Tonsefe tikudziwa kuti magazi amayenda m'thupi lathu lonse. Kuwonjezera pa mitsempha yomwe imanyamula magazi oyera komanso odzaza ndi mpweya kuchokera mumtima kupita ku ziwalo zonse za thupi, palinso netiweki ya mitsempha yotchedwa mitsempha yomwe imanyamula magazi omwe agwiritsidwa ntchito mokwanira komanso opanda mpweya kubwerera kumtima. Lero, tikulankhula za mtsempha waukulu womwe umagwira ntchito yofunika kwambiri, womwe umadutsa m'chiuno mwathu. Umenewo ndi womwe timautcha kuti External Iliac Vein.
Kodi mtsempha wa Iliac wakunja ndi chiyani mwachidule?
Mwachidule, mtsempha wa m'mimba wa Iliac ndi mtsempha waukulu wamagazi womwe uli m'chiuno mwanu. M'chiuno mwanu ndi kapangidwe ka mafupa komwe kamalumikiza thupi lanu la pansi ndi miyendo.
Ntchito yaikulu ya mtsempha uwu ndikunyamula magazi opanda mpweya kuchokera m'thupi lanu, makamaka miyendo yanu, kubwerera kumtima. Uli ngati kufalikira kwa ``Femoral Vein``, mtsempha waukulu m'ntchafu yanu. Izi zikutanthauza kuti magazi opanda mpweya ochokera m'miyendo yanu amadutsa mu ``Femoral Vein`` iyi ndikulumikizana ndi `External Iliac Vein`` kuti ayende mmwamba.
Kodi Magazi Opanda Mpweya Ndi Chiyani?
Dongosolo lathu lozungulira magazi limapangidwa ndi mitsempha yamagazi yomwe imanyamula magazi okhala ndi mpweya komanso michere yambiri kupita ku ziwalo zonse ndi minofu ya thupi. Thupi likagwiritsa ntchito mpweya umenewu, magazi otsala (magazi opanda mpweya) amabwezedwa kumtima ndi mitsempha. Kenako mtima umapompa magazi kupita ku mapapo komwe amabwezeretsedwanso ku mpweya. Anthu ena amatcha magazi opanda mpweya awa kuti "magazi abuluu," koma kwenikweni ndi mtundu wofiira kwambiri.
Kodi mtsempha uwu umagwira ntchito bwanji m'dongosolo lathu lozungulira magazi?
Taganizirani ngati mitsinje ing'onoing'ono yolumikizana pamodzi kupanga mtsinje waukulu. `(External Iliac Vein)` iyi ili choncho.
Tili ndi "Mitsempha Yakunja ya Iliac" iwiri mbali yakumanja ndi yakumanzere ya thupi lathu. Iliyonse mwa izi imalumikizidwa ndi mtsempha wina womwe umanyamula magazi kuchokera ku ziwalo zomwe zili mkati mwa chiuno chathu (monga matako, ziwalo zoberekera, ndi ntchafu zamkati). Timaitcha "Mitsempha Yamkati ya Iliac".
Kotero, mtsempha wa Iliac wakunja ndi mtsempha wa Iliac wamkati zimalumikizana kuti zipange mtsempha waukulu wotchedwa `(Common Iliac Vein)`. `(Common Iliac Vein)` ziwiri zomwe zimapangidwa motere, kumbali yakumanja ndi yakumanzere, zimasonkhana pafupi ndi vertebra yachisanu ya msana wathu kuti zipange `(Inferior Vena Cava)` , yomwe ndi mtsempha waukulu kwambiri m'thupi lathu. `(Inferior Vena Cava)` imeneyo ndiyo imasonkhanitsa magazi onse opanda mpweya kuchokera pansi pa thupi ndikunyamula kupita nawo kumtima.
Mwachidule, magazi ochokera m'miyendo amatuluka kuchokera ku ``Femoral Vein'' kupita ku ``External Iliac Vein'', kuchokera pamenepo kupita ku ``Common Iliac Vein'', ndipo potsiriza kupita ku ``Inferior Vena Cava'', mtsempha waukulu, usanabwerere kumtima.
Ndi matenda ati omwe angakhudze mitsempha iyi?
"(Mtsempha wa Iliac Wakunja)" uwu ndi mitsempha yolumikizidwa nayo ingayambitse mavuto ena azaumoyo. Zina mwa izi ndi zazikulu kwambiri. Chifukwa chake, ndikofunikira kwambiri kudziwa izi.
