Sibutsetelo
Isifo se-arterial peripheral (esibizwa nangokuthi "isifo se-peripheral arterial disease" noma "i-PAD") yisimiso esimakwe ngokunciphisa imithwalo yegazi engaphandle kwenhliziyo yakho. Le miphumela emincane evela emakhiweni we-plaque ezindongeni ze-arteries ezithwala igazi ezandleni nasemilenzeni.
I-PAD ivame ukuvimbela ukugeleza kwegazi emilenzeni, ibashiye ibuhlungu noma iminyene.
Ezimweni ezimbi, ukuntuleka kwegazi kungaholela ekufweni kwezicubu (ukufa kwezicubu).
Abantu abane-PAD bayaziwa ukuthi banengozi enkulu yokufa ngenxa yokuhlasela kwenhliziyo nokushaywa isifo .
Izimpawu Nezibonakaliso
Okungenani isigamu sabantu abane-PAD asikho izimpawu noma izimpawu zesifo. Kwezinye izimo, Nokho, i-PAD ingaveza izibonakaliso nezimpawu ezilandelayo:
- ubuhlungu, ukukhathala, noma ukushisa ezinyaweni zakho, amathole kanye / noma amathanga (ikakhulukazi ngesikhathi sokuvivinya umzimba, noma lapho uhamba noma ukhuphuka izitebhisi)
- zibopha emilenzeni yakho kanye / noma ngezinyawo lapho uhlala khona
- ukuchoboza emlenzeni, emathangeni, emathangeni, emanzini, nasezinyaweni
- umbala ophaphathekile noma ubluhlaza esikhumbeni endaweni ezithintekile
- ukushisa okuphansi emlenzeni owodwa uma kuqhathaniswa nomunye umlenze
- kunciphise ukukhula kwezinyosi ezinzwaneni
- ukunciphisa izinwele ekukhuleni emilenzeni
- ukungasebenzi kahle kwe-erectile, ikakhulukazi kubantu abanesifo sikashukela
Izifo
Kuze kube manje, izibalo ezimbalwa ziye zahlola ukusetshenziswa kwemithi ehlukile ekwelapheni i-PAD. Noma kunjalo, amakhambi angokwemvelo alandelayo angasiza ekulawuleni noma ekuvimbeleni lesi sifo.
(Qinisekisa ukukhuluma nodokotela wakho ngaphambi kokucabangela ukuthatha noma iyiphi yalezi zixazululo ezilandelayo.)
1) Ginkgo Biloba
I-Ginkgo biloba (isithombo esitshela ukugqugquzela ukusakazwa) ibonakala iyasebenza kakhulu kune-placebo yeziguli ze-PAD ezinezimpawu eziphakathi (ezingahambi emilenzeni eyenzeka ngokunyakaza nokuxoshwa ngokuphumula), ngokusho kokubuyekezwa okuhleliwe okushicilelwe ngo-2005.
Esivivinyo somtholampilo ngo-2008 esibandakanya abantu abadala abangama-62 abane-PAD, abacwaningi bathola ukuthi ukwelashwa nge-ginkgo biloba kwaveza "ukwanda okuphansi kodwa okungenasidingo" ekwandiseni imithwalo yegazi.
2) i-Vitamin D
Ukusebenzisa i-vitamin D engancipha kungakwandisa ingozi ye-PAD, ngokusho kocwaningo olushicilelwe ngo-2008. Ukuhlaziya idatha kubantu abadala abangu-4,839, abacwaningi bathola ukuthi i-PAD yayingamaphesenti angama-64 avamile kumalungu okutadisha namazinga aphansi kakhulu e-vitamin D uma kuqhathaniswa nalabo abanezinga eliphezulu kakhulu amazinga kavithamini D.
Amapulangwe
Ngenxa yokuntuleka kocwaningo, kuncane okuyaziwa ngokuphepha kokusetshenziswa okuvamile kwezidakamizwa. Kubalulekile ukukhumbula ukuthi ama-supplements awazange ahlolwe ukuphepha kanye nezondlo zokudla ngokuvamile azihambisani nomthetho. Kwezinye izimo, umkhiqizo ungase ulethe ukulinganisa okungafani nesilinganiso esicacisiwe semifino ngayinye. Kwezinye izimo, umkhiqizo ungangcoliswa nezinye izinto ezifana nezensimbi.
