Masifunde nge-Subclavian Steal Syndrome - isifo "esiba" igazi engqondweni!

Ngaba ngamanye amaxesha uziva unesizungu okanye ubona izinto ezingaqondakaliyo? Okanye uziva ngathi ingalo yakho iyaphela okanye ayisebenzi, ingakumbi xa wenza into ngezandla zakho, uphakamisa into enzima, okanye ujika intloko yakho uye ecaleni ngequbuliso? Ukuba oku kuyenzeka, isenokuba yimeko esithetha ngayo namhlanje ebizwa ngokuba yi-"Subclavian Steal Syndrome." Igama lisenokuvakala lingaqhelekanga, njengokuthi, "Ngaba esi sisifo sokubiwa?" Ungakhathazeki, masithethe ngaso ngokulula nangokucacileyo.

Yintoni kanye kanye iSubclavian Steal Syndrome?

Ngamafutshane, i-subclavian steal syndrome ithetha ukuba igazi elithile elifanele liye engqondweni yakho "liyeba" lingangeni yakho. Oku kwenzeka ngenxa yokuba umthambo wegazi we-subclavian, umthambo wegazi omkhulu ohambisa igazi engalweni yakho (ngokuqhelekileyo lowo ungasekhohlo), uvalekile okanye uxinekile.

Cinga ngale ndlela. Uzama ukutya ipleyiti yokutya. Kufana nomntu osecaleni kwakho "otya kancinci" ukutya okutyayo ozama ukukutya. Elinye igazi elondlayo elifanele ukuya engqondweni yakho "litya kancinci" esandleni sakho. Ngoko ke inani legazi elinokuthi liye engqondweni yakho liyancipha, kanye njengokuba inani lokutya onokuthi ukutye liyancipha.

Njengoko lo mthambo uqhubeka uvaleka, igazi lihamba nge-subclavian artery ngoxinzelelo oluphantsi. Nangona kunjalo, uxinzelelo lwegazi kwezinye imithambo ekufutshane luphezulu. Ngenxa yoko, ukuhamba kwegazi kwi-vertebral artery, ephuma kwi-subclavian artery ize ithwale igazi liye ebuchotsheni, kuyajika. Emva koko elinye laloo gazi lingena kwi-subclavian artery liye engalweni. Yiloo nto ibizwa ngokuba "yi-steal."

Kukho enye imeko ebizwa ngokuba yi-"coronary steal syndrome". Kulapho igazi elifanele liye kwimisipha yentliziyo livalekile. Oku akwenzeki kubo bonke abantu, kodwa kwenzeka kubantu abathile abaye benza utyando lwentliziyo (coronary artery bypass surgery). Isizathu esiphambili sale syndromes zombini kukuqokelelana kwamafutha eludongeni lwemithambo yegazi, okanye "i-plaque", imeko ebizwa ngokuba yi-"atherosclerosis" ngokwezonyango. Okanye kunokubakho ezinye izizathu ezibangela ukuba imithambo yegazi ye-subclavian inciphe.

Ixhaphake kangakanani le meko?

Abaphandi abanakutsho ngokuthe ngqo ukuba bangaphi abantu abane-subclavian steal syndrome, kodwa baqikelela ukuba phakathi kwe-0.6% kunye ne-6.4% yabantu banokuba nayo. Ukongeza, malunga ne-18% yabantu abanesifo semithambo yegazi ejikeleze imithambo nabo banayo le syndrome.

Le meko ixhaphake kakhulu kumadoda nakubantu abaneminyaka engaphezu kwama-55 ubudala .

Nangona kunjalo, ngenxa yeendlela zokuthatha imifanekiso eziphucukileyo ezikhoyo namhlanje, le meko iye yabonakala nakubantu abangenazo iimpawu.

Ziziphi iimpawu ze-subclavian steel syndrome?

Iimpawu ze-subclavian steel syndrome zihlala zibonakala xa usenza umsebenzi onzima wezandla okanye ngequbuliso ujika intloko yakho ijonge ecaleni.Jonga ukuba unayo na enye yezi mpawu:

• Umbono ofipheleyo
• Isiyezi
• Intlungu, ukungaziva, ukurhawuzelelwa, okanye ukuziva ubunzima esandleni
• Ukuquleka
• Ukulahlekelwa kukuva (kunqabile)
• Ukuziva ngathi ujikeleza (iVertigo)
• I-Ataxia yimeko apho umzimba ulahlekelwa yibhalansi yawo kwaye ungakwazi ukuhamba kakuhle.

