Ingabe uke waba negazi elijiyile emthanjeni wakho, okwabangela ubuhlungu nokuvuvukala? Ake sixoxe nge-Thrombophlebitis!

Wake wazizwa ubuhlungu obungavamile noma ukuvuvukala emthanjeni emlenzeni noma engalweni yakho? Ngezinye izikhathi indawo ingaba bomvu futhi ifudumele uma uyithinta. Uma uke wabhekana nento efana nale, ungase ube nesifo esibizwa ngokuthi i-thrombophlebitis. Ungakhathazeki, ake sixoxe ngakho kalula.

Kuyini i-Thrombophlebitis? Kalula nje...

Kalula nje, i-Thrombophlebitis ukuvuvukala komthambo (phlebitis) okubangelwa ukwakheka kwehlule legazi (thrombus) emthanjeni wakho. Kubizwa ngokuthi "thrombophleb-itis."

Uma sichaza incazelo yalokhu:

• Igama elithi "Thrombo-" lisho ihlule legazi. Leli yihlule legazi elakheka ngaphakathi emthanjeni.
• "-phleb-" kusho umthambo, okusho okuthile okuhlobene nemithambo.
• "-itis" kusho ukuvuvukala, okusho ukuvuvukala, ukubomvu, ubuhlungu, njll.

Ngakho-ke uma zonke lezi zinto zihlangana, kuvela isimo esibizwa ngokuthi i-thrombophlebitis. Nakuba sivame ukubonakala emithanjeni yemilenze, empeleni singavela kunoma yimuphi umthambo emzimbeni.

Lesi simo siqala kanjani? Ingabe kuqala ukuqhekeka kwegazi? Noma ingabe ukuvuvukala?

Lokhu kufana nombuzo othi "inkukhu yafika kuqala, noma iqanda lafika kuqala". Kunezindlela ezimbili i-thrombophlebitis engenzeka ngazo:

1. Ukuqhekeka kwegazi kuqala, bese kuba ukuvuvukala: Okwenzekayo lapha ukuthi kwakheka ihlule legazi ngaphakathi emthanjeni, okubangela ukungakhululeki nokucasuka odongeni lomthambo. Yingakho umthambo uvuvukala, ube bomvu, futhi ube buhlungu.

2. Ukuvuvukala kuqala, kulandelwe ukugoba kwegazi: Ngezinye izikhathi, ingaphakathi lomthambo (esiwubiza ngokuthi 'i-Phlebitis' kwezokwelapha) lingavuvukala futhi livuvuke ngenxa yokutheleleka noma esinye isizathu. Bese kuba nethuba elikhulu lokuthi i-blood clot izonamathela kuleyo ndawo evuvukile bese inamathela.

I-Thrombophlebitis ivame ukuba sendawo. Lokhu kusho ukuthi ingenzeka emthanjeni owodwa noma emithanjeni eminingana. Kodwa-ke, ingaba yingozi uma isakazeka. Kuye ngokuthi ihlule lakhiwa kuphi, ngezinye izikhathi lingaholela esimweni esibi esibizwa ngokuthi i-deep vein thrombosis (DVT) noma isimo esiphuthumayo esisongela ukuphila esibizwa ngokuthi i-pulmonary embolism (Pulmonary Embolism) .

Ingabe (i-Thrombosis) kanye (i-Thrombophlebitis) zizinto ezimbili ezihlukene?

Yebo, yize kukhona ukuxhumana phakathi kwalokhu okubili, akufani. I-Thrombosis ukwakheka kwehlule legazi ngaphakathi komunye wemithambo yakho yegazi. Okusho ukuthi, i-Thrombophlebitis inqubo ehlobene eyenzeka ngezinye izikhathi (kodwa hhayi njalo) nge-Thrombosis. Ku-Thrombophlebitis, kumele kube nokuvuvukala komthambo kanye nehlule legazi.

Ingabe kunezinhlobo ezahlukene ze-Thrombophlebitis?

Yebo, i-thrombophlebitis ingavela kunoma yimuphi umthambo emzimbeni wakho. Kodwa-ke, kunezinhlobo eziningana ezithile eziqanjwe ngokusekelwe kumbangela nendawo yesimo. Ake sibheke ezinye zazo:

I-Deep Vein Thrombosis (DVT)

Lolu uhlobo oluvame kakhulu lokuqhekeka kwegazi abantu abaningi abake bezwa ngalo, futhi luyingozi kakhulu. I-deep vein thrombosis (DVT) i-blood clot eyakheka emthanjeni omkhulu, ojulile emzimbeni wakho (ngokuvamile emilenzeni yakho). Lesi yisimo esiphuthumayo sezokwelapha. Uma i-clot iqhuma futhi ibhajwe emthanjeni emaphashini akho, ingabangela isimo esisongela ukuphila esibizwa ngokuthi i-pulmonary embolism .

