Une ropa rakagwamba mutsinga muruoko rwako here? (Axillo-Subclavian Vein Thrombosis) - Ngatikurukurei nezveizvi!

Dzimwe nguva unonzwa kurwadziwa kwakakomba kamwe kamwe muruoko rwako, kuzvimba, kana ruvara rwebhuruu here? Kana kuti ruoko rwako runonzwa rusina simba kana kuti rwakanyanya here? Izvi hazvisi zviratidzo zvekusateerera. Inogona kunge iri ropa rakagwamba mutsinga huru muruoko rwako kana muhapwa. Mukurapa, tinozvidaidza kuti (Axillo-Subclavian Vein Thrombosis) kana (ASVT) . Usazvidya moyo, tichataura nezvazvo nenzira iri nyore yaunogona kunzwisisa.

Chii ichi (Axillo-Subclavian Vein Thrombosis)?

Muchidimbu, Axillo-Subclavian Vein Thrombosis (ASVT) inguva apo ropa rinogwamba mutsinga ye subclavian , tsinga hombe iri pafudzi rako, kana tsinga ye axillary, tsinga iri muhapwa mako. Funga nezvetsinga dzako semapaipi emvura. Kana mbabvu kana chidimbu chenyama chiri pedyo netsinga iyi chikadzvanywa pairi, chinogona kuvhara kufamba kweropa uye kukonzera kuti ropa rigwambare.

Dambudziko iri rinowanzo kukonzerwa nekukuvara kweruoko rwako rwepamusoro, kana nekumanikidzwa kweruoko rwako nekuda kwekufamba-famba kunodzokororwa. Vamwe vanhu vanoti chirwere chePaget-Schroetter , ukuwo vamwe vachiti chirwere che effort-induced thrombosis , zvinoreva "kugwamba kweropa kunokonzerwa nekushanda nesimba."

Izvi (Deep Vein Thrombosis - DVT) hazviwanzoitiki here?

Ehe, unogona kuva nedambudziko iroro. (ASVT) imhando yechirwere chinonzi (Deep Vein Thrombosis) kana (DVT) . (DVT) inguva apo ropa rinogwamba mutsinga iri mukati memuviri. Asi kazhinji patinotaura nezve (DVT) tinenge tichitaura nezvemagwamba eropa anoumbwa mumakumbo. Anowanzo kukonzerwa nezvinhu zvakaita sekufuta, kusaita maekisesaizi, kukwegura, kana zvimwe zvirwere zvine chekuita netsinga.

Zvisinei, ropa rinogwamba muruoko, rinonzi ASVT, rinowanzo itika nekuda kwetsaona kana kushandisa ruoko kwenguva refu. Zviratidzo nekurapwa kwezvirwere zviviri izvi dzimwe nguva zvinogona kusiyana.

Ndiani ane mukana mukuru wekuwana chirwere ichi (ASVT)?

Kunyangwe munhu wese achigona kubata chirwere ichi, vamwe vanhu vari panjodzi huru. Izvi zvinosanganisira:

• Kugara uchishanda, kazhinji une hutano .
• Vechidiki vari pakati pemakore gumi nemashanu kusvika makumi mana nemashanu .
• Vanhu vanoita mitambo (semuenzaniso vatambi vanomhanyisa bhora mucricket, vanoshambira, vanosimudza zvinorema) kana vanhu vanoshanda vakasimudza maoko avo nguva dzose (semuenzaniso vapendi, mainjiniya emagetsi, vanhu vanoita mabasa ekusimudza zvinorema). Ingofunga, paunoshanda wakasimudza maoko ako uye wakakombama nenzira imwecheteyo, kumanikidzwa kunoiswa patsinga idzodzo.
• Vanhu vane mamwe matambudziko eropa anobuda mumajini .

Kune mhando dzakasiyana dze (ASVT) here?

