Yintoni i-Phlebitis?

Umxholo

• Iindidi phlebitis
• Iimpawu phlebitis
• Iingxaki zale meko
• Yintoni ebangela phlebitis
• Ngubani osemngciphekweni
• Ukuchonga i-phlebitis
• Ukunyanga imeko
• Ukuthintela i-phlebitis
• Imbonakalo

Ushwankathelo

I-Phlebitis kukudumba kwemithambo. Imithambo yimithambo yegazi emzimbeni wakho ephethe igazi elivela kumalungu akho kunye nemilenze ukubuyela entliziyweni yakho.

Ukuba i-clot yegazi ibangela ukudumba, ibizwa ngokuba yi-thrombophlebitis. Xa i-clot yegazi ikumthambo onzulu, ibizwa ngokuba yi-vein vein thrombophlebitis, okanye i-vein thrombosis (DVT).

Iindidi phlebitis

I-Phlebitis ingaba yinto engaphezulu okanye enzulu.

I-phlebitis engaphezulu ibhekisa kukudumba komthambo kufutshane nomphezulu wolusu lwakho. Olu hlobo lwe-phlebitis lunokufuna unyango, kodwa aluhlali lubi. I-phlebitis engaphezulu ingakhokelela kwigazi okanye kwinto ebangela ukucaphuka, njenge-catheter ye-intravenous (IV).

I-phlebitis enzulu ibhekisa kukuvuvukala kwe-vein enzulu, enkulu, njengaleyo ifumaneka kwimilenze yakho. I-phlebitis enzulu kunokwenzeka ukuba ibangelwe ligazi, elinokuba neziphumo ezibi kakhulu, ezisongela ubomi. Kubalulekile ukuba wazi izinto ezinobungozi kunye neempawu ze-DVT ukuze ukwazi ukujonga kwangoko kugqirha wakho.

Iimpawu phlebitis

Iimpawu ze-phlebitis zichaphazela ingalo okanye umlenze apho imithambo idumbileyo ikhoyo. Ezi mpawu zibandakanya:

• bomvu
• ukudumba
• ubushushu
• obomvu obonakalayo obonakalayo engalweni okanye emlenzeni
• ukuthamba
• Intambo- okanye intambo efana nolwakhiwo onokuluva ngesikhumba

Unokuqaphela iintlungu kumathole akho okanye ethangeni ukuba i-phlebitis yakho ibangelwa yi-DVT. Intlungu inokubonakala ngakumbi xa uhamba okanye uguqula unyawo lwakho.

Kuphela kwabo bakhulisa amava e-DVT. Esi sizathu sokuba ii-DVT zinokungafunyanwa kude kube kwenzeke ingxaki enkulu, enjenge-pulmonary embolism (PE).

Iingxaki zale meko

I-thrombophlebitis engaphezulu kwayo ayisoloko ibangela iingxaki ezinzulu. Kodwa kunokukhokelela kusulelo lolusu olukujikelezileyo, amanxeba kulusu, kunye nosulelo lwegazi. Ukuba i-clot emithanjeni engaphezulu ibanzi ngokwaneleyo kwaye ibandakanya indawo apho umthambo ongaphezulu kunye nomthambo onzulu uhlangana khona, i-DVT inokukhula.

Ngamanye amaxesha abantu abazi ukuba bane-DVT de babe namava okusongela ubomi. Eyona nto ixhaphakileyo kunye nengxaki enkulu ye-DVT yi-PE. I-PE yenzeka xa iqhekeza legazi liqhekeka lize liye emiphungeni, apho lithintela ukuhamba kwegazi.

Iimpawu ze-PE zibandakanya:

• ukuphefumla okungachazwanga
• iintlungu zesifuba
• ukhohlela igazi
• iintlungu ngokuphefumla okunzulu
• ukuphefumla ngokukhawuleza
• ndiziva ndinentloko okanye ndidlula
• ukukhawuleza kwentliziyo

Tsalela umnxeba iinkonzo zongxamiseko zasekuhlaleni ukuba ucinga ukuba unokuba nakho ukufumana i-PE. Olu ngxamiseko lonyango olufuna unyango kwangoko.

Yintoni ebangela phlebitis

I-Phlebitis ibangelwa kukulimala okanye ukucaphuka kwimbombo yesitya segazi. Kwimeko ye-phlebitis engaphezulu, oku kunokuba ngenxa:

• ukubekwa kwetafile ye-IV
• ukulawulwa kwamayeza acaphukisayo kwimithambo yakho
• iqabunga elincinci
• usulelo

Kwimeko ye-DVT, oonobangela banokubandakanya:

• Ukucaphuka okanye ukwenzakala kwethambo elinzulu ngenxa yengozi efana noqhaqho, ithambo elaphukileyo, ukulimala kakhulu, okanye i-DVT yangaphambili
• ukuhamba kwegazi okucothayo ngenxa yokunqongophala kokuhamba, okunokuthi kwenzeke ukuba ulele ebhedini uyachacha xa uqhaqho okanye uhamba ixesha elide
• Igazi elinokuthi likwazi ukujija kunesiqhelo, elinokubangelwa ngamayeza, umhlaza, ukuphazamiseka kwezicubu, okanye iimeko zokuthintela igazi

Ngubani osemngciphekweni

Ukwazi ukuba unemingcipheko yokuphuhlisa i-DVT kubalulekile ekuzikhuseleni nasekuphuhliseni isicwangciso nogqirha wakho. Imiba yomngcipheko kwi-DVT ibandakanya:

