Ingabe une-artery edabukile entanyeni yakho? (Ukusikwa Kwe-Cervical Artery) Ake sifunde ngakho.

Uma sizwa ubuhlungu obukhulu entanyeni noma ekhanda ngokuzumayo, noma uma umuntu osemusha ezwa izimpawu ezifana nohlangothi, sikhathazeka kancane, akunjalo? Ngezinye izikhathi imbangela enkulu yalezi zinto yisimo esibizwa ngokuthi ukuqhekeka komthambo entanyeni. Ake sixoxe ngalokhu ngokuningiliziwe nanamuhla.

Kuyini Ukusikwa Kwemithambo Yesibeletho?

Kalula nje, ukuqhekeka komthambo womlomo wesibeletho kuwukudabuka noma ukuqhekeka kwengqimba eyodwa noma ngaphezulu yodonga lwemithambo yegazi, noma imithambo yegazi, entanyeni yethu. Kufana nokuqhuma okuncane epayipini lamanzi.

Ubuwazi, kunezinhlobo ezimbili ezibaluleke kakhulu zemithambo yegazi entanyeni yethu.

1. Imithambo ye-carotid: Lena yimithambo ehlinzeka ngegazi ngaphambili kobuchopho bethu.

2. Imithambo yomgogodla: Le mithambo ihlinzeka ngegazi ngemuva kobuchopho kanye nomgogodla wethu.

Ngakho-ke, uma kukhona ukudabuka kwenye yale mithambo, yilokho esikubiza ngokuthi 'Ukususwa Kwemithambo Yesibeletho'. Into ebaluleke kakhulu lapha ukuthi lokhu kungaba imbangela enkulu yesifo sohlangothi, ikakhulukazi kubantu abasebasha nasebekhulile .

Lesi simo siyithinta kanjani impilo yakho?

Cabanga nje, lapho lolo donga lwemithambo luphuka, igazi elithile liqala ukuvuza ngaleyo sikhala phakathi kwezingqimba zodonga. Lokhu kungabangela ukuthi kwakheke ihlule legazi lapho. Into eyingozi kakhulu ukuthi, uma leli hlule legazi liphuka futhi livimbe umthambo wegazi omncane ebuchosheni, lingavimba ukugeleza kwegazi engxenyeni yobuchopho futhi libangele isifo sohlangothi, ikakhulukazi isifo sohlangothi esibangelwa yi-ischemic.

Kalula nje, lapho umthambo uqhuma, kwakheka ihlule legazi, futhi uma liya ebuchosheni, lingabangela isifo sohlangothi.

Kungani lokhu kwenzeka? Yiziphi izizathu?

Akukho sizathu esisodwa salokhu. Kungase kube nezici eziningana ezihilelekile.

1. Ukulimala ekhanda noma entanyeni

Ngokuvamile imbangela eyinhloko yalokhu ingozi noma ukulimala ekhanda noma entanyeni. Isibonelo:

• Ukulimala entanyeni (njenge-whiplash) ngenxa yengozi yemoto.
• Ukushaywa kanzima entanyeni ngenkathi udlala ezemidlalo.
• Ukuwa okungazelelwe.

2. Kungabangelwa nokukhathala kwabanye abantu (Izimbangela ezingezona ezesabekayo)

Ngezinye izikhathi lokhu kungenzeka ngaphandle kwengozi enkulu.

• Ukuzikhandla ngokweqile lapho uphakamisa into esindayo. Cabanga ngokuya ejimini bese ngokuzumayo uzama ukuphakamisa isisindo esiningi.
• Ngenxa yokucindezeleka emithanjeni entanyeni uma ukhwehlela, uthimula, noma uhlanza kakhulu.

