Kodi muli ndi magazi oundana m'mitsempha m'dzanja lanu? (Axillo-Subclavian Vein Thrombosis) - Tiyeni tikambirane izi!

Kodi nthawi zina mumamva kupweteka kwadzidzidzi kwa mkono wanu, kutupa, kapena mtundu wabuluu? Kapena mkono wanu umamva dzanzi kapena kulemera? Izi si zizindikiro zoti munganyalanyaze. Zingakhale magazi kuundana mumtsempha waukulu m'dzanja lanu kapena m'khwapa. M'mawu azachipatala, timatcha izi (Axillo-Subclavian Vein Thrombosis) kapena (ASVT) . Musadandaule, tikambirana izi m'njira yosavuta yomwe mungamvetse.

Kodi ichi ndi chiyani (Axillo-Subclavian Vein Thrombosis)?

Mwachidule, Axillo-Subclavian Vein Thrombosis (ASVT) ndi pamene magazi amaundana m'mitsempha ya subclavian , mtsempha waukulu m'phewa lanu, kapena mtsempha wa m'khwapa, mtsempha womwe uli m'khwapa mwanu. Ganizirani mitsempha yanu ngati mapaipi amadzi. Ngati nthiti kapena chidutswa cha nyama pafupi ndi mtsempha uwu chikakanikizidwa, chingatseke kuyenda kwa magazi ndikupangitsa magazi kuundana.

Matendawa nthawi zambiri amayamba chifukwa cha kuvulala kwa mkono wanu wapamwamba, kapena chifukwa cha kupsinjika kwa mkono wanu chifukwa cha kuyenda mobwerezabwereza. Anthu ena amatcha Paget-Schroetter syndrome , pomwe ena amatcha effort-induced thrombosis , zomwe zikutanthauza "magazi kuundana chifukwa cha kuchita khama."

Kodi izi (Deep Vein Thrombosis - DVT) ndizosowa?

Inde, mungakhale ndi vuto limenelo. (ASVT) kwenikweni ndi mtundu wa vuto lotchedwa (Deep Vein Thrombosis) kapena (DVT) . (DVT) ndi pamene magazi amaundana m'mitsempha mkati mwa thupi. Koma nthawi zambiri tikamalankhula za (DVT) timakhala tikunena za magazi amaundana omwe amaundana m'miyendo. Nthawi zambiri amayamba chifukwa cha zinthu monga kunenepa kwambiri, kusachita masewera olimbitsa thupi, ukalamba, kapena matenda ena okhudzana ndi mitsempha.

Komabe, magazi kuundana m'dzanja, otchedwa ASVT, nthawi zambiri amachitika chifukwa cha ngozi kapena kugwiritsa ntchito dzanja kwa nthawi yayitali. Zizindikiro ndi mankhwala a matenda awiriwa nthawi zina zimakhala zosiyana.

Ndani amene ali ndi mwayi waukulu wopeza izi (ASVT)?

Ngakhale kuti aliyense angathe kutenga matendawa, ena ali pachiwopsezo chachikulu. Izi zikuphatikizapo:

• Wogwira ntchito nthawi zonse, nthawi zambiri wathanzi .
• Achinyamata azaka zapakati pa 15 ndi 45 .
• Anthu omwe amachita masewera (monga othamanga kwambiri mu masewera a cricket, osambira, onyamula zolemera) kapena anthu omwe amagwira ntchito ndi manja awo atakwezedwa nthawi zonse (monga openta, akatswiri amagetsi, anthu omwe amagwira ntchito zonyamula zolemera). Tangoganizani, mukamagwira ntchito ndi manja anu atakwezedwa ndi kupindika mofanana, mitsempha imapanikizika.
• Anthu omwe ali ndi matenda enaake a majini okhudza magazi kuundana .

Kodi pali mitundu yosiyanasiyana ya (ASVT)?

Inde, pali mitundu iwiri ikuluikulu ya (ASVT):

1. ASVT Yoyamba:Uwu ndi mtundu wofala kwambiri, womwe umayamba chifukwa cha mayendedwe amphamvu komanso obwerezabwereza a dzanja.

