Ingabe ngezinye izikhathi uzizwa sengathi izandla nezinyawo zakho azinangqondo, noma iminwe nezinzwane zakho ziyabanda nje? Ingabe uzizwa ubuhlungu emilenzeni yakho njengokungathi imisipha yakho iyaqina uma uhamba? Sivame ukungakunaki lokhu njengezinto ezivamile. Kodwa-ke, lokhu kungaba uphawu lokuthi ukujikeleza kwegazi lakho, noma ukugeleza kwegazi, kubuthakathaka kancane. Lokhu akusona isifo ngokwaso, kodwa kungaba uphawu lwesinye isifo. Ngakho-ke ake sixoxe ngalokhu ngqo, kalula, namuhla.
Kuyini ukujikeleza kwegazi okungekuhle?
Cabanga nje ukuthi imizimba yethu ifana nedolobha elikhulu. Yonke indlu kuleli dolobha (okungukuthi, yonke iseli emzimbeni wethu) inenethiwekhi yemigwaqo ethwala izinto ezibalulekile njengokudla, amanzi, nomoya-mpilo. Le migwaqo iyimithambo yegazi yethu. Izimoto ezithutha lezi zinto ezibalulekile kule migwaqo ziyigazi lethu. Isikhungo esiyinhloko, noma injini, yalolu hlelo lonke lokuhamba yinhliziyo yethu.
Ngakho-ke, lapho inhliziyo, imithambo yegazi (imithambo yegazi, imithambo yegazi) yonke iphilile, le nsizakalo yokuthutha yenzeka ngaphandle kokuphazamiseka. Wonke amaseli emzimbeni athola umoya-mpilo nezakhamzimba ezidingayo ngesikhathi, futhi imfucuza ekhiqizwa emaseli iyabuyiselwa emuva.
Ukujikeleza kwegazi okungekuhle kusho ukuthi kukhona ukuvinjelwa, ukuvaleka, noma inkinga ndawana thize kulolu hlelo lokuhamba. Njengomuthi owela emgwaqweni, okubangela ukuminyana kwezimoto. Lokhu kuvinjelwa kuvimbela igazi ukuthi lihambe kahle. Ikakhulukazi ezindaweni ezikude nenhliziyo, okungukuthi, eziqongweni zeminwe nezinzwane zethu, kuncane kakhulu ukugeleza kwegazi.
Inkinga enkulu ngalokhu ukuthi amangqamuzana ethu awatholi inani elifanele lomoya-mpilo. Uma encishwa umoya-mpilo, amangqamuzana awakwazi ukwenza umsebenzi wawo kahle. Yilapho izimpawu ziqala khona ukubonakala.
Yiziphi izimpawu zokungahambi kahle kwegazi?
Uma ukugeleza kwegazi emzimbeni kwehla, kungavela izimpawu ezahlukahlukene. Lezi zivame ukuthinta izingxenye zomzimba kakhulu, njengezandla, izinyawo, neminwe. Ake sibheke ukuthi ziyini lezi zimpawu.
| Isibonakaliso | Kalula nje... |
|---|---|
| Ukungazweli noma umuzwa "wokushaqeka ngogesi" ezithweni | Lokhu kubizwa ngokuthi umuzwa "wokubhoboza izinaliti". Lo muzwa ungenzeka uma ukuphakelwa kwegazi ezinzwa kuncipha. |
| Izandla nezinyawo zihlala zibanda. | Ukujikeleza kwegazi kusiza nasekugcineni izinga lokushisa lomzimba. Lapho ukugeleza kwegazi kwehla, izandla nezinyawo kubanda kakhulu kunezinye izingxenye zomzimba. |
| Ubuhlungu bemisipha uma uhamba | Uma ngihamba ibanga elifushane, imisipha yemilenze yami izwakala sengathi iyaqhekeka futhi iyalimala. Lobuhlungu buyaphela uma ngihlala isikhashana. Lokhu kwenzeka ngoba leyo misipha ayitholi umoya-mpilo eyidingayo. |
| Ukushintsha kombala wesikhumba | Ngezinye izikhathi isikhumba singase sibe mhlophe noma sibe luhlaza okwesibhakabhaka ngenxa yegazi elincane elinomoya-mpilo. |
| Ukuvuvukala kwemilenze | Uma ukujikeleza kwegazi kungalungile, uketshezi emzimbeni alukwazi ukuphuma kahle futhi lunganqwabelana ezindaweni ezifana nemilenze bese kubangela ukuvuvukala. |
| Imithambo ye-Varicose | Uma imithambo esemilenzeni yakho ibonakala iluhlaza okwesibhakabhaka/onsomi futhi inamafindo, kungaba yinkinga nokujikeleza kwegazi. |
| Ubuhlungu besifuba | Uma kunenkinga ngemithambo yegazi ehambisa igazi enhliziyweni, ungase uzwe ubuhlungu esifubeni. Lokhu kuyimpawu enkulu . |
Yiziphi izimbangela eziyinhloko zokungahambi kahle kwegazi?
