Ingabe unenxeba eliphola kancane emlenzeni wakho? Ake sifunde ngalesi silonda semithambo yegazi!

Ingabe unenxeba emlenzeni wakho, ikakhulukazi eduze kweqakala lakho, elithatha isikhathi eside ukuphola, ngezinye izikhathi izinyanga? Noma ingabe isikhumba lapho inxeba lalikhona, sishintshile umbala futhi siqinile? Ngezinye izikhathi lokhu akuyona inxeba elivamile, kodwa kuyinto okufanele ikhathazeke ngayo. Namuhla sizokhuluma ngesimo esinjalo, okungukuthi `(Isilonda Semithambo)` noma isilonda semithambo (isilonda esikhula emthanjeni). Ake sithole ukuthi kuyini ngempela lokhu, kungani kwenzeka, nokuthi singakuqaphela kanjani.

Kuyini isilonda semithambo yegazi?

Kalula nje, "i-Venous Ulcer" iyisilonda esikhula emilenzeni yakho, ikakhulukazi ngaphezu kwamaqakala, futhi sithatha isikhathi eside ukuphola kunesilonda esivamile . Lokhu kungenxa yezinkinga ngemithambo yegazi emzimbeni wethu, izinhlobo zemithambo yegazi ethwala igazi libuyele enhliziyweni, kanye nezinkinga ezithile ngokujikeleza kwegazi.

Cabanga ngakho, ngokuvamile uma uthola inxeba, liyaphola ezinsukwini ezimbalwa, isonto noma amabili. Kodwa lokhu `(Isilonda Semithambo)` akufani nalokho. Ngezinye izikhathi lokhu kungaqhubeka izinyanga. Ezimweni ezimbi kakhulu, kungase kungalokothi kuphole ngokuphelele. Yingakho kubaluleke kakhulu ngathi ukuqaphela lokhu.

Lesi silonda semithambo yegazi sikhula kanjani?

Lokhu kuyimfihlakalo encane. Imithambo esemilenzeni yethu ithwala igazi elisetshenzisiwe, elingenawo umoya-mpilo libuyele enhliziyweni. Cabanga ngakho njengomfula othwala amanzi egqumeni. Ngakho-ke, ukuze kusizwe leli gazi ligeleze libuyele phezulu, liye enhliziyweni, kunezivimbi ezincane ngaphakathi kwalezi zivimbi. Lawa mavimbi afana neminyango, avimbela igazi ukuthi ligeleze libuyele phansi uma selikhuphukile.

Kodwa-ke, kwabanye abantu, la ma-valve angase angasebenzi kahle, noma ngenxa yezinye izinkinga ngemithambo yegazi, igazi alihambi kahle bese liqala ukuqoqana ezingxenyeni ezingezansi zemilenze. Lapho igazi liqoqana kanje, ingcindezi engaphakathi kwemithambo yegazi iyanda. Lokhu kucindezela okwandayo konakalisa isikhumba esizungezile, futhi kancane kancane kuvela inxeba, noma "isilonda". Kufana ne-blister egcwele amanzi, lapho ingcindezi engaphakathi yonakalisa khona udonga.

Yiziphi izimbangela eziyinhloko zezilonda zemithambo yegazi?

Esinye sezici eziyinhloko ezithinta lesi simo yisimo esibizwa ngokuthi `Ukuntuleka Kwemithambo Engapheli` . Kalula nje, okwenzekayo kulokhu ukuthi ama-valve emithanjeni engikhulume ngayo ekuqaleni aba buthakathaka noma angasebenzi kahle, okuvimbela ukugeleza kwegazi emuva enhliziyweni. Lena inkinga ebilokhu iqhubeka isikhathi eside.

Ngaphezu kwalokho, kunezinye izizathu eziningana:

• Umfutho wegazi ophezulu (Umfutho wegazi ophakeme): Uma umfutho wegazi uphezulu isikhathi eside, ungalimaza izindonga zemithambo yegazi yethu.
• Ukuvinjelwa Kwemithambo: Ngezinye izikhathi umthambo ungavaleka ngenxa yezinto ezifana nokuqhekeka kwegazi. Lokhu kuphazamisa nokugeleza kwegazi.
• Ukuvuvukala kwemithambo yegazi:Uma lawo ma-valve eba buthakathaka noma onakele, igazi liqala ukugeleza phansi esikhundleni sokukhuphuka. Lokhu futhi kuyimbangela enkulu yezilonda.

Ubani osengozini enkulu yokuthola izilonda emithanjeni?

