Ukugula Kwezinso: Izimpawu, Izimbangela, Nokwelashwa

Ukugula kwezinso kwenzeka lapho ukugcwala kwegazi ezinsonyweni zakho kunciphisa khona noma kuvinjelwe. Lesi simo sivikela izicubu zezinso zakho ekufumaneni i-oksijini nezondlo ezidingekayo ukuze zisebenze kahle.

Cabanga ngakho njengokungqubuzana kwezimoto emgwaqweni ohambisa isistimu yakho yokugaya. Uma igazi lingakwazi ukufinyelela ezinsonyweni zakho ngokwanele, i-tissue ethonyeka ingonakala noma ife uma ingelashwa ngokushesha. Nakuba lokhu kungase kuzwakale kukhathaza, ukuqonda izimpawu nokufumana ukunakekelwa okufanele kungenza umehluko omkhulu eziphumeleni.

Ziyini izimpawu zokugula kwezinso?

Izimpawu zokugula kwezinso zingase zihluke kuye ngokuthi yisiphi isigaba sezinso zakho esithintekile nokuthi ukuphazamiseka kukhulu kangakanani. Umzimba wakho uzovame ukukunika izimpawu ezicacile zokuthi kukhona okungalungile.

Nazi izimpawu ezivame kakhulu ongazihlangabezana nazo:

• Ubuhlungu obukhulu, obukhulu esiswini obukhulu kunalokho okubonakala ngokomzimba
• Ukuphefumula nokugabha
• Ukhukhula noma izisu ezigcwele igazi
• Ukukhula kwesisu noma ukukhula
• Ukuqhuma kwemikhawulo ethile
• Ukushisa kwenhliziyo
• Ukulahlekelwa ukudla

Ezimweni ezingapheli, ungase uqaphele ukulahlekelwa isisindo, ubuhlungu bokuqina ngemuva kokudla, noma ukwesaba ukudla ngenxa yobuhlungu. Lezi zimpawu zingase zithuthuke kancane kancane ezinyangeni noma ezinyangeni, okwenza kube lula ukuzigqolozela ekuqaleni.

Ziyini izinhlobo zokugula kwezinso?

Ukugula kwezinso kuza ngezindlela eziningana ezahlukene, ngayinye inezici zayo nesikhathi sayo. Ukuqonda lezi zinhlobo kungakusiza ukuthi uqonde ukuthi yini engase ibe khona emzimbeni wakho.

Izinhlobo eziyinhloko zihlanganisa ukugula okukhulu kwe-mesenteric, okuthuthuka ngokushesha futhi kudinga ukunakekelwa kwezokwelapha ngokushesha. Lolu hlobo lubangela ubuhlungu obukhulu, obukhulu esiswini futhi lungaba yingozi uma lungelashwa ngokushesha.

Ukugula okungapheli kwe-mesenteric kuthuthuka kancane kancane ngokuhamba kwesikhathi. Ungase uhlangabezane nobuhlungu bokuqina cishe imizuzu engama-30 kuya kuyihora ngemuva kokudla, okungakwenza wesaba ukudla futhi kuholele ekunciphiseni isisindo.

I-Ischemic colitis ithinta ikoloni enkulu ngokukhethekile. Lolu hlobo luvame ukubangela ubuhlungu bokuqina ngakwesobunxele sesisu sakho, kanye nokukhukhula kwegazi noma izisu ezimnyama.

Kukhona nesimo esingavamile esibizwa nge-mesenteric venous thrombosis, lapho ama-clots egazi enza khona ezinhlungwini ezikhipha igazi ezinsonyweni zakho. Lokhu kungabangela izimpawu ezihamba kancane noma ngokushesha kuye ngokuthi kuthuthuka ngokushesha kangakanani.

Yini ebangela ukugula kwezinso?

Ukugula kwezinso kwenzeka lapho kukhona okuvimba noma kunciphisa ukugcwala kwegazi ezinsonyweni zakho. Izindlela eziningana ezahlukene zingabangela lokhu kwenzeke, futhi ukuziqonda kungakusiza ukuthi uqonde izici zakho zengozi.

