Ngamanye amaxesha ugqirha wakho unokuyalela ukuba kwenziwe i-brain scan kuba uneentloko ezibuhlungu, ulahlekelwe yingqondo ngequbuliso, okanye ezinye iimpawu ezingaqhelekanga. Kodwa ngamanye amaxesha kunokubakho iingxaki ezingenakufumaneka kwi-scan eqhelekileyo, ingakumbi kwimithambo yegazi ebuthathaka engqondweni yakho. Kulapho ugqirha wakho anokucebisa khona uvavanyo olukhethekileyo olubizwa ngokuba yi-'Cerebral Angiogram'.
Ngamafutshane, yintoni i-cerebral angiogram?
I-'Cerebral Angiogram' luvavanyo olukhethekileyo lwe-X-ray olujonga imithambo yegazi (imithambo yegazi) engqondweni yakho, entlokweni, okanye entanyeni kunye nendlela igazi elihamba ngayo kuyo. Ikwabizwa ngokuba yi-'Cerebral Angiography'.
Khawuthelekelele oku, kufana nokusebenzisa ikhamera yedrone ukuze ubone ukusuka phezulu ukuba iimoto zinjani ezindleleni zesixeko, apho iindlela zixinene khona, nalapho iindlela zincinci khona. Kodwa apha, sijonga inkqubo yemithambo yegazi engqondweni yakho.
Le nkqubo ilula kakhulu. Ugqirha udla ngokufaka umbhobho omncinci (i-catheter) kumthambo omkhulu osesinqeni okanye engalweni yakho. Emva koko, ngembhobho, kufakwa ulwelo olukhethekileyo olubizwa ngokuba yidayi yokungafani emzimbeni wakho. Njengoko idayi ihamba negazi lakho emzimbeni wakho wonke, ingakumbi ngemithambo yegazi esengqondweni yakho, yenza loo mithambo yegazi ibonakale imhlophe kwimifanekiso ye-X-ray. Ugqirha unokujonga ukuba kukho naziphi na iingxaki ngemithambo yegazi yakho.
Kutheni kufuneka wenze olu vavanyo?
Ugqirha wakho uhlala eyalela olu vavanyo xa ezinye iimvavanyo (ezifana ne-CT okanye i-MRI scan) zingacacanga. Ingafumanisa iingxaki ezahlukeneyo kwimithambo yegazi engqondweni yakho.
Injongo ephambili yolu vavanyo kukufumanisa ngokuchanekileyo ukuba kukho na ukuvaleka, ukudumba, okanye enye ingxaki kwimithambo yegazi engqondweni.
Jonga le theyibhile ingezantsi ukuze ubone ukuba zeziphi iimeko ezinokuchongwa koku.
| Imeko echongwayo | Kalula nje... |
|---|---|
| I-Aneurysm | Udonga lomthambo wegazi luba buthathaka luze luvuthuluke njengebhaluni. |
| I-Stenosis / I-Atherosclerosis | Izinto ezifana ne-cholesterol ziyaqokelelana zize zibangele ukuba imithambo yegazi inciphe okanye ibe mxinwa. |
| I-Vasculitis | Imithambo yegazi iyavuvukala, idumbe, kwaye inciphe. |
| Ukukhubazeka kwemithambo yegazi | Imithambo yegazi ibonakala ngathi idibene ngokungaqhelekanga njengebhola yomsonto. |
| I-Thrombosis | Kuvela ihlwili legazi lize linamathele emthanjeni wegazi. |
| I-Vasospasm | Imithambo yegazi iyancipha ngequbuliso, ithintela ukuhamba kwegazi. |
| Ukuvaleka okupheleleyo | Umthambo wegazi uvalekile ngokupheleleyo. |
Ngaba kukho naziphi na iingozi kolu vavanyo?
