Ukubhabha kunye neeNdawo zeGazi: uKhuseleko, iingozi, ukuthintela, kunye nokunye

Umxholo

• Ukubhabha ngegazi okanye imbali yamahlwili
• Izinto ezinobungozi kumahlule egazi
• Uthintelo
• Ngaphambi kokuphakanyiswa
• Ngexesha lokubhabha
• Ukuthintela amahlwili egazi ngexesha lokuhamba
• Zithini iimpawu zegazi elibalekileyo?
• Yise kude

Ushwankathelo

Amahlwili egazi ayenzeka xa ukuhamba kwegazi kucotha okanye kuyekwa. Ukubhabha ngenqwelomoya kunokuwonyusa umngcipheko wamahlwili egazi, kwaye unokufuna ukunqanda ukuhamba komoya kangangexesha elithile emva kokuchongwa kwehlwili.

Ukuhlala uhleli kangangexesha elide kunokuchaphazela ukujikeleza kwegazi kwaye kukhokelele kuphuhliso lwamahlule egazi. Iindiza zeenqwelomoya zinokuba ngumngcipheko we-vein thrombosis (DVT) kunye ne-pulmonary embolism (PE). I-DVT kunye ne-PE ziingxaki ezinobuzaza begazi elinokubulala kwezinye iimeko.

I-DVT kunye ne-PE zinokuthintelwa kwaye zinyangwe kwiimeko ezininzi, kwaye kukho izinto onokuzenza kwiinqwelomoya ezinde ukunciphisa umngcipheko. Nabantu abanembali yamahlwili egazi banokonwabela ukuhamba ngenqwelomoya.

Funda ukuze ufunde ngakumbi malunga nonxibelelwano phakathi kwamahlwili egazi kunye nokubhabha, kunye nento onokuyenza ukunciphisa umngcipheko.

Ukubhabha ngegazi okanye imbali yamahlwili

Ukuba unembali yamahlwili egazi okanye usandula ukunyangwa, umngcipheko wokuba ne-PE okanye i-DVT ngelixa ubhabha unokuphakanyiswa. Abanye oochwephesha bezonyango bancomela ukulinda iiveki ezine emva kokuba unyango lugqityiwe ngaphambi kokuba uye emoyeni.

Ugqirha wakho uya kukunceda ukuba ubone ukuba ufanele ukubhabha okanye ukuba iyavakala into yokuba uhlehlise izicwangciso zakho zokuhamba. Izinto ezininzi ziya kudlala kwesi sigqibo, kubandakanya:

• Imbali yakho yezempilo
• indawo kunye nobungakanani behlwili
• ixesha lokuhamba

Izinto ezinobungozi kumahlule egazi

Izinto ezininzi ngaphandle kohambo lomoya olude zinokunyusa umngcipheko wamahlwili egazi, kubandakanya:

• Imbali yobuqu yamahlwili egazi
• Imbali yosapho yamagazi
• Imbali yobuqu okanye yosapho yokuphazamiseka kwemfuza, enje ngengxaki V Leiden thrombophilia
• una 40 okanye ngaphezulu
• ukutshaya icuba
• ukuba nesalathiso sobunzima bomzimba (BMI) kuluhlu lokutyeba kakhulu
• ukusebenzisa inzalo esekwe kwi-estrogen, ezinje ngeepilisi zolawulo lokuzalwa
• ukuthatha amayeza okubuyisela i-hormone (HRT)
• ukuba kwenziwe utyando kwiinyanga ezintathu ezidlulileyo
• Umonakalo wemithambo ngenxa yokwenzakala
• ukukhulelwa kwangoku okanye kwangoku (iiveki ezintandathu emva kokubeleka okanye ukuphulukana nokukhulelwa)
• ukuba nomhlaza okanye imbali yomhlaza
• ukuba ne-catheter yemithambo emthanjeni omkhulu
• ukuba kumlingisi womlenze

Uthintelo

Kukho amanyathelo aliqela onokuwathatha ukukunceda ukunciphisa umngcipheko wamahlwili egazi ngelixa ubhabha.

Ngaphambi kokuphakanyiswa

Ngokusekwe kwimbali yakho yezempilo, ugqirha wakho unokucebisa unyango ukuba unciphise umngcipheko. Oku kubandakanya ukuthatha igazi elincinci, nokuba kungomlomo okanye ngenaliti, iiyure ezimbini ukuya kwezimbini ngaphambi kwexesha lokubaleka.

Ukuba uyakwazi ukukhetha isihlalo sakho phambi kwenqwelomoya, khetha isihlalo okanye isihlalo esikhulu, okanye ubhatale imali eyongezelelweyo yesihlalo esinegumbi lomlenze elongezelelweyo. Oko kuya kukunceda wolule kwaye ujikeleze ngexesha lendiza.

Kwakhona kubalulekile ukuba uqaphele i-airline ukuba ulungele ukuhlanjululwa kwegazi kwaye kufuneka ukwazi ukuhamba ngeenqwelo. Bazise ngaphambi kokukhwela inqwelomoya, nokuba kungokutsalela umnxeba inqwelomoya ngaphambi kwexesha okanye ukwazisa abasebenzi bomhlaba kwindawo yokukhwela.

