Kodi mudayesedwanso mitsempha yamagazi m'khosi mwanu? Tiyeni tiphunzire za mayeso a CIMT! (Carotid Intima-Media Thickness - CIMT Test)

Kodi mudamvapo za mayeso a `(CIMT)`? Mwina dokotala wanu wakuuzani kuti muchite mayesowa. Ndi mayeso osavuta komanso osapweteka. Chifukwa chake, lero tikambirana mwachidule za mayeso a `(CIMT)` awa, zomwe mungayembekezere, komanso omwe ndi ofunikira.

Kodi mayeso a CIMT awa ndi otani?

Mwachidule, mayeso a CIMT amayesa makulidwe a makoma amkati mwa mitsempha yayikulu yamagazi m'khosi mwanu, mitsempha ya carotid . Mitsempha ya carotid ndi mitsempha iwiri yofunika kwambiri yamagazi mbali zonse ziwiri za khosi lanu yomwe imapereka magazi ochulukirapo a okosijeni ku ubongo wanu, mutu, ndi nkhope. Ili ngati misewu ikuluikulu iwiri.

Ponena za khoma la mitsempha yamagazi, lili ndi zigawo zingapo zazikulu. Mayeso a CIMT kwenikweni amayang'ana makulidwe a zigawo ziwiri zamkati mwa khoma la mitsempha yamagazi - "intima" ndi "media" .

• Intima ndi gawo lamkati mwa mtsempha wamagazi lomwe limakhudzana mwachindunji ndi magazi.
• Media ndi gawo lomwe lili pansi, pakati.

Taganizirani ngati chitoliro chonyamula madzi. Pamene khoma la chitolirocho likukulirakulira, njira yoti madzi ayendemo imachepa, zomwezo zimachitika pamene makoma a mitsempha yamagazi iyi akukulirakulira.

Kodi mungayembekezere chiyani kuchokera ku mayeso a CIMT?

Cholinga chachikulu cha mayesowa ndikupeza ngati muli ndi mafuta ambiri, otchedwa `plaque` , mkati mwa makoma a mitsempha yanu ya carotid. Izi zimadziwika ndi madokotala kuti `atherosclerosis` . Monga momwe payipi yamadzi imachitira dzimbiri pakapita nthawi, zinthu zamtunduwu zimatha kusonkhana mkati mwa mitsempha yathu yamagazi.

Pamene plaque ikuwunjikana motere, khoma la mitsempha yamagazi limakhuthala. Chifukwa chake, mayeso a ``(CIMT)`` awa amatha kuyeza makulidwe amenewo ndikuwona ngati pali kuwunjikana koteroko, ndipo ngati ndi choncho , kuopsa kwake. Gawo labwino kwambiri ndilakuti mayesowa angathandize kuzindikira vutoli pachiyambi, zizindikiro zisanayambe kuwoneka.

Tsopano mwina mukudabwa kuti, kodi chingachitike n’chiyani ngati mutadziwa zimenezi? Pogwiritsa ntchito izi, dokotala wanu angaone ngati muli ndi chiopsezo chotenga matenda a mtima monga matenda a mtima ndi sitiroko . Izi zingakuthandizeni kukonzekera chithandizo, mankhwala, ndi kusintha moyo wanu kuti muchepetse chiopsezo chanu.

Mayeso a CIMT ali ngati chidutswa chimodzi cha puzzle yayikulu. Amapatsa dokotala wanu zizindikiro zofunika zokhudza thanzi la mtima wanu.

Ndani akufuna kulemba mayeso a CIMT?

Dokotala nthawi zambiri amalangiza mayeso awa a ``(CIMT)`` ngati akuganiza kuti muli pachiwopsezo cha atherosclerosis , yomwe ndi kuchuluka kwa mafuta m'mitsempha yanu yamagazi. Kodi zinthu zoopsazi ndi ziti?

