Uke wahlolwa imithambo yegazi entanyeni yakho? Ake sifunde ngokuhlolwa kwe-CIMT! (Ubukhulu be-Carotid Intima-Media - Ukuhlolwa kwe-CIMT)

Wake wezwa ngokuhlolwa kwe-`(CIMT)`? Mhlawumbe udokotela wakho ukutshelile ukuthi wenze lokhu kuhlolwa. Empeleni kuwukuhlolwa okulula kakhulu futhi okungenabuhlungu. Ngakho-ke, namuhla sizokhuluma kalula ngokuthi lokhu kuhlolwa kwe-`(CIMT)` kuyini, ukuthi yini ongayilindela, nokuthi kubaluleke kubani.

Iyini le CIMT test?

Kalula nje, ukuhlolwa kwe-CIMT kulinganisa ubukhulu bezindonga zangaphakathi zemithambo yegazi emikhulu entanyeni yakho, imithambo ye-carotid . Imithambo ye-carotid iyimithambo yegazi emibili ebaluleke kakhulu kuzo zombili izinhlangothi zentamo yakho enikeza igazi elinomoya-mpilo ebuchosheni bakho, ekhanda, nasebusweni. Ifana nemigwaqo emibili emikhulu.

Uma kukhulunywa ngodonga lwemithambo yegazi, lunezingqimba eziningana eziyinhloko. Ukuhlolwa kwe-CIMT ngokuyisisekelo kubheka ukujiya kwezingqimba ezimbili ezingaphakathi kakhulu zodonga lwemithambo yegazi - "intima" kanye "nemidiya" .

• I-intima ungqimba olungaphakathi kakhulu lomthambo wegazi oluthintana ngqo negazi.
• Imidiya iwungqimba olungaphansi, phakathi nendawo.

Cabanga ngakho njengepayipi elithwala amanzi. Njengoba nje udonga lwalelo payipi lukhula, indlela yokugeleza kwamanzi iba mncane, kwenzeka into efanayo lapho izindonga zale mithambo yegazi zikhula.

Yini ongayilindela esivivinyweni se-CIMT?

Inhloso eyinhloko yalolu vivinyo ukuthola ukuthi ngabe unamafutha amaningi, abizwa ngokuthi i-'plaque' , ngaphakathi kwezindonga zemithambo yakho ye-carotid. Lokhu kwaziwa ngokwezokwelapha ngokuthi i-'atherosclerosis' . Njengoba nje ipayipi lamanzi ligqwala ngokuhamba kwesikhathi, lolu hlobo lwezinto lunganqwabelana ngaphakathi kwemithambo yegazi yethu.

Uma i-plaque inqwabelana ngale ndlela, udonga lwemithambo yegazi luyaqina. Ngakho-ke, lokhu kuhlolwa kwe-``(CIMT)`` kungalinganisa lobo bukhulu futhi kubonise ukuthi kukhona yini ukwakheka okunjalo, futhi uma kunjalo , ukuthi kukhulu kangakanani. Ingxenye engcono kakhulu ukuthi lokhu kuhlolwa kungasiza ekuboneni lesi simo ekuqaleni, ngaphambi kokuba kuvele noma yiziphi izimpawu.

Manje ungase uzibuze ukuthi, kuzokwenzekani uma uthola? Esebenzisa lolu lwazi, udokotela wakho angahlola ingozi yakho yokuthola izinkinga zenhliziyo njengokuhlaselwa yinhliziyo kanye nesifo sohlangothi . Lokhu kungakusiza ukuthi uhlele ukwelashwa, imithi, kanye nezinguquko zendlela yokuphila ozidingayo ukuze unciphise ingozi yakho.

Ukuhlolwa kwe-CIMT kufana nengxenye eyodwa yephazili enkulu. Kunikeza udokotela wakho izinkomba ezibalulekile mayelana nempilo yenhliziyo yakho.

Ubani ofuna ukwenza isivivinyo se-CIMT?

Udokotela uvame ukuncoma lokhu kuhlolwa "(CIMT)" uma becabanga ukuthi usengozini yokuthola i-atherosclerosis , okuyiqoqo lamafutha emithanjeni yakho yegazi. Yiziphi lezi zici eziyingozi?

