Kodi mulinso ndi mavuto omwe amapitirira m'miyendo/m'manja mwanu mutachita DVT? Tiyeni tiphunzire za (Post-Thrombotic Syndrome)!

Ngati mudayamba mwakhala ndi magazi oundana m'mitsempha yozama mwendo kapena mkono wanu, yotchedwa Deep Vein Thrombosis (DVT) , mungakhale ndi mavuto ena omwe angakuchitikireni. Zili ngati bala lomwe limachira, koma limatha kusiya chilonda chaching'ono kapena kusapeza bwino. Lero, tikambirana za vuto lomwe lingakhale ndi zotsatirapo kwa nthawi yayitali kwa anthu ena atatha DVT. Izi ndi zomwe madokotala amatcha Post-Thrombotic Syndrome kapena Postphlebitic Syndrome .

Kodi Post-Thrombotic Syndrome ndi chiyani? Mwachidule...

Tangoganizirani kuti muli ndi vuto la deep vein thrombosis (DVT) mwendo kapena mkono wanu. Ngakhale titachiza bwino, nthawi zina magazi oundana amatha kuwononga mitsempha. Zili ngati chinthu chomwe chakodwa mu chitoliro cha madzi ndipo ngati mutachichotsa, chimawonongabe chitolirocho.

Kuwonongeka kumeneku kungayambitse kuti mitsempha isasunthike ndipo ma valve omwe amathandiza kuti magazi aziyenda bwino sagwira ntchito bwino. Izi zimapangitsa kuti magazi azisonkhana m'mitsempha yowonongeka m'malo mobwerera kumtima. Magazi akamasonkhana mwanjira imeneyi, kuthamanga kwa magazi mkati mwa mitsempha kumawonjezeka, zomwe zimayambitsa zizindikiro monga kupweteka ndi kutupa . Izi ndi zomwe timatcha kuti kusonkhanitsa zizindikiro (Post-Thrombotic Syndrome). Anthu ena akhoza kukhala ndi zizindikiro zochepa kwambiri, koma ena akhoza kukhala oopsa kwambiri kotero kuti sangathe kugwira ntchito m'moyo wawo watsiku ndi tsiku.

Ngati mwakhala ndi DVT m'zaka ziwiri zapitazi ndipo tsopano mukukumana ndi zizindikirozi, pitani kwa dokotala nthawi yomweyo. Akhoza kuwona momwe mulili ndikuyamba kulandira chithandizo choyenera kuti akuthandizeni.

Kodi vutoli ndi lofala bwanji?

Matenda a Post-Thrombotic Syndrome ndi matenda ofala pakati pa anthu omwe adadwalapo DVT. Amakhudza anthu 20 mpaka 50 pa anthu 100 aliwonse mkati mwa zaka ziwiri kuchokera pamene adapezeka ndi DVT. Izi zikutanthauza kuti amakhudza anthu ambiri.

Ngati muli ndi Post-Thrombotic Syndrome, zimakhala zovuta kwambiri kuti magazi omwe ali mumtsempha wowonongekawo abwerere mumtima. Kusonkhana kwa magazi kumeneku ndiko kumayambitsa mavuto osiyanasiyana.

Kodi zizindikiro za izi ndi ziti? Kodi timamva bwanji?

Zizindikiro za Post-Thrombotic Syndrome (PTS) zimakhudza kwambiri mwendo kapena mkono komwe DVT inachitikira. Mungakumane ndi zinthu monga:

• Ululu: Ululu wa mwendo, makamaka poyenda kapena kuyimirira. Izi nthawi zina zimatchedwa claudication .
• Ululu kapena kupweteka ngati kuti mtsempha ukugwedezeka .
• Kumva kulemera ndi kutopa m'manja/miyendo.
• Kuyabwa (Pruritus) .
• Kusanza, kumva kuwawa, ndi kumva zinthu zachilendo (Paresthesia) .

Zizindikiro izi zitha kukhala zofatsa kwa ena, komanso zowopsa kwa ena.Zingakukhudzeni. Mungapeze kuti zizindikirozi zimawonjezeka mukayimirira kapena kuyenda kwa nthawi yayitali, ndipo zimachepa mukapuma kwakanthawi. Kusasangalala kumeneku kungawonjezekenso kumapeto kwa tsiku. Kwa anthu ena, zizindikirozi zimatha kukhala zosatha, kapena zimatha kubwera ndi kutha.

Kodi zizindikiro za post-thrombotic syndrome ndi ziti?

