Uzwa ubuhlungu obungacacile nobunzima emilenzeni yakho uma uhamba ibanga elifushane? Noma uzwa ubuhlungu obungavamile emithanjeni yemilenze yakho uma umane umile? Abantu abaningi bacabanga ukuthi lokhu ukukhathala okuvamile, into eyenzeka ngokuguga, kodwa mhlawumbe lokhu ubuhlungu obubangelwa inkinga ohlelweni lwakho lwemithambo yegazi, okungukuthi, ukujikeleza kwegazi. Ake sixoxe ngalokhu namuhla.
Kuyini ubuhlungu bemithambo yegazi?
Kalula nje, lobu ubuhlungu obuvela ngenxa yenkinga ohlelweni lokujikeleza kwegazi lomzimba wethu, okungukuthi, emithanjeni yegazi (imithambo yegazi kanye nemithambo yegazi). Cabanga ukuthi sinohlelo lwamapayipi amanzi ahamba emzimbeni wethu wonke. Lawa mapayipi athwala igazi, umoya-mpilo, kanye nezakhamzimba kuzo zonke izingxenye zomzimba. Manje, kwenzekani uma lawa mapayipi evalwa, encishiswa, noma onakele ndawana thize? Ukugeleza kwamanzi kuyaphazamiseka, akunjalo? Ngendlela efanayo, lapho imithambo yegazi yethu yonakele, ukugeleza kwegazi kuyaphazamiseka. Kungenxa yalokhu kuvinjelwa ukuthi siqala ukuzwa lesi simo njengobuhlungu.
Lobuhlungu buvame ukuthinta imilenze engezansi nasemaqakaleni. Kodwa-ke, bungathinta nezingalo ngezikhathi ezithile. Elinye igama lezokwelapha lalolu hlobo lobuhlungu bemilenze yi- vascular claudication . Cishe umuntu oyedwa kwabayishumi abanalesi simo angase abe nobuhlungu ezingalweni.
Buzwakala kanjani lobu buhlungu?
Lokhu akufani nobuhlungu obuvamile bamalunga. Abantu abaningi babhekana nalokhu:
- Ubunzima obungakhululekile: Kuzwakala sengathi amabhola amabili ensimbi alenga emilenzeni yakho.
- Ukushaya: Ubuhlungu obuzwakala sengathi kukhona okushaya ngaphakathi emithanjeni.
- Ubuhlungu: Ubuhlungu obungapheli nobunzima.
- Ubuhlungu buyanda lapho uhamba noma uzivocavoca: Ubuhlungu buyanda lapho uhamba ibanga elifushane futhi buyancipha uma ume isikhashana. Lokhu kuyisibonakaliso esibalulekile salesi sifo.
Ubani ongazizwa kakhulu lobu buhlungu?
Abantu abanesifo semithambo yegazi basengozini enkulu yokuthola lobu buhlungu. Ngokuvamile, abantu abangaphezu kweminyaka engu-50 kanye nalabo abasemaqenjini alandelayo basengozini enkulu. Ake sibheke ukuthi bangobani.