I-Thrombophlebitis Engaphandle

Lokhu kwenzeka emithanjeni emincane ezingalweni noma emilenzeni yakho eseduze nesikhumba. Ayiyona into embi njenge-deep vein thrombosis (DVT). Kodwa-ke, ingaba uphawu lokuthi ungase ube ne-deep vein thrombosis (DVT). Kungaholela nakwezinye izimo ezimbi.

I-Thrombophlebitis Efudukayo

Njengoba igama lisho, lokhu kwenzeka lapho ihlule legazi kanye nokuvuvukala okuhambisana nalo "kusuka" komunye umthambo kuya komunye, okusho ukuthi kuyahamba. Ngezinye izikhathi, amahlule egazi amaningi angakheka emithanjeni eminingi ngesikhathi esisodwa. Kulesi simo, kunengozi enkulu yokuthi ihlule legazi emthanjeni omncane liye emthanjeni omkhulu, okubangela isimo esiyingozi esibizwa ngokuthi i-pulmonary embolism.

I-Thrombophlebitis ye-Septic

Kulesi simo, lesi simo (i-Thrombophlebitis) sibangelwa ukutheleleka, noma (i-Thrombophlebitis) sibangela ukutheleleka. Uma ukutheleleka okunjalo kwenzeka, kungaholela ezimweni ezimbi kakhulu. Ezinye izibonelo yilezi:

• (Lemierre syndrome): Lokhu kwenzeka lapho ukutheleleka kwendlela yokuphefumula ephezulu kusakazekela emthanjeni omkhulu entanyeni (umthambo we-jugular).
• (I-Pylephlebitis): Kulokhu, imithambo ethwala igazi lisuka esiswini sakho esingaphezulu iye esibindini sakho (imithambo ye-portal) iyavuvukala futhi itheleleke.
• I-Septic embolism: I-septic clot yegazi ethelelekile (i-septic clot) ingaphuma lapho yakheke khona bese ihlala kwenye ingxenye yomzimba. Lokhu kungasakaza ukutheleleka kokuqala, kuvimbele imithambo yegazi eyodwa noma ngaphezulu, noma kokubili.

I-Septic thrombophlebitis iyisimo esiyingozi kakhulu ngoba kusho ukuthi ukutheleleka kusakazeke emzimbeni wonke. Kungaholela esimweni esibizwa ngokuthi i-sepsis , lapho amasosha omzimba wakho esabela ngokweqile ekuthelelekeni. I-Sepsis iyisimo esiphuthumayo sezokwelapha esisongela ukuphila. Idinga ukuxilongwa nokwelashwa ngokushesha.

Ubani okungenzeka kakhulu ukuthi athole lesi simo?

Ingozi yokuqhekeka kwegazi ingenzeka kunoma yimuphi ubudala, ikakhulukazi kubantu abanezimo ezithile zezokwelapha noma izici zendlela yokuphila. Kodwa-ke, ingozi yokuthola lesi simo (i-thrombophlebitis) iyanda kancane kancane ngemva kweminyaka engu-45. Le ngozi iyanda njengoba ukhula.

Sivame kangakanani lesi simo?

Kuye ngohlobo oluthile lwe-thrombophlebitis, lesi simo singahluka kusukela kwesingavamile kuya kwesivamile. Isibonelo esivame kakhulu nesidumile salokhu yi-deep vein thrombosis (DVT). E-United States kuphela, kunezimo ezingaba ngu-900,000 ze-DVT minyaka yonke, kanye nokufa okuphakathi kuka-60,000 no-100,000 minyaka yonke. Lesi simo asivamile eSri Lanka.

Ziyini izimpawu zalokhu?

