Ukwelashwa okusheshayo ngemva kokushaywa ngonya kuhlanganisa ukucabanga nge-diagnostic
Incazelo ye-radiology yokuxilonga ukuthi yinkambu yezokwelapha esebenzisa ubuchwepheshe be-imaging ukubona izakhiwo emzimbeni. Odokotela bama- Radiologists kukhona odokotela bezokwelapha abasebenza ngokukhethekile emkhakheni we-radiology.
I-radiology yokuxilonga isetshenziselwa ukucacisa imbangela yezimpawu, ukuqapha indlela umzimba ophendula ngayo ukwelashwa isiguli esitholayo ngesimo sezokwelapha, neskrini sezifo ezihlukahlukene ezifana nomdlavuza nesifo senhliziyo.
I-radiology yokuxilonga isetshenziselwa iziguli ezine- stroke . Ukwelashwa kwesifo sohlangothi kuzoxhomeka kuhlobo lokushaya kwesiguli isiguli-noma isifo sochungechunge noma isifo esibuhlungu .
Ukwelashwa okusheshayo ngemuva kokushaya isifo kungasindisa izimpilo futhi kunciphise umonakalo we-stroke ngokubuyisela ukugeleza kwegazi ngemva kokushaywa ischemic noma ukulawula ukuphuma kwegazi nokunciphisa ingcindezi ebuchosheni ngemva kokushaya kabuhlungu.
Ukufanekisa izivumelwano zeziguli kuhluke kuye ngesilinganiso sesikhathi esidlulile kusukela ukuqala kwesifo. Uma isiguli sifika esibhedlela kungakapheli amahora amathathu okushaya isifo, siyokwazi ukuhlola isifo se- CT ukuze sihlolisise ukubola kwesifo ukuze sithole uhlobo lwezokwelapha isiguli okufanele sithole. Uma kungekho ukubola kwesisu, iziguli eziningi zingelashwa nge- thrombolysis . Ngemuva kwamahora amathathu okuqala, ukhetho lwezokwelapha luhlukile futhi ukucabanga okuba nzima kakhulu.
Ukuhlola ukuthi ngabe isiguli siye sabhekana nesifo sokubulala ischemic noma segazi, i-computed tomography (CT) noma i-imaging magnetic resonance ( MRI ) yekhanda ngokuvamile yenziwa.
- I-CT scan yekhanda
I-CT scan iyinhlanganisela yobuchwepheshe bezinto ezikhethekile ze-X-ray namakhompyutha ukukhiqiza izithombe eziningi zobuchopho. Ukuze uthuthukise isithombe, indaba ehlukile ingahle isetshenziselwe ukuthuthukisa ukuskena futhi kusize ekutholeni isifo. Uma kukhona ukugeleza kwegazi i-CT perfusion (CTP) ingenziwa ngesikhathi esifanayo.
- I-MRI yekhanda
I-MRI isebenzisa insimu yamagnetic ukukhiqiza izithombe zezitsha ze-cerebral, eyaziwa nangokuthi i-MR angiography (MRA). Izithombe zokugeleza kwegazi zingatholakala nge-perfusion MR (MRP).
Ezinye izivivinyo zingenziwa, emva kokuhlolwa kwezinzwa, ukuqhubeka nokuhlonza uhlobo, indawo, kanye nesibangela sokushaya. Zibuye zisetshenziselwe ukulawula noma yiziphi ezinye izinkinga. Ngaphezu kokuhlolwa kwegazi, lezi zivivinyo zihlanganisa:
- I-Electrocardiogram ( ECG noma i-EKG )
I-electrocardiogram iqhutshwa ukuhlola umsebenzi kagesi wenhliziyo. Kungabuye futhi inqume ukuthi isimo senhliziyo siyisimbangela sokushaywa yisifo. - I-Carotid ultrasound
Eyaziwa nangokuthi i-Doppler ultrasound, amagagasi omsindo aphezulu asetshenziselwa ukuhlola ukugoba noma ukuvinjelwa kwemithambo ye-carotid ehlangothini ngalunye entanyeni. Imithambo ye-carotid ithwala igazi esuka enhliziyweni kuya ebuchosheni. - I-Cerebral Angiography
I-angiography ye-cerebral yenziwa ukuze ubuke imithwalo enkulu yegazi ebuchosheni. Izosiza ukuthola noma ukuqinisekisa okungavamile okukhona, njenge-clot yegazi noma imishanguzo emincane. - I-Electroencephalogram (i- EEG )
I-EEG yenza izinyathelo zikagesi zobuchopho futhi zirekhoda imishanguzo kagesi ehlobene nokuzwa, umbono, nokuzwa komzimba.
Esinye isilingo sokuhlola esingase senziwe sihlanganisa ukufakwa kwesibindi (noma umthamo womgogodla ) ukuqoqa amasampula kagesi ozungeza ubuchopho nomgogodla.