Ingaba ugqirha ubeke i-stethoscope entanyeni yakho waza wakuxelela ukuba uvile isandi esingaqhelekanga? Masithethe ngale (Carotid Bruit)!

Ngaba wakha wambona ugqirha ekumamela nge-stethoscope kumacala omabini entamo yakho? Ngelixa umamele, ugqirha ngamanye amaxesha unokuva isandi esithi "whooshing" esivela kwimithambo yegazi entanyeni yakho , okanye isandi esifana namanzi angena kuyo. Yiloo nto siyibiza ngokuba yi-"Carotid Bruit" (ebizwa ngokuba yi-"carotid bruee"). Le asinto yokoyika, kodwa kubalulekile ukuyiqaphela.

Sithini esi sandi singaqhelekanga esibizwa ngokuba yi-`(Carotid Bruit)`?

Ngamafutshane, isandi esithi `(Carotid Bruit)` sisandi esingaqhelekanga nesiguquguqukayo esenzeka xa igazi lihamba kwenye okanye ngaphezulu kwemithambo yegazi ephambili entanyeni yakho, i`(Carotid Artery)`. Khawuthelekelele, njengomlambo ozolileyo obetha ilitye ngequbuliso kwaye uqala ukugeleza ngamandla. Yiyo loo nto siyibiza ngokuba yi`(Turbulent Flow)` xa igazi lihamba emithanjeni, endaweni yokuba lihambe kakuhle nangendlela enye, kodwa ngendlela engaqhelekanga neyaxakekayo . Le mithambo yegazi ethi `(Carotid Artery)` yiyo ezisa ioksijini kunye nezondlo ezifunekayo kwingqondo yakho . Ngoko ke, ukuba kukho ingxaki ngezi mithambo yegazi, inokuchaphazela ukusebenza kwengqondo yethu.

Ugqirha unokusiva esi sandi `(Carotid Bruit)` ngengozi xa uhlolwa ngugqirha. Ukuva esi sandi kunokuba luphawu lokuba `(Carotid Artery)` yakho inciphile ngenxa yokugcwala kwamafutha (sikwabiza oku `(Plaque)`) . Nangona kunjalo, ngamanye amaxesha abantu abane `(Carotid Artery)` abaphilileyo banokusiva esi sandi. Kwakhona, abanye abantu banokungayiva le sandi nokuba imithambo yegazi yabo inciphile kakhulu. Ke ngoko, ugqirha usebenzisa esi sandi `(Carotid Bruit)` njengeqhekeza elincinci lephazili enkulu. Oko kukuthi, ukuva esi sandi kukodwa akubonisi ukuba unesifo esinzulu, kunceda nje ekugqibeni ukuba ngaba kufuneka iimvavanyo ezongezelelweyo kunye nonyango.

Ivakala njani i-`(Carotid Bruit)`?

Esi sandi `(Carotid Bruit)` sifana nesandi somlambo ohamba ngokukhawuleza , isandi esifana nesithi "hush hush". Awunakukuva oku wedwa. Ungasiva esi sandi kuphela xa ugqirha ecinezela kancinci i-stethoscope yakhe (isixhobo esinxitywa esifubeni sakho okanye emqolo) kwiindawo ezahlukeneyo zentamo yakho aze amamele. Ugqirha angakucela ukuba uphefumle kwaye uyibambe okwethutyana. Oko kukuthi, ukumamela ngokucacileyo isandi sokuhamba kwegazi.

Ukuba ugqirha uva "iCarotid Bruit" enje, uza kukuchazela, ukuba ithetha ukuthini, kwaye nokuba kufuneka wenze olunye uvavanyo na. Ngoko ke, ungakhathazeki, kulungile?

Kutheni le nto `(Carotid Artery)` isenza esi sandi? Zithini izizathu?

Eyona nto iphambili neyona ixhaphakileyo ye "Carotid Bruit" yimeko ebizwa ngokuba yi "Atherosclerosis" .

I-atherosclerosis lutshaba oluphambili!

