Chiremba akaisa stethoscope pamutsipa wako here ndokukuudza kuti wanzwa ruzha rusinganzwisisike? Ngatitaurei nezve (Carotid Bruit) iyi!

Wakamboona chiremba achikuteerera achishandisa stethoscope kumativi ese emutsipa wako here? Paunenge uchiteerera, chiremba anogona dzimwe nguva kunzwa ruzha rwekuti "whooshing" kubva mutsinga dzeropa dziri mumutsipa wako , kana ruzha rwakaita semvura iri kuyerera nepakati padzo. Ndizvo zvatinodaidza kuti "Carotid Bruit" (zvinonzi "carotid bruee"). Ichi hachisi chinhu chekutya, asi zvakakosha kuti uzive nezvazvo.

Chii chinonzi ruzha urwu rusinganzwisisike runonzi `(Carotid Bruit)`?

Zvichitaurwa zviri nyore, `(Carotid Bruit)` ruzha rusingawanzoitiki, rune ruzha runoitika kana ropa richiyerera mutsinga imwe kana kupfuura dzeropa dziri mumutsipa wako, `(Carotid Artery)`. Fungidzira, serwizi rwakadzikama rwuchingoerekana rwarova dombo uye rwunotanga kuyerera zvine ruzha. Ndizvo zvatinodaidza kuti `(Turbulent Flow)` kana ropa richiyerera mutsinga, pachinzvimbo chekuyerera zvakanaka uye neimwe nzira, asi nenzira isina kugadzikana uye ine ruzha . Iyi tsinga dzeropa dze`(Carotid Artery)` ndidzo dzinounza okisijeni nezvinovaka muviri zvinodiwa neuropi hwako . Saka, kana paine dambudziko netsinga idzi, zvinogona kukanganisa mashandiro europi hwedu.

Chiremba anogona kunzwa ruzha urwu rwekuti `(Carotid Bruit)` netsaona paunenge uchiongororwa nachiremba. Kunzwa ruzha urwu kunogona kuva chiratidzo chekuti `(Carotid Artery)` yako yakatetepa nekuda kwemafuta akaunganidzwa (tinodanawo kuti `(Plaque)`) . Zvisinei, dzimwe nguva vanhu vane `(Carotid Artery)` vane hutano vanogonawo kunzwa ruzha urwu. Zvakare, vamwe vanhu vanogona kusanzwa ruzha urwu kunyangwe tsinga dzavo dzeropa dzakatetepa zvakanyanya. Saka, chiremba anoshandisa chiratidzo ichi che`(Carotid Bruit)` sechidimbu chidiki chepuzzle hombe. Kureva kuti, kunzwa ruzha urwu chete hakurevi kuti une chirwere chakakomba, kunongobatsira pakusarudza kana zvichidikanwa mimwe miedzo nekurapwa.

`(Carotid Bruit)` inonzwika sei?

Ruzha urwu rwe`(Carotid Bruit)` rwakafanana neruzha rwerwizi runoyerera nekukurumidza , ruzha rwakaita sekuti "hush hush". Haugoni kunzwa izvi wega. Unogona kungonzwa ruzha urwu kana chiremba akadzvanya zvinyoro nyoro stethoscope yake (chinhu chinopfekwa pachipfuva chako kana kumusana) pamativi akasiyana emutsipa wako oteerera. Chiremba anogona kukukumbira kuti ufeme woibata kwechinguva. Kureva kuti, kuteerera zvakajeka ruzha rweropa riri kuyerera.

Kana chiremba akanzwa "Carotid Bruit" yakaita seiyi, achakutsanangurira, zvingareva chii, uye kana uchida kuongororwazve. Saka, usazvidya moyo, zvakanaka here?

Sei `(Carotid Artery)` iyi ichiita ruzha urwu? Ndezvipi zvinokonzera?

Chikonzero chikuru uye chinowanzoonekwa che "Carotid Bruit" iyi chirwere chinonzi "Atherosclerosis" .

