Wakambofunga here kuti mitsipa miviri mikuru yeropa inotakura ropa kuenda kuuropi hwako iri kumativi ese emutsipa wako? Ehe, idzi ndidzo dzatinodaidza kuti mitsipa yeropa inonzi carotid. Kana, nekufamba kwenguva, zvinhu zvakaita semafuta zvikaungana mukati memitsipa iyi yeropa zvovharika, kuyerera kweropa kuenda kuuropi kunogona kukanganiswa, zvichikonzera chirwere chakakomba senge sitiroko. Saka, nhasi tichataura nezvebvunzo iri nyore, isina kurwadziwa, uye isina njodzi ichakubatsira kuona mamiriro chaiwo emitsipa iyi.
Chii chinonzi carotid ultrasound?
Zvichitaurwa zviri nyore, izvi zvakafanana ne ultrasound scan inoitiswa naamai vari kutarisira mwana. Asi iyi inoitirwa kumativi ese emutsipa wako panzvimbo pedumbu rako. Iyi bvunzo haishandise chero radiation. Pane kudaro
, inoshandisa mafungu eruzha ane frequency yepamusoro kugadzira mufananidzo wemukati me carotid artery yako inoratidzwa pakombiyuta. Pane imwe nzira yakakosha inonzi
Doppler ultrasound . Inogona kuona kuti ropa riri kufamba nekukurumidza sei uye zvakanaka sei mutsinga dzako. Zvakafanana nekuona mvura ichiyerera nemupombi.
Sei uchifanira kuita scan yakadai?
Chiremba wako acharaira kuti uongorore ropa kana kuti pane plaque yakaungana mutsinga dzeropa. Maplaque aya anogona kutetepa tsinga zvishoma nezvishoma uye pakupedzisira oivhara zvachose. Izvi zvinowedzera njodzi yako yekurohwa nestroke. Chiremba wako anogona kukurudzira bvunzo iyi mumamiriro ezvinhu anotevera:
| Chikonzero chekuskena | Tsananguro iri nyore |
|---|
| Kuva neBP yakakwira kana cholesterol | Zvese izvi zvirwere ndizvo zvinokonzera mafuta akawanda mutsinga dzeropa. |
| Kuva nechirwere chestroke kana TIA | Izvi zvinogona kubatsira kuziva chikonzero chekurohwa kwechirwere chepfungwa, chikuru kana chidiki, kana kuti transient ischemic attack (TIA). |
| Kuva nechirwere cheshuga | Chirwere cheshuga chinokuvadza mitsipa yeropa uye chinowedzera njodzi yekuti iite diki. |
| Kuva nenhoroondo yemhuri yechirwere chemwoyo kana sitiroko | Njodzi yacho inogonawo kuwedzera nekuda kwezvinokonzerwa nemajini. |
| Kunzwa ruzha rusingawanzoitiki (ruzha) kana stethoscope yaiswa pamusoro petsinga yeropa | Kana tsinga yeropa yave diki, unogona kunzwa ruzha rwekuti “shhh…” ropa richiyerera nepakati payo. Ichi chiratidzo chekuvharika kwetsinga. |
| Pamberi pekuvhiyiwa kweCoronary Artery Bypass | Zvakakosha kuziva mamiriro etsinga dzeropa dzinoendesa ropa kuuropi usati wavhiyiwa. |
| Ndakamborapwa tsinga yakatetepa kare | Izvi zvinodiwa kuti tione kana kurapwa kwacho kwabudirira uye kana paine kudzoka kwacho. |
Ndingagadzirira sei ndisati ndaskena?
Ichi ndicho chikamu chakanakisa.
Hapana gadziriro yakakosha inodiwa pakuongororwa uku. Hamufanirwe kurega kudya kana kutora chero mishonga (asi bvunzai chiremba wenyu kuti muve nechokwadi). Asi zviri nyore kana mukayeuka zvinhu zviviri:
- Pfeka mbatya dzakareruka uye dzakanaka dzine mutsipa wakafara. Kana ukapfeka mbatya dzakasimba dzinofukidza mutsipa wako, ungangoda kupfeka gown rechipatara.
- Usapfeke machira makuru emuhuro kana mhete. Izvi zvinogona kukanganisa kuskena .
Chii chinoitika panguva yekuskena? Zviri nyore kwazvo!
Bvunzo inowanzo tora
maminetsi angangoita makumi matatu kusvika makumi mana nemashanu . Fungidzira wakarara wakadzikama pamubhedha muimba yekuongororwa. 1.
Kuisa gel: Kutanga, sonographer achaisa gel inopenya kumativi emutsipa wako. Inogona kunzwa ichidziya zvishoma. Gel iyi inobatsira mafungu eruzha kupfuura nepaganda rako uye kupinda mutsinga dzako. 2.
Kuskena: Zvadaro, achaisa mudziyo mudiki, unobatwa neruoko (transducer) pamutsipa wako uye oifambisa mberi nekudzoka. Mudziyo uyu unotumira mafungu eruzha uye unotora mafungu anodzoka. Ruzivo urwu runozoshandurwa kuita mifananidzo nekombiyuta. 3.
