So wo mogya ntini a ɛwɔ wo kɔn mu no asiw? Momma yɛnka Carotid Ultrasound ho asɛm!

So woate sɔhwɛ bi a wɔfrɛ no Carotid Ultrasound ho asɛm pɛn? Ebia wo duruyɛfo aka ho asɛm akyerɛ wo, anaasɛ ebia wopɛ sɛ wuhu ho asɛm kɛkɛ. Mma ɛnhaw wo, ɛyɛ sɔhwɛ a ɛyɛ mmerɛw yiye, ɛnyɛ yaw, na ɛho hia yiye. Enti, momma yɛnka ho asɛm nkɔ akyiri nnɛ, ɛnte saa?

Dɛn ne carotid ultrasound?

Sɛ yɛbɛka no tiawa a, carotid ultrasound yɛ sɔhwɛ a ɛhwɛ wo carotid ntini ahorow no mu . Saa mogya ntini yi wɔ wo kɔn no afã abien no nyinaa, na ɛde mogya kɔ w’amemene mu . Enti wubetumi asusuw sɛnea ɛho hia sɛ woma ntini ahorow yi nya apɔwmuden no ho.

Saa sɔhwɛ yi de nnyigyei asorɔkye di dwuma de twa wo mogya ntini no mu mfonini. Ɛte sɛ ultrasound scan a wɔde hwɛ mmea a wɔyem, nanso wɔyɛ no wo kɔn so. Ɛsan nso de mfiridwuma bi a wɔfrɛ no Doppler ultrasound di dwuma . Etumi hu sɛnea mogya fa wo mogya ntini mu yiye ne sɛnea ɛkɔ ntɛmntɛm no. So ɛnyɛ nwonwa?

Bere bɛn na sɔhwɛ yi ho hia?

Oduruyɛfo bɛpɛ sɛ ɔyɛ saa carotid ultrasound nhwehwɛmu yi titiriw de hwɛ sɛ mogya a ɛtɔ anaa srade (plaque) wɔ wo carotid ntini mu anaa. Saa srade a ɛwɔ hɔ yi te sɛ nkannare a ɛwɔ nsu paipu mu. Bere kɔ so no, eyinom betumi ayɛ kɛse na asiw mogya ntini no ano. Sɛ eyi ba a, mogya dodow a ɛkɔ amemene no mu no betumi atew, na ɛde tebea a ɛyɛ hu te sɛ ɔyare a ɛma obi hwe ase aba .

Fa no sɛ, eyi te sɛ nsu paipu bi a ɛwɔ wo turo mu a efĩ akɔhyɛ mu na ɛresiw nsu no kwan. Ɛno nti na ɛho hia sɛ yɛma saa nsu afiri yi ho tew.

Henanom na sɔhwɛ yi ho hia wɔn paa?

Wo duruyɛfo betumi akamfo nhwehwɛmu yi akyerɛ sɛ wowɔ tebea horow a edidi so yi mu biara a:

• Sɛ wɔayɛ wo oprehyɛn de ayi mogya ntini bi a asiw afi hɔ a.
• Sɛ wɔde stent ahyɛ carotid artery no mu a, hwɛ sɛ ɛreyɛ adwuma yiye anaa.
• Sɛ nhwehwɛmu bi a atwam da no adi sɛ mogya ntini no asiw kakra a, hwɛ so daa.
• Sɛ oduruyɛfo no te nnyigyei bi a ɛyɛ soronko (bruit) , te sɛ abɛn nnyigyei, bere a ɔde afiri a wɔde tie asɛm no to wo kɔn mu no.
• Sɛ wowɔ mogya mmoroso anaa srade a ɛdɔɔso a .
• Sɛ woadi kan anya akisikuru anaasɛ bere tiaa mu ischemic attack (TIA) , a ɛte sɛ mini-stroke na ne ho atɔ wo a.
• Sɛ woresiesie wo ho ama coronary artery bypass oprehyɛn a .
• Wo de ma woSɛ wowɔ asikreyare a.
• Sɛ obi a ɔwɔ w’abusua mu anya akisikuru anaa komayare a.
• Sɛ mogya a ɛyɛ kurukuruwa (hematoma) bi wɔ hɔ a wɔaboaboa ano wɔ kɔn no mu a.

Dɛn pɔtee na Doppler ultrasound hwehwɛ?

