Uri kusangana nematambudziko netsinga dzeropa here? Ngatikurukurei nezvechirwere chetsinga dzeropa!

Wakambofunga here nezvekukosha kwehurongwa uhwu hwetsinga mumuviri wedu wese? Zvakafanana nemigwagwa, idzi tsinga dzeropa dzinotakura ropa kuenda kunhengo dzese dzemuviri wedu. Saka kana paine dambudziko muhurongwa uhwu hwetsinga, ndiko kuti, mumigwagwa inoyerera ropa, saka tinongoti "Chirwere chetsinga" . Ichi hachisi chirwere chimwe chete, asi mhando dzakasiyana dzezvirwere ndedzechirwere ichi.

Chii chinonzi Circulatory System? Ngatizvinzwisise zviri nyore!

Fungidzira, mukati memuviri wedu mune sisitimu yakaita senzira huru. Iyi ndiyo yatinodaidza kuti circulatory system . Zvikamu zvikuru zveiyi itsinga dzeropa. Kune mhando nhatu dzetsinga idzi dzeropa:

1. Tsinga dzeropa: Idzi ndidzo tsinga huru dzinotakura ropa rakachena, rine oxygen kubva pamoyo kuenda kune dzimwe nhengo dzese nematishu. Kungofanana nemapombi makuru anotakura mvura kubva mutangi remvura kuenda kudzimba.

2. Tsinga: Idzi ndidzo tsinga dzinotakura ropa rakamboshandiswa, risina oxygen rinodzoka kumoyo kubva mumuviri wese. Dzakafanana nemapombi anounganidza mvura yakamboshandiswa.

3. Mapaipi: Aya ndiwo tsinga diki dzeropa mumuviri wedu, dzakakura sebvudzi . Tsinga diki idzi dzinotakura okisijeni nezvinovaka muviri kubva mutsinga kuenda kumasero emuviri wedu, uye dzinounganidza tsvina kubva mumasero dzoiendesa kutsinga. Dzakafanana nenzira diki dzinobatanidza migwagwa mikuru kuenda kudzimba diki.

Saka, kana paine dambudziko nechero yenhengo idzi nhatu - tsinga dzeropa, mitsipa yeropa, uye capillaries - kana neropa pacharo, iro rinokanganisa kutenderera kweropa, rinogona kunge riri chirwere chetsinga dzeropa, kureva kuti, "chirwere chetsinga dzeropa".

Ndezvipi zvirwere zvetsinga dzeropa?

Izwi iri rokuti `(Chirwere cheMitsipa yeropa)` rinogona kuuya nenzira dzakasiyana-siyana. Dzimwe dzinongokanganisa mitsipa chete, dzimwe dzinongokanganisa mitsipa chete. Dzimwe nguva zvirwere izvi zvinogona kuitika munzvimbo dzakati wandei dzemuviri. Ngatitarisei mhando shoma dzezvirwere zvikuru.

1. Chirwere cheTsandara yeMhuno (PAD)

Chinoitika apa ndechekuti, semitsipa yemoyo, dzimwe tsinga dziri kunze kwemoyo (kunyanya tsinga dzinotakura ropa kuenda kumakumbo) dzinovharika nemafuta necholesterol (izvi zvinonzi ``Atherosclerosis``). Nekufamba kwenguva, kuvharika uku kunowedzera uye kuyerera kweropa kunoderera. Zvadaro, nekuda kwekuti ropa harifambi zvakanaka, kukuvara kwenyama kunogona kuitika ``Ischemia```.

Kune mhando dzakasiyana dze "Peripheral Artery Disease":