• Imbali ye-DVT
• ukuphazamiseka kwegazi, njenge-factor V Leiden
• Unyango lwehomoni okanye iipilisi zolawulo lokuzalwa
• ixesha elide lokungasebenzi, elinokuthi lilandele utyando
• ukuhlala ixesha elide, njengokuhamba
• imihlaza ethile kunye nonyango lomhlaza
• ukukhulelwa
• ukutyeba kakhulu okanye ukutyeba kakhulu
• ukutshaya
• ukusebenzisa kakubi utywala
• ungaphezulu kweminyaka engama-60

Ukuchonga i-phlebitis

I-Phlebitis inokuchongwa ngokusekwe kwiimpawu zakho kunye novavanyo ngugqirha wakho. Kusenokungabikho mfuneko yovavanyo olulodwa. Ukuba isikhumba segazi sikrokreleka njengesizathu sephlebitis yakho, ugqirha wakho unokwenza uvavanyo oluninzi ukongeza ekuthatheni imbali yakho yezonyango kwaye akuvavanye, nangona kunjalo.

Ugqirha wakho unokuyalela i-ultrasound yelungu lakho elichaphazelekayo. I-ultrasound isebenzisa amaza esandi ukubonisa ukuhamba kwegazi ngemithambo yakho kunye nemithambo. Ugqirha wakho unokufuna ukuvavanya inqanaba lakho le-d-dimer. Olu luvavanyo lwegazi olujonga into ekhutshwe emzimbeni wakho xa inyibilika inyibilika.

Ukuba i-ultrasound ayinikezeli ngempendulo ecacileyo, ugqirha wakho unokwenza kwakhona i-venography, i-CT scan, okanye i-MRI scan ukujonga ubukho begazi.

Ukuba i-clot ifunyenwe, ugqirha wakho unokufuna ukuthatha iisampuli zegazi ukuvavanya ukuphazamiseka kwegazi okunokubangela i-DVT.

Ukunyanga imeko

Unyango lwe-phlebitis engaphezulu lubandakanya ukususwa kwe-catheter ye-IV, ukunyanzela okufudumeleyo, okanye i-antibiotics ukuba kukho isifo osolwayo.

Ukunyanga i-DVT, kusenokufuneka uthathe ii-anticoagulants, ezenza kube nzima kwigazi lakho ukuba lijiye.

Ukuba i-DVT ibanzi kakhulu kwaye ibangela iingxaki ezibalulekileyo ekubuyeni kwegazi kwilungu, unokuba ngumgqatswa wenkqubo ebizwa ngokuba yitrombectomy. Kule nkqubo, ugqirha ugqirha ufaka ucingo kunye ne-catheter kumthambo ochaphazelekayo kwaye ususe i-clot, uyinyibilikise ngamayeza aqhekeza iqokobhe, njengee-activator ze-plasminogen, okanye enze indibaniselwano yazo zombini.

Ukufakwa kwesihluzi kwenye yeemithambo zakho ezinkulu zegazi, i-vena cava, inokucetyiswa ukuba une-DVT kwaye usemngciphekweni omkhulu we-pulmonary embolism kodwa awukwazi ukuthatha igazi elincinci. Esi sihluzo asizukuthintela amahlwili egazi ekubeni abumbe, kodwa siya kuthintela iziqwenga zehlwili ekuhambeni ukuya emiphungeni yakho.

Uninzi lwezi zihluzo ziyasuswa kuba izihluzo ezisisigxina zibangela iingxaki emva kokuba zibekho unyaka omnye okanye emibini. Ezi ngxaki zibandakanya:

• usulelo
• ingozi esongela ubomi kwi-vena cava
• ukwandiswa kwemithambo yegazi ejikeleze isihluzo, esivumela ukuba amahlwili adlule kwifilitha nakwimiphunga
• ukuqina ukuya phezulu, ukuya phambili, kwaye kudlule isihluzo ngaphakathi kwe-vena cava, eyokugqibela enokuqhekeka iye emiphungeni

Ukunciphisa ubungozi bakho ekuphuhliseni ii-DVT ezizayo kuya kuba yinxalenye ebalulekileyo yonyango.

Ukuthintela i-phlebitis

Ukuba usemngciphekweni wokuphuhlisa i-DVT, zininzi iindlela onokuthi uthathe inyathelo lokuthintela ukubumbana kwegazi ekubeni lide lenze. Ezinye iindlela eziphambili zokuthintela zibandakanya:

• Ukuxoxa ngemeko yakho yomngcipheko nogqirha wakho, ngakumbi ngaphambi kwenkqubo yotyando
• ukuphakama uhambe ngokukhawuleza emva kotyando
• unxibe iikawusi zoxinzelelo
• ukolula imilenze yakho kunye nokusela amanzi amaninzi xa useluhambeni
• uthatha amayeza njengoko eyalelwe ngugqirha wakho, anokubandakanya abacoci begazi

Imbonakalo

I-phlebitis engaphezulu isoloko iphilisa ngaphandle kwemiphumo ehlala ihleli.

I-DVT, kwelinye icala, inokusongela ubomi kwaye ifuna unyango kwangoko. Kubalulekile ukuba wazi ukuba unemingcipheko yokuphuhlisa i-DVT kunye nokufumana unyango rhoqo kugqirha wakho.

Ukuba ukhe wayifumana i-DVT ngaphambili, unokuba nakho ukuhlangabezana nenye kwixesha elizayo. Ukuthatha amanyathelo asebenzayo kunokunceda ukunqanda i-DVT.