Ngaba ukhe uve iintlungu ezibukhali nezihlabayo kwimisipha yakho yemilenze xa uhamba, ubaleka, okanye uzilolonga ejimini? Kodwa okumangalisayo kukuba, iintlungu ziyaphela ngokupheleleyo emva kokuphumla okwethutyana? Abantu abaninzi bacinga ukuba oku kuqhelekile, mhlawumbi kukuxinwa kwemisipha, kodwa oko akusoloko kunjalo. Ngamanye amaxesha unobangela usenokuba yimeko eyahlukileyo, engaziwayo. Namhlanje sithetha ngemeko engaqhelekanga enjalo ekufuneka siyiqaphele.
Ngamafutshane, yintoni i-Adventitial Cystic Disease?
Oku kusenokuvakala kuyinkimbinkimbi kancinci, kodwa kulula kakhulu ukukuqonda. Isifo se-Adventitial Cystic Disease sisifo apho ingxowa egcwele ulwelo, efana neqamza (cyst) yakheka ngaphakathi kodonga lomthambo wegazi (umthambo okanye umthambo) emzimbeni wethu.
Khawuthelekelele ukuba kukho umbhobho wamanzi. Ibhaluni encinci ngaphakathi kodonga lwaloo mbhobho iyadumba. Kwenzeka ntoni emva koko? Indawo yokuba amanzi adlulele kumbhobho iyancipha, kwaye ukuhamba kwamanzi kuyavalwa. Yiloo nto eyenzekayo kwesi sifo. Iindonga zemithambo yethu yegazi zenziwe ngamaleya aliqela. Apha, eli tumo limanzi lenzeka kumaleya angaphandle komthambo wegazi, obizwa ngokuba yi-adventitia . Njengoko eli tumo likhula, linciphisa indlela yokuba igazi lidlule kumthambo wegazi. Ingakumbi xa sihamba okanye sibaleka, xa imilenze yethu ifuna igazi elingakumbi, oku kuncitshiswa kuthintela igazi elaneleyo ukuba lingangeni kwimisipha. Yiyo loo nto ebangela intlungu.
Izihlandlo ezininzi, le meko ichaphazela umthambo we-popliteal, umthambo ophambili ohamba emva kwamadolo ethu . Lo mthambo unika igazi emadolweni ethu nakwimisipha emilenzeni yethu esezantsi. Nangona kunjalo, kunqabile kakhulu, malunga ne-15% yamatyala, la ma-cysts azaliswe lulwelo anokwakheka nakwezinye imithambo yegazi emzimbeni.
Ngubani onokuthi abe nale meko?
Le yeyona nto imangalisayo ngesi sifo. Ngokwesiqhelo, izifo zemithambo yegazi zenzeka kubantu abane-cholesterol ephezulu, ukutyeba kakhulu, kunye nesifo seswekile. Kodwa esi sifo asinjalo.
- Ixhaphake kakhulu kumadoda aphakathi kweminyaka engama-40 ukuya kwengama-50 ubudala .
- Amadoda anamathuba aphindwe kahlanu okufumana esi sifo kunabafazi.
- Into engaqhelekanga kukuba, oku kwenzeka kuphela kubantu abangenazo ezinye izifo kwaye abaphila ubomi obusempilweni nobusebenzayo .
Oku kuthetha ukuba nokuba ungumntu osempilweni nozilolonga kakuhle, usenokufumana le meko. Akukho bungqina bokuba ezinye izinto ezibangela izifo zemithambo yegazi, ezifana ne-cholesterol ephezulu kunye nokutyeba kakhulu, ziyayichaphazela le meko. Esi sisifo esingaqhelekanga kakhulu. Sibangela inani elincinci kakhulu lamatyala, malunga ne-0.1%, yazo zonke izifo zemithambo yegazi.
Ziziphi iimpawu eziphambili zesi sifo?
