Kutheni le nto iPolycythemia Vera ibangela iintlungu zomlenze?

Umxholo

• Kutheni le nto i-polycythemia vera ibangela iintlungu emlenzeni?
• Yintoni i-vein thrombosis (DVT) enzulu?
• Iintlanzi zomlenze
• Ukunyanga iintlungu zomlenze
• Ukuthintela iintlungu zomlenze
• Nini ukubona ugqirha
• Ukuthatha

IPolycythemia vera (PV) luhlobo lomhlaza wegazi apho umongo wethambo uvelisa iiseli ezininzi zegazi. Iiseli ezibomvu ezongezelelweyo zegazi kunye neeplatelets ziyalirhola igazi kwaye lenze ukuba kube lula ukujiya.

Ihlwili linokubakho kwiindawo ezininzi zomzimba kwaye lenze umonakalo. Olunye uhlobo lwehlwili yi-vein thrombosis enzulu (i-DVT), edla ngokwenzeka emlenzeni. I-DVT inokukhokelela kwi-pulmonary embolism (PE) enokubulala. Umngcipheko we-DVT uphezulu kubantu abane-PV.

Kukho iintlobo ezahlukeneyo kunye nezizathu zentlungu yomlenze. Ayizizo zonke iintlungu zomlenze ezinxulunyaniswe ne-PV, kwaye isampampu ayithethi ukuba une-DVT. Funda ukuze ufumane okungakumbi malunga neentlobo zentlungu yomlenze kwaye xa kufuneka unxibelelane nogqirha wakho.

Kutheni le nto i-polycythemia vera ibangela iintlungu emlenzeni?

I-PV ibangela ukuba igazi lijiye ngakumbi kunesiqhelo ngenxa yamanqanaba aphezulu eeseli ezibomvu zegazi kunye neeplatelets. Ukuba une-PV kunye nentlungu yomlenze, ihlwili lingangunobangela.

Inani elibomvu leeseli ezibomvu lenza ukuba igazi lijiye ukuze liphume kancinci. Iiplatelets ziyilelwe ukuba zincamathele kunye ukuze zinciphise ukopha xa wenzakele. Zininzi kakhulu iiplatelet ezinokubangela ukuba amahlwili enze ngaphakathi emithanjeni.

Amanqanaba aphezulu ezibini zeeseli ezibomvu zegazi kunye neeplatelet zonyusa umngcipheko weqhekeza legazi elenzeka kwaye libangele ukubhloka. Ihlwili emthanjeni womlenze kunokubangela iimpawu kubandakanya iintlungu zomlenze.

Yintoni i-vein thrombosis (DVT) enzulu?

I-vein thrombosis enzulu (i-DVT) kuxa igazi lisenzeka kwindawo enkulu, enzulu. Kwenzeka rhoqo kwindawo ye-pelvic, kumlenze ongezantsi, okanye ethangeni. Inokwenza kwakhona engalweni.

I-PV ibangela ukuba igazi lihambe kancinci kwaye livale ngokulula, oko kwandisa umngcipheko we-DVT. Kubalulekile ukuba uqaphele iimpawu ze-DVT ukuba unayo i-PV. Oku kubandakanya:

• ukudumba kwilungu elinye
• iintlungu okanye ukunyanzeliswa akubangelwa kukwenzakala
• ulusu olubomvu okanye olufudumeleyo ekuphathweni

Umngcipheko omkhulu we-DVT kukuba ihlwili linokuphuma lize liye kwimiphunga yakho. Ukuba iqokobhe liyabambeka kwimithambo emiphungeni yakho, lithintela igazi ekufikeleleni kwimiphunga yakho. Oku kubizwa ngokuba yi-pulmonary embolism (PE) kwaye kusongela ubomi ngokungxamisekileyo kwezonyango.

Iimpawu kunye neempawu ze-PE zibandakanya:

• ukuphefumla ngesiquphe kunye nokuphefumla okufutshane
• iintlungu esifubeni, ngakumbi xa ukhohlela okanye uzama ukuphefumla nzulu
• ukukhohlela ulwelo olubomvu okanye olupinki
• ukukhawuleza kwentliziyo okanye okungaqhelekanga
• Ndiziva ndinentloko elula okanye ndinesiyezi

Unokuba ne-PE ngaphandle kwayo nayiphi na imiqondiso ye-DVT, njengentlungu yomlenze. Kuya kufuneka ufumane uncedo lonyango kwangoko ukuba unayo nayiphi na impawu ze-PE, kunye okanye ngaphandle kwentlungu yomlenze.

Iintlanzi zomlenze

Iikramps zomlenze azisoloko zibonisa imeko yezonyango enzulu njenge-DVT kwaye ayixhomekekanga kwi-PV. Ngokwesiqhelo azikho nzulu kwaye zihamba zodwa kwimizuzu embalwa.

