Ubuthi be-Moyamoya: Izimpawu, Izimbangela, Nokwelashwa

Ubuthi be-Moyamoya luyisifo esingavamile lwezinsimbi zegazi elithinta i-arteries ebuchosheni bakho. Kwenzeka lapho i-arteries eziyinhloko ezinikeza igazi ebuchosheni bakho kancane kancane ziqina futhi zivalwe ngokuhamba kwesikhathi.

Uma lokhu kuqina kwenzeka, umzimba wakho uzama ukubuyisela ngokudala izinsimbi ezincane zegazi ezibonakala njengemfumba yebhedu ekukheni kwezokwelapha. Eqinisweni, igama elithi "moyamoya" lisho "umfutho wobhedu" ngesiJapane, lapho leli simo saqala khona ukufundwa kabanzi. Lezi zinsimbi ezintsha zisiza ekuqinisweni kokugeleza kwegazi ebuchosheni bakho, kodwa zibuthakathaka futhi zingabangela ukuphazamiseka.

Ziyini izimpawu zokuthi ubuthi be-Moyamoya?

Izimpawu zokuthi ubuthi be-Moyamoya zingase zihluke kakhulu kuye ngokuthi uneminyaka emingaki nokuthi isimo siwuthinta kanjani umthombo wegazi ebuchosheni bakho. Abantu abaningi bahlangabezana nezimpawu zabo zokuqala ngesikhathi sobuntwana noma ebusheni, yize lesi sifo singase siqale kunoma iyiphi iminyaka.

Ukuqonda ukuthi yini okufanele uyilinde kungakusiza uthole ukunakekelwa kwezokwelapha ngesikhathi. Nazi izimpawu eziyinhloko ongaziqaphela:

• I-strokes ephindaphindayo noma i-mini-strokes (TIAs) - Lezi zingabangela ubuthakathaka obungalindelekile, ukungathuthuki, noma ubunzima bokukhuluma
• Izinhlungu zikhanda ezinzima - Zivame ukuchazwa njengehlukile kunenhlungu yekhanda evamile oye wayinawo ngaphambili
• Ukuhlanza - Kungase kwenzeke ngezimpawu ezingekho noma ngaphandle kwazo
• Izinkinga zobuso - Kubandakanya ukubona okubili, ukubona okuphazamisekile, noma ukulahleka kokubona okulinganiselwe
• Ubunzima bokuhamba - Ubuthakathaka noma ukungakwazi ukuhamba ngakwesinye uhlangothi lomzimba wakho
• Izinkinga zokukhuluma - Ubunzima bokukhuluma ngokucacile noma ukuqonda abanye
• Ukushintsha kwengqondo - Izinkinga ngekhono lokukhumbula, ukugxila, noma ukucabanga ngokucacile

Ezinganeni, ungase futhi uqaphele ukubambezeleka ekuthuthukiseni noma izinkinga zokufunda ezibukeka sengathi zivela ngokuzumayo. Ezinye izingane zihlangabezana nezimpawu ezibangelwa imisebenzi efana nokukhala, ukukhokha, noma umzamo womzimba ngoba le mi sebenzi ingase iyanciphise ukugeleza kwegazi ebuchosheni obusele bulimazeke.

Kubalulekile ukwazi ukuthi izimpawu zingase ziye ziye, futhi abanye abantu bangase babe nezinkathi lapho bezizwa bephelele phakathi kwezinkathi. Lokhu akusho ukuthi isimo sizixazulule ngokwalo.

Iyini imbangela yalesi sifo se-Moyamoya?

Imbangela eqondile yesifo se-Moyamoya ayiqondakali ngokuphelele, kodwa abacwaningi baye baqaphela izici eziningi ezifaka isandla. Kubonakala sengathi kuvela ngenxa yokuxubana kokuthambekela kwezakhiwo nezici zemvelo.

