Unonzwawo here kurwadziwa kwakanyanya kana kunzwa kukwenya mumakumbo ako paunofamba chinhambwe chipfupi? Zvinopera here mushure mekunge wamira wozorora kwechinguva, uye kurwadziwa kunozodzokazve paunotanga kufamba zvakare? Iri idambudziko rine vanhu vazhinji. Chikonzero chikuru cheizvi chinogona kunge chiri kuvharika kwetsinga huru yeropa inotakura ropa rakawanda reokisijeni kumakumbo ako. Nhasi, tiri kutaura nezvekuvhiyiwa kwakakosha zvikuru, kunoitwa mumamiriro ezvinhu akadaro.
Chii chinonzi Aortobifemoral Bypass?
Zvichitaurwa zviri nyore, uku kuvhiyiwa kunoitirwa vanachiremba vemazamu padumbu. Kungofanana nepanowanikwa mugwagwa wakavharwa, mugwagwa mutsva, unonzi 'bypass' road, kuvhiyiwa uku kunogadzira nzira itsva yekupfuura tsinga dzeropa dzakavharika kana dzakatetepa mumuviri wako. Izvi zvinoita kuti ropa rifambe zvakanaka richidzokera kumakumbo ako zvakare.
Mukuita uku, chiremba anoisa tsinga yeropa yakagadzirwa, inonzi graft, mudumbu mako oibatanidza netsinga yeropa yakavharika. Tsinga yeropa iyi yakagadzirwa inowanzogadzirwa nezvinhu zvakaita sepolyester. Izwi rekuti "aortobifemoral" pacharo rinoratidza izvi.
- "Aorto" ndiyo tsinga yeropa yakakura kwazvo mumuviri wedu, aorta . Inotangira pamoyo yopfuura nemuchipfuva ichienda mudumbu.
- "Femoral" zvinoreva mitsipa iri muzvidya zvako . Iyi inotangira muhudyu yodzika kusvika kumashure kwebvi.
- "Bi" zvinoreva "mbiri." Izvi zvinoreva kuti tsinga iyi yeropa yekugadzirwa inobatanidza netsinga mbiri dzechikadzi dziri mumakumbo ako ese.
Fungidzira chibatanidzo ichi, ``(Graft),'' se "Y" yakasimudzwa. Chikamu chimwe chete chepamusoro chayo chinobatanidza neaorta iri mudumbu, uye matavi maviri e "Y" anobatanidza netsinga dzemudumbu dziri mumakumbo.
Kuvhiyiwa uku kunoitirwa chirwere cherudzii?
Kuvhiyiwa uku kunonyanya kuitwa kurapa chirwere chinonzi aortoiliac occlusive disease . Apa ndipo apo mafuta nezvimwe zvinhu (zvakaita seplaque) zvinoungana pamadziro emukati metsinga huru dzeropa mudumbu mako nechiuno nekufamba kwenguva. Tinozvidaidza kuti `(Plaque)`. Kuungana uku kunoitika nenzira dzinotevera:
- Mudumbu: Ichi chikamu chemudumbu chinodzika nemudumbu.
- Mitsipa yeIliac: Idzi ndidzo tsinga dzinobva paaorta paguvhu (umbilicus) dzoenda kumakumbo.
Kana mitsipa yeropa ikavharika kana kuvharika zvachose nekuda kwehuwandu hwemvura, muviri wako wepazasi, kunyanya makumbo ako, tsoka, uye nhengo dzechiuno, zvinoshaya ropa rakawanda reokisijeni razvinoda. Izvi zvinogona kukonzera matambudziko akakomba.
Kunyange zvazvo kuvhiyiwa uku kusingakwanise kurapa chirwere chose, kunogona kudzorera kufamba kweropa mumakumbo, kudzora zviratidzo, uye kuderedza zvikuru njodzi yematambudziko akakomba.
| Matambudziko anokonzerwa nekudzikira kweropa rinoyerera |
|---|
| Marwadzo mumakumbo kana uchifamba (Intermittent claudication) |
| Kurwadziwa kwakanyanya mumakumbo kunyangwe kana wakazorora |
| Kufa kwenyama mugumbo (Gangrene) |
| Kuchekwa kwenhengo yemuviri |
Uku kuvhiyiwa kwakakomba here? Pane dzimwe nzira here?
