Kodi mkono wanu watupa komanso wabuluu? Kodi izi zingakhale Venous Thoracic Outlet Syndrome (VTOS)? Tiyeni tipeze!

Kodi munayamba mwaonapo kuti mkono wanu mwadzidzidzi ukumva kupweteka kwachilendo kapena kulemera? Mwina watupa komanso wabuluu? Nthawi zambiri timaganiza kuti uku ndi kuvulala kapena china chake chomwe chimachitika chifukwa cha kutopa. Koma nthawi zina, kumbuyo kwa zizindikiro zosavuta izi, tiyenera kusamala pang'ono, chifukwa pakhoza kukhala vuto lina lachipatala losadziwika bwino lomwe limabisika kumbuyo kwake. Limodzi mwa matenda otere ndi `Venous Thoracic Outlet Syndrome`. Ngakhale dzinalo lingawoneke lalitali pang'ono, tiyeni timvetse mosavuta.

Kodi Venous Thoracic Outlet Syndrome (VTOS) ndi chiyani?

Mwachidule, Venous Thoracic Outlet Syndrome (kapena VTOS mwachidule) ndi vuto lomwe mtsempha m'thupi mwathu, wotchedwa mtsempha, umakanikizidwa. Mitsempha iyi imanyamula magazi ogwiritsidwa ntchito, kapena magazi omwe ali ndi mpweya wochepa, kubwerera kumtima ndi mapapo kuchokera ku minofu ya thupi lathu. Mu VTOS, mtsempha waukulu womwe umakhudzidwa ndi mtsempha wa subclavian, womwe uli kumbuyo kwa collarbone yathu (clavicle). Mtsempha uwu uli m'phewa.

Malo omwe mtsempha uwu umadutsa amatchedwa `(Thracic outlet)`. Ganizirani ngati chitoliro chamadzi. Nthawi zina, ngati njira iyi yatsekedwa, ndi pomwe vuto limayamba. Ndicho chimene chimachitikira munthu amene ali ndi `VTOS`. `(Thracic vein)` imapanikizika mkati mwa `(Thracic outlet)` iyi. Pamenepo ndi pamene mumawona zinthu monga kupweteka m'dzanja, kutupa, komanso nthawi zina kusintha mtundu m'dzanja. Dzina lina la vutoli ndi `Paget-Schroetter syndrome (PSS).`

Ndani amene ali ndi mwayi waukulu wopeza vutoli?

Ngakhale kuti vutoli lotchedwa `VTOS` lingayambire aliyense, anthu ena ali ndi mwayi waukulu woliyamba.

• Azimayi azaka zapakati pa 20 ndi 50 nthawi zambiri amakhala pachiwopsezo chachikulu chotenga `Thoracic Outlet Syndrome` (yomwe ndi gulu lalikulu lomwe `VTOS` ili).
• Komanso, anthu omwe amachita masewera omwe amaphatikizapo kugwiritsa ntchito mkono ndi phewa mobwerezabwereza (monga volleyball, tennis, kusambira, baseball) kapena anthu omwe amagwira ntchito zomwe zimafuna kuyenda mobwerezabwereza (taganizirani, munthu amene amanyamula mkono wake tsiku lonse kuti anyamule zinthu, kapena munthu amene amagwiritsa ntchito mkono wake mofanana ndi mmene amachitira popanga zinthu) ali pachiwopsezo chachikulu chotenga vutoli.

Kodi VTOS ingakhale yoopsa? Kodi mavuto ake ndi otani?

Inde, `VTOS` ndi vuto lomwe lingakhale loopsa ngati titalinyalanyaza. Chifukwa, pamene mtsempha umenewo wapanikizika, magazi omwe ali mkati mwake amatsekeka. Kenako magazi amaundana amatha kupangika mkati mwa ``mtsempha wa Subclavian``. Chifukwa cha magazi amaundana amenewa, magazi omwe amapita ku dzanja ndi dzanja amatha kutsekeka kwathunthu.

Si zokhazo, nthawi zina magazi oundana amenewa amatha kusweka ndikuyenda kudzera m'mitsempha yamagazi kupita m'mapapo. Umenewo ndi vuto loopsa kwambiri. Timatcha kuti ``Pulmonary embolism''. Ngati zimenezo zitachitika, zizindikiro monga kupweteka kwambiri pachifuwa mwadzidzidzi, kukhosomola, komanso kupuma movutikira zingachitike.Ngati muli ndi zizindikiro ngati izi, ndikofunikira kupita kuchipatala nthawi yomweyo.

Choncho, ngati mukuganiza kuti muli ndi zizindikiro za Thoracic Outlet Syndrome, ndikofunikira kuonana ndi dokotala kuti mudziwe vuto lenileni.

N’chifukwa chiyani VTOS imeneyi imachitika? Kodi zimayambitsa chiyani?

