Munhu mukuru mumhuri yako, pamwe amai vako, baba, kana ambuya, sekuru, vanofamba chinhambwe chidiki vogara pasi kwechinguva, vachiti, "Maiwe, makumbo angu ari kurwadza, ndiri kunzwa sekunge ndava kupenga" here? Kana kuti une tsinga dzebhuruu kana dzepepuru pamakumbo ako here? Izvi zvinogona kukonzerwa nematambudziko ane chekuita netsinga dzeropa mumuviri wedu. Saka kune vanachiremba vanonyanya kutarisira zvirwere zvine chekuita netsinga dzeropa. Avo ndivo nyanzvi dzatinoti Vascular Doctor . Nhasi, ngatitaurei nezvekuti Vascular Doctor ndiani, zvirwere zvaanorapa, uye kana uchifanira kuona chiremba akadaro zvakare.
Zvichitaurwa zviri nyore, ndiani chiremba wetsinga uyu?
Chiremba wetsinga dzeropa chiremba ane hunyanzvi muzvirwere zvine chekuita netsinga dzeropa, hurongwa hwetsinga dzeropa mumuviri wedu. Vanachiremba ava vakadzidziswa kudzivirira, kuongorora, uye kurapa zvirwere zvetsinga idzi dzeropa.
Fungidzira kuti muviri wedu iguta guru. Saka nzira iyi yeropa yakafanana nehurongwa hwemigwagwa iri muguta iroro. Mimwe yakafanana nemigwagwa mikuru, mimwe yakafanana nemigwagwa midiki yemumusha. Ndiko kuburikidza nemigwagwa iyi umo "zvinhu" zvinonzi okisijeni nekudya zvinotakurwa kuenda kumasero ese nenyama yemuviri, uye "tsvina" (zvinhu zvakaita secarbon dioxide) inogadzirwa ikoko inodzoserwa. Saka, kana paine kuvharika, kutsemuka, kana kutsemuka pane imwe nzvimbo mumigwagwa iyi, guta rese richakanganiswa, uye kana paine dambudziko netsinga dzeropa mumuviri wedu, richakanganisa muviri wese.
"Injiniya" anotarisira zvakananga "nzira" ndiChiremba weMitsipa yeropa.
Sisitimu yedu yeropa inoshanda sei?
Kune zvikamu zvikuru zvitatu zvehurongwa uhu:
1. Tsinga dzeropa: Idzi itsinga huru dzeropa dzinotakura ropa rakachena, rine oxygen kubva pamoyo kuenda kunhengo dzese dzemuviri. Zvakafanana nehurongwa hukuru hwemvura muguta.
2. Tsinga: Idzi itsinga dzeropa dzinotakura ropa rakamboshandiswa, risina okisijeni, uye rakaora richidzoka kumoyo kubva kumativi ese emuviri. Zvakafanana nehurongwa hwekuburitsa mvura yakamboshandiswa hunobvisa mvura yakamboshandiswa.
3. Macapillaries: Aya matsinga eropa madiki akanaka kwazvo. Anobatanidza tsinga dzeropa netsinga. Ndiwo panochinjaniswa okisijeni nezvinovaka muviri pakati pemasero emuviri uye ndipo panounganidzwa marara.
Chiremba wetsinga anotarisa pane zvese izvi.
Vanachiremba ava vanorapa zvirwere zverudzii?
Mhando dzezvirwere zvinorapwa nachiremba wemitsipa yeropa dzakakura zvikuru. Zvimwe zvakajairika, nepo zvimwe zvichigona kuva zvakakomba. Ngatitarisei tafura iri pazasi.