Njengakwezinye iimvavanyo zonyango, kukho iingozi ezincinci ezibandakanyekayo. Kodwa ugqirha wakho ucebisa olu vavanyo kuba iingenelo zingaphezulu kakhulu kuneengozi . Musa ukoyika. Nangona kunjalo, kubalulekile ukuqaphela iingozi .
Iingozi eziphambili zezi:
- Ukuvezwa kwimitha: Olu luvavanyo lwe-X-ray, ngoko ke uya kuvezwa kwimitha ethile. Nangona kunjalo, eli nani likwimida ekhuselekileyo.
- Idayi yokunganyamezelani neyokuthelekisa izinto:Abanye abantu banokuba ne-aleji kule dayi. Ukuba ukhe wakha wanayo le nto ngaphambili okanye une-aleji kwenye into (ingakumbi i-iodine, ukutya kwaselwandle), ngokuqinisekileyo kufuneka uxelele ugqirha wakho.
- Impembelelo kwizintso: Ukuba sele unesifo sezintso, izintso zakho zinokuba nobunzima bokususa le dayi emzimbeni wakho.
- Ukopha okanye amahlwili egazi: Kusenokubakho ukopha okanye ukukrweleka kwindawo ebhoboziweyo. Kukwakho nengozi yokuba amahlwili egazi.
Kunqabile kakhulu, oko kukuthi, kunqabile kakhulu , ukuba kubekho iingxaki ezinzima ezifana nezi:
- I-TIA (Uhlaselo lwe-Ischemic oluThutyana): Oku kubizwa ngokuba yi-'mini stroke'. Iimpawu ziyaphela emva kwexesha elithile.
- Istroke: Inokubangelwa kukuqhekeka kwegazi okuvalela umthambo engqondweni.
- Ubunzima bokuthetha (i-Aphasia)
- I-Hematoma (ukuqokelelana kwegazi kwindawo yokubhoboza)
Kungenxa yezi ngozi ukuba ugqirha abuze ngembali yakho epheleleyo yempilo ngaphambi kovavanyo.
Ulungiselela njani ngaphambi kovavanyo?
Ukulungiselela oku akunzima kangako. Eyona nto ibalulekileyo kukulandela imiyalelo kagqirha ngononophelo.
Izinto ekufuneka uzixelele ugqirha
Qiniseka ukuba uxoxa ngezi zinto nogqirha wakho ngaphambi kovavanyo.
- Naziphi na izinto ezibangela i-allergies: Ingakumbi ukuba une-allergy kwidayi echasene ne-contrast, i-iodine, i-shellfish, naliphi na iyeza, i-latex, okanye iteyiphu.
- Ukuba ukhulelwe okanye uceba ukukhulelwa, ngokuqinisekileyo kufuneka ukukhankanye oko.
- Ukuba unengxaki yokopha.
- Ufanele uxelele ugqirha wakho malunga nawo onke amayeza owasebenzisayo, ingakumbi amayeza okunciphisa igazi okanye amayeza okunciphisa igazi, anjenge-aspirin kunye ne-warfarin.
Amanye amalungiselelo
- Ukutya nokusela: Uya kucetyiswa rhoqo ukuba ungatyi okanye ungaseli (uzilo ukutya) kangangeeyure ezimbalwa ngaphambi kovavanyo.
- Amayeza: Amanye amayeza, afana ne-blood thinners, anokufuneka amiswe kwiintsuku ezimbalwa ngaphambi kovavanyo. Ugqirha wakho uza kukuchazela konke oku.
- Umncedisi: Usenokunikwa i-sedative encinci ukuze uzole ngaphambi kovavanyo. Iya kukwenza uzive ulele kancinci, ngoko ke kubalulekile ukuba uze nomntu oza kukuthatha akuse ekhaya.
- Ezinye iimvavanyo: Usenokunikwa uvavanyo lwegazi oluncinci kwangaphambili ukuze kuhlolwe ixesha lokujiya kwegazi, ukuze kuncitshiswe umngcipheko wakho.
