Ngaba wakha waba nentlungu engxamisekileyo, enzima entanyeni okanye entloko yakho ongenakukwazi nokuyicinga? Usenokuba wacinga, "Mhlawumbi kukukruneka nje" okanye "Ndine-migraine." Kodwa ngamanye amaxesha, intlungu engxamisekileyo, enzima efana nale, ingakumbi kumntu oselula, inokuba yinto exhalabisayo. Namhlanje siza kuthetha ngenye imeko enjalo, imeko yempilo engaqhelekanga kodwa engabalulekanga kangako ebizwa ngokuba yi-Cervical Artery Dissection.
Ngamafutshane, yintoni iCervical Artery Dissection?
Kulungile, masiyibeke ngokulula le nto. Unemithambo yegazi emikhulu (imithambo yegazi) entanyeni yakho. Le ifana nemithambo yegazi ephambili ethwala ioksijini kunye nezondlo eziya engqondweni yakho. Ngokuchanekileyo, imithambo yegazi ye-carotid, ekwicala ngalinye lentamo yakho, kunye nemithambo yegazi ye-vertebral, engasemva kwentamo yakho, ngaphakathi kwethambo lomqolo.
Ngoku cinga ngombhobho wamanzi. Iindonga zawo zenziwe ngamaleya aliqela, akunjalo? Ngendlela efanayo, iindonga zemithambo yethu yegazi nazo zenziwe ngamaleya aliqela. Ukususwa kwemithambo yomlomo wesibeleko kuxa kukho ukukrazuka okanye ukuqhekeka kwenye yeeleya zangaphakathi zodonga lwemithambo yegazi.
Le yeyona nto iphambili ebangela isifo sohlangothi kubantu abancinci nabadala, ngoko ke kubaluleke kakhulu ukukwazi oku.
Le meko iyichaphazela njani impilo yakho?
Kulungile, ngoku unombuzo othi, "Indlela ukukrazuka okuncinci kwimithambo-luvo kubangela ngayo isifo sohlangothi?" Nantsi indlela okwenzeka ngayo oku.
1. Ukwakheka kwenkxwaleko: Okokuqala, ukukrazuka kwenzeka kumaleko angaphakathi emithambo yegazi.
2. Ukuvuza kwegazi: Igazi liqala ukuvuza ngale krazuko liye kwiingqimba zodonga lwemithambo yegazi. Oku kubangela ukuba udonga lwemithambo yegazi ludumbe kwaye kunciphisa indawo ngaphakathi kwemithambo yegazi.
3. Ukwakheka kwehlwili legazi: Kwindawo yokukrazuka, ihlwili legazi liqala ukwakheka njengenkqubo yendalo emzimbeni wethu. Kanye njengokuba ihlwili legazi lenzeka ukuze liyeke ukopha xa ulusu lwethu lonzakele.
4. Umngcipheko: Eyona nto iyingozi kukuba eli hlwili legazi linokuphuma lize lihambe negazi liye engqondweni, livale umthambo omncinci wegazi engqondweni.
5. Istroke: Xa ukuhanjiswa kwegazi engqondweni kunqanyulwa ngale ndlela, iiseli zengqondo ziqala ukufa ngaphandle kokufumana ioksijini. Yiloo nto siyibiza ngokuba yistroke ye-ischemic .
Ngamafutshane, ukukrazuka okuncinci emthanjeni wegazi entanyeni kunokubangela ihlwili legazi elithintela ukuhanjiswa kwegazi engqondweni, nto leyo ekhokelela kwistroke esibi.
Yintoni enokubangela oku?
