Kodi vuto losowali limayambitsa kupweteka kwa mwendo mukamachita masewera olimbitsa thupi? (Adventitial Cystic Disease)

Kodi mumamva kupweteka kwambiri kwa minofu ya mwendo wanu mukamayenda, kuthamanga, kapena kuchita masewera olimbitsa thupi ku gym? Koma zodabwitsa, ululuwo umatha kwathunthu mukangopuma pang'ono? Anthu ambiri amaganiza kuti izi ndi zachilendo, mwina kupsinjika kwa minofu, koma sizili choncho nthawi zonse. Nthawi zina chifukwa chake chingakhale vuto lina losiyana, losadziwika bwino. Lero tikulankhula za vuto limodzi losowa kwambiri lomwe ndi lofunika kulidziwa.

Mwachidule, kodi Adventitial Cystic Disease ndi chiyani?

Izi zingamveke ngati zovuta pang'ono, koma n'zosavuta kumvetsa. Matenda a Adventitial Cystic ndi vuto lomwe thumba lodzaza ndi madzi, monga thovu (cyst) limapangika mkati mwa khoma la mtsempha wamagazi (mtsempha kapena mitsempha) m'thupi lathu.

Tangoganizani kuti pali chitoliro cha madzi. Baluni kakang'ono mkati mwa khoma la chitolirocho kamatupa. Kodi chimachitika n'chiyani? Malo oti madzi adutse mu chitolirocho amachepa, ndipo madzi amatsekeka. Ndicho chimene chimachitika mu matendawa. Makoma a mitsempha yathu yamagazi amapangidwa ndi zigawo zingapo. Apa, chotupa ichi chamadzimadzi chimapangika mu gawo lakunja la mitsempha yamagazi, lotchedwa adventitia . Pamene chotupachi chikukula, chimachepetsa njira yoti magazi adutse mu mitsempha yamagazi. Makamaka tikamayenda kapena kuthamanga, pamene miyendo yathu ikufunika magazi ambiri, kuchepa kumeneku kumalepheretsa magazi okwanira kupita ku minofu. Ndicho chifukwa chachikulu cha ululu.

Kawirikawiri, vutoli limakhudza mitsempha ya popliteal, yomwe ndi mitsempha yayikulu yomwe imayenda kumbuyo kwa mawondo athu . Mitsempha iyi imapereka magazi ku mawondo athu ndi minofu ya m'miyendo yathu yapansi. Komabe, nthawi zambiri, pafupifupi 15% ya milandu, ma cysts odzaza ndi madzi amathanso kupangika m'mitsempha ina yamagazi m'thupi.

Ndani amene ali ndi mwayi waukulu wopeza vutoli?

Ichi ndi chinthu chodabwitsa kwambiri pa matendawa. Nthawi zambiri, matenda a mitsempha yamagazi amapezeka mwa anthu omwe ali ndi cholesterol yambiri, kunenepa kwambiri, komanso matenda a shuga. Koma matendawa sali choncho.

• Kawirikawiri zimapezeka mwa amuna azaka zapakati pa 40 ndi 50 .
• Amuna ali ndi mwayi wochuluka wopeza matendawa kuposa akazi.
• Chodabwitsa n'chakuti izi zimachitika mwa anthu omwe alibe matenda ena ndipo amakhala ndi moyo wathanzi komanso wokangalika .

Izi zikutanthauza kuti ngakhale mutakhala munthu wathanzi komanso wochita masewera olimbitsa thupi, mutha kukhalabe ndi vutoli. Palibe umboni woti zinthu zina zomwe zimayambitsa matenda a mitsempha yamagazi, monga cholesterol yambiri ndi kunenepa kwambiri, zimakhudza izi. Uwu ndi matenda osowa kwambiri. Ndiwo omwe amachititsa kuti pakhale milandu yochepa kwambiri, pafupifupi 0.1%, ya matenda onse a mitsempha yamagazi.

Kodi zizindikiro zazikulu za matendawa ndi ziti?

Chizindikiro chachikulu komanso chodziwika bwino cha matendawa ndi vuto lotchedwa intermittent claudication . Mwachidule, limatanthauza "kupweteka kwa minofu komwe kumabwera panthawi yochita masewera olimbitsa thupi ndikutha mukapuma."

N’chifukwa chiyani izi zimachitika?

Madokotala sanganene motsimikiza 100% chomwe chimayambitsa izi, koma pali malingaliro angapo omwe angakhale chifukwa chake.

