Ingabe nawe uzwa ubuhlungu obukhulu emilenzeni yakho, ikakhulukazi uma uhamba ibanga elifushane? Ingabe ubuhlungu buyaphela uma uyeka isikhashana, bese buphinde buvele uma uqala ukuhamba futhi? Noma wake wazizwa ukuthi ngisho nesilonda esincane emlenzeni wakho sithatha isikhathi eside ukuphola? Lokhu kungase kube ngenxa yokuthi ama-fat deposit akheke ngaphakathi kwemithambo yegazi (imithambo yegazi) ethwala igazi emilenzeni yakho, okwenza ibe mincane, futhi imilenze yakho ayitholi igazi nomoya-mpilo owanele. Namuhla sizokhuluma ngendlela yokwelapha elapha lesi simo futhi ibuyisele ukujikeleza kwegazi okuhle emilenzeni yakho.
Kuyini Ukuvuselelwa Kwemithambo Yemilenze?
Kalula nje, yilokhu ekwenzayo uma kukhona ukuvaleka okuncane noma okuphelele emithanjeni yegazi emilenzeni yakho, futhi kuyilungisa futhi ivumele igazi ukuthi liphinde ligeleze kahle. Cabanga ngepayipi lamanzi elivalekile ngodaka futhi elingagelezi kahle. Kufana nokuhlanza ipayipi nokwenza liphinde ligeleze kahle. Odokotela bangakwenza lokhu ngokuhlinzwa okuvulekile noma ngezindlela ezingangenisi kakhulu.
Yiziphi lezi zindlela zokwelapha?
Kunezindlela ezahlukahlukene zokubuyisela ukugeleza kwegazi emilenzeni yakho. Udokotela wakho uzokhetha indlela efaneleka kakhulu kuwe ngokusekelwe ezicini ezifana nobunzima besimo sakho kanye nendawo yomthambo ovalekile. Ake sibheke izindlela eziyinhloko.
| Indlela yokwelapha | Kalula nje... |
|---|---|
| I-Angioplasty | Ucingo oluncane oluneziqongo zebhaluni ludlula emthanjeni wegazi bese ibhaluni ligcwala umoya endaweni lapho kuvimbeke khona, okwenza umthambo wande. Kufana nokwakha umgwaqo ngaphakathi kwepayipi elivimbekile. |
| Ama-stents | Ngemva kokuba umthambo unwetshiwe nge-angioplasty, kufakwa ipayipi elincane lensimbi, njenge-mesh, ngaphakathi ukuze livimbele ukuthi lingaphinde linciphe. |
| Ukuhlinzwa kwe-atherectomy | Ukususa amafutha aqongeleleke ezindongeni zemithambo yegazi ngensingo encane noma ngomsebe we-laser. |
| Ukuhlinzwa kwe-bypass | Kufana nokwakha umgwaqo omusha (i-flyover) ukuze udlule umgwaqo omatasa. Ukudala umzila omusha wegazi ukuze udlule umthambo ovalekile, usebenzisa omunye umthambo noma ipayipi lokwenziwa elingaphakathi emzimbeni. |
| Ukususwa kwe-Endarter | Lena inqubo yokuhlinzwa. Umthambo wegazi ovalekile uyasikwa uqonde phakathi, ungqimba olunamafutha ngaphakathi luyasuswa, bese umthambo uthungwa ndawonye. |
Ubani odinga lokhu kwelashwa?
Lokhu kwelashwa kuyadingeka kakhulu kubantu abanesifo esibizwa ngokuthi i-Peripheral Artery Disease (PAD) , okuyilapho ukwakheka kwamafutha emithanjeni ethwala igazi lisuka enhliziyweni liye emilenzeni, okwenza kube mncane futhi kuvimbele ukugeleza kwegazi.
Kodwa akuwona wonke umuntu one-PAD odinga lokhu kuhlinzwa. Izinyathelo zokuqala zokulawula lesi simo ukuyeka ukubhema, ukuphuza imithi enikezwe udokotela, nokwenza izivivinyo zokuhamba.