Akukho sizathu sinye sale nto. Ngamanye amaxesha ingenzeka ngaphandle kwesizathu esicacileyo. Kodwa ngokubanzi, kukho izizathu ezimbalwa eziphambili ezinokubangela oku. Masizijonge ngokucacileyo.
| Unobangela onokwenzeka | Imizekelo kunye neenkcazo |
|---|---|
| Ukulimala entanyeni okanye entloko | Le yeyona nto ixhaphakileyo. Umzekelo, inokubangelwa kukuxhuzula ngesiquphe kwentamo (whiplash) kwingozi yemoto, kwingozi yezemidlalo, okanye ekuweni ngesiquphe. |
| Iintshukumo ezikhawulezileyo nezikhawulezayo | Izinto ezifana nokuhamba ngokukhawuleza kwentamo njengokukhwela i-roller coaster, unyango lwe-chiropractic (ayikuko konke, kodwa kunokubakho iingozi), kunye nokujikeleza ngequbuliso kwentamo. |
| Imisebenzi echaphazela umzimba | Oku kunokwenzeka naxa umzimba uxinezelekile, njengokuphakamisa izinto ezisindayo, ukwenza umthambo ngokugqithisileyo, ukukhohlela kakhulu, ukuthimla, okanye ukuhlanza rhoqo. |
| Iingxaki zeTishu eziXhakamshelweyo | Abanye abantu baneemeko zemfuza ezenza buthathaka udonga lwemithambo yegazi, nto leyo eyenza ukuba luqhekeke nokuba lunomonzakalo omncinci. Imizekelo: I-Ehlers-Danlos syndrome , i-Fibromuscular dysplasia , i-Marfan syndrome . |
| Ezinye izinto ezinobungozi kwimpilo | Uxinzelelo lwegazi oluphezulu, i-atherosclerosis, kunye nokutshaya nazo ziyandisa umngcipheko. |
Zithini iimpawu zale meko?
Into eyoyikisayo ngale nto kukuba iimpawu ngamanye amaxesha zivakala ngathi yintlungu yomqala okanye intloko ebuhlungu eqhelekileyo. Abantu abaninzi basenokungayinaki loo nto. Abanye abantu banokuba neempawu ukuya kuthi ga kwinyanga ngaphambi kokuba bafunyaniswe benesifo.
Iimpawu zinokwahlulwa zibe ziindidi ezintathu eziphambili.
| Udidi lweempawu | Iimpawu ezibonakalayo |
|---|---|
| Intlungu yentloko okanye yentamo |
|
| Iimpawu ezifana nestroke | Ezi mpawu zenzeka xa umlinganiselo wegazi oya engqondweni uncipha.
|
| Isifo sikaHorner | Oku akwenzeki kuwo wonke umntu. Ezi mpawu zinokwenzeka xa imithambo-luvo kwelinye icala lobuso ichaphazeleka.
|
Kubaluleke kakhulu: Ukuba ngequbuliso ufumana iintlungu eziqatha zentamo okanye zentloko, kunye nenye okanye ngaphezulu kweempawu ezifana nestroke ezidweliswe apha ngasentla, yiya kwiSebe lezeMpilo eziNgxamisekileyo (ETU) esibhedlele ngoko nangoko. Ixesha libalulekile apha.
Uxilongo kunye neendlela zonyango
Ungayiqonda njani le nto?
Xa uxelela ugqirha wakho ngeempawu zakho, ukuba ukrokrela ukuba le meko, uya kucebisa ukuba ahlolwe ngeendlela ezahlukeneyo ukuqinisekisa ukuba ikhona.
- I-CT Angiography (CTA): Olu luhlobo olukhethekileyo lwe-CT scan. Isebenzisa idayi yokwahlulahlula ukufaka kwimithambo yegazi, idala imifanekiso ecacileyo yemithambo yegazi. Inokunceda ekufumaneni naziphi na iinyembezi, ukuvaleka, okanye ukuvaleka.
- I-MR Angiography (MRA): Le yindlela yokuthatha imifanekiso yemithambo yegazi usebenzisa i-MRI scanner. Oku kungasetyenziselwa nokuhlola imeko yemithambo yegazi.
Iphathwa njani?
Usenokumangaliswa kukuva oku. Uninzi lwexesha, ukukrazuka okukule mthambo wegazi kuyaphola ngokwako ngokuhamba kwexesha . Ngoko ke injongo ephambili yonyango kukunciphisa umngcipheko westroke de ukukrazuka kuphole. Oko kukuthi, ukuthintela ukwakheka kwehlwili legazi.
Oogqirha basebenzisa iintlobo ezimbini zamayeza koku:
1. Amayeza okulwa neeplatelet: La asebenza ngokuthintela iiplatelet zegazi ukuba zinganamatheli ndawonye kwaye zenze amahlwili egazi. I-Aspirin kunye neClopidogrel zezona ziyobisi zisetyenziswa kakhulu kolu didi.
