Tiyeni tiphunzire za Subclavian Steal Syndrome - matenda omwe "amaba" magazi kuchokera muubongo!

Kodi nthawi zina mumadzimva chizungulire kapena kuona zinthu molakwika? Kapena mumamva ngati mkono wanu ukutha kugwira ntchito kapena kuchita dzanzi, makamaka mukachita zinazake ndi manja anu, kunyamula chinthu cholemera, kapena kutembenuza mutu wanu kumbali mwadzidzidzi? Ngati izi zitachitika, zitha kukhala vuto lomwe tikulankhula lero lotchedwa "Subclavian Steal Syndrome." Dzinalo lingamveke lachilendo pang'ono, monga, "Kodi uwu ndi matenda a kuba?" Musadandaule, tiyeni tikambirane za izi mosavuta komanso momveka bwino.

Kodi Subclavian Steal Syndrome ndi chiyani kwenikweni?

Mwachidule, matenda a kuba kwa subclavian ndi pamene magazi ena omwe ayenera kupita ku ubongo wanu "amaba" m'dzanja mwanu. Izi zimachitika chifukwa chakuti mtsempha wa subclavian, womwe ndi mtsempha waukulu wamagazi womwe umapereka magazi m'dzanja mwanu (nthawi zambiri womwe uli kumanzere), umatsekeka kapena kufupika.

Taganizirani izi motere. Mukuyesera kudya mbale ya chakudya. Zili ngati munthu amene ali pafupi nanu akumeza chakudya chimodzi kapena ziwiri zomwe mukuyesera kudya. Magazi ena opatsa thanzi omwe ayenera kupita ku ubongo wanu "akumeza" m'manja mwanu. Choncho kuchuluka kwa magazi komwe kungapite ku ubongo wanu kumachepa, monga momwe kuchuluka kwa chakudya chomwe mungakhale mukudya kumachepera.

Pamene mtsempha uwu ukutsekeka kwambiri, magazi amayenda kudzera mu mtsempha wa subclavian pamlingo wochepa. Komabe, kuthamanga kwa magazi m'mitsempha ina yapafupi kumakhala kokwera. Zotsatira zake, kuyenda kwa magazi mu mtsempha wa vertebral, womwe umafalikira kuchokera ku mtsempha wa subclavian ndikunyamula magazi kupita ku ubongo, kumabwerera m'mbuyo. Kenako magazi ena amalowa mu mtsempha wa subclavian ndikupita ku dzanja. Ndicho chomwe chimatchedwa "kuba."

Pali vuto lina lotchedwa "coronary steal syndrome". Apa ndi pamene magazi omwe ayenera kupita ku minofu ya mtima amatsekedwa. Izi sizichitika kwa aliyense, koma kwa anthu ena okha omwe adachitidwa opaleshoni ya mtima (coronary artery bypass surgery). Chifukwa chachikulu cha matenda onsewa ndi kuchuluka kwa mafuta m'makoma a mitsempha, kapena "plaque", matenda otchedwa "atherosclerosis" m'mawu azachipatala. Kapena pakhoza kukhala zifukwa zina zomwe zimapangitsa kuti mitsempha ya subclavian ichepetse.

Kodi vutoli ndi lofala bwanji?

Ofufuza sanganene kuti ndi anthu angati omwe ali ndi matenda a subclavian steal syndrome, koma akuyerekeza kuti pakati pa 0.6% ndi 6.4% ya anthu akhoza kukhala ndi matendawa. Kuphatikiza apo, pafupifupi 18% ya anthu omwe ali ndi matenda a mitsempha ya m'mitsempha ya m'mitsempha nawonso ali ndi matendawa.

Matendawa amapezeka kwambiri mwa amuna ndi anthu azaka zopitilira 55 .

Komabe, chifukwa cha njira zamakono zojambulira zithunzi zomwe zilipo masiku ano, vutoli layamba kuonekera bwino ngakhale kwa anthu omwe alibe zizindikiro.

Kodi zizindikiro za subclavian steel syndrome ndi ziti?

