Wake wacabanga ukuthi imithambo yegazi emibili eyinhloko ethwala igazi ebuchosheni bakho itholakala ohlangothini ngalunye lwentamo yakho? Yebo, yilezi esizibiza ngokuthi imithambo ye-carotid. Uma, ngokuhamba kwesikhathi, izinto ezifana namafutha ziqoqana ngaphakathi kwale mithambo yegazi bese zivaleka, ukugeleza kwegazi ebuchosheni kungaphazamiseka, okuholela esimweni esibucayi njengesihlava sohlangothi. Ngakho-ke, namuhla sizokhuluma ngokuhlolwa okulula kakhulu, okungenabuhlungu, nokungenazingozi okuzokusiza ukuthi unqume isimo esiqondile sale mithambo yegazi.
Iyini i-ultrasound ye-carotid?
Kalula nje, lokhu kufana nokuskena kwe-ultrasound okwenziwa ngumama okhulelwe umntwana. Kodwa lokhu kwenziwa ezinhlangothini zombili zentamo yakho esikhundleni sesisu sakho. Lokhu kuhlolwa akusebenzisi noma yimiphi imisebe. Esikhundleni salokho
, kusebenzisa amaza omsindo avame kakhulu ukudala isithombe sangaphakathi lomthambo wakho we-carotid oboniswa esikrinini sekhompyutha. Kukhona enye indlela ekhethekile ebizwa ngokuthi
i-Doppler ultrasound . Ingabona kahle ukuthi igazi lihamba ngokushesha kangakanani nokuthi lihamba kahle kangakanani emithanjeni yakho. Kufana nokubuka amanzi egeleza ngepayipi.
Kungani udinga ukwenza iskena esinjengalesi?
Udokotela wakho uzoyala lokhu kuskena ngokuyinhloko ukuze ahlole amahlule egazi noma ukwakheka kwama-plaque emithanjeni yakho ye-carotid. Lawa ma-plaque anganciphisa kancane kancane umthambo futhi ekugcineni awuvale ngokuphelele. Lokhu kwandisa ingozi yakho yokushaywa yisifo sohlangothi. Udokotela wakho angancoma lokhu kuhlolwa ezimweni ezilandelayo:
| Isizathu sokuskena | Incazelo elula |
|---|
| Ukuba nomfutho wegazi ophakeme noma i-cholesterol | Zombili lezi zimo ziyimbangela enkulu yokugcwala kwamafutha ezindongeni zemithambo yegazi. |
| Ukuba nesifo sohlangothi noma i-TIA ngaphambilini | Lokhu kungasiza ekutholeni imbangela yesifo sohlangothi sangaphambilini, esikhulu noma esincane, noma ukuhlaselwa kwe-ischemic okufushane (TIA). |
| Ukuba nesifo sikashukela | Isifo sikashukela silimaza imithambo yegazi futhi sandisa ingozi yokuthi inciphe. |
| Ukuba nomlando womndeni wesifo senhliziyo noma isifo sohlangothi | Ingozi inganda futhi ngenxa yethonya lezakhi zofuzo. |
| Ukuzwa umsindo ongavamile (umsindo) lapho i-stethoscope ibekwa phezu komthambo we-carotid | Uma umthambo unciphile, ungase uzwe umsindo othi “shhh…” njengoba igazi ligeleza kuwo. Lokhu kuwuphawu lokuvaleka. |
| Ngaphambi Kokuhlinzwa Kwe-Coronary Artery Bypass | Kubalulekile ukwazi isimo semithambo yegazi ehambisa igazi ebuchosheni ngaphambi kokuhlinzwa. |
| Njengoba wake welashwa ngaphambilini ngenxa yokuncipha komthambo wegazi | Lokhu kuyadingeka ukuze kubonakale ukuthi ukwelashwa kuphumelele yini nokuthi ngabe kukhona yini ukuphinda kwenzeke. |
Ngilungiselela kanjani ngaphambi kokuskena?
Lena yingxenye engcono kakhulu.
Akukho ukulungiselela okukhethekile okudingekayo kulokhu kuskena. Akudingeki uyeke ukudla noma ukuthatha noma yimiphi imithi (kodwa hlola nodokotela wakho ukuze uqiniseke). Kodwa kulula uma ukhumbula izinto ezimbalwa:
- Gqoka izingubo ezikhululekile nezikhululekile ezinentamo ebanzi. Uma ugqoka izingubo eziqinile ezimboza intamo yakho, kungadingeka ugqoke ingubo yasesibhedlela.
- Ungagqoki imigexo emikhulu noma amacici. Lokhu kungaphazamisa ukuskena .
Kwenzekani ngesikhathi sokuskena? Kulula kakhulu!
Ukuhlolwa kuvame ukuthatha
imizuzu engama-30 kuya kwengama-45 . Zicabange ulele unganyakazi embhedeni egumbini lokuhlolwa. 1.
Ukufaka ijeli: Okokuqala, udokotela we-sonographer uzofaka ijeli ecacile ezinhlangothini zentamo yakho. Ingase izwakale ifudumele kancane. Le jeli isiza amaza omsindo ukuthi adlule esikhumbeni sakho aye emithanjeni yakho. 2.
Ukuskena: Ngemuva kwalokho, uzobeka idivayisi encane, ephathwayo (i-transducer) entanyeni yakho bese eyihambisa emuva naphambili. Le divayisi ithumela amaza omsindo bese iqoqa amaza abuyayo. Lolu lwazi lube seluguqulwa lube izithombe yikhompyutha. 3.
