Chii chinonzi Aortoiliac Occlusive Disease? Uri kunzwa kuderera kweropa rinoyerera kumakumbo ako here? Ngatikurukurei nezvazvo!

Dzimwe nguva unonzwa kurwadziwa kwegumbo paunenge uchifamba here? Kurwadziwa kunodzikira here mushure mekumira kwenguva yakati? Kana kuti unonzwa kusanzwa kana kutonhorwa mumakumbo ako? Izvi zvinogona kuva zviratidzo zvechimwe chinhu chakakomba. Nhasi tichataura nezvechirwere chinonzi `Aortoiliac Occlusive Disease`, chine zita rakaoma kunzwisisa, asi chinogona kukanganisa vanhu vazhinji. Usazvidya mwoyo, ngatitsanangure izvi zviri nyore.

Chii chinonzi Aortoiliac Occlusive Disease?

Zvichitaurwa zviri nyore, uku kuvharika kwetsinga huru yeropa kunopa ropa kuchikamu chezasi chemuviri wedu. Dambudziko iri rinobva kuboka guru rezvirwere zvinonzi `Peripheral Artery Disease (PAD),` zvinoreva tsinga dzeropa dzinopa ropa kumakumbo nemakumbo.

Chirwere ichi chinonyanya kukanganisa chikamu chezasi che `(Aorta)`, tsinga huru yeropa mumuviri wedu, uye tsinga dzeropa dzinonzi `(Iliac arteries)`. `(Aorta)` ndiyo tsinga huru inotakura ropa kubva pamoyo ichienda muchipfuva kuenda mudumbu. `(Iliac arteries)` ndiwo matavi maviri makuru eiyi `(Aorta)` anopatsanurana kuita maviri pedyo nedumbu uye anotakura ropa kuenda kumakumbo.

Zvino, chinoitika muchirwere ichi ndechekuti chimwe chinhu chinonzi `(Plaque)` chinoungana mukati metsinga idzi dzeropa. `(Plaque)` chinhu chinonamira chinoumbwa nezvinhu zvakaita semafuta necholesterol. Fungidzira, ichi chinhu chakaita sengura nevhu zvinoungana mukati mepombi yemvura mumba medu nekufamba kwenguva.

Pane zvikonzero zviviri nei `(Plaque)` iyi ine njodzi:

• Inoderedza nzvimbo iri mukati metsinga dzeropa: Iri `(Plaque)` rinoungana, richideredza nzvimbo yekuti ropa riyerere mukati metsinga dzeropa. Ipapo ropa rinovharika, sekunge vanhu vakawanda vari mumigwagwa.
• Zvinogona kukonzera `(Embolus)`: Dzimwe nguva chidimbu che`(Plaque)` ichi chinogona kutyoka chofamba neropa. Chidimbu chinotyoka seizvi chinonzi `(Embolus).` Kana `(Embolus)` iyi ikabatwa pane imwe nzvimbo mutsinga diki yeropa, ropa rinobva ipapo rinomira zvachose.

Izvi zvinokanganisa sei miviri yedu?

Chirwere cheAortoiliac Occlusive chirwere chinokonzerwa nekuvharika kweropa muAorta neIliac arteries. Izvi zvinokonzera matambudziko akasiyana-siyana nekuti ropa rine oxygen harisviki munyama dzemuviri wedu zvakanaka. Kuti unzwisise izvi, unofanira kuziva zvishoma nezvetsinga idzi dzeropa.

`(Aorta)` yedu yakafanana nemugwagwa mukuru muguta. Kubva mumugwagwa mukuru uyu, migwagwa yakawanda yedivi inoendesa ropa kunzvimbo dzakasiyana dzemuviri. Semuenzaniso, `(Renal arteries)`, iyo inopa ropa kuitsvo dzedu, inoparadzaniswa ne`(Aorta).` Kupatsanurwa uku ndiko muganhu wepamusoro apo `(Aortoiliac Occlusive Disease)` inogona kutanga. Vanachiremba vanodana chikamu che`(Aorta)` pasi peizvi `(Renal arteries)`, kusvika paguvhu, `(Infrarenal aorta)`.

