Izingozi Ezihlobene Nezifo Ze-Gum, Izifo Zenhliziyo Ne-Stroke
Isifo se-Gum sikhona cishe abangaba ngu-75% baseMelika, futhi abaningi abaqapheli ukuthi izici ezingozi ezihlobene nokukhathazeka okukhulu kwezempilo ezifana nesifo senhliziyo nokushaywa yisifo ziye zahlotshaniswa nesifo sezinsini .
Isifo senhliziyo
Kunezinhlobo ezihlukahlukene zesifo senhliziyo, bonke abanezici ezihlukahlukene eziyingozi.
Abacwaningi bathole ukuthi abantu abanesifo sezinsini cishe cishe kabili abahluphekile ngenxa yesifo se-coronary artery.
Lolu hlobo lwesifo senhliziyo lwenzeka lapho ama- plaque (ama-deposits amafutha, i-cholesterol, i-calcium nezinye izinto ezibonakalayo) efomeni ezindongeni ze-coronary arteries, okwenza izindonga zibe zikhulu kakhulu. Lokhu kungenza kube nzima ukuba igazi ligeleza, limise inani le-oksijeni nezakhi ezidingekayo ekusebenzeni kahle kwenhliziyo.
Enye inkolelo ibonisa ukuthi amabhaktheriya avela ku-gum isifo sangena emgodleni wegazi futhi axhuma emaceleni emithanjeni ye-coronary, okungenzeka ibe negalelo ekwakheni ama-clots wegazi. Ama-bacterium emlonyeni angena kanjani igazi? Esinye sezibonakaliso zokuqala zesifo se-gum abantu abaningi bayazibona izinsini eziphaphayo, ikakhulukazi uma zixubha futhi zishaya. Lapho izicubu ze-gum zisengozini, amabhaktheriya akwazi ukungena egazini ngqo emlonyeni. Isifo se-Gum senza ukuvuvukala kwamathisamu e-gum, esinye isibonakaliso esibonakalayo sokutheleleka ngomlomo. Imikhombandlela yokuxhumanisa isifo segum nesifo senhliziyo komunye nomunye ukuphawula ukuxhumana okukhona phakathi kokuvuvukala kwezinsini nokukhiqizwa okwenyuka kwe-plaque engokwemvelo.
Ukuvuvukala kwemibhobho kungase kuhlotshaniswe nalolu hlobo lokuphendula okuvuvukala.
Ukukhomba Isizathu
Abacwaningi baye bathola izifo ezinhlanu zomlomo ezihlobene nesifo sofu , okuthiwa i- Tannerella Forsynthesis ne- Preventella Intermedia , engase ihlotshwe nengozi eyengeziwe yokuhlaselwa yinhliziyo.
Nakuba lezi zinambuzane ziye zabonakala, ukutholakala kwalolu cwaningo kubonisa ukuthi inani eliphelele lama-bacterium - kungakhathaliseki uhlobo lwawo - linomthelela omkhulu empilweni yenhliziyo. Futhi yisinye isizathu sokuvimbela isifo segum kanye nenani lama-bacteria emlonyeni.
Izifo Zenhliziyo Ekhona
Iziguli ezinezifo zenhliziyo ezikhona zidinga ukulungiselela ama-aphoyintimenti wamazinyo ngokungafani nomuntu ojwayelekile. I-endocarditis yebhaktheriya iyisifo esithathelwanayo esithinta uhlaka lwenhliziyo futhi kuvame ukubangelwa uma amabhaktheriya engena egazini ngesikhathi sokuhlinzwa. Ngesikhathi ukwelashwa kwamazinyo, inyama ejwayelekile etholakala emlonyeni owaziwa ngokuthi iStptococcus Viridan ingangena egazini bese ihamba enhliziyweni. Lokhu kungabangela ukuguqulwa kwegazi le-clot elikwazi ukuhambela ebuchosheni, emaphashini, ezinso nasesipheni. Izimo zezokwelapha eziyingozi ezingase zibangele ekupheleni kwebhaktheriya zihlanganisa:
- Ama-blood clots ebuchosheni, izinso, amaphaphu, noma isisu
- Isibungu
- Ukulimala enhliziyweni, umonakalo we-valve ngokuqondile
- Ukushaya kwenhliziyo okungavamile kanye ne-fibrillation ejwayelekile
Amaphesenti angu-50 amabhaktheriya endocarditis amacala abangelwa Streptococcus Viridans .
