Kodi munayamba mwazindikirapo kuti mukaima kwa nthawi yayitali kapena mukamakula, miyendo yanu imakhala yabuluu ndipo imaoneka ngati yopindika? Anthu ena ali ndi miyendo yotupa, yowawa, komanso yolemera. Izi ndi zomwe timangotcha matenda a mitsempha. Musachite mantha mukamva dzinali. Ili ndi vuto lofala kwambiri. Lero, tikambirana za izi ndi chithandizo chake m'njira yosavuta yomwe mungamvetse.
Kodi Matenda a Venous ndi Chiyani?
Chabwino, choyamba tiyeni tiwone chomwe ichi chili. Tili ndi mitundu iwiri ya mitsempha yamagazi m'thupi lathu. Choyamba ndi mitsempha yamagazi, yomwe imanyamula magazi oyera kuchokera mumtima kupita m'thupi lonse. Chinanso ndi mitsempha yamagazi, yomwe imanyamula magazi odetsedwa kubwerera kumtima.
Ganizirani za mitsempha iyi ngati njira imodzi . Njira izi zili ndi zitseko zazing'ono zomwe zimaletsa magazi kuyenda chammbuyo. Timazitcha ma valve. Zitseko izi zimatseguka magazi akakwera, kenako zimatsekanso kuti magazi asayende chammbuyo.
Tsopano, matenda a mitsempha yamagazi ndi pamene njira imeneyo imalakwika. Makamaka pa vuto lotchedwa venous insufficiency, zitseko zazing'ono zomwe ndatchulazi, ma valve, sizigwira ntchito bwino. Zikapanda kutsekedwa bwino, magazi amayamba kuyenda m'mbuyo m'malo mopita mmwamba, kapena amaima. Pamenepo ndi pomwe mavuto amabuka.
Mitundu yodziwika bwino ya matenda a mitsempha
Ponena za matenda a mitsempha yamagazi, palibe mtundu umodzi wokha, koma pali matenda angapo.
- Magazi oundana: Kupangika kwa magazi oundana mkati mwa mtsempha.
- Kulephera kwa Mitsempha Yosatha (CVI): Matenda omwe ma valve m'mitsempha ya miyendo amafooka ndipo magazi samayenda bwino kubwerera kumtima.
- Kutsekeka kwa Mitsempha Yaikulu (DVT): Kuundana kwa magazi komwe kumachitika mumtsempha waukulu, wozama mkati mwa thupi. Uwu ndi vuto loopsa pang'ono.
- Kutupa kwa Mapapo: Kutupa kwa magazi, kofanana ndi DVT, komwe kumatuluka m'mitsempha ndikukhazikika mumtsempha m'mapapo. Izi ndi zadzidzidzi.
- Kutupa kwa magazi m'mitsempha: Kutupa kwa mtsempha pansi pa khungu ndi magazi kuundana.
- Mitsempha ya Varicose ndi akangaude: Mitsempha yomwe imaoneka yotupa, yotupa, komanso yabuluu/yofiirira, imawonekera kudzera pakhungu.
Kodi madokotala otani amachiritsa matenda amtunduwu?
Ngati muli ndi vuto ngati ili, mudzalandira chithandizo ndi dokotala yemwe ali ndi luso pankhaniyi. Pali mitundu iwiri ya akatswiri.
1. Dokotala wa matenda a mitsempha ya magazi:Madokotala awa amazindikira ndi kupereka mankhwala a matenda a mitsempha. Amathanso kuchita njira zochepa zochizira matenda.
2. Dokotala wochita opaleshoni ya mitsempha ya magazi: Madokotala awa amazindikiranso ndi kuchiza matenda. Komabe, alinso ndi maphunziro apadera ochitira opaleshoni ngati pakufunika kutero.
Mukayamba kuonana ndi dokotala wa banja lanu (GP), iye adzayesa vuto lanu ndikukutumizani kwa katswiri ngati uyu ngati pakufunika kutero.
Kodi mankhwala osagwiritsa ntchito opaleshoni ndi ati?
Si mitsempha yonse yotupa yomwe imafunika opaleshoni. Nthawi zambiri, imatha kuchiritsidwa ndi njira zosavuta komanso zopanda opaleshoni. Nthawi zina izi zimagwiritsidwa ntchito limodzi ndi njira zina zochizira.
- Mankhwala Oletsa Kuundana kwa Magazi: Mankhwalawa amatchedwanso kuti ochepetsa magazi. Mankhwalawa amaletsa magazi kuundana ndipo amaletsa magazi kuundana kuti asakule. Mankhwalawa ndi ofunikira kwambiri pa matenda monga DVT.