Uphawu oluphambili noluqhelekileyo lwesi sifo yimeko ebizwa ngokuba yi- intermittent claudication . Ngamafutshane, lithetha "iintlungu zemisipha ezibakho ngexesha lokuzilolonga kwaye ziphele xa uphumle."
| Uphawu | Inkcazo |
|---|---|
| Intlungu efana nephini eliqengqelekayo | Intlungu ebuhlungu okanye ukuziva ngathi kukuxhuzula kwimisipha yethole xa usenza umthambo, ingakumbi xa uhamba okanye ubaleka. |
| Ukuphelisa iintlungu xa uphumle | Intlungu iphantse iphele ngokupheleleyo xa uyeka ukuzilolonga uze uphumle imizuzu embalwa. |
| Idla ngokuchaphazela umlenze omnye | Le ntlungu idla ngokuvela emlenzeni omnye kuphela, kodwa ayifane yenzeke kwimilenze yomibini. |
| Ukudumba (okungaqhelekanga) | Ukuba ulwelo luqokelelana emthanjeni, ungabona ukudumba emlenzeni. Nangona kunjalo, oku kunqabile kakhulu. |
Kutheni oku kusenzeka?
Oogqirha abanakukwazi ukutsho ngokuqinisekileyo ngokupheleleyo ukuba yintoni ebangela oku, kodwa kukho iingcamango ezininzi ezinokuba ngunobangela.
- Ingxaki eyenzeka ngexesha lokukhula komntwana ongekazalwa: Abanye bakholelwa ukuba, mhlawumbi, njengoko umntwana ekhula esibelekweni, uhlobo oluthile lweseli olunokwenza la ma-cyst azaliswe lulwelo lunokungena kwimithambo yegazi.
- Izifo zezicubu ezidityanisiweyo: Ezinye iimeko ezichaphazela izicubu ezidityanisiweyo zomzimba zinokubangela ukuba olu hlobo lweethumba lwenzeke kwimithambo yegazi.
- Ukwenzeka kwamalungu: Abanye abantu banokuba sengozini enkulu yokuphuhlisa olu hlobo lwezimila kumalungu.
- Iingozi okanye uxinzelelo olude:Ukulimala emthanjeni wegazi okanye uxinzelelo oluphindaphindayo ngenxa yokwenza uhlobo olufanayo lokushukuma kungonakalisa iindawo zomthambo wegazi kwaye kubangele ukuba kubekho amathumba kwezo ndawo.
Eyona nto ibalulekileyo kukuba le meko ayibangelwa sisifo sentliziyo. Ngoko ke akukho mfuneko yokukhathazeka ngezinto ezifana ne-cholesterol kunye noxinzelelo lwegazi.
Indlela yokuxilonga ngokuchanekileyo isifo?
Esi sifo sinokuba nzima ukusifumanisa. Ngenxa yokuba siyenzeka kubantu abaphilileyo, oogqirha abacingi ngesifo esingaqhelekanga ekuqaleni. Ngoko ke ukuba ufumana iintlungu ngasemva kwedolo okanye kwindawo yezihlunu xa uzilolonga, qiniseka ukuba ubona ugqirha wakho kwaye umxelele ngaso .
Iimpawu zakho zinokubangelwa zezinye iimeko ezifana nale, njengePopliteal Artery Entrapment Syndrome (PAES) okanye iChronic Exertional Compartment Syndrome . Ngoko ke, ugqirha wakho uya kuzisusa zonke ezi meko ngaphambi kokuba enze uxilongo oluchanekileyo.
Uvavanyo olwenziwe ngugqirha
Okokuqala, ugqirha uza kukuxilonga ngokwasemzimbeni aze ajonge ukuba akukho pulse enyaweni yakho nangasemva kwedolo lakho (popliteal artery). Ukuba ipulse ibuthathaka okanye ayikho, ingakumbi xa ugoba idolo lakho, oku kunokubonisa ukuba kukho ukuvaleka kokuhamba kwegazi.