Akukho neyodwa imbangela yalesi simo, kodwa ziningi izinto ezingaba nomthelela kuso. Ngokuvamile, abantu abangaphezu kweminyaka engama-40 ubudala, labo abanesisindo esiningi, labo abanesifo sikashukela, kanye nalabo abangawuvivinyi umzimba ngokwanele basengozini enkulu. Ake sibheke izimbangela eziyinhloko.
| Isizathu | Kwenzekani ngalokhu? |
|---|---|
| I-atherosclerosis | Kalula nje, i-cholesterol namafutha anqwabelana ngaphakathi kwemithambo yegazi, okuvimbela ukugeleza kwegazi. Njengoba nje ukungcola kwakheka ngaphakathi kwepayipi lamanzi, kunciphisa ukugeleza kwamanzi. |
| Isifo Sikashukela (i-Diabetes Mellitus) | Uma amazinga kashukela egazini ehlala ephezulu isikhathi eside, alimaza imithambo yegazi, okuphazamisa ukuhamba kwegazi. |
| Umfutho Wegazi Ophakeme | Uma igazi ligeleza emithanjeni ngomfutho ophezulu, izindonga zemithambo ziyalimala futhi zibe buthaka, okuphinde kuvimbele ukugeleza kwegazi. |
| Ukubhema | Amakhemikhali akugwayi alimaza ngqo imithambo yegazi, okwandisa kakhulu ingozi ye-atherosclerosis. |
| Ukukhuluphala ngokweqile | Njengoba isisindo somzimba sikhula, ingozi yezifo eziningi eziphazamisa ukujikeleza kwegazi, njengesifo sikashukela, umfutho wegazi ophakeme, kanye ne-cholesterol, iyanda. |
| I-Deep Vein Thrombosis (DVT) | Lokhu kwenzeka lapho kwakheka ihlule legazi emthanjeni ojulile emlenzeni. Lokhu kungavimba ngokuzumayo ukugeleza kwegazi emlenzeni. |
| I-Pulmonary Embolism | Lesi yisimo esibucayi kakhulu nesiphuthumayo.I-DVT yilapho ucezu lwegazi olwakheka emlenzeni luphuka bese lubhajwa emthanjeni emaphashini. |
| Isifo Semithambo Engasogwini (i-PAD) | Lokhu futhi kuwumphumela we-atherosclerosis. Kuyimbangela enkulu yobuhlungu bemilenze lapho uhamba, ikakhulukazi ngenxa yokuncipha kwemithambo yegazi ehambisa igazi emilenzeni. |
| Isifo sikaRaynaud | Kubantu abanalesi simo, lapho bebhekene nomkhuhlane noma ukucindezeleka, imithambo yegazi enikeza igazi eminwe nasezinzwaneni iyaqina ngokuzumayo. Iminwe ibe isiba mhlophe, ibe luhlaza okwesibhakabhaka, bese iqala ukuba ndikindiki. |
Udokotela usithola kanjani lesi simo ngokunembile?
Uma unezimpawu ezishiwo ngenhla, into engcono kakhulu ongayenza ukubonana nodokotela womndeni wakho. Uzothatha izinyathelo eziningana ukuze axilonge lesi simo.
1. Ukuhlolwa komzimba: Udokotela uzohlola izingalo nemilenze yakho. Uzobheka ukuvuvukala, izinguquko embala wesikhumba, kanye namanxeba. Uzohlola nokushaya kwenhliziyo ezingalweni nasemilenzeni yakho.
2. Ukukubuza imininingwane: Uzobuzwa imibuzo eminingi, njengokuthi yiziphi izimpawu zakho, ukuthi usunesikhathi esingakanani unazo, ukuthi unezinye izifo ezifana nesifo sikashukela noma umfutho wegazi ophakeme, ukuthi uyabhema yini, nokuthi ukhona yini emndenini wakho onalezi zifo.
3. Ukuhlolwa okukhethekile: Uma kudingeka, udokotela angase ancome ukuhlolwa okuningana okufana nalokhu ukuze athole imbangela eqondile.
- I-Doppler Ultrasound: Lokhu kungahlola isivinini sokugeleza kwegazi ngaphakathi kwemithambo yegazi nokuthi ngabe kukhona yini ukuvaleka.
- Ukuhlolwa kwe-Ankle-Brachial Index (ABI): Lokhu kulinganisa futhi kuqhathanise umfutho wegazi emlenzeni wakho nasengalweni. Uma umfutho emlenzeni wakho uphansi kakhulu kunowasengalweni yakho, kusho ukuthi umlenze wakho awutholi ukugeleza kwegazi okwanele.
- I-Angiography noma i-CT Scan: Lezi zivivinyo zithatha izithombe ezicacile zemithambo yegazi futhi zingakhomba ukuthi kuphi nokuthi kungakanani ukuvinjelwa okukhona.
- Ukuhlolwa kwegazi: Lokhu kusiza ukuthola izinto ezifana namazinga e-cholesterol, amazinga kashukela, nokuthi ngabe kukhona yini izinkinga zokujiya kwegazi.
Yiziphi izindlela zokwelapha lokhu?
