Ingabe imithambo yakho yentamo ivaliwe? Ake sifunde konke mayelana (ne-Carotid Angiography)!

Wake wazibuza ukuthi kubaluleke kangakanani ukuthi igazi ligeleze liye ebuchosheni ngemithambo yegazi entanyeni yethu? Ngezinye izikhathi le mithambo yegazi ingavimbeka. Yilapho-ke sizokhuluma khona ngokuhlolwa okukhethekile okwenziwa ukuze sibone ukuthi kwenzekani emithanjeni yegazi eyinhloko entanyeni yakho. Lokhu kubizwa ngokuthi i-carotid angiography . Ungakhathazeki, sizokhuluma ngalokhu kalula nangendlela ongayiqonda.

Ngakho-ke, iyini ngempela i-Carotid Angiography?

Kalula nje, i-carotid angiography iyisivivinyo sokubona ukuthi igazi ligeleza kanjani emithanjeni emikhulu yegazi ezinhlangothini zombili zentamo yakho ebizwa ngokuthi imithambo yegazi ye-carotid . Le mithambo yegazi ithwala igazi lisuka enhliziyweni yethu liye ekhanda nasebuchosheni bethu. Cabanga ngayo njengemithambo eyinhloko eletha impilo ebuchosheni bethu.

Ngezinye izikhathi, le mithambo yegazi ivaleka ngamafutha, njengokuvaleka kwepayipi lamanzi. Odokotela babiza lokhu ngokuthi i-Carotid Artery Disease . Imbangela eyinhloko yalokhu yisimo esibizwa ngokuthi i-Atherosclerosis . Ezimweni ezinjalo, kwenziwa ukuhlolwa kwe-angiography ukuze kubonakale ukuthi imithambo yegazi ivalekile kangakanani nokuthi ivalekile kuphi. Lokhu kuhlolwa kusebenzisa i-X-ray kanye noketshezi olukhethekile olubizwa ngokuthi i-Contrast Dye ukuthatha izithombe zemithambo yegazi. Ngemuva kwalokho udokotela angabona ngokucacile ukuthi kwenzekani ngaphakathi kwemithambo yegazi.

I-angiography ye-carotid yenziwa nini?

Kunezimo eziningana lapho udokotela wakho noma umhlengikazi angase akucele khona ukuthi wenze lolu vivinyo:

• Uma esola ukuthi unesifo se-Carotid Artery Disease .
• Uma uke waba ne -mini-stroke (noma i-Transient Ischemic Attack - TIA) . Lokhu kwenzeka lapho ukugeleza kwegazi ebuchosheni kuncipha okwesikhashana, okubangela izimpawu ezifana ne-stroke (isib. ubuthakathaka obungazelelwe kolunye uhlangothi lomzimba, ubunzima bokukhuluma) bese kuba ngcono ngemva kwesikhathi esifushane.
• Uma uke waba nesifo sohlangothi .

Esimweni esinjengalesi, lokhu kuhlolwa kubaluleke kakhulu ukuze kutholakale ngokunembile isimo semithambo yegazi entanyeni.

Ingabe kukhona okunye okuhlolayo ngaphambi kwalokhu kuhlolwa?

Yebo, ngokuvamile uma udokotela ecabanga ukuthi unezimpawu zesifo semithambo ye-carotid , bazokwenza ukuhlolwa okulula, okungenabuhlungu okubizwa ngokuthi i-carotid ultrasound . Lokhu kunganikeza umbono ongemuhle ngemithambo yegazi. Kodwa-ke, uma izithombe ze-ultrasound zingacacile ngokwanele, noma uma udokotela efuna ukubona imininingwane eyengeziwe, khona-ke bazo-oda i-carotid angiography.

Ubani owenza le carotid angiography?

Lokhu sekuqediwe.Udokotela ochwepheshe ezinqubweni eziqondiswa yizithombe. Udokotela we -radiologist ongenelelayo, uma sikhuluma iqiniso. Nguye owenza lo msebenzi obucayi ngokuphepha nangokunembile.

