Ingabe une-cholesterol ephezulu, umfutho wegazi ophezulu, noma isifo sikashukela? Noma ingabe ukhona emndenini wakho owake waba nokuhlaselwa yinhliziyo noma isifo sohlangothi? Izinto ezinjengalezi zingadala ukwesaba okuncane ezingqondweni zethu, akunjalo? Lezi zifo azenzeki ngobusuku obubodwa. Bezilokhu zikhula emizimbeni yethu iminyaka eminingi, kancane kancane nangokuthula. Ngakho-ke bekungaba kuhle kangakanani ukube bekukhona indlela yokubona izimpawu zokuqala zalezi zifo eziyingozi ngaphambi kokuba zivele? Namuhla, sizokhuluma ngokuhlolwa abantu abaningi abangakaze bakuzwe, kodwa kubaluleke kakhulu.
Kalula nje, luyini lolu vivinyo lwe-CIMT?
Incazelo ephelele ye-CIMT ithi i-Carotid Intima-Media Thickness . Kulungile, igama lingase lizwakale liyinkimbinkimbi kancane, kodwa indlela elisebenza ngayo ilula kakhulu. Ake silichaze kancane futhi siqonde.
Kunemithambo yegazi emibili emikhulu ezinhlangothini zombili zentamo yakho ethwala igazi liye ebuchosheni bakho. Lena yilokho esikubiza ngokuthi i-Carotid Arteries . Le mithambo yegazi ayiwona nje amapayipi, futhi inodonga. Lolu donga lwakhiwe ngezingqimba ezintathu eziyinhloko. Ukuhlolwa kwe-CIMT kulinganisa ubukhulu bezingqimba ezimbili ezingaphakathi zalolo donga - i-intima, okuyingqimba encane kunazo zonke ethinta igazi, kanye ne-media, okuyingqimba yemisipha engaphansi kwayo.
Cabanga ngepayipi lamanzi. Ngokuhamba kwesikhathi, ukugqwala nokungcola kuyakheka ngaphakathi kwepayipi, kwenze udonga lwepayipi lube lukhulu futhi kunciphise isikhala sokugeleza kwamanzi, akunjalo? Yilokho okwenzekayo ngemithambo yegazi yethu. Lapho amafutha afana ne-cholesterol eqala ukwakheka ngaphakathi kwemithambo yegazi, izindonga zemithambo yegazi ziqala ukuqina kancane kancane. Yilokhu esikubiza ngokuthi i-atherosclerosis kwezokwelapha.
Inhloso eyinhloko yokuhlolwa kwe-CIMT ukukala ubukhulu balezi zinhlayiya zamafutha ezindongeni zemithambo yakho ye-carotid. Lokhu kuzosiza udokotela wakho ukuthi ahlole ingozi yakho yokuba nesifo senhliziyo, isifo sohlangothi, noma esinye isifo senhliziyo esikhathini esizayo.
Lokhu kufana nokukhanya okubomvu esikutholayo ngaphambi kokuba kuvele isifo esikhulu. Kusho ukuthi sinethuba lokuthatha izinyathelo ezidingekayo futhi sigweme leyo ngozi enkulu kusenesikhathi.
Ubani ofuna ukwenza lolu vivinyo?
Ngokuvamile, udokotela wakho uzoncoma lokhu kuhlolwa kuphela uma unezici eziyingozi ze-atherosclerosis. Akuwona wonke umuntu okudingeka enze lokhu kuhlolwa. Lezi yizici eziyinhloko eziyingozi.
| Isici Sengozi | Incazelo elula |
|---|---|
| I-Hyperlipidemia | Amazinga aphezulu amafutha afana ne-cholesterol kanye ne-triglycerides egazini. Yilokhu esikubiza ngokuthi "i-cholesterol ephezulu." |
| Umfutho wegazi ophakeme | Umfutho wegazi ophakeme. Lokho kusho ukuthi "umfutho wegazi ophakeme." |
| I-Hyperglycemia | Ukwanda kwamazinga kashukela egazini. Lokhu kuyisibonakaliso esikhulu sesifo sikashukela. |
| Izici zendlela yokuphila | Izinto ezinjengokubhema, ukusebenzisa ugwayi, ukukhuluphala ngokweqile, kanye nokungazivocavoci. |
| Umlando womndeni | Amalungu omndeni aseduze (abazali, izingane zakubo) abake baba nokuhlaselwa yinhliziyo noma isifo sohlangothi besebancane. |
Uma unengozi eyodwa noma ngaphezulu yalezi, ungakhuluma nodokotela wakho ukuthola ukuthi lolu vivinyo lwe-CIMT lukulungele yini.
Lokhu kuhlolwa kwenziwa kanjani? Ingabe kuyinto okufanele uyesabe?
Akukho okufanele ukwesabe! Ukuhlolwa kwe-CIMT akubuhlungu, akuhlaseli, futhi kufana nokuskena kwe-ultrasound okwenziwa kowesifazane okhulelwe. Akusebenzisi noma yimiphi imisebe.
Lokhu kuhlolwa kuvame ukwenziwa uchwepheshe othole ukuqeqeshwa okukhethekile ekuskeni kwe-ultrasound. Nansi indlela okwenzeka ngayo isinyathelo ngesinyathelo.
Ingabe udinga ukulungiselela ngaphambi kokuhlolwa?
