Ngaba wakha waziva unesiyezi ngequbuliso, waziva ngathi unesizungu kwelinye icala lomzimba wakho, okanye waba nobunzima bokuthetha? Ngamanye amaxesha ezi zinokuba ziimpawu zesifo esincinci. Xa oku kusenzeka, into ephambili oogqirha abaya kuyijonga kukuba kukho na ukuvaleka komthambo oyintloko entanyeni yakho othwala igazi liye engqondweni yakho. Yiloo nto siza kuthetha ngayo namhlanje.
Yintoni iCarotid Angiography?
Ngamafutshane, i-carotid angiogram, okanye i-angiogram, luvavanyo olukhethekileyo olujonga indlela igazi elihamba ngayo kwimithambo yegazi emibini ephambili kumacala omabini entamo yakho (oko sikubiza ngokuba yi-carotid arteries). Cinga ngale mithambo mibini njengemithambo emibini ephambili ethwala igazi lisuka entliziyweni yakho liye engqondweni yakho. Olu vavanyo lwenziwa ukuze kubonwe ukuba kukho ukuvaleka okanye ukuncitshiswa kwenye yezi mithambo.
Oku kuquka ukuthatha imifanekiso usebenzisa i-X-reyi. Kodwa nangona usebenzisa i-X-reyi elula, le mithambo yegazi ayibonakali ngokucacileyo. Ngenxa yoko, ulwelo olukhethekileyo, uhlobo lwedayi olubizwa ngokuba yi-"contrast dye", lufakwa emzimbeni. Olu dayi lwenza imithambo yegazi ibonakale imhlophe kwi-X-reyi. Njengokuba xa uqhuba kwindlela emnyama ukhanyise izibane zakho, unokuyibona kakuhle indlela.
Kutheni kufuneka wenze olu vavanyo?
Isizathu esiphambili sokwenza olu vavanyo kukuba kukho ukurhanelwa kwesifo seCarotid Artery Disease . Okwenzekayo koku kukuba ngokuhamba kwexesha, izinto ezifana ne-cholesterol ziyaqokelelana ngaphakathi kwezi mithambo yegazi, zenze udonga lwemithambo yegazi lube lukhuni kwaye zinciphise ukuhamba kwegazi. Njengokuba kunjalo ngokuhamba kwexesha, umhlwa uyaqokelelana ngaphakathi kombhobho wamanzi endlwini yethu kwaye uvale ukuhamba kwamanzi. Kwizonyango, sibiza oku ngokuthi `(Atherosclerosis)`.
Kukho izizathu ezininzi eziphambili zokuba ugqirha wakho angakuthumela kolu vavanyo:
- Ukuba ugqirha wakho ukrokrela ukuba uneempawu zesifo semithambo ye-carotid.
- Ukuba ukhe wakha wahlaselwa sisifo sentliziyo esincinci ngaphambili, okanye into eyaziwa ngokwezonyango njenge-"Transient Ischemic Attack - TIA".
- Ukuba ukhe waba nestroke esinzima ngaphambili.
Eyona nto ibalulekileyo kukuba ukuvaleka kwale mithambo yegazi kunokunciphisa inani legazi elifikelela ebuchotsheni. Oku kwandisa kakhulu umngcipheko westroke. Ngoko ke, kubaluleke kakhulu ukwenza olu vavanyo kwaye uchonge imeko kwangethuba.
Ngaba uza kwenza ezinye iimvavanyo ngaphambi kolu?
Ewe. Ngokwesiqhelo, ugqirha akakuthumeli kwangoko kolu vavanyo lwe-angiography. Ngaphambi koko, kudla ngokwenziwa i-carotid ultrasound.Uvavanyo luyenziwa. Olu luvavanyo olulula kakhulu, olungenabuhlungu, olusebenzisa amaza esandi. Nangona kunjalo, ngamanye amaxesha ukuba imifanekiso evela kolu vavanyo lwe-ultrasound ayicacanga kakuhle, okanye ukuba ugqirha ufuna ukwazi ngakumbi ngemeko yomthambo, inyathelo elilandelayo kukubhekisa kuvavanyo lwe-carotid angiography.
Ungazilungiselela njani uvavanyo?
Ugqirha wakho okanye abasebenzi basesibhedlele baza kukunika imiyalelo ecacileyo yendlela yokulungiselela olu vavanyo. Kubaluleke kakhulu ukulandela loo miyalelo ngokuchanekileyo.
| Icandelo eliza kulungiswa | Okufanele ukwenze kunye nenkcazo |
|---|---|
| Ukutya neziselo | Uza kuxelelwa ukuba ungatyi okanye ungaseli nto kangangeeyure ezimbalwa ngaphambi kovavanyo. Oku kuthetha ukuba kufuneka uzile ukutya. Landela elo cebiso ngokuchanekileyo. |
| Amayeza owasebenzisayo | Qiniseka ukuba uxelela ugqirha wakho ngamayeza owasela yonke imihla (umz. i-aspirin, amayeza eswekile, amayeza oxinzelelo lwegazi) kunye namayeza e-Ayurvedic owaselayo. Ungacelwa ukuba uyeke ukusebenzisa amanye amayeza ngosuku olungaphambi kovavanyo. |
| Izinto ezixabisekileyo | Shiya izinto zakho ezixabisekileyo, ezifana nezacholo kunye nemali, ekhaya. Kuphephe ukuzisa esibhedlele. |
| Ukuya nokubuya esibhedlele | Usenokungakwazi ukuqhuba emva kovavanyo, ngoko ke kubalulekile ukuba ube nomntu oza kukuyisa ekhaya. |
Kwenzeka ntoni ngexesha lovavanyo?
