Unoziva here nezvetsinga iyi inokosha iri mumutsipa wako? Ngatitaurei nezveCarotid Artery.

Wakambozvibvunza here kuti zvinonzwa sei kana ukaisa minwe yako kumativi ese emutsipa wako? Idzo itsinga mbiri dzeropa dzakakosha dzinorova nemoyo wedu, uye dzinotakura hupenyu kuuropi hwedu, kumeso, nemutsipa . Nhasi tichataura nezve idzi tsinga mbiri dzakanyarara mumuviri wedu, Carotid Arteries. Muchinyorwa chino, tichataura nezvekukosha kwehutano hwavo kuhupenyu hwedu.

Zvichitaurwa zviri nyore, chii chinonzi carotid arteries?

Fungidzira kuti muviri wedu iguta guru. Ipapo mitsipa yeropa yakafanana nemigwagwa iri muguta iroro. Migwagwa iyi inotakura okisijeni nezvinovaka muviri zvinodiwa kunhengo dzese dzemuviri. Nenzira iyoyo, mitsipa iyi yeropa yakaita semigwagwa mikuru miviri inoenda kuuropi, inova ndiyo nzvimbo yekudzora muviri wedu.

Idzi tsinga huru mbiri dziri kumativi ese emutsipa wedu, imwe kudivi rimwe nerimwe:

• Tsinga yeropa yekuruboshwe
• Tsinga yeropa yeropa yerudyi

Mitsipa miviri iyi inotangira pamusoro pechipfuva chedu, yokwira mumutsipa wedu, yozopatsanuka kuita matavi maviri makuru, ari pasi peshaya yedu. Inotaridzika sebhii Y. Tinodana kupatsanurwa uku kuti ``Carotid Bifurcation''.

Matavi maviri iwayo ndeaya:

1. Mutsinga weCarotid wemukati: Uyu ndiwo chikamu chikuru chemugwagwa. Unopinda zvakananga mudehenya, uchipa ropa kuuropi hwedu.

2. Tsinga yeCarotid yekunze: Bazi iri rinopa ropa kunhengo dziri kunze kwedehenya redu, dzakadai sekumeso, mutsipa, neganda remusoro .

Mitsipa inopatsanurana nenzira iyi inopatsanurana kuita matavi madiki akawanda, ichipa ropa rine oxygen kune nhengo dzese dzemuviri dziri mumusoro nemutsipa.

Mitsipa iyi inoshanda sei chaizvo?

Basa guru uye rega retsinga dzeropa dzinoyerera muropa nderekutakura ropa rakachena, rine oxygen yakawanda rinopombwa nemoyo kuenda kuuropi nedzimwe nzvimbo dzemusoro pasina chinodzitadzisa. Rwendo urwu runofanira kunge rwakanaka uye ruchikurumidza.

Asi fungidzira, chii chingaitika kana marara nemarara zvikaungana pane imwe nzvimbo mumugwagwa uyu zvikavhara mugwagwa? Paizova nekuzara kwemotokari, handiti? Ndizvo zvinoita kuti zvinhu zvakaita secholesterol zviwanikwe mukati metsinga idzi (tinodaidza kuti `(Plaque)`) uye kana tsinga ikadzikira, kufamba kweropa kunovharika. Kana izvozvo zvikaitika, zvirwere zvakakomba zvakaita sestroke zvinogona kuitika.

Ngatitarisei maumbirwo etsinga dzeropa dzemudumbu zvakadzama.

Chikamu ichi chine chekuita nekurapa, asi ngatiedzei kuchiramba chiri nyore. Hamufanirwe kuyeuka mazita aya ese, asi zvakakosha kuti muve nepfungwa yekuti anoshanda sei.

Tsinga yeCarotid yekunze

Inotangira painotsemuka sebhii Y yokwira ichienda kunzeve. Inopatsanura kuita matavi makuru angangoita masere. Matavi aya anopa ropa kumhasuru dziri pachiso chedu, parurimi, pagland re thyroid, panzeve, nepaganda remusoro. Paunobata dama rako, rinoshanduka kuva dzvuku, uye paunoveura ndebvu, rinobuda ropa. Zvese izvi zvakabatana nematavi anobuda kubva patsinga iyi ye carotid yekunze.

