Kodi mumamva kupweteka kwa mwendo mukuyenda? (Claudication)

Tangoganizani kuti mukuyenda mumsewu kwa mtunda waufupi. Mwadzidzidzi, mukumva kupweteka kwambiri m'miyendo yanu, makamaka miyendo yanu yamphongo. Muyenera kuyima pamalo omwe simungathe kupirira. Chodabwitsa n'chakuti, mukayima kwa mphindi zochepa, ululuwo umachepa pang'onopang'ono. Mukayambanso kuyenda, ululuwo umabwereranso mutayenda mtunda waufupi. Kodi mwakumanapo ndi izi? Ndiye nkhaniyi idzakhala yofunika kwambiri kwa inu. Lero tikulankhula za vutoli, kutanthauza, claudication.

Kodi Claudication ndi chiyani?

Mwachidule, claudication si matenda, ndi chizindikiro . Monga momwe malungo si matenda, ndi chizindikiro cha matenda. Ndi vuto lomwe mumamva kupweteka kwa minofu mukakhala ndi zochita zambiri, monga kuyenda, ndipo ululu umatha mukapuma. Ululuwu nthawi zambiri umakhala m'miyendo.

Taganizirani izi motere. Tikamagwira ntchito, tikamayenda, minofu yathu imafunikira mpweya wochuluka kuposa masiku onse. Mpweya umenewu umatengedwa kupita ku minofu ndi magazi. Ndiye, chimachitika ndi chiyani ngati mitsempha yamagazi yomwe imanyamula magazi kupita ku miyendo yatsekedwa kapena kuchepetsedwa pazifukwa zina? Tikayenda, magazi sangathe kupereka mpweya wowonjezera womwe minofu imafuna. Pamenepo minofu imamva kupweteka ndipo imakudziwitsani kuti "Ndilibe mpweya wokwanira." Mukayima ndikupumula, minofuyo siifunikira mpweya wochuluka. Choncho imakhala ndi magazi ambiri omwe amalowa m'thupi. Kenako ululuwo umatha.

Nthawi zambiri, chifukwa chachikulu cha izi ndi matenda otchedwa Peripheral Artery Disease (PAD) . Uku ndi kuchepa kwa mitsempha yomwe imanyamula magazi kupita ku miyendo, makamaka miyendo. Chifukwa chachikulu cha kuchepa kwa mitsempha iyi ndi Atherosclerosis , komwe ndi kuuma pang'onopang'ono ndi kuchepa kwa mitsempha chifukwa cha kuyika kwa zinthu monga cholesterol m'makoma a mitsempha.

Kodi zizindikiro za claudication ndi ziti?

Anthu ena sangakhale ndi zizindikiro poyamba, koma omwe ali ndi zizindikiro nthawi zambiri amakumana ndi zizindikirozi m'miyendo kapena m'mapazi awo.

Ndani amene ali pachiwopsezo chachikulu cha vutoli?

Pali zinthu zingapo zomwe zingayambitse claudication. Ngati muli ndi izi, muyenera kusamala kwambiri.

• Kusuta: Ichi ndiye chinthu chachikulu komanso chachikulu kwambiri chomwe chimayambitsa chiopsezo . Kusuta kumawononga mitsempha yamagazi ndikuwonjezera liwiro lomwe imatsekeka.
• Matenda a shuga: Anthu omwe ali ndi matenda a shuga amakhala ndi mwayi waukulu wovulala mitsempha yamagazi.
• Cholesterol Yambiri: Pamene kuchuluka kwa cholesterol m'magazi kukukwera, kumayikidwa pamakoma a mitsempha yamagazi ndikuyitseka.
• Kuthamanga kwa Magazi Kwambiri: Kuthamanga kwa Magazi Kwambiri kumawononga mitsempha yamagazi ndikuwonjezera chiopsezo cha atherosclerosis.
• Matenda a Impso: Kuchepa kwa ntchito ya impso kungakhudzenso izi.
• Zaka: Chizolowezi chachilengedwe cha atherosclerosis kukula chimawonjezeka ndi ukalamba.
• Mbiri ya banja: Ngati wina m'banja mwanu ali ndi matenda monga matenda a mtima kapena PAD, inunso muli pachiwopsezo chachikulu.

Kodi dokotala amapeza bwanji izi?

Ngati muli ndi zizindikiro izi, muyenera kuonana ndi dokotala. Iye adzakufunsani kaye za zizindikiro zanu mwatsatanetsatane. Kenako adzafufuza miyendo yanu.

• Kodi miyendo yasintha mtundu?
• Kodi muli ndi mabala omwe amatenga nthawi yayitali kuti achire?
• Kodi tsitsi la miyendo yanu latuluka?
• Kodi mukumva kugunda kwa mtima m'miyendo ndi m'mapazi anu?

