Kodi mitsempha ya khosi lanu yatsekedwa? Tiyeni tiphunzire zonse zokhudza (Carotid Angiography)!

Kodi munayamba mwadzifunsapo kufunika kwa magazi kupita ku ubongo kudzera m'mitsempha yamagazi m'khosi mwathu? Nthawi zina mitsempha yamagazi iyi imatha kutsekeka. Pamenepo ndi pomwe tidzakambirana za mayeso apadera omwe amachitika kuti tiwone zomwe zikuchitika m'mitsempha yayikulu yamagazi m'khosi mwanu. Izi zimatchedwa carotid angiography . Musadandaule, tidzakambirana izi mosavuta komanso mwanjira yomwe mungamvetse.

Ndiye kodi Carotid Angiography ndi chiyani kwenikweni?

Mwachidule, carotid angiography ndi mayeso oti muwone momwe magazi akuyendera m'mitsempha ikuluikulu yamagazi mbali zonse ziwiri za khosi lanu yotchedwa carotid arteries . Mitsempha iyi imanyamula magazi kuchokera mumtima mwathu kupita kumutu ndi muubongo mwathu. Ganizirani izi ngati mitsempha ikuluikulu yomwe imabweretsa moyo ku ubongo wathu.

Nthawi zina, mitsempha yamagazi iyi imatsekeka ndi mafuta, monga momwe imatsekekera mu chitoliro chamadzi. Madokotala amatcha matenda a Carotid Artery Disease . Chifukwa chachikulu cha izi ndi vuto lotchedwa Atherosclerosis . Pazochitika zotere, mayeso a angiography amachitidwa kuti awone kuchuluka kwa mitsempha yamagazi yomwe yatsekeka komanso komwe yatsekeka. Mayesowa amagwiritsa ntchito X-ray ndi madzi apadera otchedwa Contrast Dye kuti ajambule zithunzi za mitsempha yamagazi. Kenako dokotala amatha kuwona bwino zomwe zikuchitika mkati mwa mitsempha yamagazi.

Kodi angiography ya carotid imachitidwa liti?

Pali zochitika zingapo zomwe dokotala kapena namwino wanu angakufunseni kuti muchite mayeso awa:

• Ngati akukayikira kuti muli ndi matenda a mitsempha ya m'magazi .
• Ngati mwakhalapo ndi sitiroko yaying'ono (kapena Transient Ischemic Attack - TIA) . Apa ndi pamene kuyenda kwa magazi kupita ku ubongo kumachepa kwakanthawi, zomwe zimayambitsa zizindikiro zofanana ndi sitiroko (monga kufooka mwadzidzidzi mbali imodzi ya thupi, kuvutika kulankhula) kenako n’kuchira pakapita nthawi yochepa.
• Ngati mwakhalapo ndi sitiroko .

Mu mkhalidwe ngati uwu, mayesowa ndi ofunikira kwambiri kuti adziwe bwino momwe mitsempha yamagazi ilili m'khosi.

Kodi mumayesa china chilichonse musanayese mayeso awa?

Inde, nthawi zambiri ngati dokotala akuganiza kuti muli ndi zizindikiro za matenda a mitsempha ya carotid , choyamba adzachita mayeso osavuta komanso osapweteka otchedwa carotid ultrasound . Izi zingapereke chithunzithunzi chosavuta cha mitsempha yamagazi. Komabe, ngati zithunzi za ultrasound sizikumveka bwino, kapena ngati dokotala akufuna kuwona zambiri, ndiye kuti ayitanitsa carotid angiography.

Ndani amachita angiography ya carotid iyi?

Izi zachitika.Dokotala amene ali katswiri pa njira zowunikira zithunzi. Katswiri wa radiology, kunena zoona. Iye ndiye amene amachita ntchito yovutayi mosamala komanso molondola.

Kodi Carotid Angiography imagwira ntchito bwanji? Ndi yosavuta kwambiri!

Tiyeni tiwone momwe mayesowa amachitikira:

1. Choyamba, dokotala amaika chubu chopyapyala kwambiri komanso chosinthasintha chotchedwa ``catheter'' mu mtsempha wamagazi womwe uli m'mimba mwanu (kapena nthawi zina mkono wanu). Simudzamva kupweteka kwambiri mukachiyika, chifukwa malowo adzakhala opanda dzanzi.

2. Kenako, madzi apadera otchedwa ``Contrast Dye`` amalowetsedwa m'mitsempha yamagazi kudzera mu chubu ichi ``(Catheter). Madzi awa ndi omwe amapangitsa kuti mitsempha yamagazi iwonekere bwino ikayang'aniridwa pa X-ray ``(X-ray).

3. Pomaliza, zithunzi za X-ray zimatengedwa. Zithunzizi zimagwiritsidwa ntchito pofufuza ngati pali kutsekeka kapena kuchepa kwa mitsempha yamagazi.

