Ukuqina Kwe-artery Ye-Popliteal Yikuphi? Izimpawu, Izimbangela, & Ukwelashwa

Ukuqina kwe-artery ye-popliteal kwenzeka lapho i-artery ephambili ngemuva kwezinyawo zakho ikhula futhi ibe njengobhola. Le artery, ebizwa nge-artery ye-popliteal, ngokuvamile ithwala igazi elivela embongolweni wakho liye ezinyaweni zakho eziphansi nasezinyaweni.

Nakuba le simo singase sizwakale sisoyikisa, empeleni yilona uhlobo oluvamile lokuqina oluthinta izandla nezinyawo. Cabanga ngakho njengendawo ebuthakathaka ohosini lokutshala izitshalo eliqhuma ngokuhamba kwesikhathi. Abantu abaningi abanokuqina okuncane kwe-popliteal baphila impilo evamile, esebenzayo ngokubeka iliso okufanele nokunakekelwa.

Ukuqina Kwe-artery Ye-Popliteal Yikuphi?

Ukuqina kwe-artery ye-popliteal kwenzeka lapho ingxenye ye-artery ye-popliteal yelula futhi ikhula okungenani izikhathi eziyi-1.5 ubukhulu bayo obuvamile. I-artery yakho ye-popliteal ihamba ngemuva komxhuzuluko wakho wezinyawo, ixhuma imithambo yegazi embongolweni wakho kuya kulawo asezinzwini zakho eziphansi.

Lapho udonga lwe-artery lubuthakathaka, ukucindezela kwegazi kubangela ukuba luqhuma ngaphandle njengobhola. Le ndawo enkulu ingaba ncane njengomvini noma inkulu njengomnqumo. Ukuqina kungase kuqhubeke kancane kancane izinyanga noma iminyaka, ngokuvamile kungabangeli zimpawu ezibonakalayo ekuqaleni.

Ukuqina okuningi kwe-popliteal kuyi-“true aneurysms,” okusho ukuthi zonke izigaba zodonga lwe-artery zihilelekile ekuqhubeni. Ngokungavamile, ungase ube “nokuqina okungeyona inhliziyo” lapho igazi liphuma khona ekuqhekekeni lodonga lwe-artery futhi likhiqize isikhwama esibambekiwe yizicubu ezizungezile.

Ziyini Izimpawu Zokuqina Kwe-artery Ye-Popliteal?

Abantu abaningi abanokuqina kwe-artery ye-popliteal abanawo noma yimiphi impawu, ikakhulukazi emazingeni okuqala. Uma izimpawu zivele, ngokuvamile zivela kancane kancane futhi zingase ziphoswe njengezinye izinkinga zezinyawo.

Izimpawu ezivamile ongaziqaphela zihlanganisa:

• Isibopho noma umthimba ophambuka ngemuva kwekhaleni lakho ongasizwa uma ucindezela kancane
• Ubuhlungu noma ubuhlungu embizeni wakho, ikakhulukazi uma uhamba noma uqeqesha
• Ukukhula kwesinye isigxobo esisengxenyeni yakho yokuphansi noma unyawo
• Ukupholisa noma ukushintsha kombala ezithendeni zakho noma unyawo
• Ukubamba kwemisipha yembiza yakho ngesikhathi somsebenzi
• Ukuzwa kobunzima noma ukukhathala emilenzeni yakho ethintekayo

Izimpawu ezinzima kakhulu zingase zivele uma i-aneurysm ibanga izinkinga. Lokhu kuhlanganisa ubuhlungu obukhulu, obuzumayo emilenzeni, ukungathinti noma ukukhahlela unyawo, noma isikhumba esimhlophe, esibandayo ngaphansi kwekhaleni lakho. Uma igazi liqokelela ngaphakathi kwe-aneurysm, izingcezu zingase ziqhekeke futhi zivale imithambo emincane, zibangele ubuhlungu obukhulu kanye nomonakalo ongaqondakali.

Kwezinye izikhathi, i-aneurysm ingacindezela imithambo ehambisana nayo, ibangele ubuthakathaka noma imizwa engavamile emilenzeni yakho. Abanye abantu baphawula ukuthi izimpawu zabo ziyaqina ngomsebenzi futhi ziphulukana ngokuphumula, kufana nezinye izinkinga zokujikeleza kwegazi.