I-genetics idlala indima ebalulekile kulesi simo. Cishe i-10-15% yezimo ziyaqhubeka emindenini, futhi ososayensi baye baqaphela ukuguqulwa okuqondile kwe-gene okwandisa ingozi yakho. Ukuguqulwa kwe-gene le-RNF213 kuyisici esivamile se-genetic, ikakhulukazi kubantu abavela e-Asia.

Nokho, ukuba nalezi zinguquko ze-genetic akusho ukuthi uzophulaphula lesi sifo. Izici zemvelo nezinye izimo zezempilo zingase futhi zifake isandla:

• Izifo ze-autoimmune - Izimo lapho i-immune system yakho ihlasela inyama enempilo
• Ukukhishwa kwemisebe - Ikakhulukazi ukwelashwa ngemisebe yekhanda noma indawo yentamo
• Ukutheleleka okuthile - Ukutheleleka okuthile kwe-viral noma i-bacterial kungase kubangele isimo
• Ezinye izimo zezokwelapha - Kubandakanya isifo se-sickle cell, i-neurofibromatosis, ne-hyperthyroidism
• Ukulimala kwekhanda - Ukulimala okukhulu ekhanda ngezinye izikhathi kungase kuqale ngaphambi kokuthi i-Moyamoya iqale

Lesi sifo sivame kakhulu kubantu abavela e-Asia, ikakhulukazi labo abavela eJapane, eKorea, naseChina. Abafazi nabo banesilinganiso esincane sokuba nethonywe kunamadoda.

Nini okufanele ubheke udokotela ngesifo se-Moyamoya?

Kufanele ufuna ukunakekelwa kwezokwelapha ngokushesha uma uhlangabezana nanoma iyiphi impikiswano engase ibonise i-stroke noma inkinga enkulu yengqondo. Ungalindi ukubona ukuthi izimpawu ziyathuthuka ngokwazo.

Shaya izinsiza eziphuthumayo ngokushesha uma uqaphela ukuqala okungazelelwe kobuthakathaka ngakwesinye uhlangothi lomzimba wakho, ubunzima bokukhuluma, inhlungu yekhanda enkulu engakaze ibe khona ngaphambili, noma ukushintsha okungazelelwe kokubona. Lezi zingase zibe izimpawu ze-stroke, edinga ukwelashwa ngokushesha.

Hlela i-aphoyintimenti nodokotela wakho maduze uma uhlangabezana nezinhlungu zikhanda eziphindaphindayo ezihlukile kunesiko lakho, izikhathi ezivamile zobuthakathaka noma ukungathuthuki, ukuhlanza okungachazwanga, noma ukushintsha okuqhubekayo ekucabangeni noma ekukhumbula kwakho. Ngisho noma lezi zimpawu zibonakala zingenazinkinga, zifanele zibukelwe udokotela.

Kubazali, qaphela izimpawu ezinganeni zakho ezifana nokubuyela emuva ekuthuthukiseni okungazelelwe, izinkinga ezintsha zokufunda, izikhathi zobuthakathaka ezibangelwa ukukhala noma umzamo, noma ukushintsha okungavamile kokuziphatha. Izingane zingase zingakwazi ukuchaza izimpawu zazo ngokucacile, ngakho-ke nanoma yikuphi ukushintsha okukhathazayo kufanele kubhekwe udokotela.

Ziyini izici ezingaba yingozi yesifo se-Moyamoya?

Izici eziningi zingase zikhulise amathuba akho okuba nesifo se-Moyamoya, yize ukuba nalezi zici ezingaba yingozi akusho ukuthi uzoba neli sifo ngokuqinisekile. Ukuziqonda kungakusiza wena nodokotela wakho ukuba niqaphele izimpawu zokuqala.

