Kodi pali mafuta m'mitsempha yanu yayikulu yamagazi? Tiyeni tiphunzire za Atherosclerosis ya Aorta!

Kodi mwamvapo za mtsempha wamagazi waukulu komanso wofunika kwambiri m'thupi lathu? Ndi mtsempha wamagazi . Uli ngati njira yayikulu yopachikira madzi kuchokera mu thanki yathu yamadzi kupita kunyumba yonse. Ndi womwe umanyamula magazi oyera kuchokera mumtima kupita ku thupi lonse. Chifukwa chake, ngakhale mtsempha wofunika chonchi nthawi zina ungakhale ndi mavuto. Lero tikambirana za vuto limodzi lotere, lomwe ndi kuyika mafuta mu mtsempha wamagazi kapena `(Atherosclerosis of Aorta)`.

Kodi `(Atherosclerosis ya Aorta)` ndi chiyani?

Mwachidule, chomwe chimachitika ndichakuti mafuta ndi cholesterol zimasonkhana mkati mwa mtsempha waukulu kwambiri wamagazi m'thupi lathu, aorta , ngati dzimbiri zomwe zimapanga wosanjikiza mkati mwa chitoliro chakale chamadzi. Timatcha chinthu chomata ichi kuti 'plaque' . Izi sizichitika mwadzidzidzi. Ndipotu, tingayambe kupanga 'plaque' iyi pang'onopang'ono kuyambira tili ana, koma imangowonjezeka pamene tikukalamba ndikuyamba kuyambitsa mavuto.

Tangoganizirani, mtsempha uwu ndi mtsempha wautali kuposa phazi limodzi, womwe umachokera pamtima kudzera m'mimba mpaka m'chiuno. 'Chikwangwani' ichi chingapangidwe kulikonse mu mtsempha. Komabe, nthawi zambiri vutoli limakhudza gawo la mtsempha womwe umadutsa m'mimba, kutanthauza ' Abdominal Aorta'.

Chinthu china n’chakuti ngati munthu ali ndi plaque ngati iyi mu aorta yake, pali mwayi waukulu kuti adzakhalanso ndi plaque m’mitsempha ina yamagazi m’thupi lake, mwachitsanzo , m’mitsempha ya mtima yomwe imapereka magazi kumtima, kapena m’mitsempha ya carotid yomwe imapereka magazi ku ubongo. Chifukwa, (Atherosclerosis) iyi ndi matenda okhudza thupi lonse omwe amakhudza thupi lonse . Izi zikutanthauza kuti ngati pali vuto pamalo amodzi, pakhoza kukhalanso mavuto m’malo ena.

Kodi vutoli limakhudza bwanji matupi athu?

Pamene plaque ikuluikulu mu aorta, imatseka magazi ambiri opita m'thupi. Kodi mukudziwa kuti mitsempha yambiri yaing'ono yamagazi imatuluka mu aorta iyi ndipo imanyamula magazi okhala ndi mpweya wochuluka kupita ku ziwalo zonse za thupi? Choncho, pamene plaque itseka kuyenda kwa magazi mu aorta, ingayambitse kusowa kwa magazi okhala ndi mpweya wochuluka kupita ku ziwalo ndi minofu zosiyanasiyana m'thupi (ischemia).

Mungaganize kuti 'chikwangwani' ichi chidzakula ndikukula mpaka chitatseka kwathunthu mtsempha wamagazi. Zoona, izi zitha kuchitika m'mitsempha ina yaying'ono yamagazi. Komabe, chifukwa chakuti mtsempha wamagazi ndi waukulu kwambiri, ngakhale kuti chikwangwani chili m'makoma ake, pali malo okwanira kuti magazi aziyenda.

Komabe, vuto lalikulu komanso loopsa kwambiri apa ndilakuti chidutswa cha 'chikwangwani' ichi chimasweka ndikumangika kwina. Ndicho chimene timachitcha 'embolus' mu zamankhwala.