2. Amayeza okuthintela ukugabha kwegazi: La adla ngokubizwa ngokuba “zizinto ezinciphisa igazi.” Athintela inkqubo yokugabha kwegazi. IHeparin (enikwa njengenaliti) kunye neWarfarin (ethathwa njengepilisi) zezo zikolu didi.
Ugqirha wakho uya kugqiba ukuba loluphi unyango olulungele wena.
Kwezinye iimeko ezingaqhelekanga, ukuba amayeza awasebenzi okanye ukuba umthambo wegazi wonakele kakhulu, kungasetyenziswa inkqubo ebizwa ngokuba yi -stenting . Oku kuquka ukubeka isixhobo esincinci esifana ne-mesh ngaphakathi komthambo wegazi ukuze uhlale uvulekile.
Kuza kwenzeka ntoni emva koko? Kwaye ingathintelwa njani loo nto?
Injani imeko yokuchacha ngokubanzi?
Ezi zezona ndaba zimnandi. Ukuqhaqhwa kwemithambo yomlomo wesibelekoUninzi lwabantu luyaphila kakuhle. Umthambo wegazi oqhekekileyo uhlala uphila kwiinyanga ezi-3 ukuya kwezi-6. Ngeli xesha, kubalulekile ukuthatha amayeza njengoko ugqirha ewayalele kwaye uye kwiikliniki ukuze uhlolwe ngexesha.
Yintoni enokwenziwa ukunciphisa umngcipheko?
Ukuba usengozini yokuba nale meko (umzekelo, ukuba unesifo sezicubu ezidityanisiweyo), kukho izinto ezininzi onokuzenza ukunciphisa umngcipheko wakho:
- Ziphephe iindawo ezicinezela intamo yakho: Umzekelo, musa ukuyibamba intamo yakho ikwindawo enye ixesha elide, njengaxa upeyinta isilingi.
- Ziphephe iintshukumo ezikhawulezileyo nezikhawulezayo: Kungcono ukuba ungazenzi izinto ezifana nee-roller coasters kunye nemidlalo equka ukushukumisa intamo yakho.
- Kuphephe ukuphakamisa iintsimbi ezinzima: Kuphephe ukuphakamisa iintsimbi ezibangela uxinzelelo olukhulu emzimbeni wakho.
- Yitya ukutya okunempilo nentliziyo: Yitya ukutya okunamafutha amaninzi, ityuwa encinci, neswekile encinci, kwaye utye iziqhamo nemifuno emininzi.
- Zilolonge rhoqo: Kodwa buza ugqirha wakho ukuba zeziphi iindlela zokuzilolonga ezikulungeleyo.
- Lawula uxinzelelo lwakho lwegazi: Ukuba unexinzelelo lwegazi oluphezulu, thatha amayeza akho njengoko ugqirha wakho ekuyalele.
- Kuphephe ukutshaya ngokupheleleyo.
Umyalezo Wokuya Ekhaya
- Ungaze uyityeshele intamo ebuhlungu okanye intloko ebuhlungu ngequbuliso, engaqhelekanga (ingakumbi emva kwamehlo).
- Ukuqhaqhazwa kwemithambo yomlomo wesibeleko kukukrazuka kodonga lomthambo wegazi entanyeni, kwaye yeyona nto ibangela isifo sohlangothi, kwanakubantwana abancinci.
- Ukuba uneentloko ezibuhlungu kakhulu kunye neempawu ezifana nokungaziva mnandi kwelinye icala lomzimba wakho, ubunzima bokuthetha, okanye utshintsho lombono, yingxamiseko leyo. Yiya kwiSebe lezeMpilo eziNgxamisekileyo lesibhedlele (ETU) ngokukhawuleza.
- Le meko idla ngokuziphelela ngokwayo, kwaye injongo ephambili yonyango kukuthintela isifo sohlangothi.
- Kubaluleke kakhulu ukulandela imiyalelo kagqirha wakho, uthabathe amayeza amiselweyo, kwaye uhlolwe rhoqo.
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