Kungani I-Polycythemia Vera Ibangela Ubuhlungu Emlenzeni?

-Delile

• Kungani i-polycythemia vera ibangela ubuhlungu bomlenze?
• Iyini i-deep vein thrombosis (DVT)?
• Amajaqamba omlenze
• Ukwelapha ubuhlungu bomlenze
• Ukuvimbela ubuhlungu bomlenze
• Ukubonana nodokotela nini
• Ukuthatha

IPolycythemia vera (PV) wuhlobo lomdlavuza wegazi lapho umnkantsha ukhiqiza amangqamuzana amaningi egazi. Amaseli abomvu engeziwe nama-platelets aligwinya igazi futhi lenze ukuthi kube lula ukujiya.

Ihlule lingavela ezingxenyeni eziningi zomzimba futhi lidale umonakalo. Uhlobo olulodwa lwe-clot yi-vein thrombosis ejulile (i-DVT), evame ukwenzeka emlenzeni. I-DVT ingaholela ekuqothulweni kwamaphaphu okungaba yingozi (PE). Ingozi ye-DVT iphezulu kubantu abane-PV.

Kunezinhlobo ezahlukene nezimbangela zobuhlungu bomlenze.Akubona bonke ubuhlungu bomlenze obuxhunyaniswe ne-PV, futhi ukuqobeka akusho ukuthi une-DVT. Funda ukuze uthole kabanzi mayelana nezinhlobo zobuhlungu bomlenze nokuthi kufanele uxhumane nodokotela wakho nini.

Kungani i-polycythemia vera ibangela ubuhlungu bomlenze?

I-PV idala ukuthi igazi libe likhulu kunokujwayelekile ngenxa yamazinga aphezulu wamaseli abomvu nama-platelets. Uma une-PV nobuhlungu bomlenze, ihlwili lingaba imbangela.

Ukubalwa kwamaseli abomvu okuphezulu kwenza igazi libe mkhulu ngakho ligeleza kancane. Ama-platelet aklanyelwe ukunamathela ndawonye ukwephuza ukopha lapho ulimele. Ama-platelet amaningi kakhulu angadala ukwakheka kwamahlule ngaphakathi kwemithambo.

Amazinga aphakeme womabili amangqamuzana abomvu egazi nama-platelet akhulisa ubungozi bokuthi igazi liqhume futhi lidale ukuvaleka. Ukuqaqeka emthanjeni womlenze kungadala izimpawu kubandakanya nobuhlungu bomlenze.

Iyini i-deep vein thrombosis (DVT)?

I-deep vein thrombosis (i-DVT) kulapho i-clot yegazi yenzeka emthanjeni omkhulu, ojulile. Kwenzeka kaningi endaweni ye-pelvic, emlenzeni ophansi, noma ethangeni. Ingakha futhi engalweni.

I-PV ibangela ukuthi igazi ligeleze kancane futhi livale kalula, okwandisa ubungozi be-DVT. Kubalulekile ukuqaphela izimpawu ze-DVT uma une-PV. Lokhu kufaka phakathi:

• ukuvuvukala esithweni esisodwa
• ubuhlungu noma ukuqunjelwa okungabangelwa ukulimala
• isikhumba esibomvu noma esifudumele uma usithinta

Ingozi enkulu ye-DVT ukuthi i-clot ingagqashuka ihambele emaphashini akho. Uma ihlwili libambeka emthanjeni emaphashini akho, livimba igazi lingafinyeleli emaphashini akho. Lokhu kubizwa ngokuthi yi-pulmonary embolism (PE) futhi kuyisimo esiphuthumayo esisongela impilo.

Izimpawu nezimpawu ze-PE zifaka:

• ukuphefumula kanzima ngokuzumayo nokuphefumula okuncane
• ubuhlungu besifuba, ikakhulukazi lapho ukhwehlela noma uzama ukuthatha umoya ojulile
• ukukhwehlela uketshezi olubomvu noma olubomvana
• ukushaya kwenhliziyo okusheshayo noma okungajwayelekile
• uzizwa unekhanda elincane noma unesiyezi

Ungaba ne-PE ngaphandle kwezimpawu ze-DVT, njengobuhlungu bomlenze. Kufanele uthole usizo lwezokwelapha khona manjalo uma unezimpawu ze-PE, noma ngaphandle kobuhlungu bomlenze.

Amajaqamba omlenze

Amajaqamba emilenze awakhombisi ngaso sonke isikhathi isimo sezempilo esibi njenge-DVT futhi awaxhunyanisiwe ne-PV. Ngokuvamile azinzima futhi ziyahamba zodwa zingakapheli imizuzu embalwa.

