I-atherosulinosis yemithambo ye-vertebral artery and lumbar: izimpawu

I-Atherossteosis ithinta abantu abaningi ngokwengeziwe. Lesi sifo ikakhulukazi ngabantu abaneminyaka engama-40+. Kepha, kwenzeka ukuthi bagula abantu abasha. Emhlabeni wanamuhla, lesi sifo kanye nemiphumela yaso sekuyinsakavukela.

I-atherossteosis yenzeka ngenxa yokwakheka kwama-plaque, ukukhula kwayo okucasulayo ukuqhekeka kwemithambo yegazi, nobunzima bokuhambisa igazi. Izingxenye ezihlukene kakhulu zombhede we-vascular zinganqunyelwa kule nqubo, kepha imithambo ye-brachiocephalic imithambo ivame ukuthinteka kakhulu. Yibo abanikeza ubuchopho izakhi kanye nomoya-mpilo, bawuzungeze.

Isiqu se-brachycephalic sibandakanyeka emthethweni wokuhlinzekelwa kwegazi ubuchopho kanye ne-torso ephezulu. Kwakha imithambo emithathu, ngemuva kokuhlukaniswa kwe-aorta. Ngosizo lwabo ukuthi izitho zomlomo wesibeletho nezekhanda ziyondliwa. Ukuba sengozini kwalesi sicubu kungenxa yobubanzi bayo obukhulu. Uma kuthinteka yi-atherossteosis, ukuqedwa kokudla okuyinhloko kwengqondo kwenzeka. Ngalezo zikhathi, izinqubo ezingenakuphikiswa ziqala ebuchosheni. Lokhu kuholela ekuqhekekeni kwamathambo.

I-atherosclerosis yomthambo wesibindi we-vertebral of the brain kwenzeka ngaphansi kwethonya lezizathu eziningi. Lesi sifo ekuhlukaniselweni kwezifo emazweni omhlaba (ICD) sinekhodi ye-10. Lokhu kusho ukuthi inkambo yayo inzima kakhulu futhi ukwelashwa kunzima kakhulu. Kaningi, ngokuhambisana nalesi sifo, kukhona nesigaxa se-carotid artery, beta. Ngakho-ke, ukwelashwa kunzima kakhulu. Ukuze kwakhiwe i-atherosselotic plaque, kudingeka isikhathi esiningi, ngakho-ke, akunakwenzeka ukukuqaphela lokho, ngoba azikho izimpawu, kanjalo.

Amachweba we-cholesterol avela ikakhulu ngenxa:

1. Iminyaka engu-40 +. Ngokuhamba kweminyaka, umzimba womuntu uthola izinguquko eziningana. Phakathi kwabo, kukhona nokulahleka kwe-vascular elasticity, ukuphazamiseka kwe-metabolic. Kungakho iminyaka yobudala idlala indima enkulu ekwakhiweni kwe-atherossteosis.
2. Ukusebenzisa kabi utshwala.
3. Ukubhema. Ukubhema kunethonya elibi emithanjeni yegazi, kubenza banciphe kakhulu.
4. Ukuba khona kokudla okungenamsoco ekudleni.
5. Isifo sikashukela mellitus.
6. Umfutho wegazi ophakeme.
7. Ukuntuleka kokuzivocavoca ngokomzimba empilweni.
8. Ukudla kakhulu ushukela.
9. Isimo sokucindezela isikhathi eside.
10. Ukudana

Futhi, imbangela yokuqalwa kanye nokuthuthuka kwe-atherosclerosis kungaba ukungazinzi ngokomzwelo.

Izimbangela ze-pathology ezinjenge-atherosulinosis of the vertebral artery, kukhona amaqembu amabili.

Ayizona i-vertebrogenic ne-vertebrogenic.

Iqembu lesibili lihlobene ngqo nokuphulwa komgogodla womuntu, futhi iqembu lokuqala alixhomekile ekuthuthukisweni kokuphazamiseka emgogodleni.

Lesi sifo singabonakala ngezimpawu ezahlukahlukene, njengezandla eziqhaqhazelayo kanye nokungakwazi ukuphakamisa izinto ezisindayo. Ngenxa yokwanda kwalesi sifo, umsebenzi wentambo yomgogodla uyaphazamiseka.

Izimbangela ze-nevertebrogenic zifaka:

• ukulimala komkhumbi wesobunxele, ngenxa yokulimala komgogodla;
• imisebe yemisipha yentamo;
• ukungasebenzi kahle kwemithambo yegazi.

Izimbangela ze-Vertebrogenic zifaka ukuba khona kwe:

1. I-Scoliosis yalomgogodla.
2. Izinqubo zokuwohloka ku-disc ye-intervertebral ethinta umgogodla.
3. Ubambo olwengeziwe lwentamo, oluvimba ukungena kwegazi lemithambo.
4. Ukulimala ngenxa yokuthi i-vertebrae yentamo iba buthaka.

Izimpawu zesiguli ziqhubeka ngokungabonakali ngokuphelele. Lokhu kungenxa yokuthi lesi sifo sihamba kancane, ngakho-ke isimo siba sibi kancane kancane. I-artery ye-vertebral ithinteka ngokungabonakali. Ekuthuthukiseni lesi sifo, kuhlukaniswa izigaba ezimbili.

