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Chii chinonzi Mesenteric Ischemia? Zviratidzo, Zvinokonzera, & Kurapa

Created at:1/16/2025

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Mesenteric ischemia inoitika kana ropa rinoyerera kuura hwako richideredzwa kana kudzivirirwa. Funga nezvazvo sekungoita traffic jam mumitsinga yeropa inopa ura hwako oksijeni nezvinovaka muviri.

Iyi chirwere chinogona kubva pane zvishoma kusvika pakukomba, zvichienderana nekuti ropa rinoyerera rakasvikira sei uye kwenguva yakareba sei. Ura hwako hunoda ropa rakazara neoksijeni kuti riite basa zvakanaka, uye kana ropa iri rakadziviswa, rinogona kukonzera kusagadzikana kukuru uye zvinogona kukonzera matambudziko akakomba kana risina kurapwa nekukurumidza.

Ndeapi zviratidzo zve mesenteric ischemia?

Chiratidzo chikuru ndirwo kurwadziwa kwakanyanya mudumbu kunowanzoita sekunge kuri kukuru kupfuura zvinogona kuwanikwa nachiremba pakuongorora kwemuviri. Iyi kurwadziwa kazhinji inouya kamwe kamwe uye inogona kuva yakakomba kwazvo.

Heano zviratidzo zvakajairika zvaunogona kuona:

  • Kurwadziwa kwakanyanya mudumbu kunotanga kamwe kamwe
  • Kurwadziwa kunowedzera pashure pekudya
  • Kusvotwa nekurutsa
  • Manyoka kana manyoro
  • Kutemwa mudumbu negesi
  • Fivha mune dzimwe nguva

Mune zviitiko zvichinetsa, unogona kuona maitiro akasiyana. Kurwadziwa kazhinji kunoitika maminetsi gumi nemashanu kusvika makumi matanhatu mushure mekudya uye kunogona kugara kwemaawa akawanda. Vamwe vanhu vanotanga kudzivisa kudya nekuti vanoona kudya sekukonzera kurwadziwa, izvo zvinogona kukonzera kurasikirwa uremu kusina kunangana.

Zviratidzo zvakakomba zvinogona kuitika kana chirwere chacho chakaipisisa. Izvi zvinosanganisira ropa mumanyoro ako, kuoma kwemuviri, kuomesa kwemoyo, uye zviratidzo zvekuvhunduka senge kuzvinzwa musoro kana kusanzwisisa. Kana ukaona chero rimwe remachiratidzo aya ekunyevera, zvakakosha kutsvaka rubatsiro rwekurapa nekukurumidza.

Ndeapi marudzi e mesenteric ischemia?

Kune marudzi maviri makuru e mesenteric ischemia, uye kunzwisisa musiyano kunogona kukubatsira kuziva zviri kuitika mumuviri mako.

Acute mesenteric ischemia inoitika kamwe kamwe uye inofungwa sechirwere chekurapwa nekukurumidza. Izvi zvinoitika kana ropa rinoyerera kuura hwako rakamiswa nekukurumidza, kazhinji nekuda kweropa rakaoma kana kuomarara kwemitsinga yeropa. Kurwadziwa kunouya nekukurumidza uye kunogona kuva kwakanyanya.

Chronic mesenteric ischemia inoitika zvishoma nezvishoma nekufamba kwenguva. Izvi zvinoitika kana mitsinga yeropa inopa ura hwako ichiomara zvishoma nezvishoma nekuda kwekuunganidzwa kwemafuta, zvakafanana nezvinoitika mumwoyo.

Kunewo rudzi rusina kujairika runonzi non-occlusive mesenteric ischemia. Izvi zvinoitika kana ropa rinoyerera richideredzwa nekuda kweropa rakaderera kana mishonga yakati, panzvimbo pekudzivirirwa kwemitsinga yeropa pachayo.

Chii chinokonzera mesenteric ischemia?

Mesenteric ischemia inoitika kana chimwe chinhu chakadzivisa ropa rinoyerera kuura hwako. Chikonzero chikuru kazhinji chinoenderana nerudzi rwaunaro.

