

Health Library
October 10, 2025
Question on this topic? Get an instant answer from August.
Ubuthakathaka bezingxenyekazi ezincane zegazi buthinta izingxenyekazi ezincane zegazi ebuchosheni bakho, okwenza kube nzima ukuba i-oksijini nezondlo zifinyelele ezingxenyeni zebuchosha. Lesi simo esivamile sikhula lapho lezi zingxenyekazi ezincane zilimale noma ziqine, ngokuvamile njengengxenye yendlela yokuguga noma ngenxa yezinye izinto eziphathelene nempilo.
Ungase uzwe amagama afana "nosizi oluyimfucumfucu" noma "usizi lwe-microvascular" - lawa ngokuvamile abhekisela esimweni esifanayo. Nakuba kuzwakala kukhathazayo, ubuthakathaka bezingxenyekazi ezincane buvamile kakhulu, ikakhulukazi ngemuva kweminyaka engama-60, futhi abantu abaningi baphila impilo egcwele, esebenzayo ngenkathi beluphatha kahle.
Ubuthakathaka bezingxenyekazi ezincane zegazi kwenzeka lapho izingxenyekazi ezincane kakhulu zegazi ebuchosheni bakho zilimale noma zingasebenzi kahle njengoba kufanele. Lezi zingxenyekazi zincane kangangokuba uzodinga i-microscope ukuze uzibone ngokucacile, kodwa zidlalela indima enkulu ekugcineni ubuchosha bakho buphilile.
Cabanga ngokunikezwa kwegazi ebuchosheni bakho njengomuthi - izingxenyekazi ezinkulu yizimpande namagatsha amakulu, kuyilapho izingxenyekazi ezincane zifana namagatsha amancane kakhulu ahambisa izondlo kuwo wonke amaqabunga. Lapho lezi zingxenyekazi ezincane zilwa, izingxenye zezingxenye zebuchosha bakho zingase zingatholi i-oksijini nezondlo ezidingekayo ukuze zisebenze kahle.
Lesi simo ngokuvamile sibonakala ku-scan yengqondo njengezindawo ezincane, ezicwebezelayo ebizwa ngokuthi "izindawo ezicwebezelayo ezimhlophe" noma "leukoaraiosis." Lezi zindawo zimelela izindawo lapho izingxenye zebuchosha zithinteke khona ukunciphisa ukugcwala kwegazi ngokuhamba kwesikhathi.
Ubuthakathaka bezingxenyekazi ezincane zegazi ngokuvamile bukhula kancane kancane, futhi abantu abaningi ababonisi izimpawu ezigabeni zokuqala. Lapho izimpawu zivele, zingase zibe zinobukhulu futhi zididaniswe nokuguga okuvamile noma ukucindezeleka.
Izimpawu ezivamile ongazihlangabezana nazo zihlanganisa:
Abanye abantu bangase babe nezimpawu ezibonakalayo kakhulu njengobunqunu obuthambile ohlangothini olulodwa lomzimba noma ukushintsha okuncane ekuphumeni kwamazwi. Noma kunjalo, lezi zimpawu zikhula kancane kancane izinyanga noma iminyaka, hhayi ngokuzumayo njengokuqhuma.
Kubalulekile ukukhumbula ukuthi ukuba nezinye zalezi zimpawu akusho ukuthi ubuthakathaka bezingxenyekazi ezincane. Izimo eziningi zingabangela izinkinga ezifanayo, kungakho ukwelashwa kwemithi kubalulekile.
Ubuthakathaka bezingxenyekazi ezincane zegazi ngokuvamile bukhula lapho izindonga zezingxenyekazi ezincane zegazi ebuchosheni ziqina noma zilimale ngokuhamba kwesikhathi. Lo mkhuba ukhula kancane kancane futhi ungathonywa yizinto eziningi ezihlangene.
