Arteriopathy inogona kukonzera kurwadziwa kwemakumbo, kusava nesimba uye kusina simba
Vazhinji vatambi vechikwata vanowanzova nedambudziko rehutano hwekurwadziwa uye kuneta panguva yepamusoro-simba. Munguva pfupi yapfuura, zvakadaro, ssetseti yevatambi (zvikurukuru mabhasikoro, rowers, uye triathletes) vakarondedzera zviratidzo zvekurwadziwa kwegumbo uye kushaya simba kubva pane chikonzero chisingatarisirwi -------- kukanganisa mishonga yemapuranga, kugomera, kana gumbo rezasi .
Iyi kukanganisa, kana arteriopathy, inoratidzika kuita kuti mishonga inotambanudza, yakamanikana kana kink nenzira yakadai apo panguva yakakwirira-kuidzidzira chiitiko chemutambo chiitiko chakaderedza kubuda kweropa nekuda kwekumanikidzika kana kuvhiringidzika kwetari mujinga rakakanganiswa. Kushaya ropa kunoyerera, kana ischemia, kunokonzera marwadzo, kupisa, kushaya simba, uye kusina simba panguva yekurovedza muviri. Mune mabhasikoro, mhirizhonga iyi inowanzowanzoitika mumishonga inonzi yaacac , kunyanya yeyeri yeriyeri.
Zvinokonzera
Tsvakurudzo yekutanga yeakac arteriopathy mumakwikwi emafambisi akabuda kubva kuFrance muma1980 uye yave ichikura zvishoma nezvishoma kubva ipapo. Vanotsvakurudza uye vanachiremba vanofungidzira kuti kusanganiswa kwezvinhu zvinogona kukonzera mishonga yekunakisa yeakac inofanira kukuvara, kusanganisira:
- Izvozvo zvakanyanya kuwedzerwa ropa
- Kudzokorora hup kufema
- Anerodynamic bhasikoro nzvimbo
Vose pamwe chete izvi zvinoguma nekuenderera mberi, kudzokorora kushanduka kwetari pavanenge vari pasi pesimba.
Uku kudzvinyirira, pamusoro pemakore emaawa ekukwirira-kukwanisa kudzidziswa, kunogona kukonzera kukanganisa kumativi akasiyana-siyana emusvingo wedhairi, kana kuti kunogona kuita kuti arteri iwedzere, kana kuti ikinked. Vamwe vanachiremba vakawana hutachiona hwemagetsi hunovaka-mukati memucheto mukati memarara yakakonzerwa. Izvi zvisikwa zvinotapira hazvisi kungoita kuti arteri isapedze asi inodzivirirawo kubva pakuderedza panguva yekurovedza muviri.
Chigumisiro ndechekuderera kweropa kunopinda kumakumbo anowanzoonekwa chete panguva yakakwirira-simba.
Zviratidzo
Ndakatora mamiriro ezvinhu aya mushure mokunge ndatanga kuona zviratidzo zvekushaya simba, kurwadziwa uye kusina simba muhudyu yangu yerudyi paine bhasikoro pane zvakasimba. Mukwidzi wokukwikwidza kwemakore anopfuura makumi maviri, ndaiziva kuti iyi yakanga isiri musungo mutsipa kana mhando ipi zvayo yakashata yakakuvara. Pandakaedza kutsanangura manzwiro andaiita, chirevo chega chakanga chakaita sechinhu chakanaka chaiva "kuora mwoyo." Ndainzwa sokuti misumbu iri muhudyu yangu yakanga iri kuputika.
Pasina nguva mushure mekunge ndatanga kutsvakurudza zviratidzo zvangu ndakagumburwa pakutsvakurudza kwakajeka pamusoro pezvinyorwa zvevascular mumabhasikoro, zvichibatanidza neatari yakaoma zvinetso zvinoratidzika mumapurogiramu emapurogiramu. Ini pakupedzisira ndakatora zvingangodaro zvangu uye murwi wekutsvakurudza kunotsvaga kuvanachiremba uye ndokutanga nzira yekuwana kuongororwa.
