Ingozi yokuthuthukisa i-clot yegazi (i- vein thrombosis noma i-DVT ) ejulile ngesikhathi ukwelashwa komdlavuza ingokoqobo kodwa ngokuvamile inganakiwe. Umphakathi waziwa kakhulu ngama-DVTs lapho umlobi wezokuxhumana we-TV uDavid Bloom efa ngenxa yokuzibandakanya kwamapulanka ngenkathi ebika evela e-Iraq, kodwa kusencane kakhulu ukuqaphela lokhu kuxazulula okuvamile komdlavuza.
Ngokudabukisayo, abaningi abasinda emdlavuza abaye bahlakulela ama-blood clots (okungenzeka ukuthi bangena emaphashini njengamapulmonary emboli) abangazange baqaphele ukuthi okuvamile (futhi okungenzeka kuyingozi) lokhu.
Ukwazi ukuthi yiziphi izimpawu okufanele uzibheke, futhi izinto ongayenza ukuze unciphise ingozi yakho ingahamba isikhathi eside ekunciphiseni ithuba lokuthi le nkinga enkulu ingaphazamisa ukwelashwa kwakho komdlavuza.
Yini i-Clots Clots (DVTs)?
I-DVT iyi-clot yegazi eyenza emithanjeni ejulile emzimbeni, ngokuvamile emilenzeni. Uma i-clot iphelile, ingahamba emaphashini futhi ibangele ukuvimbela emithanjeni eholela emaphashini, isimo esibizwa ngokuthi i- pulmonary embolism .
Yeka ukuthi izigqoko zegazi ezijwayelekile (i-DVTs) Zine-Cancer Lung
Phakathi kwamaphesenti amathathu namaphesenti angu-15 abantu abanomdlavuza wamaphaphu bathuthukisa ama-blood clots ngenkathi belashwa, ngokusho kwezifundo ezihlukahlukene. Zivame kakhulu kulabo abanomdlavuza wamangqamuzana ongewona omncane kunomdlavuza omncane we-cell lung , futhi abantu abane- adenocarcinoma babonakala bengengozini enkulu. Ezinye izinto ezandisa ingozi zibandakanya ukuba nesiteleka esiphezulu somdlavuza wamaphaphu (isibonelo isigaba 4 noma isifo se-metastatic) noma ukuthola isifo samakhemikhali, ikakhulukazi ezinye zezokwelapha ezibhekiswe kuzo, noma ukuhlinzwa okulandelayo.
Amaphesenti angaba ngu-7 abantu abanomdlavuza wamaphaphu bazokwakha i-clot yegazi.
Ukubaluleka kokuqaphela izambatho zegazi (i-DVTs)
Kubaluleke kakhulu ukuba ubuke izindwangu zegazi ngoba zinganciphisa ukusinda nomdlavuza wamaphaphu. Kwesinye isifundo, iziguli ezinomdlavuza we-cell wamaphaphu ongewona omncane unezintambo ezingu-1.7 zandisa ingozi yokufa uma ibe ne-DVT.
Olunye ucwaningo lwathola ukuthi iziguli zomdlavuza wamaphaphu ezinezinhlobo okungenani i-DVT eyodwa zasinda isigamu kuphela uma nje zingenazo i-DVT. Inkinga evelele kakhulu yezindwangu zegazi yukuthi bayophula futhi bahambe baye emaphashini, isimo esiphuthumayo esibizwa ngokuthi i-pulmonary embolism, engaba yingozi uma ingaphathwa kabi. Ngisho nezingcezu ezingapheli, ungahlakulela ubuhlungu obungapheli emlonyeni esikhathini esizayo uma zingelashwa, okuthiwa yi-post-thrombotic syndrome. Udokotela wakho uzohlola imilenze yakho lapho uhlala esibhedlela, ikakhulukazi ngemuva kokuhlinzwa, kepha ukuphakama kwezingqimba ezilandelayo kuhlinzeka izinsuku eziyisikhombisa emva kwalokho - isikhathi lapho abantu abaningi bengase babuyiselwe khona ekhaya.