Izimbangela ezivamile zihlanganisa:
Izimbangela ezingavamile zingase zihlanganise izimo ezithile zezakhiwo, izifo ze-autoimmune, noma izifo ezimuncu ezivame ukuhlasela izingxenyekazi ezincane zegazi. Abanye abantu bangase bathuthukise ubuthakathaka bezingxenyekazi ezincane ngaphandle kwezinto eziphathelene nezingozi ezicacile, ikakhulukazi njengoba bekhula.
Into ebalulekile okumele uyiqonde ukuthi ubuthakathaka bezingxenyekazi ezincane zegazi ngokuvamile buvela eminyakeni yemikhawulo eyancane kunesenzakalo esisodwa. Lokhu futhi kusho ukuthi ukuphatha izimbangela eziyisisekelo kungasiza ukunciphisa noma ukuvimbela umonakalo owengeziwe.
Kufanele ucabangele ukukhuluma nodokotela wakho uma uqaphela ukushintsha okuqhubekayo ekucabangeni kwakho, ekukhumbuleni, noma ekusebenzeni kwakho kwansuku zonke okukukhathazayo noma okukhathazayo amalungu omndeni wakho. Nakuba ukushintsha okuthile kokucinga kuyinto evamile ngokuguga, ukushintsha okukhulu noma okusheshayo kudinga ukunakekelwa kwemithi.
Hlela i-aphoyintimenti uma uhlangabezana nezinkinga eziqhubekayo ngekhono lokukhumbula, ukugxila, noma ukuthola amagama ahlanganisa umsebenzi wakho noma imisebenzi yakho yansuku zonke. Ukushintsha ekuhambeni, ekuqondeni, noma ekuhlanganiseni okwandisa ingozi yakho yokwehla kubalulekile ukuxoxa nodokotela wakho.
Funani ukunakekelwa kwemithi ngokushesha uma une-onset ezumayo yokudideka, ubunqunu, izinkinga zokukhuluma, noma izikhathi ezinzima zentloko. Nakuba lezi zimpawu zingavamile ebuthakathakeni bezingxenyekazi ezincane zegazi, zingase zibonise ezinye izimo ezinkulu njengokuqhuma okudinga ukwelashwa ngokushesha.
Ungangabazi ukukhuluma ngezinkinga mayelana nokushintsha kwesimo sengqondo, ikakhulukazi ukudabuka okuqhubekayo noma ukukhathazeka, njengoba lokhu kungahlobana nobuthakathaka bezingxenyekazi ezincane zegazi futhi kuphatheka kakhulu ngenakekelwa efanele.
Ukuqonda izinto eziphathelene nezingozi zakho kungakusiza uthathe izinyathelo zokuvikela impilo yengqondo yakho. Ezinye izinto awukwazi ukuzishintsha, kuyilapho ezinye zilawulwa ukuze ziphathwe noma zishintshwe.
Izinto eziphathelene nezingozi ongenakuzishintsha zihlanganisa:
Izinto eziphathelene nezingozi ongazithonya zihlanganisa:
Izindaba ezinhle ukuthi ukuphatha lezi zinto eziphathelene nezingozi eziwulawulekayo kunganciphisa kakhulu amathuba akho okukhula ubuthakathaka bezingxenyekazi ezincane zegazi noma ukunciphisa ukuqhubeka kwalo uma usuvele unalo.
Nakuba ubuthakathaka bezingxenyekazi ezincane zegazi buqhubeka kancane kancane kubantu abaningi, bungase buhole ezinhlanganisela ezinkulu ngokuhamba kwesikhathi uma zishiywe zingaphathwa. Ukuqonda lezi zinto ezingaba khona kungakusiza uhlale ukhuthele ukulandela uhlelo lwakho lokwelashwa.
Izinhlanganisela ezivamile zihlanganisa:
Ezimweni ezinkulu, abanye abantu bangase bathuthukise lokho odokotela abakubiza ngokuthi "i-vascular Parkinsonism," engabangela izinkinga zokunyakaza ezifanayo ne-Parkinson's disease. Abanye bangase babe nokwehla okukhulu kokucinga okuthinta ikhono labo lokusebenza noma ukulawula izindaba zabo.
