Wake waba nobuhlungu obungazelelwe, obukhulu entanyeni noma ekhanda lakho obungenakubucabanga? Kungenzeka ukuthi uke wacabanga, "Mhlawumbe kungukuklwebheka nje" noma "Ngine-migraine." Kodwa ngezinye izikhathi, ubuhlungu obungazelelwe, obukhulu njengalobu, ikakhulukazi kumuntu osemusha, bungaba yinto okufanele ikhathazeke ngayo. Namuhla sizokhuluma ngesinye isimo esinjalo, isimo sempilo esingajwayelekile kodwa esibaluleke kakhulu esibizwa ngokuthi i-Cervical Artery Dissection.
Kalula nje, kuyini ukuhlukaniswa kwemithambo yomlomo wesibeletho?
Kulungile, ake sikubeke kalula lokhu. Unemithambo yegazi emikhulu (imithambo yegazi) entanyeni yakho. Lena ifana nemithambo emikhulu ethwala umoya-mpilo nezakhamzimba iye ebuchosheni bakho. Uma sikhuluma iqiniso, imithambo ye-carotid, etholakala kuzo zombili izinhlangothi zentamo yakho, kanye nemithambo ye-vertebral, etholakala ngemuva kwentamo yakho, ngaphakathi kwe-vertebrae yakho.
Manje cabanga ngepayipi lamanzi. Izindonga zalo zakhiwe ngezingqimba eziningana, akunjalo? Ngendlela efanayo, izindonga zemithambo yethu yegazi nazo zakhiwe ngezingqimba eziningana. Ukuhlukaniswa Kwemithambo Yesibeletho kwenzeka lapho kuba nokudabuka noma ukuqhekeka kwenye yezingqimba zangaphakathi zalolo donga lwemithambo yegazi.
Empeleni lokhu kuyimbangela ehamba phambili yesifo sohlangothi kubantu abasebasha nasebekhulile, ngakho-ke kubaluleke kakhulu ukuqaphela lokhu.
Lesi simo siyithinta kanjani impilo yakho?
Kulungile, manje unombuzo othi, "Ukudabuka okuncane emthanjeni kubangela kanjani isifo sohlangothi?" Nansi indlela okwenzeka ngayo.
1. Ukwakheka kokudabuka: Okokuqala, ukudabuka kwenzeka engxenyeni engaphakathi yomthambo wegazi.
2. Ukuvuza kwegazi: Igazi liqala ukuvuza ngalokhu kudabuka liye ezingqimbeni zodonga lwemithambo yegazi. Lokhu kubangela ukuthi udonga lwemithambo yegazi luvuvuke futhi kunciphisa isikhala ngaphakathi komkhumbi wegazi.
3. Ukwakheka kwehlule legazi: Endaweni lapho kudabuka khona, ihlule legazi liqala ukwakheka njengenqubo yemvelo emzimbeni wethu. Njengoba nje ihlule legazi lakhiwa ukuze limise ukuphuma kwegazi lapho isikhumba sethu silimele.
4. Ingozi: Into eyingozi kakhulu ukuthi leli hlule legazi lingaphuma bese lihamba negazi liye ebuchosheni, livimbe umthambo wegazi omncane ebuchosheni.
5. Isifo sohlangothi: Lapho ukuphakelwa kwegazi ebuchosheni kunqanyulwa ngale ndlela, amangqamuzana obuchopho aqala ukufa ngaphandle kokuthola umoya-mpilo. Yilokho esikubiza ngokuthi i-ischemic stroke .
Kalula nje, ukudabuka okuncane emthanjeni wegazi entanyeni kungadala ihlule legazi elinqamula ukugeleza kwegazi ebuchosheni, okuholela ekushayweni yisifo sohlangothi esibi kakhulu.
Yini engabangela lokhu?