Ehe, uku kunonzi kuvhiyiwa kukuru nekuti kunoda kuchekwa kukuru mudumbu.
Asi kune imwe nzira inoshandiswa zvishoma inonzi aortoiliac stenting ine bifurcation reconstruction (AISBR) . Izvi zvinosanganisira kuisa chubhu diki inonzi stent mukati metsinga yakavharika uye kuiputira kuti ivhure tsinga zvakare. Dzimwe ongororo dzakaratidza kuti nzira iyi ine matambudziko mashoma uye inogara kwenguva pfupi muchipatara.
Chiremba wako ndiye achasarudza kana kuvhiyiwa pachena kana kuti kusviba kwakakodzera iwe. Kunyange zvazvo kusviba kazhinji kuchichengeterwa vanhu vasingakwanise kushivirira kuvhiyiwa kukuru, nekufambira mberi kwetekinoroji, ikozvino kwava kushandiswa panzvimbo pekuvhiyiwa pachena. Zvisinei, dzimwe nguva, kana kusviba kusiri sarudzo yakanaka kwauri, kana kana stent yekare ikakundikana, kuvhiyiwa pachena kunogona kudiwa.
Unogadzirira sei usati wavhiyiwa?
Chikwata chenyu chezvekurapa chichakupai mazano ekugadzirira kuvhiyiwa. Izvi ndizvo zvinhu zvamunofanira kutarisira.
- Rega kusvuta zvachose: Kurega kusvuta mavhiki matatu kusvika mana usati wavhiyiwa kunogona kukubatsira kuwana mhedzisiro yakanaka. Zvakakosha kuramba uchirega kusvuta mushure mekuvhiyiwa kuitira hutano hwemwoyo wako netsinga dzeropa.
- Taura nachiremba wako nezvemishonga: Unofanira kuudza chiremba wako nezvemishonga yauri kutora parizvino. Anogona kukukumbira kuti urege kutora mimwe mishonga kana kuchinja mwero wemishonga usati wavhiyiwa.
- Kutsanya: Uchakurudzirwa kurega kudya kana kunwa kubva pakati pehusiku zuva risati rasvika rekuvhiyiwa.
- Kuongororwa kwechiremba: Uchakumbirwa kuti uedzwe kakawanda usati wavhiyiwa.
- Chiratidzo chetsoka nemakumbo
- Kuongororwa kwetsinga dzeropa (ultrasound scan yetsinga dzeropa)
- Ma scan anoongorora hutano hwemwoyo netsinga dzemwoyo.
Chii chinoitika panguva yekuvhiyiwa?
Kuvhiyiwa kunogona kutora pakati pemaawa maviri nematanhatu. Matanho anotevera anoitika panguva iyi.
1. Uchapihwa mushonga wekuti unzwe kurara zvakakwana.
2. Kuchekwa kukuru (laparotomy) kunoitirwa mudumbu mako kuitira kuti chiremba akwanise kusvika pa aorta.
3. Kuchekwa kaviri kunoitwa muzvidya zvese kuti zvisvike mutsinga dzemudumbu.
4. Mutsinga weropa we "Y" wambotaurwa kare `(Graft)` unopinzwa, chikamu chepamusoro chayo chakabatana nenzvimbo yakavharika ye aorta kubva kumusoro, uye zvikamu zviviri zvepazasi zvakabatana nenzvimbo dzakavharika dzetsinga mbiri dzefemoral kubva pasi, uye zvinosonerwa pamwe chete.
5. Pakupedzisira, maburi ari mudumbu nemuzvidya anovharwa nemasitichi kana kuti staples.
Chii chinoitika mushure mekuvhiyiwa uye kana waenda kumba?