• Chirwere chetsinga dzemakumbo: Apa ndipo panoderera kuyerera kweropa kuenda kumakumbo. Dzimwe nguva, kana kuyerera kweropa kukamira zvachose, nyama iri munzvimbo iyoyo inogona kufa (Gangrene) uye gumbo rinogona kutoda kuchekwa. Funga nezvazvo semiti inofa kana pombi yemvura yemubindu yavharwa nevhu uye mvura yamira kuyerera.
• Intestinal Ischemic Syndrome: Chirwere chinokonzerwa nekuvharika kwetsinga dzeropa dzinopa matumbu.
• Chirwere cheThyo: Kuvharika kwetsinga dzinotakura ropa kuenda kuitsvo. Izvi zvinogona kukonzera kukwira kweropa uye kutadza kushanda kweitsvo.
• Popliteal Entrapment Syndrome: Ichi chirwere chisingawanzoitiki, kunyanya muvatambi vechidiki, uko tsinga yepopliteal, iri kuseri kwebvi, inogona kumanikidzwa netsandanyama nemarunda ari munzvimbo iyoyo, zvichikonzera kuvharika kweropa.
• Raynaud's Phenomenon: Kana yabatwa nechando kana kuti iri pasi pekumanikidzwa, tsinga diki dzeminwe nezvigunwe dzinongoerekana dzaoma. Minwe inogona kucheneruka, kuita bhuruu, yozotsvuka.
• Chirwere cheBuerger: Izvi zvinonyanya kukanganisa tsinga diki nepakati, mitsipa, uye tsinga dziri mumaoko netsoka. Chikonzero chaicho hachizivikanwe, asi chakabatanidzwa nekushandiswa kwefodya (kusvuta, kutsenga fodya) . Kune zviitiko apo ropa rinosvika mumaoko netsoka rinoderera, zvichikonzera ``Ischemia```, kufa kwenyama muminwe netsoka, uye ``Gangrene``

2. Matambudziko eCarotid Artery

Kune mitsipa mikuru miviri iri kumativi ese emutsipa wedu inotakura ropa kuenda kuuropi. Idzi dzinonzi "Carotid Arteries". Kana paine matambudziko neizvi, zvinogona kuva nengozi huru.

• Chirwere cheCarotid Artery: Uku kuvharika kana kutetepa kwetsinga dzinoendesa ropa kuuropi. Izvi zvinogona kukonzera kurwiswa kweischemic kwenguva pfupi (TIA) kana sitiroko .
• Kutsemuka kwetsinga dzeropa (Carotid Artery Dissection): Kutsemuka kwetsinga dzeropa, zvichiita kuti ropa ribude.
• Matumbu emuviri weCarotid: Matumbu anoumbwa mutsinga dzakatenderedza tsinga ye carotid.
• Carotid Artery Aneurysm: Kusasimba kwemadziro etsinga dzinoputika sebharumu. Izvi zvinogonawo kuputika.

3. Chirwere cheTenda

Mitsipa yeropa inochinjika ine mavharuvhu mukati ayo anobvumira ropa kufamba nenzira imwe chete. Patinosunga tsandanyama dzedu, mavharuvhu aya anovhurika uye ropa rinoyerera richikwira. Patinozorodza tsandanyama dzedu, mavharuvhu anovhara uye ropa rinomira kuyerera richidzika.

Asi kana mavharuvhu aya akakuvara, haavharike zvakanaka . Ipapo ropa rinotanga kuyerera kumativi ese ari maviri. Kana tsandanyama dzasununguka, mavharuvhu ari mutsinga dzakakuvara haakwanise kubata ropa. Izvi zvinoita kuti tsinga dzizare neropa, dzizvimbe, uye dziite sedzakasungwa. Zviratidzo zvakaita sekurema mumakumbo, kurwadziwa, kuzvimba, kukwenya, uye kuvaviwa zvinogona kuitika. Kugwamba kweropa kunogonawo kuitika.

• Mitsipa yeVaricose: Mitsipa yakazvimba, yepepuru, yakakombama inoonekwa pasi peganda. Izvi zvinokonzerwa nekukuvadzwa kwemavharuvhu ari mutsinga. Ungave wakaona dambudziko iri kuvanhu vazhinji.
• Mitsetse yeSpider Veins: Mitsetse midiki mitsvuku kana yepepuru inoonekwa pamabvi, muzvitsitsinho, uye muzvidya. Izvi zvinokonzerwa nekuzvimba kwetsinga dzeropa.
• Klippel-Trenaunay syndrome (KTS): Ichi chirwere chisingawanzoitiki chinokonzerwa nemidziyo yeropa inoberekwa nayo.
• May-Thurner syndrome (MTS): Mtsinga yerudyi inodzvanya tsinga yekuruboshwe, zvichiwedzera njodzi yekudzikira kwetsinga yeropa (DVT) mugumbo rekuruboshwe.
• Chirwere cheThoracic Outlet Syndrome (TOS): Boka rezviratidzo zvinokonzerwa nekumanikidzwa, kukuvara, kana kutsamwa kwetsinga uye/kana tsinga dzeropa (tsinga netsinga) dziri pasi pemutsipa, muhapwa, uye pamusoro pechipfuva.
• Kusakwana Kwetsinga Dzeropa (CVI): Chirwere chekuti madziro uye/kana mavharuvhu etsinga dzemakumbo haashande zvakanaka, zvichiita kuti zviomere ropa kudzokera kumoyo.

