Kuvamile ukuzizwa wesaba kancane futhi ukhathazekile lapho udokotela wakho ekutshela ukuthi wenze i-brain scan. Ungase ucabange, "Kwenzekeni?" Kodwa lokhu kuskena, okubizwa ngokuthi i-transcranial Doppler, akumelwe ukwesabe. Kalula nje, kuwukuhlolwa okuphephile kakhulu, njengokuskena kwe-ultrasound okwenziwa kumama okhulelwe ukuze kuhlolwe ingane yakhe.
Kalula nje, iyini i-Transcranial Doppler?
Lena indlela esebenzisa amaza omsindo ukuhlola ukugeleza kwegazi emithanjeni yegazi ebuchosheni bakho. Njengokuhlola ukuthi kukhona yini ithrafikhi emgwaqweni, ukuthi izimoto zihamba ngesivinini esikhulu, noma ukuthi zihamba kancane, lokhu kuskena kuvumela udokotela ukubona ukuthi igazi lihamba kanjani emithanjeni yegazi ebuchosheni bakho.
Lokhu kusetshenziselwa ukuxilonga izifo zemithambo yegazi kanye nokuqapha imiphumela yezindlela ezithile zokwelapha.
Kungani udokotela angancoma lokhu kuskena?
Cabanga ngomuntu ohlala edidekile, ngokuzumayo engakwazi ukukhuluma, noma enezimpawu ezifana nokungazweli ezithweni zakhe. Ngezikhathi ezinjengalezi, udokotela angase asole ukuthi kunenkinga ethile ngokujikeleza kwegazi ebuchosheni. Yilapho-ke lokhu kuskena kuba yinto ebaluleke kakhulu.
Bheka ithebula elingezansi ukuthola izimo zezokwelapha eziyinhloko lokhu kuhlolwa kungasiza ekuxilongeni.
| Isimo sezokwelapha esingaxilongwa | Incazelo elula |
|---|---|
| Ukuncishiswa kwemithambo yegazi ebuchosheni (i-Stenosis) | Ukuncipha kwemithambo yegazi ngaphakathi ngenxa yokuqongelela kwe-cholesterol (atherosclerosis). |
| Ingozi yokushaywa yisifo sohlangothi | Ukubona ukuthi kungakanani ingozi yokushaywa yisifo sohlangothi, ikakhulukazi kubantu abanezifo ezifana ne-sickle cell anemia. |
| Ukuhlaselwa kwe-ischemic yesikhashana (i-TIA) | Njengo-'mini stroke', kuyisimo lapho ukugeleza kwegazi ebuchosheni kumisa khona imizuzu embalwa. |
| Amahlule egazi asuka enhliziyweni (i-embolism) | Ukubona ukuthi ihlule legazi elincane elakheka enhliziyweni liyaphuka yini bese libhajwa emthanjeni ebuchosheni. |
| I-aneurysm yobuchopho | Ukubona ukuthi kukhona yini ukuvuvukala okufana nebhaluni odongeni lomthambo wegazi ebuchosheni. |
| I-Vasospasm | Ukubona ukuthi imithambo yegazi ivele inciphe yini ngemva kwesimo esifana nesifo sohlangothi. |
| Ukuqinisekiswa Kokufa Kobuchopho | Ukuqinisekisa ukuthi akukho igazi eliya ebuchosheni nhlobo. |
Lokhu kuskena kusebenza kanjani?
Okwenzekayo lapha kulula kakhulu. Idivayisi yokuskena ithumela amaza omsindo ezicutshini zekhanda lakho. Lawa maza omsindo ashaya imithambo yegazi ebuchosheni, ashaye amangqamuzana egazi ahamba ngokushesha akubo, bese ebuya njengemisindo. Udokotela usebenzisa isikrini sekhompyutha ukubheka isivinini kanye nesiqondiso samaza omsindo abuyayo ukuze afinyelele iziphetho mayelana nokugeleza kwegazi ebuchosheni.
Ingabe ngidinga ukulungiselela ngaphambi kokuskena?
Cha, lokhu akudingi ukulungiselela okukhethekile. Ngeke kudingeke ugqoke ingubo yasesibhedlela noma ukhumule ubucwebe bakho.
Kodwa-ke, uma ugqoka ama-contact lens, ungase ucelwe ukuthi uwasuse ngaphambi kokuhlolwa. Futhi, uma ugqoka isembozo sekhanda, uchwepheshe oqhuba ukuhlolwa uzoxoxa nawe ukuthi ungakususa noma ukushintsha kanjani okwesikhashana. Uzonikezwa ubumfihlo obudingayo ukuze wenze kanjalo.
Kwenzekani ngesikhathi sokuskena?
Indlela yokwenza lokhu kuhlolwa ilula kakhulu.
