Ubuhlungu bukaBuerger? Izimpawu, Izimbangela, Nokwelashwa

Ubuhlungu bukaBuerger yisimo esingavamile lapho imithambo emincane yegazi ezandleni nasezinzwini yakho iphethuka futhi ivalekile. Lokhu kwenzeka lapho isimo sakho sokuvikela umzimba sihlasela ngephutha imithambo yegazi yakho, sikhawulelise ukugcwala kwegazi eminweni nasezinzwini zakho.

Lesi simo cishe sihlale sithinta abantu ababhema noma basebenzisa imikhiqizo yotshwala. Nakuba kuzwakala kukhulu, ukuqonda ukuthi kwenzekani emzimbeni wakho kungakusiza uthathe izinyathelo ezifanele zokuzivimbela nokulawula impilo yakho ngokuphumelelayo.

Ubuhlungu bukaBuerger yini?

Ubuhlungu bukaBuerger, obubizwa nangokuthi i-thromboangiitis obliterans, yilapho ukuvuvukala konakalisa imithambo emincane nephakathi yegazi ezandleni nasezinzwini zakho. Isimo sakho sokuvikela umzimba sidala ukuvuvukala ngaphakathi kwale mithambo, okubangela ukuthi kube khona ama-blood clots avimba ukugcwala kwegazi okujwayelekile.

Lokhu kugcwala kwegazi okuvimbile kusho ukuthi eminweni yakho, izinzwini, izandleni, nezinzwini zakho ayitholi i-oksijini nezondlo ezidingekayo ukuze ihlale iphilile. Ngokuhamba kwesikhathi, lokhu kungabangela izinkinga ezinkulu zokululama nokuphila kwezicubu.

Lesi simo singavamile kakhulu, sithinta abantu abangu-12 kuya kwangu-20 kuphela kwabayi-100,000. Ngokuvamile siqala phakathi kweminyaka engu-20 no-45, futhi amadoda athinteka kakhulu kunabesifazane, nakuba leyo geqe iyancipha njengoba izindlela zokubhema zishintsha.

Ziyini izimpawu zobuhlungu bukaBuerger?

Izimpawu ngokuvamile ziqala kancane kancane futhi kungaba lula ukuziphambanisa nezinye izimo ekuqaleni. Umzimba wakho uzokunika izimpawu eziningi zokuqapha njengoba ukugcwala kwegazi kuqala ukuvinjelwa.

Nawa izimpawu ezivame kakhulu ongazihlangabezana nazo:

• Ubuhlungu eminweni yakho, ezandleni, izinzwini, noma ezinzwini, ikakhulukazi lapho uhamba noma usebenzisa izandla zakho
• Ukuqhakaza kweminwe noma izinzwini ezimhlophe, eziluhlaza okwesibhakabhaka, noma ezibomvu, ikakhulukazi lapho kukubanda
• Ukuthamba, ukungabi namandla, noma ukuzwela ukushisa ezandleni noma ezinzwini
• Izilonda ezincane, ezibuhlungu, noma ama-ulcers eminweni noma izinzwini
• I-pulse ebuthakathaka ezandleni noma ezinzwini
• Ukubamba kwemisipha emathangeni, ezinzwini, noma ezandleni lapho usebenza

Njengoba isimo siqhubeka, ungase uqaphele izimpawu ezinkulu. Lokhu kungafaka izilonda ezinkulu ezingalulami kahle, ubuhlungu obukhulu ngisho nalapho ukhululekile, kanye nezinguquko zombala wesikhumba ezingapheli.

Kwezinye izimo, uma ukugcwala kwegazi kuvalekile kakhulu, ungase uthole i-gangrene, lapho i-tissue iqala ukufa. Lena yinkinga enkulu edinga ukunakekelwa ngokushesha kwezokwelapha.

Yini ebangela ubuhlungu bukaBuerger?

Imbangela eqondile ayiqondakali ngokuphelele, kodwa ukusetshenziswa kotshwala yiyona nto ebaluleke kakhulu esiyaziyo. Cishe bonke abantu abathuthukisa lesi simo babhema uqambi noma basebenzisa ezinye izikhiqizo zotshwala njenge-cigars, amapayipi, noma ukubhema utshwala.

Ososayensi bakholelwa ukuthi amakhemikhali akhona etshwaleni abangela isimo sakho sokuvikela umzimba sihlasela imithambo yegazi yakho. Lokhu kudala impendulo yokuqhakaza elimaza izindonga zemithambo futhi kuholela kuma-blood clots avimba ukujikeleza.

