Ngakhale mutakhala munthu wathanzi komanso wochita masewera olimbitsa thupi, kodi mudamvapo kupweteka kapena kupsinjika kwa mwendo wanu wapansi, makamaka m'chiuno, mukuchita masewera olimbitsa thupi kapena kuyenda? Kumatha pakapita nthawi, kenako kumabwereranso mukachita zina. Mungaganize kuti izi si nkhani yayikulu. Komabe, izi zitha kukhala chizindikiro cha matenda osowa otchedwa Adventitial Cystic Disease . Chifukwa chake, tiyeni tikambirane za izi mwatsatanetsatane lero.
Tiyeni tione mosavuta tanthauzo la Adventitial Cystic Disease.
Mwachidule, Adventitial Cystic Disease ndi vuto lomwe thumba lodzaza madzi, lotchedwa cyst , limapangika mu mtsempha wamagazi, monga mtsempha wamagazi kapena mtsempha. Izi zimachitika makamaka mu adventitia, gawo lakunja la mtsempha wamagazi. Tangoganizirani kachidutswa kakang'ono kunja kwa mtsempha wamagazi, monga chitoliro chamadzi, komwe kamatseka kuyenda kwa magazi. Ndicho chimene chikuchitika apa.
Chiphuphuchi chimalepheretsa kuyenda kwa magazi kudzera m'mitsempha yamagazi. Kutsekeka kumeneku kumatha kuwonjezeka, makamaka tikamayenda kapena kuchita masewera olimbitsa thupi. Nthawi zambiri, vutoli limakhudza mitsempha ya popliteal , yomwe ndi mitsempha yayikulu yomwe imapereka magazi ku mawondo athu ndi minofu ya m'munsi mwa miyendo. Komabe, nthawi zambiri, pafupifupi 15% ya milandu, ziphuphu zimatha kupangika m'mitsempha yamagazi kupatulapo mitsempha ya popliteal.
Ndani amene akukhudzidwa kwambiri ndi vutoli?
Matenda a Adventitial Cystic Disease nthawi zambiri amapezeka mwa amuna azaka zapakati pa 40 ndi 50. Ndipotu, akuti amuna ali ndi mwayi wochuluka wopeza matendawa kuposa akazi.
Chinthu chimodzi chodabwitsa ndichakuti matendawa nthawi zambiri amakhudza anthu athanzi komanso ochita masewera olimbitsa thupi omwe alibe matenda ena akuluakulu. Nthawi zambiri timadziwa kuti kunenepa kwambiri kapena cholesterol yambiri kungayambitse matenda ena amitsempha yamagazi. Komabe, palibe zinthu zoopsa zoterezi zomwe zapezeka kuti zimakhudza Matenda a Adventitial Cystic.
Kodi vutoli ndi lofala bwanji kwenikweni?
Mwina simunamvepo za matendawa kale. Chifukwa chake ndi chakuti ndi vuto losowa kwambiri . Mukaganizira matenda onse a mitsempha yamagazi, matendawa amakhudza anthu ochepa kwambiri, pafupifupi 0.1%. Izi zikutanthauza kuti ndi anthu ochepa okha omwe amadwala matendawa.
Kodi zizindikiro za matendawa ndi ziti? Kodi inunso muli nazo izi?
Chizindikiro chachikulu komanso chodziwika bwino cha matendawa ndi intermittent claudication.Vuto lotchedwa. Mwachidule, uku ndi kumva kufooka kapena kupweteka kwa minofu chifukwa cha kuchepa kwa magazi. Izi nthawi zambiri zimachitika mukasuntha kapena kuchita masewera olimbitsa thupi. Ululuwu umatha mukapuma pang'ono.
Kwa anthu ambiri, ululu uwu umachokera ku minofu yomwe ili m'dera la ng'ombe (kupweteka kwa minofu ya ng'ombe) . Tangoganizirani kuti mukayenda mtunda pang'ono, kuthamanga, kapena kukwera masitepe angapo, mwadzidzidzi ululu wachilendo ndi kuuma kumabwera kuchokera mkati mwa ng'ombe ya mwendo. Umachepa mukayima kwakanthawi, kenako nkuyambanso mukayenda. Ndicho chimene chimathera. Nthawi zambiri, izi zimakhudza mwendo umodzi wokha. Komabe, nthawi zambiri, zimatha kukhudza miyendo yonse iwiri motere.
Ngati pazifukwa zina chotupa ichi chikapangika mumtsempha (chomwenso sichimachitika kawirikawiri), ndiye kuti mwendo ukhoza kutupa.
N’chifukwa chiyani matenda a Adventitial Cystic amachitika? Kodi zimayambitsa chiyani?