Sɛ nnuruyɛfo de Doppler mfiridwuma yi di dwuma a, wobetumi anya ntease pa wɔ:

• Ɔkwan bɛn so na mogya tu kɔ so?
• So biribi asiw anaa ayɛ teateaa wɔ mogya ntini no mu?
• Ɛtɔ mmere bi nso a, wotumi hu awosu mu nneɛma biara a ɛnteɛ anaasɛ akisikuru biara.

Hena na ɔyɛ carotid ultrasound nhwehwɛmu yi?

Mpɛn pii no, obi a ɔyɛ sonographer anaa ultrasound mfiridwuma ho nimdefo na ɔyɛ sɔhwɛ yi. Ɛtɔ mmere bi a, radiologist , oduruyɛfo a ɔhwehwɛ scan mfonini ahorow no mu nso betumi ayɛ nhwehwɛmu yi.

Ɔkwan bɛn so na sɔhwɛ yi yɛ adwuma? Ɛyɛ mmerɛw yiye!

Carotid ultrasound mfa mframa biara nni dwuma , enti asiane biara nni ho koraa. Sɛnea yɛadi kan aka no, ɛde nnyigyei asorɔkye na ɛyɛ wo carotid mogya ntini no mu mfonini.

Oduruyɛfo no de afiri ketewaa bi a wɔfrɛ no transducer (te sɛ scanner ketewaa bi a ɛhwɛ nneɛma bo a ɛwɔ sotɔɔ mu) di dwuma wɔ wo kɔn honam ani de mena nnyigyei asorɔkye yi. Sɛ saa nnyigyei asorɔkye yi bɔ mogya ntini no mu na ɛsan kɔ akyi a, wɔde nsɛm no kɔ kɔmputa so, na wɔyɛ no sɛ mfonini. Wobetumi akyere saa mfonini ahorow yi te sɛ video anaasɛ wɔde asie sɛ mfonini.

So ɛsɛ sɛ misiesie me ho pɔtee ansa na wɔayɛ sɔhwɛ no?

Dabi, enhia sɛ wusiesie wo ho saa. Nanso, ɛyɛ papa sɛ wobɛhyɛ atade a ɛyɛ mmerɛw na ɛyɛ fɛ a ɛnkata wo kɔn so . Sɛ w’atade no korɔn dodo wɔ wo kɔn ho a, ebia ebehia sɛ wohyɛ ayaresabea atade. Afei nso, sɛ wohyɛ kɔnmuade anaa asomuade , ɛyɛ papa sɛ wubeyi afi hɔ efisɛ ebetumi asiw sɔhwɛ no kwan.

Dɛn na wobɛhwɛ kwan wɔ sɔhwɛ da no?

Ɛsɛ sɛ woyɛ nhwehwɛmu yi wɔ wo duruyɛfo adwumayɛbea anaa ayaresabea. Mpɛn pii no sɔhwɛ no gye bɛyɛ simma 30 kosi 45 .

Dɛn na ɛba bere a wɔreyɛ sɔhwɛ no?

Nea edi kan no, oduruyɛfo anaa sonographer no de gel a ɛyɛ mmerɛw bɛhyɛ wo kɔn nkyɛnkyɛn . (Kae sɛ carotid ntini abien na ɛwɔ hɔ, biako wɔ wo kɔn no afã biara.) Ebia saa gel yi bɛte nka sɛ ɛyɛ hyew kakra. Wɔde saa gel yi gu so de boa ma nnyigyei asorɔkye no tu kwan kɔ transducer no ne wo mogya ntini ahorow ntam.

Ɛho hia paa sɛ worenkyinkyin bere a wɔreyɛ sɔhwɛ no. Eyi ne ɔkwan a wubetumi afa so anya mfonini ahorow a emu da hɔ.

Bere a woda mpa so no, oduruyɛfo no de transducer no si wo kɔn no afã abien no honam ani na mia so. Bere a nnyigyei asorɔkye a efi transducer no mu no tu fi mogya ntini no mu no, kɔmputa no de saa nsɛm no yɛ mfonini. Oduruyɛfo no de transducer no kɔ wo honam ani kɔ anim ne akyi kosi sɛ obenya mfonini ahorow a ohia nyinaa .

Worente saa nnyigyei asorɔkye yi. Nanso, sɛ ɛyɛ Doppler ultrasound a, ebia wobɛte "swish swish" nnyigyei te sɛ nsu a ɛsen fa nipadua no mu , a nnyigyei no nne sesa.