2. ASVT yachiwiri: Izi zimachitika chifukwa cha zipangizo zina zachipatala zomwe zimayikidwa pachifuwa chanu chapamwamba. Mwachitsanzo:

• (Catheter yapakati pa mitsempha) (chubu cholowetsedwa mu mtsempha waukulu)
• (Defibrillator) (chipangizo chomwe chimabwezeretsa kugwira ntchito kwa mtima)
• (Pacemaker) (chipangizo chomwe chimalamulira kugunda kwa mtima)
• (Chida chaching'ono chomwe chimayikidwa pansi pa khungu kuti chipereke mankhwala)

Zipangizozi zingayambitsenso kuti mitsempha yamagazi itsekeke komanso kuti magazi aziundana.

Kodi (ASVT) ndi yofala bwanji?

Kwenikweni, matenda a ASVT si ofala kwambiri. Malinga ndi ziwerengero, amapezeka mwa munthu m'modzi kapena awiri pa anthu 100,000 aliwonse pachaka. Komabe, 10% mpaka 20% yokha ya matenda onse a DVT omwe ali m'chigawo chakumtunda cha m'chiuno ndi omwe amayamba chifukwa cha ASVT. Chifukwa chake, kuchokera pamenepo, ndi chiwerengero chofunikira.

Kodi zizindikiro za (ASVT) ndi ziti?

Ngati muli ndi ASVT, mutha kukumana ndi chimodzi kapena zingapo mwa zizindikiro izi:

• Kupweteka kwa dzanja: Kuyamba mwadzidzidzi, nthawi zina koopsa.
• Mitsempha yooneka m'manja: Mitsempha ingawoneke ngati ikutupa chifukwa cha kuchepa kwa magazi.
• Mtundu wa khungu labuluu (Cyanosis): Khungu la m'manja likhoza kusanduka labuluu. Izi zikutanthauza kuti mpweya suli bwino.
• Kumva kulemera kapena kutopa m'dzanja: Mungavutike kukweza kapena kusuntha dzanja lanu.
• Kutupa kwadzidzidzi kwa dzanja: Dzanja limayamba kutupa mwadzidzidzi.

Chofunika kwambiri, nthawi zina (10% - 20%) magazi amenewa amatha kutuluka m'mitsempha, kuyenda m'magazi, ndikupita ku mapapo. Izi zimatchedwa Pulmonary Embolism (PE) . Uwu ndi vuto loopsa kwambiri . Lingayambitse kuwonongeka kwakukulu m'mapapo, ndipo likhoza kupha munthu. Chifukwa chake, ngati muyamba kukumana ndi zizindikiro izi, muyenera kuonana ndi dokotala popanda kutaya nthawi.

Nchifukwa chiyani izi (ASVT) zimachitika?

Monga tanenera kale, chifukwa chachikulu ndi mayendedwe obwerezabwereza a mkono. Tangoganizirani, mukunyamula zolemera nthawi zonse kapena kuchita masewera olimbitsa thupi. Kenako minofu yozungulira phewa lanu ndi kwapa ikhoza kutopa ndi kutupa. Minofu yotupa iyi imatha kufinya mitsempha yamagazi komweko (makamaka mitsempha ya subclavian kapena axillary).

Pakapita nthawi, kupanikizika kumeneku kungawononge khoma la mtsempha ndikupangitsa kuti minofu ya zipsera ipangidwe. Kenako mtsempha umachepa kuchokera mkati, zomwe zimachepetsa kuchuluka kwa magazi omwe angadutsemo. Izi zingayambitse kusayenda bwino kwa magazi komanso chiopsezo chowonjezeka cha magazi kuundana. Matendawa nthawi zina amatchedwa Thoracic Outlet Syndrome (TOS).Amatchedwanso. Zimatanthauza kuti malo omwe ali pamwamba pa chifuwa (chotulutsira chifuwa) ndi ochepa, zomwe zimapangitsa kuti mitsempha ndi mitsempha zivutike.

Nthawi zina, ASVT ingayambitsidwe ndi vuto la nthiti yoyamba, kapena kusintha kwa minofu kapena mitsempha yozungulira mitsempha m'khwapa ndi m'mapewa.

Kodi dokotala amazindikira bwanji izi (ASVT)?

