Kodi dzanja lanu latupa mwadzidzidzi ndipo labuluu? Kodi izi zingakhale Axillo-Subclavian Vein Thrombosis (ASVT)?

Tangoganizirani kuti ndinu mnyamata wathanzi amene amasewera cricket, amachita masewera olimbitsa thupi mwakhama ku gym. Koma mwadzidzidzi mkono wanu umayamba kupweteka, kutupa, ndipo umaoneka ngati wabuluu pang'ono. Nthawi zambiri umaganiziridwa kuti ndi chinthu chofanana ndi kupsinjika kwa minofu. Koma uwu ukhoza kukhala vuto lalikulu, koma lochiritsika kwambiri. Lero tikulankhula za vuto limodzi lotere, 'Axillo-Subclavian Vein Thrombosis' kapena mwachidule ASVT.

Mwachidule, kodi ASVT iyi ndi chiyani?

Mwachidule, ASVT ndi kupangika kwa magazi kuundana mumtsempha wozama m'dzanja lanu lapamwamba, monga mtsempha wa m'khwapa kapena mtsempha wa subclavian. Izi nthawi zambiri zimachitika mukavulala mkono wanu kapena mukagwiritsa ntchito mkono wanu kwambiri ndikuchita zomwezo mobwerezabwereza. Matendawa amatchedwanso Paget-Schroetter syndrome ndi effort-induced thrombosis.

Kodi iyinso ndi mtundu wa DVT? Kodi kusiyana kwake n'chiyani?

Inde, ASVT ndi mtundu wa deep vein thrombosis (DVT). Koma nthawi zambiri tikamamva za DVT, timamva za magazi kuundana omwe amapangika m'miyendo. Izi zimachitika chifukwa cha zinthu monga kukhala pamalo omwewo kwa nthawi yayitali, kunenepa kwambiri, komanso kukalamba. Koma vuto ili lotchedwa ASVT ndi losiyana kwambiri ndi limenelo.

Mutha kumvetsa kusiyana kumeneku mosavuta kuchokera pa tebulo ili m'munsimu.

Ndani amene ali ndi mwayi waukulu wopeza vutoli?

Ngakhale izi zingawoneke zodabwitsa, ASVT imapezeka kwambiri mwa anthu omwe ali ndi thanzi labwino, athanzi, komanso ochita masewera olimbitsa thupi , makamaka omwe ali ndi zaka zapakati pa 15 ndi 45.

Taganizirani za anthu ngati awa:

• Anthu omwe amachita masewera olimbitsa thupi mobwerezabwereza kapena masewera ena omwe amaphatikizapo kukweza manja awo, monga kusewera mpira mwachangu mu cricket, kusewera volleyball, kusambira, kapena kunyamula zolemera.
• Anthu omwe amagwira ntchito zamanja, monga openta ndi akatswiri amagetsi.
• Anthu omwe ali ndi vuto la magazi kuundana alinso pachiwopsezo.

Kodi zizindikiro za vutoli ndi ziti?

Zizindikiro za ASVT nthawi zambiri zimawonekera mwadzidzidzi. Zizindikiro zazikulu ndi izi:

• Ululu m'dzanja.
• Mitsempha m'manja imayamba kutupa ndipo imawonekera bwino.
• Kusanduka kwa buluu kwa khungu la manja (Cyanosis).
• Kumva kulemera kapena kutopa m'dzanja.
• Kutupa kwadzidzidzi kwa dzanja (ichi ndiye chizindikiro chofala kwambiri).

Kodi chifukwa chenicheni cha ASVT ndi chiyani?

Umu ndi momwe zimagwirira ntchito. Tangoganizirani mtsempha wamagazi (mtsempha) m'phewa lanu womwe uli ngati chitoliro chamadzi. Kumbali zonse ziwiri za chitolirochi, nthiti ndi minofu zimamangiriridwa mwamphamvu. Mukachita masewera olimbitsa thupi kapena ntchito yokhudza kukweza dzanja lanu, mtsempha umapindika pakati pa minofuyo ndi nthiti, zomwe zimapangitsa kuti ivulale.

Pakapita nthawi, minofu ya zipsera imapangika pamalo pomwe pavulalali, zomwe zimapangitsa kuti mitsempha ichepe kwambiri. Izi zimaletsa kuyenda kwa magazi. Pamenepo ndi pomwe magazi amayamba kuundana. Vuto lomwe limayambitsa kuti mitsempha iyi itsekeke limatchedwa thoracic outlet syndrome (TOS).

Kodi mwapeza bwanji izi, Dokotala?

