Ndiani chiremba wetsinga uyu? Ngatitaurei nezvazvo zviri nyore!

Wakambonzwa nezve ' chiremba weropa ' here? Ungawana zita iri richishamisa, kana kuti ungasaziva zvakawanda kuti ndivanaani. Asi ava iboka revanachiremba vane hunyanzvi vanoita basa rakakosha mukurapa zvirwere zvine chekuita netsinga dzeropa mumuviri wedu. Saka, nhasi tichataura nezvevanhu ava, zvavanoita chaizvo, uye zvichaitika kana ukasangana nachiremba akadaro, zviri nyore.

Ndiani chiremba uyu wetsinga dzeropa?

Zvichitaurwa zviri nyore, chiremba wetsinga dzeropa chiremba anoongorora nekurapa zvirwere zvine chekuita netsinga dzeropa mumuviri wako, kunze kwetsinga dzeropa dziri mumoyo mako nepfungwa. Chimbofunga, miviri yedu ine network yetsinga dzeropa dzakareba makiromita angangoita 60,000, kana makiromita 96,000! Izvi zvinosanganisira tsinga - tsinga dzinotakura ropa kubva mumoyo kuenda kumuviri wese, tsinga - tsinga dzinotakura ropa kubva mumuviri kudzokera kumoyo, uye tsinga dze lymphatic - tsinga dzinotakura lymph fluid, iyo inobatsira immune system yemuviri.

Saka vanachiremba vetsinga idzi ndivo nyanzvi dzinoziva zvakadzama nezvetsinga idzi dzese, mashandiro adzo, uye zvirwere zvinogona kuitika madziri. Kana paine dambudziko netsinga dzako dzeropa, vanhu ava vanogona kukubatsira kurigadzirisa uye kukuchengetedza uine hutano hwakanaka.

Ungasangana nemumwe wevanachiremba ava muhofisi yavo, kana muchipatara, kana kunyangwe uchifanira kuvhiyiwa. Vanhu ava vane hunyanzvi hwakakura mukugadzirisa matambudziko makuru ehutano uye kushanda nemuviri wakaoma. Kutaura zvazviri, dzimwe nguva vanonzi " chiremba wevanachiremba." Izvi zvinoreva kuti kana ukangoerekana wabuda ropa kana kuti wavharika tsinga dzeropa panguva yekuvhiyiwa kumwe, vanachiremba veropa ava ndivo vanouya kuzokubatsira.

Vanachiremba ava vanoitei?

Saka chii chaizvo chinoitwa nachiremba wetsinga dzeropa? Ngationei.

Vanhu ava vanorapa vanhu vane zvirwere zvinokanganisa mitsipa yese yeropa, kwete mwoyo wako kana uropi chete.

• Vachaongorora njodzi yako yekuva nematambudziko etsinga dzeropa .
• Kuongorora zvirwere.
• Zvadaro chirongwa chekurapa chichagadzirwa chinokunakira.

Chirongwa ichi chekurapa chinogona kusanganisira mishonga nekuchinja maitiro ako ezuva nezuva - semuenzaniso, kurovedza muviri uye kungwarira zvaunodya nezvaunonwa.

Dzimwe nguva vanachiremba ava vanogona kubatsira kuponesa gumbo rako , dzimwe nguva hupenyu hwako . Vanogona kudzivirira zvirwere zvakaita sestroke , kumisa aneurysm kubvaruka, uye kuderedza marwadzo anokonzerwa netsinga dzakavharika.

Uyewo, nzira dzakasiyana-siyana dzekuvhiya dzinoitwa kurapa zvirwere zvetsinga dzeropa. Izvi zvinosanganisira kurapwa kusingapindi zvakanyanya , senge kushandisa catheter, kuburikidza nekucheka kudiki, uye kunyange kuvhiya kwakavhurika kwakaoma, kunosanganisira kucheka kukuru. Dzimwe nguva, vanoitawo kurapwa kwakasanganiswa kunobatanidza mabhenefiti enzira dzese dziri mbiri.

