Ukuthi yini i-Fibromuscular Dysplasia? Izimpawu, Izimbangela, kanye Nokwelashwa

I-Fibromuscular dysplasia (FMD) iyisimo lapho izindonga ze-arteries zakho zikhula khona ngokungajwayelekile, okubangela ukuba zibe nzima noma ziqale. Cabanga ngakho njengezindonga ze-artery zakho eziqala ukuba nezimbobo noma zingalingani esikhundleni sokuhlala zibushelelezi futhi zithambile njengoba kufanele kube.

Lesi simo sivame ukubathinta abantu abaningi abasebasha, nakuba singathinta noma yimuphi umuntu. Nakuba i-FMD ingase ibukeke iyikhathazo, abantu abaningi baphila impilo evamile, enempilo ngokuphathwa okuhle nokunakekelwa.

Ziyini izimpawu ze-fibromuscular dysplasia?

Abantu abaningi abane-FMD abanawo noma yimaphi ama-symptom, yingakho lesi simo sivame ukungabonakali iminyaka eminingi. Uma izimpawu zivele, zivame ukuncika ku-arteries ezithintekile nokuthi zithinteke kangakanani.

Uma i-FMD ithinta i-arteries zakho zezinso, ungase ubone izimpawu ezithile ezifanele ukunakekelwa:

• I-High blood pressure (I-Hypertension) evela ngokuzumayo noma eba nzima ukuyilawula
• I-Whooshing sound (ebizwa ngokuthi yi-bruit) udokotela wakho angayizwa lapho elalele isisu sakho nge-stethoscope
• Ubuhlungu noma ukungakhululeki ehlangothini noma emuva
• Ukusebenza okuncane kwezinso okubonakala ekuhlolweni kwegazi

Uma i-FMD ihilela i-arteries ezondla ubuchopho bakho, izimpawu zingase zibe khona ngokushesha futhi zikhathaze. Ungase ube nobuhlungu obukhulu, obukhulu obuhluke kakhulu ezinhlungwini zakho ezivamile, noma izikhathi zokukhungatheka nokukhanya okubonakala kuvela ngaphandle kokulindelekile.

Abanye abantu nabo babika ubuhlungu ezinqeni, ukukhala ezindlebeni (tinnitus), noma ngisho nokuhlala kungalungile kokubona. Kwezinye izikhathi, i-FMD ethinta i-arteries zobuchopho ingabangela izimpawu ezifana nesifo sokuqhaqhazela, kufaka phakathi ubuthakathaka obuzumayo, ubunzima bokukhuluma, noma ukungabi namandla ohlangothini olulodwa lomzimba wakho.

Ngokungavamile, i-FMD ingathinta ezinye i-arteries emzimbeni wakho. Uma ihilela i-arteries ezandleni noma ezinyaweni zakho, ungase ubone ukubamba, ubuhlungu, noma ukubanda kulawo malunga ngesikhathi somsebenzi.

Ziyini izinhlobo ze-fibromuscular dysplasia?

I-FMD iza ngezindlela eziningi ezahlukene, ngayinye ine-characteristics yayo kanye nokuvela kwesithombe sokuhlinzwa. Ukuqonda lezi zinhlobo kusiza odokotela ukuthi banqume indlela engcono kakhulu yokwelapha isimo sakho esithile.

Uhlobo oluvamile kakhulu lubizwa ngokuthi yi-multifocal FMD, ethinta cishe u-90% wabantu abanesimo. Uma odokotela bebheka i-arteries zakho ngokusebenzisa izithombe, lo mfanekiso udala ukubonakala okuhlukile kwe-“string of beads” lapho i-artery ishintshana phakathi kwezingxenye ezinzima neziqine.

I-Focal FMD ayivamile kodwa ivame ukubathinta abantu abasebasha kakhulu. Lo mfanekiso ubonakala njengokuncika okukodwa, okulula kwe-artery kunokuba yi-pattern ye-beaded. Ngokuvamile uyaphendula kahle ekwelapheni futhi une-outlook enhle yesikhathi eside.

