Izilonda ze-venous - ukuzinyamekela

Izilonda zemithambo-luvo (izilonda ezivulekileyo) zinokwenzeka xa imithambo emilenzeni ingatyhaleli igazi libuyele entliziyweni yakho njengoko kufanelekile. Igazi libuyela emithanjeni, lisakha uxinzelelo. Ukuba ayinyangwa, ukunyuka koxinzelelo kunye nokugcwala okugqithisileyo kwindawo echaphazelekayo kunokubangela ukuba kuvuleke isilonda esivulekileyo.

Uninzi lwezilonda zemithambo luvela emlenzeni, ngaphezulu kweqatha. Olu hlobo lwenxeba lunokucotha ukuphola.

Unobangela wezilonda zemithambo yoxinzelelo oluphezulu kwimithambo yomlenze ongezantsi. Imithambo ineevalvu zendlela enye ezigcina igazi ligobhoza lisiya entliziyweni yakho. Xa ezi zivalo zibuthathaka okanye imithambo iba namabala kwaye ivaleke, igazi linokuhamba libuye umva kunye nephuli kwimilenze yakho. Oku kubizwa ngokuba kukungoneliseki kwemithambo-luvo. Oku kukhokelela kuxinzelelo oluphezulu kwimithambo yemilenze esezantsi. Ukonyuka koxinzelelo kunye nokwakhiwa kolwelo kuthintela izakhamzimba kunye neoksijini ekufumaneni izicwili. Ukungabikho kwezondlo kubangela ukuba iiseli zife, zonakalise izicubu, kwaye inxeba linokubakho.

Xa amachibi egazi kwimithambo yomlenze ongezantsi, iiseli zolwelo kunye negazi zingena phakathi kolusu nakwezinye izicwili. Oku kunokubangela ukurhawuzelela, ulusu olucekeceke kwaye kukhokelele kutshintsho lolusu olubizwa ngokuba yi-stasis dermatitis. Olu luphawu lokuqala lokungoneliseki kwemithambo.

Ezinye iimpawu zokuqala zibandakanya:

• Ukudumba kwemilenze, ubunzima, kunye necramping
• Umbala omnyama obomvu, omfusa, omdaka, nolukhuni (lo ngumqondiso wokuba igazi liyadibana)
• Ukurhawuzelela nokubetha

Iimpawu kunye neempawu zezilonda ze-venous zibandakanya:

• Isilonda esinzulu esisisiseko esibomvu, ngamanye amaxesha sigutyungelwe sisicubu esimthubi
• Imida engalinganiyo
• Ulusu olujikelezileyo lunokukhazimla, luqine, lufudumale okanye lushushu, kwaye lubala
• Intlungu yomlenze
• Ukuba isilonda siyosuleleka, sinokuba nevumba elibi kwaye ubofu bunokuphuma enxebeni

Imiba yomngcipheko wezilonda ezinobungozi zibandakanya:

• Iimvumba ze-Varicose
• Imbali yamahlwili egazi emilenzeni (i-vein thrombosis enzulu)
• Ukuvaleka kwemithambo ye-lymph, ebangela ukuba ulwelo lwakhiwe emilenzeni
• Ukwaluphala, ukuba ngumfazi, okanye ukuba mde
• Imbali yosapho yokungoneliseki yimithambo
• Ukutyeba kakhulu
• Ukukhulelwa
• Ukutshaya
• Ukuhlala okanye ukuma ixesha elide (ngesiqhelo emsebenzini)
• Ukuqhekeka kwethambo elide emlenzeni okanye ukulimala okunzima, njengokutshisa okanye ukulimala kwemisipha

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.
• Phambi kokufaka into yokunxiba, coca inxeba ngocoselelo ngokwemiyalelo yomboneleli wakho.
• Khusela ulusu olujikeleze inxeba ngokuligcina licocekile kwaye lifumile.
• Uya kunxiba isitokhwe sokucinezelwa okanye ii-bandage ngaphezulu kokunxiba. Umboneleli wakho uya kukubonisa indlela yokufaka iibhandeji.

Ukunceda ukunyanga isilonda semithambo, uxinzelelo oluphezulu kwimithambo yomlenze kufuneka lukhululwe.

• Gqoka iisokisi zokucinezelwa okanye ii-bandage yonke imihla njengoko kuyalelwe. Banceda ukunqanda igazi ekuhlanganiseni, ukunciphisa ukudumba, ukunceda ukuphilisa, kunye nokunciphisa iintlungu.
• Beka iinyawo zakho ngaphezu kwentliziyo yakho rhoqo kangangoko kunokwenzeka. Umzekelo, ungalala phantsi iinyawo zakho zixhonyiwe phezu kwemiqamelo.
• Thatha uhambo lomthambo okanye wenze umthambo yonke imihla. Ukusebenza kuyanceda ukuphucula ukuhamba kwegazi.
• Thatha amayeza njengoko eyalelwe ukunceda ekuphiliseni.

Ukuba izilonda aziphilisi kakuhle, umboneleli wakho unokuncoma iinkqubo ezithile okanye utyando ukuphucula ukuhamba kwegazi kwimithambo yakho.

Ukuba usemngciphekweni wezilonda zemithambo, thabatha amanyathelo adweliswe apha ngasentla phantsi koKhathalelo lweNxeba. Jonga iinyawo zakho kunye nemilenze yonke imihla: iintloko kunye neebhotile, amaqatha kunye nezithende. Khangela iintanda kunye notshintsho kumbala wolusu.

Utshintsho kwindlela yokuphila lunokunceda ukuthintela izilonda zemithambo-luvo. Amanyathelo alandelayo anokunceda ukuphucula ukuhamba kwegazi kunye nokunceda ukuphilisa.

• Yeka ukutshaya. Ukutshaya akulunganga kwimithambo yakho yegazi.
• Ukuba unesifo seswekile, gcina inqanaba leswekile esegazini lakho phantsi kolawulo. Oku kuya kukunceda uphilise ngokukhawuleza.
• Zilolonge kangangoko unakho. Ukuhlala usebenza kunceda ekuhambeni 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 zomlenze ezinobunzima - ukuzinyamekela; Izilonda zokungabikho komzimba - ukuzinyamekela; Izilonda zomlenze weStasis - ukuzikhathalela; Iimvumba ze-Varicose - izilonda ze-venous - ukuzinyamekela; I-Stasis dermatitis-isilonda semithambo

I-Fort FG. Izilonda zemithambo-luvo. Ku: Ferri FF, ed. Umcebisi weKlinikhi kaFerri 2019. IPhiladelphia, PA: Elsevier; Ngo-2019: 1443-1444.

IHafner A, iSprecher E. Izilonda. Ku: I-Bolognia JL, uSchaffer JV, uCerroni L, ii-eds. Dermatology. Ngomhla we-4. IPhiladelphia, PA: Elsevier; 2018: isahluko 105.

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.

• Ukulimala eMilenzeni kunye nokuPhazamiseka
• Izifo zeVascular