Zvino, pasi pedehenya, iyi `(Aorta)` inopatsanuka kuita zvidimbu zviviri , se 'Y' yakasimudzwa . Idzi ndidzo tsinga mbiri dzeropa dzinonzi right neleft `(Common iliac artery)`. Matavi aya anopatsanurana uye anopa ropa kuzvikamu zvinotevera zvemuviri wedu:

• Nzvimbo yemagaro
• Makumbo netsoka
• Nzvimbo yehudyu
• Zvikamu zvenhengo dzekubereka dzevarume nevakadzi
• Nhengo dzemudumbu (semuenzaniso, dundira, chiropa)

Kukomba kwechirwere ichi kunoenderana nekuti chikamu chipi che 'Y' ichi chakavharika uye kuti chakavharika zvakanyanya sei. Dzimwe nguva, kana nzvimbo diki chete ikavharika, panogona kunge pasina zviratidzo zvikuru. Izvi zvinokonzerwa nekuti ropa rinogona kufamba kusvika pamwero wakati kuburikidza nedzimwe tsinga diki. Asi kana rakavharika zvakanyanya, zviratidzo zvacho zvakanyanya uye mikana yematambudziko yakakura.

Ndiani ane mukana mukuru wekuwana chirwere ichi?

Zvinofungidzirwa kuti chirwere ichi chinobata vanhu vanopfuura mamiriyoni matanhatu vane makore anopfuura makumi mana muUnited States chete. Njodzi yekuchibata inowedzera nekukwegura. Semuenzaniso, vanhu vanosvika 5% vari mumakore avo ekuma50 vane chirwere ichi, asi vanhu vanopfuura 20% vari mumakore avo ekuma80 vanogona kuva nacho. Uyewo, chirwere ichi chinowanzoitika kuvarume nekuvanhu vatema.

Izvi zvingava zvinotyisidzira hupenyu here?

Ehe, kana chirwere cheAortoiliac Occlusive Disease chikasarapwa nemazvo, chinogona kukonzera matambudziko akakomba, dzimwe nguva anotyisidzira hupenyu. Aya ndiwo makuru anogona kuitika:

• Kucheka nhengo yemuviri: Izvi zvinoreva kucheka nekubvisa chikamu chemuviri, chakadai segumbo. Izvi zvinoitika nekuti nyama yacho inofa kana ropa rikavharwa.
• `(Kurwara nemoyo)` (Kurwara nemoyo): Kurwara nemoyo.
• `(Kukundikana kwemoyo)` (Kukundikana kwemoyo): Kukundikana kwemoyo.
• `(Gangrene): Kufa nekuora kwenyama.

Saka, zvakakosha zvikuru kuteerera zviratidzo izvi.

Zviratidzo zvacho ndezvipi?

Vamwe vanhu vanogona kunge vasina zviratidzo zvachose. Zvisinei, kana zvikaitika, zvinogona kunge zviri:

• Kusashanda zvakanaka kwenhengo dzepabonde (ED): Kusakwanisa kwevarume kuwana kana kuchengetedza nhengo dzepabonde panguva yepabonde. Izvi zvinogonawo kusanganiswa nechirwere ichi.
• `(Intermittent claudication)` (Intermittent claudication): Ichi chiratidzo chikuru chinowanikwa nevanhu vazhinji. Pakurovedza muviri, semuenzaniso, pakufamba, pane kurwadziwa, kuomarara, kana kuomarara mumagaro kana makumbo. Zvinopera mushure mekuzorora kwenguva pfupi. Fungidzira kuti mumusha medu, apo Sekuru Somapala vanoenda kuchitoro, mushure mekufamba chinhambwe chipfupi, vanomira voti, "Ah, gumbo rangu!", uye mushure mechinguva, vanoendazve. Ndizvo zvakafanana.
• Marwadzo ekuzorora: Marwadzo emakumbo anokumutsa husiku. Marwadzo aya anogona kuitika kunyanya kana makumbo ako akakwira, sezvo simba remagetsi rinoderedza kuyerera kweropa mumakumbo.
• Maronda: Maronda asingapore paganda, anozivikanwa semaronda, anogona kuonekwa pamakumbo kana pasi petsoka.