Izimbangela ezivame kakhulu zihlanganisa:

• Ama-clots egazi ahambela ezinhlungwini zezinso (ama-emboli)
• I-Atherosclerosis (ukukhuluphala kwezinhlungwini) okunciphisa imithambo yegazi
• Ama-clots egazi enza ngqo emithambe yegazi yezinso (i-thrombosis)
• Ukungaphili kahle kwegazi noma ukushayisana okunciphisa ukugcwala kwegazi jikelele
• Imithi ethile ecindezela imithambo yegazi
• Isimo senhliziyo esinciphisa ukusebenza kokupompa igazi

Izimbangela ezingavamile kodwa ezibalulekile zihlanganisa ama-hernia ezinsonyweni abetha imithambo yegazi, izinkinga zokucutshungulwa, noma ukuphelelwa amanzi okukhulu. Ngezinye izikhathi, ukuvuvukala kwemithambo yegazi noma izimo ezithile zokuzimela zingase futhi ziholele ekunciphiseni ukugcwala kwegazi.

Ezimweni ezingavamile, izimo ezifana nesifo se-sickle cell, umdlavuza othile, noma ukutheleleka okukhulu kungase kuhlanganyele ekuguleni kwezinso ngokuthinta ukugcwala kwegazi noma ukwandisa ingozi yokwenza ama-clots.

Kufanele ubone nini udokotela ngokugula kwezinso?

Kufanele ufuna ukunakekelwa kwezokwelapha ngokushesha uma uhlangabezana nobuhlungu obukhulu, obukhulu esiswini, ikakhulukazi uma buhambisana nezinye izimpawu ezinkulu. Lolu hlobo lobuhlungu luvamise ukuzwakala luhlukile kunokuphazamiseka okuvamile kwesisu futhi lungase lubonakale lukhulu kakhulu.

Shaya isevisi yephuthumayo noma uye ekamelweni lephuthumayo ngokushesha uma unebuhlungu obukhulu esiswini kanye nezisu ezigcwele igazi, ukugabha, ukuqhuma, noma izimpawu zokushayisana njengokushisa kwenhliziyo nokuqina.

Ngisho noma izimpawu zakho zibonakala zingakhulu, kufanele uthinte udokotela wakho uma uhlangabezana nobuhlungu obuphindaphindayo esiswini ngemuva kokudla, ukulahlekelwa isisindo okungachazwanga, noma ukushintsha okuqhubekayo emikhwenyoni yakho yesisu.

Themba izinzwa zakho ngomzimba wakho. Uma kukhona okuzwakala kungalungile kakhulu, kuhlale kungcono ukukhetha ukusiza futhi ufuna ukuhlolwa kwezokwelapha ngokushesha.

Ziyini izici zengozi zokugula kwezinso?

Izici eziningana zingakwandisa amathuba akho okukhula kokugula kwezinso. Nakuba ukuba nalezi zici zengozi akusho ukuthi uzokuthola ngokuqinisekile lesi simo, ukuzazi kungakusiza uhlale ulungile ngezimpawu.

Ubudala ingenye yezici ezibaluleke kakhulu zengozi, abantu abangaphezu kweminyaka engama-60 besengozini enkulu ngenxa yokuguquka kwemvelo kwemithambo yegazi ngokuhamba kwesikhathi. Noma kunjalo, abantu abasebancane bangase futhi bathuthukise lesi simo ngaphansi kwezimo ezithile.

Izimo zenhliziyo nezimithambo yegazi zikwandisa kakhulu ingozi yakho:

• I-Atrial fibrillation noma ezinye izifo zokushisa kwenhliziyo
• Ukwehluleka kwenhliziyo noma ukuhlaselwa kwenhliziyo kwangaphambili
• I-Atherosclerosis (imithambo yegazi eqinile)
• Ukuqina kwegazi
• I-Cholesterol ephezulu
• I-Diabetes

Imithi ethile nezimo zezokwelapha zingase futhi zikhulise ingozi yakho. Ama-blood thinners, nakuba ewusizo ezimweni eziningi, ngezinye izikhathi angase ahlanganyele ezinkingeni zokopha igazi. Amaphilisi okulawula ukubeletha nokwelashwa kwe-hormone replacement kungase kukhulise ingozi yokwenza ama-clots kubantu abathile.

