Kodi Peripheral Arterial Disease ndi chiyani ndipo mungadziwe bwanji

Zamkati

• Zizindikiro zazikulu
• Momwe mungatsimikizire
• Momwe mankhwalawa amachitikira
• Zomwe zimayambitsa

Matenda a m'mitsempha (PAD) ndi matenda omwe amadziwika ndi kuchepa kwa magazi m'mitsempha, chifukwa cha kuchepa kapena kutsekeka kwa zotengera, zomwe zimakhudza kwambiri miyendo ndi mapazi, ndikuwonetsa zizindikilo monga kupweteka, kukokana, kuyenda movutikira, pallor mu mapazi, mapangidwe zilonda ndipo, ngakhale, chiopsezo cha necrosis ya nthambi yomwe idakhudzidwa.

Amatchedwanso kuti peripheral arterial occlusive matenda (PAD), matendawa amayamba makamaka chifukwa chodzaza mafuta m'mitsempha yamagazi, yotchedwa atherosclerosis. Anthu omwe ali pachiwopsezo chachikulu chotenga matendawa ndi osuta, omwe ali ndi matenda ashuga, cholesterol kapena kuthamanga kwa magazi, mwachitsanzo. Kumvetsetsa bwino kuti ndi chiyani komanso momwe mungachiritse matenda a atherosclerosis.

Pofuna kuchiza matenda am'mitsempha, dotolo amalangiza othandizira kuti achepetse kapena kupewa kuwonongeka kwa mitsempha, monga AAS, Clopidogrel kapena Cilostazol, mwachitsanzo, kuphatikiza mankhwala omwe amaletsa kuthamanga kwa magazi, cholesterol ndi shuga, zomwe zilinso kofunikira kutengera zizolowezi za moyo wathanzi. Chithandizo cha opareshoni chikuwonetsedwa kwa anthu omwe ali ndi zizindikilo zowopsa, omwe sanachite bwino ndi mankhwalawa kapena omwe alibe kufalikira kwamiyendo ndi miyendo.

Zizindikiro zazikulu

Anthu omwe ali ndi matenda osokoneza bongo samakhala ndi zizindikilo nthawi zambiri ndipo, nthawi zambiri, matendawa amatha kupita mwakachetechete ndikuwonekera pokhapokha akakhala ovuta. Komabe, zizindikilo zofala kwambiri ndi izi:

• Kupweteka kwa miyendo poyenda ndipo zimayenda bwino ndikupuma, komwe kumatchedwanso mawu apakatikati. Kupweteka kwa mwendo ngakhale kupumula kumatha kuwonekera matendawa akukulira;
• Kutopa kwa minofu ya miyendo;
• Khungu, dzanzi kapena kumva kuzizira m'miyendo yokhudzidwayo;
• Kutentha kapena kutopa mu minofu ya mwendo, ngati mwana wa ng'ombe;
• Kuchepetsa kuchepa kwamitsempha, kutayika tsitsi ndi khungu lowonda pamiyendo;
• Mapangidwe a zilonda zam'mimba, kapena necrosis yamiyendo, pamavuto akulu kwambiri.

Zizindikiro, makamaka kupweteka, zimatha kukulirakulira tulo usiku kapena nthawi zonse miyendo ikakwezedwa, chifukwa izi zimachepetsa magazi kuyenda mpaka miyendo ndi mapazi.

Atherosclerosis imatha kukhudza mitsempha yamagazi mthupi lonse, motero anthu omwe ali ndi zotumphukira zam'mimba amakhalanso pachiwopsezo chotenga matenda ena amtima, monga angina, mtima, stroke kapena thrombosis, mwachitsanzo. Pezani matenda amtima ndi zomwe zimayambitsa.

Momwe mungatsimikizire

Njira yayikulu yodziwira zotumphukira zam'mimba ndimaphunziro oyesedwa ndi adotolo, omwe angawone zizindikilo ndikuwunika kwa bwalolo lomwe lakhudzidwa.

Kuphatikiza apo, adokotala atha kupempha kuti apange mayeso ena, monga kuyeza kwa miyendo, ultrasound ndi doppler kapena angiography ngati njira yothandizira kutsimikizira kuti ali ndi matenda.

Momwe mankhwalawa amachitikira

Chithandizo cha matenda osokoneza bongo amawonetsedwa ndi dokotala, makamaka angiologist, yemwe angasonyeze kugwiritsa ntchito mankhwala monga:

• Aspirin kapena clopidogrel, omwe amathandiza kupewa mapangidwe a thrombi m'magazi ndi kutsekeka kwa mitsempha;
• Mankhwala oletsa mafuta m'thupi, kuthandiza kukhazikika kwa cholembera cha cholesterol m'mitsuko ndikuletsa chotchinga kuti chisakule:
• Cilostazol, yomwe imathandizira kutsekula mitsempha yomwe imakhudzidwa pamilandu yayikulu;
• Ululu umachepetsa kupweteka.

Kuphatikiza apo, ndikofunikira kutengera kusintha kwa moyo ndi kuwongolera zomwe zingayambitse matendawa, monga kusiya kusuta, kuonda, kuchita masewera olimbitsa thupi (osachepera mphindi 30 patsiku), kudya zakudya zopatsa thanzi, kuphatikiza apo kuchita chithandizo choyenera choletsa matenda ashuga, cholesterol komanso kuthamanga kwa magazi.

Mwanjira imeneyi, ndizotheka kuchepetsa kuwonjezeka kwa matenda a atherosclerosis komanso zovuta zakuthira mafuta m'mitsempha yamagazi, motero kupewa kuwonjezeka kwa matenda amitsempha komanso kuwonekera kwa matenda ena amtima, monga angina, infarction ya myocardial ndi stroke , Mwachitsanzo.

Opaleshoni, kumbali inayo, imatha kuwonetsedwa ndi angiologist ngati sipanakhalepo kusintha kwa zizindikilo monga chithandizo chamankhwala kapena kutsekeka kwa magazi kumakhala kovuta.

Zomwe zimayambitsa

Choyambitsa chachikulu cha matenda am'mitsempha am'mitsempha ndi matenda a atherosclerosis, momwe mafuta amadzipangira pamakoma amitsempha amachititsa kuti magazi aziwuma, amachepetsa komanso kutsika magazi. Zowopsa za atherosclerosis ndi izi:

• Cholesterol wambiri;
• Kuthamanga kwa magazi;
• Chakudya chodzaza mafuta, mchere ndi shuga;
• Kukhala pansi;
• Kulemera kwambiri;
• Kusuta;
• Matenda ashuga;
• Matenda a mtima.

Komabe, zina zomwe zimayambitsa matenda osokoneza bongo amatha kukhala thrombosis, embolism, vasculitis, fibromuscular dysplasia, compression, cystic adventitial matenda kapena kupsinjika kwa mwendo, mwachitsanzo.