Unonzwa kurwadziwa mumakumbo ako here, kunyanya munzvimbo yemhuru, paunofamba? Unonzwa sekunge makumbo ako ari kurasikirwa nesimba mushure mekufamba chinhambwe chipfupi, uye zvinoita sekunge zvinodzikira paunozorora? Pamwe tsinga yeropa mugumbo rako iri kuvharika zvishoma nezvishoma. Isu tinodana chirwere ichi kuti Peripheral Artery Disease (PAD). Nhasi tiri kutaura nezvekuvhiyiwa kwakakosha kunoitwa kana chirwere ichi chakanyanya uye chisingagone kudzorwa nedzimwe nzira dzekurapa.
Chii chinonzi Peripheral Artery Bypass?
Zvichitaurwa zviri nyore, zvakafanana nekuvaka nzira itsva yekudzivirira migwagwa yakawanda. Cholesterol nezvimwe zvinhu zvine mafuta zvinoungana mutsinga dzinotakura ropa kuenda kumiviri yedu, kunyanya kumakumbo edu, uye zvinoumba "plaque." Nekufamba kwenguva, plaque iyi inoungana uye inovhara tsinga dzeropa. Izvi zvinobvisa okisijeni nezvinovaka muviri mumakumbo edu.
Saka, mukuvhiyiwa kwePeripheral Artery Bypass , chiremba anogadzira nzira itsva yekupfuura netsinga yeropa yakavharika. Izvi zvinosanganisira kushandisa tsinga yeropa ine hutano kubva mumuviri wako (kazhinji tsinga inobva pagumbo rako) kana graft. Izvi zvakabatana pamusoro nepasi penzvimbo yakavharika, zvichigadzira nzira itsva yekuti ropa riyerere.
Ndiani anoda kuvhiyiwa uku?
Kuvhiyiwa uku hakusi kwemunhu wese ane PAD. Chiremba wako achatanga aedza mishonga, shanduko dzemararamiro (dzakadai sekurega kusvuta, kurovedza muviri, uye kudya zvishoma), uye pamwe nedzimwe nzira dzinosanganisira kucheka zvidimbu zvidiki (zvakadai se angioplasty kana stenting).
Kuvhiyiwa uku kunowanzo kurudzirwa kune avo vasina kubudirira kubva mune chero ipi yenzira idzi uye avo vakavhara zvakanyanya chikamu chikuru chetsinga yavo yeropa.
Pane zvikonzero zvikuru zvakati wandei zvekufunga nezvekuvhiyiwa uku.
| Chiratidzo | Izvi zvinorevei? |
|---|---|
| Kurwadziwa kwegumbo kana uchifamba kana husiku | Kurwadziwa uku kunoitika kana tsandanyama dzikashaya okisijeni nekuda kwekudzikira kweropa. Kana kurwadziwa kwacho kwakanyanya zvekuti haugone kurara husiku, chirwere ichi chakakomba. |
| Maronda asingapore pamakumbo | Nekuda kwekusafamba zvakanaka kweropa, maronda haawani zvinovaka muviri zvinodiwa kuti apore. Kunyangwe kukwenya kudiki kunogona kushanduka kuita ronda guru. |
| Kufa kwenyama (ronda) | Iyi ndiyo nguva yakaoma zvikuru. Kana ropa rinosvika pagumbo rava kuda kuchekwa zvachose, zvigunwe kana zvikamu zvegumbo zvinotanga kuita dema zvotanga kufa. Kana kuvhiyiwa kusina kuitwa panguva iyi, gumbo rinogona kutoda kuchekwa. |
Chii chaunofanira kuita usati wavhiyiwa?
Kana chiremba asarudza kukuvhiya uku, achaita bvunzo dzakawanda kuti aongorore hutano hwako.
- Electrocardiogram (EKG): Ona mashandiro emagetsi emwoyo.
- Ultrasound Scan: Ona chaipo pakavharwa tsinga dzeropa uye kuti dzakakomba sei.
- Kuongororwa kweropa: Tarisa zvinhu zvakaita seshuga muropa, cholesterol, uye mashandiro eitsvo.
- Kuongororwa kwekushushikana: Kuongororwa uku dzimwe nguva kunoitwa kuti kuone kuti mwoyo unoshanda sei panguva yekurovedza muviri.
Chinhu chinonyanya kukosha ndechekuti kana uri munhu anoputa fodya, unofanira kurega kuputa zvachose mavhiki mashoma usati wavhiyiwa. Kusvuta kunoderedza mitsipa yeropa uye kunowedzera njodzi yekusangana nematambudziko mushure mekuvhiyiwa. Uchafanirawo kudzivisa kudya kana kunwa mushure mehusiku husiku usati wavhiyiwa uye kurega kutora mishonga yawakaudzwa nachiremba kuti urege.
Kuvhiyiwa uku kunoitwa sei?
