Ingabe imilenze yakho iphenduka ibe luhlaza okwesibhakabhaka futhi ibuhlungu kakhulu? Ingabe yi-'Phlegmasia Cerulea Dolens' leyo? Ake sixoxe ngalokhu!

Wake wezwa ngesimo lapho kwakheka khona ihlule legazi ngaphakathi komthambo emlenzeni noma engalweni yakho, okubangela ukuba liphenduke okwesibhakabhaka, livuvuke, futhi libe buhlungu? Lesi yisimo esibi kakhulu, kodwa asivamile kangako. Namuhla sizokhuluma ngalesi simo esibizwa ngokuthi 'i-Phlegmasia Cerulea Dolens' . Ungakhathazeki, kubalulekile ukuqaphela.

Iyini le `Phlegmasia Cerulea Dolens`?

Kalula nje, i-'Phlegmasia Cerulea Dolens' yisimo lapho ihlule elikhulu legazi noma amahlule amaningi egazi emithanjeni ejulile yomzimba wethu, ikakhulukazi emilenzeni (futhi ngezinye izikhathi ezingalweni) (eyaziwa nangokuthi 'i-Deep Vein Thrombosis' noma 'i-DVT'), ibangela ukuvaleka okuphelele kwemithambo. Cabanga ngepayipi lamanzi elivalekile ngodaka olukhulu, okubangela amanzi ukuba ahlangane esikhundleni sokugeleza.

Uma umthambo uvalekile kanje, igazi aligelezi kahle kuwo. Igazi alikwazi ukugeleza phansi libuye likhuphuke. Kwenzekani-ke? Igazi liyaqoqana kuleyo ndawo, okubangela umlenze ukuthi uvuvuke. Lokhu kuvuvukala kwandisa ingcindezi ngaphakathi komthambo, kubeka ingcindezi emithanjeni ethwala umoya-mpilo. Kufana nesiponji esimanzi kakhulu ukuba singamunca amanzi. Awukwazi ukufaka amanzi amaningi kuwo uze uwucindezele. Yilokho okwenzekayo lapha. Lokhu kunciphisa nenani lomoya-mpilo ofinyelela ezicutshini.

Into ebaluleke kakhulu ukuthi lesi yisimo esiphuthumayo sezokwelapha . Uma singaxilongwa futhi selashwe ngokushesha, umlenze ungonakala futhi usongela nokuphila. Ngakho-ke, kubaluleke kakhulu ukuqaphela lezi zimpawu.

Sivame kangakanani lesi simo?

Empeleni, i-'Phlegmasia Cerulea Dolens' iyisimo esingavamile kakhulu . Okusho ukuthi, kuyinto engavamile kakhulu ukubonwa. Abanye odokotela babona isiguli esinjengalesi kanye noma kabili kuphela emsebenzini wabo wonke. Ngakho-ke, azikho izibalo ezinkulu ngakho.

Ziyini izimpawu ze-'Phlegmasia Cerulea Dolens'?

Leli gama lisho "ukuvuvukala okuluhlaza okwesibhakabhaka okubuhlungu." Lokho kuchaza izimpawu. Bheka noma yikuphi kwalokhu emlenzeni noma engalweni yakho:

• Ukushintsha kombala wesikhumba: Kungase kuvele umbala obomvu, oluhlaza okwesibhakabhaka nonsomi. Lo mbala ungase usabalale emlenzeni wonke.
• Ubuhlungu obukhulu: Hhayi nje ubuhlungu obuvamile, kodwa nobuhlungu obukhulu okunzima ukububekezelela.
• Ukuvuvukala: Isimo sokuvuvukala kakhulu esizwakala sinzima uma usithinta.
• Ama-blister esikhumba: Ngezinye izikhathi ama-blister agcwele uketshezi (`ama-blister`) angavela.
• Ukuba ndikindiki noma ukuthuthumela: Kungase kuzwakale njengokuhlaba noma ukuthuthumela.

Kuthiwa futhi ngenxa yesakhiwo sesimiso sokujikeleza kwegazi emzimbeni wethu, lesi simo sivame ukwenzeka emlenzeni wesobunxele .

Yiziphi izimbangela ze-'Phlegmasia Cerulea Dolens'?

Imbangela eyinhloko yalokhu ukuqhekeka kwegazi okukhulu (i-Venous Thromboembolism).Lokhu kuvame ukwenzeka njengenkinga ye-'DVT' emlenzeni. Okusho ukuthi, kwakheka ihlule legazi emthanjeni, likhule libe likhulu, futhi livimbe lonke uhlelo lwemithambo yegazi.

