Ukuqina Kwezinyawo Yini? Izimpawu, Izimbangela, & Ukwelashwa

Ukuqina kwezinyawo yilutho oluhlungu noma oluqina ezinyaweni oluqala uma uhamba noma uzivocavoca, bese luphela uma ukhuluphala. Cabanga ngakho njengemisipha yemilenze yakho ekhala ngokuthi idinga igazi eliningi elinezinto ze-oksijini ngesikhathi somsebenzi, njengoba isifuba sakho singase sizizwe siqinile ngesikhathi sokuzivocavoca uma inhliziyo yakho idinga oksijini eliningi.

Lesi simo siqeda izigidi zabantu, ikakhulukazi njengoba begoduka. Izindaba ezinhle ukuthi ukuqina kwezinyawo kuphatheka kalula ngendlela efanele, futhi abantu abaningi baqhubeka bephila impilo esebenzayo, ezele ukwaneliseka uma beqonda ukuthi kwenzekani nokuthi bangakuxazulula kanjani.

Ukuqina kwezinyawo yini?

Ukuqina kwezinyawo kwenzeka uma imisipha yemilenze yakho ingatholi igazi elanele ngesikhathi somsebenzi womzimba. Imisipha yakho idinga oksijini elengeziwe uma uhamba noma uzivocavoca, kodwa imithambo yegazi ecindezelwe noma evaliwe ayikwazi ukuletha igazi elanele ukuze ihlangabezane naleli dinga.

Igama livela elizwini lesiLatini elisho ukuthi "ukukhubazeka," elichaza indlela abantu abaningi abahamba ngayo uma behlushwa yilesi simo. Ngokuvamile, ukuqina kwezinyawo kuqeda imisipha yemilenze, nakuba kungase kuhilele namathanga, izihlalo, noma amabele.

Kunezinhlobo ezimbili eziyinhloko okufanele uzibone. Ukuqina kwezinyawo okungapheli kuyindlela evamile kakhulu, lapho ubuhlungu buza futhi buye ngomsebenzi. Ngakolunye uhlangothi, ukuqina kwezinyawo okuvela ezinzwa kwenzeka uma izinkinga zomgogodla zicindezela izinzwa kunokuba kube yizinkinga zemithambo yegazi.

Ziyini izimpawu zokuqina kwezinyawo?

Isimpawu esiyinhloko yilutho oluhlungu, oluqina, noma ukukhathala kwemisipha oluqala ngesikhathi sokuhamba noma sokuzivocavoca bese luphela emaminithini ambalwa uma ukhuluphala. Lesi sibonakaliso esiqondakala kalula siyasiza odokotela ukuthi bahlukanise ukuqina kwezinyawo kwezinye izinkinga zemilenze.

Nazi izimpawu ongazihlangabezana nazo, futhi khumbula ukuthi isipiliyoni sabo bonke singase sihluke kancane:

• Ubuhlungu obucindezelayo noma obuhlungu emathanjeni akho, emilenzeni, noma emikhondweni yemisipha
• Ukukhathala kwemisipha noma ukubanda okwenza ukuhamba kube nzima
• Ubuhlungu obuqala njalo ngemva kokuhamba ibanga elifanayo
• Ukuphumula ngaphakathi kwemizuzu engu-1-5 uma ukuma uphumule
• Ukuthandaza noma ukungabi namqondo emilenzeni yakho engezansi noma ezinyaweni
• Amaqeba aphulukisayo kancane emilenzeni yakho noma ezinyaweni
• Isikumba esicwebezelayo, esiqinile emilenzeni yakho
• I-pulse ebuthakathaka noma engenayo emilenzeni yakho noma ezinyaweni

Ngokungavamile, abanye abantu baba nezimpawu ezinzima kakhulu ezingase zibonise izinkinga zokujikeleza eziphambili. Lokhu kuhlanganisa ubuhlungu obuqhubekayo ngisho nasekuphumuleni, ukushintsha kombala emilenzeni yakho noma ezinyaweni, noma amaqeba angaphuli kahle.

