Ngaba ukhe wavavanywa umthambo wegazi entanyeni yakho? Masifunde ngovavanyo lwe-CIMT! (Ubunzima beCarotid Intima-Media - Uvavanyo lwe-CIMT)

Ngaba wakha weva ngovavanyo lwe-`(CIMT)`? Mhlawumbi ugqirha wakho ukuxelele ukuba wenze olu vavanyo. Ngokwenene luvavanyo olulula kakhulu nolungenabuhlungu. Ngoko ke, namhlanje siza kuthetha ngokulula malunga nokuba olu vavanyo lwe-`(CIMT)` luyintoni, yintoni onokuyilindela kulo, kwaye lubaluleke kubani.

Yintoni olu vavanyo lweCIMT?

Ngamafutshane, uvavanyo lwe-CIMT lulinganisa ubukhulu beendonga zangaphakathi zemithambo yegazi emikhulu entanyeni yakho, imithambo ye-carotid . Imithambo ye-carotid yimithambo yegazi emibini ebaluleke kakhulu kumacala omabini entanyeni yakho enika igazi elinomoya-mpilo engqondweni yakho, entlokweni nasebusweni. Zifana neendlela ezimbini ezinkulu.

Xa kufikwa eludongeni lwemithambo yegazi, luneengqimba ezininzi eziphambili. Uvavanyo lwe-CIMT ngokusisiseko lujonga ubukhulu beengqimba ezimbini ezingaphakathi zodonga lwemithambo yegazi - "intima" kunye "nemidiya" .

• I-intima lulwaleko olungaphakathi lomthambo wegazi oludibana ngqo negazi.
• Imidiya lulwaleko olungaphantsi, embindini.

Cinga ngayo njengombhobho othwala amanzi. Njengoko udonga lwaloo mbhobho lukhula, indlela yokuba amanzi ahambe iba mxinwa, kwenzeka into efanayo xa udonga lwale mibhobho yegazi lukhula.

Yintoni onokuyilindela kuvavanyo lwe-CIMT?

Eyona njongo iphambili yolu vavanyo kukufumanisa ukuba ingaba unamafutha aqokelelene, abizwa ngokuba yi-'plaque' , ngaphakathi kweendonga zemithambo yakho ye-carotid. Oku kwaziwa ngokwezonyango njenge -'atherosclerosis' . Kanye njengokuba umbhobho wamanzi ugqwala ngokuhamba kwexesha, olu hlobo lwezinto lunokwakheka ngaphakathi kwemithambo yethu yegazi.

Xa i-plaque iqokelelana ngale ndlela, udonga lwemithambo yegazi luyaqina. Ngoko ke, olu vavanyo lwe-``(CIMT)`` lunokulinganisa loo bukhulu luze lubone ukuba kukho ukwakheka okunjalo, kwaye ukuba kunjalo , ukuba kukhulu kangakanani. Eyona nto ingcono kukuba olu vavanyo lunokunceda ekuchongeni le meko kwasekuqaleni, ngaphambi kokuba kuvele naziphi na iimpawu.

Ngoku usenokuba uzibuza ukuba, kuya kwenzeka ntoni ukuba ufumanisa? Esebenzisa olu lwazi, ugqirha wakho unokuvavanya umngcipheko wakho wokuba neengxaki zentliziyo ezifana nokuhlaselwa sisifo sentliziyo kunye nestroke . Oku kunokukunceda ucwangcise unyango, amayeza kunye notshintsho lwendlela yokuphila olufunekayo ukunciphisa umngcipheko wakho.

Uvavanyo lwe-CIMT lufana neqhekeza elinye lephazili enkulu. Lunika ugqirha wakho izikhokelo ezibalulekileyo malunga nempilo yentliziyo yakho.

Ngubani ofuna ukwenza uvavanyo lwe-CIMT?

Ugqirha udla ngokucebisa olu vavanyo "(CIMT)`` ukuba bacinga ukuba usemngciphekweni we-atherosclerosis , okuyiqoqo lamafutha kwimithambo yegazi yakho. Zithini ezi zinto zinobungozi?

