Ingabe udokotela ubeke i-stethoscope entanyeni yakho wakutshela ukuthi uzwe umsindo ongajwayelekile? Ake sixoxe ngale (Carotid Bruit)!

Wake wambona udokotela ekulalela nge-stethoscope kuzo zombili izinhlangothi zentamo yakho? Ngesikhathi elalele, udokotela ngezinye izikhathi angezwa umsindo "wokukloloda" ovela emithanjeni yegazi entanyeni yakho , noma umsindo ofana namanzi ageleza kuyo. Yilokho esikubiza ngokuthi "i-Carotid Bruit" (ebizwa ngokuthi "i-carotid bruee"). Lokhu akuyona into okufanele uyesabe, kodwa kubalulekile ukukuqaphela.

Uyini lo msindo ongavamile obizwa ngokuthi `(Carotid Bruit)`?

Kalula nje, umsindo othi `(Carotid Bruit)` ungavamile, oguquguqukayo owenzeka lapho igazi ligeleza komunye noma ngaphezulu wemithambo yegazi eyinhloko entanyeni yakho, i-`(Carotid Artery)`. Cabanga nje, njengomfula ozolile oshaya idwala ngokuzumayo bese uqala ukugeleza ngamandla. Yileyo ndlela esiyibiza ngayo ngokuthi `(Turbulent Flow)` lapho igazi ligeleza emithanjeni, esikhundleni sokugeleza kahle nangendlela eyodwa, kodwa ngendlela exakile futhi eguquguqukayo . Le mithambo yegazi ethi `(Carotid Artery)` yileyo eletha umoya-mpilo nezakhamzimba ezidingwa ubuchopho bakho . Ngakho-ke, uma kukhona inkinga ngale mithambo yegazi, ingathinta ukusebenza kobuchopho bethu.

Udokotela angase azwe lo msindo we-`(Carotid Bruit)` ngengozi lapho uhlolwa udokotela. Ukuzwa lo msindo kungaba uphawu lokuthi i-`(Carotid Artery)` yakho inciphile ngenxa yokugcwala kwamafutha (siphinde sikubize ngokuthi `(Plaque)`) . Kodwa-ke, ngezinye izikhathi abantu abane-`(Carotid Artery)` enempilo nabo bangawuzwa lo msindo. Futhi, abanye abantu bangase bangawuzwa lo msindo ngisho noma imithambo yabo yegazi imincane kakhulu. Ngakho-ke, udokotela usebenzisa lo msindo we-`(Carotid Bruit)` njengengxenye encane nje yephazili enkulu. Okusho ukuthi, ukuzwa lo msindo kukodwa akunqumi ukuthi unesifo esibi, kumane nje kuwusizo ekunqumeni ukuthi kudingeka yini ukuhlolwa okwengeziwe nokwelashwa.

Kuzwakala kanjani ukuthi i-`(Carotid Bruit)`?

Lo msindo we-`(Carotid Bruit)` ufana nomsindo womfula ogeleza ngokushesha , umsindo ofana no-"hush hush". Awukwazi ukuzwa lokhu wedwa. Ungawuzwa kuphela lo msindo uma udokotela ecindezela kancane i-stethoscope yakhe (ithuluzi eligqokwa esifubeni sakho noma emhlane) ezingxenyeni ezahlukene zentamo yakho bese elalela. Udokotela angase akucele ukuthi uphefumule futhi ubambe isikhashana. Okusho ukuthi, ukulalela ngokucacile umsindo wegazi eligeleza.

Uma udokotela ezwa "i-Carotid Bruit" enje, uzokuchazela yona, ukuthi ingasho ukuthini, nokuthi ngabe udinga yini ukuhlolwa okwengeziwe. Ngakho-ke, ungakhathazeki, kulungile?

Kungani lo `(Carotid Artery)` wenza lokhu kuzwakale? Ziyini izimbangela?

Imbangela eyinhloko nevame kakhulu yalesi "Carotid Bruit" yisimo esibizwa ngokuthi "i-Atherosclerosis" .

I-atherosclerosis iyisitha esikhulu!

