Ingabe nawe unezinkinga eziqhubekayo emilenzeni/ezingalweni zakho ngemva kokuthola i-DVT? Ake sifunde nge-(Post-Thrombotic Syndrome)!

Uma wake waba ne-blood clot emthanjeni ojulile emlenzeni noma engalweni yakho, eyaziwa ngokuthi i -Deep Vein Thrombosis (DVT) , ungase ube nezinkinga ezithile eziqhubekayo. Kufana nesilonda esiphola, kodwa singashiya isilonda esincane noma ukungakhululeki okuthile. Namuhla, sizokhuluma ngesimo esingaba nomthelela wesikhathi eside kwabanye abantu ngemva kwe-DVT. Yilokhu odokotela abakubiza ngokuthi i-Post-Thrombotic Syndrome noma i-Postphlebitic Syndrome .

Kuyini i-Post-Thrombotic Syndrome? Kalula nje...

Ake sithi une-deep vein thrombosis (DVT) emlenzeni noma engalweni yakho. Ngisho noma sikuphatha kahle, ngezinye izikhathi i-clot ingabangela umonakalo othile emthanjeni. Kufana nokuthile okubhajwe epayipini lamanzi futhi uma ulisusa, kusabangela umonakalo othile emthanjeni.

Lo monakalo ungabangela ukuthi imithambo ilahlekelwe ukuguquguquka kwayo futhi ama-valve asiza ukugeleza kwegazi angasebenzi kahle. Lokhu kubangela ukuthi igazi lihlangane emithanjeni eyonakele esikhundleni sokubuyela enhliziyweni. Lapho igazi lihlangana ngale ndlela, ingcindezi engaphakathi kwemithambo iyanda, okubangela izimpawu ezifana nobuhlungu nokuvuvukala . Yilokhu esikubiza ngokuthi ukuqoqwa kwezimpawu (Post-Thrombotic Syndrome). Abanye abantu bangase babe nezimpawu ezincane kakhulu, kodwa abanye bangase babe zimbi kakhulu kangangokuthi abakwazi ngisho nokusebenza empilweni yabo yansuku zonke.

Uma uke waba ne-DVT eminyakeni emibili edlule futhi manje uhlangabezana nalezi zimpawu, bona udokotela ngokushesha. Bangahlola isimo sakho futhi baqale ukwelashwa okufanele ukuze bakusize.

Sivame kangakanani lesi simo?

I-Post-Thrombotic Syndrome empeleni iyisimo esivamile kubantu abaye baba ne-DVT. Ithinta abantu abaphakathi kuka-20 no-50 kwabayi-100 phakathi neminyaka emibili yokutholakala benesifo se-DVT. Lokho kusho ukuthi ithinta inani elikhulu labantu.

Uma une-Post-Thrombotic Syndrome, kunzima kakhulu ukuthi igazi elikulowo mthambo owonakele libuyele enhliziyweni. Lokhu kuhlanganiswa kwegazi yikho okubangela zonke izinhlobo zezinkinga.

Ziyini izimpawu zalokhu? Sizizwa kanjani?

Izimpawu ze-Post-Thrombotic Syndrome (PTS) zithinta kakhulu umlenze noma ingalo lapho i-DVT yenzeke khona. Ungase ubhekane nezinto ezifana nalezi:

• Ubuhlungu: Ubuhlungu emlenzeni, ikakhulukazi uma uhamba noma umile. Lokhu ngezinye izikhathi kubizwa ngokuthi i-claudication .
• Ubuhlungu noma ubuhlungu njengokungathi umthambo uyagoqwa .
• Ukuzwa ukusinda nokukhathala ezingalweni/emilenzeni.
• Ukuluma (Pruritus) .
• Ukuba ndikindiki, ukuqaqamba, kanye nemizwa engavamile (i-Paresthesia) .

Lezi zimpawu zingase zibe mnene kwabanye, futhi zibe zimbi kwabanye.Kungakuthinta. Ungase uthole ukuthi lezi zimpawu ziyanda uma ume noma uhamba isikhathi eside, futhi ziyancipha uma uphumula isikhashana. Lokhu kungakhululeki kungase kwande ngasekupheleni kosuku. Kwabanye abantu, lezi zimpawu zingase zibe njalo, noma zingase zifike zidlule.

Yiziphi izimpawu zangaphandle ze-Post-Thrombotic Syndrome?

Izimpawu yizinto esizizwayo. Izimpawu yizinto esingazibona. Udokotela wakho uzohlola nalezi zimpawu.