4. Mavhandi eropa

Magwamba eropa anoitika kana chimwe chinhu muropa redu chikaita kuti ropa redu riite gobvu uye rakaita sejelly. Kana gwamba reropa (thrombus) rikaitika mukati metsinga yeropa, rinogona kutyoka rofamba neropa, zvichikonzera deep vein thrombosis (DVT), pulmonary embolism (Pulmonary Embolism), heart attack, kana stroke .

Kana ropa rikagwamba mutsinga dzeropa, rinowedzera njodzi yekurohwa nestroke, kurwara nemoyo, kurwadziwa kwemakumbo zvakanyanya, kuoma kufamba, uye pamwe kutorasikirwa negumbo.

• Matambudziko eKuvhara Maropa: Maropa evamwe vanhu anogwamba nekukurumidza kupfuura zvakajairika. Izvi zvinogona kunge zviri zvemajini (zvakagarwa nhaka) kana kuti zvinogona kukura gare gare muhupenyu. Izvi zvinowedzera njodzi yekugwamba kweropa mutsinga netsinga. Izvi zvinogona kukonzerwa nekuwanda kwezvinhu muropa zvinobatsira kugwamba kweropa, zvakaita se `(Fibrinogen)`, `(Factor 8)`, `(Prothrombin)`, kana kudzikira kwemapuroteni echisikigo anodzivirira kugwamba kweropa, akadai se `(Antithrombin)`, `(Protein C)`, `(Protein S)`.
• Deep Vein Thrombosis (DVT): Kugwamba kweropa kunoumbwa mutsinga yakadzika mukati memuviri.
• Kuvharika kweropa mutsinga: Kugwamba kweropa kunobuda mutsinga yobva yapinda mutsinga iri mumapapu. Ichi chirwere chine njodzi zvikuru .
• Kuvhuvhuta kwetsinga dzeropa muAxillo-subclavian (Paget-Schroetter Syndrome): Chirwere chetsinga dzeropa chinowanzoitika muvatambi vechidiki vanokwikwidzana. Njodzi yekugwamba kweropa inowedzera kana clavicle, mbabvu yekutanga, kana tsandanyama dzakakomberedza dzichidzvanya tsinga dzeaxilla kana subclavian.
• Kuzvimba kweropa: Kugwamba kweropa kunoumba mutsinga iri pasi peganda uye kunokonzera kuzvimba.

5. Aneurysm yeAortic

Aneurysm kushaikwa kwemadziro etsinga yeropa, zvichiita kuti azvimbe sebharumu. Kunyangwe ichigona kuitika mutsinga chero ipi zvayo yeropa, inonyanya kuonekwa muaorta, tsinga huru yeropa ichibva pamwoyo.

• Kuzvimba kweAortic Aneurysm yeTsamba: Kuzvimba kweaorta munzvimbo yechipfuva.
• Aneurysm yeAortic yedumbu: Kuzvimba kweaorta munzvimbo yedumbu.

Zvakakosha: Kana aneurysm ikaputika, inogona kuisa hupenyu panjodzi, saka zvakakosha kuziva izvi.

6. Kusashanda zvakanaka kwemhasuru dzemudumbu (FMD)

Ichi chirwere chisingawanzoitiki. Mumamiriro ezvinhu aya, masero ari mumadziro etsinga dzepakati nedzepakati anokura zvisina kujairika. Izvi zvinogona kuchinja chimiro chetsinga, zvichiita kuti dzitaridzike sedzakaita semabhero, uye kutetepa kwetsinga. Izvi zvinogona kukonzera matambudziko akadai seaneurysms uye kutsemuka kwetsinga dzeropa.

7. Lymphedema

Sisitimu yelymphatic inetwork yemidziyo yelymphatic uye ma lymph nodes anobatsira immune system yemuviri wedu. Sisitimu iyi inodzivirira muviri wedu kubva kune zvimwe zvinhu. Lymphedema inguva iyo midziyo yelymphatic iyi kana ma lymph nodes anokuvadzwa, kukuvara, kana kubviswa, zvichiita kuti lymph fluid iungane panzvimbo imwe uye izvimbe.

