Ingabe amafutha agcwele emithanjeni yakho yegazi? (I-Atherosclerosis) Ake sixoxe ngalokhu!

Ngezinye izikhathi, ungase ube nenkinga enkulu ekhula ngaphakathi emzimbeni wakho ungaqapheli. Namuhla, sizokhuluma ngesimo esithinta umzimba buthule, kodwa singaba yingozi kakhulu. Yilokhu esikubiza ngokuthi "i-atherosclerosis". Cabanga nje, imithambo yakho yegazi ifana namapayipi amanzi, kwenzekani uma la mapayipi evaleka ngothuli, okungukuthi, amafutha? Yilokho okwenzekayo nakulesi simo futhi. Nakuba lokhu kuyindaba engathi sína, uma sikuqonda kahle, singenza okuningi ukuze sikugweme.

Kuyini ukuqina kwemithambo yegazi? Kalula nje...

Kalula nje, i-atherosclerosis ukwakheka kancane kancane kwamafutha, i-cholesterol, i-calcium, nezinye izinto ngaphakathi kwezindonga zemithambo yakho, okwakha "i-plaque" (i-atheroma). Imithambo yegazi iyimithambo yegazi ethwala igazi elinomoya-mpilo lisuka enhliziyweni yethu liye emizimbeni yethu yonke. Njengoba le plaque ikhula, izindonga zemithambo yegazi ziyaqina kancane kancane futhi ziqine. Lokhu kubizwa nangokuthi "ukuqina kwemithambo" noma "i-atherosclerosis."

Ekuqaleni, lokhu kwenzeka buthule kakhulu. Ungase ungaziboni izimpawu isikhashana. Kodwa njengoba le plaque ikhula kancane kancane, isikhala segazi ukuthi ligeleze ngaphakathi kwemithambo yegazi, okungukuthi, umgodi (i-lumen) ngaphakathi komzila, siyancipha. Njengoba nje ukungcola kubhajwa epayipini lamanzi, umzila wamanzi uba mncane. Kwenzekani-ke? Inani legazi elifinyelela ezithweni nasezicutshini zethu liyancipha. Akukhona lokho kuphela, kodwa njengoba igazi liqhubeka ligeleza ngokushesha, le plaque ingaphuka, noma ubuso bayo bungaklwebheka. Uma lokho kwenzeka, kungakheka ihlule legazi lapho.

Cabanga ngale ndlela: umthambo omncane ufana nomgwaqo onemizila emine oncishisiwe waba umzila owodwa. Kodwa ihlule legazi lifana nomgwaqo ovimbayo phakathi kwalowo mgwaqo. Lingakuvimba ngokuphelele ukugeleza kwegazi.

Umphumela emzimbeni uncike ekutheni ihlule legazi lakheka kuphi. Isibonelo, uma lolu hlobo lokuvaleka luvela emithanjeni yenhliziyo ehambisa igazi enhliziyweni, inhliziyo ingalahlekelwa umoya-mpilo futhi kungenzeka kube nokuhlaselwa yinhliziyo .

Sivame kangakanani lesi simo esibizwa ngokuthi i-atherosclerosis?

Empeleni lesi yisimo esivame kakhulu. Izinkinga ezibangelwa yilokhu kwakheka kwe-plaque, ikakhulukazi ukuhlaselwa yinhliziyo kanye nohlangothi, ziyizimbangela eziphambili zokufa emhlabeni jikelele.

Ngokusho kwe-US National Institutes of Health, cishe ingxenye yabantu abaneminyaka ephakathi kuka-45 no-84 banesifo sokuqina kwemithambo yegazi, kodwa abazi. Kudingeka sikhathazeke ngalesi simo nasezweni lethu.

Ziyini izimpawu zalokhu?

Ngokuvamile, izimpawu azibonakali kuze kube yilapho umthambo wegazi uncishisiwe kakhulu, uvalekile ngaphezu kuka-70%, noma uvalekile ngokuphelele. Abantu abaningi bathola kuphela ukuthi banalezi zinhlayiya (i-plaque) ngemva kwesimo esiphuthumayo sezokwelapha, njengokuhlaselwa yinhliziyo noma isifo sohlangothi.

Uma umthambo uvaleka ngaphezu kuka-70%, ungase uqale ukuzwa izimpawu. Kuye ngokuthi umthambo uvalekile ukuphi, izimpawu zingavela ezingxenyeni ezahlukene zomzimba.