Tsinga yemukati yeCarotid

Iri ndiro bazi rinokosha kupfuura mamwe ose. Rinofamba richikwira mumutsipa ropinda mudehenya nepaburi rakakosha riri pasi pedehenya rinonzi ``Carotid Canal```. Kana rapinda mudehenya, tsinga iyi inotevera nzira yakakombama uye yakaoma kunzwisisa.

Mukati medehenya, tsinga iyi inopatsanuka kuita mapazi makuru akati wandei. Aya anopa ropa kuchikamu chikuru cheuropi hwedu nemaziso edu .

Ndezvipi zvirwere zvinokanganisa tsinga idzi?

Matambudziko anogona kumuka pamigwagwa mikuru iyi. Kana zvikaitika, mhedzisiro yacho inogona kuva nengozi zvikuru. Heano mamwe ematambudziko makuru anoonekwa.

• Chirwere cheCarotid Artery: Izvi zvinonziwo `(Carotid Artery Stenosis)`. `(Stenosis)` zvinoreva `kutetepa.`` Izvi zvinoitika nekuti cholesterol, mafuta, nezvimwe zvinhu zvinoungana mumadziro etsinga, zvichigadzira `(Plaque) yakakora.`` Zvakafanana nengura netsvina zvinoungana mukati mepombi yemvura, zvichivhara nzira yekuti mvura ifambe. Tinodaidza kuti mamiriro aya `(Atherosclerosis).`` Iyi `(Plaque)`` inokonzera kuti tsinga itetepe, uye dzimwe nguva chidimbu chayo chinogona kutyoka ndokuvhara tsinga diki yeropa muuropi. Kana kuti, ropa rinogona kuumbwa pamusoro peiyi `(Plaque)`, iyo inogona kutyoka nekuvharira tsinga muuropi. Ichi ndicho chikonzero chikuru che transient ischemic attack (TIA) kana stroke yakazara .

• Carotid Artery Aneurysm: Iyi inzvimbo isina kusimba mumadziro etsinga, zvichiita kuti ibude sebharumu. Magaro eropa anogona kuumbwa pabundu iri. Inogonawo kukura uye ikaputika kamwe kamwe (kuputika).

• Kutsemuka kwetsinga dzeropa (Carotid Artery Dissection): Uku kubvaruka kana kuputika kwemukati metsinga. Izvi zvinogona kuvharira kana kuvharira kufamba kweropa zvachose. Izvi zvinogonawo kukonzera sitiroko.

• Fibromuscular Dysplasia (FMD): Ichi chirwere chisingawanzoitiki umo kukura kwemasero mumadziro etsinga kunogona kukonzera kutetepa kwetsinga, aneurysms, kana kupatsanurwa kwetsinga.

Ngwarira zvikuru nezvezviratidzo izvi!

Vanhu vazhinji vane chirwere chetsinga dzeropa havaoni zviratidzo. Zviratidzo zvinowanzoonekwa mushure mekukurumidzira, zvakaita sechirwere cheischemic chinopararira nekukurumidza (TIA) kana sitiroko. Nokudaro, kuziva zviratidzo zvinotevera kwauri nemhuri yako kunogona kubatsira kuponesa hupenyu.

Kana paine chimwe chezviratidzo izvi chikaitika, usanonoka kwekanguva uye fonera ambulensi ye1990 (Suvaseriya) nekukurumidza kana kuenda kuEmergency Treatment Unit (ETU) yechipatara chiri pedyo.

• Rutivi rumwe rwechiso rwakarembera kana kuti rwusina hupenyu.
• Kusanzwisisa mashoko, kusakwanisa kuumba mazwi, kana kutaura zvisina kunyatsojeka pakutaura .
• Kurasikirwa kamwe kamwe kana kusaona zvakanaka muziso rimwe chete kana ese ari maviri . Zvingaita sekunge jira dema riri kudonha pamberi pemaziso.
• Kushaya simba, kushaya simba, kana kurasikirwa nemanzwiro kune rumwe rutivi rwemuviri (ruoko, gumbo) .
• Kurasikirwa nekunzwa kune rumwe rutivi rwemuviri.

Unoita sei kuongorora tsinga dze carotid?