Esimweni sokuqothuka kwe-lumen ngamaphesenti angama-20, isigaba esingelona esimanga siqala. Ingcindezi yegazi ayikhuphuki, ngoba isitsha asivaliwe ngokuphelele. Izimpawu azibonwa. Angangena ebusheni bakhe.

Isiteji esinyantisayo senzeka lapho kungekho ukwelashwa kwesigaba esedlule. Umgodi osemkhunjini udlula ngaphezulu kwamaphesenti angama-50.

Ngokusho kocwaningo, izimfanelo zalesi sifo zenziwa ebusheni.

Ngemuva kweminyaka engama-35, ungazizwa unophawu olwedlula olulodwa lwalesi sifo, kepha isiguli cishe ngeke sibanake.

Kungenzeka ukuyithola isivele inezinkinga ezinzima. Kwesinye isikhathi ibonwa ngemuva kwesifo esiqothulayo.

Ukuze ukwelashwa kube ngesikhathi, udinga ukwazi ukuthi iziphi izimpawu ezibonisa lolu hlobo lwe-atherosclerosis.

Izimpawu zifaka ukuba khona kwe:

• isiyezi ngokujika okubukhali kwekhanda;
• kubanda emaphethelweni aphansi;
• ukuhlaselwa kwe-angina, ukukhubazeka kwememori; umuzwa ongapheli wokukhathala;
• ukukhuphuka kokukhathazeka; imizwa yokukhathazeka;
• ukudinwa nokukindla kwemilenze;
• umsebenzi wokukhubazeka ongaboni kahle;
• ukungalimali okubukwayo kokukodwa;
• ukuphefumula kwenhliziyo kanye nokuhlanza; ukungasebenzi kwezinsiza zokukhuluma;
• imisindo engaphandle ezindlebeni; izinhlungu zamehlo; umlomo owomile, ukujuluka kokujuluka;
• isipho esivele ekhanda ngakolunye uhlangothi lwekhanda, sinolunye uhlobo lweqiniso, oluqina phakathi nokunyakaza. Ingaxhunyaniswa ngesikhundla esingakhululekile sentamo nasekhanda, i-hypothermia yalezi zindawo;
• ukuphazamiseka kokulala; ukulahleka kokuzwela.

Lezi zimpawu zingakhombisa izifo eziningana. Ngakho-ke, kunoma yikuphi, udinga ukuxhumana nodokotela onguchwepheshe ukuze uthole izeluleko futhi uthole ukuthi unembile yini isifo.

Udokotela kuphela onganquma imvelaphi ngqo yesimo sezempilo esiya sibi. Kuyisici ukuthi zingakhula kancane, kepha zikwazi ukuqina kakhulu lapho intamo noma ikhanda lishintsha esikhundleni. Ngenxa yalokhu, ukuhamba kwegazi kule ndawo kuyeka ngokuphelele. Lesi simo sibizwa ngokuthi yi-drop attack. Lapho-ke umuntu uyawa, kepha ukwazi ukungalahli. Kuhle ukukhumbula ukuthi izigaba zokugcina zingaba nemiphumela ngendlela:

1. Ukuphazamiseka komsebenzi wobuchopho. Isimo ngokwengqondo singakhombisa ubukhona be-plaque. Kulokhu, kunokuphazamiseka kwesimo esingokomzwelo nesengqondo, ukwephulwa komsebenzi obonakalayo, imishini yokusebenza yezimoto nayo yehluleka.
2. Ukwephulwa kwemisebenzi yezimoto. I-atherossteosis enjalo yenza isiguli sibe buthakathaka: ayikwazi ukuphakamisa izinsimbi, igobe futhi ihambe ngempela. Futhi, izinyawo zingathuthumela lapho zihamba.
3. I-Stroke ingumphumela omubi kakhulu we-atherosclerosis enjalo. Ukungenelela kokuhlinza kuhloswe kakhulu ukuqeda ubungozi bomphumela onjalo.

Ukushaywa unhlangothi kungadala ukufa, ukukhubazeka.

Into esemqoka kule pathology ukuyikhomba ngesikhathi bese uqala inkambo yokwelashwa ngokushesha okukhulu.

Ukuze wenze lokhu, kufanele uhlolwe ngokuphelele, futhi okubaluleke, ulalele impilo yakho.

Ngokwesifundo esiphelele, kusetshenziswa izindlela eziningana zokuxilonga ezikuvumela ukuthi ukhombe noma yikuphi ukuphambuka esimweni sezinhlelo zomzimba.

Okokuqala, udinga ukunikela ngegazi ukuze kuhlaziwe ama-biochemical. Lolu cwaningo lukhombisa izinga le-cholesterol esegazini, ushukela, hemoglobin, triglycerides.

Njengoba wazi, lezi zinkomba zibalulekile empilweni yomzimba womuntu. Ngaphezu kwalokho, udinga ukwenza ukuhlaziya okujwayelekile kwegazi nomchamo.

