Wake wacabanga ukuthi ibaluleke kangakanani imithambo yegazi ethwala igazi ebuchosheni ngentamo yethu? Cabanga nje, bekuzokwenzekani uma ubuchopho, obufana nesikhungo sokulawula somzimba wethu wonke, bungatholanga igazi elanele? Ngokufanayo, uma kwenzeka umonakalo kulo mthambo wegazi obalulekile entanyeni, okungukuthi umthambo we-carotid , ungabangela izinkinga ezinkulu. Namuhla sizokhuluma ngesimo esinjalo, okungukuthi ukuhlukaniswa komthambo we-carotid . Nakuba igama lingase lizwakale lithusa kancane, kubaluleke kakhulu ukuqaphela lokhu.
Kuyini ukuhlukaniswa kwemithambo ye-Carotid? Masikuqonde kalula.
Kunemithambo yegazi emibili emikhulu ezinhlangothini zombili zentamo yethu enikeza igazi ebuchosheni. Yilokho esikubiza ngokuthi imithambo ye-carotid . Manje cabanga ngalo mthambo wegazi njengepayipi. Kodwa udonga lwalo mthambo alwenziwanga ngeleya elilodwa, kodwa ngeleya eziningana. Ukuqhekeka kwemithambo yegazi kwenzeka lapho kuvela ukudabuka okuncane noma ukuqhekeka kwenye yezeya zodonga lomthambo wegazi, bese igazi liqala ukuvuza phakathi kwalezo zeya. Into ebalulekile ukuthi igazi lingaphumi kulo mthambo wegazi. Okusho ukuthi, inkinga ingaphakathi komthambo wegazi. Kodwa-ke, lapho igazi ligcwala phakathi kwalezo zeya, ukugeleza kwegazi ngaphakathi komthambo wegazi kungavinjelwa. Kwenzekani uma lokho kwenzeka? Inani legazi eliya ebuchosheni liyancipha, futhi ngezinye izikhathi lingaze lime ngokuphelele.
Cabanga ngesikhala esincane ngaphakathi kwepayipi lamanzi, okubangela amanzi ukuba agcwalise ingaphakathi lepayipi. Bese ukugeleza kwamanzi ngepayipi kuncipha, akunjalo? Yilokho okwenzekayo nalapha.
Lesi simo ngezinye izikhathi singadala ubuhlungu kuphela. Kodwa-ke, kwabanye abantu, singaholela ezinkingeni ezinkulu . Isibonelo:
- I-Brain Ischemia : Lokhu kusho ukuthi ubuchopho abutholi igazi elanele.
- Ukopha Okungaphansi Kwe -Subarachnoid: Lokhu ukopha kungene ezingxeni ezithambile ezizungeze ubuchopho.
- Isifo sohlangothi : Cishe uke wezwa ngalokhu. Isimo esibi esibangelwa ukuvaleka noma ukuqhekeka komthambo wegazi ohambisa igazi ebuchosheni.
- Ukuhlaselwa Kwe-Ischemic Yesikhashana (TIA): Lokhu kubizwa nangokuthi "i-mini-stroke." Izimpawu ze-stroke ziyafika zidlule isikhashana. Kodwa lokhu futhi kuyisibonakaliso sengozi.
Ngakho-ke, uma usola isimo esinjengalesi, ukufuna iseluleko sezokwelapha ngokushesha, ukuthola ukuxilongwa okunembile, nokuthola ukwelashwa kungasiza ekusindiseni impilo yakho.
Uyini umehluko phakathi kokuhlukaniswa kwemithambo ye-carotid kanye nokuhlukaniswa kwemithambo ye-cervical?
Kuhle ukwazi lokhu futhi. Kunemithambo yegazi emine eyinhloko entanyeni yethu ethwala igazi liye ebuchosheni. Kunemithambo emibili ye-carotid kanye nemithambo emibili ye-vertebral . Uma ihlangene, le mithambo emine ibizwa ngokuthi imithambo yomlomo wesibeletho .`(Imithambo Yomlomo Wesibeletho)`. Ngakho-ke, uma kukhona ukudabuka odongeni lwanoma iyiphi yalezi ezine, kubizwa ngokuthi ukudabuka komthambo womlomo wesibeletho. Ukudabuka komthambo we-carotid uhlobo olulodwa lwalelo qembu elikhulu elibizwa ngokuthi ukudabuka komthambo womlomo wesibeletho. Uma sikhuluma iqiniso, ukudabuka komunye wemithambo emibili ye-carotid. Uyaqonda?
Ubani onamathuba amaningi okuthola lesi simo? Sivame kangakanani?
Ukusikwa kwemithambo ye-carotid kungenzeka kunoma yimuphi ubudala, kodwa kuvame kakhulu kubantu abaneminyaka ephakathi kuka-40 no-50.
