Ngaba ungumfana oselula othanda ukudlala imidlalo kwaye okwaziyo ukubaleka nokutsiba? Kodwa emva kokuba uqale ukubaleka, ngaba ufumana iintlungu ezingaqhelekanga, ubunzima, okanye ukungakhululeki emlenzeni ongezantsi (indawo yethole) emva komgama omfutshane? Iyaphela emva kokuphumla okufutshane, kodwa intlungu efanayo iyabuya xa uqala ukubaleka kwakhona? Oku kusenokungabi kukuxinana kwemisipha kuphela. Namhlanje sithetha ngemeko engaqhelekanga abantu abaninzi abangayaziyo, kodwa enokuchaphazela ngakumbi abantu abaselula abadlala imidlalo.
Ngamafutshane, yintoni iPopliteal Artery Entrapment Syndrome (PAES)?
Isenokuvakala ngathi iyinkimbinkimbi kancinci, kodwa inkqubo ilula kakhulu. I-PAES yimeko engaqhelekanga echaphazela imithambo yegazi emilenzeni yethu. Iyenzeka xa umthambo ophambili ohamba ngasemva kwamadolo ethu, umthambo we-popliteal, uvalwa ngumsipha okufutshane (umsipha we-gastrocnemius).
Njengokuba umntu enyathela umbhobho wamanzi, ukuhamba kwamanzi kuyehla. Xa sibaleka okanye sitsiba, esi sihlunu siqinisa imithambo yegazi yethu. Emva koko, ukuhamba kwegazi ukuya emlenzeni ongezantsi kuyehla okwethutyana. Ngenxa yoku kwehla kokuhamba kwegazi, izihlunu azifumani ioksijini eziyidingayo, kwaye izinto ezifana ne-lactic acid ziyaqokelelana, nto leyo ebangela iimpawu ezifana neentlungu, ubunzima, ukudinwa, kunye nokungabi nanto emlenzeni.
Eyona nto ingcono kukuba ezi mpawu ziyaphela kwimizuzu emithathu ukuya kwemihlanu emva kokuyeka ukuzilolonga. Nangona kunjalo, ukuba azinyangwa, imeko inokuba mandundu ngokuhamba kwexesha. Intlungu ingakhula emva nje kokuhamba okufutshane, kwaye kungathatha ixesha elide ukuba iphele.
Ngubani ochaphazeleka kakhulu yile meko?
I-PAES ixhaphake kakhulu kubadlali abaselula abaphakathi kweminyaka eli-15 nengama-25 ubudala. Abantu abadlala imidlalo equka ukubaleka basengozini enkulu. Umzekelo:
- Imidlalo yezemidlalo (Umdyarho kunye neNkundla)
- Ukubaleka unqamleze ilizwe
- Ibhola ekhatywayo
- I-Lacrosse
- Ihoki yasentsimini
Le meko ayiqhelekanga kakhulu. Kuqikelelwa ukuba ichaphazela ngaphantsi kwe-1% yabemi. Ngoko ke uninzi lwexesha, xa sifumana olu hlobo lwentlungu, sicinga ukuba kukuxinana nje kwemisipha.
Ngaba ikho enye imeko evakala ngathi yi-PAES?
Ewe. Kukho imeko eneempawu ezifana kakhulu nale, kodwa ixhaphake kakhulu kune-PAES. Ibizwa ngokuba yi -Chronic Exertional Compartment Syndrome (CECS) . Le yintlungu ebangelwa kukunyuka okungaqhelekanga koxinzelelo kwimisipha yemilenze ngexesha lokuzilolonga. Ngamanye amaxesha umntu unokuba ne-PAES kunye ne-CECS ngaxeshanye.
Ugqirha unokwahlula phakathi kwezi zinto zimbini ngokwenza uvavanyo. Kwi-PAES, bajonga ukuba uxinzelelo lwegazi emlenzeni luyehla na xa besenza umthambo. Kwi-CECS, balinganisa uxinzelelo olungaphakathi kwemisipha yemilenze ngaphambi nasemva komthambo.
Zithini iimpawu ze-PAES?