| Iqembu Lezingozi | Incazelo |
|---|---|
| Abantu ababhemayo | Ukubhema kuyisitha esikhulu semithambo yegazi. Amakhemikhali akugwayi alimaza izindonga zemithambo yegazi, okwenza zibe zincane futhi ziqine. |
| Abantu abanesifo sikashukela noma umfutho wegazi ophakeme | Zombili lezi zifo zibangela umonakalo emithanjeni yegazi. Isifo sikashukela esingalawulwa kanye nomfutho wegazi ophezulu kubangela ukuthi imithambo yegazi ilahlekelwe ukuqina kwayo. |
| Abantu abanokukhuluphala ngokweqile | Njengoba isisindo somzimba sikhula, uhlelo lwemithambo yegazi kufanele luthwale isisindo esengeziwe. Futhi, ngokukhuluphala ngokweqile, izinto ezifana ne-cholesterol zinganda futhi zivale imithambo yegazi. |
| Abantu abananoma yiziphi zalezi zifo emndenini wabo | Uma abazali bakho noma abafowenu noma abafowenu beke baba nesifo semithambo yegazi noma senhliziyo, nawe ungase ube sengozini yofuzo. |
| Abantu abaphila impilo yokuhlala phansi kanye nomsebenzi ophansi womzimba | Uma usebenza uhleli esihlalweni usuku lonke futhi ungazivivinyi, kungenzeka kakhulu ukuthi ukujikeleza kwegazi kube kubi. |
| Omama abakhulelwe | Lezi zimo zingase zenzeke okwesikhashana ngenxa yezinguquko zamahomoni emzimbeni ngesikhathi sokukhulelwa kanye nokucindezeleka emithanjeni yegazi okubangelwa ingane ekhulayo. |
Kungani lolu hlobo lobuhlungu luvela? Izimbangela eziyinhloko
Lobuhlungu abuyona into eyenzeka nje. Kungase kube nesimo sezokwelapha esicashile. Ngokuyinhloko, lobu buhlungu bubangelwa ukucindezelwa komthambo wegazi, ukuvuvukala (isimo esifana nokuvuvukala), ukuncishiswa, noma ukuvaleka ngokuphelele.
Nazi ezinye zezizathu eziyinhloko:
- I-atherosclerosis:Lena yimbangela evame kakhulu. I-cholesterol namanye amafutha ekudleni esikudlayo anqwabelana ngaphakathi kwemithambo yegazi, njengokugqwala epayipini lamanzi, okunciphisa umthambo ngaphakathi. Lokhu kuvimbela ukugeleza kwegazi.
- Ukungasebenzi kahle kwemithambo yegazi okungapheli: Imithambo esemilenzeni yethu (imithambo eluhlaza okwesibhakabhaka) inama-valve amancane avimba igazi ukuthi lingabuyeli emuva liye enhliziyweni. Uma la ma-valve eba buthakathaka, igazi lingahlangana emilenzeni, okubangela ukuba imithambo ivuvuke futhi ibe buhlungu.
- I-Deep vein thrombosis (DVT): Ihlule legazi elakheka emthanjeni omkhulu ngaphakathi emzimbeni. Lesi yisimo esiyingozi ngoba ihlule lingaqhekeka lihlale emaphashini.
- Isifo semithambo yegazi engaphandle (i-PAD): Lokhu kubangelwa ukuncishiswa kwemithambo yegazi ethwala igazi ezingalweni nasemilenzeni (i-atherosclerosis). Lokhu kungabangela ubuhlungu lapho uhamba. Lokhu kungenxa yokuthi imisipha idinga igazi elengeziwe ngesikhathi sokuzivocavoca, kodwa imithambo yegazi encishisiwe ayikwazi ukulinikeza.
- Isenzakalo sikaRaynaud: Lokhu kwenzeka lapho imithambo yegazi emincane ethwala igazi iye eminweni nasezinzwaneni ifinyela ngokuzumayo lapho ibhekene nomkhuhlane noma ukucindezeleka. Lokhu kubangela ukuthi iminwe iphenduke ibe mhlophe, ibe luhlaza okwesibhakabhaka, bese kuba bomvu, okubangela ubuhlungu kanye nokungazweli.
- Imithambo ye-Varicose: Imithambo evuvukele, egobile, nevuvukele emilenzeni, ebonakala ngokucacile esikhumbeni. Lokhu futhi kuwumphumela wesimo 'sokungapheleli kwemithambo engapheli'.
Yiziphi ezinye izimpawu ezikhona ngaphandle kobuhlungu?
Uma unesifo semithambo yegazi, ungase uzwe ezinye izimpawu ezifana nalezi kanye nobuhlungu. Kubalulekile ukunaka nalezi.
