Wake waphawula ukuthi umthambo ongaphansi kwesikhumba somlenze noma ingalo yakho uphenduka ube bomvu, uvuvuke, futhi uzwakale njengeqhubu uma uwuthinta? Kubuhlungu futhi kuzwakale kushisa kancane. Abantu abaningi bayesaba lapho bebona lokhu, bathi, "O, ingabe kukhona ihlule legazi emthanjeni wami?" Empeleni lesi yisimo esivame kakhulu. Sikhuluma ngalesi simo namuhla. Kwezokwelapha, lokhu sikubiza ngokuthi i-thrombophlebitis engaphezulu .
Kalula nje, kuyini i-Exficial Thrombophlebitis?
Leli gama lingase libonakale lide kancane, kodwa kulula kakhulu ukuliqonda. Ake silihlukanise ngamagama.
- Okungaphezulu: Lokhu kusho "phezulu." Okusho ukuthi, ngaphansi kwesikhumba sethu, ezingeni elibonakalayo emehlweni.
- I-Thrombo: Lokhu kusho ukugoba kwegazi.
- I-Phlebitis: Lokhu kubhekisela ekuvuvukeni, noma ekuvuvukeni, komthambo.
Kalula nje, i-Exficial Thrombophlebitis iwukuba kube khona ihlule legazi emthanjeni ongaphansi kwesikhumba, okwenza umthambo uvuvuke, ubomvu, futhi ube buhlungu. Lesi simo sivame ukubonakala emilenzeni nasezingalweni.
Ingabe lokhu kuyi-DVT eyingozi? Uyini umehluko phakathi kwalokhu okubili?
Lona umbuzo omkhulu kanye nokwesaba abantu abaningi abanakho. Kungenzeka ukuthi uke wezwa nge- Deep Vein Thrombosis (DVT) . Leso yisimo esibucayi. Kodwa i-Exficial Thrombophlebitis yisimo esihlukile kakhulu, futhi ngokuvamile asiyona ingozi kangako.
Ake siqonde ngokucacile umehluko phakathi kwalezi ezimbili.
| Isici | I-Superficial thrombophlebitis (SVT) | I-Deep Vein Thrombosis (DVT) |
|---|---|---|
| Lapho kwakheka khona ihlule legazi | Imithambo engaphezulu yimithambo etholakala ngaphansi kwesikhumba, phezu kobuso. Lena yimithambo esingayibona ngezinye izikhathi ngamehlo ethu. | Imithambo ejulile yimithambo emikhulu etholakala ngaphakathi emzimbeni. Le mithambo ayibonakali ngamehlo enyama. |
| Ingozi | Ngokuvamile liphansi. Amathuba okuqhekeka kwegazi anciphe kakhulu. | Lokhu kuyingozi kakhulu. Lokhu kugoba kwegazi kungagqashuka futhi kuvimbe umthambo emaphashini. Lokho sikubiza ngokuthi i-pulmonary embolism . Kungaba yingozi ngisho nokuphila. |
| Izimpawu eziyinhloko | Ukubomvu emthanjeni, ukuvuvukala, ubuhlungu uma kuthintwa, kanye nokuqina okufana neqhubu, kanye nokufudumala endaweni. | Ukuvuvukala okungazelelwe komlenze noma ingalo yonke, ubuhlungu obukhulu, kanye nokushintsha kombala wesikhumba (oluhlaza okwesibhakabhaka noma obomvu). |
Into ebalulekile ukuthi akufanele uzinqumele ukuthi yisiphi kulezi zimo ezimbili onazo. Ngakho-ke, uma unenkinga yemithambo yegazi, kuhlale kuwukuhlakanipha ukubona udokotela bese uyihlola.
Ubani osengozini enkulu yalesi simo?
Nakuba noma ubani engaba nalesi simo, abanye abantu bathambekele kakhulu kuso.
- Abantu abangaphezu kweminyaka engama-60 ubudala: Ingozi iyanda njengoba iminyaka ikhula ngenxa yobuthakathaka bezindonga zemithambo yegazi kanye noshintsho ekujikelezeni kwegazi.
- Abesifazane abakhulelwe noma abakhulelwe: Izinguquko zama-hormone kanye nokucindezela emithanjeni evela esibelethweni kwandisa ingozi yokuqhekeka kwegazi.
- Abantu abanemithambo evuvukele: Amahlule egazi akheka kalula ngoba ukugeleza kwegazi kule mithambo kuhamba kancane.
- Abantu abasanda kuhlinzwa: Ukulala embhedeni isikhathi eside ngemva kokuhlinzwa kunganciphisa ukugeleza kwegazi futhi kwandise ingozi.
- Abantu abanezifo ezifana nomdlavuza nesifo senhliziyo.
- Abantu abanokukhuluphala ngokweqile.
- Ababhemayo: Ukubhema konakalisa imithambo yegazi futhi kwandisa ingozi yokuqhekeka kwegazi.
- Abantu abahlala endaweni efanayo isikhathi eside: isibonelo, ezindizeni ezinde noma lapho besebenza ehhovisi isikhathi eside.
Ziyini izimpawu zalokhu?
Uma kwenzeka i-thrombophlebitis engaphezulu, izimpawu zenzeka kuphela endaweni yomthambo okukhulunywa ngawo. Cabanga ngalesi simo senzeka emthanjeni ohlangothini ngalunye lomlenze wakho. Ungase ubhekane nalokhu okulandelayo:
- Ubuhlungu:Uzwa ubuhlungu endaweni lapho umthambo ukhona khona.
