Ingaba imithambo yakho yegazi iyaxina ngequbuliso? Oku kubizwa ngokuba yi-(Vasospasm)!

Ngaba wakha waziva uvakalelwa ngequbuliso, uxinene, okanye ubuhlungu kwelinye ilungu lomzimba wakho? Kusenokuba kungenxa yokuba omnye wemithambo yakho yegazi uyaqina ngequbuliso. Ngokwezonyango, oku kubizwa ngokuba yi-vasospasm , okanye ukuxinwa kwemithambo yegazi . Ngamafutshane, kufana nombhobho wamanzi ovalwayo ngequbuliso, uvale ukuhamba kwamanzi. Kubalulekile ukukuqonda oku kuba kunokuchaphazela iindawo ezininzi ezahlukeneyo zomzimba wakho.

Yintoni kanye kanye le (iVasospasm)?

Ngamafutshane, i-vasospasm kukuxinana okukhawulezileyo nokuthatha ixesha elide kunye nokuncitshiswa kwemithambo yegazi, okanye imithambo yegazi, emzimbeni wakho. Khawucinge ngento eyenzekayo ukuba uqinisa amanqindi akho kwaye uvale iminwe yakho okwethutyana? Iqala ukuba buhlungu emva kwexesha elithile, akunjalo? Yiloo nto eyenzekayo ukuba imithambo yakho ihlala ixinene.

Iindonga zethu zemithambo yegazi zenziwe ngezihlunu . Ezi zihlunu zihlala zifinyela kwaye ziphumla ukulawula uxinzelelo lwegazi. Oku kuqhelekile. Nangona kunjalo, kwi-vasospasm, ezi zihlunu zifinyela ngendlela engaqhelekanga kwaye ixesha elide kakhulu . Oku kunciphisa inani legazi elihamba kuloo mithambo yegazi. Oku kunciphisa inani leoksijini efikelela kwizicubu ezijikelezileyo. Ukuba oku kuyaqhubeka, iindonga zemithambo yegazi zinokonakala.

Ngokukodwa, apho kukho iingxaki kwimithambo yegazi, sizibiza ngokuba yi-endothelial dysfunction , kukho ithuba elikhulu lokuba (i-vasospasm) yenzeke.

Kwenzeka ntoni xa kukho i-vasospasm?

Xa kuvela i-vasospasm, izihlunu ezigudileyo ezindongeni zemithambo yegazi zisabela ngokugqithisileyo kwimiqondiso yokufinyela. Ngokwesiqhelo, ezi zihlunu ziyafinyela okwethutyana. Kodwa xa zifinyela, ziyafinyela ixesha elide kunokuba kuyimfuneko.

I-Vasospasm iyichaphazela njani umzimba wam?

I-Vasospasm inokwenzeka kwiimithambo emininzi eyahlukeneyo emzimbeni wethu, kodwa ixhaphake kakhulu kwiindawo ezithile. Umzekelo:

• Imithambo yeCoronary: Xa imithambo yegazi ehambisa igazi entliziyweni iphuma, ibizwa ngokuba yiPrinzmetal angina . Oku kunokuthintela ukuhamba kwegazi entliziyweni kwaye kubangele ukuhlaselwa yintliziyo . Khawucinge ngentlungu ebukhali esifubeni, ngamanye amaxesha isenza kube nzima ukuphefumla.
• Imithambo Yengqondo: Ukuba imithambo yegazi ehambisa igazi ebuchotsheni (i-vasospasm) iyenzeka, ukuhamba kwegazi ukuya ebuchotsheni kunokuncipha, okubangela umonakalo kwizicubu zobuchopho (i-cerebral infarct) , imeko efana "nohlaselo lwentliziyo" ebuchotsheni. Oku kunokubangela ubunzima bokuthetha kunye nokulahlekelwa ngumsebenzi welungu.
• Imithambo yegazi kwiminwe nakwiinzwane: Ukuba iminwe ivasospasm, iminwe inokubanda, ingabi nanto, kwaye itshintshe umbala. Le yimeko engathandekiyo kakhulu.
• I-Nipple Vasospasm: Ukuba le meko iyenzeka koomama abancancisayo, ukuncancisa kunokuba buhlungu kakhulu.

Ixhaphake kangakanani i-vasospasm?