• Primary Lymphedema: Kashoma. Vamwe vanhu vanozvarwa vasina mamwe ma lymph nodes kana kuti vane zvimwe zvirwere.
• Lymphedema Yechipiri: Izvi zvinoitika kana paine kuvharika kana kuvharika kwehurongwa hwelymphatic. Izvi zvinogona kukonzerwa nezvinhu zvakaita sehutachiona, kenza, kuvhiyiwa, mavanga, kukuvara, DVT, uye kurapwa nemwaranzi.

8. Kutapukira kweropa mutsinga dzeropa

Uku kuzvimba kwetsinga dzeropa, zvinoreva kuti dzinozvimba. Izvi zvinogona kukonzerwa nemushonga, hutachiona, kana dzimwe nguva pasina chikonzero chakawanikwa. Izvi zvinoita kuti zviomere ropa kufamba nemutsinga dzeropa. Dzimwe nguva zvinogonawo kusanganiswa nemamiriro emapfupa kana zvirwere zve connective tissue. Vasculitis inogonawo kukonzera aneurysm.

Ndiani anonyanya kubatwa nechirwere chetsinga dzeropa?

Vamwe vanhu vanogara nhaka matambudziko etsinga dzeropa kubva kuvabereki vavo kuburikidza nemajini. Muzviitiko zvakadaro, semuenzaniso, mamiriro ekugwamba kweropa, vanofanirwa kurarama nematambudziko aya kubva pazera diki.

Zvisinei, zvirwere zvakawanda zvetsinga dzeropa zvinokonzerwa nekuunganidzwa kwemafuta necholesterol (plaque) mutsinga dzeropa nekufamba kwenguva. Semuenzaniso, Peripheral Artery Disease kana Carotid Artery Disease. Atherosclerosis, kukora kwemadziro etsinga dzeropa, kunogona kutanga muhudiki uye kunogona kukonzera matambudziko muzera repakati kana gare gare.

Zvirwere izvi zvakajairika sei muSri Lanka?

Zvirwere zvetsinga dzeropa izvi zvava zvakajairika muSri Lanka zvakare.Njodzi iyi inowedzerawo nekuda kwezvinhu zvakaita sekudya zvisina kunaka, kuwedzera kwechirwere cheshuga, kusaita maekisesaizi, uye kusvuta . Matambudziko anonzi ``Peripheral Artery Disease (PAD)`` uye ``Carotid Artery Disease`` anowanzoitika.

Ndezvipi zviratidzo zvechirwere chetsinga dzeropa?

Izvi zvinosiyana zvichienderana nerudzi rwechirwere. Ngatitarisei zviratidzo zvemarudzi mashoma makuru ezvirwere.

Zviratidzo zvechirwere chetsinga dzeropa (PAD):

• Kuvharika kwetsinga dzeropa mumakumbo: Kurwadziwa kana kuomarara kwemakumbo panguva yekushanda kana kufamba, uko kunodzikira mushure mekuzorora kwenguva pfupi. Kuchinja ruvara rweganda, maronda asingapore, uye kunzwa kuneta mumakumbo.
• Kuora kwedumbu: Kurwadziwa kwakanyanya mudumbu, kuda kurutsa, kurutsa, manyoka, kurasikirwa nechido chekudya, uye kudzikira kwehuremu.
• Chirwere chetsinga dzeitsvo: Kukwira kweropa kusingadzoreki (BP), kutadza kushanda zvakanaka kwemoyo, uye kusashanda zvakanaka kweitsvo.
• Popliteal entrapment syndrome: kusanzwa, kukwenya, kurasikirwa nemanzwiro, uye kuchinja ruvara rwegumbo netsoka.
• Chiitiko chaRaynaud: minwe nezvigunwe zvinoshanduka kuita zvitsvuku, bhuruu, kana kuti zvichena, zvichinzwa sekunge zviri kurwadza, uye kusanzwa kunzwa.
• Chirwere cheBuerger: Kurwadziwa mumaoko, tsoka, neminwe kunyangwe kana munhu angozorora. Minwe inogona kuchinja kuita bhuruu kana kucheneruka.

