Arteriopathy na iya haifar da ciwo na rauni, rauni da rashin ƙarfi
Yawancin 'yan wasa da yawa sun saba da fuskantar wani nau'i na ciwon tsoka da kuma gajiya a lokacin motsa jiki mai tsanani. Kwanan nan, duk wani ɓangare na 'yan wasa (musamman cyclists, rowers, da triathletes) sun bayar da alamun bayyanar cututtuka da rauni daga wani abin da ba zato ba tsammani -------- lalacewar arteries na ƙwanƙwasa, ƙwanƙiri, ko ƙafar kafa .
Wannan lalacewa, ko arteriopathy, ya nuna cewa arteries zai shimfidawa, ƙuntatawa ko ƙyallewa ta hanyar da yake a lokacin da ake yin gwagwarmaya da yawa na masu motsa jiki ya rage ragowar jini saboda rashin katsewa ko katsewar maganin da ke cikin kafa. Wannan rashin jinin jini, ko ischemia, yana fama da zafi, ƙonawa, rauni, da rashin ƙarfi a lokacin motsa jiki. A cikin 'yan cyclists, wannan lalacewar yakan fi sau da yawa a cikin arteries iliac , musamman maɗar iliac waje.
Dalilin
Binciken farko game da iliac arteriopathy a cikin 'yan wasan cyclist din ya fito ne daga Faransanci a shekarun 1980s kuma ya ci gaba sosai tun daga lokacin. Masu bincike da likitoci sunyi tunanin cewa haɗuwa da dalilai na iya haifar da lalacewar layin iliac waje, ciki har da:
- Tsararren jini mai tsanani
- Hanya mai sauƙi
- Matsayin motsa jiki mai dadi
Haɗannan waɗannan dalilai suna haifar da ci gaba da saurin ɗigin maganin yayin da ake matsa lamba.
Wannan damuwa, fiye da daruruwan hours na horarwa mai tsanani, na iya haifar da lalacewa ga daban-daban layers na maganin ƙwaƙwalwar ƙafa, ko kuma zai iya haifar da ƙwaƙwalwar motsi, ko kuma kinka. Wasu likitocin jinya sun gano wani abu mai laushi mai laushi a cikin launi mai ciki na lalacewar lalacewa. Wannan ƙwayar fibrous ba kawai ta rushe ɗakon ba amma yana hana shi daga dilating lokacin motsa jiki.
Sakamakon shi ne ƙananan jini yana gudana zuwa ƙafafun da aka saba gani ne kawai a lokacin motsa jiki mai tsanani.
Cutar cututtuka
Na yi sha'awar wannan yanayin bayan da na fara fuskantar alamun rashin ƙarfi, ciwo da rashin ƙarfi a cinya na dama yayin da yake motsa jiki a wani babban ƙarfi. A cyclist m ga fiye da shekaru 20, Na san cewa wannan ba kawai gajiya na tsoka ba ko wani irin rauni mai rauni. Lokacin da na yi ƙoƙarin bayyana ainihin abin da na ji, ƙaddarar da ta yi daidai ne kawai ta "ciwo." Na ji kamar ƙuƙwalwar ƙwayar ƙafa na gajiya.
Ba da daɗewa ba bayan da na fara bincike na bayyanar cututtuka na yi tuntuɓe a kan wani bincike mai zurfi game da batutuwa masu magunguna a cikin 'yan cyclist, ciki har da matsalolin iliac magance matsalolin dan wasan cyclists. Na ƙarshe na zamar mini zato da kuma tarihin binciken bincike ga likitoci kuma sun fara aiwatar da samfurin ganewa.
A wannan lokacin, na yi magana da wasu masu bi-cyclist a duk faɗin ƙasar waɗanda aka gano tare da iliac arteriopathy. Dukansu sun bayyana irin wannan alamar da ke nuna mini. Sun bayar da rahoton rashin jin zafi, damuwa, rauni da kuma rashin ƙarfi - yawanci a cinya ko maraƙi - wanda ya tafi lokacin da suka dawo baya kuma suka dawo lokacin da suka tafi.
