Ese imiyoboro y'amaraso mu ijosi ryawe irafunze? Reka tuvuge kuri Carotid Ultrasound!

Wigeze wumva ikizamini cyitwa Carotid Ultrasound? Ahari muganga wawe yarabikubwiye, cyangwa wenda ufite amatsiko gusa. Ntugahangayike, ni ikizamini cyoroshye cyane, kidatera ububabare, kandi cy'ingenzi cyane. None se, reka tubiganireho birambuye uyu munsi, si byo se?

Ultrasound ya carotide ni iki?

Muri make, carotid ultrasound ni ikizamini kireba imbere mu mitsi yawe ya carotid . Iyi mitsi y'amaraso iherereye ku mpande zombi z'ijosi ryawe, kandi itanga amaraso mu bwonko bwawe . Bityo rero ushobora kwiyumvisha akamaro ko gukomeza iyi mitsi.

Iki kizamini gikoresha amajwi kugira ngo gifate amafoto y'imbere mu mitsi yawe y'amaraso. Ni nk'isuzuma rya ultrasound ku bagore batwite, ariko rikorerwa ku ijosi ryawe. Rikoresha kandi ikoranabuhanga ryitwa Doppler ultrasound . Rishobora kureba uburyo amaraso agenda neza n'umuvuduko mu mitsi yawe y'amaraso. Ntabwo ari igitangaza?

Iki kizamini gikenewe ryari?

Muganga azashaka gukora iki kizamini cya carotid ultrasound kugira ngo arebe niba hari amaraso yapfunditse cyangwa ibinure (plaque) mu mitsi yawe ya carotid. Ibi binure bimeze nk'ingese mu muyoboro w'amazi. Uko igihe kigenda gihita, bishobora kwirema no kuziba imitsi y'amaraso. Ibi bibaye, ingano y'amaraso ajya mu bwonko ishobora kugabanuka, bigatera indwara iteje akaga nko kurwara indwara yo mu bwonko .

Tekereza, ibi bimeze nk'umuyoboro w'amazi mu busitani bwawe ufite umwanda muri wo kandi ubuza amazi gutemba. Niyo mpamvu ari ngombwa kubungabunga iyi miyoboro.

Ni nde ufite iki kizamini cy'ingenzi kurusha ibindi?

Muganga wawe ashobora kukugira inama yo gukoresha iki gipimo niba ufite kimwe muri ibi bikurikira:

• Niba warabazwe kugira ngo uvaneho umuyoboro w'amaraso wari wazibye.
• Niba stent yashyizwe mu mitsi ya carotid, reba niba ikora neza.
• Niba ikizamini cyakozwe mbere cyagaragaje ko umuyoboro w'amaraso wafunzwe gato, komeza uwukurikirane buri gihe.
• Niba muganga yumvise ijwi ridasanzwe (bruit) , nk'ijwi ry'umuririmbyi, igihe agushyize stethoscope ku ijosi.
• Niba ufite umuvuduko w'amaraso ukabije cyangwa cholesterol nyinshi .
• Niba warigeze kugira stroke cyangwa icyorezo cy’indwara y’imitsi (TIA) , ni nk’aho stroke ntoya kandi yakize.
• Niba witegura kubagwa imitsi y'umutima .
• Kuri woweNiba urwaye diyabete.
• Niba hari umuntu wo mu muryango wawe wagize ikibazo cyo gucika imitsi cyangwa indwara y'umutima.
• Iyo hari ikibyimba (hematoma) cy'amaraso cyakusanyijwe mu ijosi.

Ni iki by’umwihariko Doppler ultrasound ireba?

Bakoresheje ikoranabuhanga rya Doppler, abaganga bashobora gusobanukirwa neza ibi bikurikira:

• Amaraso atembera atembera gute?
• Ese hari aho imitsi y'amaraso ifunga cyangwa igafungana?
• Hari igihe kandi bishoboka kumenya indwara iyo ari yo yose ivuka cyangwa ibibyimba.

Ni nde ukora iki kizamini cya ultrasound cya carotide?

Iki kizamini gikunze gukorwa n'umuhanga mu gupima imiterere y'umubiri cyangwa umuhanga mu ikoranabuhanga rya ultrasound. Hari igihe umuhanga mu gupima imiterere y'umubiri , umuganga usesengura amashusho ya scan, na we ashobora gukora iki kizamini.

Iki kizamini gikora gite? Biroroshye cyane!

Ultrasound ya carotide ntabwo ikoresha imirasire iyo ari yo yose , bityo ni umutekano cyane. Nkuko byavuzwe mbere, ikoresha amajwi kugira ngo ikore amashusho y'imbere mu mitsi yawe ya carotide.