3. Izinkinga zezicubu ezixhumene

Izicubu ezixhumene emzimbeni wethu luhlobo lwezicubu ezisiza ekubambeni izinto ezifana namathambo, i-cartilage, isikhumba, kanye nemithambo yegazi ndawonye. Kunezifo ezithile zofuzo ezenza buthaka lezi zicubu ezixhumene. Abantu abanezifo ezinjalo nabo basengozini enkulu yokuthola 'i-Cervical Artery Dissection'. Nazi izibonelo ezimbalwa:

• I-Ehlers-Danlos syndrome
• I-dysplasia ye-fibromuscular
• I-Marfan syndrome
• I-Osteogenesis imperfecta

Lezi zifo zingaphinde zenze buthaka izindonga zemithambo yegazi, zenze kube lula ukuthi ziqhume.

4. Ukulimala Kwentamo Okuqondile

Lokhu kuhlukile kancane ekulimaleni okuvamile.

• Ukuqhekeka Kwentamo Nokuhlushwa: Njengoba kushiwo ngaphambili, izimo ze-whiplash zenzeka ezingozini zezimoto.
• Ukubamba intamo yakho endaweni efanayo isikhathi eside: Isibonelo, umuntu openda uphahla enekhanda lakhe eligobile isikhathi eside.
• Ukunyakaza kwentamo okusheshayo nokungazelelwe: Uma ugibela izinto ezifana nama-roller coaster, noma ngesikhathi sokuphathwa kwentamo nge-chiropractic (kubalulekile ukuthi lokhu kwenziwe ngumuntu oqeqeshiwe).
• Ukuphakamisa nokuthwala izinto ezisindayo: Ikakhulukazi uma kwenziwa ngendlela engafanele.

5. Izifo zakamuva

Lesi simo singase senzeke nalapho sikhathele ngenxa yezifo ezithile.

• Isisu esibuhlungu ngenxa yokuhlanza njalo: Ngalesi sikhathi, ingcindezi ibekwa emithanjeni entanyeni.
• Izifo zokuphefumula ezifana nomkhuhlane kanye nomkhuhlane ohambisana nokukhwehlela okuqhubekayo.

6. Ezinye izinto eziyingozi

Ezinye izinto zandisa ingozi:

• I-Atherosclerosis: Lokhu kwenzeka lapho ama-fat deposits eqoqana ngaphakathi kwezindonga zemithambo yegazi, okwenza imithambo yegazi inciphe.
• Umfutho wegazi ophezulu: Lokhu kubangela ukucindezeleka okuqhubekayo emithanjeni yegazi.
• Ukubhema: Ukubhema kuyingozi kakhulu emithanjeni yegazi.

Ziyini izimpawu zalokhu? Ukubona kanjani?

Ezimweni eziningi, akunakwenzeka ukuthola ngokunembile ukuhlukaniswa kwemithambo yomlomo wesibeletho kuze kube cishe inyanga ngemuva kokuqala kwezimpawu. Kodwa-ke, kunezinhlobo eziningana eziyinhloko zezimpawu.

1. Ikhanda elibuhlungu kakhulu, elizumayo noma ubuhlungu bentamo

Lolu uphawu oluvame kakhulu. Lobuhlungu abufani nekhanda elivamile.

• Kuqala ngokuzumayo.
• Ayinyamalali, iyaqhubeka nokuba khona.
• Ubuhlungu buvame ukwenzeka ohlangothini olulodwa lwekhanda (ikakhulukazi ngemuva kweso elilodwa) noma ohlangothini olulodwa lwentamo .
• Kungase kuzwakale njengekhanda elibuhlungu elihlangene , i -migraine , noma ikhanda elibuhlungu elivela phezulu ( ikhanda elibuhlungu elivela phezulu liyikhanda elibuhlungu elivela ngokuzumayo, njengombani).

2. Isifo sikaHorner

Lokhu kuthinta ukunyakaza okuzenzakalelayo kwamehlo nobuso bethu. Izimpawu zifaka:

• Amajwabu amehlo athambile.
• Inhlamvu yeso elilodwa incane kunelinye iso.
• Ukujuluka okuncane noma okungekho ohlangothini olulodwa lobuso.

