Ukungasebenzi kahle kwe-venous

-Delile

• Kuyini ukunganeli kwemithambo yegazi?
• Izimbangela zokungasebenzi kahle kwemithambo yegazi
• Izimpawu zokungasebenzi kahle kwemithambo yegazi
• Kutholakalaphi ukutholakala kwemithambo yegazi?
• I-Venogram
• I-duplex ultrasound
• Kuphathwa kanjani ukunganeli kwemithambo yegazi
• Ukwenza ngcono ukugeleza kwegazi
• Imithi
• Ukuhlinzwa
• I-phlebectomy yokuhambisa
• I-Sclerotherapy
• Izinqubo ze-catheter
• Ungakuvimbela kanjani ukunganeli kwemithambo yegazi

Kuyini ukunganeli kwemithambo yegazi?

Imithambo yakho yegazi ithwala igazi lisuke enhliziyweni yakho liye kuwo wonke umzimba wakho. Imithambo yakho ibuyisela igazi enhliziyweni, futhi ama-valve emithanjeni avimba igazi ukuba lingabuyeli emuva.

Lapho imithambo yakho inenkinga yokuthumela igazi elisuka ezingalweni zakho libuyele enhliziyweni, kwaziwa njengokwenqaba kwama-venous. Kulesi simo, igazi aligelezi libuyele enhliziyweni ngokufanele, lidale ukuthi igazi lingene emithanjeni yemilenze yakho.

Izici eziningana zingadala ukungasebenzi kahle kwemithambo yegazi, yize kuvame ukubangelwa amahlule egazi (i-vein thrombosis ejulile) nemithambo ye-varicose.

Noma ngabe unomlando womndeni wokunganeli ngokweqile, kunezinyathelo ezilula ongazithatha ukwehlisa amathuba akho okuba nalesi simo.

Izimbangela zokungasebenzi kahle kwemithambo yegazi

Ukungasebenzi kahle kwe-venous kuvame ukubangelwa amahlule egazi noma imithambo ye-varicose.

Emithanjeni enempilo, kunokugeleza okuqhubekayo kwegazi kusuka ezingalweni kubuyela enhliziyweni. Amaphayiphu ngaphakathi kwemithambo yemilenze asiza ukuvimbela ukuphuma kwegazi emuva.

Izimbangela ezivame kakhulu zokunganeleki kwama-venous yizimo zangaphambilini zamahlule egazi nemithambo ye-varicose.

Lapho ukugeleza phambili ngemithambo kuvinjelwe - njengasesimweni segazi - igazi lakha ngaphansi kwegazi, okungaholela ekungeneni kahle kwemithambo yegazi.

Emithanjeni ye-varicose, ama-valve ngokuvamile alahlekile noma akhubazekile, futhi igazi liyavuza liphinde libuyele kuma-valve owonakele.

Kwezinye izimo, ubuthakathaka emisipheni yemilenze okukhama igazi liye phambili nakho kungaba nomthelela ekungazini kahle kwemithambo.

Ukungasebenzi kahle kwe-venous kuvame kakhulu kwabesifazane kunakubesilisa. Kungenzeka futhi ukuthi kwenzeke kubantu abadala abangaphezu kweminyaka engama-50, ngokusho kweCleveland Clinic.

Ezinye izinto ezinobungozi zifaka:

• amahlule egazi
• imithambo ye-varicose
• ukukhuluphala ngokweqile
• ukukhulelwa
• ukubhema
• umdlavuza
• ubuthakathaka bemisipha, ukulimala emlenzeni, noma ukuhlukumezeka
• ukuvuvukala komthambo ongaphezulu (phlebitis)
• umlando womndeni wokungasebenzi kahle kwemithambo yegazi
• ukuhlala noma ukuma isikhathi eside ngaphandle kokunyakaza

Izimpawu zokungasebenzi kahle kwemithambo yegazi

Izimpawu zokungasebenzi kahle kwe-venous zifaka:

• ukuvuvukala kwemilenze noma amaqakala (i-edema)
• izinhlungu eziba zimbi kakhulu uma ume futhi ziba ngcono lapho uphakamisa imilenze yakho
• amajaqamba omlenze
• Ubuhlungu, ukushaya, noma umuzwa wobunzima emilenzeni yakho
• ukulunywa imilenze
• imilenze ebuthakathaka
• ukuqina kwesikhumba emilenzeni noma emaqakaleni
• isikhumba esishintsha umbala, ikakhulukazi emaqakaleni
• izilonda zomlenze
• imithambo ye-varicose
• umuzwa wokuqina kumathole akho

Kutholakalaphi ukutholakala kwemithambo yegazi?

Udokotela wakho uzofuna ukuhlola ngokomzimba futhi athathe umlando ophelele wezokwelapha ukuthola ukuthi awunakho yini ukubekezelela i-venous.

Bangaphinde ba-oda ezinye izivivinyo zokuthatha isithombe ukukhomba umthombo wenkinga. Lezi zivivinyo zingafaka i-venogram noma i-duplex ultrasound.

I-Venogram

Ngesikhathi se-venogram, udokotela wakho uzofaka udayi wokufaka intravenous (IV) emithanjeni yakho.

Idayi yokuqhathanisa ibangela ukuthi imithambo yegazi ibonakale ingabonakali esithombeni se-X-ray, esisiza udokotela ukuyibona esithombeni. Lo dayi uzonikeza udokotela wakho isithombe esicacile se-X-ray semithambo yakho yegazi.