Ehe, kune mhando mbiri huru dze (ASVT):

1. ASVT Yekutanga:Iyi ndiyo mhando inonyanya kuzivikanwa, inokonzerwa nekufamba-famba kweruoko nesimba uye kudzokorora.

2. ASVT yechipiri: Izvi zvinokonzerwa nemimwe michina yekurapa inoiswa muchipfuva chako chepamusoro. Semuenzaniso:

• (Catheter yepakati petsinga) (chubhu inopinzwa mutsinga huru)
• (Defibrillator) (mudziyo unodzoreredza kushanda kwemoyo)
• (Muchina unodzora kurova kwemoyo) (muchina unodzora kurova kwemoyo)
• ( Chishandiso chidiki chinoiswa pasi peganda kuti chipe mushonga)

Midziyo iyi inogonawo kukonzera kuti mitsipa yeropa iome uye kuti ropa riite mavhinga.

Yakajairika zvakadii (ASVT)?

Kutaura zvazviri, ASVT haisi chirwere chinowanzoitika. Zvichienderana nehuwandu, inoitika mumunhu mumwe chete kana vaviri pavanhu 100,000 pagore. Zvisinei, 10% kusvika 20% chete yeDVTs dzese dziri muchikamu chepamusoro chemuviri dzinokonzerwa neASVT. Saka, kubva pamaonero iwayo, inhamba yakakosha.

Ndezvipi zviratidzo zve (ASVT)?

Kana uine ASVT, unogona kuona chimwe chezviratidzo izvi kana kupfuura:

• Kurwadziwa nemaoko: Kunotanga kamwe kamwe, dzimwe nguva kwakanyanya.
• Tsinga dzinoonekwa mumaoko: Tsinga dzinogona kuoneka dzakazvimba nekuda kwekuvharika kweropa.
• Ruvara rweganda rebhuruu (Cyanosis): Ganda riri mumaoko rinogona kuita bhuruu. Izvi zvinoreva kuti pane kushomeka kweokisijeni.
• Kunzwa kuremerwa kana kuneta muruoko: Ungawana zvakaoma kusimudza kana kufambisa ruoko rwako.
• Kuzvimba kamwe kamwe kweruoko: Ruoko runotanga kuzvimba kamwe kamwe.

Zvakakosha kuti, mune dzimwe nguva (10% - 20%) ropa iri rinogona kubuda mutsinga, kufamba nemuropa, uye kufamba kuenda kumapapu. Izvi zvinonzi Pulmonary Embolism (PE) . Ichi chirwere chine njodzi zvikuru . Chinogona kukonzera kukuvara kwakanyanya kumapapu, uye chinogona kutoisa hupenyu panjodzi. Saka, kana ukatanga kuona chero chimwe chezviratidzo izvi, unofanira kuona chiremba pasina kutambisa nguva.

Sei izvi (ASVT) zvichiitika?

Sezvatakambotaura, chikonzero chikuru ndechekuita mafambiro eruoko kakawanda. Fungidzira, uri kugara uchisimudza zvinorema kana kutamba mitambo. Ipapo tsandanyama dzakatenderedza fudzi rako nehapwa dzinogona kuneta uye kuzvimba. Tsandanyama idzi dzakazvimba dzinogona kudzvanya tsinga dzeropa dziripo (kunyanya tsinga dzemumakumbo kana dzemuchiuno).

Nekufamba kwenguva, kumanikidzwa uku kunogona kukuvadza madziro etsinga uye kukonzera kuti mavanga aumbe. Tsinga yacho inobva yatetepa kubva mukati, zvichiita kuti ropa rinogona kuyerera nepakati payo riderere. Izvi zvinogona kukonzera kusafamba zvakanaka kweropa uye njodzi yekuwedzera kweropa. Dambudziko iri dzimwe nguva rinonzi Thoracic Outlet Syndrome (TOS).Zvinonziwo. Zvinoreva kuti nzvimbo iri pamusoro pechipfuva (chitubu chinobuda) yakamanikana, zvichikonzera kumanikidzwa patsinga netsinga.

Dzimwe nguva, ASVT inogona kukonzerwa nekusarongeka kwembabvu yekutanga, kana kuchinja kwemhasuru kana marunda akakomberedza tsinga dziri muhapwa nepamafudzi.

Chiremba anoongorora sei chirwere ichi (ASVT)?