Ukubhema kukhulise kakhulu ingozi yakho ngokulimaza imithambo yegazi nokukhuthaza ukwenza ama-clots. Ezinye izici zengozi zihlanganisa ukuphelelwa amanzi okukhulu, ukuhlinzwa okukhulu kwamuva, nezimo ezithinta ukwenza ama-clots.

Ziyini izinkinga ezingase zenzeke ngokugula kwezinso?

Uma ukugula kwezinso kungelashwa ngokushesha, izinkinga eziningana ezinkulu zingase zithuthuke. Ukuqonda lezi ziphumo ezingase zenzeke kugcizelela ukuthi kungani ukunakekelwa kwezokwelapha okusheshayo kubaluleke kangaka.

Inkinga enkulu kunazo zonke ukubola kwezinso, lapho ingxenye yesicubu sezinso yakho ifa khona ngenxa yokungabi khona kokugcwala kwegazi. Lokhu kungase kuholele ekubhobokeni, lapho ama-holes enza khona odongeni lwezinso, kuvumela amabhaktheriya nezinto zezinso ukuba zifinyelele esiswini sakho.

Izinkinga ezivamile zihlanganisa:

• Ukubhoboka kwezinso ne-peritonitis (ukutheleleka okukhulu kwesisu)
• I-Sepsis (ukusabela kokutheleleka emzimbeni wonke)
• Ukonakala okungapheli kwesicubu sezinso
• Ukudingeka kokususa ingxenye yezinso eyonakele
• Izinkinga zokugaya ukudla ezingapheli
• Ukuphelelwa yizondlo ngenxa yokungabi khona kokufunwa kahle

Ezimweni ezinkulu, izinkinga zingaba yingozi, yingakho ukwelashwa okusheshayo kubalulekile. Noma kunjalo, uma kubanjwe ngokushesha futhi kuphathwe ngokufanele, abantu abaningi bangase baphile ngokuphelele noma baqhubeke nokuphila kahle ngokuphathwa okufanele.

Abanye abantu bangase bathuthukise izinkinga zokugaya ukudla eziqhubekayo noma badinge ukuguqulwa kokudla, kodwa ngokunakekelwa kwezokwelapha okufanele, lokhu kuvame ukuphathwa kahle.

Ukugula kwezinso kuhlonzwa kanjani?

Ukuhlonzwa kokugula kwezinso kungase kube nzima ngoba izimpawu zalo zivame ukufana nezinye izimo zokugaya ukudla. Udokotela wakho uzoqala ngengxoxo eningiliziwe yezimpawu zakho nomlando wakho wezokwelapha, egcizelela ukuthi izimpawu zaqala nini nokuthi yini ezenza zibe ngcono noma zimbi.

Phakathi kokuhlolwa komzimba, udokotela wakho uzothinta ngokucophelela isisu sakho futhi alalele imisindo ethile engase ibonise izinkinga zezinso. Bazohlola futhi izimpawu zakho zobomi futhi bafune izimpawu zokuphelelwa amanzi noma ukushayisana.

Izivivinyo eziningana kungase kudingeke ukuqinisekisa ukuhlonzwa:

• I-CT scan ene-contrast dye ukuze ubone imithambo yegazi nesicubu sezinso
• Izivivinyo zegazi ukuze uhlole izimpawu zokutheleleka, ukuvuvukala, noma ukonakala kwesicubu
• I-Angiography ukuze uthole izithombe eziningiliziwe zemithambo yegazi
• I-Doppler ultrasound ukuhlola ukugcwala kwegazi
• I-Colonoscopy kwezinye izimo ukuze ubone ngqo ukugqoka kwezinso

Udokotela wakho angase futhi a-ode izilingo ezengeziwe kuye ngesimo sakho esithile. Umgomo ukunquma ukuthi awukho nje ukugula kwezinso, kodwa futhi ukuthi yini eyikubangelayo nokuthi ukonakala kungaba khulu kangakanani.

