Wakambonzwa nezve "Varapi veMitsipa yeropa" here? Pamwe chiremba akakurudzira mumwe wemhuri yako kana shamwari kuti aone mumwe wavo. Patinonzwa izwi rekuti "Varapi veropa," tinotya zvishoma, handiti? "Ah, ndichafanira kuvhiyiwa here?" Tinofunga kudaro. Asi Varapi veMitsipa yeropa havasi munhu anovhiya chete. Saka nhasi, ngatitaurei nezvekuti nyanzvi iyi ndiani uye kuti ndeapi mabasa aungawana kubva kwaari.
Zvichitaurwa zviri nyore, ndiani uyu chiremba wetsinga dzeropa?
Chiremba wetsinga dzeropa inyanzvi inoongorora nekurapa matambudziko ane chekuita netsinga dzeropa mumuviri wedu. Asi pane chimwe chinhu chakakosha pano. Kureva kuti, vanachiremba ava vane ruzivo rwakasiyana nezvetsinga dzeropa dziri muzvikamu zvese zvemuviri kunze kwetsinga dzeropa dziri mumoyo nepfungwa .
Fungidzira kuti miviri yedu yakaita senzira diki. Ropa rinotakura okisijeni nezvinovaka muviri zvinodiwa nemiviri yedu rinofamba mumigwagwa iyi. Migwagwa iyi ndiyo yatinoti mitsipa yeropa. Kutaura chokwadi, inosanganisira mitsipa yeropa, mitsipa yeropa, uye mitsipa yeropa. Waizviziva here kuti kune mitsipa yeropa iyi inosvika makiromita 100,000 mumiviri yedu?
Saka, chiremba wemitsipa yeropa munhu ane ruzivo rwakadzama rwechero dambudziko rinogona kumuka chero kupi zvako mune iyi system yakakura. Ane ruzivo rwakanaka rwekuti tsinga dzinoshanda sei, zvirwere zvinogona kuitika mairi, kuvharika, kuvharika, uye kuzvimba.
Dzimwe nguva nyanzvi idzi dzinonziwo "vanachiremba vemachiremba." Izvi zvinodaro nekuti kana dambudziko retsinga dzeropa, sekubuda ropa risingatarisirwi, rikaitika panguva yekuvhiyiwa kumwe, chiremba wetsinga dzeropa ndiye anouya kuzokumbira rubatsiro nemazano.
Ndeapi mabasa aunowana kubva kuna chiremba wetsinga dzeropa?
Kunyangwe vachiti "chiremba anovhiya," vanachiremba ava havangoiti kuvhiya chete. Vanokubatsira nenzira dzakawanda.
- Kuongorora: Zvichibva pazviratidzo zvako, tinogona kuziva rudzi rwedambudziko retsinga dzeropa raunaro.
- Kuronga kurapwa: Kana chirwere changoonekwa, chirongwa chekurapa chichagadzirwa chinokukodzera. Izvi hazvifanirwe kunge zvichisanganisira kuvhiyiwa nguva dzose. Zvinogona kusanganisira mishonga, kuchinja zvekudya, uye kurovedza muviri .
- Kuvhiyiwa nedzimwe nzira dzekurapa: Kana zvichidikanwa, kuvhiyiwa kunoitwa. Kune mhando dzakasiyana-siyana. Dzimwe nzira dzekurapa dzinoitwa zvishoma nezvishoma, dzisingachekwi. Dzimwe dzakaoma, dzakavhurika.
- Kutarisirwa kwenguva refu:Zvirwere zvetsinga dzeropa zvinowanzoda kugadziriswa kwenguva yakareba. Saka Chiremba wetsinga dzeropa munhu anovaka hukama hwenguva refu newe, anogara achitarisa mamiriro ako ezvinhu, uye achikupa mazano anodiwa. Zvakafanana nachiremba wemhuri yako, nyanzvi ine hushamwari inoramba ichitarisa hutano hwako.
Matambudziko akajairika anorapwa nachiremba weMitsipa yeropa
Kune zvirwere zvakawanda zvinorapwa nenyanzvi idzi. Ngatingonzwisisai zvimwe zvacho kubva patafura iri pazasi.
| Mamiriro | Zvichitaurwa zviri nyore... |
|---|---|
| Aneurysms yeAortic | Madziro etsinga huru yemuviri (aorta) anoshaya simba uye anoputika sebharumu. Izvi zvinogona kuputika. |
| Kuora kweropa muropa | Cholesterol nezvimwe zvinhu zvinoungana mukati metsinga dzeropa (plaque), zvichivhara tsinga dzeropa. Uyu ndiwo mudzi wematambudziko akawanda. |
| Kudzikira kweThrombosis yeMutsinga Wakadzika (DVT) | Kugwamba kweropa, kunyanya mutsinga dzakadzika dzemakumbo, kunogona kuva nengozi kana kukatyoka kukaenda kumapapu. |
| Chirwere cheCarotid Artery | Kuvharika kwetsinga huru inotakura ropa kubva kumativi ese emutsipa kuenda kuuropi. Izvi zvinogona kukonzera sitiroko. |
| Chirwere cheThyororo reMhino (PAD) | Kuvharika kwetsinga dzinotakura ropa kuenda kumakumbo. Chimwe chezviratidzo zvikuru kurwadziwa kwemakumbo pakufamba. |
| Mitsipa yeVaricose | Dambudziko rekuti tsinga dzemakumbo dzinozvimba dzoita sebhuruu kana pepuru pamusoro peganda. |
| Kupinda muDialysis | Kupa mitsipa yakakosha yeropa kuburikidza nekuvhiyiwa kuchenesa ropa (dialysis) kune varwere vane dambudziko reitsvo. |
| Maronda etsoka ane chekuita nechirwere cheshuga | Chirwere cheshuga chinokonzera kudzikira kweropa rinoenda kumakumbo, zvichiita kuti maronda asapore. |
Ndezvipi zviedzo zvinoshandiswa kuongorora chirwere ichi?
