Ka tuyige ku Subclavian Steal Syndrome - obulwadde "obubba" omusaayi okutuuka ku bwongo!

Oluusi owulira ng’oziyira oba ng’olaba bulungi? Oba owulira ng’omukono gugenda guzirika oba nga guzibye naddala ng’okola ekintu n’emikono gyo, ng’ositula ekintu ekizito oba okukyusa omutwe ku ludda olumu mu bwangu? Singa kino kibaawo, kiyinza okuba embeera gye twogerako leero eyitibwa "Subclavian Steal Syndrome." Erinnya lino liyinza okuwulikika ng'ekyewuunyisa katono, nga, "Buno bulwadde bwa kubba?" Tofaayo, ka tukyogereko mu ngeri ennyangu era mu ngeri entegeerekeka.

Ddala obulwadde bwa Subclavian Steal Syndrome kye ki?

Mu ngeri ennyangu, obulwadde bwa subclavian steal syndrome bwe buba ng'omusaayi ogumu ogulina okugenda mu bwongo bwo "gubba" mu mukono gwo. Kino kibaawo kubanga omusuwa oguyitibwa subclavian artery, omusuwa omukulu ogugaba omusaayi ku mukono gwo (ebiseera ebisinga ogwo oguli ku ludda olwa kkono), guzibikira oba guzibikira.

Kilowoozeeko bw’otyo. Ogezaako okulya essowaani y'emmere. Kiba ng'omuntu ali okumpi ddala naawe "akweka" akamere oba bibiri ku mmere gy'ogezaako okulya. Ebimu ku musaayi ogulina ebiriisa ogulina okugenda mu bwongo bwo "bikwekweka" mu ngalo zo. Kale omuwendo gw’omusaayi oguyinza okuba nga gugenda mu bwongo bwo gukendeera, nga n’omuwendo gw’emmere gy’oyinza okuba ng’olya bwe gukendeera.

Omusuwa guno bwe gweyongera okuzibikira, omusaayi guyita mu musuwa ogw’omu kifuba ku puleesa eya wansi. Kyokka puleesa mu misuwa emirala egiri okumpi ebeera waggulu. N’ekyavaamu, okutambula kw’omusaayi mu musuwa gw’omugongo, ogutabikira ku musuwa ogw’omugongo ne gutwala omusaayi mu bwongo, gukyuka. Olwo omusaayi ogwo ogumu ne guyingira mu musuwa oguyitibwa subclavian artery ne gugenda ku mukono. Ekyo kye bayita "okubba."

Waliwo embeera endala eyitibwa "coronary steal syndrome". Wano omusaayi ogulina okugenda mu binywa by’omutima we guzibikira. Kino tekituuka ku buli muntu, wabula ku bantu abamu bokka abalongooseddwa ebika by’omutima ebimu (coronary artery bypass surgery). Ekisinga okuvaako obulwadde buno bwombi kwe kukuŋŋaanyizibwa kw'amasavu mu bisenge by'emisuwa, oba "plaque", embeera eyitibwa "atherosclerosis" mu ngeri y'obusawo. Oba wayinza okubaawo ensonga endala ezireetera omusuwa oguyitibwa subclavian artery okufunda.

Embeera eno ya bulijjo etya?

Abanoonyereza tebasobola kwogera bantu bameka ddala abalina obulwadde bwa subclavian steal syndrome, naye bateebereza nti wakati wa 0.6% ne 6.4% ku bantu bayinza okubufuna. Okugatta ku ekyo, abantu nga 18% abalina obulwadde bw’emisuwa egy’okumpi nabo balina obulwadde buno.

Embeera eno esinga kubeera mu basajja n'abantu abasukka mu myaka 55 .

Kyokka olw’obukodyo obw’omulembe obw’okukuba ebifaananyi obuliwo leero, embeera eno yeeyongedde okuzuulibwa ne mu bantu abatalina bubonero.

Bubonero ki obulaga obulwadde bwa subclavian steel syndrome?

Obubonero bw’obulwadde bwa subclavian steel syndrome butera okulabika ng’okola emirimu egy’amaanyi egy’emikono oba ng’okyusa omutwe gwo mu bwangu ku ludda olumu.Laba oba olina emu ku mpisa zino:

• Okwolesebwa okutali kwa maanyi
• Okuziyira
• Obulumi, okuziyira, okuwunya oba okuwulira ng’omukono guzitowa
• Okuzirika
• Okubulwa okuwulira (rare) .
• Okuwulira nga weekulukuunya (Vertigo) .
• Ataxia mbeera omubiri mwe gufiirwa bbalansi ne gutasobola kutambula bulungi.

