Kujambula khosi? Tiyeni tikambirane za carotid ultrasound.

Kodi munayamba mwaganizapo kuti mitsempha iwiri ikuluikulu yamagazi yomwe imanyamula magazi kupita ku ubongo wanu ili mbali zonse ziwiri za khosi lanu? Inde, iyi ndi yomwe timaitcha kuti mitsempha ya carotid. Ngati, pakapita nthawi, zinthu monga mafuta zikuwunjikana mkati mwa mitsempha iyi yamagazi ndikutsekeka, kuyenda kwa magazi kupita ku ubongo kumatha kusokonezeka, zomwe zimapangitsa kuti mukhale ndi vuto lalikulu monga sitiroko. Chifukwa chake, lero tikambirana za mayeso osavuta, opanda ululu, komanso opanda chiopsezo omwe angakuthandizeni kudziwa momwe mitsempha iyi ilili.

Kodi ultrasound ya carotid ndi chiyani?

Mwachidule, izi zili ngati ultrasound scan yomwe mayi woyembekezera mwana amachita. Koma iyi imachitika mbali zonse ziwiri za khosi lanu m'malo mwa mimba yanu. Kuyesaku sikugwiritsa ntchito radiation iliyonse. M'malo mwake , kumagwiritsa ntchito mafunde amphamvu kwambiri kuti apange chithunzi cha mkati mwa mtsempha wanu wa carotid womwe umawonetsedwa pazenera la kompyuta. Pali njira ina yapadera yotchedwa Doppler ultrasound . Imatha kuwona momwe magazi akuthamanga komanso momwe magazi akuyendera m'mitsempha yanu. Zili ngati kuwona madzi akuyenda kudzera mu chitoliro.

N’chifukwa chiyani muyenera kuchita scan ngati imeneyi?

Dokotala wanu adzalamula kuti muyesedwe kaye kuti muwone ngati magazi amaundana kapena ngati pali plaque mu mitsempha yanu ya carotid. Ma plaque amenewa amatha kupeta pang'onopang'ono mtsempha wamagazi ndikutseka kwathunthu. Izi zimawonjezera chiopsezo chanu cha sitiroko. Dokotala wanu angakulangizeni mayesowa pazochitika zotsatirazi:

Kodi ndingakonzekere bwanji ndisanajambule?

Iyi ndi gawo labwino kwambiri. Palibe kukonzekera kwapadera kofunikira pa scan iyi. Simukuyenera kusiya kudya kapena kumwa mankhwala aliwonse (koma funsani dokotala wanu kuti mutsimikizire). Koma zimakhala zosavuta ngati mukukumbukira zinthu zingapo:

• Valani zovala zomasuka komanso zomasuka zokhala ndi khosi lalikulu. Ngati muvala zovala zolimba zomwe zimaphimba khosi lanu, mungafunike kuvala diresi la kuchipatala.
• Musamavale mikanda ikuluikulu kapena ndolo. Izi zitha kusokoneza kusanthula .

Kodi chimachitika ndi chiyani panthawi yojambula? N'zosavuta kwambiri!

Mayeso nthawi zambiri amatenga mphindi 30 mpaka 45. Tangoganizani kuti mwagona pabedi m'chipinda choyesera. 1. Kupaka jeli: Choyamba, katswiri wa sonographer adzapaka jeli yowonekera m'mbali mwa khosi lanu. Ikhoza kumva kutentha pang'ono. Jeli iyi imathandiza mafunde a phokoso kudutsa pakhungu lanu ndikulowa m'mitsempha yanu. 2. Kujambula: Kenako, adzayika chipangizo chaching'ono, chogwiritsidwa ntchito m'manja (transducer) pakhosi panu ndikuchisuntha mmbuyo ndi mtsogolo. Chipangizochi chimatumiza mafunde a phokoso ndikunyamula mafunde obwerera. Kenako chidziwitsochi chimasinthidwa kukhala zithunzi ndi kompyuta. 3. Khalani chete: Kuti mupeze zotsatira zabwino, ndikofunikira kukhala chete momwe mungathere panthawi yojambula. 4. Kodi padzakhala phokoso lililonse? Palibe phokoso panthawi ya ultrasound yokhazikika. Koma panthawi ya gawo la Doppler, lomwe limayang'ana kuyenda kwa magazi, mungamve phokoso la "s…s…s…". Ndilo phokoso la magazi lomwe likuyenda mkati mwa mtsempha wanu. Palibe chodetsa nkhawa. Kujambula kukatha, mudzapatsidwa thaulo kuti mupukute jeli. Kenako mutha kupita kunyumba monga mwachizolowezi. Palibe kupuma kwapadera komwe kumafunika.

Kodi pali chiopsezo chilichonse pa izi?

