Kodi mukudziwa kuti impso ndi chimodzi mwa ziwalo zodabwitsa kwambiri m'thupi lathu? Zili ngati 'njira yosefera' m'thupi lathu. Ntchito yomwe impso zimachita pochotsa zinyalala zonse zosafunikira ndi poizoni m'thupi ndikusunga thupi labwino ndi yamtengo wapatali. Chifukwa chake, impso ziwiri zamtengo wapatalizi zimafunikira magazi abwino kuti zigwire ntchito yawo moyenera. Lero, tikambirana za mtsempha waukulu wamagazi womwe umabweretsa magazi. Timatcha ichi kuti 'Mtsempha wa Impso'.
Mwachidule, kodi 'Mtsempha wa Impso' uwu ndi chiyani?
Zosavuta kwambiri. Mawu oti 'Impso' amatanthauza 'zokhudzana ndi impso'. 'Mtsempha wamagazi' ndi mtsempha wamagazi womwe umanyamula magazi oyera (magazi okhala ndi mpweya) kuchokera mumtima kupita ku thupi lonse. Kenako 'Mtsempha wamagazi' umatanthauza mtsempha waukulu wamagazi womwe umanyamula magazi mwachindunji kuchokera mumtima mwathu kupita ku impso.
Popeza tili ndi impso ziwiri, tilinso ndi mitsempha iwiri ya impso.
- Mtsempha wa impso wakumanja umapereka magazi ku impso yakumanja.
- Mtsempha wa impso wakumanzere, womwe umapereka magazi ku impso yakumanzere.
Taganizirani izi motere: dongosolo la magazi m'thupi lathu lili ngati netiweki ya misewu. Chifukwa chake, mtsempha waukulu wamagazi womwe umayambira pamtima, aorta, uli ngati msewu waukulu. Zipata ziwiri zazikulu zolowera mumzinda zomwe zimatchedwa impso kuchokera mumsewu waukuluwo ndi mitsempha ya impso.
Kodi ntchito yofunika kwambiri ya mitsempha yamagazi iyi ndi iti?
Ntchito yaikulu komanso yokhayo ya mitsempha yamagazi iyi ndikupatsa impso magazi. Koma si ntchito yaing'ono. Tangoganizirani, mphindi iliyonse, pafupifupi theka la kapu yamagazi imadutsa mu impso zanu kudzera mu mitsempha iwiri ya impso iyi. Patsiku limodzi, impso ziwiri zathanzi zimatha kusefa malita pafupifupi 140 a magazi. Mitsempha iwiri ya impso iyi ndi yomwe imapereka magazi ochuluka chonchi ku impso nthawi zonse.
Impso zimatenga magazi obwerawa, n’kuwasefa, n’kulekanitsa zinyalala ndi madzi owonjezera. Kenako, zimatulutsa zinyalalazo ngati mkodzo. Kenako magazi oyeretsedwawo amabwerera m’thupi kudzera m’mitsempha ina ya magazi (mtsempha wa impso). Chifukwa chake, mukuona, njira yonseyi imadalira magazi ochokera m’mitsempha ya impso.
Kodi chimachitika ndi chiyani ndi magazi awa omwe ali mkati mwa impso? Tiyeni tipiteko pang'ono kuti tiwone?
Tiyeni tione zomwe zimachitika pambuyo pa magazi omwe amalowa mu impso kuchokera mumtsempha wa impso. Izi zili ngati njira yomwe imachitika mufakitale yayikulu.
1. Chipata chachikulu: Mtsempha wa impso umalowa mu impso pamalo otchedwa 'renal hilum'. Timatcha ichi kuti 'chipata chachikulu cha impso'. Mitsempha ina yamagazi, mitsempha, ndi zina zotero zimalowa ndi kutuluka mu impso kudzera mu chipata ichi.
2. Zosefera zazing'ono (Zosefera):Mtsempha waukulu wamagazi ukalowa mu impso, umagawikana kukhala mitsempha yambiri yamagazi. Pomaliza, magazi awa amalowa m'mafayilo ang'onoang'ono mamiliyoni ambiri otchedwa ma nephrons. Pali ma nephrons pafupifupi miliyoni imodzi mu impso imodzi.