Chinonyanya kukosha ndechekuti chiremba wetsinga dzeropa achakuziva iwe pachako uye achakupa rutsigiro rwenguva refu . Izvi zvinodaro nekuti zvirwere zvetsinga dzeropa zvinowanzova zvirwere zvenguva refu zvinoda kutarisirwa kwemakore. Vanhu vazhinji vane matambudziko etsinga dzeropa vanewo mamwe matambudziko ehutano. Saka, zvirongwa zvavo zvekurapa zvinogona kuoma zvishoma. Muzviitiko zvakadaro, vanachiremba vetsinga dzeropa vanoshanda nedzimwe nyanzvi kuti varonge kutarisirwa kwako.

Vanhu ava vanorapa zvirwere zverudzii?

Zvino ngatitarisei zvirwere zvikuru zvinorapwa navanachiremba vetsinga dzeropa. Rondedzero iyi inogona kuva yakareba zvishoma, nekuti vanorapa zvirwere zvakasiyana-siyana:

• Aortic aneurysms - Uku kuzvimba kuri mumadziro eaorta yako.
• Atherosclerosis - Iyi ndiyo mhando ye atherosclerosis inonyanya kuitika. Apa ndipo apo mafuta akawanda anoungana mukati metsinga, zvichiita kuti mitsipa yeropa itete.
• Zvirwere zve autoimmune zvetsinga dzeropa - zvirwere umo masoja emuviri anorwisa masero emuviri.
• Kugwamba kweropa - Izvi zvinogona kuitika mutsinga dzeropa kana mutsinga.
• Chirwere chetsinga dzeropa - Uku kuvharika kana kutetepa kwetsinga huru mumutsipa inoendesa ropa kuuropi.
• Chirwere chetsinga dzeropa - zvirwere zvine chekuita netsinga dzinoendesa ropa kuuropi.
• Ischemia isingaperi inokonzera njodzi yemakumbo chirwere chinotyisidzira hupenyu chinokonzerwa nekusashanda zvakanaka kweropa rinoenda kunhengo imwe.
• Kusashanda zvakanaka kwetsinga dzeropa nguva dzose kunokonzerwa nekukuvara kwetsinga dzemakumbo.
• Kuvharwa kwetsinga yakadzika (DVT) .
• Kuongororwa kweDialysis(Dialysis) Kugadzirira uye kuchengetedza - Izvi zvinodiwa kuvanhu vane dambudziko reitsvo.
• Maronda etsoka ane chekuita nechirwere cheshuga .
• Endoleak (kubuda kweropa kubva panzvimbo isiriyo) mushure mekurapwa kusingapindi zvakanyanya kweaneurysm.
• Chirwere chinokonzerwa nekudzvinyirirwa kwetsinga mudumbu (Median arcuate ligament syndrome - MALS) .
• Kuderera kweropa rinopinda muura (Mesenteric ischemia) .
• Kudzvinyirirwa kwetsinga dzemudumbu (Nutcracker syndrome) .
• Kudzvinyirirwa kwetsinga dzeropa netsinga dziri mumutsipa nemaoko (Thoracic outlet syndrome) .
• Kutetepa kwetsinga dzeropa mumakumbo (Peripheral artery disease - PAD) .
• Kubuda kwetsinga dzeropa uye aneurysms dzeropa .
• Chirwere chekupinda kwetsinga dzemutsinga dzepopliteal .
• Kudzvinyirirwa kwetsinga muchiuno (May-Thurner syndrome) .
• Kurohwa - Dzimwe nguva izvi zvinokonzerwa nekuvharika kwetsinga yeropa.
• Kuvharika kwetsinga dzeropa pamusoro .
• Mitsipa yevaricose .

Kana ukatarisa runyorwa urwu, unogona kuona kuti vanachiremba ava vanorapa zvirwere zvakasiyana-siyana zvakadii. Zvirwere izvi zvose zvinokonzerwa nedambudziko retsinga dzeropa.

Ndezvipi zviedzo zvinoshandiswa kuongorora chirwere ichi?

