Ngaba wakha wacinga ukuba imithambo yegazi emibini ephambili ethwala igazi ebuchotsheni bakho ikwicala ngalinye lentamo yakho? Ewe, le yileyo siyibiza ngokuba yimithambo yegazi ye-carotid. Ukuba, ngokuhamba kwexesha, izinto ezinje ngamafutha ziyaqokelelana ngaphakathi kwezi mithambo yegazi kwaye zivaleleke, ukuhamba kwegazi ukuya ebuchotsheni kunokuphazamiseka, okukhokelela kwimeko enzima efana nestroke. Ngoko ke, namhlanje siza kuthetha ngovavanyo olulula kakhulu, olungenantlungu, nolungenamngcipheko oluya kukunceda ufumanise imeko echanekileyo yale mithambo yegazi.
Yintoni i-carotid ultrasound?
Ngamafutshane, oku kufana ne-ultrasound scan eyenziwa ngumama okhulelweyo. Kodwa le yenziwa kumacala omabini entamo yakho endaweni yesisu sakho. Olu vavanyo alusebenzisi naluphi na uhlobo lwemitha. Endaweni yoko
, lusebenzisa amaza esandi aqhelekileyo ukwenza umfanekiso wangaphakathi we-carotid artery yakho eboniswa kwiscreen sekhompyutha. Kukho enye indlela ekhethekileyo ebizwa ngokuba
yi-Doppler ultrasound . Ingabona ngqo ukuba igazi lihamba ngokukhawuleza kangakanani kwaye lihamba kakuhle kangakanani na kwimithambo yakho. Kufana nokubukela amanzi ephuma kwipayipi.
Kutheni kufuneka wenze iskena esinje?
Ugqirha wakho uza kuyalela olu vavanyo ngokukodwa ukujonga ukuba akukho mahlwili egazi okanye ukwakheka kwe-plaque kwimithambo yakho ye-carotid. Ezi plaque zinokuwunciphisa kancinci kancinci umthambo kwaye ekugqibeleni ziwuvale ngokupheleleyo. Oku kwandisa umngcipheko wakho westroke. Ugqirha wakho unokucebisa olu vavanyo kwiimeko ezilandelayo:
| Isizathu sokuskena | Ingcaciso elula |
|---|
| Ukuba noxinzelelo lwegazi oluphezulu okanye i-cholesterol | Zombini ezi meko zingunobangela omkhulu wokugcinwa kwamafutha eludongeni lwemithambo yegazi. |
| Ukuba ne-stroke yangaphambili okanye i-TIA | Oku kunokunceda ekufumaneni unobangela westroke sangaphambili, esikhulu okanye esincinci, okanye uhlaselo lwe-ischemic oludlulayo (TIA). |
| Ukuba nesifo seswekile | Isifo seswekile siyayonakalisa imithambo yegazi kwaye sinyusa umngcipheko wokuba inciphe. |
| Ukuba nembali yosapho yesifo sentliziyo okanye isifo sohlangothi | Umngcipheko unokwanda ngenxa yempembelelo yemfuza. |
| Ukuva isandi esingaqhelekanga (isandi esikhulu) xa i-stethoscope ibekwa phezu komthambo we-carotid | Xa umthambo unciphile, unokuva isandi esithi “shhh…” njengoko igazi lihamba kuwo. Olu luphawu lokuvaleka. |
| Ngaphambi kotyando lweCoronary Artery Bypass | Kubalulekile ukwazi imeko yemithambo yegazi ehambisa igazi engqondweni ngaphambi kotyando. |
| Ngaphambili wayekhe wanyangwa ngenxa yokuncitshiswa komthambo | Oku kuyimfuneko ukuze kubonwe ukuba unyango luphumelele na kwaye ukuba luphinda lubuye. |
Ndingazilungiselela njani ngaphambi kokuba ndiskene?
Le yeyona nxalenye ilungileyo.
Akukho lungiselelo likhethekileyo lifunekayo kolu vavanyo. Akunyanzelekanga ukuba uyeke ukutya okanye usebenzise amayeza (kodwa jongana nogqirha wakho ukuqinisekisa). Kodwa kulula ukuba ukhumbula izinto ezimbalwa:
- Nxiba impahla ekhululekileyo nekhululekileyo enentamo ebanzi. Ukuba unxiba impahla eqinileyo egquma intamo yakho, kusenokufuneka unxibe ilokhwe yesibhedlele.
- Musa ukunxiba imigexo emikhulu okanye amacici. Ezi zinto zinokuphazamisana nokuskena .
Kwenzeka ntoni ngexesha lokuskena? Kulula kakhulu!
Uvavanyo ludla ngokuthatha malunga
nemizuzu engama-30 ukuya kwengama-45 . Khawuzithelekelele ulele ungashukumi ebhedini kwigumbi lovavanyo. 1.
Ukufaka ijeli: Okokuqala, i-sonographer iza kusebenzisa ijeli ecacileyo emacaleni entamo yakho. Isenokuvakala ishushu kancinci. Le jeli inceda amaza esandi ukuba adlule eluswini lwakho aye kwimithambo yakho yegazi. 2.
Ukuskena: Emva koko, uza kubeka isixhobo esincinci, esiphathwa ngesandla (i-transducer) entanyeni yakho aze asihambise ngasemva nangaphambili. Esi sixhobo sithumela amaza esandi kwaye sithathe amaza abuyayo. Olu lwazi luguqulwa lube yimifanekiso yikhompyutha. 3.
