I-Varicose Vein Foam Sclerotherapy: Ukwelashwa, Izinzuzo, kanye Nenqubo

Imithambo ye-varicose ithinta abantu abangaphezu kuka-20% emazweni athuthukile, okwenza i-varicose veins foam sclerotherapy (Varithena) ibe yindlela yokwelapha ebaluleke kakhulu. Ukwelashwa kwendabuko kuvame ukulwa namazinga aphezulu okuphindeka, kufika ku-64% weziguli ezithola ukubuya kwemithambo ye-varicose phakathi neminyaka emihlanu ngemva kokwelashwa okuvamile.

Kodwa-ke, i-Varithena inikeza isixazululo esithembisayo ngobuchwepheshe bayo obusha be-polidocanol begwebu lomjovo. Lo mhlahlandlela ophelele uhlola yonke into iziguli okudingeka ziyazi mayelana nokwelashwa kwe-Varithena, kusukela ezimisweni zayo eziyisisekelo kuya kulokho okulindelekile kokululama kanye nemiphumela engaba khona.

Iyini i-Varithena?

I-Varithena imele njengomuthi kadokotela oklanyelwe ngokusobala ukwelapha imithambo ye-varicose ebangelwa izinkinga ngohlelo olukhulu lwe-saphenous vein (GSV). Lokhu kwelashwa okusha kuqukethe igwebu lomjovo elinelungelo lobunikazi eliqukethe i-polidocanol elihlanganiswe nengxube enembile yamagesi emvelo.

Ukuhluka kokwelashwa kusebuchwepheni bayo be-microfoam obakhiwe ngokukhethekile. I-Varithena isebenzisa inhlanganisela ehlukile yamagesi - i-65% i-oxygen kanye ne-35% ye-carbon dioxide, ne-nitrogen engaphansi kuka-0.8%. Lokhu kwakheka kwe-nitrogen ephansi kudala amabhamuza amancane amaningi asebenza ndawonye ukwelapha imithambo eyonakele ngokuphumelelayo.

Ubani Odinga Ukwelashwa Kwe-Varithena?

Izimpawu ezivamile ezibonisa isidingo sokwelashwa zihlanganisa:

• Ubunzima obuqhubekayo: Ukuzizwa kwesisindo esiqhubekayo emilenzeni
• Ukungakhululeki Okuqhubekayo: Ukuzwa okubuhlungu njalo ezindaweni ezithintekile
• Ukuvuvukala Okubonakalayo: Ukukhukhumala okuphawulekayo emilenzeni
• Ukushaya Okuqhubekayo: Ukuzwa ukushaya kwemithambo emithanjeni
• Ukucasuka kwesikhumba: Ukunwaya okuqhubekayo emithanjeni ye-varicose

Nokho, izimo ezithile zivimbela iziguli ekutholeni ukwelashwa kwe-Varithena. Odokotela abakwazi ukunikeza ukwelashwa kubantu abanamahlule emithambo yegazi, abanesifo se-arterial, abangezwani ne-polidocanol, noma abakhulelwe.

Nini Ukucabangela i-Varithena?

Ukuhlolwa kwezokwelapha kudlala indima ebalulekile ekunqumeni isikhathi esifanele sokwelashwa kwe-Varithena. Odokotela kufanele bahlole izici zempilo eziningana ngaphambi kokuqhubeka nenqubo.

Ngokuyinhloko, isikhathi sokwelashwa kwe-Varithena sincike ezenzakalweni zakamuva zezokwelapha. Iziguli kufanele zilinde okungenani izinyanga ezintathu ngemva kokuhlinzwa okukhulu noma ukuhlala isikhathi eside esibhedlela ngaphambi kokuba zenze inqubo. Lesi sikhathi sokulinda sisiza ukuqinisekisa imiphumela emihle yokwelashwa futhi sinciphise izinkinga ezingaba khona.