Atherosclerosis ndiyo muvengi mukuru!

`( Atherosclerosis )` izwi rekurapa. Zvichitaurwa zviri nyore, zvinoreva kuti chinhu chine mafuta, kunyanya `(Plaque)`, chinoiswa mukati metsinga dzeropa (tsinga) mumuviri wako, uye nzvimbo yeropa kuti ifambe mutsinga idzodzo (tinoidaidzawo kuti `(Lumen)`) inoderera zvishoma nezvishoma. Fungidzira kuti nekufamba kwenguva, tsvina inoungana mukati mepombi yemvura uye inovhara pombi, ndizvo zvinoitawo mafuta aya `(Plaque)` anoungana mukati metsinga dzedu dzeropa, zvichideredza nzvimbo yekuti ropa rifambe. Kuungana uku kwe`(Plaque)` kunogona kutungamira pakuumbwa kwemabundu eropa. Kuumbwa kweropa uku kunogona kumisa kuyerera kweropa kwarinoumbwa, kana kuti kunogona kufamba neropa uye kuvhara tsinga kune imwe nzvimbo.

Saka, kana plaque yaungana muCarotid Artery yako yoita kuti tsinga itete, tinoidaidza kuti Carotid Artery Stenosis . Kunzwa Carotid Bruit kunogona kuva chiratidzo chekuti ungave uine chirwere ichi.

Yeukai, `(Carotid Artery)` ndiyo inopa uropi hwedu ropa rakawanda neokisijeni . Saka, kana tsinga iyi ikavharwa ne`(Plaque)`, muri panjodzi yakakura yekuve ne`(Transient Ischemic Attack - TIA)` (tinotiwo izvi kukanganiswa kwenguva pfupi kweropa rinoenda kuuropi, vamwe vanoti "mini stroke"), kana `(Ischemic Stroke)` (kuoma nhengo kunokonzerwa nekuvharika kwetsinga yeropa inopa uropi). Mumamiriro ese aya, kuyerera kweropa kuenda kuuropi kunoderera kana kuti kunorasika zvachose.

Ndosaka zvichikosha kuziva kana uine ` (Carotid artery stenosis) ` uye kana zvakadaro, kuti yakanyanya sei. `(Carotid Bruit)` chiratidzo chekunyevera chete, hachikuudze kuti une `(Plaque)` yakawanda sei. Saka, chiremba haazosarudze kuti une `(Carotid Artery Stenosis)` nekungotora `(Carotid Bruit)`, asi achashandisa nhanho yekutanga yekuferefeta zvakadzama.

Pangave nezvimwe zvikonzero here?

Kunyangwe kuungana kweplaque kuri iko kunonyanya kukonzera carotid bruit, kunogonawo kukonzerwa nekuchinja kwemaumbirwo etsinga dzeropa. Semuenzaniso, vanhu vane zvirwere zvisingawanzoitiki zvakaita seFibromuscular Dysplasia (FMD) vanogonawo kunzwa carotid bruit. Chiremba wako achaongorora nhoroondo yako yezvekurapa kuti aedze kuona chikonzero checarotid bruit yako.

Kuva ne `(Carotid Bruit)` kwakakomba here?

"Carotid Bruit" dzimwe nguva chiratidzo chedambudziko guru.Zvinogona kuitika, asi hazviitiki nguva dzose. Dzimwe nguva zvakafanana nechiedza chitsvuku chinoti ungave uine `(Carotid Artery Stenosis)`. Kana `(Stenosis)` yako, kana kuti kutetepa kwetsinga, kwakanyanya, ungangoda kurapwa kuderedza njodzi yako yekuve ne`(TIA)` kana `(Stroke). Chiremba wako achakuudza kana mamiriro ako akakomba uye kana uchida kurapwa. Saka usavhunduke uye nyatsoteerera zvinotaurwa nachiremba wako.

"Carotid Bruit" inogona kuva yakajairika here?