3. Glomeruli: Mkati mwa nephron iliyonse muli mitsempha yaing'ono yamagazi yotchedwa glomeruli. Apa ndi pomwe zinyalala ndi madzi owonjezera m'magazi zimasefedwa ndikuperekedwa ku gawo lotsatira. Komabe, zinthu zofunika m'magazi, monga mapuloteni ndi maselo ofiira amagazi, sizidutsa mu fyuluta ndipo zimakhalabe m'magazi.
4. Madzi osefedwa: Zinyalala zolekanitsidwa ndi madzi zimayenda kudzera m'njira zazing'ono zotchedwa ma tubules. Paulendowu, michere ndi mchere womwe uli m'madzi omwe thupi limafunikira zimayamwanso ndikuwonjezeredwa m'magazi.
5. Zotsatira zake: Zinyalala ndi madzi otsala osafunikira zimapangidwa ngati mkodzo .
6. Kubwerera kwa magazi oyeretsedwa: Pakadali pano, magazi osefedwa ndi oyeretsedwa amatuluka mu impso kudzera mumtsempha wa impso ndikuyamba kuyenda m'thupi lonse kachiwiri.
Kuti njira yonseyi igwire bwino ntchito, mtsempha wa impso uyenera kukhala wathanzi komanso wosatsekedwa.
Kodi ndi mavuto otani omwe angachitike ndi mitsempha yofunikayi yamagazi?
Monga mitsempha ina yamagazi m'thupi lathu, mitsempha ya impso nayonso imatha kukhala ndi mavuto. Vuto lalikulu ndilakuti mitsempha yamagazi iyi imachepa chifukwa cha kuchulukana kwa mafuta ndi cholesterol (timaitcha 'plaque'). Matendawa amatchedwa 'atherosclerosis'.
Zimene zimachitika apa zikufanana ndi momwe chitoliro cha madzi, pakapita nthawi, chimatsekeredwa ndi dzimbiri ndi dothi, zomwe zimapangitsa kuti dzenje la chitolirocho ligwe.
Pamene mitsempha ya impso yachepa motere, timaitcha 'Renal Artery Stenosis' . Ili ndiye vuto lalikulu kwambiri lomwe limakhudza mitsempha yamagazi iyi.
Kodi chimachitika n’chiyani ngati mtsempha wa impso wachepa?
Tangoganizirani zomwe zimachitika mukakanikiza chitoliro cha madzi? Madzi amatuluka ndi mphamvu zambiri, sichoncho? Ndicho chimene chimachitika apa. Pamene mtsempha wamagazi wachepa, kuchuluka kwa magazi opita ku impso kumachepa. Panthawiyo, impso imaganiza kuti kuthamanga kwa magazi m'thupi kwachepa. Poyankha, impso imayamba kutulutsa mahomoni omwe amawonjezera kuthamanga kwa magazi. Izi zimapangitsa kuti kuthamanga kwa magazi m'thupi lonse kukwere.
Gome ili m'munsimu likuwonetsa zina mwa zotsatirapo zoopsa zomwe zingachitike chifukwa cha 'renal artery stenosis'.
| Vuto/mkhalidwe | Kufotokozera kosavuta |
|---|---|
| Kuthamanga kwa Magazi Kwambiri | Kuchepa kwa magazi kupita ku impso kungayambitse kuthamanga kwa magazi m'thupi. Madokotala amada nkhawa kwambiri ndi izi ngati wachinyamata ali ndi kuthamanga kwa magazi kapena ngati ali ndi kuthamanga kwa magazi komwe kumakhala kovuta kulamulira ndi mankhwala ochiritsira nthawi zonse. |
| Matenda a Impso ndi Kulephera | Impso zikapanda kulandira magazi okwanira pakapita nthawi, ntchito yawo imachepa pang'onopang'ono ndipo pamapeto pake ingayambitse kulephera kwa impso. |
| Kulephera kwa Mtima | Kuthamanga kwa magazi nthawi zonse kumapangitsa kuti mtima uzigwira ntchito molimbika. Pakapita nthawi, mtima umafooka ndipo ungayambitse kulephera kwa mtima. |
| Stroke | Kuthamanga kwa magazi kumawononga mitsempha yamagazi muubongo, zomwe zimawonjezera chiopsezo cha sitiroko mwa kuipangitsa kuphulika kapena kutsekeka. |
Kodi tingatani kuti mitsempha ya magazi m'impso zathu ikhale yathanzi?