`( I-Atherosclerosis )` ligama lezonyango. Kalula nje, lithetha ukuba into enamafutha, ngokuthe ngqo `(Iplaque)`, ifakwa ngaphakathi kwemithambo yegazi (imithambo yegazi) emzimbeni wakho, kwaye indawo yegazi elihamba kuyo kuloo mithambo yegazi (siyibiza ngokuba yi`(Lumen)`) iyancipha kancinci kancinci. Khawuthelekelele ukuba ngokuhamba kwexesha, ukungcola kwakheka ngaphakathi kombhobho wamanzi kwaye kuvale umbhobho, ngokunjalo nezi layer zamafutha `(Iplaque)` ziyakhiwa ngaphakathi kwemithambo yegazi yethu, zinciphisa indawo yokuba igazi lihambe. Oku kwakheka `(Iplaque)` kunokukhokelela ekwakhiweni kwamahlwili egazi. Oku kwakheka kwegazi kunokumisa ukuhamba kwegazi apho kwenzeka khona, okanye kunokuhamba negazi kwaye kuthintele umthambo kwenye indawo.

Ngoko ke, xa i-plaque iqokelelana kwi-Carotid Artery yakho ize inciphise umthambo, siyibiza ngokuba yi -Carotid Artery Stenosis . Ukuva i-Carotid Bruit kungaba luphawu lokuba usenokuba nale meko.

Khumbula, i-`(Carotid Artery)` yiyo enika ubuchopho bethu igazi elinomoya-mpilo omninzi . Ngoko ke, ukuba le artery ivalekile yi-`(Plaque)`, usemngciphekweni omkhulu wokuba ne -`(Transient Ischemic Attack - TIA)` (sikwabiza oku ngokuthi kukuphazamiseka okwethutyana kokunikezelwa kwegazi engqondweni, abanye bakubiza ngokuba yi-"mini stroke"), okanye i- `(Ischemic Stroke)` (ukukhubazeka okubangelwa kukuvaleka komthambo wegazi onika ubuchopho). Kuzo zombini ezi meko, ukuhamba kwegazi ukuya ebuchotsheni kuyancipha okanye kulahleke ngokupheleleyo.

Yiyo loo nto kubalulekile ukwazi ukuba une-` (Carotid artery stenosis) ` kwaye ukuba kunjalo, inzima kangakanani. `(Carotid Bruit)` luphawu lwesilumkiso nje, alukuxeleli ukuba une-`(Plaque)` engakanani na. Ke ngoko, ugqirha akayi kugqiba kwelokuba une-`(Carotid Artery Stenosis)` ngokuthatha nje i-`(Carotid Bruit)`, kodwa uya kuyisebenzisa njengenyathelo lokuqala lokuphanda ngakumbi.

Ngaba zikho ezinye izizathu?

Nangona ukwakheka kweplaque kuyeyona nto ixhaphakileyo ebangela i-carotid bruit, inokubangelwa nalutshintsho kwindlela esebenza ngayo imithambo yegazi. Umzekelo, abantu abaneengxaki ezingaqhelekanga ezifana ne -Fibromuscular Dysplasia (FMD) banokuva i-carotid bruit. Ugqirha wakho uza kujonga imbali yakho yezonyango ukuze azame ukufumanisa unobangela we-carotid bruit yakho.

Ngaba ukuba ne-`(Carotid Bruit)` kuyinto enzulu?

"I-Carotid Bruit" ngamanye amaxesha luphawu lwengxaki enkulu.Inokwenzeka, kodwa ayisoloko isenzeka. Ngamanye amaxesha ifana nokukhanya okubomvu okuthi usenokuba ne-`(Carotid Artery Stenosis)`. Ukuba i-`(Stenosis)` yakho, okanye ukuncitshiswa komthambo, kukhulu, kusenokwenzeka ukuba udinga unyango lokunciphisa umngcipheko wokuba ne-`(TIA)` okanye `(Stroke). Ugqirha wakho uza kukuxelela ukuba imeko yakho imbi na kwaye ukuba ufuna unyango. Ngoko ke musa ukoyika kwaye umamele ngononophelo oko kuthethwa ngugqirha wakho.

Ngaba i-"Carotid Bruit" ingaba yinto eqhelekileyo?