Kunezimpawu eziningana ezivame ukubonakala uma kwenzeka i-thrombophlebitis:

• Ukuvuvukala: Lokhu kungavela ngokuzumayo. Lokhu kuvuvukala kubonakala kakhulu emithanjeni eseduze nesikhumba. Ezimweni ezimbi kakhulu, ngisho nemithambo egijima ngaphakathi emzimbeni ingavuvukala ngokubonakalayo. Uma kunegazi elingaphezu kwelilodwa eligoqekile, lezi zindawo zingase zibukeke njengezigaxa. Uma lokhu kwenzeka engalweni noma emlenzeni, kungenzeka, nakuba kungavamile, ukuthi ingxenye engezansi yaleyo ngalo/umlenze nayo ivuvuke.
• Izinguquko endleleni imithambo ezwa ngayo: Uma uthinta umthambo ovalwe yigazi noma ovuvukele, uzizwa ujiyile futhi unzima kunomthambo ojwayelekile. Lokhu kungenzeka emthanjeni owodwa noma emithanjeni eminingana eseduze negazi.
• Ubuhlungu noma ukuqaqamba: I-Thrombophlebitis ivame ukuba yisimo esibuhlungu. Indawo ezungeze nangaphezu kwehlule ingaba buhlungu ukuyithinta, ibe buhlungu ukuyicindezela, noma ibe buhlungu obungatheni. Uma ihlule likhulu, lisemthanjeni omncane, noma uma kunamahlule amaningi, ubuhlungu bungaba bukhulu kakhulu. Abantu abaningi bachaza ubuhlungu ngokuthi "ukuqaqamba ngenxa yesicanucanu ."

Ngaphezu kwalokhu, ezinye izimpawu ezibonakala ngezinye izikhathi, kodwa hhayi njalo, yilezi:

• Ukushintsha kombala wesikhumba endaweni evuvukele: Isikhumba esiseduze nehlule legazi singase sibonakale sibomvu kakhulu noma simnyama kunesikhumba esizungezile. Singase sibukeke njengobomvu eduze kwesilonda noma isilonda. Lokhu kuvame kakhulu lapho kwakheka amahlule egazi emithanjeni eseduze nesikhumba. Kodwa-ke, kungenzeka futhi ngamahlule egazi amakhulu emithanjeni ejulile noma lapho umthambo uvalekile kakhulu.
• Ukuzizwa ufudumele: Uma uthinta indawo yehlule legazi, noma indawo elizungezile, kungase kuzizwe kufudumele kunezindawo ezikude.

Yini ebangela lesi simo?

I-Thrombophlebitis ingabangelwa yizinto ezahlukahlukene. Lokhu okulandelayo kungabangela ukwakheka kwamahlule egazi, noma kwandise ingozi yamahlule egazi:

• Izimo zofuzo (zokuzalwa): Izinguquko (ukuguqulwa kwezakhi zofuzo) ku -DNA yakho zingenza igazi lakho liqhekeke kalula. Abanye abantu bathola lezi zinguquko kubazali babo njengefa. Nakuba lezi zimo zofuzo zingelashwa, zihlala isikhathi eside futhi azinakwelashwa.
• Imithambo ye-Varicose: Uma unemithambo ye-varicose, eluhlaza okwesibhakabhaka, efana nesicabucabu emilenzeni yakho, usengozini enkulu yokuthola i-thrombophlebitis kuleyo ndawo.
• Ukulimala: Ukulimala emithanjeni noma eduze kwayo kungabangela ukuvuvukala, okungaholela ekuqhekekeni kwegazi. Isibonelo, uma uwa futhi ulimele kakhulu umlenze wakho, umthambo kuleyo ndawo ungonakala futhi lesi simo singavela.
• Ukwelashwa kanye nemithi: Imigqa ye-Intravenous (IV) kanye nama-catheter (amashubhu aletha imithi kanye noketshezi ngemithambo yegazi) kungabangela ukugoba kwegazi (thrombophlebitis). Ezinye izindlela zokwelapha ngamahomoni (kufaka phakathi ezinye izinhlobo zamaphilisi okuvimbela inzalo) nazo zingandisa ingozi yokugoba kwegazi.
• Ukusetshenziswa kwezidakamizwa nge-IV: Uma usebenzisa izidakamizwa, usengozini enkulu yokuthola i-thrombophlebitis. Lokhu kungenxa yokuthi izinaliti ezingcolile noma ezingasetshenziswanga kahle zingaholela kalula ezifweni ezinkulu. Lezi zifo zingaholela ekuvuvukeni kanye nalesi simo.
• Ukuntuleka kokunyakaza: Abantu abahlala endaweni eyodwa isikhathi eside, isibonelo, labo abasebenza ehhovisi noma abasebenzisa ikhompyutha, bangase babe nokujikeleza kwegazi okungekuhle. Lokhu kwandisa ingozi yokuqhekeka kwegazi. Lokhu kungenzeka kubantu abathatha izindiza ezinde, noma labo abahamba ngemoto noma ngemoto isikhathi eside. Cabanga ngakho, njengalapho uhamba ngebhasi usuka eColombo uya eJaffna.
• Ezinye izimo noma izehlakalo ezingathinta ukujiya kwegazi: Kunezici ezahlukahlukene eziyingozi, njengomdlavuza, ukukhuluphala ngokweqile, isifo sokuzivikela komzimba esibizwa ngokuthi i-lupus , kanye nezinye izinkinga zegazi. Abantu abalele embhedeni noma abangakwazi ukunyakaza ngenxa yesimo esifana nokukhubazeka nabo bangaba sengozini enkulu. Ukubhema kuyisici esiyingozi endleleni yokuphila. Futhi, uma uphelelwe amanzi emzimbeni, ingozi yakho iyanda.
• Ukukhulelwa noma ngemva nje kokubeletha: Ingozi yokuqhekeka kwegazi inganda ngesikhathi sokukhulelwa ngezizathu ezahlukene. Leyo ngozi ayipheli ngokushesha ngemva kokuzalwa komntwana.

