Isifo semithambo eseceleni kwemilenze - ukuzinakekela

I-Peripheral artery disease (PAD) ukuncipha kwemithambo yegazi eletha igazi emilenzeni nasezinyaweni. Kungenzeka lapho i-cholesterol nokunye okunamafutha (i-atherosclerotic plaque) kwakha ezindongeni zemithambo yakho.

I-PAD ibonakala kakhulu kubantu abaneminyaka engaphezu kwengama-65 ubudala. Isifo sikashukela, ukubhema, nomfutho wegazi ophezulu kwandisa ubungozi be-PAD.

Izimpawu ze-PAD zifaka amajaqamba emilenzeni ikakhulu ngesikhathi somsebenzi womzimba (i-intermittent claudication). Ezimweni ezimbi kakhulu, kungaba khona nobuhlungu lapho umlenze uphumule.

Ukuphatha izinto ezinobungozi kunganciphisa ubungozi bokuqhubeka nokulimala kwenhliziyo. Ukwelashwa ikakhulukazi kubandakanya imithi nokuvuselelwa. Esimweni esinzima, ukuhlinzwa nakho kungenziwa.

Uhlelo lokuhamba njalo luzothuthukisa ukugeleza kwegazi njengoba kwakha imithambo emincane yegazi. Uhlelo lokuhamba ikakhulu lumi kanje:

• Zifudumeze ngokuhamba ngejubane elingabangeli izimpawu zomlenze wakho ezijwayelekile.
• Ngemuva kwalokho hamba uye ezingeni lobuhlungu obuncane ukuya kokuphakathi noma ukungaphatheki kahle.
• Phumula kuze kubuye ubuhlungu, bese uzama ukuhamba futhi.

Umgomo wakho ngokuhamba kwesikhathi ukwazi ukuhamba imizuzu engama-30 kuye kwengu-60. Njalo khuluma nomhlinzeki wakho wezokunakekelwa kwempilo ngaphambi kokuba uqale uhlelo lokuzivocavoca. Shayela umhlinzeki wakho ngokushesha uma unezinye zalezi zimpawu ngesikhathi noma ngemuva kokuzivocavoca:

• Ubuhlungu besifuba
• Izinkinga zokuphefumula
• Isiyezi
• Ukushaya kwenhliziyo okungalingani

Yenza izinguquko ezilula ukungeza ukuhamba osukwini lwakho.

• Emsebenzini, zama ukuthatha izitebhisi esikhundleni selifti, thatha ikhefu lokuhamba ngemizuzu engu-5 njalo ngehora, noma engeza ukuhamba kwemizuzu engu-10 kuye kwengu-20 ngesikhathi sedina.
• Zama ukupaka ekugcineni kakhulu kwendawo yokupaka, noma ngisho nasemgwaqweni. Okungcono kakhulu, zama ukuhamba uye esitolo.
• Uma ugibela ibhasi, yehla esitobhini 1 ngaphambi kwesitobhi sakho bese uhamba ibanga lonke.

Yeka ukubhema. Ukubhema kunciphisa imithambo yakho futhi kwandisa ubungozi bokwakhiwa kwe-atherosclerotic noma amahlule egazi. Ezinye izinto ongazenza ukuze uhlale uphilile ngangokunokwenzeka yilezi:

• Qiniseka ukuthi umfutho wegazi ulawulwa kahle.
• Nciphisa isisindo sakho, uma ukhuluphele ngokweqile.
• Yidla i-cholesterol ephansi kanye nokudla okunamafutha amancane.
• Hlola ushukela wegazi lakho uma unesifo sikashukela, bese usilawula.

Hlola izinyawo zakho nsuku zonke. Hlola iziqongo, izinhlangothi, amathe, izithende, naphakathi kwezinzwani zakho. Uma unenkinga yokubona, cela umuntu ukuthi akuhlolele izinyawo. Sebenzisa isithambisi sokugcina isikhumba sakho siphilile. Funa i:

• Isikhumba esomile noma esiqhekekile
• Amabhamuza noma izilonda
• Imivimbo noma ukusika
• Ububomvu, imfudumalo, noma isisa
• Izindawo eziqinile noma ezinzima

Shayela umhlinzeki wakho ngendlela efanele nganoma yiziphi izinkinga zonyawo. UNGAZAMI ukuzelapha kuqala.

Uma uthatha imithi yengcindezi ephezulu yegazi, i-cholesterol ephezulu, noma isifo sikashukela, yithathe njengoba kunqunyiwe. Uma ungathathi umuthi we-cholesterol ephezulu, buza umhlinzeki wakho ngawo ngoba angakusiza noma ngabe i-cholesterol yakho ayiphezulu.

Umhlinzeki wakho angakunikeza le mithi elandelayo ukulawula isifo sakho semithambo eseceleni:

• I-Aspirin noma umuthi obizwa nge-clopidogrel (Plavix), ogcina igazi lakho lingakhi amahlule
• I-Cilostazol, umuthi owandisa (uvule) imithambo yegazi

Ungayeki ukuthatha le mithi ngaphandle kokukhuluma kuqala nomhlinzeki wakho.

Shayela umhlinzeki wakho uma une:

• Umlenze noma unyawo opholile uma uthintwa, uphaphathekile, uluhlaza okwesibhakabhaka, noma undikindiki
• Ubuhlungu besifuba noma ukuphefumula okuncane lapho unobuhlungu bomlenze
• Ubuhlungu bomlenze obungapheli, noma ngabe ungahambi noma unganyakazi (okubizwa ubuhlungu bokuphumula)
• Imilenze ebomvu, eshisayo, noma evuvukile
• Izilonda ezintsha emilenzeni noma ezinyaweni
• Izimpawu zokutheleleka (imfiva, ukujuluka, isikhumba esibomvu nesibuhlungu, ukugula okujwayelekile)
• Izilonda ezingapholi

Izifo zemithambo yegazi eseceleni - ukuzinakekela; Ukuhlukaniswa okuphakathi - ukuzinakekela

ILungu lePhalamende laseBonaca, uCreager MA. Izifo zemithambo eseceleni. Ku: Zipes DP, Libby P, Bonow RO, Mann DL, Tomaselli GF, Braunwald E, ama-eds. Isifo Senhliziyo SikaBraunwald: Incwadi Yemithi Yezinhliziyo Nemithambo. Umhla ka-11. IPhiladelphia, PA: Elsevier; 2019: isahluko 64.

UKullo IJ. Isifo semithambo yegazi. Ku: Kellerman RD, Rakel DP, ama-eds. Ukwelashwa Kwamanje kwe-Conn 2019. IPhiladelphia, PA: Elsevier; 2019: 141-145.

USimons JP, uRobinson WP, uSchanzer A. Isifo semithambo esezingeni eliphansi: ukuphathwa kwezokwelapha nokwenza izinqumo. Ku: Sidawy AN, Perler BA, ama-eds. Rutherford’s Vascular Surgery and Endovascular Therapy. Umhlaka 9. IPhiladelphia, PA: Elsevier; 2019: isahluko 105.

• Izifo Ze-Arterial Peripheral