Hudu daga cikin 'yan wasa bakwai da na yi magana tare da shahararrun bayyanar cututtuka kawai a cikin kafa ɗaya. Na yi farin cikin samun bincikar lafiya a sauri; da yawa da na yi magana da na da alamun bayyanar cututtuka na shekaru kafin gano likita sanu da matsalar.
Sanin asali
Sanin asali yana da wuya sau da yawa saboda mafi yawan likitoci basu san wannan yanayin ba kuma ba za su damu da matsalolin kwakwalwa ba. Yawancin 'yan wasan da ba a nuna su ba ne a matsayin ciwon sikila ko ɓarna, raunin nama mai taushi kuma an fara magana da su a fannin jiki, wanda ya kasa magance matsalar.
Akwai nazarin ilimin da yawa wanda zai iya taimakawa wajen bincikar sassauci a cikin arteries zuwa kafafu.
An gwada jarrabawar takalmin gyaran takalmin (ABI) kafin da kuma bayan motsa jiki shine gwaji mai mahimmanci don samo asali na farko. Wannan gwajin ya gwada karfin jini a idon kafa da kuma hannu a hutawa sannan kuma bayan motsa jiki. Alamar takalma-ƙullun ta al'ada ta al'ada shine 1 ko 1.1 da wani abu da ke ƙasa wanda yake da mahaukaci. Masu wasa tare da arteriopathy suna da ladabi na al'ada a hutawa, amma bayan motsa jiki (motsa jiki ko zagaye motsa jiki) kwantar da takalmin a cikin kafa ya shafa ya faɗi sosai, yana nuna rage yawan jini.
Sauran gwaje-gwaje da aka yi amfani da su don gane wurin da mataki na ƙuntatawa na iya haɗawa da:
- wani aikin duplex duban dan tayi
- lissafi tomography angiography (CTA)
- Magnetic resonance angiography (MRA)
- iyakar arteriography
Kula da Iliac Arteriopathy na waje
Sai dai idan mai wasan yana shirye ya zauna cikin salon rayuwa, shawarar da ake yi a yanzu game da wannan yanayin shine gyaran gyare-gyare na lalacewa. Iliac arteriopathy ya kasance mafi yawancin magungunan likitoci tare da hanya wanda ya haɗa da buɗewa ko cire ɓangaren ƙinƙarar maganin da kuma sanya sutura mai sutura ko suturar jiki a jikin ɗigon.
Sauran ayyukan haɗin gwiwar yiwuwar sun hada da kewaye da lalacewar lalacewa ko kuma sake sakin linzamin haɗin gwiwar jiki ko ƙananan haɗin da aka haɗe zuwa maganin, wanda kuma an sanya shi a cikin damuwa ko kuma danniya da maganin iliac waje. Mafi kyawun maganin zabin yana dogara ne akan ainihin wuri da kuma lalacewar lalacewa da kuma burin lokaci na dan wasan.
Harkokin Miki
Dukan 'yan cyclists da na yi magana tare da sunyi amfani da wani tsoma baki wanda ya haɗa da kayan aiki ko laka. Dukansu sun gaya mani cewa maidawa ya kasance takaice, ko da yake makonni biyu da suka gabata ba su da matukar damuwa sosai. Wani tsohon dan wasan Olympian ya gaya mini, "Babu wanda ya gaya maka yadda yake da rauni lokacin da suka yanke ta cikin tsokoki na ciki."
Ya danganta da irin aikin da ake yi, mai neman ya yi tafiya a cikin makonni biyu, yawo da sauri a kan mai koyarwa a mako uku da watakila a kan hanyar a cikin hudu zuwa shida makonni - ko da yake wasu 'yan wasa sun gaya mini cewa hahab ya dauki watanni biyu zuwa uku.
