Izilonda ze-venous - ukuzinakekela

Izilonda ezingama-venous (izilonda ezivulekile) zingenzeka lapho imithambo emilenzeni yakho ingalisunduzi igazi libuyele enhliziyweni yakho njengoba kufanele. Igazi liyahlehla emithanjeni, lakhe umfutho. Uma ingalashwa, ukukhuphuka kwengcindezi noketshezi oluningi endaweni ethintekile kungadala ukubola kwesilonda.

Izilonda eziningi zemithambo yegazi zenzeka emlenzeni, ngaphezu kweqakala. Lolu hlobo lwesilonda lungaphuza ukuphola.

Imbangela yezilonda zemithambo yegazi ingcindezi ephezulu emithanjeni yomlenze ongezansi. Imithambo inama-valve wendlela eyodwa agcina igazi ligobhoza liye enhliziyweni yakho. Lapho lawa ma-valve eba buthakathaka noma imithambo iba nesibazi futhi ivinjwe, igazi lingagobhoza lihlehlele emuva futhi libhukule emilenzeni yakho. Lokhu kubizwa ngokwanele kwemithambo yegazi. Lokhu kuholela ekucindezelekeni okuphezulu emithanjeni yemilenze engezansi. Ukwanda kwengcindezi nokwakhiwa koketshezi kuvimbela izakhamzimba nomoya-mpilo ekufinyeleleni ezicutshini. Ukushoda kwezakhi zomzimba kubangela ukuthi kufa amaseli, kulimaze izicubu, bese kuba nesilonda.

Lapho amachibi egazi emithanjeni yomlenze ongezansi, amangqamuzana amanzi noketshezi egazi angena esikhunjeni nakwezinye izicubu. Lokhu kungadala ukuluma, isikhumba esincane futhi kuholele ekuguqulweni kwesikhumba okubizwa nge-stasis dermatitis. Lesi yisibonakaliso sokuqala sokungabikho kwemithambo yegazi.

Ezinye izimpawu zokuqala zifaka:

• Ukuvuvukala kwemilenze, isisindo, nokucinana
• Isikhumba esimnyama obomvu, nsomi, nsundu, siqinile (lokhu kuyisibonakaliso sokuthi igazi liyahlangana)
• Ukulunywa nokushaywa

Izimpawu nezimpawu zezilonda zemithambo yegazi zifaka:

• Isilonda esingajulile ngesisekelo esibomvu, kwesinye isikhathi simbozwe izicubu eziphuzi
• Imingcele engalingani
• Isikhumba esizungezile singacwebezela, siqine, sishise noma sishise, futhi sibe nombala
• Ubuhlungu bomlenze
• Uma isilonda singenwa yilesi sifo, singase sibe nephunga elibi futhi ubovu bungaphuma enxebeni

Izici zobungozi bezilonda ezinomsoco zifaka:

• Imithambo ye-Varicose
• Umlando wamahlule egazini emilenzeni (i-vein thrombosis ejulile)
• Ukuvaleka kwemikhumbi ye-lymph, okwenza uketshezi lukhule emilenzeni
• Ukuguga, ukuba ngowesifazane, noma ukuba mude
• Umlando womndeni wokungasebenzi kahle kwemithambo yegazi
• Ukukhuluphala ngokweqile
• Ukukhulelwa
• Ukubhema
• Ukuhlala noma ukuma isikhathi eside (imvamisa kusebenza)
• Ukwephuka kwethambo elide emlenzeni noma okunye ukulimala okungathi sína, njengokusha noma ukulimala kwemisipha

Umhlinzeki wakho wokunakekelwa kwezempilo uzokukhombisa ukuthi unakekelwa kanjani isilonda sakho. Imiyalo eyisisekelo yilena:

• Njalo gcina isilonda sihlanzekile futhi sibhandishiwe ukuvikela ukutheleleka.
• Umhlinzeki wakho uzokutshela ukuthi udinga ukushintsha kangaki ukugqoka.
• Gcina okokugqoka nesikhumba okuzungezile komile. Zama ukungazitholi izicubu ezinempilo ezizungeze isilonda. Lokhu kunganciphisa izicubu zezempilo, kubangele ukuthi isilonda sikhule.
• Ngaphambi kokufaka ukugqoka, hlanza isilonda kahle ngokuya ngemiyalo yomhlinzeki wakho.
• Vikela isikhumba esizungeze isilonda ngokusigcina sihlanzekile futhi simanziwe.
• Uzogqoka isitokisi sokucindezelwa noma amabhandeshi ngaphezulu kokugqoka. Umhlinzeki wakho uzokukhombisa ukuthi uwafaka kanjani amabhandeshi.

