Unewo matambudziko ari kuramba achiitika mumakumbo/maoko here mushure mekuvhiyiwa kweDVT? Ngatidzidzei nezve (Post-Thrombotic Syndrome)!

Kana wakambova neropa rakagwamba mutsinga yakadzika mugumbo kana ruoko rwako, inozivikanwa seDeep Vein Thrombosis (DVT) , ungave uine matambudziko anotora nguva yakareba. Zvakafanana neronda rinopora, asi rinogona kusiya vanga diki kana kusagadzikana. Nhasi, tichataura nezvechirwere chinogona kukanganisa vamwe vanhu kwenguva refu mushure meDVT. Izvi ndizvo zvinonzi navanachiremba Post-Thrombotic Syndrome kana Postphlebitic Syndrome .

Chii chinonzi Post-Thrombotic Syndrome? Zvichitaurwa zviri nyore...

Fungidzira uine deep vein thrombosis (DVT) mugumbo kana ruoko rwako. Kunyangwe tikaibata zvakanaka, dzimwe nguva clot inogona kukonzera kukuvara kwetsinga. Zvakaita sechimwe chinhu chakanamira mupombi yemvura uye kana ukaibvisa, ichiri kukonzera kukuvara kwepombi.

Kukuvadzwa uku kunogona kukonzera kuti tsinga dzisashande zvakanaka uye mavharuvhu anobatsira kuyerera kweropa haashande zvakanaka. Izvi zvinoita kuti ropa riungane mutsinga dzakakuvara pachinzvimbo chekudzokera kumoyo. Kana ropa richiungana nenzira iyi, kumanikidzwa kuri mukati metsinga kunowedzera, zvichikonzera zviratidzo zvakaita sekurwadziwa nekuzvimba . Izvi ndizvo zvatinodaidza kuti kuunganidzwa kwezviratidzo (Post-Thrombotic Syndrome). Vamwe vanhu vanogona kunge vaine zviratidzo zvishoma, asi vamwe vanogona kunge vakakomba zvekuti havatombogoni kushanda muhupenyu hwavo hwezuva nezuva.

Kana wakambova neDVT mumakore maviri apfuura uye uri kuona zviratidzo izvi, enda kuna chiremba nekukasika. Vanogona kuongorora mamiriro ako uye kutanga kurapwa kwakakodzera kuti unzwe zviri nani.

Dambudziko iri rakajairika zvakadii?

Chirwere chePost-Thrombotic Syndrome chirwere chinowanzoitika kuvanhu vakambova neDVT. Chinobata vanhu vari pakati pe20 ne50 pavanhu 100 mukati memakore maviri mushure mekuonekwa kuti vane DVT. Izvi zvinoreva kuti chinokanganisa vanhu vakawanda.

Kana uine Post-Thrombotic Syndrome, zvinonetsa kuti ropa riri mutsinga iyoyo yakakuvara ridzokere kumoyo. Kuungana uku kweropa ndiko kunokonzera matambudziko akasiyana-siyana.

Ndezvipi zviratidzo zveizvi? Tinonzwa sei?

Zviratidzo zvePost-Thrombotic Syndrome (PTS) zvinonyanya kukanganisa gumbo kana ruoko apo DVT yakaitika. Unogona kusangana nezvinhu zvakaita se:

• Marwadzo: Marwadzo mugumbo, kunyanya kana uchifamba kana kumira. Izvi dzimwe nguva zvinonzi claudication .
• Kurwadziwa kana kurwadziwa sekunge tsinga iri kutenderedzwa .
• Kunzwa kuremerwa uye kuneta mumaoko/makumbo.
• Kukwenya (Pruritus) .
• Kunzwa kusanzwa zvakanaka, kukwenya, uye kunzwa kusingawanzoitiki (Paresthesia) .

Zviratidzo izvi zvinogona kunge zviri zvinyoro kune vamwe, uye zvakanyanya kune vamwe.Zvinogona kukukanganisa. Unogona kuona kuti zviratidzo izvi zvinowedzera paunomira kana kufamba kwenguva yakareba, uye zvinodzikira paunozorora kwenguva yakati. Kusagadzikana uku kunogonawo kuwedzera kusvika pakupera kwezuva. Kune vamwe vanhu, zviratidzo izvi zvinogona kugara zviripo, kana kuti zvinogona kuuya zvoenda.

Ndezvipi zviratidzo zvePost-Thrombotic Syndrome?