Kana chiremba wako achifungidzira kuti pane chakaipa netsinga yako yeropa, chinhu chekutanga chavachaita kuisa stethoscope pamutsipa wako voteerera ruzha rweropa richiyerera nepakati payo. Kana tsinga yacho yakatetepa, unogona kunzwa ruzha rusina kujairika rwekuti 'whooshing' (carotid bruit) ropa richiyerera.

Uyewo, kuti usimbise mamiriro acho ezvinhu, unogona kutarisa bvunzo dzinotevera:

• Carotid Ultrasound: Muedzo uri nyore, usingarwadzi unoshandisa mafungu eruzha kuti uone kuti ropa rinoyerera sei mukati metsinga uye kuti dzakatetepa sei. (Mira, "বির্ভাগন" chiBengali. Ndinofanira kudzivisa izvozvo. Ndichadzokorora: "সাব্দা তার্থানে মালিকা..."). Muedzo uri nyore, usingarwadzi unoshandisa mafungu eruzha kuti uone kuti ropa rinoyerera sei mukati metsinga uye kuti dzakatetepa sei.
• CT Scan / CT Angiogram: Kuwana mifananidzo yakadzama yetsinga uchishandisa X-rays.
• MRA (Magnetic Resonance Angiogram - MRA): Kuwana mifananidzo yakadzama yetsinga uchishandisa simba remagineti.
• Carotid Angiogram: Kuongororwa kunoshandisa X-rays kuti ione zvakajeka kuvharika kwetsinga yeropa nekuisa mvura chaiyo mairi.

Ndezvipi zviri kurapwa?

Kana tsinga yako yeropa yakamanikana kana kuti yakavharika, kune mishonga inowanikwa. Kurapwa kunoenderana nekuti tsinga yacho yakamanikana sei, zviratidzo zvako, uye hutano hwako hwese.

Kurapa nemishonga

• Mishonga inorwisa maplatelet: Mishonga yakaita seaspirin inoderedza njodzi yekugwamba kweropa.
• Mishonga yeBP: Nekuti BP yakakwira inokuvadza mitsipa yeropa, zvakakosha kuidzora.
• Mishonga inoderedza cholesterol: Mishonga yakaita se "Statins" inoderedza kuunganidzwa kwe "plaque" pamadziro etsinga.

Kuvhiya nedzimwe nzira

• Kuvhiyiwa kweCarotid Endarter: Uku kuvhiyiwa kunovhura tsinga yeropa uye kunokwenya plaque yakaungana mukati. Izvi zvinochenesa tsinga yeropa uye zvinodzoreredza kufamba kweropa.
• Carotid Angioplasty uye Stenting: Iyi inzira inoitwa nekucheka kudiki. Waya ine bharumu yakabatana nayo inopfuudzwa nepakati petsinga yeropa, uye bharumu rinofuridzirwa kuti nzvimbo yakamanikana ikure. Zvadaro, chubhu diki yakaita semesh (Stent) inoiswa kudzivirira nzvimbo iyi kuti isamanikana zvakare.

Ndingachengetedza sei tsinga dzangu dze carotid dzakasimba?

Pane zvinhu zvakawanda zvaunogona kuita kuti mwoyo wako wese uye hurongwa hwetsinga dzeropa zvirambe zvakanaka, kwete chete tsinga dzako dzeropa chete.

• Dzivisa kusvuta zvachose.Kusvuta ndicho chinhu chikuru chinokonzera kukuvadza tsinga dzeropa. Kana uchida rubatsiro rwekurega, bvunza chiremba wako.
• Idya chikafu chine hutano pamoyo. Ita chikafu cheMediterranean chinosanganisira miriwo, michero, nyemba, hove, nemafuta ane hutano akadai semafuta emuorivhi. Deredza kudya chikafu chine mafuta akawanda, shuga, nemunyu.
• Rovedza muviri nguva dzose. Edza kuita maekisesaizi kwemaminitsi makumi matatu pazuva, akadai sekufamba netsoka, kumhanya, kana kutasva bhasikoro. Bvunza chiremba wako usati watanga chero chirongwa cheekisesaizi.
• Ramba uine huremu hwakanaka. Kufuta zvakanyanya ndicho chikonzero chikuru chezvirwere zvemwoyo uye kutetepa kwetsinga dzeropa.
• Kana uine chirwere cheshuga, BP yakakwira, kana cholesterol , tevera mirairo yachiremba wako uye uzvidzore zvakanaka.