Uyazi ngalo mthambo wegazi ongemuva kwedolo (i-Popliteal Artery)? Indlela okuthinta ngayo izinkinga zemilenze!

Namuhla sizokhuluma ngengxenye yemilenze yethu ebaluleke kakhulu empilweni yabo, kodwa esivame ukuyishaya indiva. Kungumthambo wegazi obizwa ngokuthi i-Popliteal Artery . Kungenzeka ukuthi awukaze uzwe ngayo. Kodwa ibalulekile ukuze igazi lingene kahle emlenzeni wakho ongezansi, ngemuva kwedolo lakho. Ngakho-ke, ake sibheke ukuthi iyini, yiziphi izinkinga ezingabangelwa yiyo, nokuthi ungayigcina kanjani iphilile.

Iyini i-Popliteal Artery? Ikuphi?

Kalula nje, i-Popliteal Artery iwumthambo wegazi omkhulu emilenzeni yakho. Ukuze kube sobala, iyigatsha lomthambo wegazi omkhulu ethangeni lakho obizwa ngokuthi i-Femoral Artery . Iqala phakathi kwethanga lakho, bese iya ngemuva kwedolo lakho, bese ithwala igazi liye emlenzeni wakho ongezansi. Wena noma udokotela ningayizwa i-Popliteal Pulse ngokubeka isandla sakho ngqo ngemuva kwedolo lakho.

Imilenze yethu yomibili, okungukuthi, umlenze wesokudla nomlenze wesobunxele, inalo mthambo we-popliteal.

Ingabe lo mthambo uzohlukana kakhulu?

Yebo, ngaphansi kwejoyinti ledolo, umthambo we-popliteal uhlukana ube amagatsha amancane. Amagatsha ayinhloko umthambo we-tibial wangaphambili kanye nesiqu se-tibioperoneal (ngezinye izikhathi esibizwa ngokuthi isiqu se-tibiofibular ). Isiqu se-tibioperoneal yiso esithwala igazi liye ngemuva kwethambo lakho kanye nethambo elincane elingaphandle komlenze wakho (i-fibula).

Yonke le mithambo yegazi emincane ikhula ngale ndlela, futhi ekugcineni iyahlangana ukuze inikeze igazi eliphelele ezinyaweni zakho. Cabanga ngakho njengomuthi okhula ezimpandeni ukuze uthwale amanzi aye emaqabunga.

Iyini ukubaluleka kwe-Popliteal Artery?

I-Popliteal Artery iyingxenye ebaluleke kakhulu ohlelweni lokujikeleza kwegazi lomzimba wethu. Iwela ngaphansi kwesigaba semithambo yegazi engaphandle . Okusho ukuthi, imithambo yegazi ethwala igazi isuka enhliziyweni iye ezingxenyeni zomzimba ezikude.

I-Popliteal Artery ihlinzeka ngegazi kakhulu ku:

• Ithambo elincane ngemuva komlenze wakho (`Fibula`).
• Umgodi ongemuva kwejoyinti ledolo kanye ne-kneecap (`Popliteal Fossa`).
• Emisipheni nasezinzwa ezisemlenzeni ongezansi.
• Ithambo elikhulu ngaphakathi komlenze (`iTibia`).
• Futhi, ngamaqakala nezinyawo.

Ngakho-ke ungabona ukuthi i-Popliteal Artery ibaluleke kangakanani ekusebenzeni kahle kwemilenze yethu. Uma kukhona inkinga ngalokhu, ukugeleza kwegazi emilenzeni kungancipha.

Yiziphi izifo ezithinta le mithambo yegazi?

Ngeshwa, i-Popliteal Artery ingathinteka futhi yizimo ezahlukene zezokwelapha. Ake sibheke ukuthi ziyini:

• Isifo Sokukhuhlana Kwegazi: Lesi yisimo lapho i-cyst yakheka khona ngaphakathi kodonga lomthambo we-popliteal. Lokhu kunciphisa ukugeleza kwegazi futhi kunciphisa ukugeleza kwegazi. Ngokuhamba kwesikhathi, umthambo ungaba mncane (i-Popliteal Artery Stenosis). Lokhu kuvame kakhulu kwabesilisa . Ungase uzwe ubuhlungu emlenzeni ongezansi, ikakhulukazi lapho uhamba noma uvivinya umzimba. Lobuhlungu buvame ukwanda kancane kancane. Sibiza lesi sibonakaliso ngokuthi yi-Intermittent Claudication .

