Ingaba imithambo yentamo yakho ivaliwe? Masifunde yonke into malunga (neCarotid Angiography)!

Ngaba wakha wazibuza ukuba kubaluleke kangakanani ukuba igazi lihambe liye ebuchotsheni ngemithambo yegazi entanyeni yethu? Ngamanye amaxesha le mithambo yegazi inokuvaleka. Kulapho siza kuthetha ngovavanyo olukhethekileyo olwenziwayo ukuze sibone ukuba kwenzeka ntoni na kwimithambo yegazi ephambili entanyeni yakho. Oku kubizwa ngokuba yi-carotid angiography . Ungakhathazeki, siza kuthetha ngale nto ngokulula nangendlela onokuyiqonda.

Ngoko ke, yintoni kanye kanye iCarotid Angiography?

Ngamafutshane, i-carotid angiography luvavanyo olujonga indlela igazi elihamba ngayo kwimithambo yegazi emikhulu kumacala omabini entamo yakho ebizwa ngokuba yi-carotid arteries . Le mithambo yegazi ithwala igazi lisuka entliziyweni yethu liye entlokweni nasebuchotsheni. Cinga ngayo njengemithambo ephambili ezisa ubomi ebuchotsheni bethu.

Ngamanye amaxesha, le mithambo yegazi ivaleka ngamafutha, njengothuli olukwipayipi yamanzi. Oogqirha babiza esi sifo ngokuba yiCarotid Artery Disease . Eyona nto ibangela oku yimeko ebizwa ngokuba yiAtherosclerosis . Kwiimeko ezinjalo, olu vavanyo lwe-angiography lwenziwa ukuze kubonwe ukuba ingakanani na kwaye ivalekile phi imithambo yegazi. Oku kwenziwa ngokusebenzisa i-X-ray kunye nolwelo olukhethekileyo olubizwa ngokuba yiContrast Dye ukuthatha imifanekiso yemithambo yegazi. Emva koko ugqirha unokubona ngokucacileyo ukuba kwenzeka ntoni ngaphakathi kwemithambo yegazi.

I-angiography ye-carotid yenziwa nini?

Kukho iimeko ezininzi apho ugqirha okanye umongikazi wakho anokukucela ukuba wenze olu vavanyo:

• Ukuba ukrokrela ukuba unesifo seCarotid Artery Disease .
• Ukuba ukhe waba ne -mini-stroke (okanye i-Transient Ischemic Attack - TIA) . Oku kuxa ukuhamba kwegazi ukuya engqondweni kuncipha okwethutyana, okubangela iimpawu ezifana ne-stroke (umz. ubuthathaka obukhawulezileyo kwelinye icala lomzimba, ubunzima bokuthetha) uze uphucuke emva kwexesha elifutshane.
• Ukuba ukhe waba nestroke .

Kwimeko efana nale, olu vavanyo lubaluleke kakhulu ukuze kuchongwe ngokuchanekileyo imeko yemithambo yegazi entanyeni.

Ngaba kukho enye into oyivavanyayo ngaphambi kolu vavanyo?

Ewe, ngesiqhelo ukuba ugqirha ucinga ukuba uneempawu zesifo semithambo yegazi ye-carotid , kuqala uza kwenza uvavanyo olulula nolungenabuhlungu olubizwa ngokuba yi-carotid ultrasound . Oku kunokunika umbono ocacileyo ngemithambo yegazi. Nangona kunjalo, ukuba imifanekiso ye-ultrasound ayicacanga ngokwaneleyo, okanye ukuba ugqirha ufuna ukubona iinkcukacha ezithe vetshe, uya ku-odola i-carotid angiography.

Ngubani owenza le carotid angiography?

Oku kuyenziwa.Ugqirha ochwephesha kwiinkqubo ezikhokelwa yimifanekiso. Ingcali ye-radiology engenelelayo, ukuba ndithetha ngokuchanekileyo. Nguye owenza lo msebenzi unzima ngokukhuselekileyo nangokuchanekileyo.

Isebenza njani iCarotid Angiography? Kulula kakhulu!

Makhe sijonge indlela olu vavanyo oluqhutywa ngayo:

1. Okokuqala, ugqirha ufaka ityhubhu encinci kakhulu, eguquguqukayo ebizwa ngokuba yi-"catheter" kwimithambo yegazi ekwindawo yakho yokuphefumla (okanye ngamanye amaxesha engalweni yakho). Awuyi kuva ntlungu ingako xa ifakwa, kuba indawo iya kuba ndindisholo.

2. Emva koko, ulwelo olukhethekileyo olubizwa ngokuba yi-``Contrast Dye`` lufakwa kwimithambo yegazi ngale tube ``(Catheter). Olu lwelo lulwelo oluyenza imithambo yegazi ibonakale ngokucacileyo xa ijongwa kwi-X-ray``(X-rays).

3. Okokugqibela, imifanekiso ye-X-reyi iyathathwa. Le mifanekiso isetyenziselwa ukujonga ukuba imithambo yegazi ayivalwanga okanye ayivalwanga.