Ubuhlungu buvamise ukuzwakala njengokuhlungu okujulile, ukucindezela, noma ukuvutha. Abanye abantu bakubiza ngokuthi imisipha yabo "ibamba" noma ukuzwa sengathi "bayashaya udonga" ngesikhathi sokuhamba.

Imiphi imihlobo ye-claudication?

Kunezinhlobo ezimbili eziyinhloko ze-claudication, nokuqonda ukuthi yikuphi okungase kube khona kusiza ukuqondisa indlela yokwelapha efanele. Uhlobo ngalunye lunezizathu ezihlukahlukene eziyisisekelo futhi lungadinga amasu ahlukene okuphatha.

I-claudication ephakathi nendawo yilona uhlobo oluvamile kakhulu futhi luvela ngenxa yokujikeleza okubi kwegazi. I-arteries yakho iye yaba manzi noma ivinjiwe, ngokuvamile ngenxa ye-atherosclerosis, okusho ukuthi amafutha ahlanganiswe odongeni lwe-artery ngokuhamba kwesikhathi.

I-claudication ye-neurogenic, ebizwa nangokuthi i-pseudoclaudication, ivela lapho i-spinal canal yakho ihlanganiswa futhi ibeke uxinzelelo emithanjeni. Lolu hlobo ngokuvamile luthinta imilenze yombili ngesikhathi esifanayo futhi lungase futhi lubangele ubuhlungu emhlane, ukungabi namqondo, noma ukukhahlela.

Umehluko oyinhloko ukuba i-claudication ye-neurogenic ingase ibe ngcono uma ukhwehleka phambili (njengokucindezela i-shopping cart), kuyilapho i-claudication ye-vascular idinga ukuphumula okuphelele ukuze ixazululeke. Udokotela wakho angakusiza ukuthola ukuthi yiluphi uhlobo olukhona ngokuhlola okuthile nokucubungula.

Yini ebangela i-claudication?

Imbangela evamile kunazo zonke yokuqina kwemisipha yemilenze yi-atherosclerosis, isimo lapho amafutha abizwa ngokuthi yi-plaque aqokelela ngaphakathi kwe-arteries zakho eminyakeni eminingi. Lokhu kuqokelela kuncipha i-arteries zakho futhi kunciphisa ukugeleza kwegazi emisipha yemilenze yakho.

Izici eziningi zingase zibe nomthelela ekukhuleni kokungabi nesisindo, futhi ngokuvamile kuyindlela yokuxuba kunokuba yimbangela eyodwa kuphela:

• Ukubhema, okonakalisa izindonga ze-arteries futhi kusheshisa ukuqokelela kwe-plaque
• Ubuhlungu bezinhlanzi, obungalimaza imithambo yegazi ngokuhamba kwesikhathi
• Ukuphindaphindiwe kwegazi okuphakamile okubekela uxinzelelo olukhulu ezindongeni ze-arteries
• Amazinga aphezulu e-cholesterol anikelela ekwakheni i-plaque
• Ukushintsha okuphathelene nobudala emithambe yegazi
• Umlando womndeni wesifo senhliziyo
• Isitayela sokuphila esingasindi esingakhuthazi ukugeleza kwegazi okuhle
• Ukukhuluphala, okwandisa uxinzelelo ohlelweni lwakho lokujikeleza kwegazi

Ngokungavamile, ukuqina kwemisipha yemilenze kungabangelwa ama-blood clots, ukuvuvukala kwe-arteries, noma izimo ezingavamile ezihlasela ubukhulu bemithambo yegazi. Abanye abantu bayithola ngemuva kokulimalala okonakalisa i-arteries noma ngemithi ethile ethonya ukujikeleza kwegazi.

Ezimweni ezingavamile, izimo ezifana ne-Buerger's disease (evame kakhulu kubabhemi abasebasha) noma i-arterial embolism (ama-blood clots ahambahamba) zingabangela izimpawu ezifanayo. Lezi zimo zidinga izindlela zokwelapha ezikhethekile.

Nini kufanele ubheke udokotela ngokuqina kwemisipha yemilenze?