`( I-Atherosclerosis )` yigama lezokwelapha. Kalula nje, kusho ukuthi into enamafutha, ngokunembile `(I-Plaque)`, ifakwa ngaphakathi kwemithambo yegazi (imithambo yegazi) emzimbeni wakho, futhi isikhala segazi lokugeleza kuleyo mithambo yegazi (siyibiza nangokuthi `(Lumen)`) siyancipha kancane kancane. Cabanga ukuthi ngokuhamba kwesikhathi, ukungcola kwakheka ngaphakathi kwepayipi lamanzi futhi kuvimbe ipayipi, kanjalo nalezi zingqimba zamafutha `(I-Plaque)` zakha ngaphakathi kwemithambo yegazi yethu, kunciphisa isikhala sokugeleza kwegazi. Lokhu kwakheka `(I-Plaque)` kungaholela ekwakhekeni kwamahlule egazi. Lokhu kwakheka kwegazi kungavimba ukugeleza kwegazi lapho kwakheka khona, noma kungahamba negazi futhi kuvimbe umthambo kwenye indawo.

Ngakho-ke, uma i-plaque inqwabelana ku-Carotid Artery yakho futhi inciphisa umthambo, siyibiza ngokuthi i-Carotid Artery Stenosis . Ukuzwa i-Carotid Bruit kungaba uphawu lokuthi ungase ube nalesi simo.

Khumbula, i-`(Carotid Artery)` yiyo enikeza ubuchopho bethu igazi elinomoya-mpilo omningi . Ngakho-ke, uma lo mthambo uvaleka nge-`(Plaque)`, usengozini enkulu yokuba ne -`(Transient Ischemic Attack - TIA)` (siphinde sikubize ngokuthi ukuphazamiseka kwesikhashana kokuhlinzekwa kwegazi ebuchosheni, abanye bakubiza ngokuthi "i-mini stroke"), noma i- `(Ischemic Stroke)` (ukukhubazeka okubangelwa ukuvaleka komthambo wegazi ohlinzeka ngobuchopho). Kuzo zombili lezi zimo, ukugeleza kwegazi ebuchosheni kuyancipha noma kulahleke ngokuphelele.

Yingakho kubalulekile ukwazi ukuthi une-` (Carotid artery stenosis) ` futhi uma kunjalo, ukuthi inzima kangakanani. `(Carotid Bruit)` iwuphawu oluyisixwayiso nje kuphela, alukutsheli ukuthi une-`(Plaque)` engakanani. Ngakho-ke, udokotela ngeke anqume ukuthi une-`(Carotid Artery Stenosis)` ngokumane nje abe ne-`(Carotid Bruit)`, kodwa uzoyisebenzisa njengesinyathelo sokuqala sokuphenya kabanzi.

Ingabe kungaba khona ezinye izizathu?

Nakuba ukwakheka kwe-plaque kuyimbangela evame kakhulu ye-carotid bruit, kungabangelwa futhi izinguquko ekubunjweni kwemithambo yegazi. Isibonelo, abantu abanezimo ezingavamile njenge -Fibromuscular Dysplasia (FMD) bangase bezwe ne-carotid bruit. Udokotela wakho uzobuyekeza umlando wakho wezokwelapha ukuze azame ukuthola imbangela ye-carotid bruit yakho.

Ingabe ukuba ne-`(Carotid Bruit)` kuyinto engathi sína?

"I-Carotid Bruit" ngezinye izikhathi iwuphawu lwenkinga enkulu.Kungenzeka, kodwa akwenzeki njalo. Ngezinye izikhathi kufana nokukhanya okubomvu okuthi ungase ube ne-`(Carotid Artery Stenosis)`. Uma i-`(Stenosis)` yakho, noma ukuncipha komthambo, kukubi kakhulu, cishe uzodinga ukwelashwa ukuze unciphise ingozi yokuba ne-`(TIA)` noma `(Stroke). Udokotela wakho uzokutshela uma isimo sakho sibucayi nokuthi udinga ukwelashwa. Ngakho-ke ungesabi futhi ulalele ngokucophelela lokho okushiwo udokotela wakho.

Ingabe "i-Carotid Bruit" ingaba yinto evamile?