Palibe zoopsa pa mayesowa. Palibe ululu. Palibe kuwala kwa dzuwa . Mungamve kupanikizika pang'ono chipangizocho chikanikizidwa pakhosi panu, koma palibe ululu konse. Choncho musachite mantha ndi izi.

Kodi lipotilo likuti chiyani? Tiyeni timvetse zotsatira zake

Lipoti limene dokotala wanu adzalandira lidzakuuzani makamaka kuchuluka kwa mitsempha yanu ya carotid yomwe yatsekedwa. Limafotokozedwa ngati peresenti.

• Zotsatira Zabwinobwino: Izi zikutanthauza kuti palibe kuchepa kwakukulu kapena kutsekeka kwa mitsempha yanu, ndipo magazi akuyenda bwino. Iyi ndi nkhani yabwino!
• Zotsatira Zosazolowereka: Izi zikutanthauza kuti pali kutsekeka kwina kwa mitsempha yanu imodzi kapena yonse iwiri. Kuchulukana kwa mafuta kumeneku kumatchedwa atherosclerosis . Matendawa amawonjezera chiopsezo cha sitiroko.

Ngati zotsatira zake sizili bwino, kodi muchita chiyani kenako?

Musadandaule. Ngakhale pali vuto la kutsekeka, pali zinthu zambiri zomwe zingathandize. Chithandizo chimadalira kukula kwa vutolo komanso zizindikiro zomwe muli nazo. Zonsezi zimatsimikiziridwa ndi dokotala wanu.

Ngati pali kutsekeka kochepa:

Pakadali pano, dokotala sadzapita ku opaleshoni. M'malo mwake, adzalangiza kusintha moyo ndi mankhwala.

• Kusintha kwa moyo:
• Kuwongolera zakudya : Chepetsani zakudya zokhala ndi mafuta ambiri, mchere, ndi shuga, ndipo idyani ndiwo zamasamba, zipatso, ndi zakudya zokhala ndi ulusi wambiri.
• Kuchita Masewera Olimbitsa Thupi: Khalani ndi chizolowezi chochita masewera olimbitsa thupi osavuta, monga kuyenda tsiku lililonse.
• Siyani kusuta : Kusuta kumawononga mitsempha yamagazi .
• Mitundu ya mankhwala:
• Mankhwala ochepetsa cholesterol (monga ma statins )
• Mankhwala omwe amaletsa magazi kuundana (monga Aspirin, Clopidogrel )
• Mankhwala ochepetsa kuthamanga kwa magazi ( Antihypertensive therapy )

Ngati pali kutsekeka kwakukulu:

Ngati mtsempha wa magazi watsekeka kwambiri, zomwe zikutanthauza kuti ndi zoposa 50%-60%, ndipo mukukumana ndi zizindikiro, dokotala wanu angakulangizeni chimodzi mwa mankhwala otsatirawa.

• Kuchotsa Carotid Endarterectomy: Iyi ndi opaleshoni. Monga kuchotsa chotseka pa chitoliro, mtsempha wamagazi umatsegulidwa ndipo mafuta omwe ali mkati mwake amachotsedwa.
• Angioplasty ndi Stenting: Izi zimaphatikizapo kudzaza baluni mu mtsempha wopapatiza kuti ukule. Kenako, chipangizo chaching'ono chonga maukonde ( stent ) chimayikidwa kuti chisatsekedwenso.

Nthawi zina, ngati carotid ultrasound singathe kupeza chithunzi chonse (mwachitsanzo, ngati gawo la mtsempha wamagazi latsekedwa ndi fupa), dokotala wanu angakupatseni scan ina, monga CT kapena Magnetic Resonance Angiography (MRA) .

Uthenga Wopita Nawo Kunyumba

• Kujambula kwa carotid ultrasound ndi njira yotetezeka komanso yopanda ululu yomwe imayang'ana momwe mitsempha yamagazi yomwe ili m'khosi imatengera magazi kupita ku ubongo ilili.
• Izi zingathandize kuzindikira msanga kutsekeka kwa mitsempha yamagazi komwe kungayambitse sitiroko.
• Kuyezetsaku sikufunikira kukonzekera kwapadera, ndipo palibe zoopsa kapena zotsatirapo zake.
• Kutengera ndi zotsatira za mayeso, chithandizo chingaphatikizepo kusintha moyo, mankhwala, kapena, ngati pakufunika, opaleshoni.
• Nthawi zonse kambiranani ndi dokotala wanu za zotsatira za mayeso anu ndi chithandizo chamtsogolo . Adzakupatsani malangizo abwino kwambiri.

Carotid Ultrasound, carotid ultrasound, khosi scan, sitiroko, kutsekeka kwa mitsempha yamagazi, plaque, Doppler scan, atherosclerosis