Zizindikiro za matenda a subclavian steel syndrome nthawi zambiri zimawonekera mukamagwira ntchito yovuta yamanja kapena mukatembenuza mutu wanu mwadzidzidzi.Onani ngati muli ndi makhalidwe awa:

• Maso osawoneka bwino
• Chizungulire
• Ululu, dzanzi, kumva kuwawa, kapena kumva kulemera m'dzanja
• Kukomoka
• Kutaya kumva (kawirikawiri)
• Kumva ngati ukuzungulira (Vertigo)
• Ataxia ndi vuto lomwe thupi limataya mphamvu zake ndipo silingathe kuyenda bwino.

Koma anthu ambiri saona zizindikiro zilizonse. Izi zili choncho chifukwa ubongo wawo umalandira magazi okwanira kuchokera ku mitsempha ina yathanzi. Safunikira chithandizo.

Kodi n’chiyani chimayambitsa matenda a subclavian steel syndrome?

Pali zifukwa zazikulu zingapo izi:

• Atherosclerosis - Ichi ndiye chifukwa chofala kwambiri.
• Ma malformations a arteriovenous (kugwirizana kosazolowereka pakati pa mitsempha yamagazi ndi mitsempha yamagazi)
• Kugawanika kwa mtsempha wamagazi
• Matenda a Takayasu's arteritis, matenda otupa a mitsempha yamagazi
• Fibromuscular dysplasia ndi kukula kosazolowereka kwa makoma a mitsempha yamagazi.

Zifukwa izi ndi zofanana ndi zomwe zimayambitsa stenosis ya mitsempha ya subclavian.

Ndani amene ali pachiwopsezo chachikulu cha izi?

Nazi zinthu zina zomwe zimawonjezera chiopsezo chokhala ndi subclavian steel syndrome:

• Ngati mwachitidwa opaleshoni kuti mukonze kuchepa kwa msempha wa aorta (coarctation ya msempha wa aorta).
• Ngati pali vuto lililonse ndi aorta arch kapena mitsempha ina ya magazi kuyambira kubadwa.
• Kupsinjika kwa mtsempha wa subclavian (izi zimachitika kawirikawiri kwa othamanga ena).
• Ngati pali nthiti yowonjezera (nthiti ya pachibelekero) m'khosi.

Kodi ndi mavuto otani omwe angabwere chifukwa cha vutoli?

Ngati mukukomoka chifukwa cha matenda a subclavian steal syndrome, izi zingayambitse kugwa ndi kuvulala. Zingapangitsenso kuti zikhale zovuta kugwira ntchito iliyonse ndi mkono wokhudzidwa.

Kodi matenda a subclavian steel syndrome amapezedwa bwanji?

Chinthu choyamba chimene dokotala amachita kuti adziwe izi ndikuchita mayeso a thupi. Dokotalayo adzayang'anira kwambiri kugunda kwa mtima m'manja ndi m'manja mwanu. Adzayang'ananso mitsempha ya carotid mbali zonse ziwiri za khosi lanu ndi mtsempha wa subclavian, kufunafuna mawu aliwonse osazolowereka a "swoosh..." (mawu omveka). Ngati mumva phokoso lotere ndi stethoscope, pakhoza kukhala kutsekeka kwa mtsempha umenewo.

Kodi zizindikiro za "Steele Syndrome" zomwe zimawonedwa panthawi yoyezetsa dokotala ndi ziti?

Ngati muli ndi subclavian artery syndrome, dokotala wanu adzayesa kuthamanga kwa magazi anu m'manja onse awiri ndipo adzawona kusiyana kwa kuwerenga. Kuthamanga kwa magazi m'manja amodzi kungakhale kokwera ndi mamilimita 15 a mercury (mmHg) kuposa ena.

Komanso, ngati ma radial pulses ayang'aniridwa nthawi yomweyo, kugunda kwa mtima komwe kuli mbali ya subclavian steel syndrome kungawoneke kofooka ndipo kungamveke ngati thud.

Ndi mayeso ati omwe amachitidwa kuti atsimikizire izi?

Dokotala adzayamba kaye wachita ultrasound ya mtsempha wanu wa subclavian. Pambuyo pake, mayeso otsatirawa atha kuchitidwanso, ngati pakufunika kutero:

• Mayeso a MRA (magnetic resonance angiogram).
• Mayeso a CT Angiogram (CT - computed tomography angiogram).
• Angiogram yochotsera ya digito - Iyi ndi njira yapadera yomwe imachotsa ziwalo zina za thupi pachithunzichi ndipo mitsempha yamagazi yokha ndi yomwe imawoneka bwino.

