Ingabe imithambo yakho yegazi iyavaleka ngokuzumayo? Lokhu kubizwa ngokuthi (i-Vasospasm)!

Wake wazizwa umuzwa ophuthumayo, oqinile, noma obuhlungu engxenyeni ethile yomzimba wakho? Kungaba ukuthi omunye wemithambo yakho yegazi uyaqina ngokuzumayo. Ngokwezokwelapha, lokhu kubizwa ngokuthi i-vasospasm , noma ukuqina kwemithambo yegazi . Kalula nje, kufana nepayipi lamanzi elivaleka ngokuzumayo, linqamule ukugeleza kwamanzi. Kubalulekile ukuqonda lokhu ngoba kungathinta izingxenye eziningi zomzimba wakho.

Kuyini ngempela lokhu (i-Vasospasm)?

Kalula nje, i-vasospasm ukuvaleka okungazelelwe nokuqhubeka isikhathi eside kanye nokuncipha kwemithambo yegazi, noma imithambo yegazi, emzimbeni wakho. Cabanga ukuthi kwenzekani uma ubamba izibhakela zakho bese uvala iminwe yakho okwesikhashana? Kuqala ukubuhlungu ngemva kwesikhathi esithile, akunjalo? Yilokho okwenzekayo uma imithambo yakho ihlala ivalekile.

Izindonga zethu zemithambo yegazi zenziwe ngemisipha . Le misipha ihlala ifinyela futhi iphumule ukulawula umfutho wegazi. Lokhu kuyinto evamile. Kodwa-ke, lapho i-vasospasm iqina, le misipha ifinyela ngendlela engavamile futhi isikhathi eside kakhulu . Lokhu kunciphisa inani legazi eligeleza kulowo mthambo wegazi. Lokhu kunciphisa inani lomoya-mpilo ofinyelela ezicutshini ezizungezile. Uma lokhu kuqhubeka, izindonga zemithambo yegazi zingalimala.

Ikakhulukazi, lapho kukhona ukungajwayelekile emithanjeni yegazi, sikubiza ngokuthi (ukungasebenzi kahle kwe-endothelial) , kunethuba elikhulu lokuthi (i-vasospasm) ivele.

Kwenzekani uma kwenzeka i-vasospasm?

Uma kwenzeka i-vasospasm, imisipha ebushelelezi ezindongeni zemithambo yegazi isabela ngokweqile ezimpawini zokufinyela. Ngokuvamile, le misipha iyafinyela okwesikhashana. Kodwa lapho i-vasospasm ifinyela, iyafinyela isikhathi eside kunokudingekile.

I-(Vasospasm) ithinta kanjani umzimba wami?

I-Vasospasm ingenzeka emithanjeni eminingi ehlukene emzimbeni wethu, kodwa ivame kakhulu ezindaweni ezithile. Isibonelo:

• Imithambo Yenhliziyo: Uma kwenzeka i-vasospasm emithanjeni ehambisa igazi enhliziyweni, ibizwa ngokuthi i-Prinzmetal angina . Lokhu kungavimbela ukugeleza kwegazi enhliziyweni futhi kubangele ukuhlaselwa yinhliziyo . Cabanga, ngokuzumayo, ubuhlungu obukhulu esifubeni, ngezinye izikhathi okwenza kube nzima ukuphefumula.
• Imithambo Yemithambo Yobuchopho: Uma kwenzeka imithambo ehambisa igazi ebuchosheni (i-vasospasm), ukugeleza kwegazi ebuchosheni kungancipha, okubangela ukulimala kwezicubu zobuchopho (i-cerebral infarct) , isimo esifana nesifo senhliziyo ebuchosheni. Lokhu kungabangela ubunzima bokukhuluma nokulahlekelwa yizitho zomzimba.
• Imithambo yegazi eminweni nasezinzwaneni: Uma kuvela i-vasospasm eminweni, iminwe ingase ibande, ingabi namizwa futhi ishintshe umbala. Lesi yisimo esingathandeki neze.
• I-Nipple Vasospasm: Uma lesi simo sivela komama abancelisayo, ukuncelisa kungaba buhlungu kakhulu.

Kuvame kangakanani ukushaya kwenhliziyo okubangelwa yi-vasospasm?

Ngokwezinye izifundo, omama abancelisayo abangafika ku -20% bangase babe ne-vasospasm emigudwini yabo yobisi . Futhi, phakathi kuka -50% no-90% walabo ababhekana nesimo esifana nokuqhekeka komthambo wegazi ebuchosheni (i-aneurysm) basengozini yokuthola i-vasospasm.