Kune zviitiko zvakakomba, zvinokonzera zvakajairika zvinosanganisira:

  • Rupa rakaoma rinofamba kubva mumoyo mako kana kuumbwa mumitsinga yeropa yemesentic
  • Kuomarara kamwe kamwe kana kuvhara kwemitsinga yeropa
  • Rupa rakaderera kubva pakuvhunduka kana kuoma kwemuviri
  • Mishonga yakati inokanganisa basa remutsinga yeropa

Chronic mesenteric ischemia kazhinji inobva kuatherosclerosis. Iyi ndiyo nzira imwechete inokonzera kurwara kwemoyo nekuvhunduka, uko mafuta anounganidzwa mumitsinga yeropa yako nekufamba kwenguva. Sezvo aya mafuta achikura, anokanganisa mitsinga yeropa uye anoderedza ropa rinoyerera kuura hwako.

Zvimwe zvinokonzera zvisingawanzoitika zvinosanganisira fibromuscular dysplasia, iyo inokanganisa madziro emutsinga yeropa, uye zvimwe zvirwere zve autoimmune zvinokonzera kuzvimba mumitsinga yeropa. Kurapa kwemwaranzi mudumbu kunogonawo dzimwe nguva kukonzera kuomarara kwemitsinga yeropa ye mesenteric makore gare gare.

Rini unofanira kuona chiremba nekuda kwe mesenteric ischemia?

Unofanira kutsvaka rubatsiro rwekurapa nekukurumidza kana ukaona kurwadziwa kwakanyanya mudumbu kamwe kamwe, kunyanya kana kuri kukuru kupfuura zvimwe zviratidzo. Rudzi urwu rwekukuvadzwa runogona kuva chiratidzo che acute mesenteric ischemia, iyo inoda kurapwa nekukurumidza.

Fonera 911 kana kuenda kuchipatara nekukurumidza kana uine kurwadziwa kwakanyanya mudumbu pamwe chete nefivha, kurutsa, manyoka, kana chero zviratidzo zvekuoma kwemuviri. Usamirire kuona kana zviratidzo zvichinzwa zviri nani pachazvo.

Kune zviitiko zvisingakurumidzi, rongedza nguva yekuona chiremba wako kana ukaona kurwadziwa kwemudumbu kunouya pashure pekudya. Izvi zvakakosha kunyanya kana uri kurasikirwa uremu kana uri kudzivisa kudya nekuda kwekukuvadzwa.

Kana uine njodzi senge chirwere chemwoyo, chirwere cheshuga, kana nhoroondo yeropa rakaoma, zvakakosha kutaura chero zviratidzo zvitsva kana zvisingawanzoitika zvemudumbu nemunyanzvi wehutano wako nekukurumidza.

Ndeapi njodzi dze mesenteric ischemia?

Zvinhu zvakati zvinogona kuwedzera mikana yako yekuwana mesenteric ischemia. Kunzwisisa aya njodzi kunogona kukubatsira iwe nechikurapa chako kuti muve vakangwarira pazviratidzo zvepakutanga.

Njodzi huru dzinokosha dzinosanganisira:

  • Zera rinopfuura makore 60
  • Chirwere chemwoyo kana kuomesa kwemoyo
  • Rupa rakanyanya
  • Chirwere cheshuga
  • Kolesterol yakanyanya
  • Kusvuta kana kushandisa fodya
  • Nhoroondo yapfuura yeropa rakaoma

Zvimwe zvirwere zvinowedzera njodzi yako. Izvi zvinosanganisira peripheral artery disease, uko dzimwe mitsinga yeropa mumuviri mako inokanganiswa, uye zvirwere zvinokanganisa ropa rakaoma senge atrial fibrillation.

Mishonga yakati inogona kuwedzera njodzi zvakare. Mishonga yeropa, kunyanya marudzi akati, uye mishonga inokanganisa kuomesa kwemoyo inogona kutamba basa mune dzimwe nguva. Nekudaro, usarega kutora mishonga yakanyorwa usati wataura nachiremba wako.

Ndeapi matambudziko anogona kuitika e mesenteric ischemia?

Kana mesenteric ischemia isina kurapwa nekukurumidza, inogona kukonzera matambudziko akakomba. Chinonyanya kunetseka ndicho intestinal infarction, uko chikamu cheura hwako chinopera nekuda kwekushaikwa kweropa.