Akukho sizathu esisodwa salokhu. Ngezinye izikhathi kungenzeka ngaphandle kwesizathu esibonakalayo. Kodwa ngokuvamile, kunezizathu ezimbalwa eziyinhloko ezingaba imbangela. Ake sizibheke ngokucacile.
| Imbangela engaba khona | Izibonelo nezincazelo |
|---|---|
| Ukulimala entanyeni noma ekhanda | Lena yimbangela evame kakhulu. Isibonelo, ingabangelwa ukugxumagxuma kwentamo ngokuzumayo (i-whiplash) engozini yemoto, ingozi yezemidlalo, noma ukuwa ngokuzumayo. |
| Ukunyakaza okusheshayo nokungazelelwe | Izinto ezifana nokunyakaza kwentamo okusheshayo njengokugibela i-roller coaster, ezinye izindlela zokwelapha nge-chiropractic (hhayi zonke, kodwa kungaba nezingozi), kanye nokujikeleza kwentamo ngokuzumayo. |
| Imisebenzi ethinta umzimba | Lokhu kungenzeka nalapho umzimba ucindezelekile, njengokuphakamisa izinsimbi ezisindayo, ukuzivocavoca ngokweqile, ukukhwehlela kanzima, ukuthimula, noma ukuhlanza njalo. |
| Ukuphazamiseka Kwezicubu Ezixhumeneyo | Abanye abantu banezimo zofuzo ezenza buthaka izindonga zemithambo yegazi yabo, okwenza kube lula ukuthi ziqhekeke ngisho noma kunokulimala okuncane. Izibonelo: I-Ehlers-Danlos syndrome , i-Fibromuscular dysplasia , i-Marfan syndrome . |
| Ezinye izinto eziyingozi empilweni | Umfutho wegazi ophakeme, i-atherosclerosis, kanye nokubhema nakho kwandisa ingozi. |
Ziyini izimpawu zalesi simo?
Into eyesabekayo ngalokhu ukuthi izimpawu ngezinye izikhathi zizwakala njengobuhlungu obujwayelekile bomphimbo noma ikhanda elibuhlungu. Ngakho-ke abantu abaningi bangase bangakunaki. Abanye abantu bangase babe nezimpawu kuze kube yinyanga ngaphambi kokuba batholakale benalesi sifo.
Izimpawu zingahlukaniswa ngezigaba ezintathu eziyinhloko.
| Isigaba sezimpawu | Izici ezibonakalayo |
|---|---|
| Ubuhlungu bekhanda noma intamo |
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| Izimpawu ezifana nohlangothi | Lezi zimpawu zenzeka lapho ukunikezwa kwegazi ebuchosheni kuncipha.
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| Isifo sikaHorner | Lokhu akwenzeki kuwo wonke umuntu. Lezi zimpawu zingavela uma imizwa yohlangothi olulodwa lobuso ithintekile.
|
Kubaluleke kakhulu: Uma uzwa ubuhlungu obukhulu entanyeni noma ekhanda ngokuzumayo, kanye nesinye noma ngaphezulu sezimpawu ezifana ne-stroke ezibalwe ngenhla, iya eMnyangweni Wezimo Eziphuthumayo wesibhedlela (ETU) ngokushesha. Isikhathi sibaluleke kakhulu lapha.
Izindlela zokuxilonga kanye nokwelapha
Ungakubona kanjani lokhu?
Uma utshela udokotela wakho ngezimpawu zakho, uma esola lesi simo, uzoncoma ukuhlolwa okukhethekile okuningana ukuze kuqinisekiswe.
- I-CT Angiography (CTA): Lolu uhlobo olukhethekile lwe-CT scan. Lusebenzisa idayi yokuhlukanisa ukuze lufake emithanjeni yegazi, ludale izithombe ezicacile zemithambo yegazi. Lungasiza ekuboneni noma yikuphi ukudabuka, ukuvaleka, noma ukuvaleka.
- I-MR Angiography (MRA): Lena indlela yokuthatha izithombe zemithambo yegazi usebenzisa i-MRI scanner. Lokhu kungasetshenziswa futhi ukuhlola isimo semithambo yegazi.
Iphathwa kanjani?
Ungase umangale ukuzwa lokhu. Esikhathini esiningi, ukudabuka kulo mthambo wegazi kuyaphola ngokwako ngokuhamba kwesikhathi . Ngakho-ke umgomo oyinhloko wokwelashwa ukunciphisa ingozi yokushaywa unhlangothi kuze kube yilapho ukudabuka kuphola. Okusho ukuthi, ukuvimba ukwakheka kwehlule legazi.