Vanachiremba vetsinga dzeropa nemapoka avo vanoshandisa nzira dzakasiyana-siyana dzekuongorora matambudziko etsinga dzeropa. Heano mamwe acho:

• Chiratidzo cheAnkle/brachial index (ABI) - Iyi bvunzo iri nyore inoenzanisa huwandu hweropa rinoyerera kumakumbo nekumanikidzwa kweropa muruoko.
• X-ray yechipfuva - Izvi zvinogonawo kukosha mune mamwe matambudziko etsinga dzeropa.
• CT angiogram - Iyi iCT scan yakagadzirwa nehunyanzvi iyo inogona kutora mifananidzo yakadzama yetsinga dzeropa.
• Magnetic resonance angiogram (MRA) - Iyi imwe mhando yekuongorora tsinga dzeropa. Inoshandisa muchina weMRI.
• Kuongororwa kwetsinga dzeropa / Doppler ultrasound - Izvi zvinoshandisa mafungu eruzha kuti zvionekwe kuyerera kweropa mukati metsinga dzeropa uye kuona kana paine kuvharika kwetsinga dzeropa. Iyi bvunzo isingarwadzi uye yakachengeteka.

Miedzo iyi inobatsira vanachiremba kuziva kuti dambudziko chairo riri patsinga dzeropa rako nderei.

Vanhu ava vanovhiyiwa/vanorapwa nerudzii?

Vanachiremba vetsinga dzeropa vane hunyanzvi hwekuvhiya nekurapa kwakasiyana-siyana. Vanoita izvi zvichienderana nemamiriro ako ezvinhu, vachisarudza nzira yakakodzera iwe. Heano mamwe acho:

• Kuvhiyiwa kweaneurysms yeropa(Kuvhiya kweAneurysm) - Izvi zvinogona kuva kuvhiya kwekare kwakavhurika.
• Angioplasty - Maitiro ekubvisa plaque kana mabundu eropa mutsinga kana tsinga uye kuvhura tsinga yeropa nekuputira bharumu. Dzimwe nguva stent , chubhu diki yemesh, inoiswa kuti tsinga irambe yakavhurika.
• Kubviswa kwemafuta (atherectomy) - Kubviswa kwemafuta (plaque) kubva mutsinga dzeropa kusinganyanyi kukuvadza.
• Endarterectomy - Imwe nzira yekuvhiya yekubvisa mafuta akaunganidzwa kubva mutsinga dzeropa (semuenzaniso, carotid endarterectomy).
• Kugadziriswa kweropa remudumbu, pachipfuva uye padumbu (EVAR, TEVAR) - Uku kurapa kunosanganisira kuisa catheter nepaburi diki riri muhudyu uye kupinda nepachubhu, pasina kucheka kukuru.
• Kuvhiyiwa kweBypass kwekubvisa kuvharika kwetsinga huru dzeropa netsinga dzeropa mumakumbo - kunzvenga kuvharika kwacho nekugadzira nzira itsva uchishandisa tsinga yakatorwa kubva kune imwe nhengo yemuviri kana chubhu yekugadzira.
• Kuvhiyiwa kwemudumbu .
• Kuiswa kwestent mutsinga dzeropa.
• Kuisa firita yeVena cava - Sefa diki inoiswa mutsinga huru yeropa kudzivirira magwamba eropa anoumbwa mumakumbo kuti asafambe achienda kumoyo kana kumapapu.
• Kugadziriswazve kweropa mutsinga dzeropa (TCAR) kuti ropa rifambe zvakanaka mutsinga dziri mumutsipa.
• Kuvhiyiwa kwekubuda kweropa pachipfuva kunogadzirisa kudzvanywa kwetsinga dzeropa netsinga dziri mumutsipa nemaoko.
• Kugadzirira nekugadzirisa nzira dzekupinda nadzo (semuenzaniso fistula, graft) yekuchenesa dumbu .
• Kubviswa kweropa rakagwamba kubva mutsinga kana mutsinga.
• Kupa mishonga yekunyungudutsa ropa rakagwamba (Thrombolytic therapy - clot busters) .
• Kuvhiyiwa kwakavhurika kugadzirisa chirwere chepakati che arcuate ligament .
• Kuvhiyiwa kwakavhurika kunogadzirisa diski ine herniated (Nutcracker syndrome) .
• Kubviswa kwetsinga dzisina kukwana muropa - Uku kurapa kwetsinga dzisina simba, dzinobuda ropa mumakumbo uchishandisa lasers kana radiofrequency waves.

