Pachimake ochepa occlusion - impso

Kutsekeka kwamphamvu kwa impso ndikumangika kwadzidzidzi, kwamphamvu kwamtsempha komwe kumapereka magazi ku impso.

Impso zimafunikira magazi abwino. Mitsempha yayikulu ya impso imatchedwa mtsempha wamagazi a impso. Kuchepetsa magazi kudzera mu mtsempha wamagazi kumatha kupweteka ntchito ya impso. Kutsekedwa kwathunthu kwa magazi mpaka impso nthawi zambiri kumatha kubweretsa kulephera kwa impso.

Kutsekeka kwakanthawi kwamitsempha yamagazi kumatha kuchitika pambuyo povulala kapena kupwetekedwa pamimba, mbali, kapena kumbuyo. Magazi omwe amayenda m'magazi (emboli) amatha kulowa mumitsempha yamagazi.Zidutswa zamakoma m'mitsempha yamitsempha zimatha kumasuka (paokha kapena pochita). Zowonongekazi zimatha kuletsa mtsempha wamagazi wa impso kapena imodzi mwaziwiya zazing'ono.

Chiwopsezo cha kutsekeka kwamitsempha ya impso kumawonjezeka mwa anthu omwe ali ndi zovuta zina zamtima, zomwe zimawapangitsa kuti apange magazi. Izi zikuphatikiza mitral stenosis ndi atrial fibrillation.

Kuchepetsa kwa mtsempha wamagazi kumatchedwa aimpso artery stenosis. Izi zimawonjezera chiopsezo chotsekedwa mwadzidzidzi.

Simungakhale ndi zizindikilo pamene impso imodzi sigwira ntchito chifukwa impso yachiwiri imatha kusefa magazi. Komabe, kuthamanga kwa magazi (kuthamanga kwa magazi) kumatha kubwera modzidzimutsa ndipo kumakhala kovuta kuletsa.

Ngati impso zanu zina sizikugwira ntchito bwino, kutsekeka kwa mtsempha wamagazi kumatha kuyambitsa zizindikilo za impso zolephera. Zizindikiro zina zakutsekemera kwamitsempha yamagazi ndi monga:

• Kupweteka m'mimba
• Mwadzidzidzi kuchepa kwa mkodzo
• Ululu wammbuyo
• Magazi mkodzo
• Kumva kupweteka kapena kupweteka m'mbali
• Zizindikiro za kuthamanga kwa magazi monga kupweteka mutu, kusintha masomphenya, ndi kutupa

Chidziwitso: Sipangakhale kupweteka. Ululu, ngati ulipo, nthawi zambiri umayamba mwadzidzidzi.

Wothandizira zaumoyo sangathe kuzindikira vutoli ndi mayeso pokhapokha mutakhala ndi vuto la impso.

Mayeso omwe mungafunike ndi awa:

• Duplex Doppler ultrasound kuyesa mitsempha ya aimpso kuyesa magazi
• MRI ya mitsempha ya impso, yomwe imatha kuwonetsa kusowa kwa magazi kwa impso zomwe zakhudzidwa
• Zojambula zamkati zimasonyeza malo enieni a kutsekeka
• Ultrasound cha impso kuti muwone kukula kwa impso

Nthawi zambiri, anthu samasowa chithandizo. Kuundana kwamagazi kumatha kukhala bwino pakokha pakapita nthawi.

Mutha kukhala ndi chithandizo chotsegulira mtsempha ngati kutsekeka kumapezeka mwachangu kapena kumakhudza impso yokhayo yomwe ikugwira ntchito. Chithandizo chotsegula mtsempha wamagazi chimatha kuphatikizira:

• Mankhwala osokoneza bongo (thrombolytics)
• Mankhwala omwe amaletsa magazi kuundana (anticoagulants), monga warfarin (Coumadin)
• Kukonzekera kwa opaleshoni kwa mtsempha wamagazi
• Kuyika chubu (catheter) mumtsempha wamafuta kuti mutsegule kutsekeka

Mungafunike dialysis kwakanthawi kuti muchiritse impso zolephera. Mankhwala ochepetsa mafuta m'thupi angafunike ngati kutsekeka kwachitika chifukwa chazitsulo m'mitsempha.

Zowonongeka zoyambitsidwa ndi kutha kwa magazi zimatha. Komabe, nthawi zambiri, imakhala yokhazikika.

Ngati impso imodzi imakhudzidwa, impso zathanzi zimatha kusefa magazi ndikupanga mkodzo. Ngati muli ndi impso imodzi yokha yogwira, kutsekeka kwamitsempha kumabweretsa kuchepa kwa impso. Izi zimatha kukhala kulephera kwa impso.

Zovuta zingaphatikizepo:

• Pachimake impso kulephera
• Matenda a impso
• Kuthamanga kwa magazi
• Matenda oopsa

Itanani omwe akukuthandizani ngati:

• Mumasiya kupanga mkodzo
• Mumamva kupweteka mwadzidzidzi, kumbuyo, kumbuyo, kapena m'mimba.

Pezani chithandizo chadzidzidzi nthawi yomweyo ngati muli ndi zizindikiro za kutsekeka kwa mitsempha komanso muli ndi impso imodzi yokha yogwira ntchito.

Nthaŵi zambiri, matendawa sangalephereke. Njira yofunika kwambiri yochepetsera chiopsezo ndikusiya kusuta.

Anthu omwe ali pachiwopsezo chokhala ndi magazi m'magazi angafunike kumwa mankhwala osagwirizana ndi magazi. Kuchita njira zothetsera matenda okhudzana ndi atherosclerosis (kuuma kwa mitsempha) kungachepetse chiopsezo chanu.

Pachimake aimpso ochepa thrombosis; Aimpso mtsempha wamagazi embolism; Kutsekeka kwamatenda amphongo; Embolism - aimpso mtsempha wamagazi

• Matenda a impso
• Impso - kutuluka magazi ndi mkodzo
• Magazi a impso

DuBose TD, Santos RM. Matenda a impso. Mu: Goldman L, Schafer AI, olemba. Mankhwala a Goldman-Cecil. Wolemba 25. Philadelphia, PA: Elsevier Saunders; 2016: chap 125.

Myers DJ, Myers SI. Zovuta zadongosolo: aimpso. Mu: Sidawy AN, Perler BA, olemba. Rutherford Opaleshoni ya Mitsempha ndi Endovascular Therapy. 9th ed. Philadelphia, PA: Elsevier; 2019: mutu 44.

Ruggenenti P, Cravedi P, Remuzzi G.Matenda ochepetsa matenda a impso. Mu: Skorecki K, Chertow GM, Marsden PA, Taal MW, Yu ASL, olemba. Brenner ndi Rector a Impso. 10th ed. Philadelphia, PA: Elsevier; 2016: chap 35.

Watson RS, Cogbill TH. Atherosclerotic aimpso mtsempha wamagazi stenosis. Mu: Cameron JL, Cameron AM, olemba, eds. Chithandizo Chamakono Cha Opaleshoni. Wolemba 12. Philadelphia, PA: Elsevier; 2017: 1041-1047.