Heano matambudziko anogona kuitika aunofanira kuziva:

  • Intestinal gangrene kana kufa kwetishu
  • Kuparara kwemadziro eura
  • Kunetseka kwakanyanya kana sepsis
  • Kushaya zvinovaka muviri kubva pazviratidzo zvichinetsa
  • Kuora kweura nekuomarara

Chronic mesenteric ischemia inogona kukonzera zvinonzi nachiremba kuti "kutya kudya," uko unotya kudya nekuda kwekukuvadzwa kunokonzera. Izvi zvinogona kukonzera kurasikirwa uremu kukuru uye kushaya zvinovaka muviri nekufamba kwenguva.

Mune zviitiko zvakakomba zvakakomba, hutachiona hunogona kupararira mumuviri mako, zvichikonzera sepsis, iyo inotyisa hupenyu. Ndosaka kurapwa nekukurumidza kwakakosha kana zviratidzo zvichitanga kamwe kamwe.

Mesenteric ischemia inozwivikanwa sei?

Kuziva mesenteric ischemia kunogona kuva kwakaoma nekuti zviratidzo zvinogona kutevedzera zvimwe zvirwere zveura. Chiremba wako anotanga nehurukuro yakadzama nezviratidzo zvako nenhoroondo yekurapa.

Kuongororwa kwemuviri kungasaratidzi zvakawanda pakutanga, izvo zviri chokwadi chiratidzo pachacho. Kana munhu ane kurwadziwa kwakanyanya mudumbu asi mudumbu rinonzwa zvakajairika kubata, zvinogona kuratidza dambudziko remutsinga yeropa senge mesenteric ischemia.

Kuongororwa kwakati kunogona kubatsira kusimbisa kuzivikanwa. CT angiography kazhinji ndiyo sarudzo yekutanga nekuti inogona kuratidza mitsinga yeropa neura zvakajeka. Iyi bvunzo inosanganisira kuisa dye uye kutora mifananidzo yeX-ray yakadzama.

Kuongororwa kwakati kwachiremba wako anogona kuraira kunosanganisira bvunzo yeropa kuti aone zviratidzo zvehutachiona kana kukuvara kwetishu, uye dzimwe nguva MRI angiogram yekuona kwakasiyana kwemitsinga yeropa. Mune dzimwe nguva, nzira inonzi conventional angiography inogona kudiwa, uko chubhu duku chinoiswa mumitsinga yeropa yako kuti uwane mifananidzo yakadzama.

Kurapa kwe mesenteric ischemia ndechii?

Kurapa kwe mesenteric ischemia kunoenderana nekuti une rudzi rwakakomba kana rusingakomba, uye kuti chirwere chako chakakomba sei. Chinangwa chinogara chiri chekudzorera ropa rinoyerera kuura hwako nekukurumidza sezvinobvira.

Kune acute mesenteric ischemia, kurapa kazhinji kunokurumidza. Izvi zvinogona kusanganisira mishonga yekuputsa ropa rakaoma, nzira dzekuvhura mitsinga yeropa yakavharwa, kana kuvhiya kubvisa tishu yakafa kana kupfuura mitsinga yeropa yakavharwa.

Chronic mesenteric ischemia kazhinji inoda nzira dzekuvandudza ropa rinoyerera. Izvi zvinogona kusanganisira angioplasty, uko bhora duku rinotanga mitsinga yeropa yakaoma, kana kuvhiya kwakapfuura kunoumba nzira itsva yeropa kuti risvike kuura hwako.

Mishonga inotamba basa rinokosha mukurapa. Unogona kugamuchira blood thinners kudzivirira ropa idzva rakaoma, mishonga yekuvandudza ropa rinoyerera, kana maantibayotiki kana paine hanya nezvehutachiona.

Mune dzimwe nguva, kunyanya kana tishu yakafa, kuvhiya kunogona kudiwa kubvisa zvikamu zveura zvakakanganiswa. Timu yako yekuvhiya ichaita basa rekudzivirira tishu yakawanda yakasimba sezvinobvira uchivimbisa kuchengeteka kwako.

Nzira yekutarisira sei zviratidzo pamba panguva ye mesenteric ischemia?