• I-Hyperlipidemia: Lokho kusho ukuthi izinga le-cholesterol egazini lakho liphezulu.
• Umfutho wegazi ophezulu : Lokhu kusho ukuthi unengcindezi yegazi ephezulu, noma uma umfutho wegazi wakho uphakeme kakhulu.
• I-Hyperglycemia : Lokhu kusho ukuthi izinga likashukela egazini lakho liphezulu kakhulu (isibonelo, kubantu abanesifo sikashukela).
• Ezinye izici zendlela yokuphila : Le ngozi iphezulu kubantu ababhemayo nabasebenzisa ugwayi.

Ngakho-ke, uma unesinye noma ngaphezulu salezi zici eziyingozi, udokotela wakho angase akucele ukuthi ubhale lesi sivivinyo `(CIMT)`.

Ukuhlolwa kwe-CIMT kwenziwa kanjani?

Lokhu kuhlolwa kwe-`(CIMT)` kwenziwa kusetshenziswa ubuchwepheshe be-ultrasound . Kungenzeka ukuthi uke wezwa ngama-scan asetshenziswa ukubona izingane. Kusetshenziswa ubuchwepheshe obufanayo kulokhu. Kuwukuhlolwa okungangenisi uhlaselo . Lokho kusho ukuthi akukho lutho olufakwa emzimbeni wakho, akukho ukusikeka okwenziwe. Ngakho awuzwa ubuhlungu .

Lokhu kuhlolwa kwenziwa uchwepheshe/uchwepheshe we-ultrasound. Uqeqeshwe ngokukhethekile ukwenza lokhu kuhlolwa. Nansi indlela okusebenza ngayo ngamagama alula:

1. Uchwepheshe uzocindezela ngobumnene idivayisi encane, ebanjwa ngesandla - ebizwa ngokuthi i-transducer - ezindaweni ezahlukene entanyeni yakho.

2. Le transducer ikhipha amaza omsindo avame kakhulu (amaza e-ultrasound).

3. Lawa maza omsindo ahamba entanyeni yakho, ashaye izinto ezingaphakathi (kufaka phakathi imithambo yakho ye-carotid) bese ebuyela emuva (njengokungathi 'kuzwakala').

4. I-transducer ngokwayo ibamba la maza abuyayo bese iwathumela kukhompyutha.

5. Ikhompyutha ilinganisa la maza bese idala izithombe ngawo. Lezi zithombe zisetshenziselwa ukukala ubukhulu bodonga lwemithambo yegazi.

Ngingalungiselela kanjani lolu vivinyo?

Empeleni, akukho ukulungiselela okukhethekile okudingekayo kulolu vivinyo lwe-`(CIMT)`. Kodwa-ke, uma ungakwazi, gqoka izingubo ezikhululekile nezikhululekile . Ngenxa yokuthi uchwepheshe kuzodingeka ahambise i-transducer entanyeni yakho, kulula ngabo ukwenza umsebenzi wabo uma begqoka into efana nehembe elinendawo entanyeni.

Indlela yokwenza isivivinyo se-CIMT isinyathelo ngesinyathelo

Isivivinyo sonke sivame ukuthatha imizuzu engama-30 kuya kwengama-45 . Nansi indlela okwenziwa ngayo:

1. Okokuqala, uchwepheshe uzokutshela ukuthi ulale phansi etafuleni lokuhlolwa. Kufanele ubheke phezulu ngokukhululeka.

2. Ngemuva kwalokho, kufakwa ijeli entanyeni yakho. Le jeli idala ukuxhumana okuhle phakathi kwe-transducer nesikhumba sakho, futhi isiza namaza omsindo ukuthi angene emzimbeni.

3. Okulandelayo, uchwepheshe uzobeka i-transducer ngobumnene ezingxenyeni ezahlukene zentamo yakho bese eyihambisa. Ngezinye izikhathi uzocelwa ukuthi uphendule ikhanda lakho kancane ukuze uthole umuzwa ongcono kakhulu. Uzozwa umuzwa omncane wokuncinza, kodwa akukho buhlungu.Uma uzizwa ungakhululekile nganoma iyiphi indlela, tshela uchwepheshe ngokushesha.

4. Uma ukuhlolwa sekuqediwe, noma yiliphi ijeli elisele entanyeni lizosulwa.

Yilokho kuphela! Kulula kakhulu, akunjalo?

Kwenzekani ngemva kokuhlolwa?