Ingabe lesi yisifo esithathelwanayo?

Nakuba ngezinye izikhathi kubangelwa ukutheleleka, i-thrombophlebitis ayisona isifo esithathelwanayo ngokwaso. Lokhu kusebenza nasezimweni zofuzo. Okusho ukuthi, lezi zimo, ezidluliselwa kubazali kuya ezinganeni (i-DNA), azibangeli ngqo i-thrombophlebitis, kodwa zingabangela izinkinga zokujiya kwegazi, okungaholela kulesi simo.

Odokotela bakuthola kanjani lokhu?

Odokotela bavame ukuxilonga i-thrombophlebitis esibhedlela, ikakhulukazi ekamelweni lezimo eziphuthumayo. Lokhu kungenxa yokuthi i-thrombophlebitis ihlotshaniswa eduze nezimo ezimbi nezisongela ukuphila njenge-DVT.

Udokotela wakho uzohlonza i-thrombophlebitis esebenzisa ukuhlolwa ngokomzimba, ukuhlolwa kwezithombe, kanye nokuhlolwa kwelebhu.Kubalulekile ukuhlanganisa lezi zindlela ezahlukene, ngoba ukuhlolwa ngokomzimba kukodwa akukwazi ukuxilonga i-thrombophlebitis. Kunezinye izifo eziningana ezinezimpawu ezifanayo, ezinye zazo eziyingozi kakhulu. Ngakho-ke, ukuhlolwa kwezithombe kanye nokuhlolwa kwelebhu kuyasiza kakhulu, futhi ngezinye izikhathi kubalulekile, ukuvimbela izinkinga ezinkulu.

Yiziphi izivivinyo ezenziwayo ukuze kutholakale lesi simo?

Uma befuna isimo esibizwa ngokuthi i-thrombophlebitis, odokotela bangenza izivivinyo ezahlukahlukene. Ezinye zalezi zifo zifaka:

• Ukuhlolwa komzimba: Lapha, udokotela uzobheka noma yiziphi izimpawu ezibonakalayo ze-thrombophlebitis, ikakhulukazi ukuvuvukala noma izinguquko kumbala wesikhumba. Uzovame ukuthinta indawo ethintekile. Lokhu kungasiza ekutholeni izimpawu noma izimpawu ezingabonakali kalula kodwa ezingazwakala. Angase futhi asebenzise i-stethoscope ukulalela ukushaya kwenhliziyo yakho, ikakhulukazi emilenzeni noma ezinyaweni ezingezansi.
• Ukuhlolwa kwelebhu: Ukuhlolwa okuningana okuhlukene kwelebhu kungasiza ekuxilongeni i-thrombophlebitis, njengokuhlaziya ikhono legazi lakho lokujiya, ukufuna ubufakazi bama-clot akhona, noma ukufuna izimpawu zokutheleleka.
• Ukuhlolwa kwezithombe: Indlela ebalulekile yokuxilonga i-thrombophlebitis ukubona ihlule legazi eliyibangelayo. I-Ultrasound (esebenzisa amaza omsindo avame kakhulu, afana ne-sonar) iwukuhlolwa okuvamile okwenziwa njalo ukubheka izimo ezibangela amahlule egazi. Ama-X-ray (avame ukwenziwa ngokufaka uketshezi emthanjeni ukuze kubonakale ukuvaleka) nawo avame ukwenziwa.