Kufanele ubheke udokotela uma uhlushwa ubuhlungu obungqondweni, ukuqina kwemisipha, noma ukukhathala okuvela njalo uma uhamba futhi kuphulukana uma ukhululeka. Ukubheka kusenesikhathi nokwelashwa kungavimbela isimo ekubeni libi futhi kukusize ugcine ukuhamba kwakho.

Ungalindi ukufuna ukunakekelwa kwezokwelapha uma uqaphela lezi zibonakaliso ezinobukhulu. Zingabonisa ukuthi ukujikeleza kwakho kwegazi kuye kwaba buhlungu kakhulu:

• Ubuhlungu ezinyaweni zakho noma ezinyaweni zakho ngisho nalapho ukhuluphala
• Amaqhubu noma izilonda ezinyaweni zakho noma ezinyaweni zakho eziphulukayo kancane noma konke
• Ukushintsha okukhulu kombala ezinyaweni zakho noma ezinyaweni zakho
• Ukuqandwa okukhulu emilenzeni yakho engezansi noma enyaweni
• Ukulahleka kwenwele ezinyaweni zakho noma ezinyaweni zakho
• Ukungenakukwazi ukuzwa izingcindezi ezinyaweni zakho

Lezi zikhalazo zingase zikhombe ukungasebenzi kahle kwegazi okukhulu emilenzeni, isimo esinzima esidinga ukunakekelwa ngokushesha kwezokwelapha. Nakuba lokhu kungavamile kunokungasebenzi kahle kwegazi okuvamile, kubalulekile ukuqaphela lezi zikhumbuzo.

Ngisho noma izimpawu zakho zibonakala zingenamandla, kufanele ukuxoxe nazo nodokotela wakho. Ukungasebenzi kahle kwegazi kuvame ukukhombisa ukungasebenzi kahle kwegazi okungaphansi komzimba okuphazamisa ezinye izingxenye zomzimba wakho, kufaka phakathi inhliziyo yakho nobuchopho.

Ziyini izimbangela zokungasebenzi kahle kwegazi?

Ukuqonda izimbangela zakho kuzokusiza ukuthi uthathe izinyathelo zokuvikela ukungasebenzi kahle kwegazi noma ukuvimbela ukuba sibi. Eziningi zalezi zinto ungazilawula, okuyizindaba ezinhle.

Izimbangela ezibaluleke kakhulu zihlanganisa indlela yokuphila nezinhlungu zempilo ezilimaza imithambo yakho yegazi ngokuhamba kwesikhathi:

• Ukubhema noma ukusetshenziswa kwetabha ekuyini na
• I-Diabetes, ikakhulukazi uma ishukela legazi lingalawulwa kahle
• Ukuphindaphindeka kwegazi (hypertension)
• Amakholestrol aphezulu noma amazinga e-triglyceride
• Iminyaka engaphezu kuka-50, nakuba ingase ibonakale ngaphambi kwalokho
• Umlando womndeni wokungasebenzi kahle kwegazi emilenzeni noma isifo senhliziyo
• Ukukhuluphala noma ukukhuluphala kakhulu
• Isitayela sempilo esingasisebenzi ngokuzivocavoca okuvamile

Ezinye izimbangela awukwazi ukuzishintsha, njengobudala bakho, ubulili (amadoda asengozini enkulu), nomlando womndeni. Kodwa-ke, izimbangela eziningi zingashintshwa ngokushintsha indlela yokuphila nokuphathwa kwezokwelapha.

Izimbangela ezingavamile kodwa ezibalulekile zifaka i-chronic kidney disease, izimo ezithile ze-autoimmune, kanye nomlando wokwelashwa nge-radiation emilenzeni. Amanye amaphilisi angathinta ukujikeleza kwegazi, nakuba lokhu kungavamile.

Ziyini izinhlungu ezingase zenzeke ngenxa ye-claudication?

Nakuba i-claudication ngokwayo ilawuleka, ngezinye izikhathi ingathuthuka ibe yizinkinga ezinzima zokujikeleza kwegazi uma ingalashwa. Ukuqonda lezi zinto ezingase zenzeke kusiza ukuba uqaphele izimpawu zakho kanye nokwelashwa.