Dɛn na ɛba wɔ sɔhwɛ no akyi?

Sɛ wɔyɛ nhwehwɛmu no wie a, oduruyɛfo no bɛma wo mpopaho a wode bɛpopa gel a wɔde guu wo kɔn mu no . Ɛno akyi no, sɛ wohyɛ ayaresabea atade a, wubetumi asesa wo ntade. Sɛ woannya nea efii mu bae da koro no ara a, wubetumi akɔ fie. Wubetumi akɔ so ayɛ wo dwumadi ahorow a wotaa yɛ no .

So asiane bi wɔ eyi mu?

Asiane biara nni hɔ . Ebia wobɛte nhyɛso kakra nka bere a wode transducer no to wo kɔn so no, nanso ɛyaw biara nni mu koraa . Enti biribiara nni hɔ a enti ɛsɛ sɛ yesuro.

Nea afi mu aba no te dɛn? Dɛn na wɔkyerɛ?

Nea ebefi mu aba a wo duruyɛfo no benya no bɛma woahu sɛnea wo mogya ntini no ayɛ teateaa anaasɛ asiw. Wɔda eyi adi sɛ ɔha biara mu nkyem , anaasɛ 100 mu.

Dɛn ne nea efi mu ba a ɛfata?

Sɛ wunya nea ɛfata a, ɛkyerɛ sɛ wo carotid mogya ntini no nsiw anaasɛ ɛnyɛ teateaa. Ɛno yɛ asɛmpa!

Na sɛ biribi soronko bi fi mu ba nso ɛ?

Sɛ nea efi mu ba no nyɛ nea ɛfata a, ɛkyerɛ sɛ ebia wowɔ atherosclerosis , mogya a ɛtɔ, anaa ɔhaw foforo a ɛma mogya ntini no mu yɛ teateaa. Saa tebea yi ma asiane a ɛwɔ hɔ sɛ wubenya akisikuru no yɛ kɛse.

Ɔkwan bɛn so na wosi ayaresa ho gyinae?

Sɛ wowɔ srade (plaque) wɔ wo carotid ntini biako anaa abien no nyinaa mu, nanso nea asiw no nnu 50% (wɔ obi a ɔwɔ akisikuru ho sɛnkyerɛnne fam) anaasɛ ennu 60% (wɔ obi a onni akisikuru ho sɛnkyerɛnne fam) a, ebia wo duruyɛfo betu wo fo sɛ sesa w’aduan, teɛteɛ w’apɔw mu, na gyae tawa ho nneɛma a wode di dwuma .

Bio nso, oduruyɛfo no betumi akyerɛw nnuru te sɛ:

• Nnuru a wɔde bɛpete mogya a ɛtɔ (e.g. `Thrombolytics`) .
• Nnuru a wɔde siw mogya a ɛbɛtɔ ano (e.g. Aspirin anaa Clopidogrel) .
• Nnuru a ɛma mogya mu srade so tew (e.g., `Statins`) .
• Nnuru a wɔde brɛ mogya mmoroso ase (e.g. `Antihypertensives`) .

Nanso, sɛ nea asiw kwan no boro saa (50% anaa nea ɛboro saa ma obi a ɔwɔ akisikuru ho sɛnkyerɛnne, 60% anaa nea ɛboro saa ma obi a onni akisikuru ho sɛnkyerɛnne) a, oduruyɛfo no betumi akamfo akyerɛ sɛ wɔnyɛ carotid endarterectomy na wɔayi srade a ɛwɔ hɔ no afi hɔ.Ebia wɔbɛkamfo oprehyɛn a wɔfrɛ no carotid artery bypass graft (ABP) akyerɛ. Wɔde nea efi carotid ultrasound mu ba no yɛ oprehyɛn yi ho nhyehyɛe, efisɛ ɛkyerɛ baabi pɔtee a asiw no wɔ. Ayaresa foforo a wɔde sa akisikuru a emu yɛ den ne angioplasty . Nea ɛka eyi ho ne sɛ wobeyi srade a ɛwɔ mogya ntini no afasu mu, na ama mogya no akɔ soro. Sɛ wɔyɛ angioplasty wie a, wobetumi de stent ahyɛ mu na ama mogya ntini no abue.