Uchapihwa mushonga weanesthesia (kurasika zvachose kwepfungwa) kuitira kuti usazonzwa kurwadziwa panguva yekuvhiyiwa. Zvadaro, chiremba wepfungwa achaita mavanga marefu 4-8 inches pamusoro nepasi petsinga yeropa yakavharika. Kana tsinga yakanaka mugumbo rako iri kushandiswa kugadzira nzira yekupinda nayo, kucheka kwakasiyana kuchaitwawo.
Chibage chinosonerwa zvakanaka patsinga dzeropa dzakasimba dziri pamusoro nepasi pedzinovharika. Kana ropa idzva rabuda, kucheka kwacho kunovharwa nemasitichi kana mastaple. Maitiro ese anogona kutora maawa maviri kusvika matanhatu, zvichienderana nekuoma kwekushanda kwekuvhiya.
Chii chinoitika mushure mekuvhiyiwa?
Mushure mekuvhiyiwa, uchafanira kugara muchipatara kwemazuva angangoita maviri kusvika mashanu. Munguva iyi, vanachiremba nevanamukoti vachagara vachiongorora kurova kwemoyo, BP, uye fivha. Chinonyanya kukosha, vachagara vachiongorora kuti ropa riri kuyerera zvakanaka here kuenda kugumbo rawakavhiyiwa. Vachakupa mishonga yekurwadziwa.
Kana wadzokera kumba, chiremba achakunyorera mishonga yakati wandei kuti urambe uchinwa.
- Mishonga yemhando yeStatin (inoderedza cholesterol).
- Mishonga yakaita seAspirin kana Clopidogrel (yekudzivirira kuumbwa kweropa muchikamu chitsva chemuviri).
Zvakajairika kurasikirwa nechido chekudya, kurwadziwa kana kuti kunzwa kusanzwa zvakanaka panzvimbo dzakachekwa, kuzvimba kwemakumbo, uye kurwadziwa kwetsandanyama paunenge uchifamba mumavhiki mashoma ekutanga mushure mekuenda kumba. Izvi zvinodzikira zvishoma nezvishoma nekufamba kwenguva. Zvinogona kutora mavhiki matanhatu kusvika masere kuti upore zvizere.
Ndezvipi zvakanakira uye njodzi dzekuvhiyiwa uku?
Kufanana nekuvhiyiwa kwese kukuru, uku kune zvakanakira pamwe nenjodzi.
| Zvakanakira | Njodzi/Matambudziko |
|---|---|
| Kurerutswa kwemarwadzo emakumbo akanyanya asina kuderedzwa nemamwe marapirwo. | Kugwamba kweropa. |
| Maronda asati apora anotanga kupora. | Utachiona mumaronda. |
| Bvisa njodzi yekurasikirwa negumbo nekuda kweronda rinobonda. | Kubuda ropa zvakanyanya. |
| Mhedzisiro inogara kwenguva refu (60%-85% yevakaisirwa nhengo yemuviri ichiri kushanda zvakanaka kunyangwe mushure memakore mashanu). | Kukuvadzwa kwetsinga munzvimbo yekuvhiyiwa. |
| Hunhu hwehupenyu hwakavandudzwa uye kugona kufamba zvakanaka. | Njodzi diki yekubatwa nechirwere chemwoyo (inenge 3% yekuvhiyiwa). |
Vanhu vazhinji havaiti matambudziko akakomba. Zvisinei, vanhu vane makore anopfuura makumi manomwe uye avo vane zvimwe zvirwere, zvakaita sechirwere cheshuga kana chirwere cheitsvo, vari panjodzi huru yekusangana nematambudziko. Dzimwe nguva, kunyange graft itsva inogona kuvharika mushure memakore mazhinji. Kana izvozvo zvikaitika, kurapwa kungada kudzokororwa.
Mushure mekunge maenda kumba, kana mukatanga fivha, kunzwa dzihwa, mvura yakaita semapundu ichibuda panzvimbo yekuvhiyiwa, kana kana paine shanduko yakangoerekana yaitika muruvara, chimiro, kana manzwiro egumbo renyu, onai chiremba nekukasika kana kuenda kuchipatara Emergency Department (ETU) nekukurumidza.
Mharidzo Yekuenda Nayo Kumba
- Kuvhiyiwa kwePeripheral Artery Bypass kuvhiyiwa kukuru kunoitwa pavanhu vane mitsipa yeropa yakavharika zvakanyanya mumakumbo avo vasina kupindura kune dzimwe nzira dzekurapa.
- Kana uchisvuta, zvakakosha kuti urege zvachose usati wavhiyiwa uye mushure mekuvhiyiwa kuti uwane mhedzisiro inobudirira.
- Inwa mushonga wawakanyorerwa nachiremba wako nenguva. Usakanganwa kutora mishonga yako yekuderedza ropa, kunyanya.
- Usapotsa nguva yekuenda kukiriniki mushure mekuvhiyiwa. Chiremba wako anofanira kugara achiongorora kutenderera kweropa mumakumbo ako.
- Kana ukaona fivha, kubuda ropa kubva pakachekwa, kana kuchinja gumbo rako kamwe kamwe, tsvaga rubatsiro rwechiremba nekukasika.
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