• I-Popliteal Artery Aneurysm: I-aneurysm yingxenye ebuthakathaka yodonga lwemithambo yegazi evuvukala njengebhaluni. Lokhu kuvuvukala kwenza udonga lwemithambo yegazi lube buthaka futhi kwenze kube lula ukuqhuma. Uma kuvela i-aneurysm emthanjeni we-popliteal, kungakheka i-blood clot ngaphakathi kwayo. Uma i-clot ivimba ngokuphelele ukugeleza kwegazi, umlenze ongezansi kungadingeka unqunywe uma ungaqashelwa futhi welashwe ngesikhathi. I-Popliteal Artery Aneurysm uhlobo lwesibili oluvame kakhulu lwe-aneurysm ngemva kwe-Abdominal Aortic Aneurysms. Lesi simo siphinde senzeke kaningi kwabesilisa.

• I-Popliteal Artery Entrapment Syndrome (PAES): Lokhu kwenzeka lapho imisipha nemisipha endaweni yamadolo icindezela umthambo we-popliteal. Lokhu kubangela ubuhlungu bemisipha kanye nokuqaqamba kwamadolo ngesikhathi sokusebenza ngokomzimba, njengokuhamba. Lokhu kubizwa nangokuthi i-intermittent claudication . Lesi simo, esibizwa ngokuthi i-PAES , sivame ukubonakala kubasubathi, ikakhulukazi kubasubathi besilisa abangaphansi kweminyaka engama-30. Cabanga ngakho njengokucindezela ipayipi lamanzi bese ubangela ukuthi liyeke ukugeleza.

• Isifo se-Popliteal Artery Atherosclerotic Disease: Lesi yisifo abantu abaningi abake bezwa ngaso. Sibangelwa ukugcwala kwamafutha (i-plaque) kanye nama-blood clots akha ngaphakathi kwemithambo yegazi, okuyenza inciphe futhi ivimbe (ukuvaleka). Lokhu kungaholela ekunciphiseni ukugeleza kwegazi, ukufa kwezicubu , kanye nengozi eyengeziwe yokunqunywa. Njengezinye izifo zemithambo yegazi ezivalekile , kungenzeka kakhulu ukuthi sikhule kubantu ababhemayo, abanesifo sikashukela, abantu abangaphezu kweminyaka engama-65 ubudala, kanye nalabo abane-cholesterol ephezulu.

• Ukopha Kwemithambo Ye-Popliteal: Ukulimala okukhulu edolweni, isiboneloNgenxa yokuthile okufana nokuqhekeka kwedolo, umthambo we-popliteal ungaqhuma futhi wophe igazi.

• I-Popliteal Cyst noma i-Baker's Cyst: Lesi yisimo esivame kakhulu. Sitholakala kalula nge -ultrasound . Lesi yi-cyst egcwele uketshezi eyakheka ngemuva kwedolo. Lokhu kungabangela ubuhlungu nokuvuvukala. Kungenza kube nzima nokugoba nokuhambisa idolo. Imbangela yalesi Sivuvu se-Baker's Cyst umthelela ejoyintini ledolo, kungaba ngenxa ye -arthritis noma umonakalo we -meniscus . Nakuba lesi sivuvu sitholakala ngemuva kwedolo, ngokuvamile asithinti ukusebenza komthambo we-popliteal.

Yiziphi izimbangela kanye nezici eziyingozi zesifo se-Popliteal Artery Disease?