Zizindikiro ndi zinthu zomwe timamva. Zizindikiro ndi zinthu zomwe tingathe kuziona. Dokotala wanu adzafufuzanso zizindikirozi.

• Kutupa (Kutupa): Kutupa kwa mkono kapena mwendo womwe wakhudzidwa.
• Kufiira kwa khungu kapena kusintha kwa mtundu.
• Khungu limakhuthala , limaoneka ngati chikopa.
• Kuwonekera kwa mitsempha yatsopano ya varicose .
• Kuwoneka kwa mitsempha yaying'ono ya kangaude .
• Ngati vutoli lakula kwambiri, mabala osachira (zilonda zam'mitsempha) angayambe.

N’chifukwa chiyani izi (Post-Thrombotic Syndrome) zimachitika? Kodi chifukwa chake n’chiyani?

Chifukwa chosavuta ndi kuwonongeka kwa mitsempha yanu chifukwa cha Deep Vein Thrombosis (DVT) .

Mitsempha yozama m'miyendo ndi m'manja mwathu ili ndi ma valve olowera mbali imodzi omwe amalola magazi kuyenda mbali imodzi yokha. Monga chitseko, chimangotseguka mbali imodzi yokha. Ma valve amenewa amathandiza magazi kuyenda kubwerera kumtima. Komabe, magazi akaundana mkati mwa mtsempha, magazi amaundana amatha kuwononga ma valve amenewo. Kenako ma valve sagwira ntchito bwino.

Zotsatira zake, magazi amayenda pang'onopang'ono kwambiri. M'malo moyenda bwino kupita kumtima, magazi amasonkhana m'mitsempha. Izi zimawonjezera kupanikizika mkati mwa makoma a mitsempha, zomwe zimayambitsa zizindikiro zomwe tatchula kale.

Ndani amene ali pachiwopsezo chachikulu cha vutoli?

Aliyense amene wakhala ndi DVT akhoza kudwala matenda a Post-Thrombotic Syndrome. Komabe, chiopsezo chimakhala chachikulu ngati mwakhala ndi DVT mobwerezabwereza , makamaka m'dzanja kapena mwendo womwewo. Ndiko kuti, ngati mwakhala ndi magazi ambiri pamalo amodzi.

Komanso, chiopsezo chanu chimakhala chachikulu ngati mudakhalapo ndi zizindikiro zotsatirazi za magazi omwe adaundana kale:

• Ngati yafalikira mpaka gawo lalikulu la mtsempha.
• Kuundana kwa magazi m'chiuno chapamwamba kapena m'chiuno (kotchedwa proximal DVT ) n'koopsa kwambiri kuposa kuundana kwa magazi m'chifuwa cha mwana wa ng'ombe (kotchedwa distal DVT ). Chiwopsezo chimakhala chachikulu makamaka ngati kuundanako kupangika m'mitsempha ya iliac kapena mtsempha wamba wa femoral .
• Ngati muli ndi magazi oundana m'mitsempha yayikulu m'thupi lanu lapamwamba, phewa, kapena pachifuwa (izi zimatchedwa axillo-subclavian vein thrombosis) .
• Ngati panali magazi oundana (residual thrombosis) omwe sanathe kusungunuka ngakhale atalandira chithandizo.

Kuphatikiza apo, pali zinthu zina zingapo zoopsa:

• Ngati muli ndi vuto lomwe lilipo kale monga chronic venous insufficiency (CVI) .
• YanuNgati index yanu ya misa ya thupi (BMI) ili pamwamba pa 30 (ndiye kuti kunenepa kwambiri).

Kodi madokotala amazindikira bwanji matenda a Post-Thrombotic Syndrome?

Madokotala amazindikira vutoli makamaka kudzera mu kuyezetsa thupi . Pakuyezetsa uku, dokotala wanu adzachita izi:

• Funsani za mbiri yanu yachipatala (monga momwe mudakhalira ndi DVT m'mbuyomu, chithandizo chomwe mudalandira).
• Amafunsa za zizindikiro zanu komanso momwe zimakhudzira moyo wanu watsiku ndi tsiku.
• Miyendo ndi manja anu adzafufuzidwa kuti awone ngati ali ndi zizindikiro za Post-Thrombotic Syndrome (monga kutupa ndi kusintha kwa khungu).

Kutengera ndi izi, dokotala adzadziwa ngati muli ndi Post-Thrombotic Syndrome ndipo, ngati ndi choncho, adzadziwa momwe imakhalira yoopsa.

