Konke Okufanele Ukwazi Ngamahlule Egazi Esiswini

-Delile

• Ziyini izimpawu zamahlule esiswini segazi?
• Ingabe ukopha kwegazi esiswini kuwuphawu lomdlavuza?
• Ubani osengozini yamahlule esiswini segazi?
• Kutholakala kanjani ukuthi ihlwili egazini esiswini?
• Aphathwa kanjani amahlule esiswini?
• Umbono

Ungalithola ihlwili egazini esiswini?

Amahlule egazi e-vein ajulile, awaziwa nangokuthi i-deep vein thrombosis (i-DVT), ngokuvamile akha emilenzeni, emathangeni nasesinqeni, kodwa angabonakala nasezingalweni zakho, emaphashini, ebuchosheni, ezinso, enhliziyweni nasesiswini. Amahlule egazi esiswini abizwa ngamahlule egazi esiswini.

Funda ukuze ufunde kabanzi ngamahlule egazi esiswini.

Ziyini izimpawu zamahlule esiswini segazi?

Izimpawu zamahlule egazi ziyahlukahluka kumuntu nomuntu. Ngeke uhlale unezimpawu ngegazi. Behlukile engxenyeni yomzimba ethintwa yihlwili. Izimpawu zibuye zincike ekutheni i-clot yakheke ngokushesha kangakanani nosayizi wayo.

Izimpawu ezijwayelekile zesisu segazi esiswini zingafaka:

• ubuhlungu obukhulu besisu
• ukuvala / ukuvala ubuhlungu besisu
• isicanucanu
• ukuhlanza
• indle enegazi
• isifo sohudo
• ukuqunjelwa
• ukuqongelela uketshezi lwesisu, okwaziwa ngokuthi ama-ascites

Ingabe ukopha kwegazi esiswini kuwuphawu lomdlavuza?

Kungenzeka ukuthi amahlule egazi esiswini angaba uphawu lokuqala lomdlavuza ongatholakali. EDenmark, abacwaningi bathola ukuthi abantu abanegazi egazini emthanjeni wesisu (i-venous thrombosis) babesemathubeni amaningi okuthola ukuxilongwa komdlavuza ezinyangeni ezintathu zokutholakala kwegazi uma kuqhathaniswa nokwabantu abaningi. Umdlavuza ovame kakhulu umdlavuza wesibindi, i-pancreatic, nowegazi.

Umdlavuza, ngokuvamile, wandisa ukwakheka kwamahlule egazi. Ukulimala emithanjeni, kanye nokugeleza kwegazi okuvilaphayo, kukholakala ukuthi kukhulisa nethuba lamahlule egazi angajwayelekile emdlavuza.

Ucwaningo oluningi luyadingeka ukuqonda ukuxhumana okuqhubekayo phakathi kwamahlule esiswini segazi nomdlavuza.

Ubani osengozini yamahlule esiswini segazi?

Kuyinto evamile ukuba igazi livale ngenxa yokusikeka noma ukulimala. Kuyindlela yomzimba yokukuvimbela ukopha uze ufe. Kepha kwesinye isikhathi ungaba negazi ngaphandle kokulimala. Lezi zinhlobo zamahlule egazi ziyingozi ngoba ziphazamisa ukuhamba kwegazi lesitho. Amahlule egazi angakha kunoma iyiphi ingxenye yomzimba, kufaka phakathi isisu.

