Ngatidzidzei nezveSubclavian Steal Syndrome - chirwere "chinoba" ropa kuenda kuuropi!

Dzimwe nguva unonzwa dzungu here kana kuti une dambudziko rekuona zvinhu zvisinganzwisisike? Kana kuti unonzwa sekunge ruoko rwako rwava kupera simba kana kuti rwava kupera simba, kunyanya kana ukaita chimwe chinhu nemaoko ako, uchisimudza chimwe chinhu chinorema, kana kutendeudza musoro wako kudivi kamwe kamwe? Kana izvi zvikaitika, zvinogona kunge zviri chirwere chatiri kutaura nezvacho nhasi chinonzi "Subclavian Steal Syndrome." Zita racho rinogona kunzwika serisinganzwisisike, sekuti, "Ichi chirwere chekuba here?" Usazvidya mwoyo, ngatitaure nezvazvo zviri nyore uye zvakajeka.

Chii chinonzi Subclavian Steal Syndrome?

Zvichitaurwa zviri nyore, chirwere chekuba chesubclavian chinoitika apo rimwe ropa rinofanira kunge richienda kuuropi hwako "rinoba" muruoko rwako. Izvi zvinoitika nekuti tsinga yeropa yesubclavian, tsinga huru yeropa inopa ropa kuruoko rwako (kazhinji iri kuruboshwe), inenge yakavharika kana kuti yakamanikana.

Funga nezvazvo nenzira iyi. Uri kuedza kudya ndiro ine chikafu. Zvakafanana nemumwe munhu ari pedyo newe "ari kuruma" kamwe chete kana kaviri kechikafu chauri kuedza kudya. Rimwe ropa rinopa utano rinofanira kunge richienda kuuropi hwako "rinonyura" muruoko rwako. Saka huwandu hweropa hunogona kunge huchienda kuuropi hwako hunoderera, sekunge huwandu hwechikafu chaunogona kunge uchidya hunoderera.

Sezvo tsinga iyi ichiwedzera kuvharika, ropa rinoyerera nepakati petsinga ye subclavian nekumanikidzwa kwakaderera. Zvisinei, kumanikidzwa kweropa mune dzimwe tsinga dziri pedyo kwakakwira. Nekuda kweizvozvo, kuyerera kweropa mutsinga ye vertebral, iyo inobuda mutsinga ye subclavian yoendesa ropa kuuropi, inodzokera shure. Zvadaro rimwe reropa iroro rinopinda mutsinga ye subclavian roenda kuruoko. Ndizvo zvinonzi "kuba."

Kune rimwe dambudziko rinonzi "coronary steal syndrome". Apa ndipo panogona kunge paine ropa rinofanira kuenda kutsandanyama yemoyo. Izvi hazviitike kune wese munhu, asi kune vamwe vanhu vakambovhiyiwa moyo nenzira dzakasiyana (coronary artery bypass surgery). Chikonzero chikuru chezvirwere izvi zvese kuunganidzwa kwemafuta mumadziro etsinga, kana kuti "plaque", chirwere chinonzi "atherosclerosis" mukurapa. Kana kuti pangave nezvimwe zvikonzero zvinoita kuti tsinga ye subclavian itete.

Dambudziko iri rakajairika zvakadii?

Vaongorori havagone kutaura kuti vangani vane chirwere che subclavian steal syndrome, asi vanofungidzira kuti pakati pe0.6% ne6.4% yevanhu vanogona kunge vaine chirwere ichi. Pamusoro pezvo, vanhu vanosvika 18% vane chirwere che peripheral artery vanewo chirwere ichi.

Dambudziko iri rinonyanya kuitika kuvarume nevanhu vane makore anopfuura makumi mashanu nemashanu .

Zvisinei, nekuda kwehunyanzvi hwepamusoro hwekutora mifananidzo huripo nhasi, chirwere ichi chave kuonekwa zvakanyanya kunyangwe kune vanhu vasina zviratidzo.

Ndezvipi zviratidzo zve subclavian steel syndrome?