• Ukuvuvukala (i-Edema): Ukuvuvukala kwengalo noma umlenze othintekile.
• Ukubomvu kwesikhumba noma ukushintsha kombala.
• Ukuqina kwesikhumba , umuzwa ofana nesikhumba.
• Ukuvela kwemithambo emisha ye-varicose .
• Ukuvela kwemithambo emincane yesicabucabu .
• Uma isimo siba sibi kakhulu, kungase kuvele amanxeba angapholi (izilonda zemithambo yegazi) .

Kungani lokhu (Post-Thrombotic Syndrome) kwenzeka? Iyini imbangela?

Isizathu esilula kakhulu ukulimala kwemithambo yakho ngenxa ye- Deep Vein Thrombosis (DVT) .

Imithambo ejulile emilenzeni nasezingalweni zethu inama -valve ahamba ngendlela eyodwa avumela igazi ukuthi ligeleze ohlangothini olulodwa kuphela. Njengomnyango, ungavuleka ohlangothini olulodwa kuphela. La ma-valve asiza igazi ukuthi ligeleze libuyele enhliziyweni. Kodwa-ke, lapho kwakheka i-blood clot ngaphakathi kwe-vein, i-blood clot ingalimaza lawo ma-valve. Khona-ke ama-valve awasebenzi kahle.

Ngenxa yalokho, igazi lihamba kancane kakhulu. Esikhundleni sokugeleza kahle liye enhliziyweni, igazi lihlangana emithanjeni. Lokhu kwandisa ingcindezi ngaphakathi kwezindonga zemithambo, okubangela izimpawu okukhulunywe ngazo ekuqaleni.

Ubani osengozini enkulu yalesi simo?

Noma ubani oke waba ne-DVT angaba ne-Post-Thrombotic Syndrome. Kodwa-ke, ingozi iphakeme uma uke waba ne-DVT ephindaphindayo , ikakhulukazi engalweni noma emlenzeni ofanayo. Okusho ukuthi, uma uke waba namahlule egazi amaningi endaweni efanayo.

Futhi, ingozi yakho iphakeme uma uke waba nanoma yiziphi izimpawu ezilandelayo ze-blood clot yangaphambili:

• Uma ngabe isakazeke engxenyeni enkulu yomthambo.
• Ihlule legazi ethangeni elingenhla noma ethangeni (elibizwa ngokuthi i-proximal DVT ) liyingozi kakhulu kunehlule legazi ethangeni (elibizwa ngokuthi i-distal DVT ). Ingozi iphezulu kakhulu uma ihlule legazi lenzeka emthanjeni we-iliac noma emthanjeni we-common femoral .
• Uma une-blood clot emthanjeni omkhulu emzimbeni wakho ongaphezulu, ehlombe, noma esifubeni esingaphezulu (lokhu kubizwa ngokuthi i-axillo-subclavian vein thrombosis) .
• Uma kwakukhona ihlule legazi (i-residual thrombosis) elingancibiliki ngokuphelele ngisho nangemva kokwelashwa.

Ngaphezu kwalokho, kunezinye izici eziningana eziyingozi:

• Uma unesifo esivele sikhona njanjengokungakwazi ukusebenza kahle kwemithambo yegazi (CVI) .
• EyakhoUma inkomba yakho yesisindo somzimba (i-BMI) ingaphezu kwama-30 (lokho kusho ukukhuluphala).

Odokotela bayixilonga kanjani i-Post-Thrombotic Syndrome?

Odokotela baxilonga lesi simo ikakhulukazi ngokuhlolwa ngokomzimba . Phakathi nalokhu kuhlolwa, udokotela wakho uzokwenza okulandelayo:

• Buza ngomlando wakho wezokwelapha (njengokuthi wake waba ne-DVT kanjani esikhathini esidlule, ukuthi yiziphi izindlela zokwelapha ozitholile).
• Babuza ngezimpawu zakho nokuthi zithinta kanjani impilo yakho yansuku zonke.
• Imilenze nezingalo zakho zizohlolwa ukuze kutholakale izimpawu ze-Post-Thrombotic Syndrome (njengokuvuvukala nokushintsha kwesikhumba).

Ngokusekelwe kulolu lwazi, udokotela uzonquma ukuthi une-Post-Thrombotic Syndrome yini nokuthi, uma kunjalo, imbi kangakanani.

Iyini isikali seVillalta?

