Uyazi ukuthi kuyingozi kangakanani uma kwakheka ihlule legazi emithanjeni yomzimba wakho, ikakhulukazi emilenzeni yakho, bese libhajwa emaphashini akho? Kwezokwelapha, lokhu sikubiza ngokuthi 'i-pulmonary embolism'. Lokhu kungaba yingozi ngisho nokuphila. Ngakho-ke namuhla sizokhuluma ngedivayisi encane kodwa ebaluleke kakhulu esetshenziselwa ukuvimbela isimo esinjalo esiyingozi.
Kalula nje, iyini le Vena Cava Filter?
Isihlungi se-Vena Cava siyinto encane yensimbi. Ngokuqondile, sifana ne-mesh encane, noma isihlungi. Umsebenzi waso oyinhloko ukubamba amahlule egazi ahamba ngemithambo yomzimba bese ewavimba ukuthi angahambi aye emaphashini akho.
Kunezinhlobo ezimbili eziyinhloko zemithambo yegazi emzimbeni wethu.
- I-Inferior Vena Cava (IVC): Lokhu kuthwala igazi lisuka ezingxenyeni ezingezansi zomzimba (njengemilenze nesisu) liye enhliziyweni.
- I-Superior Vena Cava (SVC): Lokhu kuthwala igazi lisuka engxenyeni engenhla yomzimba (njengekhanda nezingalo) liye enhliziyweni.
Lesi sihlungi sibekwe kakhulu ku -Inferior Vena Cava (IVC) , umthambo omkhulu othwala igazi lisuka emzimbeni ongezansi. Yingakho lezi zibizwa nangokuthi `(izihlungi ze-IVC)`. Ukuze sikubeke esibonelweni esilula, cabanga ngakho njengoba sibeka isihlungi epayipini lamanzi. Sivumela amanzi ukuthi adlule ngaphandle kokuvinjelwa, kodwa ukungcola emanzini kuhlala kulelo sihlungi. Lesi sihlungi senza into efanayo. Nakuba sivumela igazi ukuthi ligeleze liye enhliziyweni ngaphandle kokuvinjelwa, sibamba amahlule egazi ayingozi ahambisana naso.
Hlobo luni lwabantu oludinga lesi sihlungi?
Akuwona wonke umuntu okudingayo lokhu. Udokotela angase ancome lesi sihlungi ngezizathu ezimbalwa ezithile. Ungase ucatshangelwe lokhu uma une-blood clot emithanjeni yakho (i-Venous Thromboembolism noma i-VTE) kanye nesinye noma ngaphezulu kwezimo ezilandelayo:
| Nini ukuncoma isihlungi | Incazelo elula |
|---|---|
| Uma ungakwazi ukuthatha imithi yokunciphisa igazi | Umuthi oyinhloko onikezwa ukuvimba amahlule egazi yimithi elwa nokuvuvukala kwegazi . Kodwa-ke, abanye abantu abakwazi ukuthatha le mithi ngenxa yezinkinga zokopha noma ukungezwani komzimba. Ezimweni ezinjalo, lesi sihlungi siyindlela enhle. |
| Uma amahlule egazi eqhubeka nokwakheka naphezu kokuthatha imithi | Abanye abantu bayaqhubeka nokuba namahlule egazi ngisho noma bethatha imithi yabo yokunciphisa igazi ngendlela efanele. Lesi sihlungi sisetshenziswa njengesivikelo esengeziwe kubantu abanjalo. |
| Uma usuvele unezinkinga zokujiya kwegazi | Udokotela wakho angase akuncome lokhu uma unomlando we-deep vein thrombosis (DVT) noma i-pulmonary embolism futhi usengozini enkulu yokuba nenye. |
| Izimo lapho kunengozi enkulu yokwakheka kwamahlule egazi | Lesi sihlungi singasetshenziswa nasezimweni lapho umuntu esengozini enkulu yokuqhekeka kwegazi okwesikhashana, njengangemva kokuhlinzwa okukhulu, ingozi enkulu, ngesikhathi sokukhulelwa, noma kubantu abanezinkinga zofuzo zokuqhekeka kwegazi. |
Ingabe zikhona izinhlobo zalezi zihlungi?
