Uyalwazi yini lolu hlobo lwegazi oluyigugu olusentanyeni yakho? (Umthambo Wethambo Lomgogodla) Ake sixoxe ngokuningiliziwe!

Sonke sikhathalela kakhulu impilo yethu engokomzimba. Kubaluleke kakhulu ukwazi ngesistimu yemithambo yegazi enikeza igazi ebuchosheni bethu nasemgogodleni. Namuhla sizokhuluma ngohlobo olulodwa olubaluleke kakhulu lomthambo wegazi. Lokhu yilokho esikubiza ngokuthi `(i-Vertebral Arteries)`. Uma sikhuluma iqiniso, lokhu kufana negazi lokuphila elondla ingxenye engenhla yomzimba wethu.

Ziyini lezi `(i-Vertebral Artery)`? Zenzani ngempela?

Kalula nje, i-'Vertebral Arteries' yimithambo yegazi emibili emikhulu etholakala entanyeni yethu ethwala igazi liye ebuchosheni nasentanjeni yomgogodla (umthambo oyinhloko odlula emgogodleni). Yebo, kunemibili, omunye ohlangothini lwesobunxele kanti omunye ohlangothini lwesokudla. Igama elithi 'Vertebral' livela eqinisweni lokuthi le mithambo yegazi igijima emathanjeni ethu omgogodla, amathambo omgogodla. Le mithambo emibili ihlangana phansi kwekhanda ukuze yakhe umthambo omkhulu obizwa ngokuthi 'i-Basilar Artery'. Siphinde sibize lolu hlelo lonke ngokuthi 'uhlelo lwe-Vertebrobasilar'.

Ngakho-ke, umsebenzi oyinhloko walokhu ukunikeza ubuchopho bethu umoya-mpilo kanye nezakhamzimba ezikudingayo . Ubuwazi ukuthi u-20% wegazi eliphelele eliya ebuchosheni bethu linikezwa yile "Vertebral Arteries" . U-80% osele unikezwa ngomunye umthambo oyinhloko entanyeni obizwa ngokuthi "Carotid Artery". Ngakho cabanga ukuthi lokhu kubaluleke kangakanani!

Le `(i-Vertebral Arteries)` ikhipha amagatsha amaningi amancane. Elikhulu kunawo wonke libizwa ngokuthi `(i-Posterior Inferior Cerebellar Artery)`. Lena ingenye yemithambo emithathu eyinhloko ehlinzeka ngegazi ku-`(i-Cerebellum)` yethu, okungukuthi, ingxenye encane yobuchopho (i-cerebellum). Le `(i-Cerebellum)` ibaluleke kakhulu. Isiza ekulawuleni izinto eziningi emzimbeni wethu, njengokulinganisela, ukunyakaza, inkulumo, kanye nokubona.

Ngakho-ke, le "Vertebral Arteries" ikuphi?

Le `(Imithambo Yethambo Lomgogodla)` emibili iqala kusukela ku-`(Imithambo Yethambo Lesifuba)` ngaphansi kwethambo lethu le-collarbone, okungukuthi, ngaphansi kwethambo le-`clavicle``. Le `(Imithambo Yesifuba Lethambo Lesifuba Lesifuba Lesifuba Leqala kusukela ku-`Aorta``, okuwumthambo wegazi omkhulu kunayo yonke emzimbeni wethu. I-`Aorta`` yileyo ethwala igazi lisuka enhliziyweni liye emzimbeni wonke. Uma sikhuluma iqiniso, i-`Subclavian Artery`` ohlangothini lwesokudla iqala kusukela ku-`Brachiocephalic Artery`` evela ku-`Aorta``. I-`Subclavian Artery`` ohlangothini lwesobunxele iqala ngqo kusukela ku-`Aorta``.

Bese kuthi le `(i-Vertebral Arteries)` emibili, ngokwehlukana, ikhuphukela ohlangothini lwesobunxele nolwesokudla lomgogodla wethu entanyeni. Le mithambo imbozwe yimisipha ebizwa ngokuthi `(imisipha ye-Suboccipital)` phansi kwekhanda. Siphinde siyibize le ndawo ngokuthi `(unxantathu we-Suboccipital)`.

Yiziphi izingxenye ezikhethekile ze-Vertebral Artery endleleni yayo?