Izici eziyinhloko ezingaba yingozi zifaka:

• Umlando womndeni - Ukuba nomuntu omdala oseduze onesifo se-Moyamoya kukwandisa ingozi yakho kakhulu
• Ubuzwe - Abantu abavela e-Asia, ikakhulukazi iJapane, iKorea, neChina, banesilinganiso esiphezulu
• Ubudala - Kukhona izikhathi ezimbili eziphezulu: ubuntwana (iminyaka eyi-5-10) nobudala (iminyaka eyi-30-50)
• Ubulili - Abafazi banethuba elingaphezulu kabili lokuba nesimo kunamadoda
• Ezinye izimo zezokwelapha - Kubandakanya i-Down syndrome, isifo se-sickle cell, ne-hyperthyroidism
• Ukwelashwa ngemisebe yangaphambili - Ikakhulukazi ukwelashwa ngemisebe yekhanda noma indawo yentamo

Ezinye izici ezingavamile ezingaba yingozi zifaka izimo ezithile ze-autoimmune, ukulimala kwekhanda kwangaphambili, nezinye izimo ze-genetic. Kodwa-ke, abantu abaningi abanezi zici ezingaba yingozi abazutholi i-Moyamoya, futhi abanye abantu abangenazo izici ezaziwayo ezingaba yingozi bayayithola.

Uma unezici eziningi ezingaba yingozi, xoxa ngezinketho zokuhlola nodokotela wakho. Bangakusiza baqonde ukuthi ukulandelela okwengeziwe noma ukuhlolwa kungaba usizo kangakanani esimweni sakho.

Ziyini izinhlanganisela ezingase zenzeke ngesifo se-Moyamoya?

Ubuthi be-Moyamoya bungabangela izinhlanganisela eziningi ezinkulu uma bungaphathwa, kodwa ukuqonda lezi zinto ezingase zenzeke kungakusiza usebenze neqembu lakho lokunakekelwa kwezokwelapha ukuze uzivimbele. Ukukhathazeka okuyinhloko ukuthi ukunciphisa kokugeleza kwegazi ebuchosheni bakho kungabangela umonakalo ophakade ngokuhamba kwesikhathi.

Izinhlanganisela ezivamile zifaka:

• I-stroke ye-ischemic - Lapho ingxenye yengqondo yakho ingatholi igazi ne-oksijini eyanele
• I-stroke ye-hemorrhagic - Lapho izinsimbi ezintsha zegazi ezibuthakathaka ziqhekeka futhi zigobhoza ebuchosheni
• Ukuncipha kwengqondo - Izinkinga ngekhono lokukhumbula, ukucabanga, nokwenza izinqumo
• Izifo zokuhlamba - Ukuhlanza okuphindaphindayo okungase kudinge ukwelashwa isikhathi eside
• Izifo zokunyakaza - Ubuthakathaka obuhlala njalo noma ubunzima bokuxhumanisa
• Izinkinga zokukhuluma nolimi - Ubunzima bokuhlanganyela ngokuphumelelayo

Ezinganeni, izinhlanganisela ezengeziwe zingase zifake ukubambezeleka ekuthuthukiseni, izinkinga zokufunda, nokushintsha kokuziphatha. Lezi zingase zithinte kakhulu imfundo yengane nokuthuthuka komphakathi uma zingaphathwa kahle.

Izinhlanganisela ezingavamile kodwa ezinzima zingase zifake ukugobhoza okukhulu ebuchosheni, i-coma, noma i-strokes eyingozi. Kodwa-ke, ngokunakekelwa kwezokwelapha okufanele nokwelashwa, izinhlanganisela eziningi zingavikelwa noma umthelela wazo unciphise.

Izindaba ezinhle ukuthi ukuxilongwa kwangaphambi kwesikhathi nokwelashwa okufanele kunganciphisa kakhulu ingozi yakho yokuba nalezi zinhlanganisela. Abantu abaningi abanesifo se-Moyamoya baphila impilo ezele, ephambili ngokuphathwa kwezokwelapha okufanele.

Ubuthi be-Moyamoya bungavikeleka kanjani?

Ngeshwa, ayikho indlela eyaziwayo yokuvimbela ngokuphelele ubuthi be-Moyamoya njengoba ngokuvamile kubandakanya izici ze-genetic ongenakuzilawula. Kodwa-ke, ungathatha izinyathelo zokunciphisa ingozi yakho yezinhlanganisela futhi mhlawumbe uthambise ukuqhubeka kwesimo.

