Peripheral tsinga inopfuura - gumbo - kubuda

Peripheral arteri kuburikidza nekuvhiya kunoitwa kuitazve nzira yeropa kutenderedza arteri yakavharwa mugumbo. Iwe wakave nekuvhiyiwa uku nekuti mafuta anoiswa mutsinga dzako aivhara kuyerera kweropa. Izvi zvakakonzera zviratidzo zvekurwadziwa uye kurema mugumbo rako izvo zvakaita kuti kufamba kunetse. Ichi chinyorwa chinokuudza maitiro ekuzvichengeta iwe pachako mushure mekubva muchipatara.

Iwe wanga uine peripheral artery inopfuura nekuvhiya kuti utorezve nzira yeropa kukomberedza tsinga yakavharwa mune rimwe remakumbo ako.

Chiremba wako akavhiya (akacheka) pamusoro penzvimbo yakavharirwa tsinga. Izvi zvinogona kunge zvaive mugumbo kana kugomera kwako, kana chikamu chepazasi chedumbu rako. Zvinosungwa zvakaiswa pamusoro petsinga pamagumo ega echikamu chakavharwa. Chubhu yakasarudzika inonzi kusonamira yakasonerwa mumutsinga kutsiva chikamu chakavharika.

Unogona kunge wakaramba uri muchipatara chevanotarisirwa zvakanyanya (ICU) kwemazuva 1 kusvika matatu mushure mekuvhiyiwa. Mushure meizvozvo, iwe wakagara mukamuri yenguva dzose yechipatara.

Yako incision inogona kurwadza kwemazuva akati wandei. Iwe unofanirwa kukwanisa kuenda kumberi ikozvino pasina kuda kuzorora. Kupora zvizere kubva pakuvhiyiwa kunogona kutora mavhiki matanhatu kusvika masere.

Famba madaro mapfupi katatu kana mana pazuva. Zvishoma nezvishoma wedzera kure kwaunofamba nguva imwe neimwe.

Paunenge uchizorora, chengetedza gumbo rako rakasimudzwa pamusoro peyero yemoyo wako kudzivirira gumbo kuzvimba:

• Rara pasi woisa pepiro pasi pezasi pegumbo rako.
• Usagare kweinopfuura awa rimwe panguva yaunotanga kuuya kumba. Kana uchikwanisa, simudza tsoka dzako nemakumbo pawakagara. Vazorore pane chimwe chigaro kana chigaro.

Uchave nekuwedzera kuzvimba kwegumbo mushure mekufamba kana kugara. Kana iwe uine zvakawanda zvekuzvimba, unogona kunge uchiita kufamba kwakanyanya kana kugara, kana kudya munyu wakawandisa mukudya kwako.

Paunokwira masitepisi, shandisa gumbo rako rakanaka kutanga paunokwira. Shandisa gumbo rako rakavhiyiwa kutanga paunodzika. Zorora mushure mekutora matanho akati wandei.

Mutapi wako wehutano anokuudza iwe kana iwe uchigona kutyaira. Unogona kutora nzendo pfupi semunhu anofamba, asi edza kugara pachigaro chekumashure negumbo rako raive nekuvhiyiwa kwakasimudzwa pachigaro.

Kana zvidimbu zvako zvabviswa, unogona kunge uine Steri-Strips (zvidimbu zvidiki zve tepi) pane yako incision. Pfeka mbatya dzakasununguka dzisingakwiyise paunocheka.

Iwe unogona kugeza kana kutora iyo incision kunyorova, kana chiremba wako ati iwe unogona. Usanyorove, kukwesha, kana kuita kuti shawa rirove zvakananga pavari. Kana iwe uine Steri-Strips, ivo vanozopeta uye vobva vadonha vega mushure mevhiki.

Usanyike mubhavhu rekugezera, mutopu inopisa, kana mudziva rekushambira. Kumbira mupiki wako apo iwe unogona kutanga kuita izvi zviitiko zvakare.

Wako mupi achakutaurira kangani kuti uchinje kupfeka kwako (bhandiji) uye paunorega kushandisa imwe. Chengeta ronda rako rakaoma. Kana yako incision ikaenda kune yako groin, chengeta yakaoma gauze pad pamusoro payo kuti irambe yakaoma.