Khumbula, uma unesinye noma ngaphezulu salezi zimpawu, ungazinaki. Bona udokotela wakho ngokushesha okukhulu ukuze uthole iseluleko.
| Isibonakaliso | Kusho ukuthini lokhu? |
|---|---|
| Izandla noma izinyawo ezibandayo | Kungokuthi igazi elifudumele elanele eligeleza kulezo zindawo. |
| Izinguquko zombala eminweni (emhlophe, eluhlaza okwesibhakabhaka, ebomvu) | Ikakhulukazi ezimweni ezifana 'nesenzakalo sikaRaynaud', lapho ukunikezwa kwegazi kuncipha ngokuzumayo bese kubuyiselwa, ungabona lolu hlobo lokushintsha kombala. |
| Ukungazweli noma ukuzwa ukucasuka | Le mizwa yenzeka lapho imizwa intula umoya-mpilo nezakhamzimba ezidingayo ngenxa yokuncipha kokugeleza kwegazi. |
| Ukuvuvukala `(Ukuvuvukala)` | Uma imithambo yegazi ingakwazi ukuthwala igazi libuyele enhliziyweni, uketshezi luphuma emithanjeni luye ezicutshini ezizungezile, okubangela ukuba imilenze namaqakala kuvuvuke. |
| Ubuthakathaka | Uma imisipha ingatholi igazi elidingekayo, ukusebenza kwayo kuyaba buthaka. |
| Amanxeba angapholi (ikakhulukazi ezinyaweni) | Ukutholakala kwegazi okuhle kubalulekile ukuze inxeba liphole. Uma ukugeleza kwegazi kuncipha, ngisho nokusikeka okuncane kungaba inxeba elikhulu nelibi kakhulu. Le ngozi iphezulu kakhulu kubantu abanesifo sikashukela. |
Udokotela ukuthola kanjani lokhu?
Uma utshela udokotela wakho ngalezi zimpawu, into yokuqala azoyenza ukukubuza umbuzo onemininingwane. Izinto ezifana nokuthi ubuhlungu buqala nini, ukuthi sebuhlale isikhathi esingakanani, nokuthi yini ebangela ukuba buphele. Ngemuva kwalokho, bazokwenza ukuhlolwa ngokomzimba.
Kulolu vivinyo,
- Hlola ukuthi isikhumba asishintshi umbala, amanxeba, noma izilonda emilenzeni noma ezingalweni.
- Sihlola ukuthi ama-pulse abuthakathaka noma cha ezindaweni ezifana namaqakala nezihlakala.
- Ukuhlola ukuvuvukala.
Ngemva kwalezi zivivinyo zokuqala, kungase kwenziwe ezinye izivivinyo eziningana ukuqinisekisa lesi sifo nokuthola imbangela eqondile.
- I-Arteriogram: Kufakwa idayi ekhethekile emithanjeni yegazi, bese kuthathwa uchungechunge lwezithombe ze-X-ray. Lokhu kuvumela i-X-ray ukuthi ibonise ngokucacile ukugeleza kwegazi emithanjeni nokuthi ngabe kukhona yini ukuvaleka.
- I-Doppler ultrasound:Lokhu ukuskena okungenabuhlungu. Kusebenzisa amaza omsindo ukukala isivinini kanye nesiqondiso sokugeleza kwegazi ngaphakathi kwemithambo yegazi. Kungabona kalula ukuvaleka.
- I-Magnetic Resonance Angiogram (MRA): Lokhu kuyingxenye ye-MRI scan. Kusebenzisa omaginethi namagagasi omsakazo ukudala izithombe ezinemininingwane zemithambo yegazi. Idayi nayo ingasetshenziswa kulokhu.
Yiziphi izindlela zokwelapha lokhu?
Ukwelashwa kuncike embangeni yezimpawu zakho. Udokotela wakho uzokhetha ukwelashwa okukulungele.
Nazi ezinye zezindlela zokwelapha eziyinhloko:
1. Imithi: Imithi efana nemithi yokwehlisa umfutho wegazi, imithi yokwehlisa i-cholesterol, kanye nemithi yokunciphisa igazi ingasiza ekulawuleni imbangela eyisisekelo yalesi sifo futhi inciphise ubuhlungu.
