Ngaba une-cholesterol ephezulu, uxinzelelo lwegazi oluphezulu, okanye isifo seswekile? Okanye ngaba kukho umntu kusapho lwakho owakha waba nesifo sentliziyo okanye isifo sohlangothi? Izinto ezinje zinokubangela uloyiko oluncinci ezingqondweni zethu, akunjalo? Ezi zifo azenzeki ngobusuku obunye. Ziye zanda emizimbeni yethu iminyaka, kancinci kancinci nangokuthe cwaka. Ngoko ke, bekuya kuba kuhle kangakanani ukuba bekukho indlela yokuchonga iimpawu zokuqala zezi zifo ziyingozi ngaphambi kokuba zivele? Namhlanje, siza kuthetha ngovavanyo abantu abaninzi abangazange beve ngalo, kodwa lubaluleke kakhulu.
Kalula nje, yintoni olu vavanyo lweCIMT?
Intsingiselo epheleleyo ye-CIMT yi -Carotid Intima-Media Thickness . Kulungile, eli gama lisenokuvakala liyinkimbinkimbi kancinci, kodwa indlela elisebenza ngayo ilula kakhulu. Masiyihlalutye kancinci size siyiqonde.
Kukho imithambo yegazi emibini ephambili kumacala omabini entamo yakho ethwala igazi liye ebuchotsheni bakho. Le yileyo siyibiza ngokuba yiCarotid Arteries . Le mithambo yegazi ayizizo nje iityhubhu, ikwanazo nodonga. Olu donga lwenziwe ngamaleya amathathu aphambili. Uvavanyo lweCIMT lulinganisa ubukhulu beeleya ezimbini ezingaphakathi kolo donga - i-intima, eyona leya incinci kakhulu edibana negazi, kunye ne-media, eyileya yemisipha engaphantsi kwayo.
Cinga ngombhobho wamanzi. Ekuhambeni kwexesha, umhlwa kunye nothuli ziyaqokelelana ngaphakathi kombhobho, zenze udonga lombhobho lube lukhuni kwaye kunciphise indawo yokuba amanzi adlule kuyo, akunjalo? Kunjalo ke ngemithambo yethu yegazi. Xa amafutha anjenge-cholesterol eqala ukuqokelelana ngaphakathi kwemithambo yegazi, udonga lwemithambo yegazi luqala ukuqina kancinci kancinci. Oku sikubiza ngokuba yi-atherosclerosis kunyango.
Injongo ephambili yovavanyo lwe-CIMT kukulinganisa ubukhulu bezi ntsalela zamafutha ezindongeni zemithambo yakho ye-carotid. Oku kuya kunceda ugqirha wakho ukuba ahlole umngcipheko wakho wokuba nesifo sentliziyo, isifo sohlangothi, okanye esinye isifo sentliziyo kwixesha elizayo.
Oku kufana nesibane esibomvu esisifumanayo ngaphambi kokuba sifumane isifo esinzulu. Kuthetha ukuba sinethuba lokuthatha amanyathelo afunekayo size siphephe loo ngozi inkulu kwangaphambili.
Ngubani ofuna ukwenza olu vavanyo?
Ngokwesiqhelo, ugqirha wakho uya kucebisa olu vavanyo kuphela ukuba unezinto ezibangela i-atherosclerosis. Asinguye wonke umntu omele enze olu vavanyo. Ezi zezona zinto zibalulekileyo ezibangela umngcipheko.
| Into Engumngcipheko | Ingcaciso elula |
|---|---|
| I-hyperlipidemia | Amanqanaba aphezulu amafutha afana ne-cholesterol kunye ne-triglycerides egazini. Oku kubizwa ngokuba yi-"cholesterol ephezulu." |
| Uxinzelelo lwegazi | Uxinzelelo lwegazi oluphezulu. Oko kuthetha "uxinzelelo lwegazi oluphezulu." |
| I-Hyperglycemia | Ukwanda kwamanqanaba eswekile egazini. Olu luphawu olukhulu lwesifo seswekile. |
| Izinto ezibangela indlela yokuphila | Izinto ezinje ngokutshaya, ukusebenzisa icuba, ukutyeba kakhulu, kunye nokungazilolongi. |
| Imbali yosapho | Amalungu osapho asondeleyo (abazali, abantakwabo noodadewabo) abaye bahlaselwa sisifo sentliziyo okanye isifo sohlangothi besebancinci. |
Ukuba unenye okanye ngaphezulu kwezi ngozi, ungathetha nogqirha wakho ukuze ufumane ukuba olu vavanyo lweCIMT lukulungele na.
Olu vavanyo lwenziwa njani? Ngaba yinto yokoyika?
Akukho nto yokoyika! Uvavanyo lwe-CIMT alunantlungu, alungenisi ntlungu, kwaye lufana novavanyo lwe-ultrasound olwenziwe kumfazi okhulelweyo. Alusebenzisi naluphi na uhlobo lwemitha.
Olu vavanyo ludla ngokwenziwa yingcali efumene uqeqesho olukhethekileyo kwi-ultrasound scanning. Nantsi indlela eyenzeka ngayo inyathelo ngenyathelo.
Ngaba kufuneka uzilungiselele ngaphambi kovavanyo?
Akukho mfuneko yokulungiselela okukhethekileyo. Ungatya usele njengesiqhelo. Nangona kunjalo, kulula ukunxiba ilokhwe enamahlombe abanzi kunye namaqhosha aveza indawo yentamo yakho.
