I-Pedal Edema

Nakuba i-edema ingenzeka noma yikuphi, ngokuvamile ithinta amaphethelo aphansi omzimba, ngokuvamile izinyawo. Abantu abaningi bathinteka yi-pedal (foot) edema namuhla, okuholela ebunzimeni ngenkathi behamba. I-Pedal edema inezimbangela eziningi ezingaba khona kusukela emiphumeleni engathandeki yemithi kuya ezimeni zezempilo ezimbi njengokuhluleka kwenhliziyo. Ngenhlanhla, kunezinketho eziningi zokwelapha ezitholakalayo ezifanayo. 

Lapha sizohlinzeka ngemininingwane ebanzi ye-Pedal edema - ukuthi iyini, ibangelwa yini, itholakala kanjani, nokuthi ingelashwa kanjani.

Iyini i-Pedal Edema?

I-Pedal edema, noma i-foot edema, igama lezokwelapha elisho ukuvuvukala ezinyaweni nasemaqakaleni ngenxa yokugcinwa koketshezi ezicutshini zomzimba eziseduze. Ingasukela komnene iye kobunzima futhi ivame ukuba nomthelela omubi ezinyaweni zombili, kodwa ingase ithinte unyawo olulodwa noma iqakala. Kwenzeka lapho imithambo yegazi emincane iqala ukuvuza uketshezi ezicutshini ezizungezile. Uketshezi oluningi luyanqwabelana futhi lubangele ukuvuvukala, okuvame ukungabi nabuhlungu. Ukucindezela esikhumbeni phezu kwendawo evuvukele kushiya ukuhlehla. Lokhu kwaziwa ngokuthi "i-pitting" edema. 

Izinkinga ze-Pedal Edema

I-Pedal edema, noma ukuvuvukala ezinyaweni nasemaqakaleni, kungabangelwa yizimbangela ezihlukahlukene eziyisisekelo. Ukwazi izizathu ezingaba khona kungasiza ekuxilongweni nasekulashweni ngokushesha. Ezinye izimbangela ezivamile zihlanganisa:

• Ukuhluleka kwenhliziyo - Lapho imisipha yenhliziyo ibuthakathaka noma ilimele, impompa igazi ngendlela engasebenzi kahle, okuvumela uketshezi ukuba lunqwabelene kancane kancane ezithweni, okuholela ku-Pedal edema. 
• Isifo sezinso - Ukuphazamiseka kwezinso okuhlukile kungakhinyabeza ikhono lesitho lokuhlunga uketshezi futhi lilawule i-sodium. Lokhu kubangela ukugcinwa koketshezi okuphelele okuvame ukubonakala njenge-Pedal edema.
• Isifo sesibindi - Ukulimala kwesibindi okuthuthukisiwe kuphazamisa indima yesitho sokulawula umthamo woketshezi. Uketshezi lungavuza ezitsheni luye emilenzeni nasezinyaweni.
• Imiphumela emibi yemithi - Imithi ethile kadokotela efana ne-corticosteroids, ama-antidepressants, nokwelashwa kwama-hormone kungadala ukugcinwa koketshezi ezinyaweni.
• Ukukhulelwa - Ukushintsha kwama-hormone kanye nokwanda kwevolumu yegazi ngesikhathi sokukhulelwa kuvame ukubangela ukuvuvukala okuncane ezithweni ezingezansi. Lokhu ngokuvamile akunangozi kodwa kufanele kuqashelwe.
• Ukuma isikhathi eside - Amandla adonsela phansi enza ukuthi uketshezi luhlangane kancane kancane ezinyaweni nasemaqakaleni lapho lumile isikhathi eside ngaphandle kokuphumula. Ukuvuvukala kuyehla ngemva kokuphumula.
• Ukulimala Nokuhlukumezeka - Ama-sprains, ama-fractures, nokulimala ngokomzimba ezinyaweni noma emaqakaleni kulimaza imithambo yegazi nezicubu ezithambile. Ukuvuza okukhulayo kubangela ukuvuvukala kwendawo.
• Amahlule egazi - Ihlule elivala imithambo emilenzeni livimba ukuphuma koketshezi okuvamile. Lokhu ngokuvamile kuthinta isitho esisodwa.
• I-Allergies - Ukuvuza kwe-fluid emithanjeni yegazi enwetshiwe kuyingxenye yokusabela komzimba ngesikhathi sokungezwani komzimba, okungase kuholele edema.
• Amazinga aphansi amaprotheni - Amaprotheni agcina ibhalansi yoketshezi egazini. Uma kuncipha njalo, uketshezi luphumela ezicutshini ezizungezile ngokushesha okukhulu.