Mwachidule, kusonkhana kwa plaque kuli ngati kusonkhana kwa dothi mu chitoliro pansi pa sinki. Koma embolus ndi kutsekeka mwadzidzidzi. Zili ngati mukamatsuka mano anu mwangozi ndipo mwangozi mugwetse chubu cha mano otsukira mano mu sinki, chimakakamira mu chitolirocho ndikuletsa madzi kutuluka.

Cholembera mu aorta chingayambitse mitundu iwiri ya emboli:

• Kutupa kwa magazi m'thupi: Izi zimachitika pamene magazi amaundana pamwamba pa plaque. Kenako magazi amaundana ndipo amayenda limodzi ndi magazi.
• Atheroembolism: Izi zimachitika pamene plaque yathyoka ndipo chidutswa chake chathyoka ndikuyenda limodzi ndi magazi. Izi sizichitika kawirikawiri monga magazi oundana omwe atchulidwa kale.

Komabe, m'zochitika zonsezi, chinthu chomwe sichiyenera kukhala m'mitsempha yamagazi chikuyenda. Imeneyo ndiye vuto lalikulu la mafuta omwe amapezeka mu aorta. Zotsatira zake pa thupi zimadalira komwe 'embolus' iyi imamatirira. Popeza magazi sadutsa pamalo omatirira, ziwalo ndi minofu m'derali sizilandira mpweya wokwanira ndipo zimayamba kuwonongeka mwachangu (ischemia).

Kodi vutoli ndi lalikulu bwanji?

Ngati embolus, yomwe imayambitsidwa ndi mafuta ambiri mu aorta, yasweka ndikukakhala kwina m'thupi, ikhoza kukhala ngozi yachipatala yomwe ingawononge moyo , chifukwa imaletsa magazi kupita kudera limenelo.

Vutoli limakuika pachiwopsezo chachikulu chokumana ndi zoopsa monga izi:

• Matenda a ischemic colitis: Imeneyi ndi vuto lomwe magazi amalowa m'matumbo amatsekedwa, zomwe zimayambitsa zizindikiro monga kupweteka m'mimba ndi ndowe zamagazi.
• Kufooka kwa miyendo: Izi zimachitika nthawi zambiri m'miyendo. Mwadzidzidzi mwendo umakhala wopanda mphamvu, wotumbululuka, komanso wopweteka.
• Myocardial infarction: Kutsekeka kwa mtsempha wamagazi womwe umanyamula magazi kupita kumtima.
• Kulephera kwa impso: Izi zingayambitse kulephera kwa impso.
• Kutsekeka kwa splenic.
• Kuukira kwa Ischemic kapena Transient Ischemic (TIA): Kutsekeka kwa mtsempha wamagazi womwe umapereka magazi ku ubongo.

Kuphatikiza apo, kusonkhana kwa plaque mu aorta kumafooketsa khoma la mtsempha wamagazi, zomwe zimawonjezera chiopsezo chokhala ndi aneurysm ya aortic . Ngati aneurysm yotereyi iphulika mwadzidzidzi kapena kuphulika, ikhoza kupha, choncho ndikofunikira kufunafuna chithandizo chamankhwala mwachangu.

Kodi izi zikuchitika kwa ndani?

Matendawa otchedwa ``Atherosclerosis of the Aorta`` amatha kuchitika kwa aliyense . Ndi matenda ofala. Chiwopsezo cha matendawa chimawonjezeka mukamakula.

Kodi zizindikiro zake ndi ziti?

Kwa anthu ambiri, 'chikwangwani' ichi mu mtsempha wamagazi chingakhalepo kwa zaka zambiri osawonetsa zizindikiro zilizonse . Ndipotu, simungakhale ndi zizindikiro zilizonse, koma zizindikiro zimangowoneka pamene chimodzi mwa 'embolus' chikuyenda ndi magazi ndikukakamira kwina m'thupi. Zizindikiro zomwe mumakumana nazo zimadalira komwe 'embolus' idakakamira, komanso gawo liti la thupi lomwe silinalandire mpweya.

'Embolus' ingayambitse mavuto osiyanasiyana azachipatala, iliyonse ili ndi zizindikiro zakezake.