Okuhlobene nenhliziyo (Isifo Semithambo Yenhliziyo - CAD)

Uma lesi simo sivela emithanjeni ehambisa igazi enhliziyweni, sibizwa ngokuthi i-Coronary Artery Disease (CAD). Lokhu kungaholela ekuhlaselweni yinhliziyo.

Ungase uzizwe izinto ezinjengalezi:

• Ubunzima bokuphefumula ngisho nalapho wenza umsebenzi olula (i-Dyspnea).
• Ubuhlungu besifuba noma ukungakhululeki (i-angina). Lokhu kungazwakala njengokuzwa kokucindezela noma ukucindezela esifubeni.
• Ubuhlungu emhlane, emahlombe, entanyeni, ezingalweni, noma esiswini.
• Ukuzizwa unesiyezi, uzizwa unesizungu.
• Ukushaya kwenhliziyo.
• Ukukhathala okukhulu, ukukhathala.
• Ukucanuzela nokuhlanza, okufana nokungagayeki kahle kokudla.

Uhlelo lokugaya ukudla (i-Mesenteric Ischemia)

Lesi simo (i-mesenteric ischemia) singavela uma ukugeleza kwegazi ezingxenyeni zesimiso sokugaya ukudla kuncipha.

• Ubuhlungu noma ukuqaqamba esiswini, ikakhulukazi esiswini, ngemva kokudla.
• Ukuqunjelwa, isicanucanu, ukuhlanza.
• Uhudo.
• Ukwehla kwesisindo ngenxa yokwesaba ukudla, okuwukwesaba ubuhlungu lapho udla.

Imilenze nezinyawo (Isifo Semithambo Engasogwini - I-PAD)

Isifo semithambo yegazi engaphandle (i-PAD) yisimo lapho ukugeleza kwegazi emithanjeni ehambisa igazi ezithweni kuncipha khona.

• I-claudication ngezikhathi ezithile ubuhlungu obuzwakala sengathi imisipha emilenzeni yakho iyagobhoza, ikakhulukazi uma uhamba. Lokhu kuzophela ngemva kokuhlala isikhashana nokuphumula, kodwa kuzobuya uma uhamba.
• Ukushisa nobuhlungu emilenzeni nasezinzwaneni uma uphumule, ikakhulukazi uma ulele phansi.
• Ukushintsha kombala wesikhumba (isib. ukubomvu).
• Izinyawo ezibandayo.
• Ukutheleleka njalo kwesikhumba kanye nezicubu ezithambile zemilenze, izinyawo.
• Amanxeba angapholi ezinyaweni nasezinzwaneni.

I-Renal Artery Stenosis

I-stenosis yemithambo yezinso ingabangela izimpawu ezifana nalezi:

• Umfutho wegazi ophakeme ongenakulawuleka naphezu kokusetshenziswa kwemithi eminingana.
• Ushintsho ezikhathini zokuchama.
• Ukuvuvukala (i-Edema).
• Ukozela, ukukhathala.
• Isikhumba esomile, esilumayo, noma esingenamizwa.
• Ikhanda elibuhlungu.
• Ukwehlisa isisindo ngaphandle kwesizathu.
• Ukucanuzela kwenhliziyo, ukuhlanza, noma ukulahlekelwa yisifiso sokudla.

Okuhlobene nobuchopho (Isifo se-Carotid Artery)

Uma lesi simo senzeka emithanjeni ye-carotid entanyeni, ehlinzeka ngegazi ebuchosheni, izimpawu zokuqala kungaba ukuhlaselwa yi-ischemic okuhamba kancane (i-TIA) noma isifo sohlangothi.

• Isiyezi.
• Ukugoba kolunye uhlangothi lobuso.
• Ukulahlekelwa umuzwa ohlangothini olulodwa lomzimba, ubuthakathaka bemisipha.
• Ikhanda elibuhlungu kakhulu.
• Ukungaqondi kahle amagama ngesikhathi ukhuluma, ubunzima bokubumba amagama.
• Ukulahlekelwa umbono kwelinye iso. Kungase kuzwakale sengathi ikhethini elimnyama liwela phambi kweso.

Kungani kuvela i-atherosclerosis? Ziyini izimbangela?

