Kodi miyendo yanu imapweteka mukamathamanga? Tiyeni tiphunzire za vuto losowa ili (Popliteal Artery Entrapment Syndrome - PAES)

Kodi ndinu mnyamata amene amakonda kusewera masewera ndipo ndi waluso pothamanga ndi kulumpha? Koma mukayamba kuthamanga, kodi mumamva kupweteka kwachilendo, kulemera, kapena dzanzi m'munsi mwa mwendo (malo a ng'ombe) mukangoyenda pang'ono? Zimatha mukangopuma pang'ono, koma ululu womwewo umabwereranso mukayamba kuthamanganso? ​​Izi sizingakhale kupsinjika kwa minofu kokha. Lero tikulankhula za vuto losowa lomwe anthu ambiri sadziwa, koma makamaka achinyamata omwe amachita masewera.

Mwachidule, kodi Popliteal Artery Entrapment Syndrome (PAES) ndi chiyani?

Zingamveke ngati zovuta pang'ono, koma njira yake ndi yosavuta. PAES ndi vuto losowa lomwe limakhudza mitsempha yamagazi m'miyendo yathu. Limachitika pamene mitsempha yayikulu yomwe imayenda kumbuyo kwa mawondo athu, mitsempha ya popliteal, yatsekedwa ndi minofu yapafupi (minofu ya gastrocnemius).

Monga momwe munthu akaponda pa chitoliro cha madzi, madziwo amachepa. Tikathamanga kapena kulumpha, minofu imeneyi imalimbitsa mitsempha yathu yamagazi. Kenako, magazi opita ku mwendo wapansi amachepa kwakanthawi. Chifukwa cha kuchepa kwa magazi kumeneku, minofuyo silandira mpweya womwe imafuna, ndipo zinthu monga lactic acid zimasonkhana, zomwe zimayambitsa zizindikiro monga kupweteka, kulemera, kutopa, ndi dzanzi m'miyendo.

Ndani amene akukhudzidwa kwambiri ndi vutoli?

PAES imapezeka kwambiri mwa othamanga achinyamata azaka zapakati pa 15 ndi 25. Anthu omwe amasewera masewera okhudzana ndi kuthamanga ali pachiwopsezo chachikulu. Mwachitsanzo:

• Masewera (Othamanga ndi Osewerera)
• Kuthamanga M'malo Osewerera M'dziko Lonse
• Mpira
• Lacrosse
• Hockey ya m'munda

Vutoli ndi losowa kwambiri. Akuti limakhudza anthu ochepera 1% okha. Choncho nthawi zambiri, tikamamva ululu woterewu, timaganiza kuti ndi kupsinjika kwa minofu chabe.

Kodi pali vuto lina lomwe limamveka ngati PAES?

Inde. Pali vuto lomwe lili ndi zizindikiro zofanana kwambiri ndi izi, koma ndi lofala kwambiri kuposa PAES. Limatchedwa Chronic Exertional Compartment Syndrome (CECS) . Uwu ndi ululu womwe umabwera chifukwa cha kuwonjezeka kwachilendo kwa kupanikizika kwa minofu ya mwendo panthawi yochita masewera olimbitsa thupi. Nthawi zina munthu amatha kukhala ndi PAES ndi CECS nthawi imodzi.

Dokotala amatha kusiyanitsa pakati pa ziwirizi pochita mayeso. Mu PAES, amafufuza ngati kuthamanga kwa magazi m'miyendo kumachepa ndi masewera olimbitsa thupi. Mu CECS, amayesa kuthamanga kwa magazi mkati mwa minofu ya mwendo asanayambe komanso atatha kuchita masewera olimbitsa thupi.

Kodi zizindikiro za PAES ndi ziti?

Mungathe kuona zizindikiro izi m'mimba mwanu ndi/kapena m'miyendo yanu mukuchita masewera olimbitsa thupi. Izi nthawi zambiri zimatha pakatha mphindi zochepa mutasiya kuchita masewera olimbitsa thupi.

Kodi zifukwa za PAES ndi ziti?

Pali zifukwa ziwiri zazikulu zomwe mtsempha wamagazi uwu umatsekeka.

1. Kupsinjika kwa thupi

Uwu ndi mtundu woopsa kwambiri. Ndi wobadwa nawo .Mtsempha wamagazi umatsekeka chifukwa cha kusintha kwa momwe mtsempha kapena minofu imakhalira kumbuyo kwa bondo lanu. Izi zimachitika kwambiri mwa amuna. Zingachitike mwendo umodzi wokha. Mtsempha wamagazi ukatsekeka motere kwa nthawi yayitali, ukhoza kuwonongeka.

• Chilonda chingapangidwe mkati mwa mtsempha wamagazi.
• Magazi oundana amatha kupangika n’kumamatira.
• Pakapita nthawi, mtsempha wamagazi ukhoza kutsekeka kwathunthu (kutsekedwa).