Nepo mesenteric ischemia ichida kurapwa kwakakosha kwemishonga, kune zvimwe zvinhu zvaunogona kuita pamba kubatsira kutarisira zviratidzo zvako uye kutsigira kupora kwako.

Kana uine chronic mesenteric ischemia, kudya zvidiki, zvokudya zvakawanda zvinogona kubatsira kuderedza zvinodiwa neura hwako. Zvokudya zvikuru zvinoda ropa rakawanda kuenda kuura hwako, izvo zvinogona kuwedzera kurwadziwa.

Rambai makanyanya kunwa mvura, kunyanya kana muri kurutsa kana kuita manyoka. Dzirai mvura kana zvinwiwa zvakajeka zuva rese panzvimbo pekunge munwe zvakawanda kamwe kamwe.

Dzivisa zvokudya zvakaoma kudya kana zvinoita sekunge zvinokonzera zviratidzo zvako. Vanhu vazhinji vanoona kuti mafuta kana zvokudya zvine fiber zvinogona kuwedzera zviratidzo.

Nekudaro, zvakakosha kunzwisisa kuti kutarisira kumba hakusi kutsiva kurapwa kwakakosha kwemishonga. Kana zviratidzo zvako zvakakomba kana zvichiwedzera, tsvaka rubatsiro rwekurapa nekukurumidza panzvimbo pekunge uedze kuzvitonga wega.

Mesenteric ischemia inogona kudzivirirwa sei?

Nepo usingakwanisi kudzivirira zviitiko zvese zve mesenteric ischemia, unogona kutora matanho ekuderedza njodzi yako, kunyanya kune rudzi rusingakurumidzi. Mazano mazhinji ekudzivirira anotarisa pakuchengetedza hutano hwakanaka hwemoyo.

Matanho ekudzivirira akakosha anosanganisira:

  • Kusiya kusvuta kana kudzivisa kushandisa fodya
  • Kutarisira ropa rakanyanya
  • Kutonga chirwere cheshuga
  • Kuchengetedza mazinga ekolesterol ane hutano
  • Kuramba uchiita zvemuviri
  • Kudya zvokudya zvine hutano hwemoyo

Kana uine zvirwere zvemoyo senge atrial fibrillation, kutora mishonga yakanyorwa yeropa rakaoma sezvakarayirwa kunogona kubatsira kudzivirira ropa rakaoma rinogona kuenda kumitsinga yeropa yeura hwako.

Kuongororwa nguva nenguva nemunyanzvi wehutano hwako kunokosha, kunyanya kana uine njodzi dzakawanda. Kuonekwa nekukurumidza nekutarisirwa kwechirwere chemwoyo kunogona kubatsira kudzivirira matambudziko senge mesenteric ischemia.

Unofanira kugadzirira sei kuona chiremba wako?

Kugadzirira kuona kwako kunogona kubatsira kuve nechokwadi chekuti chiremba wako anowana ruzivo rwakakwana rwekuita kuzivikanwa kwakakwana. Tanga nekunyora zviratidzo zvako zvakadzama, kusanganisira pavakatanga uye zvinobatsira sei kana zvichiwedzera.

Chengetedza kana zviratidzo zvako zvichiitika zvichienderana nekudya. Cherechedza kana kurwadziwa kuchiuya nekukurumidza pashure pekudya, kana paine kunetsekana. Nyorawo kuti kurwadziwa kunogara kwenguva yakareba sei uye chii chinobatsira kuchideredza.

Gadzira rondedzero yemishonga yese yauri kutora, kusanganisira mishonga yekutengesa uye zvinowedzerwa. Uyise iyi rondedzero newe kuenda kuona.

Nyora mibvunzo yako usati waenda. Ungada kubvunza nezve bvunzo dzinoda, chikonzero chakakonzera zviratidzo zvako, uye kuti ndeapi mazano ekurapa aripo.

Kana zvichibvira, uyise nhengo yemhuri kana shamwari newe. Vanogona kukubatsira kuyeuka ruzivo rwakakosha uye kupa rutsigiro panguva yekuona inogona kunge iri yakaoma.

Chii chinonyanya kukosha nezve mesenteric ischemia?