Cabanga ngakho njengomgwaqo omude. Kunezindlela ezahlukene zokuhlangana kanye nezindawo ezahlukene kulowo mgwaqo. Yileyo ndlela le `(Vertebral Artery)` ehlukaniswe ngayo yaba izingxenye ezine (`izigaba`) ngokwendawo ehamba kuyo. Ake sibone ukuthi ziyini:

• Ingxenye ye-V1 (yangaphambi kwe-foraminal):Lena yingxenye yokuqala eqala ngo-"Subclavian Artery". Ihamba ngemuva ko-"Carotid Artery", omunye umthambo omkhulu entanyeni.
• Isigaba se-V2 (foraminal): Lesi sigaba sikhuphuka kanye nemithambo yomgogodla (imithambo ethwala igazi emuva) kanye nemizwa. Le ``Vertebral Artery`` ingena ngembobo ebizwa ngokuthi ``Transverse Foramen``` ku-C6 vertebra (okungukuthi i-vertebra yesithupha entanyeni) bese iphuma nge-C2 vertebra (i-vertebra yesibili ngaphansi kogebhezi).
• Ingxenye ye-V3 (engaphandle komgogodla noma engaphandle komgogodla): Le ngxenye iyagoba futhi iphenduke kancane njengoba idlula phezu kwe-C1 vertebra (ebizwa nangokuthi "i-Atlas", okuyithambo eliphezulu kakhulu emgogodleni) futhi ingena ekhanda.
• Ingxenye ye-V4 (yangaphakathi noma yangaphakathi kwekhanda): Lena ingxenye yokugcina engena ekhanda. Bese kuthi `(i-Vertebral Arteries)` yesokudla neyesobunxele ihlangane ukuze yakhe `(i-Basilar Artery)` okukhulunywe ngayo ngaphambilini.

Uke wabona ukuthi le mithambo iyinkimbinkimbi kangakanani ukunikeza igazi ebuchosheni bethu?

Yiziphi izifo nezinkinga ezingathinta i-Vertebral Arteries?

Kulungile, manje ake sibone ukuthi hlobo luni lwezinkinga ezingabangelwa yile mithambo yegazi eyigugu.

Esikhathini esiningi, izinkinga zivela ngenxa yokunqwabelana kwamafutha ne-cholesterol kule mithambo yegazi, esiyibiza ngokuthi `(i-plaque)`. Lokhu kufana nokungcola kanye nemfucumfucu enqwabelana epayipini lamanzi ngokuhamba kwesikhathi. Lesi simo sisibiza ngokuthi `(i-atherosclerosis)` . Uma lesi `(i-plaque)` sinqwabelana kakhulu, umthambo ungavaleka ngokuphelele.

Uma `(I-Atherosclerosis)` ikhula ku-`(Imithambo Yethambo Lomgogodla)` kanje, ibizwa ngokuthi `(Imithambo Yethambo Lomgogodla)`. Lokho kusho ukuthi umthambo uba mncane. Yini engabangela lokhu?

• Kungakheka amahlule egazi. Ukugeleza kwegazi kungavinjelwa kulezi zindawo ezincishisiwe futhi kungakheka amahlule egazi.
• Ukuphazamiseka kwesikhashana kokunikezwa kwegazi ebuchosheni kungabangela "i-Transient Ischemic Attack - TIA". Siphinde sikubize ngokuthi "i-mini stroke".
• Isifo sohlangothi singaba khona. Lokhu kungenzeka uma ihlule legazi livimba ngokuphelele umthambo wobuchopho.
• Kungaba nesimo esibizwa ngokuthi ``ukungasebenzi kahle kwe-vertebrobasilar''. Lokhu kusho ukuthi ubuchopho abutholi igazi elanele.

Ngaphezu kwalokhu, kunezinye izimo ezithinta le mithambo:

• Ukuhlukaniswa Kwemithambo Yesibeletho: Lokhu kuwukudabuka odongeni lomthambo we-carotid noma we-vertebral entanyeni. Lokhu kungenzeka ngenxa yokulimala, noma kubantu abanemithambo yegazi ebuthaka ngenxa yezifo ezithile zezicubu ezixhumeneyo (njenge-Fibromuscular Dysplasia).
• `(I-Rotational Vertebral Artery Stenosis)`: Lesi yisimo esingavamile. Ngokuvamile kwenzeka lapho `(I-Vertebral Artery)` icindezelwa ngenxa yokukhula okungafuneki kwethambo, okuvimbela ukugeleza kwegazi ebuchosheni. Lokhu kubizwa nangokuthi `(I-Bowhunter's Syndrome)` ngoba lokhu kucindezela ngezinye izikhathi kuyanda ngesikhathi sokucibishela.

