Kwenzekani uma uthola inxeba elincane noma ukuklwebheka? Ngemva kwesikhashana, ukuphuma kwegazi kuyayeka, akunjalo? Lokho kungenxa yendlela emangalisayo yokuzivikela emzimbeni wethu. Yilokho esikubiza ngokuthi " ukujiya kwegazi ." Kodwa cabanga ukuthi kwenzekani uma le nqubo ingasebenzi kahle? Noma ukuphuma kwegazi akukwazi ukuvinjelwa, noma amahlule egazi akheka ngaphakathi emzimbeni ngaphandle kwesizathu. Yilokho esikubiza ngokuthi amaphutha okujiya kwegazi kwezokwelapha. Namuhla, sizokhuluma ngalokhu kalula, ngendlela ongayiqonda.
Kalula nje, kuyini lokhu kugoqa igazi?
Kulula kakhulu ukukuqonda lokhu. Cabanga ngemithambo yegazi yakho njengepayipi elithwala amanzi. Uma kukhona imbobo encane kule payipi (okungukuthi, uma kukhona ukulimala), igazi lizophuma njengokuvuza kwamanzi. Umzimba wethu uhlakaniphe kakhulu ngezikhathi ezinje. Ngokushesha uthumela "ithimba lokulungisa" endaweni.
Kunamalungu amabili ayinhloko aleli qembu.
- Ama-Platelet : Lawa uhlobo lweseli elincane egazini lethu. Afana ne-plaster yokuqala ukumboza imbobo.
- Izinto Ezibangela Ukujiya: Lawa amaprotheni akhethekile egazini. Afana nongqimba oluqinile lwesimende olufaka phezu kwalolo plasta.
Lawa ma-platelet nezinto ezihlanganisa ukujiya kwegazi zisebenza ndawonye ukwakha ihlule legazi eliqinile endaweni yokulimala, okumisa ukuphuma kwegazi. Ngemva kokuba ukulimala sekupholile, umzimba uyancibilika bese ususa leli hlule legazi .
Ngakho-ke, ukuphazamiseka kokujiya kwegazi kusho ukuthi inqubo yokujiya kwegazi ayenzeki kahle ngenxa yenkinga yaleli qembu lokulungisa (ama-platelet noma izinto ezijiya igazi).
Lobu buthakathaka bungahlukaniswa ngezinhlobo ezimbili eziyinhloko:
Le nkinga ingavela ngezindlela ezimbili eziyinhloko. Okusho ukuthi, ukujiya kwegazi kwehla kakhulu kunokudingekile futhi kwanda kakhulu kunokudingekile. Ake sichaze lokhu kabanzi kuthebula elingezansi.
| Uhlobo lobuthakathaka | Igama lezokwelapha | Kalula nje, kwenzekani? |
|---|---|---|
| Ukuncipha kokujiya kwegazi | Ukopha kakhulu (ukopha ngokweqile) | Ukopha isikhathi eside kunokujwayelekile. Ngisho nesilonda esincane singabangela ukuvuza kwegazi eliningi emzimbeni. |
| Ukwanda kokujiya kwegazi | I-Thrombosis | Ukwakheka kwamahlule egazi angafuneki ngaphakathi kwemithambo yegazi enempilo ngaphandle kokulimala, okuvimbela ukugeleza kwegazi. |
Yiziphi izizathu zalezi zimo?
Kunezimbangela eziningana zalolu hlobo lokuphazamiseka kokujiya kwegazi. Ezinye ziyizimo zofuzo esizalwa nazo (ezizuzwe njengefa) . Ezinye zingatholakala ngesikhathi sokuphila kwethu ngenxa yezinye izifo noma izimo.
Ake sibone ukuthi yiziphi izizathu eziyinhloko zalolu hlobo ngalunye.
