Ngaba uyazi ngalo mthambo wegazi osemva kwedolo (iPopliteal Artery)? Indlela ochaphazela ngayo iingxaki zemilenze!

Namhlanje siza kuthetha ngenxalenye yemilenze yethu ebaluleke kakhulu kwimpilo yabo, kodwa esihlala siyityeshela. Ngumthambo wegazi obizwa ngokuba yiPopliteal Artery . Usenokuba awuzange uve ngayo. Kodwa ibalulekile ukuze igazi lifikeleleke ngokufanelekileyo emlenzeni wakho ongezantsi, ngasemva kwedolo lakho. Ngoko ke, makhe sijonge ukuba yintoni, zeziphi iingxaki enokuzibangela, kunye nendlela yokuyigcina isempilweni.

Yintoni iPopliteal Artery? Iphi?

Ngamafutshane, i-Popliteal Artery ngumthambo wegazi omkhulu emilenzeni yakho. Ngokuchanekileyo, lisebe lomthambo wegazi omkhulu ethangeni lakho obizwa ngokuba yi-Femoral Artery . Uqala embindini wethanga lakho, uze uhambe emva kwedolo lakho, uze uthwale igazi uye emlenzeni wakho ongezantsi. Wena okanye ugqirha unokuziva i-Popliteal Pulse ngokubeka isandla sakho ngqo emva kwedolo lakho.

Imilenze yethu yomibini, oko kukuthi, umlenze wasekunene nomlenze wasekhohlo, ine-popliteal artery.

Ngaba le mithambo iza kwahlulwa ngakumbi?

Ewe, ngaphantsi kwedolo, umthambo we-popliteal wahlukana ube ngamasebe amancinci. Ezona ziphambili yi -anterior tibial artery kunye ne-tibioperoneal trunk (ngamanye amaxesha ebizwa ngokuba yi-tibiofibular trunk ). I-tibioperoneal trunk yiyo ethwala igazi ngasemva kwe-shin yakho kunye nethambo elincinci elingaphandle komlenze wakho (i-fibula).

Zonke ezi mithambo yegazi mincinci zikhula ngale ndlela, kwaye ekugqibeleni ziyahlangana ukuze zinike igazi elipheleleyo ezinyaweni zakho. Cinga ngayo njengomthi okhula kwiingcambu ukuze uthwale amanzi aye emagqabini.

Ibaluleke ngantoni i-Popliteal Artery?

I-Popliteal Artery yinxalenye ebaluleke kakhulu kwinkqubo yokujikeleza kwegazi emzimbeni wethu. Iphantsi kodidi lwemithambo yegazi engaphandle . Oko kukuthi, imithambo yegazi ethwala igazi lisuka entliziyweni liye kwiindawo zomzimba ezikude.

I-Popliteal Artery ikakhulu inika igazi ku:

• Ithambo elincinci elingasemva komlenze wakho (`Fibula`).
• Umngxuma ongasemva kwedolo kunye ne-kneecap (`Popliteal Fossa`).
• Kwimisipha kunye nemithambo-luvo emlenzeni ongezantsi.
• Ithambo elikhulu ngaphakathi komlenze (`iTibia`).
• Kwakhona, ngamaqatha neenyawo.

Ngoko ungabona indlela ebaluleke ngayo i-Popliteal Artery ekusebenzeni kakuhle kwemilenze yethu. Ukuba kukho nayiphi na ingxaki ngale nto, ukuhamba kwegazi emilenzeni kunokuncipha.

Ziziphi izifo ezichaphazela le mithambo yegazi?

Ngelishwa, iPopliteal Artery inokuchaphazeleka ziimeko ezahlukeneyo zempilo. Makhe sijonge ukuba zithini na:

• Isifo Sokuphuphuma Kwegazi: Esi sisifo apho i-cyst yakheka ngaphakathi kodonga lwe-popliteal artery. Oku kunciphisa ukuhamba kwegazi kwaye kunciphisa ukuhamba kwegazi. Ekuhambeni kwexesha, i-artery ingaba mxinwa (i-Popliteal Artery Stenosis). Oku kuxhaphake kakhulu kumadoda . Unokufumana iintlungu emlenzeni ongezantsi, ngakumbi xa uhamba okanye uqeqesha. Le ntlungu idla ngokwanda kancinci kancinci. Siyibiza ngokuba yi- Intermittent Claudication .

