I-Peripheral Arterial Disease

I-Peripheral Artery Disease Treatment in Hyderabad, India

I-peripheral artery disease yisifo semithambo yegazi esemzimbeni ngaphandle kwaleyo esengqondweni nasenhliziyweni. Kulesi simo, imithambo yegazi iba mincane ngenxa yokunqwabelana kwamafutha, ngaleyo ndlela, ivimbele ukugeleza kwegazi ezingalweni, emilenzeni, ezinso nasesiswini. Isifo se-peripheral artery (PAD) saziwa nangokuthi isifo se-peripheral arterial noma isifo se-peripheral vascular lapho kufakwe khona kokubili imithambo nemithambo. I-PAD ivame ukubonwa kubantu abadala abane-atherosclerosis, okuyisimo semithambo yegazi lapho iba nzima khona ngenxa yokuguga. Isifo se-peripheral arterial siyingozi enkulu yokushaywa unhlangothi kanye nesifo senhliziyo-, futhi abesilisa banamathuba amaningi okuthi bathinteke kunabesifazane. 

Ezibhedlela ze-CARE, ithimba lethu lemikhakha eminingi yodokotela abaqeqesheke kakhulu nabagunyazwe yibhodi kanye nabanye abahlinzeki bokunakekelwa banikeza izinhlobonhlobo zezinsizakalo zokuxilonga nokwelapha ezigulini ezinezinhlobonhlobo zezidingo zokwelapha. Besebenzisa imishini yesimanje ehlonyiswe ngobuchwepheshe besimanje, ochwepheshe bethu bezokwelapha bahlinzeka ngokunakekelwa kokugcina ezigulini ukuze kuqinisekiswe ukuxilongwa okufanele, ukwelashwa, kanye nokululama.

Izimpawu

Ngokuvamile kunalokho, abantu abaphethwe i-PAD abazi ngesimo sabo kuze kube yilapho behlolelwa esinye isifo noma inkinga. Kodwa-ke, kunezinye izimpawu nezimpawu ze-peripheral artery disease ezigulini ezinalesi simo:

• Ukuqothuka kwezinwele noma ukukhula kancane kwezinwele emilenzeni nasezinyaweni,

• Ubuthakathaka nokuba ndikindiki kwemilenze,

• Unyawo olubandayo uma luqhathaniswa nolunye unyawo,

• Ukukhula kancane kwezinzwane noma ukuqina kwezinzwane,

• Izilonda nezilonda emilenzeni ezingapholi,

• Isikhumba esicwebezelayo noma esiluhlaza okwesibhakabhaka semilenze,

• Intekenteke kakhulu icishe ingabi namandla emilenzeni nasezinyaweni,

• Ukungasebenzi kahle kwe-Erectile kwabesilisa,

• I-intermittent claudication- ubuhlungu obungapheli emilenzeni ngenkathi uhamba noma umile.

Izimbangela

Isizathu esivame kakhulu se-peripheral arterial disease is atherosclerosis yisimo sokunqwabelana kancane kancane kwamafutha emithanjeni. Ezinye izimbangela ezingavamile ze-PAD amahlule egazi emithanjeni, ukulimala ezithweni, kanye nokwakheka okungavamile kwemisipha nemigqa. 

izigaba 

I-Peripheral Arterial Disease ingahlukaniswa ngezigaba ezilandelayo:

• Isigaba I (Asymptomatic): Azikho izimpawu eziphawulekayo ezikhona kulesi sigaba.
• I-Stage IIa (I-Claudication Emnene): I-claudication encane, ebonakala ngobuhlungu bomlenze okwenzeka ngesikhathi sokuzivocavoca kodwa akukhawuli kakhulu umsebenzi womzimba.
• I-Stage IIb (I-Claudication Emaphakathi): I-Claudication iba sobala kakhulu, ekhombisa ubuhlungu obuphakathi nobukhulu bomlenze ngesikhathi sokuzivocavoca.
• Isigaba III (Ischemic Rest Pain): Ukuba khona kobuhlungu bokuphumula kwe-ischemic, okubonisa ubuhlungu emilenzeni ngisho nalapho uphumule. Lesi yisigaba esithuthuke kakhulu se-PAD.
• Isigaba IV (Izilonda noma I-Gangrene): Izilonda noma i-gangrene ingase ikhule, okubonisa izinkinga ezinzima. Lesi sigaba sibonisa ukonakala okuphawulekayo kokugeleza kwegazi, okuholela ekulimaleni kwezicubu kanye namanxeba angase angapholi.

Izici zengozi

Izici eziyingozi ezibangela isifo se-peripheral arterial yilezi:

• Ukubhema

• Ukusetshenziswa kukagwayi

• Ukukhuluphala

• Umfutho wegazi ophezulu

• Diabetes

• I-cholesterol ephakeme

• Izinga eliphezulu le-homocysteine

• Umlando womndeni we-stroke nesifo senhliziyo.

Sifo

Ochwepheshe benhliziyo nemithambo yegazi ezibhedlela ze-CARE banikeza izinsiza ezihlukahlukene zokuxilonga besebenzisa izinqubo ezifanele kanye nokuhlolwa kweziguli ezinezinhlobonhlobo zezidingo zokwelapha. Izinsizakalo zokuxilonga ezifanele ukuxilonga isifo se-peripheral artery yilezi:

• Inkomba ye-ankle-brachial: Lokhu ukuhlolwa okuvame kakhulu kwesifo se-peripheral artery esiqhathanisa umfutho wegazi osemaqakaleni nowasezingalweni.

