Unewo tsinga yeropa yakavharika mumutsipa wako here? Ngatidzidzei zvese nezvazvo!

Oh, wakambofunga here kuti dambudziko ringave rakakura sei kana mitsipa mikuru yeropa iri kumativi ese emutsipa wedu ikavharika? Dzimwe nguva izvi zvinogona kuitika pasina zviratidzo. Nhasi tichataura nezvechirwere chinogona kukura zvishoma nezvishoma uye kamwe kamwe chichigadzira nzira yechirwere chinotyisidzira hupenyu senge sitiroko . Ichi ndicho chatinodaidza kuti Carotid Artery Stenosis .

Chii chinonzi Carotid Artery Stenosis?

Zvichitaurwa zviri nyore, Carotid Artery Stenosis chirwere apo Carotid Arteries dziri kumativi ese emutsipa wako, tsinga huru dzeropa dzinotakura ropa kuenda kuuropi hwako, kumeso, nemusoro, dzinovharika kubva mukati. Funga nezvazvo sepombi yemvura yakavharwa nevhu nengura, izvo zvinoderedza kufamba kwemvura. Chikonzero chikuru chekuvharika uku kuunganidzwa kwechinhu chinonzi plaque mukati metsinga. Iyi 'plaque' inonyanya kuumbwa nemafuta echolesterol .

Tine tsinga mbiri dzeropa dziri kumativi ese emutsipa wedu. Mumunhu ane hutano, tsinga idzi dzakaita sepombi yakachena, ine ropa rinoyerera zvakanaka pasina chipingamupinyi. Ropa iri ndiro rinotakura okisijeni nezvinovaka muviri zvinodiwa neuropi hwedu. Saka, kana plaque yaungana mune imwe kana dzese dzetsinga idzi dzeropa, huwandu hweropa rinoyerera kuenda kuuropi hunoderera. Izvi ndizvo zvinonzi navanachiremba atherosclerosis . Dambudziko iri rinokura zvishoma nezvishoma nekufamba kwenguva, uye kana rikasarapwa, rinogona kutungamira kustroke ine njodzi, uye kunyange rufu.

Dambudziko iri rakajairika zvakadii?

Zvinofungidzirwa kuti vanhu vanosvika 5% vanogona kunge vaine chirwere ichi. Sekureva kweAmerican Stroke Association , sitiroko ndiyo chikonzero chechishanu chikuru cherufu. Njodzi yekuvharika kwetsinga dzeropa, pamwe nesitiroko, inowedzera nekukura. Kureva kuti, chinhu chinowedzera zvishoma nezvishoma nekufamba kwenguva.

Ndezvipi zvikonzero uye zvinhu zvinokonzera njodzi iyi?

Pane zvinhu zvakawanda zvinokonzera carotid artery stenosis. Chinhu chakanakisa ndechekuti tinogona kudzora zvimwe zvacho. Heano zvimwe zvacho:

• Kusvuta fodya nefodya: Izvi zvinonyanya kukonzera zvirwere zvakawanda. Kusvuta kunokuvadza mitsipa yeropa uye kunowedzera njodzi yekuungana kweplaque mumuviri.
• Kufuta: Kufanana nezvimwe zvirwere zvinouya nemafuta emuviri , kufuta kunokanganisawo izvi.
• Mararamiro ekugara wakangogara: Njodzi iyi yakakura kune munhu anoshanda pachigaro zuva rese uye asingaite maekisesaizi.
• Kukwira kweropa (BP yakakwira / BP yakakwira):Kana kumanikidzwa kwacho kwawedzera, madziro etsinga dzeropa anogona kukuvara, zvichiita kuti zvive nyore kuti plaque iungane.
• Cholesterol yakakwira: Kana huwandu hwecholesterol muropa hwakakwira, chinhu chikuru chinoita kuti pave ne'plaque' yatataura chinowanikwa.
• Chirwere cheshuga: Vanhu vane chirwere cheshuga vane mukana mukuru wekuva nematambudziko etsinga dzeropa. Chirwere cheshuga chinoshandura madziro etsinga dzeropa, zvichiita kuti zvive nyore kuti plaque iungane.
• Zera: Sezvaunokura, njodzi yako yekubatwa nezvirwere zvakawanda inowedzera. Izvi hazvisi izvo zvinosiyana.

