Unonzwa kurwadziwa kwakakomba mutsandanyama dzemakumbo ako paunofamba, uchimhanya, kana uchirovedza muviri panzvimbo yekurovedza muviri? Asi zvinoshamisa kuti kurwadziwa kwacho kunopera zvachose mushure mekuzorora kwenguva pfupi? Vanhu vazhinji vanofunga kuti izvi zvakajairika, pamwe kumanikidzwa kwetsandanyama, asi handizvo zvinoitika nguva dzose. Dzimwe nguva chikonzero chikuru chingave chimwe chirwere chakasiyana, chisingazivikanwe zvakanyanya. Nhasi tiri kutaura nezvechimwe chirwere chisingawanzoitiki chakakodzera kuziva.
Zvichitaurwa zviri nyore, chii chinonzi Adventitial Cystic Disease?
Izvi zvinganzwika zvakaoma, asi zviri nyore kunzwisisa. Adventitial Cystic Disease chirwere chinokonzerwa nesagi rakazara nemvura, rakaita sebundu (cyst) rinoumbwa mukati memadziro etsinga yeropa (tsinga kana tsinga) mumuviri wedu.
Fungidzira kuti pane pombi yemvura. Bharuni diki riri mukati memadziro epombi iyoyo rinozvimba. Chii chinoitika ipapo? Nzvimbo yekuti mvura ifambe nemupombi inodzikira, uye kuyerera kwemvura kunovharika. Ndizvo zvinoitika muchirwere ichi. Madziro etsinga dzedu dzeropa anoumbwa nezvikamu zvakasiyana-siyana. Pano, bundu iri rinobuda mumvura rinoumbwa muchikamu chekunze chetsinga yeropa, chinonzi adventitia . Sezvo bundu iri richikura, rinoita kuti nzira yekuti ropa rifambe nemutsinga yeropa ipfuure. Kunyanya patinofamba kana kumhanya, kana makumbo edu achida ropa rakawanda, kutetepa uku kunodzivirira ropa rakakwana kuti risaende mutsandanyama. Ndicho chikonzero chikuru chekurwadziwa.
Kazhinji, chirwere ichi chinokanganisa tsinga huru yeropa inonzi popliteal artery, iyo huru yetsinga inomhanya kumashure kwemabvi edu . Iyi tsinga inopa ropa kumabvi edu netsandanyama dziri mumakumbo edu epasi. Zvisinei, kashoma, muzviitiko zvinenge 15%, ma cysts aya ane mvura anogonawo kuumbwa mune dzimwe tsinga dzeropa mumuviri.
Ndiani angangonyanya kuva nechirwere ichi?
Ichi ndicho chinhu chinoshamisa zvikuru nezvechirwere ichi. Kazhinji, zvirwere zvetsinga dzeropa zvinoitika kuvanhu vane cholesterol yakakwira, kufuta, uye chirwere cheshuga. Asi chirwere ichi hachina kudaro.
- Zvinowanzoitika kuvarume vari pakati pemakore makumi mana nemakumi mashanu .
- Varume vane mukana wekuwana chirwere ichi kanenge kashanu kupfuura vakadzi.
- Chinhu chinoshamisa ndechekuti, izvi zvinoitika chete kuvanhu vasina zvimwe zvirwere uye vanorarama hupenyu hune hutano uye hunoshanda .
Izvi zvinoreva kuti kunyangwe uri munhu ane hutano hwakanaka, uchiita maekisesaizi , unogona kuramba uine chirwere ichi. Hapana humbowo hunoratidza kuti zvimwe zvinhu zvinokonzera zvirwere zvetsinga dzeropa, zvakaita secholesterol yakakwira uye kufuta, zvinokanganisa izvi. Ichi chirwere chisingawanzoitiki. Chinokonzera nhamba shoma yezvirwere, inenge 0.1%, yezvirwere zvese zvetsinga dzeropa.
Ndezvipi zviratidzo zvikuru zvechirwere ichi?