Uma uchwepheshe ekutshela ukuthi ukuhlolwa sekuqediwe, ungaya ekhaya. Ungaqhubeka nemisebenzi yakho yansuku zonke njengenjwayelo.

Ingabe zikhona izingozi ngalolu vivinyo?

Lezi izindaba ezinhle kakhulu! Abacwaningi abakatholi zingozi ezihlobene nokuhlolwa kwe-CIMT. Kuwukuhlolwa okuphephile kakhulu, okungahlaseli. Akusebenzisi imisebe. Ngakho-ke asikho isizathu sokwesaba.

Hlobo luni lwemiphumela esiyitholayo?

Ukuhlolwa kwe-`(CIMT)` kulinganisa ubukhulu bezingqimba ezimbili zangaphakathi zomthambo wakho we-carotid. Lokhu kuhlolwa kukhiqiza izithombe kanye nedatha yezinombolo. Le datha iyahlaziywa futhi umbiko ulungiswa yi-radiologist . Unguchwepheshe ofunda futhi ahumushe izithombe zezokwelapha, njengezithombe ze-ultrasound.

Udokotela we-X-ray uzothumela lolu lwazi kudokotela wakho oyinhloko noma kudokotela wenhliziyo, ozochaza imiphumela yakho.

Kuthatha isikhathi esingakanani ukwazi imiphumela?

Udokotela wakho uzokutshela ukuthi uzoyithola nini imiphumela yakho yokuhlolwa. Ngokuvamile, kuzothatha izinsuku ezimbalwa.

Uma imiphumela ingajwayelekile, yini oyenzayo ngokulandelayo?

Cabanga nje, uma imiphumela yakho yokuhlolwa ethi "(CIMT)" ikhombisa ukuthi izindonga zemithambo yegazi yakho zijiyile kancane futhi i-plaque isiqalile ukwakheka. Uma kunjalo, udokotela wakho uzoncoma izinto ezizokusiza ukunciphisa ingozi yakho yokuhlaselwa yinhliziyo kanye nesifo sohlangothi .

Ngokwesibonelo:

• Ungase unikezwe imithi yokulawula umfutho wegazi lakho.
• Imithi inganikezwa ukulawula amazinga e-cholesterol.
• Singasikisela uhlelo lokuzivocavoca ongalwenza njalo.
• Ungase welulekwe ukuthi ulandele ukudla okunempilo kwenhliziyo (isib. ukudla kwaseMedithera).

Konke lokhu kwenzelwa ukuvikela impilo yakho yesikhathi esizayo.

Kufanele ngikhulume nini nodokotela?

Uma unemibuzo noma ukukhathazeka mayelana nemiphumela yokuhlolwa kwakho kwe-CIMT noma uhlelo lokwelashwa udokotela wakho akunike lona, ​​qiniseka ukuthi ushayela udokotela wakho ucele ukucaciselwa. Kuyilungelo lakho.

Into ebaluleke kakhulu okudingeka siyifunde kulokhu

Kulungile, ngakho-ke, kusukela kulokho esikhulume ngakho, lezi yizinto ezibaluleke kakhulu okudingeka uzikhumbule:

• Ukuhlolwa kwe-carotid intima-media thickness (CIMT) kungabona izimpawu zokuqala zokugcwala kwamafutha emithanjeni yegazi emikhulu entanyeni yakho.
• Ngalolu lwazi, udokotela wakho angakha uhlelo lokunciphisa izinkinga ongase ubhekane nazo ngenxa yesifo senhliziyo esikhathini esizayo.
• Kuvamile ukuzizwa ukhathazekile kancane lapho uya kunoma yikuphi ukuhlolwa. Kodwa-ke, ungaqiniseka ukuthi ukuhlolwa (kwe-CIMT) kuyisivivinyo esisheshayo, esingenabuhlungu, futhi esingangenisi ukutheleleka .
• Ulwazi udokotela aluthola kulolu vivinyo lungaba usizo ngokwanele ukusindisa impilo yakho .

Ngakho-ke, uma udokotela ekusikisela lolu hlobo lokuhlolwa, ungesabi ukukwenza, thola ulwazi oludingayo, bese ulwenza. Kuyitshalomali elikhulu empilweni yakho.

Ukuhlolwa kwe- CIMT, isifo semithambo ye-carotid, impilo yenhliziyo, i-atherosclerosis, ingozi yokushaywa yisifo sohlangothi, i-ultrasound, ukuvimbela