- Ububomvu: Isikhumba esisemthanjeni siba bomvu. Kungase kubonakale sengathi kunomugqa obomvu odwetshwe.
- Ukuvuvukala: Indawo iyavuvukala.
- Ukufudumala: Indawo izwakala ifudumele kancane uma uyithinta kunezinye izindawo.
- Ukuqina: Uma uthinta umthambo, ungase uzwakale njengefindo noma intambo.
Kufanele ubonane nini nodokotela?
Uma unalezi zimpawu, kungcono ukubona udokotela. Ikakhulukazi,
- Uma ubuhlungu bukhulu
- Uma umlenze noma ingalo yonke ivuvukala ngokuzumayo
- Uma ubhekene nobunzima bokuphefumula noma ubuhlungu besifuba, hamba uye emnyangweni wezimo eziphuthumayo esibhedlela (ETU) ngokushesha, ngoba kungaba yinkinga ye-DVT.
Yiziphi izindlela zokwelapha? Ingabe kukhona izinto engingazenza ekhaya?
Lesi simo sivame ukuxazululeka sodwa phakathi namasonto ambalwa. Udokotela wakho angase ancome izindlela zokwelapha ezilula ukusiza ekunciphiseni ubuhlungu nokuvuvukala.
1. Ukucindezela Okufudumele: Cwilisa indwangu ehlanzekile emanzini afudumele bese uyibeka endaweni ebuhlungu imizuzu eyi-15-20 izikhathi eziningana ngosuku. Lokhu kuzonciphisa ubuhlungu nokuvuvukala.
2. Ukuphakama: Uma unalesi simo emilenzeni yakho, gcina imilenze yakho iphakanyisiwe kwesinye isihlalo uma uhleli. Uma ulele, beka umcamelo ngaphansi kwemilenze yakho bese uyigcina iphakeme kunenhliziyo yakho. Lokhu kuzosiza ekunciphiseni ukuvuvukala.
3. Izibulali-zinhlungu: Udokotela wakho angase akunike umuthi wezinhlungu ongewona owe-steroidal anti-inflammatory (NSAID) (isib. i-ibuprofen). Kodwa-ke, ungalokothi uthathe le mithi ngaphandle kokubonisana nodokotela wakho kuqala.
4. Amasokisi Okucindezela: Uma unalesi simo emilenzeni yakho, udokotela wakho angase akuncome ukuthi ugqoke amasokisi aqinile akhethekile. Lawa afaka ingcindezi emithanjeni futhi athuthukise ukugeleza kwegazi.
5. Hlala umatasa: Hamba kakhulu ngangokunokwenzeka. Amahlule egazi avame ukwakheka uma umile. Ukuhamba kusiza imisipha yemilenze yakho ukuthi ipompe igazi.
Kwezinye izimo ezikhethekile, isibonelo uma usuvele une-DVT, udokotela wakho angase anqume ukukunikeza inkambo yesikhashana yemithi yokulwa nokuvuvukala kwegazi, okuwuhlobo lomuthi onciphisa igazi . Kodwa leso yisinqumo esingathathwa udokotela wakho kuphela.
Yini engenziwa ukuvimbela lesi simo?
Kunezinto ezimbalwa ezilula ongazenza ukuvimbela lesi simo ukuthi singaphinde senzeke.
- Ungahlali endaweni eyodwa: Ungahlali noma ume amahora amaningi ngesikhathi. Sukuma uhambehamba okungenani kanye ngehora.
- Ukuzivocavoca:Ukuzivocavoca nsuku zonke, njengokuhamba noma ukubhukuda, kuhle kakhulu ekujikelezeni kwegazi.
- Lawula isisindo sakho: Njengoba isisindo somzimba wakho sanda, ingcindezi eyengeziwe ibekwa emithanjeni emilenzeni yakho.
- Gwema ukubhema: Ukuyeka ukubhema kuhle kakhulu empilweni yakho iyonke.
- Thola ukwelashwa kwemithambo evuvukele: Uma unemithambo evuvukele, khuluma nodokotela wakho mayelana nokuthola ukwelashwa kwayo.
Umlayezo Wokuya Nawe Ekhaya
- I-Exficial thrombophlebitis yisimo lapho kwakheka khona ihlule legazi emthanjeni ngaphansi kwesikhumba, okubangela ukuba umthambo uvuvuke. Lesi ngokuvamile akuyona ingozi.
- Lokhu kuhlukile esimweni esiyingozi se-DVT esikhula emithanjeni ejulile yomzimba. Kodwa-ke, kubalulekile ukubona udokotela ukuze uthole ukuthi yisiphi isimo obhekene naso.
- Izinto ezilula njengokufaka ukushisa, ukuphakamisa ingalo/umlenze, nokuhlala usebenza kungasiza ekulawuleni ubuhlungu nokuvuvukala.
- Ungalokothi uthathe imithi yokubulala izinhlungu noma eminye imithi ngaphandle kweseluleko sikadokotela.
- Izindlela ezinhle kakhulu zokuvimbela lesi simo ukuba nendlela yokuphila esebenzayo, ukulawula isisindo, nokugwema ukubhema.
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