Zviratidzo zve subclavian steel syndrome zvinowanzoonekwa kana uchiita basa rakaoma remaoko kana kuti ukangoerekana watendeudza musoro wako kudivi rimwe chete.Ona kana uine chimwe chezvizvi:

• Kuona kusina kujeka
• Dzungu
• Kurwadziwa, kusanzwa simba, kukwenya, kana kunzwa kuremerwa muruoko
• Kufenda
• Kurasikirwa nekunzwa (zvisingawanzoitiki)
• Kunzwa sekunge uri kutenderera (Vertigo)
• Ataxia chirwere chinotadzisa muviri kufamba zvakanaka uye chinotadzisa kufamba zvakanaka.

Asi vanhu vazhinji havaoni zviratidzo. Izvi zvinokonzerwa nekuti uropi hwavo hunowana ropa rakakwana kubva kune dzimwe tsinga dzine hutano. Havadi kurapwa.

Chii chinokonzera subclavian steel syndrome?

Pane zvikonzero zvikuru zvishoma zveizvi:

• Atherosclerosis - Ichi ndicho chikonzero chinowanzoitika.
• Kukanganisika kwetsinga dzeropa (kubatana kusina kujairika pakati petsinga dzeropa netsinga)
• Kutsemuka kwetsinga yeropa
• Takayasu's arteritis, chirwere chekuzvimba kwetsinga dzeropa
• Kukura kusina kujairika kwemadziro etsinga dzeropa (fibromuscular dysplasia).

Zvikonzero izvi zvakafanana nezvinokonzera stenosis yetsinga dzemuropa dziri pasi peganda.

Ndiani ari panjodzi huru yeizvi?

Heano zvimwe zvinhu zvinowedzera njodzi yekuve ne subclavian steel syndrome:

• Kana wakambovhiyiwa kugadzirisa kutetepa kweaorta (coarctation yeaorta).
• Kana paine matambudziko ne aorta arch kana mimwe yetsinga dzeropa kubva pakuzvarwa.
• Kudzvinyirirwa kwetsinga ye subclavian (izvi zvinowanzoitika kune vamwe vatambi).
• Kana paine mbabvu yekuwedzera (mbabvu yemuromo wechibereko) mumutsipa.

Ndezvipi zvinetso zvinogona kuitika kubva muchirwere ichi?

Kana uine nguva yekufenda nekuda kwechirwere che subclavian steal syndrome, zvinogona kukonzera kudonha nekukuvara. Zvinogonawo kuita kuti zviome kuita chero basa neruoko rwakakuvara.

Subclavian steel syndrome inoonekwa sei?

Chinhu chekutanga chinoitwa nachiremba kuti aongorore izvi ndechekuita bvunzo yemuviri. Chiremba achanyatso tarisa kurova kwemoyo mumaoko ako nepamaoko ako. Achaongororawo tsinga dzeropa dziri kumativi ese emutsipa wako netsinga yeropa iri pasi pemutsinga weropa, achitsvaga chero ruzha rusina kujairika rwekuti "swoosh..." (bruit). Kana ukanzwa ruzha rwakadaro ne stethoscope, panogona kunge paine kuvharika kwetsinga iyoyo.

Ndezvipi zviratidzo zve "Steele Syndrome" zvinoonekwa panguva yekuongororwa nachiremba?

Kana uine subclavian artery syndrome, chiremba wako achayera BP yako mumaoko ese ari maviri uye achaona musiyano mukuverenga kwayo. BP iri muruoko rumwe inogona kunge yakakwira nemamirimita gumi nemashanu emercury (mmHg) kupfuura rumwe.

Uyewo, kana ma radial pulses akaongororwa panguva imwe chete, pulse iri parutivi ine subclavian steel syndrome inogona kuoneka isina simba uye inogona kunzwa sekunge inovhunduka.

Ndedzipi bvunzo dzinoitwa kusimbisa izvi?

Chiremba achatanga aita ultrasound yetsinga yako ye subclavian. Mushure meizvozvo, bvunzo dzinotevera dzinogona kuitwawo, sezvinodiwa:

• Kuongororwa kweMRA (magnetic resonance angiogram).
• Kuongororwa kweCT Angiogram (CT - computed tomography angiogram).
• Angiogram yekubvisa nedhijitari - Iyi inzira yakakosha inobvisa zvimwe zvikamu zvemuviri kubva pamufananidzo uye mitsipa yeropa chete ndiyo inogona kuonekwa zvakajeka.