Kukhona futhi uhlobo oluyimfihlo oluthi yi-unifocal FMD, oluveza indawo eyodwa yokuncika ebukeka ehlukile kuhlobo oluqondile ngaphansi komkhiqizo. Wonke ama-type angadinga izindlela zokwelapha ezihlukile kancane, kodwa onke aphatheka ngokunakekelwa okuhle kwezokwelapha.

Yini ebangela i-fibromuscular dysplasia?

Imbangela eqondile ye-FMD ihlala ingenye yezimfihlo zezokwelapha ezilokhu zikhona, kodwa abacwaningi baye baqaphela izici eziningi ezisenzeka ekuthuthukiseni kwayo. Akuyona into eyodwa ebangela i-FMD, kodwa kunalokho ukuxubana kwe-genetics yakho nemiphumela yemvelo esebenza ndawonye.

I-Genetics ibonakala idlala indima ebalulekile, njengoba i-FMD ngezinye izikhathi iqhubeka emindenini. Noma kunjalo, akuyona isimo esidluliselwa ngokuthe ngqo njengamanye ama-disorders e-genetic. Kunalokho, ungase uzuze ithambo elikuthinta ukuba ube sengozini yokuthuthukisa i-FMD ngaphansi kwezimo ezithile.

Ama-hormones, ikakhulukazi i-estrogen, abonakala ethonya ukuthuthukiswa nokukhula kwe-FMD. Lokhu kuchaza ukuthi kungani lesi simo sithinta abesifazane kakhulu kunamadoda, ngezingxenye ezingama-80-90% zezimo ezenzeka kwabesifazane. Ubuhlobo bukhulu kakhulu ngesikhathi seminyaka yokuzala lapho amazinga e-estrogen aphezulu.

Abanye abacwaningi bakholelwa ukuthi ukucindezeleka okuphindaphindayo ezindongeni ze-artery kungase kuqalise ukukhula okungajwayelekile kwe-cell okuphawuleka yi-FMD. Lokhu kungase kwenzeke ezenzweni ezibeka ukucindezela okwengeziwe e-blood vessels noma ezinye izimo ezithinta izindlela zokuhamba kwegazi.

Izici zemvelo zingase futhi zinikeze, nakuba izimbangela ezithile azikaziveli. Amanye ama-study abonisa ukuthi ukubhema kungase kudlale indima, ngenkathi amanye ebheka ubuhlobo obunokwenzeka ekuqaleni kwama-autoimmune noma ukuvuvukala.

Nini okumele ubona udokotela nge-fibromuscular dysplasia?

Kufanele uxhumane nodokotela wakho uma uthuthukisa i-high blood pressure entsha, ehlala njalo, ikakhulukazi uma ungumfazi oneminyaka engaphansi kuka-50 noma uma i-blood pressure yakho eyayilawulwa kahle ngaphambili ibe nzima ukuyilawula. Lokhu kungaba indlela yomzimba wakho yokubonisa ukuthi kukhona okuthile okudingayo ukunakekelwa.

Ubuhlungu obukhulu, obukhulu obuhluke kakhulu kunoma yiluphi ubuhlungu obuke ubuhlangabezane nabo kudinga ukwelashwa ngokushesha kwezokwelapha. Lezi zinhloso zingase zihambisane nobuhlungu ezinqeni, ukushintsha kokubona, noma ukukhungatheka okubonakala kungenawo imbangela ecacile.

Uma uhlangabezana nanoma yiziphi izimpawu ezifana nesifo sokuqhaqhazela, njengobuthakathaka obuzumayo ohlangothini olulodwa lomzimba wakho, ubunzima bokukhuluma noma ukuqonda inkulumo, ukulahleka kokubona ngokuzumayo, noma ukukhungatheka okukhulu ngokugula nokugabha, funa ukunakekelwa kwezokwelapha ngokushesha. Nakuba lezi zimpawu zingase zingahlobene ne-FMD, zihlale zidinga ukwelashwa okusheshayo.

