Thromboangiitis vanokanganisa

Thromboangiitis obliterans chirwere chisingawanzoitika umo tsinga dzeropa dzemaoko nemakumbo dzinovharika.

Thromboangiitis obliterans (chirwere cheBuerger) chinokonzerwa nemidziyo midiki yeropa iyo inotsva uye kuzvimba. Tsinga dzeropa dzinobva dzadzikira kana kuvharika neropa rakagwamba (thrombosis). Tsinga dzeropa dzemaoko nemaoko dzinonyanya kukanganiswa. Tsinga dzinokanganisika kupfuura tsinga. Avhareji zera apo zviratidzo zvinotanga ndezve makore makumi matatu nematatu. Vakadzi nevakuru vakuru vanokanganiswa zvishoma.

Aya mamiriro anonyanya kubata varume vechidiki vane makore makumi maviri kusvika makumi mana vanosvuta zvakanyanya kana kutsenga fodya. Vakadzi vanosvuta vanogona zvakare kukanganiswa. Mamiriro acho anokanganisa vanhu vazhinji kuMiddle East, Asia, Mediterranean, uye Eastern Europe. Vanhu vazhinji vane dambudziko iri vane hutano husina kunaka hwemeno, kazhinji nekuda kwekushandisa fodya.

Zviratidzo zvinowanzo bata maviri kana anopfuura maoko uye zvinogona kusanganisira:

• Minwe kana zvigunwe zvinoita kunge zvakacheneruka, zvitsvuku, kana bhuruu uye unonzwa kutonhora kune iyo bata.
• Kamwe kamwe kurwadziwa kwakanyanya mumaoko nemakumbo. Marwadzo anogona kunzwa sekutsva kana kutetemera.
• Marwadzo mumaoko nemakumbo ayo anowanzoitika kana uchizorora. Iwo marwadzo anogona kuve akawedzera kana maoko nemakumbo zvichitonhora kana panguva yekushushikana kwepfungwa.
• Marwadzo mumakumbo, makumbo, kana tsoka kana uchifamba (kupindirana kwekujekesa). Iwo marwadzo anowanzo kuve arch yetsoka.
• Ganda rinoshanduka kana zvidiki maronda anorwadza paminwe kana zvigunwe.
• Dzimwe nguva, yemajoini muzvanza kana mumabvi inokura midziyo yeropa isati yavharwa.

Iyi inotevera bvunzo inogona kuratidza kuvharika kwemitsipa yeropa mumaoko akabatwa kana tsoka:

• Ultrasound yemidziyo yeropa mumucheto, inonzi plethysmography
• Doppler ultrasound yemugumo
• Catheter-yakavakirwa x-ray arteriogram

Kuongororwa kweropa kune zvimwe zvikonzero zvekupisa kweropa mitsipa (vasculitis) uye yakavharirwa (kufukidzwa) kwemitsipa yeropa inogona kuitwa. Izvi zvinokonzera chirwere cheshuga, scleroderma, vasculitis, hypercoagulability, uye atherosclerosis. Iko hakuna kuongororwa kweropa kunoongorora thromboangiitis obliterans.

Moyo echocardiogram inogona kuitwa kutsvaga masosi eropa. Muzviitiko zvisingawanzoitika kana kuongororwa kusiri kujeka, biopsy yeropa mudziyo inoitwa.

Iko hakuna mushonga we thromboangiitis obliterans. Chinangwa chekurapa ndechekudzivirira zviratidzo uye kudzivirira chirwere kubva pakuwedzera.

Kumisa kushandiswa kwefodya chero mhando chinhu chakakosha kudzora chirwere. Kusvuta kumisa kurapwa kunokurudzirwa zvakanyanya. Izvo zvakakoshawo kudzivirira kutonhora kutonhora uye zvimwe mamiriro anoderedza kuyerera kweropa mumaoko nemakumbo.

Kuisa kudziya uye kuita zvinyoro nyoro kunogona kubatsira kuwedzera kutenderera.

Aspirin nemishonga inovhura tsinga dzeropa (vasodilators) inogona kubatsira. Muzviitiko zvakaipa kwazvo, kuvhiya kutema tsinga kunzvimbo (kuvhiya sympathectomy) kunogona kubatsira kudzora marwadzo. Kazhinji, kupfuudza kuvhiya kunoonekwa mune vamwe vanhu.

Zvinogona kuve zvinodikanwa kucheka zvigunwe kana zvigunwe kana nzvimbo ikatapukirwa zvakanyanya uye nyama inofa.

Zviratidzo zve thromboangiitis obliterans zvinogona kuenda kana munhu akamira kushandisa fodya. Vanhu vanoramba vachishandisa fodya vangangoda kudimburwa makumbo.

Matambudziko anosanganisira:

• Tissue rufu (maronda)
• Kudimurwa zvigunwe kana zvigunwe
• Kurasikirwa kweropa kuyerera munhengo yeminwe yakakanganiswa kana zvigunwe

Fonera wako mupi wezvehutano kana:

• Iwe une zviratidzo zve thromboangiitis obliterans.
• Iwe une thromboangiitis obliterans uye zviratidzo zvinowedzera, kunyangwe nekurapwa.
• Unovandudza zviratidzo zvitsva.

Vanhu vane nhoroondo yechiitiko chaRaynaud kana bhuruu, zvigunwe zvinorwadza kana zvigunwe, kunyanya zvine maronda, havafanirwe kushandisa chero fodya.

Buerger chirwere

• Thromboangiites obliterans
• Kutenderera system

Akar AR, Inan B. Thromboangiitis obliterans (Chirwere cheBuerger). Mune: Sidawy AN, Perler BA, eds. Rutherford Kuvhiya kweVascular uye Endovascular Therapy. 9th ed. Philadelphia, PA: Elsevier; 2019: chitsiko 138.

Gupta N, Wahlgren CM, Azizzadeh A, Gewertz BL. Chirwere cheBugerger (Thromboangiitis obliterans). Mune: Cameron JL, Cameron AM, eds. Parizvino Kuvhiya Therapy. 13 ed. Philadelphia, PA: Elsevier; 2020: 1054-1057.

Jaff MR, Bartheolomew JR. Zvimwe zvechipenga arterial hosha. Mune: Goldman L, Schafer AI, eds. Goldman-Cecil Mushonga. 26th ed. Philadelphia, PA: Elsevier; 2020: chap 72.