Ingaba amafutha agcinwe ngaphakathi kwemithambo yegazi yakho? (I-Atherosclerosis) Makhe sithethe ngale nto!

Ngamanye amaxesha, ingxaki enkulu inokuvela emzimbeni wakho ungazi nokuba yintoni na. Namhlanje, siza kuthetha ngemeko echaphazela umzimba buthule, kodwa inokuba yingozi kakhulu. Le yinto esiyibiza ngokuba yi "atherosclerosis". Khawuthelekelele, imithambo yegazi yakho ifana nemibhobho yamanzi, kwenzeka ntoni ukuba le mibhobho ivalekile luthuli, oko kukuthi, amafutha? Yiloo nto eyenzekayo nakule meko. Nangona eli libali elinzulu, ukuba siliqonda kakuhle, singenza okuninzi ukuliphepha.

Yintoni i-atherosclerosis? Ngamafutshane...

Ngamafutshane, i-atherosclerosis kukuqokelelana kancinci kancinci kwamafutha, i-cholesterol, i-calcium, kunye nezinye izinto ngaphakathi kweendonga zemithambo yakho, zenze "i-plaque" (i-atheroma). Imithambo yegazi yimithambo yegazi ethwala igazi elineoksijini ukusuka entliziyweni yethu ukuya kwimizimba yethu yonke. Njengoko le plaque ikhula, iindonga zemithambo yegazi ziyaqina kwaye ziqine kancinci kancinci. Oku kukwabizwa ngokuba "kukuqina kwemithambo" okanye "i-atherosclerosis."

Ekuqaleni, oku kwenzeka ngokuzolileyo. Usenokungaziboni iimpawu okwethutyana. Kodwa njengoko le plaque ikhula kancinci kancinci, indawo yokuba igazi lihambe ngaphakathi kwemithambo yegazi, oko kukuthi, ukuvulwa (i-lumen) ngaphakathi komjelo, iyancipha. Kanye njengokuba ukungcola kwakheka ngaphakathi kombhobho wamanzi, indlela yokuba amanzi ahambe ngayo iyancipha. Kwenzeka ntoni ke ngoko? Ubungakanani begazi obufikelela kwizitho zethu zomzimba kunye nezicubu buyancipha. Akunjalo nje kuphela, kodwa njengoko igazi liqhubeka lihamba ngokukhawuleza, le plaque inokuqhekeka, okanye umphezulu wayo unokukrweleka. Ukuba oko kuyenzeka, ihlwili legazi linokwenziwa apho.

Cinga ngale ndlela: umthambo oxinanisiweyo ufana nendlela eneendlela ezine encitshisiweyo yaba ngumzila omnye. Kodwa ihlwili legazi lifana nomgca othintelayo phakathi kwaloo ndlela. Linokumisa ngokupheleleyo ukuhamba kwegazi.

Impembelelo emzimbeni ixhomekeke ekubeni ihlwili legazi lenzeka phi. Umzekelo, ukuba olu hlobo lokuvaleka luyenzeka kwimithambo yentliziyo ehambisa igazi entliziyweni, intliziyo inokuphelelwa yioksijini kwaye kunokubakho uhlaselo lwentliziyo .

Ixhaphake kangakanani le meko ibizwa ngokuba yi-atherosclerosis?

Le yimeko eqhelekileyo kakhulu. Iingxaki ezibangelwa yile plaque eqokeleleneyo, ingakumbi ukuhlaselwa sisifo sentliziyo kunye nokubetha kwentliziyo, zezona zinto ziphambili ezibangela ukufa kwihlabathi liphela.

Ngokutsho kwe-US National Institutes of Health, malunga nesiqingatha sabantu abaneminyaka engama-45 ukuya kwengama-84 ubudala bane-atherosclerosis, kodwa abazi. Kufuneka sikhathazeke ngale meko kwilizwe lethu.

Zithini iimpawu zoku?

Amaxesha amaninzi, iimpawu azibonakali de umthambo unciphe kakhulu, uvaleke ngaphezulu kwama-70%, okanye uvaleke ngokupheleleyo. Uninzi lwabantu lufumanisa kuphela ukuba lunezi plaque emva kwengxakeko yezonyango, njengokuhlaselwa yintliziyo okanye isifo sohlangothi.

Ukuba umthambo uvalekile ngaphezu kwama-70%, unokuqala ukuba neempawu. Ngokuxhomekeke ekubeni umthambo uvalekile ufumaneka phi, iimpawu zinokuvela kwiindawo ezahlukeneyo zomzimba.