Miedzo iyi inobvumira vanachiremba kuyera kuoma kwe subclavian steel syndrome (yakapfava kana yakanyanya). Vanoshandisa mamakisi I, II, uye III, Grade III ndiyo yakanyanya kuoma. Vanobatsirawo kuona kuti rudzii rwekurapa runodiwa.

Ndezvipi zvinorapwa zve subclavian steel syndrome?

Kana uine zviratidzo, ungangoda kuvhiyiwa kuti ropa rifambe zvakanaka mutsinga ye subclavian senzira yekurapa stenosis yetsinga ye subclavian. Zvichienderana nemamiriro ako ezvinhu, izvi zvinogona kunge zviri kuvhiyiwa kwakavhurika kana kuvhiyiwa kwe endovascular (nzira inosanganisira kuisa midziyo midiki mutsinga yeropa). Unofanira kudzivisa kushandisa ruoko rwakakanganiswa zvakanyanya kusvika kuvhiyiwa kwapera.

Kana musingakodzeri kuvhiyiwa, chiremba wenyu anogona kukupai mishonga inorwisa ropa kuti rivhare ropa kana kuti inoderedza maplatelet.

Kana uine zviratidzo zvisina kunyanya kuipa, zvinogona kuvandudzika nekufamba kwenguva. Muzviitiko zvakadaro, chiremba wako anogona kukupa mushonga wekuderedza BP yako necholesterol.

Chinhu chakakosha ndechekuti vanhu vasina zviratidzo zvechirwere ichi havawanzoda kurapwa. Zvisinei, kana uine tsinga dzemutsinga dziri pasi peganda, pane mukana mukuru wekuti zvichadarowo mune dzimwe tsinga. Izvi zvinodaro nekuti rudzi urwu rwekuunganidzwa kweplaque (atherosclerosis) runowanzo kanganisa tsinga dzemutsinga mumuviri wese.

Saka, unofanira kurapwa kwezviputi izvi. Kana uri munhu anoputa fodya, unofanira kurega kuputa fodya, uye kudzora BP yako necholesterol yakakwira . Zvinhu izvi zvinogona kubatsira kudzivirira chirwere chemwoyo kana sitiroko mune ramangwana.

Ndedzipi nzira dzekurapa/kuvhiya dzinoshandiswa pakuita izvi?

Ungangoda imwe kana kupfuura yenzira idzi:

• Kuvhiyiwa kwekugadzira nzira yekubatanidza tsinga ye subclavian kune imwe tsinga (semuenzaniso, tsinga ye carotid).
• Angioplasty uye stenting - Izvi zvinosanganisira kuwedzera nzvimbo yakavharika nechinhu chakaita sebharumu wobva waisa stent yakaita semesh kudzivirira kuti isavharika zvakare.
• Kubviswa kweropa (atherectomy) - Izvi zvinoreva kubviswa kweplaque kubva mukati metsinga.
• Endarterectomy - kubviswa kwechikamu chemukati metsinga.

Matambudziko anogona kuitika here kubva pakurapwa?

Ehe, njodzi dzinosiyana zvichienderana nekurapwa. Dzinogona kusanganisira:

• Tsinga yako yeropa iri kutetepa zvakare.
• Kugwamba kweropa kunogona kuumbwa, izvo zvinogona kutokonzera sitiroko.
• Kukuvadzwa kwetsinga kana tsinga yeropa.
• Kuva nematambudziko panguva yekupora.

Zvinotora nguva yakareba sei kuti munhu apore mushure mekurapwa uku?

Kupora mushure mekurapwa kwe subclavian steel syndrome kunogona kutora mazuva mashoma, vhiki, kana kutopfuura. Kupora mushure mekuvhiyiwa kunowanzo kuve kwenguva refu.

Chii chandingatarisira kana ndine subclavian steel syndrome?

Vanhu vanopfuura 95% vanorapwa chirwere che subclavian steel syndrome havambofaniri kuvhiyiwa zvakare. Kufanotaura kwavo kunowanzova kwakanaka.

