Ingabe une-cholesterol emboli ehambahamba emzimbeni wakho? Ake sixoxe ngalokhu!

Sonke sizwile nge-cholesterol, akunjalo? Abanye abantu bayayesaba. Kodwa ngenxa yale cholesterol, ngezinye izikhathi izinto ezingacabangeki zingenzeka ngaphakathi kwemithambo yegazi yethu. Namuhla sizokhuluma ngesimo sezokwelapha esiyinkimbinkimbi, kodwa esibalulekile okufanele wonke umuntu asiqaphele. Lokhu kubizwa ngokuthi i-cholesterol emboli. Kalula nje, lokhu kumayelana nokwakheka kwama-cholesterol clots nokubhajwa emithanjeni yegazi yethu.

Ziyini lezi zinto ezibangela i-cholesterol?

Kulungile, ake sikubeke kalula. Imithambo yethu yegazi ifana namapayipi athwala amanzi. Ngokuhamba kwesikhathi, abanye abantu baqala ukuba nama-fatty deposits, njenge-cholesterol, ngaphakathi kwezindonga zale mithambo yegazi. Njengoba nje ukugqwala kwakheka epayipini lamanzi elidala. Lokhu sikubiza ngokuthi i-buildup plaque noma i-atheroma. Lesi simo yilokho esikwaziyo ngokuthi i-atherosclerosis, okusho ukuqina noma ukuncishiswa kwemithambo yegazi.

Isikhathi eside, leli `(i-Plaque)` lingaba khona nje, ngaphandle kwezinkinga. Kodwa ngezinye izikhathi, izingxenye zaleli `(i-Plaque)` ziyaphuka bese ziqala ukuhamba negazi libe yizicucu ezincane . Cabanga ngalo njengengcezu yeplasta endala odongeni ewayo. Lezi zicucu ze-cholesterol eziphukile zibizwa ngokuthi `(i-Cholesterol Emboli)`. Ngezinye izikhathi, lokhu kungenzeka futhi njengomphumela omubi wokwelashwa, njenge `(i-Heart Catheterization)`, isibonelo. Noma kungenzeka ngezinye izizathu.

Uma leli `(i-Plaque)` liphuka, inani elikhulu lezingcezu ezincane kakhulu `(i-microemboli)` zalo likhishwa egazini ngesikhathi esisodwa . Njengesiphepho sothuli! Lawa ma-cholesterol clots mancane ngobukhulu kunama-blood clots amakhulu akheka lapho ama-blood clots ehlangana ndawonye. Ngaphezu kwalokho, lawa akhiwa kakhulu ngamakristalu e-cholesterol. Ngakho-ke, avame ukunamathela hhayi emithanjeni yegazi emikhulu, kodwa emithanjeni yegazi emincane noma ephakathi nendawo (imithambo yegazi) .

Ngakho-ke, lapho imithambo yegazi emincane ivalwa ngale ndlela, ukugeleza kwegazi ezingxenyeni zomzimba ezinikezwa yilezo mithambo yegazi kuyaphazamiseka, noma kulahleke ngokuphelele . Esikhathini esiningi, le `(Cholesterol Emboli)` iyavalwa emithanjeni yegazi eya ezinso zethu, futhi ingabangela ngisho nokwehluleka kwezinso. Futhi, ngezinye izikhathi ingavalwa nasemithanjeni yegazi emincane emilenzeni, ikakhulukazi ezindaweni ezifana nozwane olukhulu. Kungakhathaliseki ukuthi ivalwa kuphi, le `(Cholesterol Emboli)` ingalimaza kancane kancane izitho zomzimba wethu, futhi kwezinye izimo, isongela ngisho nokuphila .

Odokotela basebenzisa amagama ahlukene kulesi simo. Kungenzeka ukuthi uke wezwa la magama:

• I-Cholesterol Embolization Syndrome
• I-Blue Toe Syndrome (Lokhu kwenzeka lapho ukugeleza kwegazi ezinzwaneni kwehla)
• I-Atheroembolism
• I-Atheromatous Embolization Syndrome
• Ukuhlanganiswa kwe-cholesterol-crystal
• Isifo Sezinso Esibangelwa Yi-Atheroembolic (Lokhu kubhekisela lapho izinso zithinteka khona)

Sivame kangakanani lesi simo?