Ngezinye izikhathi, ikakhulukazi ezimweni zephuthumayo, ukwelashwa kungase kudingeke kuqale ngaphambi kokuthi wonke ama-results okuhlola atholakale, kuye ngezimpawu zakho nemiphumela yokuqala.

Ukuphathwa kokugula kwezinso kuyini?

Ukuphathwa kokugula kwezinso kuncike ohlotsheni olukhona, ukuthi kukhulu kangakanani, nokuthi yini eyikubangelayo. Imigomo eyinhloko ukubuyisela ukugcwala kwegazi ezinsonyweni zakho nokuvimbela ukonakala kwesicubu.

Ezimweni eziphuthumayo ezidinga ukusebenza ngokushesha, iqembu lakho lezokwelapha lizoqala ngokushesha ukukunika isikhombiso nokubuyisela ukugcwala kwegazi. Lokhu kungase kuhlanganise imithi yokunciphisa ama-clots, izinqubo zokuvula imithambo yegazi evaliwe, noma ukuhlinzwa okusheshayo.

Izindlela zokwelapha zihlanganisa:

• Imithi yokunciphisa ama-clots egazi noma ukuvimbela amanye amasha
• I-Angioplasty ukuze uvule imithambo yegazi ecindezelekile
• Ukubekwa kwe-Stent ukuze ugcine imithambo yegazi ivulekile
• Ukuhlinzwa kokudlula imithambo yegazi evaliwe
• Ukususa isicubu sezinso esonakele uma kudingeka
• Ama-antibiotics ukuvimbela noma ukwelapha ukutheleleka

Ngokugula okungapheli kwezinso, ukwelashwa kuvame ukugxila ekuthuthukiseni ukugcwala kwegazi ngokuhamba kwesikhathi nokuphatha izimpawu. Lokhu kungase kuhlanganise imithi yokuthuthukisa ukujikeleza, ukuguqulwa kokudla, nezinqubo zokuvula imithambo yegazi ecindezelekile.

Iqembu lakho lezokwelapha lizoqondana nezimo eziyinhloko ezihlanganyele ekuguleni kwezinso, njengezinkinga zenhliziyo, ukuqina kwegazi, noma i-diabetes. Lendlela ephelele ikusiza ukuvimbela izigaba zesikhathi esizayo.

Ungaphatha kanjani ukugula kwezinso ekhaya?

Nakuba ukugula kwezinso kudinga ukwelashwa kwezokwelapha, kunezindlela ezibalulekile ongasiza ngazo ukubuyiselwa kwakho nokuphila kwakho jikelele ekhaya. Lezi zinyathelo zisebenza kanye, hhayi esikhundleni, sokwelashwa kwakho kwezokwelapha okunikeziwe.

Ukulandela imiyalo yomuthi wakho ngokuqondile kubalulekile. Uma unikezwe ama-blood thinners, uwathathe njengoba kunqunyiwe futhi ugcine zonke iziqondiso zokulandelela ukuhlolwa. Ungalokothi uyeke noma ushintshe le miithi ngaphandle kokubonisana nodokotela wakho.

Ukucabangela kokudla kungase kudlale indima ebalulekile ekubuyiselweni kwakho:

• Dla ukudla okuncane, okuvamile ukuze unciphise umthwalo esiswini sakho
• Hlala unamanzi ngamanzi nezinye izinto ezihlanzekile
• Gwema ukudla okunzima ukugaya ekuqaleni
• Landela noma yikuphi ukunciphisa kokudla udokotela wakho akuncomayo
• Cabanga ukusebenza nochwepheshe wokudla ukuze uthole isiqondiso esikhethekile

Ukuguqulwa kwesitayela sokuphila kungasiza ekuthuthukiseni ukujikeleza kwakho jikelele nokunciphisa ingozi yezinkinga zesikhathi esizayo. Uma ubhema, ukuyeka ingenye yezinto ezibaluleke kakhulu ongayenza ngempilo yemithambo yakho yegazi.

