Ngaba uziva njani xa unegazi?

Umxholo

• Igazi elijiyileyo emlenzeni
• Igazi elijiyileyo esifubeni
• Ihlwili legazi esiswini
• Igazi elixineneyo kwingqondo
• Nini ukubiza ugqirha wakho

Ushwankathelo

Amahlwili egazi ngumba obaluleke kakhulu, kuba unokusongela ubomi. Ngokwamaziko oLawulo lweNtsholongwane kunye noThintelo lweZifo (CDC), kuqikelelwa eUnited States abachaphazelekayo yile meko minyaka le. I-CDC iyaqikelela ukuba ama-60,000 ukuya kuma-100,000 abantu bayasweleka kule meko minyaka le.

Xa i-clot yegazi ivela kolunye lwemithambo yakho, ibizwa ngokuba yi-venous thromboembolism (VTE). Ukuba ukhathazekile kancinci unokuba nayo, tsalela ugqirha kwangoko. Iimpawu zamahlwili egazi zinokwahluka. Kwakhona kunokwenzeka ukuba ube ne-clot yegazi ngaphandle kweempawu.

Funda ukuze ufunde ngezinye zeempawu ezinokuthi zibonise ukuba ligazi.

Igazi elijiyileyo emlenzeni

Igazi ekuthiwa ligazi elibonisa enye yeemithambo ezinkulu emzimbeni wakho kuthiwa yi-vein thrombosis enzulu (i-DVT). Zixhaphake kakhulu emilenzeni okanye kwingingqi yehip. Ngelixa ubukho behlwili emilenzeni yakho bungazukukwenzakalisa, iqokobhe linokuqhawuka lize lilale emiphungeni yakho. Oku kukhokelela kwisimo esibi nesinokubulala esaziwa ngokuba yi-pulmonary embolism (PE).

Imiqondiso yegazi emlenzeni wakho ibandakanya:

• ukudumba
• bomvu
• intlungu
• ukuthamba

Ezi mpawu zikhomba kwi-clot yegazi xa zisenzeka kumlenze omnye kuphela. Kungenxa yokuba kunokwenzeka ukuba ube nehlwili emlenzeni omnye ngokuchaseneyo nemilenze yomibini. Kukho ezinye iimeko kunye nezinto ezinokuthi zichaze ezi mpawu, nangona kunjalo.

Ukunceda ukwahlula i-clot yegazi enokubakho kwezinye izinto, uThomas Maldonado, MD, ugqirha wamathambo kunye nomlawuli wezonyango eVenous Thromboembolic Centre e-NYU Langone Medical Centre, wanikezela ngeengcinga ezithe kratya malunga noko umntu anokuziva ukuba unegazi.

Ngenye, iintlungu zinokukukhumbuza ngesihlunu esiqatha okanye ihashe elihashe. Ukuba umlenze wakho udumbile, ukuphakamisa okanye ukukhenkceza umlenze akuyi kunciphisa ukudumba ukuba ligazi. Ukuba icing okanye ukubeka iinyawo zakho phezulu kwenza ukuba ukudumba kwehle, usenokuba nokwenzakala kwemisipha.

Ngegazi, umlenze wakho unokuziva ufudumele njengoko iqhwa liba nzima. Usenokude uqaphele umbala obomvu kancinane okanye luhlaza okwesikhumba.

Akufanele ukhathazeke malunga ne-clot ukuba intlungu yomlenze yenziwe yimbi ngokuzivocavoca kodwa ikhululwe ngokuphumla. Oko kusenokwenzeka ukuba sisiphumo sokuhamba gazi okungalunganga kwimithambo kunokuba kune-DVT, utshilo uMaldonado.

Igazi elijiyileyo esifubeni

Amagqabantshintshi egazi anokuxhaphaka kwimilenze esezantsi, kodwa zinokwenzeka nakwezinye iindawo zomzimba wakho. Apho aqala khona amahlwili kwaye aphela ephembelela eziphi iimpawu onazo kunye neziphumo.

Umzekelo, xa ihlwili legazi lenzeka kwimithambo yentliziyo kwaye livimbe ukuhamba kwegazi, kunokubangela isifo sentliziyo. Okanye iqabunga legazi linokuhamba liye emiphungeni yakho kwaye lenze i-PE. Zombini zisongela ubomi kwaye zineempawu ezifanayo.

Intlungu yesifuba luphawu lokuba kukho into engalunganga, kodwa ukuqonda ukuba sisifo sentliziyo, i-PE, okanye ukungaginywa nje kunokuba nzima.

