Ukungasebenzi kahle kwe-venous

Ukungasebenzi kahle kwe-venous yisimo lapho imithambo iba nezinkinga ekuthumeleni igazi lisuka emilenzeni libuyele enhliziyweni.

Ngokuvamile, ama-valve emithanjeni yemilenze yakho ejulile agcina igazi liqhubekela phambili liya enhliziyweni. Ngokungeneli kwemithambo yegazi yesikhathi eside (okungapheli), izindonga zemithambo zenziwa buthaka futhi ama-valve ayalimala. Lokhu kudala ukuthi imithambo ihlale igcwele igazi, ikakhulukazi uma umile.

Ukungasebenzi kahle kwama-venous okungapheli yisimo sesikhathi eside. Ngokuvamile kungenxa yamaphayiphu angasebenzi kahle (angafaneleki) emithanjeni. Kungenzeka futhi njengomphumela wegazi elidlule emilenzeni.

Izici ezinobungozi bokungasebenzi kahle kwama-venous zifaka:

• Ubudala
• Umlando womndeni walesi simo
• Ubulili besifazane (obuhlobene namazinga we-hormone progesterone)
• Umlando we-vein thrombosis ejulile emilenzeni
• Ukukhuluphala ngokweqile
• Ukukhulelwa
• Ukuhlala noma ukuma isikhathi eside
• Ubude obude

Ubuhlungu noma ezinye izimpawu zifaka:

• Ubuhlungu obunzima, ubunzima, noma ukunyakaza emilenzeni
• Ukulunywa nokushaywa
• Ubuhlungu obuba nzima lapho umile
• Ubuhlungu obuba ngcono lapho kuphakanyiswa imilenze

Izinguquko zesikhumba emilenzeni zifaka:

• Ukuvuvukala kwemilenze
• Isikhumba esithukuthele noma esiqhekekile uma usiklwebha
• Isikhumba esibomvu noma esivuvukile, esiklebhukile noma esikhalayo (i-stasis dermatitis)
• Imithambo ye-Varicose ebusweni
• Ukuqina nokuqina kwesikhumba emilenzeni nasemaqakaleni (lipodermatosclerosis)
• Isilonda noma isilonda esephuza ukuphola emilenzeni noma emaqakaleni

Umhlinzeki wakho wokunakekelwa kwezempilo uzokwenza ukuhlolwa komzimba abuze ngezimpawu zakho nomlando wezokwelapha. Ukuxilongwa kuvame ukwenziwa ngokuya ngokubonakala kwemithambo yemilenze lapho umile noma uhleli nemilenze yakho ilenga.

Ukuhlolwa kwe-duplex ultrasound komlenze wakho kungahle ku-elwe:

• Bheka ukuthi igazi ligeleza kanjani emithanjeni
• Khipha ezinye izinkinga ngemilenze, njengegazi

Umhlinzeki wakho angaphakamisa ukuthi uthathe lezi zinyathelo zokuzinakekela ezilandelayo ukusiza ukuphatha ukungasebenzi kahle kwemithambo yegazi:

• Ungahlali noma ume isikhathi eside. Ngisho nokuhambisa imilenze yakho kancane kusiza ekugcineni igazi ligeleza.
• Nakekela amanxeba uma unezilonda noma izifo ezivulekile.
• Yehlisa isisindo uma ukhuluphele ngokweqile.
• Vocavoca umzimba njalo.

Ungagqoka amasokisi okucindezela ukuthuthukisa ukugeleza kwegazi emilenzeni yakho. Izitokisi zokucindezelwa ziminyanisa kahle imilenze yakho ukuhambisa igazi emilenzeni yakho. Lokhu kusiza ukuvimbela ukuvuvukala kwemilenze futhi, ngezinga elincane, amahlule egazi.

