Sonke siyazi ukuthi igazi elisemzimbeni wethu alifani namanzi, kodwa liwuketshezi olunobuthi obuthile. Kodwa cabanga, kwenzekani uma leli gazi liba likhulu kakhulu kunokuvamile, njengodaka olujiyile? Kuba nzima ngaleli gazi elijiyile ukuhamba ngemithambo yegazi emihle emzimbeni wethu wonke. Kufana nodaka olujiyile olubhajwa ngaphakathi kwepayipi. Ngale ndlela, igazi liba likhulu njengobisi lukakhukhunathi, futhi ukujikeleza kwegazi emzimbeni kuyaphazamiseka, okuyilokho esikubiza ngokuthi i-Hyperviscosity Syndrome kwezokwelapha. Lokhu akuyona nje into encane, kodwa ngezinye izikhathi kuyisimo esiyingozi kakhulu, esisongela ukuphila. Ake sixoxe ngalokhu kalula, ngendlela ongayiqonda.
Kungani igazi livele lajiya kangaka ngokuzumayo?
Into yokuqala okufanele uyiqonde ukuthi i-Hyperviscosity Syndrome ayisona isifo ngokwayo. Iyisibonakaliso sesinye isimo esiyisisekelo. Njengoba nje ukukhwehlela kuyisibonakaliso somkhuhlane noma i-pneumonia. Ukuqina kwegazi kubangelwa kakhulu izinhlobo eziningi zamaseli noma amaprotheni egazini.
Kalula nje, uma inani lamaseli abomvu egazi, amaseli amhlophe egazi, ama-platelet, noma amaprotheni e-serum egazini landa ngendlela engavamile, igazi liyaqina.
Ithebula elingezansi libala ezinye zezimo zezokwelapha eziyinhloko ezingabangela lesi simo.
| Izimo ezingabangela ukujiya kwegazi | Incazelo elula |
|---|---|
| I-Macroglobulinemia ye-Waldenström (WB) | Lena yimbangela evame kakhulu ye-hyperviscosity. Lolu uhlobo lomdlavuza wegazi oluvela emnkantsheni wethambo kanye nezicubu ze-lymphatic. Lubangelwa ukukhiqizwa ngokweqile kweprotheni engajwayelekile, okubangela ukuba igazi lijiye. |
| I-Multiple Myeloma | Lolu futhi uhlobo lomdlavuza oluthinta amangqamuzana e-plasma. Amaprotheni angajwayelekile akhiqizwa amangqamuzana omdlavuza abangela ukuba igazi lijiye. |
| I-Polycythemia Rubra Vera | Lesi yisifo somnkantsha wamathambo. Kulesi simo, amangqamuzana abomvu egazi akhiqizwa ngendlela engalawuleki. Njengoba inani lamangqamuzana abomvu egazi landa, ukujiya kwegazi nakho kuyanda kakhulu. |
| I-Leukemia | Ku-leukemia, umdlavuza wegazi, kuba nokukhiqizwa ngokweqile kwamangqamuzana amhlophe egazi. Lawa maseli angase abe nesimo esingajwayelekile. Lokhu kungabangela ukuthi imithambo yegazi ivaleke futhi igazi lijiye. |
| Izinkinga zezicubu ezixhumene | Ukujiya kwegazi ngezinye izikhathi kungenzeka ezifweni ezifana ne-rheumatoid arthritis, kodwa lokhu akuvamile kakhulu. |
| Ezinye izimbangela ezingavamile | Kungase kube nezinye izimbangela eziningana, njenge-cryoglobulinemia (isifo esibangela ukuvuvukala kwemithambo yegazi), i-hypoxia engapheli (ukuntuleka komoya-mpilo okungapheli), kanye nezinye izindlela zokwelapha umdlavuza (ukwelashwa nge-retinoic acid). |
Kuzwakala kanjani uma igazi lakho liqina? Ziyini izimpawu?
Cabanga ngakho, zonke izitho zomzimba wethu, kusukela ebuchosheni kuya eziqongweni zeminwe yethu, zithwalwa yigazi, lithwala umoya-mpilo nezakhamzimba. Ngakho-ke uma lokhu kugeleza kwegazi kuvinjiwe, lezo zitho azikutholi lokho ezikudingayo. Yingakho kuvela izimpawu. Lezi zimpawu zingahluka kumuntu nomuntu, futhi zingahluka kuye ngesifo sokuqala esabangela ukuba igazi lijiye.
Lezi ezinye zezimpawu ezivame ukubonakala:
Izimpawu ezithinta ubuchopho kanye nesistimu yezinzwa
Ubuchopho bungathinteka kakhulu ukugeleza kwegazi okungahambi kahle.