Naye abantu abasinga tebafuna bubonero bwonna. Ekyo kiri bwe kityo kubanga obwongo bwabwe bufuna omusaayi ogumala okuva mu misuwa emirala emiramu. Tebeetaaga bujjanjabi.

Kiki ekivaako obulwadde bw’ekyuma ekiyitibwa subclavian steel syndrome?

Waliwo ensonga enkulu ntono eziviirako kino:

• Obulwadde bw’emisuwa - Kino kye kisinga okuvaako.
• Obuzibu bw’emisuwa (okukwatagana okutali kwa bulijjo wakati w’emisuwa n’emisuwa) .
• Okusalako omusuwa gw’omusaayi (Aortic dissection).
• Takayasu’s arteritis, embeera y’okuzimba emisuwa
• Fibromuscular dysplasia kwe kukula mu ngeri etaali ya bulijjo mu bisenge by’emisuwa.

Ebivaako bino bifaananako n’ebyo ebivaako okusannyalala kw’emisuwa egy’omu kifuba.

Ani asinga okubeera mu bulabe olw’ensonga eno?

Bino bye bimu ku bintu ebyongera ku bulabe bw’okulwala obulwadde bw’ekyuma ekiyitibwa subclavian steel syndrome:

• Bw’oba ​​olongooseddwa okutereeza okufunda kw’omusuwa gw’omusuwa (coarctation of the aorta).
• Singa wabaawo obuzibu bwonna ku aortic arch oba ezimu ku misuwa okuva mu kuzaalibwa.
• Okunyigirizibwa kw’omusuwa oguyitibwa subclavian artery (kino kitera okubaawo mu bannabyamizannyo abamu).
• Singa wabaawo olubavu olw’enjawulo (cervical rib) mu kitundu ky’ensingo.

Bizibu ki ebiyinza okuva mu mbeera eno?

Bw’oba ​​olina ebiseera by’okuzirika olw’obulwadde bwa subclavian steal syndrome, kiyinza okukuviirako okugwa n’okufuna obuvune. Era kiyinza okukaluubiriza okukola omulimu gwonna n’omukono ogukoseddwa.

Obulwadde bwa subclavian steel syndrome buzuulibwa butya?

Omusawo ky’asooka okukola okuzuula obulwadde buno kwe kukebera omubiri. Omusawo ajja kufaayo nnyo ku pulse mu ngalo zo n’engalo zo. Era ajja kukebera emisuwa gya carotid ku njuyi zombi ez'ensingo yo n'omusuwa ogwa subclavian, ng'anoonya amaloboozi gonna agatali ga bulijjo aga "swoosh..." (bruit). Singa owulira eddoboozi ng’eryo ng’okozesa ekyuma ekiwuliriza, wayinza okubaawo okuzibikira mu musuwa ogwo.

Bubonero ki obw'obulwadde bwa "Steele Syndrome" obulabibwa nga bakeberebwa abasawo?

Bw’oba ​​olina obulwadde bwa subclavian artery syndrome, omusawo ajja kupima puleesa yo mu mikono gyombi n’alaba enjawulo mu bisomeddwa. Puleesa mu mukono ogumu eyinza okuba nga esinga omulala milimita 15 eza mercury (mmHg).

Ate era singa ebiwujjo ebiyitibwa radial pulses bikeberebwa mu kiseera kye kimu, pulse ku ludda olulina obulwadde bwa subclavian steel syndrome eyinza okulabika ng’enafu era eyinza okuwulira ng’ewuuma.

Bikebere ki ebikolebwa okukakasa kino?

Omusawo ajja kusooka kukola ultrasound y’omusuwa gwo ogwa subclavian. Oluvannyuma lw’ekyo, ebigezo bino wammanga nabyo biyinza okukolebwa, nga bwe kyetaagisa:

• Okukebera kwa MRA (magnetic resonance angiogram).
• CT Angiogram (CT - okukebera omusaayi mu ngeri ya kompyuta).
• Digital subtraction angiogram - Eno nkola ya njawulo eggya ebitundu by’omubiri ebirala mu kifaananyi era emisuwa gyokka gye gisobola okulabibwa obulungi.

