Mishonga ine mishonga yeropa iyo iyo inovaka muviri uye inopa-oksijeni-yakawanda inotenderera kune nhengo dzakadai seitsvo, mwoyo, uye uropi. Oxygen uye mishonga inokosha kuitira kupona kwechimwe nhengo mumuviri.
Mishonga inokonzera ropa muuropi ndiyo carotid uye vertebral arterium. Chero dambudziko rekuyerera kweropa mumarara aya anogona kukonzera chirwere.
Rumwe rudzi rusina kujairika rwekuremara kweyeriyiti, inonzi kusagadzikana kwemasimba, inogona kukonzera chirwere.
Chii Chinonzi Dissection Arterial?
Kugadziriswa kwemasimba kunoreva kusina kusimba, uye kazhinji kusina kumira, kuumbwa kwemabhanhire mukati memadziro mukati meyeri. Sezvo misodzi ichiva yakakura, inoumba chikwata chiduku icho vanachiremba vanoshevedza kuti "nhema lumen." Ropa rinowedzera mukati meiyi lumen dzenhema rinogona kutungamirira kurwara munzira ipi inotevera:
- Dzimba dzemvura mukati memadziro ehateri kusvikira inotanga kudzivirira ropa richiyerera. Idzimba rinokura reropa mumadziro eArteri inozivikanwa se "pseudoaneurysm." Pseudoaneurysms inogona kutungamirira kune zviratidzo zvekurohwa nekupindira pamagariro europi ari pedyo. Zvinogonawo kuputika uye zvinokonzera kubuda kukuru muuropi (zvirwere zvakashata). Kana izvi zvikaitika, pseudoaneurysm inotumidzwa se "dissecting aneurysm" kana "dissecting pseudoaneurysm."
- Ropa mukati memwenje yekunamatira rinogona kuvhara uye kuwedzera zvishoma nezvishoma kunzvimbo iyo ropa rinowanzoyerera. Izvi zvinogona kugadzirisa kana kukanganisa zvachose ropa richierera kune chikamu cheuropi.
- Zvidimbu zviduku kubva muropa rinokura rinoputika, zvinoputika kumucheto, uye zvinoputira mukati mediki masiti muuropi. Ichi chiitiko chinozivikanwa se "arteri-to-artery thromboembolism."
Kugadziriswa kwemasimba kunokonzera pasi pe2 muzana yemavaro ose. Kunyange zvakadaro, kupesana kwemashure kunokwidza kusvika kune chechina chezvikamu zvose muvanhu vaduku nevepakati pepakati zvakanyanya.
Gore roga rega muUnited States, pakati pe12 000 ne15 000 vanhu vanokanganiswa nekupatsanurwa kwezvimwechete zve carotid kana vertebral arteries.
Zviratidzo
Zviratidzo zvinowanikwa zvinosanganisira:
- Nhamo pane imwe kana kumativi ose emutsipa, chiso, kana musoro
- Kuora kweziso, kana mumwe mudzidzi muduku zvisiri muduku
- Iko rine mapofu ane madota kana maonero maviri
- Kusakwanisa kuvhura ziso rimwe
- Kushandurwa kamwe kamwe kwekwaniso yekuravira kudya
- Kuridza munzeve, chizungu kana vertigo
- Kurwara kwemweya wemisungo yemutsipa uye kutarisana kune rumwe rutivi
Zviratidzo zvekurohwa nesitiroko kana kupedzisira kusvikiki kunogona kuitika mazuva mashomanana kusvika kumavhiki mashomanana mushure mekutanga kwechimwe chezviratidzo zvinorondedzerwa pamusoro apa.
Zvinokonzera
Iti carotid uye vertebral arterium inogona kukuvadzwa nekukuvara kwemutsipa kana kunyange kumanikidzwa kwemutsipa. Izvi zvinotevera mimwe mamiriro ezvinhu akabatanidzwa nekududzirwa kwe carotid uye vertebral arteries:
- Neck extension panguva yekuchenesa-bvudzi pane imwe nzvimbo yakanaka
- Chiropractic kushandiswa kwehuro
- Kukuvara kwepachika
- Kushungurudzika kwakashata kumutsipa
- Kunyanya mutsipa kuwedzerwa panguva yoga
- Painting padenga
- Kushungurudza, kurutsa uye kunya
- Neck extension panguva yekugamuchira muromo-kusvika-muromo panguva yekudzivirirwa kwemhepo (CPR)
Kuparadzana kwepachivande kwe carotid uye vertebral arterial ndiyo chikonzero chisingawanzokonzera chirwere.
