Ngaba kukho 'imithambo' emzimbeni wakho evalekileyo? Masifunde nge (Stenosis) kunye (Stricture) ngendlela elula!

Ngaba ngamanye amaxesha uziva uphelelwa ngumoya xa unyuka izinyuko? Okanye uziva intlungu engaqhelekanga emlenzeni wakho emva kokuma okwethutyana? Okanye uziva ngathi uyakrwitshwa xa uginya ukutya? Ngamanye amaxesha ezi zinto zinokubangelwa kukuncitshiswa kweendlela ezibalulekileyo, imijelo okanye 'iityhubhu' emzimbeni. Namhlanje, siza kuthetha ngezi 'nciphiso', nto leyo oogqirha abayibiza ngokuba yi- "Stenosis" kunye ne-"Stricture" . Ungakhathazeki, masiyiqonde ngokulula le nto.

Zithini (iStenosis) kunye (iStricture)?

Ngamafutshane, omabini la magama (iStenosis) kunye ne (Stricture) abhekisa ekuncipheni okanye ekuvalekeni komjelo, indlela, okanye nomngxuma omncinci emzimbeni wakho. Khawuthelekelele ukuba iqhekeza lothuli linamathele kumbhobho wamanzi, kuya kuba nzima ukuba amanzi adlule, akunjalo? Oku kuyinto efana naleyo. Ngenxa yesi sizathu, izinto ekufuneka zidlule kuloo ndlela (umzekelo, igazi, ukutya, umphefumlo, umchamo, njl.njl.) azikwazi ukuhamba kakuhle.

Amaxesha amaninzi, la magama mabini asetyenziswa ngokutshintshana. Oko kukuthi, ezi ziinkqubo ezingafanele zenzeke kwaye ezinokukulimaza. Ezi meko zifuna unyango , ingakumbi ukuba uneempawu. Ngoko ke kubalulekile ukuba uqaphele oku xa usenza izigqibo malunga nempilo yakho.

(Stenosis) kunye (Stricture) - Ngaba kukho umahluko?

Enyanisweni, nangona intsingiselo esisiseko yala magama omabini "ikukuncipha", oogqirha ngamanye amaxesha basebenzisa la magama ngendlela eyahlukileyo kwiindawo ezahlukeneyo zomzimba.

Igama elithi stenosis lisetyenziswa kakhulu:

• Ukuncitshiswa kwemithambo yegazi (imithambo yegazi). Umzekelo, imithambo yegazi entanyeni yakho (imithambo yegazi ethwala igazi eliya engqondweni yakho) okanye imithambo yegazi ethwala igazi eliya ezintsoni zakho.
• Ukuncitshiswa kweevalvu zentliziyo . Umzekelo, ivalvu ye-aorta okanye ivalvu ye-mitral.
• Ukuncitshiswa kwezinye iindawo zenkqubo yokuphefumla , umzekelo, umbhobho womoya (i-trachea) okanye ibhokisi yelizwi (i-larynx).

Ngamanye amaxesha le stenosis inokuba ncinci kakhulu, ingabi nazimpawu. Kodwa nencinci inokuba nkulu ngokuhamba kwexesha, ibangele iimpawu, okanye ikhokelele kwiimeko eziyingozi. Umzekelo, ukuba umthambo wegazi othwala igazi engqondweni yakho uba mxinwa kakhulu, unokuba ne-"Stroke".

Igama elithi stricture lisetyenziswa kakhulu xa kubhekiselwa kwi-narming ezifana nezi:

• Iindawo ezithile zenkqubo yokwetyisa . Umzekelo, umphimbo wakho, amathumbu, okanye imibhobho yenyongo.
• Iindawo ezithile kwinkqubo yomchamo . Umzekelo, i-urethra okanye intamo yesinyi.
• Iindawo zenkqubo yokuzala . Umzekelo, i-vagina (`(Vagina)`) okanye umlomo wesibeleko (`(Cervix)`).

Zingenzeka phi ezi nciphiso? (Iintlobo zeStenoses kunye neStrictures)

Olu hlobo lokuncitshiswa lunokwenzeka kwiindawo ezininzi emzimbeni wakho. Makhe sijonge ezimbalwa zeendawo eziphambili ezichaphazeleka koku.

