Ingabe ukuzivocavoca umzimba kungasusa amahlule egazi? Ochwepheshe bezokwelapha bangachaza iqiniso kuwe
Muva nje, isisho esithi "amahlule egazi angasuswa ngokuzivocavoca" sibangele izingxoxo ezishisayo ezinkundleni zokuxhumana. Abantu abaningi abasebenzisa i-inthanethi bakholelwa ukuthi ukuphikelela ekugijimeni, ekubhukudeni nakwezinye izivivinyo kungancibilikisa amahlule egazi emithanjeni yegazi ngaphandle kokwelashwa ngemithi. Kulokhu, ochwepheshe bezokwelapha baveze ukuthi lo mbono awulungile neze. Ukuzivocavoca okungaboni kahle kungabangela amahlule egazi ukuba awe, okubangela izingozi ezibulalayo njenge-pulmonary embolism kanye ne-cerebral infarction.

Indlela yokusebenza kwe-thrombosis iyinkimbinkimbi, futhi ukuzivocavoca akukwazi ukuyiqeda ngokuqondile
USolwazi Li, udokotela oyinhloko woMnyango Wezifo Zenhliziyo ePeking Union Medical College Hospital, uchaze ukuthi amahlule egazi ayizigaxa ezakhiwa ukujiya kwegazi emithanjeni yegazi. Ukwakheka kwawo kuhlobene eduze nezici ezintathu: umonakalo we-endothelial yemithambo yegazi, ukujiya kwegazi ngokweqile, kanye nokugeleza kwegazi okuhamba kancane. "Njengoba nje udonga lwangaphakathi lombhobho wamanzi luqoqa ukungcola ngemva kokugqwala, ukwakheka kwamahlule egazi kuyinqubo yezifo ehilela izixhumanisi eziningi. Ukuzivocavoca umzimba akukwazi ukulungisa i-endothelium yemithambo yegazi eyonakele noma ukushintsha ukujiya kwegazi ngokweqile."
Izifundo zezokwelapha zibonise ukuthi ngamahlule egazi akhona, ikakhulukazi amahlule egazi amadala, ukuzivocavoca kunganciphisa kuphela ingozi yokwakheka kwamahlule egazi amasha ngokusheshisa ukugeleza kwegazi, kodwa akukwazi ukuncibilikisa amahlule egazi akhona. Ngokuphambene nalokho, ukuzivocavoca okunzima kungabangela ukuthi amahlule egazi akhululeke futhi awe, ageleze nokujikeleza kwegazi ezithweni ezibalulekile njengamaphaphu nobuchopho, okubangela i-embolism ebukhali.
​
Impendulo yesayensi kumahlule egazi: ukwelashwa okunezingqimba kuyisihluthulelo
Umqondisi uZhang woMnyango we-Thrombosis and Hemostasis weSibhedlela iShanghai Ruijin ugcizelele ukuthi ukwelashwa kwamahlule egazi kumele kulandele isimiso "sokwelashwa okunezingqimba". Ezigulini ezine-acute deep vein thrombosis, ukuphumula kombhede ngokuphelele kuyimfuneko eyinhloko, futhi ukwelashwa kwe-anticoagulant noma ukwelashwa kwe-thrombolytic kuyadingeka ngesikhathi esifanayo; ngemva kokuba amahlule egazi ezinzile, ukuzivocavoca okunamandla aphansi, njengokuhamba nokuzivocavoca nge-ankle pump, kungenziwa kancane kancane ngaphansi kwesiqondiso sikadokotela ukuze kukhuthazwe ukujikeleza kwegazi.
"Ukuzivocavoca umzimba kuyindlela ebalulekile yokuvimbela amahlule egazi, kodwa akuyona neze indlela yokwelapha." Umqondisi uZhang ukhumbuze ukuthi abantu asebelele embhedeni noma abahlala isikhathi eside kufanele bavuke futhi banyakaze njalo ukuze bakhuthaze ukubuya kwemithambo yegazi ngokufinyela kwemisipha futhi banciphise ingozi ye-thrombosis. Abantu abaphilile bagcina imizuzu eyi-150 yokuzivocavoca ngamandla aphakathi ngesonto, okungathuthukisa ngempumelelo ukusebenza kwemithambo yegazi futhi kunciphise ingozi ye-thrombosis.

Uma lezi zimpawu zenzeka, udinga ukufuna usizo lwezokwelapha ngokushesha
Ochwepheshe bezokwelapha banxusa umphakathi ukuba uqaphele kakhulu ngamahlule egazi. Uma uzwa ukuvuvukala kwemilenze engezansi ohlangothini olulodwa, ubuhlungu, izinga lokushisa lesikhumba elikhuphukayo, noma ubuhlungu besifuba obungazelelwe, ukuphelelwa umoya, i-hemoptysis, ukungazweli kwemilenze nezinye izimpawu, kungaba uphawu lwe-thromboembolism futhi udinga ukuya esibhedlela ngokushesha.
Njengamanje, ukwanda kwezifo ezibangelwa yi-thrombosis ezweni lakithi kuye kwanda unyaka nonyaka futhi sekungenye yezimbangela eziphambili zokufa phakathi kwezakhamuzi. Ukuqonda kahle ulwazi lokuvimbela nokwelapha i-thrombosis, ukugwema ukukholelwa emahemuhemu abantu, nokufuna usizo lochwepheshe bezokwelapha ngesikhathi esifanele yizindlela zesayensi zokubhekana ne-thrombosis.