Zviratidzo zvematambudziko ane chekuita netsinga huru yeropa mumutsipa (Carotid Artery):

• Chirwere chetsinga dzeropa: Kazhinji, zviratidzo hazvionekwi kusvika paitika sitiroko kana TIA . Zviratidzo zvesitiroko zvinosanganisira: kuoma kuona kana kutaura, kuvhiringidzika, uye matambudziko ekurangarira.
• Kubviswa kwetsinga dzeropa: Musoro, kurwadziwa kwemutsipa, kurwadziwa kweziso kana kumeso.
• Matumbu emumuviri ane carotid: Kurova kwemoyo nekukurumidza, BP yakakwira, kudikitira, musoro.
• Aneurysm yetsinga dzemuropa: Kurohwa kana kurwiswa kweischemic kwenguva pfupi (TIA) kunogona kuitika.

Zviratidzo zvechirwere chetsinga:

• Mitsipa yeVaricose netsinga dzedandemutande: kuzvimba, kurwadziwa, uye kuoneka kwetsinga dzebhuruu kana dzvuku mumakumbo.
• Klippel-Trenaunay syndrome (KTS): Marwadzo kana huremu mugumbo kana ruoko.
• May-Turner syndrome (MTS): kuzvimba kwemakumbo, kurwadziwa kana kudzvanywa, ganda dzvuku kana kuti rakashanduka ruvara.
• Chirwere cheTsamba (TOS): Kurwadziwa mumutsipa, ruoko, uye pamafudzi, kusanzwa simba muruoko kana muminwe.
• Kusashanda zvakanaka kwetsinga dzeropa (CVI): Kurwadziwa kwemakumbo, kurema kana kurwadziwa mumakumbo, kuzvimba.

Zviratidzo zveMavhandi eropa:

• Zvirwere zvekugwamba kweropa: `(DVT)` kana `(Pulmonary Embolism` zvinogona kuitika.
• Kudzikira kwetsinga dzeropa (DVT): kurwadziwa kwemakumbo, kuzvimba, kudziya, kutsvuka kweganda.
• Kubuda kweropa mumapapu: Kukosora ropa, kurwadziwa pachipfuva, kuoma kufema. Izvi zvinonetsa!
• Kuvhunduka kwetsinga dzemutsinga dzeAxillo-subclavian: kuzvimba, kurema kana kurwadziwa muruoko kana muminwe, kusviba kweruvara rwebhuruu rweganda.
• Kuzvimba kwetsinga dzeropa dzinobva pamusoro pemuviri: kuzvimba, kurwadziwa, kudziya, uye kutsvuka kweganda rakatenderedza tsinga.

Zviratidzo zveAortic Aneurysm:

• Aneurysm yetsinga dzechipfuva: kurwadziwa kwechipfuva, kurova kwemoyo nekukurumidza, kuoma kumedza, kuzvimba kwemutsipa.
• Kurwadziwa kwemoyo wepamusana: Kurwadziwa kwemudumbu kana musana, dzungu, kuda kurutsa uye kurutsa, (kana aneurysm ikaputika) kurova kwemoyo nekukurumidza. Izvi zvakare zvinokonzeresa emergency!

Zviratidzo zveFibromuscular dysplasia (FMD):

Kurwadziwa kwemutsipa, kuchinja kwekuona, BP yakakwira, dzungu, kunzwa ruzha rwekuti "runorira" munzeve, kana kunzwa kurova kwemoyo.

Zviratidzo zveLymphedema:

Kuzvimba kwemaoko kana tsoka, kunyanya.

Zviratidzo zvevasculitis:

Kunzwa kusanzwa zvakanaka, fivha, kuzvimba.

Ndezvipi zvinokonzera chirwere chetsinga dzeropa?

Chikonzero chaicho chemamwe matambudziko etsinga dzeropa hachizivikanwe, asi pane zvimwe zvikonzero zvakajairika:

• Cholesterol Yakawanda
• Kukwira Kweropa
• Kusvuta kana kushandisa zvigadzirwa zvefodya (uyu ndiye muvengi mukuru!)
• Chirwere cheshuga (chirwere cheshuga)
• Majini akagarwa nhaka kubva kuvabereki
• Mimwe mishonga
• Kukuvara
• Utachiona
• Kugwamba kweropa

Chirwere chetsinga dzeropa chinoonekwa sei?