• Chenesa incision yako nesipo nemvura zuva rega rega kana mupi wako ati iwe unogona. Tarisa nokungwarira chero shanduko. Zvinyoro nyora pakaoma.
• Usaise chero mafuta, kirimu, kana mishonga yemakwenzi paronda rako usina kutanga wabvunza kana zviri izvo.

Kuvhiya kweBypass hakurape chikonzero chekuvharika mutsinga dzako. Tsinga dzako dzinogona kutetepa zvakare.

• Idya kudya kunovaka-moyo, kurovedza muviri, rega kuputa (kana uchisvuta), uye kudzikisira kushushikana kwako. Kuita izvi zvinhu kunobatsira kudzikisira mikana yako yekuve neyakavharwa tsinga zvakare.
• Anopa hutano hwako anogona kukupa mushonga kuti ubatsire kudzikisa cholesterol yako.
• Kana uri kunwa mishonga yehigh blood pressure kana chirwere cheshuga, tora sezvawakaudzwa kuti utore.
• Anokupa anogona kukukumbira kuti utore maasprini kana mushonga unonzi clopidogrel (Plavix) kana waenda kumba. Iyi mishonga inochengetedza ropa rako kuti risaumbike mutsinga dzako. Usarega kuvatora usati wataura nemupi wako kutanga.

Fonera wako mupi wezvehutano kana:

• Gumbo rako raive nekuvhiyiwa rinoshandura ruvara kana kutonhorera kubata, kucheneruka, kana kuti chiveve
• Iwe une kurwadziwa pachipfuva, dzungu, matambudziko kufunga zvakajeka, kana kupfupika kwemweya usingaendi kana iwe uchizorora
• Uri kukosora ropa kana yero kana girini mamota
• Une kutonhora
• Iwe une fivhiri inopfuura 101 ° F (38.3 ° C)
• Dumbu rako rinorwadza kana rakazvimba
• Iyo micheto yekuvhiya yako incision iri kukwevera parutivi
• Kune zviratidzo zvehutachiona zvakakomberedza incision senge kutsvuka, kurwadziwa, kudziya, kutsiga, kana kuburitsa greenish
• Bhandeji rakadirwa neropa
• Makumbo ako ari kuzvimba

Kudarika kweAortobifemoral - kubuda; Femoropopliteal - kubuda; Mukadzi popliteal - kubuda; Aorta-bifemoral kudarika - kubuda; Axillo-bifemoral kudarika - kubuda; Ilio-bifemoral yokunzvenga - buditsa

Bonaca MP, Creager MA. Peripheral tsinga hosha. Mune: Zipes DP, Libby P, Bonow RO, Mann DL, Tomaselli GF, Braunwald E, eds. Chirwere Chemwoyo cheBraunwald: A Chinyorwa cheCardiovascular Medicine. 11th ed. Philadelphia, PA: Elsevier; 2019: chitsuwa 64.

Fakhry F, Spronk S, van der Laan L, et al. Endovascular revascularization uye inotarisirwa kurovedza muviri kwechipenga arteri chirwere uye chepakati claudication: yakasarudzika kiriniki kutongwa. JAMA. 2015; 314 (18): 1936-1944. PMID: 26547465 www.ncbi.nlm.nih.gov/pubmed/26547465.

Gerhard-Herman MD, Gornik HL, Barrett C, uye al. 2016 AHA / ACC nhungamiro pane manejimendi evarwere vane yakadzika yekumucheto ariperi arteri chirwere: Executive pfupiso: mushumo weAmerican College yeCardiology / American Heart Association Task Force paKiriniki Yekudzidzira Nhungamiro. Kutenderera. 2017; 135: e686-e725. PMID: 27840332 www.ncbi.nlm.nih.gov/pubmed/27840332.

Kinlay S, Bhatt DL. Kurapa kweiyo noncoronary obstructive vascular chirwere. Mune: Zipes DP, Libby P, Bonow RO, Mann DL, Tomaselli GF, Braunwald E, eds. Chirwere Chemwoyo cheBraunwald: A Chinyorwa cheCardiovascular Medicine. 11th ed. Philadelphia, PA: Elsevier; 2019: chitsuwa 66.

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