• Kuchuluka kwa mafuta m'thupi (hyperlipidemia)Izi zikutanthauza kuti mulingo wa cholesterol m'magazi mwanu ndi wokwera.
• Kuthamanga kwa magazi : Izi zikutanthauza kuti muli ndi kuthamanga kwa magazi, kapena ngati kuthamanga kwa magazi kwanu kuli kokwera kwambiri.
• Kuchuluka kwa shuga m'magazi : Izi zikutanthauza kuti shuga m'magazi mwanu ndi wokwera kwambiri (monga mwa anthu odwala matenda a shuga).
• Zinthu zina zokhudzana ndi moyo : Chiwopsezochi chimakhala chachikulu kwa anthu omwe amasuta ndi kugwiritsa ntchito fodya.

Choncho, ngati muli ndi chimodzi kapena zingapo mwa zinthuzi zoopsa, dokotala wanu angakufunseninso kuti muyese mayeso a `(CIMT)` awa.

Kodi mayeso a CIMT amachitidwa bwanji?

Mayeso a `(CIMT)` awa amachitika pogwiritsa ntchito ukadaulo wa ultrasound . Mwina munamvapo za ma scan omwe amagwiritsidwa ntchito poona makanda. Ukadaulo womwewo umagwiritsidwanso ntchito pa uwu. Ndi mayeso osavulaza . Izi zikutanthauza kuti palibe chomwe chimayikidwa m'thupi lanu, palibe mabala omwe amapangidwa. Chifukwa chake simukumva kupweteka kulikonse .

Mayesowa amachitidwa ndi katswiri wa ultrasound/katswiri wa ukadaulo. Iye ndi wophunzitsidwa mwapadera kuchita mayesowa. Umu ndi momwe zimagwirira ntchito mwachidule:

1. Katswiri adzakanikiza pang'onopang'ono chipangizo chaching'ono chogwira ndi dzanja - chotchedwa transducer - pamalo osiyanasiyana pakhosi panu.

2. Transducer iyi imatulutsa mafunde amphamvu kwambiri (mafunde a ultrasound).

3. Mafunde a phokoso awa amayenda m'khosi mwanu, n’kugunda zinthu mkati (kuphatikizapo mitsempha yanu ya carotid) n’kubwerera m’mbuyo (monga ‘mau omveka’).

4. Chosinthira mawucho chimajambula mafunde obwerera awa ndikuwatumiza ku kompyuta.

5. Kompyuta imayesa mafunde awa ndikupanga zithunzi kuchokera mwa iwo. Zithunzi izi zimagwiritsidwa ntchito poyesa makulidwe a khoma la mitsempha yamagazi.

Kodi ndiyenera kukonzekera bwanji mayesowa?

Ndipotu, palibe kukonzekera kwapadera kofunikira pa mayeso a `(CIMT)` awa. Komabe, ngati mungathe, valani zovala zomasuka komanso zomasuka . Chifukwa katswiri adzayenera kusuntha transducer mozungulira khosi lanu, zimakhala zosavuta kuti agwire ntchito yawo ngati atavala shati yokhala ndi malo ozungulira khosi.

Momwe mungayesere mayeso a CIMT pang'onopang'ono

Mayeso onse nthawi zambiri amatenga mphindi 30 mpaka 45. Umu ndi momwe zimachitikira:

1. Choyamba, katswiri adzakuuzani kuti mugone patebulo loyesera. Muyenera kukhala momasuka mukuyang'ana mmwamba.

2. Kenako, gel imayikidwa pakhosi panu. Gel iyi imapanga mgwirizano wabwino pakati pa transducer ndi khungu lanu, komanso imathandiza mafunde a phokoso kulowa m'thupi.

3. Kenako, katswiri adzayika pang'onopang'ono chosinthira mawu pa khosi lanu ndikuchisuntha. Nthawi zina mudzapemphedwa kuti mutembenuze mutu wanu pang'ono kuti mumve bwino. Mudzamva kupsinjika pang'ono, koma osamva kupweteka.Ngati simukumva bwino mwanjira ina iliyonse, uzani katswiri nthawi yomweyo.

4. Mayeso akatha, jeli iliyonse yotsala pakhosi idzachotsedwa.

Ndi zimenezo! Zosavuta kwambiri, eti?

Kodi chimachitika ndi chiyani pambuyo pa mayeso?

Katswiri akakuuzani kuti mayeso atha, mutha kupita kunyumba. Mutha kupitiriza ndi zochita zanu za tsiku ndi tsiku monga mwachizolowezi.

