Ingabe uzwa ubuhlungu obuhlabayo obuhlabayo emisipheni yakho yemilenze uma uhamba, ugijima, noma uzivocavoca ejimini? Kodwa ngokumangazayo, ubuhlungu buphela ngokuphelele ngemva kokuphumula isikhashana? Abantu abaningi bacabanga ukuthi lokhu kuyinto evamile, mhlawumbe ukucindezeleka kwemisipha, kodwa lokho akunjalo ngaso sonke isikhathi. Ngezinye izikhathi imbangela eyinhloko ingaba yisimo esihlukile, esingaziwa kakhulu. Namuhla sikhuluma ngesimo esisodwa esingavamile okufanele siqashelwe.
Kalula nje, siyini isifo se-Adventitial Cystic?
Lokhu kungase kuzwakale kuyinkimbinkimbi kancane, kodwa kulula kakhulu ukukuqonda. Isifo se-Adventitial Cystic yisimo lapho isikhwama esigcwele uketshezi, njengebhamuza (i-cyst) sakheka ngaphakathi kodonga lomthambo wegazi (umthambo noma umthambo) emzimbeni wethu.
Cabanga ukuthi kukhona ipayipi lamanzi. Ibhaluni elincane ngaphakathi kodonga lwalelo payipi liyavuvukala. Kwenzekani-ke? Isikhala samanzi okugeleza ngepayipi siyancipha, futhi ukugeleza kwamanzi kuyavalwa. Yilokho okwenzekayo kulesi sifo. Izindonga zemithambo yethu yegazi zakhiwe ngezingqimba eziningana. Lapha, lesi simila esiwuketshezi sakha ungqimba olungaphandle lomthambo wegazi, olubizwa ngokuthi i-adventitia . Njengoba lesi simila sikhula, sinciphisa indlela yegazi lokugeleza ngemithambo yegazi. Ikakhulukazi uma sihamba noma sigijima, lapho imilenze yethu idinga igazi eliningi, lokhu kuncipha kuvimbela igazi elanele ukuthi lingangeni emisipheni. Leso yisona sizathu esiyinhloko sobuhlungu.
Ngokuvamile, lesi simo sithinta umthambo we-popliteal, umthambo oyinhloko ogijima ngemuva kwamadolo ethu . Lo mthambo unikeza igazi emadolweni ethu kanye nasemisipheni yemilenze yethu engezansi. Kodwa-ke, akuvamile kakhulu, cishe ezimweni eziyi-15%, la ma-cyst agcwele uketshezi angakheka nakweminye imithambo yegazi emzimbeni.
Ubani okungenzeka kakhulu ukuthi athole lesi simo?
Lokhu kuyinto emangaza kakhulu ngalesi sifo. Ngokuvamile, izifo zemithambo yegazi zenzeka kubantu abane-cholesterol ephezulu, ukukhuluphala ngokweqile, nesifo sikashukela. Kodwa lesi sifo asinjalo.
- Kuvame kakhulu ukwenzeka kwabesilisa abaneminyaka ephakathi kuka-40 no-50 .
- Amadoda anamathuba aphindwe kahlanu okuthola lesi sifo kunabesifazane.
- Into exakile ukuthi, lokhu kwenzeka kuphela kubantu abangenazo ezinye izifo futhi abaphila impilo enempilo nesebenzayo .
Lokhu kusho ukuthi noma ungumuntu ophilile, ovivinya umzimba kahle, usengaba nalesi simo. Abukho ubufakazi bokuthi ezinye izinto ezibangela izifo zemithambo yegazi, njenge-cholesterol ephezulu kanye nokukhuluphala ngokweqile, ziyakuthinta lokhu. Lesi yisifo esingavamile kakhulu. Sibangela inani elincane kakhulu lamacala, cishe u-0.1%, wazo zonke izifo zemithambo yegazi.
Yiziphi izimpawu eziyinhloko zalesi sifo?