Munguva iyi, ndakataura nevamwe vanoverengera mabhasikoro munyika yose avo vakawanawo vane kunze kweyeriopathy arteriopathy. Vose vakatsanangura zviratidzo zvakafanana kwandiri. Vakataura manzwiro ekurwadziwa, kupera, kushaya simba uye kusava nesimba - kazhinji muhudyu kana mhuru - yakabva apo ivo vakatsigira ndokudzoka pavakaramba vachioma.
Vatanhatu vevatambi vanomwe vataura navo vane ruzivo rwezviratidzo chete mune rimwe gumbo. Ndakanga ndine ruzivo rwekuongororwa zvakakurumidza; vazhinji vandaitaura navo vaiva nezviratidzo zvemakore vasati vawana chiremba anoziva nechinetso.
Kuziva
Kuongororwa kunowanzooma nokuti vazhinji vanachiremba havazive nezvechiitiko ichi uye havazofungidziri matambudziko emavarisa mumutambi akakodzera. Vatambi vakawanda havazivi kuti vane compartment syndrome kana kushandiswa kwepamusoro, kukuvara kwepanyama uye pakutanga kunonzi chirwere chepanyama, icho chinokundikana kugadzirisa dambudziko racho.
Kune zviitiko zvekufungidzira zvakasiyana siyana zvinogona kubatsira kuongorora kutsvaira mune mishonga yemakumbo.
Chikwata chechikwata-brachial (ABI) muedzo uye mushure mokunge uchitisa muviri ndechimwe chirwere chisingaoneki kuti uwane hutano hwekutanga. Uyu muedzo unoyera kukanda kweropa pamakumbo uye muruoko rwezororo uye shure kwekuita zvekuita. Chirwere chenguva dzose-chechi brachial index 1 kana 1.1 uye chimwe chinhu chiri pasi apa chisina kujairika. Vatambi vane arteriopathy vanowanzoverenga zvakasununguka pazororo, asi mushure mokunge vaita zvekudzidzira (treadmill runomhanya kana kuti mabhasikoro) kukwikwidza kwechikwama mumadonho emakumbo anokanganisa, zvinoratidza kuderedzwa kweropa ruchiyerera.
Mimwe miedzo inoshandiswa kuona nzvimbo uye chiyero chekudzikisa chinogona kusanganisira:
- an exercise duplex ultrasound
- computed tomography angiography (CTA)
- magnetic resonance angiography (MRA)
- endemic arteriography
Kurapa Kunze Iliac Arteriopathy
Kunze kwekuti mutambi akazvigadzirira kugara mumararamiro ehupenyu, ikozvino kurapa kurapa kwechiitiko ichi ndiko kugadzirwa kwekugadzira kweaipi inoparadzwa. Kunze kweiyo acteriopathy yakave yakanyanya kurapwa nevarapi vepachiremba vane chirongwa chinosanganisira kuzarura kana kubvisa chikamu chakacheka chetari uye kuisa chigadzirwa chechigadzirwa kana chigadzirwa chemavara chepanyama pamusoro peyeri.
Zvimwe zvinogona kuwanikwa pakuvhiya zvinosanganisira kupfurikidza neyeri yakakonzerwa kana kungosunungura zvinyorwa zvinoshandiswa kana kuti psoas muscle attachments kune arteri, iyo yakave yakabatanidzwa pakukanganisa kana kuvhara kunze kweyeri yerari. Nzira yakanakisisa yokurapa inoratidzika inofanirwa pane nzvimbo chaiyo uye chinokonzera kukanganisa pamwe chete nemitambo yenguva refu yemitambo.
Zvitsva Zvokuvhiya
Vose vengorobhasi ndakataura nechisarudzo chekupindira kwekuvhiya iyo yaisanganisira chigunwe chemavara kana chigamba. Vose vakandiudza kuti kudzoka kwaive kwakapfupika, kunyange zvazvo vhiki mbiri dzokutanga dzese dzisinganyanyi kunetseka. Mumwe aimbova Olympian akanditaurira, "Hapana munhu anokuudza kuti zvinorwadza zvakadini pavanopedza nepamuviri menyu."
Zvichienderana nerudziro rwekuvhiya kunoitwa, mutambi wacho angave achifamba mukati memavhiki maviri, bhasikoro nyore nyore kune mudzidzisi vhiki yechitatu uye zvichida mumugwagwa mumavhiki mana kusvika matanhatu - kunyange vamwe vatambi vakanditaurira kuti rehabhi yavo yakatora zvakanyanya kwemwedzi miviri kusvika mitatu.
