Izindwangu Zegazi Ngemuva Kokuhlinzwa: Izeluleko Zokuvimbela
-Delile
- Kuyini ukuhlangana kwegazi?
- Ukuvimbela amahlule egazi ngemuva kokuhlinzwa
- Izimpawu zegazi ngemuva kokuhlinzwa
- Izici zobungozi bokuhlinzwa
- Ukuthatha
Amahlule egazi ngemuva kokuhlinzwa
Ukwakheka kwegazi, okwaziwa nangokuthi ukujiya, kuyimpendulo ejwayelekile yomzimba wakho ezimweni ezithile. Isibonelo, uma usika isandla sakho noma umunwe, amafomu egazi asendaweni elimele ukumisa ukopha nokusiza ukwelapha ukusika kwakho.
Lezi zinhlobo zamahlule egazi azisizi nje kuphela, kodwa futhi zisiza ukuvimbela ukopha ngokweqile lapho ulimele kabi.
Ukuqina kwegazi kungenzeka cishe kunoma iyiphi ingxenye yomzimba. Amahlule egazi ngokuvamile awanabungozi. Ngezinye izikhathi, noma kunjalo, amahlule egazi angaba yingozi.
Ukuhlinzwa okukhulu kungakwenza uthambekele kakhulu ekuthuthukiseni amahlule egazi ayingozi ezindaweni ezifana namaphaphu noma ubuchopho.
Kuyini ukuhlangana kwegazi?
Ama-platelets, ayindlela ethile yamangqamuzana egazi, ne-plasma, okuwuketshezi lwegazi lakho, ayahlangana ukuze asize ekunqandeni ukopha nokwakha ihlwili endaweni elimele.
Cishe ujwayelene kakhulu namahlule egazi ebusweni besikhumba, okuvame ukubizwa ngokuthi ngotwayi. Imvamisa lapho indawo elimele iselaphekile, umzimba wakho uzoncibilika ngokwemvelo i-clot yegazi.
Kunezimo lapho amahlule akha khona ngaphakathi kwemithambo yegazi yakho yize ungenakho ukulimala. Lawa mahlule awancibiliki ngokwemvelo futhi ayisimo esiyingozi.
Amahlule emithanjeni yakho angavimba ukubuyela kwegazi enhliziyweni. Lokhu kungadala ubuhlungu nokuvuvukala ngenxa yokuqoqwa kwegazi ngemuva kwegazi.
Ukuvimbela amahlule egazi ngemuva kokuhlinzwa
Kunezinto eziningana ongazenza ukuvimbela amahlule egazi ngemuva kokuhlinzwa. Into ebaluleke kakhulu ongayenza ukuxoxa ngomlando wakho wezokwelapha nodokotela wakho. Uma unomlando wamahlule egazi noma njengamanje udla izidakamizwa noma imishanguzo, kufanele wazise udokotela wakho.
Okunye ukuphazamiseka kwegazi kungaholela ezinkingeni zokujiya futhi kubangele izinkinga ngemuva kokuhlinzwa. Ukuthatha i-aspirin kukhonjisiwe futhi nokusiza ngamahlule egazi, ngakho-ke ukuqala uhlobo lwemithi ye-aspirin kungasiza.
Udokotela wakho angakunika i-warfarin (i-Coumadin) noma i-heparin, okuyizinto ezijwayele ukunciphisa igazi. Ama-thinner egazi, noma ama-anticoagulants, asetshenziselwa ukwelapha ukujiya kwegazi ngokweqile. Bangasiza futhi noma yimaphi amahlule onawo njengamanje ekukhuleni.
Ngaphambi kokuhlinzwa, udokotela wakho uzothatha zonke izindlela zokuvikela ukuvimbela amahlule egazi. Ngemuva kokuhlinzwa, bazoqinisekisa ukuthi izingalo noma imilenze yakho iphakanyisiwe, ukusiza ukwandisa ukusakazeka kwegazi.
Uma unengozi enkulu yamahlule, udokotela wakho angakubheka futhi akuqaphele usebenzisa ama-serial duplex ultrasound scan. Imithi yokuqothula amahlwili okuthiwa i-thrombolytics ingasetshenziswa uma unengozi enkulu ye-pulmonary embolism (PE) noma i-vein thrombosis (DVT) ejulile. Le mithi ijojowe egazini lakho.
Izinguquko zokuphila ngaphambi kokuhlinzwa nazo zingasiza. Lokhu kungafaka ukuyeka ukubhema noma ukwamukela uhlelo lokuzivocavoca umzimba.
Ngemuva kokuhlinzwa, uma udokotela wakho ekunikeze imvume, qiniseka ukuthi uhambahamba ngangokunokwenzeka. Ukuhambahamba kwehlisa amathuba akho okuba negazi. Udokotela wakho futhi angancoma amasokisi okucindezela. Lokhu kungasiza ukuvimbela ukuvuvukala kwemilenze.