Ngokwezinye izifundo, ukuya kuthi ga kwi -20% yoomama abancancisayo banokufumana i-vasospasm kwimibhobho yabo yobisi . Kwakhona, phakathi kwe -50% kunye ne-90% yabo bafumana imeko efana nokuqhekeka komthambo wegazi ebuchotsheni (i-aneurysm) basengozini yokufumana i-vasospasm.

Ziziphi iimpawu ze-vasospasm?

Iimpawu ziyahluka ngokuxhomekeke kwindawo apho i-vasospasm ivele khona. Makhe sibone ukuba isebenza njani.

Iimpawu zeCoronary Vasospasms

Ezi zinto zihlala zenzeka xa uphumle, ebusuku, kusasa, nasemva kokuba ukhe wabanda kakhulu . Olunye uphando lubonise ukuba zikwanxulunyaniswa neemeko zengqondo ezifana nokuxhalaba kunye nokudakumba .

Iimpawu eziphambili zezi:

• Ukuma kwentliziyo okanye ukufa kwentliziyo ngequbuliso okukhawulezileyo kuthintelwe.
• Ukuquleka.
• I-angina ezinzileyo: Oku kuthetha iintlungu zesifuba, ingakumbi xa usebenza nzima.
• I-Acute coronary syndrome: Oku kungaba sisifo sentliziyo okanye i-angina engazinzile.

Iimpawu ze-Cerebral Vasospasms

I-Vasospasm engqondweni ingabangela iimpawu ezifana nezi:

• Intloko ebuhlungu ngequbuliso eqala ukuba mandundu kwimizuzwana embalwa.
• Ukulala kakhulu.
• Ukulahlekelwa yimvakalelo okanye ukungakwazi ukushukumisa ingalo, umlenze, okanye icala elinye lomzimba.

Iimpawu zeVasospasms ezandleni okanye ezinyaweni

Ukuba une-vasospasm engalweni yakho, emlenzeni, okanye emnweni, unokufumana ezi mpawu zilandelayo:

• Iminwe ebandayo okanye engenamandla.
• Utshintsho kumbala wolusu (ujika ube mhlophe, ube luhlaza okwesibhakabhaka, ube bomvu).
• Ukurhawuzelela okanye ukurhawuzelela kwiminwe.

Iimpawu ze-Nipple Vasospasms kuMama oncancisayo

Ukuba umama oncancisayo uhlangabezana nale meko, unokufumana iimpawu ezifana nezi:

• Intlungu ebuhlungu ebeleni .
• Utshintsho kumbala wombhobho wobisi lwebele (lunokujika lube mhlophe, lube bomvu, luhlaza okwesibhakabhaka, okanye lube mfusa).

Zithini izizathu ze-vasospasm?

Kukho izizathu ezahlukeneyo ze-vasospasm kwiindawo ezahlukeneyo zomzimba.

Izizathu zeVasospasm entliziyweni

Nangona izizathu ezichanekileyo zoku zingaziwayo, kukho izinto ezithile ezinxulumene nale meko:

• Ikhemikhali ebizwa ngokuba yiSerotonin .
• Unyango lokulwa nomhlaza (iChemotherapy).
• Ukusebenzisa iziyobisi ezifana ne -cocaine, i-amphetamines, okanye i-cannabis .
• Utshintsho lwemfuza.
• Ukudumba.
• Iintloko ezibuhlungu.

Izizathu zeVasospasm ebuchosheni

I-Vasospasm engqondweni inokubangelwa zezi zinto zilandelayo:

• Ukuqhuma kwe-aneurysm yobuchopho.
• Ezinye izizathu zokopha kwegazi ezijikeleze ingqondo.
• Ukuchanabeka kwizinto ezivuselela imithambo yegazi okanye amayeza.
• Ihlwili legazi elijikeleze ingqondo (ihlwili legazi leSubarachnoid).

Izizathu zeVasospasm ezandleni okanye ezinyaweni

Izizathu eziphambili zoku zezi:

• Isiganeko sikaRaynaud: Kule nto, ukuhamba kwegazi ukuya kwiminwe kuyaphazamiseka xa ujongene nomkhuhlane okanye uxinzelelo.
• I-Scleroderma: Esi sisifo esibangela ukuba ulusu lube lukhuni kwaye luqine.
• I-Atherosclerosis: Ukuncitshiswa kwemithambo yegazi ngenxa yokugcwala kwamafutha kwiindonga zemithambo yegazi.
• Amahlwili egazi.