• I-Ultrasound, i-angiography, nokuhlolwa kwegazi: Lokhu kuhlola kungenziwa ukuze kutholwe izinga le-homocysteine ​​yegazi kanye namazinga e-cholesterol namaprotheni asebenzayo e-C egazini. 

• Isithombe se-Doppler ultrasound: I-Doppler ultrasound iyinqubo yokuthwebula engahlanyisi kusetshenziswa amaza omsindo ukubona ngeso lengqondo imithambo yegazi kanye nokukala ukugeleza kwegazi emithanjeni ukuze kutholwe noma yikuphi ukuvaleka komthambo.

• I-Computed tomography (CT) angiography: I-CT angiography ingenye indlela yokuxilonga engahlanyisi ukunikeza izithombe zemithambo yesisu, i-pelvis, nemilenze. Le nqubo yokuxilonga iwusizo ikakhulukazi ezigulini ezine-pacemaker noma i-stent endaweni.

• I-Magnetic Resonance Angiography (MRA): I-MRA ingenye indlela yokuthwebula enikeza izithombe zemithambo kodwa ngaphandle kokusebenzisa i-X-ray.

• I-Angiography: I-Angiography ivame ukwenziwa ngokuhambisana nenqubo yokwelashwa kwemithambo. Kule ndlela, udayi wokuqhathanisa usetshenziselwa ukukhanyisa umthambo ongaphansi kwama-X-ray futhi kutholwe indawo lapho kuvimbe khona. 

Isifo se-peripheral artery esingatholakali singaba yingozi futhi sibangele izimpawu ezibuhlungu, unhlangothi noma isifo senhliziyo, ngisho nokunqunywa isitho. Kungase futhi kuholele ezinkingeni ze-carotid kanye nezifo ze-coronary artery.

Ukwelashwa

Ochwepheshe bethu abagunyazwe yibhodi lenhliziyo banikeza ukubonisana nokwelashwa ezigulini ezinesifo se-peripheral arterial ngokuya ngesiteji nobukhulu besifo. Kunezinjongo ezimbili ezinkulu zokwelashwa kwe-PAD-

• Lawula izimpawu zomzimba ukuze ubuyele emisebenzini evamile ngaphandle kokubangela ubunzima,
• Qeda ukuqhubeka kwe-atherosclerosis emzimbeni wonke ukunciphisa amathuba okuba nezifo ze-coronary artery ezifana nesifo sohlangothi noma isifo senhliziyo.

Ochwepheshe bethu bangase bancome izinguquko zendlela yokuphila ukuze balawule izimpawu zomzimba kanye nokuqhubeka kwe-atherosclerosis uma isifo se-peripheral artery sisesigabeni sokuqala. Imithi ingase inconywe ukuphatha lezi zimo ezilandelayo:

• I-Cholesterol - Imithi yokwehlisa i-cholesterol, ebizwa ngokuthi i-statin, ingasiza ekunciphiseni ingozi yokuhlaselwa yinhliziyo noma unhlangothi.

• Isifo sikashukela- Iziguli esezivele zinemithi yesifo sikashukela zingadinga ukushintsha umthamo wokulawula isifo se-peripheral arterial disease esiqhubekayo.

• Ukushaya kwegazi- Iziguli ezinomfutho wegazi ophezulu zingase zituswe imithi yokuwunciphisa.

• Amahlule egazi- Odokotela bangase batuse imithi ezoqinisekisa ukugeleza kwegazi kangcono emithanjeni futhi ivimbele amahlule egazi.

• Ukunciphisa izimpawu- Eminye imithi ethile ingasiza ekulawuleni izimpawu ze-peripheral artery disease ngokwandisa ukugeleza kwegazi ezithweni, noma ngokunciphisa igazi, ukunweba imithambo yegazi, noma kokubili. Imithi enjalo iwusizo ikakhulukazi ekwelapheni ubuhlungu bomlenze.

Kwezinye izimo lapho isifo se-peripheral artery sibangela i-claudication, ukwelashwa kokuhlinzwa kungase kudingeke, okungabandakanya:

• I-Angioplasty: Ngesikhathi se-angioplasty, i-catheter ifakwa emthanjeni wegazi ngebhaluni elinamathiselwe phezulu elivuthela futhi linwebe umthambo we-artery kanye nokwenza i-plaque isicaba. I-stent ingase ifakwe kanye nale nqubo ukuze kugcinwe umthambo uvulekele ukuze kugeleze igazi okungavimbekisiwe.
• Ukuhlinzwa kwe-bypass: Udokotela ohlinzayo angase enze indlela ezungeze umthambo ovalekile ngokusebenzisa umthambo wegazi wesiguli osuka kwenye ingxenye yomzimba noma ngokusebenzisa i-graft yokwenziwa ukuze anikeze omunye umgudu wokugeleza kwegazi.
• Ukwelashwa kwe-thrombolytic: Uma ihlule legazi liyisizathu somthambo ovalekile, imithi ehlakaza ihlule ingasiza ukuvula umthambo.