Kana uine zviratidzo izvi, chinhu chekutanga chaunofanira kuita kuona chiremba . Chiremba achakubvunza nezvezviratidzo zvako, kana paine munhu mumhuri mako akambova nezvirwere izvi, uye achakuongororwa muviri. Zvinogona kukubatsira kubvisa shangu dzako nemasokisi woratidza chiremba tsoka dzako.

Zvichienderana nerudzi rwechirwere chetsinga chinofungidzirwa nachiremba, anogona kuraira kuongororwa kweropa uye kuskena kwakakosha (imaging).

Ndezvipi zviedzo zvekuongorora chirwere?

Muzvirwere zvakawanda zvetsinga dzeropa, pane mavharo kana kuti kuvharika kwetsinga dzeropa. Saka, kuti tione izvi chaizvo, nzira dze "(Imageing)" dzinoshandiswa dzinogona kutarisa mukati metsinga dzeropa.

• Ultrasound yemitsipa yeropa: Izvi zvinoshandisa mafungu eruzha kugadzira mifananidzo yetsinga dzeropa. Zvinogona kutarisa kufamba kweropa uye kana paine kuvharika.
• Catheter Angiography: Chubhu diki (catheter) inopfuudzwa nemutsinga yeropa, mvura yakakosha inobayiwa, uye mifananidzo yeX-ray inotorwa. Izvi zvinoita kuti mukati metsinga yeropa muonekwe zvakajeka.
• CT Angiography: Kuongororwa kweCT kunoshandisa mvura yakakosha kutora mifananidzo yetsinga dzeropa ine mativi matatu.
• MR Angiography: MRI scan inoshandiswa kutora mifananidzo yakadzama yetsinga dzeropa.

Zvirwere zvetsinga dzeropa zvinorapwa sei?

Hapana mushonga mumwe chete weizvi zvakare. Kurapwa kunosiyana zvichienderana nerudzi rwechirwere. Dzimwe nguva, shanduko dzemararamiro dzakadai sekuchinja kudya kune hutano uye kurovedza muviri zvinogona kupa zororo rakakura. Zvimwe zvirwere zvinoda mishonga, nepo zvimwe zvichida kuvhiyiwa.

Ngatimboongororai muchidimbu marapirwo ezvirwere zvikuru zvakasiyana-siyana:

Kurapa chirwere chetsinga dzeropa (PAD):

• Tsinga dzemumakumbo dzakavharika: kudya, kurovedza muviri, mishonga, kuvhiyiwa.
• Kubuda kweropa mudumbu: Mishonga inouraya marwadzo, mishonga inobvisa ropa rakagwamba, kubviswa kweropa rakagwamba. Pazvirwere zvinogara kwenguva refu, angioplasty, stenting, kana kuvhiyiwa kwebypass kunogona kuitwa.
• Chirwere chetsinga dzeitsvo: Kudya kusina munyu mushoma, uye kunovaka moyo. Mishonga yeBP yakakwira, `(Statins)` (mishonga inoderedza cholesterol).
• Popliteal entrapment syndrome: Kuvhiyiwa kwekuburitsa "Popliteal Artery".
• Chiitiko chaRaynaud: Chengeta maoko netsoka dzako dzichidziya. Inwa mishonga ye "Dilated" inobatsira kuchengetedza mitsipa yeropa yakavhurika.
• Chirwere cheBuerger: Zvakakosha kurega zvachose kushandisa fodya. Chengeta maoko netsoka dzako dzichidziya. Tora mishonga inobvisa ropa mumuviri.

Kurapa matambudziko ane chekuita netsinga huru yeropa mumutsipa (Carotid Artery):

• Chirwere chetsinga dzeropa: Kudya kwakanaka. Mishonga inoderedza ropa uye mishonga inoderedza cholesterol. Kubviswa kwetsinga dzeropa neropa. Kuvhiyiwa kwetsinga dzeropa nekubvisa plaque. Kuvhiyiwa kwetsinga dzeropa nekuita kuti tsinga irambe yakavhurika.
• Kubviswa kwetsinga dzeropa: `(Antiplatelets)` (mishonga inodzivirira kuungana kwemaplatelet eropa), `(Anticoagulants)` (mishonga inodzivirira kuungana kweropa), `(Stenting)`.
• Matumbu emumuviri ane carotid: Kubviswa kwebundu racho nekuvhiyiwa.
• Kuvhiyiwa kweaneurysm yetsinga dzeropa: Mishonga yekuderedza BP, mishonga inoderedza cholesterol, mishonga inovhara ropa. Kuvhiyiwa kweBypass kana stent-graft.

