Siyini iPheripheral Arterial Disease nokuthi ungasibona kanjani

-Delile

• Izimpawu eziyinhloko
• Ungaqinisekisa kanjani
• Yelashwa kanjani
• Ziyini izimbangela

Isifo i-peripheral arterial disease (PAD) yisifo esivezwa ukwehla kokugeleza kwegazi emithanjeni, ngenxa yokuncipha noma ukuvalwa kwale mikhumbi, okuthinta kakhulu imilenze nezinyawo, futhi kubangele izimpawu nezimpawu ezifana nobuhlungu, amajaqamba, ukuhamba kanzima, i-pallor ezinyaweni, ukwakheka kwezilonda futhi, nengozi yokuba necrosis yelungu elithintekile.

Lesi sifo saziwa nangokuthi yi-peripheral arterial occlusive disease (i-PAD), ikakhulu ngenxa yokuqoqwa kwamaphepha anemithambo yegazi, okuthiwa i-atherosclerosis. Abantu abasengozini enkulu yokuthola lesi sifo bangabantu ababhemayo, abantu abanesifo sikashukela, i-cholesterol ephezulu noma umfutho wegazi ophezulu, isibonelo. Ukuqonda kangcono ukuthi kuyini nokuthi ungaphatha kanjani isifo sokuqina kwemithambo yegazi.

Ukwelapha isifo semithambo yegazi, udokotela uzokweluleka ngezindlela zokwelashwa ukunciphisa noma ukuvimbela ukwanda kokuvinjelwa kwemithambo, njenge-AAS, Clopidogrel noma iCilostazol, ngokwesibonelo, ngaphezu kwemithi yokulawula umfutho wegazi ophakeme, i-cholesterol nesifo sikashukela, nakho okubaluleke kakhulu kubalulekile ukwamukelwa kwemikhuba yokuphila enempilo. Ukwelashwa ngokuhlinzwa kukhonjiswa kubantu abanezimpawu ezinzima, abangakathuthuki ngezidakamizwa noma abanesifo esibi sokujikeleza kwezitho.

Izimpawu eziyinhloko

Abantu abanesifo sokuqina kwemithambo yegazi abanazo njalo izimpawu futhi, ezimweni eziningi, lesi sifo singathuthuka buthule futhi sibonakale kuphela lapho siba nzima. Kodwa-ke, izimpawu nezimpawu ezivame kakhulu yilezi:

• Ubuhlungu emilenzeni lapho uhamba futhi lokho kuthuthuka ngokuphumula, okubizwa nangokuthi ukuhlukaniswa ngezikhathi ezithile. Ubuhlungu bomlenze ngisho nalapho uphumule bungavela njengoba isifo siba sibi kakhulu;
• Ukukhathala kwemisipha yemilenze;
• I-cramp, ukuba ndikindiki noma ukuzwa ukubanda ezithweni ezithintekile;
• Ukushisa noma ukukhathala emisipheni yomlenze, njengethole;
• Ukwehla kwemithambo yegazi, ukulahleka kwezinwele nesikhumba esincane emilenzeni ethintekile;
• Ukwakhiwa kwezilonda zomzimba, noma i-necrosis yomlenze, ezimweni ezinzima kakhulu.

Izimpawu, ikakhulukazi ubuhlungu, zingakhula ngesikhathi sokulala ebusuku noma noma nini lapho izitho ziphakeme, njengoba lokhu kunciphisa ukugeleza kwegazi kuya emilenzeni nasezinyaweni.

I-atherosclerosis ingathinta imithambo yegazi emzimbeni wonke, ngakho-ke abantu abanesifo semithambo yegazi basengozini enkulu yokuthola ezinye izifo zenhliziyo, njenge-angina, isifo senhliziyo, isifo sohlangothi noma i-thrombosis. Thola ukuthi yiziphi izifo zenhliziyo nemithambo yegazi nezimbangela ezinkulu.

Ungaqinisekisa kanjani

Indlela eyinhloko yokuhlonza isifo semithambo yegazi ngukuhlolwa komtholampilo ngudokotela, ozobheka izimpawu nokuhlolwa ngokomzimba kwesitho esithintekile.

Ngaphezu kwalokho, udokotela angacela ukwenza ezinye izivivinyo, njengokulinganisa ingcindezi ezithweni, i-ultrasound ene-doppler noma i-angiography njengendlela yokusiza ukuqinisekisa ukuxilongwa.

Yelashwa kanjani

Ukwelashwa kwesifo semithambo yegazi kungakhonjiswa ngudokotela, ikakhulukazi i-angiologist, engakhombisa ukusetshenziswa kwamakhambi afana nalawa:

• I-Aspirin noma i-clopidogrel, esiza ukuvimbela ukwakheka kwe-thrombi egazini nokuvinjelwa kwemithambo;
• Izidakamizwa zokulawula i-cholesterol, ukusiza ukuzinzisa uqweqwe lwe-cholesterol ezitsheni kanye nokuvimbela ukuvimba kungabi kubi kakhulu:
• I-Cilostazol, esiza ukunweba imithambo ethintekayo yamacala alinganiselayo kuya kokubi;
• Ubuhlungu buyadambisa ukudambisa izinhlungu.

Ngaphezu kwalokho, kubaluleke kakhulu ukwamukela ukuthuthuka kwezindlela zokuphila nokulawula ubungozi balesi sifo, njengokuyeka ukubhema, ukunciphisa isisindo, ukwenza imisebenzi ejwayelekile yomzimba (okungenani imizuzu engama-30 ngosuku), ukwamukela ukudla okunempilo nokulinganisela, ngaphezu kwalokho ukwenza ukwelashwa okufanele ukulawula isifo sikashukela, i-cholesterol nomfutho wegazi ophezulu.

Ngale ndlela, kungenzeka ukunciphisa ukwanda kwe-atherosclerosis kanye nemiphumela yokuqongelela kwama-plaque anamafutha emithanjeni yegazi, ngaleyo ndlela kuvimbele ukwanda kwesifo semithambo nokuvela kwezinye izifo zenhliziyo, njenge-angina, i-myocardial infarction kanye nesifo sohlangothi , Ngokwesibonelo.

Ukuhlinzwa, ngakolunye uhlangothi, kungakhonjiswa yi-angiologist ezimweni lapho kungabanga khona ukuthuthuka kwezimpawu njengokwelashwa komtholampilo noma lapho ukuvinjelwa kokugeleza kwegazi kunzima.

Ziyini izimbangela

Imbangela enkulu yesifo semithambo yegazi yipheripheral isifo sokuqina kwemithambo yegazi, lapho ukunqwabelana kwamafutha ezindongeni zemithambo yegazi kubangela ukuqina kwegazi kwabo ukuqina, ukunciphisa nokuncipha. Izici eziyingozi ze-atherosclerosis zifaka:

• I-cholesterol ephezulu;
• Umfutho wegazi ophakeme;
• Ukudla okunothe ngamafutha, usawoti kanye noshukela;
• Indlela yokuphila yokuhlala phansi;
• Ukhuluphele ngokweqile;
• Ukubhema;
• Isifo sikashukela;
• Isifo senhliziyo.

Kodwa-ke, ezinye izimbangela zesifo semithambo yegazi kungaba yi-thrombosis, i-embolism, i-vasculitis, i-fibromuscular dysplasia, ukucindezelwa, isifo se-cystic adventitial noma ukuhlukumezeka emlenzeni, isibonelo.