Ndingenza ntoni emva kovavanyo?
Emva kokuba uvavanyo lugqityiwe, uza kugcinwa esibhedlele iiyure ezimbalwa ukuze ujongwe.
- Ukuphumla: Ngokuxhomekeke kwindawo apho inaliti ifakwe khona, ungaxelelwa ukuba ulale ebhedini iiyure ezimbalwa, ngaphandle kokuhambisa ingalo okanye umlenze wakho.
- Intlungu: Ukuba kukho intlungu okanye ukudumba okuncinci kwindawo ehlatywe kuyo inaliti, ugqirha uya kucebisa ukuba ufake i-ice pack okanye uthathe i-painkiller.
- Ukutya kunye nolwelo: Ngaphandle kokuba ugqirha wakho ekuyalele ngenye indlela, ungatya ngendlela eqhelekileyo. Nangona kunjalo, kubaluleke kakhulu ukusela amanzi amaninzi. Oku kuya kunceda idayi ukuba iphume emzimbeni wakho ngokukhawuleza emchameni wakho.
- Umsebenzi: Ngokwesiqhelo ungaphinda wenze imisebenzi eqhelekileyo kwiiyure ezisi-8 ukuya kwezili-12. Nangona kunjalo, kuyacetyiswa ukuba ungayisebenzisi imisebenzi enzima, efana nokuphakamisa izinto ezisindayo, kangangeentsuku ezimbini.
Ukuba unale mpawu, fowunela ugqirha wakho ngokukhawuleza.
Kuqhelekile ukuba nenxeba elincinci kwindawo ehlatywe kuyo. Nangona kunjalo, ukuba ufumana naziphi na iimpawu ezingezantsi, musa ukuzityeshela. Fowunela ugqirha wakho ngoko nangoko. Kwimeko yongxamiseko, yiya kwiSebe leNgxamiseko (ETU) lesibhedlele esikufutshane.
- Ezi ziinguqu ezingalweni okanye emlenzeni apho inaliti ifakwe khona: utshintsho lobushushu (ukuziva ubanda kakhulu okanye ushushu kakhulu), utshintsho lombala, iintlungu ezikhulayo, ukungaziva, okanye ukuziva ungaziva ungaziva kuloo ngalo/emlenzeni.
- Ukuba unomkhuhlane okanye ugodola kwaye uzive ungcangcazela .
- Ukuba indawo ebhoboziweyo iba buhlungu, ibomvu, idumbile, ukopha kuyanda , okanye ukuba kuphuma ulwelo olufana nobovu.
- Ukuba unengxaki yokuthetha okanye umbono wakho utshintsha .
- Ukuba uziva unesizungu okanye ubuthathaka bemisipha .
- Ukuba uva iintlungu esifubeni okanye ubunzima bokuphefumla .
Umyalezo Wokuya Ekhaya
- I-'Cerebral Angiogram' luvavanyo olubaluleke kakhulu nolukhethekileyo lwe-X-ray olujonga imeko yemithambo yegazi engqondweni.
- Oku kunceda ekuchongeni ngokuchanekileyo iimeko ezinzima ezifana ne-aneurysms, ukuvaleka, kunye nokuncitshiswa kwemithambo yegazi engqondweni.
- Qiniseka ukuba uxelela ugqirha wakho ngazo zonke ii-allergies zakho, iimeko zempilo, kunye namayeza owasebenzisayo ngaphambi kovavanyo.
- Nangona kukho umngcipheko omncinci, njengakwiimviwo zonyango zonke, ugqirha uyacebisa oku kuba iingenelo zingaphezulu kakhulu kuneengozi.
- Landela imiyalelo enikiweyo emva kovavanyo ngokuchanekileyo. Ukuba ufumana naziphi na iimpawu ezingaqhelekanga, funa ingcebiso kagqirha ngoko nangoko.
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