Kunezici eziningana eziyingozi ezingaba nomthelela ekuthuthukisweni kwalezi zifo ezihlobene nemithambo yegazi. Lezi yizi:

• Ukuba nesifo semithambo yegazi yenhliziyo .
• Isifo Sikashukela (i-Diabetes Mellitus).
• Umfutho wegazi ophezulu.
• I-cholesterol ephezulu.
• Ukuba yindoda (ezinye izimo zivame kakhulu kwabesilisa).
• Ukukhuluphala ngokweqile.
• Ukubhema noma ukusebenzisa imikhiqizo kagwayi.

Uma lezi zinto zikhona, kungcono ukuqaphela kancane, akunjalo?

Ziyini izimpawu? Sizibona kanjani?

Ezimweni eziningi zesifo semithambo yegazi ye-popliteal, uphawu oluyinhloko ubuhlungu noma ukusinda emilenzeni, ikakhulukazi lapho uhamba noma wenza eminye imisebenzi yomzimba . Lobuhlungu, ukuqaqamba, kanye nokusinda kuyaphela ngokuphumula. Odokotela babiza lesi simo ngokuthi i-intermittent claudication .

Ngaphezu kwalokho, ungase ube nezimpawu ezifana nalezi:

• Ukuvuvukala (i-edema) emlenzeni ongezansi.
• Amanxeba angapholi ezinyaweni (Foot Ulcers).
• Ubuhlungu endaweni yedolo, ngemuva kwedolo (i-Popliteal Fossa) noma onyaweni.
• Ukuba ndikindiki noma ukubanda emilenzeni.
• Ukushintsha kombala wesikhumba emlenzeni.

Uma unesifo esifana nalesi, kungcono ukubona udokotela ngokushesha okukhulu.

Sitholakala kanjani lesi sifo? Hlobo luni lokuhlolwa odokotela abalwenzayo?

Uma ubona udokotela, uzokubuza ngezimpawu zakho futhi akuhlole. Ngaphezu kwalokho, kungenziwa izivivinyo ezilandelayo ukuze kutholakale ukuthi unazo yini izimo ezihlobene nomthambo we-popliteal:

• Ukuqoshwa Kwevolumu Yokushaya Kwegazi (i-PVR): Lokhu kusebenzisa isiqaphi somfutho wegazi kanye nedivayisi ebizwa ngokuthi i-Doppler ukuthola umbono wenani legazi eligeleza emilenzeni yakho.Inani le-Ankle-Brachial Index (ABI) liyabalwa.
• I-Vascular Ultrasound: Lokhu kungabheka ukuthi igazi ligeleza kanjani emilenzeni yakho. Kufana nokuskena okwenziwa komama abakhulelwe, kodwa lokhu kuqondene ngqo nemithambo yegazi.
• I-Angiogram: Kunezinhlobo eziningana zalokhu. Isibonelo, ungaba ne -Magnetic Resonance Angiogram (MRA) noma i-CT Angiogram (CTA) . Lokhu kuhlola izindawo lapho igazi linciphile khona emilenzeni yakho.
• I-Catheter Angiography: Lokhu ukuhlolwa okuyinkimbinkimbi kancane. Kwenziwa ngokufaka i-catheter emzimbeni. Ngokuvamile kwenziwa ngemva kokuba kwenziwe ezinye izivivinyo futhi kudingeka ulwazi olwengeziwe.

Yiziphi izindlela zokwelapha lezi zifo?

Ukwelashwa kwesifo semithambo yegazi ye-popliteal kuyahlukahluka kuye ngesimo. Izindlela zokwelapha eziyinhloko yilezi ezilandelayo:

• Imithi: Imithi ingase inikezwe ukwehlisa umfutho wegazi, ukwehlisa i-cholesterol, nokuvimbela ukujiya kwegazi.
• I-Catheter Angioplasty kanye ne-Stenting: Lokhu kuhilela ukufutha umthambo ovalekile ngedivayisi efana nebhaluni bese ufaka i -stent ( idivayisi efana ne-mesh) ukuze ingaphinde ivaleke.
• Ukuxhunyelelwa Ngokudlula: Ukudala indlela entsha yokugeleza kwegazi ngokudlula umthambo ovalekile nokuxhuma ucezu olusha lomthambo wegazi ('i-graft'). Kufana nokuthatha indlela ehlukile lapho umgwaqo uvalekile.
• Ukuhlinzwa: Ngezinye izikhathi, kudingeka ukuhlinzwa ukuze kususwe ama-cyst okukhulunywe ngawo ngenhla, noma ukukhulula imisipha noma imisipha ecindezela umthambo we-popliteal.