Ezimweni ezingavamile, i-migratory thrombophlebitis eshiwo ngenhla ingaba uphawu lwezinhlobo ezithile zomdlavuza, ikakhulukazi umdlavuza wesisu. Ngakho-ke, odokotela bangenza nokuhlolwa ukuze babheke umdlavuza onjalo.

Kungelashwa kanjani lokhu? Ingabe kungelapheka?

Ezimweni ze-thrombophlebitis ebangelwa i-catheter ye-IV, ukususwa kwe-catheter ngokuvamile kuyisinyathelo sokuqala. Ezinye izindlela zokwelapha ngokuvamile zimi kanje:

Imithi

Kunezinhlobo eziningana ezahlukene zemithi engasiza ukulawula izimpawu ze-thrombophlebitis nokuncibilikisa ihlule legazi elihambisanayo. Lezi yizi:

• Ama-Painkiller: Ngenxa yokuthi i-thrombophlebitis ingaba buhlungu kakhulu, ukuphathwa kobuhlungu ngokuvamile kuyinto ebaluleke kakhulu. Lokhu kuvame ukwenziwa ngama-painkiller athambile njenge- acetaminophen (isb., i-Panadol®, i-Tylenol®), noma izidakamizwa ezingezona eze-steroidal ezilwa nokuvuvukala (ama-NSAID) (isb., i-Ibuprofen, i-Naproxen). Uma ubuhlungu bukhulu, udokotela wakho angase akunike ama-painkiller anamandla.
• Izithibisi zegazi / Izithibisi Zokunqamuka Kwamagazi:I-Thrombophlebitis isho ukuthi okungenani kukhona ihlule legazi elilodwa. Kodwa-ke, lapho likhona, kunengozi yokwakheka okwengeziwe. Ukuze kuvinjelwe ukwakheka kwamahlule egazi engeziwe, ikakhulukazi amahlule egazi asongela impilo njenge-pulmonary embolism, odokotela bavame ukukunikeza imithi yokunciphisa igazi. Kodwa-ke, uma ihlule legazi lisemzimbeni omncane, ungase ungadingi ukwelashwa ngemithi yokunciphisa igazi.
• Imithi ye-Thrombolytic: Ebizwa nangokuthi "imithi yokuqeda amahlule." Le mithi incibilikisa amahlule egazi asevele akhekile. Inganikezwa nge-IV, noma inganikezwa ngqo ehlwini kusetshenziswa ama-catheter abekwe emithanjeni yakho.
• Ama-antibiotic: Uma isimo (i-thrombophlebitis) sihlotshaniswa nokutheleleka, ama-antibiotic abalulekile. Ama-antibiotic angavimbela ukutheleleka ukuthi kusabalale emzimbeni wonke (i-sepsis).

Izinqubo zokuhlinzwa, ezisekelwe ku-catheter, noma ezinye izindlela

Ezimweni ezingavamile, ukuhlinzwa kungaba yindlela engcono kakhulu yokwelapha isimo esibi se-thrombophlebitis (ikakhulukazi emilenzeni). Ukuhlinzwa kungafaka eyodwa noma ngaphezulu kwalezi zinqubo ezilandelayo:

• Ukususwa kwe-thrombectomy ngomshini: Lokhu kungenziwa ngokwenza imivimbo emincane ukuze udokotela ohlinzayo akwazi ukususa ihlule emzimbeni wakhe. Enye indlela ukusebenzisa ama-catheter ukuze akhiphe ihlule.
• Ukususwa kwemithambo: Njengoba igama lisho, lokhu kuhilela ukususa umthambo onenkinga. Kule nqubo, udokotela wakho ohlinzayo uzokwenza izimbobo eziningana ezincane endaweni ethintekile. Kungalezi zimbobo lapho angafinyelela khona umthambo owonakele, awukhiphe ohlelweni lwakho lokujikeleza kwegazi, bese ewususa.
• Ukususa imithambo: Lokhu futhi kuyindlela yokususa imithambo, kodwa kusebenzisa indlela ethile. Ekususeni imithambo, udokotela wakho ohlinzayo wenza izimbobo ezimbalwa ezincane ukuze afinyelele emthanjeni okukhulunywa ngawo futhi awukhiphe ohlelweni lokujikeleza kwegazi. Bese befaka ucingo oluncane emthanjeni, belufaka ngokuqinile emthanjeni, kuze kube sekupheleni komunye umkhawulo. Uma selufike ekugcineni, bangadonsa ucingo, bese umthambo uzophuma nalo (njengokufaka isandla sakho kusokisi bese uluphendula ngaphakathi).
• I-Bypass: Ngezinye izikhathi, igazi alikwazi ukugeleza kahle ngomthambo owonakaliswe yi-thrombophlebitis. Enye indlela yokusiza ukuthatha ucezu lomthambo wegazi kwenye indawo emzimbeni bese ulusebenzisa ukudala umthambo omusha we-bypass - lokhu kusebenza njenge-bypass ezungeze indawo evinjiwe, okuvumela igazi ukuthi ligeleze kahle.
• Ukwelashwa nge-sclerotherapy:Kulokhu, udokotela, ngokuvamile udokotela ohlinzayo noma omunye uchwepheshe, ufaka ikhambi elikhethekile emthanjeni othintekile. Lokhu kuvala umthambo. Ngokuvala izindawo ezinenkinga, amahlule egazi angavinjelwa ngokuphelele ukuthi angaphinde akheke.
• Izinqubo ezisekelwe ku-catheter: Odokotela bangasebenzisa lezi zinqubo ukwandisa indawo encishisiwe emthanjeni othintekile. Bangazisebenzisa futhi ekubhubhiseni (izinqubo ezisebenzisa ukushisa ukudala ngamabomu izicubu zesibazi nokuvimba ukugeleza kwegazi endaweni enenkinga).

Izinto zokucindezelwa ezigqokwayo

Udokotela wakho angakutshela ukuthi ugqoke izingubo zokucindezela noma amasokisi okucindezela. Lezi zinto, njengamasokisi, amasokisi, noma amabhandeji, zifaka ingcindezi engaguquki (kodwa emnene) ezingxenyeni ezithile zomzimba wakho. Leyo ngcindezi isiza ekuvimbeleni ukwakheka kwamahlule egazi amasha futhi inciphise ubuhlungu nokuvuvukala okuvela kumahlule egazi akhona.

Ngingazinakekela kanjani izimpawu zami/ngizinakekela kanjani?

Ezimweni eziningi, ukwelashwa okukhulunywe ngakho akudingeki. Ezimweni ezinjalo, udokotela wakho cishe uzoncoma ukwelashwa okusekelayo okufana nalokhu:

• Ama-Painkiller: Lokhu kuvame ukufaka ama-painkiller athengiswa ngaphandle kwemithi kadokotela, njenge-NSAID.
• Ukucindezela okufudumele: Izinto ezifana nokucwilisa emanzini ashisayo zingasiza ekunciphiseni ubuhlungu obuhambisana nalesi simo.
• Ukuphakama: Uma indawo ethintekile isengalweni yakho, ikakhulukazi umlenze, ukuphakamisa leyo ngalo/umlenze kungasiza ekunciphiseni ukuvuvukala nobuhlungu.
• Izilonda zokucindezeleka: Njengoba kushiwo ekwelashweni kwangaphambilini, izilonda zokucindezeleka ezigugayo zingasiza ngezimpawu zokuqhekeka kwegazi okukhona futhi zivimbele ukwakheka okusha.

Ngizozizwa ngingcono isikhathi esingakanani ngemva kokwelashwa? Kuzothatha isikhathi esingakanani ukululama?

Ubunzima besimo sakho kanye nokwelashwa okutholayo kuzonquma ukuthi kuthatha isikhathi esingakanani ukuthi uzizwe ungcono futhi ululame. Ngokuvamile, njengoba izimpawu zakho zelashwa, ikakhulukazi ngemithi yobuhlungu, kufanele uqale ukuzizwa ungcono. Iningi labantu liyalulama ekuhlushweni yi-thrombophlebitis zingakapheli izinsuku ezimbalwa, kodwa kungathatha isikhathi eside kwabanye abantu (ikakhulukazi uma babe nezinkinga, uma ihlule legazi lalisendaweni ebalulekile, noma uma bahlinzwa).

Ngingakuvimbela kanjani lokhu? Ngingakunciphisa kanjani ingozi?

Into ebaluleke kakhulu yokuvimbela i-thrombophlebitis ukwazi ukuthi usengozini yokuthola amahlule egazi. Uma ukwazi lokhu, udokotela wakho angakunikeza imithi, njengemithi yokunciphisa igazi, ukusiza ekuvimbeleni ukwakheka kwamahlule egazi kwasekuqaleni.

