Kodi dokotala anaika stethoscope pakhosi panu ndipo anakuuzani kuti mwamva phokoso lachilendo? Tiyeni tikambirane za (Carotid Bruit) iyi!

Kodi mudawonapo dokotala akukumvetserani ndi stethoscope mbali zonse ziwiri za khosi lanu? Pamene mukumvetsera, dokotala nthawi zina amamva phokoso la "phokoso" kuchokera m'mitsempha yamagazi m'khosi mwanu , kapena phokoso ngati madzi akutuluka m'mitsemphayo. Ndicho chimene timachitcha "Carotid Bruit" (chotchedwa "carotid bruee"). Ichi si chinthu choopa, koma ndikofunikira kudziwa.

Kodi phokoso lachilendoli lotchedwa `(Carotid Bruit)` ndi chiyani?

Mwachidule, `(Carotid Bruit)` ndi mawu osazolowereka, osokonezeka omwe amapezeka magazi akamayenda mu mitsempha imodzi kapena zingapo zazikulu zamagazi m'khosi mwanu, `(Carotid Artery)`. Tangoganizirani, ngati mtsinje wodekha womwe mwadzidzidzi umagunda mwala ndikuyamba kuyenda movutikira. Umu ndi momwe timatchulira `(Turbulent Flow)` magazi akamayenda m'mitsempha, m'malo moyenda bwino komanso mwanjira imodzi, koma mwanjira yosokonezeka pang'ono. Mitsempha yamagazi iyi ya `(Carotid Artery)` ndi yomwe imabweretsa mpweya ndi michere yomwe ubongo wanu umafunikira . Chifukwa chake, ngati pali vuto lililonse ndi mitsempha iyi, ikhoza kukhudza magwiridwe antchito a ubongo wathu.

Dokotala angamve phokoso la `(Carotid Bruit)` mwangozi pamene dokotala akukufufuzani. Kumva phokosoli kungakhale chizindikiro chakuti `(Carotid Mitsempha)` yanu yachepa chifukwa cha mafuta ambiri (timatchulanso kuti `(Plaque)`) . Komabe, nthawi zina anthu omwe ali ndi `(Carotid Mitsempha)` wathanzi amathanso kumva phokosoli. Komanso, anthu ena sangamve phokosoli ngakhale mitsempha yawo yamagazi ili yopapatiza kwambiri. Chifukwa chake, dokotala amagwiritsa ntchito chizindikiro cha `(Carotid Bruit)` ngati chidutswa chimodzi chaching'ono cha puzzle yayikulu. Izi zikutanthauza kuti, kumva phokosoli kokha sikutsimikizira kuti muli ndi matenda oopsa, koma kumathandiza posankha ngati mayeso ena ndi chithandizo zikufunika.

Kodi mawu akuti `(Carotid Bruit)` amamveka bwanji?

Phokoso la `(Carotid Bruit)` ili likufanana ndi phokoso la mtsinje wothamanga kwambiri , phokoso ngati "hush hush". Simungamve izi nokha. Mungathe kumva phokosoli pokhapokha dokotala akakanikiza pang'onopang'ono stethoscope yake (chida chomwe chimavalidwa pachifuwa kapena kumbuyo kwanu) m'malo osiyanasiyana a khosi lanu ndikumvetsera. Dokotala angakupempheni kuti mupume mpweya ndikuugwira kwakanthawi. Izi zikutanthauza kuti, kumvetsera bwino phokoso la magazi omwe akuyenda.

Ngati dokotala amva ``Carotid Bruit'' ngati iyi, adzakufotokozerani, tanthauzo lake, komanso ngati mukufunikira kuyezetsa kwina. Ndiye, musadandaule, chabwino?

N’chifukwa chiyani `(Carotid Artery)` iyi imapanga mawu otere? Kodi zimayambitsa chiyani?

Chifukwa chachikulu komanso chofala kwambiri cha "Carotid Bruit" iyi ndi matenda otchedwa "Atherosclerosis" .

Matenda a atherosclerosis ndiye mdani wamkulu!

