I-Varicose vein ukuhlubula

Ukwehlukaniswa kwemithambo ukuhlinzwa ukususa imithambo ye-varicose emilenzeni.

Imithambo ye-Varicose ivuvukile, isontekile, futhi ikhulisiwe nemithambo oyibona ngaphansi kwesikhumba. Zivame ukuba bomvu noma luhlaza okwesibhakabhaka ngombala. Imvamisa zivela emilenzeni kepha zingenzeka kwezinye izingxenye zomzimba.

Imvamisa, ama-valve emithanjeni yakho agcina igazi lakho ligobhoza liye enhliziyweni, ngakho-ke igazi aliqoqeki endaweni eyodwa. Ama-valve asemithanjeni ye-varicose alimele noma alahlekile. Lokhu kudala ukuthi imithambo igcwale igazi, ikakhulukazi uma umile.

Ukwehlukaniswa kwemithambo kusetshenziselwa ukususa noma ukubopha umthambo omkhulu emlenzeni obizwa ngokuthi i-saphenous vein engenhla. Lokhu kusiza ukwelapha imithambo ye-varicose.

Ukwehlukaniswa kwemithambo ngokuvamile kuthatha amahora angaba ngu-1 kuye ku-1/2. Ungathola noma:

• I-anesthesia ejwayelekile, lapho uzobe ulele khona futhi ungakwazi ukuzwa ubuhlungu.
• I-Spinal anesthesia, ezokwenza uhhafu ongezansi womzimba wakho uzizwe undikindiki. Ungathola futhi umuthi ozokusiza uphumule.

Ngesikhathi sokuhlinzwa:

• Udokotela wakho ohlinzayo uzosika 2 noma 3 emlenzeni wakho.
• Ukusikeka kuseduze phezulu, maphakathi, nangaphansi komthambo wakho owonakele. Elinye lisemgodini wakho. Enye izoba kude phansi nomlenze wakho, kungaba enkonyane noma eqakaleni lakho.
• Udokotela wakho ohlinzayo uzobe esefaka intambo encane, eguquguqukayo yepulasitiki emthanjeni ngokusebenzisa umgogodla wakho futhi aqondise ucingo phakathi komthambo obheke komunye osikiwe phansi komlenze wakho.
• Ucingo luboshelwa emthanjeni bese ludonswa ngommese ongezansi, odonsa umthambo ngalo.
• Uma uneminye imithambo eyonakele eduze kwesikhumba sakho, udokotela wakho ohlinzayo angenza nokusikeka okuncane phezu kwabo ukuze akususe noma akubophe. Lokhu kubizwa ngokuthi yi-pulebectomy yokuxhuma.
• Udokotela ohlinzayo uzovala ukusikeka ngemithungo.
• Uzogqoka amabhandeshi kanye namasokisi okucindezela emlenzeni wakho ngemuva kwenqubo.

Umhlinzeki angancoma ukwehliswa umthambo kwe:

• Imithambo ye-Varicose edala izinkinga ngokugeleza kwegazi
• Ubuhlungu bomlenze nobunzima
• Izinguquko zesikhumba noma izilonda ezidalwa ingcindezi enkulu emithanjeni
• Amahlule egazi noma ukuvuvukala emithanjeni
• Ukwenza ngcono ukubonakala komlenze wakho
• Imithambo ye-Varicose engalashwa ngezinqubo ezintsha

Namuhla, odokotela kuyaqabukela benza ukuhlinzwa kwemithambo ngoba kunezindlela ezintsha, ezingezona zokuhlinzwa zokwelapha imithambo ye-varicose engadingi i-anesthesia ejwayelekile futhi yenziwa ngaphandle kokuhlala esibhedlela ubusuku bonke. Lezi zindlela zokwelapha azibuhlungu kangako, zinemiphumela engcono, futhi zinesikhathi sokululama ngokushesha okukhulu.

Ukwehlukaniswa kwemithambo ngokuvamile kuphephile. Buza umhlinzeki wakho nganoma yiziphi izinkinga ezingase zivele.

Izingozi ze-anesthesia nokuhlinzwa ngokujwayelekile yilezi:

• Ukusabela emithini
• Izinkinga zokuphefumula
• Ukopha, amahlule egazi
• Ukutheleleka

Izingozi zokuqedwa kwe-vein zifaka:

• Ukuqubuka noma ukusikeka
• Ukulimala kwemizwa
• Ukubuyiselwa kwemithambo ye-varicose ngokuhamba kwesikhathi

Njalo utshele umhlinzeki wakho:

• Uma ukhulelwe noma ungakhulelwa
• Imiphi imishanguzo oyiphuzayo, kufaka phakathi izidakamizwa, izithasiselo, noma amakhambi owathengile ngaphandle kwencwadi kadokotela
• Uma uphuze ngaphezu kwezingu-1 noma 2 iziphuzo ezidakayo ngosuku

Phakathi nezinsuku ngaphambi kokuhlinzwa kwakho:

• Ungacelwa ukuthi uyeke ukuthatha izidakamizwa ezenza kube nzima ngegazi lakho ukuminyana. Lokhu kufaka phakathi i-aspirin, ibuprofen (Advil, Motrin), naproxen (Naprosyn, Aleve), izinciphisi zegazi ezifana ne-warfarin (Coumadin), nezinye izidakamizwa.
• Buza umhlinzeki wakho ukuthi imiphi imithi okufanele uyithathe ngosuku lokuhlinzwa kwakho.

Ngosuku lokuhlinzwa kwakho:

• Cishe uzocelwa ukuthi ungaphuzi noma ungadli lutho okungenani amahora angama-6 kuya kwangu-8 ngaphambi kokuhlinzwa.
• Thatha imithi oyinikeziwe ngesiphuzo esincane samanzi.

Imilenze yakho izosongwa ngamabhandeshi ukulawula ukuvuvukala nokopha izinsuku ezi-3 kuye kwezingu-5 ngemuva kokuhlinzwa. Ungadinga ukuzigcina zisongelwe amasonto ambalwa.

Ukwehlukaniswa umthambo wokuhlinza kunciphisa ubuhlungu futhi kuthuthukise ukubukeka komlenze wakho. Kukaningi, ukwehliswa kwemithambo kubanga izibazi. Ukuvuvukala okuncane komlenze kungenzeka. Qiniseka ukuthi uvame ukugqoka amasokisi aminyene.

Umthambo uhlubula nge-ligation; Umthambo ukhulula ngokuxoshwa; Umthambo okhulula nge-ablation; Ukuhlanganiswa kwemithambo nokuhlubula; Ukuhlinzwa kwemithambo; Ukungakwazi ukusebenza kahle kwe-venous - ukukhipha umthambo; I-venous reflux - ukukhumula umthambo; I-venous ulcer - imithambo

• Ukunakekelwa kwesilonda sokuhlinzwa - kuvulekile
• Imithambo ye-Varicose - yini ongayibuza udokotela wakho

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

Iafrati MD, O'Donnell TF. Imithambo ye-Varicose: ukwelashwa okuhlinzwa. Ku: Sidawy AN, Perler BA, ama-eds. Rutherford’s Vascular Surgery and Endovascular Therapy. Umhlaka 9. IPhiladelphia, PA: Elsevier; I-2019: isahluko 154.

UMaleti O, uLugli M, uPerrin MR. Indima yokuhlinzwa ekwelapheni imithambo ye-varicose. Ku: IGoldman MP, Weiss RA, ama-eds. I-Sclerotherapy. Umhlaka 6. IPhiladelphia, PA: Elsevier; I-2017: isahluko 10.