Ewe, ukuva i-`(Carotid Bruit)` akuthethi ukuba une-`(Carotid Artery Stenosis)`. Abanye abantu abane-`(Carotid Bruit)` basenokungabi ne-`(Plaque)` ebalulekileyo emithanjeni yabo yegazi, kwaye basenokuba sempilweni. Abanye abantu banokuba notshintsho kwisakhiwo semithambo yabo yegazi, olunokuba luqhelekile, okanye lunokuba ngenxa yemeko efana ne-`(FMD)`. Yiyo loo nto i-`(Carotid Bruit)` ilinyathelo lokuqala kuphela kwinkqubo yokuxilonga nokunyanga izifo ezinxulumene ne-`(Carotid Artery)`.

Ukuba ugqirha uthi kukho "iCarotid Bruit", kuza kwenzeka ntoni emva koko?

Ukuba ugqirha wakho uva "iCarotid Bruit", oko kusenokuba luphawu lokuba kukho into engalunganga. Ugqirha angayalela olunye uvavanyo ukuze afumanise imeko echanekileyo ye "Carotid Artery" yakho.

Ziziphi ezinye iimvavanyo?

Uvavanyo oluqhelekileyo olwenziwa ngeli xesha yiCarotid Duplex Ultrasound . Olu luvavanyo olungenabuhlungu, olungangenisi ntlungu. Lunokujonga ukuhamba kwegazi kwiCarotid Artery yakho, nokuba umthambo unciphile na, kwaye ukuba kunjalo, ukuba unciphile kangakanani na. Lufana novavanyo lwe-ultrasound olwenziwa ngoomama abakhulelweyo, kodwa olu lwenziwa entanyeni.

Ngaba izinto ezinobungozi nazo ziyayichaphazela?

Ewe, ukuba une-`(Carotid Bruit)`, kwaye kwangaxeshanye unenye okanye ngaphezulu yezinto ezibangela umngcipheko we-`(Carotid Artery Stenosis)`, ugqirha ngokuqinisekileyo uya kuyalela uvavanyo olufana ne-`(Carotid Duplex Ultrasound)` ekhankanyiweyo ngaphambili. Ezi zinto zibangela umngcipheko zezi:

• Ukuba unesifo semithambo yegazi yentliziyo .
• Ukuba unesifo seswekile (Uhlobo 1 okanye Uhlobo 2).
• Ukuba kukho umntu kusapho lwakhe owakha waba nesifo sohlangothi ngaphambili.
• Ukuba une- high blood pressure .
• Ukuba unezinga eliphezulu le-cholesterol egazini lakho .
• Ukuba umdala (ngesiqhelo ungaphezulu kweminyaka engama-65 ubudala, okanye ungaphezulu kweminyaka engama-55 ubudala ukuba kukho ezinye izinto ezinobungozi).
• Isifo semithambo yegazi ejikeleze imilenze, isifo esibangela ukucutheka kwemithambo yegazi emilenzeni okanye ezingalweni.Ukuba ikhona.
• Ukusetyenziswa kwecuba kunye necuba .

Okukhona uneengozi ezininzi, kokukhona amathuba akho okufumana i-"Carotid Artery Stenosis" aphezulu.

Kwakhona, ukuba ucwangciselwe ukwenza utyando lwentliziyo olufana ne -`(Coronary Artery Bypass Grafting - CABG)` , ugqirha wakho unokufuna ukujonga imeko ye-`(Carotid Artery)` yakho ngaphambi kotyando. Oku kungenxa yokuba ukuba une-`(Carotid Artery Stenosis)`, usemngciphekweni omkhulu wokuba ne-`(Stroke)` nokuba ngexesha okanye emva kotyando lwentliziyo. Ukuba kunjalo, unokunyangelwa ngaphambi kotyando ukunciphisa loo mngcipheko.

Luluphi unyango lwale nto?

Ayinguye wonke umntu one-`(Carotid Bruit)` oya kufuna unyango. Nangona kunjalo, abanye abantu baya kufuna unyango ukunciphisa umngcipheko wokuba ne-`(TIA)` okanye `(Stroke)`. Injongo ephambili yonyango kukuphucula ukuhamba kwegazi nge-`(Carotid Artery)` yakho.

