Ingabe nawe uzwa ubuhlungu obungapheli emilenzeni yakho? Ingabe uzizwa sengathi imilenze yakho iyaba ndikindiki noma iyathuthumela uma uhamba ibanga elifushane? Noma unemithambo eluhlaza okwesibhakabhaka emilenzeni yakho evuvukele? Mhlawumbe udokotela wakho ukucele ukuthi wenze i-"Vascular Ultrasound", noma njengoba sonke sazi, i-"Doppler Scan". Kungenzeka ukuthi uzizwe wesaba kancane lapho uzwa leli gama. Kuyini lokhu kuskena? Kubukeka kanjani? Ingabe kubuhlungu? Ingabe kuyinto okufanele uyesabe? Namuhla, sizoxoxa ngalokhu kalula, ukuze yonke imibuzo yakho ngakho ixazululwe.
Kalula nje, iyini i-Vascular Ultrasound?
I-Vascular Ultrasound iyi-scan engenabuhlungu, ephephile kakhulu. Ebizwa nangokuthi "i-Duplex Study," isebenzisa amaza omsindo avame kakhulu ukuthola isithombe esicacile sendlela igazi eligeleza ngayo emithanjeni nasemithanjeni emzimbeni wethu.
Cabanga ngakho njengekhamera ekhethekile esebenza nomsindo ukuze ibuke ngaphakathi emizimbeni yethu. Lokhu ukuhlolwa okungahlaseli , okusho ukuthi akukho monakalo emzimbeni wakho, akukho ukusikeka, akukho imijovo, akukho imijovo. Ngakho-ke asikho isizathu sokwesaba. Lokhu kuhlola ngokuyinhloko ukuthi ukujikeleza kwegazi kwenzeka kahle yini ngemithambo yegazi ezindaweni ezifana nezingalo, imilenze, nentamo.
Kukuziphi izimo lapho udokotela angancoma khona lokhu kuskena?
Kunezizathu eziningana zokuthi kungani udokotela wakho engase akucele lokhu kuhlolwa. Eyokuqala ukuthi usola ukuthi kunenkinga ngemithambo yegazi yakho. Ake sibheke ezinye zalezi zimo ngendlela elula sisebenzisa ithebula elingezansi.
| Isimo | Kalula nje... |
|---|---|
| Amahlule egazi - isib. i- Deep Vein Thrombosis (DVT) | Amahlule egazi akheka emithanjeni ejulile emzimbeni, ikakhulukazi emilenzeni. Lokhu kungaba yingozi. |
| I-atherosclerosis - isib. Isifo Semithambo Yegazi Engaphazamisi (i-PAD) | Imithambo yegazi ethwala igazi iye ezingalweni nasemilenzeni iyancishiswa ukwakheka kwe-plaque, okuvimbela ukugeleza kwegazi. |
| Imithambo Ye-Varicose kanye Nokuntuleka Kwemithambo Engamahlalakhona | Imithambo esemilenzeni iyavuvukala, ibonakale iluhlaza okwesibhakabhaka, futhi igazi aliphampi kahle ngenxa yama-valve emithambo abuthakathaka. |
| Isifo Semithambo Ye-Carotid | Ukuncishiswa kwemithambo emikhulu kuzo zombili izinhlangothi zentamo ehambisa igazi ebuchosheni ngenxa yokugcwala kwamafutha. Lokhu kungaholela ekushayweni yisifo sohlangothi. |
| I-atherosclerosis | Amafutha ne-cholesterol kwakheka ezindongeni zemithambo noma kuphi emzimbeni, okwenza imithambo yegazi ibe lukhuni futhi ibe mincane. |
Ngaphezu kwalokho,
- Hlola ukuthi ukugeleza kwegazi esithweni somzimba kuyinto evamile yini ngemva kokufakelwa isitho.
- Hlola impumelelo yokuhlinzwa kwe-bypass ngemuva kokuthi kwenziwe emithanjeni.
- Lokhu kuskena kusetshenziselwa nokunquma ukuthi uyakufanelekela yini ukwelashwa njenge-angioplasty.
Yiziphi izimpawu ezingakwenza udinge lokhu kuskena?
Uma unesinye noma ngaphezulu kwalezi zimpawu ezingezansi, udokotela wakho cishe uzoncoma lokhu kuskena, njengoba lokhu kungaba izimpawu zokujikeleza kwegazi okungekuhle.
| Isibonakaliso osizwayo | Kungasho ukuthini |
|---|---|
| Ubuhlungu emilenzeni, ikakhulukazi ematholeni, lapho uhamba (kuyadamba ngemva kokuma isikhashana) | Lolu uphawu olukhulu lwe-Peripheral Artery Disease (PAD). Lobuhlungu buvela lapho imisipha ingatholi ukugeleza kwegazi okwanele ngesikhathi sokuzivocavoca. |
| Ukushisa, ukuqaqamba, noma ukungazweli emilenzeni | Lezi zimpawu zingavela uma imizwa ithinteka ngenxa yokujikeleza kwegazi okungekuhle. |
| Izilonda emilenzeni | Inxeba lidinga ukutholakala kwegazi okuhle ukuze liphiliswe. Uma ukugeleza kwegazi kuncipha, ngisho nenxeba elincane lingase lingapholi isikhathi esithile. |
| Umlenze owodwa uvuvukele kakhulu, ubomvu, noma uzizwa ufudumele kunomunye | Lokhu kungaba yizimpawu eziyisixwayiso zokuqhekeka kwemithambo yegazi ejulile (i-DVT). |
| Ukuzwa sengathi imisipha emilenzeni iyoma (ukuwohloka kwemisipha) | Uma amasende engatholi igazi ne-oxygen eyanele isikhathi esithile, ubukhulu bawo bungase bunciphe. |
Into ebaluleke kakhulu ukuthi uma unalezi zimpawu, ungazilaphi ekhaya, kodwa qiniseka ukuthi ubona udokotela ukuze akunike iseluleko.