- Masokisi okakamiza: Izi sizili ngati masokosi wamba. Masokisi awa amakakamiza miyendo. Zili ngati wina akuzikanikiza. Kupanikizika kumeneku kumathandiza magazi m'miyendo kukwera mmwamba, kupita kumtima, m'malo moima.
- Kusintha kwa moyo: Ngakhale kusintha pang'ono pa zizolowezi zanu za tsiku ndi tsiku kungapangitse kusiyana kwakukulu.
- Kuchita masewera olimbitsa thupi, monga kuyenda .
- Mukakhala pansi, limbitsani miyendo yanu ngati mpando .
- Kulamulira kulemera kwa thupi .
- Sclerotherapy: Iyi ndi njira yochizira makamaka mitsempha ya varicose. Njira yapadera imabayidwa mu mitsempha yoyambitsa vutoli. Njirayi imapangitsa kuti mitsempha itupa, itupa, komanso isamagwire ntchito. Magazi amatuluka kudzera mu mitsempha imeneyo ndipo magazi amayamba kuyenda kudzera mu mitsempha yathanzi. Pakapita nthawi, thupi limayamwa mitsempha yosagwira ntchito.
Chithandizo pogwiritsa ntchito catheter
Catheter ndi chubu chopyapyala komanso chosinthasintha . Pa chithandizochi, dokotala amapanga chotupa chaching'ono kwambiri pakhungu ndikuyika chubu chopyapyalachi mumtsempha. Ubwino wa njira izi ndikuti palibe chotupa chachikulu, kotero nthawi yochira imakhala yochepa ndipo chiopsezo cha zovuta chimakhala chochepa.
| Njira Yochizira (Njira) | Mwachidule, chimachitika n’chiyani? |
|---|---|
| Angioplasty | Baluni yaying'ono kumapeto kwa catheter imadzazidwa mkati mwa mtsempha wotsekeka. Izi zimatsegula mtsempha wotsekeka ndikubwezeretsa kuyenda kwa magazi. Nthawi zina chubu chaching'ono chotchedwa stent chimayikidwa mkati kuti chisatsekekenso. |
| Chithandizo cha thrombolytic chotsogozedwa ndi catheter | Mankhwala omwe amatha kusungunula magazi amalowetsedwa kudzera mu catheter kupita kumalo komwe magazi amaundana. Mankhwalawa amakhudza mwachindunji magazi, zomwe zimapangitsa kuti asungunuke mkati mwa maola ochepa kapena masiku angapo. |
| Kuchotsa kutentha kwa endovenous | Izi zimatchedwanso chithandizo cha laser. Pano, kuwala kwa laser kapena mphamvu yotentha zimagwiritsidwa ntchito kutentha mtsempha wovuta kuchokera mkati ndikupangitsa kuti usagwire ntchito. Kenako, magazi amasiya kuyenda kudzera m'mitsemphayo, ndipo mitsempha yabwino imagwira ntchitoyo. |
| Fyuluta ya Vena cava | Ichi ndi fyuluta yomwe imaoneka ngati ambulera yaying'ono. Imayikidwa mkati mwa mtsempha waukulu kwambiri m'thupi lathu, Vena Cava. Fyuluta iyi imaletsa magazi kuundana omwe amapangika m'miyendo kuti asasweke ndikupita kumtima kapena m'mapapo. Ili ngati ukonde wogwirira dothi. Ikhoza kuyikidwa kwakanthawi kapena kosatha. |
Chithandizo kudzera mu opaleshoni
Nthawi zina, opaleshoni ndi yofunika.
Kodi opaleshoni imafunika liti?
- Ngati njira zina zosavuta sizinapereke zotsatira zabwino.
- Ngati matenda anu a mitsempha akusokoneza zochita zanu za tsiku ndi tsiku mpaka kufika poti simungathe kuchita chilichonse.
- Ngati muli pachiwopsezo chachikulu chotenga matenda oopsa monga DVT kapena pulmonary embolism.
Mitundu ikuluikulu ya opaleshoni
- Kumanga ndi kuchotsa: Mitsempha ya varicose imachotsedwa opaleshoni pomanga mtsempha ndikuwuchotsa kwathunthu.
- Opaleshoni ya SEPS (Opaleshoni ya Subfascial Endoscopic Perforator):Opaleshoni iyi ndi yovuta pang'ono. Imachitika kwa anthu omwe ali ndi zilonda zam'mitsempha m'miyendo yawo zomwe sizichira chifukwa cha mitsempha yowonongeka. Mitsempha yowonongeka imadulidwa ndipo magazi amatumizidwa ku mitsempha yathanzi.
- Opaleshoni yodutsa magazi: Zili ngati kupanga njira yodutsa magazi kuti idutse chotseka mtsempha. Ngati pali chotseka mtsempha chomwe chikuletsa magazi kuyenda, dokotala wanu adzapanga njira yatsopano yoti magazi aziyenda mozungulira chotsekacho. Izi zitha kuchitika pogwiritsa ntchito gawo la mtsempha wanu kapena chubu chopangidwa.
