Ngabe Kuzwakala Kanjani Uma Unengubo Yegazi?

-Delile

• Ukuqina kwegazi emlenzeni
• Ukuqina kwegazi esifubeni
• Ukuqina kwegazi esiswini
• Ukuqina kwegazi ebuchosheni
• Ungabiza nini udokotela wakho

Ukubuka konke

Amahlule egazi ayinkinga enkulu, ngoba angabeka impilo yabantu engcupheni. Ngokusho kweCenters for Disease Control and Prevention (CDC), kulinganiselwa ukuthi e-United States bayathinteka yilesi simo unyaka nonyaka. I-CDC ibuye ilinganisele ukuthi abantu abayi-60,000 kuya ku-100,000 bayafa ngalesi simo minyaka yonke.

Lapho ukuhlangana kwegazi kwenzeka komunye wemithambo yakho, kubizwa ngokuthi i-venous thromboembolism (VTE). Uma ukhathazeke kancane ungahle ube nayo, shayela udokotela wakho ngokushesha. Izimpawu zamahlule egazi zingahluka. Kungenzeka futhi ukuba negazi elingenazo izimpawu.

Funda ukuze ufunde ngezinye zezimpawu ezingakhombisa ukuminyana kwegazi.

Ukuqina kwegazi emlenzeni

Ukuqina kwegazi okuvela kolunye lwemithambo emikhulu emzimbeni wakho kubizwa nge-deep vein thrombosis (DVT). Zivame kakhulu emilenzeni noma esifundeni sesinqe. Ngenkathi ukuba khona nje kwehlule emilenzeni yakho kungeke kukulimaze, leli hlwili lingagqashuka lihlale emaphashini akho. Lokhu kuholela esimweni esibi futhi esingaba yingozi esaziwa ngokuthi yi-pulmonary embolism (PE).

Izimpawu zegazi egazini emlenzeni wakho zifaka:

• ukuvuvukala
• ububomvu
• ubuhlungu
• ububele

Lezi zimpawu zikhomba ikakhulukazi ekunqandeni kwegazi lapho zivela emlenzeni owodwa kuphela. Lokho kungenxa yokuthi kungenzeka ukuthi ube nehlule emlenzeni owodwa ngokungafani nemilenze yomibili. Kunezinye izimo nezici ezingachaza lezi zimpawu, noma kunjalo.

Ukusiza ukuhlukanisa ukunqamuka kwegazi okungahle kube khona kwezinye izimbangela, uThomas Maldonado, MD, udokotela ohlinzayo wemithambo nomqondisi wezokwelapha weVenous Thromboembolic Center e-NYU Langone Medical Center, unikeze ngeminye imicabango enemininingwane eminingi ngalokho umuntu angakuzwa uma enegazi.

Kokunye, ubuhlungu bungakukhumbuza ngesigaxa semisipha esibi noma ihhashi le-charley. Uma umlenze wakho uvuvukile, ukuphakamisa noma ukufaka uqhwa emlenzeni ngeke kunciphise ukuvuvukala uma kuyigazi. Uma uqweqwe noma ukubeka izinyawo phezulu kwenza ukuvuvukala kwehle, ungahle ube nokulimala kwemisipha.

Nge-clot yegazi, umlenze wakho ungazizwa ufudumele njengoba i-clot iba yimbi. Ungabona ngisho nombala omncane obomvu noma ohlaza okwesibhakabhaka esikhunjeni sakho.

Akufanele ukhathazeke ngeqhwa uma izinhlungu zomlenze zenziwa zimbi kakhulu ngokuvivinya umzimba kepha zikhululiwe ngokuphumula. Lokho kungenzeka kakhulu ukuthi kungumphumela wokuhamba kwegazi okuncane ngemithambo kune-DVT, kusho uMaldonado.

Ukuqina kwegazi esifubeni

Amahlule egazi angavame kakhulu emilenzeni engezansi, kepha kungenzeka nakwezinye izingxenye zomzimba wakho. Lapho amahlule akha khona nalapho agcina khona abe nomthelela wokuthi yiziphi izimpawu onazo nemiphumela.

Isibonelo, lapho ihlule legazi lakha emithanjeni yenhliziyo futhi livimba ukuphuma kwegazi, kungadala isifo senhliziyo. Noma iqhwa legazi lingahambela emaphashini akho futhi lidale i-PE. Zombili zingasongela impilo futhi zibe nezimpawu ezifanayo.

Ubuhlungu besifuba buwuphawu lokuthi kukhona okungahambi kahle, kepha ukuthola ukuthi ngabe isifo senhliziyo, i-PE, noma ukugaya nje kungaba nzima.