Noma kunjalo, kubalulekile ukukhumbula ukuthi abantu abaningi abanobuthakathaka bezingxenyekazi ezincane zegazi abazithuthukisi izinhlanganisela ezinkulu, ikakhulukazi lapho bethola ukwelashwa okufanele futhi balawula izinto eziphathelene nezingozi kahle. Ukutholakala kwangaphambi kwesikhathi nokukhathalela okuhle kwemithi kungenza umehluko omkhulu emiphumeleni.
Indlela engcono kakhulu yokuvimbela ubuthakathaka bezingxenyekazi ezincane zegazi igxile ekugcineni izingxenyekazi zegazi ziphilile kulo lonke impilo yakho. Izindlela eziningi ezifanayo ezivikela inhliziyo yakho zivikela futhi izingxenyekazi ezincane ebuchosheni bakho.
Izindlela eziyisisekelo zokuvimbela zihlanganisa:
Ukuvuselelwa kwengqondo ngokufunda, imidlalo, imisebenzi yokuxhumana nabantu, nokufunda amakhono amasha kungase futhi kusize ekugcineni impilo yengqondo. Ukubhekwa njalo kwemithi kuvumela udokotela wakho ukuba alandelele futhi aphathe izinto eziphathelene nezingozi ngaphambi kokuba zibangele umonakalo omkhulu wezingxenyekazi.
Nakuba ungakwazi ukuvimbela zonke izimo zokuthakathaka kwezingxenyekazi ezincane zegazi, ikakhulukazi lezo ezihlobene nokuguga, lezi zindlela zokuphila zinganciphisa kakhulu ingozi yakho futhi zinciphisa ukuqhubeka kwalo uma lesi simo sikhula.
Ukuthola ubuthakathaka bezingxenyekazi ezincane zegazi ngokuvamile kuhilela ukubuka izithombe zengqondo, ngokuvamile i-MRI scan, engabonisa ukushintsha okuvamile ezingxenyeni zebuchosha. Udokotela wakho uzobheka izindawo ezincane, ezicwebezelayo ku-scan ebonisa izindawo lapho izingxenyekazi ezincane zilimale khona.
Inqubo yokutholakala ngokuvamile iqala ngodokotela wakho ebuza ngezimpawu zakho nomlando wakho wezokwelapha. Bazofuna ukwazi nganoma yiziphi izinkinga ngekhono lokukhumbula, ukucabanga, ukuhamba, noma ukushintsha kwesimo sengqondo oqaphele.
Izivivinyo ezivamile zihlanganisa:
Ngezinye izikhathi udokotela wakho angase acele ukuhlolwa kwe-neuropsychological, okuhilela ukuhlolwa okuningiliziwe kwamakhono okucabanga ahlukene. Lokhu kungasiza ekuqondeni ukuthi ubuthakathaka bezingxenyekazi ezincane zegazi buthinta kangakanani ukusebenza kwakho kwansuku zonke.
Inqubo yokutholakala ihlose ukukhipha ezinye izimo ezingase zibangele izimpawu ezifanayo nokuthola noma yiziphi izimbangela eziyisisekelo ezilawulekayo ezinikezela ekubulaleni izingxenyekazi.
Ukwelashwa kokuthakathaka kwezingxenyekazi ezincane zegazi kugxile ekulawuleni izimo eziyisisekelo ezinikezela ekubulaleni izingxenyekazi zegazi nokuvimbela ukuqhubeka kwalo. Nakuba singakwazi ukubuyisela umonakalo okhona, ngokuvamile singanciphisa noma siyeke ukulimala kwezingxenyekazi ezingeziwe.
