Koj cov hlab ntsha hauv koj lub caj dab puas raug thaiv? Cia peb tham txog kev kuaj mob carotid ultrasound!

Koj puas tau hnov ​​txog kev kuaj mob hu ua Carotid Ultrasound? Tej zaum koj tus kws kho mob tau qhia koj txog nws, lossis tej zaum koj tsuas yog xav paub txog nws xwb. Tsis txhob txhawj, nws yog ib qho kev kuaj mob yooj yim heev, tsis mob, thiab tseem ceeb heev. Yog li, cia peb tham txog nws kom meej hnub no, puas yog?

Lub tshuab ultrasound ntawm lub carotid yog dab tsi?

Hais yooj yim xwb, kev kuaj mob carotid ultrasound yog ib qho kev kuaj uas saib sab hauv ntawm koj cov hlab ntsha carotid . Cov hlab ntsha no nyob rau ob sab ntawm koj lub caj dab, thiab lawv muab ntshav rau koj lub hlwb . Yog li koj tuaj yeem xav txog tias nws tseem ceeb npaum li cas los ua kom cov hlab ntsha no noj qab nyob zoo.

Qhov kev kuaj no siv cov suab nthwv dej los thaij duab sab hauv ntawm koj cov hlab ntsha. Nws zoo li kev ntsuas ultrasound rau cov poj niam cev xeeb tub, tab sis nws ua rau ntawm koj lub caj dab. Nws kuj siv cov thev naus laus zis hu ua Doppler ultrasound . Nws tuaj yeem pom tias cov ntshav txav mus los ntawm koj cov hlab ntsha zoo npaum li cas thiab ceev npaum li cas. Nws puas zoo kawg nkaus?

Yuav tsum tau kuaj qhov no thaum twg?

Tus kws kho mob yuav xav ua qhov kev kuaj mob carotid ultrasound no feem ntau yog kom pom tias puas muaj cov ntshav txhaws lossis cov rog hauv koj cov hlab ntsha carotid. Cov rog no zoo li xeb hauv cov yeeb nkab dej. Raws sijhawm, cov no tuaj yeem sib sau ua ke thiab thaiv cov hlab ntsha. Yog tias qhov no tshwm sim, cov ntshav mus rau lub hlwb yuav txo qis, ua rau muaj mob txaus ntshai xws li mob stroke .

Xav txog seb, qhov no zoo li cov kav dej hauv koj lub vaj uas muaj av lo rau hauv thiab ua rau cov dej ntws tsis tau. Yog vim li ntawd nws thiaj li tseem ceeb uas yuav tsum ua kom cov kav dej no huv si.

Qhov kev xeem no tseem ceeb tshaj plaws rau leej twg?

Koj tus kws kho mob yuav pom zoo kom ua qhov kev kuaj no yog tias koj muaj ib qho ntawm cov mob hauv qab no:

• Yog tias koj tau phais kom tshem tawm cov hlab ntsha uas raug thaiv.
• Yog tias muaj stent nyob rau hauv cov hlab ntsha carotid, xyuas seb nws puas ua haujlwm zoo.
• Yog tias qhov kev kuaj mob yav dhau los qhia tau tias cov hlab ntsha raug thaiv me ntsis, saib xyuas nws tsis tu ncua.
• Yog tias tus kws kho mob hnov ​​​​​​lub suab txawv txawv (bruit) , zoo li lub suab hu nkauj, thaum nws muab lub stethoscope tso rau ntawm koj lub caj dab.
• Yog tias koj muaj ntshav siab lossis roj cholesterol ntau .
• Yog tias koj tau muaj mob stroke lossis transient ischemic attack (TIA) yav dhau los, uas zoo li mini-stroke thiab tau zoo lawm.
• Yog tias koj tab tom npaj rau kev phais mob plawv bypass .
• Rau kojYog tias koj muaj mob ntshav qab zib mellitus.
• Yog tias muaj leej twg hauv koj tsev neeg tau muaj mob stroke lossis mob plawv.
• Yog tias muaj ib lub pob (hematoma) ntawm cov ntshav sau rau hauv cheeb tsam caj dab.

Dab tsi yog Doppler ultrasound nrhiav tshwj xeeb?

