Izinketho Zokwelapha Izifo Ze-Aripheral Artery

-Delile

• Imithi
• Ukuzivocavoca umzimba
• Yeka ukubhema
• Yidla ukudla okunempilo
• Phatha isifo sakho sikashukela
• Ukuhlinzwa nezinye izinqubo
• Ukuthatha

I-Peripheral artery disease (PAD) yisimo esithinta imithambo nxazonke zomzimba wakho, kungafaki leyo enikeza inhliziyo (imithambo yegazi) noma ubuchopho (imithambo ye-cerebrovascular arteries). Lokhu kufaka imithambo emilenzeni yakho, ezingalweni nakwezinye izingxenye zomzimba wakho.

I-PAD iqala lapho okunamafutha noma i-plaque kunqwabelana ezindongeni zemithambo yakho. Lokhu kubangela ukuvuvukala ezindongeni zemithambo futhi kwehlisa ukugeleza kwegazi kula malungu omzimba. Ukuncipha kwegazi kungalimaza izicubu, futhi uma kuyekwa kungalashwa, kuholele ekunqunyweni kwesitho.

I-PAD ithinta abantu abayizigidi eziyisishiyagalombili kuya kweziyi-12 e-United States, futhi yenzeka kaningi kulabo abaneminyaka engaphezu kwengama-50, ngokusho kwe-.

Izici ezinobungozi be-PAD zibandakanya ukubhema, umfutho wegazi ophakeme, nomlando wesifo sikashukela noma isifo senhliziyo. Izimpawu zingafaka:

• ubuhlungu noma ukuba ndikindiki emilenzeni nasezingalweni, ikakhulukazi ngokuhamba noma ngokuzivocavoca umzimba
• ubuthakathaka
• ukukhula kabi kwezipikili
• izinga lokushisa lomzimba eliphansi emilenzeni nasezingalweni zakho (izinyawo ezipholile)
• ukuntuleka kwezinwele nesikhumba esikhanyayo emilenzeni
• izilonda eziphola kancane

I-PAD ingakhuphula ubungozi bokushaywa unhlangothi noma isifo senhliziyo ngoba abantu abane-atherosclerosis kule mithambo bangaba nayo nakweminye imithambo. Kepha ukwelashwa kuyatholakala ukuvimbela izinkinga ezisongela impilo. Nakhu ukubuka izindlela eziyisikhombisa zokwelapha nokuphatha i-PAD.

Imithi

Inhloso yokwelashwa kwe-PAD ukuthuthukisa ukugeleza kwegazi nokunciphisa amahlule egazini emithanjeni yegazi. Ukwelashwa kuhlose futhi ukwehlisa umfutho wegazi kanye ne-cholesterol ukuvimbela ukuqhubeka kwe-PAD.

Njengoba ukuqongelelwa kwamacwecwe kubanga lesi sifo, udokotela wakho uzokunika isitatimende. Lolu uhlobo lomuthi owehlisa i-cholesterol onganciphisa nokuvuvukala. Izitatimende zingathuthukisa impilo yonke yemithambo yakho futhi zinciphise ubungozi bokuhlaselwa yisifo senhliziyo nokushaywa unhlangothi.

Udokotela wakho angakunikeza nemithi yokwehlisa umfutho wegazi. Izibonelo zifaka i-ACE inhibitors, i-beta-blockers, i-diuretics, i-angiotensin II receptor blockers, kanye ne-calcium channel blockers. Udokotela wakho futhi angancoma izidakamizwa ukuvikela amahlule egazi, njenge-aspirin yansuku zonke noma omunye umuthi kadokotela noma i-blood thinner.

Uma unesifo sikashukela, kubalulekile ukuthatha imishanguzo yakho njengoba uyalelwe ukugcina izinga likashukela egazini liphilile.

Uma unezinhlungu ezithweni zakho, udokotela wakho angakunikeza nemithi efana ne-cilostazol (Pletal) noma i-pentoxifylline (Trental). Le mithi ingasiza ukugeleza kwegazi lakho kalula, okunganciphisa ubuhlungu bakho.

Ukuzivocavoca umzimba

Ukwandisa ileveli yomsebenzi wakho kungathuthukisa izimpawu zakho ze-PAD futhi kukusize uzizwe ungcono.

Ukuvivinya umzimba njalo kusiza ekuqiniseni umfutho wegazi namazinga e-cholesterol. Lokhu kunciphisa inani loqwembe emithanjeni yakho. Ukuzivocavoca umzimba kuthuthukisa nokujikeleza kwegazi nokuhamba kwegazi.

Udokotela wakho angancoma ukwelashwa esikhungweni sokuhlumelelisa lapho uzozivocavoca ngaphansi kokuqondiswa uchwepheshe wezokunakekelwa kwempilo. Lokhu kungabandakanya ukuhamba esitimeleni noma ukwenza izivivinyo ezisebenza ngqo imilenze nezingalo zakho.