Kodwa uninzi lwabantu alunazo iimpawu. Oku kungenxa yokuba ubuchopho babo bufumana igazi elaneleyo kwezinye imithambo yegazi ephilileyo. Abadingi nyango.

Yintoni ebangela i-subclavian steel syndrome?

Kukho izizathu ezimbalwa eziphambili zoku:

• I-atherosclerosis - Le yeyona nto ixhaphakileyo.
• Iingxaki zemithambo yegazi (unxibelelwano olungaqhelekanga phakathi kwemithambo yegazi kunye nemithambo yegazi)
• Ukuqhaqha kwe-Aortic
• I-arteritis kaTakayasu, imeko yokuvuvukala kwemithambo yegazi
• I-Fibromuscular dysplasia kukukhula okungaqhelekanga kweendonga zemithambo yegazi.

Ezi zizathu zifana nezo zibangela i-subclavian artery stenosis.

Ngubani osengozini enkulu yoku?

Nazi ezinye izinto ezandisa umngcipheko wokuphuhlisa i-subclavian steel syndrome:

• Ukuba ukhe wenziwa utyando lokulungisa ukuncitshiswa kwe-aorta (ukuxinana kwe-aorta).
• Ukuba kukho naziphi na iingxaki nge-aortic arch okanye eminye yemithambo yegazi ukususela ekuzalweni.
• Ukucinezelwa komthambo we-subclavian (oku kuqhelekile kwabanye abadlali).
• Ukuba kukho ubambo olongezelelweyo (ubambo lomlomo wesibeleko) kwindawo yentamo.

Zeziphi iingxaki ezinokuvela kule meko?

Ukuba unesiphene sokuwa ngenxa ye-subclavian steal syndrome, oku kunokubangela ukuwa nokwenzakala. Kungenza kube nzima ukwenza naluphi na umsebenzi ngengalo echaphazelekayo.

Ifunyanwa njani i-subclavian steel syndrome?

Into yokuqala ugqirha ayenzayo ukuze afumanise oku kukwenza uvavanyo lomzimba. Ugqirha uya kunika ingqalelo ekhethekileyo kwi-pulse esezandleni zakho nasezihlahleni zakho. Uya kujonga nemithambo ye-carotid kumacala omabini entamo yakho nakwimithambo ye-subclavian, ekhangela naziphi na izandi ezingaqhelekanga "ze-swoosh..." (ilizwi). Ukuba uva isandi esinjalo nge-stethoscope, kunokubakho ukuvaleka kuloo mithambo.

Zithini iimpawu ze-"Steele Syndrome" ezibonwayo ngexesha lovavanyo lwezonyango?

Ukuba une-subclavian artery syndrome, ugqirha wakho uza kulinganisa uxinzelelo lwakho lwegazi kwiingalo zombini aze abone umahluko kwiindlela ezifundwa ngayo. Uxinzelelo lwegazi kwingalo enye lunokuba ngaphezulu nge-15 millimeters ye-mercury (mmHg) kunenye.

Kwakhona, ukuba ii-radial pulses zijongwa ngaxeshanye, i-pulse ecaleni eline-subclavian steel syndrome ingabonakala ibuthathaka kwaye isenokuvakala ngathi yi-thud.

Zeziphi iimvavanyo ezenziwayo ukuqinisekisa oku?

Ugqirha uza kuqala enze i-ultrasound ye-subclavian artery yakho. Emva koko, ezi mvavanyo zilandelayo zinokwenziwa, njengoko kufuneka:

• Uvavanyo lwe-MRA (magnetic resonance angiogram).
• Uvavanyo lwe-CT Angiogram (CT - computed tomography angiogram).
• I-angiogram yokukhupha ngedijithali - Le yindlela ekhethekileyo esusa amanye amalungu omzimba kumfanekiso kwaye yimithambo yegazi kuphela enokubonwa ngokucacileyo.

