Njira Zothandizira Kuchiza Matenda Ozungulira Mitsempha

Zamkati

• Mankhwala
• Chitani masewera olimbitsa thupi
• Lekani kusuta
• Idyani chakudya chopatsa thanzi
• Sinthani matenda anu ashuga
• Opaleshoni ndi njira zina
• Kutenga

Matenda a peripheral artery (PAD) ndimavuto omwe amakhudza mitsempha mozungulira thupi lanu, osaphatikizapo omwe amapereka mtima (mitsempha yamitsempha) kapena ubongo (cerebrovascular artery). Izi zimaphatikizapo mitsempha m'miyendo yanu, mikono, ndi ziwalo zina za thupi lanu.

PAD imayamba pakakhala mafuta kapena zolembapo zamafuta pamiyala yamitsempha yanu. Izi zimayambitsa kutupa m'makoma amitsempha ndikuchepetsa magazi kupita mbali izi za thupi. Kuchepa kwa magazi kumatha kuwononga minofu, ndipo ngati sichikulandilidwa, zimayambitsa kudula chiwalo.

PAD imakhudza anthu 8 mpaka 12 miliyoni ku United States, ndipo imachitika kawirikawiri kwa anthu azaka zopitilira 50, malinga ndi.

Zowopsa za PAD zimaphatikizapo kusuta, kuthamanga kwa magazi, komanso mbiri ya matenda ashuga kapena matenda amtima. Zizindikiro zimatha kuphatikiza:

• kupweteka kapena kufooka m'miyendo kapena mikono, makamaka poyenda kapena kuchita masewera olimbitsa thupi
• kufooka
• Kukula msomali kosauka
• kutentha kwa thupi m'miyendo kapena m'manja (mapazi ozizira)
• kusowa tsitsi ndi khungu lowala pamiyendo
• zilonda zoziziritsa pang'onopang'ono

PAD imatha kubweretsa chiopsezo cha sitiroko kapena matenda amtima chifukwa anthu omwe ali ndi atherosclerosis m'mitsempha imeneyi amathanso kukhala nayo mumitsempha ina. Koma mankhwala alipo kuti ateteze zovuta zowopsa pamoyo. Nazi njira zisanu ndi ziwiri zochizira ndikuwongolera PAD.

Mankhwala

Cholinga cha chithandizo cha PAD ndikuthandizira kuthamanga kwa magazi ndikuchepetsa magazi m'mitsempha yamagazi. Chithandizo chimafunanso kuchepetsa kuthamanga kwa magazi ndi cholesterol kuti mupewe PAD.

Popeza kudzikundikira kwa zolengeza kumayambitsa matendawa, adokotala amakupatsani statin. Uwu ndi mtundu wamafuta ochepetsa mafuta m'thupi omwe amathanso kuchepetsa kutupa. Statins imatha kukonza thanzi lanu lonse la mitsempha ndikuchepetsa chiopsezo chanu chodwala matenda amtima komanso kupwetekedwa mtima.

Dokotala wanu amathanso kukupatsirani mankhwala ochepetsa kuthamanga kwa magazi. Zitsanzo zimaphatikizapo ACE inhibitors, beta-blockers, diuretics, angiotensin II receptor blockers, ndi calcium channel blockers. Dokotala wanu amathanso kulangiza mankhwala kuti ateteze magazi kuundana, monga aspirin ya tsiku ndi tsiku kapena mankhwala ena akuchipatala kapena ochepetsa magazi.

Ngati muli ndi matenda ashuga, ndikofunikira kumwa mankhwala anu monga momwe akulangizira kuti mukhale ndi shuga wathanzi.

Ngati muli ndi zowawa m'miyendo yanu, dokotala wanu amathanso kukupatsani mankhwala monga cilostazol (Pletal) kapena pentoxifylline (Trental). Mankhwalawa amatha kuthandizira magazi anu mosavuta, zomwe zimachepetsa kupweteka kwanu.

Chitani masewera olimbitsa thupi

Kuchulukitsa magwiridwe antchito kumatha kusintha zizindikiritso za PAD ndikuthandizani kuti mukhale bwino.

Kuchita masewera olimbitsa thupi pafupipafupi kumathandizira kukhazikika kwa magazi komanso kuchuluka kwama cholesterol. Izi zimachepetsa kuchuluka kwa zolembera m'mitsempha yanu. Kuchita masewera olimbitsa thupi kumathandizanso kuti magazi aziyenda bwino komanso kuyenda bwino.

Dokotala wanu angakulimbikitseni kuchipatala komwe mungachite masewera olimbitsa thupi motsogozedwa ndi katswiri wazachipatala. Izi zingaphatikizepo kuyenda pa chopondapo kapena kuchita masewera olimbitsa thupi omwe amagwira ntchito mwendo ndi mikono.

