Fibromuscular Dysplasia

Zvemukati

• Ndezvipi zviratidzo nezviratidzo?
• Chii chinokonzera?
• Majini
• Mahormone
• Tsinga dzisina kujairika
• Ndiani anozviwana?
• Inoonekwa sei?
• Inorapwa sei?
• Percutaneous transluminal angioplasty
• Kuvhiya
• Inobata sei tarisiro yeupenyu?

Chii chinonzi fibromuscular dysplasia?

Fibromuscular dysplasia (FMD) mamiriro anoita kuti mamwe maseru akure mukati memadziro etsinga. Tsinga imidziyo yeropa inotakura ropa kubva pamoyo wako kuenda kune imwe muviri wako wese. Iko kuwedzera kwemasero kukura kunodzora tsinga, zvichibvumira ropa shoma kuyerera nepakati payo. Izvo zvinogona zvakare kutungamira kune mabhuru (aneurysms) uye misodzi (dissection) mune tsinga.

FMD inowanzo bata arteri epakati arteri anopa ropa kune:

• itsvo (itsvo tsinga)
• uropi (carotid arteries)
• dumbu kana ura (mesenteric arteri)
• maoko nemakumbo

Kuderedza kuyerera kweropa kunhengo idzi kunogona kukonzera kukuvara zvachose.

FMD inokanganisa pakati pe1 muzana uye 5 muzana yevaAmerican. Inenge chikamu chimwe muzvitatu chevanhu vane chirwere ichi vanacho mune inopfuura tsinga imwe.

Ndezvipi zviratidzo nezviratidzo?

FMD haiwanzo kukonzera zviratidzo. Kana zvikaitika, zviratidzo zvinoenderana nenhengo dzinokanganiswa.

Zviratidzo zvekuderedzwa kweropa kuyerera kune itsvo zvinosanganisira:

• kurwadziwa kwepadivi
• BP
• shrinkage yeitsvo
• itsvo isina kujairika inoshanda kana ichiyerwa nekuongororwa kweropa

Zviratidzo zvekuderedzwa kweropa kuyerera kunosanganisira:

• musoro
• dzungu
• kurwadziwa kwemutsipa
• kurira kana swooshing kurira munzeve
• maziso anodonha
• vasina kuenzana vadzidzi
• Kurohwa kana kushumirwa

Zviratidzo zvekuderedzwa kweropa kuyerera mudumbu zvinosanganisira:

• kurwadziwa mudumbu mushure mekudya
• kusanzwisisika kuonda

Zviratidzo zvekuderedzwa kweropa kuyerera mumaoko nemakumbo zvinosanganisira:

• kurwadziwa kunhengo yakakanganiswa kana uchifamba kana kumhanya
• kushaya simba kana chiveve
• tembiricha kana shanduko yemuvara panhengo yakakanganiswa

Chii chinokonzera?

Vanachiremba havana chokwadi kuti chii chinokonzera FMD. Nekudaro, vaongorori vakagadzirisa pane dzidziso nhatu huru:

Majini

Vanenge gumi muzana yezviitiko zveFMD zvinoitika mumitezo yemhuri imwechete, zvichiratidza kuti genetics inogona kutora chinzvimbo. Nekudaro, nekuda kwekuti mubereki wako kana hama yako ine mamiriro hazvireve kuti iwe uchaiwana. Uye zvakare, nhengo dzemhuri dzinogona kuve neFMD inobata tsinga dzakasiyana.

Mahormone

Vakadzi vane mikana mitatu kana mina yekuwana FMD kupfuura varume, izvo zvinoratidza kuti mahormone echikadzi anogona kuve achibatanidzwa. Zvisinei, kumwe kutsvagurudza kunodiwa kuratidza izvi.

Tsinga dzisina kujairika

Kushaikwa kwe okisijeni kune arteri pavanenge vachigadzira kunogona kuita kuti vakure zvisina kujairika, zvichitungamira kudzikira kweropa kuyerera.

Ndiani anozviwana?

Kunyange hazvo chaicho chikonzero cheFMD chisingazivikanwe, pane zvishoma zvinhu zvinogona kuwedzera mukana wako wekukudziridza. Izvi zvinosanganisira:

• kuva mukadzi ari pasi pemakore makumi mashanu
• kuva nenhengo yemhuri imwe kana dzinopfuura dzine mamiriro acho
• kusvuta

Inoonekwa sei?