Chiratidzo chikuru uye chinowanzoonekwa chechirwere ichi chirwere chinonzi intermittent claudication . Zvichitaurwa zviri nyore, zvinoreva "kurwadziwa kwetsandanyama kunouya panguva yekurovedza muviri uye kunonyangarika kana wazorora."
| Chiratidzo | Tsananguro |
|---|---|
| Kurwadziwa sepini inomonereka | Kurwadziwa kwakanyanya kana kunzwa sekunge kurwadza kwetsandanyama dzemudumbu kana uchirovedza muviri, kunyanya kana uchifamba kana kumhanya. |
| Kurerutsira marwadzo pakuzorora | Marwadzo acho anenge apera zvachose kana ukarega kurovedza muviri wozorora kwemaminitsi mashoma. |
| Kazhinji inobata gumbo rimwe | Kurwadziwa uku kunowanzoitika mugumbo rimwe chete, asi kashoma kuti kuitike mumakumbo ese ari maviri. |
| Kuzvimba (kashoma) | Kana mvura yacho ikaungana mutsinga, unogona kuona kuzvimba mugumbo. Zvisinei, izvi hazviwanzoitiki. |
Sei izvi zvichiitika?
Vanachiremba havasati vakwanisa kutaura zvine chokwadi che100% kuti chii chinokonzera izvi, asi kune dzidziso dzakawanda dzinogona kunge dziridzo dzinokonzera izvi.
- Dambudziko rinowanzoitika panguva yekukura kwemwana ari mudumbu: Vamwe vanotenda kuti, pamwe, sezvo mwana achikura mudumbu, rudzi rwesero rinogona kuumba ma cysts aya azere nemvura rinogona kupinda mutsinga dzeropa.
- Zvirwere zve connective tissue: Mamwe mamiriro ezvinhu anokanganisa connective tissue yemuviri anogona kukonzera mhando idzi dzemamota kuti aumbe mutsinga dzeropa.
- Kuwanikwa kwemajoini: Vamwe vanhu vanogona kunge vaine mhando dzakadai dzemabundu mumajoini.
- Njodzi kana kushushikana kwenguva refu:Kukuvadzwa kwetsinga yeropa kana kushushikana kunodzokororwa nekuda kwekufamba kwakafanana kunogona kukuvadza zvikamu zvetsinga yeropa uye kukonzera bundu munzvimbo idzodzo.
Chinhu chakakosha ndechekuti chirwere ichi hachikonzerwi nechirwere chemwoyo. Saka hapana chikonzero chekunetseka nezvinhu zvakaita secholesterol neBP.
Nzira yekuziva chirwere nemazvo sei?
Chirwere ichi chinogona kuoma kuona. Nekuti chinoitika kuvanhu vane hutano hwakanaka, vanachiremba havafungi nezvechirwere chisingawanzoitiki pakutanga. Saka kana ukanzwawo kurwadziwa kumashure kwebvi kana munzvimbo yehudyu paunenge uchirovedza muviri, iva nechokwadi chekuona chiremba wako womuudza nezvazvo .
Zviratidzo zvako zvinogonawo kukonzerwa nezvimwe zvirwere zvakafanana neizvi, zvakaita sePopliteal Artery Entrapment Syndrome (PAES) kana Chronic Exertional Compartment Syndrome . Saka, chiremba wako achabvisa zvirwere izvi zvose asati aita chirwere chaicho.
Kuongororwa kwakaitwa nachiremba
Kutanga, chiremba achakuongorora muviri wako uye achaongorora kana paine kurova kwemoyo mutsoka yako nekumashure kwebvi rako (popliteal artery). Kana kurova kwemoyo kusina simba kana kuti kusina, kunyanya paunokotamisa ibvi rako, izvi zvinogona kuratidza kuvharika kweropa.