Akukho ukulungiselela okukhethekile okudingekayo. Ungadla futhi uphuze njengenjwayelo. Kodwa-ke, kulula ukugqoka ingubo enamahlombe abanzi nezinkinobho eziveza indawo yentamo yakho.
Kwenzekani ngesikhathi sokuhlolwa?
Lonke lolu vivinyo luthatha imizuzu engama-30 kuya kwengama-45.
1. Ukulungiselela: Uzobekwa etafuleni lokuhlolwa futhi ube sesimweni esikhululekile.
2. Ukufaka ijeli: Bese kufakwa inani elincane lejeli ebandayo ezinhlangothini zentamo yakho. Le jeli isiza ekwakheni ukuxhumana okuhle phakathi kwedivayisi yokuskena (i-probe) nesikhumba futhi ivumela amaza omsindo ukuthi adluliselwe kalula emzimbeni.
3. Ukuskena: Manje uchwepheshe uzobeka idivayisi encane ebizwa ngokuthi i-transducer entanyeni yakho bese eyihambisa kancane kancane. Uzozwa ukucindezeleka okuncane phakathi nalesi sikhathi, kodwa ngeke kube buhlungu. Ngezinye izikhathi uzocelwa ukuthi uphendule ikhanda lakho kancane.
4. Ukuthatha izithombe: Amagagasi omsindo aphuma ngesivinini esiphezulu (amagagasi e-ultrasound) akhishwa yi-transducer ahamba entanyeni, ashaye imithambo ngaphakathi, bese ebuyela emuva. Amagagasi abuyayo athathwa yi-transducer bese ethunyelwa kwikhompyutha. Ikhompyutha ihlaziya idatha bese iveza isithombe esicacile sodonga lwemithambo kanye nokulinganiswa kobukhulu bayo ngamamilimitha.
5. Ukuqeda: Ngemva kokuba zonke izithombe ezidingekayo kanye nokulinganisa sekuthathiwe, ijeli efakwe entanyeni yakho izosulwa bese uthunyelwa ekhaya. Ungaqhubeka nomsebenzi wakho osele wosuku ngaphandle kokuphazamiseka.
Uthini umbiko wophenyo?
Imiphumela yokuhlolwa kwe-CIMT iyisilinganiso sobukhulu bezingqimba ezimbili zangaphakathi zodonga lwakho lwe-carotid artery. Lezi zithombe kanye nezilinganiso zibuyekezwa ngudokotela we-radiologist olungiselela umbiko.
Uma udokotela okwelaphayo (udokotela womndeni wakho noma udokotela wenhliziyo) esethole umbiko, uzokuchazela wona.
Okubaluleke kakhulu, inani lokujiya elivela kulo mbiko liqhathaniswa nenani elijwayelekile lomuntu ophilile weminyaka yakho nobulili bakho. Uma inani lakho liphakeme kakhulu kunenani elijwayelekile, kusho ukuthi izindonga zemithambo yakho yegazi seziqala ukujiya futhi usengozini yokuthola isifo senhliziyo.
Uma imiphumela ingajwayelekile, yini oyenzayo ngokulandelayo?
Cabanga ukuthi umbiko wakho we-CIMT uthi izindonga zemithambo yakho zijiyile. Ungesabi. Ingxenye engcono kakhulu ukuthi uzokwazi ngakho ngaphambi kokuba kwenzeke . Manje wena nodokotela wakho ningasebenzisana ukwenza uhlelo lokunciphisa ingozi yakho.
Udokotela wakho uzovame ukuncoma izinto ezifana nalezi:
- Ukuqala imithi:Ungase ucelwe ukuthi uqale ukuthatha imithi yokwehlisa i-cholesterol (isib., imithi ye-statin), ukulawula umfutho wegazi, noma ukuvimbela ukujiya kwegazi (isib., i-aspirin).
- Ushintsho lwendlela yokuphila:
- Ukudla: Nciphisa ukudla okunamafutha amaningi, ushukela, nosawoti, bese udla ukudla okunempilo kwenhliziyo njengemifino, izithelo, ubhontshisi kanye nenhlanzi.
- Ukuzivocavoca: Qala ukuzivocavoca, njengokuhamba noma ukugibela ibhayisikili, okungenani imizuzu engama-30 ngosuku.
- Ukuyeka imikhuba emibi: Uma ubhema, yeka ngokuphelele.
Ngokulandela lezi zinyathelo, ungalawula ukuqina okwengeziwe kwezindonga zemithambo yegazi futhi mhlawumbe ubuyisele emuva isimo ngezinga elithile.
Umlayezo Wokuya Nawe Ekhaya
- Ukuhlolwa kwe-CIMT kuwukuskena kwe-ultrasound okungenabuhlungu, okuphephile okulinganisa ubukhulu bezindonga zemithambo emikhulu entanyeni.
- Lokhu kungasiza ekuboneni ingozi yezifo ezifana nokuhlaselwa yinhliziyo kanye nesifo sohlangothi, ngisho nangaphambi kokuba kuvele izimpawu.
- Lolu vivinyo lufaneleka kakhulu kubantu abanezici eziyingozi njenge-cholesterol ephezulu, umfutho wegazi ophezulu, isifo sikashukela kanye nokubhema.
- Ungesabi uma imiphumela yakho yokuhlolwa ingajwayelekile. Kusho ukuthi unesikhathi sokwenza izinguquko ozidingayo ukuze usindise impilo yakho.
- Uma unemibuzo mayelana nalolu vivinyo noma imiphumela, xoxa ngayo ngokukhululekile nodokotela wakho.
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