Kurapa kwechirwere chetsinga:

• Tsinga dzetsinga netsinga dzedandemutande: Kubviswa uchishandisa kupisa, mvura ine munyu, kana laser.
• Klippel-Trenaunay Syndrome (KTS): Kurapa kwakafanana nekwe venous thromboembolism.
• May-Turner Syndrome (MTS): Kurapa kwakafanana ne `(DVT)`.
• Chirwere cheTsamba (TOS): Kurapa Kwemuviri, Mishonga.
• Kusashanda zvakanaka kwetsinga dzeropa (CVI): Kufamba-famba makumbo nguva nenguva, kupfeka masokisi ekudzvanya. Kurapa tsinga nemvura ine munyu, laser, kana kuti kuchekwa.

Kurapa Kuvhara Maropa:

• Kurapa kwezvirwere zvekugwamba kweropa: `(DVT)` uye `(Pulmonary Embolism)` kwakafanana.
• Kudzikira kwetsinga dzeropa (DVT): Kukwidza makumbo. Mishonga inobvisa ropa uye inoderedza marwadzo.
• Kubviswa kweropa mumapapu: Zvinoderedza ropa uye zvinoderedza ropa (zvinonyungudutsa ropa rakagwamba). Kuvhiyiwa kubvisa ropa rakagwamba.
• Kupwanya kwetsinga dzeropa muAxillo-subclavian: `(Thrombolytics)`, mishonga inoomesa ropa. Kubviswa kweropa rakagwamba.
• Kuvhuvhuta kwetsinga dzeropa pamusoro pemusoro: Simudza ruoko/gumbo rakakanganiswa pamusoro pemoyo. Isa moto. Pfeka masokisi ekudzvanya. Kubviswa kwetsinga nekuvhiyiwa.

Kurapa kweAortic Aneurysm:

• Kuvhiyiwa kweTsamba: Kuvhiyiwa kwekuisa jira kana stent. Uku kunogona kuva kuvhiyiwa kukuru zvichienderana nenzvimbo uye nzira yekuvhiyiwa.
• Kuvhiyiwa kweAortic Aneurysm yedumbu: Kuvhiyiwa kwekuisa graft. Kugadzirisa Endovascular inzira isinganyanyi kukuvadza.

Kurapa kwe fibromuscular dysplasia (FMD):

Mishonga inobvisa ropa, mishonga inoderedza marwadzo. `(Angioplasty)`. Kuvhiyiwa kudzivirira tsinga kuti isaputika.

Kurapa kweLymphedema:

Simudza ruoko/gumbo rakakuvara pamusoro pemoyo wako wakarara kwemaminitsi angangoita makumi mana nemashanu kaviri pazuva. Pfeka chifukidziro chekudzvanya. Shandisa ruoko/gumbo rakakuvara pakuita mabasa ezuva nezuva. Kana chiremba wako akakurudzira, enda kukiriniki ye lymphedema.

Kurapa kweVasculitis:

Chiremba anogona kunyora mishonga yakaita semasteroid.

Ndezvipi zvinetso/migumisiro yekurapwa?

Chero mushonga unogona kuva nemigumisiro yakaipa, asi zvakanakira zvinowanzokosha kunwa. Kazhinji, migumisiro yacho inonyangarika mukati memazuva mashoma. Kana ikasadaro, unogona kutaura nachiremba wako nezvekuchinjira kune mumwe mushonga.

Paunenge uchifunga nezvekuita oparesheni kana kuvhiyiwa, taura nachiremba wako nezvenjodzi nemabhenefiti. Zvinoshanda kumuvakidzani wako zvinogona kusashanda kwauri.

Chii chandinofanira kuita kuti ndidzivise chirwere chetsinga dzeropa?

Haugone kuchinja zvinhu zvakaita sezera rako, nhoroondo yemhuri yako, kana majini ako. Asi unogona kuita zvinhu izvi:

• Dzora chirwere chako cheshuga, cholesterol yakakwira, uye BP yakakwira .
• Kurovedza muviri nguva dzose. Kufamba-famba kwemaminitsi makumi matatu pazuva kwakanakawo.
• Idya zvekudya zvine hutano. Deredza mafuta, shuga, nemunyu. Idya michero yakawanda, miriwo, uye chikafu chine faibha yakawanda.
• Kana uchifanira kugara kana kumira kwemaawa akawanda panguva imwe chete, famba-famba zvishoma wofamba-famba kanenge kamwe chete paawa .
• Ramba uine huremu hwakanaka.
• Deredza kushushikana.
• Dzivisa fodya zvachose. Izvi zvinofanirwa kuitwa.

