Ingabe uzwa ubuhlungu obukhulu emilenzeni yakho, ikakhulukazi uma uhamba ibanga elifushane? Ingabe ubuhlungu buyaphela ngemva kwesikhashana bese bubuya uma uhamba? Noma ingabe uzwa ukungabi namandla emilenzeni yakho, noma ukuphola kancane ngemva kokulimala? Lezi akuzona izimpawu okufanele uzishaye indiva. Lokhu kungabangelwa ukuncipha kancane kancane kwemithambo yegazi emilenzeni yakho. Namuhla, sikhuluma ngokwelashwa okubizwa ngokuthi 'Ukuvuselelwa Kwemithambo Yemilenze'.
Kuyini Ukuvuselelwa Kwemithambo Yemilenze?
Kalula nje, lokhu kuwukususa noma yikuphi ukuvaleka noma ukuvaleka kwemithambo yegazi (imithambo yegazi) emilenzeni yakho bese uvumela igazi ukuthi liphinde ligeleze kahle. Kufana nokuhlanza ipayipi lamanzi elivalekile bese uvumela amanzi ukuthi aphinde ageleze.
Imbangela eyinhloko yalesi simo yisimo esibizwa ngokuthi isifo semithambo yegazi engaphandle , noma "Isifo Semithambo Yegazi Engaphandle (i-PAD)". Lokhu kwenzeka lapho izinto ezinamafutha njenge-cholesterol ziqoqana ngaphakathi kwemithambo yegazi, zinciphisa kancane kancane ukugeleza kwegazi. Ukuze belaphe lokhu, odokotela bangasebenzisa kokubili izinqubo ze-endovascular kanye nokuhlinzwa okuvulekile.
Yiziphi lezi zindlela zokwelapha?
Indlela yokwelashwa udokotela wakho ayikhethayo ingahluka kuye ngesimo sakho. Kunezindlela eziningana eziyinhloko ezisetshenziswayo.
| Indlela yokwelapha | Kalula nje, yilokhu okwenzekayo. |
|---|---|
| I-Angioplasty | Ibhaluni elincane lifakwa emthanjeni wegazi ovinjiwe bese livuvukala. Ungqimba lwamafutha oluvinjiwe bese lucindezela odongeni lomthambo, lwandise indlela yokugeleza kwegazi futhi. |
| Ukubeka i-stent (i-Stent) | Okwenziwayo kulokhu ukufaka ithubhu elincane lensimbi elibukeka njenge-mesh ngaphakathi komthambo ngemva kwe-angioplasty ukuze umthambo ungaphinde udilike. |
| Ukuhlinzwa kwe-atherectomy | Kulokhu, idivayisi ene-blade noma i-laser beam idlula ngepayipi elincane bese ikhuhla ungqimba olunamafutha (i-plaque) oluqongeleleke ngaphakathi kwemithambo yegazi. |
| Ukuhlinzwa kwe-bypass | Ukudala indlela entsha yokuthi igazi ligeleze emthanjeni ovinjiwe. Lokhu kungenziwa kusetshenziswa umthambo othathwe kwenye ingxenye yomzimba wakho noma ipayipi lokwenziwa (i-graft). |
| Ukususwa kwe-Endarter | Lokhu kufana kancane nokuhlinzwa kwe-atherectomy, kodwa okwenziwa lapha ukusika isikhumba, ukukhipha umthambo wegazi ovalekile, nokususa ungqimba olunamafutha ngaphakathi kwawo ngokuhlinzwa. |
Ubani odinga lokhu kwelashwa?
Akuwona wonke umuntu one-PAD ozodinga ukuhlinzwa. Ezigabeni zokuqala, izimpawu zingalawulwa ngokuyeka ukubhema, ukuthatha imithi udokotela wakho ayinikezayo, nokuhamba nsuku zonke .
Kodwa-ke, uma izimpawu zinzima kakhulu, okusho ukuthi unesihlungu emlenzeni ngisho noma umi, noma uma unezilonda emlenzeni wakho ezingapholi, sibiza leso simo ngokuthi `(Critical Limb Ischemia)`. Esimweni esinjalo, ukuhlinzwa noma ukwelashwa okukhulunywe ngakho ngenhla kuyadingeka nakanjani. Uma kungenziwanga, ukugeleza kwegazi emlenzeni kungase kume ngokuphelele, futhi umlenze kungadingeka ususwe.
Into ebaluleke kakhulu ukubona udokotela ukuze uthole imbangela eqondile, kunokucabanga ukuthi ubuhlungu bomlenze buyinkinga yomhlane nje.
Uzilungiselela kanjani ngaphambi kokwelashwa?