Muganga akoresha igikoresho gito cyitwa transducer (nk'icyuma gito gipima igiciro cy'ibicuruzwa mu iduka) ku ruhu rw'ijosi ryawe kugira ngo yohereze ayo majwi. Iyo ayo majwi aguye mu mitsi y'amaraso agasubira inyuma, ayo makuru yoherezwa kuri mudasobwa, aho akorwa nk'ifoto. Ayo mafoto ashobora gufatwa nk'amashusho cyangwa akabikwa nk'amafoto.

Ese ngomba kwitegura by'umwihariko mbere yo gukora ikizamini?

Oya, ntabwo ukeneye kwitegura cyane. Ariko, ni byiza kwambara ishati irekuye kandi igutunguye idapfutse ijosi . Niba ishati yawe iri hejuru cyane mu ijosi ryawe, ushobora kwambara ikanzu yo kwa muganga. Nanone, niba wambaye umukufi cyangwa amaherena , ni byiza kuyakuramo kuko bishobora kubangamira ikizamini.

Ni iki wakwitega ku munsi w'ikizamini?

Uzagomba gukorera iki kizamini kwa muganga cyangwa ku bitaro. Ubusanzwe iki kizamini kimara iminota 30 kugeza kuri 45 .

Ni iki kibaho mu gihe cy'ikizamini?

Ubwa mbere, umuganga cyangwa umuhanga mu by'ijosi azashyira gel ibonerana ku mpande z'ijosi ryawe . (Wibuke ko hari imitsi ibiri ya carotid, umwe kuri buri ruhande rw'ijosi ryawe.) Iyi gel ishobora kumva ishyushye gato. Iyi gel ikoreshwa kugira ngo ifashe imiraba y'amajwi kugenda hagati ya transducer n'imitsi yawe y'amaraso.

Ni ngombwa cyane kutimuka mu gihe cy'ikizamini. Ubu ni bwo buryo ushobora kubona amashusho asobanutse neza.

Mu gihe uryamye ku buriri, muganga ashyira transducer ku ruhu ku mpande zombi z'ijosi ryawe maze akarukanda. Uko amajwi ava kuri transducer asohoka mu mitsi y'amaraso, mudasobwa ikoresha ayo makuru kugira ngo ikore ishusho. Muganga ajyana transducer hejuru y'uruhu rwawe kugeza igihe abonye amashusho yose akeneye.

Ntuzumva aya majwi. Ariko, niba ari Doppler ultrasound, ushobora kumva ijwi rya "swish swish" nk'amazi atemba mu mubiri , ijwi ry'ijwi rigahinduka.

Bigenda bite nyuma y'ikizamini?

Ikizamini kirangiye, muganga azaguha igitambaro cyo guhanagura gel yari yagusize mu ijosi . Nyuma yibyo, niba wambaye ikanzu yo kwa muganga, ushobora kwambara imyenda yawe. Niba utabonye ibisubizo uwo munsi, ushobora gutaha. Ushobora gukomeza imirimo yawe isanzwe .

Ese hari ingaruka mbi muri ibi?

Nta ngaruka zihari . Ushobora kumva igitutu gito iyo ushyize transducer ku ijosi ryawe, ariko nta bubabare na buke buhari . Rero nta mpamvu yo gutinya.

Ibisubizo bimeze bite? Bisobanura iki?

Ibisubizo muganga wawe azakubwira uburyo imiyoboro y'amaraso yawe yagabanutse cyangwa yazibye. Ibi bigaragazwa nk'ijanisha , cyangwa kuri 100.

Igisubizo gisanzwe ni iki?

Iyo ubonye igisubizo gisanzwe, bivuze ko nta kuziba cyangwa kugabanuka kw'imitsi yawe ya carotid. Ayo ni amakuru meza!

Bite ho niba habonetse igisubizo kidasanzwe?

Niba ibisubizo bitameze neza, bivuze ko ushobora kuba ufite indwara ya atherosclerosis , amaraso akagira umubyimba, cyangwa ikindi kibazo kigabanya imiyoboro y'amaraso. Iyi ndwara yongera ibyago byo kurwara indwara yo mu bwonko.

Uburyo bwo kuvura bufatwa bute?

Niba ufite ibinure byinshi (plaque) muri imwe cyangwa zombi mu mitsi yawe ya carotid, ariko kuziba kwayo kukaba kuri munsi ya 50% (ku muntu ufite ibimenyetso bya stroke) cyangwa munsi ya 60% (ku muntu udafite ibimenyetso bya stroke), muganga wawe ashobora kukugira inama yo guhindura indyo yawe, gukora siporo, no kureka kunywa itabi .