Abacwaningi bakholelwa ukuthi kunezizathu eziningana eziyinhloko zalokhu:

• Amazinga akhuphukile e -cholesterol ye-LDL eyingozi kanye nama-triglycerides egazini.
• Ukusetshenziswa kwemikhiqizo kagwayi (ukubhema, ugwayi ongenantuthu).
• Umfutho wegazi ophezulu (i-Hypertension).
• Isifo Sikashukela (i-Diabetes Mellitus).

Lezi zinto zingalimaza ulwelwesi lwangaphakathi lwemithambo yakho (i-endothelium). Yilapho-ke i-atherosclerosis iqala khona ukukhula. Lo monakalo uvame ukwenzeka kancane kancane, ngokuhamba kwesikhathi.

Kwenzeka kanjani lokhu, yiziphi izigaba?

I-atherosclerosis ikhula iminyaka eminingi futhi inezigaba eziningana eziyinhloko:

1. Ukulimala kwe-endothelium kanye nokusabela komzimba: Lapho i-endothelium yomthambo yonakele, kuqala ukusabela kwamakhemikhali. Lokhu kubangela ukuthi amangqamuzana amhlophe egazi aqoqeke endaweni yomonakalo. Lawa maseli ayaqoqana futhi abangele ukuvuvukala ngaphakathi komthambo.

2. Imivimbo enamafutha: Lesi yisibonakaliso sokuqala esibonakalayo se-atherosclerosis. Indawo eyonakele ibukeka njengomugqa ophuzi noma ibala, futhi yakhiwe “ngamaseli e-foam” afile. Amaseli e-foam angamaseli amhlophe egazi adle i-cholesterol ezama ukuyisusa. Njengoba la maseli e-foam eqhubeka nokusebenza, alimaza kakhulu i-endothelium.

3. Ukukhula Kwe-Plaque: Njengoba amangqamuzana e-foam afile kanye nezinye izinsalela ziqhubeka nokuqongelela, umugqa wamafutha kancane kancane uba yi-plaque enkulu. Isembozo se-fiber samaseli emisipha abushelelezi sakha phezu kwale plaque. Lokhu kuvimbela i-plaque ukuthi iqhekeke futhi iqoqeke egazini. Njengoba i-plaque ikhula, i-lumen (isikhala lapho igazi ligeleza khona) emthanjeni wemithambo yegazi iyancipha.

4. Ukuqhekeka noma ukuguguleka kweplaque: Kulesi sigaba, isivalo esinemicu esiphezu kweplaque siyaqhuma, noma amaseli e-endothelium azungeze iplaque ayonakala. Noma ngabe yikuphi, kwakheka ihlule legazi. Lelo hlule livimba ukuhamba kwegazi futhi libangele ukuhlaselwa yinhliziyo noma isifo sohlangothi.

Yiziphi izinto ezibangela lokhu?

Kunezici eziningi eziyingozi ezingathinta ukukhula kwe-atherosclerosis. Ezinye zazo ungazishintsha, kodwa ezinye, njengobudala, awukwazi.

Izici zengozi yilezi:

• Ukuba ngamadoda angaphezu kweminyaka engama-45 ubudala.
• Ukuba ngowesifazane oneminyaka engaphezu kwengu-55.
• Uma othile emndenini (isihlobo esiseduze sesilisa ngaphambi kweminyaka engu-45, noma isihlobo esiseduze sesifazane ngaphambi kweminyaka engu-55) enesifo senhliziyo .
• Isifo Sikashukela (i-Diabetes Mellitus).
• Umfutho wegazi ophezulu (i-Hypertension).
• I-Hyperlipidemia, ikakhulukazi amazinga aphezulu e-cholesterol embi ye-LDL noma i-lipoprotein ekhethekile ebizwa ngokuthi i-Lipoprotein (a).
• Isifo se-Metabolic.
• Ukubhema noma ukusebenzisa eminye imikhiqizo kagwayi.
• Ukuntuleka komsebenzi womzimba.
• Ukudla ukudla okunamafutha agcwele, amafutha e-trans, i-sodium (usawoti), kanye noshukela.

Yiziphi izinkinga ezingabangelwa yilokhu?

