Yintoni iPheripheral Arterial Disease kunye nendlela yokuchonga

Umxholo

• Iimpawu eziphambili
• Uqinisekisa njani
• Unyango lwenziwa njani
• Zintoni izizathu

Isifo se-arterial disease (PAD) sisifo esincitshiswa kukuhamba kwegazi kwimithambo, ngenxa yokuxinana okanye ukuvaleka kwezi nqanawa, ezichaphazela ikakhulu imilenze neenyawo, kwaye zibangela iimpawu kunye neempawu ezinjengeentlungu, iicramps, ukuhamba nzima, ipallor. ezinyaweni, ukubunjwa kwezilonda kunye, nokuba, umngcipheko we-necrosis yelungu elichaphazelekayo.

Sisaziwa njenge-peripheral arterial occlusive disease (i-PAD), esi sifo sibangelwa ikakhulu kukuqokelelwa kwamacwecwe amanqatha kwimithambo yegazi, ebizwa ngokuba yi-atherosclerosis. Abona bantu basemngciphekweni wokuphuhliswa kwesi sifo ngabantu abatshayayo, abantu abanesifo seswekile, icholesterol ephezulu okanye uxinzelelo lwegazi, umzekelo. Ukuqonda ngcono ukuba yintoni kunye nendlela yokunyanga i-atherosclerosis.

Ukunyanga isifo se-arterial disease, ugqirha uza kucebisa ngonyango ukuba unciphise okanye uthintele ukwanda kokuthinteleka kwemithambo, njenge-AAS, Clopidogrel okanye iCilostazol, umzekelo, ukongeza kumayeza okulawula uxinzelelo lwegazi oluphezulu, icholesterol kunye neswekile, nayo leyo kubalulekile ukwamkelwa kwemikhwa yokuphila esempilweni. Unyango lotyando lubonakalisiwe kubantu abaneempawu ezinzima, abangakhange baphucule kumachiza okanye abanesifo esibi sokujikeleza kwamalungu.

Iimpawu eziphambili

Abantu abanesifo se-arterial isifo abasoloko benempawu kwaye, kwiimeko ezininzi, esi sifo sinokuqhubela phambili sithule kwaye sibonakalise kuphela xa sisiba mandundu. Nangona kunjalo, ezona mpawu zixhaphakileyo kunye neempawu zezi:

• Intlungu emilenzeni xa uhamba kwaye oko kuphucula ngokuphumla, kukwabizwa kanjalo ukucaphuka okwethutyana. Intlungu yomlenze kwanokuphumla inokubonakala njengoko esi sifo siba mandundu;
• Ukudinwa kwezihlunu yemilenze;
• Inkampu, ukuba ndindisholo okanye ukuziva ubanda kumalungu achaphazelekayo;
• Ukuvutha okanye ukudinwa kwiimisipha yomlenze, njengethole lenkomo;
• Ukuhla kweempembelelo zemithambo, ukulahleka kweenwele kunye nolusu olucekeceke kumalungu achaphazelekayo;
• Ukuqulunqwa kwezilonda zomzimba, okanye necrosis yelungu, kwiimeko ezinzima kakhulu.

Iimpawu, ngakumbi iintlungu, zinokuba mandundu xa ulele ebusuku okanye nanini na xa amalungu ephakanyisiwe, njengoko oku kunciphisa ukuhamba kwegazi emilenzeni nasezinyaweni.

I-atherosclerosis inokuchaphazela imithambo yegazi emzimbeni wonke, ke abantu abanezifo zemithambo-luvo basemngciphekweni wokuphuhliswa kwezinye izifo zentliziyo, ezinje nge-angina, isifo sentliziyo, ukubetha okanye i-thrombosis, umzekelo. Fumanisa ukuba ziziphi izifo zentliziyo kunye noonobangela abaziintloko.

Uqinisekisa njani

Eyona ndlela iphambili yokuchonga isifo se-arterial isifo kukuvavanywa kuklinikhi ngugqirha, oya kuthi aqwalasele iimpawu kunye novavanyo lomzimba welungu elichaphazelekayo.

Ukongeza, ugqirha unokucela ukuba enze ezinye iimvavanyo, ezinje ngomlinganiso woxinzelelo emilenzeni, i-ultrasound ene-doppler okanye i-angiography njengendlela yokunceda ukuqinisekisa isifo.

Unyango lwenziwa njani

Unyango lwezifo zemithambo-luvo luboniswa ngugqirha, ngakumbi i-angiologist, enokuthi ibonise ukusetyenziswa kweendlela ezinje:

• I-Aspirin okanye i-clopidogrel, enceda ekuthinteleni ukwenziwa kwe-thrombi egazini kunye nokuphazamiseka kwemithambo;
• Amachiza okulawula i-cholesterol, ukunceda ukuzinzisa i-cholesterol plagi kwiinqanawa kunye nokuthintela ukuphazamiseka ekubeni kubi kakhulu:
• I-Cilostazol, enceda ekunyuseni imithambo echaphazelekayo yamatyala aphakathi ukuya kubi;
• Ukuqaqanjelwa kunciphisa iintlungu.

Ukongeza, kubaluleke kakhulu ukwamkela ukuphucula indlela yokuphila kunye nokulawula umngcipheko kwesi sifo, njengokuyeka ukutshaya, ukwehla emzimbeni, ukwenza imithambo yomzimba rhoqo (ubuncinci imizuzu engama-30 ngemini), ukwamkela ukutya okusempilweni kunye nokutya okunesondlo, ukongeza ukwenza unyango olufanelekileyo ukulawula isifo seswekile, icholesterol kunye noxinzelelo lwegazi.

Ngale ndlela, kunokwenzeka ukunciphisa ukwanda kwe-atherosclerosis kunye nefuthe lokuqokelelwa kwamacwecwe anemithambo yegazi, oko ke kuthintela ukwanda kwesifo se-arterial kunye nokuvela kwezinye izifo zentliziyo, ezinje nge-angina, i-myocardial infarction kunye ne-stroke , umzekelo.

Utyando, kwelinye icala, lunokuboniswa yi-angiologist kwimeko apho kungakhange kubekho kuphucuka kwiimpawu njengonyango lwezonyango okanye xa isithintelo sokuhamba kwegazi sinzima.

Zintoni izizathu

Esona sizathu siphambili sesifo se-arterial yi-atherosclerosis, apho ukuqokelelwa kwamafutha kwiindonga zemithambo kubangela ukuqina, ukunciphisa kunye nokuhla kwegazi. Imiba yomngcipheko we-atherosclerosis ibandakanya:

• Cholesterol ephezulu;
• Igazi elonyukayo;
• Ukutya okunotyebileyo kumanqatha, ityuwa kunye neswekile;
• Indlela yokuphila;
• Ukutyeba kakhulu;
• Ukutshaya;
• Isifo seswekile;
• Isifo sentliziyo.

Nangona kunjalo, abanye oonobangela besifo se-arterial peripheral banokuba yi-thrombosis, i-embolism, i-vasculitis, i-fibromuscular dysplasia, uxinzelelo, isifo se-cystic esokuqala okanye umothuko kwilungu, umzekelo.