Nthawi zina, m'malo mwa X-ray, CT scan (yomwe imatchedwanso CT Carotid Angiography) kapena MRI (yomwe imatchedwanso Magnetic Resonance Angiogram - MRA) ingagwiritsidwe ntchito. Izi ndi udindo wa dokotala wanu.

Kodi mumakonzekera bwanji mayesowa?

Pali zinthu zingapo zomwe mudzapemphedwa kuchita musanayese mayesowa, ndipo ndikofunikira kwambiri kuti muzitsatire bwino.

• Chakudya ndi Zakumwa: Dokotala wanu adzakulangizani maola angati omwe muyenera kusala kudya musanayesedwe komanso zomwe muyenera kudya kapena kumwa komanso zomwe simuyenera kudya kapena kumwa. Ndikofunikira kutsatira malangizo awa.
• Mankhwala: Muyenera kuuza dokotala wanu za mankhwala onse omwe mumamwa (makamaka mankhwala ochepetsa magazi monga aspirin ) ndi mankhwala ena aliwonse omwe mumagwiritsa ntchito. Dokotala wanu adzakuuzani ngati muyenera kumwa mankhwala awa musanayesedwe.
• Zamtengo Wapatali: Siyani zinthu zanu zamtengo wapatali monga zodzikongoletsera zagolide, mphete, ndi mikanda kunyumba.
• Ngati mukukhala m'chipatala: Ngati muyenera kugona m'chipatala usiku wonse, bweretsani zinthu zomwe mungafunike kuti mukhale bwino (monga mkanjo, nsapato).
• Ngati mukuchitidwa opaleshoni yakunja kwa dokotala: Muyenera kukonza kuti wina akuyendetseni kunyumba mukamaliza mayeso, chifukwa zingakhale zovuta kuti muyendetse galimoto mukamaliza mayeso.

Kodi muyenera kuyembekezera chiyani mukafika pa mayeso?

Mukafika pa mayeso,

• Mudzapatsidwa diresi la kuchipatala kuti muvale.
• Ngati mukugwiritsa ntchito magalasi kapena zothandizira kumva, funsani dokotala ngati mungathe kuwavala panthawi yoyezetsa.
• Koma ma lens olumikizanaMusamavale panthawi yoyeserera.

Kodi mumapeza chidziwitso chotani mukalemba mayeso?

Kuyeza kwa carotid angiography nthawi zambiri kumatenga pakati pa mphindi 60 ndi 90. Panthawiyi, dokotala ndi gulu lachipatala:

• Chubu chaching'ono chotchedwa catheter chimayikidwa mumtsempha womwe uli m'dzanja lanu kuti chikupatseni mankhwala ndi madzi. Izi zimatchedwa kulowetsedwa m'mitsempha .
• Mudzapatsidwa mankhwala ochepetsa ululu kuti mukhale omasuka komanso kuti mugone tulo pang'ono.
• Tizidutswa tating'onoting'ono tofanana ndi timipiringidzo (ma electrode) timalumikizidwa pachifuwa chanu, ndipo ntchito yamagetsi ya mtima wanu imayang'aniridwa ndi makina a ECG (Electrocardiogram) panthawi yonse yoyeserera.
• Chifuwa (kapena mkono) chimakhala ndi dzanzi ndi mankhwala oletsa ululu am'deralo . Mukatero simudzamva kupweteka kulikonse mukalowetsa catheter.
• Kenako, catheter imayikidwa mu chubu, ndipo madzi apadera otchedwa "Contrast Dye" amalowetsedwa kudzera mmenemo kuti mitsempha yamagazi iwonekere.

Kodi angiography iyi ya carotid imapweteka?

Kuyezetsa kumeneku nthawi zambiri sikupweteka. Chinthu chokhacho chomwe anthu ambiri amamva ndi kutentha pang'ono kapena kumva kunjenjemera pamene madzi apadera (Contrast Dye) alowetsedwa m'thupi. Koma izi zimatha pakangopita masekondi ochepa.

Komabe, ngati mukumva chonchi panthawi yoyezetsa , muyenera kuuza dokotala kapena namwino nthawi yomweyo:

• Kupweteka pachifuwa kapena kusasangalala.
• Khungu loyabwa.
• Zikumveka ngati nseru.
• Zizindikiro za chifuwa chachikulu (monga kumva kutsekeka pakhosi, kuvutika kupuma) - izi zimatchedwa anaphylaxis .
• Kusintha kulikonse kwa masomphenya kapena kusintha kwa masomphenya.

Musadandaule, gulu la azachipatala likukuyang'anirani, kotero ngati chinthu chonga ichi chichitika, adzachichiza mwachangu.

Kodi chimachitika n’chiyani mayeso akatha?

Mayeso akatha,

• Dokotala amachotsa mosamala ma catheter onse omwe aikidwa.
• Kupanikizika kumayikidwa ndipo bandeji imayikidwa kuti magazi asatuluke pamalo pomwe chubucho chinayikidwa.
• Kugunda kwa mtima wanu ndi kuthamanga kwa magazi zimayesedwa.
• Mudzatengedwera ku chipinda china kuti mupumule kwa maola angapo. Panthawiyi, muyenera kukhala pabedi kwa kanthawi.