Kufanele ngilungiselele kanjani ngaphambi kokuskena?
Lena yingxenye engcono kakhulu. Akukho ukulungiselela okukhethekile okudingekayo ukuze uthole i-Vascular Ultrasound. Awudingi ukuzila ukudla noma ukuthatha noma yimiphi imithi ekhethekile. Kodwa-ke, kunezinto ezimbalwa okufanele uzikhumbule:
- Izingubo: Gqoka izingubo ezikhululekile nezikhululekile. Kungcono uma ungaveza kalula indawo eskeniwe (isb., umlenze, ingalo). Ungase ucelwe ukuthi ugqoke ingubo yasesibhedlela.
- Ubucwebe: Kungcono ukushiya izinto ezifana nobucwebe ekhaya ngosuku lokuskena.
- Isikhathi: Fika esibhedlela noma endaweni yokuskena cishe imizuzu eyi-15 ngaphambi kwesikhathi sakho esihleliwe. Lokhu kuzokuvumela ukuthi uqedele amaphepha adingekayo ngaphandle kokuphazamiseka.
Kwenzekani ngesikhathi sokuskena?
Kulungile, manje ake sibone ukuthi kwenzekani uma senza ukuskena. Kuyinqubo elula kakhulu.
1. Ukulala phansi: Okokuqala, uzokwenziwa ulale kahle etafuleni lokuhlolwa.
2. Ukusebenzisa ijeli:Ngemuva kwalokho, kufakwa ijeli efana namanzi endaweni lapho kuzokwenziwa khona ukuskena (isibonelo, umlenze wakho). Kubanda kancane, kodwa akukuphathi kabi. Le jeli isetshenziswa ukusiza amaza omsindo adlule esikhumbeni sakho ngaphandle kokuphazamiseka.
3. Ukuskena: Okulandelayo, uchwepheshe we-ultrasound oqeqeshwe ngokukhethekile uthatha idivayisi encane efana nemakrofoni ebizwa ngokuthi i-transducer ayibeke phezu kwesikhumba esimbozwe ngejeli bese eyihambisa iye emuva naphambili.
4. Ukuzwa umsindo: Kuleli qophelo, uzozwa ukucindezeleka okuncane, kodwa ngeke kube buhlungu. Ungase uzwe nomsindo othi 'whoosh whoosh' esikrinini sekhompyutha, ofana nesigqi senhliziyo yakho eshayayo. Ungakhathazeki, lo umsindo wegazi eligeleza emithanjeni yakho. Yilokhu okunikeza odokotela umbono wejubane kanye nephethini yokugeleza kwegazi.
5. Kuqediwe: Uma zonke izindawo ezidingekayo sezihloliwe, uchwepheshe uzosula ijeli ebelifakwe emzimbeni wakho. Inqubo yonke ingathatha imizuzu engama-30-60.
Kwenzekani ngemva kokuskena? Ngiyithola kanjani imiphumela?
Uma nje ukuskena sekuphelile, ungavuka, ushintshe izingubo, bese wenza imisebenzi yakho evamile. Asikho isidingo sokuya ekhaya noma emsebenzini. Ngeke ube nemiphumela emibi noma ukungakhululeki ngenxa yalokhu kuhlolwa.
Izithombe kanye nedatha evela kuskeni kuhlolwa ngokucophelela ngudokotela we-radiologist . Uhlaziya izithombe, anqume isivinini sokugeleza kwegazi, nokuthi kukhona yini ukuvaleka noma ukuncipha, bese elungiselela umbiko. Umbiko ube usuthunyelwa kudokotela oye wayala ukuhlolwa. Imiphumela ivame ukutholakala zingakapheli izinsuku ezimbili noma ngaphezulu.
Udokotela wakho uzobuyekeza umbiko, awuqhathanise nezimpawu zakho, bese ekuchazela ukuthi isimo sakho siyini nokuthi yiluphi ukwelashwa okudingekayo.
Umlayezo Wokuya Nawe Ekhaya
- I-Vascular Ultrasound (i-Doppler scan) iyindlela yokuhlola ephephile kakhulu futhi engenabuhlungu ehlola ukuhamba kwegazi emithanjeni yakho yegazi.
- Uma unezimpawu ezifana nobuhlungu, ukuvuvukala, amanxeba angapholi, noma ukungakhululeki emilenzeni yakho, qiniseka ukuthi ukhuluma nodokotela wakho ngakho.
- Akukho ukulungiselela okukhethekile okudingekayo kulokhu kuskena, ngakho-ke uma udokotela eyalela lokhu kuhlolwa, ungesabi futhi ungangabazi ukukwenza.
- Lokhu kusiza kakhulu ekutholeni kusenesikhathi izimo zezokwelapha ezingathi sína njengokuqhekeka kwegazi kanye nokuncipha kwemithambo yegazi, kanye nasekuqaliseni ukwelashwa okufanele.
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