Carotid artery stenosis ndi chimodzi mwa zifukwa zomwe zimayambitsa matendawa. Ngati mwauzidwa kuti muli ndi carotid artery stenosis, mwinamwake mwauzidwa kuti mukufunika kupeza njira zothandizira kuchepetsa chiopsezo cha matenda, kapena kuti mwauzidwa kuti ndi bwino kuyang'anira ndi kuyembekezera.
Kodi Mitsempha ya Carotid Ndi Chiyani?
Mitsempha imatenga magazi olemera ndi zakudya zamtundu uliwonse kumbali zosiyanasiyana za thupi.
Mitsempha yowonjezereka ya carotid ndi mitsempha iwiri yofunika kwambiri ya magazi imene imanyamula magazi ku ubongo. Pali mitsempha ikuluikulu ya carotid, imodzi kumbali zonse za khosi.
Mitsempha yamakono yowongoka ndi yomanzere ndi mitsempha yayikulu yomwe nthambi iliyonse imalowa m'mitsempha yaing'ono, kuphatikizapo mitsempha ya mkatikati ya carotid, mitsempha yamtundu wamtundu wamtundu wamkati ndi mitsempha ya pakati . Mitsempha yaing'ono iliyonse imapereka magazi ku dera la ubongo, mutu kapena nkhope.
Kodi Carotid Artery Stenosis n'chiyani?
Stenosis imatanthauza kutopetsa. Pamene imodzi mwa mitsempha ya carotid imakhala yopapatiza mkati, izi zingathe kusokoneza magazi kupita ku ubongo. Kawirikawiri, kupondaponda sikungokhala kosalala mkati mwake. Kupapatiza kumayambitsidwa ndi zowonjezera zowonongeka m'kati mwa mitsempha ya carotid. Kuwonjezera pa kuchepetsa kuthamanga kwa magazi, zowonongeka zingatuluke ndi kutseka kachigawo kakang'ono ka magazi mkati mwa ubongo, kuchititsa kupweteka kwa ischemic .
Kodi Zimayambitsa Carotid Artery Stenosis?
Matenda a atherosclerosis ndi matenda a mitsempha ya magazi omwe amadziwika ndi mafuta ndi zowonongeka m'makoma a zitsulo zamagazi, zomwe zimapangitsa kuti pang'onopang'ono kutsegula magazi. Matenda a mitsempha ya m'magazi amayamba chifukwa cha kuthamanga kwambiri kwa magazi, matenda a mtima komanso mkulu wa mafuta m'thupi .
Anthu ena amakhalanso ndi mavitamini omwe amachititsa kuti thupi lisamafe.
Zovuta zina zomwe zingayambitse kuchepa ndi kutsika kwa magazi kudzera m'mitsempha ya carotid ndi thrombus (magazi clot), disroction ya carotid , arteritis, ndi fibromuscular displasia .
Kodi Zizindikiro za Carotid Mitsempha Stenosis N'chiyani?
Nthaŵi zambiri, mitsempha yotchedwa carotid stenosis sichizindikiro chilichonse. Dokotala wanu nthawi zambiri amamva phokoso la mitsempha yotchedwa carotid arteri stenosis mwa kumvetsera mitsempha ya magazi m'khosi mwako ndi stethoscope. Chiyesochi, chotchedwa carotid auscultation, ndi chimodzi mwa mayesero omwe dokotala wanu amayesa pa chaka chanu . Nthaŵi zina, carotid stenosis sizimveka phokoso lachilendo lomwe lingathe kuonedwa ndi carotid phokoso.
Carotid artery stenosis ingayambitse matenda osokoneza bongo, omwe ndi kusokonezeka kwaschemic (TIA). TIA ikufanana ndi stroke, pokhapokha kuti imakula bwino popanda kuwonongeka kosatha. Zizindikiro za TIA zimaphatikizapo kufooka kapena kufooka kwa nkhope, mkono kapena mwendo, kukamba nkhani kapena kusintha m'masomphenya. Ngati muli ndi TIA, ndicho chizindikiro chakuti muli pachiopsezo chowopsya. TIA ndi chizindikiro chodziwika kwambiri cha carotid artery stenosis.
Kodi Pali Cayiti ya Carotid Artery Stenosis?
Pali mayesero angapo omwe amatha kufotokozera malo amtundu wa carotid stenosis ndipo amatha kuzindikira kukula kwa stenosis.
Mayesero amenewa ndi a carotid ultrasound, MRA khosi, ndi khosi la CTA. Mwinamwake mukufunikira kukhala ndi imodzi mwa mayesero awa, ndipo zotsatira zidzathandiza kwambiri pakukonzekera njira yabwino yothetsera vuto lanu.
Kodi Mungatani Ponena za Carotid Artery Stenosis?
Madokotala amatenga staroti yamakono yapamwamba kwambiri, makamaka ngati muli ndi zizindikiro za TIA.
Carotid artery stenosis ikhoza kukonzedwa ndi opaleshoni yotchedwa carotid endarterectomy. Zotsatira za opaleshoni ya carotid stenosis zimasonyeza kuti anthu omwe adziwona zizindikiro ndipo omwe ali ndi 70% osachepera mitsempha ya mkati mwa carotid ayenera kuonedwa kuti ndi opambana pa opaleshoni ya carotid stenosis.
Njirayi ingachepetse kwambiri chiopsezo cha mliri wamtsogolo.
Komabe, matenda otchedwa carotid endarterectomy sikuti ndiwo njira yabwino yothetsera aliyense amene ali ndi carotid stenosis. Ngati simungathe kupirira opaleshoni chifukwa cha matenda, ndiye kuti dokotala angakulimbikitseni kutsatira tsatanetsatane wa stenosis kapena angapangitse njira zosiyana kuti akonze malo a stenosis. Palinso njira zina kupatula carotid endarterecomy yomwe ingakhale yabwino kwa anthu ena, ndipo imodzi mwa njirazi zingakhale zabwino kwa inu.
Kusinthidwa ndi Heidi Moawad MD
> Zotsatira:
> Posakhalitsa ndi kuchepetsedwa kwa chithandizo cha posachedwa chizindikiro cha carotid mitsempha yotchedwa stenosis .Vasconcelos V, Cassola N, da Silva EM, Baptista-Silva JC, Cochrane Database Rev. 2016 Sep 9; 9: CD011401.