Ngexesha lokubhabha

Ngexesha lokuhamba ngenqwelomoya, uya kufuna ukuhamba-hamba kangangoko unakho kwaye uhlala unamanzi. Phinda isidingo sakho sokuhamba ngokukhululekileyo kumlindi wendiza yakho, kwaye uhambe uyehla ezantsi kumzuzwana nje ngeyure njengoko kuvunyelwe. Ukuba kukho isiphithiphithi esininzi okanye kungenjalo akukhuselekanga ukuhamba usehla nasezindleleni, kukho imithambo onokuyenza esihlalweni sakho ukunceda ukugcina igazi lakho lihamba:

• Slayida iinyawo zakho ngapha nangapha emgangathweni ukunceda ukolula izihlunu zakho zethanga.
• Enye into yokutyhala izithende zakho kunye neenzwane zakho emhlabeni. Oku kunceda ukuguqula izihlunu zethole.
• Enye indlela yokusonga kunye nokusasaza iinzwane zakho ukuphucula ukujikeleza.

Unokuzisa i-tennis okanye ibhola ye-lacrosse ebhodini nawe ukuze uyisebenzise ukuphulula imisipha yakho yomlenze. Ngenisa ngobunono ibhola ethangeni lakho kwaye uyiqengqe unyuse umlenze wakho. Ngenye indlela, unokubeka ibhola phantsi komlenze wakho kwaye uhambise umlenze wakho phezu kwebhola ukuze uhlikihle izihlunu.

Ezinye izinto onokuzenza zibandakanya:

• Gwema ukuwela imilenze yakho, enokunciphisa ukujikeleza kwegazi.
• Nxiba iimpahla ezikhululekileyo, ezinganyanzelekanga.
• Nxiba iisokisi zokucinezelwa ukuba usemngciphekweni owandayo we-venous thromboembolism (VTE). Isitokisi sikhuthaza ukujikeleza kunye nokukhusela igazi ekuhlanganiseni.

Ukuthintela amahlwili egazi ngexesha lokuhamba

Nokuba usemoyeni okanye emhlabeni, ixesha elide elichithwe kwindawo evaliweyo linokwandisa umngcipheko wamahlwili egazi.

• Ukuba uhamba ngemoto, cwangcisa ikhefu elimiselweyo lokolula imilenze okanye uthathe uhambo olufutshane.
• Ukuba ukhwele ibhasi okanye uloliwe, ukuma, ukuzolula, kunye nokuhamba ezihlangwini kunokunceda. Unako ukuhamba endaweni esihlalweni sakho ukuba unendawo eyaneleyo, okanye uthathe imizuzu embalwa kwigumbi lokuhlambela ukuze wolule imilenze yakho okanye uhambe endaweni.

Zithini iimpawu zegazi elibalekileyo?

Iimpawu ezinokubakho zibandakanya:

• intlungu yomlenze, ukunyanzelisa, okanye ukuthamba
• ukudumba eqatheni okanye emlenzeni, kuhlala kuphela kumlenze omnye
• ibala elinombala, oluhlaza okwesibhakabhaka, okanye obomvu emlenzeni
• ulusu oluziva lufudumele ngaphandle kwebala kunalo lonke umlenze

Kuyenzeka ukuba ube ne-clot yegazi kwaye ungabonisi zimpawu.

Ukuba ugqirha wakho ukrokrela ukuba une-DVT, uya kunikwa uvavanyo lokuqonda isifo ukuze uqinisekise isifo. Uvavanyo lunokubandakanya i-venous ultrasound, venography, okanye MR angiography.

Iimpawu ze-pulmonary embolism zibandakanya:

• ukuqhawukelwa ngumphefumlo
• iintlungu zesifuba
• ukukhohlela
• isiyezi
• ukubetha kwentliziyo ngokungaqhelekanga
• ukubila
• ukudumba emilenzeni

Iimpawu ze-PE yimeko engxamisekileyo yezonyango efuna ukhathalelo kwangoko. Ugqirha wakho unokwenza i-CT scan ukuqinisekisa ukuba uxilongiwe ngaphambi konyango.

Yise kude

Iinqwelomoya ezinde ezinde zingonyusa umngcipheko wamahlwili egazi kwabanye abantu, kubandakanya nabantu abanobungozi obongezelelekileyo, njengembali yobuqu okanye yosapho yamahlwili egazi. Ukuthintela amahlwili egazi ngexesha lokuhamba ngenqwelomoya kunye nezinye iindlela zokuhamba kunokwenzeka. Ukuqonda umngcipheko wakho, kunye nokufunda amanyathelo othintelo onokuwathatha xa useluhambeni, kunokunceda.

Ukuba okwangoku unyangwa i-clot yegazi, okanye usandula ukulugqiba unyango, thetha nogqirha wakho ngaphambi kokuba ukhwele inqwelomoya. Basenokucebisa ukulibaziseka kokuhamba okanye banike amayeza ukukunceda ukunciphisa umngcipheko weengxaki ezinzulu.