Kune nguva dzose njodzi dzekuvhiyiwa uye iyi nzira inouya neyero yakatarwa, kusanganisira pangozi yehutachiona, kukanganisa mavara, kudzoka kwezviratidzo, kana kuipa. Muna 2007, bhasikoro raRichard Cox akafa mavhiki mashomanana mushure mekuvhiyiwa kuti agadzire aritari yake. Nokuti iyi nzira inenge ichiri itsva, hapana hutsva hwezviitiko zvenguva refu mumabhasikoro avo vane chirwere ichi.
Mumwe mushambadziri ndakataura naiye akati achiri kunzwa asinganzwisisiki uye kurwadziwa kwegore mushure mekuvhiyiwa kwake uye mumwe akandiudza kuti zvimwe zvezviratidzo zvadzo zvakadzoka makore mashanu mushure mekuvhiyiwa.
Kunyange zvazvo vanenge vari vatambi vese vataura navo vakandiudza kuti vanofara kuti vakave nekuvhiyiwa uye vaizozviitazve, ichi chisarudzo chakakura uye imwe ini handitori zvishoma. Ndiri kuchiita kutsvakurudza kwangu, kuunganidza ruzivo, uye kutaura nevatambi uye vanovhiya nguva dzose. Ndiri kuwana iyo nzira yakanakisisa yekuongororwa uye rudzi rwekuvhiyiwa rwakakurudzirwa runonyanya kuvimba kune chiremba wekuvhiya iwe unobvunza; vose vanoratidzika sevanoda maitiro kana rudzi rwekubatanidza kana patch. Ndakapiwa "kubatanidzwa kubva mumapfupa angu asina kufanira (mutsara mukuru pedyo nemakumbo), dacron patch, mhuka yemhuka yemhuka (hongu, kubva mumombe), inopoteredza mutsara wakaoma, uye kunyange ine stent.
Zviri pachena, izvi hazvisi nzira yakajairika uye hakuna anoziva nzira yakanakisisa. Kunze kweEurope, mashomanana emapurisa emakumbo evanhu vandakambotaura navo akaita izvi nenzira yebhazi dzebhasi. Dr. Ken Cherry, chiremba wechiremba wepachiyero paYunivhesiti yeVirina akapa pepanhau pamusoro pemamiriro aya eSocial for Vascular Surgery musangano muna 2008.
Ini pachake ndakashanda naDkt. Jason Lee naDkt. Cornelius Olcott kuStanford Hospital muCalifornia.
Ongororo Yokuwedzera
- Endofibrosis yeIrinac Arteries: an Underestimated Problem (PDF)
- Arteriopathy muHigh-Performance Athlete
- PubMed Seach Results
Paunenge uchitora tsvakurudzo yako inokosha uye inobatsira zvikuru, zvinokosha kubvunza mibvunzo yakawanda uye kuvimba nevarapi vako, vasati vasarudza kuvhiyiwa.
Chinhu
Chevalier et al of the Service de Chirurgie Vasculaire et Thoracique, Angers, France, iliac artery endofibrosis pakati pevashandi vebhazikoro, Annals of Vascular Surgery, 1986.
CS Lim *, MS Gohel, AC Shepherd, AH Davies.Iriac Artery Kuenzanisa muVafambisi vezvikepe: Nzira, Kuziva nekurapa. Eur J Vasc Endovasc Surg (2009) 38, 180-186.
Bender MH, et al. Kutarisana kwemitambo-kukanganiswa kwemitambo mumaketari emuakidhi mumakwikwi ekutsungirira: aetiology, kuongororwa, kurapwa uye kubudirira mune ramangwana. Sports Medicine. 2004; 34 (7): 427-42.
C. Kral, D. Han, W. Edwards, P. Spittell, H. Tazelaar, K. Cherry. Kuvhara kwekunze kweyeriopathy yakakura mumakwikwi emabhasikoro: Zvitsva uye zvinoshandura zviratidzo zvayo zvepamusoro mune vakadzi vana. Zvinyorwa zveV Vascular Surgery 2002; 36: 565-70.