Imiphi Imikhakha Ye-Popliteal Artery Aneurysm?

I-Popliteal artery aneurysms ihlelwa ngokususelwa esizathwini sayo nendlela yayo. Ukuqonda le mikhakha kusiza udokotela wakho ukukhetha indlela yokwelapha engcono kakhulu yisimo sakho esithile.

I-aneurysms yangempela yilona uhlobo oluvamile, oluthinta zonke izigaba ezintathu zodonga lwe-artery. Lezi zivele lapho udonga lwe-artery luqephuka ngokuhamba kwesikhathi, ngokuvamile ngenxa yezinto zofuzo noma i-atherosclerosis (ukukhuluphala kwemithambo).

I-aneurysms yamanga, ebizwa nangokuthi i-pseudoaneurysms, kwenzeka lapho kunesikhala sodonga lwe-artery oluvumela igazi ukuthi liphume. Igazi eliphumile livalelwa yizicubu ezizungezile, likha umthimba ophambuka. Lokhu ngokuvamile kubangelwa ukulimala, izinqubo zezokwelapha, noma ukutheleleka.

Odokote bahlukanisa futhi ama-aneurysm ngesimo sawo. Ama-aneurysm afusiformi ahilela yonke ingqimba ye-artery, edala ukukhula okunjengesihlalo. Ama-aneurysm asacular abukela ngaphandle kwelinye ihlangothi le-artery kuphela, efana ne-beri ehlanganisiwe nesibonda.

Yini ebangela i-Popliteal Artery Aneurysm?

Ama-aneurysm e-popliteal artery athuthukiswa lapho udonga lwe-artery luqephuka futhi alusakwazi ukumelana nokucindezela kwegazi okuvamile. Lokhu kuqephuka kwenzeka ngezindlela eziningi ezahlukene, ngokuvamile kusebenza ndawonye ngokuhamba kwesikhathi.

Izimbangela ezivamile zihlanganisa:

• I-Atherosclerosis (ukuqina nokuncipha kwama-artery ngenxa yokwakheka kwe-plaque)
• Izici ze-genetic eziqeda amandla odonga lwe-artery
• Ukucindezeleka kwegazi okuphezulu okubekela ukucindezela okwengeziwe odongeni lwe-artery
• Izifo ze-connective tissue njenge-Marfan syndrome noma i-Ehlers-Danlos syndrome
• Ukulimala kwangaphambili noma ukulimala endaweni yeqolo
• Ukutheleleka okwenza udonga lwe-artery lube buthakathaka
• Ukuhlupheka okuvela ezindleleni zokwelapha noma ekuhlinzweni

Ubudala buqala indima ebalulekile, njengoba ama-artery odonga ngokwemvelo eba abuthakathaka ngokuhamba kwesikhathi. Amadoda anethuba elikhulu lokuthuthukisa ama-aneurysm e-popliteal kunabesifazane, futhi le simo sivame ukubathinta abantu abangaphezu kweminyaka engama-60. Ukubhema kukhuthaza inqubo ngokulimaza ama-artery odonga nokukhuthaza i-atherosclerosis.

Abanye abantu bafa bahlangene nokuthuthukiswa kwe-aneurysm. Uma unezihlobo ezineama-aneurysm noma kuphi emizimbeni yazo, ungaba nethuba elikhulu. Izimo ezithile ze-genetic ezingavamile zingenza ama-artery odonga abe buthakathaka kakhulu, okuholela kuma-aneurysm eminyakeni ebancane.

Nini ukubona udokotela nge-Popliteal Artery Aneurysm?

Izinkinga ezivame kakhulu zihlanganisa:

• I-blood clots eyenziwa ngaphakathi kwe-aneurysm
• Izingcezu ze-clot eziqhekeka futhi zivala i-arteries encane (embolism)
• Ukuvalwa okuphelele kokugcwala kwegazi emilenzeni yakho engaphansi
• Ukuqhekeka kwe-aneurysm (kuncane kodwa kunzima)
• Ukuncipha kwamathenda noma ama-veins aseduze
• Ukufa kwezicubu (gangrene) ezimweni ezinzima

I-blood clots iyinkinga evame kakhulu, eyenzeka uma ukugcwala kwegazi kuncipha ngaphakathi kwe-artery enkulu. Lezi clots zingavala ingxenye noma yonke i-artery, kunciphisa ukunikezwa kwegazi emilenzeni yakho engaphansi nonyawo. Uma izingcezu ze-clot ziqhekeka, zingaya phansi futhi zivale i-arteries encane, zibangele ubuhlungu obuzumayo nokwenzakala kwezicubu.