Uma unemlando womndeni wesifo se-Moyamoya, ukwelulekwa kwe-genetic kungakusiza uqonde ingozi yakho futhi wenze izinqumo ezilwemi ngokuhlola nokubuka.

Ukuphatha ezinye izimo zezempilo ezandisa ingozi yakho kungaba usizo. Sebenza nodokotela wakho ukuze ulawule kahle izimo ezifana nokucindezeleka kwegazi, isifo sikashukela, nezifo ze-autoimmune. Lezi zimo zingase zenzima izinkinga zezinsimbi zegazi futhi zikhulise ingozi yakho ye-stroke.

Ukuqeda ukukhishwa kwemisebe okungadingeki, ikakhulukazi ekhanda nentamo, kungase kusize ekuqedeni ingozi kwezinye izimo. Uma udinga izinqubo zezokwelapha ezihilela imisebe, xoxa ngengozi nezinzuzo nodokotela wakho.

Ukuphila impilo enempilo yengqondo kungase kusekele impilo yakho yonke ye-vascular. Lokhu kubandakanya ukuzivocavoca okuvamile okufanele isimo sakho, ukudla okulinganiselayo okunama-fruits nama-vegetables amaningi, ukungabhemi, nokuphatha ukucindezeleka ngokuphumelelayo.

Ubuthi be-Moyamoya buxilongwa kanjani?

Ukuxilongwa kwesifo se-Moyamoya kudinga ukubonwa kwe-brain imaging okukhethekile okungabonisa ukuqina okubalulekile kwe-arteries nokwenziwa kwezinsimbi ezintsha zegazi. Udokotela wakho uzoqala ngomlando wezokwelapha ophelele nokuhlolwa komzimba.

Izivivinyo eziyinhloko zokuxilonga zifaka:

• I-MRI ne-MRA (Magnetic Resonance Angiography) - Lezi zibonisa izithombe eziningi zebuchosheni bakho nezinsimbi zegazi ngaphandle kwemisebe
• I-CT angiography - Ihlinzeka ngezithombe eziningi zezinsimbi zegazi usebenzisa i-dye contrast
• I-Cerebral angiography - Ukuhlolwa okuyisisekelo okuhilela ukufaka i-dye ngqo ezinsimbini zegazi
• I-SPECT noma i-PET scans - Lezi zingabonisa ukuthi igazi ligeleza kangcono kangakanani ezingxenyeni ezahlukene zebuchosheni bakho

Udokotela wakho angase futhi ahlele ukuhlolwa kwegazi ukuze akhiphe ezinye izimo ezingabangela izimpawu ezifanayo, ezifana nezifo ze-autoimmune noma izinkinga zokugoba kwegazi. Lezi zivivinyo zisiza uqinisekise ukuthi uthola ukuxilongwa okuchane kakhulu.

Inqubo yokuxilonga ingase ithathe isikhathi ngoba ubuthi be-Moyamoya bungase bufanane nezinye izimo. Iqembu lakho lokunakekelwa kwezokwelapha lifuna ukuba liqonde ukuqinisekisa ukuthi uthola ukwelashwa okufanele kakhulu esimweni sakho esithile.

Kwezinye izimo, udokotela wakho angase akukhuthaze ukuhlolwa kwe-genetic, ikakhulukazi uma unezilwane zomndeni ezinaleli simo. Ulwazi lungaba usizo ekucwaningeni ukwelashwa nasekwelulekeni komndeni.

Ukuphathwa kwesifo se-Moyamoya kuyini?

Ukuphathwa kwesifo se-Moyamoya kugxile ekuthuthukiseni ukugeleza kwegazi ebuchosheni bakho nokuvimbela izinhlanganisela ezifana ne-strokes. Indlela ihluka kuye ngezimpawu zakho, ubudala, nokuthi isimo liyathuthuka kangakanani lapho lixilongwe.