Abacwaningi abakaqiniseki ukuthi lesi simo sivame kangakanani, njengoba ngezinye izikhathi kungaba nzima ukusithola. Kodwa-ke, kulinganiselwa ukuthi amacala anzima ngokwanele ukuthi adinge ukwelashwa angathinta cishe abantu abadala abangu-3% . Lesi simo sivame kakhulu kubantu abangaphezu kweminyaka engu-60, labo asebevele benesifo sokuqina kwemithambo yegazi, kanye nalabo abanezinye izifo zenhliziyo .

Ziyini izimpawu ze-cholesterol emboli?

Lezi `(Cholesterol Emboli)` zibangela ukuvuvukala emzimbeni. Okusho ukuthi, isimo lapho umzimba uvuvukala khona. Lokhu kungabangela ukuthi ube nalezi zimpawu ezivamile:

• Ukuzizwa ukhathele (Ukukhathala)
• Imfiva
• Ubuhlungu bemisipha (i-Myalgia)
• Ukwehlisa isisindo ngaphandle kwesizathu

Ngaphezu kwalezi zimpawu ezivamile, kungase kuvele nezinye izimpawu. Lokhu kuncike ekutheni imiphi imithambo yegazi evinjiwe yi-cholesterol plaques nokuthi yiziphi izingxenye zomzimba ezinikezwa igazi yileyo mithambo yegazi . Nazi ezinye zezimpawu ezingase zivele kuye ngezingxenye zomzimba ezithintekile:

Isikhumba (ngokuvamile emilenzeni noma ezinyaweni)

• Iphethini efana nenethi esikhumbeni, ezinye izindawo zimhlophe kanti ezinye izindawo zibomvu/ziluhlaza okwesibhakabhaka (i-Livedo Reticularis)
• Uzwane noma enye ingxenye yonyawo iphenduka ibe nsomi noma ibe luhlaza okwesibhakabhaka (lokhu kubizwa ngokuthi "i-Blue Toe Syndrome")
• Izingxenye zesikhumba ziyafa futhi zibe mnyama (i-Gangrene)
• Izilonda Zesikhumba
• I-Purpura (amabala ansomi abangelwa ukuphuma kwegazi okuncane ngaphansi kwesikhumba)

Izinso

• Izimpawu zokwehluleka kwezinso - isibonelo, ukwehla kokukhishwa komchamo, ukuvuvukala kwemilenze, kanye nobunzima bokuphefumula.

Uhlelo lokugaya ukudla

• Ubuhlungu esiswini, emhlane, noma ohlangothini
• Ukopha, njengegazi esitulweni
• Uhudo

Ubuchopho

• Ukudideka
• Ukulahlekelwa Inkumbulo
• Isiyezi
• Ikhanda elibuhlungu
• Izimpawu zokuhlasela kwe-ischemic okuhamba kancane (i-TIA) - okufana ne-mini-stroke - zibangelwa ukuphazamiseka kwesikhashana kokunikezwa kwegazi ebuchosheni.
• Isifo sohlangothi

Amehlo

• Ubuhlungu bamehlo
• Umbono ofiphele
• Amakristalu e-cholesterol aphuzi ayabonakala emithanjeni ye-retina yeso (lawa abizwa ngokuthi "ama-Hollenhorst Plaques", abonakala kudokotela ngesikhathi sokuhlolwa)

Okubalulekile: Uma unesinye noma ngaphezulu salezi zimpawu, akusho ukuthi une-Cholesterol Emboli ngaso sonke isikhathi. Kodwa-ke, uma unesinye salezi zimpawu, kubalulekile ukufuna iseluleko sezokwelapha ngokushesha .

Yini ebangela lokhu kuhlanganiswa kwe-cholesterol?

Cishe ama-70% esikhathi , lawa `(Cholesterol Emboli)` avela njengomphumela ongemuhle wokwelashwa okuthinta imithambo yegazi yethu. Isibonelo, izinto ezifana ne-`(Heart Catheterization)` okukhulunywe ngazo ngaphambili. Uma lezi zinhlobo zokwelapha seziqediwe, i-`(Plaque)` emithanjeni yegazi ingathinteka futhi ingaqhuma.