Kana chimwe chezvinhu izvi chikabatanidzwa, njodzi yekuvharika kwetsinga dzeropa dzinowedzera zvakanyanya.

Ndezvipi zviratidzo zvechirwere ichi?

Kazhinji, kuvharika kwetsinga dzeropa (carotid artery) hakuratidzi zviratidzo kusvika paitika sitiroko . Siroko inoitika kana plaque iri mutsinga ikatyoka, kana kuti ropa rakaita clot paplaque roenda kuuropi, richivhara tsinga diki yeropa muuropi. Izvi zvinonziwo ischemic stroke . Kana kuyerera kweropa kwavharwa nenzira iyi, masero europi anoshaiwa okisijeni nezvinovaka muviri uye anotanga kufa.

Vamwe vanhu vanogona kunge vaine chirwere che transient ischemic attack (TIA) vasati vaita stroke huru. Izvi zvakafanana ne "mini-stroke." Apa ndipo apo tsinga yeropa muuropi inovharika kwenguva pfupi yozovhurwazve. TIA chiratidzo chekunyevera chakakomba chekuti stroke huru iri kuuya.

Zvakakosha: Kunyangwe zviratidzo zveTIA zvikapera mukati memaminitsi mashoma, usazviregeredza. Kutsvaga rubatsiro rwechiremba nekukurumidza kunogona kubatsira kudzivirira sitiroko yakakura.

Ndezvipi zviratidzo zvestroke kana TIA?

Zviratidzo izvi zvinogona kungoerekana zvaitika. Kana uine chimwe cheizvi , unofanira kuenda kuchipatara nekukasika :

• Rutivi rumwe rwechiso runokotama: Kana ukakumbirwa kunyemwerera, rumwe rutivi rwechiso harugoni kunyemwerera zvakanaka.
• Kuoma kutaura kana kupopota mashoko: Zvinova zvakaoma kuti vamwe vanzwisise zviri kutaurwa, uye mashoko acho anopopota.
• Kurasikirwa kana kusaona zvakanaka muziso rimwe chete: Zvingaita sekunge jira dema riri kudonha pamberi peziso rimwe chete.
• Kushaya simba kana kurasikirwa nerumwe rutivi rwemuviri.
• Kushaya simba kwetsandanyama uye kurasikirwa nesimba kune rumwe rutivi rwemuviri: kutadza kusimudza ruoko kana gumbo, kunetseka kufamba.

Unogona kushandisa chipfupiso cheFAST kuti urangarire hunhu uhu:

• F - Kurereka kwechiso
• A - Kushaya Simba reruoko
• S - Dambudziko rekutaura
• T - Nguva yekufonera masevhisi ekukurumidzira (pinda muchipatara nekukasika)

Kunyangwe kana paine kuvharika kwetsinga yeropa, zvinogona kukonzera kuoma mitezo.Kana usina dzihwa, ungasaona zviratidzo. Ndosaka izvi zvichityisa zvishoma.

Chirwere ichi chinoonekwa sei?

Kazhinji, carotid artery stenosis inoonekwa mushure mekunge wava nezviratidzo zvestroke. Inongoonekwa chete kana vanachiremba vari kuita bvunzo kuti vawane chikonzero chestenosis.

Dzimwe nguva, kana chiremba akaongorora mutsipa wako ne stethoscope nekuda kwechimwe chikonzero, vanogona kunzwa ruzha rusina kujairika, ruzha rwemuridzo (ruzha) ruchibva mukati metsinga dzeropa. Izvi zvinogonawo kukonzera kufungira nezvechirwere ichi.