Ukuphathwa ngokusebenza kuvame ukuba yindlela ephumelelayo kakhulu yesifo se-Moyamoya. Izindlela eziyinhloko zokusebenza zifaka:

• Ukuhlinzwa okuqondile kwe-bypass - Ukuhlanganisa i-artery evela ngaphandle kwekhanda lakho ngqo kwi-artery yengqondo
• Ukuhlinzwa okungadingekile kwe-bypass - Ukubekela imisipha noma inyama eceleni kwebhuloho ukuze kukhuthazwe ukukhula kwezinsimbi ezintsha zegazi
• Izinqubo ezihlangene - Ukusebenzisa kokubili izindlela eziqondile nezingadingekile ukuze kuzuzwe imiphumela emihle

Ukuphathwa kwezokwelapha kudlala indima ebalulekile yokusekela ekucwaningeni kwakho. Udokotela wakho angase abele ukwelashwa ukuvimbela ukugoba kwegazi, ulawule ukuhlanza uma kwenzeka, noma ulawule ezinye izimpawu. Ukwelashwa kobuhlungu kungasiza ngezinhlungu zikhanda, kanti ama-antiplatelet drugs afana ne-aspirin angase anciphise ingozi ye-stroke.

Ukukhetha phakathi kokwelashwa ngokusebenza nokwelashwa kwezokwelapha kuya kuye ngezici eziningi ezifaka ubudala bakho, impilo yonke, ubukhulu bezimpawu, nezifiso zakho siqu. Iqembu lakho lokunakekelwa kwezokwelapha lizo sebenza nawe ukuze lenze uhlelo lokwelashwa oluhambisana nezidingo zakho nezimo zakho ezithile.

Ukukhathalelwa okuqhubekayo kubalulekile kungakhathaliseki ukuthi yikuphi ukwelashwa okukhethile. Lokhu kusiza ekuqondeni isimo sakho nokulungisa ukwelashwa njengoba kudingeka ngokuhamba kwesikhathi.

Indlela yokuphatha ubuthi be-Moyamoya ekhaya?

Ukuphatha ubuthi be-Moyamoya ekhaya kubandakanya ukudala indawo yokusekela ekuthuthukiseni impilo yengqondo nokunciphisa ingozi yakho yezinhlanganisela. Imikhuba yakho yansuku zonke nokukhetha kwakho kwesitayela sempilo kungathinta kakhulu ukuthi ulawula kanjani lesi simo.

Ukugcina umzimba uqinisile kubalulekile ngoba ukungabi manzi kungase kwenze izinkinga zokugeleza kwegazi zibe zimbi. Zama ukuphuza amanzi amaningi usuku lonke, ikakhulukazi lapho sekushisa noma lapho usebenza ngokomzimba.

Qaphela imisebenzi engase ibonise izimpawu. Abanye abantu baqaphela ukuthi ukukhala, ukukhokha, noma umzamo womzimba onzima ungaletha izikhathi. Nakuba ungafanele ugweme yonke imisebenzi yomzimba, sebenza nodokotela wakho ukuze uthole izinketho zokuzivocavoca eziphephile ezisebenza kuwe.

Ukuphatha ukucindezeleka ngokuphumelelayo kungasiza ekuqedeni ubukhulu nezilinganiso zezimpawu. Cabanga ngezindlela zokupumula ezifana nokuphumula okujulile, i-yoga ebushelelezi, noma ukucamngca. Ukulala okwanele kubalulekile nakho impilo yengqondo nokuphulukisa.

Dala uhlelo lokulandelela izimpawu ukuze kusize wena nodokotela wakho uqonde izindlela esimweni sakho. Qaphela lapho izimpawu zenzeka khona, lokho obekwenza, nokuthi zazinkulu kangakanani. Ulwazi lungaba usizo ekulungiseni uhlelo lokwelashwa kwakho.

Gcina ulwazi loxhumana nabo oluphuthumayo lulula futhi uqinisekise ukuthi amalungu omndeni wakho azi izimpawu ze-stroke ezidinga ukunakekelwa kwezokwelapha ngokushesha.

