Fibromuscular Dysplasia

Kuma-fibromuscular dysplasia, imisipha nezinhlangothi zezinsimbi emathanjeni ziqina, okubangela ukuba amathanjana ahlale. Lokhu kubizwa ngokuthi yi-stenosis. Amathanjana ahlale anganciphisa ukugeleza kwegazi emithanjeni, okubangela ukonakala kwamalungu. Ithanga eliya embi kubizwa ngokuthi yi-renal artery. I-fibromuscular dysplasia ye-renal artery ikhonjiswe lapha, ngokubonakala kwe-“string of beads”.

Fibromuscular dysplasia iyisimo esenza ukuba amathanjana aphakathi emzimbeni ahlale futhi akhule. Amathanjana ahlale anganciphisa ukugeleza kwegazi futhi athinte indlela amalungu omzimba asebenza ngayo.

Fibromuscular dysplasia ivame ukubonwa emathanjeni aholela ezimpungwini nasebuchosheni. Kodwa ingathinta futhi amathanjana ezinyaweni, inhliziyo, indawo yesisu futhi, ngokungavamile, izingalo. Kungaba khona ithanga elingaphezu kwelinye elihilelekile.

Kukhona ukwelashwa okutholakala ukulawula izimpawu nokusiza ukuvimba izinkinga, njengokuqhaqhazela. Kodwa ayikho imithi ye-fibromuscular dysplasia.

Izimpawu ze-fibromuscular dysplasia kuncike emithanjeni yegazi eithintekile. Abanye abantu abanawo nhlobo ubuhlungu. Uma imithambo yegazi eya ezinkingeni ithonyeka, izimpawu ezivamile zihlanganisa: Ukuqina kwegazi. Izinkinga zendlela amakhanda asebenza ngayo. Uma imithambo yegazi ehambisa igazi ebuchosheni ithonyeka, izimpawu zingase zihlanganise: Ukukhathazeka. Ukuzwa okungathi kukhona okubetha noma umsindo olukhulu ezindlebeni, okuthiwa yi-tinnitus. Ukukhungatheka. Ubuhlungu obungalindelekile entanyeni. Isiguli noma ukuhlaselwa okungelona isikhathi eside. Uma une-fibromuscular dysplasia, thola usizo lokuthiwa ngokushesha uma unezimpawu zokulimala kokuthiwa, ezifana: Ukushintsha okungazelelwe kokubona. Ukushintsha okungazelelwe kokukhuluma. Ubuthakathaka obungalindelekile noma obusha ezingalweni noma ezinyaweni. Uma ukhathazekile ngengozi yakho ye-fibromuscular dysplasia, yenza i-aphoyintimenti yokuhlolwa kwempilo. Isimo singase sihambe emindenini. Kodwa ayikho i-genetic test ye-fibromuscular dysplasia.

Uma une-fibromuscular dysplasia, thola usizo lwezokwelapha ngokushesha uma unezimpawu zesikhuthazo, ezifana nalezi:

• Ukushintsha kungazelelwe kokubona.
• Ukushintsha kungazelelwe kokukhuluma.
• Ubuthakathaka obungakazelelwe noma obusha ezingalweni noma emilenzeni.

Uma ukhathazekile ngengozi yakho ye-fibromuscular dysplasia, yenza i-aphoyintimenti yokuhlolwa kwempilo. Isimo singagijima emindenini ngokungavamile. Kodwa-ke, ayikho i-genetic test ye-fibromuscular dysplasia.

Imbangela ye-fibromuscular dysplasia ayaziwa. Ukushintsha kwe-jini kungase kubangele le simo.

Ngenxa yokuthi lesi simo sivame kakhulu kubesifazane kunamadoda, abacwaningi bacabanga ukuthi ama-hormone esifazane nawo angase adlale indima. Kodwa-ke akucace ukuthi kwenzeka kanjani. I-fibromuscular dysplasia ayixhunyaniswanga nokusetshenziswa kwamapilisi okuvimbela ukukhulelwa abesifazane.

Izinto ezandisa ingozi ye-fibromuscular dysplasia zihlanganisa:

• Ubulili. Lesi simo sivame kakhulu kubesifazane kunabesilisa.
• Ubudala. I-Fibromuscular dysplasia ivame ukuxilongwa kubantu abaseminyakeni yabo engama-50. Kodwa ingathinta noma ubani oneminyaka eminingi noma mncinci.
• Ukubhema. Kubonakala sengathi abantu ababhema banengozi enkulu yokuthuthukisa i-fibromuscular dysplasia. Ukubhema kungenza lesi sifo sibe sibi nakakhulu.