• I-Popliteal Artery Aneurysm: I-aneurysm yinxalenye ebuthathaka yodonga lwe-artery evuthuluka njengebhaluni. Le vuthuluka yenza udonga lwe-artery lube buthathaka kwaye lwenze kube lula ukuqhuma. Ukuba kuvela i-aneurysm kwi-popliteal artery, i-blood clot inokwenziwa ngaphakathi kuyo. Ukuba i-clot ivala ngokupheleleyo ukuhamba kwegazi, umlenze ongezantsi unokufuneka unqunyulwe ukuba awuqatshelwa kwaye awunyangwa ngexesha. I-Popliteal Artery Aneurysm lolona hlobo lwesibini oluxhaphakileyo lwe-aneurysm emva kwe-Abdominal Aortic Aneurysms. Le meko ikwavela rhoqo kumadoda.

• I-Popliteal Artery Entrapment Syndrome (PAES): Oku kuxa izihlunu kunye nemisipha edolweni icinezela umthambo we-popliteal. Oku kubangela iintlungu zemisipha kunye nokuqaqamba kwedolo ngexesha lomsebenzi womzimba, njengokuhamba. Oku kukwabizwa ngokuba yi-intermittent claudication . Le meko, ebizwa ngokuba yi-PAES , idla ngokubonakala kubadlali, ngakumbi kubadlali abangamadoda abangaphantsi kweminyaka engama-30. Cinga ngayo njengokucinezela umbhobho wamanzi uze uyeke ukuhamba.

• Isifo se-Popliteal Artery Atherosclerotic Disease: Esi sisi sifo abantu abaninzi abaye beva ngaso. Sibangelwa kukutyiwa kwamafutha (i-plaque) kunye nokuqhekeka kwegazi okwakheka ngaphakathi kwemithambo yegazi, okuyenza inciphe kwaye ivale (ukuvaleka). Oku kunokukhokelela ekunciphiseni ukuhamba kwegazi, ukufa kwezicubu , kunye nomngcipheko ophezulu wokunqunyulwa kwezicubu. Njengezinye izifo zemithambo yegazi ezifihlakeleyo , kunokwenzeka ukuba sikhule kubantu abatshayayo, abantu abanesifo seswekile, abantu abangaphezu kweminyaka engama-65 ubudala, kunye nabo bane-cholesterol ephezulu.

• Ukopha kwemithambo yegazi kwi-Popliteal: Ukwenzakala okukhulu edolweni, umzekeloNgenxa yento efana nokuqhekeka kwedolo, umthambo we-popliteal unokuqhuma kwaye wophe igazi.

• I-Popliteal Cyst okanye i-Baker's Cyst: Le yimeko eqhelekileyo kakhulu. Inokubonwa lula nge -ultrasound . Le yi-cyst egcwele ulwelo eyakheka ngasemva kwedolo. Oku kunokubangela iintlungu nokudumba. Inokwenza kube nzima ukugoba nokuhambisa idolo. Isizathu sale Baker's Cyst kukuchaphazela idolo, nokuba kungenxa ye -arthritis okanye umonakalo kwi -meniscus . Nangona le cyst ikwindawo engasemva kwedolo, ayisoloko ichaphazela ukusebenza kwe-popliteal artery.

Zithini izizathu kunye nezinto ezibangela umngcipheko wesifo se-Popliteal Artery Disease?