Ko subclavian steal syndrome inotyisidzira hupenyu here?

Kwete, ichi hachisi chirwere chinotyisidzira hupenyu. Zvisinei, chiratidzo chekunyevera chakakomba! Zvinoreva kuti une atherosclerosis, chirwere chetsinga dzeropa. Kana plaque yaungana mutsinga dzako, mwoyo wako kana uropi hwako hungasawana oxygen yakakwana mune ramangwana. Izvi zvinowedzera njodzi yekurwara nemwoyo kana sitiroko.

Ko subclavian steel syndrome inogona kudzivirirwa here?

Hatigone kudzora zvimwe zvezvikonzero zve subclavian steel syndrome (senge majini). Zvisinei, kukura kwechirwere ichi kunogona kudzivirirwa zvakanyanya nekudzivirira kuunganidza kweplaque (atherosclerosis), iyo inowanzova chikonzero .

Ndingaderedza sei njodzi yangu?

Unogona kuderedza njodzi yako yekubatwa nechirwere ichi - uye nekudaro njodzi yako ye subclavian steel syndrome - nekuita shanduko idzi muhupenyu hwako hwezuva nezuva:

• Ramba uine huremu hwakanaka hunokunakira.
• Ita maekisesaizi emuviri (maekisesaizi) kwemaminitsi makumi matatu pazuva kwemazuva mazhinji.
• Dzivisa zvachose kushandisa zvigadzirwa zvefodya (zvakadai sefodya ne beedis).
• Idya chikafu chine hutano mumoyo (chisina mafuta akawanda uye mafuta asina mafuta akawanda).
• Kana uine zvirwere zvakaita secholesterol yakakwira, BP yakakwira, uye chirwere cheshuga, zvidzore zvakanaka.

Ndinozvitarisira sei?

Kana uine chirwere chesimbi chinonzi subclavian, zvakakosha kutora mishonga yako sezvakarairwa nachiremba wako, kuvhiyiwa chero kupi zvako kunodiwa, uye kudzora BP yakakwira, cholesterol yakakwira, uye chirwere cheshuga (kana uinazvo) uye kudzivisa fodya.

Ndinofanira kuona chiremba wangu rini?

Mushure mekurapwa, unofanira kuongororwa nguva nenguva, kunyanya kana zviratidzo zvako zvadzoka. Kana chiremba wako achifunga kuti tsinga yako yeropa yadzikira zvakare, anogona kuraira kuongororwa kwakawanda. Uchafanirwa kuongororwa pamwedzi mumwe chete, mwedzi mitanhatu, kana gore mushure mekurapwa. Mushure meizvozvo, unogona kuona chiremba wako kanenge kamwe chete pagore.

Mibvunzo ipi yandinofanira kubvunza chiremba wangu?

Zvakanaka kubvunza chiremba wako mibvunzo yakaita seiyi:

• Ndinofanira kurapwa kwenguva yakareba sei?
• Ndeipi nzira yekurapa yakanakira ini?
• Unobudirira zvakadini pakurapa vanhu vane chirwere ichi?

Saka, chii chinonyanya kukosha chatinofanira kuyeuka kubva pane izvi zvose?

Pasinei neshoko rekuti "Steal" muzita rayo, subclavian steal syndrome chirwere chinorapika. Vanhu vazhinji havadi kurapwa. Asi shoko guru ratinowana kubva pane izvi nderekuti plaque buildup (atherosclerosis) iri kuitika mutsinga dzako dzeropa. Muviri wako uri kukuudza kuti, "Tanga tsika dzinoshanda pamoyo izvozvi, kana kuti gadzirisa dzawatova nadzo." Bvunza chiremba wako nezvekuchinja kwaunogona kuita kuti uvandudze hutano hwako. Kunyangwe shanduko diki dzaunogona kuita nhasi dzinogona kuva nemigumisiro mikuru. Saka, ngatisatye, tizive, uye tiise hwaro hwehupenyu hwakanaka, handiti?

` subclavian steal syndrome, subclavian steal syndrome, kuyerera kweropa kushoma kuenda kuuropi, kusanzwa muruoko, dzungu, atherosclerosis