Hlala ungashukumi: Ukuze ufumane iziphumo ezilungileyo, kubalulekile ukuhlala ungashukumi kangangoko ngexesha lokuskena. 4.
Ngaba kuya kubakho isandi? Akukho sandi ngexesha le-ultrasound eqhelekileyo. Kodwa ngexesha le-Doppler part, ejonga ukuhamba kwegazi, ungava isandi esinesingqi esithi “s…s…s…”. Eso sisandi segazi elihamba ngaphakathi kumthambo wakho wegazi. Akukho nto yokukhathazeka ngayo. Xa ukuskena kugqityiwe, uza kunikwa itawuli yokusula ijeli. Emva koko ungagoduka njengesiqhelo. Akukho kuphumla kukhethekileyo kufunekayo.
Ngaba kukho umngcipheko kule nto?
Akukho mingcipheko kolu vavanyo. Akukho ntlungu. Akukho mitha . Ungaziva uxinzelelo oluncinci xa isixhobo sicinezelwe entanyeni yakho, kodwa akukho ntlungu konke konke. Ngoko ke musa ukoyika oku.
Ithini ingxelo ? Masiqonde iziphumo
Ingxelo efunyanwa ngugqirha wakho iya kukuxelela ukuba ingakanani i-carotid artery yakho evalekileyo. Ichazwa njengepesenti.
- Isiphumo Esiqhelekileyo: Oku kuthetha ukuba akukho kuncitshiswa okanye ukuvaleka okubonakalayo kwimithambo yakho yegazi, kwaye igazi lihamba kakuhle. Ezi ziindaba ezimnandi!
- Isiphumo Esingaqhelekanga: Oku kuthetha ukuba kukho ukuvaleka okuthile kwimithambo yakho enye okanye yomibini. Oku kuqokelelana kwamafutha kubizwa ngokuba yi-atherosclerosis . Le meko yonyusa umngcipheko westroke.
Ukuba iziphumo aziqhelekanga, yintoni oyenzayo emva koko?
Ungakhathazeki. Nokuba kukho ukuvaleka, zininzi izinto ezinokwenziwa ngayo. Unyango luxhomekeke kubungakanani bokuvaleka kunye neempawu onazo. Konke oku kumiselwa
ngugqirha wakho.
Ukuba akukho kuvimbeka okukhulu kangako:
Okwangoku, ugqirha akayi kutyandwa. Endaweni yoko, uza kucebisa utshintsho kwindlela ophila ngayo kunye namayeza.
- Utshintsho kwindlela yokuphila:
- Ukulawula ukutya : Nciphisa ukutya okuneoyile eninzi, ityuwa, neswekile, kwaye utye imifuno, iziqhamo, kunye nokutya okutyebileyo kwifayibha.
- Ukuzilolonga: Ziqhelise ukwenza umthambo olula, njengokuhamba yonke imihla.
- Yeka ukutshaya : Ukutshaya konakalisa imithambo yegazi ngendlela ebulalayo .
- Iintlobo zamayeza:
- Amayeza okwehlisa i-cholesterol (umz., ii-statins )
- Amayeza athintela ukujiya kwegazi (umz. iAspirin, iClopidogrel )
- Amayeza oxinzelelo lwegazi (Amayeza okunciphisa uxinzelelo lwegazi )
Ukuba kukho ukuvaleka okukhulu:
Ukuba umthambo uvalekile kakhulu, oko kuthetha ukuba ungaphezulu kwama-50%-60%, kwaye uhlangabezana neempawu, ugqirha wakho unokucebisa enye yezi ndlela zonyango zilandelayo.
- Utyando lweCarotid Endarterectomy: Olu lutyando. Njengokususa ibhloko kumbhobho, umthambo uyavulwa kwaye umaleko wamafutha (iplaque) ngaphakathi uyasuswa.
- I-Angioplasty kunye ne-Stenting: Oku kuquka ukufutha ibhaluni kwi-artery enciphileyo ukuze ivuleke. Emva koko, kufakwa isixhobo esincinci esifana ne-mesh ( stent ) ukuze singavaleki kwakhona.
Ngamanye amaxesha, ukuba i-carotid ultrasound ayikwazi ukufumana umfanekiso opheleleyo (umzekelo, ukuba inxalenye yomthambo ivalwe lithambo), ugqirha wakho unokuyalela olunye uphononongo, olufana ne
-CT okanye
iMagnetic Resonance Angiography (MRA) .
Umyalezo Wokuya Ekhaya
- I-carotid ultrasound yindlela ekhuselekileyo nengenabuhlungu yokujonga imeko yemithambo-luvo entanyeni ethwala igazi liye engqondweni.
- Oku kunokunceda ekufumaneni ukuvaleka kwangethuba kwemithambo yegazi enokubangela isifo sohlangothi.
- Olu vavanyo aludingi lungiselelo lukhethekileyo, kwaye akukho mingcipheko okanye iziphumo ebezingalindelekanga.
- Ngokuxhomekeke kwiziphumo zovavanyo, unyango lungabandakanya utshintsho kwindlela yokuphila, amayeza, okanye, ukuba kuyimfuneko, utyando.
- Soloko uxoxa nogqirha wakho ngeziphumo zovavanyo lwakho kunye nonyango lwakho lwexesha elizayo . Baza kukunika ulwalathiso olungcono kakhulu.
I-Carotid Ultrasound, i-carotid ultrasound, iskeni yentamo, istroke, ukuvaleka kwemithambo yegazi, i-plaque, iskeni yeDoppler, i-atherosclerosis
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