Zihlole nganoma yiziphi izimpawu ezibuyayo noma ezimbi, futhi ungangabazi ukuthinta udokotela wakho uma ukhathazekile nganoma yini.

Kufanele ulungiselele kanjani i-appointment yakho yodokotela?

Ukulungiselela kahle i-appointment yakho kungasiza ukuqinisekisa ukuthi uthola ukuhlonzwa okuchane kakhulu nokuphathwa okufanele. Udokotela wakho uzodinga ulwazi olunemininingwane ngezimpawu zakho nomlando wakho wezokwelapha.

Ngaphambi kwe-appointment yakho, bhala phansi ukuthi izimpawu zakho zaqala nini, ukuthi zizizwa kanjani, nanoma yini ezenza zibe ngcono noma zimbi. Qaphela ukuthi ukudla kuthinta yini ubuhlungu bakho, futhi uma kunjalo, isikhathi esingakanani ngemuva kokudla ubuhlungu buqala.

Letha ulwazi olubalulekile nawe:

• Uhlu oluphelele lwazo zonke imithi, kufaka phakathi imithi yokuthengwa ngaphandle komthetho kanye nezinye izinto
• Umbhalo wezimpawu zakho, kufaka phakathi ukuthi zenzeka nini nokuthi zinkulu kangakanani
• Uhlu lanoma yikuphi ukuhlinzwa kwamuva, ukungena esibhedlela, noma izifo ezinkulu
• Umbhalo womlando womndeni wesifo senhliziyo, isifo sobuchopho, noma izifo zokwenza ama-clots
• Ulwazi lwe-insurance kanye nokuhlonza

Cabanga ngemibuzo ofuna ukuyibuza udokotela wakho, njengokuthi yiziphi izivivinyo ezingase zidingeke, yiziphi izindlela zokwelapha ezitholakalayo, nokuthi yini ongayilindela ekubuyiselweni.

Uma kungenzeka, letha umngani noma ilungu lomndeni othembekile nawe. Bangakusiza ukuba ukhumbule ulwazi olubalulekile futhi banikeze ukwesekwa ngesikhathi esingase sibe yisikhathi esicindezelayo.

Ukuqonda kokugula kwezinso kuyini?

Ukuqonda kokugula kwezinso kuyahluka kakhulu kuye ngokuthi kubonakala ngokushesha kangakanani futhi kuphathwa, kanye nesizathu esiyinhloko. Ukubona ngokushesha nokuphathwa okusheshayo kuvame ukukhipha imiphumela emihle kakhulu.

Ngokugula okukhulu kwezinso, ukusebenza kwezokwelapha okusheshayo kuvame ukusindisa isicubu esithintekile nokuvimbela izinkinga ezinkulu. Abantu abaningi abamukela ukwelashwa ngokushesha bangase baphile ngokuphelele, nakuba abanye bangase badinge ukuhlolwa okuqhubekayo noma ukuguqulwa kwesitayela sokuphila.

Ukugula okungapheli kwezinso kuvame ukuba nesigaba esiqhubekayo, futhi ngokwelashwa okufanele, abantu abaningi bangaphatha izimpawu zabo kahle futhi baqhubeke nokuphila kahle. Ukwelashwa kungasiza ukuvimbela lesi simo ekwenzeni izinkinga ezinkulu.

Ukuqonda kwakho siqu kuzoxhomeka ezintweni ezifana nempilo yakho jikelele, ubukhulu bokonakala kwesicubu, nokuthi uphendula kahle kangakanani ekwelapheni. Iqembu lakho lezokwelapha lingakunika ulwazi oluqondile ngesimo sakho esithile.

