambo yegazi yethu njengamapayipi athwala amanzi. Uma sihlala endaweni eyodwa isikhathi eside, lokhu kugeleza kwegazi kuyehla. Ngemuva kwalokho, igazi lingahlangana kwezinye izindawo bese lenza ihlule elincane. Lokhu sikubiza ngokuthi i -Deep Vein Thrombosis (DVT) .
Lesi simo se-DVT sivame ukwenzeka emithanjeni ejulile yethanga noma i-groin. Lokhu kungaba yingozi kakhulu. Ngoba, uma ihlule legazi liphuma lapho, lihamba negazi bese libhajwa emthanjeni emaphashini, sikubiza ngokuthi i-Pulmonary Embolism (PE) . Lokhu kungabangela ubunzima obukhulu bokuphefumula, futhi ngezinye izikhathi ngisho nokufa ngokuzumayo. Ngakho-ke, idivayisi ye-IPC ivimbela lesi simo se-DVT esiyingozi ukuba singenzeki.
Ngaphezu kwalokho, le ndlela isetshenziswa futhi ukuvimbela ukuqhekeka kwegazi komama abangashukumi kakhulu ngesikhathi sokukhulelwa noma ngemva kokubeletha esibhedlela. Ngaphezu kwalokho, lawa madivayisi e-IPC asetshenziswa futhi njengokwelapha isimo esibizwa ngokuthi i-Lymphedema (ukuvuvukala kohlelo lwe-lymphatic).
Kusebenza kanjani lokhu? Yiziphi izinzuzo nezingozi?
Njengoba sishilo ngaphambili, lesi siketi sigcwalisa umoya cishe kanye ngomzuzu bese siqinisa umlenze, bese umoya ukhishwa bese umlenze ukhululeka.
- Uma umlenze ucindezelwa: Igazi elisemilenzeni lisunduzelwa enhliziyweni.
- Uma umlenze uphumula: Igazi elisha, elinomoya-mpilo omningi ligeleza emithanjeni yemilenze.
Le nqubo iyasiza futhi ekukhipheni izinto zemvelo emzimbeni ezivimbela ukujiya kwegazi. Inzuzo enkulu yalokhu ukuthi isinika izinzuzo ezifanayo zokuhamba ngaphandle kwemithi . Lena idivayisi ewusizo kakhulu, esindisa impilo, ikakhulukazi kulabo abangakwazi ukuthatha imithi yokunciphisa igazi (ama-anticoagulant) noma abasengozini yokuyithola.
Kodwa njengakho konke, kungaba nezinkinga ezincane kanye nezingozi ezingavamile kakhulu.
| Ukuphazamiseka noma ingozi | Incazelo elula |
|---|---|
| Ukufudumala emilenzeni | Ngenxa yokuthi umkhono uvuliwe, imilenze yakho ingase izwakale ishisa futhi ijuluka. |
| Ubunzima bokuhamba | Kuzwakala kunzima kancane ukuhambahamba embhedeni ngenkathi ugqoke lokhu. |
| Ukuthatha isikhathi sokukhumula izingubo lapho uvuka embhedeni | Kungaba yinto ecasulayo kancane ngoba kufanele uyikhumule njalo uma uvuka embhedeni, njengokuya endlini yangasese. |
| Izinkinga zesikhumba | Ngezinye izikhathi, uma isikhumba singajwayelene nesikhwama, singaba bomvu, silume, noma sibangele ukulimala okuncane. |
| Ukulimala kwemizwa noma izilonda zokucindezeleka | Lokhu akuvamile kakhulu, kodwa kungenzeka uma kusetshenziswa ngendlela engafanele noma ngokweqile. |
Into ebaluleke kakhulu ukuthi nakuba le divayisi ingase izwakale ingajwayelekile, akufanele ibangele ubuhlungu . Uma uzwa ubuhlungu emlenzeni wakho, akuvamile. Tshela udokotela wakho noma umhlengikazi ngokushesha.
Ngingatshela nini udokotela?
Uma uhlangabezana nanoma yiziphi izimpawu ezilandelayo ngenkathi usebenzisa idivayisi ye-IPC, kubalulekile ukwazisa udokotela noma umhlengikazi ngokushesha.
- Ukuvuvukala okungazelelwe, ukufudumala, noma ubuhlungu emlenzeni: Lokhu kungaba izimpawu ze-DVT.
- Ubomvu, ubuhlungu, noma ukuvuvukala kwesikhumba lapho kufakwe khona isikhafu: Udinga ukuhlola umonakalo wesikhumba.
- Ukuphelelwa umoya ngokuzumayo: Lokhu kungaba uphawu oluyingozi lwe-Pulmonary Embolism (PE), ngakho funa usizo lwezokwelapha ngokushesha.
- Uma umshini ungasebenzi kahle: okungukuthi, uma ungavuthiswanga umoya, ngeke usebenze. Ngakho-ke yazisa abasebenzi.
Yini engingayenza ukuze lokhu kube lula?
Ngesikhathi usembhedeni, khomba futhi ugobe iqakala lakho izikhathi eziningana ngosuku. Okusho ukuthi, khomba izinzwane zakho phansi, bese udonsa ubuso bakho bubheke kuwe. Lokhu kuvivinya umzimba okulula kusiza ekujikelezeni kwegazi.
Futhi, ngokushesha nje lapho udokotela ekunika imvume, ukuhambahamba kafushane ewadini kane noma kahlanu ngosuku kuyindlela engcono kakhulu nelula yokuvimbela amahlule egazi. Kodwa khumbula, ngaphambi kokuya kohambahamba, qiniseka ukuthi uyayikhumula le sleeve ye-IPC. Uma uhamba nayo, kunethuba elikhulu lokubhidlika nokuwa. Uma unenkinga yokuyikhumula, cela usizo kumhlengikazi.
Umlayezo Wokuya Nawe Ekhaya
- Ukucindezeleka Kokuphefumula Okungapheli (IPC) kuyindlela ephephile yokuvimbela ukwakheka kwamahlule egazi ayingozi (i-DVT) emilenzeni lapho ungakwazi ukuhamba ngemva kokuhlinzwa noma ngenxa yokugula.
- Lokhu kumayelana nokucindezela imilenze yakho kancane kancane futhi ngobumnene ukuze kuthuthukiswe ukujikeleza kwegazi. Akufanele kube buhlungu, kufanele kuzwakale njengokubhucungwa.
- Uma uzwa ubuhlungu emilenzeni, ukuvuvukala, umkhuhlane, noma ubunzima bokuphefumula, kubikwe ngokushesha.Tshela udokotela noma umhlengikazi.
- Ngaphambi kokuyohamba, qiniseka ukuthi uyayisusa le divayisi ukuze uvimbele ukuwa. Cela usizo.
- Uma nje udokotela wakho ekunika imvume, hamba kakhulu ngangokunokwenzeka. Kuyindlela yemvelo engcono kakhulu yokuvimbela ukuqhekeka kwegazi.
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