Kwayar jijiyoyin jinin jiki (PAD) wani yanayin ne wanda daya ko fiye daga cikin arteries yana bada jini zuwa kafafu, makamai, kai ko ciki ya kasance an katange ko an katange shi, musamman saboda atherosclerosis . Idan jinin ya gudana zuwa ƙananan ƙafa bai isa ba don ci gaba da buƙatar, mutumin da ke tare da PAD na iya shawo kan bayyanar cututtuka.
Cutar cututtuka
Mafi yawan abin da aka fi sani da PAD shine "claudication." Cigabuwa shine ciwo, damuwa ko rashin jin daɗi - wanda zai iya bambanta daga kawai m zuwa mai tsanani - wannan yana faruwa a cikin iyakokin da aka shafa.
Yawancin lokaci, claudication ya auku a lokacin motsa jiki, kuma an huta shi ta hutawa.
Tun da PAD mafi rinjayar kafafu, claudication mafi yawanci nuna kamar yadda ciwo zafi lokacin da tafiya. Dangane da inda a cikin ƙunƙun ƙwayar ƙarancin yana samuwa, kafawar claudication zai iya shafar kafa, maraƙi, cinya ko buttocks. Mutanen da ke da PAD a daya daga cikin arteries wanda ke samar da ƙananan ƙananan za su iya samun claudication a cikin hannu ko kafada; kuma wasu na iya shawo kan bayyanar cututtuka a lokacin aikin motsa jiki, wani yanayin da ake kira " satacciyar suturar ƙira ."
Wani lokaci PAD zai haifar da claudication mai mahimmanci ko da hutu. Maimaitawar claudication yana nufin cewa rikici na wucin gadi yana da inganci mai tsanani, kuma ƙwayar da aka shafa ba karɓar isasshen jini ba ko da hutawa.
Domin claudication ba koyaushe ne ya bi dabi'a na al'ada - wato, jin zafi a lokacin aiki, tare da jin dadi lokacin hutawa - ganewar asalin PAD ya kamata a yi la'akari da lokacin da mutum ya kai shekaru 50, wanda yana da hadarin haɗari ga atherosclerosis , abubuwan da ke fama da rashin lafiya a cikin da makamai ko kafafu.
PAD mai tsanani mai tsanani zai iya haifar da ulceration har ma da gangrene daga cikin sassan da aka shafa.
Dalilin
A yawancin lokuta, PAD yana haifar da atherosclerosis . Wannan yana nufin cewa irin wadannan matsalolin da ke haifar da cututtukan cututtuka (CAD) - musamman matakan cholesterol hawan, shan taba , hauhawar jini da kuma ciwon sukari - yana samar da PAD.
A gaskiya ma, saboda PAD da CAD suna haifar da wannan cuta, lokacin da aka gano PAD, sau da yawa yana nufin cewa CAD ma.
Mafi wuya, PAD za a iya gani a mutanen da ba su da atherosclerosis. Alal misali, PAD zai iya haifar da ciwo zuwa ƙwayoyin ƙafa, haddasawa zuwa radiation, da wasu kwayoyi (magungunan ergotamine) da ake amfani da su don magance ciwon kai na migraine .
Sanin asali
Ana iya bincikar PAD tare da gwaji maras amfani. A wasu lokuta, jarrabawar jiki zai iya gano PAD, lokacin da aka rage ɓarna a cikin ƙananan mamba. Sau da yawa, duk da haka, ana buƙatar ɗayan gwaje-gwajen da dama don gano asalin PAD.
Ana iya yin bincikar PAD a kafafu ta amfani da " takalma-brachial index ," ko ABI, wanda aka auna jini da kuma idan aka kwatanta a idon da hannu. Ƙididdiga mara kyau na ABI na nuna rage yawan jini a cikin kafar kafa , yana nuna cewa PAD yana da.
Rikicin kamfanoni shine wata hanyar da aka yi amfani da ita don bincikar PAD. Da wannan gwajin, an saka iska zuwa jerin jerin nau'in da aka sanya tare da kafa, kuma an kiyasta matsa lamba na maganin da ke ƙarƙashin kowane ƙwayar. Matsayi wani wuri a cikin maganin zai haifar da matsanancin matsin lamba a bayan yanki.
"Hanyoyin dan Adam" yana da gwajin duban dan tayi na musamman wanda ya bada kimantawar jini a wasu matakan da ke cikin maganin.
Jirgin kwatsam a cikin jini yana nuna shawara mai tsauri a wuri na digo.
Idan likitanku na PAD, wanda ko fiye daga cikin waɗannan gwaje-gwaje marasa gwagwarmaya yafi yawa don yin ganewar asali. Yau, ABI shine gwajin da aka fi amfani dashi.
Jiyya
Yayin da za a iya kula da PAD mai sauƙi ko matsakaici tare da magani da salon sauye-sauyen salon, yawancin lokuta masu tsanani sukan buƙaci tiyata ko angioplasty don taimakawa cikin damuwa. Anan akwai ƙarin cikakkun bayanai game da maganin PAD .
Sources:
Hirsch, AT, Criqui, MH, Treat-Jacobson, D, et al. Binciken farfado da cututtukan cututtuka, sani, da kuma kulawa a kulawa na farko. JAMA 2001; 286: 1317.
Hirsch, AT, Haskal, ZJ, Hertzer, NR, et al. ACC / AHA 2005 Rukunan Sharuɗɗa don kula da marasa lafiya da cututtuka na ciki (ƙananan ƙananan ƙafa, ƙananan ruɓaɓɓen jini, jigon jini, da kuma na ciki): rahoton haɗin gwiwar Ƙungiyar Amurka don Ƙwayar daji / Ƙungiyar Harkokin Ƙwayar cuta don Ƙwayar Ƙwayar cuta, Ƙungiyar Harkokin Jiki da Tsarin Hoto. , Cibiyar Harkokin Magunguna da Harkokin Halitta, Ƙungiyar Harkokin Tsarin Harkokin Tsarin Harkokin Tsarin Harkokin Kasuwanci, da kuma Hukumar Tsaro na AHA / AHA a kan Ka'idojin Ɗabi'a (Kwamitin Rubutun don Tattaunawar Jagora don Gudanar da marasa lafiya tare da cututtukan cututtuka na al'ada): Aminiya ta Ƙungiyar Amérika ta Tsarin Hoto ; Ƙungiyar Zuciya na Ƙasa, Tsutsa, da Ciwon Blood; Ƙungiyar Kula da Ƙananan Ƙwararru; Transaitlantic Inter-Society Consensus; da kuma asibiti na Vascular Disease. Yanayin 2006; 113: e463.