Kodi mukumva ngati magazi anu achepa m'manja mwanu? Tiyeni tikambirane za (Subclavian Artery Stenosis) iyi!

Kodi nthawi zina mumamva kutopa, kupweteka, kapena dzanzi mukamagwiritsa ntchito mkono wanu kapena kunyamula chinthu cholemera? Kapena mkono umodzi umamva kuzizira kuposa unzake? Izi zitha kukhala zizindikiro zakuti mtsempha waukulu wamagazi womwe umapereka magazi ku mkono wanu wachepa. Lero tikambirana za vuto limodzi lotere, lomwe limatchedwa `(Subclavian Artery Stenosis)`.

Kodi ``(Subclavian Artery Stenosis)`` ndi chiyani? Tiyeni timvetse mosavuta!

Mwachidule, `(Subclavian Artery Stenosis)` ndi kuchepa, kutanthauza kuti, vuto lofanana ndi kutsekeka kwa mtsempha waukulu wamagazi (timautcha `(Subclavian Artery)`) komwe kumapereka magazi ku dzanja lanu. Tangoganizirani ngati dothi lasonkhana mkati mwa chitoliro chamadzi ndipo pang'onopang'ono limachepa. Kenako liwiro la madzi limachepa, eti? Umu ndi momwe zimakhalira ndi izi. Nthawi zambiri, kuchepa kumeneku kumachitika pamene zinthu zamafuta (zomwe timazitcha `(plaque)`) zimayikidwa mkati mwa mtsempha uwu wamagazi. Koma pakhoza kukhala zifukwa zinanso. Zili ngati `(speed bump)` pamsewu, zomwe zimachepetsa kuyenda kwa magazi pang'ono.

Mwina munamvapo za matenda otchedwa Peripheral Artery Disease (PAD), omwe amachititsa kuti mitsempha yamagazi m'miyendo ichepe. Matendawa, omwe amapezeka m'mitsempha yamagazi m'dzanja, amatchedwa Subclavian Artery Stenosis.

Anthu ambiri ali ndi vutoli koma sasonyeza zizindikiro zilizonse. Izi zili choncho chifukwa mitsempha yonse ya magazi m'thupi lathu imagwira ntchito bwino kwambiri. Ngati mitsempha ina ya magazi yatsekedwa, mitsempha ina ya magazi imayesa kudzaza mpatawo. Izi zikutanthauza kuti, imayesetsa kupereka magazi omwe mkono umafunikira mwanjira ina.

Nthawi zambiri, vuto la `(Subclavian Artery Stenosis)` limapezeka mumtsempha wamagazi womwe umapereka magazi ku dzanja lamanzere . Chifukwa, `(Subclavian Artery)` yomwe ili kumanzere imagawidwa mwachindunji ndi `(Aorta)`, mtsempha waukulu kwambiri wamagazi womwe umachokera mumtima mwathu. Chifukwa chake, pali mwayi waukulu wamavuto nawo. Umene uli kumanja umachokera ku mtsempha wina wamagazi. Koma nthawi zambiri, vutoli limapezeka m'manja onse akumanzere ndi akumanja.

Kodi vutoli ndi lofala bwanji?

Mukayang'ana ziwerengero m'dziko ngati America, nthawi zambiri pakati pa 2% ndi 7% ali ndi vutoli. Komabe, pakati pa omwe ali kale ndi "Peripheral Vascular Disease" (kuchepa kwa mitsempha yamagazi), chiwerengerochi ndi pafupifupi 19%. Akutinso vutoli ndi lofala kwambiri pakati pa akazi .

Kodi zizindikiro za `(Subclavian Artery Stenosis)` ndi ziti?

