Kodi mukumva dzanzi ndi kupweteka m'dzanja lanu? Kodi izi zingakhale Arterial Thoracic Outlet Syndrome?

Kodi munayamba mwamvapo dzanzi kapena kupweteka kwachilendo m'dzanja lanu, kapena kumva kuzizira m'dzanja lanu? Kapena mwaona kuti mkono wanu umasintha mtundu kapena umatenga nthawi yayitali kuti uchire mutadula? Musangoganiza kuti izi ndi zinthu zachilendo. Izi zitha kukhala chizindikiro cha matenda otchedwa `(Arterial Thoracic Outlet Syndrome)`. Tiyeni tikambirane izi mwatsatanetsatane komanso lero.

Kodi `(Arterial Thoracic Outlet Syndrome)` iyi ndi chiyani? Tiyeni timvetse mosavuta, sichoncho?

Mwachidule, `(Arterial Thoracic Outlet Syndrome)` ndi pamene imodzi mwa mitsempha yathu yayikulu yamagazi (mitsempha) imapanikizika pamalo pakati pa khosi lathu ndi khosi (timayitcha `(Clavicle)`), kutanthauza, m'dera lotchedwa `(Thoracic Outlet)`. Mukudziwa, mitsempha ndi njira zomwe zimanyamula magazi kuchokera mumtima mwathu kupita ku thupi lonse. Chifukwa chake, mwa munthu amene ali ndi vuto la `(ATOS)`, mitsempha imapanikizika pamalo awa otchedwa `(Thoracic Outlet).`

Taganizirani izi ngati chitoliro cha madzi chomwe chikutsekeka, zomwe zimachepetsa kuyenda kwa madzi. Pamene mtsempha wamagazi watsekeka motere, ukhoza kutseka kuyenda kwa magazi. Ngati sunalandire chithandizo choyenera, ukhoza kubweretsa mavuto aakulu azaumoyo. Kwa anthu ena, kutsekeka kumeneku kungayambitse kufooka kwa khoma la mtsempha wamagazi ndikutupa ngati baluni. Timatcha "Aneurysm". Chifukwa chake, ngati muli ndi zizindikiro izi, ndikofunikira kwambiri kupita kwa dokotala ndikupita naye kuchipatala.

Ndani amene ali ndi mwayi waukulu wopeza ``Arterial Thoracic Outlet Syndrome''?

Monga mitundu yonse ya matenda a Thoracic Outlet Syndrome, amapezeka kwambiri mwa akazi azaka zapakati pa 20 ndi 50. Nthawi zambiri, mtundu uwu wa kupsinjika kwa mitsempha yamagazi umachitika chifukwa chakuti nthiti yowonjezera (yotchedwa nthiti ya chiberekero) imapezeka pakhosi, kapena chifukwa chakuti nthiti ili pamalo olakwika. Nthiti yowonjezera iyi nthawi zambiri imakhala pamwamba pa nthiti yathu yoyamba.

Kodi izi zingayambitse mavuto otani? N’chifukwa chiyani izi n’zoopsa?

Ndipotu, `(Arterial Thoracic Outlet Syndrome)` ndi mtundu woopsa kwambiri wa `(Thoracic Outlet Syndrome)`. Ngati sichinachiritsidwe bwino, `(ATOS)` iyi ingayambitse magazi kuundana m'mitsempha yanu. Magazi kuundana awa amatha kuletsa kuyenda kwa magazi m'manja ndi m'manja mwanu. Ngakhale kuti ndi osowa kwambiri, magazi kuundanawa amathanso kupita ku ubongo ndikuyambitsa matenda monga `(Stroke)`.

Choncho, ngati mukuganiza kuti muli ndi zizindikiro za Thoracic Outlet Syndrome, ndikofunikira kupeza chithandizo mwamsanga.

Kodi `(Arterial Thoracic Outlet Syndrome)` ndi yofala bwanji?

Kunena zoona, mitundu yonse ya matenda a Thoracic Outlet Syndrome ndi yosowa kwambiri. Palibe deta yeniyeni ya kuchuluka kwa anthu omwe ali ndi matendawa. Komabe, mtundu wotchedwa Arterial TOS ndi wocheperako. Mtundu uwu umapezeka mwa odwala osakwana m'modzi mwa 100 omwe ali ndi matenda a Thoracic Outlet Syndrome.

Kodi ndi zifukwa ziti za ``Arterial Thoracic Outlet Syndrome''?