Indlela yokugcina i-Popliteal Artery yethu iphilile? Izindlela zokuvimbela

“Ukuvimbela kungcono kunokwelapha,” basho. Ngakho-ke, nazi ezinye izinto ongazenza ukuze ugcine hhayi nje kuphela umthambo wakho we-popliteal, kodwa futhi nohlelo lwakho lonke lokujikeleza kwegazi luphilile:

• Uma ubhema, yeka nakanjani. Kungokufanayo nangokusebenzisa imikhiqizo kagwayi.
• Vivinya umzimba izinsuku eziningi ngesonto. Kuhle futhi ukuhamba okungenani imizuzu engama-30 ngosuku.
• Yidla ukudla okunempilo kwenhliziyo okune-cholesterol ephansi, amafutha, nosawoti. Yidla imifino eminingi, izithelo, kanye nokudla okusanhlamvu okuphelele.
• Gcina isisindo esinempilo.
• Uma unezimo ezifana nesifo sikashukela, i-cholesterol ephezulu, noma umfutho wegazi ophakeme, zilawule kahle. Thatha imithi oyinikezwe udokotela wakho ngesikhathi.

Kufanele ufune nini iseluleko sezokwelapha? Yiziphi izimpawu okufanele zikushukumisele ukuthi ubonane nodokotela?

Uma unezinye zalezi zimpawu, qiniseka ukuthi ubona udokotela ukuze akunike iseluleko:

• Amanxeba angapholi emlenzeni noma onyaweni.
• Uma uzwa ubuhlungu lapho uhamba, noma uma kunzima ukuhamba noma ukuhambisa umlenze wakho.
• Uma imilenze yakho ivuvukala ngaphandle kwesizathu.
• Uma kukhona ushintsho ekushiseni noma kumbala womlenze (isibonelo, umlenze owodwa ubonakala ubanda kunomunye, noma ubonakala uphaphathekile).
• Uma uzwa ubuhlungu emilenzeni ngisho nalapho uphumule.

Uma unokungabaza ngalezi zinto, ungazinaki. Ukufuna iseluleko sezokwelapha kusenesikhathi kungakusiza ukulawula isimo ngaphambi kokuba sibe yinkinga enkulu.

Umlayezo Wokuya Nawe Ekhaya

Kulungile, manje usuyaqonda kahle i-Popliteal Artery esikhulume ngayo namuhla. Lena imithambo yegazi ebaluleke kakhulu egijima kusukela ethangeni lethu, idlule ngemuva kwedolo, futhi inikeze igazi ezingxenyeni ezingezansi zomlenze.

Isifo semithambo yegazi ye-popliteal singabangela izinkinga ngokugeleza kwegazi, njenge-intermittent claudication (ubuhlungu obuvela uma uhamba futhi buqedwa ukuphumula). Kwezinye izimo ezinzima, kungaholela ngisho nasekulahlekelweni umlenze.

Ngakho-ke, kubaluleke kakhulu ukulandela indlela yokuphila enempilo (ukudla okuhle, ukuzivocavoca umzimba, nokuyeka ukubhema) nokulawula izici eziyingozi . Uma unezimpawu, ungangabazi ukufuna iseluleko sezokwelapha. Ngemuva kwalokho, kungenziwa izivivinyo ezidingekayo futhi kuqalwe ukwelashwa okufanele.

Umthambo we - Popliteal, Umthambo we-Popliteal, Umthambo ongemuva kwedolo, ukujikeleza kwegazi emilenzeni, ubuhlungu emilenzeni, i-Claudication ngezikhathi ezithile, i-Popliteal Artery Aneurysm