Inkinga abantu abaningi, ikakhulukazi abesifazane, abanayo ukubonakala kwemithambo eluhlaza okwesibhakabhaka noma onsomi emilenzeni yabo. Kwabanye, le mithambo ibonakala njengemithambo emincane yesicabucabu , kanti kwabanye, iyimithambo emikhulu, ebuhlungu ( i-Varicose Veins ). Lokhu akugcini nje ngokwenza imilenze ingabonakali, kodwa ngezinye izikhathi kubangela ukungakhululeki njengobuhlungu nobunzima. Ngakho-ke namuhla sizokhuluma ngokwelashwa okusebenzayo nokulula kwalokhu.
Kuyini i-Sclerotherapy?
Kalula nje, i-Sclerotherapy iyindlela yokwelapha ephumelela kakhulu yemithambo ye-varicose kanye nemithambo yesicabucabu emilenzeni yakho.
Nakhu okwenzekayo: Udokotela wakho usebenzisa inaliti encane kakhulu ukufaka isisombululo samakhemikhali esikhethekile ngqo emthanjeni onama-varicose. Lo muthi ucasula udonga lwangaphakathi lomthambo. Izindonga bese zinamathelana, zakhe isibazi ngaphakathi komthambo, zivale ngokuphelele umthambo. Lapho umthambo uvala, igazi liyayeka ukugeleza kuwo. Ngokuhamba kwesikhathi, umzimba uyamunca umthambo ovalekile. Ekugcineni, umthambo uyanyamalala, futhi umlenze wakho ubukeka futhi uzizwe ungcono.
Ubani ofanele lolu hlobo lokwelashwa, futhi ubani ongafanele?
Nakuba lokhu kwelashwa kufanelekela abantu abaningi abanemithambo yegazi ephukile noma imithambo yesicabucabu, akufanelekela wonke umuntu. Ngaphambi kokuba uthole lokhu kwelashwa, kufanele uhlangane nochwepheshe wemithambo yegazi noma udokotela ohlinzayo ukuze anqume ukuthi ufanelekile yini kulokhu kwelashwa.
Ungase ungakwazi ukwenza i-Sclerotherapy uma unezimo ezilandelayo:
| Isimo | Incazelo |
|---|---|
| Ukuba nehlule legazi elisebenzayo | Lokhu akunakwenziwa uma okwamanje une-blood clot esebenzayo emthanjeni ojulile (Deep Vein Thrombosis) noma umthambo ongaphezulu (Superficial Vein Thrombosis) emzimbeni wakho. |
| Ukukhulelwa | Lokhu akwenziwa ngesikhathi sokukhulelwa. Kufanele ulinde okungenani izinyanga ezintathu ngemva kokubeletha umntwana. |
| Ukuba ngumama oncelisayo | Lokhu kwelashwa akukhuthazwa futhi ngesikhathi sokuncelisa. |
| Ukuvalelwa embhedeni | Lokhu kwelashwa akufaneleki kumuntu ongakwazi ukuvuka embhedeni nganoma yisiphi isizathu. |
Kodwa uma usebenzisa amaphilisi okuvimbela inzalo , ungenza i-Sclerotherapy. Futhi, noma ngabe wake waba ne-blood clot ngaphambili, ungase ukwazi ukuthola lokhu kwelashwa kuye ngokuthi imbangela nobunzima buni. Konke lokhu kunqunywa udokotela wakho.
Into ebaluleke kakhulu ukuthi, ungalindeli imiphumela esheshayo nemangalisayo evela kulokhu kwelashwa. Kuthatha isikhathi ukubona imiphumela. Ukukhuluma nodokotela wakho ngakho nokuqonda okucacile kuzosiza ukuvimbela ukudumazeka.
Ngingalungiselela kanjani ngaphambi kokwelashwa?
Kungase kudingeke uyeke ukuthatha imithi ethile ezinsukwini ezimbalwa ngaphambi kokwelashwa kwakho. Kodwa khumbula, ungalokothi uyeke ukuthatha noma yimuphi umuthi ngaphandle kokubonisana nodokotela wakho kuqala.
- Amanye ama-antibiotic (Ama-antibiotic ): Imithi efana ne -Tetracycline kanye ne-Minocycline ethathwa ezinsukwini eziyi-7-10 ngaphambi noma ngemva kokwelashwa ingabangela ukushintsha kombala wesikhumba. Ngakho-ke, tshela udokotela wakho ngama-antibiotic owasebenzisayo.
- Iziqeda-zinhlungu: Ungathathi imithi engeyona eye-steroidal elwa nokuvuvukala (ama-NSAID) njenge-aspirin ne-ibuprofen amahora angu-48 ngaphambi noma ngemva kokwelashwa. Lokhu kungandisa ukopha. I-Acetaminophen (i-Panadol®) ilungele ukuqeda ubuhlungu.
- I-Prednisolone: Ukuthatha lo muthi kunganciphisa ukusebenza koketshezi olusetshenziswa ekwelapheni i-sclerotherapy. Buza udokotela okunike i-Prednisolone ukuthi ungayeka yini ukuyithatha emahoreni angu-48 ngaphambi kokwelashwa.