Izingozi ezingase zenzeke ngenxa ye-fibromuscular dysplasia zihlanganisa:

• Ukuklebhuka kwezingxangxasi ze-artery. I-Fibromuscular dysplasia nokuqhekeka kwezingxangxasi ze-artery kuvamise ukuhambisana. Ukuqhekeka kwe-artery kubizwa ngokuthi yi-dissection. Uma kuqhekeka enye yezithombo zegazi enhliziyweni, kubizwa ngokuthi yi-spontaneous coronary artery dissection (SCAD). I-dissection inganciphisa noma ivinje ukugeleza kwegazi. Kudingeka ukwelashwa ngokuphaphandle.
• Ukukhula noma ukukhula kwe-artery. Lokhu kubizwa nangokuthi yi-aneurysm, kungase kwenzeke uma ingxangxasi ye-artery ibuthakathaka noma yonakele. I-Fibromuscular dysplasia ingenza izindonga ze-arteries ezihlaselekile zibuthakathaka. I-aneurysm eqhekeka, ebizwa ngokuthi yi-rupture, ingaba yingozi eyingozi. Ukwelashwa ngokuphaphandle kudingeka uma i-aneurysm iqhekeka.

Ilungu lezeMpilo lakho liyakuhlola futhi libuze imibuzo mayelana nomlando wakho womndeni nowempilo. Idivayisi ebizwa ngokuthi yi-stethoscope isebenziswa ukuzwa ukugqwala kwegazi ngokusebenzisa ama-arteri endaweni yomhlathi nesisu. Uma une-fibromuscular dysplasia, umhlinzeki angase azwe umsindo ongajwayelekile ngenxa yama-arteri ahlwithwe. Uma othile emndenini wakho enefibromuscular dysplasia noma wayenayo, ungase udinga ukuhlolwa ukuze uhlolwe ngisho noma ungenawo imizimba. Izivivinyo Izivivinyo zokuxilonga i-fibromuscular dysplasia zingafaka: Izivivinyo zegazi. Izivivinyo zegazi zingase zenziwe ukuze kuhlolwe izimpawu zezinye izimo ezingahwitha ama-arteri. Ungase uhlolwe amazinga akho eshukela egazini ne-kolesterol. I-Duplex ultrasound. Lo mkhuba wokufanekisa ungabonisa uma i-artery ihlwithwe. Usebenzisa amaza omsindo ukudala izithombe zokugqwala kwegazi nesisindo sezitho zegazi. Ngesikhathi sokuhlolwa, idivayisi efana nenduku icinezela oluswini phezu kwendawo ethintekayo. I-Angiogram. Lona ukuhlolwa okuvamile olusetshenziswa kwi-fibromuscular dysplasia. Udokotela ufake ithyube elincane elibizwa ngokuthi yi-catheter kwi-artery. Ithyube liyasuswa kuze kufike endaweni ehlolwayo. Umphongolo unikezwa e-vein. Khona-ke, ama-X-ray asebenziswa ukudala izithombe zama-arteri. Umphongolo uqeda ukwenza ama-arteri abonakale ngokucacile ezithombeni ze-X-ray. I-CT angiogram. Lolu hlolo luyenziwa ngokusebenzisa i-computerized tomography (CT) machine. Linika izithombe zesigaba sokuqhelelana somzimba. Lingabonisa ukuhlwithwa kwama-arteri, ama-aneurysms kanye nokuhlukaniswa. Ulele etafuleni elilingene, elihamba ngokusebenzisa i-scanner enesimo se-doughnut. Ngaphambi kokuba uvivinyo luqale, umphongolo obizwa ngokuthi yi-contrast unikezwa e-vein. Umphongolo uqeda ukwenza izitho zegazi zibonakale ngokucacile ezithombeni. I-Magnetic resonance (MR) angiogram. Lolu hlolo luye lwasebenzisa insimu yamagnethi namaza omsakazo ukudala izithombe zomzimba. Lingabona uma une-aneurysm noma ukukhishwa kwe-artery. Ngesikhathi sokuhlolwa, ulele etafuleni elilingene elihamba ngokusebenzisa imishini efana ne-tube evulekile kokubili. Ngaphambi kokuba uvivinyo luqale, ungase unikezwe umphongolo e-vein. Umphongolo, obizwa ngokuthi yi-contrast, uqeda ukwenza izitho zegazi zibonakale ngokucacile ezithombeni zokuhlola. Uhlobo oluvamile lwe-fibromuscular dysplasia lubukeka njenge-"string of beads" ekuhlolweni kwezithombe. Ezinye izinhlobo ze-fibromuscular dysplasia zingase zibukeke zibushelelezi. Ukunakekelwa eMayo Clinic Iqembu lethu lokunakekela labaqeqeshwe beMayo Clinic lingakusiza ngezinkinga zakho zempilo ezihlobene ne-fibromuscular dysplasia Qala Lapha Ulwazi Olwengeziwe Ukunakekelwa kwe-fibromuscular dysplasia eMayo Clinic I-CT coronary angiogram I-MRI