Odokotela basebenzisa kakhulu izinhlobo ezimbili zemithi kulokhu:
1. Imithi yokulwa nama-platelet: Le mithi isebenza ngokuvimbela ama-platelet egazi ukuthi anamathele ndawonye futhi akhe ama-blood clots. I-Aspirin ne -Clopidogrel yimithi esetshenziswa kakhulu kulesi sigaba.
2. Imithi yokuvimbela ukuvuza kwegazi: Lezi zivame ukubizwa ngokuthi "imithi yokunciphisa igazi." Zivimbela inqubo yokujiya kwegazi. I-Heparin (enikezwa njengomjovo) kanye ne -Warfarin (ethathwa njengephilisi) zingaphansi kwalesi sigaba.
Udokotela wakho uzonquma ukuthi iyiphi indlela yokwelapha engcono kakhulu kuwe.
Kwezinye izimo ezingavamile kakhulu, uma imithi ingasebenzi noma uma umthambo wegazi wonakele kakhulu, inqubo ebizwa ngokuthi i-stenting ingasetshenziswa. Lokhu kuhilela ukufaka idivayisi encane efana ne-mesh ngaphakathi komthambo wegazi ukuze ihlale ivulekile.
Kuzokwenzekani ngokulandelayo? Futhi kungavinjelwa kanjani?
Kuhamba kanjani ukululama ngokuvamile?
Lezi yizindaba ezinhle kakhulu. Ukusikwa Kwemithambo YesibelethoIningi labantu liyalulama kahle kakhulu. Umthambo wegazi odabukile uvame ukuphola zingakapheli izinyanga ezintathu kuya kweziyisithupha. Phakathi nalesi sikhathi, kubalulekile ukuthatha imithi njengoba udokotela emyalile futhi uye emitholampilo ukuze uyohlolwa ngesikhathi.
Yini engenziwa ukunciphisa ingozi?
Uma usengozini yalesi simo (isibonelo, uma unesifo sezicubu ezixhumeneyo), kunezinto eziningana ongazenza ukuze unciphise ingozi yakho:
- Gwema izindawo ezicindezela intamo yakho: Isibonelo, ungabambeli intamo yakho endaweni eyodwa isikhathi eside, njengalapho upenda uphahla.
- Gwema ukunyakaza okusheshayo nokungazelelwe: Kungcono ukugwema izinto ezifana nama-roller coaster kanye nemidlalo ehilela ukushukumisa intamo yakho emuva naphambili.
- Gwema ukuphakamisa izinsimbi ezisindayo: Gwema ukuphakamisa izinsimbi ezikukhathaza kakhulu umzimba wakho.
- Yidla ukudla okunempilo kwenhliziyo: Yidla ukudla okunamafutha amancane, usawoti, noshukela, kanye nezithelo nemifino eminingi.
- Vivinya umzimba njalo: Kodwa buza udokotela wakho ukuthi yikuphi ukuzivocavoca okukulungele.
- Lawula umfutho wegazi lakho: Uma unengcindezi yegazi ephezulu, thatha imithi yakho njengoba nje udokotela wakho ekuyalele.
- Gwema ukubhema ngokuphelele.
Umlayezo Wokuya Nawe Ekhaya
- Ungalokothi ungayinaki intamo noma ikhanda elibuhlungu ngokuzumayo, elingavamile, elibuhlungu (ikakhulukazi ngemuva kwamehlo).
- Ukuhlukaniswa Kwemithambo Yesibeletho kuwukudabuka odongeni lomthambo wegazi entanyeni, futhi kuyimbangela enkulu yesifo sohlangothi, ngisho nakubantu abasha.
- Uma unekhanda elibuhlungu kakhulu kanye nezimpawu ezifana nokuba ndikindiki kolunye uhlangothi lomzimba wakho, ubunzima bokukhuluma, noma ukushintsha kombono, kuyisimo esiphuthumayo. Yiya eMnyangweni Wezimo Eziphuthumayo wesibhedlela (ETU) ngokushesha.
- Lesi simo sivame ukuzixazulula sodwa, futhi umgomo oyinhloko wokwelashwa ukuvimbela isifo sohlangothi.
- Kubaluleke kakhulu ukulandela imiyalelo kadokotela wakho, uphuze imithi oyinikezwe udokotela, futhi uhlolwe njalo.
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