Monga tanenera kale, si aliyense amene adzakumana ndi zizindikiro. Koma ngati zitachitika, zingawoneke motere:

• Kupweteka kwa minofu mukamagwiritsa ntchito mkono wokhudzidwa. Tangoganizirani kuti mukanyamula chinthu cholemera kapena kuchita china chake ndi dzanja lanu, minofu yomwe ili m'dzanja lanu imalimba ndipo imamva ngati ikupweteka.
• Kupweteka kapena kuuma kwa dzanja pogwiritsa ntchito dzanja lokhudzidwa.
• Kusamva bwino kapena kutaya kumva bwino m'dzanja lokhudzidwa (timalitcha kuti "Paresthesia"). Zili ngati dzanja likungoyamba kuchita dzanzi.
• Chizungulire - Izi ndi zachilendo.
• Kukomoka - Izi ndizosowa kwambiri.
• Chizungulire - Uku ndi kumva ngati ukuzungulira. Izi ndizosowanso.

Anthu ambiri sasonyeza zizindikiro chifukwa magazi omwe amafika m'manja amaperekedwa ndi mitsempha ina yamagazi. Zizindikiro zimayamba kuonekera mitsempha yamagazi ikachepa ndi pafupifupi 50% . Nthawi zina, vuto lotchedwa ``Steal Syndrome'' lingayambitse zizindikiro zina. Tidzakambirana za izi mtsogolo.

Kodi zimayambitsa `(Subclavian Artery Stenosis)` ndi ziti?

Chifukwa chachikulu cha vutoli ndi ``Atherosclerosis''. Izi zikutanthauza kuti, mafuta (monga cholesterol) amaikidwa m'mitsempha yamagazi, pang'onopang'ono kumachepetsa mtsempha . Monga momwe moss imakulira mu chitoliro chamadzi. Ichi ndiye chifukwa chofala kwambiri.

Kupatula apo, pakhoza kukhala zifukwa zina zingapo:

• Vasculitis: Matenda otupa omwe amapezeka m'mitsempha yamagazi.
• Kulandira chithandizo cha radiation: Ngati mwalandira chithandizo cha radiation cha khansa pachifuwa.
• Matenda a Thoracic Outlet: Kupsinjika kwa mitsempha yamagazi ndi mitsempha yomwe imayenda kuchokera pachifuwa chapamwamba kupita kukhosi ndi mkono.
• (Takayasu's Arteritis): Matenda otupa omwe amakhudza mitsempha ikuluikulu yamagazi, makamaka mwa akazi achichepere.
• Kuchepa kwa mitsempha yamagazi: Kuchepa kwa mitsempha yamagazi chifukwa cha kukula kosazolowereka kwa minofu ndi minofu yolumikizana m'makoma a mitsempha yamagazi.
• Neurofibromatosis: Matenda a majini omwe amachititsa kuti zotupa zipangike m'mitsempha.

Kodi ndi zinthu ziti zomwe zingachititse izi? Ndani ayenera kusamala kwambiri?

Anthu ena ali ndi mwayi waukulu wopeza ``(Subclavian Artery Stenosis)``. Onani ngati zinthu izi zikukukhudzani:

• Kukhala ndi zaka pakati pa 50-60.
• Kukhala ndi kuthamanga kwa magazi (BP). Ichi ndi chomwe timachitcha kuti "kuthamanga kwa magazi".
• Kukhala ndi matenda a shuga (Diabetes Mellitus / Diabetes). Amatchedwanso "matenda a shuga", eti?
• Kuwonjezeka kwa cholesterol m'magazi.
• Kudya zakudya zokhala ndi mafuta ambiri okhuta ndi mafuta osinthika (monga batala, margarine, zakudya zonenepa, chakudya chofulumira)
• Kugwiritsa ntchito zinthu za fodya (monga kusuta fodya, kutafuna mtedza wa betel).
• Kukhala pamalo amodzi kwa nthawi yayitali osachita masewera olimbitsa thupi.
• Kuchuluka kwa thupi (BMI) kopitilira 25 kumatanthauza kuti ndinu wonenepa kwambiri poyerekeza ndi kutalika kwanu.
• Kukhala ndi matenda a mitsempha ya m'mitsempha ya m'magazi (PAD).
• Kukhala ndi vuto (Takayasu's Arteritis).

Kodi ndi mavuto otani omwe angayambitse `(Subclavian Artery Stenosis)`?