`( Atherosclerosis )` ndi mawu azachipatala. Mwachidule, zikutanthauza kuti chinthu chamafuta, makamaka `(Plaque)`, chimayikidwa mkati mwa mitsempha yamagazi (mitsempha yamagazi) m'thupi lanu, ndipo malo oti magazi aziyenda m'mitsempha imeneyo (timayitchanso `(Lumen)`) amachepa pang'onopang'ono. Tangoganizirani kuti pakapita nthawi, dothi limaunjikana mkati mwa chitoliro chamadzi ndikutseka chitoliro, momwemonso zigawo zamafuta izi `(Plaque)` zimaunjikana mkati mwa mitsempha yathu yamagazi, zomwe zimachepetsa malo oti magazi aziyenda. Kuwunjikana kwa `(Plaque)` kumeneku kungayambitse kupanga magazi oundana. Kuwunjikana kwa magazi kumeneku kumatha kuletsa kuyenda kwa magazi komwe kumapangika, kapena kumatha kuyenda ndi magazi ndikutseka mtsempha wina pamalo ena.

Choncho, pamene plaque ikulungika mu Carotid Artery yanu ndikuchepetsa mtsempha wamagazi, timayitcha Carotid Artery Stenosis . Kumva Carotid Bruit kungakhale chizindikiro chakuti mwina muli ndi vutoli.

Kumbukirani, `(Carotid Artery)` ndi yomwe imapatsa ubongo wathu magazi odzaza ndi mpweya . Chifukwa chake, ngati mtsempha uwu watsekeka ndi `(Plaque)`, muli pachiwopsezo chachikulu chokhala ndi `(Transient Ischemic Attack - TIA)` (timatchanso izi kusokonekera kwakanthawi kwa magazi kupita ku ubongo, ena amatcha "mini stroke"), kapena `(Ischemic Stroke)` (kupuwala komwe kumachitika chifukwa cha kutsekeka kwa mtsempha wamagazi womwe umapereka ubongo). M'mikhalidwe yonseyi, kuyenda kwa magazi kupita ku ubongo kumachepa kapena kutayika kwathunthu.

Ndicho chifukwa chake ndikofunikira kudziwa ngati muli ndi ` (Carotid artery stenosis) ` ndipo ngati ndi choncho, kodi ndi yoopsa bwanji. `(Carotid Bruit)` ndi chizindikiro chochenjeza chabe, sichikudziwitsani kuchuluka kwa `(Plaque)` komwe muli nako. Chifukwa chake, dokotala sadzasankha kuti muli ndi `(Carotid Artery Stenosis)` pongotenga `(Carotid Bruit)`, koma adzagwiritsa ntchito ngati sitepe yoyamba kufufuza zambiri.

Kodi pangakhale zifukwa zina?

Ngakhale kuti kuchulukana kwa plaque ndiye chifukwa chofala kwambiri cha ziphuphu za carotid, kungayambitsidwenso ndi kusintha kwa kapangidwe ka mitsempha yamagazi. Mwachitsanzo, anthu omwe ali ndi matenda osowa monga Fibromuscular Dysplasia (FMD) amathanso kumva ziphuphu za carotid. Dokotala wanu adzawunikanso mbiri yanu yachipatala kuti ayese kudziwa chomwe chimayambitsa ziphuphu za carotid.

Kodi kukhala ndi `(Carotid Bruit)` n'koopsa?

"Kutupa kwa Carotid" nthawi zina ndi chizindikiro cha vuto lalikulu.Zingachitike, koma sizichitika nthawi zonse. Nthawi zina zimakhala ngati kuwala kofiira komwe kumati mwina muli ndi `(Carotid Artery Stenosis)`. Ngati `(Stenosis)` yanu, kapena kuchepa kwa mtsempha wamagazi, kuli koopsa, mwina mungafunike chithandizo kuti muchepetse chiopsezo chanu chokhala ndi `(TIA)` kapena `(Stroke). Dokotala wanu adzakuuzani ngati vuto lanu ndi lalikulu komanso ngati mukufuna chithandizo. Choncho musachite mantha ndipo mvetserani mosamala zomwe dokotala wanu akunena.

Kodi "Carotid Bruit" ingakhale yachibadwa?