Mpɛn pii no, carotid ultrasound yɛ nea edi mu. Nanso, ɛtɔ mmere bi a ebetumi akyerɛ sɛ asiw biribi a enni hɔ ankasa. Afei nso, osuahu a sonographer no nya betumi ama nsakrae aba. Mpɛn pii no, saa scan yi gye ɔhaw ahorow a anibere wom sen nketewa. Enti, wo duruyɛfo betumi ahyɛ sɛ wɔnyɛ mfoninitwa nhwehwɛmu foforo te sɛ amemene mu angiography , CT angiography (CTA) , anaa magnetic resonance angiography (MRA) . Ɛtɔ mmere bi a, nnompe a ɛwɔ wo kɔn mu no betumi asiw ultrasound no kwan sɛ ɛrenhu wo carotid artery no afã horow. Ultrasound ntumi "nhu" fa dompe mu.

Nneɛma afoforo a ɛma asiane a ɛwɔ hɔ sɛ obi benya akisikuru no yɛ kɛse

Wo duruyɛfo nso begyina nneɛma afoforo a ɛde asiane ba a ɛma obi hwe ase so besi ayaresa a eye ma wo ho gyinae. Sɛ wowɔ nea edidi so yi mu biara a, asiane kɛse wom sɛ wobɛbɔ akisikuru:

• Mogya mmoroso
• Cholesterol a ɛdɔɔso
• Asikyireyareɛ
• Ntini a ɛwɔ nipadua no akyi (PAD) .
• Atrial fibrillation (koma a ɛbɔ a ɛnteɛ) .
• Sickle cell yare a ɛma obi nya yare
• Obolo
• Koma mu yare

Tawa mu nneɛma a wɔde di dwuma, nnuan a srade ne nkyene pii wom a wodi, ne nea wɔnyɛ adwuma nso ma asiane a ɛwɔ hɔ sɛ obi benya akisikuru no yɛ kɛse.

Bere tenten ahe na egye ansa na wɔahu nea efi mu ba?

Ɛtɔ da bi a, radiologist betumi ne wo akasa da koro no ara na waka nea ebefi mu aba no akyerɛ wo. Mmere foforo nso, radiologist no de carotid ultrasound mu aba no bɛmena wo duruyɛfo, na afei ɔbɛka ho asɛm akyerɛ wo wɔ nna kakraa bi mu.

So ɛsɛ sɛ wosan kɔ oduruyɛfo nkyɛn bio?

Sɛ wo nsa nkaa wo carotid ultrasound aba no nna kakraa bi a, wo ne wo duruyɛfo nka ho asɛm. Sɛ wo nsa ka wo nea efi mu ba no wie a, sɛ wowɔ nsɛmmisa bi fa ayaresa a wɔkyerɛw maa wo no ho a, wo ne wo duruyɛfo nkasa.

Nea etwa to no, nneɛma a ɛsɛ sɛ yɛkae

Carotid Ultrasound yɛ ɔkwan tiawa a wobɛfa so ahu sɛ ebia wo carotid ntini ahorow no asiw anaasɛ ɛyɛ teateaa anaa. Ɛnyɛ yaw na ennye bere tenten ansa na wɔayɛ.. Sɛ wo duruyɛfo hu sɛ wo mogya ntini mu teateaa bi a, ebia ebehia sɛ woyɛ nsakrae bi wɔ w’asetra kwan mu. Sɛ biribi te sɛ oprehyɛn fata wo mpo a, wubetumi atew asiane a ɛwɔ hɔ sɛ wubenya ɔyare a ɛma obi hwe ase no so denam akwahosan ho su pa a wubenya so . Ansa na wubehu no, nsakrae a ahoɔden wom yi bɛyɛ w’asetra fã, na ɛho renhia mpo sɛ wususuw ho, ɛbɛyɛ wo su ara kwa.

Enti, sɛ wo duruyɛfo ka kyerɛ wo sɛ yɛ nhwehwɛmu a ɛte sɛɛ a, nsuro sɛ wobɛkɔ w’anim. Ɛbɛyɛ mmoa kɛse ama w’akwahosan!

` Carotid ultrasound, mogya ntini a ɛwɔ kɔn mu, ɔyare a ɛma obi hwe ase, Doppler scan, srade a ɛwɔ hɔ, srade a ɛwɔ nipadua no mu, mogya mmoroso