Ukungonelanga kweVertebrobasilar

Umxholo

• Yintoni ebangela i-VBI?
• Ngubani osemngciphekweni weVBI?
• Zithini iimpawu zeVBI?
• Ichongwa njani iVBI?
• Iphathwa njani i-VBI?
• Inokuthintelwa njani iVBI?
• Ithini imbonakalo yexesha elide?

Yintoni ukungabikho kwe-vertebrobasilar?

Inkqubo ye-vertebrobasilar arterial system ibekwe ngasemva kwengqondo yakho kwaye ibandakanya imithambo ye-vertebral kunye ne-basilar. Le mithambo ibonelela ngegazi, ioksijini, kunye nezakha-mzimba kwizakhi zobuchopho ezibalulekileyo, ezinje ngengqondo yakho, i-occipital lobes, kunye ne-cerebellum.

Imeko ebizwa ngokuba yi-atherosclerosis inokunciphisa okanye iyeke ukuhamba kwegazi nakuwuphi na umthambo emzimbeni wakho, kubandakanya inkqubo ye-vertebrobasilar.

I-atherosclerosis kukuqina kunye nokuvaleka kwemithambo. Kwenzeka xa i-plaque eyenziwe nge-cholesterol kunye ne-calcium yakha kwimithambo yakho. Icwecwe lokwakha linciphisa imithambo yakho kwaye linciphisa ukuhamba kwegazi. Ngokuhamba kwexesha, i-plaque inokumxinwa kwaye iyivimbe ngokupheleleyo imithambo yakho, ukuthintela igazi ukuba lifike kumalungu akho abalulekileyo.

Xa ukuhamba kwegazi kwimithambo yenkqubo yakho ye-vertebrobasilar kuncitshiswe kakhulu, le meko yaziwa ngokuba yi-vertebrobasilar insufficiency (VBI).

Yintoni ebangela i-VBI?

I-VBI yenzeka xa ukuhamba kwegazi ngasemva kwengqondo yakho kuncitshisiwe okanye kuyeka. Ngokophando, isifo sokuqina kwemithambo yegazi sesona sifo sixhaphakileyo.

Ngubani osemngciphekweni weVBI?

Izinto ezinobungozi kuphuhliso lwe-VBI ziyafana nezo zinxulunyaniswa nokukhula kwe-atherosclerosis. Oku kubandakanya:

• ukutshaya
• uxinzelelo lwegazi (uxinzelelo lwegazi oluphezulu)
• isifo seswekile
• ukutyeba kakhulu
• ungaphezulu kweminyaka engama-50
• Imbali yosapho ngesi sifo
• amanqanaba aphezulu e-lipids (amafutha) egazini, ekwabizwa ngokuba yi-hyperlipidemia

Abantu abane-atherosclerosis okanye i-peripheral arterial disease (PAD) banomngcipheko okhulayo we-VBI.

Zithini iimpawu zeVBI?

Iimpawu ze-VBI ziyahluka ngokuxhomekeka kubukhali bemeko. Ezinye iimpawu zinokuhlala okwemizuzu embalwa, kwaye ezinye zinokuhlala ngokusisigxina. Iimpawu eziqhelekileyo zeVBI zibandakanya:

• ukulahleka kombono kwelinye okanye omabini amehlo
• umbono kabini
• isiyezi okanye i-vertigo
• ukuba ndindisholo okanye ukubetha ezandleni okanye ezinyaweni
• isicaphucaphu nokugabha
• intetho engacacanga
• utshintsho kubume bengqondo, kubandakanya ukudideka okanye ukulahleka kwengqondo
• ngequbuliso, ubuthathaka obukhulu emzimbeni wakho, obizwa ngokuba kukuhlaselwa kwethontsi
• Ukuphulukana nokulingana kunye nokulungelelanisa
• kunzima ukugwinya
• ubuthathaka kwilungu lomzimba wakho

Iimpawu zinokuza zihambe, njengakuhlaselo lwexeshana lwe-ischemic (TIA).

Iimpawu ze-VBI ziyafana nezo zestroke. Funa ukhathalelo lonyango olungxamisekileyo ukuba ufumana ezi mpawu.

Ungenelelo lwezonyango kwangoko luyakunceda ukwandisa amathuba okuba uphinde uchache ukuba iimpawu zakho ziziphumo zestroke.

Ichongwa njani iVBI?

Ugqirha wakho uya kwenza uvavanyo lomzimba kwaye aqhube uthotho lweemvavanyo ukuba uneempawu ze-VBI. Ugqirha wakho uya kukubuza malunga neemeko zakho zempilo kwaye unoku-odola ezi mvavanyo zilandelayo:

• I-CT okanye iMRI ijonga ukujonga kwimithambo yegazi ngasemva kwengqondo yakho
• ubume bemagnethi yemvelo (MRA)
• kuvavanyo lwegazi ukuvavanya amandla okujiya
• i-echocardiogram (ECG)
• i-angiogram (X-ray yemithambo yakho)

Kwiimeko ezinqabileyo, ugqirha wakho unokuyalela umpompo womqolo (okwaziwa ngokuba kukugqobhoza i-lumbar).

Iphathwa njani i-VBI?

Ugqirha wakho unokucebisa ngeendlela ezahlukeneyo zokonyango kuxhomekeke kubukhali beempawu zakho. Baza kucetyiswa notshintsho kwindlela yokuphila, kubandakanya:

• ukuyeka ukutshaya, ukuba uyatshaya
• ukutshintsha ukutya kwakho ukulawula amanqanaba e-cholesterol
• ukunciphisa umzimba, ukuba utyebe kakhulu okanye utyebe kakhulu
• Ukusebenza ngakumbi

Ukongeza, ugqirha wakho unokukunika amayeza ukunceda ukunciphisa umngcipheko womonakalo osisigxina okanye ukubetha. La mayeza anoku:

• lawula uxinzelelo lwegazi
• ukulawula isifo seswekile
• ukunciphisa amanqanaba e-cholesterol
• coca igazi lakho
• ukunciphisa ukuqina kwegazi lakho

Ngamanye amaxesha, ugqirha wakho unokucebisa utyando ukuze kubuyiselwe ukuhamba kwegazi ngasemva kwengqondo. Utyando lwe-Bypass lukhetho njenge-endarterectomy (esusa i-plaque kumthambo ochaphazelekayo).

Inokuthintelwa njani iVBI?

Ngamanye amaxesha i-VBI ayinakuthintelwa. Oku kunokuba njalo kwabo balupheleyo okanye abo bathe bahlaselwa sistroke. Nangona kunjalo, kukho amanyathelo anciphisa ukukhula kwe-atherosclerosis kunye ne-VBI. Oku kubandakanya:

• ukuyeka ukutshaya
• ukulawula uxinzelelo lwegazi
• ukulawula iswekile yegazi
• ukutya ukutya okusempilweni okunotye iziqhamo, imifuno, kunye neenkozo ezipheleleyo
• ukusebenza ngokwasemzimbeni

Ithini imbonakalo yexesha elide?

Umbono we-VBI uxhomekeke kwiimpawu zakho zangoku, iimeko zempilo kunye nobudala. Abantu abancinci abanamava amnene kwaye bayabalawula ngotshintsho kwindlela yokuphila kwaye amayeza athanda ukuba neziphumo ezilungileyo. Ukwaluphala, ubuthathaka, kunye nemivumbo kunokuchaphazela kakubi umbono wakho. Xoxa ngezicwangciso kunye namayeza nogqirha wakho ukunceda ukuthintela i-VBI okanye ukunciphisa iimpawu zayo.