Akatswiri sakudziwabe chomwe chimayambitsa matendawa, koma pali zinthu zingapo zomwe akuganiza kuti zingayambitse matendawa:
- Maselo panthawi ya kukula kwa mwana wosabadwayo: N'zotheka kuti, panthawi ya kukula kwa mwana wosabadwayo m'mimba, maselo omwe angapange ma cysts awa amalowa m'mitsempha yamagazi.
- Matenda a minofu yolumikizana: Matenda ena a minofu yolumikizana angawonjezere chiopsezo chokhala ndi ma cysts ngati awa m'mitsempha yamagazi.
- Zokhudzana ndi mafupa: Anthu ena amakhala pachiwopsezo chachikulu chotenga ma cysts ngati awa pafupi ndi mafupa awo.
- Kuvulala kapena kupsinjika maganizo mobwerezabwereza: Kaya chifukwa cha kuvulala kwa mitsempha yamagazi kapena chifukwa cha kupanikizika kosalekeza (kupsinjika maganizo), ziwalo zina za mitsempha yamagazi zimatha kuwonongeka, zomwe zimapangitsa kuti pakhale ma cysts.
Koma chinthu chimodzi n’chomveka bwino. Umboni womwe ulipo pano ukusonyeza kuti matenda a Adventitial Cystic Disease sayambitsidwa ndi matenda a mtima.
Kodi matendawa amapezeka bwanji molondola? (Kuzindikira)
Matendawa akhoza kukhala ovuta kuwazindikira. Chifukwa, monga tanenera kale, nthawi zambiri amapezeka mwa anthu athanzi omwe alibe zinthu zomwe zingawabweretsere matenda ena a mitsempha yamagazi. Choncho ngati mukumvanso kupweteka kumbuyo kwa bondo kapena m'chiuno mukamachita masewera olimbitsa thupi, onetsetsani kuti mwaonana ndi dokotala ndikumuuza za matendawa.
Zizindikiro za vutoli zitha kukhala zofanana ndi za matenda ena a mitsempha yamagazi, monga Popliteal Artery Entrapment Syndrome (PAES) kapena Chronic Exertional Compartment Syndrome . Chifukwa chake, dokotala wanu adzachotsa matenda ena asanazindikire vutoli.
Dokotala wanu akamakupimani, angamve kugunda kwa mtima mu phazi lanu ndi kumbuyo kwa bondo lanu, mtsempha wa popliteal. Ngati kugunda kwa mtima sikumveka, makamaka mukagwada bondo lanu, kungasonyeze kuti magazi atsekeka.
Kuphatikiza apo, dokotala akhoza kuyitanitsa mayeso ena angapo kuti atsimikizire matendawa:
- Chizindikiro cha Ankle-Brachial Index (ABI): Ichi chimayeza kuthamanga kwa magazi m'miyendo yanu yapansi.
- CT Angiogram: Izi zingagwiritsidwe ntchito kuona momwe magazi akuyendera komanso ngati pali zotsekeka zilizonse m'mitsempha yamagazi. Zili ngati kujambula chithunzi cha mitsempha yamagazi.
- Duplex Ultrasound: Izi zimakupatsani mwayi wowona chithunzi choyenda cha magazi akuyenda m'miyendo yanu.
- MRI: Izi zimatha kuona bwino ma cysts mkati kapena mozungulira mitsempha yamagazi.
Pambuyo poyesa kumeneku, dokotala angakuuzeni ngati muli ndi Adventitial Cystic Disease kapena ayi.
Kodi mankhwala ochizira izi ndi otani?
Nthawi zina, ma cyst awa amatha okha. Komabe, nthawi zambiri, chithandizo chabwino kwambiri ndi kuchotsa cyst ndi opaleshoni .
Nthawi zina, dokotala wanu angakulangizeni kutulutsa chotupa pogwiritsa ntchito singano. Ngakhale kuti njira imeneyi si yovuta kwambiri poyerekeza ndi opaleshoni, imawonjezera chiopsezo chakuti chotupa chibwererenso.
Ngati mukuchita opaleshoni, dokotala wanu adzachotsa chotupa ndi gawo lowonongeka la mtsempha wamagazi. Ngati vuto lanu ndi lalikulu kwambiri, zomwe zikutanthauza kuti mtsempha wamagazi watsekeka kwathunthu, njira ina ingafunike. Pankhaniyi, dokotala wanu angagwiritse ntchito chogwirira cha mitsempha kuchokera ku gawo lina la thupi lanu kapena chopangira chokonza mtsempha wamagazi ndikubwezeretsa kuyenda kwa magazi kwabwinobwino. Kapena, mungachite opaleshoni ya bypass, yomwe imapanga njira yatsopano yoti magazi aziyenda mozungulira mtsempha wamagazi wotsekeka.
Kodi tingaletse izi kuti zisachitike?
Ndipotu, palibe njira yeniyeni yopewera matenda a Adventitial Cystic. Chifukwa chakuti chifukwa chenicheni sichikudziwika, n'zovuta kunena momwe mungapewere.