Chii chandinofanira kutarisira kana ndine chirwere chetsinga dzeropa (Vasculopathy)?

Dzimwe nguva chirwere chetsinga chinogona kuva dambudziko rehupenyu hwese. Kana chiremba wako angoona kuti une mafuta akawanda mutsinga dzako, achakuudza kuti uchinje mararamiro ako. Uchafanira kuramba uchiita zvinhu zvakaita sekurovedza muviri, kurega kusvuta, uye kusarudza chikafu chine hutano. Ungangodawo kuramba uchitora mishonga yekuderedza njodzi yako yekuva nechirwere chemwoyo kana sitiroko.

Maonero emamiriro ezvinhu aya

Muzvirwere zvakawanda zvetsinga dzeropa, chiremba paanokurumidza kuona dambudziko racho , ndipo panobva pava netariro yakanaka. Matambudziko mazhinji etsinga dzeropa anova akaoma kurapa sezvaanokura. Mamwe matambudziko etsinga dzeropa, akadai se `(Carotid Artery Dissection)`, `(Abdominal Aortic Aneurysm)` uye `(Pulmonary Embolism)`, anogona kutyisidzira hupenyu.

Ndingazvitarisira sei?

Pamusoro pezvataurwa pamusoro apa, unofanira kuramba uchitora mushonga sezvawakarairwa nachiremba wako uye kuenda kunoongororwa nachiremba pamazuva akarongwa.

Ndinofanira kuona chiremba rini?

Kana paine shanduko mutsinga dzeropa rako, kana kuti kana uine dambudziko nemishonga yawakanyorerwa nachiremba wako, kurumidza kuonana nachiremba wako.

Ndinofanira kuenda kuDhipatimendi reEmergency (ETU) riini?

Kana ukaona chimwe chezviratidzo izvi , fonera 911 (1990 muSri Lanka) nekukasika :

• Kuvhiringidzika kana dzungu
• Kuoma kutaura (kukambaira)
• Kudonha kwerutivi rumwe rwechiso
• Kurwadziwa kwakanyanya pachipfuva
• Kurwadziwa kwakanyanya mudumbu
• Kurasikirwa nekuona
• Kushaya simba muruoko kana gumbo

Mibvunzo ipi yandinofanira kubvunza chiremba wangu?

• Ndeipi nzira yakanakisisa yekurapa chirwere changu?
• Pane chimwe chinhu chandinofanira kuita here kuti ndigadzirise dambudziko retsinga dzeropa rangu?
• Pane zvimwe zvirwere zvandinofanira kuziva here pamwe chete nedambudziko iri retsinga dzeropa?

Chinhu chakanakisa chaunogona kuita paBP yako ndechekungwarira . Usarega kuongororwa nachiremba kana mishonga. Sezvo mamwe matambudziko eBP achiitika mumhuri, kugovera ruzivo rwako rwehutano nemhuri yako kunogona kuvabatsira kudzivirira uye kuziva nezveBP. Sezvo BP yakakwira uye cholesterol zviri zvinhu zvinokonzera BP, kumbira mhuri yako kuti ivaongororewo.

Pfupiso (Mharidzo Yekuenda Nayo Kumba)

Zvakanaka, saka ndinofunga kuti wava kunzwisisa zviri nani zvirwere zvetsinga zvatataura nezvazvo nhasi. Yeuka, izvi hazvisi zvinhu zvekurerutsa . Zvisinei, kana ukadziona nekukurumidza, ukadzibata zvakanaka, uye ukachinja mararamiro ako, unogona kurarama zvakanaka nezvirwere izvi. Kudya zvine hutano, kurovedza muviri nguva dzose , uye kudzivisa kusvutaZvinhu zviri nyore seizvi zvinogona kuita mutsauko mukuru. Kana uine kusava nechokwadi kana zviratidzo, usazeza kutsvaga mazano echiremba. Ramba uine hutano hwakanaka!

` Zvirwere zveMitsipa yeropa, Tsinga dzeropa, Tsinga dzeropa, Kurohwa, Cholesterol