Ngakho-ke singazigcina kanjani lezi `(i-Vertebral Artery)` eziyigugu ziphilile?

Lena yinto ebaluleke kakhulu. Uma senza izinguquko ezimbalwa ezincane endleleni yethu yokuphila, singayinciphisa kakhulu ingozi yokuba nezimo ezifana ne-`(Vertebral Artery Stenosis)`. Bona ukuthi ungakwenza yini lokhu:

• Hlala umatasa cishe izinsuku eziningi zesonto. Lokho kusho ukuzivocavoca. Ngisho nokuhamba ibanga elifushane kulungile.
• Yidla ukudla okunempilo kwenhliziyo. Ukudla okunamafutha aphansi, i-cholesterol, nosawoti kungcono kakhulu. Yidla imifino eminingi, izithelo, okusanhlamvu okuphelele, kanye nokudla okune-fiber eningi.
• Gcina isisindo esinempilo. Ukugcina isisindo esifanele ubude bakho kubaluleke kakhulu.
• Uma unezimo ezifana nesifo sikashukela, umfutho wegazi ophakeme, noma i-cholesterol ephezulu, zilawule kahle. Landela imiyalelo kadokotela wakho kahle.
• Uma ubhema, yeka nakanjani. Ukubhema kuyingozi kakhulu emithanjeni yegazi.

Khumbula, lezi zinto azigcini nje ngokugcina "imithambo yakho yomgogodla" iphilile kodwa futhi nohlelo lonke lwemithambo yegazi yomzimba luphilile.

Kufanele ubonane nini nodokotela?

Kunezimpawu ezithile, uma zivela, kufanele nakanjani ubone udokotela ngokushesha, njengoba zingase zibe izimpawu zesimo esibucayi.

• Izimpawu zesifo sohlangothi: Ngokuqondile,
• I-vertigo enzima
• Ukulahlekelwa yibhalansi emzimbeni (ukungalingani)
• Ukubona kabili noma ukulahlekelwa umbono
• Ukukhubazeka
• Uma uvame ukuwa ngaphandle kwesizathu `(Ukuwa okungachazeki)`

Uma wena noma othile omaziyo ebhekene nalokhu, ungachithi isikhathi futhi ufune iseluleko sezokwelapha ngokushesha. Uma usheshe welaphe isimo esifana `(Stroke)`, kulapho umphumela uba ngcono khona.

Ngakho-ke, ake sikhumbule amaphuzu abaluleke kakhulu kulokho esikhulume ngakho? (Umyalezo Wokuya Ekhaya)

Manje usuyazi ukuthi "i-Vertebral Arteries" esikhulume ngayo namuhla iyisimiso esibaluleke kakhulu semithambo yegazi enikeza igazi ebuchosheni bethu nasemgogodleni. Ukuzigcina ziphilile kubalulekile ekusebenzeni kahle "kwesimiso sethu sezinzwa".

I-Vertebral Artery Stenosis, noma ukungasebenzi kahle kwe-Vertebrobasilar, kubangelwa ukunqwabelana kwe-plaque emithanjeni yegazi. Lokhu kuvimbela ukuhamba kwegazi futhi kwandisa ingozi yokushaywa yisifo sohlangothi kanye ne-TIA.

Kodwa izindaba ezinhle ukuthi singayinciphisa kakhulu le ngozi ngokwenza izinguquko zokuphila okunempilo. Izindlela ezinhle kakhulu zokwenza lokhu ukudla ukudla okunempilo, ukuzivocavoca njalo , ukugwema ukubhema, nokuphatha izimo zezokwelapha ezikhona (njengesifo sikashukela kanye nomfutho wegazi ophezulu) .

Ngakho-ke, nakekela impilo yakho. Ngoba akukho lutho olubaluleke ngaphezu kwempilo!

'umthambo womgogodla, igazi eliya ebuchosheni, imithambo yentamo, ukukhubazeka, isifo sohlangothi, ukuncipha kwemithambo, ukufakwa kwe-cholesterol