Wakambonzwa nezvebvunzo inonzi Carotid Ultrasound here? Pamwe chiremba wako akakuudza nezvazvo, kana kuti pamwe uri kungoda kuziva nezvazvo. Usazvidya moyo, bvunzo iri nyore, isingarwadzi, uye inokosha zvikuru. Saka, ngatitaurei nezvazvo zvakadzama nhasi, handiti?
Chii chinonzi carotid ultrasound?
Zvichitaurwa zviri nyore, carotid ultrasound ibvunzo inotarisa mukati metsinga dzeropa dze carotid . Mitsinga iyi yeropa iri kumativi ese emutsipa wako, uye inopa ropa kuuropi hwako . Saka unogona kufungidzira kukosha kwekuchengetedza tsinga idzi dzakagwinya.
Kuongororwa uku kunoshandisa mafungu eruzha kutora mifananidzo yemukati metsinga dzeropa. Zvakafanana ne ultrasound scan yevakadzi vane pamuviri, asi inoitirwa pamutsipa wako. Inoshandisawo tekinoroji inonzi Doppler ultrasound . Inogona kuona kuti ropa riri kufamba zvakanaka uye nekukurumidza sei mutsinga dzeropa rako. Hazvishamisi here?
Bvunzo iyi inodiwa rini?
Chiremba achada kuita bvunzo iyi ye carotid ultrasound kunyanya kuona kana paine mabundu eropa kana mafuta (plaque) mutsinga dzako dze carotid. Mafuta aya akafanana nengura mupombi yemvura. Nekufamba kwenguva, anogona kuungana nekuvharira tsinga dzeropa. Kana izvi zvikaitika, huwandu hweropa hunoenda kuuropi hunogona kudzikira, zvichikonzera chirwere chine njodzi senge sitiroko .
Fungidzira, izvi zvakafanana nepombi yemvura mubindu rako ine ivhu rakanamirwa mukati mayo uye riri kudzivirira mvura kuti isayerera. Ndosaka zvichikosha kuchengetedza mapaipi aya akachena.
Bvunzo iyi inonyanya kukosha kuna ani?
Chiremba wako anogona kukurudzira bvunzo iyi kana uine chimwe chezvirwere zvinotevera:
- Kana wakambovhiyiwa kubvisa tsinga yeropa yakavharika.
- Kana stent yakaiswa mutsinga yeropa, tarisa kuti iri kushanda zvakanaka here.
- Kana bvunzo yapfuura yakaratidza kuti tsinga yeropa yakavharika zvishoma, itarisire nguva nenguva.
- Kana chiremba akanzwa ruzha rusina kujairika (ruzha) , rwakaita sekurira kwemuridzo, paanoisa stethoscope pamutsipa wako.
- Kana uine BP yakakwira kana cholesterol yakakwira .
- Kana wakambova nestroke kana transient ischemic attack (TIA) , zvinenge zvakaita sesitiroko diki uye zvapora.
- Kana uri kugadzirira kuvhiyiwa kwe coronary artery bypass .
- KwauriKana uine chirwere cheshuga.
- Kana paine munhu mumhuri mako akamborwara nesitiroko kana chirwere chemwoyo.
- Kana paine bundu (hematoma) reropa rakaunganidzwa mumutsipa.
Chii chinonyanya kutariswa neDoppler ultrasound?
Vachishandisa tekinoroji iyi yeDoppler, vanachiremba vanogona kunzwisisa zviri nani zvinotevera:
- Kuyerera kweropa kunoitika sei?
- Pane kuvharika kana kutetepa kwetsinga yeropa here?
- Dzimwe nguva zvinokwanisikawo kuona chero matambudziko ekuzvarwa nawo kana bundu.
Ndiani anoita bvunzo iyi ye carotid ultrasound?
Bvunzo iyi inowanzoitwa ne sonographer kana ultrasound technologist. Dzimwe nguva chiremba we radiation , chiremba anoongorora mifananidzo ye scan, anogonawo kuita bvunzo iyi.
Bvunzo iyi inoshanda sei? Zviri nyore kwazvo!
Carotid ultrasound haishandise chero mwaranzi , saka yakachengeteka zvikuru. Sezvambotaurwa, inoshandisa mafungu eruzha kugadzira mifananidzo yemukati metsinga dzeropa dzecarotid.
Chiremba anoshandisa mudziyo mudiki unonzi transducer (senge scanner diki inotarisa mutengo wezvinhu muchitoro) paganda remutsipa wako kuti atumire mafungu aya eruzha. Kana mafungu aya eruzha akarova mitsipa yeropa odzokera kumashure, ruzivo rwacho runotumirwa kukombiyuta, uko runogadzirwa semufananidzo. Mifananidzo iyi inogona kurekodhwa sevhidhiyo kana kuchengetwa semifananidzo.