Kodi sikelo ya Villalta ndi chiyani?

Mwina munamvapo dokotala wanu akulankhula za 'Villalta scale' . Iyi ndi njira yodziwika bwino yomwe madokotala amagwiritsa ntchito pozindikira vutoli ndikuwunika kuopsa kwake. Ili ngati mndandanda wokhala ndi zigoli. Ili ndi zizindikiro 5 ndi mfundo 6. Dokotala amapereka zigoli pa chizindikiro chilichonse ndikusayina:

• 0 mfundo: Sizilipo.
• Zotsatira 1: Zapezeka pang'ono.
• Zotsatira 2: Kukhalapo pang'ono.
• Zotsatira 3: Zoipa kwambiri.

Dokotalayo amaphatikiza zigoli zonse. Ngati zigoli zonse zili zosakwana 4, ndiye kuti mulibe Post-Thrombotic Syndrome. Ngati muli ndi mapointi 5 kapena kuposerapo, ndiye kuti muli ndi vutoli.

Matendawa amagawidwanso m'magulu ofatsa, apakati, kapena ovuta kutengera ziwerengero izi:

• Chigoli 5 mpaka 9: Matenda ofatsa.
• Zigoli 10 mpaka 14: Matenda apakati.
• Ngati pali zilonda, kapena chiwerengero cha 15 ndi kupitirira apo: vuto lalikulu.

Dokotala wanu adzakufotokozerani zotsatira izi ndikukuuzani tanthauzo lake.

Kodi pali mayeso apadera oti azindikire vutoli?

Palibe mayeso enieni odziwira matenda a Post-Thrombotic Syndrome. Komabe, nthawi zina, madokotala amatha kuyitanitsa 'Duplex ultrasound' kuti awone momwe magazi akuyenderera kudzera m'mitsempha.

Kodi mankhwala a Post-Thrombotic Syndrome ndi ati?

Chithandizo nthawi zambiri chimaphatikizapo kuponderezedwa, kusintha moyo, ndi kuchita masewera olimbitsa thupi . Anthu ena angafunike opaleshoni kapena chithandizo cha zilonda zam'mitsempha. Madokotala amasankha chithandizocho kuti chigwirizane ndi zosowa za munthu aliyense. Cholinga chachikulu cha chithandizocho ndikuchepetsa zizindikiro zanu ndikukweza moyo wanu.

Chithandizo cha kupsinjika

Dokotala wanu angakulembereni masokisi apadera opondereza.Munganene kuti muzivale. Izi ndi njira zomwe zimagwiritsidwa ntchito kwambiri pochiza kupsinjika. Masokisi awa ayenera kuvalidwa nthawi zonse (nthawi zambiri tsiku lililonse). Masokisi awa amaika mphamvu pa minofu yanu ya m'chiuno ndipo amathandiza kuti magazi aziyenda bwino m'mitsempha. Ngakhale kuti amamva ngati akulimba akamavala, sayenera kupweteka.

Pali mitundu yosiyanasiyana ya masokosi omwe amapereka milingo yosiyanasiyana ya kupsinjika. Dokotala wanu adzakupatsani mtundu woyenera wa masokosi omwe akugwirizana ndi zosowa zanu.

Zingatenge nthawi kuti muzolowere kuvala masokisi awa (compression socks). Ndikofunikira kulankhula ndi dokotala wanu za momwe amamvera komanso ngati mungathe kuwavala bwino. Dokotala wanu angasinthenso kuchuluka kwa kupsinjika kutengera momwe mukumvera komanso momwe masokisiwa amapumulira pa zizindikiro zanu.

Mankhwala ena a thrush ndi awa:

• Chipangizo chothandizira kubwezeretsa mitsempha: Mwachitsanzo , Venowave® . Ichi ndi chipangizo chonga pampu chomwe mumavala pakhosi panu kuti chithandize kuyendetsa bwino magazi. Mutha kuchivala kunyumba kapena mukapita kunja.
• Chipangizo chopondereza mpweya (IPC) nthawi ndi nthawi: Ichi ndi chikwama chopondereza mpweya chomwe chimavalidwa pa mwendo kuchipatala.

Kusintha kwa moyo

Kusintha pang'ono moyo wanu kungathandize kwambiri kuchepetsa zizindikiro zanu. Dokotala wanu angakulangizeni zinthu monga:

• Sungani miyendo yanu pamwamba pa mulingo wa mtima wanu , kaya mutakhala pansi kapena mutagona.
• Khalani ndi thupi labwino .
• Gwiritsani ntchito mafuta odzola kuti khungu lisaume kapena kusweka.