Mayeso amenewa amalola madokotala kugawa kuopsa kwa subclavian steel syndrome (yofatsa kapena yoopsa). Amagwiritsa ntchito giredi I, II, ndi III, ndipo Giredi III ndiye yoopsa kwambiri. Amathandizanso kudziwa mtundu wa chithandizo chomwe chikufunika.

Kodi mankhwala a subclavian steel syndrome ndi ati?

Ngati muli ndi zizindikiro, mungafunike kuchitidwa opaleshoni kuti magazi aziyenda bwino mumtsempha wa subclavian artery ngati chithandizo cha stenosis ya mtsempha wa subclavian. Kutengera ndi vuto lanu, iyi ikhoza kukhala opaleshoni yotseguka kapena opaleshoni ya endovascular (njira yomwe imaphatikizapo kulowetsa zida zazing'ono kudzera mumtsempha wamagazi). Muyenera kupewa kugwiritsa ntchito kwambiri mkono wokhudzidwawo mpaka opaleshoniyo itatha.

Ngati simukuyenera opaleshoni, dokotala wanu angakulembeni mankhwala oletsa magazi kuundana kapena oletsa magazi kuundana.

Ngati muli ndi zizindikiro zochepa, zimatha kuchira pakapita nthawi. Pazochitika zotere, dokotala wanu angakulembereni mankhwala ochepetsa kuthamanga kwa magazi ndi cholesterol m'magazi.

Chofunika kwambiri ndichakuti anthu omwe alibe zizindikiro nthawi zambiri safunika chithandizo. Komabe, ngati muli ndi kuchepa kwa mitsempha yanu ya subclavian, pali mwayi waukulu kuti izi zidzakhala chimodzimodzi m'mitsempha ina. Izi zili choncho chifukwa mtundu uwu wa plaque buildup (atherosclerosis) nthawi zambiri umakhudza mitsempha yonse yamagazi.

Choncho, muyenera kupeza chithandizo cha ma plaque awa. Ngati ndinu wosuta fodya, muyenera kusiya kusuta, ndikulamulira kuthamanga kwa magazi ndi cholesterol yambiri . Zinthu izi zingathandize kupewa matenda a mtima kapena sitiroko mtsogolo.

Ndi mankhwala/maopaleshoni ati enieni omwe amagwiritsidwa ntchito pa izi?

Mungafunike njira imodzi kapena zingapo mwa izi:

• Opaleshoni yopangira njira yodutsa kudzera mu kulumikiza mtsempha wa subclavian ku mtsempha wina (monga, mtsempha wa carotid).
• Angioplasty ndi stenting - Izi zimaphatikizapo kukulitsa malo otsekedwa ndi chinthu chonga baluni kenako ndikuyika stent yonga mesh kuti isatsekedwenso.
• Kuchotsa magazi m'mitsempha - Izi zikutanthauza kuchotsa plaque mkati mwa mtsempha.
• Endarterectomy - Kuchotsa gawo la mkati mwa mtsempha wamagazi.

Kodi mavuto angabwere chifukwa cha chithandizo?

Inde, zoopsa zake zimasiyana malinga ndi chithandizo. Zingaphatikizepo:

• Mitsempha yanu ya subclavian ikuchepanso.
• Magazi amaundana, zomwe zingayambitse sitiroko.
• Kuwonongeka kwa mitsempha kapena mtsempha wamagazi.
• Kukhala ndi mavuto ena panthawi yochira.

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

Kuchira pambuyo pa chithandizo cha subclavian steel syndrome kungatenge masiku angapo, sabata, kapena kupitirira apo. Kuchira pambuyo pa opaleshoni nthawi zambiri kumakhala kwa nthawi yayitali.

Kodi ndingayembekezere chiyani ngati ndili ndi vuto la subclavian steel syndrome?

Anthu opitilira 95% omwe amachitidwa opaleshoni ya subclavian steel syndrome safunika kuchitidwanso opaleshoni ina. Nthawi zambiri matendawa amakhala abwino.