Ezimweni ezimbalwa, i-aneurysm ingaqhekeka, ibangele ukuphuma kwegazi yangaphakathi. Lokhu kungenzeka kakhulu nge-aneurysms ezinzima noma lezo ezikhula ngokushesha. Ukuqhekeka kuyisimo esiphuthumayo sezokwelapha esidinga ukuhlinzwa ngokushesha. Ngokujabulisayo, i-popliteal aneurysms iqhekeka kancane kunama-aneurysms kwezinye izingxenye zomzimba.

Izinkinga ezingapheli zingakhula ngokuhamba kwesikhathi uma ukugcwala kwegazi kuhlala kunciphile. Imisipha yakho yemilenze ingonakala ngenxa yokugcwala kwegazi okungaphansi, futhi izilonda ezinyaweni zakho noma emilenzeni yakho engaphansi zingaphola kancane noma zingapholi nhlobo.

Ungayivimbela Kanjani I-Popliteal Artery Aneurysm?

Nakuba ungakwazi ukuvimbela zonke i-popliteal artery aneurysms, ikakhulukazi lezo ezihambisana nezinto zokuzalwa, unganciphisa kakhulu ingozi yakho ngokulawula izinto ezingozi ongazilawula. Ukuvimbela kugxile ekuqinisweni kwe-arteries zakho.

Izindlela zokuvimbela ezisebenza kakhulu zihlanganisa ukushiya ukubhema, njengoba ukusetshenziswa kwe-tobacco kuyinye yezinto ezingozi ezinkulu zokulimaza i-artery. Uma ubhema, udokotela wakho angakusiza uthole izinsiza nezinhlungu zokushiya ngempumelelo. Ngisho noma ubelokhu ubhema iminyaka eminingi, ukuyeka manje kusengaba usizo empilweni ye-artery yakho.

Ukulawula ukucindezela kwegazi kwakho kubaluleke kakhulu. Ukucindezela kwegazi ephakeme kubekela izindonga ze-artery ukucindezela okuqhubekayo, okwenza kube lula ukuba zibuthakathaka futhi zikhule. Ukuzivocavoca okujwayelekile, ukudla okunempilo okune-sodium encane, nezinhlungu zokucindezela kwegazi uma kudingeka kungasiza ekuqinisweni kokucindezela kwakho.

Ukulawula ezinye izinto ezingozi ze-cardiovascular nakho kusiza. Lokhu kusho ukulawula isifo sikashukela uma unaso, ugcine amazinga akho e-cholesterol ephezulu, ugcine isisindo esinempilo, futhi uhlale usebenza ngokomzimba. Lezi zinguquko zokuphila ziyazuza zonke i-arteries yakho, hhayi kuphela lezo ezingemuva kwamadolo akho.

Uma unomlando womndeni we-aneurysms noma izifo ze-connective tissue, xoxa ngezinketho zokuhlola nodokotela wakho. Ukutholakala kwasekuqaleni kuvumela ukulandelelwa nokwelashwa ngaphambi kokuba izinkinga zikhule.

I-Popliteal Artery Aneurysm Ihlonishwa Kanjani?

Ukuhlonishwa kwe-popliteal artery aneurysm kuvame ukuqala ngodokotela wakho ozizwa isibobo esishaya ngemuva kwedolo lakho ngesikhathi sokuhlolwa komzimba. Noma kunjalo, i-aneurysms encane ingase ingatholakali ngokuthinta kuphela, ngakho-ke ukuhlolwa kwezithombe kuvame ukudingeka ukuze kutholakale ukuxilongwa okuqinisekile.

Udokotela wakho uzoqala ngokubuza ngezimpawu zakho nomlando wakho wezokwelapha, kufaka phakathi noma yimiphi imlando yomndeni we-aneurysms. Ngesikhathi sokuhlolwa komzimba, bazohlola i-pulses emilenzeni yakho nasezinyaweni zakho, bafune izimpawu zokunciphisa ukugcwala kwegazi, futhi bazizwe ngokucophelela indawo ngemuva kwedolo lakho nganoma yimiphi imisindo engavamile noma izibobo.