Izinhlungu ezingase zenzeke zihlanganisa izinkinga zokuphila kwansuku zonke kuya ezinkingeni zezokwelapha ezinzima:

• Ukunciphisa ikhono lokukwazi ukuhamba nokunciphisa umsebenzi womzimba
• Ukulahlekelwa ukuxhomeka emisebenzini yansuku zonke
• Ubuthakathaka bemisipha noma ukuwohloka ngenxa yokusetshenziswa okuncane
• I-critical limb ischemia enebuhlungu obukhulu nokonakala kwezicubu
• Amaqeba angapholi noma izihlamba ezinyaweni noma emilenzeni
• Ukungena engozini enkulu yokuhlaselwa yinhliziyo noma i-stroke
• Ezimweni ezinzima, kungase kudingeke ukunqunywa kwelungu

Izindaba ezinhle ukuthi abantu abaningi abane-claudication abazitholi lezi zinkinga ezinzima, ikakhulukazi ngokwelashwa okulungile nokulawulwa kokuphila. Ukunakekelwa okuqhubekayo kwezokwelapha nokulandela uhlelo lwakho lokwelashwa kunciphisa kakhulu lezi ngozi.

Ngokungavamile, abanye abantu bathuthukisa i-acute limb ischemia, lapho ukujikeleza kwegazi kungahlukaniswa kakhulu ngokuzumayo ngenxa yomthombo wegazi noma ukuncipha okukhulu. Lokhu kuyisimangalo sezokwelapha esidinga ukwelashwa ngokushesha.

Ukuvimbela i-claudication kungenzeka kanjani?

Ukuvimbela kugxile ekugcineni imithambo yegazi enempilo nokujikeleza kwegazi okuhle ekuphileni kwakho konke. Izindlela eziningi ezivimbela izifo zenhliziyo ziyasiza ekunciphiseni i-claudication.

Izindlela ezisebenzayo kakhulu zokuvimbela zibhekana nezimbangela eziyisisekelo zesifo se-artery:

• Ungaqali ukubhema, noma uyeke uma ubhema njengamanje
• Gcina igazi lakho liphelele ngokudla, ukuzivocavoca, kanye nezinhlungu uma kudingeka
• Gcina amazinga e-kolesterolusezingeni elihle
• Lawula isifo sikashukela ngokucophelela ngokulawulwa kahle kweswekile yegazi
• Zivocavoca njalo, uqonde okungenani imizuzu engama-30 izinsuku eziningi
• Gcina isisindo esinempilo
• Dla ukudla okunempilo yentliziyo okunotshani, imifino, nama-grain aphelele
• Lawula ukucindezeleka ngezindlela zokubhekana nezimo ezinempilo

Uma usuvele unezingozi ezinjengesihlalo sikashukela noma igazi eliphezulu, ukusebenzisana eduze nodokotela wakho ukuze uziqaphele kahle kubalulekile. Ukuhlola okuvamile kungabamba izinkinga ekuqaleni lapho zitholakala khona kalula.

Ngisho nezinguquko ezincane zingenza umehluko omkhulu. Isibonelo, ukuhamba imizuzu engu-10 nsuku zonke kungathuthukisa ukujikeleza kwegazi, nokunciphisa ukudla usawoti kungasiza ekuphuculeni igazi eliphezulu.

I-claudication ihlonishwa kanjani?

Ukuxilongwa kwe-claudication kuqala ngokuvamile ngodokotela wakho olalele izimpawu zakho kanye nomlando wakho wezokwelapha. Iphethini evamile yobuhlungu obungumlenze ngokuhamba okuthuthukiswa ngokuphumula kuvame ukunikeza izinkomba ezinamandla mayelana nalokho okwenzekayo.

Udokotela wakho cishe uzokwenza ukuhlolwa komzimba okuhlanganisa ukuhlola izimpumputhe ezinyaweni nasezinyaweni zakho, ukulalela imisindo engavamile phezu kwe-arteries yakho, nokubuka izimpawu zokuhamba kwegazi okungekuhle njengenguquko yesikhumba noma amaqeba ahlala isikhathi eside.

