I-Atherosclerosis kanye ne-pathology eyibangayo ngabaholi phakathi kwezifo ezibulalayo. Lesi sifo sibonakaliswa ngokufakwa kwe-cholesterol ezindongeni zemithambo yegazi, okugcina kuba yicwecwe le-atherosclerotic. Le nto ayilapheki. Ngokuhamba kwesikhathi, izindawo eziqinile ziqinile ngenxa yokungakwazi kwe-cholesterol ukuncibilika emanzini.
Le pathology iholela ekuphazamisekeni kwegazi, futhi ngokuhamba kwesikhathi, ukunikezwa kwegazi ezithweni kuya kuba nzima. Lokhu kungenxa yokuthi ama-plaque akhula ngosayizi futhi avale i-lumen yemikhumbi. Ngenxa yalokhu, izingxenye zegazi eliqala ukunamathela ndawonye zihlale ezindongeni ze-vascular. Ngemuva kwesikhashana, ngenxa yengcindezi odongeni, bayafa.
Amapulatifomu aqala ukuhlala ezindongeni zama-cholesterol plaque bese ngenxa yalokho izingxenyana zegazi ziyakheka.
Ngokwezibalo ezikhona emhlabeni, ama-40% abantu banawo wonke amathuba okuthola i-atherosclerosis nezifo ezihambisana nayo.
Ukuze kutholakale izingozi ezigabeni zokuqala, kudingeka izivivinyo njalo.
Lesi sifo sifaka imiphumela eminingana, njengoku:
- Ukuqina kwamalungu omzimba, noma ukungasebenzi kahle.
- Isifo sokuwa Yisigameko esivame kakhulu phakathi kwezinkinga. Lokhu kwenzeka ngenxa yokuqedwa ngokuphelele kwemithambo yegazi. Ngokuzayo, imikhumbi iyaqhekeka, okuholela ekushayweni ngamandla. Uma i-thrombus ihlukaniswe endaweni yokwenziwa kwayo nokuhamba ngohlelo lokujikeleza, amathuba okufa aphezulu.
- Umsebenzi okhubazekile wobuchopho. Bangazibonakalisa ngesimo se-neurosis, noma sokulahlekelwa inkumbulo. Uma ungaqali inkambo yokwelashwa ngesikhathi, lokhu kuziphatha kungenzeka kungalawuleki. Kakade kuleli cala, umuntu akakwazi ukubhekana nezenzo ezijwayelekile yedwa.
Abantu abaningi babuza ukuthi baphila isikhathi esingakanani nge-atherosclerosis yobuchopho. Uma ukwelashwa kungokwesikhathi, abantu abanalesi sifo baphila isikhathi eside.
Kunoma yikuphi, awukwazi ukubhema, ukuphuza, kepha kufanele uqale ukudlala imidlalo, ushintshe indlela odla ngayo. Ukusetshenziswa kokwelashwa okuyinkimbinkimbi kuvumela iziguli ezine-atherossteosis ukuba ziphile isikhathi eside ngokwanele. Kepha inani leminyaka lincike ezimweni ngazinye kanye nasezingeni lokulimala kwezifo. Izindlela ezisetshenziswa ekwelapheni zingakhuphula ukungatheleleki futhi ngezinga elithile libuyisele umzimba.
Ukucacisa ngqo, i-atherosclerosis ezigabeni zokuqala ayikwazi ukuthinta inani leminyaka. Ungenza impilo ibe yimbi kuphela, futhi ashintshe ikhwalithi yempilo.
Uma kuvela izimpawu zokuqala, kufanele uthintane nochwepheshe ngokushesha.
Okuyingozi kakhulu kulesi sifo ukulimala kobuchopho.
Kulokhu, isiguli sinokulimazeka okubukwayo nokuzwa kwamazinga ahlukahlukene; ukuhlangana okungahambi kahle kokunyakaza; ukulahleka kwenkumbulo okuyingxenye; ukwephulwa kokuhlushwa.
Lokhu kungavinjelwa ngokukhomba lesi sifo ngesikhathi. Ukufa kungaphelele lapho kungekho ukwelashwa ngokuphelele.
Ukuvela kwe-atherosclerosis kungenxa yezizathu eziningi ezingezinhle ezisebenza emzimbeni. Uma okungenani okungenani abathathu kubo bekhona empilweni yomuntu, khona-ke ukuhlolwa kufanele kwenziwe kaningi ukwedlula abanye.
Izimbangela zokuqala kwalesi sifo zibandakanya:
- Ukudla okuyingozi ekudleni.
- Ukuntuleka kokuzivocavoca umzimba.
- Ukusebenzisa kabi utshwala. Uphuzo oludakayo ulimaza izicubu zenhliziyo futhi lubangele ukuvela kwezinto ezingezelelwe zobungozi ezibangela ukuthuthukiswa kwe-pathology.