Ungalindi uma ubona ubuhlungu obuhlala njalo ehlangothini noma emuva, ikakhulukazi uma buhambisana nokuhlala kungalungile kokumisa noma ukukhathala okungachazeki. Ngezinye izikhathi i-FMD ehlobene nezinso ingabangela izimpawu ezibuthakathaka eziya ziba zimbi ngokuhamba kwesikhathi.

Ziyini izici ezingase zikwenze ube sengozini ye-fibromuscular dysplasia?

Izici eziningi zingandisa amathuba akho okuthuthukisa i-FMD, nakuba ukuba nalezi zici ezingase zikwenze ube sengozini akusho ukuthi uzokuthuthukisa ngokuqinisekile lesi simo. Ukuziqonda kungakusiza uhlale uxwayile ezimpawu ezingase zivele futhi ugcine ukuxhumana okuvamile nomhlinzeki wakho wezinsizakalo zezempilo.

Ukuba owesifazane kukwandisa kakhulu ingozi yakho, ikakhulukazi uma uneminyaka ephakathi kuka-15 no-50. Imiphumela yama-hormone kule minyaka ibonakala idala indawo lapho i-FMD inokwenzeka khona ukuthuthukisa noma ibonakale.

Ukuba nomlando womndeni we-FMD kukwandisa ingozi yakho, nakuba abantu abaningi abane-FMD abanawo amalungu omndeni athintekile. Uma wazi amalungu omndeni ane-FMD, kufanele ukukhulume nodokotela wakho ngesikhathi sokuhlola okuvamile.

Ukubhema kubonakala kukhula i-FMD futhi kungase kuhlanganyele ekuthuthukiseni kwayo. Amakhemikhali e-cigarettes angalimaza izindonga ze-blood vessel futhi akhulise uhlobo lokukhula okungajwayelekile olukhona ku-FMD. Uma ubhema futhi unezinye izici ezingase zikwenze ube sengozini, ukuyeka kuba yinto ebaluleke kakhulu empilweni yakho ye-vascular.

Ezinye izici ezingavamile ezingase zikwenze ube sengozini zifaka ukuba nezinye izimo ze-genetic noma izifo ze-connective tissue. Ngaphezu kwalokho, ucwaningo oluthile lubonisa ukuthi abantu abanamlando wezinhlungu ze-migraine bangase babe nengozi encane yokuthuthukisa i-FMD, nakuba ubuhlobo abuluqondakali ngokuphelele.

Ziyini izinhlanganisela ezingase zivele nge-fibromuscular dysplasia?

Nakuba abantu abaningi abane-FMD baphila ngaphandle kwezinkinga ezinzima, kubalulekile ukuqonda ukuthi yini engase ibe khona ukuze ukwazi ukusebenza nodokotela wakho ukuvimbela izinkinga. Izindaba ezinhle ukuthi ngokubeka iliso okuhle nokwelashwa, izinhlanganisela eziningi zingavikelwa noma ziphathwe kahle.

Izinhlanganisela ezivamile kakhulu zihilela i-high blood pressure ehlala njalo lapho i-FMD ithinta i-arteries zakho zezinso. Ngemuva kwesikhathi, i-high blood pressure engalawulwa ingalimaza inhliziyo yakho, ubuchopho, izinso, namanye amalunga emzimbeni wakho.

Uma i-FMD ithinta i-arteries zobuchopho, ukukhathazeka okuyinhloko kufaka phakathi i-stroke kanye nokwenziwa kwama-aneurysms (izindawo ezibuthakathaka ezindongeni ze-artery ezingase ziqale). Ama-Brain aneurysms enzeka cishe ku-7-20% yabantu abane-FMD, nakuba abaningi abazange babe nezinkinga. Noma kunjalo, uma i-aneurysm iqhekeka, ingabangela uhlobo oluyingozi lwe-stroke.

I-Arterial dissection imele enye inhlanganisela engenzeka lapho izigaba ze-artery wall zihlukaniswa khona, zidala ukukleliswa. Lokhu kungenzeka ngokuzumayo kubantu abane-FMD, ikakhulukazi e-arteries eya ebuchophweni noma ezinsweni. Nakuba kuyinkulu, izinqumo eziningi zingaphathwa ngempumelelo uma zitholakala ngokushesha.