Siv cov thev naus laus zis Doppler no, cov kws kho mob tuaj yeem nkag siab zoo dua txog:

• Cov ntshav ntws li cas tshwm sim?
• Puas muaj kev txhaws lossis nqaim ntawm cov hlab ntsha?
• Qee zaum nws kuj tseem tuaj yeem kuaj pom tej yam tsis zoo lossis qog nqaij hlav uas yug los.

Leej twg yog tus ua qhov kev kuaj mob ultrasound carotid no?

Feem ntau tus kws kho mob ultrasound lossis tus kws kho mob ultrasound yuav ua qhov kev kuaj no. Qee zaum tus kws kho mob xoo hluav taws xob , tus kws kho mob uas tshuaj xyuas cov duab scan, kuj yuav ua qhov kev kuaj no.

Qhov kev xeem no ua haujlwm li cas? Nws yooj yim heev!

Kev siv tshuab ultrasound ntawm lub carotid tsis siv hluav taws xob , yog li nws muaj kev nyab xeeb heev. Raws li tau hais ua ntej lawm, nws siv cov suab nthwv dej los tsim cov duab ntawm sab hauv ntawm koj cov hlab ntsha carotid.

Tus kws kho mob siv ib lub cuab yeej me me hu ua transducer (zoo li lub scanner me me uas kuaj xyuas tus nqi khoom hauv khw) rau ntawm daim tawv nqaij ntawm koj lub caj dab kom xa cov suab no. Thaum cov suab no ntaus rau hauv cov hlab ntsha thiab rov qab los, cov ntaub ntawv raug xa mus rau lub khoos phis tawj, qhov chaw uas nws raug tsim ua duab. Cov duab no tuaj yeem kaw zoo li video lossis khaws cia ua duab.

Kuv puas yuav tsum npaj tshwj xeeb ua ntej qhov kev xeem?

Tsis yog, koj tsis tas yuav npaj ntau yam ntawd. Txawm li cas los xij, nws yog ib lub tswv yim zoo kom hnav ib lub tsho xoob, xis nyob uas tsis npog koj lub caj dab . Yog tias koj lub tsho siab dhau ib ncig ntawm koj lub caj dab, koj yuav tsum hnav ib lub tsho hauv tsev kho mob. Tsis tas li ntawd, yog tias koj hnav ib txoj hlua caj dab lossis pob ntseg , nws yog ib lub tswv yim zoo kom tshem tawm lawv vim tias lawv yuav cuam tshuam rau kev kuaj mob.

Yuav muaj dab tsi tshwm sim rau hnub xeem?

Koj yuav tsum tau ua qhov kev kuaj no ntawm koj tus kws kho mob chaw ua haujlwm lossis ntawm tsev kho mob. Feem ntau qhov kev kuaj yuav siv sijhawm li 30 txog 45 feeb .

Muaj dab tsi tshwm sim thaum lub sijhawm xeem?

Ua ntej, tus kws kho mob lossis tus kws kho mob xoo hluav taws xob yuav siv cov tshuaj pleev pob tshab rau ntawm ob sab ntawm koj lub caj dab . (Nco ntsoov, muaj ob txoj hlab ntsha carotid, ib qho ntawm txhua sab ntawm koj lub caj dab.) Cov tshuaj pleev no yuav sov me ntsis. Cov tshuaj pleev no yog siv los pab cov suab nrov mus ncig ntawm lub transducer thiab koj cov hlab ntsha.

Nws yog ib qho tseem ceeb heev uas yuav tsum tsis txhob txav mus los thaum lub sijhawm xeem. Nov yog li cas koj thiaj li tau txais cov duab meej.

Thaum koj pw saum txaj, tus kws kho mob muab lub transducer tso rau ntawm daim tawv nqaij ntawm ob sab ntawm koj lub caj dab thiab nias nws cia. Thaum cov suab nrov los ntawm lub transducer ntaus tawm ntawm cov hlab ntsha, lub khoos phis tawj siv cov ntaub ntawv ntawd los tsim ib daim duab. Tus kws kho mob txav lub transducer mus los hla koj daim tawv nqaij kom txog thaum nws muaj tag nrho cov duab uas nws xav tau.