Kufanele ulungiselele kanjani i-aphoyintimenti yakho nodokotela?

Ukulungiselela i-aphoyintimenti yakho nodokotela kungasiza uqinisekise ukuthi uthola okuningi kakhulu ekuhambeni kwakho futhi unikeze udokotela wakho ulwazi abaludingayo ukuze akusize ngokuphumelelayo. Ukulungiselela okuhle kuholela ekuxhumaneni nasekunakekelweni okuhle.

Ngaphambi kwe-aphoyintimenti yakho, bhala zonke izimpawu zakho, kufaka phakathi lapho zaqala khona, ukuthi zenzeka kaningi kangakanani, nokuthi yini ebonakala iyazibangela. Yiba uchwepheshe ngesikhathi nesikhathi sezinkathi, njengoba lolu lwazi lusiza udokotela wakho ukuthi aqonde isimo sakho kangcono.

Butha umlando wakho wezokwelapha, kufaka phakathi noma yikuphi i-strokes yangaphambili, ukulimala kwekhanda, noma umlando womndeni wesifo se-Moyamoya noma ezinye izimo ze-vascular. Letha uhlu oluphelele lwazo zonke izidakamizwa ozithathayo, kufaka phakathi izidakamizwa ezingaphezu kokuthengisa kanye nezinye izinto.

Lungiselela uhlu lwemibuzo ofuna ukuyibuza. Cabanga ukubuza ngezinketho zokwelashwa, ukuguqulwa kwesitayela sempilo, izimpawu zokuqaphela, nokuthi nini okufanele ufuna ukunakekelwa okuphuthumayo. Unganqikazi ukucela incazelo uma ungaqondi okuthile.

Uma kungenzeka, letha ilungu lomndeni omethembayo noma umngani ongakusiza ukuba ukhumbule ulwazi olukhulu futhi unikeze ukusekela ngesikhathi se-aphoyintimenti. Bangase futhi baqaphele izimpawu noma ukushintsha ongaziqapheli.

Letha noma yimaphi amarekhodi ezempilo yangaphambili, imiphumela yokuhlola, noma izithombe ze-brain ozinazo. Ulwazi lusiza udokotela wakho ukuba agweme ukuphinda izilingo ezingadingeki futhi unikeze ulwazi oluyisisekelo oluyigugu lokuqhathanisa.

Iyini into ebalulekile ngesifo se-Moyamoya?

Ubuthi be-Moyamoya luyisimo esinzima kodwa esilawuleka esithinta ukugeleza kwegazi ebuchosheni bakho. Nakuba kungase kubonakale kukhulu ekuqaleni, ukuqonda ukuthi ukwelashwa okuphumelelayo kukhona kungase kunikeze ithemba nendlela yokuthuthuka.

Into ebaluleke kakhulu okumele uyikhumbule ukuthi ukuxilongwa kwangaphambi kwesikhathi nokwelashwa okufanele kungathuthukisa kakhulu umbono wakho nekhwalithi yempilo. Abantu abaningi abanesifo se-Moyamoya baphila impilo ezele, ephambili ngokunakekelwa kwezokwelapha okufanele nokuphathwa kwesitayela sempilo.

Ukusebenza eduze neqembu lokunakekelwa kwezokwelapha eliqeqeshwe ekwelapheni ubuthi be-Moyamoya kubalulekile. Lokhu ngokuvamile kubandakanya ochwepheshe bezinto eziphathelene ne-neurology, ochwepheshe bezinto eziphathelene ne-neurosurgery, nabanye ochwepheshe abangase bahlanganise ukunakekelwa kwakho futhi bakusize uhambe izinqumo zokwelashwa.

Unganqikazi ukufuna ukusekelwa ezinhlanganweni zabaguli, amaqembu okusekela, noma izinsizakalo zokwelulekwa. Ukuphila nesimo esingapheli akupheli impilo yakho nje kuphela kodwa futhi nempilo yakho yengqondo nobuhlobo.