I-atherosclerosis iphazamisa ukusebenza okuvamile kwesimiso sethu senhliziyo nemithambo yegazi. Lokhu kunganciphisa noma kuvimbele ngokuphelele ukugeleza kwegazi ezingxenyeni ezahlukene zomzimba, ikakhulukazi inhliziyo nobuchopho. Izinkinga ezingaba khona ngenxa yalokhu kwehla kokugeleza kwegazi zifaka:

• Isifo semithambo ye-carotid.
• Isifo semithambo yegazi ye-coronary.
• Isifo senhliziyo.
• Ukuphazamiseka kwenhliziyo (i-Arrhythmia).
• Ukwehluleka kwenhliziyo.
• I-Mesenteric ischemia.
• Isifo semithambo yegazi engaphandle.
• Isifo sezinso esingamahlalakhona (CKD).
• I-stenosis yemithambo yezinso.
• Isifo sohlangothi.
• Ukuhlaselwa kwe-ischemic okufushane (i-TIA).
• Ubuthakathaka nokuvuvukala kwezindonga zemithambo yegazi (ama-aneurysms) kanye nokuqhekeka kwazo.

Ukuqashelwa kusenesikhathi kanye nokwelashwa kwalesi simo kungavimbela noma kulibazise izinkinga ezinkulu kangaka.

Kuhlolwa kanjani lokhu? Yiziphi izivivinyo ezenziwa odokotela?

Ukuze uthole ukuthi une-atherosclerosis, noma ingozi yakho yokuba nayo, udokotela uzokwenza okulandelayo:

• Kuzohlolwa umzimba ngokuphelele. Lokhu kuzohlanganisa ukulalela inhliziyo yakho nomsindo wegazi ogeleza emithanjeni yakho nge-stethoscope. Isibonelo, bazohlola umsindo "we-bruit" emithanjeni ye-carotid entanyeni yakho. Lo msindo ungabonisa ukuthi kukhona i-plaque.
• Umlando wakho wezokwelapha kanye nomlando womndeni uzobuzwa. Lolu lwazi lungakunikeza umbono ngengozi yakho yokuthola i-atherosclerosis kanye nezinkinga zayo.
• Bazokubuza ngendlela ophila ngayo. Bangase bakubuze ngemikhuba efana nokuthi uyayisebenzisa yini imikhiqizo kagwayi nokuthi wake wayisebenzisa yini esikhathini esidlule.
• Kuhlolwa igazi.Lokhu kuhlolwa kwegazi okuhlobene nesifo senhliziyo kungakutshela okuningi ngamazinga akho e-cholesterol kanye nokusebenza kwenhliziyo.

Yiziphi ezinye izivivinyo ezizokwenziwa?

Udokotela angase acele ezinye izivivinyo ukuqinisekisa ukuba khona kwe-atherosclerosis kanye nokuhlela ukwelashwa. Lokhu kufaka phakathi:

• I-Angiography: Lokhu kusebenzisa ama-X-ray akhethekile kanye nedayi yokuqhathanisa ukuze kutholakale futhi kulinganiswe ukuvinjelwa emithanjeni yegazi.
• Inkomba ye-Ankle-brachial: Lokhu kulinganisa ukugeleza kwegazi ezithweni zakho ngokuqhathanisa umfutho wegazi eqakaleni lakho nasengalweni.
• I-X-ray yesifuba: Lokhu kuthatha izithombe zengaphakathi lesifuba.
• I-CT scan (i-Computed Tomography scan): Lokhu kuskena kuthatha izithombe zengaphakathi lomzimba futhi kungabona ukuthi imithambo emikhulu ivaliwe noma inciphile.
• I-MRI Yenhliziyo (I-Magnetic Resonance Imaging): Lokhu kuhlolwa kungabonisa izinkinga ngokugeleza kwegazi emithanjeni yegazi.
• I-Echocardiogram (Echo): I-echo ithatha izithombe zama-valve namagumbi enhliziyo bese ilinganisa ukuthi inhliziyo ihambisa igazi kahle kangakanani.
• I-ECG (i-Electrocardiogram noma i-EKG): I-ECG ilinganisa umsebenzi kagesi, izinga, kanye nesigqi senhliziyo.
• Ukuhlolwa kokucindezeleka kokuzivocavoca: Ukuhlolwa okulinganisa ukusebenza kwenhliziyo ngenkathi usebenza ngokomzimba.
• I-Carotid ultrasound: Lokhu kuthatha izithombe ze-ultrasound zemithambo ye-carotid entanyeni. Kungabona ukuthi le mithambo inciphile noma ivinjiwe njengoba ithwala igazi liye ebuchosheni.
• I-ultrasound yesisu: Le ultrasound ihlola i-aorta, umthambo omkhulu esiswini, ukuze kubonakale ukuthi ine-bulge (i-abdominal aortic aneurysm) noma i-plaque.