Uphawu oluyinhloko noluvame kakhulu lwalesi sifo yisimo esibizwa ngokuthi i-intermittent claudication . Kalula nje, kusho "ubuhlungu bemisipha obuvela ngesikhathi sokuzivocavoca bese buphela uma uphumula."
| Isibonakaliso | Incazelo |
|---|---|
| Ubuhlungu njengephini eligoqekayo | Ubuhlungu obukhulu noma umuzwa ofana nokuqaqamba emisipheni yethole lapho uzivocavoca, ikakhulukazi lapho uhamba noma ugijima. |
| Ukuqeda ubuhlungu lapho uphumule | Ubuhlungu bucishe buphele ngokuphelele uma uyeka ukuzivocavoca bese uphumula imizuzu embalwa. |
| Ngokuvamile kuthinta umlenze owodwa | Lobuhlungu buvame ukwenzeka emlenzeni owodwa kuphela, kodwa akuvamile ukuthi buvele emilenzeni yomibili. |
| Ukuvuvukala (okungavamile) | Uma uketshezi luqoqana emthanjeni, ungase uqaphele ukuvuvukala emlenzeni. Kodwa-ke, lokhu akuvamile kakhulu. |
Kungani lokhu kwenzeka?
Odokotela abakakwazi ukusho ngokuqiniseka okungu-100% ukuthi yini ebangela lokhu, kodwa kunemibono eminingana engaba imbangela.
- Inkinga eyenzeka ngesikhathi sokuthuthukiswa kombungu: Abanye bakholelwa ukuthi, mhlawumbe, njengoba umntwana ekhula esibelethweni, uhlobo lweseli olungakha la ma-cyst agcwele uketshezi lungangena emithanjeni yegazi.
- Izifo zezicubu ezixhumene: Izimo ezithile ezithinta izicubu ezixhumene zomzimba zingabangela ukuthi lezi zinhlobo zamathumba zakheke emithanjeni yegazi.
- Ukwenzeka emalungeni: Abanye abantu bangase bathambekele kakhulu ekutholeni lezi zinhlobo zamathumba emalungeni.
- Izingozi noma ukucindezeleka isikhathi eside:Ukulimala emthanjeni wegazi noma ukucindezeleka okuphindaphindiwe ngenxa yokwenza uhlobo olufanayo lokunyakaza ngokuphindaphindiwe kungalimaza izingxenye zomthambo wegazi futhi kubangele ukwakheka kwezimila kulezo zindawo.
Into ebaluleke kakhulu ukuthi lesi simo asibangelwa yisifo senhliziyo. Ngakho-ke asikho isidingo sokukhathazeka ngezinto ezifana ne-cholesterol kanye nomfutho wegazi.
Indlela yokuxilonga lesi sifo ngokunembile?
Lesi sifo singaba nzima ukusithola. Ngenxa yokuthi senzeka kubantu abaphilile, odokotela abacabangi ngesifo esingavamile kangaka ekuqaleni. Ngakho-ke uma uzwa ubuhlungu ngemuva kwedolo noma endaweni yezinsini lapho uzivocavoca, qiniseka ukuthi ubona udokotela wakho futhi umtshele ngakho .
Izimpawu zakho zingase zibangelwe nezinye izimo ezifana nalesi, njenge -Popliteal Artery Entrapment Syndrome (PAES) noma i-Chronic Exertional Compartment Syndrome . Ngakho-ke, udokotela wakho uzozisusa zonke lezi zimo ngaphambi kokuthola isifo esinembile.
Ukuhlolwa okwenziwe udokotela
Okokuqala, udokotela uzokuxilonga ngokomzimba bese ehlola ukushaya kwenhliziyo onyaweni lwakho nangemuva kwedolo lakho (i-popliteal artery). Uma ukushaya kwenhliziyo kubuthakathaka noma kungekho, ikakhulukazi uma ugoba idolo lakho, lokhu kungase kubonise ukuvaleka kwegazi.