Inde, kumva `(Carotid Bruit)` sikutanthauza nthawi zonse kuti muli ndi `(Carotid Artery Stenosis)`. Anthu ena omwe ali ndi `(Carotid Bruit)` sangakhale ndi `(Plaque)` yofunikira m'mitsempha yawo yamagazi, ndipo akhoza kukhala athanzi. Anthu ena akhoza kusintha kapangidwe ka mitsempha yawo yamagazi, zomwe zingakhale zabwinobwino, kapena zitha kukhala chifukwa cha vuto ngati `(FMD)`. Ichi ndichifukwa chake `(Carotid Bruit)` ndi gawo loyamba lokha pofufuza ndi kuchiza matenda okhudzana ndi `(Carotid Artery)`.

Ngati dokotala wanena kuti pali "Carotid Bruit", kodi chimachitika n’chiyani pambuyo pake?

Ngati dokotala wanu amva ``Carotid Bruit'', ikhoza kukhala chizindikiro chakuti pali vuto. Dokotalayo angakupatseni mayeso ena kuti adziwe momwe ``Carotid Mitsempha Yanu Yamagazi’’ ilili.

Kodi mayeso ena ndi ati?

Mayeso ofala kwambiri omwe amachitidwa panthawiyi ndi Carotid Duplex Ultrasound . Iyi ndi mayeso osapweteka, osavulaza. Amatha kuwona momwe magazi amayendera mu Carotid Artery yanu, ngati mtsempha wamagazi wachepa, ndipo ngati ndi choncho, momwe ulili wopapatiza. Ndi ofanana ndi ultrasound scan yomwe imachitikira amayi oyembekezera, koma iyi imachitikira pakhosi.

Kodi zinthu zoopsa zimakhudzanso izi?

Inde, ngati muli ndi `(Carotid Bruit)`, ndipo nthawi yomweyo muli ndi chinthu chimodzi kapena zingapo zomwe zimayambitsa `(Carotid Artery Stenosis)`, dokotala adzalamula mayeso monga `(Carotid Duplex Ultrasound)` omwe atchulidwa kale. Zinthu izi zomwe zingakubweretsereni chiopsezo ndi izi:

• Ngati muli ndi matenda a mtima .
• Ngati muli ndi matenda a shuga (mtundu 1 kapena mtundu 2).
• Ngati wina m'banjamo adadwalapo sitiroko kale.
• Ngati muli ndi kuthamanga kwa magazi .
• Ngati muli ndi cholesterol yambiri m'magazi anu .
• Ngati muli ndi zaka zokulirapo (nthawi zambiri muli ndi zaka zoposa 65, kapena zoposa 55 ngati pali zinthu zina zomwe zingakuike pachiwopsezo).
• Matenda a mitsempha ya m'mitsempha ya m'mapazi, matenda omwe amachititsa kuti mitsempha yamagazi m'miyendo kapena m'manja ichepeNgati ilipo.
• Kugwiritsa ntchito fodya ndi ndudu .

Ngati muli ndi zinthu zambiri zoopsazi, mwayi wanu wopeza ``Carotid Artery Stenosis'' umawonjezeka.

Komanso, ngati mukukonzekera kuchitidwa opaleshoni ya mtima monga `(Coronary Artery Bypass Grafting - CABG)` , dokotala wanu angafune kuwona momwe `(Carotid Artery)` yanu ilili musanachite opaleshoniyi. Izi zili choncho chifukwa ngati muli ndi `(Carotid Artery Stenosis)`, muli pachiwopsezo chachikulu chokhala ndi `(Stroke)` panthawi ya opaleshoni ya mtima kapena mutatha. Ngati ndi choncho, mutha kulandira chithandizo musanachite opaleshoniyi kuti muchepetse chiopsezo chimenecho.

Kodi chithandizo cha izi ndi chiyani?

Si aliyense amene ali ndi `(Carotid Bruit)` amene angafunike chithandizo. Komabe, anthu ena amafunika chithandizo kuti achepetse chiopsezo chawo chokhala ndi `(TIA)` kapena `(Stroke)`. Cholinga chachikulu cha chithandizo ndikuwongolera kuyenda kwa magazi kudzera mu `(Carotid Artery)` yanu.