| Isizathu | Incazelo elula |
|---|---|
| Izimbangela zokuncipha kokujiya kwegazi (ukopha) | |
| I-Hemophilia (i-Hemophilia A, B, kanye no-C) | Lesi yisifo esizuzwe njengefa kakhulu. Kulesi simo, umzimba awukhiqizi izici ezithile ezibalulekile ezidingekayo ukuze igazi lijiye. |
| Isifo sikaVon Willebrand | Lesi futhi yisimo esizuzwa njengefa. Kulesi simo, umzimba awunayo iphrotheni ebizwa ngokuthi i-von Willebrand factor, esiza ekuqhekekeni kwegazi. |
| Isifo Sesibindi | Isibindi sikhiqiza iningi lezinto ezibangela ukujiya kwamalungu omzimba wethu ezidingwa yimizimba yethu. Uma isibindi sinesifo, lokhu kukhiqizwa kungaphazamiseka futhi ukujiya kwegazi kungancipha. |
| Ukuntuleka kwe-Vitamin K | I-Vitamin K iyi-vithamini ebalulekile ekuqineni kwegazi. Uma iphansi, kuba nzima ukuyeka ukopha. Lokhu kubonakala kakhulu ezinganeni ezinceliswa ubisi lwebele kuphela. |
| Izimbangela zokwanda kokujiya kwegazi (i-Thrombosis) | |
| I-Factor V Leiden | Lesi futhi yisimo sofuzo esidluliselwa esizukulwaneni ngesizukulwane. Kulesi simo, i-clotting factor (Factor V) iba matasa kakhulu futhi yakhe ama-blood clots angadingekile. |
| Ukuguqulwa Kwezakhi Zofuzo ze-Prothrombin | Lolu shintsho lwezakhi zofuzo lubangela ukuthi umzimba ukhiqize enye into ejiyile kakhulu, i-'prothrombin'. |
| I-Antiphospholipid Antibody Syndrome | Lesi yisifo esibangelwa ukuzivikela komzimba. Lokhu kusho ukuthi uhlelo lokuzivikela lomzimba luhlasela amangqamuzana alo. Lokhu kwandisa ingozi yokuqhekeka kwegazi okungafuneki. |
Ziyini izimpawu zalezi zimo?
Izimpawu zincike ekutheni uhlobo lokujiya kwegazi luphansi noma luphezulu.
Izimpawu zokuncipha kokujiya kwegazi
- Ukuphuka kalula: Uphenduka ube luhlaza okwesibhakabhaka ngemva kokuqhuma okuncane.
- Ukopha kaningi ekhaleni : Ukopha kaningi ekhaleni ngaphandle kwesizathu esibonakalayo.
- Igazi emchameni: Uma umchamo wakho uphenduka obomvu, opinki, noma onsundu.
- Ukopha okuvela esilondeni esingayeki: Ukopha isikhathi eside, ngisho noma kuklwebheka kancane.
- Ukukhathala okukhulu.
- Abanye besifazane bahlangabezana nokopha okukhulu ngesikhathi sokuya esikhathini.Ukopha .
Izimpawu zokwanda kokujiya kwegazi (i-Thrombosis)
Izimpawu zincike ekutheni ihlule legazi lakheke kuphi. Lezi zingaba yizimo eziyingozi kakhulu.
- Ukuhlaselwa Yinhliziyo: Uma ihlule legazi livimba umthambo wenhliziyo, kungase kube nezimpawu ezifana nobuhlungu besifuba nobunzima bokuphefumula .
- Isifo Sohlangothi: Uma ihlule legazi livimba umthambo ohambisa igazi ebuchosheni, kungase kube nezimpawu ezinjengobuthakathaka kolunye uhlangothi lomzimba, ubunzima bokukhuluma, kanye nokuwa kobuso.
- I-Pulmonary Embolism : Ihlule legazi elakheka emthanjeni othwala igazi liye emaphashini. Izimpawu zifaka phakathi ukuphelelwa umoya ngokuzumayo kanye nobuhlungu besifuba.
- I-Deep Vein Thrombosis (DVT): I-blood clot ivame ukwakheka emthanjeni omkhulu emlenzeni. Izimpawu eziyinhloko ukuvuvukala , ukubomvu, kanye nobuhlungu emlenzeni.
Yiziphi izindlela zokwelapha lokhu?
Udokotela wakho uzonquma ukuthi yikuphi ukwelashwa okufanele wena. Kuncike ezicini ezifana nembangela eyinhloko yesimo sakho kanye nobunzima besimo. Ezinye izimo ezithambile zingase zingadingi ukwelashwa okukhethekile.
Nazi ezinye zezindlela zokwelapha eziyinhloko ezisetshenziswayo:
- Imithi: Abantu abanezinga eliphezulu lokujiya kwegazi banikezwa imithi yokunciphisa igazi, njenge-"Warfarin" noma "Heparin." Kukhona nemithi esiza ngenqubo yabantu abanezinga eliphansi lokujiya kwegazi.