Futhi, ukuphepha kwezidakamizwa kwabesifazane abakhulelwe, omama abahlengikazi, izingane, nalabo abanezimo zezokwelapha noma abaphuza imishanguzo azange zisungulwe. Isibonelo, i-ginkgo biloba ingase ihlanganyele nemithi yokuvikela i-antiplatelet noma i-anticoagulant noma izithako ezifana ne-vitamin E ne-garlic.
Ungathola amathiphu engeziwe okusebenzisa izithako lapha .
Izimbangela
Nakuba imbangela eqondile ye-PAD engaziwa, izici ezithile zingandisa ingozi yesifo. Lokhu kufaka:
- ukubhema
- i-cholesterol ephezulu
- umfutho wegazi ophezulu
- izinga eliphezulu likashukela egazini ngenxa yesifo sikashukela
Ukwelapha
Ngenxa yokuthi i-PAD ihlotshaniswa nezinkinga ezinkulu zezempilo (kubandakanya izifo ze-coronary and blood clots), kubalulekile ukufuna ukunakekelwa kwezokwelapha uma unayo izimpawu zesifo.
Njengoba i-PAD ingenayo izimpawu ezimweni eziningi, kufanele ukhulume nodokotela wakho mayelana nokuhlola lesi sifo uma uneminyaka engaphezu kwengu-70 ubudala, unomlando wokubhema kanye / noma isifo sikashukela, noma unesifo sikashukela nesinye sezifo eziyingozi ngenxa ye-atherosclerosis (ukwakha i-plaque emithanjeni).
Ekuphatheni i-PAD, odokotela bahlose ukunciphisa izimpawu nokuvimbela izinkinga. Lokhu kungafaka phakathi izinguquko ezilandelayo zokuphila:
- ukuyeka ukubhema
- ukunciphisa ukucindezelwa kwegazi
- ukwehlisa i-cholesterol
- ukunciphisa ushukela wegazi
- ukuvivinya umzimba njalo
Ukuhlinzwa kanye nemithi ethile (njengemithi yegazi negazi) ingasetshenziswa futhi ekwelapheni i-PAD.
Ukusebenzisa izixazululo zemvelo
Ngenxa yokucwaninga okulinganiselwe, kusheshe kakhulu ukutusa noma yiluphi uhlobo lwezokwelapha ezihlukile ze-peripheral artery disease. Kubalulekile futhi ukuqaphela ukuthi ukuzitholela isimo futhi ukugwema noma ukubambezela ukunakekelwa okujwayelekile kungaba nemiphumela emibi. Uma ucabangela ukusebenzisa imithi ehlukile, qiniseka ukuthi uqale uthintane nodokotela wakho kuqala.
Imithombo:
I-Gardner CD, Taylor-Piliae RE, Kiazand A, Nicholus J, Rigby AJ, Farquhar JW. "Umphumela kaGinkgo biloba (EGb 761) ekuhambeni kokuhamba ngezinyawo ekuhambeni kwesikhathi phakathi kwabantu abadala abanezifo zomzimba we-peripheral: ukuhlolwa komtholampilo okungahleliwe." J Cardiopulm Rehabil Prev. 2008 28 (4): 258-65.
Melamed ML, Muntner P, Michos ED, Uribarri J, Weber C, Sharma J, Raggi P. "Amazinga eSerum ama-25-hydroxyvitamin D kanye nokusabalalisa kwesifo sofuba esisodwa: imiphumela evela ku-NHANES 2001 kuya ku-2004." I-Arterioscler Thromb Vasc Biol. 2008 28 (6): 1179-85.
U-Pittler MH, u-Ernst E. "Ukwelashwa okuhambisanayo kwesifo sofuba se-peripheral: ukubuyekezwa okuhlelekile." I-aestrosclerosis. 2005 181 (1): 1-7.
Ukuziphendulela: Ulwazi oluqukethwe kule sayithi luhloswe ngezinjongo zemfundo kuphela futhi aluthathi iseluleko, ukuxilongwa noma ukwelashwa ngudokotela olayisensi. Akuhloselwe ukumboza zonke izinyathelo zokuqapha, ukusebenzisana kwezidakamizwa, izimo noma imiphumela emibi. Kufanele ufune ukunakekelwa okusheshayo kwezokwelapha kunoma yiziphi izinkinga zezempilo bese uthintana nodokotela wakho ngaphambi kokusebenzisa enye imithi noma wenze ushintsho ohlelweni lwakho.