Kusunga thanzi la mitsempha ya impso ndi chinthu chomwe tingathe kuchita tokha. Makamaka pamene mitsempha yamagazi yatsekedwa ndi zosakwana 60%, vutoli lingathe kuthetsedwa ndi kusintha moyo ndi zakudya.
Kutsatira njira zotsatirazi sikuti ndi kwabwino pa impso zanu zokha, komanso thupi lanu lonse.
| Zoyenera kuchita | Zambiri |
|---|---|
| Zakudya zopatsa thanzi pamtima | Yesetsani kudya zakudya zokhala ndi mafuta ochepa, mchere, ndi shuga. Chepetsani zakudya zokazinga, zakudya zamafuta, zakumwa zotsekemera, ndi zakudya zokonzedwa momwe mungathere. Onjezerani zipatso zambiri, ndiwo zamasamba, nyemba, ndi zakudya zokhala ndi ulusi wambiri. |
| Kuchita masewera olimbitsa thupi nthawi zonse | Chitani masewera olimbitsa thupi osachepera mphindi 30 masiku ambiri pa sabata. Chilichonse monga kuyenda, kuthamanga, kapena kukwera njinga ndi chabwino. |
| Kusunga kulemera kwabwino | Kunenepa kwambiri ndi chifukwa chachikulu chomwe chimayambitsa mavuto a mitsempha yamagazi. Yesetsani kukhala ndi kulemera koyenera malinga ndi kutalika kwanu. |
| Kulamulira matenda ena | Ngati muli ndi matenda monga matenda a shuga, kuthamanga kwa magazi, kapena cholesterol yokwera, ndikofunikira kuwayang'anira bwino motsogozedwa ndi dokotala. |
| Kupewa kusuta fodya | Kusuta fodya ndiye vuto lalikulu kwambiri la mitsempha yamagazi. Siyani kusuta fodya ndi zinthu zopangidwa ndi fodya kotheratu. |
| Ngati muli ndi matenda a impso | Ngati muli kale ndi matenda a impso, mungafunike kuchepetsa kudya zakudya zokhala ndi mapuloteni ambiri ndi potaziyamu monga momwe dokotala wanu walangizira. |
Kodi muyenera kupita kwa dokotala liti?
Ngati muli ndi chimodzi kapena zingapo mwa zizindikiro zotsatirazi, musanyalanyaze ndipo pitani kwa dokotala nthawi yomweyo. Izi zitha kukhala zizindikiro za vuto la impso.
- Magazi mu mkodzo.
- Kutupa (edema) kwa thupi, makamaka miyendo, akakolo, ndi nkhope.
- Kuvuta kukodza kapena kukodza pafupipafupi.
- Kusanza, kusanza, ndi kuchepetsa thupi popanda chifukwa chomveka.
- Kutopa kwambiri kapena mutu wopweteka pafupipafupi popanda chifukwa.
Zizindikiro zimenezi sizimachitika nthawi zonse chifukwa cha vuto la mitsempha ya impso. Komabe, ndikofunikira kudziwa chomwe chikuyambitsa ndikupeza chithandizo choyenera.
Uthenga Wopita Nawo Kunyumba
- Mtsempha wa impso ndiye mtsempha waukulu wamagazi womwe umanyamula magazi kuchokera mumtima kupita ku impso. Ndi wofunikira kwambiri kuti impso zigwire ntchito bwino.
- Mitsempha yamagazi iyi imatha kuchepetsedwa chifukwa cha mafuta ambiri m'thupi (Renal Artery Stenosis). Ili ndi vuto lalikulu.
- Kuchepa kwa mitsempha ya impso kungayambitse matenda monga kuthamanga kwa magazi kosalamulirika, matenda a impso, matenda a mtima, ndi sitiroko.
- Mitsempha yamagazi iyi ingakhale yathanzi mwa kutsatira zakudya zabwino, kuchita masewera olimbitsa thupi nthawi zonse, kupewa kusuta fodya, komanso kuwongolera matenda monga matenda a shuga ndi kuthamanga kwa magazi.
- Ngati mukukumana ndi zizindikiro zilizonse zokhudzana ndi impso, musamadzipatse mankhwala ndipo funsani dokotala nthawi yomweyo kuti akupatseni malangizo.
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