Isifo sentliziyo (iCoronary Artery Disease - CAD)

Xa le meko isenzeka kwimithambo yegazi ehambisa igazi entliziyweni, ibizwa ngokuba yiCoronary Artery Disease (CAD). Oku kunokukhokelela ekuhlaselweni yintliziyo.

Usenokuziva izinto ezinje:

• Ubunzima bokuphefumla nangona usenza umsebenzi olula (i-Dyspnea).
• Intlungu yesifuba okanye ukungakhululeki (i-angina). Oku kunokuvakala ngathi kukucudiswa okanye ukucudiswa esifubeni.
• Intlungu emqolo, emagxeni, entanyeni, ezingalweni, okanye esiswini.
• Ukuba nesiyezi, ukuziva ungenazintloni.
• Ukubetha kwentliziyo.
• Ukudinwa kakhulu, ukudinwa.
• Isicaphucaphu nokuhlanza, okufana nokungagayi kakuhle kokutya.

Inkqubo yokugaya ukutya (iMesenteric Ischemia)

Le meko (i-mesenteric ischemia) inokwenzeka ukuba ukuhamba kwegazi kwiindawo ezithile zenkqubo yokugaya ukutya kuyancipha.

• Intlungu okanye ukurhawuzelelwa esiswini, ingakumbi esiswini, emva kokutya.
• Ukudumba, isicaphucaphu, ukuhlanza.
• Urhudo.
• Ukwehla kobunzima ngenxa yokoyika ukutya, nto leyo ebangela ukoyika iintlungu xa usitya.

Imilenze neenyawo (Isifo seMitha ePheleleyo - i-PAD)

Isifo semithambo yegazi ejikelezayo (i-PAD) yimeko apho ukuhamba kwegazi kwimithambo yegazi ehambisa igazi emilenzeni kuncipha khona.

• I-claudication eyenzeka ngequbuliso yintlungu evakala ngathi izihlunu emilenzeni yakho ziyaqengqeleka, ingakumbi xa uhamba. Oku kuya kuncipha emva kokuba uhleli okwethutyana kwaye uphumle, kodwa kuya kubuya xa uhamba.
• Ukutsha kunye nokuqaqamba emilenzeni nasezinzwaneni xa uphumle, ingakumbi xa ulele phantsi.
• Utshintsho kumbala wolusu (umz., ukuba bomvu).
• Iinyawo ezibandayo.
• Usulelo oluqhelekileyo lolusu kunye nezicubu ezithambileyo zemilenze, iinyawo.
• Amanxeba angapholiyo ezinyaweni nasezinzwaneni.

I-Renal Artery Stenosis

I-stenosis yemithambo yezintso ingabangela iimpawu ezifana nezi:

• Uxinzelelo lwegazi oluphezulu olungenakulawulwa nangona kusetyenziswe amayeza aliqela.
• Utshintsho kwimijikelo yokuchama.
• Ukudumba (i-Edema).
• Ukozela, ukudinwa.
• Ulusu olomileyo, olurhawuzelelayo, okanye olungenazimvakalelo.
• Intloko ebuhlungu.
• Ukunciphisa umzimba ngaphandle kwesizathu.
• Isicaphucaphu, ukuhlanza, okanye ukungabi namdla wokutya.

Okunxulumene nengqondo (Isifo seCarotid Artery)

Ukuba le meko iyenzeka kwimithambo ye-carotid entanyeni, enika igazi engqondweni, iimpawu zokuqala zinokuba yi-transient ischemic attack (TIA) okanye i-stroke.

• Isiyezi.
• Ukugoba kwelinye icala lobuso.
• Ukulahlekelwa luvakalelo kwelinye icala lomzimba, ubuthathaka bemisipha.
• Intloko ebuhlungu kakhulu.
• Ukungacaci kakuhle kwamagama xa uthetha, ubunzima bokuqulunqa amagama.
• Ukulahlekelwa ngumbono kwelinye iliso. Kusenokuvakala ngathi ikhethini emnyama iwela phambi kweliso.

Kutheni i-atherosclerosis ikhula? Zithini izizathu?