Izizathu ze-vasospasm kwimibhobho yobisi lwebele kumama abancancisayo

Kukho izizathu ezahlukeneyo ezinokuchaphazela oku:

• Isiganeko sikaRaynaud.
• Amanye amayeza.
• Emva kokuba ndityandwe amabele.
• Izifo ezizikhusela ngokwazo emzimbeni.
• Ukuvezwa kumkhuhlane.
• Ukumkhulula umntwana emva kokuba umntwana egqibile ukusela.
• Ii-antifungal agents kunye nezinye ii-creams ezifana ne-APNO cream.
• Ukonakala kwemibhobho yobisi lwebele ngenxa yokungaseli kakuhle komntwana okanye ukusebenzisa ipompo yebele.
• Ukusetyenziswa kwecuba.
• Izizathu ezingaziwayo.

Indlela yokubona (iVasospasm)?

Uvavanyo lomzimba oluvela kugqirha lubaluleke kakhulu ekuxilongweni. Nangona kunjalo, ezi mvavanyo zilandelayo zinokwenziwa:

• I-ECG (i-Electrocardiogram - i-EKG): Jonga umsebenzi wombane wentliziyo.
• I-Angiogram: Uvavanyo olubandakanya ukufaka iyeza kwimithambo yegazi yentliziyo ukuze kubangele i-vasospasm.
• Iskeni sePositron Emission Tomography (PET).
• I-CT scan (i-Computed Tomography - i-CT).
• Iskeni se-MRI (Umfanekiso weMagnetic Resonance - i-MRI).
• I-Echocardiogram: Uvavanyo lwentliziyo nge-ultrasound.

Ziziphi iindlela zonyango (iVasospasm)?

Unyango luyahluka ngokuxhomekeke kwindawo apho i-vasospasm yenzeka khona.

Unyango lweVasospasm yeMithamo yeNtliziyo

• Ukuthatha amayeza kwiqela le-calcium channel blockers .
• Ukuthatha amayeza kwiqela le-nitrate .
• Ukunciphisa umzimba.
• Ukuyeka ukusebenzisa iziyobisi kunye necuba.
• Ukuba kukho ukungahambelani kwesantya sentliziyo okufana ne -ventricular tachycardia, faka isixhobo esibizwa ngokuba yi-Implantable Cardioverter Defibrillator (ICD) .

Unyango lweVasospasm ebuchosheni

• Ukusela ulwelo oluninzi.
• Uxinzelelo lwegazi oluphezulu (ngokwengcebiso kagqirha).
• Ukususa unobangela we-vasospasm.
• Ukunika amayeza anjenge -verapamil okanye i-nimodipine ngomthambo (ongena emthanjeni - IV). La mayeza anciphisa uxinzelelo lwegazi.
• Amaxesha amaninzi, ukuba kuyimfuneko, amayeza e-intra-arterial dilator anokunikwa.

Unyango lweVasospasm ezandleni okanye ezinyaweni

• Ukunxiba iikawusi, iiglavu, kunye nezinye iimpahla ezifudumeleyo.
• Ukuphepha ukusebenzisa icuba.
• Ukuthatha amayeza avela kwiqela le-calcium channel blockers , umzekelo i-felodipine okanye i-amlodipine (i-Norvasc® okanye i-Katerzia®).
• Ukuba notyando okanye ukufumana inaliti yetyhefu ye-botulinum.

Unyango lwe-vasospasm kwi -mammary glands

• Ukufudumeza nokugcina amadama obisi lwebele egqunyiwe.
• Izinto ezinokubangela ukuba imithambo yegazi inciphe, umzekelo, ukutshaya.
• Ukuba ezi ndlela zingasentla aziyilawuli le meko, ngamanye amaxesha kufuneka i-calcium channel blocker ebizwa ngokuba yi -nifedipine (Nifedical®XL okanye i-Procardia®XL) okanye i-Selective Serotonin Reuptake Inhibitor (SSRI) .

Ngaba kukho naziphi na iziphumo ebezingalindelekanga zonyango?

Amanye amayeza asetyenziselwa i-vasospasm anokubangela iziphumo ebezingalindelekanga ezifana nezi:

• Intloko ebuhlungu.
• Ukungakhululeki esiswini.
• Isiyezi.
• Ubukrelekrele .
• Ukuxhuzula - Oku kunqabile kakhulu.