Ukuxilongwa kwe-Pedal Edema

Ukunquma imbangela ye-Pedal edema, odokotela bangakwazi:

• Buza ngomlando wezokwelapha futhi uhlole izimpawu ezihlobene
• Hlola imilenze nezinyawo ukuthi azivuvukalanga yini futhi zibhobokile
• Oda ukuhlolwa kwelebhu kwegazi nomchamo ukuze uhlole izinkinga
• Yenza izivivinyo ze-imaging njenge-ultrasounds noma i-X-ray ukuze ubuke izicubu ezithambile namathambo
• Hlola ukusebenza kwenhliziyo nezinso usebenzisa izivivinyo ezikhethekile
• Hlola amahlule egazi emilenzeni

Ukwelashwa kwe-Pedal Edema

Indlela yokwelashwa kwe-Pedal edema ingabandakanya okulandelayo:

• Izinkinga zezimpande eziqondiwe - Ukwelapha ukuhluleka kwenhliziyo, isifo sezinso, isifo sesibindi noma ezinye izimo zezokwelapha ezibangela ukugcinwa koketshezi. Lokhu kuqeda umthombo wempande we-edema.
• Ukushintsha Imithi - Ukumisa imithi ebangela ukugcinwa koketshezi okungahlosiwe njengomphumela oseceleni. Ukushintshela kweminye imithi ngaphandle kwalo mphumela.
• Ukuphakamisa Imilenze - Ukugcina imilenze iphakeme ngaphezu kwezinga lenhliziyo lapho ulele phansi noma uhlezi kuthuthukisa ukuphuma koketshezi oluningi olusuka ezithweni, kunciphisa ukuvuvukala.
• Ukusebenzisa ama-Compression Stockings - Ukugqoka amasokisi amasokisi anwebekayo akhethekile kusebenzisa ingcindezi ethambile ukuze uvimbele ukunqwabelana koketshezi ezinyaweni nasemaqakaleni.
• Ukunciphisa Ukudla Kwesodium - Ukulandela ukudla okunosawoti omncane kunciphisa ukugcinwa kwamanzi emzimbeni wonke. Lokhu kuvimbela uketshezi olwengeziwe ukuthi lungabanjwa ezicutshini.
• Ukuthatha ama-diuretics - I-diuretics noma imithi "yephilisi lamanzi" ikhuthaza ukuchama kanye nokukhipha uketshezi okweqile emzimbeni okungakhulula ukuvuvukala.
• Ukuthola imassage - I-massage emnene noma i-physiotherapy ithuthukisa ukujikeleza kanye ne-lymphatic drainage ukunciphisa uketshezi olunqwabelene.
• Ukusebenzisa ama-Topical Creams - Ama-anti-inflammatory creams anciphisa imithambo yegazi ukuze avimbele ukuvuza koketshezi ezicutshini.

Ukwelashwa kwe-pedal edema kugxile ekubhekaneni nembangela ewumsuka, ukuthuthukisa ukujikeleza kwegazi, ukuvimbela ukuqhubeka nokugcinwa koketshezi, kanye nokukhipha uketshezi okweqile ezithweni ngenkuthalo. Ukushintsha indlela yokuphila kanye nemithi kungase kunikeze ukukhululeka okukhulu ekuvuvukeni.

Uzovakashela Nini Udokotela?