Ukusiza ukwelapha isilonda semithambo yegazi, umfutho ophakeme emithanjeni yemilenze udinga ukukhululeka.

• Gqoka amasokisi okucindezelwa noma amabhandeshi nsuku zonke njengoba kuyalelwe. Zisiza ukuvimbela igazi ekuhlanganeni, ukunciphisa ukuvuvukala, ukusiza ngokuphulukisa, nokunciphisa izinhlungu.
• Beka izinyawo zakho ngaphezu kwenhliziyo yakho kaningi ngangokunokwenzeka. Isibonelo, ungalala phansi izinyawo zakho ziphakamiswe emicamelweni.
• Thatha uhambo lokuzivocavoca umzimba noma uzivocavoca nsuku zonke. Ukukhuthala kusiza ukuthuthukisa ukugeleza kwegazi.
• Thatha imithi njengoba iqondisiwe ukusiza ngokuphulukisa.

Uma izilonda zingapholi kahle, umhlinzeki wakho angancoma izinqubo ezithile noma ukuhlinzwa ukuze kuthuthukiswe ukugeleza kwegazi ngemithambo yakho.

Uma usengozini yezilonda ezinobuthi, thatha izinyathelo ezibalwe ngenhla ngaphansi kwe-Wound Care. Futhi, hlola izinyawo nemilenze yakho nsuku zonke: iziqongo namabhodlela, amaqakala nezithende. Bheka imifantu nezinguquko kumbala wesikhumba.

Izinguquko zokuphila zingasiza ekuvikeleni izilonda zemithambo yegazi. Izinyathelo ezilandelayo zingasiza ukuthuthukisa ukugeleza kwegazi nokusiza ukwelashwa.

• Yeka ukubhema. Ukubhema akulungile emithanjeni yakho yegazi.
• Uma unesifo sikashukela, gcina izinga lakho likashukela egazini lilawulwa. Lokhu kuzokusiza ukuthi welaphe ngokushesha.
• Vocavoca umzimba ngangokunokwenzeka. Ukuhlala usebenza kuyasiza ekugelezeni kwegazi.
• Yidla ukudla okunempilo futhi ulale ngokwanele ebusuku.
• Yehlisa isisindo uma ukhuluphele ngokweqile.
• Phatha umfutho wegazi kanye namazinga akho e-cholesterol.

Shayela umhlinzeki wakho uma kukhona izimpawu zokutheleleka, njenge:

• Ububomvu, ukwanda kwemfudumalo, noma ukuvuvukala okuzungeze isilonda
• Amapayipi amaningi kunangaphambili noma amanzi aphuzi noma anamafu
• Ukopha
• Iphunga
• Imfiva noma amakhaza
• Ukwanda kobuhlungu

Izilonda zomlenze we-venous - ukuzinakekela; Izilonda ezinganele ze-venous - ukuzinakekela; Izilonda zomlenze we-Stasis - ukuzinakekela; Imithambo ye-Varicose - izilonda zemithambo yegazi - ukuzinakekela; I-Stasis dermatitis - isilonda semithambo yegazi

I-Fort FG. Izilonda ze-venous. Ku: Ferri FF, ed. Umeluleki Wemitholampilo kaFerri 2019. IPhiladelphia, PA: Elsevier; 2019: 1443-1444.

UHafner A, uSprecher E. Izilonda. Ku: Bolognia JL, Schaffer JV, Cerroni L, ama-eds. Isikhumba. Umhla wesi-4. IPhiladelphia, PA: Elsevier; 2018: isahluko 105.

ULeong M, uMurphy KD, uPhillips LG. Ukuphulukiswa kwesilonda. Ku: Townsend CM Jr, Beauchamp RD, Evers BM, Mattox KL, eds. ISabiston Incwadi Yokuhlinzwa: Isisekelo Sebhayoloji Sokuzijwayeza Kwamanje Kokuhlinzwa. Umhla ka-20. IPhiladelphia, PA: Elsevier; 2017: isahluko 6.

USmith SF, uDuell DJ, uMartin BC, u-Aebersold M, uGonzalez L. ukunakekelwa kwamanxeba nokugqokwa. Ku: Smith SF, uDuell DJ, uMartin BC, u-Aebersold M, uGonzalez L, ama-eds. Amakhono Wabahlengikazi Abasemtholampilo: Okuyisisekelo Kumakhono Athuthukile. Umhlaka 9. ENew York, NY: Pearson; I-2017: isahluko 25.

• Ukulimala Kwemilenze Nokukhubazeka
• Izifo Ze-Vascular