Kodwa ungakhathazeki, lesi akusona isifo esivame kakhulu. Kubikwa ukuthi cishe abantu ababili kuya kwabathathu kwabayizinkulungwane eziyikhulu bahlushwa yilesi sifo. Lokho kusho ukuthi akuvamile kakhulu.
Yini engabangela lokhu?
Kungaba nezizathu ezahlukahlukene zokuthi kungani lo mthambo wegazi uqhuma. Ngezinye izikhathi kungenzeka ngezindlela ezingalindelekile. Bheka lezi zibonelo:
- Ingozi yemoto, njengengozi yemoto: Uma ushaywa kanzima entanyeni.
- Ukuphathwa Kwe-Chiropractic : Lokhu kuyinto engavamile ngemva kokwelashwa kwe-chiropractic okuhlobene nentamo.
- Ukuhlala nentamo yakho igobile eceleni isikhathi eside: Cabanga ukhuluma ocingweni nekhanda lakho ligobile amahora amaningi, noma ugobe intamo yakho endaweni eyodwa ngenkathi ubukele i-TV. Lezi zinto zingabeka ingcindezi engadingekile emithanjeni yegazi entanyeni yakho.
- Izingozi ngesikhathi udlala imidlalo: Izinto ezifana nokuwa kanzima, ukushaywa entanyeni.
- Ukukhwehlela kakhulu noma ukushaya ikhala: Lokhu kungase kuzwakale kungavamile, kodwa ngezinye izikhathi, ukwenza lezi zinto ngamandla amakhulu kungabangela lolu hlobo lwenkinga.
Kalula nje, uhlobo oluthile lokusunduza, ukudonsa, noma ukushaya entanyeni ngokuzumayo kungaba yimbangela eyinhloko yalokhu.
Yiziphi izinto ezibangela lokhu?
Abanye abantu banamathuba amaningi okuthola lesi simo kunabanye. Ezinye izinto ezingaba nomthelela kuso zifaka:
- Ukuphazamiseka Kwezicubu Ezixhumene : Izifo ezibangela ubuthakathaka obuthile ezicutshini zomzimba wethu. Izibonelo zifaka phakathi izimo ezifana ne -Ehlers-Danlos syndrome , i-Marfan syndrome , i-Osteogenesis Imperfecta, kanye ne -Fibromuscular Dysplasia . Nakuba lezi ziyinkimbinkimbi kancane, abantu abanalezi zifo bangase babe nezindonga zemithambo yegazi ezibuthakathaka kancane.
- Uma othile emndenini wake waba nalesi simo ngaphambili.
- Umfutho wegazi ophezulu (Umfutho wegazi ophakeme): Lokhu kusho umfutho wegazi ophakeme.
- I-Hyperhomocysteinemia : Ukweqisa kwekhemikhali ebizwa ngokuthi i-homocysteine egazini.
- Uma kukhona ukulimala noma umonakalo entanyeni.
- Kulabo abane-migraines.
- Kulabo ababhemayo noma abasebenzisa imikhiqizo kagwayi.
Uma lezi zinto zikhona, kungcono ukuqaphela kancane.
Yiziphi izimpawu zokuhlukaniswa kwemithambo ye-carotid? `(Izimpawu)`
Lena yingxenye ebaluleke kakhulu. Ngoba izimpawu zingahluka kakhulu kumuntu nomuntu. Abanye abantu bangase bangabi nazo nhlobo izimpawu, kanti abanye bangase babe nesifo sohlangothi esingazelelwe. Nazi ezinye zezimpawu:
- Ubuhlungu bamehlo.
- Ubuhlungu bobuso.
- Ikhanda elibuhlungu: Lokhu akufani nekhanda elibuhlungu elivamile, kungaba uhlobo olusha lwekhanda elibuhlungu elibuhlungu.
- I-Horner's syndrome : Lesi yisimo lapho uhlangothi olulodwa lobuso lukhombisa izimpawu. Isibonelo, ijwabu leso lingase libonakale ligobile, ukujuluka kungase kwehle kulolo hlangothi, futhi inhlamvu yeso ingaba ncane kunelinye iso.
- Ubuhlungu bentamo: Lokhu futhi kuyisibonakaliso esivamile.
- Ukuntuleka Kwezinzwa : Lokhu kufaka phakathi ubunzima bokukhuluma, izinkinga zenkumbulo, ukulahlekelwa yibhalansi, ukuba ndikindiki ezithweni zomzimba, kanye nokusabela okungavamile.