Koj yuav tsis hnov ​​cov suab no. Txawm li cas los xij, yog tias nws yog Doppler ultrasound, koj yuav hnov ​​​​​​lub suab "swish swish" zoo li dej ntws los ntawm lub cev , nrog rau lub suab hloov pauv.

Tom qab kuaj tas lawm, yuav muaj dab tsi tshwm sim?

Thaum qhov kev kuaj tiav lawm, tus kws kho mob yuav muab ib daim phuam rau koj los so cov gel uas tau siv rau koj lub caj dab . Tom qab ntawd, yog tias koj hnav lub tsho hauv tsev kho mob, koj tuaj yeem hloov mus rau koj cov khaub ncaws. Yog tias koj tsis tau txais cov txiaj ntsig tib hnub ntawd, koj tuaj yeem mus tsev. Koj tuaj yeem txuas ntxiv ua koj cov dej num ib txwm .

Puas muaj kev pheej hmoo hauv qhov no?

Tsis muaj kev pheej hmoo . Tej zaum koj yuav hnov ​​​​​​me ntsis kev nyem thaum koj muab lub transducer tso rau ntawm koj lub caj dab, tab sis tsis muaj mob hlo li . Yog li ntawd tsis muaj laj thawj yuav tsum ntshai.

Cov txiaj ntsig zoo li cas? Lawv txhais li cas?

Cov txiaj ntsig uas koj tus kws kho mob tau txais yuav qhia rau koj tias koj cov hlab ntsha nqaim lossis raug thaiv npaum li cas. Qhov no yog qhia ua feem pua , lossis tawm ntawm 100.

Qhov tshwm sim ib txwm yog dab tsi?

Yog koj tau txais qhov tshwm sim zoo li qub, nws txhais tau tias tsis muaj kev thaiv lossis nqaim hauv koj cov hlab ntsha carotid. Qhov ntawd yog xov xwm zoo!

Yog tias muaj qhov tshwm sim txawv txawv tshwm sim los?

Yog tias cov txiaj ntsig tsis zoo li qub, nws txhais tau tias koj yuav muaj atherosclerosis , ntshav txhaws, lossis lwm yam teeb meem uas ua rau cov hlab ntsha nqaim. Qhov mob no ua rau koj muaj feem yuav mob stroke ntau dua.

Yuav txiav txim siab li cas txog kev kho mob?

Yog tias koj muaj cov rog tso rau hauv ib lossis ob qho tib si ntawm koj cov hlab ntsha carotid, tab sis qhov kev thaiv yog tsawg dua 50% (rau ib tus neeg uas muaj cov tsos mob stroke) lossis tsawg dua 60% (rau ib tus neeg uas tsis muaj cov tsos mob stroke), koj tus kws kho mob yuav qhia koj kom hloov koj cov zaub mov noj, tawm dag zog, thiab tsum tsis txhob siv cov khoom haus luam yeeb .

Tsis tas li ntawd xwb, tus kws kho mob kuj yuav sau ntawv kom noj cov tshuaj xws li:

• Cov tshuaj uas yaj cov ntshav txhaws (piv txwv li 'Thrombolytics')
• Cov tshuaj siv los tiv thaiv cov ntshav txhaws (piv txwv li Aspirin lossis Clopidogrel)
• Cov tshuaj txo cov roj cholesterol (piv txwv li, 'Statins')
• Cov tshuaj kom txo cov ntshav siab (piv txwv li, 'Antihypertensives')

Txawm li cas los xij, yog tias qhov kev thaiv ntau dua li ntawd (50% lossis ntau dua rau ib tus neeg uas muaj cov tsos mob ntawm tus kab mob stroke, 60% lossis ntau dua rau ib tus neeg uas tsis muaj cov tsos mob ntawm tus kab mob stroke), tus kws kho mob yuav pom zoo kom phais carotid endarterectomy kom tshem tawm cov rog uas nyob hauv.Tej zaum yuav pom zoo kom phais mob hu ua carotid artery bypass graft (ABP). Cov txiaj ntsig ntawm carotid ultrasound siv los npaj qhov kev phais mob no, vim nws qhia meej qhov twg qhov kev txhaws nyob. Lwm txoj kev kho mob rau kev txhaws hnyav yog angioplasty . Qhov no suav nrog kev tshem tawm cov rog ntawm phab ntsa ntawm cov hlab ntsha, ua kom cov ntshav ntws ntau ntxiv. Tom qab angioplasty, yuav muab stent tso rau kom cov hlab ntsha qhib.