Lapho izinguquko zesikhumba ezithuthuke kakhulu zikhona, umhlinzeki wakho:

• Kufanele uchaze ukuthi iziphi izindlela zokwelapha zesikhumba ezingasiza, futhi yini engenza inkinga ibe yimbi kakhulu
• Singancoma ezinye izidakamizwa noma imithi engasiza

Umhlinzeki wakho angancoma ukwelashwa okuthe xaxa uma une:

• Ubuhlungu bomlenze, obungenza imilenze yakho izwakale isinda noma ikhathele
• Izilonda zesikhumba ezibangelwa ukugeleza kwegazi okuncane emithanjeni engapholi noma ephindayo
• Ukuqina nokuqina kwesikhumba emilenzeni nasemaqakaleni (lipodermatosclerosis)

Izinketho zezinqubo zifaka:

• I-Sclerotherapy - Amanzi kasawoti (usawoti) noma isixazululo samakhemikhali kufakwa emthanjeni. Umthambo uqina bese uyanyamalala.
• I-Phlebectomy - Ukusikeka okuncane (ukusikeka) kwenziwa emlenzeni eduze komthambo owonakele. Umthambo ususwa ngesinye sezimbobo.
• Izinqubo ezingenziwa ehhovisi lomhlinzeki noma emtholampilo, njengokusebenzisa i-laser noma i-radiofrequency.
• Ukwehlukaniswa komthambo we-Varicose - Kusetshenziselwa ukususa noma ukubopha umthambo omkhulu emlenzeni obizwa ngokuthi umthambo we-saphenous ongaphezulu.

Ukungasebenzi kahle kwama-venous okungapheli kuvame ukuba kubi ngokuhamba kwesikhathi. Kodwa-ke, kungaphathwa uma ukwelashwa kuqalwa ezigabeni zokuqala. Ngokuthatha izinyathelo zokuzinakekela, ungakwazi ukunciphisa ukungakhululeki futhi uvimbele isimo ukuthi singabi sibi kakhulu. Kungenzeka ukuthi uzodinga izinqubo zokwelashwa ukwelapha lesi simo.

Shayela umhlinzeki wakho uma:

• Unemithambo ye-varicose futhi ibuhlungu.
• Isimo sakho siba sibi kakhulu noma asithuthuki ngokuzinakekela, njengokugqoka amasokisi aminyene noma ukugwema ukuma isikhathi eside kakhulu.
• Unokwenyuka okungazelelwe kwezinhlungu zomlenze noma ukuvuvukala, imfiva, ukubomvu komlenze, noma izilonda zomlenze.

I-stasis engapheli yesifo; Isifo esingamahlalakhona semithambo yegazi; Isilonda somlenze - ukungakwazi ukusebenza kahle kwemithambo yegazi; Imithambo ye-Varicose - ukunganeli kwemithambo yegazi

• Inhliziyo - ukubuka kwangaphambili
• Ukungasebenzi kahle kwe-venous

I-Dalsing MC, uMaleti O. Ukungasebenzi kahle okungapheli kwemithambo yegazi: ukwakhiwa kabusha kwe-vein deep. Ku: Sidawy AN, Perler BA, ama-eds. Rutherford’s Vascular Surgery and Endovascular Therapy. Umhlaka 9. IPhiladelphia, PA: Elsevier; 2019: isahluko 159.

I-Freischlag JA, i-Heller JA. Isifo se-venous. Ku: Townsend CM Jr, Beauchamp RD, Evers BM, Mattox KL, eds. ISabiston Incwadi Yokuhlinzwa. Umhla ka-20. IPhiladelphia, PA: Elsevier; 2017: isahluko 64.

UPascarella L, u-Shortell CK. Izifo ezingama-venous ezingamahlalakhona: ukuphathwa kokungasebenzi. Ku: Sidawy AN, Perler BA, ama-eds. Rutherford’s Vascular Surgery and Endovascular Therapy. Umhlaka 9. IPhiladelphia, PA: Elsevier; 2019: isahluko 157.