Izivivinyo eziningana zingakuqinisekisa ukuxilongwa nokubona ukuthi isimo sakho sibubi kangakanani. I-ankle-brachial index (ABI) ngokuvamile iyivivinyo lokuqala eliyenziwa. Iqhathanisa igazi elikhulu ezinweleni lakho negesi elikhulu engalweni yakho usebenzisa i-cuff yegesi elula kanye nedivayisi yesandla.

Izivivinyo ezengeziwe zingafaka ukuhlolwa kwe-ultrasound ukuze kubonwe ukujikeleza kwegazi, ukuhlolwa kwe-treadmill ukuze kubonwe ukuthi ungahamba kude kangakanani ngaphambi kokuba izimpawu zivele, noma ukuhlolwa okuthuthukile njenge-CT noma i-MR angiography ukuze uthole izithombe ezinemininingwane ye-arteries yakho.

Ezimweni eziyinkimbinkimbi, udokotela wakho angase akukhuthazele ukuhlolwa kwe-angiography, lapho umbala wokubonisa ufakwa khona emithanjeni yakho ukuze kudalwe izithombe eziningi ezinemininingwane. Lo viwo ngokuvamile ugciniwe kubantu abacabanga ngezinketho zokwelashwa ngokuhlinzwa.

Iyini impilo yokuqeda ubuhlungu obukhona lapho uhamba?

Ukwelashwa kokuphazamiseka kokugijima kugxile ekunciphiseni izimpawu zakho, ukuthuthukisa ikhono lakho lokuhamba, nokuvimbela isimo singabi sibi. Izindaba ezinhle ukuthi abantu abaningi babona ukuthuthuka okukhulu ngokuhlanganiswa okulungile kokwelashwa.

Uhlelo lwakho lokwelashwa cishe luzoba nezindlela eziningi ezikanye ndawonye:

• Ukwelashwa komzimba okuqondiswe ukuthuthukisa ibanga lokuhamba nokusebenza kwemisipha
• Imithi yokuthuthukisa ukugeleza kwegazi nokuvimbela ama-clots egazi
• Ukuguqulwa kwezici eziyingozi njengokuyeka ukubhema nokuphathwa kwesifo sikashukela
• Kweminye imicimbi, izinqubo zokuvula imithambo yegazi evaliwe

Ukwelashwa komzimba kuvame ukubhekwa njengokwelashwa okuphumelelayo kakhulu kokuphazamiseka kokugijima. Uhlelo lokuhamba oluhlelekile, ngokukhethekile oluqondiswa ochwepheshe bezempilo, lungathuthukisa kakhulu ukuthi ungahamba kangakanani futhi kunciphisa izimpawu zakho.

Imithi ingafaka imithi yokulwa nama-platelet njenge-aspirin noma i-clopidogrel ukuvimbela ama-clots egazi, imithi yokunciphisa ikolesterol, futhi ngezinye izikhathi imithi eklanywe ngokukhethekile ukuthuthukisa ukugeleza kwegazi emisipha yemilenze.

Kwimeko enzima, izinqubo ezifana ne-angioplasty (ukuvula imithambo yegazi ngebhaluni elincane) noma ukuhlinzwa kwe-bypass (ukudala izindlela ezintsha ezizungezile imithambo yegazi evaliwe) zingase zinconywe. Lezi ngokuvamile zigcinwe kubantu abanezingxaki ezinkulu noma izimpawu zokulahlekelwa igazi okukhulu kwelungu lomzimba.

Indlela yokuphatha ukuphazamiseka kokugijima ekhaya?

Ukuphathwa ekhaya kudlala indima ebalulekile ekulawuleni izimpawu zokuphazamiseka kokugijima nokuvimbela ukuqhubeka. Izindlela ozisebenzisayo ekhaya zivame ukunquma ukuthi uzokwenza kahle kangakanani isikhathi eside.