- Ikhanda elibuhlungu kakhulu kanye nesiyezi
- Izinkinga zokubona: ukubona okufiphele, ukubona okukabili, ngezinye izikhathi ukulahlekelwa umbono ngokuzumayo
- Izinkinga zokuzwa: ukwehla noma ukulahlekelwa ukuzwa
- Ukudlikizela
- Ukukhathala okukhulu kanye nokozela (Ukudinwa)
Izimpawu ezihlobene nokopha
Uma igazi likhula, ukulawulwa okubucayi kokugeleza kwegazi kuyaphazamiseka, okungaholela ekuphumeni kwegazi okungalindelekile.
- Ukudumba okulula
- Ukopha kwamafinyila (ukuphuma kwegazi emakhaleni, izinsini)
- Okunye ukuphuma kwegazi okungavamile (isb., igazi esitulweni)
Ezinye izimpawu ezinkulu
Lokhu kubonisa ukuthi izitho zomzimba eziyinhloko ziyalimala.
- Umfutho wegazi ophezulu (i-Hypertension)
- Ukwehluleka kwenhliziyo: ubuhlungu besifuba, ukuphelelwa umoya
- Ukwehluleka kwezinso
- Amahlule egazi (i-Thrombosis)
- Ukutheleleka okukhulu (i-Sepsis)
Uma wena noma othile omaziyo enesinye salezi zimpawu noma ngaphezulu, kubaluleke kakhulu ukubona udokotela ngokushesha ngaphandle kokulibala.
Ungayelapha kanjani lesi simo esiyingozi?
I-Hyperviscosity Syndrome iyisimo esiphuthumayo sezokwelapha ngoba, uma ingelashwa, ingabulala umoya-mpilo ezithweni ezibalulekile njengobuchopho, inhliziyo nezinso, okuholela ekulimaleni okungapheli noma ngisho nasekuhlulekeni. Ngakho-ke, ukwelashwa okusheshayo kubalulekile.
Uhlelo lokwelapha luvame ukuba namazinga amabili.
1. Ukwelashwa okusheshayo, kwesikhashana
Isinyathelo sokuqala ukulawula izimpawu nokunciphisa ngokushesha ukujiya kwegazi. Enye yezindlela zokwelapha ezisetshenziswa kakhulu kulokhu yi -Plasmapheresis .
I-Plasmapheresis inqubo efana nokuhlanzwa kwegazi. Inani elincane legazi lakho liyathathwa emzimbeni wakho, lidluliselwe emshinini okhethekile, bese i-plasma, equkethe amaprotheni engeziwe abangela ukuba igazi lakho lijiye, iyahlukaniswa futhi isuswe. Amaseli egazi abomvu namhlophe aphilile abe esexutshwa noketshezi oluthatha indawo yawo bese ebuyiselwa emzimbeni wakho.
Lokhu kunganciphisa ngokushesha ukujiya kwegazi futhi kumise ukulimala kwezitho zomzimba. Kodwa-ke, kuseqenjini lakho lezokwelapha ukuthi linqume ukuthi lokhu kwelashwa kulungele wonke umuntu nokuthi kuyadingeka yini.
2. Ukwelashwa kwesikhathi eside (ukwelashwa kwesifo esiyisisekelo)
Ngemva kokunciphisa ukujiya kwegazi, into elandelayo ebaluleke kakhulu ukwelapha isifo sokuqala esilibangele . Ngoba uma leso sifo singelashwa, igazi lingaphinde lijiye.
- Uma imbangela kungumdlavuza onjengeMultiple Myeloma noma i-Leukemia , kunikezwa ukwelashwa okulwa nomdlavuza njengokwelashwa ngamakhemikhali .
- Uma imbangela kuyi- polycythaemia , kunikezwa ukwelashwa kokususa amaseli abomvu egazi engeziwe noma ukunciphisa ukukhiqizwa kwawo.
- Uma kuyisimo esithile sezokwelapha, odokotela bazoncoma ukwelashwa okuqondile kwaso.
Ngenxa yalokhu, ithimba lodokotela, okuhlanganisa odokotela begazi, odokotela bezifo zomdlavuza, kanye nodokotela bezinzwa, bazohlangana ukuze bakhe uhlelo lokwelashwa olungcono kakhulu kuwe.
Umlayezo Wokuya Nawe Ekhaya
- I-Hyperviscosity Syndrome yisimo lapho igazi liba likhulu njengamafutha kakhukhunathi, okuvimba ukuhamba kwegazi emzimbeni.
- Lesi akusona isifo esihlukile. Kuwuphawu lwesinye isimo esibi, njengomdlavuza wegazi.
- Ungazinaki izimpawu ezifana nobuhlungu bekhanda obukhulu, ukushintsha kombono, ukopha okungavamile, noma ukukhathala okukhulu.
- Lesi yisimo esiphuthumayo sezokwelapha . Bona udokotela wakho ngokushesha nje lapho ubona izimpawu. Uma kudingeka, hamba uye e-Emergency Treatment Unit (ETU) yesibhedlela ngokushesha.
- Ukwelashwa kuhilela kokubili ukunciphisa igazi ngokushesha (njenge-plasmapheresis) kanye nokwelashwa kwesifo esiyisisekelo.
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