Ngati vutoli silinachiritsidwe bwino kapena silinalamuliridwe, mavuto ena angachitike.

• (Subclavian Steal Syndrome):Izi ndi nkhani yapadera. Chomwe chimachitika apa ndi chakuti chifukwa chakuti magazi opita m'manja amachepa, magazi ena omwe amapita ku ubongo amakokedwa "mobisa" m'manja akamagwira ntchito nawo. Kenako kuchuluka kwa magazi opita ku ubongo kumachepa, zomwe zingayambitse zinthu monga chizungulire ndi maso abuluu.
• Matenda a Kuba Mitsempha ya M'mitsempha: Izi zikufanana ndi zoyamba, koma apa magazi ena omwe amapita kumtima amasamutsidwa kupita ku mkono. Izi sizichitika kawirikawiri, makamaka kwa anthu omwe adachitidwa opaleshoni ya bypass.
• Chidutswa cha mafuta chomwe chakhala mu mtsempha wamagazi chimasweka ndikumamatira mu mtsempha wamagazi waung'ono pafupi ndi zala. Izi zitha kuletsa kuyenda kwa magazi kupita ku zala, zomwe zimapangitsa kuti zikhale zopweteka komanso zotupa.
• Kuchepa kwa magazi kupita ku mtima, ubongo, kapena m'manja.
• (TIA - Transient Ischemic Attack): Izi zili ngati mini `(stroke)`. Zizindikiro monga kuchepa kwa magazi kupita ku ubongo kwa kanthawi kochepa, kulephera kulankhula, ndi kutayika kwa miyendo zimabwera ndikupita. Komabe, izi zitha kukhala chiyambi cha `(stroke)` yayikulu.

Kodi madokotala amazindikira bwanji vutoli (Subclavian Artery Stenosis)?

Ngati muli ndi zizindikiro zomwe zatchulidwa pamwambapa, mukapita kwa dokotala, iye adzakuyesani kaye. Izi zimatchedwa "kuyesa thupi".

• Kumeneko, adzayang'ana kugunda kwa mtima ndi kuthamanga kwa magazi .
• Mwina mukuyang'ana ngati dzanja limodzi ndi lozizira kuposa linzake.
• Yang'anani ngati pali mabala m'manja onse awiri, komanso ngati sakuchira (mabala amatenga nthawi yayitali kuti achire chifukwa cha kusayenda bwino kwa magazi).
• Mukhozanso kuyang'ana ngati kugunda kwa mtima m'dzanja limodzi kuli kofooka.

Chodabwitsa n'chakuti, mosiyana ndi kuyezetsa pafupipafupi, dokotala adzayesa kuthamanga kwa magazi anu m'manja onse awiri . Izi zimachitika kuti ayerekezere `(kupanikizika)` m'manja onse awiri. Ngati kuthamanga kwa `(systolic)` (nambala yapamwamba) m'dzanja limodzi kuli pafupifupi mamilimita 10-15`(mmHg)` kuposa mkono wina, kungakhale chizindikiro cha vuto lotchedwa `(Subclavian Artery Stenosis)`. `(kupanikizika)` kumakhala kwakukulu m'dzanja lomwe limalandira magazi kuchokera m'mitsempha yamagazi yathanzi.

Kuphatikiza apo, ngati dokotala wanu akumva phokoso la "swoosh" (lotchedwa "bruit") akamamvetsera mitsempha yanu yamagazi m'khosi mwanu pogwiritsa ntchito stethoscope, izi zitha kukhalanso chizindikiro cha kuchepa kwa mitsempha yamagazi.

Kawirikawiri, anthu omwe amadwala matendawa chifukwa cha zifukwa zina amathanso kusonyeza zizindikiro zokhudzana ndi matenda ena.

Ndi mayeso ena ati omwe akuchitidwa kuti atsimikizire?

Ngati dokotala wanu akukayikira kuti muli ndi Subclavian Artery Stenosis, angayambe alamula kuti muone ngati magazi ali bwino komanso ngati mitsempha ya magazi ili bwino.