Kwezinye izikhathi, i-FMD ingabangela ukuvimbela okuphelele kwe-artery ethintekile, okungase kubangele ukulimala kwezinso, i-stroke, noma ukulahleka kokugeleza kwegazi ezingalweni. Izinhlanganisela zezinso zingase zifake ukusebenza okuncane kwezinso noma, ngokungavamile, ukwehluleka okuphelele kwezinso okudinga i-dialysis.

I-fibromuscular dysplasia ingavikelwa kanjani?

Njengoba singayiqondi ngokuphelele into ebangela i-FMD, ayikho indlela eqinisekisiwe yokuyivimba ukuthi ingathuthuki. Noma kunjalo, ungathatha izinyathelo zokunciphisa ingozi yakho yezinkinga futhi mhlawumbe uthuthukise ukuqhubeka kwesimo uma usuvele unaso.

Ukuyeka ukubhema ingenye yezinto ezibaluleke kakhulu ongayenza empilweni yakho ye-vascular. Ukubhema kulimaza izindonga ze-blood vessel futhi kungase kukhule i-FMD, okwenza izinhlanganisela zibe nethuba elikhulu. Uma ubhema, khuluma nodokotela wakho ngezinhlelo zokuyeka namathuluzi angakusiza ukuthi uyeke ngempumelelo.

Ukugcina impilo enhle ye-cardiovascular ngokuzivocavoca okuvamile, ukudla okunempilo yenhliziyo, nokuphathwa kwengcindezi kungasiza ekuvikeleni i-blood vessels yakho. Nakuba la ma-measures angayivimbi i-FMD, anganciphisa ingozi yakho yezinkinga ezifana nesifo senhliziyo ne-stroke.

Uma unomlando womndeni we-FMD noma ezinye izici ezingase zikwenze ube sengozini, ukuhlala uxwayile ezimpawu ezingase zivele nokugcina ukuhlola okuvamile nomhlinzeki wakho wezinsizakalo zezempilo kungasiza ekutholeni lesi simo ngokushesha lapho ukwelapha kuphumelela kakhulu.

I-fibromuscular dysplasia ihlonishwa kanjani?

Ukuhlola i-FMD ngokuvamile kuqala ngodokotela wakho eqaphela izimpawu ngesikhathi sokuhlola okuvamile noma lapho ehlola izimpawu ezifana ne-high blood pressure noma ubuhlungu. Inqubo ngokuvamile iqala ngokubuyekezwa okucophelelayo kwezimpawu zakho nomlando wezokwelapha, okulandelelwa yi-physical examination.

Ngesikhathi se-physical exam, udokotela wakho uzolalela ngokucophelela izindawo ezahlukene zomzimba wakho nge-stethoscope, ahlole i-bruits (imizwa ye-whooshing ebonisa ukugeleza kwegazi okungajwayelekile). Bazohlola futhi i-blood pressure yakho ezandleni zombili futhi bangase bahlole i-pulses ezindaweni ezahlukene.

I-gold standard yokuhlola i-FMD yizithombe eziyivumela odokotela ukuba babone ukubonakala okuqondile kwe-arteries ezithintekile. I-CT angiography (CTA) ne-magnetic resonance angiography (MRA) yizivivinyo ezisetshenziswa kakhulu ngoba azinawo ubuhlungu futhi zinikeza imininingwane emihle yesakhiwo se-blood vessel.

I-Traditional angiography, lapho i-contrast dye isetshenziswa ngokuqondile e-arteries nge-catheter encane, inikeza izithombe eziningi eziningi kodwa ngokuvamile igcinelwa izimo lapho ukwelapha kuhlelwe khona noma lapho ezinye izivivinyo zingapheli. Le nqubo inengozi encane kodwa inikeza ukubona okuhle kakhulu kwemininingwane ye-artery.

Udokotela wakho angase futhi ahlele ukuhlolwa kwegazi ukuhlola ukusebenza kwezinso, ukuhlolwa kwamathumbu ukubheka izimpawu zezinkinga zezinso, kanye nezinye izifundo kuye ngokuthi yiziphi i-arteries abazisola ukuthi zithintekile. Ngezinye izikhathi, ukuthola i-FMD endaweni eyodwa kuholela ekuhlolweni kwezinye izindawo lapho kuvame ukwenzeka khona.