Kodi matenda amenewa angachiritsidwe kwathunthu?
Funso limene anthu ambiri amafunsa ndi ili. Nthawi zina, inde. Mwachitsanzo, ngati muli ndi mitsempha yotupa, kuchotsa mitsempha imeneyo kudzathetsa vutoli kotheratu. Komabe, sizingalepheretse mitsempha yatsopano yotupa kupangika pamalo ena.
Koma si matenda onse a mitsempha omwe angathe kuchiritsidwa kwathunthu. Nthawi zina cholinga cha chithandizo ndikuwongolera zizindikiro ndikupewa mavuto oopsa, monga magazi kuundana m'mapapo.
Mwachitsanzo, vena cava filter imaletsa magazi kuundana kupita ku mapapo, koma sichotsa magazi kuundana omwe alipo kale. Mankhwala ochepetsa magazi amaletsa magazi kuundana atsopano, koma sasungunula omwe alipo kale. Chifukwa chake cholinga cha chithandizo chimasiyana malinga ndi matenda anu.
Kodi ubwino ndi zoopsa za chithandizo ndi ziti?
Monga momwe zimakhalira ndi chithandizo chilichonse chamankhwala, mankhwalawa ali ndi ubwino komanso zoopsa zina.
Phindu lalikulu ndi chitetezo ku mavuto omwe angawononge moyo. Zimathandizanso kuchepetsa zizindikiro zomwe zingasokoneze moyo watsiku ndi tsiku, monga:
- Kupweteka m'mimba kapena kumbuyo
- Mitsempha yotupa
- Kulemera ndi kupweteka m'miyendo
- Zilonda zoyabwa kapena zosachiritsa
- Kutupa
Ponena za zoopsa, mankhwala ochepetsa magazi nthawi zina angayambitse kutuluka magazi kosafunikira. Pali mwayi wochepa woti munthu atenge matenda kuchokera ku opaleshoni ndi njira zina.
Koma chofunika ndichakuti nthawi zambiri, ubwino wa chithandizo umaposa zoopsa zazing'ono. Dokotala wanu adzakufotokozerani chithandizo chomwe chili chabwino komanso chotetezeka kwa inu kutengera thanzi lanu.
Nthawi yochira komanso nthawi yoti mukaonane ndi dokotala
Mukalandira chithandizo pogwiritsa ntchito catheter, nthawi zambiri mutha kubwerera ku zochita zanu zachizolowezi pasanathe masiku angapo. Komabe, ngati mwachitidwa opaleshoni yayikulu, zingatenge milungu iwiri kapena kuposerapo kuti muchire bwino.
Ngati mukukumana ndi zizindikiro zotsatirazi mutalandira chithandizo kapena opaleshoni, dziwitsani dokotala wanu nthawi yomweyo.
| Zizindikiro zochenjeza zoyenera kuziganizira | |
|---|---|
| - Kupweteka pachifuwa | - Mutu |
| - Kutuluka magazi mosalekeza kapena madzi ena ochokera ku bala la opaleshoni | - Kusanza kapena kusanza |
| - Malungo | - Ululu kapena kutupa kuzungulira bala (edema) |
| - Kusanza m'manja kapena m'mapazi | -Kufiira kapena kutentha mozungulira bala |
Ngati mukukumana ndi zizindikiro izi, musazinyalanyaze chifukwa zikhoza kukhala chizindikiro cha matenda kapena vuto lina.
Uthenga Wopita Nawo Kunyumba
- Matenda a mitsempha yamagazi ndi vuto lomwe limachitika pamene ma valve (zipata) m'mitsempha sizigwira ntchito bwino, zomwe zimapangitsa kuti magazi aime kapena abwerere m'mbuyo.
- Mitsempha ya varicose, kutupa kwa miyendo, ndi kulemera kwa miyendo ndi zizindikiro zodziwika bwino za vutoli.
- Pali njira zosiyanasiyana zochizira izi, kuphatikizapo mankhwala, masokosi apadera, kusintha moyo, chithandizo cha catheter, ndi opaleshoni.
- Dokotala wanu adzasankha chithandizo chomwe chikugwirizana ndi vuto lanu.
- Ngati mukumva zizindikiro zachilendo mutalandira chithandizo, monga kupweteka pachifuwa, kutentha thupi, kapena kutuluka magazi kuchokera pachilonda, funsani dokotala nthawi yomweyo.
- Musachite mantha, ndi mankhwala apamwamba amakono, anthu ambiri amatha kuwongolera mavutowa ndikukhala ndi moyo wodzaza ndi zochita zambiri.
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