Ingabe unezilonda emilenzeni yakho ezingeke ziphole? Ake sifunde konke ngezilonda zemilenze!

Uma sithola inxeba elincane emlenzeni wethu, sonke sicabanga ukuthi lizophola ezinsukwini ezimbalwa. Kodwa ngezinye izikhathi, la manxeba angathatha amasonto, ngisho nezinyanga, ukuba aphole, akushiye usenkingeni. Yileyo ndlela esizokhuluma ngayo ngamanxeba acasulayo akheka emilenzeni yethu, athatha isikhathi eside ukuba aphole. Ngokwezokwelapha, lawa abizwa ngokuthi `(Izilonda Zomlenze)`.

Ziyini lezi zilonda zemilenze ezingapholi?

Kalula nje, isilonda somlenze yinxeba elingapholi isikhathi esingaphezu kwamasonto amabili naphezu kokwelashwa . Lezi zilonda zivame ukutholakala endaweni ephakathi kweqakala nedolo.

La manxeba avame ukuphuma uketshezi (mhlawumbe ubomvu) . Uma engelashwanga kahle, la manxeba angakhula abe makhudlwana. Isibonelo, uma unenxeba lomlenze futhi lingapholi ngemva kwezinyanga ezintathu zokwelashwa, silibheka njengesifo esingamahlalakhona .

Ngokwezibalo ezivela kwamanye amazwe athuthukile emhlabeni, cishe u-1% wabantu abadala bahlushwa yilesi simo. Le nkinga ivame kakhulu kubantu abaneminyaka engaphezu kuka-65. Cishe u-4% wabo bangase babe namanxeba angapholi emilenzeni yabo. Ngakho-ke lokhu akuyona into okufanele ithathwe kalula.

Kungani kuvela izilonda emilenzeni?

Kungaba nezizathu eziningi ezenza kube nezilonda emilenzeni. Ake sibheke eziyinhloko.

1. Izinkinga zemithambo yegazi (Ukungasebenzi kahle kwemithambo yegazi okungapheli)

Lesi yisona sizathu esiyinhloko esenza kube nezilonda emilenzeni. Imithambo esemilenzeni yethu inama-valve amancane ngaphakathi kwayo. Lawa afana neminyango. Umsebenzi wawo ukuvimbela igazi ukuthi lingagelezi phezulu, liye enhliziyweni, futhi libuyele phansi. Kodwa uma la ma-valve engasebenzi kahle, igazi lingabuyela emuva lihlangane emilenzeni engezansi .

Cabanga ngakho njengevalvu ephukile epayipini lamanzi, okubangela ukuba amanzi ahlangane endaweni eyodwa. Lapho igazi lihlangana kanje, ingcindezi engaphakathi kwemithambo emilenzeni iyanda. Ngemuva kwalokho, imithambo yegazi emincane kakhulu esikhumbeni ingaqhuma. Lokhu kubangela ukuvuvukala, ukulunywa, ukoma kwesikhumba, futhi ekugcineni isikhumba siyaqhekeka futhi kuvele izilonda.

2. Isifo Sikashukela (Isifo Sikashukela)

Uyazi ukuthi isifo sikashukela (`(Diabetes Mellitus)`) yisifo esingabangela izinkinga eziningi. Ngenxa yokuthi izinga likashukela egazini lomuntu onesifo sikashukela lihlala liphezulu, amafutha anqwabelana ngaphakathi kwemithambo yegazi, ayivale . Njengoba nje ukugqwala kwakheka ngaphakathi kwepayipi lamanzi elidala.

Uma imithambo ivalekile kanje, inani legazi eligeleza emilenzeni liyancipha. Ngakho-ke, imizwa ingonakala . Lokhu sikubiza ngokuthi `(Diabetic Neuropathy)`. Uma imizwa ibuthakathaka kanje, ungase ungezwa ngisho nesilonda esincane noma ukusikeka emlenzeni wakho. Ngezinye izikhathi, ngisho nokusikeka okuncane okubhajwe esicathulweni sakho kungase kungabonakali kuze kube yilapho kuba isilonda esikhulu. Futhi, amanxeba aphola kancane kakhulu ngenxa yesifo sikashukela .

3. Isifo Semithambo Engasogwini (i-PAD)

Kulesi simo, kwenzeka into efana nesifo sikashukela. Ama-fat deposits (atherosclerosis) akheka ngaphakathi kwemithambo yegazi ethwala igazi eya emilenzeni yomzimba wethu, kancane kancane evala leyo mithambo yegazi. Uma sikhuluma iqiniso, imithambo yegazi eyinhloko ethwala igazi eya emilenzeni yethu iyavaleka .

