Boloetse ba methapo ea methapo (PAD) ke boemo boo ho lona methapo e le 'ngoe kapa e mengata e fanang ka mali maotong, matsoho, hlooho kapa mpa li koetsoe kapa li thibeloa, ka tloaelo ka lebaka la atherosclerosis . Haeba mali a phalla maotong ha a sa lekana ho boloka tlhokahalo, motho ea nang le PAD a ka 'na a bona matšoao.
Matšoao
Letšoao le tloaelehileng haholo la PAD ke "claudication." Ho nolofala ke ho utloa bohloko, ho senya kapa ho se utloise bohloko - e ka fapanyang feela ho halefisa ho matla haholo - e etsahalang leoto le amehang.
Ka tloaelo, tlhaloso e etsahala nakong ea boikoetliso, 'me e imoloha ke phomolo.
Ho tloha ha PAD e atisa ho ama maoto, ho hlajoa ke lipale haholo ho bonahala eka ke bohloko ba maoto ha u tsamaea. Ho itšetlehile ka hore na mochini oa leoto o thibela ho thibela maoto, ho thibela leoto ho ka ama leoto, namane, leqeba kapa meno. Batho ba nang le PAD ho e 'ngoe ea methapo ea meriana e fanang ka litlhōrō tse ka holimo ba ka ba le ho hlajoa ke letsoho matsohong kapa mahetleng; 'me ba bang ba ka ba ba e-na le matšoao a matšoao nakong ea boikoetliso ba letsoho, e leng boemo bo bitsoang " subclavia e utsoang lefu lena ."
Ka nako e 'ngoe PAD e tla etsa hore mantsoe a phehellang a phehe esita leha a phomotse. Hangata tlhaloso ea ho phomola e bolela hore ho thibela ho thibela lefu ho na le boima, 'me leoto le amehang ha le fumane phepo ea mali e lekaneng esita leha e phomola.
Hobane ha ho bonolo ho latela mokhoa o tloaelehileng - e leng, bohloko nakong ea boithaopo, ho phomola nakong ea phomolo - ho hlahlojoa ha PAD ho lokela ho nkoa e le nako leha e le efe motho a ka feta lilemo tse 50, ea nang le lisosa tse kotsi tsa atherosclerosis , liphihlelo tse sa hlalosoang matsoho kapa maoto.
Phoofolo e matla haholo ea PAD e ka lebisa sesoaneng le esita le sekoti se nang le sekoti sa maoto.
Lisosa
Maemong a mangata, PAD e bakiloe ke atherosclerosis . Sena se bolela hore mefuta e tšoanang ea likotsi tse hlahisang lefu la methapo ea lefuba (CAD) - haholo-holo lik'holesale tse phahameng, ho tsuba , khatello ea kelello le lefu la tsoekere - hape li hlahisa PAD.
Ha e le hantle, hobane PAD le CAD li bakoa ke mokhoa o tšoanang oa lefu lena, ha PAD e fumanoa, hangata e bolela hore CAD e boetse e teng.
Hangata ho feta moo, PAD e ka bonoa ho batho ba se nang tšoaetso ea atherosclerosis. Ka mohlala, PAD e ka bakoa ke ho tsieleha ha litho, mahlaseli a mahlaseli, le lithethefatsi tse itseng (meriana ea ergotamine) e sebelisetsoang ho tšoara hlooho ea hlooho ea migraine .
Tsejoa
PAD e ka fumanoa e e-na le liteko tse sa hlaselang. Maemong a mang, PAD e ka fumanoa ka tlhahlobo ea 'mele, ha mocheso o fokotsehileng o hlokomeloa leoto le amehang. Leha ho le joalo, khafetsa, e 'ngoe ea liteko tse itseng tse tobileng e hlokahalang ho hlahloba PAD.
Ho lemoha PAD maotong ho ka etsoa ka " index " ea " ankle-brachial " kapa ABI, eo khatello ea mali e lekantsoeng le ho bapisoa le maqeba le letsoho. Tlhahlobo e tlaase ea ABI e bontša khatello e fokotsehileng ea mali meleng ea leoto , e bontšang hore PAD e teng.
Plethysmography ke mokhoa o mong o sebelisetsoang ho hlahloba PAD. Ka teko ena, moea o kenngoa ka letoto la likotlolo tse behiloeng lehetleng, 'me ho hakanngoa hore khatello ea mocheso tlas'a khafu e' ngoe le e 'ngoe. Ho thibela ho hong ho itseng moeeng ho tla fella ka khatello e fokolang ea mokokotlo ho feta moo ho thibeloang teng.
"Duplex ultrasonography" ke tlhahlobo e ikhethang ea ultrasound e fanang ka tekanyo ea ho phalla ha mali maemong a sa tšoaneng ka har'a methapo.
Ho phalla ha tšollo ea mali ka tšohanyetso ho fana ka maikutlo a ho thibela karolo e itseng sebakeng sa theoha.
Haeba ngaka ea hao e belaela PAD, hangata liteko tse seng tsa tlhaho kapa tse ling tse lekaneng li atlehile ho etsa hore motho a hlahlojoe. Kajeno, ABI ke teko e sebelisoang haholo.
Phekolo
Le hoja PAD e bonolo kapa e itekanetseng e ka phekoloa ka meriana le liphetoho tsa mekhoa ea bophelo, linyeoe tse matla haholo hangata li hloka ho buuoa ka ho feteletseng kapa angioplasty ho fokotsa thibelo. Mona lintlha tse ling tse mabapi le phekolo ea PAD .
Lisebelisoa:
Hirsch, AT, Criqui, MH, Treat-Jacobson, D, le al. Pherefere ea arterial disease ho lemoha, ho lemoha le kalafo tlhokomelo ea mathomo. JAMA 2001; 286: 1317.
Hirsch, AT, Haskal, ZJ, Hertzer, NR, et al. ACC / AHA 2005 Tataiso ea tataiso ea ho laola bakuli ba nang le lefu la methapo ea meriana (pheko e tlaase, renal, mesenteric le malapeng aortic) tlaleho e kopanetsoeng ea American Association for Vascular Surgery / Society bakeng sa Vascular Surgery, Society for Cardiovascular Angiography and Interventions , Mokhatlo oa Vascular Medicine le Biology, Society of Radiology Intervention, le ACC / AHA Task Force ka Melao-motheo ea Boitliso (Komiti ea ho Ngola ho Hlahisa Litaelo tsa Tsamaiso ea Mokuli le Pherefalo ea Mafu a Arterial): e lumelloa ke Mokhatlo oa Amerika oa Boiketlo ba Melello ea Melello ea Melello ea Melello ea Melello ea Meriana le ea Pulmonary Rehabilitation ;; National Heart, Lung le Setsi sa Mali; Mokhatlo oa Booki ba Maqheku; TransAtlantic Inter-Society Consensus; le Motheo oa Mafu a Mafuba. Tsamaiso ea 2006; 113: e463.