Iivalvu zentliziyo kunye nemithambo yegazi (inkqubo yokujikeleza kwegazi)

Iivalvu ezisentliziyweni yakho zifana "neengcango." Ezi ngcango ziyavuleka kwaye zivala ukuvumela igazi ukuba lihambe kwiigumbi zentliziyo yakho. Imithambo yegazi ifana "neepayipi" ezithwala igazi elinomoya-mpilo emzimbeni wakho wonke. Ukuba ezi ziyancipha, iingxaki ezinkulu zinokwenzeka.

Nantsi eminye imizekelo:

• I-Aortic valve stenosis: Oku kukuncipha kwevalvu ephambili ethwala igazi lisuka entliziyweni ukuya emzimbeni. Oku kungonakalisa intliziyo.
• I-Carotid artery stenosis: Oku kubangelwa kukuncitshiswa komthambo oyintloko entanyeni yakho othwala igazi liye engqondweni yakho. Uninzi lwabantu luba neempawu emva kokuhlaselwa yi-ischemic (TIA) okanye i-stroke enkulu. Khawuthelekelele umhlobo wakho ephelelwa kukuthetha ngequbuliso aze angakwazi ukulawula amalungu akhe. Oku kungenzeka.
• (Isifo semithambo yegazi): Nangona igama lesi sifo lingatsho (iStenosis), yiloo nto eyenzekayo. Imithambo yegazi ehambisa igazi entliziyweni (`(imithambo yegazi yegazi)`) iyancitshiswa zizinto ezinamafutha (`(iPlaque)`). Ukuba iba ncinci kakhulu, `(uhlaselo lwentliziyo)` lunokwenzeka.
• I-Mitral valve stenosis: Ukuncitshiswa kwevalvu ethwala igazi ukusuka kwigumbi eliphezulu lasekhohlo lentliziyo ukuya kwigumbi elisezantsi lasekhohlo.
• I-pulmonary artery stenosis: Le yimeko eyenzeka kwiintsana ezincinci kunye nabantwana. Imithambo yegazi enye okanye ezingaphezulu ezithwala igazi ukusuka entliziyweni ukuya emiphungeni ziyancitshiswa.
• I-Renal artery stenosis: Ukuncitshiswa kwemithambo yegazi ehambisa igazi kwizintso. Nangona kusenokungabikho zimpawu ekuqaleni, njengoko imeko iqhubeka, ukusebenza kwezintso kunokuncipha.
• I-subclavian artery stenosis: Ukuncitshiswa komthambo ohambisa igazi engalweni yakho. Ekubeni oku kudla ngokuchaphazela ingalo yasekhohlo, iimpawu (ezifana nokurhawuzelela, ukungaziva mnandi) ziyenzeka engalweni yasekhohlo.

Umqolo

Umqolo wakho yinxalenye yomzimba wakho ekunika amandla kwaye ikunceda ukuba ushukume. Wenziwe ngamathambo amancinci angama-33 (ii-Vertebrae) abekwe phezu komnye. Xa la mathambo ebekwe ecaleni, kukho umjelo omncinci odlula kuwo. Oku kubizwa ngokuba yi-Spinal Canal. Umjelo wakho womqolo udlula kulo mjelo.

Kanye njengokuba isikhephe sihamba ecaleni komjelo, umthambo womqolo nawo uhamba ngale `(umjelo womqolo).` Kanye njengokuba umjelo kufuneka ube banzi ukuze isikhephe sidlule, umthambo womqolo nawo kufuneka ube nendawo ngaphakathi kweli mjelo.

Ukuba le `(Spinal canal)` incipha naphi na, ingacinezela imithambo-luvo ekwi-spinal cord, ibangele iimpawu ezifana neentlungu kunye nokungaziva. Oku yiloo nto oogqirha bayibiza ngokuba yi -`(Spinal stenosis)` . Nangona inokwenzeka naphi na emgogodleni, idla ngokuchaphazela umqolo wakho ongezantsi (`(Lumbar spine)`) kunye nentamo (`(Cervical spine)`).

I-Foraminal stenosis lolunye uhlobo lwe-spinal stenosis. Kulapho imingxunya apho imithambo-luvo iphuma khona kwi-spinal cord incipha khona.