- Izimpawu zesifo sohlangothi: Ukungabi namizwa ngokuzumayo kolunye uhlangothi lomzimba, ukulahlekelwa ukwazi, umlomo uphendukela kolunye uhlangothi, ukukhuluma okungaqondakali, kanye nokungakwazi ukucabanga.
Uma uhlangabezana nenye noma ngaphezulu yalezi zimpawu, ikakhulukazi ngemva kokulimala entanyeni, noma uma unezinye zezinto eziyingozi ezishiwo ngenhla, qiniseka ukuthi ubona udokotela. Ungakushayi indiva lokho.
Uyixilonga kanjani le nkinga?
Ngenxa yokuthi izimpawu ziyahlukahluka kakhulu, ngezinye izikhathi kungaba nzima ukuthola ukuthi iyini ngempela. Uma udokotela esola lesi simo, angenza izinto ezinjengalezi:
- Ukuhlolwa Komzimba : Sizokubuza ngezimpawu zakho bese sihlola umzimba wakho.
- Umlando Wezokwelapha : Sizokubuza ngezinye izimo zezokwelapha onazo, ukulimala kwentamo ngaphambilini, nokuthi ngabe kukhona yini emndenini wakho oke waba nezinkinga ezifanayo.
- Ukuskena nge-ultrasound : Thatha izithombe zemithambo yegazi engaphakathi entanyeni.
- Ukuhlolwa kwe-CT scan noma i-MRI /MRA : Thatha izithombe ezinemininingwane zentamo kanye/noma ubuchopho. Lokhu kungasiza ekunqumeni ukuthi kukhona yini umthambo wegazi oqhumile.
- I-Angiography : Lokhu kuhilela ukufaka uketshezi olukhethekile emithanjeni yegazi nokuthatha izithombe ze-X-ray. Lokhu kukuvumela ukuthi ubone ngokucacile ukuthi igazi ligeleza kanjani nokuthi kukhona yini ukuvaleka.
Lezi zivivinyo yiyona ndlela kuphela odokotela abangaqinisekisa ngayo ukuthi lokhu kuwukuhlukaniswa kwemithambo ye-carotid noma cha.
Yiziphi izindlela zokwelapha lokhu?
Indlela yokwelapha incike ezintweni eziningana, isibonelo:
- Iyini imbangela yalokhu kuqhekeka?
- Ezinye izifo onazo.
- Ukuthi ngabe kube khona isifo sohlangothi.
- Ingabe kukhona ukopha?
Udokotela uzonquma ukwelashwa okufanele kakhulu kuwe ngokusekelwe kulezi zici. Izindlela eziyinhloko zokwelapha yilezi ezilandelayo:
- Ama-Anticoagulant: Le mithi isebenza ngokuncibilikisa amahlule egazi , noma ngokuvimba amahlule amasha ukuthi akheke. Lokhu kungenxa yokuthi ukuqhekeka kungabangela ukuthi kwakheke amahlule egazi ngaphakathi kwemithambo yegazi, futhi uma eya ebuchosheni bese ehlala, kungenzeka kube nesifo sohlangothi.
- Imithi yokulwa nama-platelet : Le mithi ivimbela ama-platelet egazini lethu ukuthi anganamatheli ndawonye futhi akhe ama-blood clots. I-aspirin ingenye yemithi enjalo.
- I-Angioplasty kanye ne-stenting : Lokhu kuhilela ukufaka idivayisi efana nebhaluni emthanjeni wegazi ovinjiwe bese uyinweba. Ngezinye izikhathi, kufakwa i- stent , ipayipi elincane elifana ne-mesh, ukuze kuvinjelwe indawo evulekile ukuthi ingaphinde inciphe. Kodwa-ke, lokhu kwelashwa akwenziwa yiwo wonke umuntu, futhi kwenziwa kuphela uma kudingeka ngempela.
- Ukuhlinzwa : Ukuhlinzwa kokususa ingxenye edabukile noma ukushintsha indlela yokugeleza kwegazi. Lokhu kwenziwa kaningi kakhulu, futhi kuphela uma ezinye izindlela zokwelapha zingasebenzi.
Udokotela nguye ozokutshela ukuthi yikuphi ukwelashwa okungcono kakhulu kuwe.
Ingancishiswa kanjani le ngozi?
Uma unesifo ocabanga ukuthi singase sihlobene nokuhlukaniswa kwemithambo ye-carotid (njengezici eziyingozi okukhulunywe ngazo ngenhla), kubaluleke kakhulu ukulandela imiyalelo kadokotela wakho ngqo. Lokhu kuzosiza ekuvimbeleni ukuthi isimo esinjalo singenzeki, noma okungenani kusize ekusitholeni kusenesikhathi.