Mtsempha wa subclavian uli pakati pa khosi lathu (clavicle) ndi nthiti yoyamba, ndipo umanyamula magazi kuchokera m'dzanja lathu kupita kumtima kwathu. Anthu ambiri ali ndi malo okwanira kuti mtsempha uwu udutse popanda chopinga chilichonse. Komabe, anthu ena amabadwa ndi malo ochepa.

Kwa anthu amenewo, manja ndi mapewa awo akagwiritsidwa ntchito mosalekeza komanso mobwerezabwereza, mitsempha yomwe ili pamalo opapatizawo imakhala ndi mwayi wopanikizika kapena kupanikizika. Kupsinjika kumeneku kumatha kusokoneza kuyenda kwa magazi ndikupangitsa kuti magazi aziundana.

Kuwonjezera pa chifukwa chachikulu ichi, palinso zinthu zina zingapo zomwe zingayambitse `VTOS`:

• Kunenepa kwambiri : Tikalemera kwambiri, zimatipangitsa kukhala ndi nkhawa kwambiri. Zimenezi zingakhudzenso izi.
• Kuvulala kwa thupi : Kuvulala paphewa kapena pakhosi chifukwa cha ngozi ya galimoto kapena kugwa.
• Kaimidwe : Mmene timakhala ndi kuimirira. Kaimidwe kosayenera kangabweretsenso kupanikizika kosafunikira pamalopo.
• Mimba : Vutoli nthawi zina limatha kuchitika ndi kusintha kwa thupi panthawi ya mimba.
• Kusuntha mobwerezabwereza : Monga tafotokozera pamwambapa, mukamachita zinthu mobwerezabwereza monga kuponya mpira, kunyamula zinthu pamwamba pa mutu wanu, kapena kugwedeza chinthu ngati mpira mwachangu.

Kodi zizindikiro za VTOS ndi ziti kwenikweni?

Kawirikawiri, anthu omwe ali ndi `VTOS` amakumana ndi zizindikiro m'dzanja limodzi ndi m'chikhatho. Zizindikiro zazikulu ndi izi:

• Kumva kupweteka kapena kupweteka m'dzanja .
• Khungu la padzanja limasintha mtundu kukhala wabuluu-wofiirira .
• Kumva kulemedwa m'dzanja.
• Kutupa .
• Nthawi zina mitsempha ya mbali imodzi ya phewa, mkono, kapena chifuwa imayamba kuonekera bwino .

Ngati muli ndi chimodzi kapena zingapo mwa zizindikirozi, ndi bwino kuda nkhawa nazo.

Kodi mumadziwa bwanji ngati muli ndi VTOS? Kodi mayeso ndi otani?

Ngati muli ndi zizindikiro za `VTOS`, dokotala adzayamba wayang'ana phewa lanu, khosi lanu, ndi mkono wanu. Adzasuntha mkono wanu m'malo osiyanasiyana kuti awone momwe mukuyendera.

Kuphatikiza apo, mudzafunsidwa za zizindikiro zanu ndipo kuthamanga kwa magazi anu kudzawunikidwa. Ngati dokotala akukayikira kuti muli ndi VTOS, adzakulangizani kuti muyese mayeso ena apadera kuti muwone ngati pali chotupa m'chifuwa.

Mayeso oti mudziwe ngati muli ndi VTOS:

Mayeso ojambulira nthawi zambiri amagwiritsidwa ntchito pa izi. Izi zikutanthauza kuti, mayeso omwe angayang'ane mitsempha, kapangidwe kake, ndi kayendedwe ka magazi mkati mwa thupi.

• (CT scan): Izi zikuphatikizapo kutsogolera ma X-ray kuchokera mbali zosiyanasiyana ndikugwiritsa ntchito kompyuta kupanga zithunzi zatsatanetsatane, monga gawo lozungulira, la gawo lofunikira la thupi.
• (MRI) : Izi zimagwiritsa ntchito maginito amphamvu ndi mafunde a wailesi kuti zipange zithunzi zomveka bwino komanso zatsatanetsatane za mkati mwa thupi.
• Ultrasound : Izi zimagwiritsa ntchito mafunde a phokoso kuti zione mkati mwa thupi. Zingathenso kuwona momwe magazi amayendera mkati mwa mitsempha.
• (Venogram) : Iyi ndi mayeso apadera pang'ono. Apa, chubu chaching'ono, chopyapyala (`(catheter)`) ndi madzi apadera (`(contrast dye)`) zimalowetsedwa mumtsempha, kenako chithunzi cha `X-ray`` chimatengedwa. Madziwo amapangitsa kuti mitsempha iwonekere bwino.
• (X-ray) : X-ray yokhazikika ingagwiritsidwenso ntchito kuyang'ana zolakwika zilizonse m'mafupa.

Dokotala akhoza kudziwa ngati muli ndi VTOS kapena ayi pochita chimodzi kapena zingapo mwa mayesowa.

Kodi mankhwala a VTOS ndi ati?