Abaphandi bakholelwa ukuba kukho izizathu ezininzi eziphambili zoku:

• Amanqanaba aphezulu e -cholesterol ye-LDL eyingozi kunye ne-triglycerides egazini.
• Ukusetyenziswa kweemveliso zecuba (ukutshaya, icuba elingenamsi).
• Uxinzelelo lwegazi oluphezulu (uxinzelelo lwegazi oluphezulu).
• Isifo seswekile (isifo seswekile).

Ezi zinto zingonakalisa ulwelo lwangaphakathi lwemithambo yakho (i-endothelium). Kulapho ke iqala khona i-atherosclerosis. Lo monakalo uhlala usenzeka kancinci kancinci, ngokuhamba kwexesha.

Kwenzeka njani oku, zeziphi izigaba?

I-atherosclerosis ikhula iminyaka emininzi kwaye inezigaba eziphambili ezininzi:

1. Umonakalo we-endothelium kunye nempendulo yomzimba: Xa i-endothelium ye-artery yonakele, kuqala i-chemical reaction. Oku kubangela ukuba iiseli ezimhlophe zegazi ziqokelelene kwindawo eyonakeleyo. Ezi seli ziyaqokelelana zize zibangele ukudumba ngaphakathi kwe-artery.

2. Imiqolo yamafutha: Olu luphawu lokuqala olubonakalayo lwe-atherosclerosis. Indawo eyonakeleyo ifana nomqolo otyheli okanye ibala, kwaye yenziwe "ziiseli ze-foam" ezifileyo. Iiseli ze-foam ziiseli ezimhlophe zegazi ezitye i-cholesterol zizama ukuyisusa. Njengoko ezi seli ze-foam ziqhubeka nokusebenza, zonakalisa ngakumbi i-endothelium.

3. Ukukhula kwePlaque: Njengoko iiseli zefoam ezifileyo kunye nezinye izinto ezimdaka ziqhubeka nokuqokelelana, umtya wamafutha kancinci kancinci uba yiplaque enkulu. Isiciko esineentambo zeeseli zemisipha egudileyo siyakheka phezu kwale plaque. Oku kuthintela iplaque ukuba ingaqhekeki kwaye iqokelele egazini. Njengoko iplaque ikhula, i-lumen (indawo apho igazi lihamba khona) kwimithambo yegazi iyancipha.

4. Ukuqhekeka okanye ukubola kweplaque: Kweli nqanaba, isigqubuthelo se-fibrous esiphezu kweplaque siyaqhekeka, okanye iiseli ze-endothelium ezijikeleze iplaque zonakele. Nokuba yeyiphi na indlela, kwakheka i-blood clot. Elo clot lithintela ukuhamba kwegazi kwaye libangele ukuhlaselwa yintliziyo okanye i-stroke.

Zithini izinto ezibangela oku?

Zininzi izinto ezinokubangela umngcipheko ezinokuchaphazela uphuhliso lwe-atherosclerosis. Ezinye zezi zinto ungazitshintsha, kodwa ezinye, njengobudala, awukwazi.

Izinto ezinobungozi zezi:

• Ukuba ngamadoda angaphezu kweminyaka engama-45 ubudala.
• Ukuba ngumfazi oneminyaka engaphezu kwama-55 ubudala.
• Ukuba umntu kusapho (isihlobo esisondeleyo sendoda ngaphambi kweminyaka engama-45, okanye isihlobo esisondeleyo sebhinqa ngaphambi kweminyaka engama-55) unesifo sentliziyo .
• Isifo seswekile (isifo seswekile).
• Uxinzelelo lwegazi oluphezulu (uxinzelelo lwegazi oluphezulu).
• I-Hyperlipidemia, ingakumbi amanqanaba aphezulu e-cholesterol embi ye-LDL okanye i-lipoprotein ekhethekileyo ebizwa ngokuba yi-Lipoprotein (a).
• Isifo seMetabolic.
• Ukutshaya okanye ukusebenzisa ezinye iimveliso zecuba.
• Ukunqongophala komsebenzi womzimba.
• Ukutya ukutya okunamafutha amaninzi agcweleyo, amafutha e-trans, i-sodium (ityuwa), kunye neswekile.

Zeziphi iingxaki ezinokubangela oku?