Nawa ama-factor aphambili angase ahlanganyele ekuthuthukiseni ubuhlungu bukaBuerger:

• Ukubhema uqambi (iyona nto eyingozi kakhulu)
• Ukusebenzisa imikhiqizo yotshwala engabhemi
• Ukuba nama-genetic factor athile akwenza ube sengozini enkulu
• Ubuhlungu obuhlala njalo be-gum noma impilo embi yemazinyo
• Izimo ezithile zokuqhakaza komzimba

Ucwaningo oluthile luphakamisa ukuthi abantu abanamaphethini athile e-genetic bangase babe nethuba elikhulu lokuthuthukisa lesi simo lapho bekhona etshwaleni. Noma kunjalo, ukusetshenziswa kotshwala kuhlala kuyinto evamile kakhulu kuzo zonke izimo.

Nini okumele ubona udokotela ngenxa yobuhlungu bukaBuerger?

Kufanele uxhumane nodokotela wakho uma uqaphela ubuhlungu obuhlala njalo, izinguquko zombala, noma ukungabi namandla eminweni yakho noma izinzwini, ikakhulukazi uma usebenzisa imikhiqizo yotshwala. Ukutholakala kwangaphambi kwesikhathi kungenza umehluko omkhulu ekulawuleni lesi simo.

Funani ukunakekelwa kwezokwelapha ngokushesha uma uthuthukisa izilonda ezingavulekile eminweni yakho noma izinzwini, uhlangabezana nobuhlungu obukhulu obungathuthuki ngokuphumula, noma uqaphela noma yiziphi izimpawu zokutheleleka njengoba ubanda, i-pus, noma ukubomvu okuvela ehlombe.

Ungalindi uma ubona izindawo ezimnyama noma eziluhlaza okwesibhakabhaka esikhuneni sakho, njengoba lokhu kungase kubonise ukufa kwezicubu okudinga ukwelashwa ngokushesha. Udokotela wakho angasebenzisa ukuhlola ukuthola ukuthi yini ebangela izimpawu zakho futhi akhiphe ezinye izimo.

Ziyini izinto ezingozi zobuhlungu bukaBuerger?

Ukuqonda izinto ezingozi zakho kungakusiza uthathe izinyathelo zokuvimbela futhi uqaphele izimpawu ngokushesha. Into eyingozi kakhulu ukusetshenziswa kotshwala kunoma iyiphi indlela.

Izinto eziningana zingandisa amathuba akho okuthuthukisa lesi simo:

• Ukubhema uqambi njalo (ikakhulukazi ukubhema okukhulu)
• Ukuba yindoda (nakuba le geqe iyancipha)
• Iminyaka phakathi kweminyaka engu-20 no-45
• Ukuba namalungu omndeni anelesi simo
• Ukuphila ezindaweni lapho amanani okubhema aphezulu khona
• Ukusebenzisa noma iyiphi indlela yotshwala, kufaka phakathi i-e-cigarettes

Abanye abantu bangase babe nokuthambekela kwe-genetic okubenza babe nomuzwa kakhulu ngemiphumela yotshwala emithambweni yegazi. Noma kunjalo, ngisho nangezinto ezingozi ze-genetic, lesi simo ngokuvamile asithuthuki ngaphandle kokubekwa etshwaleni.

Abantu abathile, kufaka phakathi abantu abavela e-Mediterranean, eMpumalanga Ephakathi, noma e-Asia, bangase babe namanani aphezulu kancane, kodwa ukusetshenziswa kotshwala kuhlala kuyinto ebalulekile kuzo zonke izigaba.

Ziyini izinhlanganisela ezingaba khona zobuhlungu bukaBuerger?

Nakuba abantu abaningi bangalulama lesi simo ngokuphumelelayo, kubalulekile ukuqonda izinhlanganisela ezingaba khona ukuze ukwazi ukusebenza neqembu lakho lezokunakekelwa kwezempilo ukuze uzivimbele. Izinkinga eziningi zenzeka lapho ukugcwala kwegazi kunciphile kakhulu.

