Gupima ijosi? Reka tuvuge kuri ultrasound ya carotid.

Ese wigeze utekereza ko imiyoboro ibiri y'amaraso ijyana amaraso mu bwonko bwawe iri ku mpande zombi z'ijosi ryawe? Yego, iyi ni yo twita imiyoboro ya carotide. Iyo, uko igihe kigenda gihita, ibintu nk'ibinure byiyongera muri iyi miyoboro y'amaraso bikaza gufungana, amaraso ashobora gutembera mu bwonko, bigatuma habaho indwara ikomeye nk'indwara yo mu bwonko. Rero, uyu munsi tugiye kuvuga ku isuzuma ryoroshye cyane, ritababaza, kandi ridafite ibyago rizagufasha kumenya neza imiterere y'iyi miyoboro.

Ultrasound ya carotide ni iki?

Mu magambo make, ibi ni nk'isuzuma rya ultrasound umubyeyi utwite akoresha. Ariko iri suzuma rikorerwa ku mpande zombi z'ijosi ryawe aho kurikoresha mu nda yawe. Iri suzuma ntirikoresha imirasire iyo ari yo yose. Ahubwo , rikoresha amajwi menshi kugira ngo rigaragaze ishusho y'imbere mu mitsi yawe ya carotid igaragara kuri ecran ya mudasobwa. Hariho ubundi buryo bwihariye bwitwa Doppler ultrasound . Rishobora kubona neza uburyo amaraso yihuta n'uburyo agenda mu mitsi yawe. Ni nko kureba amazi atemba mu muyoboro.

Kuki ukeneye gukora scan nk'iyi?

Muganga wawe azagutegeka ko usuzuma kugira ngo arebe niba amaraso afite ibice cyangwa plaque yibumbiye mu mitsi yawe ya carotid. Izi plaque zishobora kugabanya umutsi buhoro buhoro ndetse zikawufunga burundu. Ibi byongera ibyago byo kurwara indwara yo gucika intege mu bwonko. Muganga wawe ashobora kukugira inama yo gukora iki kizamini mu bihe bikurikira:

Ni gute nitegura mbere yo gupima?

Iki ni cyo gice cyiza kurusha ibindi. Nta myiteguro yihariye isabwa kuri iki gipimo. Ntabwo ari ngombwa guhagarika kurya cyangwa gufata imiti iyo ari yo yose (ariko banza ubaze muganga wawe kugira ngo umenye neza). Ariko biroroha iyo wibutse ibintu bike:

• Ambara imyenda irekuye kandi ishimishije ifite umugozi munini. Niba wambaye imyenda igupfutse ipfutse ijosi, ushobora kuba ukeneye kwambara ikanzu yo kwa muganga.
• Ntukambare imikufi minini cyangwa amaherena. Ibi bishobora kubangamira isuzuma .

Ni iki kibaho mu gihe cyo gupima? Biroroshye cyane!

Ikizamini gisanzwe kimara iminota 30 kugeza kuri 45. Tekereza uryamye ku buriri mu cyumba cy’isuzuma. 1. Gusigwa gel: Ubwa mbere, umuganga w’amaso azasiga gel ibonerana ku mpande z’ijosi ryawe. Ishobora kumva ishyushye gato. Iyi gel ifasha imiraba y’amajwi kunyura mu ruhu rwawe no mu mitsi yawe. 2. Guskana: Hanyuma, azashyira igikoresho gito, gikoreshwa mu ntoki (transducer) ku ijosi ryawe maze akijyane inyuma n’inyuma. Iki gikoresho cyohereza imiraba y’amajwi kandi kigafata imiraba igaruka. Aya makuru ahindurwamo amashusho na mudasobwa. 3. Guma uhagaze: Kugira ngo ubone ibisubizo byiza, ni ngombwa kuguma uhagaze uko bishoboka kose mu gihe cyo guskana. 4. Ese hari ijwi rizabaho? Nta ijwi riboneka mu gihe cyo gupima ultrasound. Ariko mu gihe cya Doppler, igice kireba gutembera kw'amaraso, ushobora kumva ijwi ryumvikana nk'iry'umuvuduko "s…s…s…". Iryo ni ijwi ry'amaraso atembera mu mitsi yawe. Nta kintu cyo guhangayika. Iyo scan irangiye, uzahabwa igitambaro cyo guhanagura gel. Hanyuma ushobora gutaha nk'uko bisanzwe. Nta kiruhuko cyihariye gikenewe.

Ese hari ingaruka mbi muri ibi?