Uchafanira kugara muchipatara kwemazuva ari pakati pe4 ne7. Munguva iyi, timu yezvekurapa ichakutarisira zvakanaka. Zvakare, zvinogona kutora mwedzi miviri kusvika mitatu kuti unyatsopora. Zvisinei, mushure memavhiki mana kusvika matanhatu, uchakwanisa kutangazve mabasa ako enguva dzose zvishoma nezvishoma.
Chengetedza zvinhu izvi kana wasvika kumba.
- Inwa mishonga yese inoderedza marwadzo nemimwe mishonga yawakanyorerwa nachiremba wako nenguva.
- Chengeta mavanga acho akachena uye chengetedza sezvakarairwa nachiremba.
- Kurovedza muviri sekurairwa nachiremba wako. Kuwedzera zvishoma nezvishoma daro raunofamba kunobatsira pakupora. Asi usapfuure mwero.
- Bvunza chiremba wako nezvenguva yakanakisa yekutangazve mabasa akadai sekutyaira mota, kuenda kubasa, uye kusimudza zvinorema.
Nguva yekuona chiremba nekukasika uye kuenda kuEmergency Treatment Unit (ETU)
Zvakakosha kungwarira kana paine matambudziko anoitika panguva yekupora.
| Kana uine zviratidzo izvi, fonera chiremba wako nekukasika. | |
|---|---|
| Kupindwa nechando | Kusvotwa nekurutsa |
| Marwadzo, kutsvuka, kana kudziya kwakakomberedza machekwa | Mvura iri kubuda kubva pamaronda |
| Kutsvuka kana kuzvimba munzvimbo yehudyu kana gumbo | Kurwadziwa kwegumbo, kusanzwa zvakanaka, kana kurasikirwa nemanzwiro |
| Ganda rinotonhora, rakachenuruka, kana rebhuruu pamakumbo kana tsoka | Maronda emakumbo asingapori uye anotowedzera kuipa |
Kana zviratidzo zvechirwere chemwoyo kana sitiroko zvikaonekwa, fonera amburenzi yekukurumidzira nekukurumidza kana kuenda kuchipatara chiri pedyo cheEmergency Treatment Unit (ETU).
Zviratidzo zvechirwere chemwoyo:
- Kurwadziwa pachipfuva kana kusagadzikana
- Kuoma kufema
- Kusvotwa, kusagadzikana mudumbu
- Kurova kwemoyo
- Dzungu (vertigo) kana kupera simba
Zviratidzo zvestroke:
- Kushaya simba kana kusasimba kune rumwe rutivi rwemuviri
- Kutadza kutaura (Aphasia) kana kutaura zvisizvo
- Kurasikirwa nekudzora tsandanyama kune rumwe rutivi rwechiso
- Kurasikirwa kamwe kamwe kana kudzima kwekuona kana kunzwa
Mharidzo Yekuenda Nayo Kumba
- Kuvhiyiwa kweAortobifemoral Bypass kunoitwa zvikuru, asi kunobudirira zvikuru kana tsinga huru inotakura ropa kuenda kumakumbo yavharika zvakanyanya.
- Kuvhiyiwa uku kunosanganisira kugadzira nzira itsva uchishandisa tsinga yeropa yakagadzirwa yakaita se 'Y' kuti ipfuure tsinga yeropa yakavharika.
- Kugadzirira kwakadai sekurega kusvuta usati wavhiyiwa kunogona kuita kuti mhedzisiro yacho ibudirire.
- Zvinotora mwedzi yakati wandei kuti munhu apore zvizere mushure mekuvhiyiwa, uye zvakakosha zvikuru kutevedzera mirairo yechiremba panguva iyoyo.
- Kana ukaona zviratidzo zvisingawanzoitika panguva yekupora kwako, zvakaita sefivha, utachiona hwemaronda, kana kurwadziwa kwakanyanya kwegumbo, zivisa chiremba wako nekukasika.
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