Kuphatikiza apo, mayeso otsatirawa angachitike kuti aone mitsempha yamagazi:

• (CT Angiogram - Computed Tomography Angiogram): Iyi ndi njira yapadera yojambulira CT. Mtundu wa utoto umabayidwa kuti uwonetse bwino mitsempha yamagazi.
• (MRA - Magnetic Resonance Angiogram): Izi zili ngati MRI scan, koma ndi yapadera poyang'ana mitsempha yamagazi.
• Angiogram Yachikhalidwe (Yowononga):Mu izi, chubu chaching'ono chimadutsa mu mtsempha wamagazi, utoto umalowetsedwa, ndipo ``(X-ray)'' imatengedwa. Nthawi zina njira yotchedwa ``(Digital Subtraction)'' imagwiritsidwa ntchito. Izi zimachotsa zinthu monga fupa ndipo zimathandiza kuti mitsempha yamagazi yokha iwonekere bwino.

Kodi mankhwala a `(Subclavian Artery Stenosis)` ndi ati?

Chithandizo chimadalira ngati muli ndi zizindikiro kapena ayi komanso kuopsa kwa vutoli.

Anthu omwe ali ndi zizindikiro angafunike chithandizo chotere:

• (Aspirin): Amachepetsa magazi kuundana ndipo amathandiza kuchepetsa magazi.
• Mankhwala ochepetsa mafuta m'thupi: Chepetsani kuchuluka kwa mafuta omwe amasonkhana m'mitsempha yamagazi.
• Mankhwala ochizira kuthamanga kwa magazi .
• Ngati chifukwa chake ndi `(Vasculitis)`, ndiye kuti chikufunika mankhwala.
• Angioplasty: Mu izi, chipangizo chaching'ono chonga baluni chimayikidwa mu mtsempha wamagazi wotsekedwa ndipo chimadzazidwa kuti chikulitse mtsempha. Nthawi zambiri, stent (chipangizo chaching'ono chonga mesh) chimayikidwa kuti chisapapatizenso.
• Opaleshoni Yodutsa M'magazi: Iyi ndi njira yosowa kwambiri. Imafuna kudutsa mtsempha wamagazi wotsekedwa ndikupanga njira yatsopano pogwiritsa ntchito mtsempha wina wamagazi (mwina wotengedwa kuchokera kumwendo) kapena wopangidwa.

Ngakhale mutakhala kuti mulibe zizindikiro, dokotala wanu mwina adzayang'ana mafuta omwe ali m'mitsempha yanu yamagazi (atherosclerosis). Matendawa amatha kukhudza mitsempha yamagazi kulikonse m'thupi ndipo angayambitse "stroke" kapena "kugunda kwa mtima." Chifukwa chake, dokotala wanu mwina adzakuuzani kuti:

• Yesetsani kuchita masewera olimbitsa thupi kwa mphindi zosachepera 30 patsiku, masiku ambiri a sabata. (Monga kuyenda, kuthamanga, kuchita masewera olimbitsa thupi)
• Khalani ndi kulemera koyenera kwa inu.
• Pewani fodya kotheratu.
• Idyani zakudya zokhala ndi mafuta ochepa okhuta ndi mafuta osinthika (idyani ndiwo zamasamba, zipatso, nyemba, ndi ulusi wambiri).

Kodi pali zovuta zilizonse kapena zotsatirapo zina za chithandizochi?

Mankhwala aliwonse angayambitse zotsatirapo zazing'ono. Ngati mukukumana ndi zotsatirapo zina zovutitsa komanso zosatha mukumwa mankhwala anu, lankhulani ndi dokotala wanu.

Nthawi zina, opaleshoni kapena njira monga "Angioplasty" zingayambitse mavuto monga awa:

• Kutuluka magazi.
• Kuwonongeka kwa mtsempha wamagazi.
• Magazi amaundana.
• Stent yomwe inalowetsedwa sinakulire bwino kapena sinali pamalo oyenera.
• Stent yomwe yalowetsedwa imaphulika.
• Mtsempha wamagazi watsekekanso.
• Kawirikawiri, sitiroko imatha kuchitika pambuyo pa angioplasty kapena opaleshoni.