Ngeshwa, kunezinto eziningi ezingaba khona ezenza ukuvimbela kube nzima, uma kungenzeki. Esinye isizathu ukuthi ungase ungazi ukuthi unesifo (esibangelwa ufuzo noma esinye) esibangela amahlule egazi. Esinye isibonelo ukuthi amahlule egazi ayimbangela engavamile yesimo esivamile sokuphila, njengokukhulelwa.

Kodwa-ke, kunezinto ongazenza ukuze unciphise ingozi yokuba nehlule legazi (thrombophlebitis). Into ebaluleke kakhulu ukunciphisa noma ukususa noma yiziphi izici eziyingozi ongazilawula. Lezo ongazithonya kakhulu yilezi:

• Ukusebenzisa ugwayi: Yeka ukusebenzisa ugwayi (kufaka phakathi ukubhema i-vaping noma ukuhlafuna ugwayi). Uma ungawusebenzisi ugwayi, ungaqali.
• Ukusetshenziswa kwezidakamizwa nge-intravenous: Uma usebenzisa izidakamizwa nge-intravenous, ukuyeka kunganciphisa kakhulu ingozi yakho yalesi simo. Uma uqhubeka nokusebenzisa izidakamizwa, unganciphisa ingozi yakho ngezinto ezifana nezinhlelo zokushintshana ngezinaliti, ezisiza ekuvimbeleni ukutheleleka ekwabelaneni ngezinaliti ezingcolile.
• Ukuhambahamba: Uma uhlala endaweni eyodwa isikhathi eside, kungaba semsebenzini noma ngesikhathi sekhefu lakho, ukuvuka nokuhambahamba kungenza umehluko omkhulu. Uma usohambweni olude lwemoto noma endizeni, ungathola nezindlela zokuvuka nokuhambahamba.
• Phuza imithi yakho ngendlela efanele: Uma udokotela wakho ekunike imithi yokunciphisa igazi, qiniseka ukuthi uyithatha njengoba nje kuqondiswe. Uma uyeka ukuyithatha ngokuzumayo, ingozi yakho yokuba nehlule legazi (okungaholela ku-thrombophlebitis) iyanda kakhulu.
• Phuza amanzi amaningi: Ukuphuza uketshezi oluningi kusiza ekunciphiseni ingozi yokuba ne-thrombophlebitis.
• Ziphathele impilo yakho: Enye yezindlela ezinhle kakhulu zokunakekela impilo yakho kanye nenhlalakahle yakho ukuba nokuvakasha ngokomzimba minyaka yonke (ngokuvamile okubizwa ngokuthi ukuvakasha ngokomzimba noma impilo enhle). Lokhu kuvakasha kwaminyaka yonke kuyithuba elihle kudokotela wakho lokubona noma yiziphi izinkinga zempilo ongase ube nazo ngaphandle kwezimpawu, okuhlanganisa nezimo ezandisa ingozi yakho yokuqhekeka kwegazi (i-thrombophlebitis). Uma unezimo ezandisa ingozi yakho, ikakhulukazi izinkinga zokuqhekeka kwegazi noma umdlavuza, buza udokotela wakho ngezinto ezikukhathazayo ngalesi simo.
• Zinakekele: Ukudla ukudla okunempilo, ukuhlala umatasa (okungenani imizuzu engu-150 yokuzivocavoca umzimba ngamandla aphakathi ngesonto), kanye nokugcina isisindo esinempilo konke kubalulekile. Lokhu kungasiza ekunciphiseni ingozi yakho yokuthola izifo eziningi ezingathi sína, okuhlanganisa ne-thrombophlebitis.
• Gqoka amasokisi okucindezela noma amasokisi okucindezela: Udokotela wakho angase akuncome amasokisi okucindezela noma amasokisi okucindezela ukusiza ukuvimbela ukuqhekeka kwegazi (i-thrombophlebitis).

Yini engingayilindela uma nginalesi simo?

I-Thrombophlebitis yisimo esibucayi, kodwa ngokuvamile ayibangeli izinkinga ngokwayo. Ngokuvamile iyisibonakaliso sezinkinga zokujiya kwegazi. Lezi zinkinga zingaholela ezimweni ezimbi kakhulu, ngezinye izikhathi ezibulalayo. Uma zitholakala kusenesikhathi, i-thrombophlebitis iyelapheka, futhi izinkinga azivamile. Kodwa-ke, uma lesi simo sitholakala isikhathi eside futhi selashwa, kulapho ingozi yokuba nezinkinga ezinkulu ikhula khona.