Kungenzeka ukuthi uke wezwa udokotela wakho ekhuluma 'ngesilinganiso seVillalta' . Lena yindlela ejwayelekile odokotela abayisebenzisayo ukuthola lesi simo nokuhlola ubukhali baso. Kufana nohlu lokuhlola olunemiphumela. Luhlanganisa izimpawu ezi-5 namaphuzu ayisithupha. Udokotela unikeza amaphuzu ngezimpawu ngayinye bese esayina:

• Amaphuzu angu-0: Ayikho.
• Isilinganiso 1: Kukhona kancane.
• Isilinganiso 2: Ukhona ngokulingene.
• Isilinganiso 3: Kubi kakhulu.

Udokotela ube esehlanganisa wonke la maphuzu. Uma inani eliphelele lingaphansi kuka-4, awunayo i-Post-Thrombotic Syndrome. Uma unamaphuzu angu-5 noma ngaphezulu, unalesi simo.

Lesi simo sihlukaniswa ngokuthi sincane, simaphakathi, noma sinzima ngokusekelwe kulezi zibalo:

• Amaphuzu 5 kuya ku-9: Isimo esingesihle.
• Amaphuzu angu-10 kuya ku-14: Isimo esimaphakathi.
• Uma kunezilonda, noma amaphuzu angu-15 nangaphezulu: isimo esibi kakhulu.

Udokotela wakho uzokuchazela le miphumela futhi akutshele ukuthi isho ukuthini.

Ingabe kukhona ukuhlolwa okukhethekile kokuxilonga lesi simo?

Akukho ukuhlolwa okuqondile kokuxilonga ukuze kutholakale i-Post-Thrombotic Syndrome. Kodwa-ke, kwezinye izimo, odokotela bangase bacele i -'Duplex ultrasound' ukuze babone ukuthi igazi ligeleza kanjani emithanjeni.

Yiziphi izindlela zokwelapha i-Post-Thrombotic Syndrome?

Ukwelashwa kuvame ukufaka ukwelashwa kokucindezela, ukushintsha indlela yokuphila, kanye nokuzivocavoca . Abanye abantu bangadinga ukuhlinzwa noma ukwelashwa kwezilonda zemithambo yegazi. Odokotela bazohlela ukwelashwa ngokwezidingo zomuntu ngamunye. Umgomo oyinhloko wokwelashwa ukunciphisa izimpawu zakho nokuthuthukisa ikhwalithi yokuphila kwakho.

Ukwelashwa ngokucindezela

Udokotela wakho angase akunike amasokisi akhethekile okucindezela.Ungathi zigqoke. Lezi ziyindlela evame ukusetshenziswa kakhulu yokwelapha ngokucindezela. La masokisi kufanele agqokwe njalo (ngokuvamile nsuku zonke). La masokisi acindezela imisipha yakho yethole futhi athuthukise ukujikeleza kwegazi emithanjeni. Nakuba zingase zizizwe ziqinile uma zigqokwa, akufanele zibe buhlungu.

Kunezinhlobo ezahlukene zamasokisi anikeza amazinga ahlukene okucindezela. Udokotela wakho uzokunikeza uhlobo olufanele lwamasokisi oluhambisana nezidingo zakho.

Kungathatha isikhathi ukuthi ujwayele ukugqoka lawa (amasokisi okucindezela). Kubalulekile ukukhuluma nodokotela wakho ngendlela azizwa ngayo nokuthi ungawagqoka kahle yini. Udokotela wakho angase futhi alungise izinga lokucindezela kuye ngokuthi uzizwa kanjani nokuthi amasokisi anikeza impumuzo engakanani ezimpawini zakho.

Ezinye izindlela zokwelapha i-thrush zifaka:

• Idivayisi yokusiza ukubuyisa imithambo yegazi: Isibonelo , i-Venowave® . Lena idivayisi efana nephampu oyigqoka entanyeni yakho ukusiza ukuthuthukisa ukugeleza kwegazi. Ungayifaka ekhaya noma ngenkathi uphumile.
• Idivayisi yokucindezela umoya ngezikhathi ezithile (i-IPC): Lena yisikhwama somoya esigqokwa emlenzeni esibhedlela.

Izinguquko zendlela yokuphila

Ukwenza izinguquko ezincane endleleni yokuphila kungasiza kakhulu ekunciphiseni izimpawu zakho. Udokotela wakho angase akuncome izinto ezifana nalezi:

• Gcina imilenze yakho ingaphezulu kwesilinganiso senhliziyo yakho , kungakhathaliseki ukuthi uhleli noma ulele phansi.
• Gcina isisindo somzimba siphilile .
• Sebenzisa ama-moisturizer ukuvimbela isikhumba ukuba somile noma siqhekeke.

