I-Peripheral Vascular Disease: Izimpawu, Izingozi Nezifo

I-Peripheral Vascular Disease (PVD) yisimo lapho imithambo yegazi iba mincane noma ivaleke ngenxa yokwakheka kwe-atheroma noma ukunqwabelana kwamafutha ne-calcium. Ngenxa yokuncipha noma ukuvaleka, igazi alikwazi ukugeleza ngokukhululekile ezithweni (ikakhulukazi ezithweni uma kwenzeka i-PVD) futhi lingabangela izimpawu. Ivame ukubonakala emilenzeni nasezinzwaneni.

Izingozi Zokugula Kwe-Peripheral Vascular

Izici ezandisa ingozi ye-peripheral vascular disease zihlanganisa okulandelayo:

• Ukubhema kuyisici esibalulekile esiyingozi. I-PVD itholakala kakhulu kubantu ababhema ugwayi noma eminye imikhiqizo kagwayi.
• Ubudala buphinde bube yisici esiyingozi njengoba i-PVD ivame ukubonakala kubantu abadala kuneminyaka engu-50.
• Isifo sikashukela, umfutho wegazi ophakeme, noma amazinga aphezulu e-cholesterol egazini kuthinta imithambo ehlala isikhathi eside futhi kubangele i-PVD.
• Abantu abaphethwe isifo senhliziyo noma abanomlando wesifo senhliziyo emndenini nabo basengozini enkulu yokuphathwa i-PVD.
• Ukuphila kokunganyakazi kanye nokuntuleka kwezakhi namavithamini ekudleni kungaholela ku-PVD.

Izimpawu ze-Peripheral Vascular Disease

Abantu abaningi abaphethwe yi-peripheral vascular disease ababi nazo izimpawu ezigabeni zokuqala. Nokho, izimpawu ezimbalwa ze-PVD ezingase zidlange yilezi,

• Ubuhlungu buwuphawu oluvame kakhulu lwe-Peripheral Vascular Disease. Umuntu ophethwe i-PVD angase abe buthakathaka futhi akhathale emilenzeni lapho ehamba noma ezivivinya umzimba okukhululeka ngokuphumula. Ubuhlungu obuvamile be-PVD buvela futhi ekuhambeni ibanga elifanayo. 
• Ubuhlungu butholakala ikakhulukazi emathangeni, ematholeni nasezinqeni.
• Esifweni esithuthukile noma ukuvaleka okuphelele, izinhlungu ziba ngokuqhubekayo, ezaziwa ngokuthi ubuhlungu bokuphumula bese kuba ukubola kwezinzwane noma isilonda esingapholi ngokunakekelwa kwenxeba okujwayelekile futhi okuzodinga ukungenelela.

Ukuxilongwa kwe-Peripheral Vascular Disease

Uma uzwa noma yibuphi ubuhlungu emilenzeni yakho ngemva kokuhamba noma ukuzivocavoca noma ngemva kokuma isikhathi eside, kufanele uthintane nodokotela ohlinza imithambo yegazi. Ukuxilongwa kusenesikhathi kwesifo semithambo kungasiza ekuvimbeleni izinkinga zesifo futhi kusindise isitho.

Udokotela uzothatha umlando wakho wezempilo onemininingwane futhi akuhlole ngokomzimba ukuze athole ukuxilongwa. Udokotela angase futhi acele ukuba kwenziwe ukuhlolwa okuthile ukuze kuqinisekiswe ukuthi i-PVD ixilongwa futhi ahlele ukwelashwa.

I-Ankle-Brachial Index: Lokhu kuhlolwa kwenziwa ukukala umfutho wegazi eqakaleni nasengalweni ngaphambi nangesikhathi sokuzivocavoca. Umfutho wegazi uphansi uma umthambo womlenze wakho uvalekile, okubonisa ukuthi uphethwe i-PVD.

I-Pulse Volume Recording: Lokhu kuhlolwa kwenziwa ukukala izinguquko kuvolumu ye-pulse emilenzeni. Lokhu kwenziwa ngomshini kusetshenziswa umgomo ofanayo ne-saturation probe esetshenziselwa ukukala amazinga komoyampilo. Lokhu kusiza ekuboneni ukuthi ubuhlungu bubangelwa i-PVD noma esinye isizathu kumuntu one-ABI evamile noma efanayo.

