I-Arteriopathy ingabangela intlungu yomlenze, ubuthathaka nokungenamandla
Uninzi lwabadlali abaqhelekileyo bajwayele ukufumana ubunzima beentlungu kunye nokukhathala ngexesha lovavanyo oluphezulu. Kungekudala, ngokukodwa, i-subset yabadlali (ngokukodwa abahamba ngeebhayisikili, iinqwelo zokuhamba, kunye ne-triathletes) baye babonisa iimpawu zentlungu yomlenze kunye nobuthakathaka kwiimeko ezingalindelekanga -------- umonakalo kwimibhobho ye-pelvis, u-groin, okanye umlenze ongezantsi .
Lo monakalo, okanye i-arteriopathy, ibonakala yenza ukuba imiraro ilula, ilula okanye i-kink ngendlela yokuba ngexesha lokusebenzisa ngamandla umqhubi wama-athlete anciphise ukuphuma kwegazi ngenxa yokunyanzelisa okanye ukuvinjelwa komthamo kumlenze ochaphazelekayo. Ukuntuleka kwegazi, okanye i-ischemia, kubangela intlungu, ukutshisa, ubuthathaka, nokungazinzi ngexesha lokuzivocavoca. Ngama-cyclists, lo monakalo uvame ukuvela kwimithambo ye - aliac , ngokukodwa i-artery yangaphandle.
Izizathu
Uphando lokuqala olwenziwe kwi-aliac arteriopathy kwii-cyclists ezisemgangathweni lwaphuma eFransi kuma-1980 kwaye luye lwakhula ngokukhawuleza ukususela apho. Abaphandi kunye noogqirha bacacisa ukuba ukudibanisa kwezinto kunokubangela ukuba imirhoxo ye-aliac yangaphandle ibonakaliswe, kubandakanya:
- Ukuhamba kwegazi ephezulu kakhulu
- Ukuphindaphinda kwe-hip flexion
- Indawo yokuhamba ngebhayisikili
Ezi zinto zibangela ukuqhuma okuphindaphindiweyo, okuphindaphindiweyo kwintsimbi ngexesha loxinzelelo.
Olu xinzelelo, ngaphezu kwekhulu leeyure zokuqeqeshwa okuphakamileyo, kungabangela umonakalo kwizicwangciso ezahlukeneyo zodongeni lomlotha, okanye kunokubangela ukuba umthambo uphelelwe, okanye udibaniswe. Abanye oogqirha baye bafumana i-tissue ye-fibrous ekhuniyo ekwakheni kwinqanaba langaphakathi lomzobo owonakele. Ezi zicubu ezinamafutha azigcini nje ngokunciphisa umthamo kodwa ziyakwenza ukuba kuphuculwe ngexesha lokuzivocavoca.
Umphumo wukunciphisa ukuhamba kwegazi kwimilenze edla ngokubonakalayo ngexesha lokusebenza ngamandla.
Iimpawu
Ndandinomdla kulo mqathango emva kokuba ndiqale ndibona iimpawu zobuthathaka, intlungu kunye nokungenamandla kumkhondla wam kunene ngelixa uhamba ngebhayisiki ephakamileyo. Umqhubi wokhuphiswano iminyaka engaphezu kwama-20, ndazi ukuba oku kwakungekho nje ukukhathala komzimba okanye nayiphi na inkunkuma eyenza ithambile. Xa ndazama ukucacisa iimvakalelo endazibona, isilathisi esisodwa esibonakala sisilungele ukuba "ukuphelelwa amandla." Ndandiziva ngathi izihlunu ezisemlenzeni wam zixhala.
Kungekudala emva kokuba ndiqale ukuphanda iimpawu zam, ndakhuthaza uphando oluthile olucacileyo malunga neengcambu zeebhayisikili, kuquka neengxaki zeetriyiti ezinokuthi zibonakaliswe kuma-cyclist. Ekugqibeleni ndathatha iimboyi zam kunye nenqwaba yecwaningo loogqirha kwaye ndaqalisa inkqubo yokufumanisa.
Ngeli xesha, ndathetha nabanye abahamba ngeebhayisikili kwilizwe lonke abaye bafumanisa ukuba bane-arteriopathy yangaphandle. Baye bachaza iimpawu ezifanayo kum. Bachaza intlungu, ukuphazamiseka, ubuthathaka kunye nokungabikho kwamandla-ngokuqhelekileyo kwintlambo okanye ithole-eyahamba xa ixhaswa kwaye ibuya xa ihamba nzima.
