Kodi mwadzidzidzi munayamba mwamva chizungulire, kumva dzanzi mbali imodzi ya thupi lanu, kapena kuvutika kulankhula? Nthawi zina izi zitha kukhala zizindikiro za sitiroko yaying'ono. Izi zikachitika, chinthu chachikulu chomwe madokotala amafunafuna ndi ngati pali kutsekeka kwa mtsempha waukulu m'khosi mwanu komwe kumanyamula magazi kupita ku ubongo wanu. Ndicho chimene tikambirana lero.
Kodi Carotid Angiography ndi chiyani?
Mwachidule, carotid angiogram, kapena angiogram, ndi mayeso apadera omwe amayang'ana momwe magazi akuyendera m'mitsempha iwiri ikuluikulu yamagazi mbali zonse ziwiri za khosi lanu (zomwe timatcha kuti carotid arteries). Ganizirani za mitsempha iwiriyi ngati mitsempha ikuluikulu iwiri yomwe imanyamula magazi kuchokera mumtima mwanu kupita ku ubongo wanu. Kuyesaku kumachitika kuti muwone ngati pali kutsekeka kapena kuchepa kwa mitsempha iliyonse mwa iyi.
Izi zimaphatikizapo kujambula zithunzi pogwiritsa ntchito X-ray. Koma ngakhale ndi X-ray yosavuta, mitsempha yamagazi iyi siioneka bwino. Chifukwa chake, madzi apadera, mtundu wa utoto wotchedwa ``contrast dye'', amalowetsedwa m'thupi. Utoto uwu umapangitsa mitsempha yamagazi kuoneka yoyera pa X-ray. Monga momwe mumayendetsera galimoto pamsewu wakuda ndi nyali zanu zoyatsa, mutha kuwona msewu bwino.
N’chifukwa chiyani muyenera kuchita mayeso amenewa?
Chifukwa chachikulu chochitira mayesowa ndi ngati pali kukayikira kuti pali matenda a Carotid Artery Disease . Chomwe chimachitika pamenepa ndi chakuti pakapita nthawi, zinthu monga cholesterol zimasonkhana mkati mwa mitsempha yamagazi iyi, kukulitsa makoma a mitsempha ndikuchepetsa kuyenda kwa magazi. Monga momwe zimakhalira pakapita nthawi, dzimbiri limasonkhana mkati mwa chitoliro chamadzi m'nyumba mwathu ndikutseka kuyenda kwa madzi. Mu zamankhwala, timatcha izi `(Atherosclerosis)`.
Pali zifukwa zingapo zazikulu zomwe dokotala wanu angakutumizireni mayeso awa:
- Ngati dokotala akukayikira kuti muli ndi zizindikiro za matenda a mitsempha ya carotid.
- Ngati mudadwalapo kale matenda a stroke ang'onoang'ono , kapena chomwe chimadziwika kuti ``Transient Ischemic Attack - TIA''.
- Ngati munadwalapo sitiroko yaikulu kale.
Chofunika kwambiri ndichakuti kutsekeka kwa mitsempha iyi kumatha kuchepetsa kuchuluka kwa magazi omwe amafika muubongo. Izi zimawonjezera kwambiri chiopsezo cha sitiroko. Chifukwa chake, ndikofunikira kwambiri kuti muyesedwe ndikupeza vutoli msanga.
Kodi mudzachita mayeso ena musanayambe iyi?
Inde. Kawirikawiri, dokotala sakutumizani nthawi yomweyo kuti mukayesedwe angiography. Nthawi zambiri, carotid ultrasound imachitika.Kuyezetsa kumachitika. Iyi ndi njira yosavuta kwambiri, yopanda ululu, yowunikira pogwiritsa ntchito mafunde a phokoso. Komabe, nthawi zina ngati zithunzi kuchokera ku mayeso a ultrasound sizikumveka bwino, kapena ngati dokotala akufuna kudziwa zambiri za momwe mitsempha yamagazi ilili, gawo lotsatira ndikutchula mayeso a carotid angiography.
Kodi mungakonzekere bwanji mayeso?
Dokotala wanu kapena ogwira ntchito kuchipatala adzakupatsani malangizo omveka bwino a momwe mungakonzekerere mayesowa. Ndikofunikira kwambiri kutsatira malangizo amenewo molondola.
| Gawo lokonzekera | Zoyenera kuchita ndi kufotokozera |
|---|---|
| Chakudya ndi zakumwa | Mudzauzidwa kuti musadye kapena kumwa chilichonse kwa maola angapo musanayesedwe. Izi zikutanthauza kuti muyenera kusala kudya. Tsatirani malangizo amenewo moyenera. |
| Mankhwala omwe mumamwa | Onetsetsani kuti mwauza dokotala wanu za mankhwala aliwonse omwe mumamwa tsiku lililonse (monga aspirin, mankhwala a shuga, mankhwala othamanga magazi) ndi mankhwala aliwonse a Ayurvedic omwe mukumwa. Mungapemphedwe kuti musiye kumwa mankhwala ena tsiku lisanafike mayeso. |
| Zinthu zamtengo wapatali | Siyani zinthu zanu zamtengo wapatali, monga zodzikongoletsera ndi ndalama, kunyumba. Pewani kuzibweretsa kuchipatala. |
| Kupita ndi kubwera kuchipatala | Mwina simungathe kuyendetsa galimoto mutatha mayeso, choncho ndikofunikira kuti mukhale ndi munthu woti akuyendetseni kunyumba. |
Kodi chimachitika ndi chiyani panthawi ya mayeso?
