Ingabe ukubhema kungabangela ukunqunywa kwezitho zomzimba? Funda ngesifo sikaBuerger

Wake wacabanga ukuthi ugwayi ngamunye owukhanyisayo, ugwayi ngamunye owusebenzisayo, ungalimaza kangakanani izandla nezinyawo zakho? Abantu abaningi bacabanga ukuthi ukubhema kulimaza amaphaphu nenhliziyo kuphela. Kodwa namuhla sikhuluma ngesifo esiyingozi ngokulinganayo, kodwa esingakhulunywa ngaso kakhulu. Lesi sifo singabangela ukuthi ulahlekelwe yiminwe yakho, izandla, ngisho nezinyawo zakho. Lokhu kubizwa ngokuthi iBuerger's Disease .

Kalula nje, siyini isifo sikaBerger?

Kalula nje, isifo sikaBuerger yisimo lapho imithambo yegazi (imithambo) ezingalweni nasemilenzeni yakho ivuvukala futhi ivinjwe amahlule egazi . Kufana nombhobho wamanzi ovalwa uthuli. Elinye igama odokotela abalisebenzisayo kulokhu yi-`(Thromboangiitis Obliterans)` noma i-TAO.

Akukho ukwelashwa okuqondile kwalesi sifo okwamanje. Kodwa into emangazayo ukuthi iningi labantu abathola lesi sifo, cishe amaphesenti ayi-100, basebenzisa ugwayi. Lokhu kungafaka noma yini kusukela kugwayi, ugwayi, ugwayi ohlafunwayo kanye ne-snuff.

Kungani lolu hlobo lwesifo luvela?

Odokotela abakakazi kahle ukuthi yini ebangela lesi sifo. Kungase kube nomthelela wofuzo. Lokhu kusho ukuthi abanye abantu bangase babe sengozini ngokwemvelo yokuthola lesi sifo.

Kodwa okusolisayo kakhulu kusekubhemeni. Kunezindlela ezimbili ochwepheshe abacabanga ngazo:

1. Amanye amakhemikhali akugwayi angacasula izindonga zemithambo yegazi yakho futhi abangele ukuthi ivuvuke.

2. Noma, ugwayi uphazamisa amasosha omzimba wakho, okwenza ukuthi ahlasele imithambo yegazi yawo emihle, njengoshevu .Kungase kube sekuqalile ukuhlasela, njengokuhlasela.

Ingabe nawe unalezi zimpawu?

Ngokuvamile uphawu lokuqala lwalesi sifo ubuhlungu ezingalweni noma emilenzeni. Lobuhlungu bungasakazeka kancane kancane ezingalweni nasemilenzeni. Lobuhlungu ngezinye izikhathi bungaba bukhulu kakhulu. Lobuhlungu bungenzeka uma uhamba, uvivinya umzimba (okuthiwa yi-"claudication" ngokwezokwelapha), noma ngisho nalapho umi nje. Lobuhlungu bungaba bukhulu kakhulu uma kubanda noma uma ucindezelekile.

Ngaphezu kwalokho, ungase ubone izinguquko ezinjengalezi ezandleni nasezinyaweni zakho.

Izinto ezimbi zingenzeka uma ungazinaki.

Ngokuhamba kwesikhathi, isifo sikaBuerger singakuvimbela ngokuphelele ukugeleza kwegazi eminweni nasezinzwaneni zakho. Lokhu kungaholela esimweni esibi esibizwa ngokuthi "i-Gangrene." Lokhu kusho ukuthi isikhumba nezicubu kuleyo ndawo ziqala ukufa. Bese lezo zingxenye zilahlekelwa umuzwa bese ziphenduka zibe luhlaza okwesibhakabhaka noma zibe mnyama.

Uma uhlaselwa yisifo sokubola, odokotela ngokuvamile kudingeka basuse indawo eyonakele ngokuhlinzwa.

Akuvamile kakhulu, lesi sifo singadala ngisho nezimo ezifana nesifo sohlangothi noma ukuhlaselwa yinhliziyo.

