Izimbangela Ezivamile Zobuhlungu Benkomo Lapho Uhamba

-Delile

• Yini engabangela ubuhlungu benkonyane lapho uhamba?
• Ukuqunjelwa yimisipha
• Ukulimala kwemisipha
• Isifo semithambo eseceleni (PAD)
• Ukungasebenzi kahle okungamahlalakhona (CVI)
• I-Lumbar stenosis yomgogodla
• I-Chronic exertional compartment syndrome (i-CECS)
• Ukubonana nodokotela nini
• Izinketho zokwelashwa zobuhlungu bethole
• Ukuzinakekela ubuhlungu bethole
• Okubalulekile

Amathole akho atholakala ngemuva kwemilenze yakho engezansi. Imisipha ematholeni akho ibalulekile emisebenzini efana nokuhamba, ukugijima, nokugxuma. Futhi banesibopho sokukusiza ukuthi ugobise unyawo lwakho phansi noma ume ngezipikili zakho.

Kwesinye isikhathi, ungabuzwa ubuhlungu benkonyane lapho uhamba. Lokhu kungaba ngenxa yezimbangela ezahlukahlukene. Kule ndatshana, sizobhekisisa izimbangela ezivame kakhulu zobuhlungu benkonyane lapho uhamba, izinketho zokwelashwa, nokuthi ungabiza nini udokotela wakho.

Yini engabangela ubuhlungu benkonyane lapho uhamba?

Kunezizathu ezahlukahlukene zokuthi kungani ungazizwa ubuhlungu bethole lapho uhamba. Ezinye izimbangela zibangelwa izimo zemisipha ezivamile, kanti ezinye kungenzeka ngenxa yesimo sempilo esingaphansi.

Ngezansi, sizohlola ukuthi yini engadala lolu hlobo lobuhlungu, izimpawu ongazizwa, kanye nanoma yiziphi izinyathelo zokuzivikela ongazithatha.

Ukuqunjelwa yimisipha

Amajaqamba emisipha ayenzeka lapho imisipha yakho ihlangana ngokungazibandakanyi. Zivame ukuthinta imilenze yakho, kufaka phakathi amathole akho. Lezi zinkalankala zivame ukwenzeka lapho uhamba, ugijima, noma wenza uhlobo oluthile lomsebenzi womzimba.

Amajaqamba wemisipha angaba nezimbangela eziningi, noma kwesinye isikhathi imbangela ingaziwa. Ezinye zezimbangela ezivame kakhulu zifaka:

• ukungazeluli kahle ngaphambi kokuzivocavoca umzimba
• ukusetshenziswa ngokweqile kwemisipha yakho
• ukoma komzimba
• amazinga aphansi we-electrolyte
• ukunikezwa kwegazi okuphansi emisipheni

Uphawu oluyinhloko lokucinana kwemisipha ubuhlungu, obungahluka ngamandla kusuka ebumnandini kuya kokubi. Imisipha ethintekile nayo ingazizwa kunzima ukuyithinta.

I-cramp ingahlala noma kuphi kusuka kumasekhondi ambalwa kuya kumizuzu eminingana.

Kunezinyathelo ongazithatha ukusiza ukunciphisa amathuba okuba ne-cramp emisipheni yakho yethole. Lokhu kufaka phakathi ukuhlala u-hydrated futhi welula ngaphambi kokuqala noma yiluphi uhlobo lomsebenzi womzimba.

Ukulimala kwemisipha

Ukulimala kwesicubu sakho sethole nakho kungaholela ebuhlungwini lapho uhamba. Ukulimala okuvame kakhulu okungadala ubuhlungu emilenzeni yakho engezansi kubandakanya imihuzuko nobunzima.

• Ukulimazeka kwenzeka lapho ukushaywa emzimbeni kulimaza imisipha nezinye izicubu ngaphandle kokuphula isikhumba.
• Ubunzima benzeka lapho imisipha isetshenziswa ngokweqile noma yeluliwe, idala ukulimala kwemicu yemisipha.

