Ingaba imithambo yegazi yakho entanyeni ivaliwe? Masithethe ngeCarotid Ultrasound!

Ngaba wakha weva ngovavanyo olubizwa ngokuba yiCarotid Ultrasound? Mhlawumbi ugqirha wakho ukuxelele ngalo, okanye mhlawumbi unomdla nje ngalo. Ungakhathazeki, luvavanyo olulula kakhulu, olungenabuhlungu, nolubaluleke kakhulu. Ngoko ke, masithethe ngalo ngokweenkcukacha namhlanje, akunjalo?

Yintoni i-carotid ultrasound?

Ngamafutshane, i-carotid ultrasound luvavanyo olujonga ngaphakathi kwemithambo yakho ye-carotid . Le mithambo yegazi ikwicala ngalinye lentamo yakho, kwaye inika igazi engqondweni yakho . Ngoko ungacinga ukuba kubaluleke kangakanani ukugcina le mithambo isempilweni.

Olu vavanyo lusebenzisa amaza esandi ukuthatha imifanekiso yangaphakathi yemithambo yegazi yakho. Kufana ne-ultrasound scan yabasetyhini abakhulelweyo, kodwa yenziwa entanyeni yakho. Lukwasebenzisa iteknoloji ebizwa ngokuba yiDoppler ultrasound . Lunokubona ukuba igazi lihamba kakuhle kangakanani kwaye likhawuleza kangakanani na kwimithambo yegazi yakho. Ayimangalisi na loo nto?

Lufuneka nini olu vavanyo?

Ugqirha uya kufuna ukwenza olu vavanyo lwe-carotid ultrasound ikakhulu ukuze abone ukuba kukho amahlwili egazi okanye amaqhekeza amafutha (i-plaque) kwimithambo yakho ye-carotid. La macwecwe amafutha afana nomhlwa kumbhobho wamanzi. Ekuhambeni kwexesha, anokwakheka aze avale imithambo yegazi. Ukuba oku kuyenzeka, ubungakanani begazi eliya ebuchotsheni bunokuncipha, nto leyo ekhokelela kwimeko eyingozi efana nestroke .

Khawuthelekelele, oku kufana nombhobho wamanzi emyezweni wakho onothuli olunamathele ngaphakathi kuwo kwaye oluthintela amanzi ukuba angaphumi. Yiyo loo nto kubalulekile ukugcina le mibhobho icocekile.

Ngubani obaluleke kakhulu kolu vavanyo?

Ugqirha wakho angacebisa olu vavanyo ukuba unenye yezi meko zilandelayo:

• Ukuba ukhe wenziwa utyando lokususa umthambo wegazi ovalekileyo.
• Ukuba i -stent ifakwe kwi-carotid artery, jonga ukuba isebenza kakuhle na.
• Ukuba uvavanyo lwangaphambili lubonise ukuba umthambo wegazi uvalekile kancinci, yijonge rhoqo.
• Ukuba ugqirha uva isandi esingaqhelekanga (isandi esikhulu) , esifana nesandi somlozi, xa ebeka i-stethoscope entanyeni yakho.
• Ukuba une -high blood pressure okanye i-cholesterol ephezulu .
• Ukuba ukhe waba nestroke okanye i-transient ischemic attack (TIA) ngaphambili, oku kufana ne-mini-stroke kwaye sele iphilile.
• Ukuba ulungiselela utyando lwe-coronary artery bypass .
• Eya kuweUkuba unesifo seswekile.
• Ukuba kukho umntu kusapho lwakho okhe waba nesifo sohlangothi okanye isifo sentliziyo.
• Ukuba kukho iqhuma (i-hematoma) legazi eliqokelelweyo kwindawo yentamo.

Yintoni kanye kanye ejongwa yiDoppler ultrasound?

Besebenzisa obu buchwepheshe beDoppler, oogqirha banokufumana ukuqonda okungcono kwezi zinto zilandelayo:

• Kwenzeka njani ukuba igazi lihambe?
• Ingaba kukho ukuvaleka okanye ukuncitshiswa kwemithambo yegazi?
• Ngamanye amaxesha kunokwenzeka ukubona naziphi na iingxaki zokuzalwa okanye iithumba.

Ngubani owenza olu vavanyo lwe-carotid ultrasound?

Olu vavanyo ludla ngokwenziwa yi -sonographer okanye ingcali ye-ultrasound. Ngamanye amaxesha ingcali ye-radiologist , ugqirha ohlalutya imifanekiso yeskeni, nayo inokwenza olu vavanyo.

Lusebenza njani olu vavanyo? Lulula kakhulu!

I-carotid ultrasound ayisebenzisi naluphi na uhlobo lwemitha , ngoko ke ikhuselekile kakhulu. Njengoko bekutshiwo ngaphambili, isebenzisa amaza esandi ukwenza imifanekiso yangaphakathi kwimithambo yegazi yakho ye-carotid.