Udokotela usithola kanjani lesi sifo?

Akukho ukuhlolwa okukodwa okungaqinisekisa ukuthi lesi yisifo sikaBerger. Udokotela wakho uzoqala akubuze ngokusebenzisa kwakho ugwayi kanye nezimpawu zakho.

Ngemuva kwalokho, kwenziwa izivivinyo eziningana ukuhlola ukujikeleza kwegazi lakho nokususa ezinye izifo ezingaba nezimpawu ezifanayo. Isibonelo, isifo semithambo yegazi engaphandle singadala nobuhlungu emilenzeni. Kodwa-ke, imbangela akuyona ukuvuvukala kwemithambo yegazi, kodwa ukugcinwa kwamafutha ngaphakathi kwayo.

Kungadingeka wenze izivivinyo ezinjengalezi:

• Ukuhlolwa kwe-Allen: Lokhu ukuhlolwa kokujikeleza kwegazi okulula kakhulu. Udokotela ukucela ukuthi ucindezele isandla sakho ngokuqinile. Lokhu kuzosusa elinye igazi esandleni sakho. Ngemuva kwalokho, udokotela uzobopha imithambo emibili emikhulu eduze kwesihlakala sakho bese ekucela ukuthi uvule isandla sakho. Isandla sakho sizoba mhlophe. Ngemuva kwalokho, udokotela uzokhipha umthambo owodwa ohlangothini olulodwa. Kumuntu ojwayelekile, igazi lizogcwalisa isandla sakho ngokushesha bese libuyela embala walo ojwayelekile. Kodwa-ke, uma kuthatha isikhathi eside ukuthi igazi ligcwale, kungaba uphawu lwesifo sikaBuerger.
• I-Angiogram: Lolu uhlobo lwe-X-ray. Lusetshenziselwa ukubheka imithambo yegazi evalekile ezingalweni nasemilenzeni yakho. Udokotela ufaka ithubhu elincane kakhulu (i-catheter) kwenye yemithambo yakho bese efaka udayi okhethekile kuyo. I-X-ray esheshayo bese kuthathwa ukuhlola isimo semithambo yegazi. I-CT noma i-MRI scan nayo ingaveza izithombe ezifanayo.
• Ukuhlolwa kwegazi: Lokhu kusiza ukuqinisekisa ukuthi awunazo ezinye izimo zezokwelapha, njengesifo sikashukela kanye ne-lupus.

Yiziphi izindlela zokwelapha?

Ngaphezu kwalokho, ukwelashwa okufana nalokhu kungasiza ekuthuthukiseni ukujikeleza kwegazi nokunciphisa ubuhlungu:

• Imithi efana ne-vasodilator noma imithi yokunciphisa igazi.
• Ukuzivocavoca ngezinyawo.
• Ukucindezelwa kwezingalo nemilenze ngezikhathi ezithile kusetshenziswa imishini ekhethekile.
• Ukuhlinzwa kokusika imizwa endaweni ethintekile (i-sympathectomy).

Kungase kudingeke ukunqunywa kwezicubu ukuze kususwe ingxenye elimele noma ebolile ngokuhlinzwa.

Ingabe ukuyeka ukubhema kuzosiza ngempela?

Impilo yakho yesikhathi esizayo incike ngokuphelele ekutheni uyayeka yini ukubhema. Ngokwezibalo, cishe ama-43% eziguli eziqhubeka nokusebenzisa ugwayi kuzodingeka zinqunywe umlenze zingakapheli iminyaka engu-8 zixilongiwe.

Kodwa-ke, lokhu kwenzeka ku-6% kuphela walabo abayeka ukubhema. Leli phesenti licishe libe yi-zero kulabo abatholakale benalesi sifo kusenesikhathi futhi bayeke ukubhema. Lokhu kubonisa ukuthi kubaluleke kangakanani ukuyeka ukubhema, akunjalo?

Uma unenkinga yokuyeka ukubhema, khuluma nodokotela wakho ngezinhlelo ezingakusiza. Ungabi namahloni. Kuyisinqumo esisindisa impilo.