Mukapita kwa dokotala yemwe ali ndi zizindikiro zomwe tatchula kale, iye adzakuyesani kaye. Dokotalayo adzatha kuona zinthu monga kutupa m'dzanja lanu, kusintha kwa mtundu, ndi kutupa kwa mitsempha nthawi yomweyo.

Kenako, mungafunike kuchita mayeso angapo kuti mutsimikizire:

• (Duplex ultrasound): Iyi nthawi zambiri imakhala mayeso oyamba ochitidwa. Imagwiritsa ntchito mafunde a phokoso kuti ione momwe magazi akuyendera mkati mwa mitsempha ndikuwona ngati pali magazi oundana. Iyi ndi mayeso osavuta komanso osapweteka.
• Kuyeza magazi pogwiritsa ntchito catheter: Nthawi zina mayesowa amachitika. Mu mayesowa, chubu chaching'ono, chopyapyala (catheter) chimadutsa m'mitsempha kupita komwe magazi amaundana, ndipo utoto wapadera umalowetsedwa mumtsempha kudzera mu catheter. Kenako ma X-ray amatengedwa kuti aone komwe mtsempha watsekeka komanso kukula kwa magazi.
• (CTA - computerized tomography angiography): Izi zikufanana ndi CT scan, koma zimayang'ana makamaka mitsempha yamagazi. Zimapangidwanso pobayira utoto.
• (MRA - magnetic resonance angiography): Kuyesa komwe kumagwiritsa ntchito MRI scan kuti aone mitsempha yamagazi.

Mayeso awa amatha kudziwa ngati vutoli (ASVT) lilipo, komwe lili, komanso momwe lilili loopsa.

Kodi mankhwala a ASVT ndi ati?

Chabwino kwambiri ndichakuti, pali mankhwala othandiza a ASVT. Chithandizo chachikulu chimatchedwa thrombolysis kapena thrombolytic therapy .

Izi zimaphatikizapo kubaya mankhwala omwe amasungunula magazi oundana ndikuwachotsa, monga tafotokozera kale, mwachindunji mumtsempha momwe magazi oundana amapezeka kudzera mu chubu chaching'ono (catheter) . Izi zimasungunula magazi oundana ndikubwezeretsa kuyenda kwa magazi mumtsempha.

Nthawi zina, chithandizochi (chochotsa magazi m'thupi) chimaphatikizidwa ndi chinthu chotchedwa (kuchotsa magazi m'thupi) . Izi zikutanthauza kuti, kuchotsa magazi oundana, kaya mwa makina kapena kudzera mu opaleshoni yaying'ono.

Mukamaliza chithandizochi, mudzapatsidwa mankhwala ochepetsa magazi, monga Warfarin kapena mankhwala ena amakono, kwa miyezi ingapo kuti magazi asaundanenso. Ndikofunikira kwambiri kumwa mankhwalawa kwa nthawi yomwe dokotala wanu wakuuzani.

Komanso, dokotala adzakupatsani malangizo otsatirawa:

• Chepetsani kugwiritsa ntchito dzanja lomwe lakhudzidwa mpaka zizindikiro zitatha kwathunthu.
• Sungani manja anu mmwamba pang'ono ngati n'kotheka (kukweza manja).
• Kuchiza thupiOnani. Izi zikuthandizani kuti muyambenso kuyenda ndi mphamvu m'dzanja lanu.
• Valani chovala chopondereza (monga sokisi yolimba) pa mkono wokhudzidwa. Izi zithandiza kuchepetsa kutupa ndikuwongolera kuyenda kwa magazi.

Kodi opaleshoni idzakhala yofunikira?

Nthawi zina, inde. Opaleshoni ingalimbikitsidwe kuti ichotse kwathunthu kutsekeka ndikuchepetsa chiopsezo cha magazi kuundana kachiwiri. Opaleshoni iyi imaphatikizapo kuchotsa kutsekeka. Mwachitsanzo, chidutswa cha nthiti yoyamba kapena chidutswa cha nyama chomwe chikuyambitsa kutsekeka chingachotsedwe. Izi zimathandiza kuti magazi aziyenda momasuka kudzera mumtsempha.

Kodi tingatani kuti tipewe kukula kwa (ASVT)?