Ziyini izimpawu ze-vasospasm?

Izimpawu ziyahlukahluka kuye ngokuthi i-vasospasm yenzeka kuphi. Ake sibone ukuthi isebenza kanjani.

Izimpawu ze-Coronary Vasospasms

Lokhu kuvame ukwenzeka lapho uphumule, ebusuku, ekuseni kakhulu, nangemva kokuchayeka emakhazeni amakhulu . Olunye ucwaningo luye lwabonisa ukuthi luhlotshaniswa nezimo zengqondo ezifana nokukhathazeka nokucindezeleka .

Izimpawu eziyinhloko yilezi:

• Ukumiswa kwenhliziyo noma ukufa kwenhliziyo okuzumayo kunqanyuliwe.
• Ukuquleka.
• I-angina ezinzile: Lokhu kusho ubuhlungu besifuba, ikakhulukazi uma uzikhandla.
• I-acute coronary syndrome: Lokhu kungaba ukuhlaselwa yinhliziyo noma i-angina engazinzile.

Izimpawu ze-Cerebral Vasospasms

I-Vasospasm ebuchosheni ingabangela izimpawu ezifana nalezi:

• Ikhanda elibuhlungu ngokuzumayo, elibi kakhulu ngemizuzwana embalwa.
• Ukulala ngokweqile.
• Ukulahlekelwa umuzwa noma ukungakwazi ukunyakaza ingalo, umlenze, noma uhlangothi olulodwa lomzimba.

Izimpawu ze-Vasospasms Ezandleni Noma Ezinyaweni

Uma une-vasospasm engalweni yakho, emlenzeni, noma emnweni, ungase ube nezimpawu ezilandelayo:

• Iminwe ebandayo noma engezwani.
• Ukushintsha kombala wesikhumba (ukuphenduka kube mhlophe, luhlaza okwesibhakabhaka, kube bomvu).
• Ukuzwa ukuqaqamba noma ukuqaqamba eminweni.

Izimpawu ze-Nipple Vasospasms komama abancelisayo

Uma umama oncelisayo ehlangabezana nalesi simo, angase abe nezimpawu ezifana nalezi:

• Ubuhlungu obukhulu ebeleni .
• Izinguquko embala womsele wobisi lwebele (zingase zibe mhlophe, bese zibomvu, zibe luhlaza okwesibhakabhaka, noma zibe nsomi).

Ziyini izimbangela ze-vasospasm?

Kunezimbangela ezahlukahlukene ze-vasospasm ezingxenyeni ezahlukene zomzimba.

Izimbangela ze-Vasospasm enhliziyweni

Nakuba izimbangela eziqondile zalokhu zingaziwa, kunezinto ezithile ezihlotshaniswa nalesi simo:

• Ikhemikhali ebizwa ngokuthi i-Serotonin .
• Ukwelashwa okulwa nomdlavuza (i-Chemotherapy).
• Ukusetshenziswa kwezidakamizwa ezifana ne -cocaine, ama-amphetamine, noma insangu .
• Ukuguqulwa kwezakhi zofuzo.
• Ukuvuvukala.
• I-Migraines.

Izimbangela ze-Vasospasm ebuchosheni

I-Vasospasm ebuchosheni ingabangelwa yi:

• Ukuqhuma kwe-aneurysm yobuchopho.
• Ezinye izimbangela zokopha okuzungeze ubuchopho.
• Ukuchayeka ezintweni ezibangela ukusha kwemithambo yegazi noma imithi.
• Ihlule legazi elizungeze ubuchopho (ihlule legazi le-Subarachnoid).

Izimbangela ze-Vasospasm Ezandleni Noma Ezinyaweni

Izizathu eziyinhloko zalokhu yilezi:

• Isenzakalo sikaRaynaud: Kulokhu, ukugeleza kwegazi eminweni kuyaphazamiseka uma kuvezwa umkhuhlane noma ukucindezeleka.
• I-Scleroderma: Lesi yisifo esibangela ukuba isikhumba siqine futhi siqine.
• I-atherosclerosis: Ukuncipha kwemithambo yegazi ngenxa yokugcwala kwamafutha ezindongeni zemithambo yegazi.
• Amahlule egazi.