Kodwa uma izimpawu zinzima kakhulu, okusho ukuthi unobuhlungu obukhulu emilenzeni yakho ngisho noma ungenzi lutho , noma uma amanxeba emilenzeni yakho engapholi (lokhu kubizwa ngokuthi 'i-Critical Limb Ischemia'), khona-ke kunethuba elikhulu lokuthi kuzodingeka ukuhlinzwa.
Ngingalungiselela kanjani ngaphambi kokwelashwa?
Udokotela wakho uzohlola isimo sakho ngokucophelela futhi axoxe nawe ngendlela yokwelapha engcono kakhulu kuwe. Ngaphambi kokuhlinzwa, bazozama ukwenza inqubo engangenisi kakhulu noma nini lapho kungenzeka.
Ngaphambi kokwelashwa, udokotela wakho uzokuxilonga, akubuze ngezimo zakho zezokwelapha, bese eyala ukuhlolwa okuningana okudingekayo.
- Ukuhlolwa kwegazi (Ukuhlolwa kwelebhu)
- Ukuskena nge-ultrasound
- Ukuhlolwa okuhlola ukusebenza kwenhliziyo (i-Electrocardiogram - EKG)
- I-CT angiogram (i-angiogram ye-computed tomography)
- I-MR angiogram (i-Magnetic resonance angiogram)
- Ukuhlolwa kokucindezeleka
- I-Angiogram
Lezi zivivinyo zingathola ukuthi imithambo yegazi yakho ivalekile kuphi nokuthi ivimbeke kangakanani.
Ngaphezu kwalokho,
- Uzokwaziswa ukuthi uyeke ukudla noma ukuphuza kusukela phakathi kwamabili ngobusuku bangaphambi kokwelashwa.
- Uma ubhema, ukuyeka ngokuphelele kubaluleke kakhulu ukuze uthole imiphumela emihle.
- Ungase ucelwe ukuthi uyeke okwesikhashana ukuthatha imithi ethile . Ungayeki ukuthatha noma yimuphi umuthi ngaphandle kweseluleko sikadokotela wakho.
- Uzofundiswa nokuthi ungageza kanjani umzimba wakho ngendlela ekhethekile ngobusuku obandulela ukwelashwa.
Kwenzekani ngemva kokwelashwa?
Ngemva kokwelashwa, kuzodingeka ulale embhedeni amahora ambalwa. Isimo sakho sizoqashwa njalo futhi uzonikezwa imithi edingekayo. Udokotela uzobe esekwenza ezinye izivivinyo ukuze abone ukuthi ukwelashwa kuphumelele yini nokuthi umthambo wegazi uvalekile futhi.
- Inkomba ye-Ankle-brachial
- Ukuskena nge-ultrasound
- I-CT noma i-MR angiogram
Kuthatha isikhathi esingakanani ukuphulukiswa?
Lokhu kuzohluka kuye ngokwelashwa okutholile.
- Uma uke waba ne -angioplasty noma i-atherectomy , kuzodingeka uhlale esibhedlela ubusuku bonke. Kungathatha cishe isonto ukuze ululame ngokugcwele.
- Uma uhlinzwa nge-bypass , kuzodingeka uhlale esibhedlela izinsuku ezimbili kuya kwezinhlanu. Kungathatha amasonto ayisithupha kuya kwayisishiyagalombili ukululama ngokuphelele.
Ukwelashwa kusebenza kangakanani? Ungalondoloza kanjani imiphumela yesikhathi eside?
Lezi zindlela zokwelapha zisebenza kahle kakhulu. Zinganciphisa ubuhlungu emilenzeni, zithuthukise ikhwalithi yokuphila, futhi zivimbele ngisho nokunqunywa kwezitho ezimweni ezimbi kakhulu.