Yebo, ukuzwa i-`(Carotid Bruit)` akusho ngaso sonke isikhathi ukuthi une-`(Carotid Artery Stenosis)`. Abanye abantu abane-`(Carotid Bruit)` bangase bangabi nama-`(Plaque)` abalulekile emithanjeni yabo yegazi, futhi bangase babe nempilo enhle. Abanye abantu bangase babe nezinguquko esakhiweni semithambo yabo yegazi, okungaba okuvamile, noma kungaba ngenxa yesimo esifana ne-`(FMD)`. Yingakho i-`(Carotid Bruit)` iyisinyathelo sokuqala kuphela enkambisweni yokuxilonga nokwelapha izifo ezihlobene ne-`(Carotid Artery)`.

Uma udokotela ethi kukhona "i-Carotid Bruit", kwenzekani ngokulandelayo?

Uma udokotela wakho ezwa "i-Carotid Bruit", kungaba uphawu lokuthi kukhona okungahambi kahle. Udokotela angase acele ukuhlolwa okwengeziwe ukuze kutholakale isimo esiqondile se-"Carotid Artery" yakho.

Yiziphi ezinye izivivinyo?

Ukuhlolwa okuvamile okwenziwa ngalesi sikhathi yi -Carotid Duplex Ultrasound . Lokhu ukuhlolwa okungenabuhlungu, okungangenisi ubuhlungu. Kungabheka ukugeleza kwegazi ku-Carotid Artery yakho, ukuthi ngabe umthambo unciphile yini, futhi uma kunjalo, ukuthi unciphile kangakanani. Kufana nokuskena kwe-ultrasound okwenziwa komama abakhulelwe, kodwa lokhu kwenziwa entanyeni.

Ingabe izici eziyingozi nazo ziyayithinta?

Yebo, uma une-`(Carotid Bruit)`, futhi ngesikhathi esifanayo unezici eziyingozi eyodwa noma ngaphezulu ze-`(Carotid Artery Stenosis)`, udokotela uzoyala ukuhlolwa okufana ne-`(Carotid Duplex Ultrasound)` okukhulunywe ngayo ngaphambili. Lezi zici eziyingozi yilezi:

• Uma unesifo semithambo yegazi yenhliziyo .
• Uma unesifo sikashukela (Uhlobo 1 noma Uhlobo 2).
• Uma othile emndenini wake waba nesifo sohlangothi ngaphambili.
• Uma une -high blood pressure .
• Uma unezinga eliphezulu le-cholesterol egazini lakho .
• Uma usukhulile (ngokuvamile uneminyaka engaphezu kwengu-65 ubudala, noma uneminyaka engaphezu kwengu-55 ubudala uma kunezinye izici eziyingozi).
• Isifo se-Peripheral Artery, isifo esibangela ukuncipha kwemithambo yegazi emilenzeni noma ezingalweniUma kukhona.
• Ukusetshenziswa kukagwayi nogwayi .

Uma unalezi zici eziningi eziyingozi, amathuba akho okuthola i-"Carotid Artery Stenosis" ayanda.

Futhi, uma uhlelelwe ukuhlinzwa kwenhliziyo okufana nokuthi `(Coronary Artery Bypass Grafting - CABG)` , udokotela wakho angase afune ukuhlola isimo se-`(Carotid Artery)` yakho ngaphambi kokuhlinzwa. Lokhu kungenxa yokuthi uma une-`(Carotid Artery Stenosis)`, usengozini enkulu yokuba ne-`(Stroke)` ngesikhathi noma ngemva kokuhlinzwa kwenhliziyo. Uma kunjalo, ungase welashwe ngaphambi kokuhlinzwa ukuze unciphise leyo ngozi.

Iyini indlela yokwelapha lokhu?

Akuwona wonke umuntu one-`(Carotid Bruit)` ozodinga ukwelashwa. Kodwa-ke, abanye abantu bazodinga ukwelashwa ukuze banciphise ingozi yokuba ne-`(TIA)` noma `(Stroke)`. Umgomo oyinhloko wokwelashwa ukuthuthukisa ukugeleza kwegazi nge-`(Carotid Artery)` yakho.