• Vuto lomwe limachitika panthawi ya kukula kwa mwana wosabadwayo: Ena amakhulupirira kuti, mwina, pamene mwana akukula m'mimba, mtundu wa selo lomwe lingapangitse ma cysts odzaza ndi madzi amatha kulowa m'mitsempha yamagazi.
• Matenda a minofu yolumikizana: Matenda ena omwe amakhudza minofu yolumikizana m'thupi angayambitse mitundu iyi ya zotupa m'mitsempha yamagazi.
• Kupezeka m'malo olumikizirana mafupa: Anthu ena akhoza kukhala ndi zotupa zamtunduwu m'malo olumikizirana mafupa.
• Ngozi kapena kupsinjika maganizo kwa nthawi yayitali:Kuvulala kwa mtsempha wamagazi kapena kupsinjika mobwerezabwereza chifukwa chochita zinthu zomwezo mobwerezabwereza kungawononge ziwalo za mtsempha wamagazi ndikupangitsa kuti zotupa zipangike m'malo amenewo.

Kodi mungadziwe bwanji matendawa molondola?

Matendawa akhoza kukhala ovuta kuwazindikira. Popeza amapezeka mwa anthu athanzi, madokotala saganizapo za matenda osowa chonchi poyamba. Choncho ngati mukumvanso kupweteka kumbuyo kwa bondo kapena m'chiuno mukamachita masewera olimbitsa thupi, onetsetsani kuti mwaonana ndi dokotala wanu ndikumuuza za matendawa .

Zizindikiro zanu zingayambitsidwenso ndi matenda ena ofanana ndi awa, monga Popliteal Artery Entrapment Syndrome (PAES) kapena Chronic Exertional Compartment Syndrome . Chifukwa chake, dokotala wanu adzachotsa matenda onsewa asanapange matenda olondola.

Mayeso ochitidwa ndi dokotala

Choyamba, dokotala adzakuyang'anirani mwakuthupi ndikuyang'ana ngati pali kugunda kwa mtima pa phazi lanu komanso kumbuyo kwa bondo lanu (popliteal artery). Ngati kugunda kwa mtima kuli kofooka kapena kulibe, makamaka mukagwada bondo lanu, izi zitha kusonyeza kutsekeka kwa magazi.

Kuphatikiza apo, mayeso otsatirawa atha kuchitidwa kuti atsimikizire matendawa.

Kodi imachiritsidwa bwanji?

Nthawi zina, ma cysts amenewa amatha okha popanda chithandizo chilichonse. Koma zimenezi sizichitika kawirikawiri. Nthawi zambiri, chithandizo chabwino kwambiri ndi kuchotsa cyst kudzera mu opaleshoni.

Nthawi zina, dokotala angagwiritse ntchito singano kuchotsa madzi omwe ali mkati mwa cyst (cyst aspiration) popanda opaleshoni. Izi n'zosavuta kuposa opaleshoni, koma zimawonjezera chiopsezo choti cyst ibwererenso. Zili ngati kuyesa kutulutsa baluni yamadzi ndi singano, koma ikhoza kudzazanso.

Pa opaleshoni, dokotalayo amachotsa madzi ndi gawo lowonongeka la mtsempha wamagazi. Ngati vutoli ndi lalikulu, zomwe zikutanthauza kuti mtsempha wamagazi watsekeka kwambiri, njira zina zingagwiritsidwe ntchito. Mwachitsanzo:

• Kulumikiza Mitsempha: Chidutswa cha mtsempha wathanzi chotengedwa kuchokera ku gawo lina la thupi chimagwiritsidwa ntchito kukonza gawo lowonongeka la mtsempha wamagazi.
• Chigamba Chopangidwa: Mtsempha wamagazi umakonzedwa pogwiritsa ntchito chigamba chopangidwa.
• Opaleshoni Yodutsa: Njira yatsopano yoti magazi aziyenda imapangidwa, yopewera kutsekeka.

Kodi chimachitika ndi chiyani mukalandira chithandizo?

Pambuyo pa chithandizo chilichonse, pali mwayi woti chotupachi chidzabwereranso. Chifukwa chake, ngakhale mutalandira chithandizo, kuyang'aniridwa kwa nthawi yayitali, monga kusanthula, ndikofunikira.

Komabe, pambuyo pochotsa chotupacho opaleshoni, anthu ambiri amapeza mpumulo wathunthu ku ululu ndi kupweteka kwa minofu. Kafukufuku wina adapeza kuti kukonza mitsempha yamagazi pogwiritsa ntchito opaleshoni yokhala ndi chotupa cha mtsempha kumakhala ndi chiopsezo chochepa kwambiri chobwereranso.

Kodi izi zingapewedwe?

Ayi. Pakadali pano palibe njira yopewera vutoli. Chinthu chabwino kuchita ndikuonana ndi dokotala wanu mukangoona zizindikiro zilizonse, monga kupweteka kwa mwendo, kupanikizika, kupweteka m'mimba, kapena kutupa .