Nta ngaruka zibaho kuri iki kizamini. Nta bubabare. Nta mirasire ihari. Ushobora kumva igitutu gito iyo igikoresho gikandagiwe ku ijosi ryawe, ariko nta bubabare na buke. Ntugatinye rero ibi.

Raporo ivuga iki? Reka dusobanukirwe ibyavuye mu bushakashatsi.

Raporo muganga wawe azaguha izakubwira ahanini ingano y'imitsi yawe ya carotid ifunze. Igaragazwa nk'ijanisha.

• Ibisubizo bisanzwe: Ibi bivuze ko nta kugabanuka cyangwa kuziba kw'imitsi yawe, kandi amaraso atemba neza. Iyi ni inkuru nziza!
• Ibisubizo bidasanzwe: Ibi bivuze ko hari urwego runaka rwo kuziba imitsi imwe cyangwa yombi. Uku kwiyongera kw'ibinure byitwa atherosclerosis . Iyi ndwara yongera ibyago byo kurwara indwara yo mu bwonko.

Niba ibisubizo bidasanzwe, ni iki ukurikizaho?

Ntugahangayike. Nubwo habaho kuziba kw'imitsi, hari byinshi bishobora gukorwaho. Uburyo bwo kuyivura buterwa n'urugero rw'izi ziziba n'ibimenyetso ufite. Ibi byose bigenwa na muganga wawe.

Iyo hari ikibazo cyo kuziba cyane:

Muri iki gihe, umuganga ntazajya kubagwa. Ahubwo azagusaba guhindura imibereho yawe n'imiti.

• Impinduka mu mibereho:
• Kugenzura indyo : Gabanya ibiryo birimo amavuta menshi, umunyu n'isukari, kandi urye imboga nyinshi, imbuto n'ibiryo bikungahaye kuri fibre.
• Imyitozo ngororamubiri: Igire akamenyero ko gukora imyitozo ngororamubiri yoroshye, nko kugenda n'amaguru buri munsi.
• Reka kunywa itabi : Kunywa itabi byangiza cyane imitsi.
• Ubwoko bw'imiti:
• Imiti igabanya cholesterol (urugero: statins )
• Imiti ibuza amaraso kuzura (urugero: Aspirine, Clopidogrel )
• Imiti igabanya umuvuduko w'amaraso ( igabanya umuvuduko ukabije w'amaraso)

Niba hari ikibazo gikomeye cyo kuziba kw'imitsi:

Niba imitsi ifunze cyane, bivuze ko irenga 50%-60%, kandi nawe ukaba ufite ibimenyetso, muganga wawe ashobora kukugira inama yo kuvura imwe muri izi zikurikira.

• Gukuraho Carotid Endarterectomy: Ubu ni ukubagwa. Kimwe no gukuraho ikintu cyazibye mu muyoboro, imitsi irafunguka hanyuma urwego rw'ibinure (plaque) ruri imbere rukavanwaho.
• Angioplasty na Stenting: Ibi bikubiyemo gushyira ibara ry'umuhondo mu mitsi ifunganye kugira ngo riguke. Hanyuma, hashyirwamo agakoresho gato kameze nk'umuyoboro ( stent ) kugira ngo kadafunga nanone.

Hari igihe, iyo carotid ultrasound idashoboye kubona ishusho yuzuye (urugero, niba igice cy'imitsi ifunganye n'igufwa), muganga wawe ashobora gusaba ko habaho ikindi gipimo, nka CT cyangwa Magnetic Resonance Angiography (MRA) .

Ubutumwa bwo kujyana mu rugo

• Ultrasound ya carotid ni uburyo bwizewe kandi butababaza busuzuma imiterere y'imitsi yo mu ijosi ijyana amaraso mu bwonko.
• Ibi bishobora gufasha kumenya hakiri kare ko imitsi ishobora kuziba ishobora gutera indwara yo gucika kw'imitsi.
• Ikizamini ntigisaba imyiteguro yihariye, kandi nta ngaruka cyangwa ingaruka mbi bitera.
• Bitewe n'ibisubizo by'ibizamini, ubuvuzi bushobora kuba burimo guhindura imibereho, imiti, cyangwa, byaba ngombwa, kubagwa.
• Buri gihe ganira na muganga wawe ku bisubizo by'ibizamini byawe n'uburyo uzavurwa mu gihe kizaza . Azaguha ubuyobozi bwiza bushoboka.

Ultrasound ya Carotide, Ultrasound ya carotide, scan y'ijosi, stroke, kuziba kw'imitsi, plaque, scan ya Doppler, atherosclerosis