2. Kupanikizika kwa ntchito kapena kwa thupi

Pankhaniyi, chilichonse kuyambira minofu yanu mpaka mitsempha yanu yamagazi chimakhala bwino kuyambira kubadwa. Koma chifukwa cha momwe minofu yanu imagwirira ntchito, makamaka mukakanikiza phazi lanu pansi (`plantar flexion`), minofuyo imakanikiza mitsempha yamagazi. Mtundu uwu umapezeka kwambiri mwa akazi, ndipo ukhoza kuchitika m'miyendo yonse iwiri nthawi imodzi. Mu mtundu uwu, nthawi zambiri palibe kuwonongeka kwamuyaya kwa mitsempha yamagazi.

Kodi mungazindikire bwanji matendawa molondola?

Ngati muli ndi zizindikiro izi, chinthu chabwino kuchita ndikupita kwa katswiri wa mitsempha yamagazi . Iye adzakuyesani.

• Choyamba, amafufuza ngati kugunda kwa mtima kwanu kumatsika mukapuma.
• Kenako, amafufuza ngati pali kusintha kwa kugunda kwa mtima pamene phazi lanu likukankhira mmwamba ndi pansi motsutsana ndi kukana kwina.

Munthu amene ali ndi PAES angamve bwino kugunda kwa mtima akapuma, koma kugunda kwa mtima kwake kungachepe kapena kuzimiririka akamachita masewera olimbitsa thupi kapena akamaika mphamvu pamapazi ake.

Ndi mayeso ati omwe amachitidwa kuti atsimikizire matendawa?

Pambuyo poyesedwa thupi, dokotala wanu angakulangizeni mayeso angapo kuti atsimikizire matendawa. Izi zingakuthandizeni kudziwa bwino momwe magazi akuyendera m'miyendo yanu.

Kodi mankhwala ochizira izi ndi otani?

Chithandizo chabwino komanso chopambana kwambiri cha PAES ndi opaleshoni .

Musadandaule, opaleshoni imeneyi nthawi zambiri imatenga pafupifupi ola limodzi ndipo imachitika pansi pa mankhwala oletsa ululu. Dokotalayo amachotsa kachidutswa kakang'ono ka minofu yomwe imatseka mitsempha yamagazi. Izi zimathandiza kuti mitsempha yamagazi igwire ntchito momasuka, ndipo magazi opita ku mwendo amabwerera mwakale.

Ngati mtsempha wamagazi wawonongeka ndipo watsekeka chifukwa cha mtundu wina wa kutsekeka kwa thupi, dokotalayo angafunike kuchotsa kutsekekako kapena kuchita opaleshoni ya bypass pogwiritsa ntchito chidutswa chatsopano cha mtsempha wamagazi kudzera mmenemo.

Kodi palibe mankhwala ena opanda opaleshoni?

Pali chithandizo chosagwiritsa ntchito opaleshoni kwa anthu omwe ali ndi sciatica yogwira ntchito. Ichi ndi jakisoni wa Botulinum toxin A (Botox®). Mu izi, pogwiritsa ntchito scan, mankhwalawa amalowetsedwa mu minofu yomwe ikutsekereza mitsempha yamagazi. Izi zimafooketsa minofu kwakanthawi ndikupangitsa kuti ichepetse. Komabe, zotsatira zake zimakhala kwa miyezi pafupifupi 3-6. Nthawi zina, ngati minofu yafupika kosatha, zizindikiro sizibwerera. Komabe, kupambana kwa chithandizochi kumakhala kochepa kuposa kwa opaleshoni.

Kodi zimatenga nthawi yayitali bwanji kuti munthu achire pambuyo pa chithandizo?

Zingatenge miyezi inayi kapena isanu ndi umodzi kuti munthu achire bwino atachitidwa opaleshoni ndikuyambanso kuchita masewera olimbitsa thupi.

• Pambuyo pa opaleshoni, nthawi zambiri mumayenera kukhala m'chipatala usiku umodzi.
• M'masabata awiri oyambirira, chithandizo cha physiotherapy chiyenera kuphatikizapo kutambasula miyendo ndi kuchita masewera olimbitsa thupi osinthasintha.
• Pambuyo pa milungu iwiri, mutha kuyamba kuchita masewera olimbitsa thupi omwe amalimbitsa miyendo.

Ndikofunikira kwambiri kuti mutsatire malangizo omwe dokotala wanu ndi katswiri wa zamaganizo amapereka.

Ndi mafunso ati omwe ndiyenera kufunsa dokotala wanga?

Mukapita kwa dokotala wanu, musaiwale kufunsa mafunso awa.

• Kodi ndili ndi PAES ya anatomiki kapena yogwira ntchito?
• Kodi mumalimbikitsa opaleshoni chifukwa cha vuto langa? Chifukwa chiyani?
• Kodi ndidzatha kusewera masewera anga kachiwiri monga momwe ndingathere nditachitidwa opaleshoni?

Ngati ndinu wothamanga wachinyamata, musamangonyalanyaza kupweteka kwa mwendo. Pali zifukwa zambiri zomwe zingakupangitseni kudwala. Kupeza matenda olondola mwachangu kungakuthandizeni kupeza chithandizo mwachangu.