Ngamanye amaxesha, endaweni ye-X-ray, kungasetyenziswa i -CT scan (ekwabizwa ngokuba yi-CT Carotid Angiography) okanye i- MRI (ekwabizwa ngokuba yi-Magnetic Resonance Angiogram - MRA) . Oku kuxhomekeke kugqirha wakho.

Ulungiselela njani olu vavanyo?

Kukho izinto ezimbalwa oza kucelwa ukuba uzenze ngaphambi kolu vavanyo, kwaye kubaluleke kakhulu ukuba uzilandele ngokuchanekileyo.

• Ukutya Neziselo: Ugqirha wakho uza kukunika ingcebiso malunga neeyure omele uzile ukutya ngaphambi kovavanyo kunye noko ufanele ukutye okanye ukusele kunye noko ungafanele ukukusele. Kubalulekile ukulandela le miyalelo.
• Amayeza: Ufanele uxelele ugqirha wakho malunga nawo onke amayeza owasebenzisayo (ingakumbi amayeza okunciphisa igazi afana ne -aspirin ) kunye nazo naziphi na izongezo zezityalo ozisebenzisayo. Ugqirha wakho uza kukuxelela ukuba uwasebenzise na la mayeza ngaphambi kovavanyo.
• Izinto ezixabisekileyo: Shiya izinto zakho ezixabisekileyo ezifana nezacholo zegolide, imisesane, kunye neentsimbi zomqala ekhaya.
• Ukuba uhlala esibhedlele: Ukuba kufuneka uhlale esibhedlele ubusuku bonke, ziphathele izinto oza kuzidinga ukuze uhlale ukhululekile (umz., ilokhwe, i-slippers).
• Ukuba utyando lwakho luqhutywa ngaphandle kwesibhedlele: Kuya kufuneka ulungiselele ukuba umntu akuqhubele ekhaya emva kovavanyo, kuba kunokuba nzima kuwe ukuqhuba emva kovavanyo.

Yintoni omele uyilindele xa ufika kuvavanyo?

Xa ufika kuvavanyo,

• Uza kunikwa ilokhwe yesibhedlele oza kuyinxiba.
• Ukuba usebenzisa iiglasi okanye izixhobo zokuva, buza ugqirha ukuba ungazinxiba na ngexesha lovavanyo.
• Kodwa iilensi zoqhagamshelwanoMusa ukuyinxiba ngexesha lovavanyo.

Luhlobo luni lwamava olufumanayo xa ubhala uvavanyo?

I-angiography ye-carotid idla ngokuthatha imizuzu engama-60 ukuya kwengama-90 . Ngeli xesha, ugqirha kunye neqela lezonyango baya:

• Ityhubhu encinci ebizwa ngokuba yi-"catheter" ifakwa emthanjeni osengalweni yakho kwaye amayeza kunye nolwelo olufunekayo lunikwa umzimba wakho ngayo. Oku kubizwa ngokuba yi-"IV - Intravenous" .
• Uza kunikwa isithomalalisi ukuze ukhululeke kwaye uzive ulele kancinci.
• Imicu emincinci efana nezitikha (ii-electrode) inamathele esifubeni sakho, kwaye umsebenzi wombane wentliziyo yakho ujongwa ngomatshini we-ECG (i-Electrocardiogram) kulo lonke uvavanyo.
• I-groin (okanye ingalo) ivalwe yi-anesthesia yendawo . Emva koko awuyi kuva ntlungu xa kufakwa i-catheter.
• Emva koko, kufakwa i-catheter kwityhubhu, kwaye kufakwa ulwelo olukhethekileyo olubizwa ngokuba yi-"Contrast Dye" ngayo ukuze imithambo yegazi ibonakale.

Ngaba le angiography ye-carotid ibuhlungu?

Olu vavanyo aludli ngokuba buhlungu. Into ekuphela kwayo abantu abaninzi abayivayo kukufudumala okuncinci okanye ukurhawuzelelwa xa ulwelo olukhethekileyo (i-Contrast Dye) lufakwa emzimbeni. Kodwa oku kuyanyamalala kwimizuzwana embalwa.

Nangona kunjalo, ukuba uziva into efana nale ngexesha lovavanyo , kufuneka uxelele ugqirha okanye umongikazi ngoko nangoko:

• Intlungu yesifuba okanye ukungakhululeki.
• Ulusu olurhawuzelelayo.
• Kuvakala ngathi ndiza kuba nesicaphucaphu.
• Iimpawu ze-allergy enzima (umz., ukuziva uxinezelekile emqaleni, ubunzima bokuphefumla) - oku kubizwa ngokuba yi-anaphylaxis .
• Nakuphi na ukufiphala okanye utshintsho embonweni.

Ungakhathazeki, iqela lezonyango likujongile, ngoko ke ukuba kwenzeka into efana naleyo, baza kuyinyanga ngokukhawuleza.

Kwenzeka ntoni xa uvavanyo luphelile?

