Ngaba ukhe weva ngesi sifo singaqhelekanga? - I-Fibromuscular Dysplasia (FMD)

Ngaba une-high blood pressure engachazekiyo? Okanye ngaba kunzima ukulawula uxinzelelo lwakho lwegazi nokuba usebenzisa amayeza? Ngaba ngamanye amaxesha uva ingxolo engaqhelekanga ezindlebeni zakho okanye uzive unesizungu? Namhlanje siza kuthetha ngemeko engaqhelekanga esingazange sive ngayo kakhulu kwaye enokuba ngasemva kwezi zinto. Oku kubizwa ngokuba yi-Fibromuscular Dysplasia, okanye i-FMD ngamafutshane.

Ngamafutshane, yintoni iFibromuscular Dysplasia (FMD)?

I-FMD yimeko echaphazela imithambo yegazi emzimbeni wethu, iityhubhu ezithwala igazi ukusuka entliziyweni ukuya kwezinye izitho zomzimba. Okwenzekayo koku kukuba iiseli ezikwiindonga zemithambo yegazi azikhuli ngendlela eqhelekileyo. Oku kunokubangela ukuba imithambo yegazi inciphe kwindawo enye okanye ivuvuke njengebhaluni. Ngamanye amaxesha imithambo yegazi ingabonakala njengentambo yeeperile, inciphe kwiindawo ezithile kwaye ivuvuke kwiindawo ezithile.

Khawucinge ngento eyenzekayo xa umbhobho wamanzi uvalekile okanye ubuthathaka kwaye udumbile. Ukuhamba kwamanzi kuvaliwe, akunjalo? Yiloo nto eyenzekayo kwi-FMD. Ukuhamba kwegazi ngemithambo yegazi kuvaliwe. Oku kunokukhokelela kwiingxaki ezahlukeneyo zempilo.

Nangona le meko inokuchaphazela nayiphi na imithambo yegazi emzimbeni, idla ngokuchaphazela:

• Imithambo yezintso: Xa le mithambo ichaphazeleka, ukusebenza kwezintso kunokuchaphazeleka.
• Imithambo yegazi ye-carotid entanyeni ehambisa igazi engqondweni: Xa ezi zinto zichaphazeleka, ukuhanjiswa kwegazi engqondweni kunokuphazamiseka.

Okumangalisayo kukuba, ngaphezu kwama-90% ezigulana ezifunyaniswe zine-FMD ngabafazi , nto leyo eyenza ukuba ibe yingxaki eqhelekileyo phakathi kwabasetyhini.

Kukho iintlobo ezimbini eziphambili ze-FMD:

Oogqirha bayahlulahlula ibe ziintlobo ezimbini eziphambili ngokusekwe kwindlela ebonakala ngayo imithambo yegazi ngexesha lovavanyo. Ukuze uqonde oku, jonga itheyibhile engezantsi.

Zithini iimpawu ze-FMD?

Iimpawu ezibonakalayo zixhomekeke ekubeni yeyiphi imithambo yegazi emzimbeni eyonakaliswe yi-FMD. Abanye abantu basenokungabi nazo iimpawu konke konke ukuba banesimo esincinci kakhulu sale meko. Nangona kunjalo, kukho iimpawu ezimbalwa eziqhelekileyo ezinokubonwa.

• Uxinzelelo lwegazi oluphezulu olunzima ukululawula: Oku kungaba ngunobangela woxinzelelo lwegazi oluphezulu, ingakumbi kumntu oselula.
• Intloko ebuhlungu: Abanye abantu banokuba nentloko ebuhlungu efana ne-migraine.
• Intlungu yentamo.
• I-pulsatile tinnitus: Isandi esivakala ngathi kukubetha kwentliziyo.
• Ukuba nesiyezi okanye ukuziva ngathi ujikeleza ngeenxa zonke kuwe (iVertigo).
• Ingxolo engaqhelekanga entanyeni okanye esiswini (Bruit): Xa ugqirha ehlola nge-stethoscope, isandi 's...s...' sinokuvakala njengoko igazi lihamba ngemithambo evalekileyo.
• Iintlungu zesifuba.
• Ubunzima bokuphefumla.
• Intlungu yecala: Le ntlungu inokwenzeka ukuba imithambo edibanisa nezintso iyachaphazeleka.
• Igazi kumchamo.

Kutheni i-FMD isenzeka? Zithini izizathu?

Izazinzulu azikayazi imbangela echanekileyo ye-FMD, kodwa kukho izinto ezininzi ekucingelwa ukuba zinegalelo kuyo.

• I-genetics: Kufunyaniswe ukuba le meko idluliselwa kwizizukulwana ngezizukulwana kwezinye iintsapho.
• IiHormone: Njengoko besitshilo ngaphambili, oku kuxhaphake kakhulu kwabasetyhini. Ke ngoko, kurhanelwa ukuba i-estrogen, ihomoni yabasetyhini, inendima kule nto.
• Izinto ezibangela imeko-bume: Abantu abatshayayo basengozini enkulu yokuba nale meko.
• Ukonakala kweendonga zemithambo yegazi: Izinto ezibangela ukolulwa ngokuphindaphindiweyo kweendonga zemithambo yegazi nazo zinokuchaphazeleka.