Ezinye izinto zingakhuphula ubungozi bokuthuthukisa amahlule egazi. Lokhu kufaka phakathi:

• ukunganyakazi, njengokuthatha uhambo olude ngendiza noma ukuphumula embhedeni isikhathi eside
• ukuhlinzwa
• umlando womndeni wamahlule egazi
• i-polycythemia vera (inani eliphakeme ngokungajwayelekile lamaseli abomvu egazi)
• ama-hormone, kufaka phakathi i-estrogen ne-progesterone etholakala kumaphilisi okulawula ukuzalwa nasekwelapheni ama-hormone asetshenziselwa ukunciphisa izimpawu zokunqamuka kokuya esikhathini
• ukukhulelwa
• ukubhema
• ukuqina kwesibindi
• i-appendicitis, nokunye ukutheleleka esiswini, okungahle kuholele kumahlule esiswini emithanjeni ngenxa yegciwane nokuvuvukala
• ukuhlukumezeka esiswini noma ukulimala

Funa usizo lwezokwelapha ngokushesha uma unezimpawu zokuqina kwegazi esiswini noma usengozini enkulu yalesi simo.

Kutholakala kanjani ukuthi ihlwili egazini esiswini?

Uma udokotela wakho esola ukuthi unegazi egazini esiswini sakho ngokuya ngezimpawu zakho, ukuhlolwa komzimba, kanye nomlando wezokwelapha, kungenzeka balayishe ukuskena kwe-CT kwesisu sakho nesifunda se-pelvic ukusiza ukubona ngeso lengqondo amathumbu nezitho zakho. Bangancoma futhi i-ultrasound ne-MRI ukubona ngeso lengqondo ukugeleza kwegazi ngemithambo yakho.

Aphathwa kanjani amahlule esiswini?

Amahlule egazi ngokuvamile alashwa ngama-anticoagulants. Ama-anticoagulants yimithi enciphisa igazi futhi evimbela ihlwili ukuthi likhule libe likhulu, liphindaphindeke noma likhule amahlule amaningi. Le mithi ayiqedi ihlwili.

Ama-thinner wegazi ajwayelekile asetshenzisiwe afaka:

• i-heparin, enikezwa ngemithambo yegazi ngenaliti engalweni yakho
• warfarin, ethathwe kwifomu lephilisi
• i-enoxaparin (i-Lovenox), uhlobo olujojowe lwe-heparin olunganikezwa ngaphansi kwesikhumba

Ekugcineni, ihlwili liphinde libuyiselwe emzimbeni, yize ezimweni ezimbalwa lingaze linyamalale ngokuphelele.

Ukuhlinzwa noma ukusebenzisa imishanguzo yokuvala amahlwili ngqo kwihlwili kungadingeka ezimweni zegazi elikhulu, elingalimaza izitho noma elisongela impilo. Ukwelapha imbangela yehlule legazi kuyadingeka futhi.

Umbono

Amahlule egazi esiswini awavamile. Kepha amahlule egazi, kufaka phakathi amahlule esifundeni sakho esiswini, abucayi, ikakhulukazi uma iqanda liphuka futhi lihlala emaphashini, kubangele lokho okwaziwa ngokuthi yi-pulmonary embolism.

Ukwehlisa ubungozi bokwenza amahlule egazi angajwayelekile, lawula izinto ongazenza:

• Yehlisa isisindo uma ukhuluphele ngokweqile.
• Yeka ukubhema.
• Khuluma nodokotela wakho ngazo zonke izinketho zakho zokulawulwa kokuzalwa.
• Hambahamba njalo ngehora noma ngale ndlela phakathi nosuku, ikakhulukazi ekugibeleni izindiza noma ekuhambeni kwemoto ende.
• Nciphisa ukuphuza kwakho utshwala.

Uma unomlando wamahlule egazi noma unezici eziningana zobungozi, khuluma nodokotela wakho mayelana nokwelashwa okungcono kakhulu kuwe. Lokhu kuvame ukuhilela ukuthatha izinciphisi zegazi nsuku zonke.

Ngokwelashwa, abantu abaningi bayalulama kumahlule egazi ngaphandle kwemiphumela yesikhathi eside noma ebekelwe imingcele. Isikhathi sokutakula sincike kwimbangela, indawo, nezitho ezithintwe yihlwili. Qiniseka ukuthi ulandela imiyalo kadokotela wakho ngalesi sikhathi ukuze uthuthukise umphumela wakho futhi wehlise ubungozi bezinkinga.