| Mamiriro | Zvakatsanangurwa zviri nyore |
|---|---|
| Chirwere cheThyororo reMhino (PAD) | Mitsipa inotakura ropa kumakumbo nemaoko inovharika nemafuta akawanda echolesterol. Chimwe chezviratidzo zvikuru kurwadziwa mumakumbo kana uchifamba. |
| Aneurysm | Rusvingo rwetsinga yeropa rusina kusimba runoputika sebharumu. Izvi zvinogona kuitika mutsinga huru iri mudumbu (aorta). Kana izvi zvikaputika, zvinogona kuisa hupenyu panjodzi. |
| Mitsipa yeVaricose | Mavharuvhu ari mukati metsinga dzemakumbo anoshaya simba, zvichiita kuti ropa riungane panzvimbo imwe chete panzvimbo pekudzokera kumoyo, zvichiita kuti tsinga dzizvimbe dzoita sebhuruu kana pepuru. |
| Kudzikira kweThrombosis yeMutsinga Wakadzika (DVT) | Kugwamba kweropa kunoumbwa mutsinga yakadzika mugumbo. Izvi zvinogona kukonzera kuzvimba nekurwadziwa mugumbo. Kana gwamba iri rikabvaruka roenda kumapapu (pulmonary embolism), zvinogona kuva nengozi huru. |
| Chirwere cheCarotid Artery | Kuvharika kwetsinga dzeropa dzinotakura ropa kubva kumativi ese emutsipa kuenda kuuropi, ndicho chikonzero chikuru chestroke. |
| Kuora kweropa muropa | Cholesterol nezvimwe zvinhu zvinoungana mumadziro etsinga (plaque), zvichiita kuti ropa riderere. Izvi zvinogona kuitika mutsinga ipi zvayo mumuviri. |
| Kutapukira kweropa mutsinga | Kuzvimba kwemadziro etsinga dzeropa. Izvi zvinogona kunge zvichikonzerwa nedambudziko remasoja emuviri. |
| Kugadzirira mitsipa yeropa kuti ishandiswe kuchenesa ropa (dialysis) kuvanhu vane dambudziko reitsvo | Kana itsvo dzisisakwanise kuchenesa ropa, fistula inogadzirwa paruoko kuti ibataniswe nemuchina we dialysis. |
Chinonyanya kukosha ndechekuti zvirwere izvi zvakawanda zvine chekuita neBP , chirwere cheshuga , kusvuta fodya , uye cholesterol yakakwira .
Unofanira kuona chiremba wetsinga rini?
Ungave uchizvibvunza kuti, "Ndinofanira kuona chiremba akadai here?" Kazhinji, chiremba wemhuri yako (GP) achakutumira kune nyanzvi yakadai. Zvisinei, kana uine chimwe chezviratidzo zvinotevera kana zvinhu zvinoisa njodzi, zvakakosha kungwarira izvi.
- Kurwadziwa kwemakumbo kana musana paunenge uchifamba: Kana uchinzwa kurwadziwa mumakumbo ako, kunyanya mumagaro, paunofamba chinhambwe chipfupi uye kukadzikira mushure mekumira kwenguva, zvinogona kunge zviri chiratidzo chePAD .
- Kuzvimba kwemakumbo: Kana gumbo rimwe chete kana ose akazvimba zvisingawanzoitiki, kunyanya kana gumbo rimwe chete rakatsvuka uye rakazvimba richinzwa kudziya, zvinogona kuva chiratidzo chekugwamba kweropa (DVT) .
- Maronda asingapore: Kana maronda ari pamakumbo, kunyanya patsoka nepazvigunwe, achitora nguva yakareba kuti apore, chingave chiratidzo chekuti ropa riri munzvimbo iyoyo harina kukwana.
- Kuchinja ruvara kana kutonhora kwemakumbo: Kana makumbo achitonhora kupfuura muviri wese, kana ganda remakumbo richichinja kuita bhuruu kana kuti rakachenuruka.
- Mitsipa yeVaricose: Kana uine mitsipa yebhuruu/pepuru mumakumbo ako inoita seyakasungirirwa pamwe chete uye iri kukonzera kurwadziwa uye kunzwa sekurema mumakumbo ako.
- Kurwadziwa kwakanyanya mudumbu kana pachipfuva kamwe kamwe: Izvi zvinogona kuva chiratidzo chekuputika kweaneurysm . Iyi idambudziko guru uye unofanira kuenda kuchipatara cheEmergency Department (ETU) nekukasika.
Vanhu vane zvinhu zvinokonzera njodzi:
Kana uine chirwere cheshuga, BP, kana kuti une nhoroondo yemhuri yezvirwere zvetsinga dzeropa, uri panjodzi huru kupfuura dzimwe. Ndosaka zvichikosha kuti ugare uchiongororwa nachiremba.
Ndeupi musiyano uripo pakati peChiremba wemwoyo neChiremba wetsinga dzeropa?
Ichi chinhu chinovhiringidza vanhu vazhinji.
- Chiremba wemwoyo chiremba ane hunyanzvi mukurapa moyo . Anorapa mashandiro emoyo, matambudziko emoyo, kurwiswa kwemoyo, uye zvirwere zvevharuvhu yemoyo.
