Kodi mulinso ndi mitsempha yotupa m'miyendo yanu? Tiyeni tikambirane za matenda a mitsempha ndi chithandizo chake

Kodi mulinso ndi mitsempha yabuluu kapena yofiirira yomwe imawonekera pa miyendo yanu? Kapena kodi miyendo yanu nthawi zonse imatupa ndipo imamva kulemera? Ngakhale kuti awa ndi mavuto ofala kwa anthu ambiri, nthawi zina izi zitha kukhala zizindikiro za matenda okhudzana ndi mitsempha yamagazi m'thupi lathu, makamaka mitsempha. Chifukwa chake lero tikambirana za matenda a mitsempha, kapena `(Matenda a Venous)`, ndi mankhwala ake. Musachite mantha, ndikofunikira kwambiri kudziwa izi.

Mwachidule, kodi matenda a mitsempha yamagazi ndi chiyani?

Tangoganizani, pali netiweki ya mitsempha yamagazi m'thupi lathu lonse. Mitsempha iyi timaitcha kuti mitsempha yamagazi. Mwa iyi, mitsempha yomwe imanyamula magazi kuchokera mthupi kubwerera kumtima ndi mitsempha. Mkati mwa mitsempha yathanzi muli ziwalo zazing'ono ngati chitseko, zotchedwa ma valve. Izi zimatseguka mbali imodzi yokha. Choncho magazi amayendayenda mosalekeza kupita kumtima ndipo sabwerera.

Komabe, mu mkhalidwe monga `Venous Insufficiency`, ma valve awa sagwira ntchito bwino. Chomwe chimachitika ndichakuti magazi sapita patsogolo, koma amaima pamalo amodzi, kapena kuyenda chammbuyo. Ichi ndi chomwe nthawi zambiri timachitcha matenda a mitsempha. Kuchiza izi kumabwezeretsa kuyenda kwa magazi ndikuchepetsa chiopsezo cha zovuta.

Mitundu yodziwika bwino ya matenda a mitsempha

• Magazi Oundana: Kupangika kwa magazi oundana mkati mwa mitsempha.
• Kulephera kwa Mitsempha Yosatha (CVI): Kusayenda bwino kwa magazi chifukwa cha kufooka kwa nthawi yayitali kwa ma valve m'mitsempha.
• Matenda a Deep Vein Thrombosis (DVT): Kuundana kwa magazi m'mitsempha mkati mwa thupi (nthawi zambiri m'miyendo). Uwu ndi matenda oopsa pang'ono.
• Kutupa kwa m'mapapo: Kutupa kwa magazi komwe kumatuluka mu DVT n'kupita ku mapapo. Uwu ndi matenda oopsa kwambiri komanso owopsa.
• Kutupa kwa magazi m'mitsempha: Kutupa kwa magazi kumachitika m'mitsempha yomwe ili pansi pa khungu, zomwe zimapangitsa kuti mitsempha itukuke, ipse, komanso imve kupweteka.
• Mitsempha ya varicose ndi mitsempha ya kangaude: Mitsempha yotupa, yopotoka yomwe imawonekera pamwamba pa khungu. Anthu ambiri amatchanso izi "mitsempha ya kangaude."

Kodi mankhwala otani osachitidwa opaleshoni?

Kawirikawiri, dokotala amayamba kaye ayesa kuwongolera vutoli popanda opaleshoni. Chithandizochi chingagwiritsidwe ntchito chokha kapena kuphatikiza ndi mankhwala ena.

Mankhwala amakono pogwiritsa ntchito ma catheter

Mu njira zimenezi, dokotalayo amadula khungu pang'ono ndipo amaika katheta , chubu chopyapyala kwambiri, mu mtsempha. Popeza izi sizifuna kudula kwakukulu, nthawi yochira imakhala yochepa ndipo mavuto ndi ochepa.

• Angioplasty: Catheter imayikidwa mu mtsempha wotsekeka ndipo baluni yaying'ono kumapeto imadzazidwa kuti ikule mtsempha kuchokera mkati. Izi zimathandiza kuti magazi aziyenda mosavuta. Nthawi zina, stent , chubu chaching'ono cha maukonde, chimayikidwa mkati mwa mtsempha kuti chisachepenso.

