Ubuhlungu Bomlenze

Iningi labantu lizwa ubuhlungu bomlenze ngesikhathi esithile empilweni yabo. Kungaba kusukela ekungakhululeki okuncane kuya ebuhlungu obukhulu, obuqeda amandla obuthinta imisebenzi yansuku zonke. Lesi simo esivamile singahlasela noma ubani, kungakhathaliseki ubudala noma indlela yokuphila. Lo mhlahlandlela ophelele uhlola ubuhlungu bomlenze, kuhlanganise nezimpawu zabo, izimbangela, izinketho zokwelapha, nezindlela zokuvimbela. 

Buyini Ubuhlungu Bomlenze?

Kubhekisela kunoma yikuphi ukungakhululeki noma ubuhlungu phakathi kwe-groin namaqakala. Ibonakala ngendlela ehlukile kumuntu ngamunye, kusukela ebuhlungwini obuncane kuya ekuphathekeni kabi okungaba nomthelela omkhulu emisebenzini yansuku zonke.

Imvelo yobuhlungu bomlenze ingahlukaniswa ngezinhlobo ezintathu eziyinhloko:

• Ubuhlungu Obubuhlungu Bomlenze: Ikhula ngokuzumayo futhi ivamise ukuxazulula esikhathini esifushane
• Ubuhlungu Obungapheli Bomlenze: Kuphikelela amasonto, izinyanga, noma ngisho neminyaka, okungase kuthinte izinga lempilo
• Ubuhlungu obuguquguqukayo: Kungaba njalo noma ngezikhathi ezithile, kuye ngembangela ewumsuka

Izimpawu Zobuhlungu Bomlenze

Izimpawu zobuhlungu bomlenze zizibonakalisa ngezindlela ezihlukahlukene, ezithinta indlela abantu ababhekana ngayo nokuchaza ukungakhululeki kwabo. Abantu bangase baqaphele izinhlobo ezahlukene zemizwa esukela ezinhlungwini ezibukhali kuye ezifiphele, kuye ngembangela ewumsuka.

Ubuhlungu bungabonakala ngezindlela eziningi:

• Ubuhlungu obubukhali noma obudubulayo obungase behle ngomlenze
• Izinhlungu ezibuhlungu noma izinzwa ezivuthayo
• Ukuluma noma ukuba ndikindiki ezindaweni ezithile
• Ukuqina kwemisipha noma ama-spasms, okwaziwa ngokuthi u-Charley Horses
• Ukuvuvukala nokufudumala, ikakhulukazi ohlangothini olulodwa lomlenze
• Umbala ushintsha emlenzeni noma onyaweni
• Izilonda noma izilonda eziphola kancane
• Abanye abantu baqaphela ubuhlungu bemilenze ebusuku
• Ukubonakaliswa ngokomzimba kuvame ukufaka izimpawu ezibonakalayo njengokuvuvukala

Izimbangela Zobuhlungu Bomlenze

Izimbangela ezivamile zingahlanganiswa zibe izigaba eziningana:

• Izinkinga ezihlobene nemisipha:
  • Ukuphelelwa amanzi emzimbeni okuholela emajaheni emisipha
  • Ubunzima bemisipha obuvela ekusebenzeni ngokomzimba ngokuvamile bubangela ubuhlungu bemilenze ebusuku
  • I-Tendinitis ibangela ukuvuvukala phakathi kwamathambo nemisipha
• Izinkinga Zokugeleza Kwegazi:
  • I-Varicose veins - ibangela ukubuyisela igazi emilenzeni
  • Isifo se-peripheral artery (PAD) esibangelwa ukwakheka kwama-plaque
  • I-vein thrombosis ejulile (DVT)- okubangela amahlule egazi ayingozi
• Izimo Zemizwa:
  • I-Sciatica ithinta izinzwa emilenzeni, emuva, nasezinqeni
  • I-peripheral neuropathy ethinta isimiso sezinzwa
  • I-Meralgia paresthetica- ebangela ukuzwa okuvuthayo

Ezinye izimo eziningana zingaba nomthelela ebuhlungu bomlenze, kuhlanganise: 