Ubani osengozini enkulu yalokhu?

Izici eziyingozi zokuthuthukisa i-'Phlegmasia Cerulea Dolens' zifana nezici eziyingozi zokuqhekeka kwegazi ngokujwayelekile. Lezi yizi:

• Umdlavuza: Lesi yisici esiyinhloko nesivame kakhulu sengozi.
• Ukuhlinzwa: Ngemva kokuhlinzwa okukhulu.
• Ukulimala: Ukulimala okukhulu, ikakhulukazi emilenzeni.
• Ukukhulelwa: Ngesikhathi sokukhulelwa nangemva kokubeletha.
• Amaphilisi okuvimbela inzalo noma ukwelashwa ngama-hormone:
• Isifo Sokuvuvukala Kwamathumbu (IBD):
• Inkomba Yobunzima Bomzimba (BMI) engaphezu kuka-30: Lokhu kusho ukukhuluphala ngokweqile.
• Izinkinga zokujiya kwegazi: Abanye abantu bangase bazalwe benomkhuba wokuthi igazi labo lijiye kalula.
• Ukungasebenzi kahle kwemithambo yegazi: Ama-valve emithambo yegazi awasebenzi kahle.
• I-May-Thurner syndrome: Umthambo osemlenzeni wesobunxele ucindezelwa umthambo.
• Ukwehluleka kwenhliziyo:
• Ukuba sendaweni eyodwa isikhathi eside/ukuvalelwa embhedeni ('Ukungakwazi ukuhambahamba'): Isibonelo, uma kufanele uhlale embhedeni izinsuku eziningana ngemva kokuhlinzwa okukhulu.

Lesi simo kubikwa ukuthi sivame kakhulu kubantu abaneminyaka ephakathi kuka-40 no-50 .

Yiziphi izinkinga ezingaba khona ze-'Phlegmasia Cerulea Dolens'?

Lesi yisimo esibucayi futhi izinkinga zingaba zimbi kakhulu.

Cishe abantu abangu-50% abane-'Phlegmasia Cerulea Dolens' bangaba nesimo esibizwa ngokuthi 'i-Gangrene', okuwukufa kwezicubu . Uma kuvela i-gangrene, ngezinye izikhathi ingaholela ekunqunyweni komlenze noma ingalo.

Futhi, laba bantu bangaba nesimo esibizwa ngokuthi i-'Pulmonary Embolism', okuyi-blood clot eya emaphashini . Lokhu futhi kusongela kakhulu impilo.

Ungayibona kanjani i-'Phlegmasia Cerulea Dolens'?

Uma unalezi zimpawu, udokotela uzothatha umlando wakho wezokwelapha bese ekwenza ukuhlolwa ngokomzimba. Bangase bakubuze imibuzo efana nalokhu:

• "Lezi zimpawu zaqala nini?"
• "Yini ongakwazi ukuyenza ngenxa yalokhu?"
• "Wake welashwa ngezinkinga zemithambo yegazi ngaphambilini?"
• "Ingabe ukhona emndenini wakho onenkinga yokujiya kwegazi?"

Hlobo luni lokuhlolwa oluzokwenziwa?

Ukuze anqume ukuthi une-'Phlegmasia Cerulea Dolens', udokotela wakho angenza lezi zivivinyo ezilandelayo:

• Ukuskena kwe-Ultrasound:Hlola ukuthi igazi ligobile yini emithanjeni nokuthi ligeleza kanjani.
• Ukuhlolwa kwegazi: Hlola izimpawu zokujiya kwegazi, isimo sokutheleleka, njll.
• `I-Computed Tomography Angiogram (CT Angiogram):` Lokhu kungathatha izithombe ezinemininingwane zemithambo yegazi.
• I-Magnetic Resonance Angiogram (MR Angiogram): Lena enye indlela yokuthola izithombe zemithambo yegazi.

Indlela yokwelapha i-'Phlegmasia Cerulea Dolens'?

Lesi yisimo esiphuthumayo, ngakho-ke ukwelashwa kudinga ukuqala ngokushesha.

Udokotela uzoqala ngokuphakamisa umlenze wakho ngama-degrees angu-60 ngaphezu kwenhliziyo yakho . Lokhu kusiza ukuphuma kwegazi emithanjeni emlenzeni wakho, kuthuthukise ukujikeleza kwegazi, futhi kunciphise ukuvuvukala. Bangase bakunike uketshezi, babophe wonke umlenze wakho ngebhandeji lokucindezela, futhi bakucele ukuthi uhambe kancane.

