Peripheral tsinga yokunzvenga - gumbo

Peripheral arteri inopfuura kuvhiya kuti utorezve kuwedzerwa kweropa kwakakomberedza tsinga yakavharwa mune rimwe remakumbo ako. Mafuta emafuta anokwanisa kuvaka mukati meetsinga uye oadzivirira.

Graft rinoshandiswa kutsiva kana kupfuura chikamu chakavharika chetsinga. Iyo yekubatanidza inogona kunge iri yepurasitiki chubhu, kana inogona kunge iri yeropa tsinga (tsinga) yakatorwa kubva mumuviri wako (kazhinji kazhinji rakapesana gumbo) panguva imwechete yekuvhiya.

Peripheral artery yekupfuura kuvhiya inogona kuitwa mune imwe kana yakawanda yeanotevera mitsipa yeropa:

• Aorta (iyo huru arteri inouya kubva pamoyo wako)
• Tsinga muhudyu mako
• Artery muchidya chako
• Artery kuseri kwebvi rako
• Tsinga mugumbo rako repazasi
• Tsinga muhapwa yako

Munguva yekupfuura kuvhiya chero tsinga:

• Iwe unozogamuchira mushonga (anesthesia) kuitira kuti usanzwe kurwadziwa. Mhando yeanesthesia yaunogamuchira inoenderana nekuti arteri iripi inorapwa.
• Chiremba wako anovhiya achacheka pamusoro pechikamu chetsinga yakavharwa.
• Mushure mekufambisa ganda uye zvinyama kubva munzira, chiremba anovhiya anoisa zvisungo kumagumo ega ega echikamu chakavharika chetsinga. Iko kubatanidzwa kunosonwa munzvimbo.
• Chiremba anovhiya anozove nechokwadi chekuti une kuyerera kweropa kwakanaka munzvimbo yako. Ipapo ako akachekwa achavharwa. Iwe unogona kunge uine x-ray inonzi arteriogram kuti uve nechokwadi chekuti kubatanidzwa kuri kushanda.

Kana iwe uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchirapa yako aorta uye iliac artery kana yako aorta uye ese ari maviri echikadzi arteri (aortobifemoral):

• Iwe unenge uine general anesthesia. Izvi zvinokuita kuti uzive uye usakwanise kunzwa kurwadziwa. Kana, iwe unogona kunge uine epidural kana musana anesthesia panzvimbo. Chiremba anojowa musana wako nemushonga kuti uite chiveve kubva muchiuno chako kudzika.
• Chiremba wako achaita kucheka kwekuvhiya pakati pemimba kuti asvike kune aorta uye iliac arteri.

Kana iwe uri kupfuudza kuvhiya kuti ubate gumbo rako repazasi (femoral popliteal):

• Unogona kuve neanesthesia yakajairika. Iwe unenge usina chaunoziva uye usingakwanise kunzwa kurwadziwa. Iwe unogona panzvimbo pacho uve nechirwere chepachirwere kana chepelinha anesthesia. Chiremba anojowa musana wako nemushonga kuti uite chiveve kubva muchiuno chako kudzika. Vamwe vanhu vane anesthesia yemuno uye mushonga kuvazorodza. Yemunharaunda anesthesia inovhara ingori iyo nzvimbo irikushandirwa.
• Chiremba wako anovhiya mugumbo rako pakati pekugomera kwako nemabvi. Ichave padyo nekuvharika mutsinga yako.

Zviratidzo zveakavharika peri arteri marwadzo, kusuruvara, kana kuremerwa mugumbo rako iro rinotanga kana kuwedzera kuipa paunofamba.

Unogona kusada kuvhiyiwa nekuvhiya kana matambudziko aya achingoitika kana uchifamba wozoenda kana iwe uchizorora. Unogona kusada kuvhiyiwa uku kana uchikwanisa kuita zviitwa zvako zvezuva nezuva. Chiremba wako anogona kutanga atanga mishonga.

Zvikonzero zvekuve nekuvhiya kwepashure kwegumbo ndeizvi:

• Une zviratidzo zvinokutadzisa kuita mabasa ako ezuva nezuva.
• Zviratidzo zvako hazviite nani nekumwe kurapwa.
• Une maronda eganda (maronda) kana maronda pagumbo rako asingapore.
• Une hutachiona kana hosha inonamira mugumbo rako.
• Iwe une marwadzo pagumbo rako kubva kune ako akatetepa etsinga, kunyangwe paunenge uchizorora kana husiku.

Usati wavhiyiwa, chiremba wako achaita bvunzo dzakakosha kuti aone kukura kwekuvharwa.

Ngozi dzechero anesthesia uye kuvhiyiwa ndezvi:

• Allergic reaction kumishonga
• Matambudziko ekufema
• Ropa rinovhara mumakumbo ayo anogona kuenda kumapapu
• Matambudziko ekufema
• Chirwere chemwoyo kana sitiroko

Ngozi dzekuvhiya uku ndedzekuti:

• Bypass haishande
• Kukuvadza kune tsinga inokonzeresa kurwadziwa kana chiveve mugumbo rako
• Kukuvadza kunhengo dziri pedyo mumuviri
• Kukuvadza kune ura panguva yekuvhiya kweaortic
• Kuwedzera kubuda ropa
• Utachiona mukucheka kwekuvhiya
• Kukuvadza kumitsipa iri pedyo
• Zvinetso zvebonde zvinokonzerwa nekukuvara kwenzara panguva yekuvhiyiwa kwemurume kana aortoiliac
• Kuvhiya kutema kunovhura
• Inoda kwechipiri kuvhiya kuvhiya kana gumbo kudimburwa
• Kumira kurova kwemoyo
• Rufu

Unenge uine bvunzo dzepanyama uye bvunzo zhinji dzekurapa.