2. I-Angioplasty: Lena inqubo engangenisi kakhulu kunokuhlinzwa. Ipayipi elincane kakhulu (i-catheter) lifakwa emthanjeni ovalekile ngomlenze noma ingalo, bese kufakwa ibhaluni elincane ekugcineni ukuze kwandiswe ukuvaleka. I -stent , ipayipi elincane eline-mesh, libe selibekwa endaweni ukuze kuvinjwe umthambo futhi.
3. Ukuhlinzwa kwe-bypass: Lokhu kwenziwa uma umthambo uvalekile kakhulu. Njengomgwaqo ovalekile, udokotela ohlinzayo uthatha ingxenye yomthambo wegazi ophilile kwenye ingxenye yomzimba wakho (ngokuvamile emlenzeni noma esifubeni sakho) bese edala indlela entsha yokuthi igazi ligeleze endaweni evalekile.
Ungaphatha futhi uvimbele kanjani ubuhlungu ekhaya?
Kanye nokwelashwa, izinguquko endleleni yakho yokuphila nazo zibaluleke kakhulu ekulawuleni lobu buhlungu.
- Vivinya umzimba njalo: Yenza okungenani imizuzu eyi-150 yokuzivocavoca nge-aerobic, njengokuhamba noma ukugibela ibhayisikili, ngesonto. Lokhu kuzothuthukisa ukujikeleza kwegazi.
- Ungahlali phansi: Uma unomsebenzi odinga ukuthi uhlale isikhathi eside, vuka okungenani kanye ngehora bese uhambahamba kancane, welula umzimba wakho.
- Gqoka amasokisi okucindezela: Uma ume isikhathi eside noma uhamba amabanga amade, ukugqoka la masokisi akhethekile kuzobeka ingcindezi encane emithanjeni yemilenze yakho futhi kuvimbele igazi ukuthi lingahlangani. Cela iseluleko kudokotela wakho ngalokhu.
- Yidla ukudla okunempilo: Yidla ukudla okucebile ngezithelo, imifino, ubhontshisi, kanye nokusanhlamvu okuphelele. Nciphisa uwoyela, usawoti, kanye noshukela.
- Yeka ukubhema ngokuphelele: Lena yinto engcono kakhulu ongayenza.
- Lawula ezinye izifo: Uma unezimo ezifana nesifo sikashukela, umfutho wegazi ophakeme, noma i-cholesterol, landela imiyalelo kadokotela wakho futhi uzilawule kahle.
Ake sifunde kancane nge-Vasculitis.
I-Vasculitis ukuvuvukala kwemithambo yegazi, okuyisimo esibangela ukuvuvukala. Lokhu futhi kungenye yezimbangela ezingaba khona zobuhlungu bemithambo yegazi. Ezinye izinhlobo ze-Vasculitis nazo zingabangela ubuhlungu bentamo nesifuba. Kanye nalokhu,
- Ukushintsha kombala kwamalungu
- Isiyezi
- Umfutho wegazi okhuphukile
- Ukusebenza kanzima
- Ikhanda elibuhlungu
- Izimpawu ezifana nokukhubazeka kokubona nazo zingase zivele.
Lesi sifo futhi siyisimo okumele sihlolwe kahle futhi selashwe udokotela.
Umlayezo Wokuya Nawe Ekhaya
- Ungakunaki ubuhlungu, ukusinda, kanye nokuqaqamba emilenzeni yakho, ikakhulukazi lapho uhamba, njengokukhathala okuvamile.
- Lokhu kungaba uphawu lwenkinga ohlelweni lwakho lokujikeleza kwegazi.
- Ukubhema, isifo sikashukela, i-cholesterol ephezulu, kanye nomfutho wegazi ophezulu yizinto ezibangela lesi simo.
- Uma unezimpawu ezifana nokuvuvukala kwemilenze, ukushintsha kombala, ukuba ndikindiki, noma amanxeba angapholi, qaphela kakhulu.
- Uma unalezi zimpawu, ungaziphilisi, kodwa qiniseka ukuthi ubonana nodokotela wakho ukuze uthole ukuxilongwa okufanele kanye nohlelo lokwelashwa. Ngokwelashwa okufanele kanye nokushintsha kwendlela yokuphila, ungasiphatha kahle lesi simo futhi uhlale uphilile.
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