Lesi `sifo sikaHorner' sivame ukuthinta uhlangothi olulodwa lwekhanda.

3. Izimpawu ezifana nohlangothi

Lezi zimpawu zenzeka lapho ingxenye yobuchopho ingatholi igazi elanele. Lezi zibhekwa njengesimo esiphuthumayo futhi kufanele kufunwe iseluleko sezokwelapha ngokushesha.

• Ubunzima bokuhamba, ukuzulazula (ataxia).
• Ukulahlekelwa yibhalansi emzimbeni (Izinkinga zebhalansi).
• Umbono ofiphele.
• Isiyezi.
• Ukubona okuphindwe kabili (i-Diplopia).
• Ukuba ndikindiki noma ubuthakathaka engalweni noma emlenzeni.
• Ubunzima bokukhuluma / i-Dysarthria noma i-Aphasia. (Inkulumo engacacile, ukungakwazi ukukhuluma ngokucacile)
• Ukuzizwa sengathi izinto ziyakuzungeza (i-Vertigo).

Ubani okufanele akhathazeke kakhulu ngalokhu?

Ukuhlukaniswa Kwemithambo Yesibeletho kungaba nzima ukukuthola. Kodwa-ke, uma uzwa esinye noma ngaphezulu sezimpawu ezibalwe ngenhla, ikakhulukazi uma uzwa ubuhlungu obungazelelwe, obukhulu entanyeni/ekhanda kanye nezimpawu zesifo sohlangothi, kufanele utshele udokotela wakho nakanjani. Udokotela wakho angase akusole lokhu futhi enze izivivinyo ezidingekayo.

Odokotela bakuthola kanjani lokhu?

Kunezivivinyo ezikhethekile zokubona ukuthi lesi simo sikhona yini.

• I-CTA Scan (i-Computed Tomography Angiography - i-CTA): Lokhu kungathatha izithombe ezinemininingwane zemithambo yegazi.
• I-MRA Scan (Magnetic Resonance Angiography - MRA): Lesi esinye isikeni esithuthukisiwe esisetshenziselwa ukubuka imithambo yegazi.

Lezi ziskeni zingabona ngokucacile ukuthi kukhona ukudabuka emthanjeni noma ukuthi igazi lakheke yini.

Yiziphi izindlela zokwelapha lokhu? (Ukwelashwa)

Izindaba ezinhle ukuthi iningi lalezi zinyembezi zemithambo yegazi liyaziphulukisa ngokwalo ngokuhamba kwesikhathi. Kodwa-ke, ukwelashwa kubalulekile ukuvimbela izimo ezibucayi njengesifo sohlangothi.

Izindlela zokwelapha eziyinhloko imithi enciphisa ukujiya kwegazi:

• Ukwelashwa kwe-antiplatelet: Lokhu kwenzelwa ukuvimbela ama-platelet egazini ukuthi angahlangani ndawonye futhi akhe amahlule egazi. Izibonelo zalokhu zifaka phakathi imithi efana ne-'Aspirin' kanye ne-'Clopidogrel'.
• Imithi yokulwa nokuvuvukala kwegazi: Le mithi ibizwa nangokuthi "imithi yokunciphisa igazi." Ivimbela inqubo yokujiya kwegazi. I-Heparin inikezwa njengomjovo, kanti i-Warfarin inikezwa njengephilisi.

Udokotela uzonquma ukuthi yimuphi kule mithi okufanele awunikeze nokuthi uzoyinikeza isikhathi esingakanani, kuye ngesimo sakho.

Kuthiwani uma ukwelashwa okuvamile kungaphumeleli?

Akuvamile kakhulu, uma imithi yodwa ingakwazi ukulawula lesi simo, kungasetshenziswa i-stenting.Kungase kudingeke nokuhlinzwa. I-stent iyipayipi elincane eline-mesh elifakwa emthanjeni, lilungise ukudabuka, liqinise udonga lwe-artery, futhi livumele igazi ligeleze kangcono.