Iikramps ziba buhlungu ngokungxamisekileyo kwaye uziqinise ngokunganyanzelekanga kwezihlunu zakho, zihlala zisemlenzeni ongezantsi.

Oonobangela banokubandakanya ukuphelelwa ngamanzi emzimbeni, ukusetyenziswa gwenxa kwezihlunu, uxinzelelo lwemisipha, okanye ukuhlala kwindawo enye ixesha elide. Iicramps zisenokungabi nasiphumo.

Iikram zinokuhlala imizuzwana embalwa ukuya kwimizuzu embalwa. Unokuziva uqaqamba emlenzeni wakho emva kokumisa kwe-cramping.

Iimpawu kunye neempawu zeekram zomlenze zibandakanya:

• iintlungu ezibukhali okanye ezibuhlungu emlenzeni wakho ngequbuliso kwaye zinamandla kwaye zihlala imizuzwana embalwa ukuya kwimizuzu embalwa
• iqhuma apho umsipha uye waqina khona
• ukungakwazi ukuhambisa umlenze wakho de umsipha ukhululeke

Ukunyanga iintlungu zomlenze

Unyango lwentlungu yomlenze luxhomekeke kwisizathu esingunobangela.

Kubalulekile ukunyanga i-DVT ukunciphisa umngcipheko we-PE. Ukuba unayo i-PV, kusenokwenzeka ukuba sele sele unciphile kwigazi. Amayeza akho anokuhlengahlengiswa ukuba ugqirha wakho uxilonga i-DVT.

Ugqirha wakho unokuphinda ancome isitokhwe soxinzelelo. Oku kunceda ukugcina igazi lihamba emilenzeni yakho kwaye kunciphise umngcipheko we-DVT kunye ne-PE.

Ukunyanga iicramps zomlenze, zama ukuphulula okanye ukolula izihlunu de ziphumle.

Ukuthintela iintlungu zomlenze

Amacebo aliqela anokunceda ukukhusela i-DVT kunye neekram ezinemilenze.

Ezi ngcebiso zilandelayo zinokunceda ukuthintela i-DVT ukuba unayo i-PV:

• Landela isicwangciso sakho sonyango lwe-PV ukulawula iimpawu kunye nokugcina igazi lingabinamandla kakhulu.
• Thatha onke amayeza acetyiswe ngugqirha wakho kanye njengoko kuyalelwe.
• Thetha nogqirha wakho ukuba unengxaki kwiziphumo ebezingalindelekanga okanye ukhumbule ukuthatha amayeza amiselweyo.
• Gcina unxibelelwano rhoqo kunye neqela lakho lokhathalelo lwempilo ukuxoxa ngeempawu kunye nomsebenzi wegazi.
• Zama ukunqanda ukuhlala ixesha elide.
• Thatha ikhefu ukuze ujikeleze ubuncinci iiyure ezi-2 ukuya kwezi-3 kwaye wolule rhoqo.
• Zilolonge rhoqo ukonyusa ukuhamba kwegazi kunye nokunciphisa umngcipheko weqokobhe.
• Sebenzisa iisokisi zokucinezelwa ukuxhasa ukujikeleza okuhle.

Iindlela zokuthintela iicramps zomlenze:

• Ukuphelelwa ngamanzi emzimbeni kunokubangela inkampu yomlenze. Yenza okusemandleni akho ukusela iziselo ezishushu imini yonke.
• Yalatha iinzwane zakho phantsi nasezantsi amaxesha ambalwa yonke imihla ukolula izihlunu zethole.
• Nxiba izihlangu ezixhasayo nezintofontofo.
• Sukufaka iibhedi kwi-tight. Oku kungayigcina imilenze yakho kunye neenyawo zixakeke kwindawo enye ubusuku bonke kwaye zonyusa umngcipheko weenyawo zomlenze.

Nini ukubona ugqirha

I-DVT yinkxalabo enkulu ye-PV engakhokelela ekubetheleleni ubomi kwi-pulmonary embolism. Funa unyango olukhawulezileyo kwangoko ukuba unayo nayiphi na impawu ze-DVT okanye i-PE.

Ukuthatha

I-PV luhlobo lomhlaza wegazi obangela amanqanaba aphezulu eeseli ezibomvu zegazi kunye neeplatelets. Ukunganyangwa kwe-PV kunyusa umngcipheko wamahlwili amnyama, kubandakanya ne-vein thrombosis enzulu. I-DVT inokubangela ukuba i-pulmonary embolism, enokubulala ngaphandle kokonyango kwangoko.

Ayizizo zonke iintlungu zomlenze yi-DVT. Iikram zomlenze ziqhelekile kwaye zihlala zihamba ngokukhawuleza ngokwazo. Kodwa ububomvu kunye nokudumba kunye nentlungu yomlenze kunokuba yimiqondiso ye-DVT. Kubalulekile ukuba ufumane unyango ngokukhawuleza ukuba ukrokrela i-DVT okanye i-PE.