Zviratidzo zvinhu zvatinonzwa. Zviratidzo zvinhu zvatinogona kuona. Chiremba wako achaongororawo zviratidzo izvi.

• Kuzvimba (Edema): Kuzvimba kweruoko kana gumbo rakakanganiswa.
• Kutsvuka kweganda kana kuchinja ruvara.
• Kukora kweganda , kunzwa sekunge dehwe.
• Kuonekwa kwetsinga itsva dziri kurwadza .
• Kuonekwa kwetsinga diki dzedandemutande .
• Kana chirwere chacho chikanyanya, maronda asingapori (maronda emutsinga) anogona kubuda.

Sei izvi zvichiitika (Post-Thrombotic Syndrome)? Chii chinokonzera izvi?

Chikonzero chiri nyore ndechekukuvadzwa kwetsinga dzako nekuda kweDeep Vein Thrombosis (DVT) .

Tsinga dzakadzika dziri mumakumbo nemaoko edu dzine mavharuvhu enzira imwe chete anobvumira ropa kuyerera nenzira imwe chete. Kufanana negonhi, rinogona kuvhurika nenzira imwe chete. Mavharuvhu aya anobatsira kuti ropa riyerere richidzokera kumoyo. Zvisinei, kana ropa rakagwamba mukati metsinga, ropa rakagwamba rinogona kukuvadza mavharuvhu iwayo. Zvadaro mavharuvhu haashande zvakanaka.

Nekuda kweizvozvo, ropa rinofamba zvishoma nezvishoma. Pane kuti rifambe zvakanaka richienda kumoyo, ropa rinoungana mutsinga. Izvi zvinowedzera kumanikidzwa mukati memadziro etsinga, zvichikonzera zviratidzo zvambotaurwa.

Ndiani ari panjodzi huru yechirwere ichi?

Munhu wese akambova neDVT anogona kuva nePost-Thrombotic Syndrome. Zvisinei, njodzi yacho yakakura kana wakambova neDVT kakawanda , kunyanya paruoko kana gumbo rimwe chete. Kureva kuti, kana wakambova neropa rakawanda panzvimbo imwe chete.

Uyewo, njodzi yako yakakura kana wakambova nechimwe chezviratidzo zvinotevera zvekugwamba kweropa kare:

• Dai yakapararira kusvika padanho guru retsinga.
• Kugwamba kweropa muhudyu kana muchiuno (kunonzi proximal DVT ) kune njodzi kupfuura kugwamba kweropa mugumbo remukomana (kunonzi distal DVT ). Njodzi yacho yakanyanya kana gwamba racho rikaitika mutsinga yeiac kana mutsinga yefemoral .
• Kana uine ropa rakagwamba mutsinga huru yemuviri wako wepamusoro, pafudzi, kana pachipfuva (izvi zvinonzi axillo-subclavian vein thrombosis) .
• Kana paine ropa rakagwamba (residual thrombosis) risinganyungudike zvachose kunyangwe mushure mekurapwa.

Pamusoro pezvo, kune zvimwe zvinhu zvakawanda zvinokonzera njodzi:

• Kana uine chirwere chagara chiripo chakadai sekusakwana kwetsinga kwenguva refu (CVI) .
• YenyuKana body mass index yako (BMI) iri pamusoro pe30 (zvinoreva kufuta).

Vanachiremba vanoongorora sei Post-Thrombotic Syndrome?

Vanachiremba vanoongorora chirwere ichi kunyanya kuburikidza nekuongororwa kwemuviri . Munguva yekuongororwa uku, chiremba wako acha:

• Bvunza nezvenhoroondo yako yezvekurapa (sekuti wakambobatwa sei neDVT kare, kuti wakamborapwa sei).
• Vanobvunza nezvezviratidzo zvako uye kuti zvinokanganisa sei hupenyu hwako hwezuva nezuva.
• Makumbo nemaoko ako zvichaongororwa kuti uone kana paine zviratidzo zvePost-Thrombotic Syndrome (zvakadai sekuzvimba uye kuchinja kweganda).

Zvichibva paruzivo urwu, chiremba achaona kana uine Post-Thrombotic Syndrome uye, kana zvakadaro, kuti yakanyanya sei.

Chikero cheVillalta chii?