Nakuba noma ubani engaba nalesi simo, abanye abantu basengozini enkulu. Bheka ukuthi la maqiniso ayasebenza yini kuwe:

• I-Deep Vein Thrombosis (DVT): Uma kwenzeka ihlule legazi emithanjeni emikhulu yomlenze, izilonda ezinjengalezi zingavela kamuva.
• Ukuba nomlando womndeni wesifo semithambo yegazi: Kungase kube nethonya lezakhi zofuzo.
• Ukukhuluphala ngokweqile: Uma isisindo somzimba sikhuphuka, kufakwa ingcindezi eyengeziwe emithanjeni emilenzeni.
• Ukuguga: Njengoba ukhula, ama-valve emithanjeni yakho angaba buthaka.
• Izimo ezinjengokukhubazeka: Ukujikeleza kwegazi kuncipha ngoba imilenze ayikwazi ukunyakaza.
• Ukulimala emilenzeni kwangaphambilini: Uma imithambo yonakele, njengasengozini enkulu.
• Ukungawuvivinyi umzimba, indlela yokuphila yokuhlala phansi: Abantu abahlala usuku lonke futhi abangahambi banomjikelezo wegazi ophansi.
• Ukubhema: Ukubhema konakalisa imithambo yegazi.
• Ukuhlinzwa okuthile: Isibonelo, ngemva kokufakelwa idolo.
• Imithambo Ye-Varicose Nemithambo Yesicabucabu: Lezi futhi ziyizimpawu zezinkinga zemithambo.

Uma unesinye noma ngaphezulu salezi zinto eziyingozi, kuwumqondo omuhle ukuqaphela kakhudlwana ngezinguquko emilenzeni yakho.

Uma unesilonda esisemithambo yegazi, sibukeka kanjani? Sizizwa kanjani?

Lezi zilonda zivame ukubonakala njengezilonda ezingajulile, ezingajwayelekile, ezisakazekayo . Isikhumba esizungeze isilonda singase sibe sikhulu futhi sibe nombala onsundu .

Ngaphezu kwalokho, izimpawu ezilandelayo zingabonakala:

• Ubuhlungu obungazwakali kahle: Indawo lapho inxeba likhona ingase izwakale njengobuhlungu obungazwakali kahle.
• Iphunga elibi: Inxeba lingase libe nephunga elibi, ikakhulukazi uma kukhona ukutheleleka.
• Ukuluma: Indawo ezungeze inxeba ingase iluma kancane.
• Ubomvu noma olunye uketshezi oluphuma enxebeni: Kungase kuvele ubomvu ophuzi noma oluhlaza.
• Ukuvuvukala: Amaqakala nemilenze engezansi kungase kuvuvuke.

Uma unezimpawu ezinjengalezi, kungcono ukubona udokotela kunokucabanga ukuthi ukulimala nje okulula.

Udokotela usithola kanjani isilonda semithambo yegazi?

Ngokuvamile, lapho udokotela ehlola umlenze wakho, angabona ukuthi kuyisilonda esisemithanjeni ngokubonakala kwesilonda. Ngaphezu kwalokho, umlando wakho wezempiloBuza ngomlando wakho wezokwelapha. Lokhu kusho ukubuza ngezinye izimo zezokwelapha onazo (njengesifo sikashukela noma umfutho wegazi ophakeme), ukuthi ukhona yini emndenini wakho onalezi zinkinga, nokuthi imiphi imithi oyiphuzayo. Lolu lwazi lungakusiza uqonde imbangela yokulimala.

Hlobo luni lokuhlolwa oluzokwenziwa?

Udokotela wakho angase ancome ukuhlolwa okuthile ukuze kutholakale ukuthi ukulimala kungakanani kanye nobukhulu benkinga yokugeleza kwegazi. Lokhu kuhlolwa kuzodingeka futhi kuphindwe njalo ukuze kuqashwe ukusebenza kahle kokwelashwa kwakho.

Ezinye zezivivinyo eziyinhloko ezenziwe yilezi:

• Ukuhlolwa kwe-Ankle-Brachial Index (ABI): Lokhu kulinganisa umfutho wegazi ezingalweni nasemilenzeni yakho. Lokhu kungakunikeza umbono wokunikezwa kwegazi emilenzeni yakho.
• Ucwaningo lwe-Doppler: Lokhu kufana nokuskena kwe-ultrasound. Kungahlola ukuthi igazi ligeleza kanjani emithanjeni, ukuthi kukhona yini ukuvaleka, nokuthi ama-valve asebenza kahle yini.
• Ezinye izivivinyo zezithombe: Ngezinye izikhathi, into efana ne-CT scan ingenziwa ukuze kubhekwe umonakalo emithanjeni nokuthi ama-valve asebenza kahle kangakanani.