Kodi matenda a subclavian steal syndrome ndi oopsa kwa moyo?

Ayi, uwu si matenda oopsa. Komabe, ndi chizindikiro choopsa! Zimatanthauza kuti muli ndi atherosclerosis, matenda a mitsempha yamagazi. Pamene plaque ikuwunjikana m'mitsempha yanu, mtima wanu kapena ubongo wanu sungalandire mpweya wokwanira mtsogolo. Izi zimawonjezera chiopsezo cha matenda a mtima kapena sitiroko.

Kodi matenda a subclavian steel syndrome angapewedwe?

Sitingathe kuwongolera zina mwa zomwe zimayambitsa matenda a subclavian steel syndrome (monga majini). Komabe, kukula kwa matendawa kungapewedwe kwambiri popewa kusonkhana kwa plaque (atherosclerosis), komwe nthawi zambiri kumakhala chifukwa chake .

Kodi ndingachepetse bwanji chiopsezo changa?

Mukhoza kuchepetsa chiopsezo chanu chokhala ndi vutoli - komanso chiopsezo chanu cha matenda a subclavian steel syndrome - mwa kusintha izi pa moyo wanu watsiku ndi tsiku:

• Khalani ndi kulemera koyenera komwe kungakuyenerereni.
• Chitani masewera olimbitsa thupi (kuchita masewera olimbitsa thupi) kwa mphindi zosachepera 30 patsiku masiku ambiri.
• Pewani kugwiritsa ntchito fodya (monga ndudu ndi beedis).
• Idyani zakudya zopatsa thanzi pamtima (zokhala ndi mafuta ochepa okhuta ndi mafuta osinthika).
• Ngati muli ndi matenda monga cholesterol yokwera, kuthamanga kwa magazi, ndi matenda a shuga, samalani bwino.

Kodi ndimadzisamalira bwanji?

Ngati muli ndi vuto la subclavian steel syndrome, ndikofunikira kumwa mankhwala anu monga momwe dokotala wanu wanenera, kuchitidwa opaleshoni iliyonse yofunikira, komanso kuwongolera kuthamanga kwa magazi, cholesterol yambiri, ndi matenda a shuga (ngati muli nawo) ndikupewa fodya.

Ndiyenera kupita liti kwa dokotala wanga?

Mukalandira chithandizo, muyenera kukaonana ndi dokotala nthawi zonse, makamaka ngati zizindikiro zanu zabwerera. Ngati dokotala wanu akuganiza kuti mtsempha wanu wa subclavian wachepanso, angakufunseni kuti mufufuzenso zithunzi zina. Muyenera kukaonana ndi dokotala wanu mwezi umodzi, miyezi isanu ndi umodzi, kapena chaka chimodzi mutalandira chithandizo. Mukatero, mutha kuwona dokotala wanu kamodzi pachaka.

Ndi mafunso ati omwe ndiyenera kufunsa dokotala wanga?

Ndi bwino kufunsa dokotala mafunso monga awa:

• Kodi ndikufunika chithandizo nthawi yanji?
• Ndi njira iti yothandizira yomwe ndi yabwino kwa ine?
• Kodi chiŵerengero chanu cha kupambana pochiza anthu omwe ali ndi vutoli ndi chotani?

Ndiye, kodi chinthu chofunika kwambiri chomwe tiyenera kukumbukira kuchokera pa zonsezi ndi chiyani?

Ngakhale kuti dzina lake ndi "kuba" koma subclavian steal syndrome ndi matenda ochiritsika. Anthu ambiri safuna chithandizo. Koma uthenga waukulu womwe timapeza kuchokera pamenepa ndi wakuti plaque buildup (atherosclerosis) ikuchitika m'mitsempha yanu. Thupi lanu likukuuzani kuti, "Yambani zizolowezi zabwino za mtima tsopano, kapena konzani zomwe muli nazo kale." Funsani dokotala wanu za kusintha komwe mungachite kuti mukhale ndi thanzi labwino. Ngakhale kusintha pang'ono komwe mungachite lero kungakhale ndi zotsatirapo zazikulu. Chifukwa chake, tisachite mantha, tidziwitsidwe, ndikuyika maziko a moyo wathanzi, sichoncho?

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