Lesi simo sizohlala isikhathi esingakanani?

I-Thrombophlebitis ivame ukuba yisimo sesikhashana, ikakhulukazi uma kutholakala isifo nokwelashwa ngokushesha. Akuvamile ukuthi ihlale isikhathi esingaphezu kwamahora ambalwa, ngoba uma unesifo isikhathi eside, kulapho ingozi yokuba ibe yinkinga enkulu khona.

Iyini ikusasa lalesi simo?

Ngokwayo, i-thrombophlebitis ngokuvamile ayiyona ingozi. Kodwa-ke, ukuba nayo kusho ukuthi usengozini enkulu kakhulu yokuthola ezinye izimo, njenge-DVT noma i-Pulmonary Embolism. Zombili lezi ziyisimo esiphuthumayo sezokwelapha. Uma ulinda isikhathi eside ukuthola ukwelashwa, kulapho lesi simo siba yingozi kakhulu. Ukuhlehlisa ukwelashwa kwandisa nengozi yezinkinga zesikhathi eside, njengobuhlungu obungapheli emithanjeni ethintekile noma izibazi (ezingavimbela ukuhamba kwegazi).

Ngizinakekela kanjani?

Uma unezimo ezandisa ingozi yakho yokuqhekeka kwegazi (thrombophlebitis), into engcono kakhulu ongayenza ukulawula lezo zimo. Lokhu kufaka phakathi:

• Bona udokotela wakho njalo.
• Thatha umuthi wakho njengoba udokotela wakho ekutshelile.
• Gwema ukuziphatha noma izimo ezingase zandise ingozi yakho.

Kufanele ngikhulume nini nodokotela wami noma ngifune ukwelashwa?

Uma unezimpawu ze-thrombophlebitis, kufanele ukhulume nodokotela wakho. Bona udokotela wakho uma unomlando we-thrombophlebitis (noma ezinye izinkinga zokujiya kwegazi, njenge-DVT), futhi uma noma yiziphi izimpawu zakho zibuya noma ziba zimbi ngokuzumayo.

Yiya esibhedlela uma kunesimo esiphuthumayo!

Uma unezimpawu zokuqhekeka kwegazi, kufanele uye esibhedlela ngokushesha. Uma ukuqhekeka kwegazi kuthinta ingalo noma umlenze wakho, lezi zimpawu zivame ukuba:

* Ukushintsha kombala wengalo/umlenze othintekile (ubonakala uphaphathekile kunokujwayelekile).

* Uma isikhumba endaweni ethintekile noma engalweni/emlenzeni sibanda kakhulu uma usithinta kunesikhumba ezindaweni ezingathintekile.

* Uma une-thrombophlebitis noma ezinye izimpawu ze-clot yegazi ngokuzumayo uzizwa sengathi lihamba lisuka kwenye indawo liye kwenye. Lokhu kubaluleke kakhulu uma unezinhlungu esifubeni noma ukuphefumula kanzima, noma yiziphi ezinye izimpawu ze-clot yegazi ezenzeka ngemuva noma ngemuva nje kwalokho. Lokhu kuyi -pulmonary embolism.Lokhu kungaba uphawu lwesimo esiphuthumayo sezokwelapha esisongela ukuphila. Uma lokhu kwenzeka, kufanele ushayele ngokushesha ku-1990 (Suwa Seriya), noma inombolo yakho yezimo eziphuthumayo yendawo.

Isifinyezo nezinto okufanele uzikhumbule

I-Thrombophlebitis ingaba uphawu olubalulekile lwesixwayiso sesimo esibucayi kakhulu. Nakuba ngokuvamile ingeyona ingozi ngokwayo, kufanele ubone udokotela ukuze unqume ukuthi unenkinga yini. Ezinye izimpawu zidinga ukuthi ufune usizo lwezokwelapha oluphuthumayo ngokushesha. Ngokuthola nokwelashwa okusheshayo, i-thrombophlebitis cishe ayibangeli izinkinga ezinkulu noma iphazamise impilo yakho. Ngakho-ke, kubalulekile ukuqaphela lezi zimpawu. Uma ucabanga ukuthi ungaba nayo, ungangabazi ukubona udokotela.

I- Thrombophlebitis, Igazi Eliqhekekile, I-Phlebitis, I-DVT, I-Pulmonary Embolism, Ubuhlungu Bemilenze, Ukuvuvukala Kwemithambo