Nawa ama-complications aphambili angase athuthuke:

• Ama-ulcers esikhumba angalulami kahle
• Ukutheleleka okukhulu ezindaweni ezithintekile
• I-gangrene (ukufa kwezicubu) eminweni noma izinzwini
• Ukudingeka kokusika izitho ezithintekile
• Ubuhlungu obuhlala njalo obuthinta imisebenzi yansuku zonke
• Ukusetshenziswa okulinganiselwe kwezandla noma ubunzima bokuhamba

Izindaba ezinhle ukuthi ukuyeka ukusetshenziswa kotshwala kunganciphisa kakhulu ingozi yalezi zinkinga. Abantu abaningi abayeka ukubhema ekuqaleni kwesigaba sesifo bangavimbela ukuqhubeka futhi bagcine ukusebenza kahle kwezandla nezinyo zabo.

Kwezinye izimo, lesi simo singathinta imithambo yegazi kwezinye izingxenye zomzimba, kufaka phakathi ubuchopho noma inhliziyo, kodwa lokhu kuncane kakhulu kunokuthi ukubandakanyeka kwezandla nezinyo okuvamile.

Ubuhlungu bukaBuerger bungavikeleka kanjani?

Indlela ephumelelayo kakhulu yokuvimbela ubuhlungu bukaBuerger ukugwema utshwala kunoma iyiphi indlela. Uma ungabhemi noma usebenzisi imikhiqizo yotshwala, ingozi yakho yokuthuthukisa lesi simo incintisana kakhulu.

Uma usebenzisa utshwala njengamanje, ukuyeka yiyona nyathelo ebaluleke kakhulu ongayithatha. Ngisho noma usuvele uthuthukise izimpawu, ukuyeka ukusetshenziswa kotshwala kungavimbela isimo ekubeni libi kakhulu futhi kungasiza ekuthuthukiseni ukujikeleza kwakho.

Nawa amasu abalulekile okuvimbela:

• Ungalokothi uqale ukubhema noma ukusebenzisa imikhiqizo yotshwala
• Yeka ukubhema ngokuphelele uma ubhema njengamanje
• Gwema ukubhema okusecondhand
• Ungasebenzisi i-e-cigarettes noma imikhiqizo yokubhema
• Gcina impilo enhle ye-cardiovascular
• Vikela izandla nezinyo zakho ekulimala nasekubandeni

Uma uzama ukuyeka utshwala, khuluma nodokotela wakho ngezinsiza nezinhlungu ezingakusiza. Abantu abaningi badinga ukuzama izikhathi eziningi ngaphambi kokuba bayeke ngempumelelo, ngakho ungadangali uma kuthatha isikhathi.

Ubuhlungu bukaBuerger butholakala kanjani?

Ukuthola ubuhlungu bukaBuerger kuhilela izinyathelo eziningana ngoba izimpawu zalo zingafana nezinye izinkinga zokujikeleza. Udokotela wakho uzoqala ngomlando wezokwelapha ophelele, egxila ekusetshenzisweni kwakho kotshwala.

Ukuhlolwa komzimba kuzogxila ekuhlolweni kokujikeleza kwegazi ezandleni nasezinzwini. Udokotela wakho uzobheka ama-pulses ezandleni, ezinzwini, nasezinzwini, futhi abheke izinguquko zombala noma izilonda eminweni nasezinzwini.

Izivivinyo eziningana zingasiza ekuqinisekiseni ukuxilongwa:

• I-Allen test ukuhlola ukugcwala kwegazi ezandleni
• Izivivinyo zegazi ukuqeda ezinye izimo njengobulwelwe sikashukela noma izifo zokuqhakaza komzimba
• I-Ankle-brachial index ukuqapha ukucindezela kwegazi ezandleni nasezinzwini
• I-Angiography ukubona ukubambezeleka kwemithambo yegazi
• I-Doppler ultrasound ukuhlola ukugcwala kwegazi

Udokotela wakho angase futhi enze izivivinyo ukuqeda ezinye izimo ezingabangela izimpawu ezifanayo, njengobulwelwe sikashukela, ama-blood clots, noma ezinye izifo zokuqhakaza komzimba. Ukuthola ukuxilongwa okuchane kakhulu kubalulekile ngoba izindlela zokwelapha zingase zihluke kakhulu.

Yini ukwelashwa kobuhlungu bukaBuerger?

Ukwelashwa okubaluleke kakhulu ukuyeka ngokuphelele ukusetshenziswa kotshwala. Lokhu akulona nje usizo kodwa kubaluleke kakhulu ekuvimbeleni isimo ekubeni libi kakhulu.