Ntchito yonseyi nthawi zambiri imatenga pafupifupi ola limodzi kapena ola limodzi ndi theka. Palibe chifukwa chodera nkhawa, chilichonse chimachitidwa poganizira za chitetezo chanu.
Atafika kuchipatala
Mudzapatsidwa diresi la kuchipatala kuti muvale. Ngati muvala magalasi kapena zothandizira kumva, funsani dokotala kapena namwino ngati mungathe kuvala magalasiwa panthawi yoyezetsa. Komabe, magalasi olumikizirana ayenera kuchotsedwa.
Njira yoyesera
Tebulo ili m'munsimu likuthandizani kumvetsetsa bwino njirayi.
| Masitepe | Chikuchitika ndi chiyani? |
|---|---|
| Kuyika mzere wa IV | Kachubu kakang'ono (IV catheter) kadzalowetsedwa mu mtsempha womwe uli m'dzanja lanu. Mankhwala ndi madzi ofunikira adzaperekedwa kudzera mu izi. |
| Kupereka mankhwala ochepetsa ululu | Mudzapatsidwa mankhwala ochepetsa nkhawa kuti mupumule ndikuchepetsa nkhawa. Izi zingakuthandizeninso kugona. |
| Kuwunika kugunda kwa mtima | Ma electrode amalumikizidwa pachifuwa chanu ndipo amalumikizidwa ku makina a EKG. Izi zimayang'anira momwe mtima wanu ukuyendera panthawi yonse yoyeserera. |
| Kupereka mankhwala a dzanzi | Mankhwala oletsa ululu am'deralo amabayidwa m'dera lomwe catheter imayikidwa, nthawi zambiri m'chifuwa kapena nthawi zina m'dzanja. |
| Kuyika catheter ndi kuboola die | Pambuyo pa opaleshoni yoletsa kupweteka, chubu chopyapyala kwambiri (catheter) chimalowetsedwa mu mtsempha wamagazi ndikutsogoleredwa ku mtsempha wa carotid womwe uli pakhosi. Kenako, utoto umalowetsedwa kudzera mu chubucho. Kenako zithunzi za X-ray zimatengedwa. |
Kodi izi zimapweteka?
Ayi. Iyi si mayeso opweteka nthawi zambiri. Simudzamva ululu uliwonse chifukwa catheter ndi yadzaoneni. Komabe,Utoto ukalowetsedwa m'thupi, mungamve kutentha pang'ono kapena kumva kunjenjemera. Izi ndi zachilendo. Kutentha kudzatha pakangopita masekondi ochepa.
Komabe, ngati mukukumana ndi zizindikiro zotsatirazi panthawi yoyezetsa, muyenera kuuza dokotala kapena namwino nthawi yomweyo:
- Kupweteka pachifuwa kapena kusasangalala
- Kutupa pakhungu kapena kuyabwa
- Kumva nseru.
- Kumva ngati pakhosi panu pachepa
- Kusintha kulikonse kapena kusawona bwino kwa masomphenya
Kodi chimachitika ndi chiyani pambuyo pa mayeso?
Mayeso akatha, dokotala adzachotsa catheter ndi bandeji kuti magazi asiye kutuluka. Kenako, kugunda kwa mtima wanu ndi kuthamanga kwa magazi zidzayesedwa, ndipo mudzasamutsidwira ku chipinda china kuti mupumule kwa maola angapo.
Mudzalangizidwa kumwa madzi ambiri panthawiyi. Izi zili choncho chifukwa utoto womwe umalowetsedwa m'thupi lanu umafunika kutuluka mwachangu kudzera mu mkodzo wanu. Choncho musadandaule ngati mukufuna kukodza pang'ono, ndi zachilendo.
Kodi zotsatira zake zikuti chiyani ndipo zidzapezeka liti?
Zithunzi za X-ray zomwe zatengedwa kuchokera ku mayesowa zitha kuwonetsa bwino ngati pali kutsekeka kapena kuchepa kwa mitsempha yanu ya carotid.
Zithunzizi zimawunikidwa ndi katswiri, katswiri wa radiology, ndipo lipoti limakonzedwa. Lipotili limatumizidwa kwa dokotala wanu amene akukuthandizani. Dokotalayo adzalankhula nanu ndikukufotokozerani zotsatira zake, komanso ngati pakufunika, njira zotsatirazi zoti muchite.
Uthenga Wopita Nawo Kunyumba
- Carotid angiography ndi mayeso apadera a X-ray omwe amafufuza ngati pali kutsekeka kwa mitsempha yayikulu ya m'khosi mwanu yomwe imapereka magazi ku ubongo wanu.
- Kuyesa kumeneku n'kofunika kwambiri kuti tizindikire msanga kuchepa kapena kutsekeka kwa mitsempha yamagazi komwe kungayambitse sitiroko.
- Njira imeneyi nthawi zambiri siipweteka, koma ndikofunikira kutsatira malangizo a dokotala mosamala musanayesedwe komanso mutatha.
- Ngati mukukumana ndi zizindikiro zachilendo (monga chifuwa, kupweteka kwambiri pamalo oikira catheter) mutatha kuyeza, dziwitsani dokotala wanu nthawi yomweyo.
- Nthawi zonse lankhulani momasuka ndi dokotala wanu za zotsatira za mayeso anu ndi chithandizo chamtsogolo.
💬 Comments (0)
Palibe ndemanga zomwe zatumizidwa pano. Onjezani ndemanga yanu pano koyamba.
Onjezani ndemanga yanu