Ukuvuvukala konyawo, umlenze neqakala

Ukuvuvukala okungenabuhlungu kwezinyawo namaqakala kuyinkinga ejwayelekile, ikakhulukazi kubantu asebekhulile.

Ukwakheka okungajwayelekile kuketshezi emaqakaleni, ezinyaweni nasemilenzeni kungadala ukuvuvukala. Lokhu kwanda okweqile nokuvuvukala kubizwa nge-edema.

Ukuvuvukala okungenabuhlungu kungathinta imilenze yomibili futhi kungafaka amathole noma ngisho namathanga. Umphumela wamandla adonsela phansi wenza ukuvuvukala kubonakale kakhulu engxenyeni engezansi yomzimba.

Ukuvuvukala konyawo, umlenze, kanye neqakala kuvamile lapho umuntu futhi:

• Ukhuluphele ngokweqile
• Inegazi emlenzeni
• Mdala
• Unesifo somlenze
• Inemithambo emilenzeni engakwazi ukumpompa kahle igazi libuyele enhliziyweni (okubizwa ngokuthi ukungasebenzi kahle kwemithambo yegazi)

Ukulimala noma ukuhlinzwa okubandakanya umlenze, iqakala noma unyawo nakho kungadala ukuvuvukala. Ukuvuvukala kungenzeka futhi ngemuva kokuhlinzwa okhalo, ikakhulukazi komdlavuza.

Izindiza ezinde zezindiza noma ukugibela izimoto, kanye nokuma isikhathi eside, kuvame ukuholela ekuvuvukeni okuthile ezinyaweni nasemaqakaleni.

Ukuvuvukala kungenzeka kwabesifazane abathatha i-estrogen, noma ngezikhathi ezithile zomjikelezo wokuya esikhathini. Iningi labesifazane linokuvuvukala okuthile ngesikhathi sokukhulelwa. Ukuvuvukala okukhulu ngesikhathi sokukhulelwa kungaba uphawu lwe-preeclampsia, isimo esibi kakhulu esifaka umfutho wegazi ophakeme nokuvuvukala.

Imilenze evuvukile ingaba uphawu lokwehluleka kwenhliziyo, ukwehluleka kwezinso, noma ukwehluleka kwesibindi. Kulezi zimo, kunoketshezi oluningi emzimbeni.

Imithi ethile ingadala nokuthi imilenze yakho ivuvuke. Ezinye zazo yilezi:

• Ama-anti-depressants, kufaka phakathi i-MAO inhibitors kanye nama-tricyclics
• Imithi yengcindezi yegazi ebizwa nge-calcium channel blockers
• AmaHormone, njenge-estrogen (kumaphilisi okulawula ukuzalwa noma i-hormone replacement therapy) ne-testosterone
• Ukuphuza ama-steroid

Amanye amathiphu angasiza ukunciphisa ukuvuvukala:

• Beka imilenze yakho emicamelweni ukuyiphakamisa ngaphezu kwenhliziyo yakho ngenkathi ulele phansi.
• Vivinya imilenze yakho. Lokhu kusiza ukumpompa uketshezi olusuka emilenzeni lubuyele enhliziyweni yakho.
• Landela ukudla okunosawoti ophansi, okunganciphisa ukwanda koketshezi nokuvuvukala.
• Gqoka amasheya osizo (athengiswa ezitolo eziningi zemithi nasezitolo ezihlinzeka ngezokwelapha).
• Lapho usohambweni, thatha ikhefu kaningi ukusukuma uzulazule.
• Gwema ukugqoka izingubo eziqinile noma ama-garters emathangeni akho.
• Yehlisa isisindo uma udinga.

Ungalokothi uyeke ukuthatha noma yimiphi imithi ocabanga ukuthi ingadala ukuvuvukala ngaphandle kokuqala ukhulume nomhlinzeki wakho wezokunakekelwa kwempilo.

