Iintlobo zeGazi iVala emva kokuPiliswa kunye neeNyango eziPhezulu
Iingubo zegazi ziyinkxalabo enzulu yokuba izigulane zonyango zikwazi ukufumana ngexesha nangemva kwenkqubo. Nangona i-clot yegazi eyenza emlenzeni yimeko enzulu, iingubo zegazi zingakhawuleza zibe ziimeko zokusongela ubomi xa zihamba kwiingqondo (imbolic / ischemic stroke) okanye imiphunga ( ukumbumbana kwe-pulmonary ). Ezi nkxalabo zibi kakhulu kwaye kufuneka ziphathwe ngokukhawuleza ukunciphisa umonakalo obangelwa umzimba okanye ingqondo.
Yintoni Ebangelwa Ukuba Igazi Likhiphe Emva Kokugqirha?
I-clot yegazi inokuthi ifake ngexesha okanye emva kokuhlinzwa kunokuba kusemini kwimihla yobomi bakho. Kukho izizathu ezininzi zezi zinto, kodwa esinye sezizathu ezibalulekileyo silele kwitafile yokusebenza ixesha elide. Oku kungasebenzi kwenza kube lula ukuba igazi liguqulwe, kuba awuhambanga igazi emzimbeni wakho ngokukhawuleza okanye njengamandla ngokuqhelekileyo ngexesha lenkqubo yakho.
Abanye abantu abasasebenzi emva kokuhlinzwa kwabo kuba basentlungwini, abagula kakhulu, okanye abakwazi ukuhamba. Ezi zi gulane, umngcipheko wokwakheka kwe-clot ukwandiswa emva kokuba inkqubo iphelile kunye ngexesha lotyando kuba baqhubeka bengasebenzi.
Uhlobo lotyando olunayo lunokunyusa umngcipheko wokuba negazi emva kwenkqubo. Ukuba utyando lwakho ludinga iirriyiti okanye iimvumba zakho ukuba zinqunywe okanye zilungiswe, umngcipheko we-clot yegazi uphezulu kuba umzimba wakho usebenza ukuyeka ukuphuma kwegazi ngokwenza amacwecwe.
Ukuba unokuhlinzwa apho intliziyo yakho imisiwe, ngokuqhelekileyo intliziyo igqithise ukuhlinzwa (i-CABG) , ingozi yakho ye-clot yegazi iyenyuka.
Umlando wakho wezonyango kunye noluntu unokuba negalelo lokumisa imveliso emva kokuhlinzwa. Ngokomzekelo, ukuba utshayayo ungumngcipheko ophezulu wokubunjwa kwamacandelo egazi kunomntu oqhelekileyo, ngaphandle kokuhlinzwa.
Izinto ezijongene nobungozi ngegazi lokugqithisa emva koPilisi
- I-Fibrillation ye-Atrial: izigulane ezinentliziyo engavumelekanga zineengozi yokwandisa ama-blood clots.
- Ukukhulelwa: ithuba lokuphuphuma kwegazi liyakhula njengoko umzimba wenza i-blood clot ngokukhawuleza ekulungiseleleni ukuzalwa komntwana.
- I-Cancer: ezinye iintlobo zomhlaza zenza i-blood clot kalula.
- Iimbali zeMigodi yegazi: ukuba unayo i-blood clot kwixesha elidlulileyo unako ukufumana enye kwikamva.
- Imbali yentsapho yamacwecwe egazi: ukuba kukho abantu abaninzi kwiintsapho zenu abaye bafumana ama-blood clots, unokuba nethuba lokufumana iimbophu ngokulula ngaphezu komntu ophakathi.
- IHormone Alternative Therapy (HRT): enye yempembelelo echaphazelekayo ye-HRT yingozi enkulu yokwenza ama-blood clots.
- Ukutshaya: ukuyeka ukutshaya kuyonciphisa umngcipheko wokwenza amaqhekeza egazi emva kokuhlinzwa okanye ngexesha lakho eliqhelekileyo lobomi bemihla.
- Ukunyanya
- Ukunyuswa kwexesha elide: oku kuquka ixesha elichithwe phantsi kwe-anesthesia kunye nexesha lokubuyisela ukuba awukwazi ukuhamba kwaye ubuyele kwiminye imisebenzi eqhelekileyo.
- Iingxaki zeVilve ye-Heart: Abantu abaneengxaki zentliziyo okanye iinjongo zentliziyo ye-valves abanomngcipheko ophezulu wokwenza iimbophu ezingenako ukuhamba kwimiphunga okanye ingqondo.
- Ukunyuka kwamanzi: amanzi ayingxenye enkulu yegazi kwaye xa kungenako okwaneleyo igazi lingaba lula ngokulula. Ukusela amanzi okwaneleyo emva kokuhlinzwa kunokunceda ukukhusela ama-clots ekwakheni.
- I-Genetics: Ukuba usapho lwakho olusondeleyo luyakwazi ukwenza ama-clots, unakho.
