Kuvhenekera kwekuvhiya kwemavhinga kune chokuita nekurapa midzi yeropa yemuviri, kunze kwemidziyo yemwoyo neuropi. Mumwe chirwere chechiremba chinogona kuita zvirongwa pamagetsi uye mitsetse yezvinhu zvakasiyana-siyana zvemuviri, kusanganisira maoko, makumbo, nhengo, nezvimwe mishonga.
Kunze kwemwoyo nemapapu, izvo zvinorapwa nemapurini evanhu vane chirwere chepodhiongorori uye uropi, iyo inobatwa neuropi dzechiremba, vanachiremba vepachiyero vanowanzofunga kuti muviri wose wevanhu unofanirwa nebasa ravo.
Iwe uchatumirwa kune chirwere chechiremba chiremba nechiremba wako wekunyanya kutarisira kune mamiriro ezvinhu akadai seperiipher arterial disease. Kana, iwe ungada chirwere chechiremba mushure mekukuvadzwa kunorwadza kana chimwe chiitiko chinokurumidzira, chakadai se aortic aneurysm.
Icho Chiremba Mishonga Inonzi Vascular
Vascular surgeons vanowanzoshanda kudzorera ropa mukati memutumbi mushure mokutambudzika, zvirwere, kana imwe dambudziko rinokuvadza mitsipa yeropa. Izvi zvinogona kureva kuti vanoita nzira inopfurikidza yekudzorera ropa rakanaka kusvika kune imwe netsoka, kana kuti vanogona kuisa AV shunt kune munhu anoda kutanga dialysis. Kune varwere vakavhara arteri mumutsipa wavo, chiremba wacho anogona kuita chirongwa checarotid endarterectomy kunatsiridza ropa richiyerera kuuropi.
Mukuwedzera pakucherechedza kwevarwere vepachiremba, chirwere chechiremba chinopa hutano hwakakwana kumurwere. Haasi kungofunga nezvekuvhiyiwa, asi kunoshanda pamwe nevarwere kunatsiridza mamiriro avo nemishonga, maitiro, uye mamwe maitiro erapi.
Maererano neSosaiti yeVascular Surgery, chirwere chechiremba chirwere hachirevi kupa rudzi rumwe rwemishonga asi rinoshanda pamwe nechiitiko chega chega kuti chiwane mhinduro yakanakisisa, ingava chirwere chakaoma, zvishoma nezvishoma zvinoparadzirwa, kana kushanda pasina.
Anoongorora murwere uye anoedza saiyo angiography, MRI , CT scans , uye duplex ultrasonography.
Anotora zvirwere zvevascular muvarwere varo, kusanganisira zvirwere zvehutano, kutevera varwere vane chirwere chinoramba chiripo, kurondedzera mishonga, kurayira varwere kuti vangaderedza sei ngozi yavo, uye maronda ekurasika.
Zvimwe zvezvirwere zvaanogona kupa zvinosanganisira kutemwa, thrombolytic therapy, chirwere cheshuga chekuchengetedza, dialysis access, PICC line, aortic kugadziriswa, carotid endarterectomy, kuvhura uye kugadziriswa kwekugadzirira aortic aneurysms nekusawirirana.
Kudzidziswa
Mumwe chirwere chechiremba chinopedza chirwere chinopedza chikoro chechiremba, chinoteverwa nekuvhiyiwa kukuru kwekugara kwemakore mashanu, uye zvino kugoverana kunonyanya kushandisa mushonga wemishonga. Zvirongwa izvi zvinofanirwa kubvumidzwa neAccreditation Council yeChikoro cheBhizimusi reMari (ACGME) muU.S., kana neR Royal College of Physicians uye Surgeons yeKanada (RCPSC). Vanofanira kubvumidzwa neongororo kubva kuAmerican Board of Surgery mukati memakore manomwe ekupedzisa kurovedza kwavo kuti vagamuchire chiziviso vasati vatanga kuzvimirira.
Vascular Conditions Inoshandiswa Nekuvhiya
Mamiriro matatu matatu maitiro anoshandiswa nevarapi vezvipembenene ndeaya:
- Pamuviri aortic aneurysm: Ichi ndicho chidziro mune arteri huru mumimba. Kana ikakundikana uye inoputika, iwe unenge uine kubuda kukuru mukati, kuisa mungozi yekufa.
- Carotid arteri chirwere: Apo arteri inokosha mumutsipa inogadziriswa, inogona kukonzera kurohwa.
- Peripheral arterial disease: Ichi ndicho chivakwa chemukati mumidziyo yeropa inodyisa nzvimbo dzose dzomuviri wako. Blockages mumakumbo anogona kukonzera marwadzo, tsoka dzemakumbo, uye zvipembenene, zvinoda kuregererwa. Izvi zvinogonawo kutungamirira kumwoyo yekurwisa kana kurohwa.
> Sources:
> Patient Resources. Society for Vascular Surgery. https://vascular.org/patient-resources.