Wake wazizwa unesizungu ngokuzumayo, waba nomuzwa wokuba ndikindiki kolunye uhlangothi lomzimba wakho, noma waba nobunzima bokukhuluma? Ngezinye izikhathi lokhu kungaba izimpawu zesifo sohlangothi esincane. Uma lokhu kwenzeka, into eyinhloko odokotela abazoyibheka ukuthi ngabe kukhona yini ukuvaleka emthanjeni oyinhloko entanyeni yakho okuhambisa igazi ebuchosheni bakho. Yilokho esizokhuluma ngakho namuhla.
Kuyini i-Carotid Angiography?
Kalula nje, i-carotid angiogram, noma i-angiogram, ukuhlolwa okukhethekile okubheka ukuthi igazi ligeleza kanjani emithanjeni yegazi emibili eyinhloko ezinhlangothini zombili zentamo yakho (lokho esikubiza ngokuthi imithambo ye-carotid). Cabanga ngale mithambo emibili njengemithambo emibili eyinhloko ethwala igazi lisuka enhliziyweni yakho liye ebuchosheni bakho. Lokhu kuhlolwa kwenzelwa ukubona ukuthi kukhona yini ukuvaleka noma ukuncishiswa kunoma iyiphi yale mithambo.
Lokhu kuhilela ukuthatha izithombe usebenzisa i-X-ray. Kodwa ngisho nange-X-ray elula, le mithambo yegazi ayibonakali kahle. Ngakho-ke, uketshezi olukhethekile, uhlobo lwedayi olubizwa ngokuthi "idayi eliphambene", lufakwa emzimbeni. Lo dayi wenza imithambo yegazi ibonakale imhlophe ku-X-ray. Njengoba nje ushayela emgwaqweni omnyama ukhanyise izibani zakho, ungawubona kahle umgwaqo.
Kungani udinga ukwenza lolu vivinyo?
Isizathu esiyinhloko sokwenza lokhu kuhlolwa ukuthi ngabe kukhona yini okusolwayo nge- Carotid Artery Disease . Okwenzekayo kulokhu ukuthi ngokuhamba kwesikhathi, izinto ezifana ne-cholesterol ziyanqwabelana ngaphakathi kwale mithambo yegazi, zenze izindonga zemithambo yegazi zibe lukhuni futhi zinciphise ukugeleza kwegazi. Njengoba nje ngokuhamba kwesikhathi, ukugqwala kwakheka ngaphakathi kwepayipi lamanzi endlini yethu futhi kuvimbe ukugeleza kwamanzi. Kwezokwelapha, lokhu sikubiza ngokuthi `(Atherosclerosis)`.
Kunezizathu eziningana eziyinhloko zokuthi kungani udokotela wakho angakuthumela kulolu vivinyo:
- Uma udokotela wakho esola ukuthi unezimpawu zesifo semithambo ye-carotid.
- Uma uke waba ne- mini-stroke ngaphambilini, noma lokho okwaziwa ngokwezokwelapha ngokuthi "i-Transient Ischemic Attack - TIA".
- Uma uke waba nesifo sohlangothi esibi kakhulu ngaphambilini.
Into ebaluleke kakhulu ukuthi ukuvaleka kwale mithambo yegazi kunganciphisa inani legazi elifinyelela ebuchosheni. Lokhu kwandisa kakhulu ingozi yokushaywa yisifo sohlangothi. Ngakho-ke, kubaluleke kakhulu ukwenza lokhu kuhlolwa nokuhlonza lesi simo kusenesikhathi.
Ingabe uzokwenza ezinye izivivinyo ngaphambi kwalokhu?
Yebo. Ngokuvamile, udokotela akakuthumeli ngokushesha kulolu vivinyo lwe-angiography. Ngaphambi kwalokho, kuvame ukwenziwa i-carotid ultrasound.Kwenziwa ukuhlolwa. Lokhu ukuhlolwa okulula kakhulu, okungenabuhlungu, okuskenwayo okusebenzisa amaza omsindo. Kodwa-ke, ngezinye izikhathi uma izithombe ezivela kulolu vivinyo lwe-ultrasound zingacacile kahle, noma uma udokotela efuna ukwazi okwengeziwe ngesimo somthambo, isinyathelo esilandelayo ukubhekisela ekuhlolweni kwe-carotid angiography.
Ungalungiselela kanjani ukuhlolwa?
Udokotela wakho noma abasebenzi basesibhedlela bazokunikeza imiyalelo ecacile yokuthi ungalungiselela kanjani lolu vivinyo. Kubaluleke kakhulu ukulandela leyo miyalelo ngqo.
| Isigaba okufanele silungiselelwe | Okufanele ukwenze kanye nencazelo |
|---|---|
| Ukudla neziphuzo | Uzotshelwa ukuthi ungadli noma uphuze lutho amahora ambalwa ngaphambi kokuhlolwa. Lokhu kusho ukuthi kufanele uzile ukudla. Landela leso seluleko kahle. |
| Imithi oyithathayo | Qiniseka ukuthi utshela udokotela wakho nganoma yimiphi imithi oyiphuza nsuku zonke (isib. i-aspirin, imithi yesifo sikashukela, imithi yomfutho wegazi) kanye nanoma yimiphi imithi ye-Ayurvedic oyiphuzayo. Ungase ucelwe ukuthi uyeke ukuthatha eminye imithi ngosuku olwandulela ukuhlolwa. |
| Izinto eziyigugu | Shiya izinto zakho eziyigugu, njengobucwebe nemali, ekhaya. Gwema ukuziletha esibhedlela. |
| Ukuya nokubuya esibhedlela | Ungase ungakwazi ukushayela ngemva kokuhlolwa, ngakho-ke kubalulekile ukuthi ube nomuntu ozokushayela ekhaya. |
Kwenzekani ngesikhathi sokuhlolwa?