Ukuzivocavoca umzimba

Ukuzivocavoca kungasiza ekuthuthukiseni ukujikeleza kwegazi nokunciphisa izimpawu. Isibonelo, uma i-Post-Thrombotic Syndrome ithinte imilenze yakho, udokotela wakho angase akuncomele ukuzivocavoca okuqinisa imisipha yemilenze yakho.

Lokho kungenxa yokuthi imisipha yakho yethole ingamaphampu anamandla asebenza "njengenhliziyo yesibili." Uma uhamba, ukufinyela kwemisipha yakho yethole kusiza ukupompa igazi lisuka emilenzeni nasezinyaweni zakho libuyele enhliziyweni yakho. Ngakho-ke, uma uqinisa leyo misipha, imithambo yakho ithola usizo eludingayo ukuze ithwale igazi ngendlela efanele.

Ukuzivocavoca kuthuthukisa ukuguquguquka kwakho kanye nokukhuthazela kwenhliziyo nemithambo yegazi. Khuluma njalo nodokotela wakho ngaphambi kokuqala uhlelo olusha lokuzivocavoca. Uzokutshela ukuthi yikuphi ukuzivocavoca okuphephile futhi okufanele izidingo zakho.

Ukuhlinzwa

Kwezinye izimo ezikhethekile, odokotela bangase batuse ukuhlinzwa noma ukwelashwa nge-endovenous (isibonelo, ukufaka i-stenting) ukuze kuthuthukiswe ukugeleza kwegazi emithanjeni. Udokotela wakho uzokutshela ukuthi ukwelashwa okunjalo kukufanele yini.

Ukwelashwa kwezilonda zemithambo yegazi

Uma isimo siba sibi kakhulu , izilonda zemithambo yegazi zingavela. Kubaluleke kakhulu ukwelapha lezi zilonda ngendlela efanele nangokucophelela. Uma kungenjalo, kungaba nezinkinga ezinkulu, njengokunqunywa kwesikhumba. Udokotela wakho angase ancome okukodwa noma ngaphezulu kwalokhu okulandelayo:

• Ama-antibiotic.
• Amabhandeji noma amabhandeshi okumboza inxeba.
• Amabhandeji noma amasokisi okucindezela.
• Ukuhlanza amanxeba nsuku zonke.
• Amafutha okugcoba.
• Imithi yokuqeda ubuhlungu.
• Ukususwa kwezicubu ezifile.
• Ukudluliselwa kochwepheshe ukuze basize ekuphatheni izifo ezingamahlalakhona njengesifo sikashukela.

I-Post-Thrombotic Syndrome ihlala isikhathi esingakanani?

I-Post-thrombotic syndrome yisimo esingamahlalakhona . Lokhu kusho ukuthi udokotela wakho angakusiza ukuthi usilawule, kodwa asinakwelashwa . Ukwelashwa kunganciphisa izimpawu zakho futhi kuthuthukise ikhono lakho lokusebenza, ukuhlangana nabantu, nokuzijabulisa ngendlela othanda ngayo.

Ingabe i-Post-Thrombotic Syndrome ingavinjelwa?

I-Post-Thrombotic Syndrome ayikwazi ukuvinjelwa ngaso sonke isikhathi. Lokhu kungenxa yokuthi i-Deep Vein Thrombosis (DVT) ayikwazi ukuvinjelwa ngaso sonke isikhathi. Kodwa-ke, wena nodokotela wakho ningasebenzisana ukunciphisa ingozi yakho:

• Thola futhi unciphise izici eziyingozi ze-DVT: Indlela engcono kakhulu yokuvimbela i-DVT (Post-Thrombotic Syndrome) ukuyivimbela ukuthi ingakhuli kwasekuqaleni. Zama ukunciphisa izici eziyingozi ongazishintsha. Isibonelo, unganciphisa ingozi yakho ngokugwema imikhiqizo kagwayi, ukuhlala usebenza, nokugcina isisindo esinempilo. Udokotela wakho uzokutshela ukuthi yiziphi izici eziyingozi okufanele uzinake nokuthi ungazithuthukisa kanjani uhlelo lwazo.
• Ukuxilongwa kusenesikhathi kanye nokwelashwa okufanele kwe-DVT: Uma une-DVT, ukuxilongwa kusenesikhathi kanye nokwelashwa kungasiza ekunciphiseni umonakalo emithanjeni yakho. Kungasiza futhi ekuvimbeleni i-DVT yesikhathi esizayo. Lokhu kungenxa yokuthi uma une-DVT enye, usengozini enkulu yokuthola i-post-thrombotic syndrome. Udokotela wakho uzonquma uhlelo lokwelashwa olungcono kakhulu kuwe. Lokhu kuvame ukuhilela ukuthatha imithi yokuvimbela ukugabha kwegazi izinyanga eziningana noma ngaphezulu.