Ebigezo bino bisobozesa abasawo okugabanya obuzibu bw’obulwadde bwa subclavian steel syndrome (obutono oba obw’amaanyi). Bakozesa ebigezo I, II, ne III, nga ekibiina eky’okusatu kye kisinga okuba eky’amaanyi. Era ziyamba okuzuula ekika ky’obujjanjabi obwetaagisa.

Bujjanjabi ki obuweebwa obulwadde bwa subclavian steel syndrome?

Bw’oba ​​olina obubonero, oyinza okwetaaga okulongoosebwa okulongoosa entambula y’omusaayi mu musuwa ogw’omu kifuba ng’obujjanjabi bw’okusannyalala kw’emisuwa egy’omu kifuba. Okusinziira ku mbeera yo, kino kiyinza okuba okulongoosa mu lujjudde oba okulongoosa emisuwa gy’omubiri (enkola erimu okuyingiza obuuma obutonotono okuyita mu misuwa). Olina okwewala okukozesa ennyo omukono ogukosebwa okutuusa ng’olongooseddwa.

Bw’oba ​​tosaanira kulongoosebwa, omusawo ayinza okukuwa eddagala eriziyiza okuzimba omusaayi oba eddagala eriziyiza okuzimba omusaayi.

Bw’oba ​​n’obubonero obutono, buyinza okutereera oluvannyuma lw’ekiseera. Mu mbeera ng’ezo, omusawo ayinza okukuwa eddagala erikendeeza puleesa ne kolesterol.

Ekikulu abantu abatalina bubonero butera okuba nga tebeetaaga bujjanjabi. Wabula bw’oba ​​olina okufunda mu misuwa gyo egy’omu kifuba, emikisa mingi nti kijja kuba kye kimu ne mu misuwa emirala. Kino kiri bwe kityo kubanga ekika kino eky’okuzimba ebikuta (atherosclerosis) kitera okukosa emisuwa mu mubiri gwonna.

N’olwekyo, olina okufuna obujjanjabi ku bipande bino. Bw’oba ​​omunywa sigala, olina okulekera awo okunywa sigala, n’okufuga puleesa yo ne kolesterol omungi . Ebintu bino bisobola okuyamba obutafuna bulwadde bwa mutima oba okusannyalala mu biseera eby’omu maaso.

Bujjanjabi ki/okulongoosa ki ebitongole ebikozesebwa ku kino?

Oyinza okwetaaga emu oba eziwera ku nkola zino:

• Okulongoosa okukola ekkubo ery’okuyita nga bayunga omusuwa ogw’omu kifuba (subclavian artery) ku musuwa omulala (okugeza, omusuwa gwa carotid).
• Angioplasty and stenting - Kino kizingiramu okugaziya ekifo ekizibiddwa n’ekintu nga bbaatule n’oluvannyuma n’ossaamu stent eringa akatimba okugiziyiza okuddamu okuzibikira.
• Atherectomy - Kino kitegeeza okuggya obuwuka obuyitibwa plaque munda mu musuwa.
• Endarterectomy - Okuggyawo ekitundu ky’omusuwa ogw’omunda.

Ebizibu bisobola okuva mu bujjanjabi?

Yee, obulabe bwawukana okusinziira ku bujjanjabi. Ziyinza okuli:

• Omusuwa gwo ogwa subclavian guddamu okufunda.
• Okuzimba omusaayi kuyinza okutondebwawo, ekiyinza n’okukuviirako okusannyalala.
• Okwonooneka kw’obusimu oba omusuwa.
• Okubeera n’ebizibu ebimu mu kiseera ky’okuwona.

Kitwala bbanga ki okuwona oluvannyuma lw’obujjanjabi buno?

Okuwona obujjanjabi bw’obulwadde bwa subclavian steel syndrome kiyinza okutwala ennaku ntono, wiiki emu oba n’okusingawo. Okuwona oluvannyuma lw’okulongoosebwa ebiseera ebisinga kwe kusinga okuwangaala.

Kiki kye nsuubira singa mba nnina obulwadde bwa subclavian steel syndrome?

Abantu abasoba mu 95% abalongoosebwa olw’obulwadde bwa subclavian steel syndrome tebeetaaga kulongoosebwa kulala. Okutwalira awamu enteekateeka yaabwe eba nnungi.