- Ukwelashwa Kokufaka Izinto Ezingavimba Amahlule: Lokhu kuhilela ukunikeza izinto ezivala amahlule ezingatholakali emzimbeni ngqo emzimbeni ngokujova. Lokhu kubaluleke kakhulu kubantu abanezifo ezifana ne-hemophilia.
- Ukumpontshelwa Igazi: Uma kube nokopha ngokweqile, kungadingeka ukumpontshelwa igazi langaphandle ukuze kufakwe igazi elilahlekile.
- Ezinye izindlela zokwelapha: Ngezinye izikhathi ukuntuleka kwe-vitamin K kungalawulwa ngokwelapha imbangela eyinhloko, njengokunikeza i-vitamin K noma ukwelapha isifo sesibindi.
Into ebaluleke kakhulu ukuthi, ungalokothi uyofuna imithi yalezi zifo ngokusekelwe emizweni yakho noma kulokho okushiwo ngomunye umuntu. Landela njalo iseluleko sikadokotela ofanelekayo.
Uma uphuma igazi kakhulu, ushaya njalo, noma unezinye zezimpawu ezibalwe ngenhla, kufanele nakanjani ubone udokotela.Khuluma ngalokhu. Futhi, uma uhlangabezana nanoma yiziphi izimpawu zokuqhekeka kwegazi (ubuhlungu besifuba obungazelelwe, ubuthakathaka ohlangothini olulodwa lomzimba, ubunzima bokuphefumula) , iya eMnyangweni Wezimo Eziphuthumayo (ETU) wesibhedlela ngokushesha. Kungasindisa impilo yakho.
Umlayezo Wokuya Nawe Ekhaya
- Kunezinhlobo ezimbili eziyinhloko zeziphazamiso zokwakheka kwe-coagulation: i-hypocoagulation (ukopha ngokweqile) kanye ne-hypercoagulation (ukwakheka kwe-blood clot okungadingekile).
- Lezi zimo zingabangelwa yizimbangela zofuzo ezikhona ekuzalweni noma ezinye izifo ezenzeka ngesikhathi sokuphila.
- Qaphela izinto ezinjengokuphuka kalula, ukuphuma kwegazi njalo ekhaleni, kanye nokopha igazi okungenakuvinjelwa ngisho noma kuyisilonda esincane.
- Izimpawu ezinjengobuhlungu besifuba obungazelelwe, ubunzima bokuphefumula, noma ubuthakathaka ohlangothini olulodwa lomzimba kungaba izimpawu eziyingozi zokuqhekeka kwegazi. Esimweni esinjalo, iya eMnyangweni Wezimo Eziphuthumayo (ETU) wesibhedlela ngokushesha.
- Uma unokungabaza ngalokhu, qiniseka ukuthi uthintana nodokotela womndeni wakho ukuze akunike iseluleko.
👩🏽⚕️ Imibuzo eyengeziwe (ama-FAQ)
💬 🖐️ Kungani izintende zami ziphuzi? (Kungani izintende zami ziphuzi?)
Kunezizathu eziningana eziyinhloko ezenza izintende zibe phuzi. Ngokuvamile, lokhu kungenzeka uma udla ukudla okuningi kakhulu njengezaqathi kanye nethanga (i-Carotenemia). Kodwa-ke, izintende nazo ziba phuzi uma une-jaundice, ebangelwa yisifo sesibindi. Ngakho-ke, kufanele uqaphele kancane ngalokhu.
💬 🩸 Kuyini ukuxhumana phakathi kokuphuzi kwezintende zezandla nezinkinga zokujiya kwegazi (ukukhubazeka kokujiya kwegazi)?
Kukhona ukuxhumana okukhulu phakathi kwalokhu okubili. Iningi lezici zokujiya kwegazi okudingeka igazi lethu lijiye likhiqizwe yisibindi. Ngakho-ke uma isibindi sibuthakathaka futhi izintende zezandla ziphenduka ziphuzi, izinkinga zokujiya kwegazi nazo zingavela. Lokho kusho ukuthi lapho isibindi sigula, igazi alijiyi kahle.
💬 🤔 Ingabe kufanele ngikhathazeke uma izintende zami ziphuzi futhi ziphuma igazi?
Yebo, uma izintende zakho ziphuzi, unomopho, izinsini ziphuma igazi, noma uphuka kalula ngisho noma unenxeba elincane, kungaba yiphutha lokujiya. Ezimweni ezinjalo, kubaluleke kakhulu ukubona udokotela ngokushesha bese uhlolwa isibindi sakho.
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