Ukongeza, i-FMD inokunxulunyaniswa nezinye iimeko zonyango ezingaqhelekanga. Umzekelo, ibonwa kwiimeko ezifana ne-`(Ehlers-Danlos syndrome)` kunye ne-`(Marfan syndrome)`.

Iingxaki ezinzima ezinokwenzeka ngenxa ye-FMD

Ukuba i-FMD ayinyangwa kakuhle okanye ayibonwa, kunokubakho iingxaki ezininzi eziyingozi. Kubaluleke kakhulu ukuzazi ezi.

Ukuba ufumana iimpawu zolu hlobo lwengxaki (umz., intloko ebuhlungu ngesiquphe, ubunzima bokuthetha, ukulahlekelwa zimvakalelo kwelinye icala lomzimba), kubaluleke kakhulu ukuya kwiSebe lezeMpilo eziNgxamisekileyo (ETU) lesibhedlele ngoko nangoko .

Oogqirha bayixilonga njani i-FMD?

Ngamanye amaxesha ugqirha wakho angafumana uphawu lwe-FMD (njengokudumba kwesisu) ngexesha lokuhlolwa rhoqo, okanye lunokufumaneka ngengozi ngexesha lokuhlolwa ngesinye isizathu.

Ukuba ugqirha urhanela ukuba une-FMD, uza kwenza iimvavanyo ezikhethekileyo ezininzi ukuqinisekisa oko.

• I-Vascular Ultrasound: Oku kusebenzisa amaza omsindo asebenzisa isandi esiphezulu ukuthatha imifanekiso yemithambo yegazi nokujonga ukuvaleka okanye ukwandiswa kwayo.
• I-Angiography: Oku kuquka ukufaka idayi ekhethekileyo emzimbeni kunye nokusebenzisa i-X-ray, i-CT, okanye i-MRI scan ukuze ubone ngokucacileyo ingaphakathi lemithambo yegazi. Le yeyona ndlela ilungileyo yokufumanisa i-FMD.

Ziziphi iindlela zonyango ze-FMD?

Akukho nyango lwe-FMD. Injongo ephambili yonyango kukulawula iimpawu nokuthintela iingxaki eziyingozi. Unyango olufumanayo luya kuxhomekeka kwimithambo yegazi echaphazelekileyo kunye nobunzima bemeko.

Nazi ezinye iindlela zonyango:

• Amayeza oxinzelelo lwegazi: Amayeza anjenge-ACE inhibitors kunye nee-ARB anokunikwa ukulawula uxinzelelo lwegazi .
• Amayeza athintela ukuqhekeka kwegazi: Amayeza e-antiplatelet okanye e-anticoagulant (umz., i-aspirin) anokunikwa ukunciphisa iingozi ezifana ne-stroke.
• I-Angioplasty: Le ayiyonkqubo yotyando. Kule nkqubo, ityhubhu encinci kakhulu ebizwa ngokuba yi-catheter idluliselwa kwi-artery kwaye xa ifikelele kwindawo evalekileyo, ibhaluni encinci ekupheleni iyavuthelwa ukuze yandise i-artery evalekileyo.
• Utyando: Ngamanye amaxesha utyando lunokufuneka ukuze kulungiswe i-aneurysm okanye kudalwe umthambo omtsha wegazi.

Izinto ekufuneka uziqwalasele xa uhlala ne-FMD

Ukufumanisa ukuba une-FMD kunokuba yinto eyoyikisayo. Nangona kunjalo, ngolawulo olufanelekileyo kunye nolawulo lwezonyango, ungaphila ubomi obuqhelekileyo.

Kubaluleke kakhulu ukulandela ezi zinto ukuze ugcine impilo yakho intle:

• Bona ugqirha wakho rhoqo: Kubalulekile ukuba uhlolwe rhoqo ukuze ujonge imeko yemithambo yakho yegazi kwaye uqinisekise ukuba unyango lwakho lusebenza kakuhle. Kusenokufuneka ukuba wenze iskeni kube kanye ngonyaka.
• Sela amayeza akho njengoko uyalelwe: Musa ukuyeka ukuthatha naliphi na iyeza eliyalelwe ngugqirha wakho.
• Linganisa uxinzelelo lwakho lwegazi ekhaya: Jonga uxinzelelo lwakho lwegazi rhoqo uze ulubhale phantsi.
• Kuphephe ukutshaya ngokupheleleyo:Ukutshaya kwenza i-FMD ibe mandundu. Ngoko ke ukuba uyatshaya, fumana uncedo lokuyeka.

Awuwedwa. Ugqirha wakho kunye neqela lezempilo baza kuyila isicwangciso sokulawula iimpawu zakho kunye neengxaki. Baza kukufundisa nangeempawu zokulumkisa ekufuneka uziqaphele. Ngoko ke ungoyiki ukuthetha nabo ngezinto ezikuxhalabisayo.