Khumbula ukuthi isipiliyoni sabo bonke abantu besifo se-Moyamoya sihlukile. Lokho okusebenza komunye umuntu kungase kungabi yindlela engcono komunye umuntu, ngakho kubalulekile ukusebenza nodokotela wakho ukuze wenze uhlelo lokwelashwa oluqondene nezidingo zakho nezimo zakho ezithile.

Imibuzo evamile ebuzwa ngesifo se-Moyamoya

Q1: Ingabe ubuthi be-Moyamoya buyafa?

Ubuthi be-Moyamoya bunengxenye ye-genetic, kodwa akuyona into eyafa ngokuphelele ngendlela evamile. Cishe i-10-15% yezimo ziyaqhubeka emindenini, futhi ukuguqulwa okuqondile kwe-gene njenge-RNF213 kukhuphula ingozi. Nokho, ukuba nokuguqulwa kwe-genetic akusho ukuthi uzophulaphula lesi sifo. Uma unemlando womndeni, ukwelulekwa kwe-genetic kungakusiza uqonde ingozi yakho futhi wenze izinqumo ezilwemi ngokuhlola.

Q2: Ingabe izingane zingakwazi ukukhula ngesifo se-Moyamoya?

Izingane azikwazi ukukhula ngesifo se-Moyamoya njengoba kuyisimo esithuthuka esivame ukuba sibi ngokuhamba kwesikhathi ngaphandle kokwelashwa. Kodwa-ke, ngokunakekelwa kwezokwelapha okufanele nokungenelela kokusebenza lapho kudingeka, izingane zingaba nemiphumela emihle futhi ziphile impilo evamile. Ukwelashwa kwangaphambi kwesikhathi kubalulekile kakhulu ezinganeni ukuvimbela ukubambezeleka ekuthuthukiseni nezinkinga zokufunda ezingase ziphumelele ngenxa ye-strokes encane ephindaphindayo.

Q3: Ungaphila isikhathi esingakanani unesifo se-Moyamoya?

Ngokwelashwa okufanele, abantu abaningi abanesifo se-Moyamoya banethuba lokuphila elivamile noma elifana nevamile. Okubalulekile ukuxilongwa kwangaphambi kwesikhathi nokungenelela okufanele, okungavimbela izinhlanganisela ezinkulu ezifana ne-strokes ezingase zifinyeze impilo. Ukukhathalelwa okuqhubekayo nokubambelela ezincomeneni zokwelashwa kubalulekile ekuqinisweni kwemiphumela emihle yesikhathi eside.

Q4: Ingabe ukukhulelwa kungathinta ubuthi be-Moyamoya?

Ukukhulelwa kungase kwenze ubuthi be-Moyamoya bube sibi ngenxa yokwanda kwegazi nokucindezeleka kwe-cardiovascular. Abafazi abanesifo se-Moyamoya kufanele basebenze eduze nodokotela wabo we-neurologist nodokotela wabo we-obstetrician ngesikhathi sohlelo lokukhulelwa naphakathi kokukhulelwa. Ngokulandelela ngokucophelela nezinye izinyathelo, abafazi abaningi abanesifo se-Moyamoya bangaba nokukhulelwa okuphumelelayo, yize ingozi yezinhlanganisela iphakeme kunabafazi abangenalo isimo.

Q5: Yiziphi izinguquko zesitayela sempilo engizenzayo ngemuva kokuxilongwa ngesifo se-Moyamoya?

Gxilisa ekuqinisweni kwempilo yonke ngokuzivocavoca okuvamile okufanele isimo sakho, ukugcina umzimba uqinisile, ukuphatha ukucindezeleka ngokuphumelelayo, nokulala okwanele. Gwema imisebenzi engase ibonise izimpawu, njengomzamo womzimba onzima noma ukuphefumula okukhulu. Ungabhemi, njengoba kungase kwenze izinkinga zezinsimbi zegazi zibe zimbi. Sebenza nodokotela wakho ukuze wenze uhlelo oluqondene nezimpawu zakho nezidingo zokwelashwa.