Izilonda zeschemic - ukuzikhathalela

Izilonda zeschemic (amanxeba) zinokwenzeka xa kukho ukuhamba kwegazi okungalunganga kwimilenze yakho. Ischemic kuthetha ukunciphisa ukuhamba kwegazi kwindawo yomzimba. Ukuhamba gazi okungalunganga kubangela ukuba iiseli zife kwaye zonakalise izicwili. Uninzi lwezilonda zeschemic zenzeka ezinyaweni nasemilenzeni. Ezi ntlobo zamanxeba zinokucotha ukuphola.

Imithambo evaliweyo (isifo sokuqina kwemithambo yegazi) sesona sizathu siqhelekileyo sezilonda zeschemic.

• Iimithambo ezivalekileyo zithintela unikezelo lwempilo lwegazi ekubeni luye emilenzeni. Oku kuthetha ukuba izicwili ezisemilenzeni yakho azifumani zondlo zaneleyo neoksijini.
• Ukungabikho kwezondlo kubangela ukuba iiseli zife, zonakalise izicubu.
• Izicubu ezonakalisiweyo ezingafumani gazi laneleyo nazo zihlala ziphola kancinci.

Iimeko apho ulusu luvutha kwaye ulwelo lwakhiwe emilenzeni kunokubangela izilonda zeschemic.

Abantu abanengxaki yokuhamba kwegazi rhoqo banokonakala kwemithambo-luvo okanye izilonda ezinyaweni zesifo seswekile. Umonakalo wemithambo wenza kube nzima ukuziva indawo kwisihlangu esikhuhla kwaye ibangele ukuqaqamba. Nje ukuba kubebuhlungu, ukuhamba gazi okungalunganga kwenza ukuba kube nzima ukuphola kwesilonda.

Iimpawu zezilonda zeschemic zibandakanya:

• Amanxeba anokuvela emilenzeni, emaqatheni, ezinzwaneni, naphakathi kweenzwane.
• Ubomvu obomvu, mthubi, ngwevu, okanye mnyama.
• Imiphetho ephakanyisiweyo ejikeleze inxeba (ijongeka ikhutshiwe).
• Akukho ukopha.
• Inxeba elinzulu elinokubonisa ngalo iithoni.
• Inxeba linakho okanye lingabi buhlungu.
• Ulusu emlenzeni lubonakala lukhazimla, luqinile, lomile kwaye alunaboya.
• Ukujingisa umlenze ezantsi ecaleni kwebhedi okanye isitulo kubangela ukuba umlenze ube bomvu.
• Xa uphakamisa umlenze, ujika ubemdaka kwaye upholile ukuchukumisa.
• Ukuqaqanjelwa yintlungu elunyaweni okanye emlenzeni, rhoqo ebusuku. Ubuhlungu bunokuhamba xa umlenze ujinga phantsi.

Nabani na osasaza kakubi usengozini yamanxeba eschemic. Ezinye iimeko ezinokubangela amanxeba eschemic zibandakanya:

• Izifo ezibangela ukudumba, ezinjenge lupus
• Igazi elonyukayo
• Amanqanaba aphezulu e-cholesterol
• Isifo sezintso esinganyangekiyo
• Ukuvaleka kwemithambo ye-lymph, ebangela ukuba ulwelo lwakhiwe emilenzeni
• Ukutshaya

Ukunyanga isilonda se-ischemic, ukuhamba kwegazi kwimilenze yakho kufuneka kubuyiselwe. Kuya kufuneka ukuba uthathe amayeza. Ngamanye amaxesha, unokufuna utyando.

Umboneleli wakho wezempilo uya kukubonisa ukuba ulinyamekela njani inxeba lakho. Imiyalelo esisiseko yile:

• Ngalo lonke ixesha gcina inxeba licocekile kwaye libotshiwe ukuthintela usulelo
• Umboneleli wakho uya kukuxelela ukuba ufuna kangaphi ukutshintsha indlela onxiba ngayo.
• Gcina isinxibo kunye nolusu olujikelezileyo lomile. Zama ukungafumani zihlunu ezisempilweni ezijikeleze inxeba zimanzi kakhulu. Oku kungazithambisa izicwili zempilo, kubangele ukuba inxeba likhule.
• Ngaphambi kokufaka into yokunxiba, coca inxeba ngocoselelo ngokwemiyalelo yomboneleli wakho.
• Unokwazi ukutshintsha indlela onxiba ngayo, okanye amalungu osapho anokukwazi ukunceda. Umongikazi otyeleleyo unokukunceda nawe.

