Lower limb obliterative arteriopathy (AOMI) inotsanangurwa nekutetepa kwechiyero chetsinga mumakumbo ezasi, zvichiita kuti zviratidzo zvose zvinorwadza uye zvemwoyo.

Arteriopathy inoparadza nhengo dzezasi (PAD) inoratidzwa nekuderedzwa kwehupamhi hwetsinga dzinopa makumbo ezasi: chiuno, makumbo, tsoka, nezvimwe.

Mitsipa mikuru inopa ropa kuchikamu ichi chemuviri ndeiyi: iriac artery (muchiuno), tsinga yemukadzi (mufemu) uye tibial artery (mu tibia). Ndiwo zvakare tsinga dzakanyanya kubatanidzwa muchirwere.

Kupfupika kweiyo caliber yeaya arteri mhedzisiro yekuumbwa kweatheroma plaques: cellular debris, uye kuunganidzwa kwecholesterol.

Kubvisa chirwere chetsinga chemakumbo ezasi kazhinji hachisi chiratidzo pakutanga. Murwere anenge asingazivi kuti anayo.

Kuderera kwedhayamita ye arterial kunokonzera kudonha kwe systolic pressure (blood pressure inotenderera mumuviri, panguva yekumanikana kwemoyo), mumakumbo ezasi.

Mafomu maviri eischemia (kuderera kwe arterial vascularization) anogona kubva asiyaniswa:

• Exertional ischemia, inogona kana kusaratidza zviratidzo zveischemic
• zvachose ischemia, zviratidzo zvekliniki izvo zvinowanzoonekwa.

Epidemiologically, chirwere ichi chinokanganisa chingangoita 1,5% yevanhu vekuFrance vari pasi pemakore makumi mashanu.

Varume vanonzi vane njodzi yakawedzera yekuva nerudzi urwu rwechirwere chetsinga, nereshiyo yekesi dzechirume 3 kune 1 mukadzi kesi.

Kutsvaga nhoroondo yezvehutano, pamwe nekuona zviratidzo zvakananga, ndiwo matanho ekutanga ekuongorora chirwere ichi. Kuongororwa kwekiriniki kunotevera: kuyerwa kwepurusi, kana systolic pressure index (IPS). Iyi nhanho yechipiri inobvumira kunyanya kuve nechiratidzo panhandare yeAOMI.

Zvikonzero zvechirwere ndezvi:

• un chirwere cheshuga
• a kuneta kana kuwandisa
• hypercholesterolemia
• a hypertension
• kusvuta
• kusakwana kwemuviri

Mumwe nemumwe anogona kuve nehanya nekukura kweiyo pathology. Kunyanguvezvo, hukuru hunofanira kubatanidzwa navanhu vanopfuura 50 pamwe chete nevarume.

Zviratidzo zvikuru zvechirwere ndezvi:

• kurwadziwa kwetsandanyama mumakumbo ezasi, kunyanya mumakumbo
• kutanga kudzokororwa marwadzo, anonziwo intermittent claudication
• kuchinja kweganda, kushanduka kwekushisa mumakumbo ezasi kunogonawo kuva zviratidzo zvekliniki zvakakosha.

Zviratidzo izvi zvinowedzerwa mumamiriro ezvinhu ekuwedzera kana kuderera kutonhora.

Zvimwe zvinokonzerwa nengozi zviripo apo kukura kwemhando iyi ye arteritis. Kunyanya kukuvara kwemoyo, kana zera remunhu.

Zvikamu zvekutanga zvekuongororwa kwearteritis obliterans yemakumbo ezasi zvinokonzerwa nekucherechedza uye kuongororwa kwekliniki: zviratidzo zvinooneka zvekliniki uye zviratidzo, kuyerwa kweiyo systolic pressure index, kuyerwa kwepulse, nezvimwewo.

Dzimwe ongororo dzekuwedzera dzinogona kutsigira zvikamu zvekutanga izvi: Doppler ultrasound yemakumbo ezasi, chiyero chekufamba, ultrasound yeaorta, electrocardiogram, kana kunyange yakadzama yemoyo uye lipid assessment.

Kudzivirirwa kwechirwere ichi kunonyanya kubva pakuchinja kwehupenyu hwemurwere:

• kurega kusvuta, kana wekupedzisira ari musvuti
• tsika yenguva dzose uye yakagadziridzwa yekurovedza muviri. Kufamba, somuenzaniso, kunogona kukurudzirwa zvikuru
• kudzora uremu nguva dzose
• kutorwa kwekudya kwakanaka uye kwakadzikama.