Amajaqamba ukuqina okubuhlungu nokuzumayo kwemisipha yakho ngokuzumayo, imvamisa emlenzeni ongezansi.

Izimbangela zingafaka ukoma, ukusetshenziswa ngokweqile kwemisipha, ubunzima bemisipha, noma ukuhlala endaweni efanayo isikhathi eside. Ama-cramps kungenzeka angabi nayo imbangela ebonakalayo.

Amajaqamba angahlala imizuzwana embalwa kuya emizuzwini embalwa. Ungazizwa uqaqamba emlenzeni wakho ngemuva kokumiswa kwe-cramping.

Izimpawu zezimpawu zemilenze zifaka:

• ubuhlungu obukhali noma obubuhlungu emlenzeni wakho okungazelelwe futhi okukhulu futhi okuhlala imizuzwana embalwa kuya emizuzwini embalwa
• isigaxa lapho isicubu siqinise khona
• ukungakwazi ukuhambisa umlenze wakho kuze kube yilapho imisipha ikhululeka

Ukwelapha ubuhlungu bomlenze

Ukwelashwa kobuhlungu bomlenze kuncike embangela.

Kubalulekile ukwelapha i-DVT ukunciphisa ubungozi be-PE. Uma une-PV, kungenzeka ukuthi usuvele uku-thinner. Imithi yakho ingashintshwa uma udokotela wakho ethola i-DVT.

Udokotela wakho futhi angancoma amasokisi okucindezela. Lokhu kusiza ukugcina igazi ligeleza emilenzeni yakho futhi kunciphise ingozi ye-DVT ne-PE.

Ukwelapha amajaqamba emilenzeni, zama ukubhucunga noma ukwelula imisipha ize iphumule.

Ukuvimbela ubuhlungu bomlenze

Amasu amaningana angasiza ekuvimbeleni i-DVT nemilenze.

Amathiphu alandelayo angasiza ukuvimbela i-DVT uma une-PV:

• Landela uhlelo lwakho lokwelashwa kwe-PV ukuphatha izimpawu nokugcina igazi lingakhuli kakhulu.
• Thatha yonke imishanguzo enconywe ngudokotela wakho njengoba uqondisile.
• Khuluma nodokotela wakho uma unenkinga ngemiphumela emibi noma ukhumbula ukuthatha imithi enqunyiwe.
• Hlala uxhumana njalo nethimba lakho lokunakekelwa kwezempilo ukuze nixoxe ngezimpawu nokusebenza kwegazi.
• Zama ukugwema ukuhlala isikhathi eside.
• Thatha amakhefu ukuze uzulazule okungenani njalo emahoreni amabili kuya kwangu-3 bese welula njalo.
• Zivocavoce njalo ukuze ukhuphule ukugeleza kwegazi futhi wehlise ubungozi behlwili.
• Sebenzisa amasokisi okucindezela ukuxhasa ukusakazwa okuhle.

Izindlela zokuvimbela amajaqamba omlenze:

• Ukwehla kwamanzi emzimbeni kungadala amajaqamba emilenzeni. Yenza okusemandleni akho ukuphuza iziphuzo usuku lonke.
• Khomba izinzwane zakho phezulu nangaphansi izikhathi ezimbalwa nsuku zonke ukwelula imisipha yethole.
• Gqoka izicathulo ezisekelayo nezintofontofo.
• Ungafaki amashidi okulala ngokuqinile. Lokhu kungagcina imilenze nezinyawo zakho zibhajwe endaweni efanayo ubusuku bonke futhi kwenyuse nengozi yokuqaqamba kwemilenze.

Ukubonana nodokotela nini

I-DVT iyinkinga enkulu ye-PV engaholela embolism yamaphaphu esongela impilo. Funa usizo lwezimo eziphuthumayo ngokushesha uma unanoma yiziphi izimpawu ze-DVT noma i-PE.

Ukuthatha

I-PV wuhlobo lomdlavuza wegazi odala amazinga aphezulu amaseli abomvu nama-platelets. I-PV engalashwa yandisa ubungozi bamahlule, kufaka phakathi i-vein thrombosis ejulile. I-DVT ingadala i-pulmonary embolism, engabulala ngaphandle kokwelashwa okusheshayo.

Akubona bonke ubuhlungu bomlenze obuyi-DVT. Amajaqamba emilenze ajwayelekile futhi imvamisa asheshe ahambe ngokwawo. Kepha ububomvu nokuvuvukala kanye nobuhlungu bomlenze kungaba yizimpawu ze-DVT. Kubalulekile ukuthola ukwelashwa ngokushesha uma usola i-DVT noma i-PE.