Uma i-cholesterol embolism ivele njengenkinga yokwelashwa, ivame ukwenzeka ngemva kwe-angiogram . (I-angiogram ukuhlolwa okukhethekile kwe-X-ray okwenziwa ukubheka isimo semithambo yegazi.) Kodwa kubalulekile ukukhumbula ukuthi i-angiogram ngokuvamile iyisivivinyo esiphephile, esinengozi ephansi yezinkinga ezinkulu. Kodwa-ke, i-cholesterol embolism iyingozi engavamile kodwa engenzeka .

Ngaphezu kwalokho, akuvamile kakhulu ukuthi i-cholesterol emboli ivele ngaphandle kwesizathu esibonakalayo. Lokhu kubizwa ngokuthi i-spontaneous embolism.

Yiziphi izinto ezibangela ingozi?

Usengozini enkulu yokuthola i-"Cholesterol Emboli" uma kukhona okulandelayo okukusebenzelayo:

• Ukuba neminyaka engaphezu kwengu-50 ubudala.
• Ukuba yindoda (amadoda anamathuba amaningi okubhekana nalesi simo kunabesifazane)
• Ukwakheka kwama-plaque amaningi emithanjeni yegazi (okungukuthi, i-atherosclerosis enzima).
• Ukuba nezici eziyingozi ezingabangela i-atherosclerosis:
• Umfutho Wegazi Ophakeme
• I-Cholesterol Ephezulu
• Isifo sikashukela
• Ukubhema noma ukusebenzisa eminye imikhiqizo kagwayi.
• Ukuba nesifo sezinso esingamahlalakhona.

Yiziphi izinkinga ezingaba khona ze-cholesterol embolism?

I-cholesterol emboli ingalimaza izitho ezahlukahlukene emzimbeni wakho. Okubaluleke kakhulu kulezi yizinso, isikhumba, amathumbu kanye nobuchopho . Ukuze bakunike ukululama okungcono kakhulu, odokotela bazokwenza konke okusemandleni abo ukwelapha umonakalo kulezi zitho.

Cabanga nje, uma igazi eliya ezinso liyeka, izinso ngeke zisebenze kahle. Bese kuthinta umzimba wonke. Kunjalo nakwezinye izitho zomzimba.

Lesi simo sitholakala kanjani? (Ukuxilongwa)

Ukuhlonza `(I-Cholesterol Emboli)` ngezinye izikhathi kungaba yinselele kancane.Ngoba izimpawu eziningi aziqondile. Lokho kusho ukuthi zingaba yinto evamile kwezinye izimo eziningi. Udokotela wakho uzokuhlola ngokomzimba futhi akhulume nawe ngalokhu okulandelayo:

• Mayelana nanoma yiziphi izimpawu onazo.
• Mayelana nomlando wakho wezokwelapha .
• Mayelana nanoma yikuphi ukwelashwa osanda kukuthola.

Uma udokotela wakho esola ukuthi kukhona i-cholesterol emboli, angase acele ukuhlolwa kwegazi . Isibonelo, ukuhlolwa kwegazi okuphelele (i-CBC) kungenziwa ukuze kuhlolwe ukuvuvukala emzimbeni noma ukuze kuhlolwe ukungasebenzi kahle kwezinso.

Uma kusekhona ukungabaza, udokotela wakho angase akucele ukuba kwenziwe i-biopsy . Lokhu kuhilela ukuthatha ingxenye encane yezicubu engxenyeni yomzimba wakho (ngokuvamile isikhumba noma izinso) bese uyihlola ngaphansi kwesibonakhulu ukuze ubone ukuthi kukhona yini amakristalu e-cholesterol.

Kuphathwa kanjani lokhu?

Odokotela bahlela ukwelashwa ngokusekelwe ezidingweni zakho kanye nobunzima besimo sakho. Izinketho zokwelapha zingafaka:

• Imithi yokulawula izici eziyingozi zesifo senhliziyo: Udokotela wakho angase akunike imithi yokucindezela kwegazi, imithi yokwehlisa i-cholesterol ebizwa ngokuthi ama-statin, kanye nemithi yokulwa nama-platelet. Le mithi ingasiza ekuqiniseni i-plaque emithanjeni yakho yegazi futhi iyivimbele ekuqhekekeni nasekudaleni i-cholesterol emboli esikhathini esizayo .
• Izinguquko zendlela yokuphila: Udokotela wakho angase akuncomele ukushintsha indlela yokuphila, njengokugwema imikhiqizo kagwayi ngokuphelele. Lezi zinguquko zingasiza ukugcina imithambo yegazi nenhliziyo yakho kuphilile .
• Imithi yokunciphisa ukuvuvukala: Njengoba i-cholesterol emboli ingabangela ukuvuvukala emzimbeni wonke, imithi inganikezwa ukunciphisa lokhu. Lokhu kungasiza ekunciphiseni izimpawu.
• Ukuhlinzwa: Lena yindlela yokugcina, ezimweni ezisongela ukuphila . Uma indawo eqondile ye-cholesterol clot yaziwa, udokotela angase ancome ukuhlinzwa kwe-bypass ukuze kushintshwe ukugeleza kwegazi noma i-endarterectomy ukuze kususwe amafutha angaphakathi kwemithambo yegazi.

Ngaphezu kwalokho, uma kukhona ukulimala kwezitho zomzimba, kungase kudingeke ukunakekelwa okusekelayo. Isibonelo:

• I-Dialysis ukusiza izinso zisebenze.
• Ukuhlinzwa kokususa ingxenye noma wonke umathumbu amakhulu.
• Ukunqunywa kwezicubu ukususwa kwesitho, njengengalo noma umlenze (lokhu kwenzeka ezimweni ezimbi kakhulu njenge-gangrene).

Ngingayinciphisa kanjani ingozi ye-Cholesterol Emboli?

I-atherosclerosis, ukunqwabelana kwamafutha emithanjeni yegaziUkwenza konke ongakwenza ukuze wehlise amazinga akho e-cholesterol kuzosiza ekunciphiseni ingozi yakho ye-Cholesterol Emboli. Nazi ezinye izinto ongayenza:

• Gwema yonke imikhiqizo kagwayi. Uma ubhema njengamanje, cela udokotela wakho akusize uyeke ukubhema.
• Yidla ukudla okunempilo kwenhliziyo. Isibonelo, Ukudla KwaseMedithera. Lokho kusho ukudla imifino eminingi, izithelo, ubhontshisi, amantongomane, nenhlanzi. Yehlisa uwoyela, ushukela, nosawoti.
• Vivinya umzimba njalo , njengoba kuqondiswe udokotela wakho.
• Thatha imithi oyinikezwe udokotela ngesikhathi esifanele.
• Qiniseka ukuthi uthola ukuhlolwa kwezokwelapha konyaka bese uya kudokotela ngezinsuku ezihleliwe.

Unjani umbono?

Ukubikezela kwakho kuncike ezintweni eziningana, okuhlanganisa izimo zakho ezihambisana nokugula kanye nobukhulu bomonakalo wezitho zomzimba. Ezinye izifundo zikhombisile ukuthi umonakalo wezinso ungahlotshaniswa nemiphumela emibi .

I-cholesterol emboli ngezinye izikhathi iyabulala . Abacwaningi balinganisela ukuthi izinga lokufa liphezulu ngamaphesenti angu-63. Kodwa-ke, leli nani linganda noma lehle, kuye ngokuthi umonakalo wezitho zomzimba ungakanani kanye nempilo yakho iyonke.

Udokotela wakho kuphela ongakunikeza ulwazi olungcono kakhulu ngekusasa lakho, okungukuthi, lokho ongakulindela esikhathini esizayo. Angahlola isimo sakho ngokusekelwe emlandweni wakho wezokwelapha kanye nesimo sakho samanje.

Ngizinakekela kanjani?

Udokotela wakho uzokutshela ukuthi uzinakekela kanjani ekhaya. Kubaluleke kakhulu ukulandela imiyalelo yakhe ngqo, ikakhulukazi mayelana nemithi . Uma kukhona okungacacile, buza udokotela wakho.

Kufanele ngimbone nini udokotela?

Uzokutshela ukuthi udinga ukubona udokotela kangaki.

Uma udokotela wakho ekuxilonga ukuthi une-Cholesterol Emboli, uzodinga ukwelashwa kwesikhathi eside nokunakekelwa ukuze uphathe isimo sakho futhi unciphise ukulimala kwezitho zomzimba. Kubalulekile ukugcina ama-aphoyintimenti kadokotela wakho ukuqinisekisa ukuthi uphila isikhathi eside ngangokunokwenzeka.