Lawula ngemithi

Ezimweni eziningi, ikakhulukazi uma umthambo wakho we-carotid ungancishisiwe kakhulu, imithi iyindlela yokuqala yokwelapha. Kuye ngesimo sakho, udokotela wakho angase ancome eyodwa noma ngaphezulu yale mithi elandelayo:

• Imithi yokucindezela kwegazi .
• Umuthi wokwehlisa i-cholesterol .
• Ngezinye izikhathi kusetshenziswa imithi efana ne-aspirin, evimbela ukujiya kwegazi.

Izinguquko zendlela yokuphila zibaluleke kakhulu!

Ukwenza izinguquko ezithile endleleni yakho yokuphila kungasiza kakhulu ekulawuleni ukunqwabelana kwe-plaque emithanjeni yakho. Qiniseka ukuthi uzama lezi zinto:

• Gwema ukubhema kanye nayo yonke imikhiqizo kagwayi ngokuphelele. Ugwayi mubi kakhulu emithanjeni yakho yegazi. Futhi kwandisa ingozi yakho yezifo eziningi, okuhlanganisa nesifo senhliziyo. Uma udinga usizo lokuyeka ukubhema, buza udokotela wakho, kunezindlela zokwenza lokho.
• Yidla ukudla okunempilo kwenhliziyo . Lokhu kusho ukudla amafutha agcwele kancane, i-sodium, noshukela. Faka inyama ebomvu esikhundleni senyama engenamafutha njengenkukhu, i-turkey, nenhlanzi. Yidla imifino eminingi, izithelo, ama-legumes, namakinati.
• Vivinya umzimba njalo . Ungaqali ukuzivocavoca umzimba okukhulu kakhulu ngesikhathi esisodwa. Qala kancane bese uhlose imizuzu eyi-150 yokuzivocavoca umzimba okulinganiselwe ngesonto. Kungumqondo omuhle ukubuza udokotela wakho ukuthi yini ekulungele futhi ephephile ngaphambi kokuqala uhlelo olusha lokuzivocavoca.

Ukuhlinzwa noma ezinye izinqubo

Uma i-"Carotid Artery Stenosis" yakho inzima kakhulu, ungadinga ukuhlinzwa noma ezinye izinqubo ezikhethekile. Ezinye zalezi zinqubo zifaka:

• `(Ukuhlinzwa kwe-Carotid Endarterectomy)`: Lokhu ukuhlinzwa. Lokhu kuhilela ukuvula `(Carotid Artery)` nokususa `(Plaque)` eqongeleleke ngaphakathi.
• `(Carotid Angioplasty and Stenting)` : Kulokhu, kufakwa idivayisi encane efana nebhaluni ku-`(Carotid Artery)` encishisiwe bese ivuvukala ukuze kwandiswe umthambo. Ngemuva kwalokho, kufakwa ithubhu elincane elinoxhumano olubizwa ngokuthi i-`(Stent)` ngaphakathi komthambo ukuze kuvinjelwe ukuthi unganciphi futhi.

Kodwa khumbula, akuwona wonke umuntu one-"Carotid Bruit" onamahlule egazi futhi ozodinga ukwelashwa. Khuluma nodokotela wakho ukuze uthole ukuthi i-"Carotid Bruit" yakho ikuthinta kanjani.

Okokugcina, izinto okufanele uzikhumbule (Umyalezo Wokuya Ekhaya)

Uma udokotela wakho ekutshela ukuthi une-"(Carotid Bruit)``, ungesabi noma wesabe . Akusho ukuthi usengozini enkulu. Kumane kuyisibonakaliso udokotela asisebenzisa ukuhlola impilo yemithambo yegazi yakho.

Ngakho-ke, khuluma nodokotela wakho ngalokhu bese uthola okwengeziwe. Futhi, thola ukuthi yiziphi izici zakho eziyingozi ze-atherosclerosis (ukuqina kwemithambo yegazi) nokuthi yini ongayenza ukuze unciphise ingozi yakho. Ukuphila ngendlela enempilo ngokuvamile kuyindlela engcono kakhulu yokuzivikela kulezi zimo. Ukunakekela impilo yakho kusezandleni zakho!

Umsindo we - carotid, umsindo entanyeni, umthambo we-carotid, isifo sohlangothi, i-TIA, i-atherosclerosis, ukuvaleka kwemithambo yegazi, ukuhlinzekwa kwegazi ebuchosheni