Pambuyo poyang'ana zinthu ngati izi, mayeso angapo angachitike kuti atsimikizire vutoli ndikupeza kuopsa kwake.

Kodi mankhwala ochizira izi ndi otani?

Pali njira zingapo zochizira vutoli, kuyambira ndi zinthu zosavuta zomwe mungachite nokha.

1. Kusintha kwa moyo (ichi ndiye chinthu chofunikira kwambiri!)

Uwu ndi mankhwala abwino kwambiri a claudication. Zinthu izi zidzakuthandizani kwambiri kuposa mankhwala omwe dokotala wanu wakupatsani.

• Kusiya kusuta: Ngati ndinu wosuta fodya, muyenera kusiya lero, pakali pano . Umenewo ndiye thandizo lalikulu lomwe mungadzichitire nokha.
• Kuyenda:"Zimandipweteka ndikayenda, ndiye sindiyeneranso kuyenda?" mungaganize choncho. Koma zimenezo sizolondola. Kuchita masewera olimbitsa thupi kwabwino kwambiri ndi kuyenda. Dokotala adzakuuzani kuti muyende masiku atatu kapena asanu pa sabata, kwa mphindi pafupifupi 50 patsiku. Imani ululu ukayamba, ndipo yendaninso ululu ukachepa. Pang'onopang'ono, mudzazindikira kuti mtunda womwe mungayende popanda ululu udzawonjezeka.
• Zakudya zopatsa thanzi la mtima: Idyani zakudya zokhala ndi mafuta ochepa, mchere, ndi shuga, komanso zipatso ndi ndiwo zamasamba zambiri.

2. Mankhwala

Kupatula kusintha kwa moyo wanu, dokotala wanu angakulembereni mankhwala ngati awa.

• Mankhwala ochepetsa kuthamanga kwa magazi (monga ACE inhibitors)
• Mankhwala ochepetsa cholesterol (monga `Statins`)
• Mankhwala omwe amaletsa magazi kuundana (monga Aspirin, Clopidogrel)
• Mankhwala otsegula mitsempha yamagazi ndikukweza kuyenda kwa magazi (monga `Cilostazol`)

3. Njira Zapadera Zochiritsira (Njira)

Ngati vutoli ndi lalikulu komanso lovuta kulithetsa ndi mankhwala, dokotala angagwiritse ntchito njira imeneyi.

• Angioplasty: Izi zimaphatikizapo kulowetsa buluni kakang'ono mu mtsempha wamagazi wotsekedwa ndikuudzaza kuti mutsegule kutsekeka.
• Kuika stent: Angioplasty ikatsegula mtsempha wamagazi, chubu chaching'ono chonga maukonde (`stent`) chimayikidwa kuti chisatsekekenso.
• Opaleshoni Yodutsa: Ngati kutsekeka kuli kwakukulu, mtsempha watsopano wamagazi umapangidwa pogwiritsa ntchito chidutswa cha mtsempha chotengedwa kuchokera ku mbali ina ya thupi kapena mtsempha wopangidwa kuti udutse malo otsekeka. Izi zimachitika pokhapokha ngati pali milandu yoopsa kwambiri.

Kodi pali zinthu zina zomwe muyenera kuziganizira kupatulapo claudication?

Inde. Pali matenda ena angapo omwe amayambitsa kupweteka kwa mwendo omwe angakhale ndi zizindikiro zofanana ndi claudication, koma akhoza kukhala oopsa kwambiri. Chifukwa chake, kupweteka kwa mwendo sikuyenera kunyalanyazidwa.

• Matenda a Deep Vein Thrombosis (DVT): Apa ndi pamene magazi amaundana m'mitsempha yozama m'mwendo. Ngati magazi amaundana n'kukhazikika m'mitsempha m'mapapo, akhoza kukhala vuto lalikulu lomwe lingawononge moyo . Amatchedwa `Pulmonary Embolism`. Chifukwa chake, ngati mwadzidzidzi mukumva kutupa, kufiira, ndi kupweteka m'mwendo wanu, muyenera kuwona dokotala kapena kupita ku ETU (Emergency Treatment Unit) nthawi yomweyo.

• Matenda Osatha a Chipinda: Izi zimachitika pamene kupanikizika kumawonjezeka mkati mwa chipinda chozungulira minofu, zomwe zimalepheretsa kuyenda kwa magazi. Izi zingayambitsenso ululu panthawi yochita masewera olimbitsa thupi.

Choncho, muyenera kusiya izi kwa dokotala kuti adziwe bwino matenda anu.