Ukundiza Nezingubo Zegazi: Ukuphepha, Izingozi, Ukuvimbela, nokuningi

-Delile

• Ukundiza ngegazi noma umlando wamahlule
• Izici ezinobungozi bamahlule egazi
• Ukuvimbela
• Ngaphambi kokuphakanyiswa
• Ngesikhathi sendiza
• Ukuvimbela amahlule egazi phakathi kwezinye izindlela zokuhamba
• Ziyini izinkomba zegazi elijiyile?
• Ukudla okudlela endlini

Ukubuka konke

Amahlule egazi ayenzeka lapho ukugeleza kwegazi kuhamba kancane noma kumiswa. Ukundiza endizeni kungakhuphula ubungozi bamahlule egazi, futhi kungadingeka ukuthi ugweme ukuhamba emoyeni isikhathi esithile kulandela ukuxilongwa kwehlule.

Ukuhlala uhleli isikhathi eside kungathinta ukujikeleza kwegazi futhi kuholele ekwakhekeni kwamahlule egazi. Izindiza ezindiza kungenzeka zibe yingozi engcupheni ye-vein thrombosis (DVT) ejulile kanye ne-pulmonary embolism (PE). I-DVT ne-PE yizinkinga ezinkulu zamahlule egazi angabulala kwezinye izimo.

I-DVT ne-PE zingavikeleka futhi zelashwe ezimweni eziningi, futhi kunezinto ongazenza ezindizeni ezinde ukunciphisa ubungozi bakho. Ngisho nabantu abanomlando wamahlule egazi bangajabulela ukuhamba ngendiza.

Funda ukuze ufunde kabanzi mayelana nokuxhumana phakathi kwamahlule egazi nokundiza, nokuthi yini ongayenza ukunciphisa ubungozi bakho.

Ukundiza ngegazi noma umlando wamahlule

Uma unomlando wamahlule egazi noma usanda kuwelashwa, ingozi yakho yokuthuthukisa i-PE noma i-DVT ngenkathi undiza ingaphakanyiswa. Abanye ochwepheshe bezokwelapha bancoma ukulinda amasonto amane ngemuva kokuphela kokwelashwa ngaphambi kokuya emoyeni.

Udokotela wakho uzokusiza ukunquma ukuthi kufanele uhambe ngendiza yini noma kunengqondo ukuhlehlisa izinhlelo zakho zokuhamba. Izici eziningi zizodlala kulesi sinqumo, kufaka phakathi:

• umlando wakho wezempilo
• indawo nosayizi wehlule
• ubude bendiza

Izici ezinobungozi bamahlule egazi

Izici eziningi ngaphandle kohambo olude lomoya zingakhuphula ubungozi bamahlule egazi, kufaka phakathi:

• umlando womuntu wamahlule egazi
• umlando womndeni wamahlule egazi
• umlando womuntu siqu noma womndeni wesifo sokunqanda izakhi zofuzo, njenge-factor V Leiden thrombophilia
• ukuba neminyaka engama-40 noma ngaphezulu
• ukubhema osikilidi
• ukuba nenkomba yomzimba (BMI) ebangeni lokukhuluphala
• kusetshenziswa inzalo esuselwa ku-estrogen, njengamaphilisi okulawula ukubeletha
• ukuthatha imishanguzo yokufaka ama-hormone (HRT)
• ngibe nenqubo yokuhlinzwa ezinyangeni ezintathu ezedlule
• ukulimala umthambo ngenxa yokulimala
• ukukhulelwa kwamanje noma kwakamuva (ukulethwa ngemuva kwamasonto ayisithupha noma ukulahlekelwa ukukhulelwa kwakamuva)
• ukuba nomdlavuza noma umlando womdlavuza
• ukuba nepayipi le-vein emthanjeni omkhulu
• ukuba sesimeni somlingisi

Ukuvimbela

Kunezinyathelo ezimbalwa ongazithatha ukusiza ukunciphisa ubungozi bamahlule egazi ngenkathi undiza.

Ngaphambi kokuphakanyiswa

Ngokuya ngomlando wakho wezempilo, udokotela wakho angancoma ukwelashwa ukuze unciphise ubungozi bakho. Lokhu kufaka phakathi ukuthatha igazi elincanyana, ngomlomo noma ngomjovo, amahora amabili kuya kwamabili ngaphambi kwesikhathi sendiza.

Uma ukwazi ukukhetha isihlalo sakho ngaphambi kwendiza, khetha isihlalo esiphansi noma isihlalo esinenqwaba, noma ukhokhe imali eyengeziwe ngesihlalo esinekamelo lomlenze elengeziwe. Lokho kuzokusiza ukuthi welule futhi uzulazule phakathi nendiza.

Kubalulekile futhi ukwazisa inkampani yezindiza ukuthi ujwayele amahlule egazi futhi udinga ukwazi ukuzungeza indiza. Bazise ngaphambi kokugibela indiza, kungaba ngokushayela inkampani yezindiza ngaphambi kwesikhathi noma ukwazisa abasebenzi basemhlabeni endaweni okugitshelwa kuyo.