Kungani kubaluleke kangaka ukwelapha izilonda zemithambo yegazi?

Lokhu kuyinto ebaluleke kakhulu. Izilonda zemithambo yegazi azilona uhlobo lwesilonda esiziphola ngokwaso. Uma ungazilaphi, isimo singaba sibi kakhulu.

Uma ingelashwa, izicubu ezizungeze inxeba zingalimala unomphela. Lo monakalo ungasakazeka futhi uholele ezifweni eziyingozi. Ezinye izifo, njenge -gangrene (ukufa kwezicubu) , zingaba zimbi ngokwanele ukuba zisongele impilo noma ziholele nasekulahlekelweni yilungu.

Ezimweni ezimbi kakhulu, uma ukutheleleka kungenakulawuleka, ukususwa kwesitho esithintekile ngokuhlinzwa (ukunqunywa) kungadingeka. Ngakho-ke, ukufuna ukwelashwa kudokotela onolwazi lokuphulukisa amanxeba ngokushesha okukhulu kunganciphisa kakhulu le ngozi.

Yiziphi izindlela zokwelapha izilonda zemithambo yegazi?

Ukwelashwa okungcono kakhulu kuwe kuzoncika ezicini ezifana nendawo yokulimala kanye nobukhulu bayo. Ngokuvamile, ngemva kokuqala ukwelashwa, kuzodingeka ubone udokotela wakho ukuze uthole ama-aphoyintimenti okulandelela njalo ukuqinisekisa ukuthi ayasebenza.

Izindlela zokwelapha ezisetshenziswa kakhulu yilezi:

• Ama-antibiotic: Lawula ukutheleleka esilondeni uma kukhona.
• Amabhandeji noma amasokisi okucindezela: Lokhu kusebenzisa ingcindezi yangaphandle emithanjeni esemilenzeni, okusiza ukuthi igazi libuyele enhliziyweni. Lokhu kuyindlela yokwelapha ebaluleke kakhulu.
• Amafutha Okubulala Amagciwane: Vikela inxeba emagciwaneni.
• Izibulali-zinhlungu: Lawula ubuhlungu uma kukhona ubuhlungu.
• Ukuhlanza inxeba nokususa izicubu ezifile (Ukususwa kwezicubu):Udokotela uzohlanza futhi asuse noma yisiphi isikhumba esifile kanye nobomvu enxebeni. Lokhu kuzosiza inxeba ukuthi liphilise ngokushesha.
• Ukudluliselwa kochwepheshe ukuze baphathe ezinye izifo ezingamahlalakhona: Uma unezifo ezifana nesifo sikashukela, kubalulekile ukuzilawula kahle ukuze amanxeba aphole.
• Amabhandeji namabhandeshi akhethekile: Lokhu kusiza ukuvala inxeba, ukulawula umswakama, nokudala indawo evumela ukuphulukiswa.
• Geza inxeba nsuku zonke: Lokhu kubalulekile ukugcina inxeba lihlanzekile ekhaya futhi kususwe amagciwane. Kodwa lokhu kufanele kwenziwe njengoba nje udokotela ekutshela.

Ingabe kukhona ezinye izindlela zokwelapha ezikhethekile?

Uma unesilonda esinzima kakhulu emithanjeni esingapholi ngokwelashwa okuvamile, ungadinga ukwelashwa okukhethekile okufana nalokhu:

• Ukwelashwa Ngezinto Zokukhula: Kulokhu, kufakwa izinto ezikhethekile esilondeni ezidonsela amangqamuzana asiza inxeba ukuba liphilise.
• Ukwelashwa Nge-Hyperbaric Oxygen: Kulokhu, isiguli sifakwa ekamelweni elinomfutho okhethekile futhi senziwe ukuba siphefumule umoya-mpilo ohlanzekile. Lokhu kwandisa isivinini sokuphulukiswa kwenxeba.
• Ukwelashwa Nge-Lymphedema: Abanye abantu baqala ukuvuvukala ngenxa yokunqwabelana koketshezi lwe-lymph. Baphathwa ngamasu akhethekile okubhucunga, izindlela zokunakekela isikhumba, kanye namabhandeji.
• Ukufakelwa Kwesikhumba: Uma inxeba likhulu, isikhumba esinempilo sithathwa kwenye ingxenye yomzimba bese sitshalwa endaweni yenxeba.
• Ukwelashwa Kwamaseli Esiqu: Amaseli esiqu athathwe emnkantsheni asetshenziselwa ukukhiqiza izicubu ezinempilo ezisiza ekwelapheni amanxeba.
• Ukwelashwa kwesifo semithambo yegazi: Ngezinkinga zokuhlanganisa igazi, ukwelashwa okusetshenziswa ngqo emithanjeni ukuze kuthuthukiswe ukugeleza kwegazi (isib. ukuhlinzwa, ukwelashwa nge-laser).