Chofunika kwambiri ndichakuti ngati mukukumana ndi zizindikiro zotsatirazi, muyenera kuyimba foni nthawi yomweyo ku 1990 kapena kupita kuchipatala chapafupi.

Zizindikiro za matenda a mtima

• Nthawi zonse pamakhala mantha, kumverera kuti "chinthu choipa chichitika tsopano."
• Kupweteka pachifuwa , kulimba, kulimba, kapena kupanikizika.
• Mutu wanga ukuzungulira, ndikumva chizungulire, ndikumva ngati ndili pafupi kutaya chikumbumtima.
• Kugunda kwa mtima ndi kumverera kosazolowereka kwa kugunda kwa mtima.
• Kutuluka nseru, kusanza kukubwera.
• Kupweteka kapena kusapeza bwino paphewa, mkono, khosi, kapena nsagwada.
• Kutuluka thukuta.
• Azimayi amathanso kukumana ndi zizindikiro monga kutopa kwambiri komanso kuvutika kupuma.

Zizindikiro za sitiroko

• Mutu wanga ukuzungulira, thupi langa likutaya mphamvu.
• Mukamalankhula, mawu amasokonekera, zimakhala zovuta kufotokoza zomwe zili mumtima mwanu, ndipo zimakhala zovuta kumvetsetsa zomwe ena akunena.
• Kufooka mwadzidzidzi pankhope, m'manja, kapena m'miyendo. Izi nthawi zambiri zimachitika mbali imodzi ya thupi.
• Mwadzidzidzi, mutu wanga unayamba kupweteka kwambiri.
• Kuona kumakhala kosawoneka bwino kapena kovuta kuona m'maso amodzi kapena onse awiri.
• Zimakhala zovuta kuyenda.

Zizindikiro za ischemia ya mwendo wofooka

• Dzanja kapena phazi lomwe lakhudzidwa limakhala lozizira kwambiri likakhudza.
• Minofu yomwe inali m'dera limenelo mwina inafa ndipo inasanduka yakuda (Gangrene).
• Mtundu wa khungu umasintha, ndipo mikwingwirima yofiira, yofiirira, ndi yofiirira imawonekera (khungu lofiirira).
• Zimakhala ngati dzanzi kapena kumva kuwawa.
• Khungu lake ndi lofiirira kapena labuluu.
• Kugunda kwa mtima kwa mkono kapena mwendo wokhudzidwa kumakhala kofooka kapena kulibe.

Zizindikiro za kutaya magazi m'mimba

• Magazi mu chopondapo.
• Kutsegula m'mimba.
• Kusanza.
• Kupweteka m'mimba kapena kupweteka kwambiri mukakhudza.

Zizindikiro za aneurysm ya m'mimba ya aorta (AAA)

Kuchuluka kwa mafuta mu mtsempha wamagazi kumagwirizanitsidwa ndi vuto lotchedwa Abdominal Aortic Aneurysms (AAA). Izi zikutanthauza kuti kuchuluka kwa mafuta komweko sikumayambitsa AAA, koma zoopsa za matenda onsewa ndizofanana, kotero zimatha kuchitika limodzi. Anthu ambiri sasonyeza zizindikiro zilizonse mpaka AAA itatsala pang'ono kuphulika. Komabe, ngati zizindikiro zayamba msanga, zitha kuphatikizapo:

• Kupweteka kosalekeza kumbuyo, mwendo, kapena m'mimba.
• Ndikumva kupweteka m'mimba mwanga, ngati kuti mtima wanga ukugunda.

Izi ndi zizindikiro za kuphulika kwa `(AAA)` (ngati mukukumana ndi izi, pitani kuchipatala nthawi yomweyo!):

• Thupi langa likuzizira komanso thukuta.
• Mutu wanga ukuzungulira, ndikumva ngati nditsala pang'ono kutaya chidziwitso.
• Kugunda kwa mtima kukuthamanga.
• Kusanza ndi kusanza.
• N'zovuta kupuma.
• Kupweteka kwambiri m'mimba mwadzidzidzi, kupweteka m'munsi mwa msana, kapena kupweteka mwendo.

Kodi zifukwa zake ndi ziti?