Izimbangela ze-vasospasm emigudwini yobisi lwebele komama abancelisayo

Kunezizathu eziningana ezingathinta lokhu:

• Isenzakalo sikaRaynaud.
• Eminye imithi.
• Njengoba ngihlinzwe amabele.
• Izifo ezizenzakalelayo.
• Ukuchayeka emakhazeni.
• Ukumqaqa umntwana ngokushesha ngemva kokuba umntwana eseqedile ukuphuza.
• Ama-antifungal asetshenziswa endaweni yokwelapha kanye namanye ama-cream afana ne-APNO cream.
• Ukulimala kwemigudu yobisi lwebele ngenxa yokungaphuzi kahle kwengane noma ukusebenzisa ipompo yebele.
• Ukusetshenziswa kogwayi.
• Izizathu ezingachazwanga.

Ungayibona kanjani (i-Vasospasm)?

Ukuhlolwa ngokomzimba ngudokotela kubaluleke kakhulu ekuxilongweni. Kodwa-ke, ukuhlolwa okulandelayo kungenziwa futhi:

• I-ECG (i-Electrocardiogram - i-EKG): Buka umsebenzi kagesi wenhliziyo.
• I-Angiogram: Ukuhlolwa okuhilela ukufaka umuthi emithanjeni yenhliziyo ukuze kubangele i-vasospasm.
• Ukuskena kwe-Positron Emission Tomography (PET).
• I-CT scan (i-Computed Tomography - i-CT).
• Ukuskena kwe-MRI (I-Magnetic Resonance Imaging - i-MRI).
• I-Echocardiogram: Ukuhlolwa kwenhliziyo nge-ultrasound.

Yiziphi izindlela zokwelapha (i-Vasospasm)?

Ukwelashwa kuyahlukahluka kuye ngokuthi i-vasospasm yenzeka kuphi.

Ukwelashwa kwe-Vasospasm yemithambo yenhliziyo

• Ukuthatha imithi eqenjini labavimbeli beziteshi ze-calcium .
• Ukuthatha imithi eqenjini le-nitrate .
• Ukwehlisa isisindo.
• Ukuyeka ukusebenzisa izidakamizwa nogwayi.
• Uma kukhona ukungahambi kahle kwesigqi senhliziyo njenge -ventricular tachycardia, faka idivayisi ebizwa ngokuthi i-Implantable Cardioverter Defibrillator (ICD) .

Ukwelashwa kwe-Vasospasm ebuchosheni

• Ukuphuza uketshezi oluningi.
• Umfutho wegazi ophakeme (ngokweseluleko sikadokotela).
• Ukususa imbangela ye-vasospasm.
• Ukunikeza imithi efana ne -verapamil noma i-nimodipine ngomthambo (ongena emthanjeni - IV). Lezi ziyi-vasodilator.
• Akuvamile kakhulu, uma kudingeka, ukuthi kunikezwe imithi yokukhulisa imithambo yegazi ngaphakathi kwemithambo yegazi.

Ukwelashwa kwe-Vasospasm Ezandleni Noma Ezinyaweni

• Ukugqoka amasokisi, ama-mitten, nezinye izingubo ezifudumele.
• Ukugwema ukusebenzisa ugwayi.
• Ukuthatha imithi eqenjini le-calcium channel blockers , isibonelo i-felodipine noma i-amlodipine (i-Norvasc® noma i-Katerzia®).
• Ukuhlinzwa noma ukuthola umjovo we-botulinum toxin.

Ukwelashwa kwe-vasospasm ezinhlakeni zebele

• Ukufudumala nokugcina amanzi obisi lwebele emboziwe.
• Izinto ezingabangela ukuthi imithambo yegazi inciphe, isibonelo, ukubhema.
• Uma izindlela ezingenhla zingalawuli lesi simo, ngezinye izikhathi kungadingeka i-calcium channel blocker ebizwa ngokuthi i-nifedipine (i-Nifedical®XL noma i-Procardia®XL) noma i-Selective Serotonin Reuptake Inhibitor (SSRI) .

Ingabe ikhona imiphumela emibi yokwelashwa?

Eminye imithi esetshenziselwa i-vasospasm ingabangela imiphumela emibi efana nalokhu:

• Ikhanda elibuhlungu.
• Ukungakhululeki esiswini.
• Isiyezi.
• Ukungaqondi kahle .
• Ukuquleka - Lokhu akuvamile kakhulu.

Unganciphisa kanjani ingozi ye-vasospasm?