Ungave wakambonzwa chiremba wako achitaura nezve 'Villalta scale' . Iyi inzira yakajairika inoshandiswa navanachiremba kuongorora chirwere ichi uye kuongorora kuoma kwacho. Zvakafanana nekutarisa zvine mamaki. Inosanganisira zviratidzo zvishanu nemapoinzi matanhatu. Chiremba anopa mamaki echiratidzo chimwe nechimwe uye anosaina:

• 0 mapoinzi: Hazvipo.
• Chibodzwa 1: Zviripo zvishoma.
• Chibodzwa chechipiri: Varipo zvine mwero.
• Chibodzwa 3: Zvakaipa kwazvo.

Chiremba anobva asanganisa mamakisi ese aya. Kana mamakisi ese ari pasi pe4, zvinoreva kuti hauna Post-Thrombotic Syndrome. Kana uine mapoinzi mashanu kana kupfuura, une dambudziko iri.

Chirwere ichi chinoiswa muzvikamu zviviri: chidiki, chiri pakati nepakati, kana kuti chakakomba zvichibva pane zvinotevera:

• Chibodzwa 5 kusvika 9: Kurwara kudiki.
• Zvibodzwa 10 kusvika 14: Kurwara kuri pakati nepakati.
• Kana paine maronda, kana kuti mapoinzi e15 zvichikwira: chirwere chakanyanya.

Chiremba wako achakutsanangurira zvabuda izvi uye achakuudza zvazvinoreva.

Pane here bvunzo dzakakosha dzekuongorora chirwere ichi?

Hapana bvunzo chaiyo yekuongorora chirwere chePost-Thrombotic Syndrome. Zvisinei, mune dzimwe nguva, vanachiremba vanogona kuraira 'Duplex ultrasound' kuti vaone kuti ropa riri kufamba sei mutsinga.

Ndeipi mishonga yekurapa Post-Thrombotic Syndrome?

Kurapa kunowanzo sanganisira kurapwa kwekumanikidzwa, kuchinja mararamiro, uye kurovedza muviri . Vamwe vanhu vangada kuvhiyiwa kana kurapwa kwemaronda emutsinga. Vanachiremba vanogadzirisa kurapwa kunoenderana nezvinodiwa nemunhu mumwe nemumwe. Chinangwa chikuru chekurapa ndechekuderedza zviratidzo zvako uye kuvandudza hupenyu hwako.

Kurapa kwekumanikidzwa

Chiremba wako anogona kukupa masokisi ekudzvanya akakosha.Unogona kuti pfeka. Aya ndiwo maitiro anonyanya kushandiswa ekurapa nekudzvanya. Masokisi aya anofanira kupfekwa nguva dzose (kazhinji zuva nezuva). Masokisi aya anomanikidza tsandanyama dzemudumbu mako uye anovandudza kutenderera kweropa mutsinga. Kunyangwe anganzwa akasungwa kana akapfekwa, haafanire kurwadziwa.

Kune mhando dzakasiyana dzemasokisi dzinopa mwero wakasiyana wekudzvanya. Chiremba wako achakupa mhando chaiyo yemasokisi anoenderana nezvaunoda.

Zvinogona kutora nguva kuti ujairire kupfeka masokisi aya (compression stockings). Zvakakosha kutaura nachiremba wako nezvekunzwa kwawo uye kana uchigona kuapfeka zvakanaka. Chiremba wako anogonawo kugadzirisa mwero wekumanikidzwa zvichienderana nekuti unonzwa sei uye kuti masokisi acho anokubatsira sei pazviratidzo zvako.

Mamwe marapirwo e thrush anosanganisira:

• Mudziyo wekubatsira kudzoka kwetsinga: Semuenzaniso , Venowave® . Uyu mudziyo wakaita sepombi waunopfeka pamutsipa wako kuti ubatsire kuvandudza kuyerera kweropa. Unogona kuupfeka kumba kana paunenge uri panze.
• Mudziyo weIntermittent Pneumatic compression (IPC): Uyu mudziyo wepneumatic unopfekwa pagumbo muchipatara.

Kuchinja kwemararamiro

Kuchinja mararamiro ako zvishoma kunogona kubatsira zvikuru mukuderedza zviratidzo zvako. Chiremba wako anogona kukukurudzira zvinhu zvakaita se:

• Chengeta makumbo ako ari pamusoro pehupamhi hwemoyo wako , kungave wakagara kana kuti wakarara pasi.
• Ramba uine huremu hwakanaka hwemuviri .
• Shandisa moisturizer kudzivirira ganda kuti risaome kana kutsemuka.