Ehe, kunzwa `(Carotid Bruit)` hazvirevi kuti une `(Carotid Artery Stenosis)`. Vamwe vanhu vane `(Carotid Bruit)` vangave vasina `(Plaque)` yakawanda mutsinga dzavo dzeropa, uye vanogona kunge vaine hutano hwakanaka. Vamwe vanhu vanogona kuchinja chimiro chetsinga dzavo dzeropa, izvo zvingave zvakajairika, kana kuti zvinogona kunge zvichikonzerwa nemamiriro akaita se`(FMD)`. Ndosaka `(Carotid Bruit)` iri danho rekutanga mukuongorora nekurapa zvirwere zvine chekuita ne`(Carotid Artery)`.

Kana chiremba akati pane "Carotid Bruit", chii chinozoitika?

Kana chiremba wako akanzwa "Carotid Bruit", chingave chiratidzo chekuti pane chimwe chinhu chisina kumira zvakanaka. Chiremba anogona kuraira kuti zviongororwe kuti aone mamiriro chaiwo e "Carotid Artery" yako.

Ndezvipi zvimwe zvidzidzo?

Bvunzo inowanzoitwa panguva ino ndeye Carotid Duplex Ultrasound . Iyi bvunzo isingarwadzi, isingapindi mumuviri. Inogona kutarisa kuyerera kweropa muCarotid Artery yako, kana tsinga yacho yakatetepa, uye kana zvakadaro, yakatetepa sei. Yakafanana neultrasound scan inoitirwa vanaamai vane pamuviri, asi iyi inoitirwa pamutsipa.

Zvinhu zvinokonzera njodzi zvinokanganisawo here?

Ehe, kana uine `(Carotid Bruit)`, uye panguva imwe chete uine chimwe kana zvimwe zvinhu zvinokonzera `(Carotid Artery Stenosis)`, chiremba acharayira bvunzo yakaita se`(Carotid Duplex Ultrasound)` yambotaurwa. Izvi zvinhu zvinokonzera njodzi ndeizvi:

• Kana uine chirwere chemwoyo .
• Kana uine chirwere cheshuga (Type 1 kana Type 2).
• Kana mumwe munhu mumhuri akamborwara nesitiroko .
• Kana uine BP yakakwira .
• Kana uine cholesterol yakakwira muropa rako .
• Kana wakura (kazhinji une makore anopfuura 65, kana anopfuura 55 kana paine zvimwe zvinhu zvinokonzera njodzi).
• Chirwere chePeripheral Artery Disease, chirwere chinokonzera kutetepa kwetsinga dzeropa mumakumbo kana mumaokoKana zviripo.
• Kushandisa fodya nefodya .

Kana uine zvinhu izvi zvakawanda, mikana yako yekubatwa ne "Carotid Artery Stenosis" inowedzera.

Uyewo, kana wakarongerwa kuvhiyiwa kwemoyo sekuti `(Coronary Artery Bypass Grafting - CABG)` , chiremba wako angangoda kutarisa mamiriro e`(Carotid Artery)` yako usati wavhiyiwa. Izvi zvinodaro nekuti kana uine `(Carotid Artery Stenosis)`, uri panjodzi huru yekuve ne`(Stroke)` panguva yekuvhiyiwa kwemoyo kana mushure mekuvhiyiwa. Kana zvakadaro, unogona kurapwa usati wavhiyiwa kuti uderedze njodzi iyoyo.

Kurapwa kweizvi ndekupi?

Havasi vese vane `(Carotid Bruit)` vanoda kurapwa. Zvisinei, vamwe vanhu vanoda kurapwa kuderedza njodzi yavo yekubatwa ne`(TIA)` kana `(Stroke)`. Chinangwa chikuru chekurapa ndechekuvandudza kuyerera kweropa kuburikidza ne`(Carotid Artery)` yako.

