Uri jaya rinoda kutamba mitambo uye rine hunyanzvi pakumhanya nekusvetuka here? Asi mushure mekutanga kumhanya, unonzwa kurwadziwa kusinganzwisisike, kuremerwa, kana kuti kusanzwa simba mugumbo rezasi (nzvimbo yemhuru) mushure mekufamba chinhambwe chipfupi here? Zvinopera mushure mekuzorora kwenguva pfupi, asi kurwadziwa kumwe chete kunodzoka paunotanga kumhanya zvakare? Izvi zvingasava kungoita tsandanyama chete. Nhasi tiri kutaura nezvechirwere chisingawanzoitika icho vanhu vazhinji vasingazive, asi chinogona kunyanya kukanganisa vechidiki vanoita mitambo.
Zvichitaurwa zviri nyore, chii chinonzi Popliteal Artery Entrapment Syndrome (PAES)?
Zvinganzwika sekunge zvakaoma, asi maitiro acho ari nyore. PAES chirwere chisingawanzoitiki chinokanganisa tsinga dzeropa mumakumbo edu. Chinoitika kana tsinga huru inomhanya kumashure kwemabvi edu, iyo popliteal artery, ikavharirwa netsandanyama iri pedyo (gastrocnemius muscle).
Kungofanana nepaya munhu paanotsika pombi yemvura, kuyerera kwemvura kunoderera. Patinomhanya kana kusvetuka, tsandanyama iyi inosimbisa tsinga dzedu dzeropa. Zvadaro, kuyerera kweropa kuenda kugumbo rezasi kunoderera kwenguva pfupi. Nekuda kwekuderera kwekufamba kweropa uku, tsandanyama hadziwane oxygen yadzinoda, uye zvinhu zvakaita se lactic acid zvinoungana, izvo zvinokonzera zviratidzo zvakaita sekurwadziwa, kuremerwa, kuneta, uye kusanzwa simba mugumbo.
Chinhu chakanakisa ndechekuti zviratidzo izvi zvinopera mukati memaminitsi matatu kusvika mashanu mushure mekurega kurovedza muviri. Zvisinei, kana zvikasarapwa, chirwere ichi chinogona kuwedzera nekufamba kwenguva. Marwadzo anogona kukwira mushure menguva pfupi, uye zvinogona kutora nguva yakareba kuti zvipere.
Ndiani anonyanya kukanganiswa nemamiriro ezvinhu aya?
PAES inonyanya kuitika muvatambi vechidiki vari pakati pemakore gumi nemashanu nemakumi maviri nemashanu. Vanhu vanotamba mitambo inosanganisira kumhanya vari panjodzi huru. Semuenzaniso:
- Mitambo (Nhandare neMunda)
- Kumhanya muCross Country
- Nhabvu
- Lacrosse
- Hoki yemumunda
Dambudziko iri hariwanzoitiki. Zvinofungidzirwa kuti rinokanganisa vanhu vari pasi pe1% chete. Saka kazhinji, patinonzwa kurwadziwa kwakadai, tinofunga kuti kungori kumanikidzwa kwetsandanyama.
Pane chimwe chirwere chinoita sePAES here?
Ehe. Pane chirwere chine zviratidzo zvakafanana neizvi, asi chinowanzoitika kupfuura PAES. Chinonzi Chronic Exertional Compartment Syndrome (CECS) . Uku kurwadziwa kunokonzerwawo nekuwedzera kusingawanzoitiki kwekumanikidzwa kwetsandanyama dzemakumbo panguva yekurovedza muviri. Dzimwe nguva munhu anogona kuva nePAES neCECS panguva imwe chete.
Chiremba anogona kusiyanisa zvinhu zviviri izvi nekuita bvunzo. MuPAES, vanotsvaga kana BP iri mugumbo ichiderera nekurovedza muviri. MuCECS, vanoyera BP iri mukati metsandanyama dzegumbo vasati vaita maekisesaizi uye mushure meekisesaizi.
Ndezvipi zviratidzo zvePAES?