Shayela ku-911 noma inombolo ephuthumayo yendawo uma:

• Uzizwa uphelelwa umoya.
• Unobuhlungu besifuba, ikakhulukazi uma buzizwa njengengcindezi noma ukuqina.

Shayela umhlinzeki wakho ngokushesha uma:

• Unesifo senhliziyo noma isifo sezinso futhi ukuvuvukala kuya kuba kubi.
• Unomlando wesifo sesibindi futhi manje uvuvukala emilenzeni noma esiswini.
• Unyawo noma umlenze wakho ovuvukile ubomvu noma ufudumele lapho uthintwa.
• Unomkhuhlane.
• Ukhulelwe futhi unokuningi kunokuvuvukala okuncane noma ube nokwenyuka okungazelelwe kokuvuvukala.

Fonela nomhlinzeki wakho uma izinyathelo zokuzinakekela zingasizi noma ukuvuvukala kuba kubi kakhulu.

Umhlinzeki wakho uzothatha umlando wezokwelapha futhi ahlole ngokuphelele umzimba, anake kakhulu inhliziyo yakho, amaphaphu, isisu, ama-lymph node, imilenze nezinyawo.

Umhlinzeki wakho uzobuza imibuzo efana nale:

• Yiziphi izitho zomzimba ezivuvukalayo? Amaqakala akho, izinyawo, imilenze? Ngenhla kwedolo noma ngezansi?
• Ngabe unesifo sokuvuvukala ngaso sonke isikhathi noma kubi kakhulu ekuseni noma kusihlwa?
• Yini eyenza ukuvuvukala kwakho kube ngcono?
• Yini eyenza ukuvuvukala kwakho kube kubi kakhulu?
• Ingabe ukuvuvukala kuba ngcono lapho uphakamisa imilenze yakho?
• Ngabe uke waba namahlule egazini emilenzeni noma emaphashini?
• Uke waba nemithambo ye-varicose?
• Yiziphi ezinye izimpawu onazo?

Ukuhlolwa kokuhlola okungenziwa kufaka phakathi:

• Ukuhlolwa kwegazi, njenge-CBC noma i-chemistry yegazi
• I-x-ray yesifuba noma i-x ray yomkhawulo
• Ukuhlolwa kwe-Doppler ultrasound emithanjeni yakho yomlenze
• ECG
• Ukuhlolwa komchamo

Ukwelashwa kwakho kuzogxila embangela yokuvuvukala. Umhlinzeki wakho anganikeza imishanguzo yokwelapha ukunciphisa ukuvuvukala, kepha lokhu kungaba nemiphumela engemihle. Ukwelashwa kwasekhaya kokuvuvukala kwemilenze okungahlobene nesimo esibucayi sezokwelapha kufanele kuvivinywe ngaphambi kokwelashwa kwezidakamizwa.

Ukuvuvukala kwamaqakala - izinyawo - imilenze; Ukuvuvukala kweqakala; Ukuvuvukala kwezinyawo; Ukuvuvukala kwemilenze; Edema - okuphathelene nomngcele; I-edema yomngcele

• Ukuvuvuka konyawo
• I-edema yomlenze ongezansi

UGoldman L. Indlela eya esigulini enesifo senhliziyo nemithambo. Ku: IGoldman L, iSchafer AI, ama-eds. Imithi yeGoldman-Cecil. Umhla ka-25. IPhiladelphia, PA: Elsevier Saunders; 2016: isahluko 51.

Umthengisi RH, Symons AB. Ukuvuvukala kwemilenze. Ku: Umthengisi RH, Symons AB, eds. Ukwahlukaniswa Kokuxilongwa Kwezikhalazo Ezijwayelekile. Umhla wesi-7. IPhiladelphia, PA: Elsevier; 2018: isahluko 31.

Amathileyi KP, Studdiford JS, Pickle S, Tully AS. I-Edema: ukuxilongwa nokuphathwa. Ngingudokotela Womndeni. 2013; 88 (2): 102-110. I-PMID: 23939641 pubmed.ncbi.nlm.nih.gov/23939641/.