Inqubo yokuhlola ngokuvamile ihlanganisa ukuhlolwa kwalokhu okulandelayo:

• Impilo Yemithambo Yegazi: Ukuba khona kwezifo ze-arterial
• Isimo Sokunyakaza: Amakhono amanje okunyakaza komzimba
• Umlando Wezokwelapha: Amahlule egazi adlule emithanjeni noma emaphashini
• Izehlakalo Zakamuva: Ukuhlinzwa okukhulu noma ukuhlala esibhedlela
• Isimo Sokukhulelwa: Ukukhulelwa kwamanje noma kwakamuva

Ukwelashwa kwe-Varithena ye-Varicose Veins

Inqubo ye-Varithena igqama njengokwelashwa okungavamisile okudinga izinti zezinaliti ezi-1-2 kuphela. Lokhu kwelashwa kwe-microfoam emnene ngokuvamile kuthatha isikhathi esingaphansi kwehora ukuqeda.

Ukulungiselela kwangaphambili kwe-Varithena

• Udokotela uzobuyekeza ngokucophelela umlando wakho womtholampilo, imithi eqhubekayo, kanye ne-allergies. 
• Ukumisa okwesikhashana noma ukulungisa imithi ethile, efana nemithi enciphisa igazi noma eqeda ukuvuvukala
• Gwema ama-lotions, amafutha, noma ama-moisturiser endaweni yokwelapha
• Gqoka izingubo ezinethezekile, ezixegayo

Ngesikhathi senqubo ye-Varithena

Ekuqaleni, odokotela babeka iziguli ngokunethezeka etafuleni lokwelapha. Umlenze ubekwe nge-engeli engu-45-degree ukuze kube lula ukufinyelela okugcwele emthanjeni othintekile. Kamuva, indawo yokwelapha ihlanzwa ngokuphelele, ilandelwe ukufakwa kwezinzwa zendawo ukuze kuqinisekiswe ukunethezeka kwesiguli. 

Inqubo iqala ngokuqondiswa kwe-ultrasound ukuze kutholwe indawo yomjovo enembile. Inani elincane le-Varithena microfoam ligcwalisa ingxenye ye-vein ehlosiwe. Leligwebu elikhethekile liqukethe ingxube eqondile yama-65% komoyampilo kanye namagesi angama-35% e-carbon dioxide. I-microfoam isusa igazi ngokuphumelelayo futhi ibangele ukuba umthambo ogulayo ugoqe, iqondise kabusha ukugeleza kwegazi emithanjeni enempilo eseduze.

Ukunakekelwa kwangemva kwenqubo ye-Varithena

Ngemva kokwelashwa, abasebenzi bezokwelapha baqapha iziguli okungenani imizuzu eyi-10 ukuze bahlole ukungezwani komzimba. Ngemuva kwalokho, kufakwa amasokisi okucindezela, okumele iziguli zizigqoke amasonto amabili. Ukuze ululame kahle:

• Hamba okungenani imizuzu eyi-10 nsuku zonke inyanga eyodwa
• Gwema ukuvivinya umzimba kakhulu ngesonto lokuqala
• Qala kabusha imisebenzi evamile yansuku zonke ngokushesha
• Yiya ezifundweni zokulandelela uma unconywa

Izinzuzo ze-Varithena

Ukuguquguquka kwe-Varithena kuyenza ihluke kwezinye izindlela zokwelapha:

• Iphatha kahle imithambo emikhulu nemincane
• Isebenza emithanjeni ye-varicose ebonakalayo nefihliwe
• Akudingi i-anesthesia ejwayelekile noma i-sedation
• Iqeda isidingo sokuhlinza imithambo yegazi
• Igwema imijovo eminingi yokuba ndikindiki

Izinkinga kanye Nezingozi ze-Varithena

Imiphumela emibi evamile iyenzeka endaweni yomlenze wezokwelapha. Iziguli eziningi zithola ubuhlungu noma ukungakhululeki emilenzeni yazo, kanti i-80% yalezi zenzakalo ixazulula phakathi nesonto elilodwa. Ukusabela kwendawo yomjovo kuhlanganisa imihuzuko, ubuhlungu, namahlule egazi angaba khona.