Udokotela wakho uzoxoxa nawe ngenketho yokwelashwa engcono kakhulu kuwe. Lokhu kuzoncika ezintweni eziningi, okuhlanganisa ubucayi besimo sakho, indawo okuvalekile kuyo, kanye nanoma yiziphi ezinye izimo zezokwelapha ongase ube nazo.
Ngaphambi kokwelashwa, udokotela uzokuxilonga, akubuze ngomlando wakho wezokwelapha, bese eyalela ukuhlolwa okuthile.
- Ukuhlolwa kwegazi (Ukuhlolwa kwelebhu)
- Ukuskena kwe-Ultrasound `(Ultrasound)`
- Ukuhlolwa kwe-ECG (i-Electrocardiogram)
- I-CT angiogram `(I-computed tomography (CT) angiogram)`
- I-MR angiogram `(i-Magnetic resonance angiogram)`
- I-Angiogram
Uzokwaziswa ukuthi uyeke ukudla nokuphuza amahora ambalwa ngaphambi kokwelashwa, ngokuvamile ngemva kwamabili.Ukuyeka ukusebenzisa ugwayi kubaluleke kakhulu ukuze uthole imiphumela ephumelelayo. Kuye ngeseluleko sikadokotela wakho, kungadingeka futhi uyeke okwesikhashana ukuthatha imithi ethile. Ungenzi noma yimuphi wale mithi ngaphandle kweseluleko sikadokotela wakho.
Kwenzekani ngemva kokwelashwa futhi kuthatha isikhathi esingakanani ukululama?
Ngemva kokwelashwa, kuzodingeka ulale embhedeni amahora ambalwa. Abasebenzi besibhedlela bazokuqapha futhi bakunike noma yimiphi imithi edingekayo. Bangase baphinde ama-scan owawenza ngaphambilini ukuze babone ukuthi imithambo yakho ivaliwe futhi.
Isikhathi sokululama siyahlukahluka kuye ngokwelashwa okutholile:
- I-Angioplasty noma i-atherectomy: Ngemva kwenqubo encane efana nale, uvame ukuhlala esibhedlela cishe usuku lonke futhi ungalulama ngokuphelele cishe ngesonto.
- Ukuhlinzwa kwe-bypass: Njengoba lokhu kuwukuhlinzwa okukhulu, kuzodingeka uhlale esibhedlela izinsuku ezimbalwa. Kungathatha cishe amasonto ayisithupha kuya kwayisishiyagalombili ukuze ululame ngokugcwele.
Izici zengozi nokuthi kufanele ubonane nodokotela nini ngokushesha
Njenganoma yikuphi ukwelashwa kwezokwelapha, kunezingozi ezithile. Isibonelo, kunethuba elincane lokopha, ukutheleleka, amahlule egazi, nezinkinga zenhliziyo. Kodwa lokhu kungalawulwa kaningi. Udokotela wakho uzokuchazela konke lokhu.
Uma unezinye zezimpawu ezilandelayo, kufanele ushayele udokotela wakho ucingo ngokushesha:
- Inxeba endaweni yokuhlinzwa liyatheleleka noma liyavuvukala.
- Ukopha okuqhubekayo.
- Ubomvu, ukuvuvukala, noma ubuhlungu obukhulu endaweni yenxeba.
- Umkhuhlane noma ukubanda.
- Ubuhlungu besifuba.
- Ukuba ndikindiki noma ubunzima bokuhambisa umlenze ophathwe.
Inzuzo enkulu yalezi zindlela zokwelapha ukuthi ubuhlungu bomlenze wakho buzophela, izinga lakho lokuphila lizothuthuka, futhi uzosindiswa engozini embi yokulahlekelwa umlenze.
Umlayezo Wokuya Nawe Ekhaya
- Ubuhlungu lapho uhamba, ukungazweli, kanye namanxeba angapholi emilenzeni yakho kungaba izimpawu zesifo semithambo yegazi engaphandle (i-PAD). Ungakuzibi lokhu.
- Ukuvuselelwa Kwemithambo Yemilenze kuyindlela yokwelapha evula kabusha imithambo yegazi evalekile futhi ibuyisele ukugeleza kwegazi emilenzeni.
- Ukuze ugcine imiphumela yesikhathi eside ngemva kokwelashwa, kubalulekile ukuyeka ngokuphelele ukubhema, ukulawula i-cholesterol, nokuzivocavoca nsuku zonke .
- Zizwe ukhululekile ukubuza udokotela wakho mayelana nokwelashwa okukulungele kanye nezingozi zako. Unganqikazi ukubuza noma yimiphi imibuzo.
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