I-atherosclerosis iphazamisa ukusebenza okuqhelekileyo kwenkqubo yethu yentliziyo. Oku kunokuthintela okanye kuthintele ngokupheleleyo ukuhamba kwegazi kwiindawo ezahlukeneyo zomzimba, ingakumbi intliziyo nengqondo. Iingxaki ezinokubakho ngenxa yoku kuncipha kokuhamba kwegazi ziquka:

• Isifo semithambo ye-carotid.
• Isifo semithambo yegazi ye-coronary.
• Ukuhlaselwa yintliziyo.
• Ukuphazamiseka kwentliziyo (i-Arrhythmia).
• Ukumelwa yintliziyo.
• I-Mesenteric ischemia.
• Isifo semithambo yegazi ejikeleze udonga.
• Isifo sezintso esingapheliyo (CKD).
• I-stenosis yemithambo yezintso.
• Istroke.
• Uhlaselo lwe-ischemic olukhawulezileyo (TIA).
• Ukubuthathaka nokudumba kweendonga zemithambo yegazi (ii-aneurysms) kunye nokuqhekeka kwazo.

Ukuqatshelwa kwangoko kunye nonyango lwale meko kunokuthintela okanye kulibazise iingxaki ezinzulu ezinjalo.

Ifunyaniswa njani le nto? Zeziphi iimvavanyo ezenziwa ngoogqirha?

Ukuze afumanise ukuba une-atherosclerosis, okanye umngcipheko wokuba nayo, ugqirha uya kwenza oku kulandelayo:

• Kuza kwenziwa uvavanyo olupheleleyo lomzimba. Oku kuya kuquka ukumamela intliziyo yakho kunye nesandi segazi elihamba ngemithambo yakho nge-stethoscope. Umzekelo, baza kujonga isandi "se-bruit" kwimithambo ye-carotid entanyeni yakho. Esi sandi sinokubonisa ukuba kukho i-plaque.
• Imbali yakho yezonyango kunye nembali yosapho iya kubuzwa. Olu lwazi lunokukunika umbono womngcipheko wakho we-atherosclerosis kunye neengxaki zayo.
• Baza kukubuza ngendlela ophila ngayo. Basenokukubuza ngemikhwa efana nokuba usebenzisa iimveliso zecuba okanye wakha wasebenzisa.
• Uvavanyo lwegazi luyalelwe.Olu vavanyo lwegazi olunxulumene nesifo sentliziyo lunokukuxelela okuninzi malunga namanqanaba e-cholesterol yakho kunye nokusebenza kwentliziyo.

Zeziphi ezinye iimvavanyo eziza kwenziwa?

Ugqirha angayalela ezinye iimvavanyo ukuqinisekisa ukuba kukho i-atherosclerosis kwaye acwangcise unyango. Ezi ziquka:

• I-Angiography: Oku kusebenzisa ii-X-rays ezikhethekileyo kunye nedayi yokwahlulahlula ukuze kufunyanwe kwaye kulinganiswe ukuvaleka kwemithambo yegazi.
• Isalathisi se-Ankle-brachial: Oku kulinganisa ukuhamba kwegazi emilenzeni yakho ngokuthelekisa uxinzelelo lwegazi eqakaleni lakho nasengalo.
• I-X-ray yesifuba: Le ithatha imifanekiso yangaphakathi kwesifuba.
• I-CT scan (i-Computed Tomography scan): Le scan ithatha imifanekiso yangaphakathi komzimba kwaye inokubona ukuba imithambo emikhulu ivaliwe okanye inciphile.
• I-MRI yeNtliziyo (iMagnetic Resonance Imaging): Olu vavanyo lunokubonisa iingxaki ngokuhamba kwegazi kwimithambo yegazi.
• I-Echocardiogram (Echo): I-echo ithatha imifanekiso yeevalvu kunye namagumbi entliziyo kwaye ilinganise ukuba intliziyo ipompa igazi kakuhle kangakanani.
• I-ECG (i-Electrocardiogram okanye i-EKG): I-ECG ilinganisa umsebenzi wombane, isantya, kunye nesingqisho sentliziyo.
• Uvavanyo loxinzelelo lomzimba: Uvavanyo olulinganisa ukusebenza kwentliziyo ngelixa usebenza ngokomzimba.
• I-Carotid ultrasound: Oku kuthatha imifanekiso ye-ultrasound yemithambo ye-carotid entanyeni. Ingabona ukuba le mithambo inciphile okanye ivalekile njengoko ithwala igazi lisiya engqondweni.
• I-ultrasound yesisu: Le ultrasound ihlola i-aorta, umthambo omkhulu esiswini, ukuze kubonwe ukuba ingaba ine-bulge (abdominal aortic aneurysm) okanye i-plaque.

