Kodi mumamva kupweteka kwambiri m'miyendo yanu, makamaka mukayenda mtunda waufupi? Kodi ululuwo umachepa pakapita kanthawi kenako n’kubwerera mukamayenda? Kapena mumamva dzanzi m'miyendo yanu, kapena kuchira pang'onopang'ono mutavulala? Izi si zizindikiro zoti muzizinyalanyaza. Izi zitha kuchitika chifukwa cha kuchepa pang'onopang'ono kwa mitsempha yamagazi m'miyendo yanu. Lero, tikulankhula za chithandizo chotchedwa 'Leg Revascularization'.
Kodi Kubwezeretsa Mitsempha ya M'miyendo N'chiyani?
Mwachidule, izi ndi kuchotsa kutsekeka kulikonse kapena kutsekeka kwa mitsempha yamagazi (mitsempha) m'miyendo yanu ndikulola magazi kuyenda bwino. Zili ngati kuyeretsa chitoliro chamadzi chotsekedwa ndikulola madzi kuyendanso.
Chifukwa chachikulu cha vutoli ndi matenda otchedwa peripheral artery disease , kapena ``Peripheral Artery Disease (PAD)``. Apa ndi pamene zinthu zamafuta monga cholesterol zimasonkhana mkati mwa mitsempha yamagazi, zomwe zimapangitsa kuti magazi aziyenda pang'onopang'ono. Kuti athetse vutoli, madokotala amatha kugwiritsa ntchito njira zonse ziwiri za endovascular komanso opaleshoni yotseguka.
Kodi mankhwala amenewa ndi ati?
Njira yochiritsira yomwe dokotala wanu angasankhe ingasiyane malinga ndi vuto lanu. Pali njira zingapo zazikulu zomwe zimagwiritsidwa ntchito.
| Njira yochizira | Mwachidule, izi ndi zomwe zimachitika. |
|---|---|
| Angioplasty | Baluni yaying'ono imayikidwa mu mtsempha wamagazi wotsekedwa ndipo imadzaza. Kenako mafuta otsekedwawo amakankhira khoma la mtsempha, ndikukulitsa njira yoyendera magazi. |
| Kuyika stent (Stent) | Chomwe chimachitika pamenepa ndikuyika chubu chaching'ono chachitsulo chomwe chimawoneka ngati ukonde mkati mwa mtsempha pambuyo pa angioplasty kuti mtsempha usagwerenso. |
| Kuchotsa atherectomy | Mu izi, chipangizo chokhala ndi tsamba kapena kuwala kwa laser chimadutsa mu chubu chaching'ono ndikuchotsa mafuta omwe ali mkati mwa mtsempha wamagazi. |
| Opaleshoni yodutsa | Kupanga njira yatsopano yoti magazi aziyenda mozungulira mtsempha wotsekeka. Izi zitha kuchitika pogwiritsa ntchito mtsempha wotengedwa kuchokera ku gawo lina la thupi lanu kapena chubu chopangira (graft). |
| Kuchotsa m'mimba (endarterectomy) | Izi zili ngati opaleshoni ya atherectomy, koma chomwe chimachitika apa ndikudula khungu, kuchotsa mtsempha wamagazi wotsekeka, ndikuchotsa mafuta omwe ali mkati mwake mwa opaleshoni. |
Ndani akufunikira chithandizo ichi?
Si aliyense amene ali ndi PAD amene angafunike opaleshoni. Poyamba, zizindikiro zimatha kuthetsedwa mwa kusiya kusuta fodya, kumwa mankhwala omwe dokotala wanu wakupatsani, komanso kuyenda tsiku lililonse .
Komabe, ngati zizindikirozo zili zoopsa kwambiri, zomwe zikutanthauza kuti mukumva kupweteka kwa mwendo ngakhale mutaima, kapena ngati muli ndi mabala mwendo wanu omwe sakuchira, timatcha vutoli `(Critical Limb Ischemia)`. Zikatero, opaleshoni kapena chithandizo chomwe chatchulidwa pamwambapa chikufunikadi. Ngati sichichitika, magazi opita ku mwendo angasiye kwathunthu, ndipo mwendowo ungafunike kuchotsedwa.
Chofunika kwambiri ndikuonana ndi dokotala kuti mudziwe chomwe chimayambitsa vutoli, m'malo moganiza kuti kupweteka kwa mwendo ndi vuto la msana basi.
Kodi mumakonzekera bwanji musanalandire chithandizo?