Ngakhale kuti sizingatheke kupeweratu, pali zinthu zingapo zomwe tingachite kuti tichepetse chiopsezochi:

• Nthawi zonse sunthani minofu m'manja mwanu pang'onopang'ono ndipo muchite masewera olimbitsa thupi monga kutambasula thupi .
• Musamagwiritse ntchito minofu yanu mopitirira muyeso nthawi zonse .
• Ngati mukunyamula zolemera kapena kuchita masewera olimbitsa thupi mwamphamvu, pumulani pang'ono pakati pa masewerawa .
• Ngati n'kotheka, yesani kugwiritsa ntchito mkono wanu wosalamulira . (monga ngati mukugwiritsa ntchito dzanja lamanja, gwiritsani ntchito mkono wanu wamanzere ngati n'kotheka).

Kodi zinthu zidzakhala bwanji mutalandira chithandizo?

Anthu ambiri omwe ali ndi ASVT amachira bwino akalandira chithandizo. Kafukufuku wasonyeza kuti ngati matendawa apezeka ndi kuchiritsidwa msanga, zizindikiro zikangoyamba, pamakhala chiwopsezo cha 90% mpaka 95% .

Komabe, anthu ena akhoza kukhala ndi vuto lotchedwa Post-thrombotic Syndrome (PTS) . Pachifukwa ichi, zizindikiro monga kupweteka kwa nthawi yayitali, kulemera, ndi kutupa kwa mkono wokhudzidwa zimatha kupitirira. Chifukwa chake, ndikofunikira kutsatira malangizo a dokotala wanu ngakhale mutalandira chithandizo.

Kodi tiyenera kupita kwa dokotala nthawi iti mwamsanga?

Ngati muwona zizindikiro zoyamba za ASVT, funsani upangiri wa dokotala nthawi yomweyo . Musazengereze, makamaka ngati mukukumana ndi zotsatirazi:

• Kupweteka pachifuwa
• Kusanza m'manja kapena miyendo yonse
• Kuvuta kupuma (kupuma movutikira)

Izi zitha kukhala zizindikiro za matenda oopsa monga Pulmonary Embolism (PE).

(ASVT) Ngati ndi choncho, ndi mafunso ati omwe muyenera kufunsa dokotala?

Ngati dokotala wanu akukuuzani kuti muli ndi ASVT, ndi bwino kufunsa mafunso monga awa:

• Ndi kusintha kotani kwa moyo komwe ndingachite kuti ndichepetse chiopsezo cha magazi kuundana?
• Kodi ndingapitirize kuchita masewera olimbitsa thupi ndikugwira ntchito zamanja?
• Kodi ndingatani kuti magazi asaundanenso?
• Kodi muyenera kumwa mankhwala ochepetsa magazi kwa nthawi yayitali bwanji?

Chinthu chofunika kwambiri kukumbukira (Uthenga Wopita Nawo Kunyumba)

Ndikukhulupirira kuti tsopano mwamvetsa bwino zomwe takambirana lero (Axillo-Subclavian Vein Thrombosis - ASVT). Mwachidule:

• (ASVT) ndi pamene magazi amaundana m'mitsempha yayikulu m'dzanja lanu kapena m'khwapa.
• Izi zimachitika nthawi zambiri chifukwa dzanja limagwiritsidwa ntchito mosalekeza komanso motopetsa.
• Mungathe kukayika ngati mukumva zizindikiro monga kupweteka mwadzidzidzi, kutupa, ndi khungu labuluu m'manja mwanu.
• Kuchotsa magazi m'mitsempha (mankhwala osungunula magazi) ndi kuchotsa magazi m'mitsempha (kuchotsa magazi m'mitsempha) ndiye njira zazikulu zothandizira.
• Chofunika kwambiri ndikupeza matendawa msanga ndikuyamba kulandira chithandizo. Ngati mutatero, mudzakhala ndi mwayi waukulu wochira mokwanira.

Ngati muli ndi zizindikiro izi, musachite mantha ndipo pitani kwa dokotala nthawi yomweyo. Khalani ndi thanzi labwino!

Kutsekeka kwa mitsempha ya axillo -subclavian, ASVT, magazi kuundana, mitsempha ya m'manja, kupweteka kwa phewa, kutupa kwa mkono, DVT, Pulmonary Embolism, Paget-Schroetter syndrome