Uma ubheka imilenze yakho, ingabe ngezinye izikhathi ubona imithambo eluhlaza okwesibhakabhaka noma onsomi, kanti kwezinye izindawo imithambo ibukeka sengathi iboshwe ngamafindo? Abanye abantu bazizwa ubuhlungu, ukusinda, kanye nokulunywa emilenzeni yabo ngenxa yalokhu. Ikakhulukazi uma ugqoke ingubo noma amabhulukwe amafushane, lokhu kubukeka kungakwenza uzizwe ungakhululekile. Ngokwezokwelapha lesi simo sibizwa ngokuthi `(Varicose veins)` kanye `(Spider veins)`. Ngakho-ke namuhla sizokhuluma ngokwelashwa okuphumelelayo kakhulu, okulula, nokuthandwayo kwalokhu. Lokho `Sclerotherapy`.
Kuyini ngempela i-sclerotherapy?
Kalula nje, i-Sclerotherapy iwukwelashwa ngomjovo wemithambo evuvukele kanye nemithambo yesicabucabu emilenzeni yakho. Akuyona ukuhlinzwa. Okwenzekayo lapha ukuthi udokotela wakho usebenzisa inalithi encane kakhulu ukufaka isisombululo samakhemikhali esikhethekile emthanjeni obonakalayo.
Cabanga ngalolu ketshezi njengeglue. Uma lungena emthanjeni, lubangela ukucasuka okuncane ezindongeni zemithambo. Okwenzekayo ukuthi izindonga zemithambo zinamathelana, ukugeleza kwegazi ngaphakathi emthanjeni kuyama, bese umthambo uba njengesibazi bese uvaleka. Ngokuhamba kwesikhathi, umzimba wakho uyamunca futhi ususe lo mthambo ovalekile. Khona-ke umthambo omubi uyanyamalala kancane kancane. Kanye nawo, ubuhlungu nokungakhululeki okubangele nakho kuyanyamalala.
Lokhu kufana nokufaka uketshezi olukhethekile ngaphakathi kwepayipi lamanzi elidala, elingenamsebenzi bese ulivala ngaphakathi. Ngemva kwesikhashana, njengoba nje ipayipi libola, lo mthambo nawo uyanyamalala emzimbeni.
Ubani ofanele lolu hlobo lokwelashwa? Ubani ofanele lona?
I-Sclerotherapy iyindlela yokwelapha ephephile engenziwa abantu abaningi, kodwa ayilungele wonke umuntu. Udokotela wakho uzonquma ukuthi lokhu kwelashwa kukufanele yini. Uzokuhlola ngaphambi kokwenza ukwelashwa.
Lokhu kwelashwa ngokuvamile akwenziwa kubantu abalandelayo:
- Kwabomama abakhulelwe: Lokhu kwelashwa akunakwenziwa uma ukhulelwe. Ungakucabangela futhi kuphela ngemva kwezinyanga ezintathu okungenani ngemva kokubeletha.
- Kwabomama abancelisayo: Akukhuthazwa ukwenza lokhu ngesikhathi bencelisa.
- Kubantu abanezinkinga zokujiya kwegazi: Lokhu akunakwenziwa uma unezingqimba zegazi ezisebenzayo emithanjeni yakho (i-active deep vein thrombosis noma i-superficial vein thrombosis).
- Kulabo abalele embhedeni: Lokhu kwelashwa akwenziwa kumuntu olele embhedeni futhi ongakwazi ukuhamba nganoma iyiphi indlela.
Kodwa-ke, uma uphuza amaphilisi okuvimbela inzalo, akuyona inkinga , ungenza i-'Sclerotherapy'. Futhi, noma ngabe wake waba ne-blood clot ngaphambili, kuye ngokuthi imbangela kanye nobunzima bayo, kungenzeka ukuthi uyelaphe. Kufanele ukhulume nodokotela wakho ngalokhu.