Kana uine chimwe chezviratidzo izvi, unofanira kuona chiremba. Nekuti kana ukaona zviratidzo zve `Aortoiliac Occlusive Disease` nekukurumidza, zviri nyore kurapa.

Chiremba wako achaongororawo matambudziko ekufamba kweropa mune dzimwe nzvimbo dzemuviri wako, dzakadai se carotid arteries mumutsipa wako kana coronary arteries mumoyo mako. Kazhinji, kana plaque ikava mune imwe nhengo yemuviri wako, zvingangoitikawo mune dzimwe nzvimbo.

Dambudziko: Kuvharirwa kweArterial Acute

Zvisinei, dzimwe nguva, kana chirwere chacho chanyanya kuipa, panogona kuitika emergency inonzi ``Acute arterial occlusion'' . Izvi zvinoreva kuti chikamu chemuviri wako, kazhinji gumbo kana tsoka, hachina ropa rakawanda reoxygen. Iyi iemergency yekurapa inoda kurapwa nekukurumidza! Izvi zvinonzi 'six Ps' uye zvine zviratidzo zvishoma:

• Kurwadziwa: Kurwadziwa kusingatsungiririki uye kwakanyanya . Ichi ndicho chinhu chekutanga chaunonzwa.
• Kutsvuka: Ganda regumbo rakakuvara rinotanga kucheneruka zvakanyanya.
• Kushaya simba kwemoyo: Kufamba kwemoyo munzvimbo iyoyo hakuna kusimba, kana kuti hakunzwiki zvachose.
• Poikilothermia (kutonhora): Kana gumbo racho rikabatwa, rinonzwa kutonhora kupfuura rimwe.
• Kushaya simba (Paresthesia): Zvinoita sekunge gumbo rako harina simba, sekunge masvosve ari kumhanya-mhanya, kana kunge mapini netsono .
• Kuoma mitezo: Gumbo rakabatwa harigone kunzwikwa kana kufambiswa.

Kana ukaona chimwe chezviratidzo izvi, fonera 911 kana kuti enda kuchipatara chiri pedyo nekukurumidza! Miniti yega yega inoverengwa. Kufamba kweropa kwenguva yakareba, ndipo panowanikwa kukuvara kwenyama. Muzviitiko zvakakomba, kuchekwa kwenhengo kana kutofa kunogona kuitika.

Ndezvipi zvikonzero zveizvi?

Chikonzero chikuru chechirwere ichi chinonzi `(Atherosclerosis)` . Zvichitaurwa zviri nyore, izvi zvinoreva kuti `(Plaque)` yambotaurwa inoungana zvishoma nezvishoma mukati metsinga dzeropa dzemuviri. Muchirwere ichi, `(Plaque)` iyoyo inoiswa muchikamu chezasi che`(Aorta)` uye `(Iliac arteries)`.

Kunze kweizvozvo, panogona kunge paine zvimwe zvikonzero zvisingawanzoitiki:

• Kana wakamborapwa nemwaranzi munzvimbo yechiuno.
• Kuzvimba kwetsinga dzeropa, chirwere chinonzi "Vasculitis".

Ndezvipi zvinhu zvinokonzera njodzi?

Sezvo munhu wese achigona kuwana atherosclerosis, chero munhu anogona kuwana chirwere ichi. Zvisinei, zvimwe zvinhu zvinowedzera njodzi:

• Kukwegura: Njodzi inowedzera nekukura.
• Nhoroondo yemhuri: Kana paine munhu mumhuri yako ane chirwere chePeripheral Artery Disease (PAD), udza chiremba wako nezvazvo.
• Kusvuta: Ichi chinhu chikuru chine njodzi! Kusvuta ndicho chinhu chikuru chine njodzi yechirwere ichi, pamwe nezvimwe zvirwere zvetsinga dzeropa. Kana uri munhu anosvuta, zvakakosha kutsvaga rubatsiro kuti urege.
• Zvimwe zvirwere:
• `Shuga`
• Kukwira kweropa
• 'Cholesterol yakakwira'
• `Takayasu's arteritis` (ichi chirwere chisingawanzoitiki chinokanganisa mitsipa yeropa)

Nzira yekuziva sei chirwere ichi?