Kodwa impumelelo yesikhathi eside yokwelashwa incike kuwe. Kubalulekile ukushintsha indlela yakho yokuphila ngemva kokwelashwa.
- Uma ubhema, yeka namuhla. Lena yinto ebaluleke kakhulu.
- Uma udokotela wakho ekunike imithi yokwehlisa i-cholesterol, yithathe njengoba uyalelwe.
- Uma unikezwe imithi yokuvikela inhliziyo (isib. i-aspirin), yithathe njengoba uyalelwe.
- Hamba nsuku zonke. Ukuhamba ngezinyawo kuyindlela engcono kakhulu yokuzivocavoca yalesi sifo.
Ingabe zikhona izingozi nezinkinga ngalezi zindlela zokwelapha?
Njenganoma yikuphi ukwelashwa kwezokwelapha, kunezingozi ezithile ezihilelekile. Ungabesabi, kodwa kubalulekile ukuqaphela.
- Izimo ezifana nesifo senhliziyo
- Ukopha
- Ukutheleleka kwenxeba lokusikwa
- Ukujiya kwegazi
- Ukutheleleka komthambo noma ipayipi elisetshenziswa ngesikhathi sokuhlinzwa kwe-bypass
- Ukuphinda kwezimpawu
- Ukulimala kwezinso
- Ukulimala emthanjeni wegazi
- Ukufa (lokhu kwenzeka kaningi kakhulu)
Udokotela wakho uzokuchazela kahle lezi zingozi.
Uma unalezi zimpawu, bona udokotela ngokushesha.
Uzonikezwa izinsuku zokulandelela ngemva kokwelashwa. Kodwa-ke, uma uhlangabezana nanoma yiziphi izimpawu ezilandelayo, kufanele ushayele udokotela wakho ucingo ngokushesha ngaphandle kokulinda ukuthi lolo suku lufike.
| Izimpawu zesixwayiso okufanele uziqaphele | |
|---|---|
| 🌡️ Umkhuhlane noma ukubanda | 🩸 Ukopha noma ubomvu obuvela esigaxeni |
| 🩹 Ububomvu, ukuvuvukala, ukufudumala, noma ubuhlungu obandayo eduze kwesilonda | ❤️ Ubuhlungu besifuba |
| 🦵 Ukuba ndikindiki noma ubunzima bokuhambisa umlenze ophathwe | umlenze_ovuvukile: Ukuvuvukala okwandayo emlenzeni |
Isifo semithambo yegazi engaphandle (i-PAD) yisimo esibangela izimpawu ezingakhululekile eziphazamisa impilo yakho yansuku zonke. Kodwa ngalezi zindlela zokwelapha, ungalulama futhi uphile impilo ejabulisayo. Khuluma nodokotela wakho mayelana nokwelashwa okungcono kakhulu kuwe. Ungesabi ukubuza imibuzo mayelana nokwelashwa nokuthi kuzokwenzekani ngemva kwako. Kuzokusiza futhi uzizwe ungcono.
Umlayezo Wokuya Nawe Ekhaya
- Ungabunaki ubuhlungu bomlenze uma uhamba njengoba kuyinto evamile. Kungaba uphawu lokuthi umthambo wegazi uvalekile. Bonana nodokotela ngokushesha.
- Isifo semithambo yegazi engaphandle (i-PAD) siyisimo esingelapheka, futhi ukuvuselelwa kwemithambo yegazi emilenzeni kuyindlela yokwelapha ephumelela kakhulu.
- Impumelelo yesikhathi eside yokwelashwa kwakho isezandleni zakho. Kubalulekile ukuyeka ukubhema, ukudla ukudla okunempilo, ukuzivocavoca umzimba, kanye nokuthatha imithi udokotela wakho ayinikezayo ngqo.
- Buza udokotela wakho noma yimiphi imibuzo onayo mayelana nokwelashwa noma isimo sakho. Ungesabi, ukucacisa kuyingxenye yokwelashwa.
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