Izinhlobo Zezigqoko Zegazi Ngemva Kokuhlinzwa Nezimo Ezijwayelekile
Ama-blood clots kuyinkimbinkimbi eqondile ukuthi iziguli zokuhlinzwa zingathola ngesikhathi nangemva kwenqubo. Ngenkathi i-clot yegazi eyenza emlenzeni yisimo esibi, ama-clots egazi angase abe masimo asongela ukuphila uma ehamba ebuchosheni (u-embolic / ischemic stroke) noma amaphaphu ( pulmonary embolism ). Lezi zinkinga zibi kakhulu futhi kufanele ziphathwe ngokushesha ukuze kuncishiswe umonakalo obangelwa umzimba noma ubuchopho.
Yini Ebangelwa Ukugqoka Igazi Ngemva Kokuhlinzwa?
Kungenzeka ukuthi i-clot yegazi ingakha ngesikhathi noma ngemva kokuhlinzwa kunesikhathi sokuphila kwakho kwansuku zonke. Kunezizathu eziningi zalokhu, kodwa isizathu esisodwa esiyinhloko sisekho etafuleni lokusebenza isikhathi eside. Lokhu kungenzi lutho kwenza kube lula ukuthi igazi liguqulwe, ngoba awuhambisani negazi emzimbeni wakho ngokushesha noma njengamandla ngokujwayelekile ngesikhathi senqubo yakho.
Abanye abantu abasasebenzi ngemuva kokuhlinzwa kwabo ngoba babulawa, abagula kakhulu, noma abakwazi ukuhamba. Kulezi ziguli, ingozi yokubunjwa kwe-clot yanda ngemuva kokuba inqubo iqede kanye nokuhlinzwa ngenxa yokuthi iyaqhubeka ingasebenzi.
Uhlobo lokuhlinzekwa onalo lungakwandisa ingozi yokuba ne-blood clots emva kwenqubo. Uma ukuhlinzeka kwakho kudinga ukuthi imishanguzo yakho noma imivimbo ifakwe noma yalungiswe, ingozi ye-clot yegazi iphakeme ngoba umzimba wakho usebenza ukuyeka ukuphuma ngokudala ama-clots.
Uma uhlinzwa lapho inhliziyo yakho ivaliwe khona, ngokuvamile ukuhlinzwa kwenhliziyo kuyaphazamisa (CABG) , ingozi yakho ye-clot yegazi nayo yanda.
Umlando wakho siqu wezokwelapha kanye nezenhlalakahle ungase ube negalelo lokuvala imidwebo ngemuva kokuhlinzwa. Isibonelo, uma uphethile usemngciphekweni ophezulu wokwakheka kwezindwangu zegazi kunomuntu ngamunye, ngisho nangaphandle kokuhlinzwa.
Izingozi Zezikhwama Zokugqoka Igazi Ngemva Kokuhlinzwa
- I-Fibrillation yase-Atrial: iziguli ezinezinhliziyo ezingavamile zengozi yokwenza ama-blood clots.
- Ukukhulelwa: ithuba lamakhaza egazi landa njengoba umzimba udala igazi ngokusheshisa ekulungiseleleni ukuzalwa kwengane.
- I-Cancer: ezinye izinhlobo zomdlavuza zenza i-blood clot kalula.
- Umlando wezindwangu zegazi: uma uke waba ne-blood clot esikhathini esedlule kungenzeka ukuthi unayo esikhathini esizayo.
- Umlando womndeni wezindwangu zegazi: uma kunabantu abaningi emndenini wakho oye wahlangabezana nama-blood clots, ungase ube nokuthambekela okuzuzwe njengefa ukuze wenze ama-clots kalula kunomuntu ovamile.
- I-Hormone Replacement Therapy (i-HRT): umphumela owodwa owaziwayo we-HRT yingozi eyandisa yokwenza ama-blood clots.
- Ukubhema: ukuyeka ukubhema kuzonciphisa ingozi yokwenza i-clots yegazi ngemuva kokuhlinzwa noma ngesikhathi sokuphila kwakho okujwayelekile ngosuku.
- Ukukhuluphala
- Ukungahlali isikhathi eside: lokhu kuhlanganisa isikhathi esichithwa ngaphansi kwe-anesthesia nesikhathi sokuphulukisa uma ungeke uhambe futhi ubuyele eminye imisebenzi evamile.
- Izinkinga ze-Heart Valve: Abantu abanezinkinga ze-heart valve noma izinkinga ze-valve yenhliziyo baneengozi ephakeme yokwenza ama-clots angahamba aye emaphashini noma ebuchosheni.
- Ukwehla kwamanzi: amanzi ayingxenyana enkulu yegazi futhi uma engekho okwanele igazi lingakwazi ukugubha kalula. Ukuphuza amanzi okwanele emva kokuhlinzwa kungasiza ekuvimbeleni ama-clots ukuba awakhiwe.
- Izakhi zofuzo: Uma umndeni wakho oseduze ujwayele ukwenza ama-clots, kungenzeka.
