Wake wabheka esibukweni wabona umthambo ohlangothini lwentamo yakho obonakala uvuvukile noma uvuvukile? Noma wake wambona entanyeni yomunye umuntu? Nakuba lokhu kuyinto evamile ngezinye izikhathi, umthambo ovuvukile oqhubekayo entanyeni, owaziwa ngokuthi 'i-Jugular Vein Distention', ungaba uphawu lwenkinga enkulu emzimbeni wethu, ikakhulukazi enhliziyweni nasesimisweni sokujikeleza kwegazi. Ngakho-ke, kubaluleke kakhulu ukuqaphela lokhu.
Kalula nje, kwenzekani?
Ake siqale siqonde ukuthi iyini le mithambo yegazi ye-jugular. Lena uhlobo lomthambo wegazi omkhulu ogeleza usuka ekhanda lethu, udlule entanyeni yethu, uye esifubeni esingaphezulu. Ifana nemithambo yegazi eyinhloko ethwala igazi emzimbeni wethu.
Kunezinhlobo ezimbili eziyinhloko zemithambo ye-jugular:
- Imithambo Yehlombe Yangaphandle: Lezi zitholakala eduze kwesikhumba sentamo, ngaphezu kwemisipha.
- Imithambo Yangaphakathi Yehlombe: Le mithambo mikhulu kancane futhi itholakala ngaphansi kwemisipha yentamo.
Yomibili le mithambo iqoqa igazi ekhanda lethu bese ingena esifubeni sethu, lapho ihlangana khona neminye imithambo emikhulu ukuze yakhe omunye wemithambo emikhulu emzimbeni wethu , i-Superior Vena Cava . Lo mthambo uthwala igazi ngqo uye e-atrium efanele phezulu kwenhliziyo yethu.
Manje cabanga, njengoba nje kukhona ukuminyana kwezimoto emgwaqweni omkhulu, umugqa emgwaqweni uba mude. Uma ijubane lokupompa igazi enhliziyweni yethu lehla, noma uma kukhona ukuvinjelwa kule vena cava ephakeme, igazi liqala ukubuyela emuva. Ngaleso sikhathi, ingcindezi ngaphakathi komthambo we-jugular iyanda, futhi lowo mthambo uyavuvukala futhi ubonakale umude. Lokhu sikubiza ngokuthi i-Jugular Vein Distention (JVD).
Yiziphi izimbangela eziyinhloko zokuvuvuka kwemithambo entanyeni?
Imithambo yentamo evulekile iyisibonakaliso sokucindezeleka okuphezulu kakhulu endaweni efanele yenhliziyo kanye ne-vena cava ephezulu. Lokhu kungaba uphawu lwezimo eziningana zezempilo ezimbi.
| Uhlobo lwesifo | Izizathu ezingaba khona |
|---|---|
| Ukunakwa okukhethekile: Ngaphezu kokuvuleka kwemithambo yentamo, uma kukhona ukwehla komfutho wegazi (njengokuzungeza, ukuba nekhanda elibuthakathaka), lokhu kungaba yizimo eziphuthumayo ezisongela ukuphila! | |
| Izimbangela eziphuthumayo, ezingase zibe yingozi empilweni |
|
| Ezinye izizathu ezingathi sína | |
| Ezinye izimo zezokwelapha ezingathi sína |
|
Ingabe lokhu kungenzeka ngenxa yezizathu ezingezona ezokugula?
Yebo, ngezinye izikhathi, ngisho noma kungekho ukugula, imithambo entanyeni ingavuvukala isikhashana. Okusho ukuthi, ngenxa yemisebenzi ekhulisa ingcindezi ngaphakathi esifubeni okwesikhashana.
Ngokwesibonelo:
- Ukusetshenziswa kwemishini ye-CPAP: Lesi simo singabangelwa ukucindezela okukhulu esifubeni ngenxa yokuthi umoya uphoqeleka ukungena emaphashini yimishini ye-CPAP esetshenziselwa ukwelapha i-sleep apnea.
- Indlela Yokwenza I-Valsalva: Uma ubamba umoya wakho futhi wenza izinto ezifana nokusunduza kanzima.
- Ukuhlolwa kwezokwelapha: Lokhu kungenzeka futhi okwesikhashana lapho udokotela ekuxilonga futhi ecindezela indawo yesisu sakho lapho isibindi sakho sikhona khona.
Kodwa khumbula, lokhu kungokwesikhashana. Uma unemithambo evuvukayo engapheli entanyeni yakho ngaphandle kwesizathu esibonakalayo, akuwona umqondo omuhle ukungayinaki.
Lesi simo selashwa kanjani?
Into ebaluleke kakhulu okufanele uyiqonde lapha ukuthi imithambo ye-varicose iyimpawu, hhayi isifo. Ngakho-ke, ukwelashwa akusikho okwemithambo ye-varicose ngokwayo, kodwa kwesimo esiyisisekelo esibangele yona.
Kuye ngembangela, izindlela zokwelapha ziyahlukahluka. Ngezinye izikhathi kungelashwa ngemithi yodwa. Kwezinye izimo, kungase kuhilele nokuhlinzwa. Udokotela wakho kuphela ongakunikeza iseluleko esingcono kakhulu sokuthi yikuphi ukwelashwa okungcono kakhulu kuwe nokuthi yini ongayilindela kukho.
Khumbula, lokhu akuyona into okufanele uzame ukuyixilonga wedwa ekhaya. Kudinga udokotela oqeqeshiwe ukuze axilonge futhi athole imbangela eqondile, njengoba ngezinye izikhathi kungaba uphawu lokuqala lwesimo esingathi sína nesisongela ukuphila.
Kunini lapho kufanele ufune khona iseluleko sezokwelapha ngokushesha?
Uma usola ukuthi unethambo lentamo elivuvukele, kungcono ukubona udokotela ngokushesha ukuze uthole iseluleko, njengoba lokhu kuvame ukuhlotshaniswa nezinkinga ezinkulu zenhliziyo kanye nohlelo lokujikeleza kwegazi.
Ikakhulukazi, iya e-Emergency Treatment Unit (ETU) yesibhedlela ngokushesha uma:
- Uma, kanye nomthambo we-jugular ovulekile, uhlangabezana nezimpawu zomfutho wegazi ophansi, njengokuzungeza, ikhanda elikhanyayo, kanye nokuquleka.
Ukuhlanganiswa kwalezi zimpawu ezimbili kungaba uphawu lwesimo esisongela ukuphila njenge- Cardiac Tamponade, i-Tension Pneumothorax, noma i-Pulmonary Embolism . Ngakho-ke, ezimweni ezinjalo, ungalibali.
Umlayezo Wokuya Nawe Ekhaya
- Ukwanda kwemithambo ye-jugular (JVD) akusona isifo, kodwa kuwuphawu lwesinye isimo esiyisisekelo.
- Ngokuvamile lokhu kuyisibonakaliso sesifo senhliziyo esibi noma inkinga ohlelweni lokujikeleza kwegazi.
- Ungalokothi uzame ukuzixilonga wena ngokwakho ekhaya. Kungaba yingozi.
- Uma usola ukuthi unalesi sibonakaliso, qiniseka ukuthi ubona udokotela.
- Uma uzwa isiyezi noma uquleka kanye nomthambo wentamo ovuvukile, hamba uye eMnyangweni Wezimo Eziphuthumayo (ETU) wesibhedlela ngokushesha.
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