Anthu ambiri omwe ali ndi ATOS, monga tafotokozera kale, amabadwa ndi nthiti yowonjezera (Nthiti ya M'chiberekero) pamwamba pa fupa la m'khosi (Clavicle). Mtsempha wamagazi womwe uli pakati pa mkono wathu ndi fupa la m'khosi, wotchedwa Subclavian Artery, umanyamula magazi m'manja, m'manja, m'khosi, ndi m'mutu mwathu. Chifukwa cha Nthiti yowonjezera ya M'chiberekero, Mtsempha wamagazi wa Subclavian uwu ukhoza kupanikizika, kutseka kuyenda kwa magazi, ndipo magazi amaundana. Magazi amaundana nthawi zina amatha kusweka ndikuyenda m'manja, kutseka kuyenda kwa magazi.

Zifukwa zina zingakhudzenso izi:

• Kunenepa Kwambiri: Pamene thupi likulemera, kupanikizika kwina kumayikidwa pa mafupa.
• Kuvulala kwa Thupi: Kuvulala konga komwe kumachitika chifukwa cha ngozi ya galimoto.
• Kaimidwe Koyipa: Zinthu monga kukhala pamalo omwewo kwa nthawi yayitali, kuwerama patsogolo pamene ukugwira ntchito, ndi zina zotero.
• Mimba (`(Mimba)`).
• Kuyenda mobwerezabwereza: Mwachitsanzo, kugwedeza chikwanje cha tenisi, kuponya mpira wa softball kapena baseball, kapena kunyamula mabokosi olemera pamutu panu.

Kodi zizindikiro za `(Arterial Thoracic Outlet Syndrome)` ndi ziti? Kodi zimazindikirika bwanji?

Zizindikiro za vutoli nthawi zambiri zimatha kukhudza zala zanu, chikhatho, kapena dzanja lonse. Chizindikiro chofala kwambiri ndi kumva kuwawa kapena dzanzi m'dzanja limodzi. Zizindikirozi zimatha kukulirakulira mukachitapo kanthu ndi dzanja lanu ndipo zimatha kukulirakulira mukapuma dzanja lanu. Anthu omwe ali ndi ATOS nthawi zambiri samamva kupweteka pakhosi kapena m'mapewa.

Popeza ATOS imatha kuchepetsa kuyenda kwa magazi, mungaone zinthu ngati izi m'zala zanu, m'manja, kapena m'manja:

• Kuzizira.
• Kusanza kapena kumva kunjenjemera.
• Ululu (`(Ululu)`).
• Kusintha kwa mtundu.
• Mabala ochiritsa pang'onopang'ono.

Tangoganizirani, Nilanthi Akka amagwira ntchito pa kompyuta kuyambira m'mawa mpaka madzulo. Wayamba kumva kupweteka kwachilendo m'dzanja lake lamanja ndi kumva kupweteka pang'ono. Nthawi zina dzanja lake limamva kuzizira. Amaganiza kuti ndi chifukwa cha kutopa. Koma ngati zizindikirozi zikuwonjezeka pang'onopang'ono, zitha kukhala `(ATOS)`.

Kodi madokotala amazindikira bwanji vutoli (Arterial Thoracic Outlet Syndrome)?

Ngati muli ndi zizindikiro za ``Arterial Thoracic Outlet Syndrome'', dokotala wanu adzayang'ana kaye khosi lanu ndi phewa lanu. Adzakufunsani kuti muchite mayendedwe ena kuti muwone ``Range of Motion'' ya mafupa anu.

Dokotala adzayesanso kuthamanga kwa magazi anu ndikukufunsani za zizindikiro zanu. Ngati akukayikira ATOS, angachite mayeso ena kuti aone ngati muli ndi Thoracic Outlet.

Ndi mayeso ati omwe akuchitidwa pa izi?

Umu ndi momwe zinthu zilili ndi ``Arterial Thoracic Outlet``Sankhani `(Mayeso Ojambula)`, omwe ndi mayeso omwe amayang'ana mkati mwa thupi lanu. Mayeso awa angachitike kuti awone mitsempha yanu, kayendedwe ka magazi, ndi kapangidwe ka mkati:

• Kujambula kwa Ultrasound: Izi zimagwiritsa ntchito mafunde a phokoso kuti ayang'ane mkati mwa thupi, makamaka kuti aone momwe magazi amayendera. Iyi nthawi zambiri imakhala njira yoyamba yodziwira vutoli.
• Arteriogram: Chubu chaching'ono, chopyapyala (catheter) ndi madzi apadera (utoto wosiyana) zimayikidwa mu mitsempha yanu, ndipo X-ray imatengedwa.
• Kujambula kwa CT: Ma X-ray angapo amatengedwa pamodzi kuti apange zithunzi zatsatanetsatane.
• Kujambula kwa MRI (`(MRI)`): Kumagwiritsa ntchito mafunde a wailesi ndi mphamvu zamaginito kujambula zithunzi zatsatanetsatane.
• X-ray (`(X-ray)`): Zithunzi zimatengedwa pogwiritsa ntchito mlingo wa radiation.

