Unonzwa kurwadziwa kwakanyanya mumakumbo ako, kunyanya kana uchifamba chinhambwe chipfupi here? Kurwadziwa kwacho kunoderera mushure mechinguva wozodzoka paunofamba here? Kana kuti unonzwa kusanzwa kwemakumbo ako, kana kupora zvishoma nezvishoma mushure mekukuvara? Izvi hazvisi zviratidzo zvekusateerera. Izvi zvinogona kukonzerwa nekutetepa kwetsinga dzeropa mumakumbo ako zvishoma nezvishoma. Nhasi, tiri kutaura nezvekurapa kunonzi 'Leg Revascularization'.
Chii chinonzi Kudzoreredza Mitsipa Yemakumbo?
Zvichitaurwa zviri nyore, izvi zvinoitwa kubvisa chero chipi zvacho chakavharika kana chakavharika mutsinga dzeropa (tsinga) dzemakumbo ako uye kubvumira ropa kuti riyerere zvakanaka zvakare. Zvakafanana nekuchenesa pombi yemvura yakavharika wobvumira mvura kuti iuye zvakare.
Chikonzero chikuru chechirwere ichi chirwere chinonzi peripheral artery disease , kana kuti ``Peripheral Artery Disease (PAD)``. Apa ndipo apo zvinhu zvine mafuta zvakaita secholesterol zvinoungana mukati metsinga dzeropa, zvichiita kuti ropa riderere zvishoma nezvishoma. Kuti varape izvi, vanachiremba vanogona kushandisa nzira dze endovascular uye kuvhiyiwa pachena.
Ndezvipi kurapa uku?
Nzira yekurapa yaunosarudza nachiremba inogona kusiyana zvichienderana nemamiriro ako ezvinhu. Kune nzira dzakawanda huru dzinoshandiswa.
| Nzira yekurapa | Zvichitaurwa zviri nyore, izvi ndizvo zvinoitika. |
|---|---|
| Angioplasty | Bharuni diki rinoiswa mutsinga yeropa yakavharika robva razvimbirwa. Mafuta akavharika anobva adzvanya pamadziro etsinga, zvichiita kuti nzira yekuyerera kweropa iwedzere zvakare. |
| Kuisa stent (Stent) | Chinoitwa apa kuisa chubhu diki yesimbi inoita semesh mukati metsinga mushure mekuvhiyiwa kweangioplasty kudzivirira tsinga kuti isaputsike zvakare. |
| Kuvhiyiwa kweAtherectomy | Muizvi, mudziyo une banga kana kuti laser beam unopfuudzwa nemuchubhu diki wobvisa mafuta (plaque) akaungana mukati metsinga. |
| Kuvhiyiwa kwepasi penzira | Kugadzira nzira itsva yekuti ropa riyerere richitenderedza tsinga yakavharika. Izvi zvinogona kuitwa uchishandisa tsinga yakatorwa kubva kune imwe nhengo yemuviri wako kana chubhu yekugadzira (graft). |
| Kuvhiyiwa kweEndarter | Izvi zvakafanana nekubvisa atherectomy, asi chinoitwa pano ndechekucheka ganda, kubvisa tsinga yeropa yakavharika, uye kubvisa mafuta ari mukati mayo nekuvhiyiwa. |
Ndiani anoda kurapwa uku?
Havasi vese vane PAD vachada kuvhiyiwa. Pakutanga, zviratidzo zvinogona kugadziriswa nekurega kusvuta, kutora mishonga yaunorayirwa nachiremba wako, uye kufamba zuva nezuva .
Zvisinei, kana zviratidzo zvacho zvakanyanya, zvichireva kuti une kurwadziwa kwegumbo kunyangwe wakamira, kana kuti une maronda mugumbo rako asingapore, tinodana chirwere ichocho kuti `(Critical Limb Ischemia)`. Muchiitiko chakadaro, kuvhiyiwa kana kurapwa kwataurwa pamusoro apa kunodiwa zvechokwadi. Kana zvikasaitwa, ropa rinoyerera pagumbo rinogona kumira zvachose, uye gumbo rinogona kutofanira kubviswa.
Chinhu chinonyanya kukosha ndechekuona chiremba kuti uwane chikonzero chaicho, pane kufunga kuti kurwadziwa kwegumbo ingori dambudziko remusana.