Izimpawu ezivamile zokulimala kwethole zihlanganisa:

• ubuhlungu endaweni ethintekile, okuvame ukwenzeka ngokunyakaza
• umhuzuko obonakalayo
• ukuvuvukala
• ububele

Imihuzuko eminingi noma amagciwane kungenziwa kwelashwa ekhaya. Kodwa-ke, ukulimala okubi kakhulu kungadinga ukuthi kuhlolwe ngudokotela.

Ungasiza ukuvimbela ukulimala kwemisipha yenkonyane ngo:

• ukuzelula nokuzotha ngaphambi kokuzivocavoca umzimba
• ukugcina isisindo esinempilo
• ukuzijwayeza ukuma kahle

Isifo semithambo eseceleni (PAD)

I-Peripheral artery disease (PAD) yisimo lapho i-plaque yakhela khona emithanjeni ehambisa igazi ezindaweni ezinjengemilenze yakho, izingalo nezitho zangaphakathi.

I-PAD ibangelwa ukulimala emithanjeni yakho, okungaba umphumela we:

• isifo sikashukela
• umfutho wegazi ophakeme
• cholesterol ephezulu
• ukubhema

Uma une-PAD, ungathola ukuhlukaniswa okuphakathi, noma ubuhlungu lapho uhamba noma ukhuphuka izitebhisi ezihamba nokuphumula. Lokhu kungenxa yokuthi imisipha yakho ayilitholi igazi elanele. Lokhu kungenxa yemithambo yegazi eye yancipha noma yavimba.

Ezinye izimpawu ze-PAD zifaka:

• isikhumba esikhanyayo noma esiluhlaza okwesibhakabhaka
• ukushaya ngamandla emilenzeni noma ezinyaweni
• ukuphulukiswa kwesilonda kancane

Ukuphathwa kwe-PAD kungukuphila konke futhi kuhloswe ukunciphisa ukuqhubeka kwesimo. Ukuvimbela i-PAD ekuqhubekeni, kubalulekile uku:

• thatha izinyathelo zokuphatha nokuqapha amazinga akho kashukela, amazinga e-cholesterol, nomfutho wegazi
• hhayi ukubhema
• vivinya umzimba njalo
• gxila ekudleni okunempilo enhliziyweni
• gcina isisindo esinempilo

Ukungasebenzi kahle okungamahlalakhona (CVI)

Ukwehluleka kwe-venous chronic (CVI) kulapho igazi lakho linenkinga yokubuyela enhliziyweni yakho lisuka emilenzeni.

Amaphayiphu emithanjeni yakho ngokuvamile asiza ukugcina igazi ligeleza. Kepha nge-CVI, la ma-valve awasebenzi kahle. Lokhu kungaholela ekubuyiseleni emuva noma ekuhlanganiseni igazi emilenzeni yakho.

Nge-CVI, ungahle uzwe ubuhlungu emilenzeni yakho lapho uhamba olula lapho uphumula noma uphakamisa imilenze yakho. Izimpawu ezingeziwe zingabandakanya:

• amathole azizwa eqinile
• imithambo ye-varicose
• ukuvuvukala emilenzeni noma emaqakaleni
• ukuqunjelwa noma ukuqina kwemisipha
• isikhumba esikhanyayo
• izilonda emilenzeni yakho

I-CVI idinga ukwelashwa ukuvimbela izinkinga ezinjengezilonda zomlenze noma i-vein thrombosis ejulile. Ukwelashwa okunconyiwe kuzoya ngobukhulu besimo.

I-Lumbar stenosis yomgogodla

I-Lumbar spinal stenosis kulapho ingcindezi ibekwa emithanjeni engezansi kwakho ngenxa yokuncipha komsele wakho womgogodla. Kuvame ukubangelwa izingqinamba ezinjenge-degenerative disc disease noma ukwakheka kwama-bone spurs.

I-Lumbar spinal stenosis ingadala ubuhlungu noma iphambane ematholeni noma emathangeni akho lapho uhamba. Ubuhlungu bungancipha lapho ugoba phambili, uhleli, noma ulala phansi.

Ngaphezu kobuhlungu, ungazizwa ubuthakathaka noma uba ndikindiki emilenzeni yakho.

Ngokuvamile, i-lumbar spinal stenosis iphathwa ngezinyathelo ezilondolozayo, njengokulashwa ngokomzimba nokuphathwa kobuhlungu. Amacala abucayi angadinga ukuhlinzwa.