Kuphathwa kanjani lokhu?

I-atherosclerosis iphathwa ngokushintsha indlela yokuphila, imithi, futhi ngezinye izikhathi ukuhlinzwa noma ezinye izinqubo zezokwelapha . Kuye ngokuthi une-atherosclerosis kuphi, ungase ubonane nodokotela wenhliziyo, udokotela wezinzwa, udokotela wezinzwa, noma udokotela ohlinzayo wemithambo yegazi.

Odokotela bakho bazokwakha uhlelo lokwelashwa olusekelwe ezidingweni zakho. Imigomo yokwelashwa ivame ukuba:

• Ukunciphisa ingozi yokuqhekeka kwegazi.
• Ukuvimbela izinkinga ezifana nokuhlaselwa yinhliziyo noma isifo sohlangothi.
• Ukunciphisa izimpawu.
• Ukukusiza ukuthi udle ukudla okuhle kwenhliziyo yakho kanye nemithambo yegazi.
• Ukuvimbela noma ukuvimba ukwakheka kwe-plaque ngaphakathi kwemithambo yegazi.
• Ukuthuthukisa ukugeleza kwegazi, kungaba ngokwandisa imithambo yegazi noma ukugwema ukuvaleka.

Izinguquko zendlela yokuphila

Ukushintsha indlela yokuphila kunganciphisa ingozi yezinkinga. Udokotela wakho uzokwakha uhlelo olufanele wena. Ngokuvamile, ungenza okulandelayo:

• Gwema yonke imikhiqizo kagwayi (kufaka phakathi ukubhema kanye nokubhema i-vaping). Lena yinto ebaluleke kakhulu ongayenza.
• Landela ukudla okunempilo kwenhliziyo, njengokudla kwaseMedithera , okusho ukudla imifino eminingi, izithelo, ubhontshisi, okusanhlamvu okuphelele, inhlanzi, namafutha omnqumo.
• Vivinya umzimba nsuku zonke. Qala ngokuhamba ngezinyawo okufushane bese usebenza kuze kufike ekuzivocavoceni okungenani imizuzu engama-30 ngosuku, izinsuku eziningana ngesonto.

Imithi

Imithi ingasiza ekulawuleni izici eziyingozi zokunqwabelana kwama-plaque futhi inciphise ukuqhubeka kwe-atherosclerosis. Udokotela wakho angase akunike imithi yokwehlisa umfutho wegazi, ukwehlisa i-cholesterol, ukulawula amazinga kashukela egazini, nokuvimbela ukujiya kwegazi.

Izinqubo noma Ukuhlinzwa

Kunezindlela ezahlukene zezokwelapha nezokuhlinzwa ezitholakalayo zokusiza abantu abanemithambo yegazi evalekile kakhulu noma labo abasengozini enkulu yezinkinga. Izindlela zokwelapha ezivamile zifaka:

• I-Angioplasty: Lokhu kuhilela ukufaka idivayisi efana nebhaluni emthanjeni oncishisiwe bese uyifutha ukuze inwebe umthambo.
• Ukususwa kwe-atherectomy: Lokhu kuhilela ukusika nokususa i-plaque ngaphakathi kwemithambo yegazi.
• Ukuhlinzwa kwe-Carotid endarterectomy: Inqubo yokuhlinzwa yokususa i-plaque emithanjeni ye-carotid entanyeni.
• Ukufakelwa kwemithambo yenhliziyo nge-coronary artery bypass (CABG): Le nqubo idala izindlela ezintsha zokuthi igazi ligeleze lizungeze imithambo yenhliziyo evalekile.
• Ukuhlinzwa kwe-peripheral artery bypass: Kudala izindlela ezintsha zegazi zokudlula imithambo evalekile emalungeni.
• Ukubekwa kwe-stent: Ngemva kwe-angioplasty, kufakwa i-stent encane efana ne-mesh ukuze kuvinjelwe umthambo ukuthi ungaphinde unciphe.
• Ukudlula kwesifo semithambo yegazi: Lokhu futhi kuyindlela yokuhlinzwa yokugwema ukuvaleka.

Ingabe i-atherosclerosis ingavinjelwa?

