Chirwere chetachiona chirwere (PAD) chirwere umo imwe kana akawanda emishonga inopa ropa kumakumbo, maoko, musoro kana mimba zvinovharwa kana zvishoma zvadziviswa, kazhinji nekuda kweatrosclerosis . Kana ropa richiyerera kusvika kumakumbo hazvisisina kukwana kuchengetedza zvinodiwa, munhu ane PAD anogona kuona zviratidzo.
Zviratidzo
Chiratidzo chinowanzozivikanwa chePAD ndeche "claudication." Kudonhora kunorwadziwa, kupunzika kana kusagadzikana - izvo zvinogona kusiyana kubva kungovhiringidza kune zvakanyanya-izvo zvinoitika munhengo yakagadzikana.
Kazhinji, kujekesa kunoitika panguva yekurovedza muviri, uye kunonunurwa nekuzorora.
Sezvo PAD yakawanda inowanzokonzera makumbo, kupupurika kunonyanya kuratidza kurwadziwa kwegumbo paunofamba . Zvichienderana nepamusoro pemakumbo emagetsi kubviswa kwacho, kumiswa kwemagumbo kunogona kukanganisa rutsoka, mhuru, chidzitiro kana zvigaro. Vanhu vane PAD mune imwe yemariti inopa zvikamu zvepamusoro vanogona kuona kuvezwa muchero kana mufudzi; uye vamwe vanogona kutotarisa zviratidzo zvepfungwa panguva yezvombo zvekuita, chiitiko chinonzi " subclavian kuba chirwere ."
Dzimwe nguva PAD ichaita kuti munhu arambe achitsanangurira kunyange kana achizorora. Kuzorodzwa kwemagetsi kunowanzoreva kuti kuvharwa kwegadziriro kwakanyanya, uye chikwata chakabatwa hachina kugamuchira ropaflow yakakwana kunyange pazororo.
Nemhaka yokuti kujekesa hakuiti nguva dzose kutevedzera muenzaniso wakafanana - ndiko kuti, kurwadziwa panguva yekuedza, nekuzorora panguva yekuzorora - kuonekwa kwePAD kunofungidzirwa chero nguva munhu ane makore anopfuura makumi mashanu, ane zvipingamupinyi zvinokonzerwa neatrosclerosis , zviitiko zvisinganzwisisi kurwadziwa maoko kana makumbo.
PAD yakaoma zvikuru inogona kutungamirira kuonda uye kunyange chirwere chechikwata chakabatwa.
Zvinokonzera
Muchizhinji chezviitiko, PAD inokonzerwa ne atherosclerosis . Izvi zvinoreva kuti izvochete zvinokonzera njodzi zvinokonzera chirwere cheharia chirwere (CAD) - kunyanya cholesterol yakakwirira, kusvuta , kuwedzera kwehutano uye chirwere cheshuga - zvakare inogadzira PAD.
Ichokwadi, nokuti PAD neCAD dzinokonzerwa nehutano hwakafanana, apo PAD inowanikwa, inowanzoreva kuti CAD iripo zvakare.
Zvimwe zvisingawanzoitiki, PAD inogona kuonekwa kune vanhu vasina vana atherosclerosis. Semuenzaniso, PAD inogona kukonzerwa nekushungurudzika kumakumbo, kusvibiswa kwemazuva, uye mamwe madhiragi (ergotamine mishonga) inoshandiswa kupora migraine misoro .
Kuziva
PAD inogona kuongororwa neongororo isingaiti. Mune zvimwe zviitiko, PAD inogona kuonekwa nokuongorora kwepanyama, apo kuderedzwa kunopera kunowanikwa munhengo inobatwa. Kakawanda, zvakadaro, chimwe chezviedzo zvakasiyana-siyana zvinodiwa kuti uongorore PAD.
Kuongorora PAD mumakumbo kunogona kuitwa kuburikidza ne " chikwama-brachial index ," kana kuti ABI, umo ropa rekuyeresa rinotariswa uye rinoenzaniswa mumakumbo nemaoko. A low ABI index inoratidza kuderedzwa kweropa mukati mechidzitiro chegumbo , zvichiratidza kuti PAD iripo.
Plethysmography imwe nzira inoshandiswa pakuongorora PAD. Nechiyero ichi, mhepo inoputirwa mumaketani emakumbo akaiswa pamakumbo, uye kusuruvara kwepisiti iri pasi pemakumbo ose inofungidzirwa. Kuvharidzirwa pane imwe nzvimbo mumutambo kuchaita kuti kuderedzwa kwepurese kudzvinyiriri kudarika nzvimbo yekuvhara.
"Duplex ultrasonography" ihwohwo hutachiona hunokonzerwa ne ultrasound inopa kuenzanisa kwekuyerera kweropa pamatunhu akasiyana mukati meyeri.
Kamwe kamwe kamwe kunodonha kubuda kwemuviri kunoratidza kuvharwa kwechikamu panzvimbo yehara.
Kana chiremba wako achifungira PAD, chimwe kana zvimwe zvezviedzo izvi zvisingasviki zvinowanzoita kuti zviongororwe. Nhasi, iyo ABI ndiyo muedzo unoshandiswa kazhinji.
Kurapa
Kunyange zvazvo PAD iri munyoro kana inonzwisisika inogona kurapwa nemishonga uye mararamiro emararamiro ekuchinja, mamwe maitiro akaoma anowanzodikanwa nekuvhiyiwa kwechirwere kana kuti angioplasty kugadzirisa kubvisa. Heano mamwe mashoko pamusoro pekurapa kwePAD .
Sources:
Hirsch, AT, Criqui, MH, Treat-Jacobson, D, et al. Peripheral arterial disease kuona, kuziva, uye kurapwa mukutarisira kwepamusoro. JAMA 2001; 286: 1317.
Hirsch, AT, Haskal, ZJ, Hertzer, NR, et al. ACC / AHA 2005 Dzidzira Mazano ekutarisira varwere vane chirwere chepachiviri chetachiona (kumucheto kwepasi, renal, mesenteric, uye mudumbu aortic): mushumo unobatanidza kubva kuAmerican Association for Vascular Surgery / Society for Vascular Surgery, Society for Cardiovascular Angiography and Interventions , Society for Vascular Medicine uye Biology, Society of Interventional Radiology, uye ACC / AHA Task Force pamitungamiri yekuita maitiro (Komiti Yokunyora Kugadzira Nhungamiro Yekutarisira Vatano Neutachiona Arterial Disease): inotsigirwa neAmerican Association of Cardiovascular and Pulmonary Rehabilitation ; National Heart, Lung, uye Blood Institute; Society for Vascular Nursing; TransAtlantic Inter-Society Consensus; uye Vascular Disease Foundation. Circulation 2006; 113: e463.