Ndizachilendo kumva mantha pang'ono komanso mantha dokotala akakuuzani kuti mupange scan ya ubongo. Mungaganize kuti, "Chachitika ndi chiyani?" Koma scan iyi, yotchedwa transcranial Doppler, si yoti muope. Mwachidule, ndi mayeso otetezeka kwambiri, monga momwe ultrasound imachitikira kwa mayi wapakati kuti aone ngati mwana wake ali bwino.
Mwachidule, kodi Transcranial Doppler ndi chiyani?
Iyi ndi njira yomwe imagwiritsa ntchito mafunde a phokoso kuti ione ngati magazi akuyenda kudzera m'mitsempha yamagazi muubongo mwanu. Monga momwe zimakhalira pofufuza ngati pali magalimoto pamsewu, kaya magalimoto akuyenda mofulumira, kapena ngati akuyenda pang'onopang'ono, kusanthula kumeneku kumathandiza dokotala kuona momwe magazi akuyendera kudzera m'mitsempha yamagazi muubongo mwanu.
Izi zimagwiritsidwa ntchito pozindikira matenda a mitsempha ya m'mitsempha komanso kuyang'anira zotsatira za mankhwala ena.
N’chifukwa chiyani dokotala angalimbikitse kujambulidwa kumeneku?
Tangoganizani kuti munthu nthawi zonse amakhala ndi chizungulire, mwadzidzidzi sangathe kulankhula, kapena ali ndi zizindikiro monga dzanzi m'miyendo yawo. Nthawi zina ngati izi, dokotala angaganize kuti pali vuto linalake ndi kayendedwe ka magazi muubongo. Pamenepo ndiye kuti kusanthula kumeneku kumakhala kofunikira kwambiri.
Onani tebulo ili m'munsimu kuti mudziwe matenda akuluakulu omwe mayesowa angathandize kuzindikira.
| Matenda omwe angadziwike | Kufotokozera kosavuta |
|---|---|
| Kuchepa kwa mitsempha yamagazi muubongo (Stenosis) | Kuchepa kwa mitsempha yamagazi kuchokera mkati chifukwa cha kuchuluka kwa cholesterol (atherosclerosis). |
| Kuopsa kwa sitiroko | Kuti tiwone kuchuluka kwa chiopsezo cha sitiroko, makamaka kwa anthu omwe ali ndi matenda monga sickle cell anemia. |
| Kuukira kwa ischemic kwa kanthawi kochepa (TIA) | Monga 'mini-stroke', ndi mkhalidwe womwe magazi amasiya kuyenda kupita ku ubongo kwa mphindi zochepa. |
| Magazi oundana ochokera mumtima (embolism) | Kuti aone ngati magazi ochepa omwe amaundana mumtima asweka n’kukakamira mumtsempha wa muubongo. |
| Aneurysm ya ubongo | Kuti aone ngati pali kufooka kwa khoma la mtsempha wamagazi muubongo komanso ngati pali kutupa ngati baluni. |
| Vasospasm | Kuona ngati mitsempha yamagazi yachepa mwadzidzidzi pambuyo pa matenda monga sitiroko. |
| Chitsimikizo cha Imfa ya Ubongo | Kutsimikizira kuti magazi sapita ku ubongo konse. |
Kodi kusanthula kumeneku kumagwira ntchito bwanji?
Zimene zimachitika apa n’zosavuta kwambiri. Chipangizo chojambulira mawu chimatumiza mafunde a mawu kudzera m’minofu ya chigaza chanu. Mafunde a mawu amenewa amagunda mitsempha ya magazi mkati mwa ubongo, amagunda maselo a magazi omwe amayenda mofulumira momwemo, kenako n’kubwereranso ngati mawu omveka. Dokotala amagwiritsa ntchito kompyuta kuti aone liwiro ndi komwe mafunde a mawuwo akubwerera kuti apeze mfundo zokhudza kuyenda kwa magazi mu ubongo.
Kodi ndiyenera kukonzekera ndisanajambule?
Ayi, izi sizikufuna kukonzekera kwapadera. Simudzafunika kuvala diresi lachipatala kapena kuvula zodzikongoletsera zanu.
Komabe, ngati muvala ma contact lens, mungapemphedwe kuti muwachotse musanayesedwe. Komanso, ngati muvala chophimba kumutu, katswiri wochita mayesowa adzakambirana nanu momwe mungachotsere kapena kusintha kwakanthawi. Mudzapatsidwa chinsinsi chomwe mukufuna kuti muchite zimenezo.
Kodi chimachitika ndi chiyani panthawi yojambula?