Ngesikhathi sendiza

Ngesikhathi sendiza, uzofuna ukuhambahamba ngangokunokwenzeka futhi uhlale unamanzi. Gcizelela isidingo sakho sokuhamba ngokukhululeka kumuntu osebenzela indiza yakho, futhi wehle uye phansi umzila imizuzu embalwa njalo ngehora njengoba kuvunyelwe. Uma kuneziyaluyalu eziningi noma kungenjalo kungaphephile ukuhamba phansi naphansi kwezindlela, kukhona izivivinyo ongazenza esihlalweni sakho ukusiza ukugcina igazi lakho ligeleza:

• Slayida izinyawo zakho emuva naphambili phansi ukuze usize ukwelula imisipha yakho yethanga.
• Okunye ukusunduza izithende nezinzwane zakho emhlabathini. Lokhu kusiza ukuguqula imisipha yethole.
• Ukugoba okunye nokusabalalisa izinzwane zakho ukwenza ngcono ukujikeleza kwegazi.

Ungaletha nebhola lethenisi noma le-lacrosse ebhodini ukuze ulisebenzise ukubhucunga imisipha yomlenze wakho. Ngomusa phonsela ibhola ethangeni lakho bese uligoqa phezulu naphezulu emlenzeni wakho. Ngenye indlela, ungabeka ibhola ngaphansi komlenze wakho bese uhambisa umlenze wakho phezu kwebhola ukuze uhlikihle imisipha.

Ezinye izinto ongazenza zifaka:

• Gwema ukweqa imilenze yakho, okunganciphisa ukujikeleza kwegazi.
• Gqoka izingubo ezikhululekile, ezingabambi.
• Gqoka amasokisi okucindezelwa uma usengozini enkulu ye-venous thromboembolism (VTE). Izitokisi zikhuthaza ukusakazeka futhi zivimbele igazi ekuhlanganeni.

Ukuvimbela amahlule egazi phakathi kwezinye izindlela zokuhamba

Noma ngabe kusemoyeni noma phansi, isikhathi eside esichithwa endaweni evaliwe singakhuphula ubungozi bamahlule egazi.

• Uma uhamba ngemoto, hlela amakhefu ahleliwe ukwelula imilenze yakho noma uthathe uhambo olufushane.
• Uma usebhasini noma esitimeleni, ukuma, ukuzelula, nokuhamba emaphaseji kungasiza. Ungahamba futhi endaweni esihlalweni sakho uma unendawo eyanele, noma uthathe imizuzu embalwa endaweni yokugeza ukuze welule imilenze yakho noma uhambe endaweni.

Ziyini izinkomba zegazi elijiyile?

Izimpawu ezingaba khona zifaka:

• ubuhlungu bomlenze, ukuqunjelwa, noma isisa
• ukuvuvukala eqakaleni noma emlenzeni, imvamisa kuphela emlenzeni owodwa
• umbala onombala, ohlaza okwesibhakabhaka noma obomvu emlenzeni
• isikhumba esizizwa sifudumele uma usithinta ukwedlula wonke umlenze

Kungenzeka ukuba negazi futhi ungakhombisi zimpawu.

Uma udokotela wakho esola ukuthi une-DVT, uzonikezwa ukuhlolwa kokuxilongwa ukuqinisekisa ukuxilongwa. Ukuhlolwa kungafaka i-venous ultrasound, venography, noma i-MR angiography.

Izimpawu ze-embolism ye-pulmonary zifaka:

• ukuphelelwa umoya
• ubuhlungu besifuba
• ukukhwehlela
• isiyezi
• ukushaya kwenhliziyo okungajwayelekile
• ukujuluka
• ukuvuvukala emilenzeni

Izimpawu ze-PE yisimo esiphuthumayo sezokwelapha esidinga ukunakekelwa ngokushesha. Udokotela wakho angenza i-CT scan ukuqinisekisa ukuxilongwa ngaphambi kokwelashwa.

Ukudla okudlela endlini

Izindiza ezindiza ezinde zingakhuphula ubungozi bamahlule egazini kwabanye abantu, kufaka phakathi abantu abanezinye izinto ezinobungozi, njengomlando womuntu siqu noma womndeni wamahlule egazi. Ukuvimbela amahlule egazi ngesikhathi sokuhamba ngendiza nezinye izindlela zokuhamba kungenzeka. Ukuqonda ubungozi bakho, kanye nokufunda izinyathelo zokuzivikela ongazithatha ngenkathi usohambweni, kungasiza.

Uma njengamanje welashelwa i-clot yegazi, noma usanda kuqeda ukwelashwa okukodwa, khuluma nodokotela wakho ngaphambi kokugibela indiza. Bangancoma ukubambezeleka kokuhamba noma banikele ngemithi yokusiza ukunciphisa ubungozi bezinkinga ezinkulu.