Unogona kuona zviratidzo izvi muhudyu mako uye/kana makumbo paunenge uchirovedza muviri. Izvi zvinowanzopera mukati memaminitsi mashoma mushure mekunge warega kurovedza muviri.
| Chiratidzo | Zvinonzwa sei |
|---|---|
| Marwadzo nemarwadzo | Zvinogona kunzwa sekurwadziwa kukuru kuri kubva mukati. |
| Kuneta | Makumbo angu anonzwa kuneta zvikuru uye asina hupenyu. |
| Kurema | Gumbo rangu rinorema zvakanyanya zvekuti handikwanise kurisimudza. |
| Kutenderedza tsandanyama | Kamwe kamwe, makumbo angu anonzwa akasimba uye akabatana. |
| Kushaya simba | Panogona kunge paine kukwenya mumakumbo netsoka. |
| Kuzvimba | Vamwe vanhu vanonzwa kupisa sokunge gumbo ravo riri kupisa kubva mukati. |
Ndezvipi zvikonzero zvePAES?
Pane zvikonzero zviviri zvikuru zvinoita kuti tsinga iyi yeropa ivharike.
1. Kudzvinyirirwa kwemuviri
Rudzi urwu ndirwo rwakakomba zvikuru. Runozvarwa narwo .Tsinga yeropa inovharika nekuda kwekuchinja kwemaitiro etsinga kana tsandanyama dziri kuseri kwebvi rako. Izvi zvinowanzoitika kuvarume. Zvinogona kuitika chete pagumbo rimwe chete. Kana tsinga yeropa ikavharika nenzira iyi kwenguva yakareba, inogona kukuvara.
- Chironda chinogona kuumbwa mukati metsinga yeropa.
- Ropa rinogona kuumbwa robva ranamatira.
- Nekufamba kwenguva, tsinga yeropa inogona kuvharika zvachose (kuvharika).
2. Kudzvinyirirwa kwebasa kana kuti kwemuviri
Muchiitiko ichi, zvese kubva mutsandanyama dzako kusvika kutsinga dzeropa zvinenge zviri munzvimbo yakajairika kubva pakuzvarwa. Asi nekuda kwekushanda kwetsandanyama dzako, kunyanya kana uchidzvanya tsoka yako pasi (`plantar flexion`), tsandanyama dzinodzvanya tsinga dzeropa. Rudzi urwu rwakajairika muvakadzi, uye runogona kuitika mumakumbo ese panguva imwe chete. Murudzi urwu, kazhinji hapana kukuvara kwetsinga dzeropa zvachose.
Nzira yekuziva chirwere ichi nemazvo sei?
Kana uine zviratidzo izvi, chinhu chakanakisa chekuita ndechekuona nyanzvi yetsinga dzeropa . Iye ndiye achakuongorora.
- Kutanga, vanoongorora kana kurova kwemoyo wako kuchidonha kana wakazorora.
- Zvadaro, vanoongorora kana paine shanduko mukurova kwemoyo kana tsoka yako yakamanikidzwa kumusoro nekudzika ichipesana nekumwe kudzvinyirirwa.
Munhu ane PAES anogona kunzwa kurova kwemoyo wake zvakanaka kana ambozorora, asi kurova kwemoyo wake kunogona kudzikira kana kunyangarika paanoita maekisesaizi kana kuisa kumanikidzwa patsoka dzake.
Ndedzipi bvunzo dzinoitwa kusimbisa chirwere ichi?
Mushure mekuongororwa kwemuviri, chiremba wako anogona kukurudzira bvunzo dzinoverengeka kuti asimbise chirwere chacho. Izvi zvinogona kupa mufananidzo wakajeka wekufamba kweropa mumakumbo ako.
| Bvunzo | Chii chinongoitika |
|---|---|
| Kurovedza muviri nemakumbo pamwe nekurovedza muviri | Kumanikidzwa kweropa rako mumaoko ako nemakumbo kuchayerwa usati waita maekisesaizi uye mushure meekisesaizi. Kana uine PAES, kumanikidzwa kweropa rako mumakumbo ako kuchave kwakaderera zvakanyanya pane kumanikidzwa kweruoko mushure meekisesaizi. |
| Ultrasound yeDuplex | Iyi i scan inoshandisa mafungu eruzha. Inokwanisa kuona kana tsinga yeropa yakavharwa uye zvinoitika pakuyerera kweropa kana gumbo rako rakabatirira pasi uye rakabatirira zvakanaka. |
| Angiography yeComputed tomography (CTA) | Kuongororwa kweCT kunoitwa nekuisa chinhu chakakosha (`dye`) mumuviri. Izvi zvinokubatsirawo kuona nzvimbo chaiyo yakavharika mitsipa yeropa semufananidzo we3D. |
| Magnetic resonance angiography (MRA) | Kuongororwa kweMRI kunoshandisa simba remagineti. Izvi zvinogonawo kuona mamiriro etsinga dzeropa netsandanyama. |
Ndezvipi zvinorapwa izvi?