Ngaphezu kwalokho, kungenziwa izivivinyo ezilandelayo ukuqinisekisa lesi sifo.
| Ukuhlolwa | Kwenzakalani? |
|---|---|
| Inkomba Yeqakala Ne-Brachial (ABI) | Umfutho wegazi engalweni nasemlenzeni wakho uyalinganiswa futhi uqhathaniswe. Uma umfutho wegazi emlenzeni wakho uphansi, ungatholakala ukuthi uvalekile. |
| I-Duplex Ultrasound | Lokhu kukuvumela ukuthi ubuke ukugeleza kwegazi emithanjeni yegazi njengevidiyo. Uketshezi kanye nokuvaleka kungabonakala kahle. |
| I-CT Angiogram | I-CT scan yenziwa ngokufaka udayi okhethekile emzimbeni. Izithombe ezinemininingwane ze-3D zemithambo yegazi zingatholakala ukuze kutholakale indawo eqondile yokuvaleka. |
| I-MRI | Lokhu kuvumela futhi ukuthi kutholakale izithombe ezicacile zemithambo yegazi nezicubu ezizungezile kanye nendawo kanye nohlobo lwe-cyst egcwele uketshezi. |
Iphathwa kanjani?
Ngezinye izikhathi, la ma-cyst angaphela ngokwawo ngaphandle kokwelashwa. Kodwa lokho akuvamile. Ngokuvamile, ukwelashwa okuphumelelayo kakhulu ukususa i-cyst ngokuhlinzwa.
Kwezinye izimo, udokotela angase asebenzise inaliti ukususa uketshezi olungaphakathi kwe-cyst (i-cyst aspiration) ngaphandle kokuhlinzwa. Lokhu kulula kunokuhlinzwa, kodwa kwandisa ingozi yokuthi i-cyst ibuye. Kufana nokuzama ukukhipha ibhaluni lamanzi ngenaliti, kodwa lingaphinde ligcwale.
Ngesikhathi sokuhlinzwa, udokotela ohlinzayo ususa uketshezi kanye nengxenye eyonakele yomthambo wegazi. Uma isimo sibi kakhulu, okusho ukuthi umthambo wegazi uvalekile kakhulu, ezinye izindlela zingasetshenziswa. Isibonelo:
- I-Vein Graft: Ingxenye yomthambo ophilile ethathwe kwenye ingxenye yomzimba isetshenziselwa ukulungisa ingxenye eyonakele yomthambo wegazi.
- I-Synthetic Patch: Umthambo wegazi ulungiswa kusetshenziswa i-synthetic patch.
- Ukuhlinzwa Kokudlula: Kudalwa indlela entsha yokugeleza kwegazi, okugwema ukuvaleka.
Kwenzekani ngemva kokwelashwa?
Ngemva kwanoma yikuphi ukwelashwa, kunethuba lokuthi lesi simila sizophinde sivele. Ngakho-ke, ngisho nangemva kokwelashwa, ukuqapha isikhathi eside, njengokuskena, kuyadingeka.
Kodwa-ke, ngemva kokususwa kwesimila ngokuhlinzwa, abantu abaningi bathola impumuzo ephelele ebuhlungwini nasekugugulekeni. Ucwaningo olulodwa luthole ukuthi ukulungiswa kokuhlinzwa komthambo wegazi nge-vein graft kunengozi encane kakhulu yokuphinda kwenzeke.
Ingabe lokhu kungavinjelwa?
Cha. Okwamanje ayikho indlela yokuvimbela lesi simo ukuthi singenzeki. Into engcono kakhulu ongayenza ukubona udokotela wakho ngokushesha nje lapho ubona noma yiziphi izimpawu, njengobuhlungu emilenzeni, ukucindezeleka, ukuqaqamba kwamalunga, noma ukuvuvukala .
Umlayezo Wokuya Nawe Ekhaya
- Isifo se-Adventitial Cystic yisimo esingavamile lapho i-cyst egcwele uketshezi yakheka khona odongeni lomthambo wegazi. Sivame ukubonakala emthanjeni ongemuva kwedolo.
- Uphawu oluyinhloko ubuhlungu obuhlabayo obuhlabayo obuvela ngesikhathi sokuzivocavoca umzimba bese buphela uma uphumula.
- Kwenzeka kakhulu emadodeni aphilile, asebenzayo, aneminyaka ephakathi nendawo angenazo ezinye izifo. Akuthinteki yizici ezivamile eziyingozi njenge-cholesterol.
- Uma unezimpawu ezinjengalezi, ungacabangi ukuthi kuyinto evamile futhi nakanjani bheka udokotela wakho.
- Ukwelashwa okuphumelelayo kakhulu ukususa i-cyst ngokuhlinzwa.
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