Kuparadzana kwepachivande kunoreva kusagadzikana kwebasa kusina chikonzero chinozivikanwa nokukurumidza. Kugadziriswa kwe carotid uye vertebral arteries inogonawo kuitika pakarepo pamwe chete nezvirwere zvinotevera:
- Marfan's syndrome
- Chirwere chePycycystic chinetso
- Osteogenesis imperfecta
- Fibromuscular dysplasia
Kuziva
Chiedza chakajairika chinoshandiswa kuongororesa kuparadzaniswa kwe carotid kana chetterbral artery is anogogram. Muchiyero ichi, dhayi yakasiyana inoputirwa mukati memumwe wemishonga inounza ropa muuropi. I-x-ray inoshandiswa kutarisa maitiro e-carotid uye vertebral arterium iyo dye inofamba nayo (ona mufananidzo).
Kugadziriswa kunowanikwa apo ingiogram inoratidzira ariti iyo inoratidzika yakakamurwa kuita zvikamu zviviri zvakasiyana, imwe yeyo inorondedzerwa se 'nhema lumen' (inotsanangurwa pasi apa.) Kana kuputika kwakanyanya zvokuti kunodzivirira ropa kudarika kuburikidza nevakavhiringidzika teri, dhayi inoputika uye inonyangarika apo iyo arteri yakavharwa zvachose. Kana kuputika kunokonzera pseudoaneurysm, iyo angiogram inoratidza kuunganidza dhayi mukati memasvingo emhairi akaparadzirwa.
Mamwe mimwe miedzo inoshandiswa pakuongororwa kwe carotid uye vertebral dissection inosanganisira magnetic resonance angiography (MRA), uye duplex ultrasound.
Kurapa
Carotid uye vertebral artery dissection inogona kurapwa ne heparin, mushonga unodzivirira kuwedzerwa kweropa rinenge riri munzvimbo yekudengenyeka. Heparin inorapwa mushonga. Kana yava nguva yekubva muchipatara, Coumaden (warfarin) iine ropa rakapfava rinogona kutorwa nemuromo.
Muzhinji, mumwe munhu anodzikinura kubva mukugadziriswa kwegadziriro inotarisirwa kutora mishonga yeropa inopera kwemwedzi 3 kusvika ku6. Zvisinei, kana miedzo yekutevera isingaratidzi kuwedzera kukuru pashure pemwedzi mitanhatu, mushonga unorayirwa kwenguva refu. Kana pachinenge kusina kuvandudzwa, kuvhiyiwa kana bhaluni yeparcutaneous angioplasty uye kunhuwa kunogona kuva imwe nzira.
Kudzorera
Vanhu vazhinji vanoona zvirwere zvine chokuita nekuputika kwemajoka vanoona zvakanaka kugona. Muzvokwadi, vashoma kupfuura 5% yevaya vane dambudziko rekugadzirisa hutano vanofa sechikonzero chechiitiko. Zvinodarika makumi mapfumbamwe zvemazana ematatu umo arteri carotid yakanyanyisa kuderedzwa, uye kupfuura 66% yemhosva iyo yakadzivirirwa zvachose nekuputika, kugadzirisa mukati memwedzi mishoma yapfuura mushure mokunge zviratidzo zvikaitika. Mune zvimwe zviitiko, kugara kwepfungwa kunoramba kunogona kwemavhiki mashoma kana mwedzi.
Aneurysms yakabatana nekudzivirira kusingatongoputi, asi inogona kutungamirira pakuumbwa kweropa clots uye chirwere chepromboembolic muzviitiko zvisingaiti.
Shoko Rinobva
Kugadziriswa kwechirwere chinhu chakaoma kunzwisisa. Asi nedzimwe nyanzvi yekurapa, vanhu vakawanda vane kupesana kwebasa vanoramba varipo uye vanoramba vachiita zvakanaka. Kana iwe kana munhu waunoda aine chirwere chinokonzerwa nekuputika kwemajoka, iwewo uchada nguva yekudzoka kubva pamaronda. Kuramba kugadziriswa kunowanzodikanwa kubatanidzwa, uye kunogona kupisa, asi iwe uchaona kuporeswa nekuvandudzika sezvo nguva ichienderera mberi.
> Sources:
> Kuparadzanisa kwesevhesi inopindira: Echocardiographic features, Gu X, Y Y, Luan S, Zhao Y, Sun L, Zhang H, Nixon JV, Medicine (Baltimore). 2017 Mar; 96 (10): e6191