Isebenza kanjani i-Carotid Angiography? Kulula kakhulu!

Ake sibheke ukuthi lokhu kuhlolwa kwenziwa kanjani:

1. Okokuqala, udokotela ufaka ipayipi elincane kakhulu neliguquguqukayo elibizwa ngokuthi "i-catheter" emthanjeni wegazi embotsheni yakho (noma ngezinye izikhathi engalweni yakho). Ngeke uzwe ubuhlungu obukhulu uma lokhu kufakwa, ngoba indawo izoba ndikindiki.

2. Ngemuva kwalokho, uketshezi olukhethekile olubizwa ngokuthi ``Contrast Dye`` lufakwa emithanjeni yegazi ngaleli payipi ``(Catheter). Lolu ketshezi yilona olwenza imithambo yegazi ibonakale kahle uma ibukwa kuma-X-ray ``(X-ray).

3. Ekugcineni, kuthathwa izithombe ze-X-ray. Lezi zithombe zisetshenziselwa ukuhlola ukuvaleka noma ukuncishiswa kwemithambo yegazi.

Ngezinye izikhathi, esikhundleni se-X-ray, kungasetshenziswa i -CT scan (ebizwa nangokuthi i-CT Carotid Angiography) noma i -MRI (ebizwa nangokuthi i-Magnetic Resonance Angiogram - MRA) . Lokhu kuxhomeke kudokotela wakho.

Ulungiselela kanjani lolu vivinyo?

Kunezinto ezimbalwa ozocelwa ukuba uzenze ngaphambi kwalolu vivinyo, futhi kubaluleke kakhulu ukuthi uzilandele kahle.

• Ukudla Nokuphuza: Udokotela wakho uzokweluleka ukuthi kufanele uzile amahora amangaki ngaphambi kokuhlolwa nokuthi yini okufanele uyidle noma ungayiphuzi. Kubalulekile ukulandela le miyalelo.
• Imithi: Kufanele utshele udokotela wakho ngayo yonke imithi oyithathayo (ikakhulukazi imithi yokunciphisa igazi efana ne -aspirin ) kanye nanoma yiziphi izithasiselo zemithi ozisebenzisayo. Udokotela wakho uzokutshela ukuthi kufanele yini uyithathe le mithi ngaphambi kokuhlolwa.
• Izinto Eziyigugu: Shiya izinto zakho eziyigugu njengegolide, izindandatho, nemigexo ekhaya.
• Uma uhlala esibhedlela: Uma kufanele uhlale esibhedlela ubusuku bonke, letha izinto ozodinga ukuze uhlale ukhululekile (isib. ingubo, izicathulo zokulala).
• Uma uhlinzwa ngaphandle kwesibhedlela: Kuzodingeka uhlele ukuthi othile akushayele imoto akuyise ekhaya ngemva kokuhlolwa, njengoba kungaba nzima ngawe ukushayela ngemva kokuhlolwa.

Yini okufanele uyilindele uma ufika esivivinyweni?

Uma ufika esivivinyweni,

• Uzonikezwa ingubo yasesibhedlela ozoyigqoka.
• Uma usebenzisa izibuko noma izinsiza zokuzwa, buza udokotela ukuthi ungazigqoka yini ngesikhathi sokuhlolwa.
• Kodwa amalensi okuxhumanaUngayigqoki ngesikhathi sokuhlolwa.

Hlobo luni lwesipiliyoni olutholayo lapho ubhala isivivinyo?

