I-edema ye-Peripheral ivuvukala kusukela ekuqoqweni kwamanzi abilayo ezinyaweni, ezinqoleni nasemilenzeni. Kungenzeka kumunye owodwa noma kokubili emaphethelweni akho aphansi. Uma unesifo sikashukela, udinga ukuthatha izinyathelo ezingaphezulu uma uhlela.
I-Edema yimbangela yokulimala kwamapillari noma ukucindezela okwenziwe okwenza ukuthi ama-capillaries avuza amanzi amathanga azungezile futhi abangela ukuvuvukala.
Abantu abanesifo sikashukela kaningi banezinkinga zokusakaza ezingabangela izilonda ukupholisa kancane noma cha. I-Edema yenza kube nzima kakhulu amanxeba ukuphulukisa. Ngakho-ke, ukulawula i-edema kubalulekile.
Izimbangela
Kukhona izimbangela eziningi ezivamile ze-edema ezizinhle kakhulu. Ezinye izibonelo zezimbangela ezivame kakhulu ze-edema ye-peripheral, hhayi ezihlobene ngqo nesifo sikashukela, zibandakanya ukungasebenzi ngokomzimba, ukuma noma ukuhlala isikhathi eside, ukuhlinzwa, ukushisa, isimo sezulu esishisayo, ukukhulelwa, ukuya esikhathini, ukuphumula komzimba, amaphilisi okukhulelwa, imithi ethile, usawoti owedlulele ukudla, ukungondleki, noma ukudla okubi.
I-Edema ingabonakala emkhawulweni owodwa kuphela (kunokuba kokubili) ngenxa ye- thrombosis enezinhlungu ezijulile (DVT), i- cellulitis , i- osteomyelitis , i-trauma, i -cyst Baker noma i-lymphatic obstruction.
I-edema ye-Peripheral nayo ingase ihlotshaniswe nezimo ezimbi kakhulu-eziningi zazo zingabhekana nezinkinga zesifo sikashukela ezifana nesifo senhliziyo , ukungakwazi ukulimala, isifo sesibindi, nesifo sezinso .
Imithi ethile yesifo sikashukela ingabangela i-edema, ikakhulukazi izidakamizwa ze-thiazolidinedione i-Actos ne-Avandia. Lezi zidakamizwa ziye zangena ngaphansi kwefu ngenxa yemiphumela yabo emibi yenhliziyo, futhi akufanele zisetshenziswe kunoma ubani oye waba nomlando wokuhluleka kwenhliziyo ngokukhululeka.
Abantu abanesifo sikashukela banamathuba amabili okuba nesifo senhliziyo noma ukuhluleka kwenhliziyo (njengokuhluleka kwe- heart congestive ).
Uma isiguli sine-neuropathy, izimpawu zesifo senhliziyo noma ukuhluleka kungase kungabonakali. Kubalulekile ngesiguli esinesifo sikashukela ukuxwayisa udokotela wabo lapho bezwa izimpawu nezimpawu ze-edema.
Izimpawu Nezibonakaliso
- Isikhumba esikhanyisiwe noma isikhumba esikhanya.
- Ukuvuvukala noma ukukhukhumeza.
- I-Edema ingaba i-pitting noma engeyona i-pitting, ebonisa izimbangela ezihlukahlukene.
Okufanele Ukwenze Uma Unayo
Uma uthola i-edema, vumela udokotela wakho azi ukuthi angakwazi ukulawula izinkinga ezinkulu. Nazi ezinye izinto ongayenza ukuze usize ukuphatha i-edema yonyawo nomlenze.
- Ukuphakamisa umlenze noma inyawo ethintekile usuku lonke.
- Gqoka amasokisi okusekela (hlola nodokotela wakho uma unesifo esihlasela).
- Ukuzivocavoca.
- Ukunamathela ekudleni okuphansi kwe-sodium.
- Uma unesilonda, i-cellulitis, i-dermatitis, i-scaling, noma i-itching yenza isiqiniseko sokuthi lezi ziqondiswe ohlelweni lwakho lokunakekela.
Shayela udokotela wakho ngokushesha ngangokunokwenzeka uma ukuvuvukala kungaphuthuki; ibuhlungu; uma unesifo sesibindi nesipiliyoni sokuvuvukala emilenzeni noma esiswini; uma umkhawulo wakho wokuvuvukala ubomvu noma ufudumele; uma unomkhuhlane; uma uqaphela ukwehla komkhiqizo wamanzi; noma uma ukhulelwe futhi ube nokuzulazula ngokuzumayo ukuvuvukala okukhulu.
Nini Ukubona Udokotela
Ukuqala okusha kwe-edema-noma kokubili (emaceleni omabili) noma okungafani (ekugcineni komunye) -kumele kuhlolwe ngokuphuthumayo.
I-edema yangaphandle ingabonisa isidingo esiphuthumayo sokuhlolwa se-DVT.
Shayela u-911 uma uzwa ubuhlungu bokuphefumula noma ubuhlungu besifuba.
Imithombo:
U-Armstrong DPM, uDavid G no Nguyen DPM, uHienvu C. "Ukuphulukiswa Ekuphulukisweni Ngokuncipha Kwama-Edema Okuhlukumezayo Ngemva Kokwehliswa Kwezinyawo Kwabantu abanesifo sikashukela." Archives of Surgery 2000 135: 1405-1409
Ukuqhaqhazela i-MD FRCP, uK Keith C. "Ukusetshenziswa Kwezingxube Zokucindezela Ukukhishwa Kwezifo Esigulini Sabantu Abayisifo Sikashukela: Ukuhlangenwe Kweziguli Ezibhekene Nezilonda Zasezintweni Eziphansi, I-Peripheral Edema, Nezici Zezifo Ezibangelwa Isifo Nezifo." Ukuthuthukiswa Kwesikhumba Nokunakekelwa Kwezilonda May / June 1998 11: 129-135
Isifo sikashukela, Isifo Sengqondo, neStroke. I-National Diabetes Information Clearinghouse. https://www.niddk.nih.gov/health-information/diabetes/overview/preventing-problems/heart-disease-stroke.
Umdalair MD FACE, Sunder; Chang MD, Anna R; UHenry MD, uRobert R. "Thiazolidinediones, i-Peripheral Edema, nohlobo lwe-2 lwesifo sikashukela: Ukukhubazeka, ukuphika umzimba, kanye nemiphumela yomtholampilo." I-Endocrine Practice kaSepthemba / Okthoba 2003 9 (5): 406-416
I-Rosiglitazone, i-MedlinePlus, i-US National Library of Medicine. https://medlineplus.gov/druginfo/meds/a699023.html.