Indlela yokunciphisa umngcipheko we-vasospasm?

Ezinye iindlela zokunciphisa umngcipheko we-vasospasm zilungile kwimpilo iyonke yentliziyo yakho kunye nemithambo yegazi (intliziyo).

• Musa ukusebenzisa iimveliso zecuba.
• Gcina amanqanaba akho e-cholesterol ngaphakathi komlinganiselo oqhelekileyo.
• Nciphisa ukusetyenziswa kotywala.
• Ukuba unesifo seswekile sohlobo lwesibini, silawule kakuhle.
• Ukuba une-high blood pressure, yilawule.
• Kuphephe ukusebenzisa iziyobisi ezifana ne-cocaine.

Ungayithintela njani (iVasospasm)?

Ukuthintela i-vasospasm, ingakumbi engqondweni, ugqirha angenza izinto ezifana nezi:

• Jonga uluhlu lwamayeza owasebenzisayo kwaye uqinisekise ukuba akukho mayeza asebenzayo okunciphisa imithambo yegazi.
• Ukuthintela uxinzelelo oluphezulu lwangaphakathi kwengqondo.
• Ndikunika amayeza okuthintela i-calcium channel blocker afana ne-nimodipine okanye i-verapamil.

Kubalulekile: Olu lwazi lololwazi ngokubanzi kuphela. Ukuba uneempawu okanye ufuna ukufunda okungakumbi ngale nto, nceda ucele ingcebiso kugqirha.

Ngaba iVasospasms yimeko enzima?

I-Vasospasms kwiminwe, ezinzwaneni, okanye kwiingono zinokuba buhlungu kwaye ziphazamise. Nangona kunjalo, azisongeli ubomi .

Nangona kunjalo, ukuba kukho i-vasospasm entliziyweni okanye engqondweni yakho, ukuhamba kwegazi okuncinci ukuya kwezo zitho kunokubangela umonakalo kwizicubu. Oku kunokuba nefuthe elikhulu ekusebenzeni kwentliziyo kunye nengqondo.

Ngaphantsi kwe-5% yamatyala e-coronary vasospasms abangela ukungasebenzi kakuhle kwentliziyo. Nangona kunjalo, unyango lokungasebenzi kakuhle kwentliziyo lunokuphucula umgangatho wobomi.

Abantu abane-vasospasms enzulu yobuchopho banokufuneka bahlale esibhedlele iiveki.

Ndingazinyamekela njani?

• Sebenzisa amayeza kanye njengoko ugqirha wakho ekuyalele.
• Ukuba iimpawu zakho aziphucuki, yazisa ugqirha wakho.
• Ukuphepha izinto ezibangela i-vasospasm kunokunceda ekuthinteleni le meko.
• Ukuba uneempawu zokuhlaselwa yintliziyo (umz., iintlungu eziqatha esifubeni, ubunzima bokuphefumla, ukuhlanza), yiya kwigumbi likaxakeka ngokukhawuleza.

Ndingayibuza yiphi imibuzo ugqirha wam?

Ukuba ufunyaniswe une-vasospasm okanye ukrokrela ukuba unayo, ungabuza ugqirha wakho imibuzo efana nale:

• Ukuba amayeza akhoyo ngoku akancedi, ngaba kukho amanye amayeza endingawasebenzisa?
• Ungandithumela kwingcali enokunceda ngeengxaki zokuncancisa (ukuba ndine-vasospasm yemibhobho yobisi )?
• Ndifanele ndikubone kangaphi (iintlanganiso zokulandelela)?
• Ithini ingqikelelo yemeko yam?

Okokugqibela, izinto ekufuneka uzikhumbule

I-Vasospasm inokuchaphazela imizimba yethu ngeendlela ezahlukeneyo. Kukho iintlobo ezithile ze-vasospasm esinokuzilawula kwaye sizithintele. Ke ngoko, ukuba unemibuzo okanye amathandabuzo malunga noku, ungabi nazintloni kwaye uthethe nogqirha wakho . Uza kukucebisa ngesicwangciso sonyango esifanelekileyo kunye neendlela zokuthintela. Hlala usempilweni!

I- Vasospasm, ukuxinana kwemithambo yegazi, ukuxinana kwemithambo yegazi, isifo sentliziyo, isifo sobuchopho, iingxaki zokujikeleza kwegazi, ukungaziva mnandi kwiminwe