Lawula ngamayeza

Kwiimeko ezininzi, ingakumbi ukuba umthambo wakho we-carotid awunciphanga kakhulu, amayeza lunyango lokuqala. Ngokuxhomekeke kwimeko yakho, ugqirha wakho unokucebisa elinye okanye ngaphezulu kwala mayeza alandelayo:

• Amayeza oxinzelelo lwegazi .
• Amayeza okwehlisa i-cholesterol .
• Ngamanye amaxesha kusetyenziswa amayeza anjenge-aspirin, athintela ukujiya kwegazi.

Utshintsho kwindlela yokuphila lubaluleke kakhulu!

Ukwenza utshintsho oluthile kwindlela ophila ngayo kunokunceda kakhulu ekulawuleni ukwakheka kwe-plaque kwimithambo yakho yegazi. Qiniseka ukuba uzama ezi zinto:

• Kuphephe ukutshaya kunye nazo zonke iimveliso zecuba ngokupheleleyo. Icuba libi kakhulu kwimithambo yegazi yakho. Likwanyusa umngcipheko wezifo ezininzi, kuquka nesifo sentliziyo. Ukuba ufuna uncedo lokuyeka ukutshaya, buza ugqirha wakho, kukho iindlela zokwenza oko.
• Yitya ukutya okunempilo nentliziyo . Oku kuthetha ukutya amafutha agcweleyo, i-sodium, kunye neswekile encinci. Endaweni yenyama ebomvu yitya inyama engenamafutha atyebileyo njengenkukhu, i-turkey, kunye nentlanzi. Yitya imifuno, iziqhamo, iimbotyi kunye namandongomane.
• Zilolonge rhoqo . Musa ukuqala ukhulu kakhulu ngaxeshanye. Qala kancinci kwaye ujonge ukwenza umthambo ophakathi kangangemizuzu eli-150 ngeveki. Kungcono ukubuza ugqirha wakho ukuba yintoni ekulungeleyo nekhuselekileyo kuwe ngaphambi kokuba uqalise inkqubo entsha yokuzilolonga.

Utyando okanye ezinye iinkqubo

Ukuba i-"Carotid Artery Stenosis" yakho inzima kakhulu, ungadinga utyando okanye ezinye iinkqubo ezikhethekileyo. Ezinye zezi ziquka:

• `(Utyando lweCarotid Endarterectomy)`: Olu lutyando. Oku kuquka ukuvula `(Carotid Artery)` kunye nokususa `(Plaque)` eqokelelene ngaphakathi.
• `(Carotid Angioplasty and Stenting)` : Kule nto, kufakwa isixhobo esincinci esifana nebhaluni kwi-`(Carotid Artery)` encitshisiweyo kwaye ivuthelwe ukuze yandise umthambo. Emva koko, ityhubhu encinci ye-mesh ebizwa ngokuba yi-`(Stent)` ifakwa ngaphakathi kumthambo ukuze ithintele ukuba iphinde inciphe.

Kodwa khumbula, ayinguye wonke umntu one-"Carotid Bruit" onamahlwili egazi kwaye uya kufuna unyango. Thetha nogqirha wakho ukuze ufumane ukuba i-"Carotid Bruit" yakho ikuchaphazela njani.

Okokugqibela, izinto ekufuneka uzikhumbule (Umyalezo Wokuya Ekhaya)

Ukuba ugqirha wakho ukuxelela ukuba une-"(Carotid Bruit)``, musa ukoyika okanye ungoyiki . Oko akuthethi ukuba usengozini enkulu. Luphawu nje olusetyenziswa ngugqirha ukujonga impilo yemithambo yegazi yakho.

Ngoko ke, thetha nogqirha wakho ngale nto uze ufumane okungakumbi. Kwakhona, fumana ukuba zeziphi izinto ezikubangela ukuba ube ne-atherosclerosis (ukuqina kwemithambo yegazi) kunye nento onokuyenza ukunciphisa umngcipheko wakho. Ukuphila ubomi obusempilweni kudla ngokuba yeyona ndlela ilungileyo yokuzikhusela kwezi meko. Ukunyamekela impilo yakho kusezandleni zakho!

Ingxolo ye - carotid, ingxolo entanyeni, umthambo we-carotid, istroke, i-TIA, i-atherosclerosis, ukuvaleka kwemithambo yegazi, ukuhanjiswa kwegazi engqondweni