Ngokuvamile , kanye nemithi, kudingeka inqubo yezokwelapha . Uma umlenze wakho unezibazi noma ubonisa izimpawu zokubola, kusho ukuthi umlenze wakho usengozini enkulu. Odokotela bazozama ukususa ihlule legazi ngokushesha okukhulu futhi belaphe i-Phlegmasia Cerulea Dolens ngaphambi kokuba i-gangrene iqale.

Imigomo eyinhloko yokwelashwa yile:

• Ukususa amahlule egazi.
• Ukuvula imithambo yegazi nokubuyisela ukugeleza kwegazi.
• Misa isimo singabi sibi kakhulu.

Imithi ethile kanye nokwelashwa

Izindlela zokwelapha ezilandelayo zingasetshenziswa ku-'Phlegmasia Cerulea Dolens':

• Imithi yokulwa nokuvuvukala kwamalunga: Isibonelo, imithi efana ne-Heparin. Lena imithi efakwa emithanjeni.
• `I-Thrombolysis`: Kulokhu, ithubhu elincane elibizwa ngokuthi `i-catheter` lidluliselwa ngomthambo liye endaweni lapho kugoqwe khona igazi, bese kunikezwa umuthi ngalo ukuze kuncibilikiswe igoqo legazi.
• Ukususwa kwe-Thrombectomy: Lokhu kuhilela ukususa ihlule legazi ngokusika okuncane noma ngokuhlinzwa okukhulu ('inqubo evulekile').
• Ukufakwa kwe-Angioplasty kanye/noma i-stent: Lokhu kwenzelwa ukugcina umthambo uvulekile kubantu abane-May-Thurner syndrome.

Izinkinga/imiphumela emibi yokwelashwa

Ukuhlinzwa okukhulu (`ukuhlinzwa okuvulekile`) ukuze kususwe ihlule legazi kungabangela izinkinga ezifana nalezi:

• Amathuba aphezulu okuthi igazi liphinde lihlangane.
• Ukulimala emthanjeni wegazi.

Ama-anticoagulant kanye nokwelashwa nge-thrombolysis kunengozi yokopha . Ngenxa yokuthi i-thrombolysis ingabangela i-pulmonary embolism, odokotela ngezinye izikhathi bangase batuse isihlungi se-inferior vena cava (IVC) ukuze sikuvimbele.

Ngizozizwa ngingcono ngokushesha kangakanani ngemva kokwelashwa?

Abanye abantu bangase baqale ukuzizwa bengcono zingakapheli ihora elilodwa ngemuva kokuqala imithi yokunciphisa igazi. Kodwa-ke, abantu abaningi abazizwa bengcono kuze kube amahora ambalwa ngemva kokuqala imithi. Uma isimo singathuthuki zingakapheli amahora angu-6-12, udokotela angase atuse inqubo ngaphezu kwemithi.

Ngokuhlinzwa kokususa ihlule legazi, ungase uqaphele ukuthi izinto ezifana nokuvuvukala nokushintsha kombala emlenzeni zizonyamalala ngokushesha. Ungase uzwe umehluko ngokushesha ngemva kokuhlinzwa .

Ingabe i-'Phlegmasia Cerulea Dolens' ingavinjelwa?

Yebo, ngezinga elithile kungenzeka. Lesi simo singavinjelwa ngokuvimbela i-DVT (i-deep vein thrombosis) noma ngokwelapha i-DVT ngaphambi kokuba ikhule ibe yi-Phlegmasia Cerulea Dolens.

Yini engingayilindela uma ngine-'Phlegmasia Cerulea Dolens'?

I-'Phlegmasia Cerulea Dolens' yisimo esingabangela ukuthi ulahlekelwe umlenze noma ngisho sibe yingozi empilweni. Yingakho odokotela beshesha kakhulu futhi baqale ukwelashwa ukuze bavimbele isimo sakho ukuba singabi sibi kakhulu. Ungase uzizwe sengathi bayakuphuthuma ukuzokunikeza imithi noma bakulungiselele ukuhlinzwa . Isizathu siwukuthi, ukwelashwa okusheshayo kuyindlela engcono kakhulu yokuthola imiphumela emihle kakhulu .

Kuzodingeka uhlale esibhedlela izinsuku ezimbalwa. Ungase futhi wenze okunye ukuhlolwa (ukuhlolwa kwezithombe) ukuqinisekisa ukuthi wonke amahlule egazi aphelile.