Ukwelashwa kuncike embangeni yokujikeleza kwegazi kwakho okungekuhle. Udokotela wakho uzokhetha ukwelashwa okukufanele kakhulu. Lokhu kungahlukaniswa ngezigaba ezintathu eziyinhloko.
1. Izinguquko zendlela yokuphila
Lena yinto ebaluleke kakhulu futhi yokuqala okufanele uyenze. Ngisho noma usebenzisa imithi, uma ungazenzi lezi zinguquko, imiphumela izoba mincane kakhulu.
- Uma ubhema, yeka ngokushesha.
- Ukujwayela ukudla okunempilo (ukudla okunamafutha amancane, usawoti, ushukela, imifino nezithelo eziningi).
- Ukuvivinya umzimba njalo (ngisho nokuhamba imizuzu engama-30 ngosuku kuwusizo kakhulu).
- Ukulawula isisindo somzimba.
- Uma unesifo sikashukela, umfutho wegazi ophakeme, noma i-cholesterol, zilawule kahle.
2. Ukwelashwa ngemithi
Kuye ngesimo sakho, udokotela wakho angakunikeza imithi efana nalokhu:
- Ama-statin: Lawa anciphisa izinga le-cholesterol embi egazini futhi avimbele ukuthi ingangeni emithanjeni yegazi.
- Imithi yokulwa nama-platelet: Imithi efana ne-aspirin inciphisa ingozi yokuqhekeka kwegazi.
- Izinto zokunciphisa igazi: Imithi efana ne-Warfarin ivimbela ukwakheka kwamahlule egazi. Lezi zinikezwa ikakhulukazi ezimweni ezifana ne-DVT.
- Imithi yokucindezela kwegazi.
3. Ukuhlinzwa kanye nezinye izindlela zokwelapha
Kwezinye izimo, uma ukuvaleka kwemithambo yegazi kukhulu futhi kungenakulawuleka ngemithi yodwa, kubalulekile ukusebenzisa izindlela zokwelapha ezinjengalezi.
- I-Angioplasty: Inqubo lapho kufakwa khona idivayisi efana nebhaluni emthanjeni wegazi ovinjiwe bese ivuvukala ukuze inwebe umthambo wegazi. Ngezinye izikhathi kufakwa idivayisi encane efana ne-mesh ebizwa ngokuthi i-stent ukuze kuvinjwe umthambo futhi.
- Ukuhlinzwa Kokudlula: Ukudlula umthambo wegazi ovalekile nokudala indlela entsha kusetshenziswa ucezu lomthambo oluthathwe kwenye ingxenye yomzimba.
- Ukususwa kwe-thrombus essisted catheter: Uma ihlule elikhulu legazi libambekile, lisuswa ngedivayisi ekhethekile.
Kufanele ufune nini iseluleko sezokwelapha?
Lokhu kubaluleke kakhulu. Nakuba ezinye izimpawu zivamile, ezinye zibonisa isimo esiphuthumayo. Ngakho qiniseka ukuthi uyazi umehluko.
| Nini lapho kufanele uthole iseluleko sezokwelapha | |
|---|---|
| Bona udokotela uma unalezi zimpawu: | |
| - | Uma uthola izimpawu ezintsha. |
| - | Uma umuthi wamanje ungaziqedi izimpawu. |
| - | Uma ngokuzumayo uqala ukuvuvukala, ukubomvu, noma ubuhlungu emlenzeni (lokhu kungaba uphawu lwe-DVT). |
| Lezi yizimo eziphuthumayo! Yiya e-ETU (i-Emergency Treatment Unit) ngokushesha! | |
| - | Ubuhlungu besifuba obungazelelwe, ubunzima bokuphefumula. |
| - | Uma ulahlekelwa yimizwa yonke emilenzeni yakho. |
| - | Uma uzwa ubuhlungu obukhulu noma ukungabi namizwa emilenzeni yakho ngisho noma umi nje ngaphandle kokuzivocavoca. |
Umlayezo Wokuya Nawe Ekhaya
- Ukungasebenzi kahle kwegazi akusona isifo, kuwuphawu lwesinye isimo esiyisisekelo.
- Ungazinaki izinto ezinjengokuba ndikindiki ezandleni nasezinyaweni, ukuzizwa ubanda, noma ukuba nemilenze ebuhlungu uma uhamba. Khuluma nodokotela wakho ngakho.
- Into engcono kakhulu nebaluleke kakhulu okufanele uyenze ukulawula lesi simo ukuba nendlela yokuphila enempilo . Ukuyeka ukubhema, ukuzivocavoca umzimba, nokulandela ukudla okuhle kubalulekile.
- Uma unezifo ezifana nesifo sikashukela noma umfutho wegazi ophakeme, ukuzigcina zilawulwa kuzosiza kakhulu ekugcineni ukujikeleza kwegazi okuhle.
- Ubuhlungu besifuba obungazelelwe, ubunzima bokuphefumula, noma ukulahlekelwa umuzwa emlenzeni kuyizimo eziphuthumayo. Ezimweni ezinjalo, hamba uye eMnyangweni Wezimo Eziphuthumayo wesibhedlela esiseduze (i-ETU) ngokushesha.
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