I-angiography ye-carotid ivame ukuthatha imizuzu engama-60 kuya kwengama-90 . Phakathi nalesi sikhathi, udokotela kanye nethimba lezokwelapha bazokwenza okulandelayo:

• Ipayipi elincane elibizwa ngokuthi ``i-catheter`` lifakwa emthanjeni ongalweni yakho bese kunikezwa imithi edingekayo kanye noketshezi emzimbeni wakho ngalo. Lokhu kubizwa ngokuthi ``IV - Intravenous``` .
• Uzonikezwa umuthi wokudambisa ukuze ukhululeke futhi uzizwe ulele kancane.
• Imichilo emincane efana nezitikha (ama-electrode) inamathele esifubeni sakho, futhi umsebenzi kagesi wenhliziyo yakho uqashwa ngomshini we-ECG (Electrocardiogram) kulo lonke ukuhlolwa.
• Imbobo (noma ingalo) ivalwe yizinzwa nge-anesthesia yendawo . Ngemuva kwalokho ngeke uzwe ubuhlungu uma kufakwa i-catheter.
• Ngemuva kwalokho, kufakwa i-catheter epayipini, bese kufakwa uketshezi olukhethekile olubizwa ngokuthi "i-Contrast Dye" ngalo ukuze kubonakale imithambo yegazi.

Ingabe lokhu kuhlolwa kwe-carotid angiography kuyalimaza?

Lokhu kuhlolwa ngokuvamile akubuhlungu. Okuwukuphela kwento abantu abaningi abayizwayo ukufudumala okuncane noma umuzwa wokucasuka lapho kufakwa uketshezi olukhethekile (i-Contrast Dye) emzimbeni. Kodwa lokhu kuyanyamalala ngemizuzwana embalwa.

Kodwa-ke, uma uzizwa kanje ngesikhathi sokuhlolwa , kufanele utshele udokotela noma umhlengikazi ngokushesha:

• Ubuhlungu besifuba noma ukungakhululeki.
• Isikhumba esilumayo.
• Kuzwakala sengathi ngizocasuka.
• Izimpawu zokungezwani komzimba okukhulu (isib., umuzwa wokuqina emphinjeni, ubunzima bokuphefumula) - lokhu kubizwa ngokuthi i-anaphylaxis .
• Noma yikuphi ukufiphala noma ushintsho embonweni.

Ungakhathazeki, ithimba lezokwelapha likubhekile, ngakho uma kwenzeka into efana naleyo, bazoyelapha ngokushesha.

Kwenzekani uma isivivinyo sesiphelile?

Uma isivivinyo sesiphelile,

• Udokotela ususa ngokucophelela wonke ama-catheter afakiwe.
• Kufakwa ingcindezi bese kufakwa ibhandishi ukuze kumiswe ukopha endaweni lapho kufakwe khona ipayipi.
• Izinga lokushaya kwenhliziyo yakho kanye nomfutho wegazi kuyahlolwa.
• Uzoyiswa ekamelweni elihlukile ukuze uphumule amahora ambalwa. Phakathi nalesi sikhathi, kuzodingeka uhlale embhedeni isikhashana.

Ngemva kokuhlolwa, udokotela wakho uzokweluleka ukuthi uphuze amanzi amaningi kanye noketshezi ukuze kusize idayi yokuhlukanisa iphume emzimbeni wakho ngokushesha. Kungase kudingeke futhi ukuthi uchame kancane kunokujwayelekile. Landela imiyalelo kadokotela wakho ngokucophelela mayelana nokuthi ungavuka kanjani futhi nini bese uqala ukuhambahamba.

Imiphumela ye-carotid angiography ibonisani?

Udokotela wakho angafunda ulwazi oluningi olubalulekile emiphumeleni yalolu vivinyo.

• Ingabe kukhona ukuvaleka noma ukuncishiswa kwemithambo ye-carotid entanyeni yakho?
• Uma une-blockage efana nale, ingakusiza ukuthi uhlole ubungozi bakho bokuhlaselwa yisifo sohlangothi .
• Ngokusekelwe kule miphumela, odokotela bazonquma ukuthi hlobo luni lokwelashwa oludingayo esikhathini esizayo, noma ukuthi yiziphi izinguquko zendlela yokuphila okudingeka uzenze .