Ngokusho kukaMaldonado, ubuhlungu besifuba obuza ne-PE bungazizwa njengezinhlungu ezibukhali eziba zimbi kakhulu ngokuphefumula ngakunye. Lobu buhlungu bungafika nokuthi:

• ukuphefumula ngokuzumayo
• ukushaya kwenhliziyo okusheshayo
• mhlawumbe ukukhwehlela

Ubuhlungu esifubeni sakho obuzwakala kakhulu njengendlovu buhleli kuwe bungaba luphawu lomcimbi wenhliziyo ongaba nawo, njengokuhlaselwa yinhliziyo noma i-angina. Ubuhlungu obuhambisana nokuhlaselwa yinhliziyo okungenzeka bungagxila esifubeni sakho. Kungakhanya futhi engxenyeni engakwesokunxele yomhlathi wakho, noma ehlombe lakho langakwesobunxele nengalo.

Uma ujulukile noma unezinto ezifana nokugaya kanye nobuhlungu besifuba, lokho kuyimbangela enkulu yokukhathazeka ngokuhlaselwa yisifo senhliziyo, kusho uPatrick Vaccaro, MD, MBA, umqondisi weDivision of Vascular Diseases and Surgery e-Wexner Medical Center yase-Ohio State University .

Zombili lezi zimo zibucayi, futhi zombili lezi zimpawu ziyaqhubeka nokuthola usizo lwezokwelapha ngokushesha.

Ingabe ubuhlungu besifuba sakho buvela ekucinaneni noma ekuphumeni? Lokho kuhambisana kakhulu nokutheleleka noma isifuba somoya, kusho uMaldonado.

Ukuqina kwegazi esiswini

Lapho amahlule egazi akha komunye wemithambo emikhulu ekhipha igazi emathunjini akho, ibizwa nge-mesenteric venous thrombosis. Ukuqina kwegazi lapha kungamisa ukujikeleza kwegazi emathunjini futhi kudale ukulimala kwangaphakathi kuleyo ndawo. Ukubamba iqhwa esiswini kusenesikhathi kungaholela ekubukekeni kangcono.

Abanye abantu basengozini yalolu hlobo lweqhwa kunabanye, kusho uCaroline Sullivan, umhlengikazi kanye noprofesa osizayo e-Columbia University School of Nursing. Lokhu kufaka noma ngubani onenkinga ebangela ukuvuvukala kwezicubu ezizungeze imithambo, njenge:

• i-appendicitis
• umdlavuza
• ukwelashwa
• i-pancreatitis, noma ukuvuvukala okukhulu kwamanyikwe

Ukuphuza amaphilisi okulawula ukubeletha nemithi ye-estrogen futhi kwandisa amathuba akho okuba nalolu hlobo lwehlwili.

Izimpawu zeqhwa esiswini zingafaka ubuhlungu besisu, ukuqunjelwa nokuhlanza. Uma izinhlungu zesisu ziba zimbi kakhulu ngemuva kokudla noma ziba zimbi ngokuhamba kwesikhathi, kungenzeka ukuthi zihlotshaniswe nehlule, kusho uSullivan.

Lobu buhlungu bungaba bukhulu futhi kubonakale sengathi abuzange buvele ndawo. Akuyona into okungenzeka ukuthi uke wabhekana nayo ngaphambili, kusho uVaccaro, owayiqhathanisa “nobunye ubuhlungu obukhulu umuntu angabuzwa.”

Ukuqina kwegazi ebuchosheni

Amahlule egazi akha egumbini lenhliziyo yakho noma ngaphakathi kwemithambo ye-carotid entanyeni yakho angakwazi ukuya ebuchosheni bakho. Lokho kungadala isifo sohlangothi, kuchaza uSullivan.

Izimpawu zesifo sohlangothi zifaka:

• ubuthakathaka noma ukuba ndikindiki kolunye uhlangothi lomzimba wakho
• ukuphazamiseka kombono
• kunzima ukukhuluma ngokucacile
• ukuhamba kanzima
• ukungakwazi ukucabanga kahle

Ngokungafani nezinye izimpawu eziningi zamahlule egazi, uVaccaro uqaphele ukuthi cishe ngeke ubuzwe ubuhlungu ngohlangothi. "Kodwa kungenzeka kube nekhanda," esho.

Ngemininingwane engaphezulu yokuthi ukuzizwa unegazi kungazizwa kanjani, funda izindaba zangempela zabantu asebeke bazibonela eNational Blood Clot Alliance (NBCA).

Ungabiza nini udokotela wakho

Bona udokotela wakho uma ucabanga ukuthi kukhona ithuba elincane nje lokuthi ungaba negazi.

"Uma kutholakala ukuthi kunenkinga yegazi ngokushesha, kungaqalwa ukwelashwa ngokushesha futhi namathuba okulimala unomphela angancishiswa," kusho uVaccaro.