Muthanso kuyamba masewera olimbitsa thupi ndi zochitika monga kuyenda pafupipafupi, kupalasa njinga, ndikusambira. Ganizirani zolimbitsa thupi kwa mphindi 150 sabata iliyonse. Yambani pang'onopang'ono ndipo pang'onopang'ono pangani cholingachi.

Lekani kusuta

Kusuta kumachepetsa mitsempha yanu yamagazi, yomwe imatha kubweretsa kuthamanga kwa magazi. Ikhozanso kuwonjezera chiopsezo chanu cha zovuta monga matenda amtima kapena kupwetekedwa ndikuwononga makoma amitsempha yamagazi.

Kusiya kusuta sikuti kumangokhala ndi thanzi labwino, komanso kumatha kubwezeretsanso magazi ndikuchepetsa kukula kwa PAD. Kuti musiye kusuta, fufuzani zosankha zingapo m'malo mwa chikonga kuti muchepetse zikhumbo zanu. Izi zitha kuphatikizira chingamu, kupopera, kapena zigamba.

Kuphatikiza apo, mankhwala ena amatha kukuthandizani kuti musiye. Funsani dokotala wanu kuti adziwe zomwe mungachite.

Idyani chakudya chopatsa thanzi

Zakudya zimathandizanso kuchepetsa kukula kwa PAD. Kudya zakudya zamafuta ambiri komanso zakudya zamchereamu kwambiri kumatha kukulitsa mafuta m'thupi komanso kuyendetsa kuthamanga kwa magazi. Kusintha kumeneku kumabweretsa kuchuluka kwa zolembera m'mitsempha yanu.

Phatikizani zakudya zopatsa thanzi muzakudya zanu, monga:

• zipatso ndi ndiwo zamasamba
• masamba otsika kwambiri a sodium
• mbewu zonse za tirigu
• omega-3 fatty acids, monga nsomba
• mapuloteni owonda
• mkaka wopanda mafuta ambiri kapena wopanda mafuta

Yesetsani kupewa zakudya zomwe zimawonjezera cholesterol ndi mafuta. Izi zimaphatikizapo zakudya zokazinga, zakudya zopanda kanthu, zakudya zina zamafuta ambiri komanso zakudya zamchere. Zitsanzo zina zimaphatikizira tchipisi, ma donuts, chakudya chambiri, komanso nyama zosinthidwa.

Sinthani matenda anu ashuga

PAD ikapanda kuchiritsidwa, PAD imatha kubweretsa kufa kwaminyewa komanso kudulidwa. Chifukwa cha izi, ndikofunikira kusamalira matenda ashuga ndikusunga mapazi anu bwino.

Ngati muli ndi PAD ndi matenda ashuga, zimatha kutenga nthawi yayitali kuvulala pamapazi kapena miyendo kuti muchiritse. Zotsatira zake, mutha kukhala pachiwopsezo chotenga matenda.

Tsatirani izi kuti mapazi anu akhale athanzi:

• sambani mapazi anu tsiku ndi tsiku
• mafuta ongoza khungu losweka
• valani masokosi akuda kuti mupewe kuvulala
• gwiritsani ntchito zonona za maantibayotiki kuti muchepetse
• onaninso mapazi anu ngati mulibe zilonda kapena zilonda

Onani dokotala wanu ngati chilonda pamapazi anu sichichira kapena kukulira.

Opaleshoni ndi njira zina

Ngati muli ndi PAD, mankhwala ndi kusintha kwa moyo wanu sikungakuthandizeni. Ngati ndi choncho, dokotala wanu angakulimbikitseni kuchitidwa opaleshoni kuti mubwezeretse magazi oyenerera pamitsempha yotsekedwa.

Ndondomeko zitha kuphatikizira angioplasty yokhala ndi buluni kapena stent yotsegulira mtsempha ndikuyiyika yotseguka.

Dokotala wanu angafunikirenso kuchita opaleshoni yopyola. Izi zimaphatikizapo kuchotsa chotengera chamagazi kuchokera m'chigawo china cha thupi lanu ndikuchigwiritsa ntchito kuti muphatikize. Izi zimalola magazi kuyenda mozungulira mtsempha wotsekedwa, monga kupanga njira ina.

Dokotala wanu amathanso kubaya mankhwala mumtsempha wotsekedwa kuti athane ndi magazi ndikubwezeretsanso magazi.

Kutenga

PAD yoyambirira sikuti nthawi zonse imakhala ndizizindikiro, ndipo zizindikilo zomwe zimawoneka nthawi zambiri zimakhala zobisika. Ngati muli pachiwopsezo cha vutoli ndikumva kupweteka kwa minofu, kufooka kwa miyendo, kapena kukokana mwendo, onani dokotala.

PAD imatha kupita patsogolo ndikubweretsa zovuta zazikulu, chifukwa chake chithandizo choyambirira ndikofunikira kuti mukhale ndi thanzi labwino.