Kutengera ndi zizindikiro zanu, ngati dokotala wanu akukayikira izi, adzalamula mayeso angapo kuti atsimikizire vutoli pambuyo poyesedwa thupi.

• Duplex ultrasound: Iyi ndi njira yodziwika kwambiri yoyezera. Imagwiritsa ntchito mafunde a phokoso kuti ione momwe magazi amayendera mkati mwa mitsempha ndikuwona ngati pali magazi oundana.
• Kujambula kwa Catheter-guided venography: Kachubu kakang'ono (catheter) kamalowetsedwa mu mtsempha, utoto wapadera umabayidwa, ndipo X-ray imatengedwa kuti ione komwe magazi amaundana komanso momwe mtsemphawo watsekekera.
• CTA (computerized tomography angiography): Kujambula kwa CT kumatenga zithunzi zatsatanetsatane za mitsempha.
• MRA (magnetic resonance angiography): Kufufuza mitsempha pogwiritsa ntchito MRI scan.

Kodi mankhwala ochizira izi ndi otani?

ASVT ndi vuto lomwe liyenera kuchiritsidwa. Kuchedwetsa chithandizo sikwabwino. Njira yayikulu yothandizira ndi `Thrombolysis`.

Njira zochizira

• Kusungunuka kwa magazi m'magazi (kusungunuka kwa magazi m'magazi): Izi zimaphatikizapo kupereka mankhwala osungunula magazi m'mitsempha mwachindunji komwe magazi amaundana kudzera mu chubu chonga cannula (catheter).
• Kuchotsa magazi oundana (kuchotsa magazi oundana): Nthawi zina madokotala amachotsa magazi oundanawa kudzera mu opaleshoni yaying'ono.
• Mankhwala ochepetsa magazi: Mukachotsa magazi oundana, mudzapatsidwa mankhwala ochepetsa magazi kwa miyezi ingapo kuti magazi asaundanenso.

Pamodzi ndi chithandizochi, dokotala adzakupatsani malangizo ena.

• Kupumula dzanja mpaka zizindikiro zitatha.
• Kukweza mkono mmwamba kumatchedwa ``kukweza mkono``.
• Kutumiza ku chithandizo cha thupi.
• Kuvala chophimba chapadera chonga bandeji (chovala chopondereza) pa mkono.

Nthawi zina, kachidutswa kakang'ono ka minofu kapena nthiti yoyamba yomwe ikutseka mtsempha imachotsedwa opaleshoni kuti mtsempha uzitha kuyenda bwino.

Kodi zinthu zili bwanji mutalandira chithandizo?

Ichi ndiye chinthu chofunikira kwambiri. Ngati ASVT yapezeka msanga ndipo chithandizo chayamba msanga, zotsatira zake zimakhala zabwino kwambiri. Kafukufuku wasonyeza kuti pali chiwopsezo cha pakati pa 90% ndi 95%.

Komabe, anthu ena akhoza kukhala ndi vuto lotchedwa `post-thrombotic syndrome (PTS).` Izi zikutanthauza kuti zizindikiro monga kupweteka, kulemera, ndi kutupa m'dzanja zimapitirirabe ngakhale mutalandira chithandizo. Chifukwa chake, ndikofunikira kwambiri kutsatira malangizo a dokotala molondola.

Kodi vutoli lingapewedwe?

Ngakhale kuti sizingatheke kupeweratu, pali zinthu zingapo zomwe mungachite kuti muchepetse chiopsezocho.

• Musachite masewera olimbitsa thupi otopetsa kapena kugwira ntchito kwa nthawi yayitali, ndipo pumani pakati pawo.
• Chitani masewera olimbitsa thupi musanayambe komanso mutatha kuchita masewera olimbitsa thupi kuti mutambasule minofu ya manja anu.
• Musamakweze zolemera zomwe minofu yanu singathe kupirira.
• Yesetsani kugwiritsa ntchito mkono wanu wosalamulira nthawi iliyonse yomwe mungathe.

Kodi ndiyenera kupita kwa dokotala liti?

Pitani kwa dokotala nthawi yomweyo zizindikiro zoyamba za ASVT (kutupa mwadzidzidzi, kupweteka, kuoneka ngati buluu kwa dzanja). Komanso, ngati zizindikiro zotsatirazi zichitika, ganizirani kuti ndi zadzidzidzi ndipo pitani ku chipatala cha Emergency Treatment Unit (ETU) nthawi yomweyo.

• Kupweteka pachifuwa
• Kuvuta kupuma (kupuma movutikira)
• Kusanza