Feem ntau, kev siv ultrasound ntawm cov hlab ntsha carotid yog qhov tseeb. Txawm li cas los xij, qee zaum nws tuaj yeem qhia tau tias muaj kev thaiv uas tsis muaj tiag. Tsis tas li ntawd, kev paub ntawm tus kws kho mob ultrasound tuaj yeem ua qhov sib txawv. Qhov kev luam theej no feem ntau khaws cov teeb meem loj dua li cov teeb meem me. Yog li ntawd, koj tus kws kho mob yuav xaj kom muaj kev kuaj duab ntxiv, xws li cerebral angiography , CT angiography (CTA) , lossis magnetic resonance angiography (MRA) . Qee zaum, cov pob txha hauv koj lub caj dab tuaj yeem thaiv qhov ultrasound los ntawm kev pom qee qhov ntawm koj cov hlab ntsha carotid. Ultrasound tsis tuaj yeem "pom" dhau pob txha.

Lwm yam uas ua rau muaj kev pheej hmoo ntawm mob stroke

Koj tus kws kho mob kuj tseem yuav txiav txim siab seb kev kho mob twg zoo tshaj plaws rau koj raws li lwm yam uas ua rau koj muaj mob stroke. Koj muaj feem yuav mob stroke ntau dua yog tias koj muaj ib qho ntawm cov hauv qab no:

• Ntshav siab
• Cov roj cholesterol ntau
• Kab mob ntshav qab zib
• Kab mob ntawm cov hlab ntsha sab nraud (PAD)
• Atrial fibrillation (lub plawv dhia tsis xwm yeem)
• Kab mob ntshav liab
• Kev rog dhau
• Kab mob plawv

Siv cov khoom haus luam yeeb, noj cov khoom noj uas muaj roj thiab ntsev ntau, thiab tsis ua haujlwm kuj ua rau muaj feem mob stroke ntau ntxiv.

Yuav siv sijhawm ntev npaum li cas thiaj paub cov txiaj ntsig?

Qee zaum, tus kws kho mob hluav taws xob tuaj yeem nrog koj tham tib hnub ntawd thiab qhia koj txog cov txiaj ntsig. Lwm lub sijhawm, tus kws kho mob hluav taws xob yuav xa cov txiaj ntsig ultrasound carotid mus rau koj tus kws kho mob, uas tom qab ntawd yuav qhia koj txog lawv hauv ob peb hnub.

Koj puas yuav tsum tau mus ntsib kws kho mob dua?

Yog tias koj tsis tau txais koj cov txiaj ntsig ultrasound carotid hauv ob peb hnub, nrog koj tus kws kho mob tham txog nws. Tom qab koj tau txais koj cov txiaj ntsig, yog tias koj muaj lus nug txog kev kho mob uas koj tau txais, nrog koj tus kws kho mob tham.

Thaum kawg, tej yam uas yuav tsum nco ntsoov

Kev kuaj mob Carotid Ultrasound yog ib txoj hauv kev yooj yim los nrhiav seb puas muaj kev thaiv lossis nqaim hauv koj cov hlab ntsha carotid. Nws tsis mob thiab tsis siv sijhawm ntev.Yog koj tus kws kho mob pom tias koj cov hlab ntsha nqaim, tej zaum koj yuav tsum hloov koj txoj kev ua neej. Txawm tias qee yam zoo li kev phais mob yog qhov zoo rau koj los xij, koj tseem tuaj yeem txo koj txoj kev pheej hmoo ntawm kev mob stroke los ntawm kev ua raws li kev noj qab haus huv zoo . Ua ntej koj paub, cov kev hloov pauv noj qab haus huv no yuav dhau los ua ib feem ntawm koj lub neej, thiab koj yuav tsis tas yuav xav txog lawv, lawv tsuas yog yuav dhau los ua ib qho kev coj ua xwb.

Yog li ntawd, yog tias koj tus kws kho mob hais kom koj ua hom kev kuaj no, tsis txhob ntshai mus tom ntej. Nws yuav yog ib qho kev pab zoo rau koj txoj kev noj qab haus huv!

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