Ukuphathwa kwe-fibromuscular dysplasia kuyini?

Ukuphathwa kwe-FMD kugxile ekuphathweni kwezimpawu, ukuvimbela izinhlanganisela, nokugcina ukusebenza kwamalunga athintekile. Izindaba ezinhle ukuthi abantu abaningi bayaphendula kahle ekwelapheni futhi bangagcina ikhwalithi enhle yokuphila ngokuphathwa okuhle.

Ukulawulwa kwe-blood pressure kuyisisekelo sokwelapha i-FMD lapho i-kidney arteries ihilelekile. Udokotela wakho cishe uzobhala imithi ebizwa ngokuthi yi-ACE inhibitors noma i-ARBs (angiotensin receptor blockers), ephumelela kakhulu ohlotsheni lwe-high blood pressure ebangelwa yi-FMD.

Kwezinye izimo ezinzima noma lapho imithi inganele, udokotela wakho angase akukhuthaze i-angioplasty. Le nqubo encane yokungena ngaphakathi ihilela ukufaka ibhaluni elincane nge-blood vessels yakho endaweni ecindezelekile nokukukhulisa ukuze kuqiniswe i-artery. Ngokungafani ne-angioplasty yezinye izimo, ama-stents (izikhwephu ezincane zensimbi) ngokuvamile awadingeki yi-FMD.

Uma i-FMD ithinta i-arteries zobuchopho, ukwelapha kuncika ekutheni unezimpawu nokuma okuqondile kwezinkinga. Abanye abantu badinga ukugcinwa iliso kuphela ngezithombe eziqondile, ngenkathi abanye bangase bazuze ezinqubweni zokulungisa ama-aneurysms noma ukulungisa ukuncika okukhulu.

I-Aspirin therapy ngokuvamile ikhuthazwa ukuze kunciphisa ingozi ye-blood clots, ikakhulukazi uma i-brain arteries ithintekile. Umthamo ngokuvamile uphansi (ngokuvamile u-81mg nsuku zonke) futhi ngokuvamile uyaphatheka kahle kubantu abaningi.

Ukuhlinzwa akudingeki ngokuvamile yi-FMD, kodwa kungase kubhekwe izimo lapho i-angioplasty ingasebenzi khona noma lapho kukhona izinhlanganisela ezifana nama-aneurysms amakhulu adinga ukulungiswa. Izinqubo eziningi zokwelapha i-FMD zihilela ukudlula i-artery ethintekile noma ukususa izingxenye ezilimele.

Ungayiphatha kanjani i-fibromuscular dysplasia ekhaya?

Ukuphatha i-FMD ekhaya kuhilela ukusebenzisana neqembu lakho lezokwelapha ukuze ubeke iliso esimweni sakho futhi ugcine impilo enhle. Ukubekwa iliso okuvamile kwe-blood pressure kuba yingxenye ebalulekile yokuhlala kwakho, ikakhulukazi uma i-kidney arteries yakho ithintekile.

Thola i-monitor ye-blood pressure ekhaya enhle futhi ufunde ukuyisebenzisa kahle. Gcina irekhodi lezimfundiso zakho ukuze uzabelane nodokotela wakho ngesikhathi sokuvakasha. Lolu lwazi lusiza iqembu lakho lezokwelapha ukulungisa imithi nokulandelela ukuthi ukwelashwa kwakho kusebenza kahle kangakanani.

Ukuthatha imikhuba yempilo enempilo yenhliziyo kusekela impilo yakho ye-vascular yonke futhi kungasiza ukuvimbela izinhlanganisela. Lokhu kufaka ukudla ukudla okunama-fruits, imifino, nama-grains aphelele ngenkathi kuncishiswa i-sodium, amafutha agcwele, nokudla okucutshungulwayo.