NgokukaMaldonado, iintlungu zesifuba eziza ne-PE zinokuziva ngathi ziintlungu ezibukhali eziba mandundu ngokuphefumla ngakunye. Le ntlungu inokuza kunye:

• ukuphefumla ngokukhawuleza
• ukukhawuleza kwentliziyo
• mhlawumbi ukhohlokhohlo

Intlungu esifubeni sakho evakalelwa ngokungathi yindlovu ihleli kuwe inokuba luphawu lwesiganeko sentliziyo, njengokuhlaselwa kwentliziyo okanye i-angina. Intlungu ehamba kunye nokuhlaselwa kwentliziyo inokuthi ihlale esifubeni sakho. Inokuphinda ivele kwicala lasekhohlo lomhlathi wakho, okanye igxalaba lasekhohlo nengalo.

Ukuba ubile okanye uziva ngathi ukungaginyisi mathe kunye nentlungu yesifuba, sesona sizathu sokukhathazeka sisifo sentliziyo, utshilo uPatrick Vaccaro, MD, MBA, umlawuli weCandelo leZifo zeVascular and Surgery e-Ohio State University's Wexner Medical Centre .

Zombini iimeko zinobuzaza, kwaye zozibini ezigunyazisa ukuqhubela phambili unyango.

Ngaba iintlungu zesifuba sakho kukuxinana okanye ukuvutha? Oko kuyahambelana ngakumbi nosulelo okanye isifuba, utshilo uMaldonado.

Ihlwili legazi esiswini

Xa i-clot yegazi ifaka kwenye yeemvini ezinkulu ezikhupha igazi emathunjini akho, kuthiwa yi-mesenteric venous thrombosis. Ihlwili legazi apha linokumisa ukujikeleza kwegazi emathunjini kwaye lenze umonakalo wangaphakathi kuloo ndawo. Ukubamba ihlwili esiswini kwangoko kunokukhokelela kwimbono engcono.

Abanye abantu basemngciphekweni wolu hlobo lwe-clot kunabanye, utshilo uCaroline Sullivan, ugqirha ongumongikazi kunye nonjingalwazi oncedisayo kwisikolo i-Columbia University School of Nursing. Oku kubandakanya nabani na onemeko ebangela ukudumba kwezicubu ezijikeleze imithambo, ezinje:

• isihlomelo
• umhlaza
• ukuphambuka
• pancreatitis, okanye ukudumba okukuko kwepancreas

Ukuthatha iipilisi zolawulo lokuzalwa kunye namayeza e-estrogen nawo anyusa amathuba akho okuba ube nolu hlobo lwehlwili.

Iimpawu zehlwili esiswini zinokubandakanya iintlungu zesisu, ukuqunjelwa kunye nokugabha. Ukuba iintlungu zesisu ziba mandundu emva kokutya okanye zimbi ngokuhamba kwexesha, kunokwenzeka ukuba zinxulunyaniswe nehlwili, utshilo uSullivan.

Le ntlungu inokuba nzima kwaye ibonakale ngathi ayizukuvela ndawo. Ayisiyiyo into ekufanele ukuba ukhe wayifumana ngaphambili, utshilo uVaccaro, oyithelekise "neyona ntlungu inzima umntu anokuyifumana."

Igazi elixineneyo kwingqondo

Amahlwili egazi enza nokuba kungamagumbi entliziyo yakho okanye ngaphakathi kwimithambo ye-carotid entanyeni yakho anokukwazi ukuya kwingqondo yakho. Oko kunokubangela ukubetha, watsho uSullivan.

Iimpawu zestroke zibandakanya:

• ubuthathaka okanye ukuba ndindisholo kwelinye icala lomzimba wakho
• ukuphazamiseka kombono
• kunzima ukuthetha ngokucacileyo
• ubunzima bokuhamba
• ukungakwazi ukucinga kakuhle

Ngokungafaniyo neminye imiqondiso yamahlwili egazi, uVaccaro uqaphele ukuba ngekhe uve iintlungu ngokubetha. "Kodwa kunokubakho intloko ebuhlungu," utshilo.

Ngolwazi oluthe kratya malunga nokuba ukuziva kwegazi kunokuziva njani, funda amabali ayinyani abantu abanamava eNational Blood Clot Alliance (NBCA).

Nini ukubiza ugqirha wakho

Yiya kugqirha wakho ukuba ucinga ukuba likho nethuba elincinci lokuba negazi.

"Ngokukhawuleza ukuba i-clot yegazi ifunyanwe, unyango lungaqala ngokukhawuleza kwaye [nethuba] lokulimala ngokusisigxina lincitshiswe," utshilo uVaccaro.