• Ukungalingani kwe-Electrolyte okungase kubonise izinkinga zesibindi, inhliziyo, noma izinso
• Isifo Sokuqaqamba Kwamalunga, ikakhulukazi izinhlobo ezivuvukalayo njenge-gout
• Izimo zethambo ezifana nomdlavuza wamathambo kanye nezifo ezifana ne-cellulitis
• Imithi, ikakhulukazi ama-statins nama-diuretics
• Abasubathi babhekana nezingozi ezengeziwe ngenxa yokucindezeleka okuphindaphindiwe emilenzeni yabo
• Izinguquko zeHormonal, ikakhulukazi ekukhulelweni noma menopause, kungase kubangele ubuhlungu bomlenze kwabesifazane

Izinkinga Zobuhlungu Bomlenze

Ubuhlungu bomlenze obungelashiwe noma obunzima bungabangela izinkinga ezinkulu ezingase zibe nomthelela omkhulu empilweni yomuntu kanye nezinga lempilo. 

Izinkinga ze-Vascular: Kokubili I-Peripheral Artery Disease (PAD) kanye ne-Deep Vein Thrombosis (DVT) zingakhula ngaphandle kwezimpawu ezibonakalayo ekuqaleni. Lezi zimo zingase ziveze ukuvuvukala kanye nomuzwa oshisayo, obuhlungu, ikakhulukazi ohlangothini olulodwa lomlenze.

Izinkinga ezinkulu ezingase zibe khona zihlanganisa:

• Ukufa Kwezicubu: Izimo ezimbi kakhulu zingaholela ekuqhumeni kwesilonda kanye nokunqunywa kwesitho
• Ukutheleleka Kwamathambo: Izimo ezifana ne-osteomyelitis zingakhula, okusongela ukulondolozwa kwezitho zomzimba
• I-Cellulitis: Ukutheleleka kwebhaktheriya okunzima okuthinta isikhumba nezicubu ezingaphansi
• i-sepsis: Ukutheleleka okungase kube yingozi empilweni
• Umdlavuza Wesikhumba: Ikakhulukazi ezimweni zezilonda ezingapheli emilenzeni
• I-Compartment Syndrome: Lapho ukuvuvukala kuholela emazingeni okucindezela ayingozi ngaphakathi kwezingxenye zemisipha. 

Sifo

Ukuhlolwa Komzimba: Ngesikhathi sokuhlolwa komzimba, odokotela bahlola izinkomba ezihlukahlukene, okuhlanganisa ukuvuvukala, izinguquko zesikhumba, kanye nezimpendulo ezishukumisayo ezithile. Bangase bacindezele ngobumnene izindawo ezithile noma bahlole ama-joint reflexes ukuze baqoqe ulwazi olwengeziwe mayelana nesimo.

Amathuluzi amaningana okuxilonga asiza ukuqinisekisa imbangela esolwayo:

Ukuhlolwa Kwesithombe Sezokwelapha:

• Izikena ze-MRI zinikeza izithombe ezinemininingwane yezicubu ezithambile
• Ama-CT scan enza izithombe zomzimba ezihlukene
• I-Ultrasound isiza ukukhomba izinkinga zokugeleza kwegazi
• Ama-X-ray athola izinkinga ezihlobene namathambo

Ezimweni ezihilela izinkinga zezinzwa ezingase zibe khona, odokotela bangase batuse izithiyo zokuxilonga. 

Ukwelashwa Kwezinhlungu Zomlenze

Ngobuhlungu bomlenze obumaphakathi kuya kobumaphakathi, indlela ye-RICE ibonakala iphumelela njengokwelashwa komugqa wokuqala:

• Ukuphumula: Nciphisa ukunyakaza komlenze othintekile
• Iqhwa: Faka amaphakethe abandayo imizuzu eyi-15 ngesikhathi
• Ukucindezeleka: Sebenzisa amabhandeshi ukuze unciphise ukuvuvukala
• Ukuphakama: Gcina umlenze uphakeme ngaphezu kwezinga lenhliziyo

Izidakamizwa ezingezona ukuvuvukala (ama-NSAID) zingasiza ekunikezeni impumuzo yesikhashana ebuhlungu emilenzeni

Izindlela zesimanje zokuhlunyeleliswa seziguqukile zafaka nezindlela zokuthula kanye ZOTHANDO. Leli su lokwelapha eliphelele livikela indawo ethintekile ngenkathi likhuthaza ukululama okusebenzayo ngokunyakaza okulawulwayo nokuzivocavoca. Le ndlela igcizelela ukubaluleka kokuhlala unethemba ngesikhathi sokululama nokugcina ukugeleza kwegazi okufanelekile ngomsebenzi omnene.