Kwenzekani-ke? Imilenze ayitholi igazi elanele. Ngakho ayitholi umoya-mpilo nezakhamzimba ezanele. Uma lokhu kwenzeka, ngisho nesilonda esincane sithatha isikhathi eside ukuphola. Abantu abanesifo sikashukela nabo banamathuba amaningi okuthola lesi simo (i-PAD) .

4. Umfutho Wegazi Ophakeme / Umfutho Wegazi Ophakeme

Umfutho wegazi ophezulu (umfutho wegazi ophezulu) nawo uyisitha esithule. Uma ungalawulwa kahle, ungabangela isilonda esibuhlungu kakhulu (i-Martorell ulcer) emlenzeni ongezansi, ikakhulukazi eqakaleni. Umfutho wegazi ophezulu ubangela ukuthi imithambo yegazi emincane (ama-capillaries) esikhumbeni ivaleke, kunqamule ukunikezwa kwegazi esikhumbeni. Amaseli esikhumba abe esefa futhi avele njengesilonda.

Ubani osengozini enkulu yokuthola ukulimala emilenzeni?

Abanye abantu banamathuba amaningi okulimala emilenzeni kunabanye. Ake sibone ukuthi bangobani:

• Kwabesifazane: Abesifazane banamathuba aphindwe kabili okuthola lesi simo kunabesilisa.
• Isisindo somzimba esiningi: Le ngozi inganda ngenxa yokukhuluphala noma ukukhuluphala ngesikhathi sokukhulelwa.
• Umlando womndeni: Uma othile emndenini wakho enezinkinga zemithambo yegazi (isib., imithambo yegazi ephukile), ungase ube nalesi simo.
• Ezinye izimo zezokwelapha: Abantu abanezifo ezifana nesifo sikashukela, umfutho wegazi ophakeme, kanye nesifo samathambo esibizwa ngokuthi i-rheumatoid arthritis.
• Ukuhlinzwa: Kulabo abaye bahlinzwa ukufakelwa inqulu noma ukuhlinzwa ukufakelwa idolo.
• Ukulimala nezingozi: Ukulimala okukhulu njengokuphuka kwamathambo.
• Ukuntuleka kokuzilolonga: Kulabo abahlala endaweni eyodwa isikhathi eside kakhulu, abangahambi, futhi abanezimo ezifana nokukhubazeka.
• Ukubhema: Ukubhema kungalimaza imithambo yegazi futhi kuphazamise ukuhamba kwegazi.
• Ezinye izinkinga zemithambo: Kulabo abanezimo ezifana nemithambo ephukile, i-vasculitis, kanye ne-venous thromboembolism.

Ziyini izimpawu zesilonda somlenze?

Uma unenxeba lomlenze, ulibona kanjani? Nazi ezinye zezimpawu eziyinhloko:

• Isilonda esingapholi: Lesi yisibonakaliso esiyinhloko. Uma isilonda singapholi ngemva kwamasonto amabili okwelashwa, kungaba `(Isilonda Somlenze)`.
• Ukubukeka kwesilonda: Isilonda singaba bomvu, onsomi, onsundu, noma ophuzi . Ngezinye izikhathi, imibala eminingana yale ingase ibonakale ixubene. Isilonda singase siphume uketshezi noma into efana nobomvu .
• Izinguquko zesikhumba:
• Isikhumba esizungeze inxeba singase some, sibe namaxolo, futhi silume .
• Izinto ezifana namaqhubu aqinile esikhumbeni zingase zivele, noma isikhumba singase siqine.
• Umbala wesikhumba ungashintsha futhi ubonakale ubomvu, uluhlaza okwesibhakabhaka, noma uphuzi, njengokulimala .
• Ubuhlungu: Ungase uzwe ubuhlungu emilenzeni, ikakhulukazi ngemva kokuma isikhathi eside .
• Ukuvuvukala: Ukuvuvukala (i-edema) kungabonakala emilenzeni engezansi.

Ungazibona kanjani izilonda emilenzeni?

Uma unalezi zimpawu, kufanele nakanjani ubonane nodokotela. Ngokuvamile, uchwepheshe wemithambo yegazi uzohlola la manxeba. Uzohlola isikhumba sakho kanye nenxeba ngokucophelela.