Kuwongolera ndi mankhwala

Nthawi zambiri, makamaka ngati mtsempha wanu wa carotid sunachepe kwambiri, mankhwala ndi mankhwala oyamba. Kutengera ndi matenda anu, dokotala wanu angakulangizeni mankhwala amodzi kapena angapo mwa awa:

• Mankhwala ochepetsa kuthamanga kwa magazi .
• Mankhwala ochepetsa cholesterol .
• Nthawi zina mankhwala monga aspirin, omwe amaletsa magazi kuundana, amagwiritsidwa ntchito.

Kusintha kwa moyo ndikofunikira kwambiri!

Kusintha zina pa moyo wanu kungakuthandizeni kwambiri kuchepetsa kuchuluka kwa plaque m'mitsempha yanu. Yesani izi:

• Pewani kusuta fodya ndi zinthu zonse zopangidwa ndi fodya. Fodya ndi woipa kwambiri pa mitsempha yanu yamagazi. Imawonjezeranso chiopsezo chanu cha matenda ambiri, kuphatikizapo matenda a mtima. Ngati mukufuna thandizo kuti musiye kusuta, funsani dokotala wanu, pali njira zochitira izi.
• Idyani zakudya zopatsa thanzi pamtima . Izi zikutanthauza kudya mafuta ochepa okhuta, sodium, ndi shuga. M'malo mwa nyama yofiira, sinthani nyama yopanda mafuta monga nkhuku, Turkey, ndi nsomba. Idyani ndiwo zamasamba, zipatso, nyemba, ndi mtedza wambiri.
• Chitani masewera olimbitsa thupi nthawi zonse . Musayambe kuchita masewera olimbitsa thupi kwambiri nthawi imodzi. Yambani pang'ono ndipo yesetsani kuchita masewera olimbitsa thupi kwa mphindi pafupifupi 150 pa sabata. Ndi bwino kufunsa dokotala wanu zomwe zili zoyenera komanso zotetezeka kwa inu musanayambe pulogalamu yatsopano yochita masewera olimbitsa thupi.

Opaleshoni kapena njira zina

Ngati "Carotid Artery Stenosis" yanu ndi yoopsa kwambiri, mungafunike opaleshoni kapena njira zina zapadera. Zina mwa izi ndi izi:

• `(Kuchotsa Carotid Endarterectomy)`: Iyi ndi opaleshoni. Izi zikuphatikizapo kutsegula `(Carotid Artery)` ndikuchotsa `(Plaque)` yomwe yadziunjikira mkati.
• `(Carotid Angioplasty ndi Stenting)` : Mu izi, chipangizo chaching'ono chonga baluni chimayikidwa mu `(Carotid Artery)` yopapatiza ndikudzazidwa kuti chikulitse mtsempha wamagazi. Kenako, chubu chaching'ono chotchedwa `(Stent)` chimayikidwa mkati mwa mtsempha wamagazi kuti chisapapatizenso.

Koma kumbukirani kuti si aliyense amene ali ndi "Carotid Bruit" amene ali ndi magazi oundana ndipo amafunika chithandizo. Lankhulani ndi dokotala wanu kuti mudziwe momwe "Carotid Bruit" yanu ikukhudzirani.

Pomaliza, zinthu zoti muzikumbukira (Uthenga Wopita Nawo Kunyumba)

Ngati dokotala wanu akukuuzani kuti muli ndi ``(Carotid Bruit)``, musachite mantha kapena kuchita mantha . Sizikutanthauza kuti muli pachiwopsezo chachikulu. Ndi chizindikiro chokhacho chomwe dokotala amagwiritsa ntchito poyesa thanzi la mitsempha yanu yamagazi.

Choncho, lankhulani ndi dokotala wanu za izi kuti mudziwe zambiri. Komanso, dziwani zomwe zimayambitsa matenda a atherosclerosis (kuuma kwa mitsempha yamagazi) ndi zomwe mungachite kuti muchepetse chiopsezo chanu. Kukhala ndi moyo wathanzi nthawi zambiri ndiyo njira yabwino kwambiri yodzitetezera ku matenda amenewa. Kusamalira thanzi lanu kuli m'manja mwanu!

Kupweteka kwa mitsempha ya carotid, phokoso pakhosi, mitsempha ya carotid, sitiroko, TIA, atherosclerosis, kutsekeka kwa mitsempha ya magazi, kufalikira kwa magazi ku ubongo