Kukho izinto ezininzi ezinokubangela umngcipheko ekuphuhlisweni kwezi zifo ezinxulumene nemithambo yegazi. Nazi:

• Ukuba nesifo semithambo yegazi yentliziyo .
• Isifo seswekile (isifo seswekile).
• Igazi elonyukayo.
• I-cholesterol ephezulu.
• Ukuba yindoda (ezinye iimeko zixhaphake kakhulu kumadoda).
• Ukutyeba kakhulu.
• Ukutshaya okanye ukusebenzisa iimveliso zecuba.

Ukuba ezi zinto zikhona, kungcono ukuba ulumke kancinci, akunjalo?

Zithini iimpawu? Sizibona njani?

Kwiimeko ezininzi zesifo semithambo yegazi ye-popliteal, uphawu oluphambili lubuhlungu okanye ubunzima emilenzeni, ingakumbi xa uhamba okanye usenza eminye imisebenzi yomzimba . Le ntlungu, ukuqaqamba, kunye nobunzima ziyaphela xa uphumle. Oogqirha bayibiza le meko ngokuthi yi-intermittent claudication .

Ngaphandle koko, unokufumana iimpawu ezifana nale:

• Ukudumba (ukudumba) emlenzeni ongezantsi.
• Amanxeba angapholiyo ezinyaweni (iiFoot Ulcers).
• Intlungu edolweni, ngasemva kwedolo (iPopliteal Fossa) okanye ezinyaweni.
• Ukuba ndindisholo okanye ukubanda emilenzeni.
• Utshintsho kumbala wesikhumba emlenzeni.

Ukuba unento efana nale, kungcono ukubona ugqirha ngokukhawuleza.

Sifunyaniswa njani esi sifo? Luhlobo luni lovavanyo olwenziwa ngoogqirha?

Xa ubona ugqirha, uza kukubuza ngeempawu zakho aze akuhlole. Ukongeza, kunokwenziwa olu vavanyo lulandelayo ukuze kuqinisekiswe ukuba unayo nayiphi na imeko enxulumene nomthambo we-popliteal:

• Iirekhodi zePulse Volume (PVR): Oku kusebenzisa isixhobo sokujonga uxinzelelo lwegazi kunye nesixhobo esibizwa ngokuba yiDoppler ukuze ufumane umbono wobungakanani begazi elihamba liye emilenzeni yakho.Ixabiso le-Ankle-Brachial Index (ABI) liyabalwa.
• I-Vascular Ultrasound: Oku kungajonga indlela igazi elihamba ngayo emilenzeni yakho. Kufana novavanyo olwenziwa koomama abakhulelweyo, kodwa olu lujolisa ngqo kwimithambo yegazi.
• I-Angiogram: Kukho iintlobo ezahlukeneyo zale nto. Umzekelo, ungenza i-Magnetic Resonance Angiogram (MRA) okanye i-CT Angiogram (CTA) . Oku kujonga iindawo apho igazi lihamba khona emilenzeni yakho.
• I-Catheter Angiography: Olu luvavanyo oluntsonkothileyo kancinci. Lwenziwa ngokufaka i-catheter emzimbeni. Ngokwesiqhelo lwenziwa emva kokuba kwenziwe ezinye iimvavanyo kwaye kufuneka ulwazi oluthe kratya.

Ziziphi iindlela zonyango zezi zifo?

Unyango lwesifo semithambo yegazi esibizwa ngokuba yi-popliteal artery disease luyahluka ngokuxhomekeke kwimeko. Iindlela eziphambili zonyango zezi zilandelayo:

• Amayeza: Amayeza anokunikwa ukunciphisa uxinzelelo lwegazi, ukunciphisa i-cholesterol, kunye nokuthintela ukuqhekeka kwegazi.
• I-Catheter Angioplasty kunye ne-Stenting: Oku kuquka ukufutha umthambo ovalekileyo ngesixhobo esifana nebhaluni uze ufake i -stent ( isixhobo esifana ne-mesh) ukuze ingaphinde ivaleke.
• Ukufakelwa kwegazi ngendlela engaqhelekanga: Ukudala indlela entsha yokuba igazi lihambe ngokudlula umthambo ovalekileyo nokudibanisa iqhekeza elitsha lomthambo wegazi ('i-graft'). Kufana nokuthatha indlela eyahlukileyo xa indlela ivaliwe.
• Utyando: Ngamanye amaxesha, kufuneka utyando ukuze kususwe ii-cysts ezikhankanyiweyo apha ngasentla, okanye ukukhulula izihlunu okanye imisipha ecinezela umthambo we-popliteal.