Ukwelashwa kunezingozi ezinkulu ezidinga ukunakekelwa kwezempilo:

• Ukungezwani nomzimba okukhulu, okuhlanganisa i-anaphylaxis
• Amahlule egazi emithanjeni yomlenze
• Ukulimala kwezicubu noma i-necrosis
• Ukushintsha umbala wesikhumba
• Ukulimala kwemisipha

Isiphetho

I-Varithena igqama njengentuthuko enkulu ekwelapheni imithambo ye-varicose, enikeza iziguli isixazululo esingenele kancane esinemiphumela efakazelwe. Inqubo ithatha isikhathi esingaphansi kwehora, ivumela ukululama ngokushesha, futhi iphatha ngokuphumelelayo kokubili imithambo ye-varicose ebonakalayo nefihliwe. Ikhono lokwelashwa lokubhekana nakho kokubili ukukhathazeka kwezimonyo kanye nezinkinga zemithambo engaphansi kwenza kube inketho efinyelelekayo kulabo abafuna ukukhululeka isikhathi eside emithanjeni ye-varicose.

Imibuzo Evame Ukubuzwa

1. Siyini isikhathi sokululama?

Ukululama kokwelashwa kwe-Varithena kufinyelela izigaba eziningana. Ikakhulukazi, iziguli zidinga ukugqoka amasokisi okucindezela okungenani izinsuku eziyi-14. Amahora angu-48 okuqala adinga ukugcina amabhandeshi omile futhi esendaweni. Ngokushesha ngemva kwalokho, abantu abaningi babona ukuthuthuka, imiphumela ephelele ibonakala phakathi nezinyanga ezimbalwa.

2. Kuthatha isikhathi esingakanani ukwelashwa?

Yonke inqubo ye-Varithena ngokuvamile ithatha isikhathi esingaphansi kwehora ukuqeda. Lokhu kwelashwa okusheshayo kuhilela izinti zezinaliti ezingu-1-2, okwenza kube inketho esebenza isikhathi eside kubantu abamatasa.

3. Yiziphi izinhlobo zemithambo ezingaphathwa nge-Varithena?

I-Varithena iphatha ngempumelelo izinhlobo ezahlukene zemithambo ohlelweni lwe-GSV. Ukwelashwa kusebenza ku:

• Imithambo ye-varicose emincane nemikhulu
• Imithambo ngenhla nangaphansi kwedolo
• Imithambo ye-Tortuous yama-diameter ahlukene
• Imithambo ebelashwe ngaphambilini ephinde yavuleka

4. Ngingabuyela ngokushesha kangakanani emisebenzini evamile?

Iziguli eziningi ziqala kabusha imisebenzi evamile yomzimba ngosuku olufanayo nokwelashwa. Okwamanje, kunemikhawulo yesikhashana:

• Gwema ukuvivinya umzimba okunzima isonto elilodwa
• Hamba okungenani imizuzu eyi-10 nsuku zonke inyanga
• Yeqa izikhathi ezinde zokungasebenzi

5. Ingabe i-Varithena iyasebenza?

Ucwaningo lwezokwelapha lubonisa ukusebenza kahle okukhulu. Kunalokho, okuhlaba umxhwele, iziguli eziningi zithola ukuthuthuka ezimpawini ezinjengobunzima, ubuhlungu, ukuvuvukala, ukushaya, nokuluma ngemva kokwelashwa okukodwa nje. Iningi leziguli liphinde libike ukuthuthuka okubonakalayo ekubukekeni kwemithambo.

6. Ingabe i-Varithena ingifanele?

Ukufaneleka kuncike ezintweni ezimbalwa zezempilo. Okwamanje, ukwelashwa kungase kungahambisani nalabo abana:

• Isifo se-Arterial
• Ukuhlinzwa okukhulu kwakamuva phakathi nezinyanga ezintathu
• Umlando wamahlule egazi
• Ukukhulelwa kwakamuva
• Ukuhamba okuncishisiwe