Wake watshelwa udokotela ukuthi wenze "i-vascular ultrasound" noma "i-vascular mapping"? Mhlawumbe uke wahlinzwa nge-bypass noma usebenzisa i-dialysis ngoba izinso zakho ziyahluleka ukusebenza. Nakuba igama lingase lizwakale liyinkimbinkimbi kancane, empeleni liwukuhlolwa okulula kakhulu, okungenabuhlungu. Ukuze sibe neqiniso, "imephu" ekhombisa ngokucacile imithambo yegazi emzimbeni wakho. Ngakho ake sixoxe ngakho ngokuningiliziwe.
Kalula nje, kuyini i-Arterial kanye ne-Venous Mapping?
Lokhu kuvame ukubizwa ngokuthi 'i-Vein Mapping'. Empeleni lokhu kuyi-ultrasound scan. Kungenzeka ukuthi uke wabona imibiko yokuskena kamama okhulelwe, futhi yibo ubuchwepheshe obufanayo obusetshenziswa lapha. Lokhu kuhlola kuthatha izithombe zemithambo yakho yegazi kanye nemithambo yegazi .
Kalula nje:
- Imithambo yegazi emikhulu ethwala igazi elihlanzekile lisuka enhliziyweni liye kwezinye izingxenye zomzimba.
- Imithambo yegazi iyimithambo yegazi ethwala igazi elingcolile libuyele enhliziyweni lisuka ezingxenyeni ezahlukene zomzimba.
Ngakho-ke lokhu kuhlolwa okwenziwayo ukudala "imephu" yemithambo yegazi engalweni noma emlenzeni wakho, okuhlanganisa impilo yemithambo yegazi yegazi, isivinini sokugeleza kwegazi layo, ukuthi ivinjiwe noma kuphi, nokuthi inkulu kangakanani. Le mephu ibaluleke kakhulu kodokotela, njengencwadi yesiqondiso.
Kungani sidinga ukwenza lolu hlobo lokuhlolwa?
Lokhu kuhlolwa kwenziwa ngezizathu ezimbili eziyinhloko. Esinye ukuhlela kusenesikhathi ukuhlinzwa okuthile , kanti esinye ukuhlonza ngokunembile izifo ezithile .
Ake sibone ngokucacile ukuthi yimaphi la mathuba.
| Isenzakalo | Kungani ukuhlolwa kubalulekile? |
|---|---|
| Ngaphambi kokuhlinzwa kwe-coronary artery bypass | Uma umthambo wegazi enhliziyweni uvalwa yizinqwaba zamafutha, kudingeka kudalwe indlela entsha (yokudlula) ukuze iwudlule. Lokhu kwenziwa ngokuthatha umthambo wegazi ophilile kwenye ingxenye yomzimba (ngokuvamile umlenze) bese uwufaka. Ngakho-ke ngaphambi kwalokhu kuhlinzwa, le mephu ibalulekile ukuthola umthambo wegazi ongcono kakhulu, oqinile, futhi onempilo ukuze uwufake. |
| Ngaphambi kokuqala ukwelashwa nge-dialysis (i-Dialysis) | Ukuze umuntu onenkinga yezinso ahlinzwe i-dialysis, igazi lidinga ukuthathwa emzimbeni, lihlanzwe ngomshini, bese libuyiselwa emzimbeni. Lokhu kudinga indawo yokufinyelela enokugeleza kwegazi okusheshayo. Ngenxa yalokhu, odokotela baxhuma umthambo kanye nomthambo engalweni yakho (i-fistula). Ngakho-ke lokhu kuhlolwa kuyasiza kakhulu ekukhetheni umthambo kanye nomthambo ongcono kakhulu nonamandla kakhulu. |
| Ukuhlinzwa Kwe-Peripheral Vascular Bypass | Njengenhliziyo, imithambo yegazi ezingalweni nasemilenzeni ingavinjelwa amafutha amaningi. Lokhu kubizwa ngokuthi i-Peripheral Artery Disease (PAD). Kuleso simo, kwenziwa ukuhlinzwa kwe-bypass ukuze kugwenywe ukuvaleka. Lokhu kuhlolwa kwenziwa futhi ukuze kutholakale umthambo wegazi ophilile. |
| Ukuxilonga ezinye izifo | Iphinde isetshenziswe ekuxilongeni izifo eziningana zemithambo yegazi. Isibonelo, ingahlola izimo ezifana nokufakwa kwamafutha ezindongeni zemithambo yegazi (i-atherosclerosis) kanye namahlule egazi emithanjeni yegazi (i-deep vein thrombosis - DVT). |
Ubani owenza lolu vivinyo?
Lokhu kuhlolwa kwenziwa nguchwepheshe we-ultrasound oqeqeshwe ngokukhethekile ekuskeni kwe-ultrasound. Nguye othatha izithombe ezidingekayo. Ngemuva kwalokho, udokotela wemithambo yegazi ubuyekeza izithombe bese elungiselela umbiko wakho, othunyelwa kudokotela wakho okwelaphayo.
Lolu vivinyo lusebenza kanjani?
Kulula kakhulu. Umshini we-ultrasound uthumela amaza omsindo aphindaphindwayo kakhulu esingawezwa ngezicubu zomzimba. Amaza omsindo ayagxuma emzimbeni bese egxuma (eshoes). Umshini uthatha amaza omsindo abonakalisiwe bese uwaguqula abe izithombe esikrinini sekhompyutha.