Ukuhlolwa okuvamile kakhulu kokuxilonga yi-ultrasound, esebenzisa amaza omsindo ukwenza izithombe ze-arteries zakho. Lokhu kuhlolwa okungenazinkinga kungabonisa usayizi nokuma kwe-aneurysm futhi ukulinganisa ukugcwala kwegazi ngalo. I-ultrasound ivame ukusetshenziswa ekuxilongweni kwasekuqaleni nokulandelelwa okuqhubekayo ngoba kuphephile, akukho ukungena, futhi akudingi noma yiluphi ulwimi olukhulu.

Ukuze uthole ulwazi olunemininingwane, udokotela wakho angase a-ode i-CT scan noma i-MRI. Lezi zivivinyo zinikeza izithombe ezicacile ze-aneurysm nezinto ezizungezile, zisiza ekuhleleni ukwelashwa uma kudingeka. Uma ukuhlinzwa kucabangelwa, ungase udinga i-angiogram, lapho i-contrast dye isetshenziswa e-arteries yakho ukwenza izithombe ze-X-ray eziningi.

Ngezinye izikhathi i-popliteal aneurysms itholakala ngengozi ngesikhathi sokuhlolwa kwezinye izimo. Lokhu kuzuzisa, njengoba kuvumela ukulandelelwa kwasekuqaleni nokwelashwa ngaphambi kokuba izimpawu zikhule.

Iyini Ukwelashwa Kwe-Popliteal Artery Aneurysm?

Ukwelashwa kwe-popliteal artery aneurysms kuncike ebukhoneni be-aneurysm, izimpawu zakho, nempilo yakho yonke. I-aneurysms encane, engabonisi zimpawu, ingalandelelwa ngokuphepha ngokuhlola okujwayelekile, kuyilapho ezinkulu noma ezinempawu zivame ukudinga ukulungiswa okuhlinzwayo.

Nge-aneurysms encane (ngaphansi kwama-sentimitha angu-2) engenazo izimpawu, udokotela wakho uzoncoma ukulinda. Lokhu kusho ukuhlolwa kwe-ultrasound okujwayelekile njalo ngenyanga ezingu-6-12 ukuze kulandelelwe usayizi we-aneurysm futhi kuhlolwe noma yikuphi ukushintsha. Uzothola nezinhlungu zokulawula izinto ezingozi ezinjengokucindezela kwegazi ephakeme ne-cholesterol.

Ukwelashwa okuhlinzwayo kuya kudingeka uma i-aneurysms inkulu kune-sentimitha engu-2, ibangele izimpawu, noma ibonisa izimpawu zezinkinga. Indlela evamile yokuhlinzwa yi-bypass surgery, lapho udokotela wakho enza indlela entsha yokugcwala kwegazi ngaphesheya kwe-aneurysm usebenzisa i-blood vessel enempilo evela kwenye ingxenye yomzimba wakho noma i-synthetic graft.

Ukulungiswa kwe-Endovascular kuyindlela engangenisi kakhulu kwabanye abantu. Kulolu hlelo, i-stent graft (ithyube elimbozwe) ifakwa ngokusika okuncane futhi ifakwe ngaphakathi kwe-aneurysm ukuqondisa kabusha ukugcwala kwegazi. Le ndlela ivame ukubandakanya isikhathi esifushane sokuphulukisa kunokuhlinzwa okuvamile.

Iqembu lakho lokuhlinzwa lizocabangela izinto ezinjengobudala bakho, impilo yonke, indawo nobukhulu be-aneurysm, nesimo se-blood vessels yakho enye uma liqondisa indlela yokwelapha engcono kakhulu kuwe.

Ungawuthatha Kanjani Ukwelashwa Ekhaya Ngesikhathi Se-Popliteal Artery Aneurysm?

Ukulawula i-popliteal artery aneurysm ekhaya kugxile ekusekeleni ukugcwala kwakho konke futhi ukuvimbela izinkinga. Udokotela wakho uzonikeza imiyalo ekhethekile ngokusekelwe esimweni sakho siqu, kodwa izimiso eziningi eziyisisekelo zingakusiza uhlale unempilo.

Ukuthatha imithi yakho ngokuqondile njengoba kuqokiwe kubalulekile. Lokhu kungafaka i-blood thinners ukuvimbela i-clots, imithi yokucindezela kwegazi ukuze kunciphisa ukucindezela e-arteries yakho, noma imithi yokunciphisa i-cholesterol ukuze kunciphisa i-atherosclerosis. Ungalokothi uyeke noma ushintshe le mi-thi ngaphandle kokubonisana nodokotela wakho kuqala.