Kodi pali zoopsa zilizonse ndi mayesowa?

Iyi ndi nkhani yabwino kwambiri! Ofufuza sanapeze zoopsa zilizonse zokhudzana ndi mayeso a CIMT. Ndi mayeso otetezeka kwambiri, osavulaza. Sagwiritsa ntchito ma radiation. Choncho palibe chifukwa choopera.

Kodi timapeza zotsatira zotani?

Mayeso a `(CIMT)` amayesa makulidwe a zigawo ziwiri zamkati mwa mtsempha wanu wa carotid. Mayesowa amapanga zithunzi komanso deta ya manambala. Deta iyi imasanthulidwa ndipo lipoti limakonzedwa ndi katswiri wa radiology . Iye ndi katswiri amene amawerenga ndikutanthauzira zithunzi zachipatala, monga zithunzi za ultrasound.

Katswiri wa radiology adzatumiza izi kwa dokotala wanu wamkulu kapena katswiri wa mtima, yemwe adzakufotokozerani zotsatira zake.

Zimatenga nthawi yayitali bwanji kuti mudziwe zotsatira zake?

Dokotala wanu adzakuuzani nthawi yomwe mudzalandire zotsatira za mayeso anu. Nthawi zambiri, zimatenga masiku angapo.

Ngati zotsatira zake sizili bwino, kodi muchita chiyani kenako?

Tangoganizirani, ngati zotsatira zanu za mayeso a ``(CIMT)`` zikusonyeza kuti makoma a mitsempha yanu yamagazi ndi okhuthala pang'ono ndipo plaque yayamba kusonkhana. Ngati ndi choncho, dokotala wanu adzakulangizani zinthu zomwe zingakuthandizeni kuchepetsa chiopsezo chanu cha matenda a mtima ndi sitiroko .

Mwachitsanzo:

• Mungapatsidwe mankhwala oletsa kuthamanga kwa magazi.
• Mankhwala angaperekedwe kuti achepetse kuchuluka kwa cholesterol m'magazi.
• Mungapemphe pulogalamu yochita masewera olimbitsa thupi nthawi zonse.
• Mungalangizidwe kutsatira zakudya zopatsa thanzi la mtima (monga zakudya za ku Mediterranean).

Zonsezi zimachitika kuti muteteze thanzi lanu lamtsogolo.

Kodi ndiyenera kulankhula ndi dokotala liti?

Ngati muli ndi mafunso kapena nkhawa zokhudzana ndi zotsatira za mayeso anu a CIMT kapena dongosolo la chithandizo lomwe dokotala wanu wakupatsani, onetsetsani kuti mwayimbirani foni dokotala wanu ndikupempha kuti akufotokozereni bwino. Ndi ufulu wanu.

Chinthu chofunika kwambiri chomwe tiyenera kuphunzira kuchokera pa izi ndi

Chabwino, kuchokera pa zomwe takambirana, izi ndi zinthu zofunika kwambiri zomwe muyenera kukumbukira:

• Kuyesa kwa carotid intima-media thickness (CIMT) kungathandize kuzindikira zizindikiro zoyambirira za mafuta omwe ali m'mitsempha yayikulu yamagazi m'khosi mwanu.
• Ndi chidziwitso ichi, dokotala wanu akhoza kupanga dongosolo lochepetsera mavuto omwe mungakumane nawo chifukwa cha matenda a mtima mtsogolo.
• Ndizachibadwa kumva mantha pang'ono mukapita kukayezetsa kulikonse. Komabe, dziwani kuti mayeso a (CIMT) ndi achangu, osapweteka, komanso osavulaza thupi .
• Chidziwitso chimene dokotala amapeza kuchokera ku mayesowa chingakhale chamtengo wapatali mokwanira kupulumutsa moyo wanu .

Choncho, ngati dokotala akulangizani mtundu uwu wa mayeso, musachite mantha, pezani zambiri zomwe mukufuna, ndipo muchite. Ndi ndalama zambiri pa thanzi lanu.

Mayeso a CIMT, matenda a mitsempha ya carotid, thanzi la mtima, atherosclerosis, chiopsezo cha sitiroko, ultrasound, kupewa