Amanye amathiphu:
- Ungafaki noma yiluphi uhlobo lweloshini emilenzeni yakho ngaphambi noma ngemva kokwelashwa.
- Letha amabhulukwe amafushane ozowagqoka ngesikhathi sokwelashwa.
- Uma unezigqoko zokucindezela/amasokisi okusekela owawasebenzisa ekwelashweni kwangaphambilini, zilethe nawe. Udokotela angabe esebona ukuthi zizokulingana yini kulokhu.
Kwenzekani ngesikhathi sokwelashwa?
Lokhu akudingi i-anesthesia . Yonke inqubo ithatha cishe imizuzu engama-30-45.
1. Okokuqala, udokotela wakho uzohlanza kahle indawo okufanele ilashwe.
2. Ngezinye izikhathi, ukuskena nge-ultrasound kungasetshenziswa ukuthola umthambo ngokunembile, ngokuskena nokuwumaka.
3. Ngemuva kwalokho, isikhumba sakho siyadonswa siqine bese kufakwa uketshezi olukhethekile noma igwebu emthanjeni ngenaliti encane kakhulu.
4. Ungase uzwe umuzwa omncane wokuhlaba lapho inalithi ishaya isikhumba kanye nomuzwa omncane wokushisa njengoba umuthi ungena. Ungase uzwe nobuhlungu obuncane umzuzu noma emibili lapho imithambo emikhulu ibhobozwa.
Inani lemithambo elashwe ngesikhathi esisodwa linqunywa ngobukhulu, indawo, kanye nempilo iyonke yemithambo yakho.
Yini okufanele ngiyenze futhi ngiyinakekele ngemva kokwelashwa?
Ngemva kokwelashwa, ungashayela uye ekhaya. Ungenza nemisebenzi yakho evamile. Ukuhamba ngezinyawo kuhle kakhulu .
Kodwa-ke, qaphela lezi zinto emahoreni angu-48 alandelayo:
- Ungaphuzi imithi yokubulala izinzwa efana ne-Aspirin noma i-Ibuprofen. Uma kudingeka, phuza i-Panadol.
- Ungagezi ngamanzi ashisayo, ama-sauna, noma ama-whirlpool. Kulungile ukugeza ngamanzi afudumele.
- Geza indawo okujovwe kuyo ngensipho ethambile namanzi afudumele.
- Ungafaki izinto ezishisayo ezicindezelwe ezindaweni ezilungisiwe.
- Gwema ukuchayeka ngqo elangeni (kufaka phakathi ukushiswa kwelanga kanye nemibhede yokushiswa kwelanga).
Into ebaluleke kakhulu ukugqoka amasokisi okucindezela noma amabhandeshi anikezwe udokotela wakho izinsuku ezi-3 kuya kweziyi-7. Lokhu kuzosiza imithambo elashwe ukuthi ivuleke, okuzosiza ukwelashwa kuphumelele.
Ingabe zikhona izingozi nemiphumela emibi?
Njenganoma yikuphi ukwelashwa kwezokwelapha, i-Sclerotherapy ingabangela imiphumela emibi emincane. Kodwa-ke, izinkinga ezinkulu azivamile.
| Ukubomvu endaweni yokujova | Izonyamalala ezinsukwini ezimbalwa. |
| Ukuphuka | Kungathatha izinsuku ezimbalwa noma amasonto ambalwa. |
| Amabala ansundu noma imicu | Ngokuvamile iyanyamalala zingakapheli izinyanga ezingu-3-6, kodwa ingaba unomphela cishe ku-5% wamacala. |
| Ukuvuvukala noma ukuqina kwemithambo yegazi | Uma welapha imithambo emikhulu, lokhu kungahlala izinyanga eziningana. |
| Ukusabela kokungezwani komzimba | Ukulunywa nokuvuvukala kungase kwenzeke, kodwa akuvamile ukuba kubi kakhulu. |
Uma ubona noma yiziphi zalezi zimpawu, shayela udokotela wakho ngokushesha noma uye eMnyangweni Wezimo Eziphuthumayo (ETU) oseduze. | |
Izinga lempumelelo lokwelashwa liphezulu lifinyelela ku-50% kuya ku-80%. Ezimweni ezingaba ngu-10%, ukwelashwa kungase kungaphumeleli. Uma lokho kwenzeka, udokotela wakho angase asikisele ikhambi elihlukile noma enye indlela, njengokwelashwa nge-laser.
Umlayezo Wokuya Nawe Ekhaya
- I-Sclerotherapy iyindlela yokwelapha ephumelela kakhulu futhi ephephile yemithambo ye-varicose kanye nemithambo yesicabucabu emilenzeni.
- Ukuze uthole ukuthi lokhu kwelashwa kukufanele yini, qiniseka ukuthi uthintana nodokotela ofanelekayo.
- Landela imiyalelo kadokotela wakho ngokucophelela ngaphambi nangemva kokwelashwa, ikakhulukazi mayelana nokugqoka amasokisi okucindezelayo nokuyeka imithi ethile.
- Kungathatha izinyanga eziningana ukubona imiphumela, ngakho-ke bekezela.
- Uma kuvela izimpawu ezingavamile nezingathi sína (njengokuvuvukala okungazelelwe) ngemva kokwelashwa, funa iseluleko sezokwelapha ngokushesha.
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