• Chithandizo cha thrombolytic chotsogozedwa ndi catheter: Catheter imayikidwa pamalo pomwe pali magazi oundana ndipo ma thrombolytic amalowetsedwa mwachindunji mmenemo. Izi zimasungunula magazi oundana mkati mwa maola ochepa kapena masiku angapo.

• Kuchotsa kutentha kwa endovenous: Izi zimatchedwanso laser therapy. Catheter imagwiritsidwa ntchito kutumiza kuwala kwa laser kapena mphamvu yotentha mu mtsempha womwe sukugwira ntchito bwino, "kutseka" mtsempha kuchokera mkati. Kenako mtsempha umachepa ndipo magazi amayamba kuyenda kudzera m'mitsempha yathanzi.

• Fyuluta ya Vena cava:Ichi ndi fyuluta yaying'ono yooneka ngati ambulera. Imayikidwa mkati mwa mtsempha waukulu m'mimba mwathu (vena cava). Imagwiritsidwa ntchito poletsa magazi kuundana omwe amapangika m'miyendo kupita ku ubongo kapena m'mapapo.

Ndi nthawi ziti pamene opaleshoni imafunika?

Opaleshoni nthawi zambiri imalimbikitsidwa pokhapokha ngati njira zina zosavuta zalephera, kapena ngati vutoli ndi lalikulu.

Pali mitundu ikuluikulu ingapo ya opaleshoni:

• Kumanga ndi kuchotsa: Izi zimaphatikizapo kumanga mitsempha ya varicose yomwe ili ndi vuto ndikuichotsa. Nthawi zina opaleshoniyi imachitika pogwiritsa ntchito njira zocheka zazing'ono pogwiritsa ntchito chipangizo monga endoscope.
• SEPS (subfascial endoscopic perforator surgery): Opaleshoni iyi imachitika kwa anthu omwe ali ndi mitsempha yowonongeka m'miyendo yapansi ndipo ali ndi mabala osachiritsa (venous ulcers).
• Njira yodutsa magazi m'thupi: Mofanana ndi kupanga njira yodutsa magazi m'thupi kuti mudutse msewu wodzaza, izi zimaphatikizapo kupanga njira yatsopano yozungulira mtsempha wamagazi wotsekedwa. Izi zitha kuchitika pogwiritsa ntchito chidutswa cha mtsempha wanu kapena chubu chopangira (graft).

Kodi ubwino ndi zoopsa za mankhwalawa ndi ziti?

Monga momwe zimakhalira ndi chithandizo chilichonse, pali zoopsa komanso zabwino. Mwachitsanzo, mankhwala ochepetsa magazi nthawi zina angayambitse kutuluka magazi. Pali chiopsezo chochepa cha matenda panthawi ya opaleshoni.

Komabe, nthawi zambiri, ubwino wa mankhwala amenewa umaposa zoopsa zake. Mankhwalawa angathandize kupewa mavuto omwe angawononge moyo monga pulmonary embolism. Angathandizenso kuchepetsa zizindikiro monga kutupa kwa miyendo, kupweteka, kuyabwa, ndi mitsempha yotupa. Dokotala wanu adzakufotokozerani chithandizo chabwino kwambiri cha vuto lanu.

Nthawi yoti mupeze upangiri wachipatala nthawi yomweyo

Ngati muli ndi zizindikiro zotsatirazi mutalandira chithandizo cha matenda a mitsempha (catheter kapena opaleshoni), pitani kwa dokotala nthawi yomweyo kapena pitani ku Dipatimenti Yodzidzimutsa (ETU) ya chipatala chapafupi.

• Kupweteka pachifuwa
• Kutuluka magazi kosalekeza kapena madzi ena ochokera ku mabala
• Malungo
• Mutu
• Kusanza kapena kusanza
• Ululu waukulu kapena kutupa mozungulira chotupacho
• Kusanza m'miyendo
• Kufiira kapena kutentha mozungulira malo odulidwawo