Kodi mankhwala a `(Arterial Thoracic Outlet Syndrome)` ndi ati?

Vutoli, lotchedwa Arterial Thoracic Outlet Syndrome, mwina limachiritsidwa ndi opaleshoni. Komabe, musanachite opaleshoni, dokotala wanu angakulembereni mankhwala ochepetsa magazi, monga Warfarin (Coumadin®) kapena Heparin (Hep-Lock™). Angayesenso kuchotsa magazi omwe alipo kale pogwiritsa ntchito jakisoni kapena njira zina.

Pa opaleshoni, dokotala angachite zinthu monga:

• Gawo la nthiti yanu yowonjezera (`(Nthiti ya m'chiberekero)`) limachotsedwa, zomwe zimachepetsa kuthamanga kwa magazi.
• Chidutswa cha mtsempha wamagazi chathanzi chotengedwa kuchokera ku gawo lina la thupi lanu (Arterial Graft) chimagwiritsidwa ntchito m'malo mwa mtsempha wowonongeka.
• Chitoliro chopangidwa chimayikidwa kuti chilowe m'malo mwa mtsempha wowonongeka, ndikubwezeretsa kuyenda kwa magazi.

Kodi tingatani kuti tichepetse chiopsezo cha `(ATOS)` ichi?

Palibe njira yoletsera izi kwathunthu, koma mutha kusintha moyo wanu kuti muchepetse chiopsezo chanu cha ngozi zomwe zimachitika chifukwa cha kuchuluka kwa magalimoto pamsewu:

• Khalani ndi kulemera koyenera komwe kukugwirizana ndi thupi lanu, zaka zanu, komanso jenda lanu.
• Pewani kunyamula matumba olemera paphewa limodzi.
• Chepetsani kuyenda kwa thupi pafupipafupi.
• Limbitsani mapewa anu mwa kuchita masewera olimbitsa thupi onyamula zolemera kapena olimbitsa thupi.
• Chitani zolimbitsa thupi pakhosi, mapewa, ndi pachifuwa tsiku lililonse.

Kodi chiyembekezo cha mkhalidwe wa `(ATOS)` ndi chotani? Kodi tiyenera kuchita mantha?

Ndipotu, ngati sichikuchiritsidwa, Arterial Thoracic Outlet Syndrome (ATOS) ingayambitse mavuto aakulu monga magazi kuundana, kuvulala kwa miyendo, komanso (nthawi zina) kutayika kwa zala. Komabe, nkhani yabwino ndi yakuti mukayamba chithandizo mwachangu, mwayi wanu wopambana umakhala wabwino. Chifukwa chake, ngati muli ndi zizindikiro zilizonse zomwe zikusonyeza kuti muli ndi ATOS, pitani kwa dokotala nthawi yomweyo.

Kodi mukufuna kudziwa chiyani china kuchokera kwa dokotala?

Mukakumana ndi dokotala, mukhoza kufunsa mafunso monga awa:

• Kodi ndi chifukwa chiyani chomwe chingayambitse zizindikiro zanga?
• Ndi mayeso otani omwe ndiyenera kuchita kuti ndidziwe bwino lomwe kuti izi ndi chiyani?
• Kodi pali njira zotani zochiritsira?
• Kodi mankhwala osagwiritsa ntchito opaleshoni angandithandize kuthetsa zizindikiro zanga?
• Ndi kusintha kotani komwe ndingachite pa moyo wanga kuti ndichepetse zizindikiro?

Pomaliza, zomwe muyenera kukumbukira (Uthenga Wopita Nawo Kunyumba)

Matenda a Arterial Thoracic Outlet Syndrome (ATOS) ndi matenda omwe amakhudza mitsempha ya subclavian yomwe ili m'chifuwa. Apa ndi pamene mitsempha imapanikizika ndipo magazi amaundana. Magazi amaundanawa amatha kusweka ndikuyenda m'manja, zomwe zimapangitsa kupweteka komanso dzanzi. Kulandira chithandizo msanga kungachepetse chiopsezo cha mavuto. Ngati muli ndi zizindikiro za ATOS, chonde pitani kwa dokotala nthawi yomweyo. Musadandaule, vutoli lingathe kuthetsedwa ndi upangiri woyenera wachipatala komanso chithandizo.

Matenda a thoracic outlet syndrome, matenda a arterial thoracic outlet syndrome, ATOS, kupweteka kwa mkono, dzanzi la mkono, magazi kuundana, nthiti ya khomo lachiberekero, mtsempha wa subclavian