- Ukubhema kuthinta imithambo yegazi, kwandisa i-cholesterol eyingozi egazini, kwandisa umfutho wegazi.
- Ukwephulwa kwezinqubo ze-metabolic emzimbeni.
- Ukuba khona kwesifo sikashukela.
- Isisindo esiningi. Isiguli esinale nkinga sibhekana nengcindezi emathanjeni nasemisiphani. Isizathu sokubukeka kwesisindo ngokweqile ukwephulwa kwezinqubo ze-metabolic.
- Isakhi sofuzo. Uma izihlobo eziseduze zomuntu ziphakamisile i-cholesterol, noma izinkinga ekusebenzeni kohlelo lwezinhliziyo, umuntu kufanele alalele kakhulu impilo.
Ukunakwa kufanele kukhokhwe kwizimpawu ezihambisana nalesi sifo. Azikhulunyelwa, kepha ukuba khona kwazo kufanele kuxwayise lowo muntu. Ekubonakalisweni okuncane, udinga ukuxhumana nochwepheshe.
Izimpawu eziphambili zokuthuthukiswa kwe-atherosulinosis yilezi:
- ukuqwasha okuqhubekayo;
- Izinkinga ngezixhobo ze-gait kanye nezinkulumo;
- ukushuba kobuso nomzimba;
- ukwephulwa kwesifiso sokuzijabulisa ngaphandle kwesizathu;
- ukunganaki
- ukukhathala okungapheli;
- imilenze nengalo ethuthumela;
- ubuthakathaka obujwayelekile.
Uma umuntu emembulela izimpawu ezi-3 noma ngaphezulu zalesi sifo, kufanele uthinte uchwepheshe ukuze ahlolwe ngokugcwele futhi akhombe izimbangela zokuqala kwezimpawu.
Kungokwesicelo esifike ngesikhathi ezikhungweni zezokwelapha ukuthi isimo esengeziwe sempilo nokuthi umuntu angaphila kanjani kuncike kuye.
Nsuku zonke, izinkulungwane zabantu emhlabeni wonke ziba yizisulu ze-atherosclerosis kanye nemiphumela yako.
Ngokwesilinganiso, iminyaka okwenzeka ngayo i-atherossteosis imvamisa yi-40+.
Kungaba ngezinhlobo ezahlukahlukene ngokuya ngendawo.
I-Atherossteosis ihlukaniswa, ngokuya ngendawo yendawo yangaphakathi ohlelweni lwe-vascular:
- I-Cerebral - Imithambo ye-cerebral iyathinteka.
- I-Coronary atherosclerosis iyi-lesion yemikhumbi ephakela inhliziyo.
- I-Pathology yesistimu yemithambo yemikhawulo ephansi.
- I-atherosclerosis ye-aorta.
Enye ye-pathologies ejwayelekile i-atherosclerosis yobuchopho.
Ngalesi sifo, ukuvela kwama-plaque kwenzeka emithanjeni yengqondo, okuholela ekuphazamisweni kwesistimu yezinzwa ephakathi.
Ezigabeni ezimbalwa zokuqala, izimpawu azishiwongo, isiguli cishe ngeke siziqaphele izinguquko.
Uma i-atherosclerosis yobuchopho idlula ngokushesha, i-necrosis iqala kwezicubu zobuchopho. Lokhu kuzovele kufaka imiphumela engenakuphikwa. Ngisho nasezigabeni zakamuva, ngomkhumbi ovinjelwe ngu-70%, isiguli sizwa kuphela ikhanda kanye nesiyezi esivamile, kwesinye isikhathi i-tinnitus. Kuya ngokuthi uma uphendukela kuchwepheshe, isikhathi sokuphila kanye nokwenza ngcono.
Kungcono ukuhlolwa njalo, kungakhathalekile ukuboniswa. Inqubo kumele imiswe uma kugadwe njalo udokotela futhi alandele izincomo zakhe. Ukwelashwa kungaba futhi ngokungenelela kokuhlinzwa. Lokhu kwenzeka kuphela ezimweni eziphambili kakhulu, uma kukhulunywa ngempilo yomuntu.
Indima enkulu idlalwa indawo yezilonda zemithambo yegazi. Uma lesi sifo sinzima kakhulu ebuchosheni, khona-ke ngomonakalo we-aorta, lesi sifo sihamba kalula futhi singabonakali, ngenxa yobubanzi bomkhumbi.
Nge-lesion ebalulekile yomkhumbi, ukufa kwezicubu kungabhekwa, ngenxa yokunikezwa kwegazi okunganele noma ukuphuma kwawo ngokuphelele.