Iphathwa njani le nto?

I-atherosclerosis inyangwa ngokutshintsha indlela yokuphila, amayeza, kwaye ngamanye amaxesha utyando okanye ezinye iinkqubo zonyango . Ngokuxhomekeke kwindawo onayo i-atherosclerosis, ungabonana nogqirha wentliziyo, ugqirha wezintso, ugqirha wemithambo-luvo, okanye ugqirha wemithambo-luvo.

Oogqirha bakho baza kwenza isicwangciso sonyango esisekelwe kwiimfuno zakho. Iinjongo zonyango zihlala ziyi:

• Ukunciphisa umngcipheko wokuqhekeka kwegazi.
• Ukuthintela iingxaki ezinje ngesifo sentliziyo okanye istroke.
• Ukunciphisa iimpawu.
• Ukukunceda ukuba utye ukutya okulungele intliziyo yakho kunye nemithambo yegazi.
• Ukuthintela okanye ukunqanda ukwakheka kwe-plaque ngaphakathi kwimithambo yegazi.
• Ukuphucula ukuhamba kwegazi, nokuba ngokwandisa imithambo yegazi okanye ukuthintela ukuvaleka kwegazi.

Utshintsho kwindlela yokuphila

Utshintsho kwindlela yokuphila lunokunciphisa umngcipheko weengxaki. Ugqirha wakho uza kwenza isicwangciso esifanelekileyo kuwe. Ngokubanzi, ungenza oku kulandelayo:

• Ziphephe zonke iimveliso zecuba (kuquka ukutshaya nokutshaya i-vaping). Le yeyona nto ibalulekileyo onokuyenza.
• Landela ukutya okunempilo kwentliziyo, njengokutya kwaseMeditera , okuthetha ukutya imifuno emininzi, iziqhamo, iimbotyi, iinkozo ezipheleleyo, intlanzi kunye neoyile yomnquma.
• Zilolonge yonke imihla. Qala ngokuhamba kancinci uze usebenzele ukuzilolonga ubuncinane imizuzu engama-30 ngosuku, iintsuku eziliqela ngeveki.

Amayeza

Amayeza anokunceda ukulawula izinto ezinokubangela ukwakheka kwe-plaque kwaye anciphise ukuqhubela phambili kwe-atherosclerosis. Ugqirha wakho unokukunika amayeza okunciphisa uxinzelelo lwegazi, ukunciphisa i-cholesterol, ukulawula amanqanaba eswekile egazini, kunye nokuthintela ukuqhekeka kwegazi.

Iinkqubo okanye utyando

Kukho iindlela ezahlukeneyo zonyango nezotyando ezifumanekayo ukunceda abantu abanemithambo yegazi evalekileyo okanye abo basengozini enkulu yeengxaki. Iindlela zonyango eziqhelekileyo ziquka:

• I-Angioplasty: Oku kuquka ukufaka isixhobo esifana nebhaluni kumthambo oxinyiweyo uze uwuvuthele ukuze wandise umthambo.
• Utyando lwe-atherectomy: Oku kuquka ukusika nokususa i-plaque ngaphakathi kwimithambo yegazi.
• I-Carotid endarterectomy: Inkqubo yotyando lokususa i-plaque kwimithambo ye-carotid entanyeni.
• Ukufakelwa kwemithambo yegazi emithanjeni yentliziyo (i-CABG): Le nkqubo idala iindlela ezintsha zokuhamba kwegazi ezijikeleze imithambo yegazi evalekileyo entliziyweni.
• Utyando lokudlula kwimithambo yegazi ejikeleze imithambo yegazi: Ludala iindlela ezintsha zokuba igazi lidlule kwimithambo yegazi evalekileyo emilenzeni.
• Ukubekwa kwe-stent: Emva kwe-angioplasty, kufakwa i-stent encinci efana ne-mesh ukuze kuthintelwe umthambo ukuba ungaphindi unciphe.
• Ukudlula kwizifo zemithambo yegazi: Olu lutyando lokuthintela ukuvaleka kwemithambo yegazi.

Ngaba i-atherosclerosis ingathintelwa?