Kuti aone kuti dambudziko rako nderei chaizvo, chiremba anovhiya tsinga anoshandisa bvunzo dzakasiyana-siyana. Ungave wakambonzwa nezvedzimwe dzacho.
| Bvunzo | Unoitei neizvi? |
|---|---|
| Ultrasound yetsinga dzeropa | Tinoziva scan (ultrasound). Izvi zvinogona kushandiswa kuona kuti ropa rinoyerera sei mukati metsinga dzeropa, uye kana paine kuvharika kana kugomara kweropa. |
| Chiratidzo cheAnkle-Brachial Index (ABI) | Kumanikidzwa kweropa muruoko rwako nemutsoka kunoyerwa uye kunoenzaniswa. Iyi ibvunzo iri nyore yekuona kana ropa risingafambi zvakanaka mumakumbo ako. |
| CT Angiogram | Kuongororwa kweCT kunoitwa nekubaya dhayi chaiyo mutsinga. Izvi zvinoita kuti mifananidzo yetsinga dzeropa ive nemativi matatu (3D). |
| Magnetic Resonance Angiogram (MRA) | Izvi zvakafanana neCT Angiogram, asi zvinoshandisa simba remagineti. Zvinogona kuburitsa mifananidzo yakajeka kupfuura CT. |
Kuvhiyiwa uye kurapwa kunoitwa nachiremba weMitsipa yeropa
Sezvatakambotaura, kune nzira dzakawanda dzekurapa. Chiremba anosarudza imwe zvichienderana nezvinodiwa.
Maitiro Asingapindi Zvishoma
Maitiro aya haabatanidzi kucheka kukuru. Mazhinji emabasa aya anoitwa kuburikidza nemachubhu madiki (catheters) anopinzwa setsono.
- Angioplasty uye Stenting: Chinhu chidiki chakaita sebharumu chinoiswa mutsinga yeropa yakavharika uye chinofefeterwa kuti chiwedzere tsinga. Dzimwe nguva chinhu chidiki chakaita semesh (stent) chinoiswa mukati metsinga kuti chisavharwe zvakare.
- Kubviswa kwemasero eropa: Chidimbu checholesterol chakavharika (plaque) chinokweshwa nechinhu chidiki.
- Kurapa neThrombolytic: Mushonga unogona kunyungudutsa ropa rinogwamba unopinzwa zvakananga panzvimbo yakagwamba.
Kuvhiya Kwakavhurika
Mune zvimwe zviitiko, kunyanya mumatambudziko makuru, kuvhiyiwa pachena kunogona kudiwa.
- Kuvhiyiwa kweBypass: Nzira itsva yekuti ropa riyerere nepatsinga yakavharika inogadzirwa nekuipfuura. Izvi zvinosanganisira kushandisa tsinga yakatorwa kubva kune imwe nhengo yemuviri kana tsinga yekugadzira.
- Kubviswa kweropa mutsinga: Tsinga inovhurwa zvakananga, cholesterol plaque iri mukati inobviswa nemaoko, uye tsinga inosonwa pamwe chete. Izvi zvinonyanya kuitwa patsinga yeropa iri mumutsipa.
- Kugadziriswa kweAneurysm: Chikamu chakazvimba chetsinga chinobviswa chotsiviwa netsinga yekugadzira (graft).
Sei uchitumirwa kuna chiremba wetsinga dzeropa?
Kana chiremba wako mukuru, mushure mekuongorora zviratidzo zvako, achifunga kuti iri idambudziko rinofanira kutariswa nachiremba wetsinga dzeropa, achakutumira kuna chiremba wetsinga dzeropa.
Yeuka kuti kutumirwa kuna chiremba wetsinga dzeropa hazvirevi kuti uchafanira kuvhiyiwa chete, asi zvinongoreva kuti unoda mazano enyanzvi uye kurapwa kwechirwere chako.
Kutanga, chiremba achataura newe zvizere, obvunza nezvezvinokunetsa nezvaunotya, obva aita bvunzo dzinodiwa uye okurukura nezvekurapa kwakanakira iwe. Saka, usatya kutaura nachiremba wako nezvemibvunzo kana zvinokunetsa zvaungave nazvo.
Mharidzo Yekuenda Nayo Kumba
- Chiremba wetsinga dzeropa inyanzvi inorapa zvirwere zvine chekuita netsinga dzese dzeropa (tsinga dzeropa, tsinga dzeropa) mumuviri, kunze kwedzemwoyo nepfungwa.
- Usatya izwi rekuti "chiremba wepfungwa." Vanoita zvinhu zvakawanda pamusoro pekuvhiyiwa, zvakaita semishonga, kuchinja mararamiro, uye kurapwa kusinganyanyi kupindira mumuviri.
- Kana ukatumirwa kuna chiremba weMitsipa yeropa, zvinoreva kuti unoda rubatsiro rwenyanzvi, kwete kuvhiyiwa chete.
- Nekuti zvirwere zvakawanda zvetsinga dzeropa zvinogara kwenguva refu, Chiremba wako weMitsipa yeropa angangove mubatsiri wenguva refu murwendo rwako rwehutano.
- Usambozeza kubvunza chiremba wako mibvunzo. Zvakakosha kugadzirisa zvese zvinokunetsa nezvechirwere chako uye nzira dzekurapa.
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