Mafuta mu mtsempha wamagazi amayamba ndi kuwonongeka kwa chingwe chofewa mkati mwa mtsempha wamagazi (endothelium). Kuwonongeka kumeneku sikumachitika usiku umodzi wokha, koma kwa zaka zambiri.

Zinthu zina ndi zizolowezi zina zimatha kuwononga `(Endothelium)` iyi ndikuwonjezera chiopsezo cha `(Atherosclerosis).` Zinthu ngati izi ndi izi:

• Kusuta kapena kugwiritsa ntchito zinthu zina za fodya (monga kusuta fodya, kutafuna fodya).
• Kuchuluka kwa cholesterol m'magazi (hyperlipidemia).
• Kuthamanga kwa magazi (BP).
• Kuchuluka kwa shuga m'magazi (hyperglycemia), makamaka kwa anthu omwe ali ndi matenda ashuga.
• Matenda ena a autoimmune ndi matenda otupa , makamaka omwe amakhudza mitsempha yayikulu yamagazi, monga vasculitis ya mitsempha yayikulu.

Kodi matenda amachitika bwanji?

Madokotala amagwiritsa ntchito mayeso osiyanasiyana ojambulira zithunzi kuti adziwe ngati muli ndi vuto lotchedwa aortic atherosclerosis, kufalikira kwake, komanso kuopsa kwake.

• Kujambula kwa CT (Kujambula kwa kompyuta - Kujambula kwa CT)
• Kujambula kwa MRI (Kujambula kwa maginito - MRI)
• Transesophageal echocardiogram (momwe kamera kakang'ono kamadutsa mummero kuti kaone mtima ndi msempha wamagazi).

Mayeso amenewa amathandiza dokotala kuona bwino momwe mtsempha wa magazi ulili.

Kodi mankhwala ake ndi otani?

Pochiza mafuta ochulukirapo mu aorta, madokotala amaganizira zinthu ziwiri zazikulu:

• Chepetsani chiopsezo cha mavuto (monga matenda a mtima, sitiroko) omwe angabwere chifukwa cha vutoli.
• Kulamulira kapena kuletsa kupitirira kwa matendawa.

Mankhwala ndi kusintha moyo wanu kungakuthandizeni kukwaniritsa zolinga zonsezi. Dokotala wanu angakulangizeni mankhwala monga:

• Mankhwala Oletsa Kutsekeka kwa Magazi Kapena Mankhwala Oletsa Kutsekeka kwa Magazi : Izi zimachepetsa chiopsezo cha kupangika kwa magazi m'thupi.
• Mankhwala oletsa kuthamanga kwa magazi .
• Mankhwala omwe amayang'anira kuchuluka kwa cholesterol m'magazi (monga ma statins) .

Kusintha moyo wanu n'kofunika kwambiri. Dokotala wanu angakuuzeni kuti muchite zinthu monga:

• Pewani zakudya zokhala ndi mafuta ambiri komanso cholesterol yambiri.
• Pewani zakudya ndi zakumwa zokhala ndi shuga wambiri.
• Khalani otanganidwa kwambiri, chita masewera olimbitsa thupi tsiku lililonse.
• Chepetsani kuchuluka kwa mchere womwe umawonjezeredwa muzakudya.
• Ngati mukusuta fodya, siyani kusuta konse. Siyaninso kugwiritsa ntchito zinthu zopangidwa ndi fodya.

Ngati mwakhala kale ndi mavuto chifukwa cha atherosclerosis ya mtsempha wamagazi, dokotala wanu adzakuchizaninso matenda amenewo. Njira zochiritsira zimasiyana malinga ndi komwe kuwonongekako kudachitikira komanso momwe kudachitikira. Zingaphatikizepo mankhwala, njira zosafunikira kwenikweni, opaleshoni yayikulu, komanso kuduladula kapena dialysis ngati impso zanu zikulephera kugwira ntchito. Lankhulani ndi dokotala wanu za mankhwala omwe ali abwino kwa inu komanso chifukwa chake mukufunikira.

Kodi chiopsezo cha vutoli chingachepe bwanji?