Inkqubo yokuphefumla

Iindlela zakho zomoya ziyindlela umzimba wakho oyisebenzisayo ukuphefumla nokungena. Ukuzigcina zivulekile kubalulekile ukuze uphefumle.

I-tracheal stenosis kukuncitshiswa kombhobho wakho ophambili (i-trachea). Oku kubangelwa kukwakheka kwezicubu ezibomvu kumbhobho. Isenokuba sisiphumo esibi sokufunxa.

I-subglottic stenosis kukuncitshiswa kwenxalenye esezantsi ye-larynx. Ayiqhelekanga njenge-tracheal stenosis. Ngamanye amaxesha inokubangelwa kukufakwa kwetyhubhu okanye usulelo, kodwa kwiimeko ezininzi akukho sizathu sinokufunyanwa.

Inkqubo yokugaya ukutya

Inkqubo yokwetyisa ukutya kulapho ucola khona ukutya okutyayo uze ufunxe izondlo kuko. Kulapho uvelisa kwaye ukhuphe khona inkunkuma (indle).

Ukuncitshiswa kunokwenzeka kwiindawo ezahlukeneyo kule nkqubo:

• Ukuqiniswa komlomo: Ukuncitshiswa komlomo. Ngokuqhelekileyo, i-acid reflux engapheliyo yeyona nto ibangela oku.
• Ukuqiniswa kwamathumbu: Ukuncitshiswa kwenxalenye yamathumbu amancinci (`(Amathumbu amancinci)`) okanye amathumbu amakhulu (`(Ikholoni)`). Oku kukwabizwa ngokuba yi`(Isibindi samathumbu amancinci)` okanye` (Isibindi samathumbu amakhulu)`. Le ngozi iphezulu kubantu abanezifo ezifana `(isifo sikaCrohn)` ngenxa yokudumba okuqhubekayo kwamathumbu. Oku kunokukhokelela `(Ukuvaleka kwamathumbu)`.
• I-anal stenosis: Ukuncitshiswa komjelo wempundu. Oku kunokubangela ukuba izicubu zibe bomvu emva kotyando lwempundu (njengokwenziwa kwe-anoplasty).
• Ukuqiniswa kwenyongo: Ukuncitshiswa okanye ukuvaleka kwemibhobho yenyongo ethwala inyongo (ulwelo olunceda ekugayweni kokutya) ukusuka esibindini ukuya emathunjini amancinci. Umhlaza wepancreatic kunye nomhlaza wenyongo zezona zinto zibangela oku.

Iinkqubo zomchamo kunye nokuzala

Ngamanye amaxesha iindawo ezithile kwindlela yakho yokuchama okanye inkqubo yokuzala zinokuba ncinci. Oku kungaba yimpembelelo ethile yonyango oluthile, utyando, okanye ngenxa yokwenzakala okanye usulelo. Ezi meko zinokwahluka ngokwesini.

Eminye imizekelo:

• Ukufinyela kwentamo yesinyi: Ukuncitshiswa kwentamo apho umchamo uphuma khona kwisinyi (`(Isinyi)`) ungene kwi-urethra (`(Urethra)`). Oku kunokwenzeka kumadoda emva kotyando lwe-prostate (`(Utyando lwe-prostate)`).
• Ukuqina komchamo: Ukuncitshiswa komchamo. Oku kukwachaphazela kakhulu amadoda. I-postterior urethral stenosis kukuncitshiswa kwenxalenye ephezulu yomchamo.
• I-Vaginal stenosis: Ukuncitshiswa komjelo we-vaginal. Oku kunokwenzeka kubasetyhini njengesiphumo esingesihle sonyango lwe-radiation kwindawo ye-pelvic.

Zithini iimpawu zoku kuncipha?

Ngoko ke, zithini iimpawu zokuncipha kwezi ndawo? Enyanisweni,Kuxhomekeke ngokupheleleyo ekubeni ukuncipha komzimba kukuphi. Ngamanye amaxesha kusenokungabikho zimpawu konke konke. Kodwa kukho iimpawu eziqhelekileyo ezinokubonakala. Umzekelo:

• Ukuba ivalvu yentliziyo incipha: ubunzima bokuphefumla, iintlungu zesifuba, ukuquleka.
• Ukuba umjelo womqolo uncipha: intlungu emqolo nasemilenzeni, ukungaziva mnandi, ubunzima bokuhamba.
• Ukuba indlela yomoya iyancipha: Ukuphefumla kancinci, ukuphefumla kancinci.
• Ukuba umphimbo uyancipha: kunzima ukuginya ukutya, ukutya kuyabhajwa.
• Ukuba i-urethra incipha: ubunzima bokuchama, umchamo obuthathaka.