Ungazivikela kanjani kulesi simo? (Ukuvimbela)

Uma unesifo (njengezifo zezicubu ezixhumene okukhulunywe ngazo ngenhla) esikhuphula ingozi yakho yokuthola `Ukususwa Kwemithambo Yesibeletho`, kubaluleke kakhulu ukuhlolwa njalo nochwepheshe wemithambo yegazi.

Bonke abanye abantu bangenza lezi zinto ukunciphisa le ngozi:

• Ungagcini intamo yakho isendaweni efanayo isikhathi eside kakhulu (isib., njengokupenda uphahla).
• Gwema ukunyakaza kwentamo nekhanda okungazelelwe, okusheshayo (ukugibela ama-rollercoaster, amasu athile okuphatha intamo).
• Gwema ukuphakamisa izinsimbi ezisindayo ngokuzikhandla ngokweqile.
• Yidla ukudla okunempilo kwenhliziyo (okunamafutha amancane namafutha amancane, izithelo nemifino eminingi).
• Vivinya umzimba njalo. (Buza udokotela wakho ukuthi yikuphi ukuzivocavoca okufanele.)
• Lawula umfutho wegazi lakho. Uma kudingeka, thatha imithi efana ne-ACE inhibitors.
• Yeka ukubhema ngokuphelele.

Iyini iphrojekthi? (Isibikezelo)

Iningi lamacala okuqhekeka kwemithambo yomlomo wesibeletho liphola kahle kakhulu. Imithambo ibuyela esimweni sayo esijwayelekile. Le nqubo yokuphulukisa ivame ukuthatha izinyanga ezintathu kuya kweziyisithupha .

Kunjani ukuphila nalesi simo?

Uma une-cervical artery dissection, kuzodingeka uhlolwe njalo (njengokuskena) kuze kube yilapho udokotela wakho eqiniseka ukuthi isipholile ngokuphelele. Kuzodingeka futhi uqhubeke nokuthatha imithi yokulwa nama-platelet noma imithi yokulwa nokuqina kwegazi okukhulunywe ngayo ekuqaleni kwalesi sikhathi.

Nakuba ukuqhekeka kwemithambo yomlomo wesibeletho kuyimbangela ehamba phambili yesifo sohlangothi kubantu abaneminyaka ephakathi kuka-40 no-60, akuwona wonke umuntu onaso ozoba nesifo sohlangothi. Iningi labantu liyalulama ngaphandle kwezinkinga ngokuhlolwa nokwelashwa okufanele. Umgomo oyinhloko wokwelapha labo abanezimpawu ukuvimbela isifo sohlangothi.

Umlayezo Wokuya Nawe Ekhaya

Ukusikwa kwemithambo yomlomo wesibeletho kuyisimo esingaba yingozi, ikakhulukazi kubantu abasha, njengoba kungabangela isifo sohlangothi.

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Uma uzwa ubuhlungu obungazelelwe, obukhulu entanyeni/ekhanda, ubuhlungu ngemuva kwamehlo, noma izimpawu zokushaya kwenhliziyo (ubunzima bokukhuluma, ukungazweli ezithweni, ubunzima bokuhamba) , funa iseluleko sikadokotela ngokushesha.

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Kunezici eziningana ezingaba nomthelela kulesi simo, okuhlanganisa izingozi, ukuzikhandla ngokweqile, kanye nezinye izifo zofuzo.

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Lesi simo sivame ukwelapheka ngokwelashwa okufanele kanye nokuqashwa kwezokwelapha. Into ebaluleke kakhulu ukuthatha isinyathelo ngokushesha futhi ungazinaki izimpawu.

Uma uneminye imibuzo mayelana nalokhu, ungangabazi ukukhuluma nodokotela wakho. Hlala uphilile!

Ukusikwa Kwemithambo Yesibeletho, Uhlangothi, Ubuhlungu Bentamo, Ikhanda Elibuhlungu, Imithambo Yegazi, Ukunikezwa Kwegazi Ebuchosheni