Enye into ebalulekile ukuthi ngezinye izikhathi lokhu kwelashwa akwenziwa emithanjeni engase idinge ukuhlinzwa kwe-bypass esikhathini esizayo, njengokuhlinzwa kwe-coronary artery bypass graft. Kodwa-ke, uma umthambo usuvele wonakele kakhulu ukuba ungasetshenziswa, uyalashwa.
Okudingeka ukwazi ngaphambi kokwelashwa nokuthi ungazilungiselela kanjani
Kunezinto okudingeka uzilungiselele ngaphambi kokuya kokwelashwa, kanye nemithi okudingeka uyeke ukuyisebenzisa. Ukulandela lezi zinto kubaluleke kakhulu ukuze ukwelashwa kuphumelele.
| Iseluleko | Ulwazi olubalulekile |
|---|---|
| Imithi yokuyeka | Ungaphuzi imithi yokunciphisa ubuhlungu kanye nemithi yokunciphisa igazi efana ne -aspirin , i-ibuprofen (njenge-Advil®, i-Nuprin®), kanye neminye imithi yokunciphisa igazi amahora angu-48 ngaphambi nangemva kokwelashwa. Lokhu kungandisa ukopha. Kodwa-ke, kulungile ukuthatha i-paracetamol (Tylenol®, Panadol®) ngenxa yobuhlungu. |
| Qaphela ngama-antibiotic. | Ama-antibiotic afana ne- (Tetracycline) noma (Minocycline) angabangela ukufiphala kwesikhumba uma ethathwa ezinsukwini eziyi-7-10 ngaphambi noma ngemva kokwelashwa. Tshela udokotela wakho uma uthatha amanye ama-antibiotic. |
| Ulwazi mayelana ne-Prednisone | Uma uthatha umuthi we-steroid njenge- Prednisone , unganciphisa ukusebenza kahle kokwelashwa. Ngakho-ke, buza udokotela wakho ukuthi ungayeka yini ukuwuthatha emahoreni angu-48 ngaphambi kokwelashwa kwakho. |
| Ungafaki lutho esikhumbeni. | Ngosuku lokwelashwa, ungafaki noma yiluphi uhlobo lokugcoba, ukhilimu, noma amafutha emilenzeni yakho. |
| Cabanga ngengubo. | Letha amabhulukwe amafushane akhululekile ozowagqoka ngesikhathi sokwelashwa. |
| Letha amasokisi okucindezela. | Uma une-hosiery yokucindezela evela ekwelashweni kwangaphambilini, yiphathe nawe. Udokotela angayihlola ukuze abone ukuthi izofanelana yini kulokhu. |
Okubaluleke kakhulu: Ngaphambi kokuyeka noma yimiphi imithi oyisebenzisayo njengamanje, kubalulekile ukukhuluma nodokotela okunike yona bese ucela iseluleko sakhe.
Kwenzekani ngesikhathi sokwelashwa?
Lokhu kwelashwa kwenziwa ehhovisi likadokotela. Akudingi ukulungiselela okuningi noma i-anesthesia. Yonke inqubo ithatha cishe imizuzu engama-30 kuya kwengama-45.
1. Indawo: Kuye ngokuthi umthambo ophathwayo ukuphi, uzocelwa ukuba ulale embhedeni ngohlangothi lwakho noma ngohlangothi lwakho.
2. Ukuhlanza isikhumba: Isikhumba esizungeze indawo yokujova sihlanzwe kahle.
3. Ukuhlonza Imithambo: Ngezinye izikhathi, lapho elapha imithambo ejulile, udokotela angase asebenzise i-ultrasound scan ukuthola umthambo oqondile.
4. Umjovo: Okulandelayo, udokotela noma umsizi uzodonsa isikhumba sakho sibe lukhuni bese, besebenzisa inalithi encane kakhulu, bazofaka ngokucophelela uketshezi olukhethekile noma igwebu emthanjeni.
