Yonke into omele uyazi ngeeNgxwelerha zeGazi esiswini

Umxholo

• Zithini iimpawu zamachaphaza egazi esiswini?
• Ngaba isisu segazi ngumqondiso womhlaza?
• Ngubani osemngciphekweni wamahlwili egazi esiswini?
• Kufunyaniswa njani ukuba ligazi esiswini?
• Uphathwa njani amahlwili egazini esiswini?
• Imbonakalo

Ngaba ungalifumana ihlwili legazi esiswini?

Amathambo egazi anzulu, ekwabizwa ngokuba yi-vein thrombosis (i-DVT), eqhele ukwenzeka kwimilenze esezantsi, emathangeni, kunye nasesinqeni, kodwa zinokubakho ezingalweni, emiphungeni, kwingqondo, kwizintso, entliziyweni nasesiswini. Amagqabantshintshi egazi esiswini kubhekiswa kuwo njengamahlwili egazi esiswini.

Funda ukuze ufunde ngakumbi malunga namahlwili egazi esiswini.

Zithini iimpawu zamachaphaza egazi esiswini?

Iimpawu zamahlule egazi ziyahluka ukusuka komnye umntu ukuya komnye. Ngeke uhlale unempawu ngegazi. Bahlukile kwilungu lomzimba elichaphazeleka lihlwili. Iimpawu zixhomekeka ekukhuleni ngokukhawuleza kwehlwili kunye nobukhulu bayo.

Iimpawu eziqhelekileyo zegazi esiswini esiswini sinokubandakanya:

• iintlungu ezinzima zesisu
• on / off iintlungu zesisu
• isicaphucaphu
• ukugabha
• ilindle elinegazi
• urhudo
• ukudumba
• ukuqokelelana kolwelo esiswini, okwaziwa ngokuba zii-ascites

Ngaba isisu segazi ngumqondiso womhlaza?

Kungenzeka ukuba amahlwili egazi esiswini abe luphawu lokuqala lomhlaza ongafunyaniswanga. KwiDenmark, abaphandi bafumanisa ukuba abantu banegazi egazini esiswini (i-venous thrombosis) babenamathuba okufumana isifo somhlaza ngaphakathi kweenyanga ezintathu zoxilongo lwegazi xa kuthelekiswa nabantu ngokubanzi. Ezona zomhlaza zixhaphakileyo sisibindi, ipancreatic, kunye nomhlaza weseli yegazi.

Umhlaza, ngokubanzi, wonyusa ukuyilwa kwamahlwili egazi. Ukonakaliswa kwemithambo, kunye nokuhamba kwegazi ngokudangeleyo, kukholelwa ukuba kukonyusa namathuba okuba negazi elingaqhelekanga kumhlaza.

Uphando oluthe kratya luyafuneka ukuqonda unxibelelwano ngakumbi phakathi kwamahlwili egazi esiswini kunye nomhlaza.

Ngubani osemngciphekweni wamahlwili egazi esiswini?

Kuqhelekile ukuba igazi lijiye ukuphendula ukusikwa okanye ukwenzakala. Yindlela yomzimba yokukuthintela ukopha ekufeni. Kodwa ngamanye amaxesha unokukhulisa igazi ngaphandle kokulimala. Ezi ntlobo zamahlwili egazi ziyingozi kuba ziyaphazamisana nokuhamba kwegazi lomzimba. Amahlwili egazi anokubakho nakweliphi na ilungu lomzimba, kubandakanya isisu.