Olu vavanyo luvumela oogqirha ukuba bahlele ubunzima be-subclavian steel syndrome (ethambileyo okanye enzima). Basebenzisa amabakala oku-1, okwesibini, kunye nokwesithathu, apho iBakala lesi-3 lilona linzima kakhulu. Bakwanceda ekumiseleni ukuba loluphi uhlobo lonyango olufunekayo.

Ziziphi iindlela zonyango lwe-subclavian steel syndrome?

Ukuba uneempawu, kunokufuneka wenze utyando lokuphucula ukuhamba kwegazi kwi-subclavian artery njengonyango lwe-subclavian artery stenosis. Ngokuxhomekeke kwimeko yakho, olu lunokuba lutyando oluvulekileyo okanye utyando lwe-endovascular (inkqubo ebandakanya ukufaka izixhobo ezincinci ngemithambo yegazi). Kufuneka uphephe ukusebenzisa kakhulu ingalo echaphazelekayo de kube utyando lugqityiwe.

Ukuba awufanelekanga utyando, ugqirha wakho unokukunika amayeza okunciphisa igazi okanye amayeza okunciphisa igazi.

Ukuba uneempawu ezingephi, zisenokuphucuka ngokuhamba kwexesha. Kwiimeko ezinjalo, ugqirha wakho unokukunika amayeza okunciphisa uxinzelelo lwegazi kunye namanqanaba e-cholesterol.

Into ebalulekileyo kukuba abantu abangenazo iimpawu zesifo abadli ngokufuna unyango. Nangona kunjalo, ukuba une-subclavian artery encinci, kukho ithuba elikhulu lokuba i-plaque buildup (atherosclerosis) idla ngokuchaphazela i-artery emzimbeni wonke.

Ngoko ke, kufuneka ufumane unyango lwala ma-plaque. Ukuba ungumntu otshayayo, kufuneka uyeke ukutshaya, kwaye ulawule uxinzelelo lwakho lwegazi oluphezulu kunye ne-cholesterol ephezulu . Ezi zinto zinokukunceda ukuthintela ukuhlaselwa yintliziyo okanye istroke kwixesha elizayo.

Zeziphi iindlela zonyango/utyando ezithile ezisetyenziselwa oku?

Ungadinga enye okanye ezingaphezulu kwezi ndlela:

• Utyando lokudala indlela yokudlula ngokudibanisa umthambo we-subclavian komnye umthambo (umzekelo, umthambo we-carotid).
• I-Angioplasty kunye ne-stenting - Oku kubandakanya ukwandisa indawo evalekileyo ngento efana nebhaluni uze ufake i-stent efana ne-mesh ukuthintela ukuba ingavaleki kwakhona.
• Ukususwa kwe-atherectomy - Oku kuthetha ukususa i-plaque ngaphakathi kwimithambo yegazi.
• I-Endarterectomy - Ukususwa kwenxalenye yolwelo lwangaphakathi lwemithambo yegazi.

Ngaba iingxaki zinokwenzeka ngenxa yonyango?

Ewe, iingozi ziyahluka ngokuxhomekeke kunyango. Zingabandakanya:

• Umthambo wakho we-subclavian uyancipha kwakhona.
• Amahlwili egazi anokubakho, nto leyo enokubangela ukuba umntu ahlaselwe sistroke.
• Ukonakala kwemithambo-luvo okanye umthambo wegazi.
• Ukuba neengxaki ezithile ngexesha lokuphiliswa.

Kuthatha ixesha elingakanani ukuchacha emva kolu nyango?

Ukuchacha emva konyango lwe-subclavian steel syndrome kungathatha iintsuku ezimbalwa, iveki, okanye nangaphezulu. Ukuchacha emva kotyando kudla ngokuba yeyona nto ide kakhulu.

Yintoni endinokuyilindela ukuba ndine-subclavian steel syndrome?

Abantu abangaphezu kwama-95% abafumana unyango lotyando lwe-subclavian steel syndrome abadingi kuphinda benze olunye utyando. Ingqikelelo yabo ngokubanzi ilungile.

Ngaba isifo se-subclavian steal syndrome sisongela ubomi?