Ingabe Izilonda Zemithambo Zingavinjelwa?

Yebo, kunezinto esingazenza ukuvimbela lesi simo ngezinga elithile. Uma uke waba nesilonda semithambo yegazi futhi sesipholile, lezi zinto zibalulekile futhi ukuvimbela ukuthi singaphinde sivele.

• Ukuphathwa kwezifo ezingamahlalakhona: Uma unezifo ezithinta impilo yemithambo yegazi, njengomfutho wegazi ophakeme nesifo sikashukela, zitholele ukwelashwa okufanele futhi ziphathwe kahle.
• Gcina isisindo esinempilo: Uma ukhuluphele kakhulu, yehlisa isisindo.
• Gwema ukubhema: Uma ubhema, yeka.
• Ukuthatha imithi yokunciphisa igazi (ama-anticoagulant): Uma udokotela wakho ekunikezile, thatha njengoba kuqondiswe.
• Ukuvivinya umzimba njalo: Ukuzilolonga okulula njengokuhamba kuthuthukisa ukujikeleza kwegazi emilenzeni.
• Ungahlali endaweni eyodwa isikhathi eside kakhulu: Hambahambahamba noma nini lapho kungenzeka. Gcina imilenze yakho iphakeme kancane ngisho nalapho uhleli.
• Ukugqoka amasokisi Okucindezelayo:Uma kunconywa udokotela, ukugqoka lokhu kusekela imithambo yegazi, ikakhulukazi kulabo abasebenza bemi usuku lonke.

Uyini umbono womuntu onesilonda esinomuthi obangela ukuvuvukala kwemithambo yegazi?

Ngokwelashwa okuhle, abantu abaningi abanezilonda zemithambo yegazi bangalulama ngokugcwele. Kodwa-ke, uma usunesilonda semithambo yegazi, cishe uzothola esinye esikhathini esizayo. Zivame ukuphindeka endaweni efanayo lapho kwakukhona isilonda sangaphambilini. Yingakho kubalulekile ukuqhubeka nokulandela izinyathelo zokuvimbela.

Impilo yansuku zonke injani ngesilonda esinemithambo yegazi?

Ngesikhathi uthola ukwelashwa, ungenza nezinto ezizosiza inxeba ukuthi liphilise ngokushesha:

• Ukudla okunempilo: Uma uthola ukudla okunempilo, ikhono lomzimba wakho lokuphulukisa lemvelo liyakhula.
• Ukugcina inxeba nesikhumba esizungezile kuhlanzekile: Landela imiyalelo kadokotela wakho.
• Ukugcina imilenze yakho iphakanyisiwe ngezikhathi ezithile ngenkathi uhleli: Lokhu kunciphisa ukuhlangana kwegazi.
• Ukuzivocavoca okulula: Izinto ezifana nokuhamba zingathuthukisa ukujikeleza kwegazi, kodwa ngaphandle kokulimaza inxeba.
• Ukusebenzisa Amasokisi Okucindezela Ngokufanele: Uma udokotela wakho ewanike umyalelo, wagqoke njengoba nje kuqondiswe.

Amaphuzu amafushane okufanele uwakhumbule

Kulungile, ake sikhumbule amanye amaphuzu abaluleke kakhulu kulokho esikhulume ngakho:

• Izilonda zemithambo yegazi ziyizilonda eziphola kancane ezikhula emilenzeni ngenxa yezinkinga zemithambo yegazi.
• Lezi ngeke zelapheke zodwa , ngakho-ke kubalulekile ukufuna ukwelashwa kudokotela.
• Uma kungelashwa, izimo ezingathi sína njengokutheleleka , ukubhajwa kwesikhumba kanye nokunqunywa kwezicubu kungavela.
• Ukwelashwa kuhlanganisa ukuhlanza inxeba, ukufaka amabhandeji okucindezela, kanye nemithi.
• Ngisho noma iphola, ingaphinde ivele, ngakho-ke kubalulekile ukulandela izindlela zokuvimbela.
• Lesi simo singaphathwa kahle ngokulandela indlela yokuphila enempilo nangokulandela iseluleko sikadokotela wakho.

Uma wena noma othile omaziyo enenkinga efana nale, sicela ufune iseluleko sezokwelapha. Kungavimbela izinkinga eziningi.

Isilonda Semithambo, Isilonda Semilenze, Amanxeba Angapholi, Ukuhamba Kwegazi, Izilonda Zemilenze, Izinkinga Zemithambo