Pheriferale mothapo lefu la maoto - ho intša tlhokomelo

Boloetse ba methapo ea pelo (PAD) ke ho fokotsa methapo ea mali e tlisang mali maotong le maotong. E ka etsahala ha k'holeseterole le lintho tse ling tse mafura (atherosclerotic plaque) li ipha matla maboteng a methapo ea hau.

PAD e bonoa haholo ho batho ba ka holimo ho lilemo tse 65. Lefu la tsoekere, ho tsuba le khatello e phahameng ea mali li eketsa kotsi ea PAD.

Matšoao a PAD a kenyelletsa mahlaba maotong hangata nakong ea ts'ebetso ea 'mele (lipakeng). Maemong a boima, ho ka ba le bohloko ha leoto le phomotse.

Ho laola mabaka a kotsi ho ka fokotsa menyetla ea ho senyeha le ho feta ha pelo. Kalafo haholoholo e kenyelletsa meriana le tlhabollo. Maemong a boima, ho ka etsoa opereishene.

Lenaneo le tloaelehileng la ho tsamaea le tla ntlafatsa phallo ea mali ha methapo e mecha ea mali e theha. Lenaneo la ho tsamaea ke haholo-holo ka tsela e latelang:

• Ho futhumala ka ho tsamaea ka lebelo le sa bakang matšoao a hau a tloaelehileng a leoto.
• Ebe u tsamaea ho ea bohōleng ba ho opeloa kapa ho se phutholohe.
• Phomola ho fihlela bohloko bo fela, ebe o leka ho tsamaea hape.

Morero oa hau ha nako e ntse e tsamaea ke ho khona ho tsamaea metsotso e 30 ho isa ho e 60. Kamehla bua le mofani oa tlhokomelo ea bophelo pele u qala lenaneo la boikoetliso. Bitsa mofani oa hau hang-hang haeba u e-na le matšoao ana nakong ea boikoetliso kapa kamora 'mele.

• Bohloko ba sefuba
• Mathata a phefumolohang
• Botsoa
• Ho otla ha pelo ho sa lekaneng

Etsa liphetoho tse bonolo ho eketsa ho tsamaea ho letsatsi la hau.

• Ha u le mosebetsing, leka ho nka litepisi ho fapana le lifti, nka khefu ea metsotso e 5 hora e 'ngoe le e' ngoe, kapa u kenye motsotso oa metsotso e 10 ho isa ho e 20 nakong ea lijo tsa mots'eare.
• Leka ho paka libakeng tse hole haholo tsa ho paka makoloi, kapa esita le tlase seterateng. Ho betere le ho feta, leka ho ea lebenkeleng.
• Haeba u palama bese, theoha bese 1 pele u emisa 'me u tsamaee tsela e setseng.

Khaotsa ho tsuba. Ho tsuba ho fokotsa methapo ea hau mme ho eketsa menyetla ea ho ba lejoe la atherosclerotic kapa maqeba a mali. Lintho tse ling tseo u ka li etsang ho lula u phetse hantle ka hohle kamoo u ka khonang ke:

• Etsa bonnete ba hore khatello ea mali e laoloa hantle.
• Fokotsa boima ba 'mele oa hau, haeba u le motenya haholo.
• Ja lijo tse nang le k’holeseterole e tlaase le tse mafura a seng makae.
• Hlahloba tsoekere ea hao ea mali haeba u na le lefu la tsoekere, 'me u e boloke e le taolong.

Lekola maoto a hau letsatsi le letsatsi. Lekola litlhoro, mahlakore, bohato, lirethe le lipakeng tsa menoana ea hau ea maoto. Haeba u na le mathata a pono, botsa motho e mong hore au hlahlobe maoto. Sebelisa setlolo se etsang hore letlalo le lule le phetse hantle. Batla:

• Letlalo le ommeng kapa le petsohileng
• Blisters kapa liso
• Ho ruruha kapa ho seha
• Bofubelu, mofuthu, kapa bonolo
• Matheba a tiileng kapa a thata

Bitsa mofani oa hau ka tsela e nepahetseng ka mathata a maoto. U SE KE ua leka ho li phekola pele.

Haeba u noa meriana ea khatello e phahameng ea mali, k'holeseterole e phahameng kapa lefu la tsoekere, e noe joalo ka ha u laetsoe. Haeba u sa noe meriana ea k'holeseterole e phahameng, botsa mofani oa hau ka eona kaha e ntse e ka u thusa leha cholesterol ea hau e se holimo.

Mofani oa hau a ka fana ka meriana e latelang ho laola methapo ea hau ea methapo.

• Aspirin kapa moriana o bitsoang clopidogrel (Plavix), o bolokang mali a hao hore a se ke a etsa mahloele
• Cilostazol, moriana o atolosang methapo ea mali

U SE KE UA emisa ho noa meriana ena u sa bua le mofani oa hau pele.

Bitsa mofani oa hau haeba u na le:

• Leoto kapa leoto le pholileng ha le thetsoa, ​​le putswa, le putsoa kapa le shoele
• Ho opeloa sefubeng kapa ho hema hanyane ha o na le bohloko ba leoto
• Bohloko ba leoto bo sa foleng, leha o sa tsamaee kapa o sa sisinyehe (bo bitsoang bohloko ba phomolo)
• Maoto a khubelu, a chesang kapa a ruruhileng
• Liso tse ncha maotong kapa maotong a hau
• Matšoao a tšoaetso (feberu, mofufutso, letlalo le lefubelu le le bohloko, maikutlo a ho kula ka kakaretso)
• Liso tse sa foleng

Pheriferale vascular lefu - ho itlhokomela; Li-claudication tse sa keneng - ho itlhokomela

MP ea Bonaca, Creager MA. Matšoao a methapo ea methapo. Ka: Zipes DP, Libby P, Bonow RO, Mann DL, Tomaselli GF, Braunwald E, eds. Lefu la pelo la Braunwald: Buka ea bongaka ea meriana ea pelo. 11th ed. Philadelphia, PA: Elsevier; 2019: khaolo ea 64.

Kullo IJ. Boloetse ba methapo ea kutlo. Ka: Kellerman RD, Rakel DP, eds. Phekolo ea Hajoale ea Conn ea 2019. Philadelphia, PA: Elsevier; 2019: 141-145.

Simons JP, Robinson WP, Schanzer A. Boloetse bo tlase ba methapo: Tsamaiso ea bongaka le ho etsa liqeto. Ka: Sidawy AN, Perler BA, bahlophisi. Rutherford's Vasculry and Endovascular Therapy. La 9th. Philadelphia, PA: Elsevier; 2019: khaolo ea 105.

• Lefu la Pheripheral Arterial