Pali mitundu iwiri ya chithandizo cha VTOS: yopanda opaleshoni ndi opaleshoni. Kawirikawiri, dokotala amayesa kaye kusungunula magazi ngati alipo. Izi zimachitika popereka mankhwala omwe amaletsa magazi kuundana (anticoagulants) . Mwachitsanzo, angakupatseni Warfarin (Coumadin®) kapena mankhwala oletsa magazi kuundana (Xarelto®) kapena Eliquis®.

Pambuyo poti magazi oundana asungunuka, opaleshoni ingafunike kuti magazi oundana asapangidwenso komanso kuti mitsempha ichepetse kupanikizika . Pa opaleshoni, dokotala angachite izi:

• Chotsani minofu kapena mitsempha yochulukirapo yozungulira mtsempha wa subclavian yomwe ingayambitse kupanikizika pa mtsempha.
• Nthawi zina, kuyenda kwa magazi kumatha kusinthidwa kuti kudutse mitsempha yowonongeka ndikubwezeretsa kuyenda kwa magazi mwachizolowezi.

Dokotala adzasankha chithandizo choyenera kwa inu, kutengera vuto lanu.

Kodi mungachepetse bwanji chiopsezo chotenga VTOS?

Ngakhale palibe njira yopewera kwathunthu kufalikira kwa `VTOS`, pali zinthu zingapo zomwe tingachite kuti tichepetse kuwonongeka komwe kumachitika chifukwa cha kukwera kumeneku:

• Khalani ndi kulemera koyenera komwe kukugwirizana ndi msinkhu wanu, jenda, komanso mtundu wa thupi lanu.
• Pewani kunyamula matumba olemera paphewa limodzi lokha. Ndi bwino kugwiritsa ntchito matumba omwe amagawa kulemera.
• Chepetsani kuyenda mobwerezabwereza pamwamba pa thupi. Ngati muyenera kuchita izi, pumulani pakati pa nthawiyo.
• Chitani masewera olimbitsa mapewa anu. Kuchita masewera olimbitsa thupi olimbana ndi vuto la kutopa kapena kunyamula zolemera kungathandize pa izi.
• Chitani masewera olimbitsa thupi otambasula khosi, mapewa, ndi pachifuwa tsiku lililonse.

Mwa kutsatira njira izi, mutha kuchepetsa chiopsezochi pang'ono.

Zinthu zofunika kwambiri zoti mudziwe zokhudza VTOS (Uthenga Wopita Nawo Kunyumba)

Chifukwa chake, `Venous Thoracic Outlet Syndrome` ndi matenda omwe amakhudza `(mtsempha wa Subclavian)` wathu. Mtsempha uwu ukhoza kupanikizika, zomwe zimayambitsa kutupa, kusintha mtundu, ndi kupweteka m'dzanja. Ngati njira yopita ku mtsempha umenewo m'thupi lanu ndi yopapatiza mwachibadwa, kapena ngati muli ndi ntchito yomwe imagwiritsa ntchito phewa lanu ndi mkono wanu nthawi zambiri, muli ndi mwayi waukulu wopeza `VTOS`.

Chofunika kwambiri ndichakuti ngati vutoli silichiritsidwa, lingayambitse mavuto oopsa monga magazi kuundana. Komabe, ngati muzindikira zizindikiro msanga ndikuyamba chithandizo mwachangu, mutha kupeza zotsatira zabwino kwambiri. Kafukufuku wapezanso kuti kuyamba chithandizo mkati mwa masiku 14 oyamba zizindikiro zitayamba kumawonjezera mwayi wopeza zotsatira zabwino .

Choncho, ngati muli ndi zizindikiro izi, chonde musanyalanyaze ndipo pitani kwa dokotala nthawi yomweyo. Iye adzakuyesani ndikukuuzani chithandizo chomwe chili chabwino kwa inu. Palibe chodetsa nkhawa, koma ndikofunikira kuchitapo kanthu mwachangu!

Ngati muli ndi mafunso ena okhudza izi, mutha kufunsa dokotala wanu:

• Kodi chifukwa chachikulu chomwe ndili nacho ndi chiyani ndi zizindikiro izi?
• Ndi mayeso otani omwe ndiyenera kuchita?
• Kodi ndi njira ziti zochiritsira zomwe ndili nazo?
• Kodi mankhwala osagwiritsa ntchito opaleshoni angathandiza kuchepetsa zizindikiro zanga?
• Kodi ndi zinthu ziti zomwe ndingasinthe pa moyo wanga kuti ndichepetse zizindikirozi?

Ndi bwino kufunsa mafunso ngati amenewa kuti mumvetse bwino vuto lanu.

Matenda a Venous Thoracic Outlet Syndrome, VTOS, Paget-Schroetter syndrome, mitsempha ya subclavian, magazi kuundana, pulmonary embolism, kutupa kwa mkono, kupweteka kwa mkono, kutupa kwa mkono, kupweteka kwa mkono, magazi kuundana, thoracic outlet syndrome, venous thromboembolism