• I-hyperlipidemia: Oko kuthetha ukuba inqanaba le-cholesterol egazini lakho liphezulu.
• Uxinzelelo lwegazi : Oku kuthetha ukuba unexinzelelo lwegazi oluphezulu, okanye ukuba uxinzelelo lwakho lwegazi luphezulu kakhulu.
• I-Hyperglycemia : Oku kuthetha ukuba inqanaba leswekile egazini lakho liphezulu kakhulu (umzekelo, kubantu abanesifo seswekile).
• Ezinye izinto ezibangela indlela yokuphila : Lo mngcipheko uphezulu kubantu abatshayayo nabasebenzisa icuba.

Ngoko ke, ukuba unenye okanye ngaphezulu kwezi zinto ziyingozi, ugqirha wakho angakucela ukuba wenze olu vavanyo `(CIMT)`.

Uvavanyo lwe-CIMT lwenziwa njani?

Olu vavanyo lwe-`(CIMT)` lwenziwa kusetyenziswa iteknoloji ye-ultrasound . Usenokuba ukhe weva ngeeskeni ezisetyenziselwa ukubona iintsana. Le teknoloji ikwasetyenziswa kule. Luvavanyo olungangenisi ntsholongwane . Oko kuthetha ukuba akukho nto ifakwayo emzimbeni wakho, akukho kusikeka kwenziwayo. Ngoko awuva ntlungu .

Olu vavanyo lwenziwa yingcali ye-ultrasound/ingcali yetekhnoloji. Uqeqeshwe ngokukodwa ukwenza olu vavanyo. Nantsi indlela olusebenza ngayo ngokulula:

1. Ingcali iza kucinezela kancinci isixhobo esincinci esiphathwa ngesandla - esibizwa ngokuba yi-transducer - kwiindawo ezahlukeneyo entanyeni yakho.

2. Le transducer ikhupha amaza esandi asebenza rhoqo (amaza e-ultrasound).

3. La maza esandi ahamba entanyeni yakho, abethe izinto ezingaphakathi (kuquka imithambo yakho ye-carotid) aze abuyele umva (njenge-'echoes').

4. I-transducer ngokwayo ibamba la maza abuyayo ize iwathumele kwikhompyutha.

5. Ikhompyutha ilinganisa la maza ize idale imifanekiso ngawo. Le mifanekiso isetyenziselwa ukulinganisa ubukhulu bodonga lwemithambo yegazi.

Ndingazilungiselela njani ezi vavanyo?

Enyanisweni, akukho lungiselelo likhethekileyo elifunekayo kolu vavanyo lwe-`(CIMT)`. Nangona kunjalo, ukuba unako, nxiba impahla ekhululekileyo nekhululekileyo . Ngenxa yokuba ingcali kuya kufuneka ihambise i-transducer entanyeni yakho, kulula kubo ukwenza umsebenzi wabo ukuba banxibe into efana nehempe enendawo ejikeleze intamo.

Indlela yokwenza uvavanyo lwe-CIMT inyathelo ngenyathelo

Lonke uvavanyo ludla ngokuthatha malunga nemizuzu engama-30 ukuya kwengama-45 . Nantsi indlela ekwenziwa ngayo oku:

1. Okokuqala, ingcali iza kukuxelela ukuba ulale etafileni yovavanyo. Ufanele ujonge phezulu ngokukhululeka.

2. Emva koko, ijeli ifakwa entanyeni yakho. Le jeli idala unxibelelwano oluhle phakathi kwe-transducer kunye nolusu lwakho, kwaye ikwanceda amaza esandi angene emzimbeni.

3. Okulandelayo, ingcali iza kubeka i-transducer kancinci kwiindawo ezahlukeneyo zentamo yakho ize iyishukumise. Ngamanye amaxesha uya kucelwa ukuba ujike intloko yakho kancinci ukuze ufumane uvakalelo olungcono. Uya kuziva uxinezelekile kancinci, kodwa akukho ntlungu.Ukuba uziva ungakhululekanga nangayiphi na indlela, xelela ingcali ngoko nangoko.

4. Xa uvavanyo lugqityiwe, nayiphi na ijeli eseleyo entanyeni iya kusulwa.

Yiyo leyo! Kulula kakhulu, akunjalo?

Kwenzeka ntoni emva kovavanyo?

Nje ukuba ingcali ikuxelele ukuba uvavanyo lugqityiwe, ungagoduka. Ungaqhubeka nemisebenzi yakho yemihla ngemihla njengesiqhelo.