Chiremba wako anogona kufungidzira kuti une FMD mushure mekunzwa swooshing kurira kana uchiteerera kune yako arteri ine stethoscope. Mukuwedzera pakuongorora zvimwe zviratidzo, vangangoshandisa bvunzo yekufungidzira kuti usimbise kuongororwa kwako.

Kufungidzira bvunzo dzinoshandiswa kuongorora FMD dzinosanganisira:

• Duplex (Doppler) Ultrasound. Muedzo uyu unoshandisa mafungu epamusoro-frequency kurira uye komputa kugadzira mifananidzo yemidzi yako yeropa. Inogona kuratidza kuti ropa riri kuyerera mushe sei mutsinga dzako.
• Magnetic resonance angiography. Muedzo uyu unoshandisa magetsi ane simba nemasaisai eredhiyo kugadzira mifananidzo yetsinga dzako dzeropa.
• Yakanyorwa tomography angiography. Bvunzo iyi inoshandisa X-ray uye dhayi yekusiyanisa kuti ibudise mifananidzo yakajeka yemidziyo yako yeropa.
• Arteriography. Kana bvunzo dzisingasviki dzisingakwanise kusimbisa kuongororwa, ungangoda arteriogram. Iyi bvunzo inoshandisa musiyano dhayi yakajowa kuburikidza netambo yakaiswa mune yako kugomera kana iyo yakakanganiswa chikamu chemuviri wako. Ipapo, maX-ray anotorwa mumidziyo yako yeropa.

Inorapwa sei?

Iko hakuna mushonga weFMD, asi iwe unogona kuzvibata. Kurapa kunogona kubatsira iwe kubata zviratidzo zvako uye kudzivirira kunetseka kwechirwere.

Vanhu vazhinji vanowana imwe nhanho yekusunungurwa kubva kumushonga weropa, kusanganisira:

• angiotensin II receptor blockers: candesartan (Atacand), irbesartan (Avapro), losartan (Cozaar), valsartan (Diovan)
• angiotensin-inoshandura enzyme inhibitors (ACE inhibitors): benazepril (Lotensin), enalapril (Vasotec), lisinopril (Prinvil, Zestril)
• beta–blockers: atenolol (Tenormin), metoprolol (Lopressor, Toprol-XL)
• calcium chiteshi blockers: amlodipine (Norvasc), nifedipine (Adalat CC, Afeditab CR, Procardia)

Ungangoda zvakare kutora machena eropa, akadai saasipurini, kudzivirira kugwamba kweropa. Izvi zvinoita kuti zvive nyore kuti ropa ripfuure nepakati tsinga dzakamanikana.

Zvimwe zvekurapa sarudzo zvinosanganisira:

Percutaneous transluminal angioplasty

Chubhu mutete inonzi catheter ine chibharumu kune rimwe divi inosungirirwa mutsinga yakatetepa. Ipapo, chibharumu chinozadzwa kuti arteri ivhure.

Kuvhiya

Kana iwe uine yakavharika mune yako arteri, kana yako arteri yakanyanya kutetepa, ungangoda kuvhiyiwa kuti uigadzirise. Chiremba wako anovhiya anogona kubvisa chikamu chakavharika chetsinga yako kana kudzosera reropa kuyerera kwakatenderedza.

Inobata sei tarisiro yeupenyu?

FMD inowanzo kuve hupenyu-hwakareba mamiriro. Zvisinei, vatsvakurudzi havana kuwana chero humwe uchapupu hwokuti hunoderedza hupenyu hwehupenyu, uye vanhu vazhinji vane FMD vanorarama zvakanaka mumakore avo makumi masere nemakumi mapfumbamwe.

Shanda nachiremba wako kuti uwane nzira yakanakisa yekugadzirisa zviratidzo zvako, uye ita shuwa yekuvaudza kana iwe ukaona chero zviratidzo zvitsva, zvinosanganisira:

• maonero anochinja
• matauriro anochinja
• shanduko dzisina kutsanangurwa mumaoko ako kana makumbo