Pambuyo pa mayeso, dokotala wanu adzakulangizani kuti mumwe madzi ndi zakumwa zambiri kuti utoto wosiyanitsa uchoke m'thupi lanu mwachangu. Mungafunikenso kukodza pang'ono kuposa masiku onse. Tsatirani malangizo a dokotala wanu mosamala okhudza momwe mungadzukire komanso nthawi yoti muyambe kuyenda.

Kodi zotsatira za carotid angiography zikusonyeza chiyani?

Dokotala wanu angaphunzire zambiri zofunika kuchokera ku zotsatira za mayesowa.

• Kodi pali kutsekeka kapena kuchepa kwa mitsempha ya carotid m'khosi mwanu?
• Ngati muli ndi vuto lotere, lingakuthandizeni kuona ngati muli ndi vuto la sitiroko .
• Kutengera ndi zotsatira izi, madokotala adzasankha mtundu wa chithandizo chomwe mukufuna mtsogolo, kapena kusintha kwa moyo wanu komwe muyenera kuchita .

Zimatenga nthawi yayitali bwanji kuti mudziwe zotsatira zake?

Zithunzi zomwe zatengedwa panthawi yoyezetsa zimayesedwa ndi katswiri wa radiology . Iye amagwiritsa ntchito zithunzizi kuti adziwe matendawo ndi kukonzekera lipoti lokhudza matendawa. Kenako lipotilo limatumizidwa kwa dokotala amene akukuchizani. Dokotala wanu akalandira lipotilo, adzakuyimbirani foni ndikukufotokozerani zotsatira zake komanso zomwe mungachite kenako.

Kodi ndiyenera kuyimbira dokotala liti ndikamaliza kuyezetsa?

Mukapita kunyumba kuchokera ku mayeso, imbani dokotala nthawi yomweyo ngati mwakumana ndi zotsatirazi:

• Ngati mukuona zizindikiro za vuto la ziwengo chifukwa cha utoto wosiyana (monga kufiira kwa khungu, kutupa, kuyabwa, kupuma movutikira).
• Ngati simukumva bwino , ngati muli ndi malungo.
• Ngati malo omwe payipiyo inalowetsedwamo ndi otupa, ofiira, kapena opweteka, kapena ngati magazi akutuluka mosalekeza kuchokera pamenepo.

Zinthu ngati izi sizimachitika kawirikawiri, koma ngati zitachitika, ndi bwino kuuza dokotala mwamsanga.

Kodi madokotala amachiritsa bwanji matenda a mitsempha ya carotid?

Ngati angiography ya carotid ipeza kuti mitsempha yamagazi m'khosi mwanu yatsekedwa kapena yachepa, dokotala wanu angakulangizeni njira zotsatirazi:

• Kuchotsa Carotid Endarterectomy: Iyi ndi njira yochitira opaleshoni yomwe imatsegula mtsempha wamagazi wotsekedwa ndikuchotsa mafuta omwe ali mkati.
• Kuika Carotid Stenting: Izi zimaphatikizapo kuyika chipangizo chaching'ono chonga mesh chotchedwa stent mkati mwa mtsempha wamagazi wotsekedwa kuti chikulitse mtsempha. Izi zimachitikanso pogwiritsa ntchito catheter, mofanana ndi angiography.
• Mankhwala: Mankhwala monga mankhwala ochepetsa magazi ndi mankhwala ochepetsa cholesterol angakupatseni.

Kuphatikiza apo, dokotalayo akulangizaninso kuti musinthe moyo wanu, monga kusiya kusuta fodya, kudya zakudya zabwino, komanso kuchita masewera olimbitsa thupi.

Pomaliza, kumbukirani (Uthenga Wopita Nawo Kunyumba)

Chabwino, ndikukhulupirira kuti tsopano muli ndi lingaliro labwino lokhudza mayeso otchedwa Carotid Angiography omwe tidakambirana lero.

Izi zimachitika kuti mudziwe ngati pali kutsekeka kapena kuchepa kwa mitsempha yayikulu yamagazi m'khosi mwanu.Ndi chifukwa cha kutsekeka ngati kumeneku komwe kungayambitse matenda oopsa monga sitiroko.

Musaope kuganizira za mayesowa. Achitika kuti akuthandizeni, kumvetsetsa bwino thanzi lanu, komanso kuyamba kulandira chithandizo mwamsanga ngati pakufunika kutero. Ngati muli ndi mafunso ena okhudza izi, musaope kufunsa dokotala wanu. Iye adzakufotokozerani zonse mwatsatanetsatane. Khalani ndi thanzi labwino!

Kujambula kwa Carotid , Kujambula kwa Carotid, Mitsempha ya Magazi m'khosi, Stroke, Kutsekeka kwa Mitsempha ya Magazi, X-ray, Utoto Wosiyana, Matenda a Mitsempha ya Carotid