Ukopha emithanjeni ye-Varicose

Ukopha emithanjeni ye-varicose kungaphenduka ukufa, ikakhulukazi uma unabantu asebekhulile abahlala bodwa kungekho muntu oseduze ozokusiza ngosizo lokuqala. I-varicose veins ithinta iningi labantu emhlabeni wonke-abesifazane babonisa ukusabalala okuphezulu kunamadoda. Abantu abaningi ababuboni ubungozi obukhulu obuhlobene nalesi simo. 

Igazi lingaphuma ngamandla uma isikhumba siphuka phezu komthambo we-varicose. Lokhu kwenzeka ngoba ama-valve e-venous anephutha adala umfutho ophezulu emithanjeni. Iziguli zivame ukwethuka kulokhu kopha kungazelelwe, kodwa ukwazi izinyathelo ezifanele zokusabela kungasindisa izimpilo. Ingozi yakho iyanda uma unesikhumba esine-atrophic esivala imithambo ye-varicose noma uma kukhona ama-phlebectatic blebs. Ukufunda ukumisa ukopha kwemithambo ye-varicose nokuqonda izindlela zokwelapha kuba ulwazi olubalulekile kunoma ubani onalokhu okuvamile isimo semithambo.

Kuyini ukopha i-Varicose Veins?

Isifo se-venous esingamahlalakhona sibonakala njengemithambo ye-varicose engase iqhume futhi yophe. 

Imithambo ye-varicose eyophayo iyenzeka lapho imithambo ye-varicose ikhulisiwe, esontekile enezindonga eziphukayo. Igazi liphuma ngaphandle ngesikhumba esiphukile noma ngaphakathi ezicutshini ezizungezile. Igazi linombala obomvu omnyama futhi ligeleza kancane esikhundleni sokugxuma ngoba umfutho wemithambo uhlala uphansi kunomfutho wemithambo.

Izimpawu Zokopha I-Varicose Veins

Izimpawu zihlanganisa:

• Igazi elibomvu elimnyama eligeleza kancane lisuka emlenzeni
• Indawo ezungezile yomthambo othintekile iyavuvuka, ibe buhlungu, futhi ifudumale
• Imilenze engezansi noma izinyawo zibonisa isikhumba esincane esibonakalayo noma 'amabhamuza'
• Igazi licwila ezingutsheni noma ngezingubo zokulala

Izimbangela Zokopha I-Varicose Veins

Okulandelayo yizimbangela eziyinhloko zokuphuma kwegazi emithanjeni ye-varicose:

• Ama-valve e-venous awonakele avumela igazi ukuba lihlangane (ukungasebenzi kahle kwe-venous okungapheli) futhi andise umfutho womthambo, okuholela ekopheni kwemithambo ye-varicose.
• Izindonga zemithambo ziyanwebeka futhi isikhumba esingaphezulu kwazo siba buthaka, esiphuka kalula. 
• Ukuchitha isikhathi esiningi umile noma uhlezi kwakha ingcindezi emithanjeni.
• Abantu bavame ukopha ngesikhathi noma ngemva kweshawa elishisayo ngoba ukushisa kwenza imithambo yegazi inwebe.
• Ukulimala okuncane okufana nokusikeka okuncane, amaqhubu, noma ukuklwebheka kungase kuphule imithambo futhi kubangele ukopha emithanjeni ye-varicose.

Ingozi Yokopha I-Varicose Veins

Iminyaka yobudala, ukuzihlukanisa, umfutho wegazi ophakeme, yokumelwa yinhliziyo, futhi amahlule egazi angaphambili aphakamisa ingozi. Imithi ethile ehlanganisa i-aspirin, ama-anticoagulants, nezidakamizwa ze-psychotropic, nayo yandisa ingozi. Ubungozi bomuntu buyanda nangokukhuluphala kanye nezikhathi ezinwetshiwe zokuma noma ukuhlala.

Izinkinga Zokopha I-Varicose Veins

Iziguli ezingakutholi ukwelashwa zingabhekana nezinkinga ezinkulu ezifana nalezi:

• Ukulahlekelwa igazi eliningi
• Ukuthuthukiswa kwehlule legazi
• Ukutheleleka emanxebeni avulekile
• Indawo yokopha ingase ibe nezilonda. 
• Izimo ezimbi kakhulu zingaholela ekushayweni kwe-hypovolemic - isimo esiphuthumayo esisongela ukuphila esidinga ukunakekelwa kwezokwelapha ngokushesha.

Ukuxilongwa Kokopha I-Varicose Veins

Odokotela baxilonga imithambo ye-varicose ngokuhlola iziguli ezima ngesikhathi sokuhlolwa. Baphinde bahlole izimpawu zokuvuvukala futhi bahlole ubuhlungu amazinga ngesikhathi sokuvakasha kokuqala. 

Odokotela basebenzisa i-venous Doppler ultrasound ukuze bangene ekugelezeni kwegazi ngamavalvu emithanjeni futhi bahlonze noma iyiphi i-reflux. Lokhu kuhlola okungenabuhlungu kuthola imithambo ye-axial engasebenzi ebonakala ku-92% wezigameko zokopha.

Ukwelashwa Kokopha I-Varicose Veins

I-protocol yokwelapha i-varicose veins ilandela izinyathelo ezimbili:

• Ukwelashwa ngokushesha: I-Foam sclerotherapy eqondiswa yi-Ultrasound ivala i-varicosity yokopha
• Izixazululo zesikhathi eside: Ukukhishwa kwe-Endovenous kwemithambo engakwazi ukusebenza phakathi kwamaviki angu-8
• Izinketho zokwelashwa ezengeziwe:
• Ukwelashwa nge-Laser: Ukukhanya okukhulu kokukhanya kuvala emithanjeni eyonakele.
• Ukuxhunyaniswa okuphezulu nokukhumula imithambo: Odokotela bayabopha futhi bakhiphe umthambo obangela izinkinga besebenzisa amanxeba amancane.
• I-Ambulatory phlebectomy: Izimbobo ezincane zenziwa ukuze kukhishwe imithambo ye-varicose engaphezulu.