Kutheni le nto ezi zinto zincipha? Zithini izizathu?

Kunokubakho izizathu ezininzi zokuba iimeko ezinjalo zenzeke.

• Ukwakheka kweplaque kwimithambo yegazi (ukuvaleka kwemithambo yegazi ngenxa yokuqokelelwa kwamafutha kunye ne-cholesterol).
• Njengesiphumo esingesihle sonyango oluthile kunye notyando .
• Usulelo.
• Ukwenzakala (`Ukwenzakala` okanye `ukwenzakala`).
• Ezinye izifo, ingakumbi ezo zibangela ukudumba okungapheliyo (umz. isifo sikaCrohn).
• Ngotshintsho oluqhubekayo emzimbeni njengoko sikhula .
• Ngamanye amaxesha usenokungakwazi ukufumana isizathu.

Ugqirha uyixilonga njani le nto?

Ukuba uneempawu, ugqirha uza kujonga ezi mpawu. Oku kudla ngokwenziwa ngeendlela ezilandelayo:

• Baza kukuxilonga baze bakubuze ngononophelo ngeempawu zakho .
• Uvavanyo lwegazi kunye/okanye lomchamo lwenziwa.
• Uvavanyo olukhethekileyo lwemifanekiso lwenziwa ukujonga ngaphakathi emzimbeni . Olu vavanyo lungabandakanya i-ultrasound scan, i-MRI (Magnetic Resonance Imaging), okanye i-CT scan (Computed Tomography scan).
• Ngamanye amaxesha, kwenziwa i-endoscopy, apho kufakwa khona ityhubhu encinci enekhamera (i-scope) emzimbeni . Oku kuvumela umbono othe ngqo wangaphakathi lomzimba.

Ukuba awunazo iimpawu, zinokufunyanwa njengeziphumo ezingalindelekanga ngexesha lovavanyo olwenziwe ngesinye isizathu.

Zithini iindlela zokunyanga oku? (Unyango)

Iindaba ezimnandi zezokuba kukho unyango lwale ngxaki. Iindlela zonyango zinokwahluka ngokuxhomekeke kwimeko yakho. Ugqirha wakho uza kuthetha nawe malunga nonyango olungcono kuwe. Ngokubanzi, unyango luquka:

• Amayeza omlomo.
• Iinaliti (ezifana ``(iinaliti zeSteroid)``).
• Ulungiso lwenyama.
• Iinkqubo ezikhethekileyo kunye notyando.

Utyando kunye neenkqubo ezikhethekileyo zihlala zenza izinto ezinje:

• Ukusebenzisa into efana nebhaluni ukwandisa indawo encinci.(Umzekelo, i-Angioplasty, eyenziwa xa imithambo yegazi ivaliwe).
• Kufakwa isixhobo esincinci esifana ne-mesh esibizwa ngokuba yi-stent ukuze kuthintelwe ukuvaleka ukuba kungaphindi kwenzeke. Oku kufana nokufaka esinye ityhubhu encinci ngaphakathi kwityhubhu evalekileyo.
• Ukususa i-`(Plaque)` evaliweyo (izinto ezifana neoyile) (`(Endarterectomy)`).
• Ukususa izicubu ezibomvu.
• Ukwakha ngokutsha okanye ukutshintsha iindawo ezonakeleyo.

Ixesha elininzi, olu tyando lwenziwa kusetyenziswa "iindlela ezingaphantsi kakhulu". Oko kukuthi, zenziwa ngokusikwa okuncinci, ngaphandle kokusikwa okukhulu. Iqela lakho lezonyango liza kukuxelela okungakumbi ngale nto.

Yintoni onokuyilindela emva konyango?