Njira yochitira mayeso awa ndi yosavuta kwambiri.
- Choyamba, mudzalamulidwa kugona pabedi loyezetsera matenda kapena kukhala pampando.
- Kenako, katswiri adzapaka jeli yochokera m'madzi pakhungu lanu, m'malo omwe akufunika kuunikiridwa. Jeli iyi nthawi zambiri imapakidwa kumbuyo kapena kutsogolo kwa khosi lanu, pamwamba pa masaya anu, patsogolo pa khutu lanu, kapena pamwamba pa diso lanu. Izi zili choncho chifukwa awa ndi malo omwe mitsempha yayikulu yamagazi yomwe imapereka magazi ku ubongo wanu ili.Gel iyi siivulaza khungu ndipo siipitsa zovala.
- Kenako, chipangizo chaching'ono chonga cholembera (chotchedwa transducer ) chimasunthidwa mobwerezabwereza pamwamba pa gel. Chipangizochi chimatumiza mafunde amawu muubongo ndikutenga mafunde omwe amabwerera.
- Pa nthawiyi, magazi a muubongo wanu amawonetsedwa pa kompyuta, kaya ngati ma graph kapena ngati zithunzi zamitundu.
- Chofunika kwambiri ndichakuti musasunthe mutu wanu kapena kulankhula panthawi ya mayeso awa.
- Mayeso akatha, jeli yogwiritsidwa ntchitoyo imachotsedwa.
Nthawi zina, mzere wa IV ungaikidwe mumtsempha womwe uli m'dzanja lanu ndipo saline ingalowe m'thupi. Izi zimachitika kuti muwone ngati pali dzenje mumtima mwanu lomwe lingathandize kuti magazi aziundana kupita ku ubongo wanu.
Kodi izi zimapweteka? Zitenga nthawi yayitali bwanji?
Sizimapweteka konse. Palibe kusasangalala, palibe kupweteka. Mungamve kuzizira pang'ono mukamapaka gel. Mudzamva kupanikizika pang'ono mukasuntha chipangizocho (transducer) pakhungu lanu, ndizo zonse.
Kujambula kumeneku nthawi zambiri kumatenga pakati pa mphindi 30 ndi 60 , kutengera mtundu wa mayeso omwe mwapatsidwa.
Kodi chimachitika ndi chiyani pambuyo pa mayeso? Tiyeni tiphunzire za zotsatira zake.
Mukamaliza mayeso, mutha kupita kunyumba tsiku lomwelo. Popeza izi sizovulaza thupi, palibe vuto poyendetsa galimoto kapena kuchita zinthu zomwe mumakonda.
Ponena za zotsatira zake, zitha kupezeka mwamsanga mutatha kuyezetsa. Dokotala wanu angakambirane nanu zotsatira zake tsiku lomwelo. Kapena angakukonzereni tsiku lina.
Pakhoza kukhala mitundu iwiri ya zotsatira:
- Zotsatira zabwinobwino: Izi zikutanthauza kuti palibe vuto ndi kuyenda kwa magazi muubongo wanu, ndipo zonse zikuyenda bwino.
- Zotsatira zosazolowereka: Izi zikutanthauza kuti mtsempha wamagazi womwe umatumiza magazi ku ubongo ukhoza kutsekedwa, kuchepetsedwa, kapena kutsekeka. Izi zitha kusonyeza chinthu monga magazi oundana ochokera mumtima (embolism) kapena dzenje mumtima (PFO).
Ngati mutapeza zotsatira zachilendo, musachite mantha. Izi zikutanthauza kuti dokotala wanu tsopano akhoza kuzindikira vuto lanu ndikuyamba chithandizo choyenera. Akhozanso kuyitanitsa mayeso ena kuti adziwe zambiri.
Uthenga Wopita Nawo Kunyumba
- Transcranial Doppler ndi njira yodziwira matenda yomwe siipweteka konse komanso yotetezeka yomwe imayang'ana kayendedwe ka magazi m'mitsempha yamagazi ya ubongo.
- Palibe kukonzekera kwapadera komwe kumafunika pa izi. Zili ngati X-ray.Palibe ma radiation omwe amagwiritsidwa ntchito.
- Izi zimathandiza kwambiri pozindikira msanga matenda aakulu monga sitiroko komanso kuchepa kwa mitsempha yamagazi.
- Pambuyo pa mayeso, mutha kupitiriza kugwira ntchito monga mwachizolowezi.
- Kaya zotsatira zake zitakhala zotani, musaope kulankhula momasuka ndi dokotala wanu za vutoli ndikupeza upangiri wa zomwe mungachite kenako.
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