Ezinye izinto zinokunyusa umngcipheko wokuphuhlisa amahlwili egazi. Oku kubandakanya:

• ukungakwazi ukuhamba, njengokuthatha uhambo olude ngenqwelomoya okanye ukuphumla ebhedini ixesha elide
• utyando
• Imbali yosapho yamagazi
• i-polycythemia vera (inani eliphezulu ngokungaqhelekanga leeseli ezibomvu zegazi)
• iihormone, kubandakanya i-estrogen kunye neprogesterone efumaneka kwiipilisi zolawulo lokuzalwa kunye nonyango lwehomoni esetyenziselwa ukunciphisa iimpawu zokuyeka ukuya exesheni
• ukukhulelwa
• ukutshaya
• ukuqina kwesibindi
• i-appendicitis, kunye nolunye usulelo lwesisu, olunokuthi lungakhokeleli kwisisu segazi esiswini kwimithambo ngenxa yebhaktiriya kunye nokudumba
• ukwenzakala esiswini okanye ukwenzakala

Funa uncedo lwangoko lwezonyango ukuba unempawu zegazi esiswini okanye usemngciphekweni omkhulu wale meko.

Kufunyaniswa njani ukuba ligazi esiswini?

Ukuba ugqirha wakho ukrokrela ukuba unegazi egazini esiswini sakho ngokusekwe kwiimpawu zakho, uvavanyo lomzimba, kunye nembali yezonyango, baya kuthi baodole ukuskena kwe-CT kwesisu sakho kunye nommandla we-pelvic ukukunceda ukubonwa kwamathumbu akho kunye namalungu akho. Banokucebisa nge-ultrasound kunye neMRI ukubona ngamehlo ukuhamba kwegazi kwimithambo yakho.

Uphathwa njani amahlwili egazini esiswini?

Amahlwili egazi ahlala enyangwa nge-anticoagulants. I-Anticoagulants ngamayeza anciphisa igazi kunye nokuthintela ihlwili ekukhuleni okukhulu, ukuphinda-phinda, okanye ukukhula kwamahlwili ngakumbi. La machiza awanyibiliki amahlwili.

Iimpawu ezincinci zegazi ezisetyenzisiweyo zibandakanya:

• heparin, ethi inikwe ngaphakathi ngenaliti ngenaliti engalweni yakho
• warfarin, ethathwe kwifom yepilisi
• i-enoxaparin (iLovenox), ifom ye-heparin enokuthi ifakwe phantsi kolusu

Ekugqibeleni, iqokobhe liphinda libuyiselwe emzimbeni ngumzimba, nangona kumanani ambalwa amatyala lingaze liphele tu.

Utyando okanye ukusebenzisa amayeza okugubungela ngokuthe ngqo kwihlwili kunokufuneka kwiimeko ezinkulu, ezinokubangela ingozi emzimbeni okanye ezisongelayo. Ukunyanga unobangela wehlwili legazi kuyafuneka ngokunjalo.

Imbonakalo

Amagqabantshintshi egazi esiswini anqabile. Kodwa amahlwili egazi, kubandakanya amahlwili kwingingqi yakho esiswini, ayanzulu, ngakumbi ukuba iqokobhe liyaphuka lize lifike emiphungeni, kubangele oko kwaziwa njenge-pulmonary embolism.

Ukunciphisa umngcipheko wokwenza amahlwili egazi angaqhelekanga, lawula izinto onokuthi:

• Ukunciphisa umzimba ukuba utyebile.
• Yeka ukutshaya.
• Thetha nogqirha wakho malunga nazo zonke iinketho zakho zokulawula ukuzalwa.
• Hamba ujikeleze iyure nganye okanye njalo emini, ngakumbi ukukhwela kwinqwelomoya okanye uhambo olude lweemoto.
• Nciphisa ukusela kwakho utywala.

Ukuba unembali yamahlwili egazi okanye unezinto ezininzi ezinobungozi, thetha nogqirha wakho malunga nonyango olulungele wena. Oku kuhlala kubandakanya ukuthatha abacoci gazi mihla le.

Ngonyango, uninzi lwabantu luyachacha kumahlwili egazi kungekho okanye lilinganiselwe kwiziphumo zexesha elide okanye iingxaki. Ixesha lokubuyisela kwimeko yesiqhelo lixhomekeke kunobangela, indawo, kunye namalungu achaphazeleka lihlwili. Qiniseka ukuba ulandela imiyalelo kagqirha wakho ngeli xesha ukuphucula iziphumo kunye nokunciphisa umngcipheko weengxaki.