Ukuhlela imithambo yegazi kuhilela ukuthumela la maza omsindo endaweni lapho imithambo yegazi yakho ikhona. Lawa maza omsindo agxuma emangqamuzaneni abomvu egazi ahamba ngaphakathi kwemithambo yegazi bese ephindela emuva.Lo mshini ulinganisa izinga lokugeleza kwegazi ngokusekelwe esivinini sokugeleza kwegazi futhi udala isithombe esicacile semithambo yegazi esikrinini. Ungabona konke kusukela kusayizi wemithambo yegazi, ukuma kwayo, kanye nesivinini sokugeleza kwegazi.
Ingabe kukhona engikudingayo ukulungiselela ngaphambi kokuhlolwa?
Cha, akukho ukulungiselela okukhethekile okudingekayo. Ungadla futhi uphuze ngendlela evamile.
Kodwa kunezinto ezimbalwa okufanele uzikhumbule:
- Kuzodingeka ugqoke ingubo yasesibhedlela ngaphambi kokuhlolwa.
- Kuzodingeka ukhumule zonke izinto zokuhloba ozigqokile, ngakho-ke kungcono ukuzishiya ekhaya uma kungenzeka.
- Lokhu kuhlolwa kuvame ukwenziwa esikhungweni sezithombe esikhethekile esibhedlela noma esikhungweni sezempilo.
Ngokuvamile, lokhu kuhlolwa konke kungathatha imizuzu engama-30 kuya kwengama-90 .
Kwenzekani ngesikhathi sokuhlolwa?
Ake sibheke okwenzekayo kancane kancane ngalesi sikhathi.
1. Okokuqala, uzolaliswa etafuleni lokuhlolwa.
2. Okulandelayo, uchwepheshe ufaka ijeli encibilika emanzini esikhumbeni sendawo ehlolwayo (ingalo noma umlenze). Le jeli ngeke ilimaze isikhumba futhi ngeke ingcolise izingubo.
3. Okulandelayo, uzothatha idivayisi encane ebizwa ngokuthi i-transducer ayibeke phezu kwendawo embozwe ngejeli bese eyihambisa iye phambili naphambili. Le divayisi ithumela amaza omsindo futhi ithathe amaza abuyayo. Ngesikhathi esifanayo, izithombe zemithambo yegazi yakho zenziwa esikrinini sekhompyutha.
4. Uchwepheshe uzobamba le divayisi esikhumbeni aze abe nayo yonke imininingwane ayidingayo.
5. Okubalulekile: Uma kwenziwa lokhu kuhlolwa ngaphambi kokuhlinzwa, uchwepheshe angamaka izindawo ezithile esikhumbeni sakho ngepeni . Lawa maki enzelwe ukusiza udokotela ohlinzayo ukuthola indawo eqondile yomthambo wegazi. Ungawahlanzi la maki ngaphambi kokuhlinzwa nganoma yisiphi isizathu . Uma amaki ephela ngemva kokugeza, udokotela ohlinzayo angakunika ipeni bese ekucela ukuthi uwasebenzise kabusha.
Ingabe kukhona ingozi kulokhu?
Cha. Lena yinto engcono kakhulu ngalolu vivinyo. Ukuhlela imithambo yegazi akubanga nemiphumela emibi eyingozi.
Lokhu ukuhlolwa okungenabuhlungu nhlobo, okungenazingozi, futhi okuphephile. Ngakho-ke asikho isizathu sokwesaba.
Akukho zinaliti, udayi, i-anesthesia, noma ukusikwa kwesikhumba emzimbeni wakho. Akukho ukuchayeka emisebeni, njengakwezinye izikena, njenge-X-ray.
Ngizowuthola nini umbiko?
Ngemva kokuhlolwa, uchwepheshe uzosula ijeli esikhumbeni sakho. Ungabe usugqoka ngendlela evamile bese uya ekhaya noma uye emsebenzini. Akukho sikhathi sokuphumula esidingekayo.
Uchwepheshe wemithambo yegazi uzobuyekeza ama-scan akho, alungiselele umbiko ophelele, bese ewuthumela kudokotela wakho okwelaphayo. Udokotela wakho ngokuvamile uzothola lo mbiko zingakapheli izinsuku ezimbalwa. Ngesikhathi esilandelayo lapho umbona, uzokuchazela imiphumela.
Kodwa-ke, ngezinye izikhathi, uma kusolwa isimo esiphuthumayo nesisongela ukuphila (njenge-DVT), udokotela angenza lolu vivinyo ngokushesha. Uma kunjalo, uzokwazi ukwazi imiphumela ngokushesha.
Umlayezo Wokuya Nawe Ekhaya
- I-Arterial and Venous Mapping iyi -ultrasound scan elula, engenabuhlungu ehlola impilo yemithambo yegazi yakho (imithambo yegazi kanye nemithambo yegazi).
- Lokhu kudala "imephu" yemithambo yegazi yakho, okubaluleke kakhulu kodokotela ukuhlela ukuhlinzwa nokuxilonga izifo.
- Lokhu kuhlolwa kungaba yinto ebalulekile ngaphambi kokuqala ukwelashwa nge-dialysis, ikakhulukazi ekuhlinzweni kwenhliziyo nge-bypass .
- Azikho izingozi, imiphumela emibi, noma imisebe ehilelekile kulolu vivinyo, ngakho ungakhathazeki ngakho.
- Ngemva kokuhlolwa, khuluma nodokotela wakho ngokukhululekile ngemiphumela yakho kanye nezinyathelo ezilandelayo. Unganqikazi ukubuza noma yimiphi imibuzo onayo.
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