Mesenteric ischemia chirwere chakakomba chinoda rubatsiro rwekurapa nekukurumidza, asi nerurapwa rwakakodzera, vanhu vazhinji vanogona kupora zvakanaka. Chinhu chikuru ndechekuziva zviratidzo nekukurumidza uye kutsvaka kurapwa kwakakodzera.

Kana ukaona kurwadziwa kwakanyanya mudumbu kamwe kamwe, usambofa wakarega kutsvaka rubatsiro rwekurapa nekukurumidza. Kune zviratidzo zvichinetsa zvinoitika pashure pekudya, rongedza nguva yekuona chiremba wako kuti udzidze zvinokunetsa.

Yeuka kuti kutarisira njodzi dzako dzemoyo kunogona kubatsira kudzivirira chirwere ichi. Kushandura mararamiro akareruka senge kusiya kusvuta, kutonga ropa rakanyanya, uye kuramba uchiita zvemuviri kunogona kuita musiyano mukuru muhutano hwako hwese hwemitsinga yeropa.

Nepo mesenteric ischemia inogona kutya, kufambira mberi mukurapa kwemishonga kunoreva kuti zviitiko zvakawanda zvinogona kurapwa zvichibvira, kunyanya kana zvikaonekwa nekukurumidza. Vimba nepfungwa dzako nezviratidzo zvako uye usambofa wakarega kutsvaka rubatsiro rwekurapa kana chimwe chinhu chisinganzwi zvakanaka.

Mibvunzo inowanzo bvunzwa nezve mesenteric ischemia

Mesenteric ischemia inogona kupora zvachose here?

Hungu, zviitiko zvakawanda zve mesenteric ischemia zvinogona kurapwa zvichibvira, kunyanya kana zvikaonekwa nekukurumidza. Zviitiko zvakakomba kazhinji zvinoenderana zvakanaka nenheyo dzinoita kuti ropa rinoyerera riwedzere, nepo zviitiko zvisingakurumidzi zvinogona kutarisirwa nekushandura mararamiro uye kurapwa kwemishonga. Chinhu chikuru ndechekugamuchira kurapwa kwakakodzera usati waona matambudziko.

Inotora nguva yakareba sei kupora kubva pakurapwa kwe mesenteric ischemia?

Nguva yekupora inosiyana zvichienderana nekuoma kwechirwere chako uye rudzi rwekurapa rwaungagamuchira. Nzira diki dzinogona kudiwa mazuva mashoma ekupora, nepo kuvhiya kungatora mavhiki akawanda. Chiremba wako achakupa nguva yakakodzera zvichienderana nemamiriro ako uye chirongwa chekurapa.

Mesenteric ischemia inorwadza nguva dzose here?

Nepo kurwadziwa kwakanyanya mudumbu kuri chiratidzo chakajairika, vamwe vanhu vane chronic mesenteric ischemia vanogona kuona kusagadzikana kwakaderera kana kuona zviratidzo senge kurasikirwa uremu uye kudzivisa kudya. Nekudaro, zviitiko zvakakomba kazhinji zvinosanganisira kurwadziwa kukuru kunoda rubatsiro rwekurapa nekukurumidza.

Kushandura kudya kunogona kubatsira ne mesenteric ischemia here?

Kushandura kudya kunogona kubatsira kutarisira zviratidzo zve chronic mesenteric ischemia, senge kudya zvidiki, zvokudya zvakawanda uye kudzivisa zvokudya zvakaoma kudya. Nekudaro, kushandura kudya kwoga hakungakwanisi kurapa dambudziko remutsinga yeropa. Kurapwa kwemishonga kunodiwa kudzorera ropa rinoyerera zvakanaka kuura hwako.

Chii chinoitika kana mesenteric ischemia isina kurapwa?

Mesenteric ischemia isina kurapwa inogona kukonzera matambudziko akakomba anosanganisira kufa kwetishu yeura, kuparara, uye hutachiona hunotyisa hupenyu. Zviitiko zvisingakurumidzi zvinogona kukonzera kushaya zvinovaka muviri kukuru nekukuvadzwa kwenguva refu. Ndosaka zvakakosha kutsvaka rubatsiro rwekurapa nekukurumidza kana zviratidzo zvichitanga, kunyanya kana zvakakomba kana zvichitanga kamwe kamwe.

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