Dokotala wanu adzakambirana nanu njira yabwino kwambiri yothandizira. Izi zidzadalira zinthu zambiri, kuphatikizapo kuopsa kwa vuto lanu, komwe latsekeka, ndi matenda ena aliwonse omwe mungakhale nawo.
Dokotala asanayambe kulandira chithandizo, adzakuyang'anirani, adzakufunsani za mbiri yanu yachipatala, ndikuyitanitsa mayeso ena.
- Mayeso a magazi (mayeso a labu)
- Kujambula kwa Ultrasound `(Ultrasound)`
- Mayeso a ECG (Electrocardiogram)
- Angiogram ya CT `(Computed tomography (CT) angiogram)`
- MR angiogram `(Magnetic resonance angiogram)`
- Angiogram
Mudzalangizidwa kuti musiye kudya ndi kumwa kwa maola angapo musanalandire chithandizo, nthawi zambiri pakati pausiku.Kusiya kusuta fodya n'kofunika kwambiri kuti zinthu zikuyendereni bwino. Kutengera ndi upangiri wa dokotala wanu, mungafunikenso kusiya kumwa mankhwala ena kwakanthawi. Musachite chilichonse mwa izi popanda upangiri wa dokotala wanu.
Kodi chimachitika ndi chiyani munthu akalandira chithandizo ndipo zimatenga nthawi yayitali bwanji kuti achire?
Mukamaliza kulandira chithandizo, muyenera kugona pabedi kwa maola angapo. Ogwira ntchito kuchipatala adzakuyang'anirani ndikukupatsani mankhwala aliwonse ofunikira. Angabwerezenso kusanthula komwe mudachita kale kuti aone ngati mitsempha yanu yatsekekanso.
Nthawi yochira imasiyana malinga ndi chithandizo chomwe mudalandira:
- Angioplasty kapena atherectomy: Pambuyo pa opaleshoni yaying'ono ngati iyi, nthawi zambiri mumakhala m'chipatala kwa tsiku limodzi ndipo mutha kuchira kwathunthu patatha pafupifupi sabata imodzi.
- Opaleshoni yodutsa m'malo olumikizirana mafupa: Popeza iyi ndi opaleshoni yaikulu, muyenera kukhala m'chipatala kwa masiku angapo. Zingatenge milungu 6 mpaka 8 kuti muchire bwino.
Zinthu zoopsa komanso nthawi yoti muwone dokotala nthawi yomweyo
Monga momwe zimakhalira ndi chithandizo chilichonse chamankhwala, pali zoopsa zina. Mwachitsanzo, pali mwayi wochepa wotuluka magazi, matenda, magazi kuundana, ndi mavuto a mtima. Koma nthawi zambiri izi zimatha kuthetsedwa. Dokotala wanu adzakufotokozerani zonsezi.
Ngati muli ndi zizindikiro zotsatirazi, muyenera kuyimbira dokotala nthawi yomweyo:
- Chilonda pamalo ochitira opaleshoni chimafalikira kapena kufalikira.
- Kutuluka magazi mosalekeza.
- Kufiira, kutupa, kapena kupweteka kwambiri pamalo pomwe bala lavulala.
- Malungo kapena kuzizira.
- Kupweteka pachifuwa.
- Kusanza kapena kuvutika kusuntha mwendo wothandizidwa.
Phindu lalikulu la mankhwala amenewa ndilakuti ululu wanu wa mwendo udzatha, moyo wanu udzakhala wabwino, ndipo mudzapulumutsidwa ku chiopsezo chachikulu chotaya mwendo.
Uthenga Wopita Nawo Kunyumba
- Ululu poyenda, dzanzi, ndi mabala osachiritsa m'miyendo yanu zingakhale zizindikiro za matenda a mitsempha ya m'mitsempha (PAD). Musanyalanyaze izi.
- Kubwezeretsa Mitsempha ya M'miyendo ndi njira yochiritsira yomwe imatsegulanso mitsempha yamagazi yotsekedwa ndikubwezeretsa kuyenda kwa magazi m'miyendo.
- Kuti mukhale ndi zotsatira zabwino kwa nthawi yayitali mutatha kulandira chithandizo, ndikofunikira kusiya kusuta fodya, kuwongolera cholesterol, ndikuchita masewera olimbitsa thupi tsiku lililonse .
- Khalani omasuka kufunsa dokotala wanu za chithandizo chomwe chili chabwino kwa inu komanso zoopsa zake. Musazengereze kufunsa mafunso aliwonse.
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