Kwenzeka ntoni ngexesha lovavanyo?
Lonke olu vavanyo luthatha malunga nemizuzu engama-30 ukuya kwengama-45.
1. Ukulungiselela: Uza kucelwa ukuba ulale etafileni yovavanyo kwaye ube kwindawo ekhululekileyo.
2. Ukufaka ijeli: Emva koko, kufakwa ijeli encinci ebandayo emacaleni entamo yakho. Le jeli inceda ekudaleni unxibelelwano oluhle phakathi kwesixhobo sokuskena (iprobe) kunye nolusu kwaye ivumela amaza esandi ukuba adluliselwe ngokulula emzimbeni.
3. Ukuskena: Ngoku ingcali iza kubeka isixhobo esincinci esibizwa ngokuba yi-transducer entanyeni yakho ize isishukumise kancinci. Uza kuziva uxinzelelo oluncinci ngeli xesha, kodwa aluyi kuba buhlungu. Ngamanye amaxesha uza kucelwa ukuba ujike intloko yakho kancinci.
4. Ukufota: Amaza esandi aphuma rhoqo (amaza e-ultrasound) akhutshwa yi-transducer ahamba entanyeni, abethe imithambo yegazi ngaphakathi, aze abuyele umva. Amaza abuyayo athathwa yi-transducer aze athunyelwe kwikhompyutha. Ikhompyutha ihlalutya idatha ize ivelise umfanekiso ocacileyo wodonga lwemithambo yegazi kunye nomlinganiselo wobukhulu bayo ngeemilimitha.
5. Ukugqiba: Emva kokuba yonke imifanekiso efunekayo kunye nomlinganiselo uthathiwe, ijeli efakwe entanyeni yakho iya kusulwa uze uthunyelwe ekhaya. Ungaqhubeka nomsebenzi wakho oseleyo wosuku ngaphandle kokuphazamiseka.
Ingxelo yophando ithini?
Iziphumo zovavanyo lwe-CIMT zilinganisa ubukhulu beengqimba ezimbini zangaphakathi zodonga lwakho lwemithambo ye-carotid. Le mifanekiso kunye nomlinganiselo uphononongwa yingcali ye-radiologist elungiselela ingxelo.
Akuba ugqirha okunyangayo (ugqirha wosapho lwakho okanye ingcali yentliziyo) efumene ingxelo, uza kukuchazela yona.
Okubaluleke kakhulu, ixabiso lobukhulu elivela kule ngxelo lithelekiswa nexabiso eliqhelekileyo lomntu osempilweni oneminyaka yakho kunye nesini. Ukuba ixabiso lakho liphezulu kakhulu kunexabiso eliqhelekileyo, oko kuthetha ukuba iindonga zemithambo yakho yegazi ziqala ukutyeba kwaye usengozini yokuba nesifo sentliziyo.
Ukuba iziphumo aziqhelekanga, yintoni oyenzayo emva koko?
Khawucinge ukuba ingxelo yakho ye-CIMT ithi iindonga zemithambo yakho zijiyile. Musa ukoyika. Eyona nto ingcono kukuba uza kwazi ngayo ngaphambi kokuba yenzeke . Ngoku wena nogqirha wakho ningasebenzisana ukwenza icebo lokunciphisa umngcipheko wakho.
Ugqirha wakho uhlala ecebisa izinto ezifana nezi:
- Ukuqala amayeza:Usenokucelwa ukuba uqalise ukuthatha amayeza okunciphisa i-cholesterol (umz., amayeza e-statin), ukulawula uxinzelelo lwegazi, okanye ukuthintela ukuqhekeka kwegazi (umz., i-aspirin).
- Utshintsho kwindlela yokuphila:
- Ukutya: Nciphisa ukutya okuneoyile eninzi, iswekile, netyuwa, kwaye utye ukutya okunempilo kwentliziyo okufana nemifuno, iziqhamo, iimbotyi kunye nentlanzi.
- Ukuzilolonga: Qala ukuzilolonga, njengokuhamba okanye ukukhwela ibhayisekile, ubuncinane imizuzu engama-30 ngosuku.
- Ukuyeka imikhwa emibi: Ukuba uyatshaya, yeka ngokupheleleyo.
Ngokulandela la manyathelo, unokulawula ukuqina ngakumbi kweendonga zemithambo yegazi kwaye mhlawumbi ubuyisele imeko kwinqanaba elithile.
Umyalezo Wokuya Ekhaya
- Uvavanyo lwe-CIMT luvavanyo olungenabuhlungu nolukhuselekileyo lwe-ultrasound olulinganisa ubukhulu beendonga zemithambo emikhulu entanyeni.
- Oku kunokunceda ekuchongeni umngcipheko wezifo ezifana nokuhlaselwa yintliziyo kunye nestroke, kwanangaphambi kokuba kubonakale iimpawu.
- Olu vavanyo lufanelekile kakhulu kubantu abaneengxaki ezifana ne-cholesterol ephezulu, uxinzelelo lwegazi oluphezulu, isifo seswekile kunye nokutshaya.
- Musa ukoyika ukuba iziphumo zovavanyo lwakho aziqhelekanga. Oko kuthetha ukuba unexesha lokwenza utshintsho olufunekayo ukuze usindise ubomi bakho.
- Ukuba unemibuzo malunga nolu vavanyo okanye iziphumo, xoxa ngazo ngokukhululekileyo nogqirha wakho.
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