Pamusoro pezvo, bvunzo dzinotevera dzinogona kuitwa kuti dzisimbise chirwere ichi.
| Bvunzo | Chii chinoitika? |
|---|---|
| Chiratidzo cheAnkle-Brachial Index (ABI) | Kumanikidzwa kweropa muruoko rwako negumbo kunoyerwa uye kunoenzaniswa. Kana kumanikidzwa kweropa mugumbo rako kwakaderera, kunogona kuonekwa sekuvharika. |
| Ultrasound yeDuplex | Izvi zvinokutendera kuti utarise ropa richiyerera nemutsinga dzeropa sevhidhiyo. Mvura uye kuvharika kwaro zvinoonekwa zvakajeka. |
| CT Angiogram | Kuongororwa kweCT kunoitwa nekuisa dhayi chaiyo mumuviri. Mifananidzo yakadzama ye3D yetsinga dzeropa inogona kuwanikwa kuti ionekwe nzvimbo chaiyo yakavharika. |
| MRI | Izvi zvinoitawo kuti mifananidzo yakajeka yetsinga dzeropa nenyama dzakapoteredza iwanikwe uye kuti saga rakazara nemvura iri kupi uye kuti chii chiripo. |
Inorapwa sei?
Dzimwe nguva, ma cysts aya anogona kupera ega pasina kurapwa. Asi izvozvo hazviwanzoitiki. Kazhinji, mushonga unobudirira zvikuru ndewekubvisa cyst kuburikidza nekuvhiyiwa.
Muzvimwe zviitiko, chiremba anogona kushandisa tsono kubvisa mvura iri mukati me cyst (cyst aspiration) pasina kuvhiyiwa. Izvi zviri nyore pane kuvhiyiwa, asi zvinowedzera njodzi yekuti cyst idzoke. Zvakafanana nekuedza kudurura bharumu remvura netsono, asi rinogona kuzadza zvakare.
Panguva yekuvhiyiwa, chiremba anobvisa mvura pamwe nechikamu chetsinga yeropa chakakuvara. Kana chirwere chacho chakanyanya kuipa, zvichireva kuti tsinga yeropa yakavharwa zvakanyanya, dzimwe nzira dzinogona kushandiswa. Semuenzaniso:
- Kubatanidza Mitsipa: Chidimbu chetsinga ine hutano inotorwa kubva kune imwe nhengo yemuviri chinoshandiswa kugadzirisa chikamu chetsinga yeropa chakakuvara.
- Chigamba Chekugadzira: Tsinga yeropa inogadziriswa uchishandisa chigamba chekugadzira.
- Kuvhiyiwa kweBypass: Nzira itsva yekuyerera kweropa inogadzirwa, ichidzivisa kuvharika kwacho.
Chii chinoitika mushure mekurapwa?
Mushure mekurapwa kupi zvako, pane mukana wekuti cyst iyi ichadzokazve. Saka, kunyangwe mushure mekurapwa, kuongororwa kwenguva refu, senge scans, kunodiwa.
Zvisinei, mushure mekuvhiyiwa kubviswa bundu, vanhu vazhinji vanonzwa zororo rakakwana kubva pakurwadziwa uye kurwadziwa. Imwe ongororo yakawana kuti kugadziriswa kwetsinga yeropa nekushandisa tsinga yakagadzikwa kune mukana wakaderera wekudzokazve.
Izvi zvinogona kudzivirirwa here?
Kwete. Parizvino hapana nzira yekudzivirira chirwere ichi kuti chisaitike. Chinhu chakanakisa chekuita ndechekuona chiremba wako nekukurumidza paunoona zviratidzo, zvakaita sekurwadziwa kwegumbo, kumanikidzwa, kurwadziwa kwemakumbo, kana kuzvimba .
Mharidzo Yekuenda Nayo Kumba
- Chirwere cheAdventitial Cystic chirwere chisingawanzoitiki apo cyst yakazara nemvura inoumbwa mumadziro etsinga yeropa. Inowanzoonekwa mutsinga iri kuseri kwebvi.
- Chiratidzo chikuru kurwadziwa kunorwadza kunoitika panguva yekurovedza muviri uye kunonyangarika kana wazorora.
- Izvi zvinowanzoitika kuvarume vane hutano hwakanaka, vanoshanda nesimba, vane makore epakati nepakati vasina zvimwe zvirwere. Hazvibatanidzwi nezvinhu zvinowanzoisa njodzi zvakaita secholesterol.
- Kana uine zviratidzo zvakaita seizvi, usafunge kuti zvakajairika uye edza kuona chiremba wako.
- Kurapa kunobudirira zvikuru kubvisa cyst nekuvhiyiwa.
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