| Mkhalidwe | Kungofotokoza chabe |
|---|---|
| Kutsekeka kwa Mitsempha Yakuya (DVT) | Apa ndi pamene magazi amaundana m'mitsempha mkati mwa thupi lathu, makamaka m'miyendo. Magazi amaundanawa amatha kuletsa kuyenda kwa magazi kudzera m'mitsempha. Zizindikiro monga kutupa ndi kupweteka mwendo zimatha kuchitika. |
| Kutsekeka kwa M'mapapo | Ichi ndi chimodzi mwa zotsatira zoopsa kwambiri za DVT. Chidutswa cha magazi omwe amaundana mwendo chingasweke ndikuyenda ndi magazi kupita ku mtsempha m'mapapo . Izi zingayambitse kupuma movutikira, kupweteka pachifuwa, komanso imfa. Ichi ndi vuto lomwe limafuna chithandizo chadzidzidzi. |
| Kulephera kwa Mitsempha Yosatha (CVI) | Mitsempha yathanzi imakhala ndi ma valve ang'onoang'ono omwe amaletsa magazi kuyenda m'mbuyo. Ma valve amenewa akawonongeka, magazi amayamba kuyendanso pansi ndi mphamvu yokoka. Izi zingayambitse magazi kusonkhana m'miyendo, zomwe zimayambitsa kutupa, kupweteka, komanso kusintha mtundu . |
| Matenda a May-Thurner | Vutoli ndi losowa kwambiri. Chomwe chimachitika apa ndi chakuti mtsempha wa Iliac (mtsempha wamanja) wa Iliac umakanikiza mtsempha wa Iliac (mtsempha wamanzere). Kukanikiza kumeneku kumalepheretsa kuyenda kwa magazi kuchokera ku mwendo wakumanzere, zomwe zimawonjezera chiopsezo cha kutupa kwa mwendo wakumanzere ndi DVT . |
Ndiye tingatani kuti tisunge mitsempha iyi kukhala yathanzi?
Pali zinthu zosavuta zomwe mungachite kuti mitsempha yonse ya m'thupi lanu, kuphatikizapo mitsempha yanu ya External Iliac Veins, ikhale yathanzi komanso kuchepetsa chiopsezo cha magazi kuundana.
- Musakhale pamalo omwewo kwa nthawi yayitali: Kukhala pansi kapena kuyimirira kwa nthawi yayitali kumawonjezera chiopsezo cha magazi kulowa m'magazi ndi kuundana. Ngati n'kotheka, imirirani kamodzi pa ola limodzi ndikuyenda pang'ono , mukusuntha miyendo yanu.
- Maseŵero Olimbitsa Thupi: Yesetsani kuchita masewera olimbitsa thupi masiku ambiri pa sabata. Maseŵero olimbitsa thupi monga kuyenda, kuthamanga, ndi kusambira ndi abwino kwambiri kuti magazi aziyenda bwino.
- Zakudya zabwino pamtima: Idyani zakudya zopatsa thanzi zokhala ndi mafuta ochepa komanso cholesterol yochepa, komanso zipatso ndi ndiwo zamasamba zambiri. Kusunga thupi labwino n'kofunika kwambiri.
- Pewani kusuta: Kusuta ndiko kuwononga kwakukulu komwe mungawononge mitsempha yanu yamagazi. Ngati mukusuta, pemphani thandizo kuti musiye lero.
- Lamulirani matenda ena: Ngati muli ndi matenda monga matenda a shuga, kuthamanga kwa magazi, kapena cholesterol yokwera, yang'anirani bwino malinga ndi malangizo a dokotala wanu.
- Masokisi Oponderezedwa: Kwa anthu ena, makamaka omwe ali pachiwopsezo chachikulu cha matenda a DVT, dokotala wanu angakulangizeni kuvala masokosi apadera otchedwa masokisi oponderezedwa. Masokisi amenewa amathandiza kuti magazi asasonkhanitsidwe m'miyendo mwanu.
Ndi zizindikiro ziti zomwe ziyenera kukupangitsani kupita kwa dokotala?
Ngati mukukumana ndi chimodzi kapena zingapo mwa zizindikiro zotsatirazi, musazinyalanyaze. Pitani kwa dokotala mwamsanga. Zizindikiro zina zingafunike chithandizo chadzidzidzi.
- Kupweteka kwambiri pachifuwa, phewa, msana, kapena nsagwada komwe kumachitika popanda chifukwa.
- Kutsokomola magazi.
- Kuvutika kuyenda, kupweteka kwa miyendo poyenda kapena kugona.
- Chizungulire kapena mutu wopepuka.
- Kutupa kwa miyendo (edema) kapena kusintha kwa mtundu wa khungu (buluu/wofiirira).
- Kutuluka thukuta kwambiri mwadzidzidzi.
- Kugunda kwa mtima kumawonjezeka.
- Mabala osachiritsa mwendo kapena phazi.
- Khungu lotumbululuka, lozizira, kapena labuluu.
- Kuvuta kupuma mwadzidzidzi.
Ndikofunikira kwambiri kupita ku Dipatimenti Yothandiza Anthu Odwala Mwadzidzidzi (ETU) kuchipatala nthawi yomweyo , makamaka ngati muli ndi zizindikiro zoopsa monga kupweteka pachifuwa mwadzidzidzi, kuvutika kupuma, komanso kutsokomola magazi.
Uthenga Wopita Nawo Kunyumba
- Mtsempha wa Iliac wakunja ndi mtsempha waukulu wamagazi womwe umanyamula magazi opanda mpweya kuchokera ku miyendo ndi m'chiuno kupita kumtima.
- Magazi oundana (DVT) omwe amapangika m'mitsempha iyi akhoza kukhala oopsa kwambiri. Chidutswa chake chikhoza kukhala m'mapapo (pulmonary embolism) ndipo chingakhale choopsa kwa moyo.
- Moyo wathanzi (kuchita masewera olimbitsa thupi, kudya zakudya zoyenera, komanso kupewa kusuta fodya) kungateteze thanzi la mitsempha iyi.
- Kupweteka pachifuwa mwadzidzidzi, kuvutika kupuma, kapena kutupa mwadzidzidzi ndi kupweteka mwendo ndi zizindikiro zochenjeza zomwe zimafuna thandizo lachipatala mwamsanga.
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