I-duplex ultrasound

Uhlobo lokuhlola olubizwa nge-duplex ultrasound lungasetshenziswa ukuhlola isivinini nokuqondisa kokugeleza kwegazi emithanjeni.

Uchwepheshe uzobeka ijeli ethile esikhunjeni bese ecindezela into encane ephathwa ngesandla (i-transducer) kule ndawo. I-transducer isebenzisa amaza omsindo abuyela emuva kukhompyutha futhi iveze isithombe sokugeleza kwegazi.

Kuphathwa kanjani ukunganeli kwemithambo yegazi

Ukwelashwa kuzoncika ezintweni eziningi, kufaka phakathi isizathu sesimo nesimo sakho sempilo nomlando. Ezinye izinto udokotela wakho azocabanga ngazo yilezi:

• izimpawu zakho ezithile
• iminyaka yakho
• ubunzima besimo sakho
• ungayibekezelela kahle kanjani imithi noma izinqubo

Ukwelashwa okuvame kakhulu ukungafezeki kwama-venous kungukucindezelwa kwamasokisi kadokotela. Lezi zitokisi ezikhethekile ezinwebeka zisebenzisa ingcindezi eqakaleni nasemlenzeni ophansi. Zisiza ukwenza ngcono ukugeleza kwegazi futhi zinganciphisa ukuvuvukala kwemilenze.

Izitokisi zokucindezelwa ziza ngezinhlobo zamandla kadokotela nobude obuhlukile. Udokotela wakho uzokusiza ukuthi unqume ukuthi yiluphi uhlobo oluhle kakhulu lokucindezela ukugcina ukwelashwa kwakho.

Ukwelashwa kokungasebenzi kahle kwama-venous kungafaka amasu ahlukahlukene ahlukahlukene:

Ukwenza ngcono ukugeleza kwegazi

Nawa amanye amathiphu wokuthuthukisa ukugeleza kwegazi lakho:

• Gcina imilenze yakho iphakanyisiwe uma kungenzeka.
• Gqoka amasokisi okucindezela ukufaka ingcindezi emilenzeni yakho ephansi.
• Gcina imilenze yakho ingawele lapho uhleli.
• Vocavoca umzimba njalo.

Imithi

Kukhona nemithi eminingi engasiza labo abanalesi simo. Lokhu kufaka phakathi:

• i-diuretics: imithi edonsa uketshezi oluthe xaxa emzimbeni wakho olukhishwa ngezinso zakho
• ama-anticoagulants: imithi enciphisa igazi
• i-pentoxifylline (Trental): umuthi osiza ukuthuthukisa ukugeleza kwegazi

Ukuhlinzwa

Kwesinye isikhathi amacala abucayi kakhulu wokunganeli kwemithambo adinga ukuhlinzwa. Udokotela wakho angase asikisele enye yezinhlobo zokuhlinzwa ezilandelayo:

• Ukulungiswa kokuhlinzwa kwemithambo noma ama-valve
• Ukususa (ukuhlubula) umthambo owonakele
• Ukuhlinzwa okuncane okuhlasela i-endoscopic: Udokotela ohlinzayo ufaka ishubhu elincane elinekhamera ukuze lisize ukubona nokubopha imithambo ye-varicose.
• Ukudlula emthanjeni: Umthambo onempilo utshalwe kabusha kusuka kwenye indawo emzimbeni wakho. Ngokuvamile isetshenziswa kuphela ethangeni eliphezulu futhi njengenketho yokugcina yamacala abucayi kakhulu.
• Ukuhlinzwa kwe-Laser: Ukwelashwa okusha okusebenzisa ama-lasers ukubuna noma ukuvala umthambo owonakele ngokukhanya okunamandla kokukhanya endaweni encane, ethize.

I-phlebectomy yokuhambisa

Le nqubo yokwelashwa (ngeke kudingeke ukuba uchithe ubusuku esibhedlela) ifaka phakathi udokotela wakho endikindiki amabala athile emlenzeni wakho, bese wenza izinhlaba ezincane nokususa imithambo emincane ye-varicose.

I-Sclerotherapy

Le ndlela yokwelashwa ivame ukubekelwa ukungenzi kahle kwama-venous okuthuthukile.

Ku-sclerotherapy, kufakwa ikhemikhali emthanjeni owonakele ukuze ingasakwazi ukuthwala igazi. Igazi lizobuyela enhliziyweni ngeminye imithambo, futhi umthambo owonakele ekugcineni uzongeniswa ngumzimba.

I-Sclerotherapy isetshenziselwa ukubhubhisa imithambo emincane kuya ephakathi. Kufakwa ikhemikhali emthanjeni owonakele ukuze ingasakwazi ukuthwala igazi.

Izinqubo ze-catheter

Ezimweni ezimbi kakhulu, udokotela wakho angasebenzisa inqubo ye-catheter yemithambo emikhulu. Bazofaka ipayipi (ithubhu elincanyana) emthanjeni, bashise ukuphela kwawo, bese beyakususa. Ukushisa kuzokwenza ukuthi umthambo uvalwe futhi uvalwe lapho kukhishwa ipayipi.

Ungakuvimbela kanjani ukunganeli kwemithambo yegazi

Uma unomlando womndeni wokunganele ngokweqile, ungathatha izinyathelo zokunciphisa amathuba akho okuba nesimo:

• Ungahlali noma ume endaweni eyodwa isikhathi eside. Sukuma uzulazule kaningi.
• Ungabhemi, futhi uma ubhema, yeka.
• Vivinya umzimba njalo.
• Gcina isisindo somzimba esinempilo.