Kodi zimatenga nthawi yayitali bwanji kuti munthu achire kuchokera ku mankhwala awa?

Mukamaliza Angioplasty, muyenera kupuma kwa tsiku limodzi. Mudzatha kuyendetsa galimoto ndikupita kuntchito mkati mwa sabata imodzi. Komabe, opaleshoni ya Bypass imatenga nthawi yayitali kuti muchiritse. Dokotala wanu adzakuuzani zambiri za izi kutengera matenda anu.

Kodi chimachitika ndi chiyani ngati ndili ndi `(Subclavian Artery Stenosis)`? Kodi tsogolo langa ndi lotani?

Ngati muli ndi zizindikiro, chithandizo chingathandize kwambiri kutsegula mitsempha yanu yamagazi ndikuchepetsa zizindikiro zanu. Ngati mulibe zizindikiro, chithandizo sichingakhale chofunikira.

Koma kaya muli ndi zizindikiro kapena ayi, Subclavian Artery Stenosis ndi chizindikiro chochenjeza thupi lanu . Nthawi zambiri, imayamba chifukwa cha Atherosclerosis (mafuta omwe amaikidwa m'mitsempha yamagazi). Ngati mtsempha umodzi wamagazi watsekedwa, ungakhudzenso mitsempha ina yamagazi. Ichi ndichifukwa chake dokotala wanu adzakuuzani kuti muwongolere zinthu zomwe zimayambitsa matenda amtima .

Izi zikuphatikizapo:

• Ngati mukugwiritsa ntchito fodya, siyani kusuta konse.
• Kulamulira kuthamanga kwa magazi.
• Kulamulira kuchuluka kwa cholesterol m'magazi.
• Kulamulira kapena kupewa matenda a shuga.

Angioplasty ndi yothandiza kwambiri pochepetsa zizindikiro ndi 95%. Patatha zaka zisanu angioplasty itatha, pafupifupi 90% ya mitsempha yamagazi yomwe inali itatsekedwa kale imakhalabe yotseguka. Opaleshoni yotseguka ingapereke zotsatira zokhalitsa kwambiri.

Ngati mtsempha wanu wa magazi watsekeka kwathunthu, zotsatira zake sizingakhale zothandiza kwenikweni.

Kodi matenda a Subclavian Artery Stenosis angapewedwe?

Inde, nthawi zambiri, mafuta omwe amapezeka m'mitsempha yamagazi (atherosclerosis) omwe amayambitsa izi amatha kupewedwa. Chomwe muyenera kuchita ndikusintha moyo wanu.

• Kukhala wochita masewera olimbitsa thupi.
• Kutsatira zakudya zabwino (mafuta ochepa, shuga, mchere, ndiwo zamasamba ndi zipatso zambiri)
• Pewani kusuta fodya.
• Kusunga kulemera koyenera.

Ndikofunikanso kusamalira bwino matenda aliwonse omwe mungakhale nawo kale, monga:

• Cholesterol yambiri.
• Kuthamanga kwa magazi (BP).
• Matenda a shuga.

Kodi ndimadzisamalira bwanji?

Kusintha pang'ono kwa moyo wanu kuti mupewe matenda a Subclavian Artery Stenosis kudzakuthandizani ngakhale mutalandira chithandizo. Zizolowezi zabwino zingathandize kupewa vutoli kuti lisabwererenso. Ngati dokotala waika stent mumtsempha wanu wamagazi, mwina muyenera kupitiriza kumwa mankhwala monga aspirin ndi clopidogrel kuti lisatsekekenso.

Ndiyenera kupita kwa dokotala liti?

Mukalandira chithandizo, mudzapemphedwa kuti mukaone dokotala wanu pafupifupi miyezi isanu ndi umodzi iliyonse kwa zaka ziwiri zoyambirira. Kenako kamodzi pachaka. Izi zitha kusiyana malinga ndi matenda anu komanso komwe mukulandira chithandizo. Chifukwa chake, tsatirani malangizo a dokotala wanu molondola.