Ndinofanira kugadzirira bvunzo here ndisati ndaita?
Kwete, haufanirwe kugadzirira zvakawanda kudaro. Zvisinei, zvakanaka kupfeka hembe yakasununguka, inonyaradza isingafukidze mutsipa wako . Kana hembe yako yakakwira zvakanyanya pamutsipa wako, ungangoda kupfeka gown rekuchipatara. Zvakare, kana wakapfeka chishongo chemutsipa kana mhete , zvakanaka kubvisa sezvo zvinogona kukanganisa bvunzo.
Chii chaunotarisira pazuva rebvunzo?
Uchafanirwa kuongororwa kungave kuhofisi yachiremba wako kana kuchipatara. Kuongororwa uku kunowanzo tora maminetsi angangoita makumi matatu kusvika makumi mana nemashanu .
Chii chinoitika panguva yebvunzo?
Kutanga, chiremba kana sonographer achaisa gel rinoonekera kumativi emutsipa wako . (Yeuka, kune tsinga mbiri dzeropa, imwe iri kudivi rimwe nerimwe remutsipa wako.) Gel iyi inogona kunzwa ichidziya zvishoma. Gel iyi inoiswa kubatsira mafungu eruzha kufamba pakati pe transducer netsinga dzeropa rako.
Zvakakosha kuti usafambe-fambe panguva yebvunzo. Iyi ndiyo nzira yaunogona kuwana mifananidzo yakajeka.
Paunenge wakarara pamubhedha, chiremba anoisa transducer paganda kumativi ese emutsipa wako uye anoidzvanya pasi. Sezvo mafungu eruzha anobva ku transducer achisvetuka kubva mutsinga dzeropa, komputa inoshandisa ruzivo irworwo kugadzira mufananidzo. Chiremba anofambisa transducer mberi nemberi pamusoro peganda rako kusvika awana mifananidzo yese yaanoda.
Haunganzwi mafungu aya eruzha. Zvisinei, kana iri Doppler ultrasound, unganzwa ruzha rwekuti "swish swish" semvura iri kuyerera mumuviri , ruzha rwuchichinja.
Chii chinoitika mushure mekuyedzwa?
Kana bvunzo yapera, chiremba achakupa tauro rekupukuta gel yakaiswa pamutsipa wako . Mushure meizvozvo, kana wakapfeka gown rekuchipatara, unogona kuchinja mbatya dzako. Kana ukasawana mhinduro pazuva rimwe chete, unogona kudzokera kumba. Unogona kuenderera mberi nemabasa ako emazuva ese .
Pane njodzi here mune izvi?
Hapana njodzi . Unganzwa kumanikidzwa kudiki paunoisa transducer pamutsipa wako, asi hapana kurwadziwa zvachose . Saka hapana chikonzero chekutya.
Mhedzisiro yacho yakaita sei? Inorevei?
Mhedzisiro inopiwa nachiremba wako ichakuudza kuti tsinga dzako dzeropa dzakatetepa kana kuti dzakavharika zvakadii. Izvi zvinoratidzwa sechikamu , kana kubva pazana.
Chii chinonzi mhedzisiro yakajairika?
Kana ukawana mhinduro yakanaka, zvinoreva kuti hapana kuvharika kana kutetepa kwetsinga dzeropa dze carotid. Aya mashoko akanaka!
Ko kana pakabuda mhedzisiro isingawanzoitika?
Kana mhedzisiro yacho isina kujairika, zvinoreva kuti ungangove uine atherosclerosis , ropa rakagwamba, kana chimwe chinetso chinoita kuti tsinga dzeropa dzitete. Chirwere ichi chinowedzera njodzi yako yekurohwa nesitiroko.
Kurapwa kunosarudzwa sei?
Kana uine mafuta akawanda (plaque) mune imwe kana dzese tsinga dzeropa, asi kuvharika kwacho kuri pasi pe50% (kune munhu ane zviratidzo zvestroke) kana pasi pe60% (kune munhu asina zviratidzo zvestroke), chiremba wako anogona kukukurudzira kuti uchinje kudya kwako, kurovedza muviri, uye urege kushandisa zvigadzirwa zvefodya .