Yonke le nkqubo idla ngokuthatha malunga neyure okanye iyure enesiqingatha. Akukho mfuneko yokukhathazeka, yonke into yenziwa ucinga ngokhuseleko lwakho.
Emva kokufika esibhedlele
Uza kunikwa ilokhwe yesibhedlele oza kuyinxiba. Ukuba unxiba iiglasi okanye izixhobo zokuva, buza ugqirha okanye umongikazi ukuba ungazinxiba na ngexesha lovavanyo. Nangona kunjalo, kufuneka zisuswe iilensi zoqhagamshelwano .
Inkqubo yovavanyo
Itheyibhile engezantsi iza kukunceda uyiqonde ngcono le nkqubo.
| Amanyathelo | Kwenzekani? |
|---|---|
| Ukubeka umgca we-IV | Ityhubhu encinci (i-IV catheter) iya kufakwa emthanjeni osengalweni yakho. Amayeza afunekayo kunye nolwelo luya kunikwa ngale nto. |
| Ukunika amayeza okuthomalalisa | Uza kunikwa isithomalalisi esithambileyo ukuze uphumle kwaye unciphise ixhala lakho. Oku kunokukunceda ulale. |
| Ukujonga izinga lentliziyo | Ii-electrode zinamathele esifubeni sakho kwaye ziqhagamshelwe kumatshini we-EKG. Oku kujonga ukusebenza kwentliziyo yakho kulo lonke uvavanyo. |
| Ukunika amayeza okunyanga ukungaziva | I-anesthetic yendawo ifakwa kwindawo apho i-catheter ifakwa khona, ngokuqhelekileyo kwindawo ye-groin okanye ngamanye amaxesha engalweni. |
| Ukufakwa kwe-catheter kunye nokubhola nge-die | Emva kotyando lokubulala iintlungu, kufakwa ityhubhu encinci kakhulu neguquguqukayo (i-catheter) kwimithambo yegazi ize ikhokelwe kwi-carotid artery entanyeni. Emva koko, kufakwa idayi ngetyhubhu. Emva koko kuthathwa imifanekiso ye-X-ray. |
Ingaba oku kubuhlungu?
Hayi. Olu ayilovavanyo olubuhlungu oluqhelekileyo. Awuyi kuva ntlungu kuba i-catheter ayisebenzi kakuhle. Nangona kunjalo,Xa idayi ifakwa emzimbeni, ungaziva ubushushu obuncinci okanye imvakalelo yokurhawuzelela. Oku kuqhelekile. Ubushushu buza kuphela kwimizuzwana embalwa.
Nangona kunjalo, ukuba ufumana naziphi na ezi mpawu zilandelayo ngexesha lovavanyo, kufuneka uxelele ugqirha okanye umongikazi ngokukhawuleza:
- Intlungu yesifuba okanye ukungakhululeki
- Ukurhawuzelela kwesikhumba okanye ukurhawuzelela
- Ukuziva unesicaphucaphu.
- Ukuziva ngathi umqala wakho uxinekile
- Naluphi na utshintsho okanye ukufiphala kombono
Kwenzeka ntoni emva kovavanyo?
Xa uvavanyo lugqityiwe, ugqirha uza kuyisusa i-catheter aze abophe ibhandishi ukuze ayeke ukopha. Emva koko, ukubetha kwentliziyo yakho kunye noxinzelelo lwegazi kuya kuhlolwa, uze usiwe kwigumbi elahlukileyo ukuze uphumle iiyure ezimbalwa.
Uya kucetyiswa ukuba usele amanzi amaninzi ngeli xesha. Oku kungenxa yokuba idayi efakwe emzimbeni wakho kufuneka ikhutshwe ngokukhawuleza ngomchamo wakho. Ngoko ke ungakhathazeki ukuba kufuneka uchame kancinci, kuyinto eqhelekileyo.
Zithini iziphumo kwaye ziza kufumaneka nini?
Imifanekiso ye-X-reyi ethathwe kolu vavanyo ingabonisa ngokucacileyo ukuba kukho nakuphi na ukuvaleka okanye ukuncitshiswa kwemithambo yakho ye-carotid.
Le mifanekiso ihlolwa yingcali, ingcali ye-radiology, kwaye kulungiswa ingxelo. Le ngxelo ithunyelwa kugqirha wakho onyangayo. Ugqirha uya kuthetha nawe aze akuchazele iziphumo, kwaye ukuba kuyimfuneko, amanyathelo alandelayo omawuwathathe.
Umyalezo Wokuya Ekhaya
- I-Carotid angiography luvavanyo olukhethekileyo lwe-X-ray olujonga ukuvaleka kwemithambo ephambili entanyeni yakho ehambisa igazi engqondweni yakho.
- Olu vavanyo lubaluleke kakhulu ekufumaneni kwangethuba ukuncitshiswa okanye ukuvaleka kwemithambo yegazi okunokubangela isifo sohlangothi.
- Le nkqubo ayidli ngokuba buhlungu, kodwa kubalulekile ukulandela imiyalelo kagqirha ngononophelo ngaphambi nasemva kovavanyo.
- Ukuba ufumana naziphi na iimpawu ezingaqhelekanga (umz., i-allergy reaction, iintlungu eziqatha kwindawo yokufaka i-catheter) emva kovavanyo, yazisa ugqirha wakho ngoko nangoko.
- Soloko uthetha ngokukhululekileyo nogqirha wakho malunga neziphumo zovavanyo lwakho kunye nonyango oluzayo.
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