Kusenokungabi lula ukuyithintela ngokupheleleyo. Kodwa unganciphisa umngcipheko wakho kwaye unciphise impembelelo yesi sifo. Nazi ezinye izinto onokuzenza:

• Yitya ukutya okunamafutha agcweleyo aphantsi, amafutha e-trans, i-cholesterol, i-sodium (ityuwa), kunye neswekile.
• Yenza umthambo rhoqo . Qala ngokuhambahamba kancinci uze usebenze ukuya kuthi ga kwimizuzu engama-30 ngosuku, iintsuku eziliqela ngeveki.
• Gcina ubunzima bakho busempilweni. Buza ugqirha wakho ukuba yintoni na loo nto.
• Lawula ezinye iimeko zempilo, ingakumbi isifo seswekile, uxinzelelo lwegazi oluphezulu, kunye ne-cholesterol ephezulu.
• Musa ukusebenzisa iimveliso zecuba.
• Yenza uhlolo lwezonyango kube kanye ngonyaka.

Yintoni omele uyilindele xa uphila nale meko? Uzinyamekela njani?

Ukuba baxilongiwe baze banyangwe kwangethuba, abantu abaninzi abane-atherosclerosis banokuphila ubomi ababuthandayo. Kodwa esi sifo sinokubangela iingxaki zempilo, kwaye sinokubulala. Ngoko ke kubalulekile ukuba uqaphele iingozi zakho kwaye usebenzisane nogqirha wakho ukuze uzinciphise.

Sebenza ngokusondeleyo nogqirha wakho. Baza kujonga imeko yakho rhoqo baze bakuxelele ukuba kufuneka ubabone kangaphi. Gcina onke amadinga akho kwaye uzimisele ngempilo yakho. Xelela ugqirha wakho ngoko nangoko ukuba ubona naziphi na iimpawu ezintsha okanye ezitshintshayo. Unyango lwangethuba lunokunciphisa umngcipheko weengxaki ezisongela ubomi.

Kwakhona, cinga ngempilo yakho yengqondo. Kuqhelekile ukuba nexhala malunga nokuba ikamva likuphathele ntoni. Kunokuba nzima ukwenza utshintsho kwindlela ophila ngayo. Kodwa musa ukuvumela ezo mvakalelo zikuthintele ekubeni wonwabele ubomi.

• Yabelana ngeemvakalelo zakho nomcebisi okanye iqela lenkxaso.
• Nxibelelana nabanye abantu abanesifo sentliziyo. Ningabelana ngamava kwaye nifunde omnye komnye.
• Thetha nosapho lwakho kunye nabahlobo bakho malunga notshintsho olwenzayo kwindlela ophila ngayo. Bachazele ukuba kutheni olu tshintsho lubalulekile kuwe, kwaye ucele inkxaso yabo ekulwenzeni lube njalo.

Ufanele uye nini kwiYunithi yoNyango oluNgxamisekileyo (i-ETU) ?

Ukuba wena okanye umntu omaziyo uneempawu zokuhlaselwa yintliziyo, isifo sohlangothi, okanye i-TIA , fowunela u-911 okanye inombolo yakho yongxamiseko yasekuhlaleni ngoko nangoko. Ezi ziingxamiseko zonyango ezifuna unyango olukhawulezileyo.

Yeyiphi imibuzo omele uyibuze ugqirha wakho?

Eminye imibuzo onokuyibuza ugqirha wakho:

• Yeyiphi indlela engcono yonyango kum?
• Amanqanaba e-cholesterol kunye noxinzelelo lwegazi afanele abe njani kum?
• Ndingaqala nini ukujonga i-cholesterol yabantwana bam?
• Ungandicebisa inkqubo yokundinceda ndiyeke ukutshaya?

Umyalezo Wokugqibela Wokuya Ekhaya

I-atherosclerosis yimeko eqhelekileyo abantu abaninzi abajongana nayo. Kodwa ugqirha wakho ulapha ukukunceda uyilawule kwaye uphile ubomi bakho obuhle. Ngexesha lokuhlolwa kwakho konyaka, baya kuvavanya umngcipheko wakho wokuba ne-atherosclerosis baze bakuchazele into onokuyenza ukunciphisa loo ngxaki. Ungoyiki ukucela uncedo lokulandela icebiso likagqirha wakho. Banokucebisa ngezixhobo onokuzifuna. Khumbula, indlela yokuphila enempilo kunye nokulandela icebiso likagqirha wakho kuya kukunceda kakhulu ekukukhuseleni kule meko inzima.

I- atherosclerosis, i-arteriosclerosis, i-cholesterol, uhlaselo lwentliziyo, istroke, ukuvaleka kwemithambo yegazi, indlela yokuphila enempilo