Usenokuzibona ezi mpawu emqolo wakho okanye emilenzeni ngelixa uzilolonga. Ezi mpawu zihlala ziphela kwimizuzu embalwa emva kokuba uyekile ukuzilolonga.
| Uphawu | Indlela evakalelwa ngayo |
|---|---|
| Iintlungu neentlungu | Isenokuvakala ngathi yintlungu ebukhali evela ngaphakathi. |
| Ukudinwa | Imilenze yam idinwe kakhulu kwaye ayinabomi. |
| Ubunzima | Umlenze wam uvakala unzima kakhulu ukuba ndingawuphakamisa. |
| Ukuqengqeleka kwezihlunu | Ngequbuliso, imilenze yam yaziva iqinile kwaye ibotshelelwe. |
| Ukuba ndindisholo | Kusenokubakho ukurhawuzelela emilenzeni nasezinyaweni. |
| Ukudumba | Abanye abantu baziva ngathi umlenze wabo uvutha ngaphakathi. |
Zithini izizathu ze-PAES?
Kukho izizathu ezibini eziphambili zokuba le mthambo wegazi ivaleke.
1. Uxinzelelo lwe-anatomic
Olu lolona hlobo lunzima kakhulu. Luzalwa nalo .Umthambo wegazi uvalekile ngenxa yotshintsho kwindlela umsipha okanye imisipha ebekwe ngayo emva kwedolo lakho. Oku kuqheleke kakhulu kumadoda. Kunokwenzeka kuphela emlenzeni omnye. Xa umthambo wegazi uvalekile ngale ndlela ixesha elide, ungonakala.
- Isilonda singenzeka ngaphakathi kwimithambo yegazi.
- Ihlwili legazi linokuvela lize libambeke.
- Ekuhambeni kwexesha, umthambo wegazi unokuvaleka ngokupheleleyo (uvalwe).
2. Uxinzelelo olusebenzayo okanye olusebenzayo
Kule meko, yonke into ukusuka kwizihlunu zakho ukuya kwimithambo yegazi yakho ikwindawo eqhelekileyo ukususela ekuzalweni. Kodwa ngenxa yendlela izihlunu zakho ezisebenza ngayo, ingakumbi xa ucinezela unyawo lwakho phantsi (`plantar flexion`), izihlunu zicinezela imithambo yegazi. Olu hlobo luxhaphake kakhulu kwabasetyhini, kwaye lunokwenzeka kwimilenze yomibini ngaxeshanye. Kolu hlobo, ngokuqhelekileyo akukho monakalo usisigxina kwimithambo yegazi.
Indlela yokubona ngokuchanekileyo esi sifo?
Ukuba unale mpawu, eyona nto ingcono onokuyenza kukubona ingcali yemithambo yegazi . Yona iza kukuhlola.
- Okokuqala, bajonga ukuba i-pulse yakho iyehla na xa uphumle.
- Emva koko, bayajonga ukuba kukho utshintsho kwisantya sentliziyo xa unyawo lwakho lucinezelwe phezulu nasezantsi ngokuchasene nokuxhathisa okuthile.
Umntu one-PAES usenokuziva kakuhle iintliziyo zakhe xa ephumle, kodwa iintliziyo zakhe zinokuncipha okanye zinyamalale xa ezilolonga okanye ebeka uxinzelelo ezinyaweni zakhe.
Zeziphi iimvavanyo ezenziwayo ukuqinisekisa isifo?
Emva kovavanyo lomzimba, ugqirha wakho unokucebisa iimvavanyo ezininzi ukuqinisekisa ukuba unesifo. Ezi zinokukunika umfanekiso ocacileyo wokuhamba kwegazi emilenzeni yakho.
| Uvavanyo | Kwenzeka ntoni nje |
|---|---|
| Isalathisi se-Ankle-brachial kunye nokuzilolonga | Uxinzelelo lwegazi lwakho ezingalweni nasemilenzeni luya kulinganiswa ngaphambi nasemva kokuzilolonga. Ukuba une-PAES, uxinzelelo lwegazi lwakho emilenzeni luya kuba phantsi kakhulu kunoxinzelelo lwengalo yakho emva kokuzilolonga. |
| I-Duplex ultrasound | Olu luvavanyo olusebenzisa amaza esandi. Lunokubona ukuba umthambo wegazi uvaliwe na kwaye kwenzeka ntoni ekuhambeni kwegazi xa umlenze wakho ubanjwe phantsi kwaye ubanjwe ngokuqhelekileyo. |
| I-angiography ye-computed tomographic (CTA) | I-CT scan yenziwa ngokufaka into ekhethekileyo (`idayi`) emzimbeni. Oku kukuvumela ukuba ubone indawo echanekileyo yokuvaleka kwemithambo yegazi njengomfanekiso we-3D. |
| I-Magnetic resonance angiography (MRA) | I-MRI scan isebenzisa amandla emagnethi. Oku kunokubona ngokucacileyo imeko yemithambo yegazi kunye nemisipha. |
Zithini iindlela zonyango zoku?