Izindwangu zegazi zingase zenzeke ngemuva kokuthola ukuhlolwa
Ngisho phakathi kwabadokotela, kubonakala sengathi kunomuzwa wokuthi i-blood clots yenzeke kamuva kulesi sifo noma emva kwezinqubo eziningi zokwelapha. Akusilo iqiniso. Ucwaningo olwenziwe ngo-2014 lwathola ukuthi amaphesenti angaphezu kwangu-13 esanda kutholakala (kungakapheli iviki eli-1) abe nama-blood clots. Amaphesenti angaba ngu-5 abuye abe ne-pulmonary emboli.
Izimo Eziphakamisa Ingozi
Ukuba nomdlavuza wamaphaphu kuphela kwandisa ingozi yokuthuthukisa ama-blood clots, kodwa ezinye izimo zandisa ingozi ngaphezulu. Ezinye zazo zihlanganisa:
- Ukuhlinza ukwelashwa kungandisa ingozi yezindwangu zegazi, kodwa ukuhlinzwa kwesifuba (njengokuhlinzwa komdlavuza wamaphaphu) nokuhlinzwa kwesisu kunenkinga enkulu.
- I-Chemotherapy nezinye izifo ezithintekayo
- Ukungasebenzi noma ukuphumula isikhathi eside
- Ezinye izifo zamaphaphu ezifana ne- COPD
- Ukubhema
- Ukuhamba. Ukuhamba ngokuhamba ngemoto noma indiza kwandisa ingozi yezindwangu zegazi. Lokhu kungaba ukukhathazeka kulabo abadinga ukuhamba amabanga amade ukwelashwa
Izimpawu
Udinga ukubuka izinhlobo ezimbili zezimpawu. Lokho okumele kwenziwe ngendwangu emlenzeni wakho, noma lokho okungase kusiphakamise ukuthi i-clot ihambele amaphaphu akho (i-pulmonary embolism).
Izimpawu zamagundane egazi emilenzeni (DVT) :
- Akukho - Ngezinye izikhathi i-clot yegazi ikhona ngaphandle kwempawu
- Ubuhlungu bomlenze / amathole - Ngokuyinhloko uhlobo lokuhlunguphaza lwentlungu emlenzeni owodwa kuphela
- Ukuvuvukala
- Ukubomvu
- Ukufudumala
- Ubuhlungu ngokunwetshwa kwezinzwane zakho - Ubuhlungu ngenxa ye-clot yegazi kuvame ukwanda uma ukhomba izinzwane zakho ngasekhanda lakho
Izimpawu zokubumbana kwe-pulmonary :
- Ubuhlungu besifuba - Ubuhlungu besifuba obuhlanganiswa ne-pulmonary embolism ngokuvamile bubi ngokukhwehlela nokuthatha umoya ojulile
- Ukuqala ukuphefumula okuphuthumayo
- Lightheadedness noma ukuphelelwa amandla
- Ukwehla igazi (i-hemoptysis) Kubalulekile ukuqaphela lesi siginci kusukela umdlavuza wamaphaphu ngokwayo ungabangela ukukhwehlela igazi
Nini Ukuxwayisa Udokotela Wakho
Noma yiziphi izimpawu ezingenhla kufanele zikuholele ukuthi ushayele udokotela wakho ngaso leso sikhathi. I-embolism ye-pulmonary ingaba yingozi, futhi kufanele ubize u-911 ngokushesha uma unayo izimpawu ezingase ziphakamise ukuthi une-embolism ye-pulmonary .
