Deep Vein Thrombosis

Ukwelashwa kwe-Deep Vein Thrombosis e-Hyderabad

I-Deep vein thrombosis kwenzeka lapho ihlule legazi (thrombus) lakheka emithanjeni eyodwa noma ngaphezulu ejulile yomzimba wakho, ngokuvamile emilenzeni yakho (DVT). I-Deep vein thrombosis ingabangela ukungaphatheki kahle kwemilenze kanye ne-edema, kodwa futhi ingahlasela ngaphandle kwesixwayiso.

Ungathola i-DVT uma unezimo ezithile zezokwelapha ezithinta indlela igazi lakho eligobhoza ngayo. Ihlule legazi emilenzeni yakho lingenzeka futhi uma unganyakazi isikhathi eside, njengangemuva kokuhlinzwa noma ingozi lapho uhamba ibanga elide, noma ngenkathi uphumule embhedeni.

I-Deep vein thrombosis yisifo esiyingozi lapho amahlule egazi ephuka emithanjeni yakho, ahambe emithanjeni yakho, futhi avaleleke emaphashini akho, enciphisa ukugeleza kwegazi (i-pulmonary embolism). Nokho, i-pulmonary embolism kungenzeka noma kungekho bufakazi be-DVT.

I-venous thromboembolism iyinhlanganisela ye-DVT kanye ne-pulmonary embolism (VTE).

Izimpawu

Okulandelayo ezinye zezinkomba nezimpawu ze-DVT:

• Umlenze othintekile uvuvukele. Ukuvuvukala kwemilenze yomibili akuvamile.

• Umlenze wakho ubuhlungu. Ubuhlungu ngokuvamile buqala enkonyaneni futhi buzwakale njengokuminya noma ubuhlungu.

• Isikhumba somlenze esibomvu noma esishintshile.

• Ukuzwa okufudumele esithweni esithintekile.

• I-Deep vein thrombosis (DVT) ingavela ngokuzumayo.

Ukuxilongwa ezibhedlela ze-CARE

Ukuze uhlole i-DVT, udokotela wakho uzokubuza imibuzo mayelana nezimpawu zakho. Uzohlolwa futhi ukuze udokotela wakho akwazi ukubheka izindawo ezine-edema, ukungaphatheki kahle, noma izinguquko zombala wesikhumba.

Ukuhlolwa okwenzayo kuzonqunywa ngokuthi ingabe udokotela wakho uzizwa usengozini ephansi noma ephezulu ye-DVT. Ukuxilonga noma ukukhipha ihlule legazi, kusetshenziswa izivivinyo ezilandelayo:

• Ukuhlolwa kwegazi kwe-D-dimer- Ukuhlolwa kwegazi kwe-D-dimer kuwuhlobo lokuhlolwa kwegazi oluhlola ubuningi be-D-dimer, uhlobo lweprotheni, olukhiqizwa amahlule egazi. Amazinga e-D dimer egazini cishe ahlala ephakanyisiwe kubantu abane-DVT enzima. Umphumela ojwayelekile wokuhlolwa kwe-D-dimer ngokuvamile ungase usetshenziselwe ukukhipha i-PE.

• I-Ultrasound duplex-  Kulokhu kuhlola okungahlanyisi, amaza omsindo asetshenziswa ukwenza izithombe zokuthi igazi ligeleza kanjani emithanjeni yakho. Kuyizinga eligolide lokuthola i-DVT. Uchwepheshe usebenzisa isisetshenziswa esincane esibanjwa ngesandla (i-transducer) ukuslayida ngobumnene idivayisi encane ebanjwa ngesandla (i-transducer) phezu kwesikhumba sakho endaweni yonke yomzimba ephenyelwa ukuhlolwa. Uchungechunge lwama-ultrasounds lungenziwa ezinsukwini ezimbalwa ukuze kuhlolwe ukuthi ihlule legazi liyakhula yini noma ukuthi kwakheka elisha.

• I-Venography-  Emthanjeni omkhulu onyaweni noma eqakaleni, udayi uyajovwa. Ukuze ufune amahlule, i-X-ray inikeza isithombe semithambo emilenzeni nasezinyaweni zakho. Ukuhlola akuvamile ukusetshenziswa njengoba kungabonakali. Ngokuvamile, ezinye izivivinyo, njenge-ultrasound, zenziwa kuqala.