Kuchita masewera olimbitsa thupi

Kuchita masewera olimbitsa thupi kungathandize kusintha kuyenda kwa magazi ndikuchepetsa zizindikiro. Mwachitsanzo, ngati Post-Thrombotic Syndrome yakhudza miyendo yanu, dokotala wanu angakulangizeni kuchita masewera olimbitsa thupi omwe amalimbitsa minofu ya miyendo yanu.

Izi zili choncho chifukwa minofu ya ng'ombe yanu ndi mapampu amphamvu omwe amagwira ntchito ngati "mtima wachiwiri." Mukayenda, kupindika kwa minofu ya ng'ombe yanu kumathandiza kupompa magazi kuchokera ku miyendo ndi mapazi anu kubwerera kumtima kwanu. Chifukwa chake, mukalimbitsa minofu imeneyo, mitsempha yanu imalandira thandizo lomwe ikufunika kuti inyamule magazi moyenera.

Kuchita masewera olimbitsa thupi kumakuthandizani kusinthasintha thupi lanu komanso kupirira matenda a mtima. Nthawi zonse lankhulani ndi dokotala wanu musanayambe pulogalamu yatsopano yochita masewera olimbitsa thupi. Iye adzakuuzani masewera olimbitsa thupi omwe ndi otetezeka komanso oyenera zosowa zanu.

Opaleshoni

Nthawi zina zapadera, madokotala angakulangizeni opaleshoni kapena chithandizo cha endovenous (monga, stenting) kuti magazi ayende bwino m'mitsempha. Dokotala wanu adzakuuzani ngati chithandizo choterocho chili choyenera kwa inu.

Chithandizo cha zilonda zam'mitsempha

Ngati vutoli lakula kwambiri , zilonda zam'mitsempha zimatha kuyamba. Ndikofunikira kwambiri kuchiza zilondazi moyenera komanso mosamala. Ngati sichoncho, mavuto akulu monga kudula chilonda, angachitike. Dokotala wanu angakulangizeni chimodzi kapena zingapo mwa izi:

• Mankhwala opha tizilombo toyambitsa matenda.
• Mabandeji kapena zomangira zophimbira bala.
• Mabandeji kapena masokisi opondereza.
• Kuyeretsa mabala tsiku ndi tsiku.
• Mafuta odzola.
• Mankhwala ochepetsa ululu.
• Kuchotsa minofu yakufa ndi kuchotsa minofu yakufa.
• Kutumizidwa kwa akatswiri kuti athandize kuthana ndi matenda osatha monga matenda a shuga.

Kodi Post-Thrombotic Syndrome imatenga nthawi yayitali bwanji?

Matenda a Post-thrombotic syndrome ndi matenda osatha . Izi zikutanthauza kuti dokotala wanu angakuthandizeni kuthana ndi vutoli, koma silingathe kuchiritsidwa . Chithandizo chingachepetse zizindikiro zanu ndikuwonjezera luso lanu lochita zinthu, kucheza ndi anthu, komanso kusangalala momwe mukufunira.

Kodi Post-Thrombotic Syndrome ingapewedwe?

Matenda a Post-Thrombotic Syndrome sangapewedwe nthawi zonse. Izi zili choncho chifukwa chakuti Deep Vein Thrombosis (DVT) singathe kupewedwa nthawi zonse. Komabe, inu ndi dokotala wanu mungagwire ntchito limodzi kuti muchepetse chiopsezo chanu:

• Dziwani ndikuchepetsa zinthu zomwe zingakubweretsereni matenda a DVT: Njira yabwino yopewera matenda a DVT (Post-Thrombotic Syndrome) ndikuletsa kuti asakule. Yesetsani kuchepetsa zinthu zomwe zingakubweretsereni mavuto omwe mungasinthe. Mwachitsanzo, mutha kuchepetsa chiopsezo chanu popewa fodya, kuchita masewera olimbitsa thupi, komanso kukhala ndi kulemera koyenera. Dokotala wanu adzakuuzani zinthu zomwe muyenera kusamala nazo komanso momwe mungapangire dongosolo la matendawa.
• Kuzindikira msanga ndi chithandizo choyenera cha DVT: Ngati muli ndi DVT, kuzindikira msanga ndi chithandizo kungathandize kuchepetsa kuwonongeka kwa mitsempha yanu. Kungathandizenso kupewa DVTs mtsogolo. Izi zili choncho chifukwa ngati muli ndi DVT ina, muli pachiwopsezo chachikulu chotenga matenda a post-thrombotic syndrome. Dokotala wanu adzakukonzerani njira yabwino kwambiri yothandizira. Izi nthawi zambiri zimaphatikizapo kumwa mankhwala oletsa magazi kuundana kwa miyezi ingapo kapena kuposerapo.

