I-Varicose vein stripping

Ukuhluthwa kwemithambo lutyando lokususa imithambo ye-varicose emilenzeni.

Iimvumba ze-Varicose zidumbile, zijijekile, kwaye zandisiwe imithambo onokuyibona phantsi kolusu. Zisoloko zibomvu okanye ziluhlaza ngombala. Zihlala zivela emilenzeni kodwa zinokwenzeka kwamanye amalungu omzimba.

Ngokwesiqhelo, izivalo kwimithambo yakho zigcina igazi lakho libaleka lisiya entliziyweni, ke igazi aliqokeleli endaweni enye. Izivalo kwimithambo ye-varicose yonakele okanye ilahlekile. Oku kubangela ukuba imithambo igcwaliswe ligazi, ngakumbi xa umile.

Ukuhluthwa kwemithambo kusetyenziselwa ukususa okanye ukubopha umthambo omkhulu emlenzeni obizwa ngokuba ngumthambo ongekho ngaphezulu. Oku kunceda ukunyanga imithambo ye-varicose.

Ukukhupha umthambo kuhlala kuthatha i-1 ukuya kwi-1/2 iiyure. Unokufumana nokuba:

• I-anesthesia ngokubanzi, apho uya kube ulele kwaye ungakwazi kuva iintlungu.
• I-Spinal anesthesia, eya kwenza ukuba isiqingatha esisezantsi somzimba wakho sizive singekho. Unokufumana iyeza lokukunceda uphumle.

Ngexesha lotyando:

• Ugqirha wakho uza kwenza i-2 okanye i-3 encinci ukusika emlenzeni wakho.
• Ukusikeka kukufuphi kumphezulu, phakathi, nasezantsi kwethambo lakho elonakeleyo. Enye ikwi-groin yakho. Elinye liza kuba lisezantsi emlenzeni wakho, nokuba lithole lakho okanye iqatha.
• Ugqirha wakho uya kuthi emva koko afake umsonto ocekeceke, ocingayo weplastiki kungene emthanjeni nge-groin yakho kwaye akhokele ucingo ngomthambo ukuya kolunye usiko olusezantsi emlenzeni wakho.
• Ucingo lubotshelelwe emthanjeni luze lukhutshwe ngapha nangapha, olutsala umthambo ngawo.
• Ukuba uneminye imithanjana eyonakeleyo kufutshane nomphezulu wolusu lwakho, ugqirha wakho unokwenza ukusika okuncinci phezu kwabo ukuze ususe okanye ubophe. Oku kubizwa ngokuba yi-pulebectomy ye-ambulensi.
• Ugqirha uya kuvala ukusika ngemithungo.
• Uya kunxiba iibhandeji kunye neestokisi zokucinezela emlenzeni wakho emva kwenkqubo.

Umboneleli unokucebisa ngokukhutshwa kwemithambo:

• Iimvumba ze-Varicose ezibangela iingxaki ekuhambeni kwegazi
• Intlungu yomlenze nobunzima
• Ukutshintsha kwesikhumba okanye izilonda ezibangelwa luxinzelelo olukhulu kwimithambo
• Amahlwili egazi okanye ukudumba emithanjeni
• Ukuphucula ukubonakala komlenze wakho
• Iimvumba ze-Varicose ezingenakuphathwa ngeendlela ezintsha

Namhlanje, oogqirha kunqabile ukuba benze uqhaqho lwe-vein stripping kuba kukho iindlela ezintsha, ezingezizo ezonyango zokunyanga imithambo ye-varicose engadingi i-anesthesia ngokubanzi kwaye yenziwa ngaphandle kokuhlala esibhedlele ubusuku bonke. Olu nyango alubuhlungu kangako, luneziphumo ezingcono, kwaye lubanexesha lokufumana ngokukhawuleza okukhulu.

Ukuhluthwa kwemithambo kukhuselekile ngokubanzi. Buza umboneleli wakho malunga naziphi na iingxaki ezinokuthi zenzeke.

Umngcipheko we-anesthesia kunye notyando ngokubanzi zezi:

• Impendulo kumayeza
• Iingxaki zokuphefumla
• Ukopha, amahlwili egazi
• Usulelo

Umngcipheko wokuhluthwa kwemithambo ubandakanya:

• Ukukhukhumala okanye ukukrala
• Ukulimala kwamathambo
• Ukubuya kwemithambo ye-varicose ngokuhamba kwexesha

Soloko uxelela umboneleli wakho:

• Ukuba ukhulelwe okanye unokukhulelwa
• Ngawaphi amayeza owathathayo, kubandakanya iziyobisi, izongezo, okanye amayeza owathengileyo ngaphandle kommiselo
• Ukuba ubusele ngaphezulu kwe-1 okanye 2 iziselo ezinxilisayo ngosuku

Ngexesha leentsuku ngaphambi kokuhlinzwa kwakho:

• Unokucelwa ukuba uyeke ukuthatha iziyobisi ezenza kube nzima kwigazi lakho ukuba lijiye. Oku kubandakanya i-aspirin, ibuprofen (Advil, Motrin), naproxen (Naprosyn, Aleve), izicoci gazi ezifana ne-warfarin (Coumadin), kunye nezinye iziyobisi.
• Buza umboneleli wakho ukuba ngawaphi amayeza ekufuneka uwathathe ngosuku lotyando lwakho.

Ngomhla wotyando lwakho:

• Uya kucelwa ukuba ungaseli okanye ungatyi nantoni na ubuncinci iiyure ezi-6 ukuya kwezi-8 ngaphambi kotyando.
• Thatha amayeza amiselweyo ngesiphuzo esincinci samanzi.

Imilenze yakho iya kusongelwa ngamabhandeji ukulawula ukudumba nokopha kangangeentsuku ezi-3 ukuya kwezi-5 emva kotyando. Kuya kufuneka uwagcine esongelwe iiveki ezininzi.

Ukwahlula umthambo kunciphisa iintlungu kwaye kuphucula ukubonakala komlenze wakho. Rhoqo, ukukhulula umthambo kubangela amanxeba. Ukudumba komlenze omncinci kunokubakho. Qiniseka ukuba uhlala unxiba isitokhwe soxinzelelo.

Umthambo ukhulula nge-ligation; Umthambo ukhulula ngokukhutshwa; Umthambo osusa i-ablation; Ukudityaniswa kwemithambo kunye nokukhulula; Utyando lwemithambo; Ukungoneliseki kwe-venous - ukuhluthwa kwemithambo; I-venous reflux - ukothuka kwemithambo; Isilonda semithambo - yimithambo

• Unonophelo lwenxeba lotyando - luvulekile
• Iimvumba ze-Varicose-yintoni ongayibuza ugqirha wakho

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

Iafrati MD, u-O'Donnell TF. Varicose veins: unyango ngotyando. Ku: Sidawy AN, Perler BA, ii-eds. Utshintsho lukaRutherford lweeVascular and Therapy ze-Endovascular Therapy. Umhla we-9. IPhiladelphia, PA: Elsevier; I-2019: isahluko 154.

UMaleti O, uLugli M, uPerrin MR. Indima yotyando kunyango lwee-varicose veins. Ku: Ilungu lePalamente laseGoldman, uWeiss RA, ii-eds. Sclerotherapy. Umhla wesi-6. IPhiladelphia, PA: Elsevier; Ngo-2017: isahluko 10.