Kurovedza muviri

Kurovedza muviri kunogona kubatsira kuvandudza kutenderera kweropa uye kuderedza zviratidzo. Semuenzaniso, kana Post-Thrombotic Syndrome yakakanganisa makumbo ako, chiremba wako anogona kukurudzira maekisesaizi anosimbisa tsandanyama dzemakumbo ako.

Izvi zvinodaro nekuti tsandanyama dzemhuru yako ipombi dzine simba dzinoshanda se "moyo wechipiri." Paunofamba, kusimba kwetsandanyama dzemhuru yako kunobatsira kupomba ropa kubva pamakumbo ako netsoka kudzokera kumoyo wako. Saka, paunosimbisa tsandanyama idzodzo, tsinga dzako dzinowana rubatsiro rwadzinoda kuti dzitakure ropa nemazvo.

Kurovedza muviri kunovandudza kuchinjika kwako uye kutsungirira kwemwoyo. Gara uchitaura nachiremba wako usati watanga chirongwa chitsva chekurovedza muviri. Iye achakuudza kuti ndeapi maekisesaizi akachengeteka uye akakodzera zvaunoda.

Kuvhiya

Mune zvimwe zviitiko zvakakosha, vanachiremba vanogona kukurudzira kuvhiyiwa kana kurapwa ne endovenous (semuenzaniso, kusvuta) kuti ropa rifambe zvakanaka mutsinga. Chiremba wako achakuudza kana kurapwa kwakadaro kwakakunakira.

Kurapa maronda emutsinga

Kana chirwere chacho chikanyanya kuipa , maronda emutsinga anogona kukura. Zvakakosha kurapa maronda aya nemazvo uye nokungwarira. Kana zvikasadaro, matambudziko akakomba, akadai sekuchekwa kwenhengo, anogona kuitika. Chiremba wako anogona kukurudzira chimwe chezvinotevera:

• Mishonga inorwisa mabhakitiriya.
• Mabhandeji kana mabhandeji ekuvhara ronda.
• Mabhandeji kana masokisi ekudzvanya.
• Kuchenesa maronda zuva nezuva.
• Mafuta ekuzora.
• Zvinoderedza marwadzo.
• Kubvisa nyama yakafa.
• Kutumirwa kunyanzvi kuti vabatsire pakurapa zvirwere zvisingaperi zvakaita sechirwere cheshuga.

Post-Thrombotic Syndrome inogara kwenguva yakareba sei?

Post-thrombotic syndrome chirwere chisingaperi . Izvi zvinoreva kuti chiremba wako anogona kukubatsira kuti uzvirarame, asi hazvigone kurapwa . Kurapwa kunogona kuderedza zviratidzo zvako uye kuvandudza kugona kwako kushanda, kushamwaridzana, uye kunakidzwa sezvaunoda.

Post-Thrombotic Syndrome inogona kudzivirirwa here?

Post-Thrombotic Syndrome haigone kudzivirirwa nguva dzese. Izvi zvinodaro nekuti Deep Vein Thrombosis (DVT) haigone kudzivirirwa nguva dzese. Zvisinei, iwe nachiremba wako munogona kushanda pamwe chete kuderedza njodzi yenyu:

• Ziva uye uderedze zvinhu zvinoisa njodzi kuDVT: Nzira yakanakisa yekudzivirira DVT (Post-Thrombotic Syndrome) ndeyekudzivirira kuti isatange kukura. Edza kuderedza zvinhu zvinoisa njodzi zvaunogona kuchinja. Semuenzaniso, unogona kuderedza njodzi yako nekudzivisa zvigadzirwa zvefodya, kuramba uchiita maekisesaizi, uye kuchengetedza huremu hwakanaka. Chiremba wako achakuudza zvinhu zvinoisa njodzi zvaunofanira kutarisisa uye maitiro ekugadzira hurongwa hwazvo.
• Kuongororwa nekukurumidza uye kurapwa kwakakodzera kweDVT: Kana uine DVT, kuongororwa nekukurumidza uye kurapwa kunogona kubatsira kuderedza kukuvara kwetsinga dzako. Zvinogonawo kubatsira kudzivirira DVT mune ramangwana. Izvi zvinodaro nekuti kana uine imwe DVT, uri panjodzi yakakura yekuve nechirwere che post-thrombotic syndrome. Chiremba wako ndiye achasarudza nzira yakanakisa yekurapa. Izvi zvinowanzo sanganisira kutora mishonga inorwisa ropa kwemwedzi yakati wandei kana kupfuura.

