I-carotid artery stenosis ingenye yezimbangela zesifo sohlangothi. Uma utshelwe ukuthi une-carotid artery stenosis, kungenzeka ukuthi utshelwe ukuthi udinga ukuba nenqubo yokungenelela ukunciphisa ingozi yokushaywa yisifo, noma kungenzeka ukuthi utshelwe ukuthi kungcono ukubuka nokulinda.
Iyini Imishanguzo YaseCarotid?
Imishanguzo ithwala igazi eline-oksijeni ecebile nezakhi ezinxenyeni ezihlukahlukene zomzimba.
I-artery carotid ejwayelekile yimizila emibili ebaluleke kakhulu yegazi ephethe igazi ebuchosheni. Kunezimbangela ezimbili ezivamile zomthambo we-carotid, eyodwa ngakwesinye icala entanyeni.
Imishanguzo ejwayelekile ye-carotid ejwayelekile neyesokunxele yizimbhoshongo ezinkulu lapho igatsha ngalinye lingena emithanjeni encane, kuhlanganise nomthambo wangaphakathi we-carotid, umshini wangaphandle we-carotid kanye nomthambo we- cerebral ophakathi . Ngayinye yalezi zimbangela ezincane zinikeza igazi esifundeni sobuchopho, ikhanda noma ubuso.
Iyini i-Carotid Artery Stenosis?
Ukuqina kwesimo kusho ukunciphisa. Uma enye ye-artery carotid iba encane ngaphakathi, lokhu kunganciphisa ukugeleza kwegazi kuya ebuchosheni. Ngokujwayelekile, ukumisa akuyona nje ukululaza ngaphakathi kwe-artery. Ukunciphisa kubangelwa ukwakhiwa kwemfucumfucu engavamile ngaphakathi komshini we-carotid. Ngaphezu kokunciphisa ukugeleza kwegazi, i-debris ingase ichithe futhi igweme umkhumbi omncane wegazi ngaphakathi kobuchopho, obangela ukushaywa kwe - ischemic .
Yini Ebangelwa I-Carotid Artery Stenosis?
I-aestrosclerosis yisifo sesitsha segazi esichazwe yi-deposit of fat and debris eceleni kwezindonga zamasaka, okuholela ekunciphiseni okuqhubekayo kokuvula igazi. Ukwehla kwesifo sofuba kubangelwa ukushisa komfutho wesikhathi eside, isifo senhliziyo namazinga aphezulu e-cholesterol namafutha .
Abanye abantu nabo babhekene nesifo se-atherosclerosis.
Okunye okungajwayelekile okungabangela ukunciphisa nokunciphisa ukugeleza kwegazi phakathi kwemithambo ye-carotid kuhlanganisa i-thrombus (i-clot blood), i- carotid dissection , i-arteritis, ne- fibromuscular displasia .
Yiziphi Izimpawu Ze-Carotid Artery Stenosis?
Esikhathini esiningi, i-carotid artery stenosis ayibonakali izimpawu. Udokotela wakho angavame ukuzwa umsindo we-carotid artery stenosis ngokulalela imithwalo yegazi entanyeni yakho nge-stethoscope. Lokhu kuhlolwa, okuthiwa i-carotid auscultation, kungenye yezivivinyo ezijwayele ukuthi udokotela wakho uhlole ngesikhathi sonyaka wakho ngokomzimba . Ngezinye izikhathi, i-carotid stenosis ayibhiqiza imisindo engavamile engatholakala nge-carotid auscultation.
I-carotid artery stenosis ingabangela ukuhlaselwa okuncane okuguquguqukayo, okungukuthi ukuhlasela kwe-ischemic okudlulayo (TIA.) I-TIA ifana nesifo, ngaphandle kokuthi ithuthukisa ngokuphelele ngaphandle kokudala umonakalo ohlala njalo. Izimpawu ze-TIA zihlanganisa ukungabi namandla noma ubuthakathaka buso, ingalo noma umlenze, ukukhathazeka ukukhuluma noma izinguquko embonweni. Uma une-TIA, lokho kuyisibonakaliso sokuthi usengozini yokushaywa yisifo. I-TIA iyisignali ejwayelekile kakhulu ye-carotid artery stenosis.
Ingabe Kukhona Uvivinyo Lwe-Carotid Artery Stenosis?
Kunezivivinyo ezimbalwa zokucabangela ezingachaza indawo ye-carotid artery stenosis futhi inganquma ubunzima be-stenosis.
Lezi zivivinyo zokuxilonga zihlanganisa i-carotid ultrasound, i-neck MRA, ne-neck CTA. Cishe uzodinga kuphela ukuthi ube nalunye lwalezi zivivinyo ze-imaging, futhi imiphumela izoba nendima enkulu ekunqumeni uhlelo olungcono lokwelashwa kwesimo sakho.
Yini Ongayenza Ngayo I-Carotid Artery Stenosis?
Odokotela bathatha i-carotid artery stenosis kakhulu, ikakhulukazi uma unezimpawu ze-TIA.
I-carotid artery stenosis ingalungiswa ngenqubo yokuhlinzwa ebizwa ngokuthi i- endaro-ceretium endarterectomy. Imikhombandlela yokuhlinzwa kwe-carotid stenosis ibonisa ukuthi abantu abaye babhekana nezimpawu futhi abanesisindo esingenani esingu-70% se-artery carotid yangaphakathi kufanele babhekwe njengabalingani abafanelekayo ekuhlinzeni i-carotid stenosis.
Le nqubo inganciphisa kakhulu ingozi ye-stroke ezayo.
Kodwa-ke, i-endarterectomy ye-carotid akuyona ngempela isisombululo esihle kunabo bonke abano-carotid stenosis. Uma ungenakukwazi ukubekezelela ukuhlinzwa ngenxa yesimo sempilo, udokotela wakho angase ancoma ngokucophelela ukulandela isifunda se-stenosis noma angase ancoma inqubo ehlukile yokulungisa indawo yesimo senhliziyo. Kunezinye izindlela ngaphandle kwe-carotid endarterecomy engase ifaneleke kakhulu kwabanye abantu, futhi enye yalezi zinqubo zingase zibe ngcono kuwe.
Ihlelwe nguHeidi Moawad MD
> Imithombo:
> Ukwelapha okusheshayo nokulibaziseka kwe-stenosis yamuva ye-carotid yesifo se-carotid .IVasconcelos V, uCassola N, da Silva EM, iBaptista-Silva JC, i-Cochrane Database Syst uMsombuluko 2016 Sep 9; 9: CD011401.