Ukuvimbela Izambatho Zegazi Ngemva Kokuhlinzwa
Ukuvuka nokuhamba ngenkathi ululame kusuka ekuhlinzekeni kungenye yezindlela ezingcono zokuvimbela ama-blood clots. Ukuhlala kahle ngokweqile ngokuphuza amanzi amaningi kunganciphisa ingozi yokwenza ama-clots. Kumele futhi wazi izimpawu nezimpawu ze-clot yegazi .
Ngaphandle kwalezi zinyathelo ezilula, udokotela wakho angase futhi anikeze imithi yokuvimbela ama-clots ekwakheni. Njengoba njalo, ukuvimbela kungcono kunokwelashwa. Imithi engajoqayo - njengeLovenox noma i-Heparin - ijwayelekile kakhulu ngesikhathi sokuhlala esibhedlela ngemuva kokuhlinzwa, le mithi inikezwa ukuvimbela ukwakheka kwegazi.
Akuvamile ukuthi kunqunyelwe ukusetshenziswa ekhaya.
Ukwelashwa Kwezingubo Zegazi
Ukwelashwa kwezindwangu zegazi kuxhomeke endaweni ye-clot yegazi. Uma i-clot yakha, kukhona ukwelashwa okungenziwa. I-Coumadin, noma i-warfarin yama-generic, inikezwa ukusiza umzimba ukuthi ususe i-clot egazini legazi. I-Heparin ingabuye inikezwe ukuvimbela ama-clots angeziwe ekwakheni noma ekuvimbeleni ama-clots ekukhuleni usayizi.
I-clot ehamba emithanjeni yegazi eyondla ubuchopho ingabangela ukushaywa kwe-ischemic, eyaziwa nangokuthi i-stroke embolic. Lolu hlobo lwe-stroke lubangela ukulimala ngokulahla izicubu ezondla umkhumbi wegazi ovinjiwe we-oxygen.
Lolu hlobo lwe-stroke luphathwa ngemithi ebizwa nge-TPA esiza ekuqedeni i-clot yegazi. Uma i-TPA ingasetshenzisiwe noma ingasebenzi, odokotela bangakhetha ukuzama ukususa i-clot ukuhlinzwa. Le nqubo yenziwa ngokuchofoza ithuluzi elincanyana kumsakazo wegazi nge-incision encane ku-groin. Le divayisi ishukunyiswa kancane nakuba imithwalo yegazi yomzimba kuze kube yilapho i-clot ifinyelelwa ebuchosheni, lapho ingasuswa ngokukhululekile futhi ihoxiswe emzimbeni ngokusebenzisa ukucubungula kwe-groin. Uma i-clot isusiwe, igazi lingaphinda ligijime kuma-tisses of the brain elahliwe umoya-mpilo, futhi isiguli singase siphinde siphumelele umsebenzi othile wale ndawo yengqondo.
Izindwangu ezifakwe emilenzeni zibizwa ngokuthi i-vein thrombosis ejulile (DVT) futhi iyindlela ejwayelekile kakhulu yegazi emva kokuhlinzwa. Ngokuvamile bahlala emilenzeni, kodwa bangaphula futhi baqale ukuhamba ngegazi. Izindwangu zingasuka emilenzeni kuya emaphashini bese zenza isimo esisongela ukuphila esibizwa ngokuthi i-pulmonary embolism. Ngenkathi i -embolism ye-pulmonary ingaphathwa , kunezinga eliphezulu lokufa elihlobene naloluhlobo lwegazi le-clot.
Ngokuvamile, ukugqoka emilenzeni kuphathwa ngemithi, kodwa uma kwenzeka kube khona ingozi enkulu ye-clot ehamba emaphashini, idivayisi ebizwa ngokuthi isihlungi esiphansi se-vena cava (noma i-Greenfield Filter) ingafakwa. Le divayisi yenza njengesikhwama esincane, ama-clots ngaphambi kokungena emaphashini bese kubangela umonakalo. Lezi zihlungi zifakwa ngokusebenzisa ukuhlunga okuncane emgodini noma entanyeni, lapho isihlungi sifakwa khona endaweni engaphansi kwe-vena cava. Isihlungi singabekwa okwesikhashana noma unomphela.
Izwi elivela
Amaqabunga egazi ngemuva kokuhlinzwa angase abe yinkimbinkimbi enkulu. Uma uzwa ubuhlungu obuchaziwe noma ukwanda okuphawulekayo ebuhlungu ngemva kokuhlinzwa, ikakhulukazi emilenzeni, kungaba khona inkinga ngezindwangu zegazi. Kungcono kakhulu ukubika ukuthi kungenzeka ukuthi umhlinzeki wakho unakekele igazi ngaphandle kokungayinaki futhi uhlangabezane nenkinga yokuphila engozini njenge-embolism ye-pulmonary.
Ngemuva kokuhlinzwa, iphephile njalo kangcono kunokudabuka, ikakhulu uma ama-clots egazi kungenzeka.
Imithombo:
I-Blood Clot Treatment - Yeka i-Clot. I-National Blood Clot Alliance. Kufinyelelwe ngoJuni, 2013. http://www.stoptheclot.org/learn_more/blood_clot_treatment.htm