Sei uchitumirwa kuna chiremba wetsinga dzeropa?

Chiremba wako mukuru anogona kukutumira kuna chiremba wetsinga dzeropa kana uine chirwere chiri kukonzera kuti tsinga dzako dzeropa dzisashande zvakanaka. Funga nezvazvo, tsinga dzeropa dzakagwinya dzinotakura ropa kuenda kunhengo dzese dzemuviri wako. Saka, kana tsinga imwe chete yeropa ikakuvara, zvinogona kukanganisa muviri wese. Ndosaka vanachiremba vetsinga dzeropa vaine basa rakakosha mukuona kuti chii chiri kunetsa uye kuchigadzirisa.

Kazhinji, munhu anotanga kusangana nachiremba wetsinga dzeropa kana achida rubatsiro rwakadai. Zvisinei, dzimwe nguva, sepanguva yekukurumidzira, unogona kusangana nemumwe munhu usingatarisiri.

Izwi rekuti 'chiremba anovhiya' rinogona kutyisa zvishoma. Vanhu vazhinji havazivi chaizvo kuti chiremba anovhiya tsinga dzeropa chii kusvika vamuda. Asi kutaura chokwadi, vanachiremba ava vanoita zvinopfuura kungoita kuvhiya chete. Vanorapa matambudziko akasiyana-siyana nemishonga, kuchinja mararamiro, uye nzira dzisinganyanyi kukuvadza.

Zvisinei, kana ukavhiyiwa, uchafanira kuramba uchiona chiremba uyu kuti utarise mamiriro ako mushure mezvo. Zvadaro, iwe nachiremba munogona kushanda pamwe chete kuti mutarise matambudziko matsva anomuka.

Kana chiremba wako akakutumira kuna chiremba wetsinga dzeropa, ungave nemibvunzo yakawanda. 'Sei ndichifanira kuona chiremba uyu?', 'Chii chichaitika mushure mezvo?', 'Ndichada kuvhiyiwa here?' Rangarira kuti sezvo vanachiremba vetsinga dzeropa vachirapa zvirwere zvakasiyana-siyana uye vaine nzira dzakasiyana-siyana dzekurapa, ungasada kuvhiyiwa. Zvisinei, kana kuvhiyiwa kuchidikanwa, chiremba wako achatsanangura chikonzero uye chii chichaitika. Kurukura chero mibvunzo kana zvinokunetsa zvaungave nazvo navo. Nenzira iyoyo, unogona kuwana rubatsiro rwakakunakira, kubva pakuongororwa kusvika pakupora.

Yeukai muchidimbu.

Zvakanaka, ngatiyeukei muchidimbu zvinhu zvishoma zvakakosha kwamuri kubva pane zvatataura nezvazvo:

• Chiremba wetsinga dzeropa inyanzvi inorapa zvirwere zvetsinga dzese dzeropa kunze kwemwoyo nepfungwa.
• Vanhu ava havangoiti oparesheni chete. Vanoshandisa zvinhu zvakawanda zvakaita semishonga, kuchinja mararamiro, uye kurapwa kudiki.
• Kana uchifunga kuti une dambudziko retsinga dzeropa , kana kuti kana chiremba wako akakutumira kuna chiremba akadaro, usavhunduka.
• Dzidza nezvechirwere chako uye kurapwa kwacho. Zvakakosha kutaura pachena nachiremba wako.
• Hutano hwetsinga dzeropa hwakakosha zvikuru pahutano hwemuviri wedu wese , saka zvakakosha kuti uhutarisire.

Saka, ndinovimba kuti wava kunzwisisa zviri nani nezvevanachiremba vetsinga dzeropa. Kana uine mibvunzo nezveizvi, usazeza kutaura nachiremba!

Chiremba weMitsipa yeropa , Zvirwere zveMitsipa yeropa, Tsinga dzeropa, Tsinga dzeropa, Kuvhiyiwa, Kutenderera kweropa