I-Chronic exertional compartment syndrome (i-CECS)

I-Chronic exertional compartment syndrome (i-CECS) yilapho iqembu elithile lemisipha, elibizwa ngokuthi igumbi, livuvuka ngesikhathi sokuzikhandla. Lokhu kuholela ekwandeni kwengcindezi ngaphakathi kwegumbi, elehlisa ukugeleza kwegazi futhi liholele ebuhlungu.

I-CECS imvamisa ithinta abantu abenza imisebenzi ngokunyakaza okuphindaphindiwe kwemilenze, njengokuhamba ngokushesha, ukugijima, noma ukubhukuda.

Uma une-CECS, ungahle uzwe ubuhlungu ematholeni akho ngesikhathi somzimba. Ubuhlungu buyahamba lapho umsebenzi eyeka. Ezinye izimpawu zingafaka:

• ukuba ndikindiki
• ukuqhuma kwemisipha
• Inkinga ngokuhambisa unyawo lwakho

Ama-CECS imvamisa awabi mabi, futhi ubuhlungu buyaphela lapho uphumula. Ungasiza ekuvikeleni i-CECS ngokugwema izinhlobo zemisebenzi ebangela ubuhlungu.

Ukubonana nodokotela nini

Yenza i-aphoyintimenti nodokotela wakho uma unezinhlungu zenkonyane lapho uhamba lokho:

• ayithuthuki noma iba yimbi ngezinsuku ezimbalwa zokunakekelwa ekhaya
• kwenza ukuzulazula noma ukwenza imisebenzi yansuku zonke kube nzima
• kuthinta ukuhamba kwakho

Funa usizo lwezempilo ngokushesha uma uqaphela:

• ukuvuvukala emlenzeni owodwa noma womabili
• umlenze ophaphathekile ngokungajwayelekile noma opholile uma uthintwa
• Ubuhlungu benkonyane obenzeka ngemuva kwesikhathi eside sokuhlala, njengokuhamba isikhathi eside kwendiza noma ukuhamba ngemoto
• izimpawu zokutheleleka, kufaka phakathi umkhuhlane, ubomvu, nesisa
• noma yiziphi izimpawu zomlenze ezikhula ngokuzumayo futhi azikwazi ukuchazwa ngomcimbi noma isimo esithile

Ithuluzi leHealthline FindCare linganikeza izinketho endaweni yangakini uma ungenalo udokotela.

Ukuthola imbangela yezinhlungu zethole lakho, udokotela wakho uzoqala athathe umlando wakho wezokwelapha bese enza ukuhlolwa komzimba. Bangaphinda basebenzise izivivinyo ezengeziwe ukusiza ukuxilonga isimo sakho. Lezi zivivinyo zingafaka:

• Ukufanekisa. Usebenzisa ubuchwepheshe be-imaging njenge-X-ray, i-CT scan, noma i-ultrasound kungasiza udokotela wakho ukubona ngeso lengqondo izakhiwo ezisendaweni ethintekile.
• Inkomba ye-Ankle-brachial. Inkomba ye-ankle-brachial iqhathanisa umfutho wegazi emaqakaleni akho nengcindezi yegazi engalweni yakho. Kungasiza ukunquma ukuthi igazi ligeleza kahle kanjani emalungeni akho.
• Isivivinyo seTreadmill. Ngenkathi ekuqaphe ngetreadmill, udokotela wakho angathola umbono wokuthi zinzima kangakanani izimpawu zakho nokuthi yiliphi izinga lomsebenzi womzimba oletha kubo.
• Ukuhlolwa kwegazi. Ukuhlolwa kwegazi kungabheka i-cholesterol ephezulu, isifo sikashukela, nezinye izimo ezingaphansi.
• I-Electromyography (EMG). I-EMG isetshenziselwa ukuqopha umsebenzi kagesi wemisipha yakho. Udokotela wakho angakusebenzisa lokhu uma esola inkinga ngokusayina kwemizwa.