I-Outlook ye-`Phlegmasia Cerulea Dolens`

Izinga lempumelelo yokwelashwa kwe-thrombolysis lingama-85% kuya kuma-95%.

Kodwa-ke, uma ingelashwa, i-Phlegmasia Cerulea Dolens ingaholela ekuboleni. Uma kuvela ukubola, ingozi yokunqunywa iphakathi kuka-20% no-50% . Uma kukhona ukubola noma kungekho ukubola, ingozi yokuthi lesi simo sibe yingozi iphakathi kuka-20% no-40%.

Uma ingelashwa kahle, i-`Phlegmasia Cerulea Dolens` ingaphinde ivele.

Ngisho nangokwelashwa okusheshayo, abantu abaningi abathola i-'Phlegmasia Cerulea Dolens' bangase babe nezinkinga ngama-valve emithanjeni yabo kanye nesimo esibizwa ngokuthi 'i-Post-thrombotic syndrome' esikhathini esizayo.

Ngizinakekela kanjani?

Ngemva kokwelashwa kokuqala, kuzodingeka uqhubeke nokuthatha imithi yokunciphisa igazi (ama-anticoagulant) ukuze uvimbele lesi simo ukuthi singaphinde sivele. Kuye ngesimo sakho, kungase kudingeke ukuthi uthathe le mithi izinyanga eziningana noma ngaphezulu.

Kufanele ngimbone nini udokotela?

Udokotela wakho kuzodingeka ahlole igazi lakho njalo ukuqinisekisa ukuthi ukujiya kwegazi lakho kusezingeni elifanele. Kuzodingeka futhi ukuthi uvakashele njalo ukuze ubone ukuthi kukhona yini izinkinga ezizovela kamuva.

Kufanele ngiye nini eMnyangweni Wezimo Eziphuthumayo (i-ETU) ?

Uma unezimpawu ze-'Phlegmasia Cerulea Dolens', noma uma uke waba nezimpawu ngaphambilini futhi manje usuzibona futhi, funa iseluleko sezokwelapha ngokushesha . Futhi, uma uba nezimpawu zelinye ihlule legazi noma izimpawu ze-'Pulmonary Embolism', kufanele uye esibhedlela ngokushesha.

Yimiphi imibuzo okufanele ngiyibuze udokotela wami?

Ungabuza udokotela wakho imibuzo efana nale:

• "Kuzothatha isikhathi esingakanani ngithatha lawa ma-anticoagulant?"
• "Kudingeka ngize kangaki ukuze ngilandelelwe?"
• "Yini eyayingabangela i-'DVT' yami?"

Uyini umehluko phakathi kwe-'Phlegmasia Alba Dolens' kanye ne-'Cerulea Dolens'?

I-'Phlegmasia Alba Dolens' nayo iyinkinga ebangelwa ukugoba kwegazi. Kodwa-ke, ayivimbeli ukugeleza kwegazi ezicutshini zakho. Igama elithi `alba` egameni lisho 'umhlophe'. Lokhu kusho ukuthi umlenze uba mhlophe. I-'Alba Dolens' ingavela ngaphambi kokuba i-'Phlegmasia Cerulea Dolens' ikhule.

I-`Phlegmasia Cerulea Dolens` iyisimo esibi kakhulu. Sithinta ukujikeleza kwegazi. Ukunikezwa kwegazi ezicutshini lapho kutholakala khona ihlule kuyanqanyulwa.

Into ebaluleke kakhulu okudingeka siyikhumbule kule ndaba!

Isikhathi sibaluleke kakhulu endabeni ye-'Phlegmasia Cerulea Dolens'. Uma wena noma othandekayo wakho enalezi zimpawu, ungangabazi ukufuna usizo lwezokwelapha ngokushesha. Ukwelashwa okusheshayo kubalulekile ukuze kusindiswe umlenze, futhi mhlawumbe impilo.

Ngezinye izikhathi ungase uzizwe ukhathazekile lapho odokotela benza izinqumo ngokushesha futhi bethatha isinyathelo ngokushesha. Kodwa bonke bakwenzela inzuzo yakho. Uma kukhona ongakuqondi, ungesabi ukubuza imibuzo. Ukwaziswa kuyisinyathelo esingcono kakhulu sokuphepha.

I- Phlegmasia Cerulea Dolens, i-DVT, i-Blood Clot, Ukuvuvukala Kwemilenze, Ukuvaleka Kwemithambo, I-Gangrene, i-Pulmonary Embolism