Ukongeza, ezi mvavanyo zilandelayo zingenziwa ukuqinisekisa isifo.
| Uvavanyo | Kwenzekani? |
|---|---|
| Isalathisi se-Ankle-Brachial (ABI) | Uxinzelelo lwegazi olungalweni nasemlenzeni luyalinganiswa kwaye luthelekiswa. Ukuba uxinzelelo lwegazi emlenzeni wakho luphantsi, lunokufunyanwa njengoluvalekileyo. |
| I-Duplex Ultrasound | Oku kukuvumela ukuba ubukele ukuhamba kwegazi kwimithambo yegazi njengevidiyo. Ulwelo kunye nokuvaleka kubonakala ngokucacileyo. |
| I-CT Angiogram | I-CT scan yenziwa ngokufaka idayi ekhethekileyo emzimbeni. Imifanekiso eneenkcukacha ze-3D yemithambo yegazi inokufumaneka ukuze kuchongwe indawo echanekileyo yokuvaleka. |
| I-MRI | Oku kukwavumela ukuba kufunyanwe imifanekiso ecacileyo yemithambo yegazi kunye nezicubu ezingqongileyo kunye nendawo kunye nohlobo lwesingxobo esizaliswe lulwelo. |
Iphathwa njani?
Ngamanye amaxesha, ezi cysts zinokuphela zodwa ngaphandle konyango. Kodwa oko kunqabile. Ngokuqhelekileyo, unyango oluphumelelayo kukususa i-cyst ngotyando.
Kwezinye iimeko, ugqirha angasebenzisa inaliti ukususa ulwelo olungaphakathi kwi-cyst (i-cyst aspiration) ngaphandle kotyando. Oku kulula kunotyando, kodwa kwandisa umngcipheko wokubuya kwe-cyst. Kufana nokuzama ukukhupha ibhaluni yamanzi ngenaliti, kodwa ingazaliswa kwakhona.
Ngexesha lotyando, ugqirha ukhupha ulwelo kunye nenxalenye eyonakeleyo yomthambo wegazi. Ukuba imeko imbi kakhulu, oko kuthetha ukuba umthambo wegazi uvalekile kakhulu, ezinye iindlela zingasetyenziswa. Umzekelo:
- I-Vein Graft: Inxalenye yomthambo ophilileyo othathwe kwenye indawo yomzimba isetyenziselwa ukulungisa inxalenye eyonakeleyo yomthambo wegazi.
- I-Synthetic Patch: Umthambo wegazi ulungiswa kusetyenziswa i-synthetic patch.
- Utyando Lokudlula Kwigazi: Kudalwa indlela entsha yokuhamba kwegazi, ethintela ukuvaleka.
Kwenzeka ntoni emva konyango?
Emva kwalo naluphi na unyango, kukho ithuba lokuba olu hlobo lwe-cyst luphinde lubuye. Ke ngoko, nokuba emva konyango, kufuneka kujongwe ixesha elide, njengee-scan.
Nangona kunjalo, emva kokususwa kwesi sifo ngotyando, abantu abaninzi bafumana isiqabu esipheleleyo kwiintlungu kunye nokuqaqamba. Olunye uphando lufumanise ukuba ukulungiswa kotyando lwemithambo yegazi nge-vein graft kunomngcipheko omncinci wokuphinda kwenzeke kwakhona.
Ngaba oku kungathintelwa?
Hayi. Okwangoku akukho ndlela yokuthintela le meko ukuba ingenzeki. Eyona nto ingcono onokuyenza kukubona ugqirha wakho kwangoko xa ubona naziphi na iimpawu, ezinje ngentlungu yomlenze, uxinzelelo, ukuqaqamba kwemisipha, okanye ukudumba .
Umyalezo Wokuya Ekhaya
- Isifo se-Adventitial Cystic sisifo esingaqhelekanga apho i-cyst egcwele ulwelo yakheka eludongeni lomthambo wegazi. Sibonakala kakhulu kumthambo ongasemva kwedolo.
- Uphawu oluphambili yintlungu ebukhali nehlabayo eyenzeka ngexesha lokuzilolonga ize iphele xa uphumle.
- Ixhaphake kakhulu kumadoda asempilweni, asebenzayo, aneminyaka ephakathi angenazo ezinye izifo. Ayichaphazeleki zizinto ezinobungozi ezifana ne-cholesterol.
- Ukuba uneempawu ezinje, musa ukucinga ukuba ziqhelekile kwaye ngokuqinisekileyo bonana nogqirha wakho.
- Unyango oluphumelela kakhulu kukususa i-cyst ngotyando.
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