Izinketho zokwelashwa zobuhlungu bethole

Ukwelashwa kobuhlungu bethole kuzoya ngesimo noma ngodaba olwenza ubuhlungu. Ukwelashwa okungenzeka kungafaka:

• Imithi. Uma unesimo esingaphansi esinikela ebuhlungwini bethole lakho, udokotela wakho angakunikeza imithi yokwelapha. Isibonelo esisodwa yimithi yokwehlisa umfutho wegazi noma i-cholesterol ku-PAD.
• Ukwelashwa ngokomzimba. Ukwelashwa ngokomzimba kungasiza ekuthuthukiseni ukuguquguquka, amandla nokunyakaza. Udokotela wakho angancoma lolu hlobo lwezokwelapha ukusiza ngezimo ezinjengalezi:
  • ukulimala kwemisipha
  • i-lumbar stenosis yomgogodla
  • Ama-CECS
• Ukuhlinzwa. Ezimweni ezimbi kakhulu, kunganconywa ukuhlinzwa. Izibonelo zifaka:
  • ukuhlinzwa ukuze kulungiswe ukulimala kanzima kwemisipha
  • angioplasty ukuvula imithambo yegazi ku-PAD
  • i-laminectomy yokunciphisa ingcindezi ezinzwa ngenxa ye-lumbar spinal stenosis
• Izinguquko zendlela yokuphila. Udokotela wakho angancoma ukuthi wenze ushintsho oluthile lokuphila ukusiza ukuphatha isimo sakho noma ukusivimba ukuthi singabi sibi. Izinguquko ezinconyiwe zendlela yokuphila zingafaka:
  • ukuzivocavoca umzimba njalo
  • ukudla ukudla okunomsoco
  • ukugcina isisindo esinempilo

Ukuzinakekela ubuhlungu bethole

Uma ubuhlungu benkonyane yakho bungebuhlungu kakhulu, kunezinyathelo zokuzinakekela ongazama ngazo ekhaya ukuphatha ubuhlungu. Ezinye izinketho ongazama ukuzibandakanya:

• Phumula. Uma ulimaze ithole lakho, zama ukuliphumula izinsuku ezimbalwa. Gwema isikhathi eside sokungayihambisi nakancane, ngoba lokhu kunganciphisa ukugeleza kwegazi kuye emisipheni futhi kwandise ukwelapheka.
• Kuyabanda. Cabanga ukusebenzisa ukucindezela okubandayo emisipheni yethole ebuhlungu noma ethambile.
• Imithi ye-Over-the-counter (OTC). Imithi efana ne-ibuprofen (Motrin, Advil) ne-acetaminophen (Tylenol) ingasiza ngobuhlungu nokuvuvukala.
• Ukucindezela. Ezimweni zokulimala kwethole, ukusonga ithole lakho ngebhandeshi elithambile kungasiza. Sebenzisa amasokisi okucindezela nakho kungasebenza ukukhuthaza ukugeleza kwegazi ku-CVI.
• Ukuphakama. Ukuphakamisa ithole elimele ngaphezu kwezinga lezinqulu zakho kunganciphisa ubuhlungu nokuvuvukala. Ukuphakama komlenze kungasiza futhi ekunciphiseni izimpawu ze-CVI.

Okubalulekile

Kwesinye isikhathi, ungahle uzwe ubuhlungu benkonyane obenzeka lapho uhamba. Izikhathi eziningi, lobu buhlungu buyadamba noma buhambe ngokuphelele lapho uphumula.

Kunezimbangela eziningi ezivamile zalolu hlobo lobuhlungu, njengezicubu zemisipha, imihuzuko, noma izingcindezi.

Kodwa-ke, ubuhlungu bethole lapho uhamba nakho kungadalwa yizimo ezingaphansi ezithinta imithambo yegazi noma izinzwa zakho. Izibonelo zalezi zimo zifaka phakathi i-peripheral artery disease (PAD), ukungapheli kahle kwama-venous (CVI), kanye ne-lumbar spinal stenosis.

Ungakwazi ukudambisa ubuhlungu obuncane bethole ekhaya ngokuphumula, ukusebenzisa iqhwa, nokusebenzisa imishanguzo ye-OTC. Bona udokotela wakho uma ubuhlungu bakho bungathuthuki ngokunakekelwa kwasekhaya, buba kubi kakhulu, noma kuthinte imisebenzi yakho yansuku zonke.