Ezinye izindlela zokunciphisa ingozi ye-vasospasm empeleni zinhle empilweni iyonke yenhliziyo yakho kanye nemithambo yegazi (inhliziyo nemithambo yegazi).

• Ungasebenzisi imikhiqizo kagwayi.
• Gcina amazinga akho e-cholesterol ngaphakathi kwesilinganiso esijwayelekile.
• Nciphisa ukusetshenziswa kotshwala.
• Uma unesifo sikashukela sohlobo lwesibili, silawule kahle.
• Uma unomfutho wegazi ophakeme, lawula.
• Gwema ukusebenzisa izidakamizwa ezifana ne-cocaine.

Ungakuvimbela kanjani (i-Vasospasm)?

Ukuze kuvinjelwe i-vasospasm, ikakhulukazi ebuchosheni, udokotela angenza izinto ezifana nalezi:

• Hlola uhlu lwemithi oyiphuzayo futhi uqiniseke ukuthi ayikho imithi evala igazi evimba imithambo yegazi.
• Ukuvimbela ukucindezeleka okuphezulu kwangaphakathi kobuchopho.
• Ukukunikeza umuthi wokuvimba isiteshi se-calcium njenge-nimodipine noma i-verapamil.

Okubalulekile: Lolu lwazi lungolwazi olujwayelekile kuphela. Uma unezimpawu noma ufuna ukufunda okwengeziwe ngalokhu, sicela ufune iseluleko sezokwelapha.

Ingabe i-Vasospasms iyisimo esibucayi?

Ukuqina kwemithambo yegazi eminweni, ezinzwaneni, noma ezingonweni kungaba buhlungu futhi kuphazamise. Kodwa-ke, akusona isifo esisongela ukuphila .

Kodwa-ke, uma kwenzeka i-vasospasm enhliziyweni noma ebuchosheni bakho, ukugeleza kwegazi okunciphile kulezo zitho zomzimba kungabangela ukulimala kwezicubu. Lokhu kungaba nomthelela omkhulu ekusebenzeni kwenhliziyo nobuchopho.

Ngaphansi kuka-5% wamacala okuqina kwemithambo yegazi yenhliziyo kuholela ekuhlulekeni kwenhliziyo. Kodwa-ke, ukwelashwa kokwehluleka kwenhliziyo kungathuthukisa ikhwalithi yokuphila.

Abantu abane-vasospasms yobuchopho obukhulu kungase kudingeke bahlale esibhedlela amasonto amaningi.

Ngizinakekela kanjani?

• Sebenzisa umuthi njengoba nje udokotela wakho ekuyalele.
• Uma izimpawu zakho zingathuthuki, yazisa udokotela wakho.
• Ukugwema izinto ezibangela i-vasospasm kungasiza ekuvimbeleni lesi simo.
• Uma unezimpawu zokuhlaselwa yinhliziyo (isib. ubuhlungu obukhulu esifubeni, ubunzima bokuphefumula, ukuhlanza), iya ekamelweni eliphuthumayo ngokushesha.

Yimiphi imibuzo okufanele ngiyibuze udokotela wami?

Uma kutholakale ukuthi une-(vasospasm) noma usola ukuthi unayo, ungabuza udokotela wakho imibuzo efana nale:

• Uma umuthi wamanje ungasizi, ingabe ikhona eminye imithi engingayisebenzisa?
• Ungangithumela kuchwepheshe ongasiza ngezinkinga zokuncelisa (uma ngine-vasospasm yemigudu yobisi )?
• Kufanele ngikubone kangaki (ama-aphoyintimenti okulandela)?
• Iyini iphrojekthi yesimo sami?

Okokugcina, izinto okufanele uzikhumbule

I-Vasospasm ingathinta imizimba yethu ngezindlela ezahlukene. Kunezinhlobo ezithile ze-vasospasm esingazilawula futhi sizivimbele. Ngakho-ke, uma unemibuzo noma ukungabaza ngalokhu, ungabi namahloni futhi ukhulume nodokotela wakho . Uzokweluleka ngohlelo lokwelashwa olufanele kakhulu kanye nezindlela zokuvimbela. Hlala uphilile!

I- Vasospasm, ukuminyana kwemithambo yegazi, ukuminyana kwemithambo yegazi, isifo senhliziyo, isifo sobuchopho, izinkinga zokujikeleza kwegazi, ukuba ndikindiki kweminwe