Zilonda zam'mimba - kudzisamalira

Zilonda zam'mimba (zilonda zotseguka) zimatha kuchitika pamene mitsempha ya m'miyendo yanu siyikankhira magazi kubwerera mumtima mwanu momwe ayenera kukhalira. Mwazi umabwerera m'mitsempha, kumawonjezera kukakamiza. Ngati sanalandire chithandizo, kukakamizidwa kwambiri komanso madzi owonjezera m'deralo angayambitse zilonda zotseguka.

Zilonda zam'mimba zambiri zimapezeka mwendo, pamwambapa. Mtundu uwu wa bala ungachedwe kuchira.

Zomwe zimayambitsa zilonda zam'mimba ndizothamanga kwambiri mumitsempha yam'munsi. Mitsempha imakhala ndi mavavu amtundu umodzi omwe amachititsa magazi kuyenda mpaka kumtima kwako. Mavavu awa akakhala ofowoka kapena mitsempha itakhala ndi zipsera ndi kutsekeka, magazi amathanso kubwerera kumbuyo ndikudumphira m'miyendo mwanu. Izi zimatchedwa kusakwanira kwa venous. Izi zimabweretsa kuthamanga kwambiri m'mitsempha yam'munsi yamiyendo. Kuwonjezeka kwa kupanikizika ndi kuchuluka kwa madzi kumathandiza kuti michere ndi mpweya zisapezeke kumatenda. Kuperewera kwa michere kumapangitsa kuti maselo afe, kuwononga minofu, ndipo bala limatha kupangidwa.

Madzi am'magazi m'mitsempha ya mwendo wakumunsi, maselo amadzimadzi ndi magazi amatuluka pakhungu ndi ziwalo zina. Izi zimatha kuyambitsa khungu loyera, lopyapyala ndipo zimayambitsa kusintha kwa khungu lotchedwa stasis dermatitis. Ichi ndi chizindikiro choyambirira cha kusowa kwamatenda.

Zizindikiro zina zoyambirira zimaphatikizapo:

• Kutupa kwamiyendo, kulemera, ndi kuphwanya
• Khungu lofiira, lofiirira, lofiirira, lolimba (ichi ndi chizindikiro choti magazi akuphatikizana)
• Kuyabwa ndi kumva kulasalasa

Zizindikiro za zilonda zam'mimba zimaphatikizapo:

• Zilonda zochepa pang'ono zofiira, nthawi zina zimakutidwa ndi minofu yachikaso
• Malire osakanikirana
• Khungu lozungulira likhoza kukhala lowala, lolimba, lotentha kapena lotentha, komanso lofiira
• Kupweteka kwa mwendo
• Ngati nthendayo yatenga kachilomboka, imatha kukhala ndi fungo loipa ndipo mafinya amatha kutuluka pachilondacho

Zowopsa za zilonda zam'mimba zimaphatikizapo:

• Mitsempha ya Varicose
• Mbiri yamagazi m'mapazi (deep vein thrombosis)
• Kutsekedwa kwa zotengera zam'mimba, zomwe zimayambitsa madzi m'miyendo
• Ukalamba, kukhala wamkazi, kapena kukhala wamtali
• Mbiri yakubanja yakusakwanira kwa venous
• Kunenepa kwambiri
• Mimba
• Kusuta
• Kukhala pansi kapena kuyimirira kwa nthawi yayitali (nthawi zambiri kuntchito)
• Kupasuka kwa fupa lalitali mwendo kapena zovulala zina zazikulu, monga kutentha kapena kuwonongeka kwa minofu

Wothandizira zaumoyo wanu akuwonetsani momwe mungasamalire bala lanu. Malangizo oyambira ndi awa:

• Nthawi zonse sungani chilonda ndi kumangirira bandeji kuti muteteze matenda.
• Wothandizira anu azikuwuzani kuti muyenera kusintha kangati mavalidwe.
• Sungani zovala ndi khungu pozungulira kuti ziume. Yesetsani kuti musakhale ndi mnofu wathanzi kuzungulira chilondacho. Izi zitha kufewetsa minofu yathanzi, ndikupangitsa kuti chilondacho chikule.
• Musanalembe chovala, yeretsani chilondacho bwinobwino mogwirizana ndi malangizo a omwe amakupatsani.
• Tetezani khungu pozungulira chilondacho pochisunga choyera ndi chinyezi.
• Mudzavala chovala chokwanira kapena mabandeji pazovala. Woperekayo akuwonetsani momwe mungagwiritsire ntchito mabandeji.