Ngizinakekela kanjani?

Udokotela wakho uzokunikeza imiyalelo yokuthi ungazinakekela kanjani ngesikhathi usekhaya. Landela leyo miyalelo ngokucophelela, bese ubuza imibuzo uma kukhona okungacacile. Ngokuvamile ungenza izinto ezinjengalezi:

• Thatha umuthi wakho njengoba nje uyalelwe .
• Ngesikhathi uhleli noma ulele phansiQhubeka uphakamisa imilenze yakho.
• Gwema ukuhlala isikhathi eside ngangokunokwenzeka. Thatha ikhefu elifushane ukuze uhambehamba futhi welule umzimba wakho.
• Sebenzisa i-moisturizer ukuze ugcine isikhumba sakho siphilile.

Kubalulekile futhi ukunakekela impilo yakho yengqondo . Ukuphila ne-Post-Thrombotic Syndrome kungaba ukucindezeleka kwengqondo nangokomzwelo. Abantu abanalesi simo bangaba nokucindezeleka, ukukhathazeka, kanye nokuzethemba okuphansi. Bangase bakhathazeke ngokuba nelinye ihlule legazi. Bangase futhi bazizwe bedabukile ngoba abasakwazi ukwenza izinto ababezenza ngenxa yezimpawu zabo.

Uma ubhekene nale mizwa, ukukhuluma nomeluleki noma uchwepheshe wezokwelapha kungaba usizo olukhulu. Bangakusiza ukubhekana nale mizwa futhi uthole izixazululo ezikwenza uzizwe ungcono.

Kufanele ngimbone nini udokotela wami?

Udokotela wakho uzokunikeza ukulandelela ukuze aqaphe isimo sakho. Kubaluleke kakhulu ukuba khona kuzo zonke lezi zikhathi zokuqokwa ukuze udokotela wakho akwazi ukulungisa uhlelo lwakho lokwelashwa njengoba kudingeka.

Uma uthola izimpawu ezintsha noma uma izimpawu zakho zishintsha , shayela udokotela wakho ngokushesha.

Yimiphi imibuzo okufanele ngiyibuze udokotela wami?

Le mibuzo izokusiza ukuthi ufunde kabanzi mayelana nokuxilongwa kwakho:

• Ingabe ngempela nginayo i-Post-Thrombotic Syndrome? Uma kunjalo, ingabe iyingozi kangakanani?
• Yikuphi ukwelashwa ongincomayo?
• Yiziphi izinguquko okudingeka ngizenze endleleni yami yokuphila?
• Yimiphi imithambo efanele mina?
• Umbono wami uzoba yini?

Uma uthola ukuthi une-Post-Thrombotic Syndrome, ungase ube nemibuzo eminingi kanye nokwesaba. Kodwa ungakhathazeki, udokotela wakho ukhona ukuze aphendule imibuzo yakho futhi akuqondise ekwelashweni. Nakuba lesi simo sivamile, izidingo zakho kanye nokukhathazeka kwakho kuhlukile. Sebenzisana nodokotela wakho ukuthola izinsiza ezisekela impilo yakho yomzimba neyengqondo.

Umlayezo Wokuya Nawe Ekhaya

I-Post-Thrombotic Syndrome (PTS) yisimo esingase senzeke ngemva kwe-DVT futhi singaba sicindezela kakhulu. Kodwa singalawulwa .

Into ebaluleke kakhulu ukufuna ukwelashwa okusheshayo nokufanelekile uma uthola i-DVT, ukuqaphela noma yiziphi izimpawu ezilandelayo, nokufuna iseluleko sezokwelapha uma kudingeka.

Ukulandela iseluleko sikadokotela wakho, ukwenza izinguquko ezidingekayo endleleni yokuphila, futhi ikakhulukazi ukusebenzisa amasokisi okucindezela kahle kungakusiza uthole impumuzo enkulu. Khumbula, awuwedwa, futhi kukhona odokotela abangakusiza ukubhekana nalesi simo.

I- Post-Thrombotic Syndrome, i-DVT, Amahlule egazi, Isifo Semithambo, Ubuhlungu Bemilenze, Ukuvuvukala Kwemilenze, Ukulimala Kwemithambo