Sizingakhale zotheka nthawi zonse kupewa atherosclerosis kwathunthu. Komabe, kutsatira njira zotsatirazi kungakuthandizeni kuchepetsa kufalikira kwa matendawa ndikuchepetsa chiopsezo chanu chokhala ndi mavuto oopsa.

• Pewani kusuta fodya ndi zinthu zina zonse zopangidwa ndi fodya. Izi zikuphatikizapo kusuta fodya wa vape ndi kutafuna fodya.
• Idyani zakudya zopatsa thanzi pamtima. Sankhani zakudya zokhala ndi mafuta ochepa komanso cholesterol yochepa. Idyani zipatso, ndiwo zamasamba, nyemba, ndi mtedza wambiri.
• Khalani ndi kulemera koyenera. Funsani dokotala wanu kuti kulemera kwanu kukhale kotani malinga ndi kutalika kwanu.
• Khalani otanganidwa nthawi zonse. Onjezani masewera olimbitsa thupi omwe mwakonzekera tsiku lanu. Komanso, yesani kuchita zinthu zomwe zingathandize thupi lanu kuyenda bwino pamene mukugwira ntchito zanu za tsiku ndi tsiku.
• Yesetsani kuthamanga kwa magazi anu, cholesterol, ndi shuga m'magazi. Lankhulani ndi dokotala wanu za kusintha kwa moyo komwe kungakuthandizeni. Komanso, imwani mankhwala anu monga momwe dokotala wanu wanenera, panthawi yake.
• Pitani kwa dokotala wanu kamodzi pachaka kuti akakuwoneni bwino. Musaphonye nthawi zina zokumana ndi dokotala komanso mayeso ena otsatira.

Ngati ndili ndi vutoli, kodi tsogolo langa lidzakhala lotani?

Izi sizikhudza aliyense mofanana. Kuzindikira kwanu (`(Kuzindikira)`) kumadalira zinthu zingapo:

• Kuopsa kwa plaque yomangira mtsempha. Ngati plaque mu aorta yanu ndi yayikulu kuposa mamilimita 4, muli pachiwopsezo chachikulu chopanga embolus. Ngati plaque ili yochepera milimita imodzi, imaonedwa ngati vuto "lofatsa" ndipo chiopsezo cha zovuta chimakhala chochepa. Lankhulani ndi dokotala wanu za kuopsa kwa plaque yanu mu aorta yanu ndi momwe ingakukhudzireni.
• Kaya palinso plaque m'mitsempha ina yamagazi. Ngati plaque imapezeka m'mitsempha ina yamagazi m'thupi lanu, imawonjezera chiopsezo chanu cha mavuto monga matenda a mtima kapena sitiroko.
• Thanzi lanu lonse. Ngati muli ndi matenda ena, monga kuthamanga kwa magazi, kapena ngati mumagwiritsa ntchito fodya, muli pachiwopsezo chachikulu cha mavuto.

Lankhulani ndi dokotala wanu za vuto lanu ndi momwe mungathanirane nalo bwino.

Kodi mafuta omwe ali mu aorta angachiritsidwe kwathunthu?

Mwatsoka, vutoli, lotchedwa ``Atherosclerosis of the Aorta'' , silingathe kuchiritsidwa kwathunthu kapena kusinthidwa . Izi zikutanthauza kuti, chipolopolo chomwe chakhazikika kale sichingathe kuchotsedwa kwathunthu. Komabe, nkhani yabwino ndi yakuti ndi kusintha kwa moyo ndi mankhwala omwe dokotala wanu wakupatsani, mutha kuwongolera bwino, kuletsa matendawa kuti asakule kwambiri, kuchepetsa chiopsezo cha zovuta, ndikukhala moyo wabwinobwino.

Kodi ndingadzisamalire bwanji pankhaniyi?