Kana uine chimwe chezviratidzo izvi, chinhu chekutanga chaunofanira kuita kuona chiremba. Chiremba wako achaita zvinotevera kuti aongorore chirwere chacho kana kubvisa chimwe chikonzero:

1. Anokubvunza mibvunzo:

• Zviratidzo zvako ndezvipi?
• Izvi zvakatanga riini?
• Ndirini paunonyanya kunzwa izvi?
• Zvinoderera here kana ukaita chimwe chinhu?
• Zviratidzo zviri kuwedzera here?
• Pane mumwe munhu mumhuri yako ane chirwere chakadai here?
• Ndezvipi zvimwe zvirwere zvaunazvo?

2. Anoongorora muviri: Ongorora hutano hwako hwese.

3. Anoita bvunzo dzakati wandei:

• Chiratidzo cheAnkle-brachial index (ABI): Iyi bvunzo iri nyore, isingarwadzi. Kumanikidzwa kweropa mumaoko ako nemakumbo kunoyerwa uye kunoenzaniswa. Izvi zvinopa pfungwa yakajeka yekuti ropa riri kuyerera zvakanaka sei kuenda kumakumbo ako netsoka.
• Kuongororwa kweropa: Izvi zvinogona kukubatsira kuongorora zvinhu zvakaita secholesterol neshuga, pamwe nezvikonzero zvinokonzera chirwere chemwoyo netsinga dzeropa, pamwe nehutano hwako hwese.
• `(Computed tomography angiogram (CTA))`: Iyi iCT scan yakakosha. Inokwanisa kuona zvinhu zvakaita sekuti `(plaque)` iri kupi mukati metsinga dzeropa uye kuti dzakavharika sei.
• Kuongororwa kwetsinga dzeropa (kunonziwo Doppler scan): Izvi zvinoshandisawo mafungu e ultrasound kuti zvionekwe kuti ropa rinoyerera sei mukati metsinga dzeropa uye kuti zvionekwe kana paine zvipingamupinyi.

Ndezvipi zviri kurapwa?

Kurapwa kunoenderana nekuoma kwechirwere chako. Dzimwe nguva kuchinja mararamiro uye mishonga zvinogona kubatsira kudzora chirwere uye kunonoka kufambira mberi kwechirwere. Chiremba wako anogona kukurudzira zvinotevera:

• Mishonga yekuderedza BP .
• Mishonga inorwisa maplatelet, yakaita seaspirin kana clopidogrel, inoderedza njodzi yekugwamba kweropa .
• Kuchinja kwekudya: Kutevera kudya kune hutano, senge kudya kweMediterranean kana kudya kweDASH, kunogona kubatsira kudzora zvinhu zvine njodzi zvakaita sechirwere cheshuga necholesterol.
• Kurovedza muviri: Kurovedza muviri nguva dzose sekurairwa nachiremba wako kunogona kuderedza zvinhu zvakawanda zvinoisa njodzi uye kunatsiridza kuyerera kweropa mumakumbo ako.
• Mishonga yakakosha (semuenzaniso, Cilostazol) yekurwadziwa kwemakumbo kunoitika kana uchifamba (`Intermittent claudication`).
• Mishonga inoderedza cholesterol (`Statins`).
• Kurega kusvuta uye kushandisa fodya zvachose chinhu chinodiwa.

Kana zvinhu izvi zvisingagoni kudzora chirwere ichi, ungangoda zvinhu zvakaita se:

• Kuvhiyiwa kweBypass: Nzira itsva inogadzirwa yekupfuura tsinga yeropa yakavharika. Izvi zvakafanana neBypass yemwoyo. Nzvimbo yakavharika uye panotangira nepanopera tsinga inogona kusiyana zvichienderana nehutano hwako.
• `(Kuisa stent)`: Kanhu kadiki kakaita se `(Stent)` kanoiswa mukati metsinga yeropa yakavharika kuti kawedzere kuyerera kweropa. Izvi zvinovandudza kuyerera kweropa. Vanachiremba vanogona kushandisa nzira dze `(Endovascular)`, zvinoreva kuisa `(Stent)` iyi nepaburi diki pasina kuchekwa kukuru.