Byongeye kandi, muganga ashobora kukwandikira imiti nk'iyi:

• Imiti ishongesha amaraso apfunditse (urugero: `Thrombolytics`)
• Imiti yo gukumira kubyimba kw'amaraso (urugero: Aspirine cyangwa Clopidogrel)
• Imiti igabanya cholesterol (urugero: `Statines`)
• Imiti igabanya umuvuduko w'amaraso (urugero: `Imiti igabanya umuvuduko w'amaraso`)

Ariko, niba kuziba kw'imitsi kurenza ibyo (50% cyangwa irenga ku muntu ufite ibimenyetso by'indwara yo gucika kw'imitsi, 60% cyangwa irenga ku muntu udafite ibimenyetso by'indwara yo gucika kw'imitsi), muganga ashobora kukugira inama yo kubaga carotid endarterectomy kugira ngo akureho ibinure.Kubagwa byitwa carotid artery bypass graft (ABP) bishobora kuba ari byiza. Ibisubizo bya carotid ultrasound bikoreshwa mu gutegura ubu buvuzi, kuko bigaragaza neza aho kuziba guherereye. Ubundi buryo bwo kuvura kuziba gukomeye ni angioplasty . Ibi bikubiyemo gukura ibinure mu nkuta z'imitsi y'amaraso, bikongera urujya n'uruza rw'amaraso. Nyuma ya angioplasty, stent ishobora gushyirwaho kugira ngo imitsi y'amaraso igume ifunguye.

Ubusanzwe, ultrasound ya carotid iba ari yo ikora neza. Ariko, rimwe na rimwe ishobora kugaragaza ko hari ikintu kidahari. Nanone, ubunararibonye bwa sonographer bushobora kugira icyo buhindura. Ubusanzwe iyi scan ifata ibibazo bikomeye kurusha ibito. Kubwibyo, muganga wawe ashobora gutegeka ibindi bipimo by'ishusho, nka angiography yo mu bwonko , angiography ya CT (CTA) , cyangwa angiography ya magnetic resonance (MRA) . Hari igihe amagufwa yo mu ijosi ryawe ashobora kubuza ultrasound kubona ibice by'imitsi yawe ya carotid. Ultrasound ntishobora "kubona" ​​mu magufwa.

Izindi mpamvu zongera ibyago byo kurwara indwara yo mu bwonko

Muganga wawe azagufatira icyemezo cy'uburyo bwiza bwo kuvura indwara ya stroke bitewe n'izindi mpamvu zishobora gutuma urwara stroke. Ufite ibyago byinshi byo kurwara stroke niba ufite kimwe muri ibi bikurikira:

• Umuvuduko ukabije w'amaraso
• Kolesteroli nyinshi
• Diyabete
• Indwara y'imitsi yo mu mpande (PAD)
• Gutera umutima mu buryo budasanzwe (atrial fibrillation)
• Indwara y'uturemangingo tw'umutsi
• Umubyibuho ukabije
• Indwara z'umutima

Gukoresha itabi, kurya ibiryo birimo ibinure byinshi n'umunyu mwinshi, no kudakora cyane nabyo byongera ibyago byo kurwara indwara yo mu bwonko.

Bitwara igihe kingana iki kugira ngo umenye ibisubizo?

Hari igihe umuganga w’inzobere mu by’imirasire ashobora kukuvugisha uwo munsi akakubwira ibisubizo. Hari n’igihe umuganga w’inzobere mu by’imirasire yohereza ibisubizo bya ultrasound kuri muganga wawe, hanyuma akakubwira ibyabyo mu minsi mike.

Ukeneye kongera kubonana na muganga?

Niba mu minsi mike utarabona ibisubizo bya ultrasound ya carotid, ganira na muganga wawe kuri ibyo. Nyuma yo kubona ibisubizo byawe, niba ufite ikibazo ku bijyanye n'ubuvuzi wahawe, ganira na muganga wawe.

Amaherezo, ibintu byo kwibuka

Carotid Ultrasound ni uburyo bworoshye bwo kumenya niba hari ikibazo cyo kuziba cyangwa kugabanuka kw'imitsi yawe ya carotid. Nta bubabare kandi ntibitinda gukorwa.Niba muganga wawe asanze ufite imitsi ifunganye mu maraso yawe, ushobora gukenera guhindura imibereho yawe. Nubwo ikintu nk'ukubagwa cyaba kikubereye, ushobora kugabanya ibyago byo kurwara indwara yo mu bwonko binyuze mu kugira ingeso nziza ku buzima . Mbere yuko ubimenya, izi mpinduka nziza zizaba igice cy'ubuzima bwawe, kandi ntuzagomba no kuzitekerezaho, zizahinduka akamenyero gusa.

Rero, niba muganga wawe agusabye gukora ubwoko bw'ikizamini, ntutinye gukomeza. Bizaba ingirakamaro cyane ku buzima bwawe!

Ultrasound ya Carotid , imiyoboro y'amaraso mu ijosi, stroke, Doppler scan, ibinure byiyongera, cholesterol, umuvuduko w'amaraso