Ngaphezu kwalokho, ungenza futhi izivivinyo ezifana nalezi:

• Ukuhlolwa kwe-ankle-brachial index: Lokhu kusebenzisa ubuchwepheshe be-ultrasound ukukala umfutho wegazi kanye nokugeleza kwegazi emilenzeni.
• I-Biopsy: Isampula yamangqamuzana esikhumba kanye noketshezi oluvela esilondeni kuyathathwa bese kuhlolwa ngaphansi kwesibonakhulu ukuze kuhlolwe izifo noma ezinye izifo zesikhumba.

Ukwelapha kanjani amanxeba emilenzeni?

Izilonda emilenzeni zingaba nzima kancane ukuzelapha. Ngezinye izikhathi , ngisho noma sezelashwa, izilonda zingahlala izinyanga noma ngisho neminyaka . Kodwa ungakhathazeki, zingalapheka uma zelashwa kahle.

Izinketho zokwelapha zincike ezicini ezifana nohlobo lokulimala kanye nembangela yako. Imigomo eyinhloko kadokotela yile:

1. Ukwelapha inxeba.

2. Ukunciphisa ukuvuvukala.

3. Ukuvimbela inxeba ukuthi lingaphinde libuye ngesikhathi siphola.

Nazi ezinye zezindlela zokwelapha eziyinhloko:

• Ukwelashwa ngokucindezela: Ukuze kusizwe ekuthuthukiseni ukujikeleza kwegazi emilenzeni, kusetshenziswa izinhlobo ezikhethekile zamasokisi (amasokisi okucindezela) noma amabhandeji. Lokhu kucindezela umlenze, okusiza ekusunduzeni igazi phezulu.
• Ukuphakama kwemilenze: Ukugcina imilenze yakho iphakeme ngaphezu kwenhliziyo yakho okungenani ihora ngosuku, okungenani izinsuku eziyisithupha, kusiza igazi ukuthi libuyele enhliziyweni.
• Ukunakekelwa kwenxeba: Lokhu kubaluleke kakhulu.
• Ukuba nodokotela asuse isikhumba esifile esilondeni (`(ukususwa kwesikhumba)`).
• Ukusebenzisa ama-antiseptic angaphandle ukuvimbela ukutheleleka.
• Shintsha ibhandishi enxebeni njalo.
• Imithi:
• Uma kukhona ukutheleleka enxebeni, kunganikezwa ama-antibiotic.
• Imithi (ama-vasodilator) esiza ukwandisa imithambo yegazi nokuthuthukisa ukugeleza kwegazi nayo inganikezwa.
• Ukwelashwa nge-hyperbaric oxygen (`(Ukwelashwa nge-hyperbaric oxygen)`):Lena indlela yokwelapha ekhethekile. Uhlala ekamelweni elinomoya-mpilo ongcolile bese uphefumula umoya-mpilo ohlanzekile. Lokhu kwandisa inani lomoya-mpilo egazini, okusheshisa ukuphola kwenxeba.
• Ukwelashwa kwemithambo: Uma unezinkinga ezifana nemithambo evuvukele, ungenza ukwelashwa okufana ne-sclerotherapy (ukujova imithi emithanjeni) noma i-endovascular ablation (ukushisa imithambo ngaphakathi bese uyivala).
• Ukuhlinzwa: Ngezinye izikhathi kungase kudingeke ukuhlinzwa ukuze kususwe, kulungiswe, kufakwe okunye esikhundleni, noma kugwenywe umthambo owonakele.
• Ukufakelwa kwesikhumba: Uma inxeba likhulu kuno-1.5 amasentimitha, noma uma ezinye izindlela zokwelapha zingapholi, isikhumba esivela kwenye ingxenye yomzimba singathathwa bese sixhunyelelwa phezu kwenxeba.

Ungazivimbela kanjani izilonda emilenzeni?

Ngisho noma inxeba lomlenze liphola, kungenzeka kakhulu ukuthi liphinde libuye . Ngakho-ke, kubaluleke kakhulu ukunakekela lezi zinto:

• Uma uhleli noma ulele, yenza umkhuba wokugcina imilenze yakho iphakeme kunenhliziyo yakho . Ungabeka into efana nomcamelo omncane ngaphansi kwemilenze yakho.
• Gcina isisindo esinempilo . Thola umsebenzi omningi womzimba . Ukuhamba kancane nsuku zonke nakho kuhle.
• Uma unezimo ezithinta ukujikeleza kwegazi, njengesifo sikashukela, umfutho wegazi ophakeme, i-cholesterol ephezulu, noma i-Raynaud's syndrome, zilawule kahle . Landela imiyalelo kadokotela wakho ngokucophelela.
• Uma ubhema, yeka nakanjani . Ungacela usizo kudokotela ngalokhu.
• Ukuze uvimbele isikhumba ukuba somile, sebenzisa izihlanzi ezithambile . Faka i-lotion emanzisa isikhumba ngemva kokugeza.
• Gqoka amasokisi noma amabhandeji okucindezela okungenani ihora elilodwa ngosuku. Lokhu kuzothuthukisa ukugeleza kwegazi emilenzeni yakho. Cela udokotela wakho ukuthi akukhethele okulungele wena.