Ama-antibiotic e-prophylactic, eyaziwa nangokuthi imishanguzo yangaphambili, inqunyelwe ukuvimbela i-endocarditis yebhakthi kubantu abane:
- Ama-valve yenhliziyo yokufakelwa, ama-shunative shunative, nama-conduits, nezinto eziphathekayo nezindlela zokusebenzisa ama-prosthetic namadivayisi asetshenziselwa ukulungisa ukukhubazeka kwenhliziyo okuzalwa
- Ukukhubazeka kwenhliziyo okubangelwa yi-congenital okwamanje kusukela ekuzalweni
- Umlando wangaphambili we-endocarditis egciwane
- Ukufakelwa kwe-cardiac okudala inkinga ku-valve yenhliziyo
Kubalulekile ukuthi noma yikuphi ukugula kwenhliziyo okwamanje noma kwangaphambilini kubikwa kudokotela wamazinyo ngaphambi kokuthola ukwelashwa kwamazinyo. Uma udokotela wamazinyo ezwa ukuthi udinga imishanguzo yangaphambili, uzonikezwa umuthi odokotela ngaphambi kokuqokwa ngokulandela imiyalelo eqinile yokusetshenziswa kwayo.
Isihluthulelo Sokufakelwa Ngempumelelo
Imithi efana nokuhlinzwa okufakelwayo, eyaziwa ngokuthi i- immunosuppressants , ingabangela i- xerostomia , isimo somlomo esibangela ukwehlisa ukugeleza kwamathe, ngaleyo ndlela kudala indawo eyomile emlonyeni.
Lokhu ukukhathazeka kwenhliziyo ukufakelwa iziguli ngoba umlomo owomile uyindawo ephelele yokuzalisa ukutheleleka ngomlomo. Ngokusho kwabacwaningi, ukuhluleka komzimba nokuguqulwa kwezifo kuhlotshaniswa njalo nokutheleleka kwe-viral esebenzayo okungenzeka kufana nalawo atholakalayo emlonyeni. Ngaphandle kwemithi, ukuhlanzeka okungcolile komlomo okubangelwa ukwakheka kwe-plaque kungase kubangele ukutheleleka komlomo, futhi, kwandisa ingozi yokulahlwa noma ukucindezeleka okukhulu.
Uma ingane idinga ukufakelwa, kunenkinga ehlukahlukene, ngenxa yokutheleleka ngomlomo. Izinkinga zesistimu zingathinta ukuthuthukiswa kwezinyo, okuholela ekuqothulweni koqweqwe lwawo , okungenzeka kuthinta ukwakheka kwamazinyo. Ngokufana nabantu abadala, imithi edingekayo ukusiza ukuvimbela isitho ukuba inganqatshwa, yakha imvelo efanayo eyomile emlonyeni wengane kanye nokutheleleka komlomo okufanayo. Isifo se-Gum, i- thrush yomlomo , i-herpes nezinhlobo ezihlukahlukene zobudlova zamabhaktheriya zonke zibalwe njengezifo ezithathelwanayo ezinezifo zesinama ezibhekwa njengento eqinile ezinganeni ezinamasosha omzimba athintekile.
Isibungu
I-stroke ihlukaniswa njengokuphazamiseka kokugeleza kwegazi kuya ebuchosheni. E-United States yodwa, othile uhlushwa isifo njalo ngemva kwemizuzwana engu-40.
Abacwaningi bathole ukuthi labo abatholakale benesifo se-ischemia esiyingozi kakhulu babengaphezu kokutheleleka ngomlomo, uma kuqhathaniswa nabanye abahlanganyeli ocwaningweni.
Ukuvimbela nokwelapha
Ukuvimbela isifo sofuba kufinyeleleka ngokushayela futhi ukushaywa kabili nsuku zonke, nokugcina ukuvakashelwa kwamazinyo okuhlolwa njalo kanye nokuhlanzwa kobuchwepheshe. Uma unemibuzo mayelana nesifo sofuba nokuxhumeka kwesifo senhliziyo nokushaya isisu, bhala i-aphoyintimenti nodokotela wamazinyo ukuze uhlole isimo sakho.
Imithombo:
I-ADAM Endocarditis Esulelekayo
I-ADAM Stroke
ADAM Stroke Secondary kuya ku-Atherosclerosis
I-American Academy ye-Periodontology. "Izifo Zama-Gum Zixhumanisa Nezifo Zenhliziyo Ne-Stroke"
I-Pussinen, i-Pirkko J. PhD; Ngaphandle, Georg PhD; Rissanen, uHarri MSc; I-Reunanen, i-Antti MD; Nokho, Sirkka DDS; Knekt, uPaul PhD. Ama-antibodies kuya kuma-Periodontal Pathogens kanye ne-Stroke Risk. Isibungu. 35 (9): 2020-2023 September 2004.
IYunivesithi eBuffalo. "Ibhethri Eyengeziwe Yomlomo, I-Higher Risk of Attack Heart, Isifundo se-UB sibonisa" ngo-Ephreli 1, 2009.
University of Southern California. Ukunakekelwa Ngomlomo Ngokhiye Wezinguquko Zomzimba Eziphumelelayo. Ngo-Ephreli 1, 2009.