Amathiphu Wokuvimbela
- Zisebenzise amathole akho aphansi uma uhlezi noma ulele embhedeni. Khomba izinzwani zakho ezisekhanda lakho futhi ubuyele izikhathi eziningana
- Lapho uhamba ngemoto, yenza ukuyeka njalo, uphume, futhi uhambehamba emotweni. Uma uhamba emoyeni, vuka uhambe cishe okungenani njalo amahora amabili
- Emva kokuhlinzwa, zama ukuhamba ngokushesha uma udokotela wakho ekuvumela ukuthi wazi ukuthi iphephile
- Ungabhemi
- Phuza amanzi amaningi
- Gwema utshwala kanye ne-caffeine - Kokubili utshwala ne-caffeine kungakunciphisa amandla futhi kuphakamisa ingozi yakho
- Uma kusetshenzwa izinsimbi zokuxhaswa (ukwesekwa kwephasi), zigqoke lezi zinqobo uma udokotela wakho eluleka
- Buka ukucindezeleka kwegazi kanye nosawoti - Ukuphakama kwengcindezi yegazi kukwandisa ingozi yezindwangu zegazi, futhi kungaba lula ukunganaki le nkinga "encane" phakathi kokucindezeleka komdlavuza
- Phakamisa imilenze yakho ngesikhathi sokuphumula
- Buza ithimba lakho lokunakekelwa ngezempilo ngezindlela zokunciphisa ubungozi bama-clots egazi esimweni sakho esithile. Kwezinye izimo, imishanguzo inqunywe futhi ibeka phansi ingozi
Eziningi zalezi zingozi zengozi zenzeka ngesikhathi sokuhamba. Uma uzobe uhambela ukwelashwa noma injabulo, hlola amathiphu ohamba nomdlavuza .
Ukuxilongwa
Ingxenye ebaluleke kunazo zonke ekutholeni ama-clots wegazi kufanele uqaphele le nkinga engenzeka. Uma ubhala noma yiziphi izimpawu noma udokotela wakho ukhathazekile, ukuhlanganiswa kwezivivinyo ze-radiological kanye nokuhlolwa kwegazi kunganquma uma kukhona i-clot yegazi.
Ukwelapha
Ukwelashwa kwe-DVTs kanye / noma i-pulmonary ehambisana nomdlavuza kufaka kokubili ukunciphisa ingozi yokuqedwa okuqhubekayo nokuqedwa kwama-clots okwenzekile. Ukunakekelwa okusekelayo kuyadingeka njalo, ikakhulukazi uma izimpawu ezinjengokuphefumula kwenzeka nge-pulmonary emboli.
Ukwelapha kungafaka inhlanganisela noma imithi yemithi ye-medfarin kanye ne-heparin emithanjeni noma enemithi ejoqayo, imishanguzo emisha eye yamukelwa eminyakeni yamuva.
Izwi elivela
Amakhethini egazi ajwayelekile kakhulu kubantu abanomdlavuza futhi angabangela ukutholakala esibhedlela noma ngisho nokufa. Kunezici eziningi ezifaka isandla. Kanti ngezinye izikhathi umdlavuza uvusa ingozi. Ukwelashwa kanye ne-chemotherapy kuphakamisa ingozi. Futhi imisebenzi kusukela ekubhekeni embhedeni ukuya emotweni noma ehamba emoyeni ukwelashwa iphakamisa ingozi.
Qinisekisa ukuthi ujwayele kokubili izimpawu zamagundane egazi emilenzeni (inhlanzi ejulile ye-vein thrombosis) kanye nezindwangu zegazi eziye zahamba emaphashini (amapulmary emboli). Funa usizo ngokushesha futhi ungalindeli uma kwenzeka noma iyiphi yalezi zinto. Isikhathi singaba yisisekelo. Yazi kahle izindlela zokunciphisa ingozi yakho njengokuhambisa imilenze yakho njalo. Uma i-oncologist yakho itusa i-blood thinner, yithathe ngokungathí sina. Ngokuphindaphindiwe, abantu abaningi bakhumbula izenzakalo eziphakamisa ingozi kanye nokuqala, kodwa izimpawu ezingacacile. Ama-clots egazi aphethwe kakhulu uma atholakele ngesikhathi.
> Imithombo:
> Connolly, G. et al. Ukuqhathaniswa nokubaluleka komtholampilo we-Acidental and Clinically Suspected Venous Thromboembolism ezigulini ze-Cancer Patients. Cancer Cancer Clinic . Ishicilelwe ku-intanethi 29 Julayi 2013.
> Zhang, Y. et al. Ukuqhathaniswa kanye noHlangano lwe-VTE ezigulini ezine-Cancer Cancer Recognized Cancer. Isifuba . 2014. 146 (3): 650-8.