Ukwelula nokubhucunga umzimba kunganikeza ukukhululeka okusheshayo kwamajaqamba emisipha nobuhlungu obuhlobene nokukhathala. 

Uzoyibona Nini Udokotela

Ukunakekelwa okuphuthumayo kuyadingeka uma othile ehlangabezana:

• Ukuvuvukala okungazelelwe emlenzeni owodwa, ikakhulukazi ngokubomvu noma ubuhlungu
• Umlenze ubonakala upholile noma uphaphathekile ngendlela engavamile
• Ububomvu obuzungeze amalunga anomkhuhlane, okubonisa ukutheleleka okungenzeka
• Yomibili imilenze iyavuvukala, okuhambisana nobunzima bokuphefumula
• Ukukhubazeka komlenze noma ukungakwazi ukusebenzisa umlenze ngendlela efanele
• Ubuhlungu obukhulu obukhula ngaphandle kwencazelo
• Ukuba ndikindiki nobuthakathaka emlenzeni

Prevention

Ukuvimbela ubuhlungu bomlenze kuhilela ukwamukela imikhuba yokuphila enempilo nokwenza izinqumo ezihlakaniphile emisebenzini yansuku zonke. 

Ukuzivocavoca umzimba njalo kudlala indima eyisisekelo ekuvimbeleni ubuhlungu bomlenze. Umuntu ngamunye kufanele azivocavoce imizuzu engama-30 ngosuku, izinsuku ezinhlanu ngesonto. Ngaphambi nangemva kwanoma yimuphi umsebenzi womzimba, ukwelula okufanele kubalulekile ukugcina impilo yemisipha nokuvimbela ukulimala.

I-hydration efanele ibalulekile; ochwepheshe batusa izingilazi zamanzi ezingu-8-12 nsuku zonke. Abantu kufanele futhi bagxile ekudleni kwabo, ikakhulukazi ukudla okunothe nge-potassium njengobhanana nenkukhu, okusiza ukuvimbela ukulimala kwemisipha nemisipha.

Amasu abalulekile okuvimbela ahlanganisa:

• Ukugcina isisindo esinempilo
• Ukuqapha umfutho wegazi kanye namazinga e-cholesterol
• Ukunciphisa ukusetshenziswa kotshwala
• Ukuhlala ugcwele amanzi usuku lonke
• Ukwelula njalo nokugcinwa kwemisipha
• Ukugqoka izicathulo ezisekelayo
• Ukulawula amazinga kashukela egazini kanye nokunciphisa ukucindezeleka 
• Ukuyeka ukubhema

Amakhambi Asekhaya Obuhlungu Bomlenze

Amakhambi emvelo amaningana abonise imiphumela ethembisayo:

• Izicelo ze-Turmeric: I-paste ye-turmeric exutshwe namafutha e-sesame afudumele ingafakwa endaweni ebuhlungu noma idliwe njengobisi lwe-turmeric ngenxa yezakhiwo zayo zokulwa nokuvuvukala.
• I-Epsom Salt Soak: Ukwengeza usawoti we-Epsom emanzini okugeza afudumele kusiza ukulawula izimpawu zemizwa futhi kunciphisa ukuvuvukala
• I-Apple Cider Vinegar: Ukucwilisa umlenze othintekile emanzini afudumele nabambalwa i-apula cider uviniga amaconsi angakhulula ubuhlungu bamalunga nokuvuvukala
• Ijusi le-Tart Cherry: Isebenza kahle kakhulu ebuhlungu bemisipha kanye nokungakhululeki okuvela emisebenzini yomzimba

Isiphetho

Ubuhlungu bomlenze buthinta abantu abaningi, kusukela ekuphathekeni kabi kuya ezimeni ezinzima ezidinga ukunakekelwa kwezokwelapha. Ukuqonda izimpawu kusiza abantu ukuthi bathathe izinyathelo ezifanele ngesikhathi esifanele. Nakuba ezinye izimo zixazululwa ngamakhambi alula asekhaya afana nokuphumula, iqhwa, nokuphakama, ezinye zidinga ukunakekelwa kwezokwelapha kochwepheshe.

