Izilonda Zamaqakala: Izimbangela, Izimpawu, Ukwelashwa

-Delile

• Yini ebangela izilonda emaqakaleni?
• Ngubani osengozini yezilonda zamaqakala?
• Ziyini izimpawu zezilonda zamaqakala?
• Zitholakala kanjani izilonda emaqakaleni?
• Yiziphi izindlela zokwelapha izilonda zeqakala?
• Ukwelashwa kokucindezela
• Imithi
• Ukunakekelwa kwesilonda
• Ngingazivikela kanjani izilonda emaqakaleni?

Yini izilonda zamaqakala?

Isilonda yisilonda esivulekile noma isilonda emzimbeni esephuza ukuphola noma siqhubeke sibuye. Izilonda zibangelwa ukuwohloka kwezicubu zesikhumba futhi kungaba buhlungu. Kunezinhlobo ezintathu zezilonda:

• i-venous stasis
• isifo sikashukela (neurotrophic)
• okusemandleni

Izilonda ze-venous stasis ziluhlobo oluvame kakhulu lwezilonda zomzimba eziphansi, ikakhulukazi emaqakaleni. Ngokusho komtholampilo waseCleveland, izilonda ze-venous stasis zilonda phakathi kwamaphesenti angama-80 kuya kwangu-90 ezilonda ezithinta imilenze engezansi.

Yini ebangela izilonda emaqakaleni?

Izilonda ze-venous stasis ngokuvamile ngenxa yesimo esibizwa nge-venous hypertension noma ukungasebenzi kahle okungapheli kwama-venous. Igazi lakho aligelezi lisuka emilenzeni yakho engezansi libuyele enhliziyweni yakho njengoba kufanele. Lokhu kudala ingcindezi emithanjeni yakho. Ingcindezi eyengeziwe ingaholela ekulimaleni kwesikhumba sakho. Lezi zivame ukwakheka ngaphakathi kwemilenze yakho, ngenhla nje kweqakala lakho.

Akukaziwa kahle ukuthi lesi sifo sibangela kanjani izilonda. Odokotela abaningi bakholelwa ukuthi kubanga nokwehla kokugeleza kwegazi kuye kuma-capillaries emilenze yakho. Lokhu kuveza inqwaba yamaseli amhlophe egazi. Ukuqoqwa kwamaseli amhlophe egazi kuvimbela umoya-mpilo ezicutshini zakho. Ukushoda komoya-mpilo kudala ukulimala bese kwakha isilonda.

Enye inkolelo ukuthi umfutho wegazi ophakeme ubangela ukuthi amaseli avela kwenye indawo emzimbeni angene esikhunjeni sakho futhi abe nomthelela ekukhuleni kwamaselula. Le nqubo iphazamisa ukulungiswa kwezicubu ezilimele.

Ngubani osengozini yezilonda zamaqakala?

Ungaba nengozi enkulu yokuthola izilonda ze-venous stasis ulc uma une noma une:

• ukuvuvukala kwangaphambilini komlenze
• umlando wamahlule egazi
• imithambo ye-varicose
• umlando wezifo ezivuthayo

Uma unomlando womndeni wezilonda, kungenzeka ukuthi uzokhula nazo. Ukubhema kungaphakamisa ingozi yokuba nezilonda emaqakaleni ngoba kuphazamisa ukuhamba komoya-mpilo egazini lakho.

Ziyini izimpawu zezilonda zamaqakala?

Izilonda ze-venous stasis azibuhlungu ngaso sonke isikhathi, kepha zingasha noma zilume kancane. Imvamisa zibomvu, zinesikhumba esiphuzi ngaphezulu kwazo. Isilonda esinegciwane singavuza uketshezi oluphuzi noma oluhlaza. Isikhumba sakho singazizwa sifudumele noma sishisa lapho usithinta futhi indawo ezungeze isilonda ingahle ivuvuke futhi ibalale. Imilenze yakho ingase ibe buhlungu, futhi, kuye ngokuthi iqhubu lakho livuvuke kangakanani, isikhumba sakho singazizwa siqinile futhi sibukeka sicwebezela.