Ukuhlolwa okukhethekile kungasho isimo semikhumbi. Lokhu kufaka phakathi:

• ukuskena kwe-triplex kwemithambo yegazi;
• I-Doppler ultrasound;
• i-angiography;
• i-angiography ye-MR engahlukile.

Izindlela ze-Echographic zokuhlola inhliziyo ziphephile ngokuphelele futhi azilethi noma yikuphi ukungathandeki esigulini. I-MR angiography yindlela entsha kunabanye, kodwa iyafundisa. Kubiza i-oda lobukhulu obiza kakhulu kunezindlela ezijwayelekile ezijwayelekile. Ngaphambi kokunquma ukwelashwa, uchwepheshe unquma indawo yomonakalo kanye nezinga lawo. Ukululama, isiguli kufanele silandele izincomo zikadokotela. Uchwepheshe unquma ukwelashwa okuyinkimbinkimbi, uhlelo lwayo olwenziwe ngesisekelo sezimpawu zomuntu kanye nezimpawu zesifo. Okokuqala, isiguli kufanele sisuse isici sokuvela kwe-atherosulinosis. Lokhu kungaba ukudla okunempilo, imikhuba emibi, ukuntuleka komzimba.

Ochwepheshe batusa ukulandela le mithetho:

1. Hambisa okuthe xaxa. Ngaphandle kwendlela yokuphila nomsebenzi, imisebenzi yezemidlalo kufanele ifakwe emisebenzini yansuku zonke. Kungaba ukuhamba ngezinyawo, ukuhamba ngamabhayisekili. Ngisho nemidlalo ekhaya izoletha umphumela oyifunayo.
2. Ukubhema kufanele kudlule. Lo mkhuba omubi awubangeli nje kuphela izinkinga zenhliziyo, kepha futhi nohlelo lokuphefumula, futhi ubuye ube yinto ebalulekile ekwenzekeni kwezifo ezibulalayo.
3. Ukuqeda i-pathology, utshwala akumele budliwe. Ayithinti nje inhliziyo kuphela, kepha futhi inciphisa ukumelana komzimba nezifo.
4. Gwema izimo ezicindezelayo, ungakhathazeki.
5. Ukuqapha ukuguquguquka kwalesi sifo, udinga ukuhlolwa njalo.
6. Landela irejimeni yokuphuza.
7. Khawulela ukusetshenziswa kwamafutha ezilwane, okungenzeka uzibuyisele ngamafutha emifino.
8. Ukudla kufanele kube ukucebile ngemifino nezithelo ngokugcwele.

Uma isimo sesi sifo si-stenotic, ukwelashwa kungafaka ukuhlinzwa.

Ukudla okunempilo kwalesi sifo kuthatha indawo ekhethekile, ngoba lokho kudla kufanele kubonwe kukho konke impilo.

Ukudla kuyingxenye yokwelapha, nakho okungabalulekile njengokusebenzisa imithi ekhethekile.

Izinguquko emikhubeni yokudla iholela ekuphuculeni okukhulu esimweni sesiguli.

Ukudla kwe-BCA atherossteosis kufanele kube nokulinganisela.

Kususelwa kule migomo elandelayo:

• ukusetshenziswa kwenqwaba yemifino nezithelo;
• ujusi osanda kufakwa ulusizo kakhulu kwi-pathology enjalo;
• ukudla kwasolwandle nezinhlanzi kuqinisa izindonga zemithambo yegazi, kanye nomsipha wenhliziyo;
• ungadla kuphela inyama ebolayo;
• udinga ukuthatha imikhiqizo yobisi enamaphesenti aphansi wokuqukethwe kwamafutha;
• khuphula inani lama-greens ekudleni.

Ukuze unciphise umthelela olimazayo emzimbeni, udinga ukunciphisa, futhi uma kungenzeka ususe ekudleni okubheme, okuthosiwe, okunamafutha, ukudla okusemathinini nemikhiqizo ethosiwe. Ukudla kuhlinzeka ngokudla njalo, kepha ngezingxenye ezincane. Ngakho-ke, i-metabolism izobuyela kwesejwayelekile, isisindo somzimba sizokwenzejwayelekile.

Ukunakwa ikakhulukazi kufanele kukhokhwe ezindlekweni zokuvimbela, ngoba i-vasherticosis ye-vascular ingavela esemncane, futhi izibonakalise sekwephuze kakhulu. Ngakho-ke, ukuvimbela kufanele kunikezwe ukunakwa kusenesikhathi. Ngaphezu kwalokho, akuthathi isikhathi esiningi nomzamo. Okokuqala, udinga ukugcina isisindo sakho silawulwa, ngoba ukukhuluphala kungenye yezimbangela zokuthuthukisa lesi sifo. Kulokhu kumele kungezwe ukubhema nokuntuleka kokuzivocavoca empilweni. Phambi kwalezi zinto, izimpawu zingabonakala ngaphambi kweminyaka engu-30 yokuphila.

Ungayelapha kanjani i-atherosclerosis yobuchopho izotshela uchwepheshe kule vidiyo ekulesi sihloko.