Izindlela eziyisisekelo zokwelapha zihlanganisa:
Udokotela wakho angase abele imithi ngokukhethekile yezimpawu zokucinga kwezinye izimo. Noma kunjalo, ukwelashwa okubaluleke kakhulu yilokho okulungisa izimbangela eziyisisekelo zokubulala izingxenyekazi.
Ukwelashwa okungeyona imithi kubaluleke kakhulu futhi kuhlanganisa ukuzivocavoca njalo, ukushintsha kokudla, izinhlelo zokuyeka ukubhema, nokwelashwa kokuvuselela ingqondo. Abanye abantu bazuza ekuqeqeshweni komzimba ukuze basize ngezinkinga zokulinganisela nokuhamba.
Izinhlelo zokwelapha zihluke kakhulu ngokusekelwe ezimpawu zakho ezithile, impilo yakho yonke, nezinye izimo zezokwelapha. Ukulandelela njalo neqembu lakho lezempilo kuqinisekisa ukuthi ukwelashwa kusebenza kahle.
Ukulawula ubuthakathaka bezingxenyekazi ezincane zegazi ekhaya kuhilela imikhuba yansuku zonke esekela impilo yezingxenyekazi zegazi nomsebenzi webuchosha jikelele. Lezi zindlela zisebenza kanye nokwelashwa kwakho kwemithi ukuze zikusize uzizwe futhi usebenze kangcono.
Izindlela zokulawula zansuku zonke zihlanganisa:
Ukuphepha ekhaya kungase kuhlanganise ukususa izingozi zokuwa, ukuthuthukisa ukukhanya, nokuhlela imithi ku-pill organizer. Abanye abantu bathola kuwusizo ukusebenzisa izinto zokusiza ukukhumbula njengezikhalenda, uhlu, noma izikhumbuzo ze-smartphone.
Gcina ulandelela noma yikuphi ukushintsha ezimpawu zakho futhi ubikisele udokotela wakho. Ukuzivocavoca njalo, ngisho nemisebenzi ebuthakathaka njengokuhamba noma ukubhukuda, kungathuthukisa kakhulu umsebenzi womzimba nengqondo.
Ukulungiselela i-aphoyintimenti yakho kuqinisekisa ukuthi uthola okuningi ngesikhathi sakho nodokotela wakho. Letha uhlu lwemithi yakho yonke yamanje, kufaka phakathi imithi yokuthengwa ngaphandle komthetho kanye nezinye izinto ezengeziwe.
Ngaphambi kokuya kwakho, bhala phansi:
Cabanga ukuletha ilungu lomndeni noma umngane ongakusiza ukukhumbula ulwazi oluxoxwe ngesikhathi se-aphoyintimenti. Bangase futhi banikeze ulwazi oluwusizo mayelana nokushintsha abakuqaphele ekucabangeni kwakho noma ekuziphatheni kwakho.
Ungangabazi ukucela incazelo uma ungaqondi lutho. Cela ulwazi olubhaliwe mayelana nesimo sakho noma uhlelo lwakho lokwelashwa uma kuwusizo. Iqembu lakho lezempilo lifuna ukuqinisekisa ukuthi uzizwa uqinisekile ngokulawula isimo sakho.
Ubuthakathaka bezingxenyekazi ezincane zegazi yisimo esivamile esithinta izingxenyekazi ezincane zegazi ebuchosheni bakho, ngokuvamile sikhula kancane kancane njengengxenye yokuguga noma ngenxa yezimo ezinjengokuqina kwegazi ne-diabetes. Nakuba kungabangela izimpawu ezinjengokukhumbula izinkinga, ubunzima bokuhlanganisa, nezinkinga zokuhamba, abantu abaningi baluphatha ngempumelelo ngenakekelwa efanele yemithi.
Into ebaluleke kakhulu okumele uyikhumbule ukuthi ukutholakala kwangaphambi kwesikhathi nokulawulwa okuhle kwezinto eziphathelene nezingozi kunganciphisa kakhulu ukuqhubeka kokuthakathaka kwezingxenyekazi ezincane zegazi. Ukulawula ukuqina kwegazi, ukulawula i-diabetes, ukuhlala usebenza ngokomzimba, nokulandela uhlelo lwakho lokwelapha yizikhali zakho ezinamandla kakhulu.