Yebo, kunezinhlobo ezimbili ikakhulukazi.
1. Izihlungi Ezihlala Njalo: Uma sezifakiwe, lezi zinhlobo zezihlungi azisuswa. Zihlala impilo yonke. Lezi zivame ukufakwa kubantu abangakwazi ukuthatha noma yimiphi imithi yokunciphisa igazi futhi abasengozini enkulu yezinkinga zesikhathi eside.
2. Izihlungi Zesikhashana/Ezingatholakala: Lezi zifakwa kubantu abasengozini yesikhashana. Isibonelo, ngemva kokuhlinzwa okukhulu. Uma ingozi isiphelile futhi kuqalwa futhi izinto zokunciphisa igazi, lezi zihlungi ziyasuswa ngokuhlinzwa.
Into ebaluleke kakhulu ukususa isihlungi sesikhashana ngokushesha nje lapho singasadingeki, njengoba isikhathi eside sisemzimbeni, kulapho amathuba okuba nezinkinga anda khona.
Kwenzekani ngaphambi kokuhlinzwa?
Kulungile, ake sithi udokotela unquma ukukufaka lesi sihlungi. Kunezinto ezimbalwa okudingeka uzilungiselele ngaphambi kwalokho.
- Udokotela wakho uzobuza ngomlando wakho wezempilo ophelele. Kuzodingeka unikeze incazelo egcwele yayo yonke imithi oyithathayo (ngisho namavithamini).
- Eminye imithi kungadingeka iyekwe ezinsukwini ezimbalwa ngaphambi kokuhlinzwa. Isibonelo:
- Ama-anticoagulant
- I-aspirini
- Ama-Painkiller (ama-NSAID)
- Udokotela uzokutshela ukuthi kufanele uyeke ukudla nokuphuza amahora amangaki ngaphambi kokuhlinzwa. Ngokuvamile, uzocelwa ukuthi uyeke ukudla amahora angu-8 ngaphambi kokuhlinzwa bese uphuza amahora amabili ngaphambi kokuhlinzwa.
- Ungase futhi wenze izivivinyo eziningana ukuze uhlole impilo yakho, njengokuhlolwa kwegazi, i-`Echocardiogram (echo)`, kanye ne-`Electrocardiogram (EKG)`.
Ukuhlinzwa kwenziwa kanjani?
Lokhu akuyona inqubo enkulu yokwesatshwa. Kubizwa ngokuthi inqubo 'engena kakhulu'. Lokho kusho ukuthi azikho izimbobo ezinkulu. Ngokuvamile kungaqedwa cishe ngehora.
Nakhu ukuthi kwenzeka kanjani:
1. Okokuqala, ipayipi le-saline (IV) lizoxhunywa emthanjeni osengalweni yakho.
2. Uzonikezwa umuthi wokudambisa ukuze uhlale uzolile futhi uphumule.
3. Okulandelayo, indawo lapho kuzofakwa khona isihlungi (entanyeni noma embotsheni) iyahlanzwa bese kuba yileyo ndawo kuphela evalwe umlomo .
4. Udokotela wenza ukusika okuncane endaweni engenalutho bese efaka ipayipi elincane elibizwa ngokuthi i-catheter emthanjeni.
5. Bese kuthi, kusetshenziswa uhlobo lwe-X-ray olubizwa ngokuthi ``Fluoroscopy,'' leli payipi liqondiswa ngqo emthanjeni we-IVC. Ngezinye izikhathi, uketshezi olukhethekile olubizwa ngokuthi ``izinto eziphikisanayo'' lungafakwa ngaleli payipi ukuze kwenziwe umthambo ubonakale ngokucacile.
6. Uma isifikile endaweni efanele, isihlungi sifakwa emthanjeni nge-catheter. Siyavuleka ngaphakathi komthambo bese sinamathela odongeni lomthambo.
7. Uma umsebenzi usuqediwe, i-catheter iyakhishwa bese kufakwa ibhandishi elincane phezu kwesibazi ukuze livalwe.
Kwenzekani ngemva kokuhlinzwa?