Xa uvavanyo luphelile,

• Ugqirha ususa ngononophelo zonke ii-catheters ezifakiweyo.
• Kufakwa uxinzelelo kwaye kufakwa ibhandishi ukunqanda ukopha kwindawo apho ityhubhu ifakwe khona.
• Isantya sentliziyo yakho kunye noxinzelelo lwegazi ziyajongwa.
• Uza kusiwa kwigumbi elahlukileyo ukuze uphumle iiyure ezimbalwa. Ngeli xesha, kuya kufuneka uhlale ebhedini okwethutyana.

Emva kovavanyo, ugqirha wakho uya kukucebisa ukuba usele amanzi amaninzi kunye nolwelo ukunceda idayi yomahluko iphume emzimbeni wakho ngokukhawuleza. Kusenokufuneka uchame kancinci kunesiqhelo. Landela imiyalelo kagqirha wakho ngononophelo malunga nendlela kunye nexesha lokuvuka kwaye uqale ukuhambahamba.

Zibonisa ntoni iziphumo ze-carotid angiography?

Ugqirha wakho unokufunda ulwazi oluninzi olubalulekileyo kwiziphumo zolu vavanyo.

• Ngaba kukho ukuvaleka okanye ukuncitshiswa kwemithambo ye-carotid entanyeni yakho?
• Ukuba une-blockage efana nale, inokukunceda uhlole umngcipheko wokuba ne-stroke .
• Ngokusekelwe kwezi ziphumo, oogqirha baya kugqiba ukuba loluphi uhlobo lonyango olufunekayo kwixesha elizayo, okanye ukuba loluphi utshintsho kwindlela yokuphila olufunekayo .

Kuthatha ixesha elingakanani ukwazi iziphumo?

Imifanekiso ethathwe ngexesha lovavanyo ihlolwa yingcali ye-radiology . Usebenzisa le mifanekiso ukufumanisa ukuba siyintoni isifo aze alungiselele ingxelo ngaso. Ingxelo ithunyelwa kugqirha okunyangayo. Xa ugqirha wakho efumana ingxelo, uza kukufowunela aze akuchazele iziphumo kunye nento omawuyenze emva koko.

Ndifanele ndimtsalele nini ugqirha emva kovavanyo?

Emva kokuba ubuyele ekhaya uvela kuvavanyo, fowunela ugqirha wakho ngoko nangoko ukuba ufumana nayiphi na kwezi zilandelayo:

• Ukuba ufumana iimpawu ze-allergy kwidayi yokwahluka (umz., ukuba bomvu kwesikhumba, ukudumba, ukurhawuzelela, ubunzima bokuphefumla).
• Ukuba awuziva kakuhle , ukuba unomkhuhlane.
• Ukuba indawo apho ityhubhu ifakwe khona idumbile, ibomvu, okanye ibuhlungu, okanye ukuba kukho ukopha okuqhubekayo okuvela apho.

Izinto ezinje aziqhelekanga ukwenzeka, kodwa ukuba ziyenzeka, kungcono ukuxelela ugqirha ngokukhawuleza.

Oogqirha banyanga njani isifo semithambo yeCarotid?

Ukuba i-carotid angiography ifumanisa ukuba imithambo yegazi entanyeni yakho ivaliwe okanye inciphile, ugqirha wakho unokucebisa olu nyango lulandelayo:

• I-Carotid Endarterectomy: Le yindlela yotyando evula umthambo wegazi ovalekileyo kwaye isuse amafutha ngaphakathi.
• Ukubeka iCarotid Stenting: Oku kuquka ukubeka isixhobo esincinci esifana ne-mesh (Stent) ngaphakathi komthambo wegazi ovalekileyo ukuze kwandiswe umthambo. Oku kwenziwa kusetyenziswa i-catheter, efana ne-angiography.
• Amayeza: Amayeza afana namayeza okunciphisa igazi kunye namayeza okwehlisa i-cholesterol anokunikwa.

Ukongeza, ugqirha ukwacebisa ukuba wenze utshintsho kwindlela ophila ngayo, njengokuyeka ukutshaya, ukutya ukutya okunempilo, kunye nokuzilolonga.

Okokugqibela, khumbula (Umyalezo Wokuya Ekhaya)

Kulungile, ngoko ke ndiyathemba ukuba ngoku unembono entle malunga novavanyo olubizwa ngokuba yiCarotid Angiography esithethe ngalo namhlanje.

Oku kwenziwa ukuze kuchongwe ukuba kukho na ukuvaleka okanye ukuncitshiswa kwemithambo yegazi ephambili entanyeni yakho.Kungenxa yokuvaleka okunje ukuba iimeko eziyingozi ezifana nestroke zinokwenzeka.

Ungoyiki ukucinga ngolu vavanyo. Lwenzelwe ukukunceda, ukuqonda imeko yakho yempilo ngokuchanekileyo, nokuqala unyango ngokukhawuleza ukuba kuyimfuneko. Ukuba unemibuzo engaphezulu malunga noku, ungoyiki ukubuza ugqirha wakho. Uza kukuchazela yonke into ngokweenkcukacha. Hlala uphilile!

I- Carotid Angiography, I-Carotid Angiography, Imithambo yentamo, Istroke, Ukuvaleka kwemithambo yegazi, i-X-ray, Idayi yokungafaniyo, Isifo semithambo ye-Carotid