- Chiremba wetsinga dzeropa chiremba anotarisa pamitsipa yeropa iri mumuviri wese , kunze kwemoyo. Izvi zvinoreva zvese kubva pamakumbo, maoko, dumbu, mutsipa, kusvika kutsinga dzinoendesa ropa kuuropi.
Asi izvi zviviri zvinowanzo shanda pamwe chete. Nekuti moyo netsinga dzeropa zvinhu zviviri zvakabatana. Semuenzaniso, chiremba wemwoyo anotarisa kuvharika kwetsinga dzinopa ropa kumoyo (Coronary Arteries), ukuwo chiremba wetsinga dzeropa anotarisa kuvharika kwetsinga dzemumakumbo.
Chii chaungatarisira kana ukaenda kunoona chiremba?
Kana ukatumirwa kuna chiremba wetsinga dzeropa, anotanga akubvunza mibvunzo yakadzama nezvezviratidzo zvako.
- Chii chiri kukunetsa?
- Zvakatanga rini?
- Inokura panguva ipi? Inodzikira sei?
Zvadaro, vachakubvunza nezvenhoroondo yako neyemhuri yako yezveutano. Zvakakosha kubvunza nezvezvimwe zvirwere zvaunazvo (chirwere cheshuga, BP), mishonga yaunotora, kana uchisvuta, uye kana paine munhu mumhuri yako ane zvirwere izvi.
Zvadaro, chiremba achakuongorora panyama yako.
- Vanotarisa kurova kwemoyo mumakumbo nemaoko ako.
- Ruvara, tembiricha, uye kuzvimba kwemakumbo zvinoongororwa.
- Kumanikidzwa kweropa kunoyerwa.
Miedzo ipi ichaitwa?
Kuti aone chirwere chaicho, chiremba wako anogona kukukumbira kuti uite mimwe miedzo.
- Kuongororwa kweropa netsinga dzeropa (Doppler Scan): Uku ndiko kuongorora kwakajairika. Kwakafanana nekuongororwa kwemukadzi ane pamuviri. Hakurwadzi. Kunogona kuona zvakajeka kuti ropa riri kuyerera sei mutsinga dzako, uye kana paine kuvharika kana kuti ropa rakagwamba.
- Chiyero cheAnkle-Brachial Index (ABI): Iyi bvunzo iri nyore kwazvo. Vanoyera BP muruoko rwako nepagumbo voenzanisa zviviri izvi. Izvi zvinogona kukupa pfungwa yekuti ropa riri kuyerera zvishoma here kumakumbo ako.
- Angiogram (CT/MR/Catheter): Iyi bvunzo yakaoma zvishoma. Dhayi yekuenzanisa inopinzwa mutsinga dzeropa, uye X-ray, CT, kana MRI scans zvinoshandiswa kuburitsa mifananidzo yakajeka yetsinga dzeropa. Izvi zvinogona kubatsira kuona nzvimbo chaiyo yakavharika.
Zvichibva pamhedzisiro yebvunzo idzi, chiremba wako ndiye achasarudza marapirwo aunoda. Anogona kunge ari mishonga, shanduko dzemararamiro, kana dzimwe nguva kuvhiyiwa kudiki kana kukuru.
Mharidzo Yekuenda Nayo Kumba
- Chiremba wetsinga dzeropa inyanzvi inorapa zvirwere zvine chekuita netsinga dzese dzeropa (tsinga dzeropa netsinga) mumuviri, kunze kwemwoyo.
- Zviratidzo zvakaita sekurwadziwa kwemakumbo kana uchifamba, kuzvimba kwemakumbo, maronda asingapore, uye mitsipa yeropa inogona kukonzerwa nematambudziko etsinga dzeropa. Usambofa wakafuratira izvi.
- Kana uine chirwere cheshuga, BP yakakwira , kana kuti unosvuta , uri panjodzi huru yekubatwa nechirwere chetsinga dzeropa.
- Kana usina chokwadi nezvezviratidzo, tanga wabvunza chiremba wemhuri yako (GP) kuti akupe mazano. Kana zvichidikanwa, iye achakutumira kuna Chiremba weMitsipa yeropa.
- Unogona kuzvidzivirira kubva kuzvirwere izvi nekudya chikafu chine hutano, kurovedza muviri nguva dzose, uye kusaputa fodya.
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