Ugqirha usebenzisa isixhobo esincinci esibizwa ngokuba yi-transducer (njengeskena esincinci esijonga ixabiso leempahla evenkileni) eluswini lwentamo yakho ukuthumela la maza esandi. Xa la maza esandi efika emithanjeni yegazi aze abuyele umva, ulwazi luthunyelwa kwikhompyutha, apho lwenziwa njengomfanekiso. Le mifanekiso inokurekhodwa njengevidiyo okanye igcinwe njengeefoto.

Ngaba kufuneka ndilungiselele ngokukodwa ngaphambi kovavanyo?

Hayi, akufuneki uzilungiselele kangako. Nangona kunjalo, licebo elihle ukunxiba ihempe ekhululekileyo nekhululekileyo engagqumi intamo yakho . Ukuba ihempe yakho iphezulu kakhulu entanyeni yakho, kusenokufuneka unxibe ilokhwe yesibhedlele. Kwakhona, ukuba unxibe umgexo okanye amacici , licebo elihle ukuzisusa kuba zinokuphazamisana novavanyo.

Yintoni onokuyilindela ngomhla wovavanyo?

Kuya kufuneka wenze olu vavanyo nokuba useofisini kagqirha wakho okanye esibhedlele. Uvavanyo ludla ngokuthatha malunga nemizuzu engama-30 ukuya kwengama-45 .

Kwenzeka ntoni ngexesha lovavanyo?

Okokuqala, ugqirha okanye i-sonographer iza kusebenzisa ijeli ecacileyo emacaleni entamo yakho . (Khumbula, kukho imithambo emibini ye-carotid, enye kwicala ngalinye lentamo yakho.) Le jeli ingaziva ifudumele kancinci. Le jeli isetyenziswa ukunceda amaza esandi ahambe phakathi kwe-transducer kunye nemithambo yegazi yakho.

Kubaluleke kakhulu ukungahambihamba ngexesha lovavanyo. Le yindlela onokufumana ngayo imifanekiso ecacileyo.

Ngelixa ulele ebhedini, ugqirha ubeka i-transducer eluswini kumacala omabini entamo yakho aze ayicinezele phantsi. Njengoko amaza esandi avela kwi-transducer ephuma kwimithambo yegazi, ikhompyutha isebenzisa olo lwazi ukwenza umfanekiso. Ugqirha uhambisa i-transducer ngasemva nangaphambili phezu kolusu lwakho ade abe nayo yonke imifanekiso ayifunayo.

Awuyi kuva la maza esandi. Nangona kunjalo, ukuba yi-Doppler ultrasound, usenokuva isandi esithi "swish swish" esifana namanzi ahamba emzimbeni , kunye nesandi esitshintshayo.

Kwenzeka ntoni emva kovavanyo?

Xa uvavanyo lugqityiwe, ugqirha uza kukunika itawuli yokusula ijeli ebifakwe entanyeni yakho . Emva koko, ukuba ubunxibe ilokhwe yesibhedlele, ungatshintsha impahla yakho. Ukuba awufumani ziphumo ngaloo mini, ungagoduka. Ungaqhubeka nemisebenzi yakho yesiqhelo .

Ngaba kukho umngcipheko kule nto?

Akukho mngcipheko . Ungaziva uxinzelelo oluncinci xa ubeka i-transducer entanyeni yakho, kodwa akukho ntlungu konke konke . Ngoko ke akukho sizathu sokoyika.

Zithini iziphumo? Zithetha ukuthini?

Iziphumo ezifunyanwa ngugqirha wakho ziya kukuxelela ukuba imithambo yakho yegazi ixinene okanye ivalekile kangakanani. Oku kubonakaliswa njengepesenti , okanye kwi-100.

Iyintoni isiphumo esiqhelekileyo?

Ukuba ufumana iziphumo eziqhelekileyo, oko kuthetha ukuba akukho kuvimbeka okanye ukuncitshiswa kwemithambo yegazi yakho ye-carotid. Ziindaba ezimnandi ezo!

Kuthekani ukuba kuvela isiphumo esingaqhelekanga?

Ukuba iziphumo aziqhelekanga, oko kuthetha ukuba usenokuba ne -atherosclerosis , i-blood clot, okanye enye ingxaki enciphisa imithambo yegazi. Le meko inyusa umngcipheko wakho we-stroke.

Unyango lugqitywa njani?

Ukuba une-fatty deposits (i-plaque) kwenye okanye zombini imithambo yakho ye-carotid, kodwa ukuvaleka kungaphantsi kwama-50% (kumntu oneempawu ze-stroke) okanye ngaphantsi kwama-60% (kumntu ongenazo iimpawu ze-stroke), ugqirha wakho unokukucebisa ukuba utshintshe indlela otya ngayo, wenze umthambo, kwaye uyeke ukusebenzisa iimveliso zecuba .

