Ukungasebenzi kahle kweVertebrobasilar

-Delile

• Yini ebangela i-VBI?
• Ubani osengozini ye-VBI?
• Ziyini izimpawu ze-VBI?
• I-VBI itholakala kanjani?
• Iphathwa kanjani i-VBI?
• Ingavinjelwa kanjani i-VBI?
• Uyini umbono wesikhathi eside?

Kuyini ukungasebenzi kahle kwama-vertebrobasilar?

Uhlelo lwe-vertebrobasilar arterial system lutholakala ngemuva kobuchopho bakho futhi lubandakanya imithambo ye-vertebral ne-basilar. Le mithambo inikeza igazi, umoya-mpilo, nezakhi zomzimba ezingxenyeni ezibalulekile zobuchopho, njenge-brainstem yakho, i-occipital lobes, ne-cerebellum.

Isimo esibizwa ngokuthi i-atherosclerosis singanciphisa noma simise ukugeleza kwegazi kunoma yimuphi umthambo emzimbeni wakho, kufaka phakathi uhlelo lwe-vertebrobasilar.

I-atherosclerosis ukuqina nokuvaleka kwemithambo yegazi. Kwenzeka lapho uqweqwe olwakhiwe nge-cholesterol ne-calcium lakha emithanjeni yakho. Ukwakheka kocwecwe kunciphisa imithambo yakho yegazi futhi kunciphise ukuhamba kwegazi. Ngokuhamba kwesikhathi, uqweqwe lunganciphisa kakhulu futhi luvimbe ngokuphelele imithambo yakho yegazi, luvimbele igazi ekufinyeleleni ezithweni zakho ezibalulekile.

Lapho ukugeleza kwegazi emithanjeni yesistimu yakho ye-vertebrobasilar kuncishiswe kakhulu, lesi simo saziwa ngokuthi ukungasebenzi kahle kwe-vertebrobasilar (VBI).

Yini ebangela i-VBI?

I-VBI yenzeka lapho ukugeleza kwegazi kuye emuva kobuchopho bakho kuncishisiwe noma kuyeka. Ngokuya ngocwaningo, isifo sokuqina kwemithambo yegazi kuyimbangela evame kakhulu yalesi sifo.

Ubani osengozini ye-VBI?

Izici ezinobungozi zokuthuthuka kwe-VBI ziyefana nalezi ezihambisana nokwanda kwe-atherosclerosis. Lokhu kufaka phakathi:

• ukubhema
• umfutho wegazi ophezulu (umfutho wegazi ophakeme)
• isifo sikashukela
• ukukhuluphala ngokweqile
• ukuba ngaphezu kweminyaka engama-50
• umlando womndeni walesi sifo
• amazinga aphakeme ama-lipids (amafutha) egazini, awaziwa nangokuthi yi-hyperlipidemia

Abantu abane-atherosclerosis noma i-peripheral arterial disease (PAD) banengozi eyengeziwe yokuthuthukisa i-VBI.

Ziyini izimpawu ze-VBI?

Izimpawu ze-VBI ziyahlukahluka kuye ngobukhulu besimo. Ezinye izimpawu zingathatha imizuzu embalwa, kanti ezinye zingaba unomphela. Izimpawu ezivamile ze-VBI zifaka:

• ukulahleka kombono kwelinye noma womabili amehlo
• ukubona kabili
• isiyezi noma i-vertigo
• ukuba ndikindiki noma ukuncinza ezandleni noma ezinyaweni
• isicanucanu nokuhlanza
• inkulumo engahambi kahle
• izinguquko esimweni sengqondo, kufaka phakathi ukudideka noma ukulahleka kokwazi
• ngokungazelelwe, ubuthakathaka obunzima emzimbeni wakho wonke, obizwa ngokuthi yi-drop attack
• ukulahlekelwa ibhalansi nokuxhumanisa
• ubunzima bokugwinya
• ubuthakathaka engxenyeni ethile yomzimba wakho

Izimpawu zingafika zidlule, njengokuhlaselwa kweschemic okudlulayo (TIA).

Izimpawu ze-VBI ziyefana nezesifo sohlangothi. Funa ukunakekelwa kwezimo eziphuthumayo uma uhlangabezana nalezi zimpawu.

Ukungenelela ngokushesha kwezokwelapha kuzosiza ukukhulisa ithuba lakho lokululama uma izimpawu zakho zingumphumela wesifo sohlangothi.

I-VBI itholakala kanjani?

Udokotela wakho uzokwenza isivivinyo somzimba bese eqhuba uchungechunge lwezivivinyo uma unezimpawu ze-VBI. Udokotela wakho uzokubuza ngezimo zakho zamanje zezempilo futhi angaku-oda izivivinyo ezilandelayo:

• I-CT noma i-MRI iskena ukubheka imithambo yegazi engemuva kobuchopho bakho
• i-magnetic resonance angiography (MRA)
• ukuhlolwa kwegazi ukuhlola ikhono lokujiya
• i-echocardiogram (ECG)
• i-angiogram (i-X-ray yemithambo yakho)

Ezimweni ezingavamile, udokotela wakho angaphinde ahlele ukupompoza komgogodla (owaziwa nangokuthi i-lumbar puncture).

Iphathwa kanjani i-VBI?

Udokotela wakho angancoma izinketho zokwelashwa ezahlukahlukene ngokuya ngobukhulu bezimpawu zakho. Bazophinde bancome izinguquko zendlela yokuphila, kufaka phakathi:

• ukuyeka ukubhema, uma ubhema
• ukushintsha indlela odla ngayo ukulawula amazinga e-cholesterol
• ukuncipha, uma ukhuluphele ngokweqile noma ukhuluphele
• iba matasa ngokwengeziwe

Ngokwengeziwe, udokotela wakho angakunikeza imithi yokusiza ukunciphisa ingozi yokulimala unomphela noma isifo sohlangothi. Le mithi inga:

• lawula umfutho wegazi
• lawula isifo sikashukela
• ukunciphisa amazinga e-cholesterol
• unciphise igazi lakho
• ukunciphisa ukujiya kwegazi lakho

Kwezinye izimo, udokotela wakho angancoma ukuhlinzwa ukuze kubuyiselwe ukugeleza kwegazi emuva kobuchopho. Ukuhlinzwa nge-Bypass kuyindlela yokukhetha njenge-endarterectomy (esusa uqwembe emthanjeni othintekile).

Ingavinjelwa kanjani i-VBI?

Kwesinye isikhathi i-VBI ayinakuvinjelwa. Lokhu kungaba njalo kulabo asebekhulile noma kulabo abaye bahlaselwa yisifo sohlangothi. Kodwa-ke, kunezinyathelo ezinciphisa ukuthuthukiswa kwe-atherosclerosis ne-VBI. Lokhu kufaka phakathi:

• ukuyeka ukubhema
• ukulawula umfutho wegazi
• ukulawula ushukela wegazi
• ukudla ukudla okunempilo okunothile ngezithelo, imifino, nezinhlamvu ezigcwele
• ukukhuthala ngokomzimba

Uyini umbono wesikhathi eside?

Umbono we-VBI uncike ezimpawu zakho zamanje, izimo zezempilo, nobudala. Abantu abancane abahlangabezana nezimpawu ezimnene futhi abazilawule ngokushintsha kwendlela yokuphila kanye nemithi bavame ukuba nemiphumela emihle. Ukuguga, ukuba buthakathaka, nokushaywa unhlangothi kungathinta umbono wakho kabi. Xoxa ngamasu nemithi nodokotela wakho ukusiza ukuvimbela i-VBI noma ukunciphisa izimpawu zayo.