Pofuna kuthandizira zilonda zam'mimba, kuthamanga kwambiri m'mitsempha yamiyendo kumafunikira kuti kuthetsedwe.

• Valani masitonkeni kapena mabandeji tsiku lililonse monga mwalangizidwa. Amathandizira kupewa magazi kuphatikizana, amachepetsa kutupa, kuthandizira kuchiritsa, komanso amachepetsa kupweteka.
• Ikani mapazi anu pamwamba pa mtima wanu nthawi zonse momwe mungathere. Mwachitsanzo, mutha kugona pansi phazi lanu litakwezedwa pamiyendo.
• Yendani kapena kuchita masewera olimbitsa thupi tsiku lililonse. Kukhala wachangu kumathandiza kuti magazi aziyenda bwino.
• Tengani mankhwala monga akuwuzira kuti athandizire kuchiritsa.

Ngati zilonda sizichira bwino, omwe amakupatsani akhoza kukulangizani za njira zina kapena opareshoni kuti magazi aziyenda bwino kudzera m'mitsempha yanu.

Ngati muli pachiwopsezo cha zilonda zam'mimba, tengani njira zomwe zatchulidwa pamwambapa pa Wound Care. Komanso, yang'anani mapazi anu ndi miyendo tsiku lililonse: nsonga ndi m'munsi, akakolo, ndi zidendene. Fufuzani ming'alu ndi kusintha kwa khungu.

Kusintha kwa moyo kumatha kuthandiza kupewa zilonda zam'mimba. Njira zotsatirazi zitha kuthandiza kukonza magazi ndikuthandizira kuchira.

• Siyani kusuta. Kusuta nkoyipa pamitsempha yanu yamagazi.
• Ngati muli ndi matenda ashuga, sungani kuchuluka kwa shuga m'magazi anu. Izi zikuthandizani kuchira mwachangu.
• Chitani masewera olimbitsa thupi momwe mungathere. Kukhala wokangalika kumathandizira kuyenda kwa magazi.
• Idyani zakudya zopatsa thanzi ndikugona mokwanira usiku.
• Kuchepetsa thupi ngati muli wonenepa kwambiri.
• Sungani kuthamanga kwa magazi ndi kuchuluka kwama cholesterol.

Itanani omwe akukuthandizani ngati pali zizindikiro zilizonse zodwala, monga:

• Kufiira, kutentha kwambiri, kapena kutupa mozungulira bala
• Ngalande zochulukirapo kuposa kale kapena ngalande yomwe ili yachikaso kapena mitambo
• Magazi
• Fungo
• Malungo kapena kuzizira
• Kuchuluka ululu

Zilonda zam'miyendo zam'miyendo - kudzisamalira; Zilonda zam'mimba - kudzisamalira; Zilonda za mwendo wa Stasis - kudzisamalira; Mitsempha ya varicose - zilonda zam'mimba - kudzisamalira; Stasis dermatitis - zilonda zam'mimba

Mpweya FG. Zilonda zam'mimba. Mu: Ferri FF, Mkonzi. Mlangizi wa Zachipatala wa Ferri 2019. Philadelphia, PA: Elsevier; 2019: 1443-1444.

Hafner A, Sprecher E. Zilonda. Mu: Bolognia JL, Schaffer JV, Cerroni L, olemba. Matenda Opatsirana. Wolemba 4. Philadelphia, PA: Elsevier; 2018: mutu 105.

Leong M, Murphy KD, Phillips LG. Kuchiritsa bala. Mu: Townsend CM Jr, Beauchamp RD, Evers BM, Mattox KL, eds. Sabiston Textbook of Surgery: Maziko Achilengedwe a Njira Zamakono Zopangira Opaleshoni. Wolemba 20th. Philadelphia, PA: Elsevier; 2017: mutu 6.

Smith SF, Duell DJ, Martin BC, Aebersold M, Gonzalez L. chisamaliro cha mabala. Mu: Smith SF, Duell DJ, Martin BC, Aebersold M, Gonzalez L, olemba. Luso la Unamwino Wachipatala: Zofunikira ku Luso Lapamwamba. 9th ed. New York, NY: Pearson; 2017: chap 25.

• Kuvulala Kwamiyendo ndi Kusokonezeka
• Matenda a Mitsempha