Ukongeza, ugqirha angakunika amayeza anjengala:

• Amayeza okunyibilikisa amahlwili egazi (umz. `Thrombolytics`)
• Amayeza okuthintela ukuqhekeka kwegazi (umz. i-Aspirin okanye i-Clopidogrel)
• Amayeza okwehlisa i-cholesterol (umz., `ii-Statins`)
• Amayeza okwehlisa uxinzelelo lwegazi (umz. `Amayeza okunciphisa uxinzelelo lwegazi`)

Nangona kunjalo, ukuba ukuvaleka kungaphezulu koko (ama-50% nangaphezulu kumntu oneempawu zestroke, ama-60% nangaphezulu kumntu ongenazo iimpawu zestroke), ugqirha unokucebisa ukuba kususwe i-carotid endarterectomy ukuze kususwe amafutha agciniweyo.Utyando olubizwa ngokuba yi-carotid artery bypass graft (ABP) lunokucetyiswa. Iziphumo ze-carotid ultrasound zisetyenziselwa ukucwangcisa olu tyando, njengoko lubonisa ngqo apho kuvaliwe khona. Olunye unyango lokuvaleka okukhulu yi -angioplasty . Oku kubandakanya ukususa amanqatha kwiindonga zomthambo wegazi, ukwandisa ukuhamba kwegazi. Emva kwe-angioplasty, i -stent ingafakwa ukugcina umthambo wegazi uvulekile.

I-Carotid ultrasound idla ngokuba yinyani. Nangona kunjalo, ngamanye amaxesha inokubonisa ukuvaleka okungekhoyo ngokwenene. Kwakhona, amava e-sonographer anokwenza umahluko. Olu vavanyo ludla ngokuthatha iingxaki ezinkulu kunezincinci. Ke ngoko, ugqirha wakho unokuyalela iimvavanyo ezongezelelweyo zemifanekiso, ezifana ne -cerebral angiography , i-CT angiography (CTA) , okanye i-magnetic resonance angiography (MRA) . Ngamanye amaxesha, amathambo entanyeni yakho anokuthintela i-ultrasound ekubeni ibone iindawo ze-carotid artery yakho. I-Ultrasound ayinakubona ngethambo.

Ezinye izinto ezonyusa umngcipheko we-stroke

Ugqirha wakho uya kugqiba nokuba loluphi unyango olukulungeleyo ngokusekelwe kwezinye izinto ezinokubangela umngcipheko westroke onazo. Usengozini enkulu yestroke ukuba unenye kwezi zilandelayo:

• Igazi elonyukayo
• I-cholesterol ephezulu
• Isifo seswekile
• Isifo semithambo yegazi ejikeleze umqolo (i-PAD)
• I-Atrial fibrillation (ukubetha kwentliziyo okungahambelaniyo)
• Isifo seSickle cell
• Ukutyeba kakhulu
• Isifo sentliziyo

Ukusebenzisa iimveliso zecuba, ukutya ukutya okunamafutha amaninzi netyuwa, kunye nokungawusebenzisi umzimba nako kwandisa umngcipheko wesifo sohlangothi.

Kuthatha ixesha elingakanani ukwazi iziphumo?

Ngamanye amaxesha, ingcali ye-radiologist ingathetha nawe ngaloo mini ikuxelela iziphumo. Ngamanye amaxesha, ingcali ye-radiologist iya kuthumela iziphumo ze-carotid ultrasound kugqirha wakho, aze yena akuxelele ngazo kwiintsuku ezimbalwa.

Ngaba udinga ukubona ugqirha kwakhona?

Ukuba awukafumani ziphumo ze-carotid ultrasound kwiintsuku ezimbalwa, thetha nogqirha wakho ngayo loo nto. Emva kokuba ufumene iziphumo zakho, ukuba unemibuzo malunga nonyango olunikwe lona, ​​thetha nogqirha wakho.

Okokugqibela, izinto ekufuneka uzikhumbule

I-Carotid Ultrasound yindlela elula yokufumanisa ukuba kukho ukuvaleka okanye ukuncitshiswa kwemithambo yakho ye-carotid. Ayibuhlungu kwaye ayithathi xesha lide ukuyenza.Ukuba ugqirha wakho ufumanisa ukuba kukho ukuncipha kwemithambo yegazi yakho, kunokufuneka wenze utshintsho oluthile kwindlela ophila ngayo. Nokuba into efana notyando ikulungele, usenokunciphisa umngcipheko wakho westroke ngokwamkela imikhwa emihle yempilo . Ngaphambi kokuba wazi, olu tshintsho lusempilweni luya kuba yinxalenye yobomi bakho, kwaye akuyi kufuneka nokuba ucinge ngalo, luya kuba ngumkhwa nje.

Ngoko ke, ukuba ugqirha wakho ukucela ukuba wenze olu hlobo lovavanyo, ungoyiki ukuqhubeka nalo. Luya kuba luncedo olukhulu kwimpilo yakho!

I- Carotid ultrasound, imithambo yegazi entanyeni, istroke, i-Doppler scan, ukugcinwa kwamafutha, i-cholesterol, uxinzelelo lwegazi