Kubalulekile ukukhumbula ezi zinto zilandelayo:

• Unyango lungathatha ixesha. Kusenokufuneka ubonane nogqirha wakho amaxesha amaninzi. Umzekelo, ukunwetshwa kwesisu ngenxa yokuqina komphimbo kungenziwa amaxesha amaninzi ngeveki.
• Le meko ingaphinda ivele emva konyango. Umzekelo, umthambo wegazi owawukade ukhuliswe ungaphinda unciphe (`(Restenosis)`). Ukuba oku kuyenzeka, unyango kuya kufuneka luphindwe.
• Ukulandelelana kubaluleke kakhulu. Ugqirha uza kujonga imeko yakho, ajonge indlela ochacha ngayo emva konyango, aze ajonge naziphi na iingxaki ezintsha.
• Kusenokufuneka wenze utshintsho oluthile kwindlela yakho yemihla ngemihla. Ugqirha wakho unokukunika iingcebiso malunga nokutya kwakho kunye nemisebenzi yakho. Ngamanye amaxesha banokukuxelela ukuba uphumle kancinci, ngamanye amaxesha banokukuxelela ukuba ushukume kancinci.

Ufanele uye nini ngokuqinisekileyo kugqirha?

Qiniseka ukuba uya kwintlanganiso ugqirha wakho akunike yona. Buza ukuba kukho into ongaqinisekanga ngayo. Ukuba kukho nayiphi na kwezi zilandelayo eyenzekayo, fowunela ugqirha wakho ngoko nangoko:

• Ukuba kuvela iimpawu ezintsha, okanye ezikhona ziyanda.
• Ukuba unyango alubonakali luzisa isiqabu esilindelekileyo.
• Ukuba kukho iingxaki emva kotyando, ezinje ngomkhuhlane, utshintsho kwindawo yokusikwa (ukutshintsha kombala, ukuphuma kobofu, ukudumba).

Nokuba ugqirha uyibiza ngokuba yi-stenosis, ungaziva ngathi uyafuthaniseka xa uphakamisa iimpahla ezimbalwa uze unyuke izinyuko. Okanye ungaziva intlungu ehamba emlenzeni wakho emva kokuma okwethutyana. Oku kuncitshiswa kwemithambo yegazi emzimbeni wakho kungenzeki kancinci nangokuthe cwaka, de kube ngenye imini uqonde ukuba ezi mpawu zingaphezulu nje kokucaphuka okuncinci.

Ukuba uneempawu ezingaqhelekanga, okanye ukuba uziva ngathi kukho into engalunganga, kubaluleke kakhulu ukufuna ingcebiso kagqirha.

Ugqirha wakho uza kuthetha nawe, enze uvavanyo ukuba kuyimfuneko, aze akuncede ufumane unyango olufunayo. Kulapho ke kuphela apho uya kukwazi ukuchacha ngokukhawuleza.

Izinto ezibalulekileyo ekufuneka uzikhumbule (Umyalezo Wokuya Ekhaya)

Ngoko ke, into yokugqibela endimele ndiyithethe kukuba, musa ukoyika xa usiva amagama athi "stenosis" okanye "stricture." Zonke ezi zinto zibhekisa ekuncipheni kwendlela emzimbeni wakho.

• Ezi meko zihlala zinokunyangeka kwaye zinyangeke.
• Ukuba uneempawu, musa ukuzityeshela. Nokuba zibonakala ngathi zincinci, zisenokuba sisiqalo sengxaki enkulu.
• Landela imiyalelo kagqirha wakho ngononophelo. Ukuba wenza oko ugqirha akuxelele ukuba ukwenze, uya kuphila ngokukhawuleza kwaye ukwazi ukuphila ubomi obuqhelekileyo.
• Lumka umzimba wakho. Nika ingqalelo kuyo nayiphi na inguqu oyiphawulayo.

Ukuba unemibuzo engaphezulu malunga noku, ungathandabuzi ukubuza ugqirha wakho. Nguye umntu ofanelekileyo ukukunceda.

I- Stenosis, ukuqina, ukuncitshiswa, ukuvaleka, imithambo yegazi, iivalvu zentliziyo, umqolo, iindlela zomoya, umjelo wokutya, (i-Stenosis), (i-Stricture), (i-Aortic stenosis), (i-Carotid artery stenosis), (i-Spinal stenosis), (i-Angioplasty), (i-Stent)