Ukuthintela izambatho zegazi Emva kokuPiliswa
Ukunyuka nokuhamba ngexesha lokubuyiswa kwakho ekusebenzeni ngunyango lenye yezona ndlela ezifanelekileyo zokukhusela ama-clots egazi. Ukuhlala kakuhle ngokutywala amanzi amaninzi kunokunciphisa umngcipheko wokwenza amacwecwe. Ufanele ukwazi kwakhona iimpawu kunye neempawu ze-clot yegazi .
Ukongezelela kule miqathango elula, ugqirha wakho unokunika amachiza okuthintela ama-clots ekwakheni. Njengoko rhoqo, ukuthintela kungcono kunonyango. Amachiza angenayo - njengeLovenox okanye i-Heparin - eqhelekileyo ngexesha lokuhlala esibhedlele emva kokuhlinzwa, le nyeza inikwe ukukhusela ukubunjwa kwegazi.
Akuncinci imiselwe ukusetyenziswa ekhaya.
Unyango lweMigodi yegazi
Unyango lwamacandelo egazi luxhomekeke kwindawo yokuchitha igazi. Ukuba i-clot yenza, kukho unyango olwenziweyo. I-Coumadin, okanye i-warfarin yama-generic, inikezelwa ukunceda umzimba ususe i-clot kwigazi. I-Heparin inokunikwa kwakhona ukunqanda ama-clots eyongezelelweyo ekuqulunqeni okanye ekuthintela ama-clots ukusuka ekukhuleni ngobukhulu.
I-clot ehamba emitanjeni yegazi eyondla ingqondo ingabangela i-ischemic stroke, eyaziwa njenge-stroke embolic. Olu hlobo lwe-stroke lubangela umonakalo ngokuthintela izicubu ezondliwe ngumkhumbi wegazi ovaliweyo we-oxygen.
Olu hlobo lwesilonda luphathwa ngonyango ebizwa nge-TPA eyanceda ukutshabalalisa i-clot yegazi. Ukuba i-TPA ayinakusetyenziswa okanye ayisebenzisekanga, oogqirha bangakhetha ukuzama ukususa i-clot. Le nqubo iyenziwa ngokucoca isixhobo esincinci kumlambo wegazi ngokusebenzisa ukuchithwa okuncinci kwi-groin. Esi sixhobo sithunyiswa kancinci nangona imithwalo yegazi yomzimba de ifikelele ingqungquthela engqondweni, apho ingasuswa ngenyameko ize ihoxiswe emzimbeni ngokuchithwa kwe-groin. Emva kokuba i-clot isuswe, igazi lingaphinda lijikeleze kwiiscuphe zengqondo zithintele i-oksijeni, kwaye isigulane sinokufumana into ethile yaloo ndawo yengqondo.
Iingubo ezifakwe emilenzeni zibizwa ngokuba yi-vein thrombosis (DVT) kwaye zihlobo oluqhelekileyo lwegazi emva kokuhlinzwa. Zihlala zihlala emilenzeni, kodwa ziyakwazi ukukhulula kwaye ziqale ukuhamba ngegazi. Iingubo ziyakwazi ukuhamba ukusuka emilenzeni ukuya kumaphaphu kwaye kubangele imeko eyosongela ubomi ebizwa ngokuba yi-pulmonary embolism. Nangona i- pulmonary embolism inokunyangwa , kukho izinga eliphezulu lokufa elidibeneyo nelo hlobo legazi.
Ngokuqhelekileyo, ivalwe emilenzeni iphathwa ngamachiza, kodwa kwiimeko apho kukho umngcipheko ophezulu wokutshintshana kwimibala emapapeni, ifowuni ebizwa ngokuba yicwecwe engaphantsi kwe-vena cava (okanye i-Greenfield Filter) ingafakwa. Esi sixhobo senza njengobhasikidi amancinci, amaqhosha okubamba ngaphambi kokuba angene emaphaphu aze enze umonakalo. Ezi zihlungi zifakwe kwi-incision encinci kwi-groin okanye entanyeni, apho uluhlu lwefayile lufakwe endaweni ephantsi kwe-vena cava. Uluhlu lwefayile lubekwe okwesikhashana okanye ngokusisigxina.
ILizwi
Amacwecwe egazi emva kokuhlinzwa angabangela inkxalabo enkulu. Ukuba ufumana ubunzima obungachazwanga okanye ukwanda okukhulu kwintlungu emva kokuhlinzwa, ngokukodwa kwimilenze, kunokubakho umba ngegazi. Kungcono kakhulu ukubika iingxaki zegazi kwi-care provider yakho kunokuba ungayihoxisi kwaye ufumane inkalo yobungozi obunjengobungqina bepommonism.
Emva kokuhlinzwa, ukhuseleko luhlala lungcono kunokuba lubuhlungu, ngakumbi xa i-blood clots ingenzeka.
Imithombo:
I-Blood Clot Treatment - Yeka i-Clot. INational Blood Clot Alliance. Kufike ngoJuni, 2013. http://www.stoptheclot.org/learn_more/blood_clot_treatment.htm