Vanachiremba vanoshandisa bvunzo dzinoverengeka kuti vasimbise chirwere ichi uye kuti vaone kuti chakavharika zvakadini uye kuti chakakombama sei:

• Ultrasound scan (Ultrasound / Duplex Ultrasound): Izvi zvinoshandisa mafungu eruzha kugadzira mifananidzo yetsinga dzeropa dziri mumuviri. Iyi bvunzo iri nyore uye isingarwadzi inoitirwa pamusoro peganda. Inogona kutarisa kufamba kweropa mukati metsinga dzeropa uye kana paine kuvharika kana kutetepa.
• CT Angiography (Computed Tomography Angiography - CTA): Bvunzo iyi inoshandisa muchina unonzi `CT` scanner (mudziyo unoshandisa X-rays kutora mifananidzo yakadzama yemukati memuviri) kutora mifananidzo yakadzama yetsinga dzeropa. Munguva yebvunzo iyi, dhayi yakakosha inopinzwa mutsinga dzeropa. Dhayi iyi inoita kuti nzvimbo dzakavharika dzionekwe zvakajeka mumifananidzo. Bvunzo iyi inogonawo kuitwa kuvanhu vane `pacemaker` yakaiswa kana kuti vane `stents` dzakaisirwa zvimwe zvirwere.
• Cerebral Angiography: Iyi bvunzo zvakare yekuongorora. Zvisinei, muongororo iyi, catheter diki (chubhu yakatetepa) inopfuudzwa nemutsinga yeropa uye kuvharika kwayo kunoongororwa. Muongororo iyi, dhayi yakafanana inopinzwa mutsinga dzeropa kuti ione zvakadzama nezvetsinga dzacho zvakajeka. Iyi bvunzo yakaoma zvishoma.
• MR Angiography (Magnetic Resonance Angiography - MRA): Izvi zvakafanana neCT scan, asi hazvishandisi X-rays. Mifananidzo inotorwa uchishandisa magnetic fields nema radio waves. Izvi zvinogonawo kugadzira mifananidzo yakadzama yetsinga dzeropa. Iyi bvunzo zvakare isingarwadzi.

Munoisa sei muzvikamu izvi zvekuvharika?

Pakuongorora chirwere chako, vanachiremba vanoongorora kana uine chirwere ichi, kuti chakanyanya sei, uye kuti chiri kupi. Carotid artery stenosis inowanzo kupatsanurwa muzvikamu zvitatu zvikuru: zvishoma, zvine mwero, uye zvakanyanya.

• Kuvharika kudiki ndiko uko kuvharika kuri pasi pe50%, zvichireva kuti hakusviki hafu yekuzara.
• Kuzara kwemvura kuri pakati nepakati kuri pakati pe50% ne79%.
• Kuvharika kwakanyanya kuri pakati pe80% ne99%, zvichireva kuti huwandu hwakawanda hunovharika. Iri ndiro danho rine njodzi zvikuru.

Izvi zvinorapwa sei?

Chinangwa chikuru chekurapa carotid artery stenosis ndechekudzivirira chirwere ichi kuti chisanyanya kuipa. Izvi zvinotanga nekuchinja mararamiro :

• Kudya chikafu chine hutano.(Zvikafu zvine mafuta mashoma, munyu, uye shuga shoma, michero nemiriwo yakawanda)
• Kurovedza muviri nguva dzose .
• Rega kusvuta zvachose.

Pamusoro pezvo, vanachiremba vanogonawo kukurudzira aspirin zuva nezuva, mushonga wevana unobvisa ropa rakawanda, mishonga yeBP, uye mishonga inoderedza cholesterol.

Zvisinei, kana kuvharika kwacho kwakanyanya, kana kuti uri kuratidza zviratidzo zveTIA kana sitiroko, vanachiremba vanogona kukurudzira kuvhiyiwa.

• Kuvhiyiwa kweCarotid Endarterectomy: Izvi zvinosanganisira kugadzira kucheka kudiki pamutsipa, kuvhura tsinga yeropa, uye kubvisa plaque yakaungana mukati.
• Kuisa stent: Izvi zvinosanganisira kuisa stent diki yakaita semesh mutsinga yeropa yakavharika uchishandisa mudziyo wakaita setsono, uchikudza tsinga yeropa kubva mukati. Iyo plaque inobva yavharirwa pakati pestent nemadziro etsinga yeropa, zvichiita kuti ropa rirambe richiyerera pasina chinorikanganisa.