Iqembu lakho lezokunakekelwa kwezempilo cishe lizokuncoma ukusetshenziswa kwezindlela eziningana zokulawula izimpawu zakho nokuthuthukisa ukugcwala kwegazi. Ukwelashwa kugxila ekuvikeleni izindawo zakho ezithintekile nokusiza umzimba wakho ukuthuthukisa izindlela ezintsha zemithambo yegazi.

Izinketho zokwelapha ezivamile zifaka:

• Ukuyeka ngokuphelele utshwala (okubaluleke kakhulu)
• Imithi yokuthuthukisa ukugcwala kwegazi nokunciphisa ukubambezeleka
• Amasu okulawula ubuhlungu
• Ukunakekelwa kwezilonda kunoma iyiphi i-sores evulekile
• I-Physical therapy ukuze ugcine ukunyakaza
• Ukuhlinzwa kwezinye izimo ukuthuthukisa ukujikeleza

Udokotela wakho angase abele imithi efana ne-aspirin ukuvimbela ama-blood clots, noma ezinye izidakamizwa ezisiza imithambo yegazi ukuphumula nokuthuthukisa ukujikeleza. Imithi yokuhlunguza ingakusiza uhlale ukhululekile ngenkathi umzimba wakho usebenza ukuze ululame.

Kwezinye izimo, izinqubo zokwelapha zingase zidingeke. Lokhu kungafaka ukudlula imithambo yegazi evimbile noma, kwezinye izimo ezinkulu, ukukhipha eminweni noma izinzwini ezilimele kakhulu ukuvimbela ukutheleleka ekusabalaleni.

Indlela yokwelashwa ekhaya ngesikhathi sobuhlungu bukaBuerger?

Ukunakekela wena ekhaya kuyiyingxenye ebalulekile yokuqondisa lesi simo. Imikhuba yakho yansuku zonke ingenza umehluko omkhulu ekuzizweni kwakho nasekuqhubekeni kwalesi simo.

Ukuvikela izandla nezinyo zakho kubalulekile njengoba zithinteka kakhulu ukunciphisa ukugcwala kwegazi. Zigcine zishisa, zihlanzekile, futhi zivikelekile ekulimala, njengoba ngisho nokukhahlela okuncane kungase kube buthathu ukululama.

Nawa amasu abalulekile okunakekelwa ekhaya:

• Gcina izandla nezinyo zakho zishisa futhi zome
• Gqoka izicathulo ezifanele futhi ugweme ukuhamba ungagqoki lutho
• Hlola eminweni yakho nezinyo zakho nsuku zonke ukuze ubone ukukhahlela noma izilonda
• Zama ukuzivocavoca kancane ukuthuthukisa ukujikeleza
• Dla ukudla okunempilo okugcwele izondlo ezisekela ukululama
• Lawula ukucindezeleka, okungathinta ukugcwala kwegazi

Uma uthuthukisa noma iyiphi i-sores evulekile, yigcine ihlanzekile futhi ivalwe, futhi uxhumane nodokotela wakho ngokushesha. Ungazami ukwelapha izilonda ezinkulu ngokwakho, njengoba ingozi yokutheleleka iphakeme lapho ukugcwala kwegazi kunciphile.

Cabanga ngokuvivinya umzimba okuthambile njengokuhamba noma ukubhukuda, okungasiza ekuthuthukiseni ukujikeleza kwakho konke. Noma kunjalo, gwema imisebenzi engase ilimale izandla zakho noma izinzwini, futhi yeka noma iyiphi imisebenzi ebangela ubuhlungu obukhulu.

Kufanele ulungiselele kanjani i-appointment yakho yodokotela?

Ukuba ulungile nge-appointment yakho kungasiza ukuqinisekisa ukuthi uthola ukuxilongwa okuchane kakhulu nesiqondiso sokwelashwa esisebenzayo. Udokotela wakho uzodinga ulwazi oluphelele ngezimpawu zakho nomlando wezempilo.

Ngaphambi kokuya kwakho, bhala phansi ukuthi izimpawu zakho zaqala nini, yini eyenza zibe ngcono noma zibe zimbi, nanoma yiziphi izinguquko oziqaphile ngokuhamba kwesikhathi. Yiba eqotho ngokuphelele ngokusetshenziswa kwakho kotshwala, kufaka phakathi ukuthi ungakanani isikhathi esingakanani.