Kudzora nemishonga

Kazhinji, kunyanya kana tsinga yako yeropa isina kutetepa zvakanyanya, mishonga ndiyo mushonga wekutanga. Zvichienderana nemamiriro ako ezvinhu, chiremba wako anogona kukurudzira mumwe kana kupfuura wemishonga inotevera:

• Mishonga yeBP .
• Mishonga inoderedza cholesterol .
• Dzimwe nguva mishonga yakaita seaspirin, inodzivirira kuumbwa kweropa, inoshandiswa.

Kuchinja mararamiro kwakakosha zvikuru!

Kuchinja mararamiro ako kunogona kubatsira zvikuru mukudzora kuunganidzwa kweplaque mutsinga dzako. Iva nechokwadi chekuyedza zvinhu izvi:

• Dzivisa kusvuta fodya nezvimwe zvigadzirwa zvefodya zvachose. Fodya yakaipa zvikuru patsinga dzeropa rako. Inowedzerawo njodzi yako yezvirwere zvakawanda, kusanganisira chirwere chemwoyo. Kana uchida rubatsiro rwekurega kusvuta, bvunza chiremba wako, kune nzira dzekuzviita.
• Idya chikafu chine hutano mumoyo . Izvi zvinoreva kudya mafuta mashoma akazara, sodium, uye shuga. Tsiva nyama tsvuku nenyama dzisina mafuta akawanda senge huku, kakuku, nehove. Idya miriwo yakawanda, michero, nyemba, nenzungu.
• Rovedza muviri nguva dzose . Usatange wakakura zvakanyanya panguva imwe chete. Tanga zvishoma uye chinangwa chako ndechekuita maminetsi angangoita 150 ekurovedza muviri zvine mwero pasvondo. Zvakanaka kubvunza chiremba wako kuti chii chakakunakira uye chakachengeteka usati watanga chirongwa chitsva chekurovedza muviri.

Kuvhiya kana mamwe maitiro

Kana chirwere chako che "Carotid Artery Stenosis" chakakomba, ungangoda kuvhiyiwa kana mamwe maitiro chaiwo. Mamwe acho anosanganisira:

• `(Kubviswa kweCarotid Endarter)`: Uku kuvhiyiwa. Izvi zvinosanganisira kuvhura `(Carotid Artery)` uye kubvisa `(Plaque)` yakaungana mukati.
• `(Carotid Angioplasty uye Stenting)` : Muizvi, mudziyo mudiki wakaita sebharumu unopinzwa mu`(Carotid Artery)` yakamanikana wofuridzirwa kuti tsinga iwedzere kukura. Zvadaro, chubhu diki inonzi `(Stent)` inoiswa mukati metsinga kuti isamanikane zvakare.

Asi yeuka, havasi vese vane "Carotid Bruit" vane ropa rakagwamba uye vanoda kurapwa. Taura nachiremba wako kuti uzive kuti "Carotid Bruit" yako iri kukubata sei.

Pakupedzisira, zvinhu zvekurangarira (Mharidzo Yekuenda Kumba)

Kana chiremba wako akakuudza kuti une "(Carotid Bruit)``, usavhunduke kana kutya . Hazvirevi hazvo kuti uri munjodzi huru. Ingori chiratidzo chinoshandiswa nachiremba kutarisa hutano hwetsinga dzeropa rako.

Saka, taura nachiremba wako nezveizvi uye uwane rumwe ruzivo. Uyewo, tsvaga kuti ndezvipi zvinhu zvinokonzera atherosclerosis (kuoma kwetsinga dzeropa) uye zvaunogona kuita kuderedza njodzi yako. Kurarama hupenyu hune hutano kazhinji ndiyo nzira yakanakisisa yekuzvidzivirira kubva kuzvirwere izvi. Kuchengetedza hutano hwako kuri mumaoko ako!

Kurira kwemusoro , ruzha mumutsipa, tsinga dzeropa, sitiroko, TIA, atherosclerosis, kuvharika kwetsinga dzeropa, kuyerera kweropa kuuropi