Umngcipheko wokuphuhlisa i-blood clot (i- vein thrombosis okanye i-DVT ) ngexesha lotyando lwemhlaza luyinyani kodwa ludlalwa. Uluntu lwazi ngakumbi i-DVTs xa intatheli yeTV, uDavid Bloom, efa kwi-pulmonary embolism ngelixa ebika evela e-Iraq, kodwa kusekho ukuqonda okuncane kakhulu kule nkcaso yomdla wesiqhelo.
Ngokudabukisayo, abaninzi abasindiswa ngumhlaza abaye bahlakulela i-blood clots (leyo enokuthi ingazange ihambe kwimiphunga njengemipulmary emboli) ayizange ibone indlela eziqhelekileyo (kwaye ziyabulala) oku.
Ukwazi ukuba yiziphi iimpawu omele uzijonge, kwaye izinto onokuzenza ukunciphisa umngcipheko wakho unokuhamba ixesha elide ekunciphiseni ithuba lokuba le nkathazo enzulu iyakuphazamisa unyango lwakho lomhlaza.
Ziziphi iingubo zokuvala igazi (i-DVTs)?
I-DVT iyi-clot yegazi eyenza kwisisu esinzulu emzimbeni, ngokuqhelekileyo kwimilenze. Ukuba i-clot iyahluleka, iyakwazi ukuya kwimipopho kwaye ibangele ukukhutshwa kwiimitha zezaphulelo ezikhokelela kwimiphunga, imeko eyaziwa ngokuba yi- pulmonary embolism .
Iifom yegazi eziqhelekileyo (i-DVTs) Ingaba ne-Cancer Cancer
Phakathi kweepesenti ezingama-3 kunye neepesenti ezingama-15 zabantu abanomdlavuza wamaphaphu bavelisa ama-clots egazi ngexesha lonyango lwabo, ngokwezifundo ezahlukeneyo. Ziqheleke kakhulu kulabo abanomdlavuza ongasetyenzana wesifo samangqamu kunomdlavuza omncinci wamangqamuzana , kunye nabantu abane- adenocarcinoma kubonakala bengengozini enkulu. Ezinye izinto eziphakamisa umngcipheko ziquka ukufumana umgangatho wesifo somhlaza wamaphaphu (umzekelo wesigaba 4 okanye isifo se-metastatic) okanye ufumana i-chemotherapy, ingakumbi kwezinye iipilisi ezijoliswe kuyo, okanye utyando olusemva.
Amaphesenti angama-7 abantu abanomdlavuza wamaphaphu baya kuphuhlisa i-blood clot.
Ukubaluleka kokwazisa iingubo zegazi (i-DVTs)
Kubaluleke kakhulu ukuba ukhangele iimbambo zegazi ngenxa yokuba unokunciphisa ukusinda nomhlaza wemiphunga. Kwisifundo esithile, izigulane ezingenamntwana omncinci wesifo somhlaza wamaphaphu zine-1.7 incinci yandisa ingozi yokufa ukuba babe ne-DVT.
Olunye uphando lufumene ukuba izigulane zomdlavuza wamaphaphu ezinokungenani enye i-DVT zasinda ngesigamu kuphela nje ngokuba zingenazo i-DVT. Inkcenkcesha eyoyikisayo yamacwecwe egazi kukuba baya kuhamba baye emiphakeni, imeko engxamisekileyo eyaziwa ngokuba yi-pulmonary embolism, enokuthi ingaba yingozi xa ingaphathwa kakubi. Ngaphandle kweengcezu ezingapheliyo, unokuhlakulela intlungu yomlenze ongapheliyo xa ungaphathwa, into eyaziwa ngokuba yi-post-thrombotic syndrome. Ugqirha uya kukhangela imilenze yakho xa ukhulelwe esibhedlele, ngakumbi emva kokuhlinzwa, kodwa i-incident incident ye-clots emva kokuhlinzwa yintsuku ezisixhenxe emva kwexesha-ixesha apho abantu abaninzi bebuya khona bebuyela ekhaya.