Kodi ndiyenera kupita ku Chipinda Chothandizira Anthu Odwala Mwadzidzidzi (ETU) liti?

Anthu omwe ali ndi matenda a Subclavian Artery Stenosis angakhalenso ndi mafuta m'mitsempha ina yamagazi m'thupi. Izi zikuphatikizapo mitsempha yomwe imapereka magazi kumtima wanu (mitsempha ya mtima). Ngati mitsempha iyi yatsekeka, mutha kukhala ndi matenda a mtima. Ngati muli ndi zizindikiro za matenda a mtima , funani thandizo lachipatala nthawi yomweyo.

Zizindikiro za matenda a mtima zingaphatikizepo izi:

• Kupweteka pachifuwa kapena kufinya (ululuwu ukhoza kufika pa mkono, khosi, kapena nsagwada).
• Kuvuta kupuma.
• Chizungulire, kumva ngati mutu wayamba kupepuka.
• Kumva ngati mtima wako ukugunda mofulumira.
• Kusanza, kusanza, ndi kutsekula m'mimba.

Ndi mafunso ati omwe ndiyenera kufunsa dokotala wanga?

Mukapita kwa dokotala, mungafunse mafunso monga awa:

• Kodi ndikufunika chithandizo?
• Kodi chithandizo chabwino kwambiri cha vuto langa ndi chiti?
• Kodi mumachita mitundu ingati ya chithandizo ichi kuchipatala/chipatala chanu pachaka?
• Kodi munganditumizire kwa munthu amene angandithandize kukhala ndi zizolowezi zabwino pa mtima? (monga katswiri wa zakudya)

Kodi `(Subclavian Artery Stenosis)` ndi yoopsa?

Inde, izi zitha kukhala zoopsa, makamaka ngati zimayambitsa vuto lotchedwa ``Steal Syndrome'', zomwe zikutanthauza kuti magazi ochepa akupopedwa kupita ku ubongo kapena mtima, ndipo m'malo mwake akupititsidwa m'manja. Chinthu chabwino kwambiri chomwe mungachite kuti mupewe mavutowa ndikutsatira malangizo a dokotala wanu okhudza kudya zakudya zabwino komanso kuchita masewera olimbitsa thupi.

Mukapeza kuti muli ndi Subclavian Artery Stenosis, mwina ndi nthawi yoyamba kumva za mtsempha wamagazi umenewo. Koma, ganizirani izi ngati uthenga wochokera m'thupi lanu: Muli ndi Atherosclerosis. Ngati ili m'mitsempha yamagazi imodzi, ingakhalenso m'mitsempha inayo. Chifukwa chake, chitanipo kanthu tsopano kuti mtima wanu ndi mitsempha yamagazi zikhale zathanzi.

Pomaliza, uthenga wopita nawo kunyumba

Chabwino, tsopano mwamvetsa bwino zomwe takhala tikulankhula, ``(Subclavian Artery Stenosis)``. Musadandaule , ngati yapezeka msanga ndikuyendetsedwa bwino, mutha kukhala bwino.

Chofunika kwambiri ndichakuti izi nthawi zambiri zimagwirizana ndi moyo wathu. Izi zikutanthauza kudya zakudya zabwino, kuchita masewera olimbitsa thupi nthawi zonse , kupewa kusuta fodya, komanso kuwongolera matenda monga matenda a shuga, kuthamanga kwa magazi, ndi cholesterol .

• Ngati nthawi zambiri mumamva kupweteka, dzanzi, kapena kutopa m'manja mwanu, musanyalanyaze zimenezo ndipo funsani upangiri kwa dokotala.
• Tsatirani chithandizo ndi malangizo a dokotala molondola.
• Izi si vuto la manja okha, koma chizindikiro chakuti muyenera kusamala ndi thanzi lanu lonse la mtima.

Mvetserani thupi lanu ndipo yesetsani kukhala ndi thanzi labwino!

Kupweteka kwa mkono , Kusamva bwino kwa mkono, Kuchepa kwa mitsempha yamagazi, Angioplasty, Stent, Atherosclerosis