Yonke inqubo ivame ukuthatha cishe ihora noma ihora nesigamu. Asikho isidingo sokukhathazeka, konke kwenziwa ngokucabangela ukuphepha kwakho.
Ngemva kokufika esibhedlela
Uzonikezwa ingubo yesibhedlela ozoyigqoka. Uma ugqoka izibuko noma izinsiza zokuzwa, cela udokotela noma umhlengikazi ukuthi ungazigqoka yini ngesikhathi sokuhlolwa. Kodwa-ke, amalensi okuxhumana kumele asuswe.
Inqubo yokuhlola
Ithebula elingezansi lizokusiza ukuthi uqonde le nqubo kangcono.
| Izinyathelo | Kwenzekani? |
|---|---|
| Ukubeka umugqa we-IV | Ithubhu elincane (i-IV catheter) lizofakwa emthanjeni osengalweni yakho. Imithi edingekayo kanye noketshezi kuzonikezwa ngalokhu. |
| Ukunikeza imithi yokudambisa ukucindezeleka | Uzonikezwa umuthi wokudambisa omnene ukuze uphumule futhi unciphise ukukhathazeka kwakho. Lokhu kungakusiza nokuthi ulale. |
| Ukuqapha izinga lokushaya kwenhliziyo | Ama-electrode anamathele esifubeni sakho futhi axhunywe emshinini we-EKG. Lokhu kuqapha ukusebenza kwenhliziyo yakho kulo lonke ukuhlolwa. |
| Ukunikeza umuthi wokuqeda ukuba ndindindi | Kufakwa umuthi wokubulala izinzwa endaweni lapho kufakwa khona i-catheter, ngokuvamile endaweni ye-groin noma ngezinye izikhathi engalweni. |
| Ukufakwa kwe-catheter kanye nokubhoboza idayi | Ngemva kokuhlinzwa, kufakwa ipayipi elincane kakhulu neliguquguqukayo (i-catheter) emthanjeni wegazi bese liqondiswa emthanjeni we-carotid entanyeni. Bese kuthi kufakwe idayi ngepayipi. Izithombe ze-X-ray zibe sezithathwa. |
Ingabe lokhu kubuhlungu?
Cha. Lokhu akuvamile ukuba ukuhlolwa okubuhlungu. Ngeke uzizwe ubuhlungu ngoba i-catheter ayizwakali kahle. Kodwa-ke,Uma udayi ufakwa emzimbeni, ungase uzizwe ukufudumala okuncane noma umuzwa wokucasuka. Lokhu kuvamile. Ukufudumala kuzonyamalala ngemizuzwana embalwa.
Kodwa-ke, uma uhlangabezana nanoma yiziphi izimpawu ezilandelayo ngesikhathi sokuhlolwa, kufanele utshele udokotela noma umhlengikazi ngokushesha:
- Ubuhlungu besifuba noma ukungakhululeki
- Ukuqubuka kwesikhumba noma ukulunywa
- Ukuzizwa unesicanucanu.
- Ukuzizwa sengathi umphimbo wakho unciphile
- Noma yiluphi ushintsho noma ukufiphala kombono
Kwenzekani ngemva kokuhlolwa?
Uma ukuhlolwa sekuqediwe, udokotela uzosusa i-catheter bese efaka ibhandishi ukuze amise ukopha. Ngemuva kwalokho, kuzohlolwa izinga lokushaya kwenhliziyo yakho kanye nomfutho wegazi, bese uthuthelwa ekamelweni elihlukile ukuze uphumule amahora ambalwa.
Uzokwaziswa ukuthi uphuze amanzi amaningi phakathi nalesi sikhathi. Lokhu kungenxa yokuthi idayi efakwe emzimbeni wakho idinga ukukhucululwa ngokushesha ngomchamo wakho. Ngakho ungakhathazeki uma udinga ukuchama kakhudlwana, kuvamile.
Ithini imiphumela futhi izotholakala nini?
Izithombe ze-X-ray ezithathwe kulolu vivinyo zingabonisa ngokusobala ukuthi kukhona yini ukuvaleka noma ukuncipha kwemithambo yakho ye-carotid.
Lezi zithombe zihlolwa nguchwepheshe, udokotela we-radiologist, bese kulungiswa umbiko. Lo mbiko uthunyelwa kudokotela wakho okwelaphayo. Udokotela uzobe esekhuluma nawe futhi achaze imiphumela, futhi uma kudingeka, izinyathelo ezilandelayo okufanele uzithathe.
Umlayezo Wokuya Nawe Ekhaya
- I-Carotid angiography ukuhlolwa okukhethekile kwe-X-ray okuhlola ukuvaleka kwemithambo emikhulu entanyeni yakho enikeza igazi ebuchosheni bakho.
- Lokhu kuhlolwa kubaluleke kakhulu ekutholakaleni kusenesikhathi kokuncipha noma ukuvaleka kwemithambo yegazi okungaholela ekushayweni yisifo sohlangothi.
- Le nqubo ngokuvamile ayibuhlungu, kodwa kubalulekile ukulandela imiyalelo kadokotela ngokucophelela ngaphambi nangemva kokuhlolwa.
- Uma uhlangabezana nanoma yiziphi izimpawu ezingavamile (isib. ukusabela kokungezwani komzimba, ubuhlungu obukhulu endaweni yokufaka i-catheter) ngemva kokuhlolwa, yazisa udokotela wakho ngokushesha.
- Khuluma nodokotela wakho ngokukhululekile njalo ngemiphumela yokuhlolwa kwakho kanye nokwelashwa kwesikhathi esizayo.
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