Uzozwa umuzwa omncane wokuhlaba ovela enalithini . Ungase uzwe umuzwa omncane wokusha njengoba umuthi ungena. Uma umuthi ufakwa emthanjeni omkhulu, ungase uzizwe ungenamizwa emlenzeni wakho umzuzu owodwa noma emibili. Konke lokhu kuvamile, ngakho ungakhathazeki ngakho.
Inani lemithambo elashwe ngesikhathi esisodwa lincike kubukhulu nendawo yemithambo yakho, kanye nempilo yakho iyonke.
Yini okufanele ngiyenze ngemva kokwelashwa?
Ngemva kokuphela kokwelashwa, uzocelwa ukuba uhlale embhedeni cishe imizuzu eyi-15. Lokhu kwenzelwa ukubona ukuthi kukhona yini ukusabela kokungezwani nomzimba emuthini. Ngemva kwalokho, ungavuka ushayele uye ekhaya wedwa . Ungenza nemisebenzi yakho evamile. Ukuhamba kuhle kakhulu , ngoba kuthuthukisa ukujikeleza kwegazi.
Kunemiyalelo ethile ekhethekile okudingeka uyilandele zingakapheli amahora angu-48 okuqala ngemva kokwelashwa.
| Okumele ukwenze/Okungamele ukwenze | Incazelo |
|---|---|
| Ukugqoka amasokisi Okucindezelayo | Udokotela uthi kufanele uqhubeke nokugqoka lawa ma-hosiery asekelayo noma ama-compression wraps izinsuku ezi-3 kuya kweziyi-7. Lokhu kuzosiza imithambo elashwe ukuthi iqine futhi iphole ngokushesha. |
| Gwema izinto ezishisayo | Gwema ukugeza ngamanzi ashisayo, ama-sauna, nama-whirlpool. Ukugeza ngamanzi avamile kulungile, kodwa yehlisa izinga lokushisa lamanzi kancane. Ungabeki amabhodlela amanzi ashisayo ezindaweni zokujova. |
| Gwema ukukhanya kwelanga. | Gwema ukubeka izindawo ezilungisiwe elangeni eliqondile. Gwema futhi ukushiswa kwesikhumba. |
| Ukuhlanzeka | Geza izindawo zokujova ngamanzi afudumele kanye nensipho ethambile. |
| Ama-Painkiller | Uma uzwa ubuhlungu, thatha i-Paracetamol. Ungayithathi imithi efana ne-Aspirin noma i-Ibuprofen. |
Yiziphi izinzuzo zokwelashwa kwe-Sclerotherapy?
- Akudingeki i-anesthesia: Njengoba lokhu kungeyona inqubo yokuhlinzwa, ngeke kudingeke ukuthi uhlinzwe nge-anesthesia.
- Izinga lempumelelo eliphezulu: Abantu abaningi bathola imiphumela emihle ngalokhu. Kusebenza kahle kakhulu emincane `(imithambo ye-Varicose)` kanye `(imithambo ye-Spider)`. Esifundweni esisodwaImithambo ephakathi kuka-50% no-80% ingasuswa.
- Imiphumela esheshayo: Imithambo emincane yesicabucabu iyaphela phakathi kwamasonto angu-3-6. Imithambo emikhulu ingathatha izinyanga ezingu-3-4.
- Imiphumela ehlala njalo: Umthambo ophathwe ngempumelelo ngeke uphinde uvele . Kodwa-ke, imithambo emisha ingavela. Kuleso simo, kuzodingeka iphathwe ngokwehlukana.
- Ubuhlungu obuncane: Ukugqoka amasokisi okucindezela ngemuva kokwelashwa kunganciphisa kakhulu ubuhlungu. Kuphinde kusize ukulawula ukuklwebheka nokuvuvukala.
Ingabe kukhona izingozi noma imiphumela emibi kulokhu?