Abathandathu abadlali aba sixhenxe ndathetha ngeempawu ezinomdla kuphela emlenzeni omnye. Ndenelungelo lokufumana uvavanyo ngokukhawuleza; ezininzi endizithethayo kunye neempawu zeeminyaka ngaphambi kokufumana ugqirha eyaziwayo ngxaki.
Ukuxilongwa
Ukuxilongwa kudla kunzima kuba oogqirha abaninzi abaqhelanga nale meko kwaye abayi kukhankanya iingxaki zeengcambu kumdlali othe tye. Abagijimi abaninzi banokungaxilongwa njengokuba ne-compartment syndrome okanye ukusetyenziswa ngokugqithiseleyo, ukulimala kwezicubu ezincinci kwaye okokuqala kuthethwa ngonyango olusisigxina, olungaphumeleli ukusombulula ingxaki.
Kukho uphando lwezifundo ezininzi ezinokukunceda ukufumanisa ukunciphisa kwiimitha zeemilenze.
Uvavanyo lwe-ankle-brachial (ABI) ngaphambi kokuba emva kokuvavanya luvavanyo oluncinane olungenakunqwenela ukufumana ukuxilongwa kokuqala. Olu vavanyo lucwangcisa uxinzelelo lwegazi emagqabini nasesandleni sokuphumla emva koko emva kokuzivocavoca. Isalathiso sokuqhelekileyo sokuphumla kwe-ankle-brachial i-1 okanye 1.1 kwaye nantoni na ngaphantsi kweyinto engavamile. Abadlali be-arteriopathy banokufunda ngokuqhelekileyo ekuphumleni, kodwa emva kokuzivocavoca (ukuhamba ngeendlela zokuhamba okanye ukuhamba ngebhayisikili) uxinzelelo lwe-ankle kumlenze ochaphazelekayo wehla ngokuphawulekayo, okubonisa ukuncipha kwegazi.
Ezinye iimvavanyo ezisetyenziselwa ukufumana indawo kunye nesantya sokunciphisa ingabandakanya:
- i-duplex ultrasound
- i-tomography engiography (CTA)
- i-magnesious resonance angiography (MRA)
- umgca we-arteriography
UkuPhatha i-Iliac Arteriopathy yangaphandle
Ngaphandle kokuba umgijimi sele ekulungele ukuhlala kwindawo yokuphila, iincophiso zonyango zangoku zelo mqathango ukulungiswa kocwangco lomzobo owonakele. I-aliac arteriopathy yangaphandle ixhaphake ngokuqhelekileyo ngama-articular surgery neenkqubo ezibandakanya ukuvula okanye ukususa icandelo elincinci lomthamo kunye nokubeka ipakethi yokwenziwa okanye i-graft tissue graft kwi-artery.
Ezinye iindlela zokungenelela ezinokusetyenziswa zibandakanya ukudlula umthamo owonakalisiweyo okanye ukukhulula umgca we-inguinal okanye i-psoas ezifakwe kwiimpawu zomzimba kwi-artery, eziye zathinteka ekunciphiseni okanye ngokukhenkceza i-artery yangaphandle. Inketho yokunyanga engcono kakhulu ibonakala ixhomekeka kwindawo echanekileyo kunye nembangela yomonakalo kunye neenjongo zexesha elide lomdlali.
Iziphumo zophando
Bonke abo bahamba ngeebhayisizi ndathetha ngokungenelela kwongenelelo olubandakanya i-graft tissue okanye patch. Bonke bandixelele ukuba ukubuyiswa kwakumfutshane kakhulu, nangona iiveki ezimbini zokuqala zivela apho zingenakunqikazeka ukuba zingakhathazeki kakhulu. Omnye owayekade e-Olympian wandixelela, "Akukho mntu uxelele ukuba kubuhlungu kangakanani xa beqhekeza isisu sakho esiswini."
Ngokuxhomekeke kwindlela yokuhlinzwa eyenziwa, umqhubi unokuhamba phakathi kweveki ezimbini, ukuhamba ngebhayisikili lula kumqeqeshi ngeveki ezintathu kwaye mhlawumbi endleleni endleleni ezine kwiiveki ezintandathu-nangona abanye abagijimi bathi kumbe ezimbini ukuya kweenyanga ezintathu.