Hlala unganyakazi: Ukuze uthole imiphumela emihle kakhulu, kubalulekile ukuhlala unganyakazi ngangokunokwenzeka ngesikhathi sokuskena. 4.
Ingabe kuzoba khona umsindo? Akukho msindo ngesikhathi se-ultrasound ejwayelekile. Kodwa ngesikhathi sengxenye ye-Doppler, ebheka ukugeleza kwegazi, ungase uzwe umsindo onesigqi othi “s…s…s…”. Lowo umsindo wegazi ogeleza ngaphakathi kwemithambo yakho yegazi. Akukho okufanele ukhathazeke ngakho. Lapho ukuskena sekuphelile, uzonikezwa ithawula lokusula ijeli. Ngemuva kwalokho ungaya ekhaya njengenjwayelo. Akukho ukuphumula okukhethekile okudingekayo.
Ingabe kukhona ingozi kulokhu?
Azikho izingozi kulokhu kuhlolwa. Azikho ubuhlungu. Azikho imisebe . Ungase uzizwe ucindezelekile kancane uma idivayisi icindezelwa entanyeni yakho, kodwa abukho nhlobo ubuhlungu. Ngakho ungesabi lokhu.
Uthini umbiko ? Ake siqonde imiphumela
Umbiko otholwa udokotela wakho uzokutshela ikakhulukazi ukuthi ingakanani i-carotid artery yakho evalekile. Uvezwa njengephesenti.
- Umphumela Ojwayelekile: Lokhu kusho ukuthi akukho ukuncishiswa noma ukuvaleka okukhulu emithanjeni yakho, futhi igazi ligeleza kahle. Lezi yizindaba ezinhle!
- Umphumela Ongajwayelekile: Lokhu kusho ukuthi kukhona izinga elithile lokuvaleka kwemithambo yakho eyodwa noma yomibili. Lokhu kwakheka kwamafutha kubizwa ngokuthi i-atherosclerosis . Lesi simo sandisa ingozi yokushaywa yisifo sohlangothi.
Uma imiphumela ingajwayelekile, yini oyenzayo ngokulandelayo?
Ungakhathazeki. Ngisho noma kukhona ukuvaleka, kunezinto eziningi ezingenziwa ngakho. Ukwelashwa kuncike ekutheni ukuvaleka kungakanani kanye nezimpawu onazo. Konke lokhu kunqunywa
udokotela wakho.
Uma kukhona ukuvaleka okuncane kakhulu:
Kuleli qophelo, udokotela ngeke aye kohlinzwa. Kunalokho, uzoncoma ukushintsha indlela yokuphila kanye nemithi.
- Izinguquko zendlela yokuphila:
- Ukulawula ukudla : Nciphisa ukudla okunamafutha amaningi, usawoti, noshukela, bese udla imifino eminingi, izithelo, kanye nokudla okucebile nge-fiber.
- Ukuzivocavoca: Zijwayeze ukuzivocavoca okulula, njengokuhamba nsuku zonke.
- Yeka ukubhema : Ukubhema kulimaza imithambo yegazi ngendlela ebulalayo .
- Izinhlobo zemithi:
- Imithi yokwehlisa i-cholesterol (isb., ama-statin )
- Imithi evimbela ukujiya kwegazi (isib. i- Aspirin, i-Clopidogrel )
- Imithi yokucindezela kwegazi (i -Antihypertensive )
Uma kukhona ukuvaleka okukhulu:
Uma umthambo uvalekile kakhulu, okusho ukuthi ungaphezu kuka-50%-60%, futhi ubhekene nezimpawu, udokotela wakho angase akuncome okunye kwalokhu kwelashwa okulandelayo.
- Ukususwa kwe-Carotid Endarterectomy: Lokhu ukuhlinzwa. Njengokususa ukuvaleka kwepayipi, umthambo uyavulwa bese ungqimba olunamafutha (i-plaque) olungaphakathi luyasuswa.
- I-Angioplasty kanye ne-Stenting: Lokhu kuhilela ukufaka ibhaluni emthanjeni oncishisiwe ukuze ivuleke. Bese kufakwa ithuluzi elincane elifana ne-mesh ( stent ) ukuze lingavaleki futhi.
Ngezinye izikhathi, uma i-carotid ultrasound ingakwazi ukuthola isithombe esiphelele (isibonelo, uma ingxenye yomthambo ivinjiwe yithambo), udokotela wakho angase akucele ukuthi uphinde uhlolwe, njenge
-CT noma
i-Magnetic Resonance Angiography (MRA) .
Umlayezo Wokuya Nawe Ekhaya
- I-carotid ultrasound iyindlela yokuskena ephephile kakhulu futhi engenabuhlungu ehlola isimo semithambo yegazi entanyeni ethwala igazi liye ebuchosheni.
- Lokhu kungasiza ekutholeni ukuvaleka kwemithambo yegazi kusenesikhathi okungaholela ekushayweni yisifo sohlangothi.
- Ukuhlolwa akudingi ukulungiselela okukhethekile, futhi akukho zingozi noma imiphumela emibi.
- Kuye ngemiphumela yokuhlolwa, ukwelashwa kungafaka phakathi izinguquko zendlela yokuphila, imithi, noma, uma kudingeka, ukuhlinzwa.
- Xoxa njalo ngemiphumela yokuhlolwa kwakho kanye nokwelashwa kwakho kwesikhathi esizayo nodokotela wakho . Bazokunikeza isiqondiso esingcono kakhulu.
I-Carotid Ultrasound, i-carotid ultrasound, ukuskena kwentamo, isifo sohlangothi, ukuvaleka kwemithambo yegazi, i-plaque, ukuskena kwe-Doppler, i-atherosclerosis
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