Ukuzivocavoca okuvamile, njengoba kuvunyelwe udokotela wakho, kusiza ekugcineni i-blood pressure enempilo kanye nempilo enhle ye-cardiovascular. Qala kancane futhi wandise amazinga omsebenzi kancane kancane, unake ukuthi umzimba wakho uyaphendula kanjani. Imisebenzi efana nokuhamba, ukubhukuda, noma ukugibela ibhayisikili ngokuvamile iyizinketho ezinhle.

Amathuluzi okuphatha ingcindezi efana nokuphefumula okujulile, ukucamngca, noma i-yoga angasiza ekugcineni i-blood pressure yakho iqinile futhi athuthukise impilo yakho yonke. Ingcindezi ehlala njalo ingase ibe nzima i-high blood pressure, ngakho-ke ukuthola izindlela ezempilo zokubhekana kuyinto ebaluleke kakhulu.

Hlala uxwayile ezinguqukweni ezimpawu zakho futhi ungangabazi ukuxhumana nomhlinzeki wakho wezinsizakalo zezempilo uma ubona izinkinga ezintsha noma ezimbi. Gcina idayari yesimpawu uma kusiza, uqaphele noma yiziphi izindlela noma izimbangela ozibonayo.

Kufanele uzilungiselele kanjani i-appointment yakho yodokotela?

Ukulungiselela i-appointment yakho kusiza uqinisekise ukuthi uthola okuningi ngesikhathi sakho nomhlinzeki wakho wezinsizakalo zezempilo nokuthi konke ukukhathazeka kwakho kuphendulwe. Qala ngokubhala zonke izimpawu zakho, ngisho nalabo ababonakala bengenawo ubuhlobo noma abancinyane.

Letha uhlu oluphelele lwazo zonke imithi, izithasiselo, namavithamini owaqaphela, kufaka phakathi imithamo nokuthi uwaqaphela kangaki. Ungakhohlwa ukufaka imithi yokuthengwa ngaphandle kokubonisana nodokotela kanye nezithasiselo ze-herbal, njengoba lezi ngezinye izikhathi zingase zihlangane nemithi ye-FMD.

Butha noma yiziphi iziphumo zokuhlola ezedlule, imibiko yezithombe, noma amarekhodi ezokwelapha ahlobene nesimo sakho. Uma uke wabona odokotela abanye, letha amakhophi emibiko yabo nezincomo. Lokhu kunikeza udokotela wakho isithombe esiphelele somlando wakho wezokwelapha.

Lungiselela uhlu lwemibuzo ofuna ukuyibuza. Cabanga ukufaka imibuzo mayelana nohlobo lwakho oluqondile lwe-FMD, izinketho zokwelapha, ukuguqulwa kwesitayela sempilo, kanye nokuthi yiziphi izimpawu okufanele zikukhuthaze ukuba ufuna ukunakekelwa okusheshayo.

Uma ubeka iliso kwi-blood pressure yakho ekhaya, letha irekhodi lezimfundiso zakho. Lolu lwazi lubalulekile ekuhlolweni kokuthi ukwelashwa kwakho kusebenza kahle kangakanani nokuthi yiziphi izinguquko ezidingekayo.

Cabanga ukuletha ilungu lomndeni noma umngani e-appointment, ikakhulukazi uma uxoxa ngezinketho zokwelapha eziyinkimbinkimbi noma uma uthanda ukuzizwa ukhungathekile ngesikhathi sokuvakasha kwezokwelapha. Bangakusiza ukuba ukhumbule ulwazi olubalulekile futhi banikeze ukwesekwa ngokomzwelo.

Iyini into ebalulekile mayelana ne-fibromuscular dysplasia?

Into ebaluleke kakhulu okumele uyiqonde mayelana ne-FMD ukuthi nakuba kuyisimo esinzima esidinga ukunakekelwa okuqhubekayo kwezokwelapha, abantu abaningi abane-FMD baphila impilo egcwele, esebenzayo ngokuphathwa okuhle. Ukutholakala kwangaphambi kwesikhathi nokuphathwa okuhle kungavimba izinhlanganisela eziningi futhi kusize ekugcineni ikhwalithi yakho yokuphila.