Njenganoma yikuphi ukwelashwa kwezokwelapha, kunemiphumela emibi emincane engaba khona. Kodwa-ke, emibi kakhulu ayivamile.
| Umphumela ongemuhle | Incazelo |
|---|---|
| Imiphumela emibi evamile, engeyona embi kakhulu | |
| Ukuminyana/ukuqina kwemithambo yegazi | Uma imithambo emikhulu yelashwa, ingase izwakale inamaqhubu futhi iqinile izinyanga ezimbalwa. Lokhu kuzophela kancane kancane. |
| Ububomvu | Ukubomvu endaweni yomjovo kuzonyamalala ezinsukwini ezimbalwa. |
| Amabala ansundu | Imicu noma amabala ansundu angavela ezindaweni eziphathwe kahle. Lokhu kuvame ukunyamalala zingakapheli izinyanga ezi-3-6. Kodwa-ke, kumaphesenti amancane abantu, cishe ama-5%, lokhu kungahlala unomphela. |
| Imivimbo | Kungase kube nokudumba endaweni yokujova. Lokhu kuzonyamalala emavikini ambalwa. |
| Ukusabela kokungezwani komzimba | Kungenzeka ukuthi umuntu abe nokusabela kokungezwani komzimba nomuthi, kodwa akuvamile kakhulu. Izimpawu zingase zihlanganise ukulunywa nokuvuvukala. |
| Izimpawu ezingase zivele kaningi futhi kufanele zibikwe kudokotela ngokushesha | |
| Ukuvuvukala kwemisipha | Uma uvuvukala endaweni yakho yezimbotshana. |
| Ukuvuvukala kwemilenze ngokuzumayo | Uma umlenze ophathwe ngokuzumayo uqala ukuvuvukala. |
| Amanxeba amancane | Uma kuvela amanxeba amancane (izilonda) endaweni yokujova. |
| Umugqa obomvu | Ikakhulukazi uma kuvela imicu ebomvu igijima ibheke embotsheni. |
Uma kwenzeka into efana nale, kufanele ushayele udokotela wakho ucingo ngokushesha .
Ingabe umshwalense uzokhokhela lokhu? Ingabe ukwelashwa nge-laser kungcono?
Izinkampani zomshuwalense ngokuvamile azimbozi ukwelashwa kwe-sclerotherapy ngezizathu zobuhle. Kodwa-ke, uma unezizathu zezokwelapha zemithambo yegazi ephukile, njengobuhlungu noma ukusinda emilenzeni yakho, ezinye izinkampani zomshuwalense zingase zikumboze. Lokhu kuzodinga incwadi evela kudokotela wakho. Kungcono ukushayela inkampani yakho yomshuwalense ucingo ngaphambi kokuthola ukwelashwa bese ubuza ngalokhu.
Ukwelashwa nge-laser, noma i-endovenous thermal ablation, kungenye indlela enhle yokwelapha imithambo ye-varicose. Kungabangela nemiphumela emibi. Kodwa-ke, kunzima ukwelapha imithambo ebuhlungu kakhulu nesontekile ngokwelashwa nge-laser. Udokotela wakho uzonquma ukwelashwa okungcono kakhulu kuwe ngokusekelwe esimweni semithambo yakho.
Umlayezo Wokuya Nawe Ekhaya
- I-Sclerotherapy iyindlela yokwelapha ephumelela kakhulu futhi ephephile yemithambo ye-varicose kanye nemithambo yesicabucabu emilenzeni yakho.
- Kubalulekile ukutshela udokotela wakho ngesimo sakho sempilo kanye nayo yonke imithi oyiphuzayo ngaphambi kokwelashwa.
- Ukuze uthole imiphumela emihle kakhulu, landela imiyalelo kadokotela wakho ngokucophelela ngemva kokwelashwa, ikakhulukazi ugqoke amasokisi acindezelwe.
- Kuthatha isikhathi ukubona imiphumela. Ungalindeli ukuthi imilenze yakho ibukeke kahle ngobusuku obubodwa. Bekezela.
- Uma uhlangabezana nomphumela omubi kakhulu (njengokuvuvukala noma ukuklwebheka okungazelelwe), ungesabi futhi wazise udokotela wakho ngokushesha.
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