• Vazhinji vanhu vanofanirwa kuti mwoyo nemapapu zviongororwe vasati vaine ariperi arteri inopfuura.
• Kana iwe uine chirwere cheshuga, iwe uchafanirwa kuona wako wekuchengeta hutano kuti atariswe.

Nguva dzose udza mupi wako kuti ndeapi mishonga yauri kutora, kunyangwe zvinodhaka, zvinowedzera, kana mahebhu awakatenga pasina mushonga.

Pakati pevhiki mbiri usati wavhiyiwa:

• Iwe unogona kukumbirwa kumira kutora zvinodhaka izvo zvinoita kuti zviomere iro ropa rako kugwamba. Izvi zvinosanganisira aspirin, ibuprofen (Advil, Motrin), clopidogrel (Plavix), naprosyn (Aleve, Naproxen), nemimwe mishonga yakafanana.
• Kumbira mupi wako kuti ndeapi madhiragi aunofanirwa kutora pazuva rekuvhiyiwa kwako.
• Ukasvuta, unofanirwa kumira. Kumbira mupiki wako kuti akubatsire.
• Nguva dzose rega mupi wako azive nezve chero kutonhora, dzihwa, kupisa, herpes kuputika, kana chimwe chirwere chaungave uinacho usati wavhiyiwa.

Usamwe chero chinhu pakati pehusiku husiku usati waitwa oparesheni, kusanganisira mvura.

Pazuva rekuvhiyiwa kwako:

• Tora mishonga yawakaudzwa nemupi wako kuti utore nekamwe kapfu kemvura.
• Mupiki wako anokuudza iwe kuti usvike nguvai kuchipatara.

Pakarepo mushure mekuvhiyiwa, iwe uchaenda kuimba yekutora, uko vanamukoti vanozokutarisa zvakanyanya. Mushure meizvozvo iwe uchaenda kungaenda kuchipatara chevanorwarisa (ICU) kana mukamuri yenguva dzose yechipatara.

• Ungangoda kupedza 1 kana maviri mazuva uri pamubhedha kana kuvhiyiwa kuchisanganisira tsinga hombe mudumbu rako inonzi aorta.
• Vanhu vazhinji vanogara muchipatara kwemazuva mana kusvika manomwe.
• Mushure mechikadzi popliteal yekupfuura, iwe uchazoshandisa shoma nguva kana kusave neyako nguva muICU.

Kana mupi wako akati ZVAKANAKA, iwe unobvumidzwa kusimuka pamubhedha. Iwe unozowedzera zvishoma nezvishoma kure kwaunogona kufamba. Paunenge ugere pachigaro, chengeta makumbo ako akasimudzwa pachituru kana imwe chigaro.

Kupomba kwako kunozoongororwa nguva zhinji mushure mekuvhiyiwa kwako. Iko kusimba kwekupomba kwako kucharatidza mashandiro anoita nyowani nyowani yako nyowani. Paunenge uri muchipatara, udza mupi wako ipapo ipapo kana gumbo rakavhiyiwa richinzwa kutonhorera, rinotaridzika rakachenuruka kana pingi, richinzwa kupera simba, kana kana uine zvimwe zviratidzo zvitsva.

Iwe unozogamuchira mushonga wekurwadziwa kana uchiida.

Kuvhiya kweBypass kunovandudza kuyerera kweropa mutsinga dzevanhu vazhinji. Unogona kunge usisina zviratidzo futi, kunyangwe paunofamba. Kana iwe uchiri nezviratidzo, iwe unofanirwa kukwanisa kufamba kumberi usati watanga.

Kana iwe uine blockages mune akawanda arteri, zviratidzo zvako zvinogona kunge zvisingaite zvakanyanya. Kufungidzira kuri nani kana mamwe marapirwo akadai seshuga akanyatso kudzorwa. Ukasvuta, zvakakosha kuti usiye.

Aortobifemoral kupfuura; Femoropopliteal; Vakadzi popliteal; Aorta-bifemoral kupfuura; Axillo-bifemoral kudarika; Ilio-bifemoral inopfuura; Chechikadzi-chevakadzi kudarika; Distal gumbo kupfuura

• Angioplasty uye stent kuiswa - peripheral arteri - kubuda
• Antiplatelet zvinodhaka - P2Y12 inhibitors
• Aspirin uye chirwere chemwoyo
• Cholesterol uye mararamiro
• Cholesterol - kurapwa kwemishonga
• Kudzora kukwira kweropa rako
• Peripheral tsinga inopfuura - gumbo - kubuda

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.

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.

Sosaiti yeVascular Surgery Lower Extremity Guidelines Kunyora Boka; Conte MS, Pomposelli FB, et al. Sosaiti yeVascular Surgery tsika nhungamiro yeatherosclerotic occlusive chirwere chemakona ezasi: manejimendi easymptomatic chirwere uye claudication. J Vasc Kuvhiya. 2015; 61 (3 Suppl): 2S-41S. PMID: 25638515 www.ncbi.nlm.nih.gov/pubmed/25638515.

Nhengo Dare Rekunyora, Gerhard-Herman MD, Gornik HL, et al. 2016 AHA / ACC Nhungamiro pane manejimendi evarwere vane yakadzika yekumucheto peripheral artery chirwere: Executive pfupiso. Vasc Med. 2017; 22 (3): NP1-NP43. PMID: 28494710 www.ncbi.nlm.nih.gov/pubmed/28494710.