Ngaphezu kwalokho, ukulandela indlela yokuphila enempilo kungasiza ekulawuleni umfutho wegazi lakho futhi kunciphise le ngozi. Lokho kusho ukuthi:
- Uma ubhema, yeka ukubhema futhi ugweme imikhiqizo kagwayi.
- Ukudla ukudla okunomsoco.
- Ukuzivocavoca njalo.
- Ukugcina isisindo esinempilo.
- Ukugwema imisebenzi engabangela ukulimala okukhulu entanyeni ngangokunokwenzeka. Isibonelo, ukusebenzisa izinto zokuzivikela lapho udlala imidlalo ezingabangela izingozi.
Iyini ikusasa elibikezelwe uma kubhekwa lesi simo? `(Umbono)`
Lokhu kuyahlukahluka kuye ngomuntu nomuntu. Kuye ngezinto ezifana nembangela yokudabuka, ubukhali bayo, njll. Abanye abantu bangase bangadingi ukwelashwa futhi isimo singase sihlale sinjalo. Kodwa kwabanye, kungavela izinkinga ezinkulu ezingaba yingozi empilweni.
Ingabe ukuhlukaniswa kwemithambo ye-carotid kungaziphilisa ngokwako?
Yebo, ngezinye izikhathi lokhu kudabuka kungaphola ngokwako ngokuhamba kwesikhathi. Kodwa-ke, udokotela uzokuqapha ukuze abone ukuthi isimo siba sibi noma uma kuvela izinkinga.
Ingabe lokhu kungenzeka futhi ngemva kokwelashwa?
Ngokuvamile akuvamile ukuba siphinde sibe khona ngemva kokwelashwa. Amathuba okuphinde sibuye ngonyaka wokuqala aphansi njengo-0% kuya ku-10%.
Kufanele ngifune nini iseluleko sezokwelapha?
Uma uhlangabezana nanoma yiziphi izimpawu ocabanga ukuthi zingaba ukuqhekeka kwemithambo ye-carotid, funa usizo lwezokwelapha ngokushesha. Lokhu kubaluleke kakhulu uma unezinye zezinto eziyingozi ezishiwo ngenhla noma uma usanda kulimala entanyeni.
Khumbula, ukuqhekeka komthambo we-carotid kuwukudabuka odongeni lomthambo wegazi entanyeni. Kungazenzekela noma ngemva kokulimala entanyeni. Ngezinye izikhathi kungaphola ngokwako, kodwa kungabangela nezinkinga ezinkulu nezisongela ukuphila. Ngakho-ke, uma unezimpawu, ungalibali ukufuna usizo lwezokwelapha.
Nazi ezinye izinto okufanele uzikhumbule kulokho esikhulume ngakho: (Umyalezo Wokuya Ekhaya)
Kulungile, ake siphinde sixoxe ngezinto ezibaluleke kakhulu esikhulume ngazo namuhla okufanele sizikhumbule:
- Ukuhlukaniswa kwemithambo ye-carotid kuwukudabuka odongeni lwangaphakathi lomthambo wegazi omkhulu entanyeni yakho othwala igazi liye ebuchosheni bakho, emthanjeni we-carotid, bese kuvuza igazi phakathi kwezingqimba zalolo donga.
- Lokhu kunganciphisa noma kumise ngokuphelele ukugeleza kwegazi ebuchosheni , okungaholela ezimweni ezimbi kakhulu njengohlangothi.
- Ukulimala entanyeni, imisebenzi ethile ehlobene nentamo, umfutho wegazi ophakeme, ukubhema, kanye nezinye izimo zofuzo kungaba yizinto ezibangela lokhu.
- Uma uzwa izimpawu ezifana nobuhlungu bekhanda obungazelelwe, ubuhlungu bentamo, ubuhlungu bobuso, izinguquko zombono, ubunzima bokukhuluma, noma ukuba ndikindiki noma ubuthakathaka ohlangothini olulodwa lomzimba , kungaba uphawu lwalesi simo.
- Uma unezinye zalezi zimpawu, ungachithi isikhathi bese ubona udokotela ngokushesha. Ukuxilongwa kusenesikhathi kanye nokwelashwa kungavimbela izinkinga ezinkulu.
- Nakuba lesi simo ngezinye izikhathi singazixazulula sodwa, ukubhekwa kwezokwelapha kuyadingeka njalo.
Ngiyethemba ukuthi lolu lwazi luwusizo kuwe. Hlala uphilile!
Ukuhlukaniswa Kwemithambo Ye- Carotid, Ukuhlukaniswa Kwemithambo Ye-Carotid, Ukuqhekeka Kwemithambo Ye-Carotid, Ukugeleza kwegazi ebuchosheni, Uhlangothi, Ubuhlungu bentamo, Ikhanda elibuhlungu











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