Ungaqala futhi uhlelo lwakho lokuzivocavoca ngemisebenzi efana nokuhamba njalo, ukuhamba ngebhayisikili nokubhukuda. Hlela imizuzu engu-150 yokuzivocavoca umzimba isonto ngalinye. Qala kancane kancane kancane kancane ufinyelele kulo mgomo.

Yeka ukubhema

Ukubhema kuyayinciphisa imithambo yegazi, okungaholela ekutheni umfutho wegazi ophakeme. Kungakhuphula nobungozi bakho bezinkinga ezifana nokuhlaselwa yisifo senhliziyo noma isifo sohlangothi futhi kudale umonakalo ezindongeni zemithambo yegazi.

Ukuyeka ukubhema akugcini ngokuthuthukisa impilo yakho yonke, kodwa futhi kungabuyisa ukugeleza kwegazi futhi kunciphise ukuqhubekela phambili kwe-PAD. Ukuyeka ukubhema, hlola izinketho ezahlukahlukene zokufaka esikhundleni se-nicotine ukunqanda izifiso zakho. Lokhu kungafaka i-nicotine gum, sprays, noma ama-patches.

Ngaphezu kwalokho, eminye imithi ingakusiza ukuyeka ngempumelelo. Xhumana nodokotela wakho ukuze uhlole izinketho zakho.

Yidla ukudla okunempilo

Ukudla futhi kudlala indima enkulu ekubambezeleni ukuqhubeka kwe-PAD. Ukudla ukudla okunamafutha amaningi nokudla okunama-sodium amaningi kunganyusa amazinga akho e-cholesterol futhi kuqhube umfutho wegazi ophezulu. Lezi zinguquko ziholela ekwandeni kokukhiqizwa kwamacwecwe emithanjeni yakho.

Faka ukudla okunempilo kakhulu ekudleni kwakho, okufana nalokhu:

• izithelo nemifino
• imifino ekheniwe enesodium ephansi
• okusanhlamvu okolweni ogcwele
• i-omega-3 fatty acids, efana nenhlanzi
• amaprotheni anciphile
• ubisi olunamafutha amancane noma olungenamafutha

Zama ukugwema ukudla okwandisa amazinga e-cholesterol namazinga egazi. Lokhu kubandakanya ukudla okuthosiwe, ukudla okungenamsoco, okunye ukudla okunamafutha amaningi kanye ne-sodium eningi. Ezinye izibonelo zifaka ama-chips, ama-donuts, ama-carbohydrate acwengekile, nenyama esetshenzisiwe.

Phatha isifo sakho sikashukela

Uma ishiywe ingalashwa, i-PAD ingaholela ekufeni kwezicubu kanye nokunqunywa okungenzeka. Ngenxa yalokhu, kubalulekile ukuphatha isifo sikashukela nokugcina izinyawo zakho zisesimweni esihle.

Uma une-PAD nesifo sikashukela, kungathatha isikhathi eside ukulimala ezinyaweni noma emilenzeni yakho ukuphola. Ngenxa yalokho, ungaba sengozini eyengeziwe yokutheleleka.

Landela lezi zinyathelo ukugcina izinyawo zakho ziphilile:

• geza izinyawo zakho nsuku zonke
• gcoba umswakama esikhunjeni esiqhekekile
• gqoka amasokisi aminyene ukuvimbela ukulimala
• gcoba ukhilimu wama-antibiotic ukuze usike
• hlola izinyawo zakho ukuthola amanxeba noma izilonda

Bona udokotela wakho uma isilonda onyaweni lwakho singapholi noma siba sibi.

Ukuhlinzwa nezinye izinqubo

Ezimweni ezinzima ze-PAD, izinguquko zemithi nezindlela zokuphila kungenzeka zingasithuthukisi isimo sakho. Uma kunjalo, udokotela wakho angancoma ukuhlinzwa ukusiza ukubuyisela ukugeleza kwegazi okufanele emthanjeni ovinjiwe.

Izinqubo zingafaka i-angioplasty ngebhaluni noma i-stent yokuvula umthambo futhi iwugcine uvulekile.

Udokotela wakho futhi angadinga ukwenza ukuhlinzwa okudlula. Lokhu kuhilela ukususa umthambo wegazi kusuka kwenye ingxenye yomzimba wakho bese uwusebenzisa ukwakha ukuxhumanisa. Lokhu kuvumela igazi ukuba ligijime lizungeze umthambo ovinjiwe, njengokudala ukujikajika.

Udokotela wakho angaphinde afake umuthi emthanjeni ovinjiwe ukwephula igazi bese ubuyisela ukugeleza kwegazi.

Ukuthatha

I-PAD yasekuqaleni ayinazo izimpawu ngaso sonke isikhathi, futhi izimpawu ezivelayo kaningi zingaba ezicashile. Uma unezici eziyingozi zalesi simo futhi uthuthukisa ubuhlungu bemisipha, ubuthakathaka emilenzeni, noma amajaqamba emilenze, bheka udokotela.

I-PAD ingaqhubeka futhi iholele ezinkingeni ezinkulu, ngakho-ke ukwelashwa kusenesikhathi kubalulekile ukuthuthukisa impilo yakho yonke.