Ndinozvitarisira sei?

Chiremba wako achakupa mirairo yekuti ungazvichengeta sei uri kumba. Tevedzera mirairo iyoyo nokungwarira, uye bvunza mibvunzo kana paine chisina kujeka. Unogona kuita zvinhu zvakaita seizvi:

• Inwa mushonga wako sezvawakarairwa .
• Paunenge wakagara kana kuti wakarara pasiRamba wakasimudza makumbo ako.
• Dzivisa kugara kwenguva yakareba sezvinobvira. Tora nguva pfupi yekufamba-famba uchitambanudza muviri wako.
• Shandisa moisturizer kuti ganda rako rigare rakasimba.

Zvakakoshawo kuchengetedza hutano hwepfungwa dzako . Kurarama nePost-Thrombotic Syndrome kunogona kukonzera kushushikana mupfungwa nemupfungwa. Vanhu vane chirwere ichi vanogona kusangana nekuora mwoyo, kuzvidya mwoyo, uye kusazviremekedza. Vanogona kunetseka nezvekuva nerimwe ropa rakagwamba. Vanogonawo kunzwa kusuruvara nekuti havachakwanisi kuita zvavaimboita nekuda kwezviratidzo zvavo.

Kana uri kunzwa manzwiro aya, kutaura nenyanzvi yezvepfungwa kana nyanzvi yezvepfungwa kunogona kukubatsira zvikuru. Vanogona kukubatsira kugadzirisa manzwiro aya uye kuwana mhinduro dzinoita kuti unzwe zviri nani.

Ndinofanira kuona chiremba wangu rini?

Chiremba wako achakupa mamwe mazano ekutevera kuti aongorore mamiriro ako ezvinhu. Zvakakosha kuti upinde nguva dzese dzekuonana nachiremba wako kuitira kuti chiremba wako agone kugadzirisa hurongwa hwako hwekurapwa sezvinodiwa.

Kana ukaona zviratidzo zvitsva kana zviratidzo zvako zvikachinja , fonera chiremba wako nekukasika.

Mibvunzo ipi yandinofanira kubvunza chiremba wangu?

Mibvunzo iyi ichakubatsira kudzidza zvakawanda nezvekuongororwa kwako:

• Ndine chirwere chePost-Thrombotic Syndrome zvechokwadi here? Kana zvakadaro, chakakomba zvakadini?
• Ndedzipi nzira dzekurapa dzamunokurudzira kuti ndirapwe?
• Ndezvipi zvandinofanira kuchinja muhupenyu hwangu?
• Ndeapi maekisesaizi akakodzera kwandiri?
• Maonero angu achava akaita sei?

Kana ukaongororwa kuti une Post-Thrombotic Syndrome, unogona kuva nemibvunzo yakawanda uye kutya. Asi usazvidya mwoyo, chiremba wako aripo kuti apindure mibvunzo yako uye akutungamirire pakurapwa. Kunyange zvazvo chirwere ichi chichiwanzoitika, zvaunoda nezvaunonetseka nazvo zvakasiyana. Shanda nachiremba wako kuti uwane zvinhu zvinotsigira hutano hwako hwemuviri nehwepfungwa.

Mharidzo Yekuenda Nayo Kumba

Post-Thrombotic Syndrome (PTS) chirwere chinogona kuitika mushure meDVT uye chinogona kushungurudza zvikuru. Asi chinogona kugadziriswa .

Chinhu chinonyanya kukosha ndechekutsvaga kurapwa nekukasika uye kwakakodzera kana ukaita DVT, kuziva zviratidzo zvinotevera, uye kutsvaga mazano echiremba kana zvichidikanwa.

Kutevedzera zano rachiremba wako, kuchinja mararamiro anodiwa, uye kunyanya kushandisa masokisi ekudzvanya zvakanaka kunogona kukubatsira kuwana zororo rakawanda. Yeuka, hausi wega, uye kune vanachiremba vanogona kukubatsira kugadzirisa dambudziko iri.

` Post-Thrombotic Syndrome, DVT, Mavharo eropa, Chirwere cheThrombo, Marwadzo eMakumbo, Kuzvimba kweMakumbo, Kukuvara kweThrombo