Kurapa kwakanakisa uye kunobudirira kwePAES kuvhiyiwa .
Musazvidya moyo, uku kuvhiyiwa kunowanzotora awa imwe chete uye kunoitwa pasi peanesthesia. Chiremba anobvisa kachidimbu kemhasuru kari kuvhara tsinga yeropa. Izvi zvinoita kuti tsinga yeropa ishande zvakanaka, uye ropa rinoenda kugumbo rinodzokera pakare.
Kana tsinga yeropa yakakuvara uye yakavharwa nekuda kwerudzi rwekuvharika kwemuviri, chiremba wepfungwa angangoda kubvisa tsinga yacho kana kuita oparesheni ye bypass achishandisa chidimbu chitsva chetsinga yeropa ichipinda mairi.
Hakuna mimwe mishonga isina kuvhiyiwa here?
Kune mushonga usingashandiswe pakuvhiya vanhu vane sciatica inoshanda. Uyu mushonga weBotulinum toxin A (Botox®). Mukurapa uku, nerubatsiro rwekuskena, mushonga uyu unopinzwa mutsandanyama iri kumanikidza tsinga yeropa kwenguva pfupi. Izvi zvinoomesa tsandanyama kwenguva pfupi uye zvinoita kuti ikotame. Zvisinei, mhedzisiro yacho inogara kwemwedzi inenge 3-6. Dzimwe nguva, kana tsandanyama ikakotama zvachose, zviratidzo hazvidzoke. Zvisinei, mwero wekubudirira kwekurapwa uku uri pasi pewekuvhiya.
Nekuti kuvhiyiwa kunobatsira mune zvinopfuura 90% yezviitiko, ndizvo zvinowanzo kurudzirwa navanachiremba.
Zvinotora nguva yakareba sei kuti munhu apore mushure mekurapwa?
Zvinogona kutora mwedzi mina kusvika mitanhatu kuti munhu apore zvizere mushure mekuvhiyiwa uye otanga kutamba mitambo zvakare.
- Mushure mekuvhiyiwa, kazhinji unofanira kugara muchipatara kwehusiku humwe chete.
- Mumavhiki maviri ekutanga, kurapwa kwephysiotherapy kunofanira kusanganisira kutambanudza makumbo uye maekisesaizi ekuchinja-chinja.
- Mushure memavhiki maviri, unogona kutanga maekisesaizi anosimbisa makumbo.
Zvakakosha zvikuru kuti munhu akurumidze kupora kuti atevere mirairo yaakapihwa nachiremba wake nenyanzvi yezvekurapa.
Mibvunzo ipi yandinofanira kubvunza chiremba wangu?
Kana waona chiremba wako, usakanganwa kubvunza mibvunzo iyi.
- Ndine PAES yemuviri kana inoshanda here?
- Munokurudzira kuvhiyiwa here nekuda kwedambudziko rangu? Sei?
- Ndichakwanisa here kutamba mutambo wangu zvakare nenzira imwecheteyo mushure mekuvhiyiwa?
Kana uri mutambi wechidiki, usangoregeredza kurwadziwa kwegumbo. Panogona kunge paine zvikonzero zvakawanda. Kuongororwa kwakarurama nekukurumidza kunogona kukubatsira kuti uwane kurapwa nekukurumidza.
Mharidzo Yekuenda Nayo Kumba
- Kana uri mutambi wechidiki uye uchinzwa kurwadziwa kwemakumbo nguva dzose, kuremerwa, kana kusanzwa simba paunenge uchirovedza muviri, usazviregeredza.
- Popliteal Artery Entrapment Syndrome (PAES) chirwere chisingawanzoitiki, asi chinorapika.
- Zvakakosha kuona nyanzvi yetsinga dzeropa kuti uwane chirwere chakarurama.
- Muzviitiko zvakawanda, kuvhiyiwa kunogona kurapa chirwere ichi zvachose, zvichibvumira vatambi kuti vadzokere kumitambo yavo zvinobudirira.
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