Kana ukaenda kuna chiremba une zviratidzo zvataurwa kare, ndiye anotanga akuongorora. Chiremba achakwanisa kuona zvinhu zvakaita sekuzvimba muruoko rwako, kuchinja kweruvara, uye kuzvimba kwetsinga dzeropa nekukurumidza.

Zvadaro, ungangoda kuita bvunzo shoma kuti uve nechokwadi chekuti:

• (Duplex ultrasound): Iyi ndiyo bvunzo yekutanga inotorwa. Inoshandisa mafungu eruzha kuti ione kuyerera kweropa mukati metsinga uye kuti ione kana paine mabundu eropa. Iyi bvunzo iri nyore uye isingarwadzi.
• Kuongororwa kweropa neCatheter-guided venography: Dzimwe nguva bvunzo iyi inoitwa. Muongororo iyi, chubhu diki, yakatetepa (catheter) inopfuudzwa nemutsinga kuenda kunzvimbo inofungidzirwa kuti ndiyo ine ropa rakagwamba, uye dhayi yakakosha inopinzwa mutsinga kuburikidza necatheter. MaX-ray anotorwa kuti aone kuti tsinga yakavharika papi uye kuti ganda racho rakakura sei.
• (CTA - computerized tomography angiography): Izvi zvakafanana neCT scan, asi zvinonyatsotarisa patsinga dzeropa. Zvinoitwawo nekuisa dhayi.
• (MRA - magnetic resonance angiography): Kuongororwa kunoshandisa MRI scan kutarisa mitsipa yeropa.

Miedzo iyi inogona kuona kana chirwere (ASVT) chiripo, chiri kupi, uye kuti chakakomba sei.

Ndezvipi zvinorapwa (ASVT)?

Chinhu chakanaka ndechekuti, kune mishonga inoshanda yeASVT. Kurapa kukuru kunonzi thrombolysis kana kuti thrombolytic therapy .

Izvi zvinosanganisira kubaya mushonga unonyungudutsa ropa rakagwamba woribvisa, sezvambotaurwa, zvakananga mutsinga iri panowanikwa ropa rakagwamba kuburikidza nechubhu diki (catheter) . Izvi zvinonyungudutsa ropa rakagwamba uye zvinodzoreredza kufamba kweropa mutsinga.

Dzimwe nguva, kurapwa uku (thrombolysis) kunoperekedzwa nechimwe chinhu chinonzi (thrombectomy) . Kureva, kubviswa kweropa rakagwamba, kungave nekushandisa michina kana nekuvhiyiwa kudiki.

Mushure mekurapwa uku, muchapihwa mishonga inodzikisa ropa, yakaita seWarfarin kana mimwe mishonga yemazuva ano, kwemwedzi yakati wandei kudzivirira kuumbwa kweropa. Zvakakosha kutora mushonga uyu kwenguva chaiyo yawakaudzwa nachiremba wako.

Pamusoro pezvo, chiremba achakupawo mazano anotevera:

• Deredza kushandisa ruoko rwakakanganiswa kusvika zviratidzo zvapera zvachose.
• Chengeta maoko ako akasimudzwa zvishoma kana zvichibvira (kusimudzwa kwemaoko).
• Kurapa muviriTarisa. Izvi zvichakubatsira kuti uwanezve simba uye kufambisa ruoko rwako.
• Pfeka chipfeko chekudzvanya (senge sokisi rakabatirira) paruoko rwakakuvara. Izvi zvinobatsira kuderedza kuzvimba uye kuvandudza kutenderera kweropa.

Kuvhiyiwa kuchadiwa here?

Mune zvimwe zviitiko, hongu. Kuvhiyiwa kunogona kukurudzirwa kubvisa zvachose kuvharika uye kuderedza njodzi yekuumbwa kweropa zvakare. Kuvhiyiwa uku kunosanganisira kubvisa kuvharika. Semuenzaniso, chidimbu chembabvu yekutanga kana chidimbu chenyama chiri kukonzera kuvharika chinogona kubviswa. Izvi zvinoita kuti ropa rifambe zvakasununguka nemutsinga.

Chii chatingaita kudzivirira kukura kwe (ASVT)?