Ngati muli ndi vuto lotchedwa atherosclerosis, muli pachiwopsezo chachikulu chotenga matenda ena, monga matenda a mitsempha ya mtima. Chifukwa chake, ndikofunikira kuchita zonse zomwe mungathe kuti mtima wanu ndi mitsempha yamagazi yanu zikhale zathanzi momwe mungathere. Tsatirani malangizo awa mosamala:

• Zakudya.
• Kuchita masewera olimbitsa thupi.
• Kusintha kwa moyo (monga kusiya kusuta).
• Mankhwala olembedwa ndi dokotala.

Kodi ndiyenera kupita kwa dokotala liti?

Pitani kwa dokotala wanu kamodzi pachaka kuti akakuwoneni bwino. Dokotala wanu adzakuuzani ngati mukufuna kubwera pafupipafupi kapena ngati mukufuna kupita kwa katswiri, monga dokotala wa mtima.

Ngati muyamba zizindikiro zatsopano, ngati zizindikiro zanu zasintha, kapena ngati muli ndi mafunso kapena nkhawa zokhudzana ndi izi, lankhulani ndi dokotala nthawi iliyonse. Ngati muyamba zizindikiro zadzidzidzi zachipatala, muyenera kufunafuna chithandizo chamankhwala nthawi yomweyo.

Kodi muyenera kufunafuna chithandizo chamankhwala chadzidzidzi liti?

Ngati mukukumana ndi zizindikiro izi, muyenera kuyimba foni nthawi yomweyo ku 1990 kapena kupita kuchipatala chapafupi:

• Aneurysm ya m'mimba ya Aortic (AAA) (makamaka zizindikiro zophulika).
• Ischemia ya miyendo yoopsa.
• Zizindikiro za matenda a mtima .
• Zizindikiro za sitiroko .
• Aneurysm ya msempha wa thoracic (ngati pali zizindikiro za kuphulika).
• Zizindikiro za kuukira kwa ischemic kwa nthawi yochepa (TIA).

Ndi mafunso ati omwe ndiyenera kufunsa dokotala?

Lankhulani ndi dokotala wanu za vuto lanu, zomwe zingachitike, komanso zomwe mungachite. Nazi mafunso ena omwe mungafunse:

• "Kodi vuto langa ndi lalikulu bwanji?"
• "Ndingatani kuti izi zisaipireipire?"
• "Ndi zinthu ziti zofunika kwambiri zomwe ndiyenera kusintha pa moyo wanga?"
• "Ndi mankhwala ati omwe ndiyenera kumwa? Kodi ali ndi zotsatirapo zake?"

Ngati mukuchitidwa opaleshoni ya mtima kapena opaleshoni yomwe imagwiritsa ntchito catheter, lankhulani ndi dokotala wanu za zoopsa zomwe zingachitike chifukwa cha mavuto. Mafuta omwe amapezeka mu aorta amatha kuwonjezera chiopsezo cha mavuto ena pa opaleshoni ya mtima ndi mitsempha yamagazi. Funsani za zoopsa zanu komanso zomwe gulu lanu lachipatala lingachite kuti lichepetse mavutowa.

Pomaliza, zinthu zoti muzikumbukira

Kotero, kuchulukana kwa mafuta mu mtsempha wamagazi, kapena `(Atherosclerosis of Aorta)`, ndi vuto lomwe limafuna chisamaliro ndipo nthawi zina lingakhale loopsa. Komabe, musachite mantha nthawi yomweyo mutamva za izi. Chofunika kwambiri ndikuzindikira ndikuchitapo kanthu kofunikira.

Mwa kulankhula ndi dokotala wanu, kutsatira malangizo ake, ndikusintha pang'ono komanso moyo wathanzi, mutha kuwongolera vuto lanu, kupewa mavuto akuluakulu, ndikukhala ndi moyo wathanzi komanso wachimwemwe. Chofunika kwambiri ndikusamalira thupi lanu, kusamala zizindikiro zilizonse zatsopano, ndikupempha upangiri ndi chithandizo chamankhwala. Simuli nokha, ndipo pali madokotala ndi ogwira ntchito zachipatala kuti akuthandizeni paulendowu.

` Atherosclerosis, Aorta, Aorta, Mafuta osungidwa, Matenda a mtima, Mitsempha yamagazi, Cholesterol, Kuthamanga kwa magazi, Stroke, Embolus