Unyango olungcono noluphumeleleyo lwe-PAES lutyando .
Ungakhathazeki, olu lutyando oludla ngokuthatha malunga neyure kwaye lwenziwa phantsi kwe-anesthesia jikelele. Ugqirha ususa iqhekeza elincinci lemisipha elivimba umthambo wegazi. Oku kuvumela umthambo wegazi ukuba usebenze ngokukhululekileyo, kwaye ukuhamba kwegazi emlenzeni kubuyele esiqhelweni.
Ukuba umthambo wegazi wonakele kwaye uvalekile ngenxa yohlobo oluthile lokuvaleka, ugqirha wotyando unokufuna ukususa ukuvaleka okanye enze utyando lwe-bypass esebenzisa iqhekeza elitsha lomthambo wegazi kuwo.
Ngaba akukho nyango lumbi ngaphandle kotyando?
Kukho unyango olungelulo lotyando kubantu abane-functional sciatica. Olu lutyando lweBotulinum toxin A (Botox®). Kule nto, ngoncedo lwe-scan, eli yeza lifakwa kwisihlunu esixinanisa umthambo wegazi oxinanisiweyo. Oku kuyawukhubaza okwethutyana umsipha kwaye kuwenze unciphe. Nangona kunjalo, isiphumo sihlala malunga neenyanga ezi-3-6. Ngamanye amaxesha, ukuba umsipha unciphe ngonaphakade, iimpawu azibuyi. Nangona kunjalo, izinga lempumelelo yolu nyango lingaphantsi kunelotyando.
Ngenxa yokuba utyando lunika iziphumo eziphumelelayo kwiimeko ezingaphezu kwama-90%, yiloo nto oogqirha badla ngokuyicebisa.
Kuthatha ixesha elingakanani ukuchacha emva konyango?
Kungathatha malunga neenyanga ezine ukuya kwezintandathu ukuchacha ngokupheleleyo emva kotyando nokuqalisa ukudlala imidlalo kwakhona.
- Emva kotyando, kuya kufuneka uhlale esibhedlele ubusuku obunye.
- Kwiiveki ezimbini zokuqala, unyango lwe-physiotherapy lufanele lubandakanye ukolula imilenze kunye nokuzilolonga ngokuguquguquka.
- Emva kweeveki ezimbini, ungaqala imithambo ekhulisa amandla emilenze.
Kubaluleke kakhulu ukuze uphile ngokukhawuleza ukuba ulandele imiyalelo oyinikwe ngugqirha wakho kunye nogqirha wezonyango ngokuchanekileyo.
Ndingayibuza yiphi imibuzo ugqirha wam?
Xa ubona ugqirha wakho, ungalibali ukubuza le mibuzo.
- Ngaba ndine-anatomic okanye i-PAES esebenzayo?
- Ngaba nicebisa utyando ngenxa yemeko yam? Ngoba?
- Ngaba ndiza kukwazi ukudlala umdlalo wam kwakhona ngendlela efanayo emva kotyando?
Ukuba ungumdlali oselula, musa ukungazinaki iintlungu zomlenze. Zininzi izizathu. Ukufumana uxilongo oluchanekileyo ngokukhawuleza kunokukunceda ufumane unyango ngokukhawuleza.
Umyalezo Wokuya Ekhaya
- Ukuba ungumgijimi oselula kwaye ufumana iintlungu zomlenze ezingapheliyo, ubunzima, okanye ukungaziva mnandi ngelixa uzilolonga, musa ukuzibetha ngoyaba.
- Isifo sokuqandusela kwemithambo yegazi iPopliteal Artery Entrapment Syndrome (PAES) sisifo esingaqhelekanga, kodwa esinokunyangeka.
- Kubaluleke kakhulu ukubona ingcali yemithambo yegazi ukuze ufumane uxilongo oluchanekileyo.
- Kwiimeko ezininzi, utyando lunokuyinyanga ngokupheleleyo le meko, nto leyo evumela abadlali ukuba babuyele ngempumelelo kwimisebenzi yabo yezemidlalo.
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