Kuramba wakadzikama: Kuti uwane mhedzisiro yakanaka, zvakakosha kuramba wakadzikama sezvinobvira panguva yekuskena. 4.
Pachava neruzha here? Hapana ruzha panguva yeultrasound yenguva dzose. Asi panguva yeDoppler chikamu, chinotarisa kuyerera kweropa, unogona kunzwa ruzha rwekuti "s…s…s…". Ndirwo ruzha rweropa rwunoyerera mukati metsinga yako. Hapana chekunetseka nacho. Kana scan yapera, uchapihwa tauro rekupukuta gel. Wobva waenda kumba semazuva ese. Hapana zororo rakakosha rinodiwa.
Pane njodzi here mune izvi?
Hapana njodzi pabvunzo iyi. Hapana kurwadziwa. Hapana mwaranzi . Unganzwa kumanikidzwa zvishoma kana mudziyo wacho ukamanikidzwa pamutsipa wako, asi hapana kurwadziwa zvachose. Saka usatya izvi.
Mushumo wacho unoti chii? Ngatinzwisisei mhedzisiro yacho
Mushumo unogamuchirwa nachiremba wako uchanyanya kukuudza kuti tsinga yako yeropa yakavharika zvakadii. Unoratidzwa sechikamu.
- Mhedzisiro Yakajairika: Izvi zvinoreva kuti hapana kuvharika kwakakosha kana kuvharika kwetsinga dzako, uye ropa riri kuyerera zvakanaka. Aya mashoko akanaka!
- Mhedzisiro Isina Kunaka: Izvi zvinoreva kuti pane imwe kana dzese tsinga dzako dzakavharika. Kuunganidzwa kwemafuta uku kunonzi atherosclerosis . Dambudziko iri rinowedzera njodzi yekurohwa nesitiroko.
Kana mhedzisiro yacho isina kujairika, chii chaunotevera kuita?
Usazvidya moyo. Kunyangwe paine dambudziko rekuvhara, pane zvakawanda zvinogona kuitwa nezvazvo. Kurapwa kunoenderana nehukuru hwedambudziko racho uye zviratidzo zvauri kuita. Izvi zvese zvinosarudzwa
nachiremba wako.
Kana paine kuvharika kushoma:
Panguva iyi, chiremba haazoende kunovhiyiwa. Asi, anokurudzira kuti uchinje mararamiro ako uye mishonga.
- Kuchinja kwemararamiro:
- Kudzora kudya : Deredza kudya zvine mafuta akawanda, munyu, uye shuga, uye idya miriwo yakawanda, michero, uye chikafu chine fiber yakawanda.
- Kurovedza muviri: Iva netsika yekuita maekisesaizi ari nyore, sekufamba zuva nezuva.
- Rega kusvuta : Kusvuta kunokuvadza tsinga dzeropa zvinouraya .
- Mhando dzemishonga:
- Mishonga inoderedza cholesterol (semuenzaniso, statins )
- Mishonga inodzivirira kuumbwa kweropa (semuenzaniso Aspirin, Clopidogrel )
- Mishonga yeBP ( Antihypertension )
Kana paine kuvharika kwakanyanya:
Kana tsinga yeropa yakavharwa zvakanyanya, zvichireva kupfuura 50%-60%, uye uri kuonawo zviratidzo, chiremba wako anogona kukurudzira imwe yenzira dzinotevera dzekurapa.
- Kuvhiyiwa kweCarotid Endarterectomy: Uku kuvhiyiwa. Kufanana nekubvisa paipi yakavharika, tsinga yeropa inovhurwa uye mafuta ari mukati anobviswa.
- Angioplasty uye Stenting: Izvi zvinosanganisira kuputira bharumu mutsinga yakamanikana kuti ikure. Zvadaro, mudziyo mudiki wakaita semesh ( stent ) unoiswa kuti usavhare zvakare.
Dzimwe nguva, kana carotid ultrasound ikasakwanisa kuwana mufananidzo wakakwana (semuenzaniso, kana chikamu chetsinga chakavharika nepfupa), chiremba wako anogona kukuraira imwe scan, senge
CT kana
Magnetic Resonance Angiography (MRA) .
Mharidzo Yekuenda Nayo Kumba
- Kuongororwa kweropa neropa (carotid ultrasound) inzira yakachengeteka uye isingarwadzi iyo inoongorora mamiriro etsinga dziri mumutsipa dzinotakura ropa kuenda kuuropi.
- Izvi zvinogona kubatsira kuona kuvharika kwetsinga dzeropa pakutanga izvo zvinogona kukonzera sitiroko.
- Bvunzo iyi haidi kugadzirira kwakakosha, uye hapana njodzi kana migumisiro yakaipa.
- Zvichienderana nemigumisiro yekuongororwa, kurapwa kunogona kusanganisira kuchinja mararamiro, mishonga, kana, kana zvichidikanwa, kuvhiyiwa.
- Gara uchikurukura nachiremba wako zvabuda muongororo yako uye marapirwo aunoita mune ramangwana . Vachakupa gwara rakanakisisa.
Carotid Ultrasound, carotid ultrasound, mutsipa scan, sitiroko, kuvharika kwetsinga dzeropa, plaque, Doppler scan, atherosclerosis
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