Bonana nodokotela ngokushesha uma i-pedal edema-

• Ikhula ngokuzumayo noma ibonakala inzima
• Kuhambisana nobuhlungu besifuba, ukuphelelwa umoya, noma ukudideka
• Kuthinta isitho esisodwa kuphela
• Ayithuthuki ngokuphakama nokuphumula komlenze
• Ihlotshaniswa nezinye izimpawu
• Ihlala isikhathi eside kunezinsuku ezimbalwa ngaphandle kwencazelo

Imithi Yasekhaya Ye-Pedal Edema

Amanye amakhambi asekhaya angasiza ekuhlinzekeni ukukhululeka kwe-Pedal edema (izinyawo ezivuvukele namaqakala):

• Hlala uhlanzekile - Ukuphuza amanzi amaningi kuzovimbela ukuphelelwa amanzi emzimbeni. Uma kungenamanzi anele ohlelweni, kungaholela ekuvuvukeni okubi kakhulu.
• Nciphisa ukusetshenziswa kwe-sodium - Ukunciphisa ukusetshenziswa kukasawoti kusiza ukwehlisa ukugcinwa koketshezi.
• Ukugcina imilenze iphakeme ngaphezu kwezinga lenhliziyo kuthuthukisa ukugeleza koketshezi oluningi uma kungenzeka.
• Ukunyakaza kokuzivocavoca okumnene kushukumisa ukujikeleza kwegazi kodwa kugweme ukuzikhandla ngokweqile.
• Thatha ikhefu - Gwema ukuma noma ukuhlala isikhathi eside. Shintsha izindawo ngezikhathi ezithile.
• Ukufaka ama-cool compresses kunganciphisa ukuvuvukala.
• Cwilisa izinyawo ezindaweni zokugeza zikasawoti ze-Epsom
• Gqoka amasokisi okucindezela ukuze ukhuthaze ukugeleza kwegazi futhi uvimbele ukunqwabelana koketshezi.
• Khetha izicathulo ezifanele njengoba izicathulo ezimpintshayo zingakhawulela ukugeleza kwegazi kukonke kanye nokujikeleza kwegazi.
• Ngokuzinakekela okungaguquki, ukuvuvukala kufanele kuthuthuke kancane kancane.

Ngenkathi ulinde ukwelashwa, izindlela ezilula zokuphila zinganikeza impumuzo yekhambi lasekhaya le-Pedal edema ethambile. Gxila ekuphumuleni, ekunikezeni amanzi emzimbeni, nasezintweni ezithambile zokuthuthukisa ukujikeleza kwegazi.

Isiphetho

Nakuba ngezinye izikhathi kuwukuphazamiseka nje, i-pedal edema ingase futhi ibonise izimo zezokwelapha ezinzima. Naka noma yikuphi ukuvuvukala okungachazeki noma okuba kubi kakhulu ezithweni ezingezansi. Ukuxilongwa okufanele kanye nokwelashwa kungasusa noma yikuphi ukungakhululeki futhi kuvimbele izinkinga. Gcina impilo esebenzayo, enempilo futhi ulawule noma yiziphi izifo ezingapheli ukuze usize ukuvimbela i-pedal edema.

Imibuzo Evame Ukubuzwa

1. Ingabe kufanele ngikhathazeke nge-pedal edema? Uma kunjalo, nini?

Izimpendulo: Thola usizo lwezokwelapha ngokushesha uma i-foot or pedal edema yenzeka ngokuzumayo, ithinta uhlangothi olulodwa kuphela lomzimba, ihambisana nokuphelelwa umoya noma ubuhlungu besifuba, noma ingathuthuki ngokuphakama nokuphumula kwemilenze.

2. Isho ukuthini i-pedal edema?

Impendulo: I-Pedal edema isho ukunqwabelana koketshezi oluningi ezinyaweni nasemaqakaleni. Inezimbangela eziningi ezihlanganisa ukuhluleka kwenhliziyo, isifo sesibindi noma sezinso, imiphumela emibi yemithi, ukukhulelwa, ukulimala, noma amahlule egazi.

3. Iluphi uhlangothi olubonisa ukuhluleka kwenhliziyo kwe-pedal edema?

Izimpendulo: Ekuhlulekeni kwenhliziyo engakwesokunxele, i-pedal edema ivame ukwenzeka kuzo zombili izinyawo. Ukuhluleka kwenhliziyo ohlangothini lwesokudla ngokuvamile kuholela ekuvuvukeni emlenzeni nasonyaweni lwesokudla.

CARE Medical Team

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