- Okokuqala, uzolaliswa embhedeni wokuhlolwa noma uhlale esihlalweni.
- Ngemuva kwalokho, uchwepheshe uzofaka ijeli esekwe emanzini esikhumbeni sakho, ezindaweni ezidinga ukuhlolwa. Le jeli ivame ukufakwa ngemuva noma ngaphambili kwentamo yakho, ngaphezu kwamathambo ezihlathi, phambi kwendlebe yakho, noma ngaphezu kwenhlamvu yeso lakho. Lokhu kungenxa yokuthi lezi yizindawo lapho kutholakala khona imithambo yegazi eyinhloko enikeza igazi ebuchosheni bakho.Le jeli ayilimazi isikhumba futhi ayingcolisi izingubo.
- Okulandelayo, idivayisi encane efana nepeni (ebizwa ngokuthi i-transducer ) ihanjiswa emuva naphambili phezu kwejeli. Le divayisi ithumela amaza omsindo ebuchosheni bese iqoqa amaza abuyayo.
- Ngalesi sikhathi, ukugeleza kwegazi lobuchopho bakho kuboniswa esikrinini sekhompyutha, kungaba ngamagrafu noma njengezithombe ezinemibala.
- Into ebaluleke kakhulu ukuthi akufanele ushukumise ikhanda lakho noma ukhulume phakathi nalolu vivinyo.
- Uma ukuhlolwa sekuqediwe, ijeli esetshenzisiwe iyasulwa.
Ngezinye izikhathi, umugqa we-IV ungafakwa emthanjeni ongalweni yakho bese kuthi kufakwe i-saline ngawo. Lokhu kwenzelwa ukuhlola imbobo enhliziyweni yakho engavumela ukuthi ihlule legazi liye ebuchosheni bakho.
Ingabe lokhu kubuhlungu? Kuzothatha isikhathi esingakanani?
Akubuhlungu nhlobo. Akukho ukungakhululeki, akukho ubuhlungu. Ungase uzizwe ubanda kancane uma uhlikihla ijeli. Uzozwa ukucindezeleka okuncane uma uhambisa idivayisi (i-transducer) phezu kwesikhumba sakho, yilokho kuphela.
Lokhu kuskena kuvame ukuthatha imizuzu engama-30 kuya kwengama-60 , kuye ngohlobo lokuhlolwa olunikezwe lona.
Kwenzekani ngemva kokuhlolwa? Ake sifunde ngemiphumela.
Uma ukuhlolwa sekuphelile, ungaya ekhaya ngalolo suku. Njengoba lokhu kungeyona ingozi emzimbeni, akukho nkinga ekushayeleni imoto noma ekwenzeni imisebenzi yakho evamile.
Ngokuphathelene nemiphumela, ingatholakala ngokushesha ngemva kokuhlolwa. Udokotela wakho angaxoxa nawe ngemiphumela ngosuku olufanayo. Noma angase ahlele usuku oluhlukile lwayo.
Kungaba nezinhlobo ezimbili zemiphumela:
- Imiphumela evamile: Lokhu kusho ukuthi azikho izinkinga ngokugeleza kwegazi ebuchosheni bakho nangaphakathi, futhi konke kuhamba kahle.
- Imiphumela engavamile: Lokhu kusho ukuthi umthambo wegazi ohambisa igazi ebuchosheni ungase uvaleke, uncishiswe, noma uvaleke ngenye indlela. Lokhu kungabonisa into efana nokuqhekeka kwegazi okuvela enhliziyweni (embolism) noma imbobo enhliziyweni (PFO).
Uma uthola umphumela ongajwayelekile, ungesabi. Kusho ukuthi udokotela wakho manje usengakwazi ukuxilonga isimo sakho bese eqala ukwelashwa okufanele. Angase futhi acele olunye ukuhlolwa ukuze athole okwengeziwe.
Umlayezo Wokuya Nawe Ekhaya
- I-Transcranial Doppler iyi-ultrasound scan engenabuhlungu nhlobo, ephephile ebheka ukugeleza kwegazi emithanjeni yegazi yobuchopho.
- Akukho ukulungiselela okukhethekile okudingekayo kulokhu. Kufana ne-X-ray.Akukho misebe yemisebe esetshenziswayo.
- Lokhu kusiza kakhulu ekutholeni kusenesikhathi izimo ezibucayi ezifana nobungozi bokushaywa yisifo sohlangothi kanye nokucinana kwemithambo yegazi.
- Ngemva kokuhlolwa, ungaqhubeka nokusebenza njengokujwayelekile.
- Kungakhathaliseki ukuthi imiphumela iba yini, ungesabi ukukhuluma ngokukhululekile nodokotela wakho ngakho futhi uthole iseluleko salokho okufanele ukwenze ngokulandelayo.
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