Nawa okumele ukulethe nokulungiselela:

• Uhlu oluphelele lwazo zonke imithi kanye nezinye izinto ozithathayo
• Umbhalo womlando wakho wokusetshenziswa kotshwala
• Izithombe zanoma yiziphi izinguquko zesikhumba noma izilonda ezandleni noma ezinzwini
• Uhlu lwemibuzo ofuna ukuyibuza
• Ulwazi ngomlando womndeni wezinkinga zokujikeleza
• Imininingwane mayelana nokuthi izimpawu zibe zimbi nini

Ungangabazi ukubuza imibuzo mayelana nanoma yini ongayiqondi. Imibuzo emihle ingase ifake ukubuza ngezinketho zokwelapha, ukuthi yini okulindelekile njengoba isimo siqhubeka, nokuthi ungazinakekela kanjani ekhaya.

Iyini into ebaluleke kakhulu ngobuhlungu bukaBuerger?

Into ebaluleke kakhulu okumele uyiqonde ngobuhlungu bukaBuerger ukuthi ukuyeka utshwala kuyisihluthulelo sokuvimbela futhi kuyiyingxenye ebaluleke kakhulu yokwelapha. Uma uyeka ukusebenzisa utshwala ngokuphelele, ngokuvamile ungavimbela isimo ekubeni liqhubeke.

Nakuba lesi simo singaba sibi, abantu abaningi balulama ngokuphumelelayo ngokusebenzisana eduze namaqembu abo ezempilo nokuthatha izinguquko ezidingekayo zokuphila. Ukutholakala kwangaphambi kwesikhathi nokunakekelwa okuhle kungakusiza ugcine impilo enhle.

Khumbula ukuthi awuwedwa ekuqondiseni lesi simo. Abahlinzeki bakho bezempilo bakhona ukuze bakusekele yonke inyathelo lendlela, kusukela ekusikweni ukubhema kuye ekulawuleni izimpawu nokuvimbela izinhlanganisela.

Imibuzo Evame Ukubuzwa Ngobuhlungu BukaBuerger

Ingakwelashwa yini ubuhlungu bukaBuerger?

Ayikho indlela yokwelapha ubuhlungu bukaBuerger, kodwa ingalawulwa ngokuphumelelayo. Isimo ngokuvamile siyeka ukuqhubeka futhi singase sibe ngcono uma uyeka ngokuphelele ukusebenzisa utshwala. Abantu abaningi baphila impilo evamile, esebenzayo ngokulandela isiqondiso sabo sokwelapha nokuqeda utshwala.

Ubuhlungu bukaBuerger buqhubeka ngokushesha kangakanani?

Ukuqhubeka kuyahluka kakhulu phakathi kwabantu. Abanye abantu bahlangabezana nokuwohloka okusheshayo ezinyangeni, kuyilapho abanye behlangabezana nezimpawu ezithuthuka kancane eminyakeni. Ukuqhubeka nokusebenzisa utshwala ngokuvamile kuholela ekuqhubekeni okusheshayo, kuyilapho ukuyeka kunganciphisa noma kuyeke ukuqhubeka kwesifo.

Ungathuthukisa yini ubuhlungu bukaBuerger ngaphandle kokubhema?

Nakuba kuncane kakhulu, kube khona izimo ezimbalwa ezibhalwe ngabantu abangakaze basebenzise utshwala. Noma kunjalo, iningi lezimo (ngaphezulu kuka-95%) liyenzeka kubantu ababhema noma basebenzisa ezinye izikhiqizo zotshwala. Uma ungasebenzisi utshwala, ingozi yakho iyisifuba.

Ingabe ubuhlungu bukaBuerger liyefa?

Kungase kube khona ezinye izinto ze-genetic ezenza abantu abathile babe sengozini enkulu, kodwa aliyi-inherited ngokuqondile njengezinye izimo. Ukuba namalungu omndeni anebuhlungu bukaBuerger kungase kukhulise kancane ingozi yakho, kodwa ukusetshenziswa kotshwala kuhlala kuyimbangela ephambili.

Ingabe ukubhema okusecondhand kungabangela ubuhlungu bukaBuerger?

Nakuba ukubhema okusecondhand akucabangi njengimbangela ephambili, kusafanele ukugwema ngokuphelele. Iningi lezimo liyenzeka kubantu abasebenzisa ngokuqondile imikhiqizo yotshwala, kodwa noma yikuphi ukufinyelela ekubhemeni utshwala kufanele kunciphise impilo yonke.