Unogadzirira sei usati warapwa?
Chiremba wako achakurukura newe nzira yakanakisisa yekurapa. Izvi zvinoenderana nezvinhu zvakawanda, kusanganisira kuoma kwechirwere chako, nzvimbo yakavharika, uye chero zvimwe zvirwere zvaungave nazvo.
Chiremba asati akupa mushonga, achakuongorora, obvunza nezvenhoroondo yako yezvekurapwa, uye oraira kuti uongororwe zvimwe zvirwere.
- Kuongororwa kweropa (Kuongororwa kweLabhoritari)
- Kuongororwa kweUltrasound `(Ultrasound)`
- Kuongororwa kweECG (Electrocardiogram)
- CT angiogram `(Computer tomography (CT) angiogram)`
- MR angiogram `(Magnetic resonance angiogram)`
- Angiogram
Uchakurudzirwa kurega kudya nekunwa kwemaawa mashoma usati watanga kurapwa, kazhinji mushure mehusiku. Zvakare,Kurega kushandisa fodya kwakakosha zvikuru kuti uwane mhedzisiro yakanaka. Zvichienderana nezano rachiremba wako, ungangodawo kurega kushandisa mimwe mishonga kwenguva pfupi. Usaite chero ipi zvayo yeiyi usina zano rachiremba wako.
Chii chinoitika mushure mekurapwa uye zvinotora nguva yakareba sei kuti munhu apore?
Mushure mekurapwa, uchafanira kurara pamubhedha kwemaawa mashoma. Vashandi vechipatara vachakutarisa uye vachakupa chero mushonga unodiwa. Vanogona kudzokorora scan dzawakaita kare kuti vaone kana tsinga dzako dzavharika zvakare.
Nguva yekupora inosiyana zvichienderana nekurapwa kwawakaitwa:
- Angioplasty kana atherectomy: Mushure mekuvhiyiwa kudiki kwakadai, unowanzogara muchipatara kwezuva rimwe chete uye unogona kupora zvizere muvhiki imwe chete.
- Kuvhiyiwa kweBypass: Sezvo uku kuri kuvhiyiwa kukuru, uchafanira kugara muchipatara kwemazuva mashoma. Zvinogona kutora mavhiki matanhatu kusvika masere kuti unyatsopora.
Zvinhu zvine njodzi uye nguva yekuona chiremba nekukasika
Sezvinongoita chero kurapwa kupi zvako, kune dzimwe njodzi. Semuenzaniso, pane mukana mudiki wekubuda ropa, hutachiona, kuvharika kweropa, uye matambudziko emwoyo. Asi izvi zvinogona kudzorwa kazhinji. Chiremba wako achakutsanangurira zvese izvi.
Kana uine chimwe chezviratidzo zvinotevera, unofanira kufonera chiremba wako nekukasika:
- Ronda riri panzvimbo yekuvhiyiwa rinotanga kubatwa nehutachiona kana kuti rinotanga kuzvimba.
- Kubuda ropa nguva dzose.
- Kutsvuka, kuzvimba, kana kurwadziwa kwakanyanya panzvimbo yeronda.
- Fivha kana kutonhora.
- Kurwadziwa kwechipfuva.
- Kushaya simba kana kuoma kufambisa gumbo rakarapwa.
Kubatsira kukuru kwekurapa uku ndekwekuti kurwadziwa kwegumbo rako kuchapera, hupenyu hwako huchavandudzika, uye uchaponeswa kubva panjodzi huru yekurasikirwa negumbo.
Mharidzo Yekuenda Nayo Kumba
- Kurwadziwa pakufamba, kusanzwa, uye maronda asingapore mumakumbo zvinogona kuva zviratidzo zvechirwere che peripheral arterial disease (PAD). Usazvifuratira.
- Kudzoreredza Mitsipa Yeropa Mumakumbo inzira yekurapa inovhurazve mitsipa yeropa yakavharika uye inodzoreredza kufamba kweropa mumakumbo.
- Kuti urambe uine mhedzisiro yakareba mushure mekurapwa, zvakakosha kurega kusvuta zvachose, kudzora cholesterol, uye kurovedza muviri zuva nezuva .
- Sununguka kubvunza chiremba wako nezvekurapa kwakakunakira iwe nenjodzi dzakwo. Usazeza kubvunza chero mibvunzo.
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