Ngemva kokuhlinzwa, kuzodingeka uhlale esibhedlela amahora ambalwa. Ithimba lezokwelapha lizoqapha ukushaya kwenhliziyo yakho kanye nokuphefumula kwakho, futhi lizokunikeza imithi yokwelapha izinhlungu uma uzwa ubuhlungu.
Ezimweni eziningi , ungaya ekhaya ngosuku olufanayo nokuhlinzwa kwakho . Kodwa-ke, awukwazi ukushayela wena ngokwakho, kumele uhambisane nomngane noma ilungu lomndeni. Kungase kube nokulunywa nokungakhululeki endaweni yokusika izinsuku ezimbalwa.
Ungalulama maduze?
Yebo. Isihlungi siqala ukusebenza ngokushesha nje lapho usifaka.
- Uma isihlungi sifakwe ngomthambo osentanyeni yakho , ungaqhubeka nemisebenzi yakho evamile zingakapheli amahora angu-24.
- Uma isihlungi sifakwe ngomthambo osesinqeni , kuzodingeka ugweme izinto ezithile cishe izinsuku ezimbili.
Ungenzi lezi zinto amahora angu-48:
* Ukukhuphuka izitebhisi
* Ukushayela
* Ukuphakamisa izinto ezisindayo
Kodwa-ke, udokotela wakho uzokunikeza imiyalelo eqondile ekufanele.
Ingabe zikhona izingozi ezihilelekile?
Lokhu ngokuvamile kubhekwa njengokuhlinzwa okuphephile kakhulu. Kodwa-ke, njenganoma iyiphi inqubo yezokwelapha, kunezingozi ezincane kakhulu. Amathuba okuthi lokhu kwenzeke mancane kakhulu, kodwa kuhle ukuzazi.
- Ukungezwani komzimba nezinto ezihlukile ezisetshenziswe esivivinyweni.
- Ukopha noma ukutheleleka endaweni yokufaka i-catheter.
- Ukulimala kwemithambo yegazi.
- Ukuqhekeka kwesihlungi.
- Igazi kungenzeka ukuthi liphumile esisefweni laya enhliziyweni noma emaphashini.
- Ukuqhekeka kwegazi emthanjeni we-IVC (i-IVC thrombosis).
Lezi zinto azivamile ukwenzeka. Udokotela wakho uzokwenza konke okusemandleni akhe ukunciphisa lezi zingozi.
Kufanele ubonane nini nodokotela?
Kubaluleke kakhulu ukunakekela umzimba wakho uma ubuyela ekhaya ngemva kokuhlinzwa. Uma uhlangabezana nanoma yiziphi izimpawu ezilandelayo, kufanele ushayele udokotela wakho ngokushesha .
| Izimpawu okufanele uziqaphele |
|---|
| Ubuhlungu besifuba (lokhu kuyisibonakaliso sokuthi kufanele uye ekamelweni lezimo eziphuthumayo (ETU) ngokushesha) |
| Ukopha okuqhubekayo noma olunye uketshezi oluvela endaweni yokusikwa |
| Imfiva |
| Ubomvu, ukufudumala, noma ukwanda kokuvuvukala endaweni yokusikwa |
| Ukuba ndikindiki noma umuzwa wokuba ndikindiki ezandleni noma ezinyaweni |
| Ikhanda elibuhlungu noma isicanucanu esingapheli noma esiba sibi kakhulu |
Umlayezo Wokuya Nawe Ekhaya
- Isihlungi se-Vena Cava siyinto encane yensimbi evimbela ukwakheka kwamahlule egazi ayingozi emzimbeni bese eya emaphashini.
- Lokhu kunconywa kulabo abangakwazi ukuthatha imithi yokunciphisa igazi kanye nalabo abanezinye izimo ezikhethekile eziyingozi.
- Lokhu akuyona indlela enkulu yokuhlinzwa. Ngokuvamile kungenziwa ngesikhathi esifushane, cishe ihora, ngokusikwa okuncane.
- Kunezinhlobo ezimbili zezihlungi: ezihlala njalo nezisuswayo zesikhashana.
- Uma kuyisihlungi sesikhashana, kufanele sisuswe ngokushesha uma singasadingeki.
- Uma uhlangabezana nanoma yiziphi izimpawu ezingavamile ngemva kokuhlinzwa, yazisa udokotela wakho ngokushesha.
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