Komabe, chinthu chabwino kwambiri chomwe mungachite ndikufunsa upangiri wa dokotala mukangomva zizindikiro zilizonse, monga kupweteka, kupanikizika, dzanzi, kapena kutupa kwa mwendo wanu. Mwanjira imeneyi, mutha kuzindikira vutoli mwachangu ndikuyamba chithandizo.
Kodi chimachitika ndi chiyani mutalandira chithandizo? Kodi chiyembekezo chili bwanji? (Maganizo)
Kaya chithandizo chilichonse chikugwiritsidwa ntchito pa matenda a Adventitial Cystic Disease,Pali mwayi woti chotupacho chidzabwereranso. Chifukwa chake, ngakhale mutalandira chithandizo, nthawi zambiri zimakhala zofunikira kukhala pansi pa utsogoleri wa dokotala kwa nthawi yayitali ndikuyesedwa zithunzi.
Komabe, anthu ambiri apeza mpumulo ku ululu ndi kupunduka pambuyo pochita opaleshoni yochotsa chotupa. Kafukufuku wina waung'ono adapeza kuti kuchotsa chotupa pogwiritsa ntchito chopachika mtsempha kumachepetsa chiopsezo chobwereranso.
Chofunika kwambiri ndichakuti ngati muli ndi zizindikirozi, musaope kupita kwa dokotala kukakambirana za matendawa. Mukazindikira matendawa mwachangu, mumayamba kulandira chithandizo mwachangu ndikuchira.
Mafunso ofunikira oti mufunse dokotala wanu
Ngati mwapezeka ndi matenda a Adventitial Cystic Disease, mungafune kufunsa dokotala wanu mafunso monga:
- Kodi pali zinthu zomwe ndingachite kuti ndichepetse ululu wa mwendo ndikamachita masewera olimbitsa thupi?
- Kodi ndingachepetse bwanji chiopsezo cha kubwereranso kwa cyst iyi pambuyo pa chithandizo?
- Kodi pali chiopsezo chilichonse chopanga magazi kuundana?
- Kodi ndikufunika opaleshoni kuti ndichotse chotupa ichi?
- Kodi chilonda ichi chidzatha chokha popanda chithandizo?
Kuwonjezera pa mafunso awa, funsani dokotala chilichonse chomwe muli nacho kapena kukayikira kulikonse komwe mungakhale nako.
Mwachidule, kumbukirani mfundo izi (Uthenga Wopita Nawo Kunyumba)
Chabwino, tiyeni tikukumbutseni mwachidule mfundo zofunika kuchokera pa zomwe takambirana:
- Matenda a Adventitial Cystic ndi vuto losowa kwambiri pomwe cyst imapangika m'mitsempha yamagazi, makamaka mtsempha wa popliteal, zomwe zimalepheretsa kuyenda kwa magazi.
- Izi zimakhudza kwambiri amuna athanzi komanso ochita masewera olimbitsa thupi azaka zapakati pa 40-50 .
- Chizindikiro chachikulu ndi kupweteka kapena kupunduka kwa mwendo wapansi, makamaka m'chiuno, panthawi yochita masewera olimbitsa thupi (intermittent claudication) . Izi zimachepa mukapuma.
- Chifukwa chenicheni sichinapezekebe.
- Mayeso osiyanasiyana (ABI, CT Angiogram, Duplex Ultrasound, MRI) amagwiritsidwa ntchito pozindikira matenda.
- Kuchotsa chotupa cha m'mimba mwa opaleshoni nthawi zambiri kumakhala njira yabwino kwambiri yothandizira .
- Ngakhale kuti palibe njira yeniyeni yopewera izi, ndikofunikira kufunafuna upangiri wa dokotala zizindikiro zikayamba kuonekera.
- Ngakhale mutalandira chithandizo, kuyang'aniridwa ndi dokotala kwa nthawi yayitali ndikofunikira chifukwa matendawa amatha kubwereranso.
Choncho, ngati muli ndi zizindikiro izi, ndi bwino kupita kwa dokotala ndikupempha upangiri popanda kuutenga mopepuka. Chifukwa, monga momwe zimakhalira ndi matenda ena aliwonse, akadziwika msanga, mwayi wochira umawonjezeka.
'matenda a adventitial cystic, mtsempha wa popliteal, claudication yapakati, kupweteka kwa mwendo, matenda a mitsempha yamagazi, cyst, kutsekeka kwa mitsempha yamagazi, kupweteka kwa mwendo, kutsekeka kwa mitsempha yamagazi, cyst, mtsempha wa popliteal











💬 Comments (0)
Palibe ndemanga zomwe zatumizidwa pano. Onjezani ndemanga yanu pano koyamba.
Onjezani ndemanga yanu