Ukuba usemngciphekweni wezilonda zeschemic, ukuthatha la manyathelo kunokunceda ukuthintela iingxaki:

• Jonga iinyawo nemilenze yakho yonke imihla. Jonga iintloko kunye neebhotile, amaqatha, izithende, naphakathi kweenzwane zakho. Khangela utshintsho kumbala kunye nendawo ebomvu okanye ebuhlungu.
• Nxiba izihlangu ezikulungeleyo kwaye ungazithambisi okanye uzicinezele kwiinyawo zakho. Nxiba iikawusi ezikulinganayo. Iikawusi ezinkulu kakhulu zinokuzibandakanya kwizicathulo zakho kwaye zibangele ukurabha okanye ulusu, olunokukhokelela kwisifo.
• Zama ukuba ungahlali okanye ume ixesha elide kwindawo enye.
• Khusela iinyawo zakho kwingqele.
• Musa ukuhamba ngeembadada. Khusela iinyawo zakho ekonzakaleni.
• Musa ukunxiba isitokhwe soxinzelelo okanye usonge ngaphandle kokuba uxelelwe ngumboneleli wakho. Ezi zinokuthintela ukuhamba kwegazi.
• Sukuntywila iinyawo zakho emanzini ashushu.

Olunye utshintsho kwindlela yokuphila lunokunceda ukuthintela izilonda zeschemic. Ukuba unesilonda, ukuthatha la manyathelo kunokuphucula ukuhamba kwegazi kunye nokunceda ukuphilisa.

• Yeka ukutshaya. Ukutshaya kungakhokelela kwimithambo evalekileyo.
• Ukuba unesifo seswekile, gcina inqanaba leswekile esegazini lakho phantsi kolawulo. Oku kuya kukunceda uphilise ngokukhawuleza.
• Zilolonge kangangoko unakho. Ukuhlala usebenza kunokunceda ukuhamba kwegazi.
• Yitya ukutya okusempilweni kwaye ulale ngokwaneleyo ebusuku.
• Ukunciphisa umzimba ukuba utyebe kakhulu.
• Lawula uxinzelelo lwegazi kunye namanqanaba e-cholesterol.

Fowunela umboneleli wakho ukuba ngaba kukho naziphi na iimpawu zosulelo, ezinje:

• Ubomvu, ukwanda kobushushu, okanye ukudumba ujikeleze inxeba
• Umsele ongaphezulu kunangaphambili okanye umjelo ophuzi okanye onamafu
• Ukopha
• Ivumba
• Umkhuhlane okanye ubanda
• Ukwanda kwentlungu

Izilonda zemithambo - ukuzikhathalela; Ukungoneli kwemithambo-luvo yokuzikhathalela; Amanxeba eschemic - ukuzikhathalela; Imithambo peripheral isifo - isilonda; Isifo peripheral semithambo - isilonda; PVD - isilonda; I-PAD - isilonda

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U-Leong M, uMurphy KD, uPhillips LG. Ukuphilisa amanxeba. Ku: Townsend CM Jr, Beauchamp RD, Evers BM, Mattox KL, ii-eds. Incwadi yeSabiston yoNyango: Isiseko sebhayiloji yoQeqesho lwangoku. Umhla we-20. IPhiladelphia, PA: Elsevier; Ngo-2017: isahluko 6.

USmith SF, uDuell DJ, uMartin BC, uAebersold M, uGonzalez L. ukhathalelo lwenxeba kunye nokunxiba. Ku: Smith SF, uDuell DJ, uMartin BC, uAebersold M, uGonzalez L, ii-eds. Izakhono zoLondolozo lwezeKlinikhi: ezisisiseko kwizakhono eziPhambili. Umhla we-9. ENew York, NY: Pearson; Ngo-2017: isahluko 25.

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