Awunamandla ngaleli simo. Abantu abaningi abanobuthakathaka bezingxenyekazi ezincane zegazi baqhubeka bephila impilo egcwele, ezazimele ngokusebenzisana eduze neqembu labo lezempilo nokwenza izinqumo zokuphila ezisekelwe empilweni yengqondo.
Ubuthakathaka bezingxenyekazi ezincane zegazi bungase buhlanganyele e-vascular dementia ngokuhamba kwesikhathi, kodwa lokhu akuwenzeki kuwo wonke umuntu onalesi simo. Ngokwelashwa okufanele nokulawulwa kokuphila, abantu abaningi bagcina umsebenzi omuhle wokucinga iminyaka eminingi. Ukungenelela kwangaphambi kwesikhathi nokulawula izinto eziphathelene nezingozi ezinjengokuqina kwegazi kunciphisa kakhulu ingozi yokukhula i-dementia.
Ubuthakathaka bezingxenyekazi ezincane zegazi buhlukile ekuqhumeni okuvamile, nakuba bungase bukhulisa ingozi yokuqhuma. Nakuba ukuqhuma ngokuvamile kwenzeka ngokuzumayo lapho ingxenyekazi enkulu yegazi ivinjelwe, ubuthakathaka bezingxenyekazi ezincane zegazi bukhula kancane kancane eminyakeni eminingi. Noma kunjalo, abantu abanobuthakathaka bezingxenyekazi ezincane zegazi bangase babe nokuqhuma okuncane "okuthulile" okubangela izimpawu ezincane ngokushesha kodwa kuhlanganyela ekushintsheni kwengqondo jikelele.
Abantu abaningi abanobuthakathaka bezingxenyekazi ezincane zegazi baqhubeka beqhuba ngokuphepha iminyaka eminingi. Isinqumo siyancika ezimpawu zakho ezithile nendlela ezithinta ngayo isikhathi sakho sokuphendula, umbono, nokwahlulela. Udokotela wakho angakusiza ukuhlola ukuphepha kwakho kokushayela futhi angase ancome ukuhlolwa okuqhubekayo. Abanye abantu bazuza ezifundweni zokushayela ezivuselelayo noma ukulinganisela ukushayela ezindleleni ezijwayelekile emini.
Yebo, ukuzivocavoca njalo kungenye yezindlela ezinhle kakhulu zokwelapha ubuthakathaka bezingxenyekazi ezincane zegazi. Ukuzivocavoca komzimba kuthuthukisa ukugcwala kwegazi ebuchosheni, kusiza ekulawuleni ukuqina kwegazi ne-diabetes, futhi kungase kusize ekukhuleni kwezingxenyekazi ezincane ezintsha. Ngisho nemisebenzi ebuthakathaka njengokuhamba imizuzu engama-30 nsuku zonke kungenza umehluko omkhulu ezimpawu zakho nasempilweni yakho yonke yengqondo.
Ubuthakathaka bezingxenyekazi ezincane zegazi ngokuvamile bukhula kancane kancane eminyakeni eminingi, futhi izinga liyahluka kakhulu phakathi kwabantu. Abanye abantu babonisa ukuqhubeka okuncane iminyaka eminingi, kuyilapho abanye bengase baqaphele ukushintsha okuningi eminyakeni embalwa. Ukulawulwa okuhle kwezinto eziphathelene nezingozi ezinjengokuqina kwegazi ne-diabetes kunganciphisa kakhulu ukuqhubeka. Ukulandelela njalo nodokotela wakho kusiza ekuqapheleni noma yikuphi ukushintsha nokulungisa ukwelashwa uma kudingeka.
6Mpeople
Get clear medical guidance
on symptoms, medications, and lab reports.