Obulwadde bwa subclavian steal syndrome butiisa obulamu?

Nedda, eno si mbeera eyinza okutta omuntu. Kyokka, kabonero ka kulabula kwa maanyi! Kitegeeza nti olina obulwadde bwa atherosclerosis, obulwadde bw’emisuwa. Obuwuka bwe buzimba mu misuwa gyo, omutima gwo oba obwongo bwo buyinza obutafuna mukka gwa oxygen gumala mu biseera eby’omu maaso. Kino kyongera emikisa gy’okulwala omutima oba okusannyalala.

Obulwadde bwa subclavian steel syndrome busobola okuziyizibwa?

Tetusobola kufuga bimu ku bivaako obulwadde bwa subclavian steel syndrome (nga ensonga z’obuzaale). Kyokka, okukula kw’obulwadde buno kuyinza okuziyizibwa okusinga nga tuziyiza okuzimba obuwuka obuyitibwa plaque (atherosclerosis), ekitera okuba nga kye kivaako .

Nnyinza ntya okukendeeza ku bulabe bwe nnina?

Osobola okukendeeza ku bulabe bwo obw’okufuna embeera eno – n’olwekyo obulabe bwo obw’okulwala obulwadde bwa subclavian steel syndrome – ng’okola enkyukakyuka zino mu bulamu bwo obwa bulijjo:

• Kuuma obuzito obulungi obukukwatako.
• Weenyigira mu kukola emirimu gy’omubiri (dduyiro) okumala eddakiika ezitakka wansi wa 30 olunaku ku nnaku ezisinga obungi.
• Weewale ddala okukozesa ebintu ebikolebwa mu taaba (nga sigala ne beedis).
• Lya emmere eyamba omutima (erimu amasavu amatono ne trans fat).
• Bw’oba ​​olina embeera nga kolesterol omungi, puleesa, ne sukaali, zifuge bulungi.

Nze nneerabirira ntya?

Bw’oba ​​olina obulwadde bwa ‘subclavian steel syndrome’, kikulu okumira eddagala lyo ng’omusawo bw’akulagidde, okulongoosebwa kwonna okwetaagisa, n’okufuga puleesa, kolesterol ne ssukaali (bw’oba ​​olina) n’okwewala ebintu ebikolebwa mu taaba.

Ddi lwe nnina okulaba omusawo wange?

Oluvannyuma lw’okujjanjabibwa, olina okwekebejjebwa buli kiseera naddala ng’obubonero bwo buzzeemu. Singa omusawo alowooza nti omusuwa gwo ogwa subclavian guzzeemu okufunda, ayinza okulagira okukeberebwa ebifaananyi ebirala. Ojja kwetaaga okwekebejjebwa ng’omaze omwezi gumu, emyezi mukaaga oba omwaka mulamba ng’omaze okujjanjabwa. Oluvannyuma lw’ekyo, osobola okulaba omusawo nga omulundi gumu mu mwaka.

Bibuuzo ki bye nnina okubuuza omusawo wange?

Kirungi okubuuza omusawo ebibuuzo nga bino:

• Nze nneetaaga obujjanjabi mangu ki?
• Enkola ki ey’obujjanjabi esinga okunsinga?
• Obuwanguzi bwo buli butya mu kujjanjaba abantu abalina embeera eno?

Kale, kiki ekisinga obukulu kye tulina okujjukira okuva mu bino byonna?

Wadde nga ekigambo "Steal" mu linnya lyakyo, subclavian steal syndrome mbeera ejjanjabibwa. Abantu abasinga tebeetaaga bujjanjabi. Naye obubaka obusinga obunene bwe tufuna mu kino kwe kuba nti okuzimba obuwuka obuyitibwa plaque (atherosclerosis) kubaawo mu misuwa gyo. Omubiri gwo gukugamba nti, "Tandika emize egiyamba omutima kati, oba okulongoosa egyo gy'olina edda." Buuza omusawo wo ku nkyukakyuka z’oyinza okukola okutumbula obulamu bwo. N’enkyukakyuka entonotono z’osobola okukola leero zisobola okuvaamu ebinene. Kale, tuleme kutya, tutegeezebwe, era tuteekewo omusingi gw’obulamu obulungi, nedda?

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