Kungase kungenzeki ukukuvimbela ngokuphelele. Kodwa unganciphisa ingozi yakho futhi unciphise umthelela wesifo. Nazi ezinye izinto ongayenza:

• Yidla ukudla okunamafutha agcwele aphansi, amafutha e-trans, i-cholesterol, i-sodium (usawoti), kanye noshukela.
• Yenza umsebenzi wokuzivocavoca ojwayelekile . Qala ngokuhamba ngezinyawo okufushane bese usebenza imizuzu efinyelela kwengu-30 ngosuku, izinsuku eziningana ngesonto.
• Gcina isisindo sakho siphilile. Buza udokotela wakho ukuthi siyini leso sisindo.
• Phatha ezinye izimo zempilo, ikakhulukazi isifo sikashukela, umfutho wegazi ophakeme, kanye ne-cholesterol ephezulu.
• Ungasebenzisi imikhiqizo kagwayi.
• Hlola impilo yakho kanye ngonyaka.

Yini okufanele uyilindele uma uphila nalesi simo? Uzinakekela kanjani?

Uma kutholakala futhi kwelashwa kusenesikhathi, abantu abaningi abane-atherosclerosis bangaphila izimpilo abazithandayo. Kodwa lesi sifo singabangela izimo eziphuthumayo zezokwelapha, futhi singaba yingozi. Ngakho-ke kubalulekile ukuqaphela izingozi zakho nokusebenzisana nodokotela wakho ukuze uzinciphise.

Sebenza eduze nodokotela wakho. Bazohlola isimo sakho njalo futhi bakutshele ukuthi kufanele ubabone kangaki. Gcina wonke ama-aphoyintimenti akho futhi ube matasa ngempilo yakho. Tshela udokotela wakho ngokushesha uma ubona noma yiziphi izimpawu ezintsha noma ezishintshayo. Ukwelashwa kusenesikhathi kunganciphisa ingozi yezinkinga ezisongela ukuphila.

Futhi, cabanga ngempilo yakho yengqondo. Kuvamile ukukhathazeka ngokuthi ikusasa liphetheni. Kungaba nzima ukwenza izinguquko endleleni yokuphila. Kodwa ungavumeli leyo mizwa ikuvimbele ekujabuleleni impilo.

• Yabelana ngemizwa yakho nomeluleki noma iqembu lokusekela.
• Xhumana nabanye abanesifo senhliziyo. Ningabelana ngolwazi futhi nifunde komunye nomunye.
• Khuluma nomndeni wakho nabangani ngezinguquko zendlela yokuphila ozenzayo. Bachazele ukuthi kungani lezi zinguquko zibalulekile kuwe, bese ucela usizo lwabo ekuzenzeni zenzeke.

Kufanele uye nini e-Emergency Treatment Unit (ETU) ?

Uma wena noma othile omaziyo enezimpawu zokuhlaselwa yinhliziyo, isifo sohlangothi, noma i-TIA , shayela u-911 noma inombolo yakho yezimo eziphuthumayo yasendaweni ngokushesha. Lezi yizimo eziphuthumayo zezokwelapha ezidinga ukwelashwa ngokushesha.

Yimiphi imibuzo okufanele uyibuze udokotela wakho?

Eminye imibuzo ongayibuza udokotela wakho:

• Yikuphi ukwelashwa okungcono kakhulu kimi?
• Kufanele kube yini amazinga ami omfutho wegazi kanye ne-cholesterol?
• Kufanele ngiqale nini ukuhlola i-cholesterol yezingane zami?
• Ungangincoma uhlelo oluzongisiza ngiyeke ukubhema?

Umyalezo Wokugcina Wokuya Nasekhaya

I-atherosclerosis yisimo esivamile abantu abaningi ababhekene naso. Kodwa udokotela wakho ulapha ukuzokusiza ukuthi usilawule futhi uphile impilo yakho engcono kakhulu. Ngesikhathi sokuhlolwa kwakho kwaminyaka yonke, bazohlola ingozi yakho yokuthola i-atherosclerosis futhi bachaze ukuthi yini ongayenza ukuze uyinciphise. Ungesabi ukucela usizo lokulandela iseluleko sikadokotela wakho. Bangaphakamisa izinsiza ongase uzidinge. Khumbula, indlela yokuphila enempilo kanye nokulandela iseluleko sikadokotela wakho kuzosiza kakhulu ekukuvikeleni kulesi simo esibucayi.

I- atherosclerosis, i-arteriosclerosis, i-cholesterol, ukuhlaselwa yinhliziyo, isifo sohlangothi, ukuvaleka kwemithambo yegazi, indlela yokuphila enempilo