Ukungoneli kwe-venous

Ukungoneli kwemithambo yimeko apho imithambo inengxaki yokuthumela igazi lisuka emilenzeni libuyele entliziyweni.

Ngokwesiqhelo, izivalo kwimithambo yemilenze yakho enzulu zigcina igazi liqhubela phambili entliziyweni. Ngokungabikho kwemithambo yegazi yexesha elide (engapheliyo), iindonga zemithambo zenziwe buthathaka kwaye iivevithi zonakalisiwe. Oku kubangela ukuba imithambo ihlale igcwele ligazi, ngakumbi xa umile.

Ukungabikho kwemithambo engapheliyo yimeko yexesha elide. Kuqheleke kakhulu ngenxa yokungasebenzi kakuhle (ukungaphumeleli) kwezivalo kwimithambo. Inokwenzeka kwakhona njengesiphumo segazi elidlulileyo kwimilenze.

Imiba yomngcipheko wokungabikho kwemithambo ibandakanya:

• Ubudala
• Imbali yosapho yale meko
• Isini sabasetyhini (ngokunxulumene namanqanaba eprogesterone yehomoni)
• Imbali ye-vein thrombosis enzulu emilenzeni
• Ukutyeba kakhulu
• Ukukhulelwa
• Ukuhlala okanye ukuma ixesha elide
• Ubude obude

Ubuhlungu okanye ezinye iimpawu zibandakanya:

• Ukukhathazeka okubuhlungu, ubunzima, okanye ukunyanzelisa imilenze
• Ukurhawuzelela nokubetha
• Iintlungu eziba mandundu xa umi
• Intlungu eba ngcono xa kuphakanyiswa imilenze

Utshintsho lolusu emilenzeni lubandakanya:

• Ukudumba kwemilenze
• Ulusu olucaphuka okanye oluqhekekileyo ukuba uyalikrwempa
• Olubomvu okanye uvuvukile, lukhuni, okanye lukhala isikhumba (stasis dermatitis)
• Iimvumba ze-Varicose phezu komhlaba
• Ukuqina kunye nokuqina kolusu emilenzeni nasemaqatheni (lipodermatosclerosis)
• Inxeba okanye isilonda esikhawulezayo ukuphola emilenzeni okanye emaqatheni

Umboneleli wakho wezempilo uya kwenza uvavanyo lomzimba kwaye abuze malunga neempawu zakho kunye nembali yezonyango. Uxilongo luhlala lwenziwa ngokusekwe kwimithambo yemilenze xa umi okanye uhleli nemilenze yakho ijinga.

Uvavanyo oluphindwe kabini lomlenze wakho lunoku-odolwa ku:

• Jonga ukuba igazi lihamba njani emithanjeni
• Yenza ezinye iingxaki ngemilenze, njengegazi

Umboneleli wakho unokucebisa ukuba uthathe la manyathelo okuzikhathalela alandelayo ukunceda ukulawula ukungoneli kwemithambo:

• Ungahlali okanye ume ixesha elide. Nokuba uhambisa imilenze yakho inceda ukugcina igazi lihamba.
• Khathalela amanxeba xa unezilonda ezivulekileyo okanye usulelo.
• Ukunciphisa umzimba ukuba utyebe kakhulu.
• Zilolonge rhoqo.

Unxiba iisokisi zokucinezelwa ukuphucula ukuhamba kwegazi kwimilenze yakho. Isitokhwe sokucinezela ngobumnene cudisa imilenze yakho ukuze unyuse igazi kwimilenze yakho. Oku kunceda ukuthintela ukudumba kwemilenze kwaye, ukuya kuthi ga kwinqanaba, amahlwili egazi.

Xa utshintsho lolusu oluphambili lukhona, umboneleli wakho:

• Kuya kufuneka uchaze ukuba loluphi unyango lonyango olunokunceda, kwaye yintoni enokwenza ingxaki ibe mandundu
• Unokucebisa ezinye iziyobisi okanye amayeza anokunceda

Umboneleli wakho unokucebisa ngonyango olungenayo ukuba unayo:

• Intlungu yomlenze, enokwenza ukuba imilenze yakho ive nzima okanye udiniwe
• Izilonda zolusu ezibangelwa kukungahambi kakuhle kwegazi kwimithambo engapholiyo okanye ephindayo
• Ukuqina kunye nokuqina kolusu emilenzeni nasemaqatheni (lipodermatosclerosis)

Ukukhetha iinkqubo kubandakanya:

• I-Sclerotherapy - Amanzi etyuwa (ityuwa) okanye isisombululo semichiza sitofelwe emthanjeni. Umthambo uqina uze unyamalale.
• I-Phlebectomy - Ukucutha okuncinci (ukusikwa) kwenziwa emlenzeni kufutshane nomthambo owonakeleyo. Umthambo ususwe ngenye yeendlela.
• Iinkqubo ezinokwenziwa kwiofisi yomboneleli okanye eklinikhi, njengokusebenzisa i-laser okanye i-radiofrequency.
• I-Varicose vein stripping - Isetyenziselwa ukususa okanye ukubopha umthambo omkhulu emlenzeni obizwa ngokuba ngumthambo ongekho ngaphezulu.

Ukungoneliseki kwe-venous engapheliyo kuthanda ukuba mandundu ngokuhamba kwexesha. Nangona kunjalo, inokulawulwa ukuba unyango luqaliswe kwinqanaba lokuqala. Ngokuthatha amanyathelo okuzinyamekela, unokukwazi ukunciphisa ukungonwabi kunye nokuthintela imeko ukuba ibe mandundu. Kusenokwenzeka ukuba uya kufuna iinkqubo zonyango ukunyanga le meko.

Fowunela umnikezeli wakho ukuba:

• Unemithambo ye-varicose kwaye ibuhlungu.
• Imeko yakho iya isiba mandundu okanye ayiphucuki ngokuzikhathalela, njengokunxiba iisokisi zokucinezelwa okanye ukunqanda ukuma ixesha elide.
• Unokonyuka ngequbuliso kwintlungu yomlenze okanye ukudumba, umkhuhlane, ubomvu bomlenze, okanye izilonda zomlenze.

Isifo esinganyangekiyo semithambo; Isifo esinganyangekiyo semithambo; Isilonda somlenze - ukungoneli kwemithambo; Varicose veins - ukungoneliseki kwemithambo-luvo

• Intliziyo - umbono wangaphambili
• Ukungoneli kwe-venous

Ukurhoxisa i-MC, uMaleti O. Ukungoneliseki okungapheliyo kwemithambo: ukwakhiwa ngokutsha kwevalvevu yomthambo. Ku: Sidawy AN, Perler BA, ii-eds. Rutherford Uqhaqho lweMithambo kunye noNyango lwe-Endovascular. Umhla we-9. IPhiladelphia, PA: Elsevier; I-2019: isahluko 159.

I-Freischlag JA, uMncedisi JA. Isifo sesifo. Ku: Townsend CM Jr, Beauchamp RD, Evers BM, Mattox KL, ii-eds. Incwadi yeSabiston yoNyango. Umhla we-20. IPhiladelphia, PA: Elsevier; Ngo-2017: isahluko 64.

I-Pascarella L, i-Shortell CK. Ukuphazamiseka kwemithambo-luvo: ulawulo olungasebenziyo. Ku: Sidawy AN, Perler BA, ii-eds. Rutherford Uqhaqho lweMithambo kunye noNyango lwe-Endovascular. Umhla we-9. IPhiladelphia, PA: Elsevier; I-2019: isahluko 157.