Uzoyibona Nini Udokotela

Udinga usizo oluphuthumayo lwezokwelapha uma imithambo ye-varicose iqala ukopha. Shayela i-ambulensi yezimo eziphuthumayo uma ukopha kuqhubeka ngemva kwemizuzu eyi-10 yokucindezela okusetshenzisiwe.

Prevention

Lezi zinyathelo zisiza ukuvimbela ukopha:

• Gcina isisindo esinempilo
• Zivocavoce njalo ukuze uthuthukise ukugeleza kwegazi
• Phakamisa imilenze yakho noma nini lapho kungenzeka
• Gqoka amasokisi okucindezela njengoba kushiwo
• Moisturise isikhumba esomile emithanjeni ye-varicose
• Gwema ukuhlala noma ukuma isikhathi eside

Le ndlela enemininingwane inikeza iziguli inkululeko yokopha okuphindelelayo.

Isiphetho

Ukopha emithanjeni ye-varicose kungasongela impilo yakho - akukhona nje ukubukeka. Abantu abadala emhlabeni wonke babhekana nalesi simo, kodwa abaningi abaziboni izingozi kuze kube yilapho kwenzeka isimo esiphuthumayo. Impendulo yakho esheshayo isindisa izimpilo ngesikhathi ukopha. Kufanele uphakamise umlenze futhi ufake ingcindezi eqinile ngqo endaweni yokopha ukuze umise ukopha.

Ukufunda ngezici zakho zobungozi kukusiza ukuthi ugweme iziqephu zokopha eziyingozi. Ingozi yakho iyanda uma unesikhumba esincane phezu kwemithambo ebonakalayo, ikakhulukazi phakathi nezihlambi ezishisayo noma ngemva kokulimala okuncane. Ngaphezu kwalokho, udinga ukuqaphela kakhulu impilo yakho yemithambo yegazi uma uthatha imithi enciphisa igazi noma uhlala wedwa.

Ukuqala ukwelashwa kusenesikhathi kwenza umehluko omkhulu. Odokotela manje basebenzisa indlela yezinyathelo ezimbili ehlanganisa i-sclerotherapy esheshayo nezixazululo zesikhathi eside zokulungisa izindlela ezibangela izinkinga zemithambo. Le ndlela yokwelapha inikeza isivikelo esikhulu ekopheni kwesikhathi esizayo.

Indlela engcono kakhulu yokugwema izinkinga ngokuvimbela. Imithambo yakho ihlala inempilo lapho uzivocavoca njalo, gcina isisindo esijwayelekile, phakamisa imilenze yakho phezulu, futhi usebenzise amasokisi amasokisi afanele.

Ukuvakashela udokotela wemithambo kubaluleka uma ubona kuvela imithambo ye-varicose evelele - lesi sinyathelo esilula singasindisa impilo yakho. Qaphela ukuthi ukuqonda lezi zingozi kukusiza ukuthi uphathe izimo eziphuthumayo ngokuzethemba. Yazisa amalungu omndeni wakho ngalezi zingozi, ikakhulukazi uma unezihlobo esezikhulile ezinemithambo ye-varicose ebonakalayo. Ukuqwashisa kwanamuhla kuvimbela izimo eziphuthumayo zakusasa.

Imibuzo Evame Ukubuzwa

1. Ingabe ukopha kwemithambo kubi?

Nakanjani. Ukuphuma kwe-varicose vein kungaba yingozi kwezinye izimo. Lokhu kwenzeka kakhulu kubantu asebekhulile abahlala bodwa. Igazi lingaphuma ngokushesha futhi libangele ukulahlekelwa okukhulu kwegazi. Ukopha okungalashwa kungase kubangele amahlule egazi, izilonda, noma izifo.

2. Kuthatha isikhathi esingakanani ukopha kwe-venous?

Ukopha kwe-venous kuvame ukuzima ngokwakho ngemva kwemizuzu engu-6-8. Amanxeba amakhulu e-venous awalandeli lo mugqa wesikhathi. Kufanele ufake ingcindezi kunoma yisiphi isikhathi esilindelekile.

3. Ingabe kujwayelekile ukuthi imithambo ye-varicose yophe?

Cha, kodwa kwenzeka kaningi ngokwanele. Ukopha ngokuvamile kuqala ngemva kokulimala okuncane njengokuklwebheka, ukungqubuzana nefenisha, noma ukushefa imilenze yakho. Amanzi afudumele nawo angabangela ukopha ngoba enza imithambo yegazi yande.

4. Iyiphi indlela engokwemvelo yokuyeka ukopha?

Ungamisa ukopha ngokwemvelo ngokuthi:

• Ukuphakamisa umlenze wakho ngaphezu kwezinga lenhliziyo
• Ukusunduza ngokuqinile ngendwangu ehlanzekile
• Ukusebenzisa i-horse chestnut extract esebenza njenge-compression therapy
• Ukufaka i-hazel yomthakathi ukwenza imithambo yegazi ibe namandla

Thola usizo lwezokwelapha ngokushesha uma ukopha kuqhubeka ngaphezu kwemizuzu eyi-10.

UDkt. Alok Kumar Udiya

I-MBBS, MD, PDCC (Neuro-radiology kanye ne-Gastro-radiology)
Izibhedlela ze-CARE CHL, e-Indore

Ukuze Ubhukhe Isikhathi, shayela:

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