Ukuvimbela kusalokhu kuyindlela engcono kakhulu yokuzivocavoca okuvamile, i-hydration efanele, nokukhetha indlela yokuphila enempilo. Abantu kufanele baqaphele izimpawu eziyisixwayiso ezifana nokuvuvukala okungazelelwe, ubuhlungu obukhulu, noma ukuba ndikindiki emlenzeni. Lezi zimpawu zivame ukukhomba izimo ezinzima ezidinga ukuhlolwa ngokushesha kwezokwelapha.

Amakhambi asekhaya kanye nezixazululo zemvelo zisebenza kahle ezimweni ezithambile, kodwa usizo lwezokwelapha lubaluleka lapho ubuhlungu buqhubeka noma buba bubi nakakhulu. Okubalulekile wukuthola ibhalansi efanele phakathi kokuzinakekela kanye nokwelashwa kochwepheshe, njalo kugcina ukuphepha njengento eza kuqala.

Imibuzo Evame Ukubuzwa

1. Isiphi isizathu esiyinhloko sobuhlungu bomlenze?

Ubuhlungu bomlenze buvame ukuvela ngenxa yamajaqamba emisipha, okungenzeka ngenxa yokuphelelwa amanzi emzimbeni noma amazinga aphansi amaminerali abalulekile egazini. Nakuba ukukhathala kwemisipha nokucindezeleka okuvela ekusebenziseni ngokweqile kuyizimbangela ezivamile, ezinye izici ezibalulekile zihlanganisa isifo se-peripheral artery (PAD), amahlule igazi, nokulimala kwezinzwa. Lezi zimo ngokuvamile zidinga izindlela zokwelashwa ezihlukene ezisekelwe ezimpawu zazo ezithile.

2. Yikuphi ukuntula okubangela ubuhlungu bomlenze?

Ukushoda kwezakhi eziningana kungabangela ubuhlungu bomlenze, nge i-vitamin D, i-magnesium, ne-potassium kuba yizigebengu ezivame kakhulu. Amazinga aphansi e-potassium egazini angase abangele amajaqamba emisipha nobuthakathaka. Ukushoda kwe-ayoni kungabangela i-leg syndrome engaphumuli, kuyilapho ukuntuleka kwevithamini B1 kungase kubangele amajaqamba emisipha kanye nomuzwa ongavamile emilenzeni.

3. Umisa kanjani ubuhlungu bomlenze ebusuku ngokushesha?

Ukuze uthole ukukhululeka okusheshayo ebuhlungu bomlenze wasebusuku, amasu amaningana asebenzayo angasiza:

• Yelula umsipha othintekile ngobumnene
• Faka ukushisa noma iqhwa kuze kufike kumaminithi angu-15
• Hlanza indawo ebuhlungu
• Thatha ama-over-the-counter relievers uma kudingeka

4. Ingabe ukuntuleka kwevithamini D kungabangela ubuhlungu bomlenze?

Ukuntuleka kwevithamini D kuthinta kakhulu impilo yemisipha futhi kungabangela ubuhlungu bomlenze. Ucwaningo lubonisa ukuthi ukuntuleka kwevithamini D kuholela ebuthakathaka bemisipha, amajaqamba, nokukhathala. Ukuqapha njalo amazinga kavithamini D nokwengezwa okufanele ngaphansi kokuqondisa kwezokwelapha kungasiza ekuvimbeleni lezi zimpawu.

UDkt. Vivek Ashok Chourasia

BPTh, M.Ph.T, PGDMLS
I-Ganga CARE Hospital Limited, eNagpur

Ukuze Ubhukhe Isikhathi, shayela:

+ 91 40-68106529

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