Akwai halayen tiyata a kowane lokaci kuma wannan hanya ta zo tare da daidaitattun tsari, ciki har da haɗarin kamuwa da cuta, ƙiyayyar nama, dawo da alamun bayyanar, ko mafi muni. A shekara ta 2007, Ryan Cox dan wasan cyckey ya mutu bayan makonni bayan ya gama aikinsa don gyara ilimin iliac. Saboda wannan tsari har yanzu yana da kyau, babu wani bincike game da sakamako mai dadewa a cikin 'yan cyclist waɗanda ke da wannan aikin.
Daya daga cikin 'yan cyclist da na yi magana ya ce har yanzu yana fama da mummunan rauni kuma yana shan wahala a shekara bayan aikin tiyata kuma wani ya gaya mini cewa wasu daga cikin alamunta sun dawo shekaru 5 bayan tiyata.
Duk da yake kusan dukkanin 'yan wasan da na yi magana da su suka fada mani sun yi farin ciki da cewa suna da tiyata kuma zasu sake yin hakan, babban shawara ne kuma daya ba na ɗauka ba. Har yanzu ina ci gaba da gudanar da bincike, tattara bayanai, da kuma yin magana da 'yan wasa da likitoci a akai-akai. Ina gano cewa mafi kyawun hanyar bincike da kuma irin tiyata da aka ba da shawarar yana da cikakken dogara akan abin da kake tambaya a kan likita; Dukkan suna da alama suna da hanyar da aka fi so ko nau'in sutura ko takalma. An ba ni "miƙa" wani sashi daga raƙuman saphenous (babban ɓoye a kusa da idon kafa), da dodon Dacron, da takalmin daji na bovine (a, daga saniya), da ke kewaye da ƙarar daɗaɗɗa, har ma da maƙara.
A bayyane yake, wannan ba hanyar ka'ida ba ne kuma babu wanda ya san ainihin hanya mafi kyau. A waje na Turai, ƙwararrun likitoci na likitoci waɗanda na yi magana da sunyi wannan hanya a kan mahalarta Amurka. Dokta Ken Cherry, likitan likitancin a Jami'ar Virgina, ya gabatar da takarda a kan wannan yanayin a Kamfanin Labaran Harkokin Jirgin Lafiya a 2008.
Na yi aiki tare da Dokta Jason Lee da Dr. Cornelius Olcott a asibitin Stanford dake California.
Ƙarin Bincike
- Endofibrosis na Iliac Arteries: Matsalar da ba a Yarda ba (PDF)
- Arteriopathy a cikin High-Performance Athlete
- Sakamakon Sakamakon Sakamakon PubMed
Duk da yake yin bincike na kanka yana da mahimmanci kuma yana da matukar taimako, yana da muhimmanci a tambayi tambayoyi masu yawa kuma ku dogara ga likitocin ku, kafin ku yanke shawara a kan tiyata.
Source
Chevalier et al na Service de Chirurgie Vascular da Thoracique, Angers, Faransa, iliac artery endofibrosis a tsakanin tsararren motar keke, Annals of Vascular Surgery, 1986.
CS Lim *, MS Gohel, AC Shepherd, AH Davies.Iliac Ƙarƙashin Ƙarƙashin Rubuce-rubucen a cikin Cyclists: Mahimmanci, Bincike da Kulawa. Eur J Vasc Endovasc Surg (2009) 38, 180-186.
Bender MH, et al. Wasannin wasan kwaikwayon wasan kwaikwayon na wasan kwaikwayo na iliac a cikin 'yan wasa masu haƙuri: ilimin ilimin halitta, ganewar asali, magani da kuma ci gaba. Magani na Wasanni. 2004; 34 (7): 427-42.
C. Kral, D. Han, W. Edwards, P. Spittell, H. Tazelaar, K. Cherry. Cigaban dajin da ke ciki a cikin bicyclist masu kyau: Sabbin abubuwa masu fasalin tarihi a cikin mata hudu. Journal of Vascular Surgery 2002; 36: 565-70.