Unyawo, umlenze kunye namaqatha ukudumba

Ukudumba okungenantlungu kweenyawo kunye namaqatha yingxaki eqhelekileyo, ngakumbi kubantu abadala.

Ukwakhiwa okungalunganga kolwelo emaqatheni, ezinyaweni, nasemilenzeni kunokubangela ukudumba. Olu lwakhiwo lwamanzi kunye nokudumba kuthiwa yi-edema.

Ukudumba okungenasiphelo kunokuchaphazela imilenze yomibini kwaye kunokubandakanya amathole okanye amathanga. Iziphumo zomxhuzulane zenza ukuba ukudumba kubonakale kakhulu kumazantsi omzimba.

Unyawo, umlenze, kunye namaqatha ukudumba kuqhelekile xa umntu naye:

• Utyebe kakhulu
• Unegaqa legazi emlenzeni
• Mdala
• Unesifo somlenze
• Inemithambo emilenzeni engakwaziyo ukumpompa igazi kakuhle ukubuyela entliziyweni (ebizwa ngokuba kukungoneliseki kwemithambo)

Ukwenzakala okanye utyando olubandakanya umlenze, iqatha, okanye unyawo kunokubangela nokudumba. Ukudumba kunokwenzeka emva kotyando lwe-pelvic, ngakumbi umhlaza.

Ukuhamba ngenqwelomoya ende okanye ukukhwela imoto, kunye nokuma ixesha elide, kuhlala kukhokelela ekudumbeni kweenyawo kunye namaqatha.

Ukudumba kunokwenzeka kubasetyhini abathatha i-estrogen, okanye ngexa lomjikelo wokuya esikhathini. Uninzi lwabasetyhini ludumba ngexesha lokukhulelwa. Ukudumba okungathethekiyo ngexesha lokukhulelwa kunokuba luphawu lwe- preeclampsia, imeko enzulu ebandakanya uxinzelelo lwegazi kunye nokudumba.

Imilenze edumbileyo inokuba luphawu lokusilela kwentliziyo, ukusilela kwezintso, okanye ukusilela kwesibindi. Kule meko, kukho ulwelo oluninzi emzimbeni.

Amayeza athile anokubangela ukuba imilenze yakho idumbe. Ezinye zazo zezi:

• Ukudakumba, kubandakanya i-MAO inhibitors kunye neetriki
• Amayeza oxinzelelo lwegazi abizwa ngokuba yi-calcium channel blockers
• IiHormone, ezinje nge-estrogen (kwiipilisi zolawulo lokuzalwa okanye kunyango lwehomoni) kunye ne testosterone
• IiSteroids

Ezinye iingcebiso ezinokukunceda ukunciphisa ukudumba:

• Beka imilenze yakho phezu kwemiqamelo ukuyinyusa ngaphezu kwentliziyo yakho ngelixa ulele phantsi.
• Zilolongele imilenze. Oku kunceda ukumpompa ulwelo kwimilenze yakho ukubuyela entliziyweni yakho.
• Landela ukutya okunetyuwa encinci, okunokunciphisa ukwanda kolwelo kunye nokudumba.
• Nxiba isitokhwe senkxaso (esithengiswa kwiivenkile ezininzi nakwiivenkile zoncedo lwezonyango).
• Xa useluhambeni, thatha ikhefu rhoqo ukuze ume kwaye ujikeleze.
• Kulumkele ukunxiba iimpahla eziqinileyo okanye iigalthi ezijikeleze amathanga akho.
• Nciphisa ubunzima ukuba ufuna njalo.

Ungaze uyeke ukuthatha nawaphi na amayeza ocinga ukuba angabangela ukudumba ngaphandle kokuthetha nomboneleli wakho wezempilo.

Tsalela umnxeba ku-911 okanye inombolo yongxamiseko yendawo ukuba:

• Uziva uphefumla kancinci.
• Unentlungu esifubeni, ngakumbi ukuba ivakalelwa njengoxinzelelo okanye ukuqina.

Fowunela umboneleli wakho ngoko nangoko ukuba:

• Unesifo sentliziyo okanye isifo sezintso kwaye ukudumba kuya kusiba mandundu.
• Unembali yesifo sesibindi kwaye ngoku udumbile emilenzeni okanye esiswini.
• Unyawo okanye umlenze wakho odumbileyo ubomvu okanye ushushu ekufeni.
• Unomkhuhlane.
• Ukhulelwe kwaye ungaphezulu kokudumba okuncinci okanye unokunyuka ngokukhawuleza kokudumba.

Biza umnikezeli wakho ukuba amanyathelo okuzikhathalela awancedi okanye ukudumba kuya kusiba mandundu.

Umboneleli wakho uya kuthatha imbali yezonyango kwaye enze uvavanyo lomzimba ngokucokisekileyo, enika ingqalelo ekhethekileyo entliziyweni yakho, imiphunga, isisu, iiseli zenyawo, imilenze kunye neenyawo.

Umboneleli wakho uya kubuza imibuzo efana nale:

• Ngawaphi amalungu omzimba adumbileyo? Amaqatha akho, iinyawo, imilenze? Ngasentla kwedolo okanye ngezantsi?
• Ngaba unokudumba ngalo lonke ixesha okanye kukubi ekuseni okanye ngokuhlwa?
• Yintoni eyenza ukudumba kwakho kubengcono?
• Yintoni eyenza ukudumba kwakho kubenzima?
• Ngaba ukudumba kuya kuba ngcono xa uphakamisa imilenze yakho?
• Ngaba unamagazi emilenzeni okanye emiphungeni?
• Ngaba unayo imithambo ye-varicose?
• Zeziphi ezinye iimpawu onazo?

Uvavanyo lokuchonga olunokuthi lwenziwe lubandakanya:

• Uvavanyo lwegazi, olunjengeCBC okanye ikhemistri yegazi
• I-x-ray yesifuba okanye i-x-ray
• Uvavanyo lwe-Doppler ultrasound kwimithambo yomlenze wakho
• ECG
• Uhlalutyo lomchamo

Unyango lwakho luya kugxila kwisizathu sokudumba. Umboneleli wakho unokumisela i-diuretics ukunciphisa ukudumba, kodwa ezi zinokuba neziphumo ebezingalindelekanga. Unyango lwasekhaya lokudumba kwemilenze engahambelani nemeko enzulu yonyango kufuneka luzanywe ngaphambi kwonyango lweziyobisi.

Ukudumba kwamaqatha - iinyawo - imilenze; Ukudumba kweqatha; Ukudumba kweenyawo; Ukudumba kwemilenze; Edema - peripheral; Ukudumba kwemida

• Ukudumba kweenyawo
• I-edema yomlenze osezantsi

UGoldman L. Indlela eya kwisigulana enokubakho sisifo sentliziyo. Ku: IGoldman L, iSchafer AI, ii-eds. Amayeza eGoldman-Cecil. Umhla wama-25. IPhiladelphia, PA: Elsevier Saunders; 2016: isahl 51.

Umthengisi iRH, iiSymons AB. Ukudumba kwemilenze. Ku: Umthengisi iRH, iiSymons AB, ii-eds. Umahluko wokuchonga izikhalazo eziqhelekileyo. Umhla wesi-7. IPhiladelphia, PA: Elsevier; I-2018: isahluko 31.

Itreyi KP, Studdiford JS, Pickle S, Tully AS. I-Edema: ukuxilongwa kunye nolawulo. NdinguGqirha weNdawo. Ngo-2013; 88 (2): 102-110. IINKCUKACHA: 23939641 pubmed.ncbi.nlm.nih.gov/23939641/.