• Skena nge-imaging resonance magnetic (MRI)- Lokhu kuhlola kungasetshenziswa ukukhomba i-DVT emithanjeni yesisu.

Ukwelashwa kwe-Deep Vein Thrombosis e-Hyderabad 

Ukwelashwa kwe-DVT kunezinjongo ezinkulu ezintathu.

• Misa ihlule lingabi likhulu.

• Vimbela ihlule ukuthi lingaphumi futhi lisakazekele emaphashini.

• Yehlisa amathuba akho okuthuthukisa enye i-DVT.

Izinketho zokwelapha ze-DVT zihlanganisa

• Izidakamizwa ezinciphisa igazi ziyizidakamizwa ezandisa igazi- Ukwelapha okuvame kakhulu kwe-DVT ama-anticoagulant, ngokuvamile aziwa ngokuthi anciphisa igazi. Kodwa-ke, lokhu kwelashwa kwe-Deep Vein Thrombosis e-Hyderabad akukuqedi amahlule egazi akhona, kodwa kungasiza ukuwagcina angakhuli futhi anciphise ingozi yokuthola okwengeziwe. Izinto ezinciphisa igazi zingathathwa ngomlomo, zilethwe ngomthambo, noma zijovwe ngaphansi kwesikhumba. I-Heparin ivame ukuphathwa nge-intravenously. I-Enoxaparin (i-Lovenox) kanye ne-fondaparinux yizinto ezivame ukusetshenziswa kakhulu zokunciphisa igazi ezijovwayo ze-DVT (Arixtra). Ngemva kwezinsuku ezimbalwa usebenzisa okokwehlisa igazi ngomjovo, udokotela wakho angase akudlulisele ephilisini. Izinto ezinciphisa igazi ezingase zithathwe ngomlomo zihlanganisa i-warfarin (Jantoven) ne-dabigatran (Pradaxa). Ezinye izinto ezinciphisa igazi azidingi ukuthi zinikezwe nge-IV noma umjovo ekuqaleni. I-Rivaroxaban (Xarelto), i-apixaban (Eliquis), noma i-edoxaban imithi okukhulunywa ngayo (Savaysa). Zingaqalwa ngokushesha nje lapho kutholakala ukuxilongwa. Kungenzeka ukuthi uzodinga ukuthatha izidakamizwa zegazi izinyanga ezintathu noma ngaphezulu. Ukuze ugweme imiphumela engemihle emikhulu, kubalulekile ukuyithatha njengoba uqondiswe. Uzodinga ukuhlolwa kwegazi njalo uma usebenzisa i-warfarin ukuze ubone ukuthi kuthatha isikhathi esingakanani igazi lakho ukujiyisa. Imithi ethile enciphisa igazi akufanele iphuzwe abesifazane abakhulelwe.

• Amahlule yizinto ezincibilikisa amahlule- Le mithi, eyaziwa nangokuthi i-thrombolytics, ingase inikezwe uma unohlobo oluyingozi kakhulu lwe-DVT noma i-PE, noma uma ukwelashwa kwangaphambilini kungasebenzi. Le mithi ilawulwa yi-IV noma ithubhu (i-catheter) efakwe ngqo ku-clot. Amahlule egazi ngokuvamile agcinelwe labo abanamahlule amakhulu egazi ngoba angabangela ukopha okukhulu.

• Izihlungi-  Uma ungakwazi ukuthatha izinto ezinciphisa igazi, isisefo singafakwa emthanjeni omkhulu osesiswini sakho obizwa ngokuthi i-vena cava. Lapho amahlule ephuka, isihlungi se-vena cava siyawavimbela ukuthi angangeni emaphashini akho.

• Amasheya anezinga eliphezulu lokucindezelwa- Lawa masokisi edolo ayingxenye yohlobo olulodwa asiza ekugcineni igazi lingaqoqiwe futhi lihlule. Zigqoke emilenzeni yakho kusukela ezinyaweni zakho kuye emadolweni ukuze usize ukunciphisa ukuvuvukala okubangelwa i-deep vein thrombosis. Uma kungenzeka, gqoka la masitokisi phakathi nosuku okungenani iminyaka emibili.