Izimpawu zegazi ngemuva kokuhlinzwa
Kukhona njalo izingozi ezihambisana nanoma yiluphi uhlobo lokuhlinzwa. I-DVT ne-PE yizinkinga ezingaba khona okufanele uzinakisise.
Ngokwe-American Society of Hematology, abantu abafinyelela ku-900,000 e-United States bakhulisa i-DVT unyaka nonyaka, futhi abantu abafinyelela ku-100,000 ngonyaka bafa ngenxa yalesi simo.
Abantu abaningi abaziqondi izimpawu nezici zobungozi ezihambisana namahlule. Izimpawu ezivamile zamahlule egazi zifaka:
Indawo ye-Clot | Izimpawu |
Inhliziyo | Ubunzima besifuba noma ubuhlungu, ukuba ndikindiki kwengalo, ukungakhululeki kwezinye izindawo zomzimba ongaphezulu, ukuphefumula okuncane, ukujuluka, isicanucanu, ikhanda elikhanyayo |
Ubuchopho | Ukuba buthakathaka kobuso, izingalo, noma imilenze, ukukhuluma kanzima noma ukukhuluma kabi, izinkinga zokubona, ukuphathwa ikhanda ngokuzuma futhi okukhulu, isiyezi |
Ingalo noma umlenze | Ubuhlungu obungazelelwe noma obuhamba kancane emlenzeni, ukuvuvukala, isisa, nokufudumala emlenzeni |
Amaphaphu | Ubuhlungu besifuba obucijile, inhliziyo egijimayo noma ukuphefumula okusheshayo, ukuphefumula okuncane, ukujuluka, umkhuhlane, ukukhwehlela igazi |
Isisu | Ubuhlungu obukhulu besisu, ukuhlanza, isifo sohudo |
Uma ucabanga ukuthi unegazi elijiyile, thintana nodokotela wakho ngokushesha ukuze uthole ukwelashwa. Uma kwenzeka uhlinzwa, udokotela wakho angadlula kuzo zonke izici ezinobungozi futhi ancome indlela engcono kakhulu yokulungiselela.
Izici zobungozi bokuhlinzwa
Ingozi yakho yokuthuthukisa amahlule egazi iyanda ngemuva kokuhlinzwa. Uhlobo olulodwa lwe-clot osengozini eyengeziwe yesimo esibizwa nge-deep vein thrombosis (DVT). I-DVT isho ukwakheka kwamahlule egazini emithanjeni ejulile emzimbeni wakho njengemilenze yakho, izingalo, noma ukhalo.
Kungenzeka ukuthi amahlule ahlukane ne-DVT futhi enze indlela eya enhliziyweni, emaphashini, noma ebuchosheni, evimbela ukugeleza kwegazi okwanele kulezi zitho.
Isizathu esiyinhloko sokuba sengozini enkulu yokuthola i-DVT ngemuva kokuhlinzwa kungenxa yokungasebenzi kwakho ngesikhathi nangemva kokuhlinzwa. Ukunyakaza kwemisipha kuyadingeka ukupompa igazi ngokuqhubekayo enhliziyweni yakho.
Lokhu kungasebenzi kwenza ukuthi igazi liqoqeke engxenyeni engezansi yomzimba wakho, imilenze kanye nezinqe. Lokhu kungaholela ekugundweni. Uma igazi lakho lingavunyelwe ukugeleza ngokukhululeka futhi lihlangane nama-anticoagulants, unengozi enkulu yokuba negazi.
Ngaphandle kokungasebenzi, ukuhlinzwa kwandisa nengcuphe yamahlule ngoba ukuhlinzwa kungadala ukuthi udaba lwangaphandle lukhishelwe ekusakazweni kwegazi lakho, kufaka phakathi imfucumfucu yezicubu, i-collagen, namafutha.
Lapho igazi lakho lihlangana nodaba lwangaphandle, liphendula ngokuqina. Lokhu kukhishwa kungadala ukuthi igazi lijiye. Ngokwengeziwe, ekuphenduleni ukususwa noma ukunyakaza kwezicubu ezithambile ngesikhathi sokuhlinzwa, umzimba wakho ungakhipha izinto ezenzeka ngokwemvelo ezikhuthaza ukujiya kwegazi.
Ukuthatha
Ukwakheka kwegazi ngemuva kokuhlinzwa kuyingozi. Udokotela wakho uzohlola izici zakho zobungozi ngaphambi kokuhlinzwa futhi enze izincomo zokuvimbela ama-DVT noma ama-PE. Noma kunjalo, kubalulekile ukujwayela izimpawu ezivamile zamahlule egazi.