Ungayigcina njani i-Popliteal Artery yethu isempilweni? Iindlela zokuthintela

“Ukuthintela kungcono kunokunyanga,” batsho. Ngoko ke, nazi ezinye izinto onokuzenza ukugcina kungekuphela nje umthambo wakho we-popliteal, kodwa nayo yonke inkqubo yakho yokujikeleza kwegazi isempilweni:

• Ukuba uyatshaya, yeka ngokuqinisekileyo. Kunjalo nangokusebenzisa iimveliso zecuba.
• Zilolonge iintsuku ezininzi ngeveki. Kulungile nokuhamba ubuncinane imizuzu engama-30 ngosuku.
• Yitya ukutya okunempilo kwentliziyo okune-cholesterol ephantsi, amafutha, kunye netyuwa. Yitya imifuno, iziqhamo, kunye neenkozo ezipheleleyo.
• Gcina ubunzima bakho busempilweni.
• Ukuba unezifo ezifana nesifo seswekile, i-cholesterol ephezulu, okanye uxinzelelo lwegazi oluphezulu, zilawule kakuhle. Thatha amayeza owanikwe ngugqirha wakho ngexesha.

Ufanele ufune nini ingcebiso kagqirha? Zeziphi iimpawu ezifanele zikukhuthaze ukuba uye kugqirha?

Ukuba unayo nayiphi na kwezi mpawu, qiniseka ukuba ubona ugqirha ukuze akunike iingcebiso:

• Amanxeba angapholiyo emlenzeni okanye ezinyaweni.
• Ukuba uva iintlungu xa uhamba, okanye ukuba kunzima ukuhamba okanye ukushukumisa umlenze wakho.
• Ukuba imilenze yakho idumba ngaphandle kwesizathu.
• Ukuba kukho utshintsho kubushushu okanye umbala womlenze (umzekelo, omnye umlenze ubonakala ubanda kunomnye, okanye ubonakala umhlophe).
• Ukuba uneentlungu emilenzeni nokuba uphumle.

Ukuba unamathandabuzo ngezi zinto, ungazityesheli. Ukufuna ingcebiso kagqirha kwangethuba kunokukunceda ulawule imeko ngaphambi kokuba ibe yingxaki enkulu.

Umyalezo Wokuya Ekhaya

Kulungile, ngoku uyiqonda kakuhle iPopliteal Artery esithethe ngayo namhlanje. Le yimithambo yegazi ebaluleke kakhulu ehamba ethangeni lethu, ihambe emva kwedolo, ize inike igazi kwiindawo ezisezantsi zomlenze.

Isifo semithambo yegazi esibizwa ngokuba yi-popliteal artery sinokubangela iingxaki ngokuhamba kwegazi, ezifana ne-intermittent claudication (iintlungu ezenzeka xa uhamba kwaye zithomalaliswa kukuphumla). Kwezinye iimeko ezinzima, sinokukhokelela ekulahlekelweni komlenze.

Kungoko ke, kubaluleke kakhulu ukulandela indlela yokuphila enempilo (ukutya okunempilo, ukuzilolonga, kunye nokuyeka ukutshaya) kunye nokulawula izinto ezinobungozi . Ukuba uneempawu, ungathandabuzi ukufuna ingcebiso kagqirha. Emva koko, uvavanyo olufunekayo lunokwenziwa kwaye unyango olufanelekileyo lunokuqaliswa.

Umthambo wePopliteal , Umthambo wePopliteal, Umthambo ongasemva kwedolo, ukujikeleza kwegazi emilenzeni, iintlungu zomlenze, i-Claudication eyenzeka ngexesha elithile, i-Popliteal Artery Aneurysm