Kurapa kwese kune zvakwakanakira nezvakwakaipira, saka zvakanaka kukurukura zvese izvi nachiremba wako wosarudza kuti ndeipi nzira yekurapa yakakunakira.

Chirwere ichi chinogona kudzivirirwa here?

Zvingasakwanisika kudzivirira zvachose, asi pane zvakawanda zvatinogona kuita kuderedza njodzi yacho:

• Rega kusvuta uye zvese zvinogadzirwa nefodya.
• Idya chikafu chine hutano mumoyo chisina mafuta akawandisa, cholesterol, munyu, uye shuga.
• Rovedza muviri nguva nenguva sezvakarairwa nachiremba wako.
• Dzora BP yako, huwandu hweshuga muropa, uye huwandu hwecholesterol muropa.
• Tora mushonga wawakanyorerwa nachiremba nenguva.
• Ongororwa nachiremba kamwe chete pagore.

Kana uine zvinhu zvinokonzera chirwere ichi kana kuti atherosclerosis, taura nachiremba wako. Kana ukakurumidza kudzora zvinhu zvinokonzera njodzi, mikana yako yekudzivirira matambudziko akakomba inowedzerawo.

Chii chinoitika kana ndiine chirwere ichi?

Kuti uzive chokwadi nezvechirwere chako, unofanira kutaura nachiremba wako. Kurapa kwakadai se "Bypass surgery" uye "Stent placement" kunowanzo budirira uye mhedzisiro yacho inogara kwenguva refu. Chiremba wako achakuudza zvakawanda nezvezvaunotarisira kubva muchirongwa chako chekurapa.

Ndinozvitarisira sei?

Zvakakosha kutevedzera mirairo yachiremba wako maererano nekuchinja mararamiro uye mishonga nemazvo. Zvakakoshawo kushanda nachiremba wako zvakasimba mukurapwa kwako. Izvi zvinoreva kuti:

• Bvunza chiremba wako kuti akupe ruzivo rwakadzama nezvechirwere chako uye chinzwisise zvakanaka.
• Kana paine chausinganzwisisi, bvunza mibvunzo. Usatya, chiremba aripo kuti akubatsire.
• Tsvaga zvaunogona kuita kuti chirwere ichi chisanyanya kuipa.
• Dzidza kuti zviratidzo zvacho ndezvipi uye zvekuita kana zvikaitika.
• Ziva nzira dzekurapa nadzo.
• Bvunza chiremba wako nezvezvinhu zvinobatsira uye mapoka ekutsigira anogona kukubatsira. Izvi zvichakubatsira kusangana nevamwe vanhu vari mumamiriro ezvinhu akafanana newe uye kugovana zvakaitika kwauri.

Ndinofanira kuona chiremba rini?

Enda kunoongororwa nachiremba kanenge kamwe chete pagore. Iva nechokwadi chekuenda kumisangano yekuongororwa yawakaitirwa nachiremba wako. Chiremba wako achakuudza kuti unofanira kuuya kangani uye kuti ndeapi mabvunzo aunofanira kuita.

Uyewo, kana ukaona zviratidzo zvitsva kana zviratidzo zvako zvachinja, fonera chiremba wako nekukasika.

Rangarira sechidimbu

Chirwere cheAortoiliac Occlusive chirwere chetsinga dzeropa. Chinogona kukanganisa hupenyu hwako uye chinogona kukonzera matambudziko akakomba. Asi mashoko akanaka ndeekuti unogona kuita chimwe chinhu zuva nezuva kuderedza njodzi yako uye kudzora kufambira mberi kwechirwere. Taura nachiremba wako nezvekuti ungagadzirisa sei mamiriro ako ezvinhu uye zvekutarisira mune ramangwana. Hausi wega, uye usatya kukumbira rubatsiro.

` Chirwere cheAortoiliac Occlusive Disease, Peripheral Artery Disease, PAD, Ropa Rekuvharwa, Marwadzo Emakumbo, Atherosclerosis, Plaque, Embolus, Intermittent Claudication, Stent, Bypass surgery