Ukwelapha i-fibromuscular dysplasia kuncike ku: Indawo ye-artery ecindezelekile. Izimpawu zakho. Noma yiziphi ezinye izimo zezempilo onazo, njengokucindezeleka kwegazi. Abanye abantu badinga kuphela ukuhlolwa kwezempilo okuvamile. Ezinye izindlela zokwelapha zingafaka imithi nezinqubo zokuvula noma ukulungisa i-artery. Uma izimpawu zakho zishintsha noma uma une-aneurysm, ungase udinga ukuhlolwa okuphindaphindwayo kwezithombe ukuhlola ama-arteries akho. Imithi Uma une-fibromuscular dysplasia nokucindezeleka kwegazi, imithi ivame ukunikezwa ukulawula ukucindezeleka kwegazi. Izinhlobo zemithi ezingase zisetshenziswe zifaka: Abaphikisi be-angiotensin-converting enzyme (ACE), njenge-benazepril (Lotensin), i-enalapril (Vasotec) noma i-lisinopril (Zestril), zisiza ekuphumuleni imithambo yegazi. Abaphikisi be-angiotensin 2 receptor. Le mithi nayo isisiza ekuphumuleni imithambo yegazi. Isibonelo sifaka i-candesartan (Atacand), i-irbesartan (Avapro), i-losartan (Cozaar) ne-valsartan (Diovan). Ama-diuretics. Ngesinye isikhathi kubizwa ngokuthi amaphilisi amanzi, le mithi isisiza ekususeni amanzi engeziwe emzimbeni. I-diuretic ngezinye izikhathi isebenziswa nezinye imithi yokucindezeleka kwegazi. I-Hydrochlorothiazide (Microzide) yisibonelo saleli hlobo lomuthi. Abaphikisi be-calcium channel, njenge-amlodipine (Norvasc), i-nifedipine (Procardia XL) nabanye, basiza ekuphumuleni imithambo yegazi. Abaphikisi be-beta, njenge-metoprolol (Lopressor, Toprol XL), i-atenolol (Tenormin) nabanye, banciphisa ukushaya kwenhliziyo. Eminye imithi esetshenziswa ekwelapheni ukucindezeleka kwegazi ingathinta indlela ikhona yokusebenza kwamakhona. Ungase udinga ukuhlolwa okuvamile kwegazi nomchamo ukuqinisekisa ukuthi ama-kidneys akho asebenza kahle. Udokotela wakho angase akutshele ukuthi uthathe i-aspirin yansuku zonke ukuze unciphise ingozi yokushaya. Kodwa ungaqali ukuthatha i-aspirin ngaphandle kokukhuluma neqembu lakho lokunakekelwa kwezempilo kuqala. Ukuhlinzwa noma ezinye izinqubo Izindlela zokwelapha zingase zidingeke ukulungisa i-artery ecindezelekile noma elilimaziwe. Lezi zingafaka: I-Percutaneous transluminal angioplasty (PTA). Le ndlela yokwelapha isebenzisa i-tube encane eguquguqukayo ebizwa nge-catheter ne-balloon encane ukuze banwebe i-artery ecindezelekile. Sisiza ekuthuthukiseni ukugeleza kwegazi endaweni ethintekayo. I-tube yensimbi ebizwa nge-stent ingase ifakwe ngaphakathi kwengxenye ebuthakathaka ye-artery ukuze ihlale ivuliwe. Ukuhlinzwa kokulungisa noma ukushintsha i-artery elilimaziwe. Kubizwa nangokuthi i-surgical revascularization, le ndlela yokwelapha ayivamile ukunconywa. Kodwa ingase iphakanyiswe uma une-narrowing ebuhlungu yama-arteries futhi i-angioplasty ayisiyona inketho. Uhlobo lokuhlinzwa oluyenziwayo kuncike endaweni ye-artery ecindezelekile kanye nobuningi bomonakalo. Cela i-aphoyintimenti