Ukuhamba yisixhobo sakho esinamandla kunazo zonke sokuphatha ukungakwazi ukuhamba kahle ekhaya. Qala ngamabanga amafushane bese uyakwandisa kancane njengoba umzimba wakho ubekezelela. Uma ubuhlungu buvela, phumula kuze kuphele, bese uqhubeka nokuhamba. Le ndlela yokuma nokugijima ikusiza ukwakha amandla okuhamba kwakho ngokuhamba kwesikhathi.

Ukukhathalela izinyawo kuyaqakatheka ikakhulukazi uma unezinkinga zokujikeleza kwegazi. Hlola izinyawo zakho nsuku zonke ukuze ubone ukuthi kukhona yini izikhumba, amaqhubu, noma ukushintsha kombala. Gcina izinyawo zakho zicocekile futhi zomile, gqoka izicathulo ezifanele, futhi ungahambi zezinyawo, ikakhulukazi ngaphandle.

Ukuphatha ezinye izimo zempilo ekhaya kusekela ukwelashwa kwakho okuphelele. Lokhu kuhlanganisa ukusebenzisa imithi njengoba kulotshiwe, ukulandelela ushukela wegazi uma une-diabetes, ukudla ukudla okuhle inhliziyo, nokugwema utshaba ngazo zonke izindlela.

Ukuphatha izinga lokushisa kungasiza ngokunethezeka. Gcina imilenze yakho ifudumele, kodwa gwema ukusebenzisa ama-heating pads noma amabhodlela amanzi ashisayo, njengoba ukungabi nomuzwa okuncane kungabangela ukushisa. Esikhundleni salokho, gqoka izokisi ezifudumele namabhulukwe uma kukubanda.

Kufanele ulungiselele kanjani i-aphoyintimenti yakho nodokotela?

Ukulungiselela i-aphoyintimenti yakho kusiza ukuqinisekisa ukuthi uthola okuningi ngesikhathi sakho nomhlinzeki wakho wezinsizakalo zezempilo. Ukufika uhlanganyele ngolwazi nemibuzo kwenza isivakashi sibe nomphumela omuhle kini bobabili.

Ngaphambi kwe-aphoyintimenti yakho, bhala imininingwane mayelana nezimpawu zakho. Qaphela ukuthi ungahamba kude kangakanani ngaphambi kokuba ubuhlungu buqale, ukuthi ubuhlungu buzwakala kanjani, isikhathi esithathayo ukuze sihambe ngokuphumula, nokuthi uqaphele yini noma yikuphi ukushintsha ngokuhamba kwesikhathi.

Letha uhlu oluphelele lwayo yonke imithi oyithathayo, kuhlanganise nemithi yokuthengisa ngaphandle kwelayisensi kanye nezinye izithasiselo. Lungiselela futhi isifinyeto somlando wakho wezokwelapha, ikakhulukazi noma yiziphi izinkinga zenhliziyo, i-diabetes, igazi eliphezulu, noma ukucutshungulwa kwangaphambili.

Cabanga ukuthi ulethe ilungu lomndeni noma umngani e-aphoyintimenti yakho. Bangakusiza ukuba ukhumbule ulwazi olubalulekile futhi banikeze ukwesekwa, ikakhulukazi uma uzizwa ukhathazekile ngezimpawu zakho.

Bhala imibuzo ofuna ukuyibuza udokotela wakho. Le mibuzo ingafaka imibuzo mayelana nokuvinjelwa kwemisebenzi, ukuthi nini kufanele ukhathazeke ngezimpawu, noma ukuthi yiziphi izinguquko zokuphila ezingasiza kakhulu esimweni sakho.

Iyini into ebaluleke kakhulu mayelana ne-claudication?

I-Claudication iyisimo esilawuleka esithinta abantu abaningi, ikakhulukazi njengoba bekhula. Nakuba ingakukhathaza uma uqala ukuhlangabezana nezimpawu, ukuqonda ukuthi kukhona ukwelashwa okuphumelelayo kufanele kukunike ithemba nesikhuthazo sokufuna ukunakekelwa.