Izambatho zeGazi ziyakwenzeka emva kohlobo emva kokuxilongwa
Ngaphandle kwamagqirha, kubonakala ngathi unengqondo yokuba i-blood clots ivela kamva kwisifo okanye emva kwezilonyango ezininzi. Akunjalo. Uphononongo luka-2014 lufumene ukuba ngaphezu kweepesenti ezingama-13 zantsholongwane (esingaphelanga ngeveki e-1) zinegazi. Phantse amahlanu ekhulwini ayenemipulmary emboli.
Imiba ephakamisa ingozi
Ukuba nomdlavuza wamaphaphu wodwa ukwandisa umngcipheko wokuphuhlisa igazi, kodwa ezinye iimeko zandisa ingozi. Ezinye zezi ziquka:
- Ukuhlinzwa ngonyango kunokunyusa umngcipheko wegazi, kodwa ukutyunjwa kwesifuba (njengokuhlinzwa komdlavuza wamaphaphu) kunye nokuhlinzwa kwesisu kusemngciphekweni.
- I-Chemotherapy kunye nezinye ezijoliswe kunyango
- Ukungasebenzi okanye ukuphumla kwexesha lokulala ixesha elide
- Ezinye izifo zemiphunga ezifana neCOPD
- Ukutshaya
- Uhambo. Ukuhamba ngokuhamba ngeemoto okanye indiza kwandisa umngcipheko wee-clots zegazi. Oku kunokukhathazeka kwabo bafuna ukuhamba iindawo ezide zokunyanga
Iimpawu
Kufuneka ujonge ezimbini iintlobo zeempawu. Lezo zibangelwa i-clot emlenzeni wakho, okanye ezo zinokubonisa ukuba i-clot iye yahamba yakho kwimiphunga (ukuphambana kwe-pulmonary).
Iimpawu zamacwecwe egazi kwimilenze (DVT) :
- Akunakho - Ngamanye amaxesha i-clot yegazi ikhona ngaphandle kwempawu
- Ubunzima bomlenze / ithole - Ngokukodwa uhlobo oluthile lweentlungu emlenzeni owodwa kuphela
- Ukuvuvukala
- Ubomvu
- Ukufudumala
- Ubuhlungu kunye nokongezwa kwezwane zakho - Ubuhlungu ngenxa yegazi elivame ukunyuka xa ubeka iinzwane zakho entloko yakho
Iimpawu ze-pulmonary embolism :
- Iintlungu zesifuba - Intlungu yesifuba ehambelana ne-pulmonary embolism ivame kakhulu ukukhwehlela kunye nokuphefumula
- Ukukhawuleza kukuqala ukuphefumula
- Lightheadedness okanye ukuphelelwa amandla
- Ukuhlamba igazi (i-hemoptysis) - Kubalulekile ukuba uqaphele le mpawu kuba umdlavuza wamaphaphu ngokwayo unokukwenza ukukhwehlela igazi
Ngexesha lokuzazisa iDokotela wakho
Naliphi na impawu ezi ngasentla kufuneka kukukhuthaze ugqirha ugqirha wakho kwangoko. I-pulmonary embolism ingaba yingozi, kwaye kufuneka ubize nge-911 ngokukhawuleza ukuba unayo na impawu ezinokuthi zibonise ukuba u-embolism .