Kuthatha isikhathi esingakanani ukwazi imiphumela?

Izithombe ezithathwe ngesikhathi sokuhlolwa zihlolwa ngudokotela we-radiology . Usebenzisa lezi zithombe ukuthola ukuthi siyini lesi sifo bese elungiselela umbiko ngaso. Umbiko ube usuthunyelwa kudokotela okwelaphayo. Uma udokotela wakho ethola umbiko, uzokufonela akuchazele imiphumela nokuthi yini okufanele uyenze ngokulandelayo.

Kufanele ngimshayele nini udokotela ngemva kokuhlolwa?

Ngemva kokubuyela ekhaya uvela ekuhlolweni, shayela udokotela wakho ngokushesha uma uhlangabezana nanoma yikuphi kwalokhu okulandelayo:

• Uma uzwa izimpawu zokusabela kokungezwani komzimba nodayi wokungafani (isib. ukubomvu kwesikhumba, ukuvuvukala, ukulunywa, nobunzima bokuphefumula).
• Uma ungazizwa kahle , uma unomkhuhlane.
• Uma indawo lapho ipayipi lifakwe khona ivuvukele, ibomvu, noma ibuhlungu, noma uma kukhona ukopha okuqhubekayo okuvela lapho.

Izinto ezinjengalezi azivami ukwenzeka, kodwa uma zisenzeka, kungcono ukutshela udokotela ngokushesha okukhulu.

Odokotela baphatha kanjani isifo se-Carotid Artery?

Uma i-carotid angiography ithola ukuthi imithambo yegazi entanyeni yakho ivaliwe noma inciphile, udokotela wakho angase asikisele izindlela zokwelapha ezilandelayo:

• I-Carotid Endarterectomy: Lena inqubo yokuhlinzwa evula umthambo wegazi ovalekile futhi isuse amafutha agciniwe ngaphakathi.
• Ukufaka i-Carotid Stenting: Lokhu kuhilela ukufaka idivayisi encane efana ne-mesh (Stent) ngaphakathi komthambo wegazi ovinjiwe ukuze kwandiswe umthambo. Lokhu kwenziwa futhi kusetshenziswa i-catheter, efana ne-angiography.
• Imithi: Imithi efana nemithi yokunciphisa igazi kanye nemithi yokwehlisa i-cholesterol ingase inikezwe.

Ngaphezu kwalokho, udokotela ukweluleka nokuthi wenze izinguquko endleleni yokuphila, njengokuyeka ukubhema, ukudla ukudla okunempilo, nokuzivocavoca umzimba.

Okokugcina, khumbula (Umyalezo Wokuya Ekhaya)

Kulungile, ngakho-ke ngithemba ukuthi usunombono omuhle mayelana nokuhlolwa okubizwa ngokuthi i-Carotid Angiography esikhulume ngakho namuhla.

Lokhu kwenzelwa ukuthola ukuthi kukhona yini ukuvaleka noma ukuncipha kwemithambo yegazi eyinhloko entanyeni yakho.Kungenxa yokuvinjelwa okunje ukuthi izimo eziyingozi ezifana nesifo sohlangothi zingavela.

Ungesabi ukucabanga ngalolu vivinyo. Lwenzelwe ukukusiza, ukuqonda isimo sakho sempilo ngqo, nokuqala ukwelashwa ngokushesha ngangokunokwenzeka uma kudingeka. Uma uneminye imibuzo mayelana nalokhu, ungesabi ukubuza udokotela wakho. Uzokuchazela konke ngokuningiliziwe. Hlala uphilile!

I- Carotid Angiography, I-Carotid Angiography, Imithambo Yentamo, Uhlangothi Lokushaywa Yisifo Sohlangothi, Ukuvaleka Kwemithambo Yegazi, I-X-ray, Idayi Yokuqhathanisa, Isifo Semithambo Ye-Carotid