Ngaba kukho naziphi na iingozi ngolu vavanyo?

Ezi zezona ndaba zimnandi! Abaphandi abafumananga mingcipheko enxulumene novavanyo lwe-CIMT. Luvavanyo olukhuselekileyo kakhulu, olungangenisi ntsholongwane. Alusebenzisi mitha. Ngoko ke akukho sizathu sokoyika.

Luhlobo luni lweziphumo esizifumanayo?

Uvavanyo lwe-`(CIMT)` lulinganisa ubukhulu beengqimba ezimbini zangaphakathi ze-carotid artery yakho. Olu vavanyo luvelisa imifanekiso kunye nedatha yamanani. Olu lwazi luyahlalutywa kwaye ingxelo ilungiswa yingcali ye-radiologist . Ungungcali ofunda aze atolike imifanekiso yezonyango, efana nemifanekiso ye-ultrasound.

Ingcali ye-radiology iza kuthumela olu lwazi kugqirha wakho oyintloko okanye kwingcali yentliziyo, oya kuthi emva koko akuchazele iziphumo.

Kuthatha ixesha elingakanani ukwazi iziphumo?

Ugqirha wakho uza kukuxelela ukuba uza kuzifumana nini iziphumo zovavanyo lwakho. Ngokwesiqhelo, kuya kuthatha iintsuku ezimbalwa.

Ukuba iziphumo aziqhelekanga, yintoni oyenzayo emva koko?

Khawucinge nje, ukuba iziphumo zakho zovavanyo lwe-``(CIMT)`` zibonisa ukuba iindonga zemithambo yegazi yakho zityebile kancinci kwaye i-plaque iqalile ukwakheka. Ukuba kunjalo, ugqirha wakho uza kucebisa izinto ezinokukunceda ukunciphisa umngcipheko wakho wokuhlaselwa sisifo sentliziyo kunye nestroke .

Umzekelo:

• Usenokunikwa amayeza okulawula uxinzelelo lwakho lwegazi.
• Amayeza anokunikwa ukulawula amanqanaba e-cholesterol.
• Singacebisa inkqubo yokuzilolonga onokuyenza rhoqo.
• Ungacetyiswa ukuba ulandele ukutya okunempilo kwentliziyo (umz., ukutya kwaseMeditera).

Konke oku kwenzelwa ukukhusela impilo yakho yexesha elizayo.

Ndifanele ndithethe nini nogqirha?

Ukuba unemibuzo okanye iinkxalabo malunga neziphumo zovavanyo lwakho lwe-CIMT okanye isicwangciso sonyango ugqirha wakho akunike sona, qiniseka ukuba ufowunela ugqirha wakho ucele ingcaciso. Lilungelo lakho.

Eyona nto ibalulekileyo ekufuneka siyifunde koku

Kulungile, ngoko ke, ngokwezinto esithethe ngazo, ezi zezona zinto zibalulekileyo ekufuneka uzikhumbule:

• Uvavanyo olubizwa ngokuba yi-``(CIMT)`` (Carotid Intima-Media Thickness) lunokufumanisa iimpawu zokuqala zokugcwala kwamafutha kwimithambo yegazi emikhulu entanyeni yakho.
• Ngolu lwazi, ugqirha wakho unokwenza isicwangciso sokunciphisa iingxaki onokuhlangabezana nazo ngenxa yesifo sentliziyo kwixesha elizayo.
• Kuqhelekile ukuba novalo xa usiya kuvavanyo. Nangona kunjalo, ungaqiniseka ukuba uvavanyo (lwe-CIMT) luvavanyo olukhawulezayo, olungenabuhlungu, nolungangenisi ntlungu .
• Ulwazi olufunyanwa ngugqirha kolu vavanyo lunokuba luncedo ngokwaneleyo ukusindisa ubomi bakho .

Ngoko ke, ukuba ugqirha ucebisa olu hlobo lovavanyo kuwe, ungoyiki ukuluqhuba, fumana ulwazi olufunayo, uze ulwenze. Lutyalo-mali olukhulu kwimpilo yakho.

Uvavanyo lwe- CIMT, isifo semithambo ye-carotid, impilo yentliziyo, i-atherosclerosis, umngcipheko we-stroke, i-ultrasound, uthintelo