Hayi, le ayisiyongxaki isongela ubomi. Nangona kunjalo, luphawu olubalulekileyo lwesilumkiso! Oku kuthetha ukuba une-atherosclerosis, isifo semithambo yegazi. Xa i-plaque iqokelelana kwimithambo yegazi yakho, intliziyo okanye ingqondo yakho isenokungafumani ioksijini eyaneleyo kwixesha elizayo. Oku kwandisa umngcipheko wokuhlaselwa yintliziyo okanye istroke.

Ngaba i-subclavian steel syndrome ingathintelwa?

Asinakulawula ezinye zezizathu ze-subclavian steel syndrome (ezifana nezinto zemfuza). Nangona kunjalo, uphuhliso lwesi sifo lunokuthintelwa kakhulu ngokuthintela ukwakheka kwe-plaque (atherosclerosis), edla ngokuba yimbangela .

Ndingawunciphisa njani umngcipheko wam?

Unganciphisa umngcipheko wakho wokuba nale meko - kwaye ke ngoko umngcipheko wakho we-subclavian steel syndrome - ngokwenza olu tshintsho kubomi bakho bemihla ngemihla:

• Gcina ubunzima obusempilweni obukufaneleyo.
• Yenza umthambo (ukuzivocavoca) ubuncinane imizuzu engama-30 ngosuku uninzi lweentsuku.
• Kuphephe ngokupheleleyo ukusebenzisa iimveliso zecuba (ezifana neecuba kunye nee-beedis).
• Yitya ukutya okunempilo kwentliziyo (amafutha agcweleyo aphantsi kunye namafutha e-trans).
• Ukuba uneemeko ezifana ne-cholesterol ephezulu, uxinzelelo lwegazi oluphezulu, nesifo seswekile, zilawule kakuhle.

Ndingazinyamekela njani?

Ukuba une-subclavian steel syndrome, kubalulekile ukuthatha amayeza akho njengoko uyalelwe ngugqirha wakho, wenze naluphi na utyando oluyimfuneko, kwaye ulawule uxinzelelo lwegazi oluphezulu, i-cholesterol ephezulu, kunye nesifo seswekile (ukuba unazo) kwaye uphephe iimveliso zecuba.

Ndifanele ndimbone nini ugqirha wam?

Emva konyango, kufuneka uhlolwe rhoqo, ingakumbi ukuba iimpawu zakho ziyabuya. Ukuba ugqirha wakho ucinga ukuba umthambo wakho we-subclavian unciphile kwakhona, unokuyalela ezinye iimvavanyo zomfanekiso. Kuya kufuneka uhlolwe ngenyanga enye, kwiinyanga ezintandathu, okanye kunyaka emva konyango. Emva koko, ungambona ugqirha wakho malunga kanye ngonyaka.

Ndingayibuza yiphi imibuzo ugqirha wam?

Kungcono ukubuza ugqirha wakho imibuzo efana nale:

• Ndingalufuna unyango ngokukhawuleza kangakanani?
• Yeyiphi indlela yonyango engcono kum?
• Ingakanani impumelelo yakho ekunyangeni abantu abanale meko?

Ngoko ke, yintoni eyona nto ibalulekileyo ekufuneka siyikhumbule kuzo zonke ezi zinto?

Nangona igama elithi "Steal" livela egameni layo, i-subclavian steal syndrome yimeko enokunyangwa. Uninzi lwabantu aludingi unyango. Kodwa umyalezo omkhulu esiwufumanayo koku kukuba i-plaque buildup (atherosclerosis) iyenzeka kwimithambo yakho yegazi. Umzimba wakho ukuxelela ukuba, "Qala imikhwa enempilo yentliziyo ngoku, okanye uphucule leyo sele unayo." Buza ugqirha wakho malunga notshintsho onokulwenza ukuphucula impilo yakho. Nokuba utshintsho oluncinci onokulwenza namhlanje lunokuba nemiphumo emikhulu. Ngoko ke, masingoyiki, sixelelwe, size sibeke isiseko sobomi obusempilweni, akunjalo?

I- subclavian steal syndrome, i-subclavian steal syndrome, ukwehla kokuhamba kwegazi ukuya engqondweni, ukungaziva mnandi esandleni, isiyezi, i-atherosclerosis