Hlalani nisebenza ngaphakathi kwemiyalo yodokotela wakho. Ukuhamba okujwayelekile kungathuthukisa ukugcwala kwegazi futhi kusize ukuvimbela i-blood clots. Qala kancane futhi wandise ngokuhamba kwesikhathi amazinga akho omsebenzi njengoba ubekezelela. Gwema imisebenzi engase ibeke ukucindezela okukhulu emilenzeni yakho, njengokuphakamisa okunzima noma imidlalo ephakeme.

Hlola imilenze yakho nsuku zonke nganoma yikuphi ukushintsha kombala, ukushisa, noma imizwa. Bika izimpawu ezintsha ezinjengokwanda kobuhlungu, ukukhula, noma ukuqina kudoti wakho ngokushesha. Gcina imilenze yakho iphakanyisiwe uma uphumula, futhi ugweme ukuhlala noma ukuqina endaweni eyodwa isikhathi eside.

Gcina ukunakekelwa okuhle kwenyawo ngokuhlanza izinyawo zakho futhi zome, ugqoke izicathulo ezanelisayo, futhi uhlole noma yikuphi ukusikwa noma izilonda eziphulukayo kancane. Ukugcwala kwegazi okuhle kubalulekile ekwelapheni kwezilonda, ngakho-ke noma yiziphi izinkinga zenyaweni kufanele zilungiswe ngokushesha.

Kufanele Uzilungiselele Kanjani Isikhathi Sakho Sokubona Udokotela?

Ukulungiselela isikhathi sakho sokubona udokotela kusiza ukuqinisekisa ukuthi uthola okuningi kakhulu ekuhambeleni kwakho futhi kunikeza iqembu lakho lezokunakekelwa kwezempilo ngolwazi olulidingekayo ukukunikeza ukunakekelwa okuhle kakhulu. Ukuzilungiselela kancane kungenza umehluko omkhulu ekusebenzeni kokubona kwakho.

Bhala zonke izimpawu zakho, kufaka phakathi ukuthi zaqala nini, yini eyenza zibe ngcono noma zimbi, nokuthi zikuthinta kanjani imisebenzi yakho yansuku zonke. Yiba uchwepheshe nganoma yiluphi ubuhlungu olokhu lukhula emilenzeni, ukukhula, noma ukushintsha kwemizwa oyibonile. Ngisho nezimpawu ezibukeka zingenalo ubudlelwane zingabalulekile.

Letha uhlu oluphelele lwazo zonke imithi oyithathayo, kufaka phakathi imithi yokwelapha, imithi yokuthengwa ngaphandle kokubonisana nodokotela, kanye nezinye izinto. Faka imithamo nokuthi uyiphuza kangaki ngayinye. Uma usebenzisa ama-pharmacy amaningi, cabanga ukuthi ulethe zonke izibhodlo zakho ze-pill ukuze ugweme ukuphoxa noma yini.

Lungiselela uhlu lwemibuzo ofuna ukuyibuza udokotela wakho. Lokhu kungafaka imibuzo mayelana nezinketho zakho zokwelashwa, ukulinganiselwa komsebenzi, izibonakaliso zexwayiso okumele uzibheke, noma nini lapho udinga khona ukuhlangana okulandelayo. Zibhale phansi ngaphambili ukuze ungakhohlwa izihloko ezibalulekile ngesikhathi sokuhambela kwakho.

Uma kungenzeka, letha umngani othembekile noma ilungu lomndeni ekuhambeleni kwakho. Bangakusiza ukuba ukhumbule ulwazi olukhulu futhi banikeze ukwesekwa ngesikhathi soxoxa ngezinketho zokwelashwa. Ukuba nomuntu omunye okhona kungaba usizo ikakhulukazi uma uzizwa ukhathazekile ngokuxilongwa kwakho.

Iyini into ebaluleke kakhulu mayelana ne-Popliteal Artery Aneurysm?

Into ebaluleke kakhulu okumele uyiqonde nge-popliteal artery aneurysms ukuthi zizimo ezilawuleka uma zixilongwe kahle futhi zilandelelwe. Nakuba igama elithi