Kufanele ngiye nini eMnyangweni Wezimo Eziphuthumayo (i-ETU) ?

Uma unezimpawu zokuhlaselwa yi-ischemic okuhamba kancane (i-TIA) noma isifo sohlangothi , shayela u-911 (noma inombolo yakho yezimo eziphuthumayo yendawo) ngokushesha. Lezi yizimo eziphuthumayo zezokwelapha ezidinga ukwelashwa okusheshayo.

Yimiphi imibuzo okufanele ngiyibuze udokotela wami?

Khuluma nodokotela wakho ngengozi yakho yokuba ne-Cholesterol Emboli nokuthi ungayinciphisa kanjani leyo ngozi. Eminye imibuzo ethile ongase ufune ukuyibuza ihlanganisa:

• Yiziphi izinto ezingabangela ukwakheka kwe-`(Cholesterol Emboli)`?
• Uma kufanele ngihlinzwe noma ngiphathwe inhliziyo, yini esingayenza ukuze sinciphise le ngozi?
• Yiziphi izimpawu okufanele ngiziqaphele?

Uma utholakale une-`(Cholesterol Emboli)`, buza udokotela wakho le mibuzo:

• Yiziphi izindlela zokwelapha ezingangisiza?
• Yiziphi izinguquko zendlela yokuphila okudingeka ngizenze?
• Uyini umbono wami?

I-cholesterol emboli ngezinye izikhathi ingumphumela ongalindelekile wokunqwabelana kwe-plaque emithanjeni yethu yegazi. Nakuba izici ezithile zandisa ingozi yokuqhekeka kwale plaque, akucaci njalo ukuthi kungani abanye abantu beba nalezi zi-emboli kanti abanye bengabi nazo. Uma udokotela wakho ekutholile ukuthi une-atherosclerosis, kubalulekile ukwenza konke ongakwenza ukuze unciphise ingozi yakho yezinkinga . Lokho kusho ukusebenzisana nodokotela wakho ukuze unakekele imithambo yegazi nenhliziyo yakho ngendlela engcono kakhulu.

Khuluma nodokotela wakho nganoma yimiphi imibuzo noma ukukhathazeka ongase ube nakho. Xoxa ngalokho ongakwenza empilweni yakho yansuku zonke ukuze unciphise ingozi yakho ye-Cholesterol Emboli kanye nezinye izinkinga zesifo senhliziyo.

Okudingeka sikukhumbule kulokhu (Umyalezo Wokuya Ekhaya)

Kalula nje, `(I-Cholesterol Emboli)` yilapho izingcezu ze-cholesterol `(I-Plaque)` ezifakwe emithanjeni yethu yegazi ziphuka bese zibhajwa emithanjeni yegazi emincane. Lokhu kungabangela izinkinga ezinkulu zempilo, ikakhulukazi umonakalo ezithweni ezifana nezinso, isikhumba, kanye nobuchopho.

• Ukuqwashisa kubalulekile: Ukuqaphela lesi simo kanye nezimpawu zaso kukusiza ukuthi ufune ukwelashwa ngokushesha.
• Qaphela izinto eziyingozi: Uma unezimo ezifana ne-cholesterol ephezulu, umfutho wegazi ophakeme, isifo sikashukela, noma uma ubhema, le ngozi iphakeme.
• Indlela Yokuphila Enempilo: I-atherosclerosis ingalawulwa ngokudla ukudla okunempilo, ukuzivocavoca, nokugwema ukubhema. Lokhu kunciphisa ingozi ye-cholesterol emboli.
• Landela iseluleko sezokwelapha: Thatha imithi yakho njengoba uyalelwe. Ungayeki ukuhlolwa kwezokwelapha.
• Qaphela izimpawu ezingavamile: Bonana nodokotela ngokushesha, ikakhulukazi uma uzwa ubuhlungu obungazelelwe emilenzeni yakho, ukuguquka kombala, ubunzima bokuphefumula, noma ukudideka.

Khumbula, impilo yakho isezandleni zakho. Indlela engcono kakhulu yokuzivikela nokubhekana nalezi zimo ukwaziswa nokulandela iseluleko sezokwelapha.

I- cholesterol, i-emboli, imithambo yegazi, isifo senhliziyo, isifo sezinso, i-angiogram, izimpawu