Kukho rhoqo iingozi zokuhlinzwa kwaye le nqubo ihamba kunye nesethi esimiselweyo, kubandakanywa umngcipheko wosulelo, ukukhishwa kwamathambo, ukubuya kweempawu, okanye ngaphezulu. Ngo-2007, umqhubi wama-cycling uRyan Cox wafa emva kweeveki emva kokuhlinzwa ukuze ahlaziye umlotha wakhe. Ngenxa yokuba le nkqubo isengcono ngokutsha, akukho zifundo zeziphumo zexesha elide kubaqhubi ababenalo lo msebenzi.
Omnye umqhubi wama-cycliste ndathetha ukuba usenomdla onobuhlungu kunye nosizi ngonyaka emva kokuhlinzwa kwakhe kwaye omnye wandixelela ukuba ezinye zeempawu zakhe zibuyele emva kweminyaka emihlanu emva kokuhlinzwa.
Ngelixa phantse bonke abagijimi abathethileyo nabandixelele ukuba bayakuvuyela ukuba bebenokuhlinzwa kwaye baya kuphinda benze njalo, sisigqibo esinqununu kwaye omnye andiyi kuthatha lula. Ndisaqhuba uphando lwam, ndiqokelela ulwazi, ndathetha nabagijimi kunye nabagqirha rhoqo. Ndiyifumene ukuba inkqubo efanelekileyo yokuxilonga kunye nohlobo lotyando linconywe luxhomeke kakhulu kuloo ugqirha oyifunayo; Bonke babonakala benenkqubo eyintandokazi okanye uhlobo loluhlu okanye iqhosha. Ndiye "ndinikezwa" umquba ovela kwintlambo yam esichenous (umlanjana omkhulu kufuphi ne-ankle), isiqwenga seDacron, i-graft tissue graft (ewe, ukusuka kwenkomo), ijikeleze i-artery encinci, kunye ne-stent.
Ngokucacileyo, le nto ayiyona inkqubo eqhelekileyo kwaye akukho mntu uyazi kakuhle indlela efanelekileyo. Ngaphandle kweYurophu, iincwadana ezidityanisiweyo zamathambo endiye ndathetha nazo zenze le nkqubo kumabhayiseli ase-United States. UDkt. Cherry, udokotela ogqirha kwiiyunivesithi yaseVirina wabonisa iphepha ngale mqathango kwi-Society for the Surgery of Vascular in 2008.
Ndasebenza kunye noDkt. Jason Lee kunye noDkt Cornelius Olcott kwiSibhedlele saseStanford eCalifornia.
Uphando olongezelelweyo
- I-Endofibrosis yeeArriyridi ze-Iliac: Ingxaki engapheliyo (PDF)
- I-Arteriopathy kwi-Athlete-High Athletics
- PubMed Seach Results
Nangona ukwenza uphando lwakho kubalulekile kwaye kunceda kakhulu, kubalulekile ukubuza imibuzo eninzi kwaye uthembele kwiingcali zakho zokugada, ngaphambi kokuthatha isigqibo malunga nokuhlinzwa.
Umthombo
Chevalier et al of the Service de Chirurgie Vasculaire et Thoracique, Angers, eFransi, i-artery i-endacibusis i-endacibrosis phakathi kwama-raite e-elite, i-Annals ye-Vascular Surgery, ngo-1986.
CS Lim *, MS Gohel, Abelusi be-AC, AH Davies.Iliac Artery Ukunyanzeliswa kwiiBhayisiki: Iinkqubo, Ukuxilongwa kunye noTyango. Eur J Vasc Endovasc Surg (2009) 38, 180-186.
Bender MH, et al. Ukunciphisa ukuhamba kwezemidlalo kwiimitha ze-aliac ezinokunyamezela abagijimi: i-aetiology, ukuxilongwa, unyango kunye nophuhliso oluzayo. LwezeMidlalo. 2004; 34 (7): 427-42.
C. Kral, D. Han, W. Edwards, uP. Spittell, H. Tazelaar, K. Cherry. Ukukhusela ngaphandle kwe-arteriopathy yangaphandle kwiibhayisiki ezithintekayo: Iinkqubo ezintsha kunye neziguquko zakhe eziphezulu kwiimfazana ezine. I-Journal ye-Surgery ye-Vascular 2002; 36: 565-70.