Zitholakala kanjani izilonda emaqakaleni?

Udokotela wakho uzoqala ngokukubuza ngomlando wakho wezokwelapha nezimpawu. Qiniseka ukuthi ugcina irekhodi lazo zonke izimpawu zakho ngoba zizosiza udokotela wakho ukuthi enze ukuxilongwa okufanele. Uma unesilonda isikhathi eside, udokotela wakho angafuna ukuthatha isampula lesicubu ukuze aqiniseke ukuthi awukho umdlavuza. Ama-MRIs, ama-CT scan, kanye ne-radiography nakho kungabheka ukujula kwesilonda sakho nokuthi ngabe sithintekile yini ithambo. Udokotela wakho uzohlola nesilonda sakho ukuthi asinalo yini igciwane.

Yiziphi izindlela zokwelapha izilonda zeqakala?

Inhloso eyinhloko yokwelashwa kwe-venous stasis ulcer ukwelapha isilonda, ukwelapha noma yikuphi ukutheleleka, nokudambisa izinhlungu.

Ukwelashwa kokucindezela

Ukwelashwa kokucindezelwa kuyindlela yokwelashwa ejwayelekile yezilonda ze-venous stasis ankle. Kuyasiza ngokuvuvukala futhi kusiza ukusheshisa inqubo yokwelashwa. Ukuminyaniswa kubuye kusize ekuvikeleni izilonda eziphindaphindwayo.

Izitokisi zokucindezelwa, ukugoqwa, noma ibhandishi eliboshiwe elisongwe emlenzeni wakho lize lifike edolweni kungasiza. Wena nodokotela wakho ninganquma indlela yokuminyanisa ezosebenza kangcono kuwe nohlobo lwakho lwesilonda.

Imithi

Udokotela wakho angakunikeza imithi efana ne-pentoxifylline ne-aspirin uma ukwelashwa kokucindezelwa kungasebenzi. Ungadinga ukuthatha i-diuretics okwesikhashana uma unokuvuvukala okukhulu.

Kubalulekile ukuthi uthathe yonke imithi oyinikiwe njengoba uyalelwe.

Ukunakekelwa kwesilonda

Kunezinhlobo eziningi zokugqoka ongazisebenzisela isilonda, kufaka phakathi i-antimicrobial, i-collagen, i-composite, kanye nokufakwa esikhundleni kwesikhumba. Udokotela wakho angakuchazela ngobuhle bohlobo ngalunye futhi akweluleke ukuthi yikuphi okungcono kakhulu kuwe. Bangaze bakudlulisele nasemtholampilo ogxile ekwelapheni amanxeba. Gcina indawo yesilonda ihlanzekile futhi ushintshe ukugqoka kwesilonda njengoba uyalelwe ukukhuthaza ukuphola.

Njalo phuza uketshezi oluningi, udle ukudla okunempilo, futhi uthole ukuphumula okwanele nokuzivocavoca umzimba. Impilo enhle iyosheshisa inqubo yakho yokuphulukisa.

Ngingazivikela kanjani izilonda emaqakaleni?

Enye indlela yokuvimbela ukukhula kwezilonda ze-stous venous ukuphakamisa imilenze yakho ngaphezu kwenhliziyo yakho okungenani imizuzu engama-30, izikhathi eziningana ngosuku. Nciphisa ukuma noma ukuhlala isikhathi eside. Lokhu kusiza ukunciphisa ingcindezi nokuvuvukala okungadala izilonda ze-venous stasis ulcers. Izosiza nasekujikelezeni kwegazi.

Zama ukuphakamisa imilenze yakho embhedeni ebusuku uma kungenzeka. Futhi, zama ukunciphisa usawoti ekudleni kwakho futhi uhlole umfutho wegazi lakho njalo ukuthola noma yiziphi izinguquko.

Kwesinye isikhathi ukuncipha kunganciphisa okunye kwengcindezi emilenzeni yakho. Buza nodokotela wakho ukuthi ngabe bakholelwa ukuthi ukulahleka kwesisindo kufanelekile yini kuwe.