Iingcebiso zokuthintela
- Qalisa amaqabane akho aphantsi xa uhleli okanye ulala embhedeni. Phakamisa iinzwane zakho kwintloko yakho kwaye ubuyele ngamanye amaxesha
- Xa uhamba ngemoto, yenza ukuyeka rhoqo, uphume, kwaye uhambahamba ngemoto. Xa uhamba ngomoya, vuka uhambe ngeenxa zonke ubuncinane iiyure ezimbini
- Emva kokuhlinzwa, zama ukuhamba ngokukhawuleza xa ugqirha wakho ekuvumela ukuba wazi ukuba ukhuselekile
- Musa ukutshaya
- Phuza amanzi amaninzi
- Gwema utywala kunye ne-caffeine - Bobabini utywala kunye ne-caffeine bangakunciphisa kwaye bakhuphe umngcipheko
- Ukuba ukunyanzeliswa kwezitshixo (ukuxhaswa kwepayipi) kuyanconywa, gquba ezi zide nje ugqirha wakho ecebisa
- Jonga uxinzelelo lwegazi kunye neetyuwa - Ukunyuka kwengcinezelo yegazi kukwandisa umngcipheko wee-clots zegazi, kwaye kunokuba lula ukuyihoxisa le ngxaki "encinci" phakathi kweengxaki zonyango lomhlaza
- Ukuphakamisa imilenze ngexesha lokuphumla
- Buza iqela lakho lononophelo lwezempilo malunga neendlela zokunciphisa ingozi yamacenge egazi kwiimeko ezithile. Kwezinye iimeko, amayeza anqunywe kunye nokunciphisa ingozi
Uninzi lwezi zinto zengozi zenzeka ngexesha lokuhamba. Ukuba uya kuhamba unyango okanye ukuzonwabisa, khangela iingcebiso zokuhamba nomhlaza .
Ukuxilongwa
Inxalenye ebaluleke kakhulu ekufumaneni iimbali zegazi kukuqaphela le ngxaki enokwenzeka. Ukuba uyaphawula nayiphina impawu okanye ugqirha wakho ukhuphazelekayo, udibaniso lweemvavanyo ze-radiological kunye neemvavanyo zegazi lunokumisela ukuba i-clot yegazi ikhona.
Unyango
Ukunyangwa kwee-DVTs kunye / okanye i-pulmonary emboli nomhlaza kubandakanya kokubili ukunciphisa umngcipheko wokuqhaqha okuqhubekayo kunye nokuqhaqhazela amaqhekeza ezenzekile. Unonophelo oluxhasayo lukwafuneka rhoqo, ngakumbi ukuba iimpawu ezinjengefuthe lokuphefumula ziye zenzeka nge-pulmonary emboli.
Unyango lunokubandakanya intsebenziswano okanye imithi yomlomo ye-warfarin kunye ne-heparin ye-medrave okanye injectable, kunye neyeza elitsha livunyiwe kwiminyaka yamuva.
ILizwi
Amacwecwe egazi aqheleke kakhulu kubantu abanomdlavuza kwaye kunokubangela ukulaliswa esibhedlele okanye nokufa. Kukho izinto ezininzi ezifaka isandla. Ngomnye amaxesha umdlavuza unomngcipheko. Ukuhlinzwa kunye ne-chemotherapy kuphakamisa umngcipheko. Kwaye imisebenzi evela kumbhedlele ukuya kwiimoto okanye ukuhamba emoyeni ukunyusa ingozi.
Qinisekisa ukuba uqhelana kunye neempawu zamacwecwe egazi emilenzeni (intlungu ye-vein thrombosis) kunye neendwangu zegazi eziye zahamba kwimiphunga (i-pulmonary emboli). Funa uncedo ngokukhawuleza kwaye ungalindelanga ukuba kukho enye yezi zinto. Ixesha lingaba yinto engundoqo. Yazi kakuhle iindlela zokunciphisa umngcipheko wakho njengokuguqula imilenze rhoqo. Ukuba i-oncologist yakho incoma igazi elincinci, mthabathe ngokungqongqo. Ekubuyiseleni, abaninzi abantu bakhumbula iziganeko eziphakamisa umngcipheko kunye nokuqala, kodwa iimpawu ezingacacanga. Amacwecwe egazi athatyathwa kakhulu xa afumaneka ngexesha.
> Imithombo:
> Connolly, G. et al. Ukunyamekela kunye nokuBaluleka kweeNtsholongwane zeNgxaki kunye neKlinikhi exhaswa yi-Venous Thromboembolism kwiiLung Cancer Patients. Cancer Lung Cancer . Ipapashwe ngo-29 Julayi 2013.
> Zhang, Y. et al. Ukunyamekela kunye noMbutho we-VTE kwizigulane ezineNtsholongwane yokuLungulwa kweLungwane entsha. Esifubeni . 2014. 146 (3): 650-8.