I-Carotid artery stenosis - ukuzinakekela

Imithambo ye-carotid inikeza ukunikezwa kwegazi okuyinhloko ebuchosheni. Zitholakala ohlangothini ngalunye lwentamo yakho. Ungakuzwa ukushaya kwenhliziyo ngaphansi komhlathi wakho.

I-Carotid artery stenosis yenzeka lapho imithambo ye-carotid incipha noma ivinjiwe. Lokhu kungaholela ekushayweni unhlangothi.

Noma ngabe udokotela wakho ukuncome ukuhlinzwa ukuze uvule imithambo emincane, imithi nokushintsha kwendlela yokuphila kunga:

• Vimbela ukuqhubeka kokuncipha kwale mithambo ebalulekile
• Vimbela ukushaywa unhlangothi okungenzeki

Ukwenza ushintsho oluthile ekudleni nasekusebenziseni imikhuba yakho kungasiza ekwelapheni isifo semithambo ye-carotid. Lezi zinguquko ezinempilo zingakusiza nokuthi ugcine isisindo esinempilo futhi uphathe umfutho wegazi ophakeme kanye ne-cholesterol.

• Yidla ukudla okunempilo, okunamafutha amancane.
• Yidla izithelo nemifino eningi. Okusha noma okubandayo kungukukhetha okungcono kunokheniwe, okungenzeka ukuthi kungeze usawoti noma ushukela.
• Khetha ukudla okune-fiber ephezulu, njengezinkwa ezigcwele okusanhlamvu, i-pastas, okusanhlamvu kanye nama-crackers.
• Yidla inyama engondile nenkukhu engenasikhumba kanye neturkey.
• Yidla izinhlanzi kabili ngesonto. Inhlanzi ilungele imithambo yakho.
• Nciphisa amafutha agcwele, i-cholesterol, bese ufaka usawoti noshukela.

Sebenza ngokwengeziwe.

• Khuluma nomhlinzeki wakho wezokunakekelwa kwempilo kuqala ukuze uqiniseke ukuthi uphilile ngokwanele ukuzivocavoca umzimba.
• Ukuhamba kuyindlela elula yokwengeza umsebenzi osukwini lwakho. Qala ngemizuzu eyi-10 kuya kwengu-15 ngosuku.
• Qala kancane kancane futhi wakhe imizuzu engu-150 yokuzivocavoca ngesonto.

Yeka ukubhema, uma ubhema. Ukuyeka ukunciphisa ingozi yokushaywa unhlangothi. Khuluma nomhlinzeki wakho mayelana nezinhlelo zokuyeka ukubhema.

Uma ushintsho lwendlela yokuphila lungayinciphisi i-cholesterol yakho nomfutho wegazi ngokwanele, kungabekwa imithi.

• Imithi ye-cholesterol siza isibindi sakho sikhiqize i-cholesterol encane. Lokhu kuvimbela uqweqwe, idiphozi efakwa emanzini, ekwakheni imithambo ye-carotid.
• Imithi yengcindezi yegazi phumuza imithambo yegazi yakho, yenza inhliziyo yakho ishaye kancane, futhi usize umzimba wakho ukuqeda uketshezi olungeziwe. Lokhu kusiza ukwehlisa umfutho wegazi ophakeme.
• Imithi yokuncipha kwegazi, njenge-aspirin noma i-clopidogrel, yehlisa amathuba okuba amahlule egazi futhi asize ukunciphisa ingozi yokushaywa unhlangothi.

Le mithi ingaba nemiphumela engemihle. Uma ubona imiphumela emibi, qiniseka ukuthi utshela udokotela wakho. Udokotela wakho angashintsha umthamo noma uhlobo lomuthi owuthathayo ukusiza ukunciphisa imiphumela emibi. Ungalokothi uyeke ukuthatha imithi noma uthathe umuthi omncane ngaphandle kokukhuluma nomhlinzeki wakho kuqala.

Umhlinzeki wakho uzofuna ukukuqapha futhi abone ukuthi umuthi wakho usebenza kahle kangakanani. Kulokhu kuvakashelwa, umhlinzeki wakho anga:

• Sebenzisa i-stethoscope ukulalela ukugeleza kwegazi entanyeni yakho
• Hlola umfutho wegazi lakho
• Hlola amazinga akho e-cholesterol

Ungase futhi ube nokuhlolwa kwe-imaging okwenziwe ukubona ukuthi ukuvinjelwa kwemithambo yakho ye-carotid kuya ngokuya kuba kubi kakhulu.

Ukuba nesifo semithambo ye-carotid kukubeka engcupheni yokushaywa unhlangothi. Uma ucabanga ukuthi unezimpawu zokushaywa unhlangothi, iya egumbini lezimo eziphuthumayo noma ushayele ku-911 noma inombolo ephuthumayo yendawo ngokushesha. Izimpawu zesifo sohlangothi zifaka:

• Ukubona okufiphele
• Ukudideka
• Ukulahleka kwenkumbulo
• Ukulahlekelwa umuzwa
• Izinkinga ngenkulumo nolimi
• Ukulahleka kombono
• Ubuthakathaka engxenyeni eyodwa yomzimba wakho

Thola usizo ngokushesha lapho izimpawu zivela. Ngokushesha uthola ukwelashwa, kuba ngcono ithuba lakho lokululama. Ngokushaywa unhlangothi, umzuzwana wokubambezeleka ungaholela ekulimaleni okungaphezulu kobuchopho.

Isifo semithambo seCarotid - ukuzinakekela

UBiller J, uRuland S, uSchneck MJ. Ischemic isifo se-cerebrovascular. Ku: Daroff RB, Jankovic J, Mazziotta JC, Pomeroy SL, ama-eds. I-Neurology kaBradley ekwenziweni kwemitholampilo. Umhla wesi-7. IPhiladelphia, PA: Elsevier; 2016: isahluko 65.

IGoldstein LB. Ischemic isifo se-cerebrovascular. Ku: IGoldman L, iSchafer AI, ama-eds. Imithi yeGoldman-Cecil. Umhla ka-26. IPhiladelphia, PA: Elsevier; 2020: isahluko 379.

URicotta JJ, uRicotta JJ. Isifo se-Cerebrovascular: ukuthatha izinqumo kufaka phakathi ukwelashwa. Ku: Sidawy AN, Perler BA, ama-eds. Rutherford’s Vascular Surgery and Endovascular Therapy. Umhlaka 9. IPhiladelphia, PA: Elsevier; 2019: isahluko 89.

ISooppan R, iLum YW. Ukuphathwa kwe-carotid stenosis ephindaphindwayo. Ku: UCameron AM, uCameron JL, ama-eds. Ukwelashwa Kwamanje. Umhlaka 13. IPhiladelphia, PA: Elsevier; 2020: 933-939.

• Isifo Semithambo YeCarotid