Chiremba wetsinga kana nyanzvi yemitsipa yeropa ndiye achasarudza kuti ndeipi yekuvhiyiwa uku yakakunakira.

Haasi ese mavhariro etsinga dzeropa anoda kuvhiyiwa kana kupiswa nechinhu chinonhuhwirira. Kurapa uku kune njodziwo. Vanachiremba vanokurudzira kurapwa uku chete kana njodzi yekuoma mitezo nekuda kwekuvhara kwacho ichipfuura njodzi dzekuvhiyiwa.

Chii chinoitika mushure mekuvhiyiwa uku? Zvinotora nguva yakareba sei kuti munhu apore?

Kuoma kwetsinga dzeropa (carotid artery stenosis) kunogona kuva nengozi kana kukasaonekwa uye kurapwa nekukurumidza. Kunogona kukonzera kuoma mitezo , rufu, kana kuremara zvachose. Saka, zvakakosha kuziva zviratidzo zvestroke uye kutora matanho nekukasika kana iwe kana mumwe munhu akaona chiratidzo chakadaro.

Kurapwa kwe carotid artery stenosis nekukurumidza kunogona kuponesa hupenyu. Kana zvichidikanwa, kuvhiyiwa uye kusvuta zvinopa mhedzisiro yakanaka kwazvo. Vanhu vazhinji vanongorara muchipatara husiku hwese uye vanopora nekukurumidza.

Sezvaunokura, njodzi yako yekubatwa nechirwere chetsinga dzeropa (carotid artery disease) inowedzera. Chinhu chakakosha chaunogona kuita kudzivirira chirwere ichi, uye kudzivirira matambudziko akadai sestroke, kuchengetedza mararamiro ane hutano . Mienzaniso inosanganisira kurovedza muviri, kudya chikafu chine hutano, uye kusaputa fodya. Ona chiremba wemhuri yako nechiremba wemwoyo nguva dzose uye tevera mazano avo. Taura nachiremba wako nezvenzira dzekuchengetedza moyo wako nehurongwa hweropa hwako zviri nani.

Mharidzo Yekuenda Nayo Kumba

Zvakanaka, saka, kubva pane zvatataura nezvazvo, izvi ndizvo zvinhu zvakakosha zvaunofanira kurangarira:

• Carotid Artery Stenosis chirwere apo tsinga huru yeropa iri mumutsipa inovharwa nemafuta akaunganidzwa (plaque). IzviKurohwa kunogona kuitika.
• Kusvuta, kufuta, BP yakakwira, cholesterol yakakwira, chirwere cheshuga, uye kukwegura ndizvo zvinhu zvikuru zvinokonzera izvi.
• Kazhinji, izvi zvinogona kuitika pasina zviratidzo . Zvisinei, kana uine `TIA` (mini-stroke) kana zviratidzo zvestroke (kumeso kwakatetepa, kunetseka kutaura, kushaya simba kweruoko kana gumbo), enda kuchipatara nekukasika .
• Izvi zvinogona kuonekwa kuburikidza nemiedzo yakaita se ultrasound, CTA, uye MRA .
• Kurapa kunosanganisira kuchinja mararamiro, mishonga, uye, kana zvichidikanwa, kuvhiyiwa (Carotid Endarterectomy) kana kuiswa stent .
• Nzira yakanakisisa yekudzivirira izvi ndeyekurarama hupenyu hune hutano .

Wanzwisisa here? Kana uine mimwe mibvunzo nezvenyaya iyi, usatya kutaura nachiremba wako. Ramba uine hutano hwakanaka!

` Carotid Artery Stenosis, Kuvharika kweMitsipa yeRopa muMutsipa, Kuoma Mutezo, Kurohwa, Kuyerera kweRopa Kuenda kuHuropi, Mafuta Akachengetwa, Cholesterol Yakawanda, Kumanikidzwa Kweropa Kwakakwira, Kusvuta, Zviratidzo, Kurapwa, Carotid Artery Stenosis Sinhala