I-FMD ithonya umuntu ngamunye ngokuhlukile, ngakho-ke uhlelo lwakho lokwelapha luzolungiswa ngesimo sakho esithile, izimpawu, kanye ne-arteries ezihilelekile. Ukusebenza eduze neqembu lakho lezokwelapha nokulandela izincomo zabo kukunika ithuba elihle kakhulu lokuba nemiphumela emihle yesikhathi eside.

Ukuhlala unolwazi ngesimo sakho, ukugcina ama-appointment okuphindaphinda okuvamile, nokuqapha izinguquko ezimpawu zakho kuyizinto ezibalulekile zokuphathwa okuphumelelayo kwe-FMD. Ungangabazi ukubuza imibuzo noma ukukhuluma ngokukhathazeka kwakho kubanakekeli bakho bezempilo.

Khumbula ukuthi ucwaningo lwe-FMD luqhubeka luthuthuka, luholela ekuqondeni kangcono nasezinkethweni zokwelapha ezithuthukisiwe. Ngokuthatha indima ephambili ekunakekelweni kwakho nokugcina umbono omuhle, uzilungiselela umphumela omuhle kakhulu ngalesi simo esiphatheka kahle.

Imibuzo evamile ebuzwa mayelana ne-fibromuscular dysplasia

Ingakwelashwa ngokuphelele yini i-fibromuscular dysplasia?

I-FMD ayikwazi ukwelashwa ngokuphelele, kodwa ingaphathwa kahle ngokwelashwa okuhle. Abantu abaningi baphila impilo evamile, enempilo nge-FMD ngokulawulwa kwe-blood pressure, ukugcinwa iliso okuvamile, nezinqubo ezifanele uma kudingeka. Isimo sibhekwa njengesihlala njalo kodwa siphatheka kunokuba silashwe.

Ingumoya yini i-fibromuscular dysplasia?

I-FMD ingase iqhubeke emindenini, kodwa ayidluliselwa ngendlela eqondile njengamanye ama-disorders e-genetic. Nakuba ukuba nelungu lomndeni eline-FMD kukwandisa ingozi yakho, abantu abaningi abane-FMD abanawo amalungu omndeni athintekile. Uma unomlando womndeni we-FMD, kufanele ukukhulume nodokotela wakho ukuze uthole ukuhlolwa okufanele.

Ukukhulelwa kungathinta yini i-fibromuscular dysplasia?

Ukukhulelwa kungase kuthinte i-FMD ngenxa yezinguquko zama-hormone nokukhula kwe-blood volume, okungase kukhule i-high blood pressure noma kubangele ezinye izinhlanganisela. Noma kunjalo, abesifazane abaningi abane-FMD banokukhulelwa okuphumelelayo ngokubekwa iliso okucophelelayo nokuphathwa. Kubalulekile ukusebenza nodokotela wakho kanye nodokotela we-FMD kulo lonke ukukhulelwa.

Ngamakhulu mangaki okumele ngibe nama-appointment okuphindaphinda nge-fibromuscular dysplasia?

Ukuphindaphinda kokulandelela kuncika esimweni sakho esithile, kodwa abantu abaningi abane-FMD badinga ukuhlola izikhathi ezingu-3-6 ngenyanga ekuqaleni, bese kuba minyaka yonke uma beqine. Ungase udinga ukuvakasha okuvamile uma i-blood pressure yakho ibe nzima ukuyilawula noma uma une-brain artery involvement. Udokotela wakho uzonquma isimiso esifanele ngokuya ngezidingo zakho zomuntu siqu.

Ukuzivocavoca kungase kube nzima yini i-fibromuscular dysplasia?

Ukuzivocavoca okuvamile, okuqondile ngokuvamile kusiza abantu abane-FMD futhi kungasiza ekulawuleni i-blood pressure nokwenza impilo enhle ye-cardiovascular. Noma kunjalo, kufanele uxoxe ngezinhlelo zakho zokuzivocavoca nodokotela wakho, ikakhulukazi uma une-narrowing enkulu ye-arteries noma i-high blood pressure engalawulwa. Bangakusiza ukuba uthuthukise uhlelo lokusebenza oluphephile, olufanele.