I-Vascular imaging: Udokotela ohlinza imithambo angase acele i-Doppler ultrasound, i-CT angiogram noma i-MR angiogram yamalungu ukuze aqinisekise ukuxilongwa noma ukuhlela ukwelashwa kwe-PVD. Lesi sithombe sisiza ukuhlonza ukuncipha, ukuthola indawo yokuncipha noma ukuvaleka, ukwazi ubucayi besifo bese uhlela ukuthi iyiphi indlela yokwelashwa okufanele isiguli njenge-endovascular stenting noma ukuhlinzwa kwe-bypass evulekile.

Ukwelashwa kwe-Peripheral Vascular Disease (PVD)

Ukuxilongwa kusenesikhathi kungasiza ekwelapheni i-PVD ngokwenza izinguquko endleleni yokuphila, ukuthatha ukwelashwa okufanele nokusindisa isitho,

Indlela Yokuphila Nezinguquko Zokudla

• YEKA Ukubhema futhi umise ukusetshenziswa kukagwayi nganoma iyiphi indlela efana ne-gutka, i-paan njll. 
• Ukuhamba kuwumsebenzi omuhle wokunciphisa izimpawu ze-PVD. Ukuhamba okuvamile kunganikeza ukukhululeka ezimpawu zobuhlungu nokungakhululeki emilenzeni.
• Ukudla okunomsoco, okuphansi kwe-cholesterol, i-sodium ne-trans-fats kanye ne-fibre ephezulu, amavithamini namaminerali kusiza ekwehliseni ingozi ye-PVD nokuqhubekela phambili.
• Ukulawula kahle umfutho wegazi, amazinga e-cholesterol namazinga kashukela egazini kuvimbela izinkinga nezimpawu eziphambili ze-PVD.
• Abantu abakhuluphele ngokweqile kufanele behlise isisindo ngokuzivocavoca umzimba nokuguqula indlela yokudla ukuze kuncishiswe ukugcwala koqweqwe lwemithambo emithanjeni.

Imithi

Kufanele uthintane nodokotela ohlinzayo we-vascular at the Izibhedlela Ezihamba phambili Zokuhlinza Imithambo e-Hyderabad ukuthatha ukwelashwa okufanele kwe-PVD. Udokotela angancoma imithi yokuthuthukisa ukujikeleza kwegazi, ukulawula ubuhlungu, ukulawula umfutho wegazi nokulawula i-cholesterol. Ungaqali noma umise noma yimiphi imithi ngaphandle kokubonisana nodokotela wakho.

Ukwelapha Okuhlinzekwayo

Ezimweni ezithuthukisiwe ze-PVD, i Odokotela Abahlinza Imithambo Abangcono Kakhulu e-Hyderabad angase atuse ukwelashwa kokuhlinzwa. Ukwelashwa okufana ne-Balloon Angioplasty, stenting, Atherectomy, kanye ne-Peripheral Bypass Surgery ngezinye zezinketho ezitholakalayo zokuhlinzwa. Udokotela uzokhetha indlela yokwelashwa engcono kakhulu kuye ngezimpawu zesiguli, isimo esijwayelekile sesiguli kanye nobukhulu benkinga. Kwezinye izimo, isiguli sidinga ukungenelela kokuhlinzwa kodwa kungase kungenzeki ngenxa yemithambo engalungile kanye nokuvaleka okuphelele emazingeni amaningi, ezimweni ezinjalo ukwelashwa kwe-stem cell, ukwelashwa kwe-prostaglandin nokuphathwa kwezokwelapha kunikezwa.

Isiphetho

I-peripheral vascular disease iyinkinga yezempilo ehlala njalo. Umuntu kufanele afune usizo lwezokwelapha uma isilonda sonyawo singapholi ngokushesha noma uzwa ubuhlungu obukhulu emilenzeni ngemva kokuhamba. Ukuxilongwa okulungile nokusheshayo kungasiza ekukhetheni ukwelashwa okufanele futhi kusindise isitho nempilo. Ukwenza izinguquko endleleni yokuphila ngokulawula kahle umfutho wegazi namazinga kashukela nakho kungasiza ekunciphiseni ingozi yezinkinga futhi kuvimbele ukuqhubeka kwe-PVD.