Kunyange zvazvo zvisingagone kudzivirirwa zvachose, pane zvinhu zvakawanda zvatinogona kuita kuderedza njodzi iyi:

• Gara uchifambisa tsandanyama dziri mumaoko ako zvinyoro nyoro uye tanga kuita maekisesaizi akadai sekutambanudza muviri .
• Usashandise tsandanyama dzako zvakanyanya nguva dzese .
• Kana uchisimudza zvinorema kana kuti uchirovedza muviri nesimba, zorora pakati peizvi .
• Pose pazvinogoneka, edza kushanda neruoko rwako rusingadzoreki . (semuenzaniso, kana uchishandisa ruoko rwerudyi, shandisa ruoko rwako rweruboshwe kana zvichibvira).

Mamiriro ezvinhu achava akaita sei mushure mekurapwa?

Vanhu vazhinji vane ASVT vanopora zvakanaka mushure mekurapwa. Ongororo dzakaratidza kuti kana chirwere chikaonekwa uye chikarapwa nekukurumidza, zviratidzo zvinotanga, pane mukana wekubudirira we90% kusvika 95% .

Zvisinei, vamwe vanhu vanogona kuva nedambudziko rinonzi Post-thrombotic Syndrome (PTS) . Muizvi, zviratidzo zvakaita sekurwadziwa kwenguva refu, kurema, uye kuzvimba kweruoko rwakakanganiswa zvinogona kuramba zviripo. Saka, zvakakosha kutevedzera mirairo yachiremba wako kunyangwe mushure mekurapwa.

Tinofanira kuona chiremba rini nekukurumidza sezvinobvira?

Kana ukaona chimwe chezviratidzo zvekutanga zveASVT, tsvaga rubatsiro rwechiremba nekukasika . Usanonoka, kunyanya kana ukaona chimwe chezvinotevera:

• Kurwadziwa kwechipfuva
• Kushaya simba mumaoko kana makumbo
• Kuoma kufema (dyspnea)

Izvi zvinogona kuva zviratidzo zvechirwere chine njodzi chakadai sePulmonary Embolism (PE).

(ASVT) Kana zvakadaro, mibvunzo ipi yaunofanira kubvunza chiremba?

Kana chiremba wako akakuudza kuti une ASVT, zvakanaka kubvunza mibvunzo yakaita seiyi:

• Ndezvipi zvandingashandura mararamiro angu kuti ndideredze njodzi yekugwamba kweropa?
• Ndingaramba ndichiita maekisesaizi here uye ndichiita mabasa emaoko?
• Ndingaitei kuti ropa rirege kuumbwa zvakare?
• Unofanira kutora mishonga inobvisa ropa kwenguva yakareba sei?

Chinhu chakakosha kurangarira (Mharidzo Yekuenda Kumba)

Ndinovimba kuti ikozvino mava kunzwisisa zviri nani zvatakakurukura nhasi (Axillo-Subclavian Vein Thrombosis - ASVT). Muchidimbu:

• (ASVT) zvinoreva apo ropa rinogwamba mutsinga huru iri muruoko rwako kana muhapwa.
• Izvi zvinowanzoitika nekuti ruoko runoshandiswa nenzira inonetesa uye inogara iripo.
• Unogona kufungidzira kana ukaona zviratidzo zvakaita sekurwadziwa kamwe kamwe, kuzvimba, uye ganda rebhuruu riri muruoko rwako.
• Kuvhiyiwa kweropa (thrombolysis) uye kubviswa kweropa ( thrombectomy ) ndiwo mushonga mukuru wekurapa.
• Chinhu chinonyanya kukosha ndechekuona chirwere ichi nekukurumidza uye kutanga kurapwa. Kana ukadaro, une mukana uri nani wekupora zvizere.

Kana uine zviratidzo izvi, usatya uye enda kuna chiremba nekukurumidza. Ramba uine hutano hwakanaka!

` axillo-subclavian vein thrombosis, ASVT, ropa rakagwamba, tsinga dzemaoko, kurwadziwa kwemafudzi, kuzvimba kweruoko, DVT, Pulmonary Embolism, Paget-Schroetter syndrome