Yiziphi izinkinga ezingaba khona ngenxa yezilonda emilenzeni?

Uma izilonda ezingapholi ziqhubeka, zingadala izinkinga ezengeziwe.

• Ukutheleleka kwamathambo (i-Osteomyelitis): Inxeba lingajula kakhulu futhi libangele ukutheleleka emathanjeni. Uma lokhu kuba kubi kakhulu, kungase kuholele nasekunqunyweni kwethambo.
• I-cellulitis: Ukutheleleka okukhulu kwebhaktheriya kwesikhumba nezicubu ezingaphansi kwesikhumba. Indawo ezungeze inxeba ingase ibe bomvu, ivuvuke, futhi ifudumale.
• I-Sepsis: Uma ukutheleleka kufinyelela egazini, kungaba yingozi empilweni.
• Umdlavuza wesikhumba: Uhlobo lomdlavuza wesikhumba (i-squamous cell carcinoma) ngezinye izikhathi lungavela emanxebeni ahlala isikhathi eside, angapholi.

Uyini umbono womuntu olimele emlenzeni?

Ukulimala emilenzeni ngezinye izikhathi kungaholela ekukhubazekeni . Lokhu kulimala kungenza kube nzima ukuhamba, ukusebenza, nokuphila impilo evamile. Kungadinga ukuvakashelwa njalo kodokotela, emitholampilo yamanxeba, ngisho nokulaliswa esibhedlela.

Kufanele ngimbone nini udokotela?

Uma unesilonda esingapholi emlenzeni wakho futhi ubhekene nanoma yiziphi zalezi zimpawu, bona udokotela ngokushesha :

• Umkhuhlane noma ukuzizwa ubanda.
• Uma kukhona ubuhlungu obukhulu obuhambisana nokulimala okukuvimbela ukuthi ulale noma wenze imisebenzi yansuku zonke .
• Izimpawu zokuthi inxeba lithelelekile: ukubomvu okuzungeze inxeba, ukufudumala, ukuvuvukala, kanye nokukhipha okunuka kabi okuvela enxebeni.

Yini okufanele ngiyibuze udokotela wami?

Uma uya kudokotela, kuwumqondo omuhle ukubuza le mibuzo:

• "Dokotela, kungani ngithole leli nxeba emlenzeni wami?"
• "Yiluphi ukwelashwa okungcono kakhulu engingakuthola?"
• "Yiziphi izinguquko engingazenza ukuze ngipholise leli nxeba futhi ngivimbele ukuthi lingaphinde lenzeke?"
• "Yiziphi izimpawu ezithile okufanele ngikhathazeke ngazo uma kunezinkinga?"

Izilonda emilenzeni zibuhlungu, azikhululeki, futhi kuthatha isikhathi eside ukuphola. Ngakho-ke, kudingeka ukunakekelwa okukhethekile kwenxeba ukuze kuvinjelwe ukutheleleka futhi kusize inxeba ukuthi liphilise.

Okokugcina, izinto okufanele uzikhumbule (Umyalezo Wokuya Ekhaya)

Ngakho-ke, njengoba sesixoxile, isilonda somlenze esingapholi (`(Isilonda Somlenze)`) akuyona into engelapheka kalula. Kodwa, ungesabi. Uma unale nkinga, into yokuqala okudingeka uyenze ukubona udokotela ofanelekayo, uthole imbangela eqondile, bese uqala ukwelashwa okufanele.

Ukulandela imiyalelo kadokotela wakho ngokucophelela, ukunakekela inxeba lakho ngendlela efanele, ukuyeka ukubhema uma ubhema, ukulawula isisindo sakho, nokuphatha noma yiziphi izimo ezingaphansi njengesifo sikashukela kungasiza kakhulu ekukusizeni ukuphatha lesi simo. Khumbula, la manxeba angaphinde avele ngisho nangemva kokuba epholile, ngakho-ke kubalulekile ukuqhubeka nokulandela imiyalelo kadokotela wakho. Ngikufisela ukululama okusheshayo!

Izilonda zemilenze , isifo sikashukela, umfutho wegazi ophakeme, izinkinga zemithambo yegazi, ukuphulukiswa kwamanxeba, izifo zesikhumba