Ngokunakekelwa kwezokwelapha okufanele nokuguqulwa kwesitayela sokuphila, abantu abaningi abanegciwane lezinso bangase baqhubeke nokuphila impilo ephilile, ezele. Ikhona ukusebenzisana eduze nodokotela bakho nokulandela iziphakamiso zabo.

Imibuzo evame ukubuzwa ngokugula kwezinso

Ingabe ukugula kwezinso kungavimbeka?

Nakuba ungakwazi ukuvimbela zonke izimo zokugula kwezinso, unganciphisa kakhulu ingozi yakho ngokuphatha izimo zezempilo eziyinhloko nokwenza izinqumo zokuphila ezempilo. Ukulawula ukuqina kwegazi, i-diabetes, ne-cholesterol ephezulu kusiza ekuqondeni imithambo yakho yegazi.

Ukuyeka ukubhema ingenye yezinyathelo ezibaluleke kakhulu ongayenza, njengoba ukubhema kulimaza imithambo yegazi futhi kukhulise ingozi yokwenza ama-clots. Ukuzivocavoca njalo, ukugcina isisindo esinempilo, nokudla ukudla okunempilo konke kuhlanganyela ekujikelezeni kangcono.

Ingabe ukugula kwezinso kuhlale kukhulu?

Ukugula kwezinso kufanele kuqatshelwe njalo, kodwa ubukhulu bangase buhluke kakhulu. Izimo eziphuthumayo zidinga ukwelashwa okusheshayo futhi zingaba yingozi uma zingaphathwa ngokushesha.

Ukugula okungapheli kwezinso kuthuthuka kancane kancane futhi kungaphathwa ngemithi nokuguqulwa kwesitayela sokuphila, nakuba kusadinga ukunakekelwa kwezokwelapha okuqhubekayo ukuvimbela izinkinga.

Isikhathi sokubuyiselwa sibe yikuphi?

Isikhathi sokubuyiselwa sihluka kakhulu kuye ngohlobo nobukhulu bokugula kwezinso, kanye nokwelashwa okudingekayo. Abanye abantu bangase baqale ukuzizwa bephilile ezinsukwini ezimbalwa zokwelashwa, kuyilapho abanye bangase badinge amasonto noma izinyanga zokubuyiselwa okuphelele.

Uma ukuhlinzwa kwakudingeka, ukubuyiselwa kuzovame ukuthatha isikhathi eside. Iqembu lakho lezokwelapha lizokunika amathemba athile kuye ngesimo sakho siqu ncebo yokwelapha.

Ingabe ukugula kwezinso kungabuya?

Yebo, ukugula kwezinso kungabuya, ikakhulukazi uma izici zengozi eziyinhloko zingaphathwa kahle. Yingakho kubaluleke kakhulu ukulandela iziphakamiso zokwelapha zokwelapha, ukuguqulwa kwesitayela sokuphila, nokukhathalela okuqhubekayo.

Ukuthatha imithi eyanqunywe njengoba kunqunyiwe, ukuphatha izimo ezingapheli njenge-diabetes nokuqina kwegazi, nokwenza izinqumo zokuphila ezempilo kunganciphisa kakhulu ingozi yokubuya.

Kufanele ngenze nini uma ngicabanga ukuthi nginezimpawu?

Uma uhlangabezana nobuhlungu obukhulu, obukhulu esiswini, ikakhulukazi ngezinye izimpawu ezifana nezisu ezigcwele igazi noma ukugabha, funa ukunakekelwa kwezokwelapha okusheshayo ngokushesha. Ungalindi ukubona ukuthi izimpawu ziya ngcono ngokwazo.

Ngezimpawu ezingakhulu kodwa ezinkulu njengobuningi obuphindaphindayo esiswini ngemuva kokudla noma ukulahlekelwa isisindo okungachazwanga, xhumana nodokotela wakho ngokushesha ukuze uxoxe ngezimpawu zakho futhi unqume ukuthi ukuhlolwa kudingeka yini.