Kodi ndimadzisamalira bwanji?

Dokotala wanu adzakupatsani malangizo a momwe mungadzisamalire nokha mukakhala kunyumba. Tsatirani malangizowo mosamala, ndipo funsani mafunso ngati pali chilichonse chomwe sichikudziwika. Nthawi zambiri mutha kuchita zinthu ngati izi:

• Imwani mankhwala anu monga momwe mwalangizidwira .
• Mukakhala pansi kapena mukugonaPitirizani kukweza miyendo yanu.
• Pewani kukhala pansi nthawi yayitali momwe mungathere. Pumulani pang'ono kuti muyendeyende ndikuwongola thupi lanu.
• Gwiritsani ntchito moisturizer kuti khungu lanu likhale lathanzi.

Ndikofunikanso kusamalira thanzi lanu la maganizo . Kukhala ndi Post-Thrombotic Syndrome kumatha kukhala ndi nkhawa m'maganizo ndi m'maganizo. Anthu omwe ali ndi vutoli amatha kukhala ndi nkhawa, nkhawa, komanso kudziona kuti ndi osafunika. Angadandaule kuti magazi awo adzaundananso. Angamvenso chisoni chifukwa sangathenso kuchita zinthu zomwe ankachita kale chifukwa cha zizindikiro zawo.

Ngati mukukumana ndi malingaliro amenewa, kulankhula ndi mlangizi kapena katswiri wa zamaganizo kungakuthandizeni kwambiri. Angakuthandizeni kuthana ndi malingaliro amenewa ndikupeza njira zothetsera mavuto zomwe zingakupangitseni kumva bwino.

Ndiyenera kupita kwa dokotala liti?

Dokotala wanu adzakupatsani malangizo oti azitsatira kuti ayang'anire vuto lanu. Ndikofunikira kwambiri kupezeka pamisonkhano yonseyi kuti dokotala wanu athe kusintha dongosolo lanu la chithandizo ngati pakufunika kutero.

Ngati mukupeza zizindikiro zatsopano kapena ngati zizindikiro zanu zasintha , imbani dokotala nthawi yomweyo.

Ndi mafunso ati omwe ndiyenera kufunsa dokotala wanga?

Mafunso awa adzakuthandizani kudziwa zambiri zokhudza matenda anu:

• Kodi ndili ndi matenda a Post-Thrombotic Syndrome? Ngati ndi choncho, kodi ndi oopsa bwanji?
• Ndi mankhwala ati omwe mukundipangira?
• Ndi kusintha kotani komwe ndiyenera kusintha pa moyo wanga?
• Ndi masewera olimbitsa thupi ati omwe ndi oyenera kwa ine?
• Kodi maganizo anga adzakhala otani?

Mukapezeka ndi matenda a Post-Thrombotic Syndrome, mungakhale ndi mafunso ndi mantha ambiri. Koma musadandaule, dokotala wanu alipo kuti ayankhe mafunso anu ndikukutsogolerani pa chithandizo. Ngakhale kuti vutoli ndi lofala, zosowa zanu ndi nkhawa zanu ndi zapadera. Gwirani ntchito ndi dokotala wanu kuti mupeze zinthu zomwe zingakuthandizeni kukhala ndi thanzi labwino komanso la maganizo.

Uthenga Wopita Nawo Kunyumba

Matenda a Post-Thrombotic Syndrome (PTS) ndi matenda omwe angachitike munthu atatha kutenga DVT ndipo akhoza kukhala ovuta kwambiri. Koma amatha kuchiritsidwa .

Chofunika kwambiri ndikupeza chithandizo chamankhwala mwachangu komanso choyenera ngati muli ndi DVT, kudziwa zizindikiro zilizonse zomwe zingachitike pambuyo pake, ndikupempha upangiri wa dokotala ngati pakufunika kutero.

Kutsatira malangizo a dokotala wanu, kusintha moyo wanu moyenera, makamaka kugwiritsa ntchito masokisi opondereza bwino kungakuthandizeni kupeza mpumulo wambiri. Kumbukirani, simuli nokha, ndipo pali madokotala omwe angakuthandizeni kuthana ndi vutoli.

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