Uyezve, chiremba anogona kunyora mishonga yakadai se:
- Mishonga yekunyungudutsa ropa rakagwamba (semuenzaniso `Thrombolytics`)
- Mishonga yekudzivirira kuumbwa kweropa (semuenzaniso Aspirin kana Clopidogrel)
- Mishonga inoderedza cholesterol (semuenzaniso, `Statins`)
- Mishonga yekuderedza BP (semuenzaniso `Mishonga yekuderedza BP`)
Zvisinei, kana kuvharika kwacho kwakapfuura ipapo (50% kana kupfuura kune munhu ane zviratidzo zvestroke, 60% kana kupfuura kune munhu asina zviratidzo zvestroke), chiremba anogona kukurudzira kubviswa kwe carotid endarterectomy kubvisa mafuta akaunganidzwa.Kuvhiyiwa kunonzi carotid artery bypass graft (ABP) kunogona kukurudzirwa. Mhedzisiro ye carotid ultrasound inoshandiswa kuronga kuvhiyiwa uku, sezvo ichiratidza chaipo kuti kuvharika kuri kupi. Imwe nzira yekurapa kuvharika kwakanyanya ndeye angioplasty . Izvi zvinosanganisira kubvisa mafuta akaunganidzwa pamadziro etsinga yeropa, zvichiwedzera kuyerera kweropa. Mushure me angioplasty, stent inogona kuiswa kuti tsinga yeropa irambe yakavhurika.
Carotid ultrasound inowanzova yakarurama. Zvisinei, dzimwe nguva inogona kuratidza kuvharika kusiripo. Zvakare, ruzivo rwe sonographer runogona kuita mutsauko. Kuongororwa uku kunowanzo ratidza matambudziko akakomba kupfuura madiki. Nokudaro, chiremba wako anogona kuraira mimwe miedzo yekufungidzira, yakadai se cerebral angiography , CT angiography (CTA) , kana magnetic resonance angiography (MRA) . Dzimwe nguva, mapfupa ari mumutsipa wako anogona kuvharira ultrasound kuti isaone zvikamu zve carotid artery yako. Ultrasound haigone "kuona" kuburikidza nemapfupa.
Zvimwe zvinhu zvinowedzera njodzi yekurohwa nesitiroko
Chiremba wako achasarudzawo kuti ndeipi nzira yekurapa yakakunakira zvichienderana nezvimwe zvinhu zvine njodzi yestroke zvaunazvo. Uri panjodzi huru yestroke kana uine chimwe chezvinotevera:
- Kukwira kweropa
- Kolesteroli yakakwira
- Chirwere cheshuga
- Chirwere chetsinga dzemutsinga (PAD)
- Kurova kwemwoyo zvisina kurongeka (atrial fibrillation)
- Chirwere cheSickle cell
- Kufuta
- Chirwere chemwoyo
Kushandisa fodya, kudya chikafu chine mafuta akawanda nemunyu, uye kusaita zvekusvuta zvinowedzerawo njodzi yekubatwa nestroke.
Zvinotora nguva yakareba sei kuti uzive mhedzisiro?
Dzimwe nguva, chiremba weX-ray anogona kutaura newe zuva iroro okuudza zvabuda. Dzimwe nguva, chiremba weX-ray anotumira zvabuda zveCarotid Ultrasound kuna chiremba wako, uyo anozokuudza nezvazvo mumazuva mashoma.
Unofanira kuona chiremba zvakare here?
Kana musina kuwana mhinduro dze carotid ultrasound mumazuva mashoma, taurai nachiremba wenyu nezvazvo. Mushure mekunge mawana mhinduro dzenyu, kana muine mibvunzo nezvekurapa kwamakapihwa, taurai nachiremba wenyu.
Pakupedzisira, zvinhu zvekurangarira
Carotid Ultrasound inzira iri nyore yekuona kana paine kuvharika kana kutetepa kwetsinga dzeropa. Hazvirwadzi uye hazvitore nguva kuti zviitike.Kana chiremba wako akaona kuti une zvimwe zvinokunetsa mutsinga dzeropa, ungangoda kuchinja mararamiro ako. Kunyangwe kana chimwe chinhu chakadai sekuvhiyiwa chakakukodzera, unogona kuderedza njodzi yako yekurohwa nestroke nekushandisa tsika dzakanaka dzehutano . Usati wazviziva, shanduko idzi dzine hutano dzichava chikamu chehupenyu hwako, uye hauzombofaniri kufunga nezvazvo, dzichangova tsika.
Saka, kana chiremba wako akakukumbira kuti uite rudzi urwu rwebvunzo, usatya kuenderera mberi nazvo. Zvichabatsira zvikuru pahutano hwako!
Carotid ultrasound, mitsipa yeropa mumutsipa, sitiroko, Doppler scan, mafuta akachengetwa, cholesterol, BP
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