Izifo zemithambo yesifo semilenze - ukuzikhathalela

Isifo se-artery peripheral (PAD) kukucuthwa kwemithambo yegazi ezisa igazi emilenzeni nasezinyaweni. Inokwenzeka xa i-cholesterol kunye nezinye izinto ezinamafutha (i-atherosclerotic plaque) zakha iindonga zemithambo yakho.

I-PAD ibonakala ikakhulu kubantu abangaphezulu kweminyaka engama-65 ubudala. Isifo seswekile, ukutshaya, kunye noxinzelelo lwegazi olonyusa umngcipheko wePAD.

Iimpawu ze-PAD zibandakanya iicramps emilenzeni ubukhulu becala ngexesha lezinto zomzimba (ukucaphuka okwethutyana). Kwiimeko ezinzima, kunokubakho neentlungu xa umlenze uphumle.

Ukulawula iimeko ezinobungozi kunokunciphisa umngcipheko wokuqhubeka komonakalo wentliziyo. Unyango ikakhulu lubandakanya amayeza kunye nokuvuselelwa. Kwimeko enzima, utyando lunokwenziwa.

Inkqubo yokuhamba rhoqo iya kuphucula ukuhamba kwegazi njengokutsha, imithambo yegazi encinci. Inkqubo yokuhamba ikakhulu yile ilandelayo:

• Ukufudumala ngokuhamba ngesantya esingabangeli iimpawu zakho eziqhelekileyo zomlenze.
• Emva koko hamba uye kwinqanaba lokuqaqanjelwa okanye ukungonwabi.
• Phumla de iintlungu ziphele, emva koko uzame ukuhamba kwakhona.

Injongo yakho ekuhambeni kwexesha kukukwazi ukuhamba imizuzu engama-30 ukuya kwengama-60. Soloko uthetha nomboneleli wakho wezempilo ngaphambi kokuba uqale inkqubo yokuzilolonga. Shayela umnikezeli wakho ngokukhawuleza ukuba unayo nayiphi na impawu ngexesha okanye emva kokuzivocavoca:

• Iintlungu zesifuba
• Iingxaki zokuphefumla
• Ukuba nesiyezi
• Ukubetha kwentliziyo okungalinganiyo

Yenza utshintsho olulula ukongeza ukuhamba kusuku lwakho.

• Emsebenzini, zama ukuthatha izinyuko endaweni yesinyusi, thatha ikhefu lokuhamba imizuzu emi-5 ngeyure nganye, okanye ukongeza uhambo lwemizuzu eli-10 ukuya kwengama-20 ngexesha lesidlo sasemini.
• Zama ukupaka kwindawo ekude yokupaka, okanye nasezitratweni. Nokuba kungcono, zama ukuhamba uye evenkileni.
• Ukuba ukhwela ibhasi, hlika kwibhasi eyi-1 ngaphambi kokumisa kwesiqhelo uze uhambe indlela eseleyo.

Yeka ukutshaya. Ukutshaya kunciphisa imithambo yakho kwaye kwandisa umngcipheko wokuqina kwe-atherosclerotic okanye amahlwili egazi. Ezinye izinto onokuzenza ukuze uhlale usempilweni kangangoko:

• Qinisekisa ukuba uxinzelelo lwegazi lulawulwa kakuhle.
• Nciphisa ubunzima bakho, ukuba utyebe kakhulu.
• Yitya ukutya okune-cholesterol esezantsi kunye nokutya okunamafutha asezantsi.
• Vavanya iswekile yegazi lakho ukuba unesifo seswekile, kwaye usigcine phantsi kolawulo.

Jonga iinyawo zakho yonke imihla. Hlola iintloko, amacala, iinyawo, izithende, naphakathi kweenzwane zakho. Ukuba unengxaki yokubona, cela umntu ukuba akubekele iinyawo. Sebenzisa into yokuthambisa ukugcina ulusu lwakho lusempilweni. Njonga i:

• Isikhumba esomileyo okanye esiqhekekileyo
• Amadyungudyungu okanye izilonda
• Imivumbo okanye ukusika
• Ubomvu, ukufudumala, okanye ukuthamba
• Iindawo eziqinileyo okanye ezinzima

Fowunela umnikezeli wakho ngendlela eyiyo malunga naziphi na iingxaki zeenyawo. SUKUZAMA ukuzinyanga kuqala.

Ukuba uthatha amayeza oxinzelelo lwegazi oluphezulu, i-cholesterol ephezulu, okanye isifo seswekile, thatha njengoko kumiselwe. Ukuba awuthathi amayeza e-cholesterol ephezulu, buza umboneleli wakho malunga nabo njengoko banokukunceda nokuba i-cholesterol yakho ayiphezulu.

Umboneleli wakho unokumisela la mayeza alandelayo ukulawula isifo sakho semithambo:

• I-Aspirin okanye iyeza elibizwa ngokuba yi-clopidogrel (Plavix), eligcina igazi lakho lingazenzi amahlwili
• I-Cilostazol, iyeza elenza (lehlise) imithambo yegazi

SUKUYEKE ukuthatha la mayeza ungakhange uqale uthethe nomboneleli wakho.

Fowunela umnikezeli wakho ukuba unayo:

• Umlenze okanye unyawo olupholileyo xa ufika ngaphandle, ubala, luhlaza okwesibhakabhaka, okanye undindisholo
• Intlungu yesifuba okanye ukuphefumla kancinci xa unentlungu yomlenze
• Intlungu yomlenze engahambiyo, nokuba awuhambi okanye ushukuma (ekuthiwa yintlungu yokuphumla)
• Imilenze ebomvu, eshushu, okanye edumbileyo
• Izilonda ezitsha emilenzeni okanye ezinyaweni
• Iimpawu zosulelo (ifiva, ukubila, ulusu olubomvu kunye nobuhlungu, ukugula gwenxa)
• Izilonda ezingapholiyo

Isifo se-vascular peripheral - ukuzinyamekela; Ukuchaphazeleka okungapheliyo-ukuzikhathalela

ILungu lePalamente leBonaca, iCreager MA. Izifo zemithambo yegazi. Ku: Zipes DP, Libby P, Bonow RO, Mann DL, Tomaselli GF, Braunwald E, ii-eds. Isifo sentliziyo seBraunwald: Incwadi yesifundo seMpilo yeNtliziyo. Ngomhla we-11. IPhiladelphia, PA: Elsevier; I-2019: isahluko 64.

Kullo IJ. Imithambo yegazi lomda. Ku: Kellerman RD, Rakel DP, ii-eds. Unyango lwangoku lukaConn 2019. IPhiladelphia, PA: Elsevier; Ngo-2019: 141-145.

I-Simons JP, iRobinson WP, iSchanzer A. Isifo esiphantsi kwesifo: ulawulo lwezonyango kunye nokwenza izigqibo. Ku: Sidawy AN, Perler BA, ii-eds. Utshintsho lukaRutherford lweeVascular and Therapy ze-Endovascular Therapy. Umhla we-9. IPhiladelphia, PA: Elsevier; I-2019: isahluko 105.

• Izifo ezijikeleze isifo seAterial