Into ebaluleke kakhulu okumele uyikhumbule ukuthi i-claudication ivame ukuphendula kahle kakhulu ekwelapheni, ikakhulukazi uma itholakala ngokushesha. Abantu abaningi bayathuthuka kakhulu emandleni abo okuhamba nasempilweni yabo ngokwelashwa komzimba, izinguquko zokuphila, nokunakekelwa okufanele kwezokwelapha.

Lesi simo futhi siyisibonakaliso sokuthi uhlelo lwakho lokugaya igazi ludinga ukunakekelwa. Ukunakekela i-claudication kaningi kusho ukunakekela kangcono impilo yakho yonke yentliziyo neyezinzwa, okuzuzisa umzimba wakho wonke.

Ungavumeli i-claudication ikuvimbele ekuphileni impilo esebenzayo, egcwele. Ngokuthinta okulungile nokwesekwa yiqembu lakho lokukhathalela impilo, ungalawula lesi simo ngokuphumelelayo bese uqhubeka nokwenza izinto ozithandayo.

Imibuzo evame ukubuzwa mayelana ne-claudication

Ingaphela yodwa yini i-claudication?

I-Claudication ayivame ukuthuthuka ngaphandle kokwelashwa, futhi ivame ukuba sibi ngokuhamba kwesikhathi uma isifo sezitho eziphambili siqhubeka. Noma kunjalo, ngokwelashwa okufanele okuhlanganisa ukwelashwa komzimba nokuphathwa kwezinto eziyingozi, abantu abaningi babona ukuthuthuka okukhulu ezimpawu zabo. Abanye abantu bathola ngisho nokuthi ikhono labo lokuhamba libuyela ezilinganisweni eziseduze kwesilinganiso ngokwelashwa okuqhubekayo.

Kuphephile yini ukuzivocavoca nge-claudication?

Yebo, ukuzivocavoca empeleni ingenye yezindlela zokwelapha ezisebenza kakhulu ze-claudication, kodwa kufanele kwenziwe ngaphansi kokunakekelwa kwezokwelapha ekuqaleni. Ukwelashwa okuqondiswayo kokuzivocavoca kubhekwa njengendlela yokwelapha eqinisekisiwe. Udokotela wakho angakusiza ukuba uthuthukise uhlelo lokuzivocavoca oluphephile olukwakha kancane kancane amandla akho ngenkathi uhlonipha imingcele yomzimba wakho.

Ngizodinga ukuhlinzwa nge-claudication?

Abantu abaningi abane-claudication abadingi ukuhlinzwa futhi bangaphatha isimo sabo ngokuphumelelayo ngokuzivocavoca, imithi, nokushintsha indlela yokuphila. Ukuhlinzwa noma izinqubo ezifana ne-angioplasty ngokuvamile zigcinelwe abantu abanezimpawu ezinzima ezikhawula kakhulu imisebenzi yansuku zonke noma labo abanezimpawu ze-critical limb ischemia.

Kuthatha isikhathi esingakanani ukubona ukuthuthuka ngokwelashwa?

Abantu abaningi baqala ukubona ukuthuthuka okuthile ekuhambeni kwabo phakathi kwamasonto angu-4-8 beqala uhlelo lokuzivocavoca oluhleliwe. Ukuthuthuka okukhulu ngokuvamile kwenzeka ngaphezu kwezinyanga ezingu-3-6 zokwelashwa okuqhubekayo. Isikhathi esithathayo singahluka kuye impilo yakho yonke, ubukhulu besimo sakho, nokuzinikela kwakho ekulandeleni uhlelo lwakho lokwelapha.

Ingabe i-claudication ingathinta imilenze yomibili?

Yebo, i-claudication ingathinta umlenze munye noma bobabili, nakuba ngokuvamile iqala emilenzeni munye futhi ingase iqede iqede ithonye omunye. Uma imilenze yomibili ithinteka, kungase kubonise isifo se-artery esibanzi. Abanye abantu baye baba nezimpawu ezahlukene kuwo wonke umlenze, omunye uthinteka kakhulu kunomunye.