Ukwenza ngcono inhlala-kahle, isikhathi esiningi, umzamo nokubekezela kuzodingeka, ngoba inqubo yokwenza ukwelashwa yinde futhi iyabiza.
Ubunzima bukhona eqinisweni lokuthi i-atherossteosis ayithinti kuphela abantu asebekhulile, kepha futhi nabantu abasha kakhulu. Ikakhulu ikakhulukazi izimo ezibulalayo zenzeka ngokulimala kwemithambo ye-coronary.
Lesi sifo sinezigaba ezintathu:
- i-ischemic (ukuhlaselwa kwe-angina kwenzeka ngezikhathi ezithile);
- i-thrombonecrotic (i-myocardial infarction);
- i-fibrous (atherosclerotic cardiossteosis).
Zonke izigaba zingadala ukufa, ngaphezu kwalokho, ngokuzumayo. Kwesinye isikhathi ngisho nabantu abasinde esigabeni sokugcina sesi sifo baphila isikhathi eside, kanti iziguli zisesekuqaleni zingafa.
Kuya ngezimpawu kanye nendawo indawo ye-lesion yesistimu yemithambo yegazi.
Ukunikeza ukwelashwa okulungile, udinga ukuthola lesi sifo ngesikhathi.
Ukuxilongwa kuyinkimbinkimbi futhi kubandakanya ucwaningo oluningi.
Ngaphandle kokuxilongwa, ukwelashwa kuphela akunakunqunywa.
Izindlela zokuxilonga zibandakanya:
- Ukuqoqwa komlando wezokwelapha kanye nezikhalazo zesiguli. Udokotela ulungisa izikhalazo zesiguli, afunde ngokuthi iyiphi indlela umguli aqala ngayo nokuthi wayegula kanjani ngaphambili.
- Ukuhlolwa kwegazi kwe-biochemical. Lolu cwaningo luzokuvumela ukuthi uthole izinga le-cholesterol, hemoglobin, ushukela. Njengoba wazi, lezi zinkomba ngokungaqondile, noma zithinte ngqo ukuthuthukiswa kwe-atherosclerosis.
- Isibalo segazi esiphelele.
- I-Coagulogram.
- I-echocardiogram ekhombisa ukusebenza kwenhliziyo.
- Ukuhlolwa kwe-oculist kwe-fundus. I-atherossteosis ithinta ubuchopho, inhliziyo kanye ne-fundus kakhulu.
- Ukuhlolwa kwe-Ultrasound kwenhliziyo.
- I-Angiography.
Lezi zinyathelo zisiza ekuboneni indawo le lesion nesimo sesiguli. Futhi, ukuxilongwa kufanele kuhloswe ukukhomba amanye ama-pathologies we-concomitant angabangela ukuqala kwesifo.
Ngemuva kokwenza ukuxilongwa, udokotela unquma ukwelashwa okukhethekile, okuhloswe ngakho ukuqeda izimpawu, kwehlise i-cholesterol. Ngaphezu kokusebenzisa izidakamizwa, udinga ukunamathela kwindlela ethile yokuphila. Futhi akuncike ezingeni lokunqotshwa. Ngaphezu kwalokho, kufanele uyeke ngokuphelele ukubhema nokuphuza utshwala.
Kuyadingeka ukuletha ezemidlalo ezimpilweni, ngoba ukuzivocavoca komzimba kunomthelela omuhle esimweni semithambo yegazi futhi kusiza ukuvimbela ubunzima be-atherossteosis.
Umsoco we-cholesterol ephezulu ubandakanya:
- ukwenqaba okunamafutha, okuthosiwe, okubhemayo;
- ukwenqatshwa kokudla okunosawoti;
- ukukhuphuka kwenani lezithelo ekudleni;
- ukuncipha kokudla kwenyama;
- Amafutha ezilwane adinga ukushintshwa ngamafutha emifino;
- ukuphuza amanzi amaningi ahlanzekile;
- imikhawulo ekudleni kwenani letiye, ikofi.
Lapho ubuzwa ukuthi ungahlala isikhathi esingakanani nge-atherossteosis, ayikho impendulo eqondile. Konke kuncike esifisweni somuntu sokuba nempilo. Uma isiguli silungisa indlela esidla ngayo futhi sizofaka isandla endleleni efanele yokwelashwa, ngakho-ke ngeke kube nemibuzo ngemiphumela eyinkimbinkimbi. Isikhathi esingcono sokuxhumana nochwepheshe. Uma izincomo zodokotela zinganakwa, noma ngabe uthathwa yimithi emingaki, ngeke ube khona umphumela ngaphandle kwendlela ehlanganisiwe.
Ochwepheshe bazokhuluma nge-atherosclerosis kuvidiyo ekulesi sihloko.