Isibini esineCarotid

I-Carotid duplex luvavanyo lwe-ultrasound ebonisa ukuba igazi lihamba kakuhle kangakanani kwimithambo ye-carotid. Imithambo ye-carotid ibekwe entanyeni. Babonelela ngegazi ngqo kwingqondo.

I-Ultrasound yindlela engenabuhlungu esebenzisa amaza esandi ukwenza imifanekiso engaphakathi komzimba. Uvavanyo lwenziwa kwilebhu ye-vascular okanye isebe le-radiology.

Uvavanyo lwenziwa ngale ndlela ilandelayo:

• Ulale ngomqolo. Intloko yakho iyaxhaswa ukuyigcina ingashukumi. Ingcali ye-ultrasound isebenzisa ijeli esekwe emanzini entanyeni yakho ukunceda ukuhambisa amaza esandi.
• Okulandelayo, igcisa lihambisa iland ebizwa ngokuba yitransducer ngapha nangapha kuloo ndawo.
• Esi sixhobo sithumela amaza esandi kwimithambo esentanyeni yakho. Amaza esandi ayabhabha kwimithambo yegazi kwaye enze imifanekiso okanye imifanekiso ye-insides yemithambo.

Akukho lungiselelo luyimfuneko.

Unokuziva uxinzelelo njengoko i-transducer ishukunyiswa entanyeni yakho. Uxinzelelo akufuneki lubangele nayiphi na intlungu. Unokuva kwakhona isandi esithi "whooshing". Oku kuqhelekile.

Olu vavanyo lujonga ukuhamba kwegazi kwimithambo ye-carotid. Iyakwazi ukubona:

• Ukunqanda igazi (thrombosis)
• Ukunciphisa kwiimithambo (stenosis)
• Abanye oonobangela bokuvaleka kwimithambo ye carotid

Ugqirha wakho unokuyalela olu vavanyo ukuba:

• Unesifo sokubetha okanye ukuhlaselwa kwe-ischemic (TIA)
• Ufuna uvavanyo olulandelayo kuba umthambo wakho we-carotid wafunyanwa unciphile kwixesha elidlulileyo okanye uye wahlinzwa
• Ugqirha wakho uva isandi esingaqhelekanga esibizwa ngokuba yi-bruit ngaphezulu kwemithambo yentamo ye-carotid. Oku kunokuthetha ukuba umthambo uyancitshiswa.

Iziphumo ziya kuxela ugqirha wakho ukuba ivule kangakanani okanye icekeceke kangakanani imithambo yakho ye-carotid. Umzekelo, imithambo ingacuthwa nge-10%, i-50% icuthe, okanye i-75% icuthe.

Iziphumo eziqhelekileyo zithetha ukuba akukho ngxaki ngokuhamba kwegazi kwimithambo ye-carotid. Umthambo ukhululekile kuko nakuphi na ukubhloka okubalulekileyo, ukunciphisa okanye enye ingxaki.

Iziphumo ezingaqhelekanga zithetha ukuba umthambo unokuncitshiswa, okanye into etshintsha ukuhamba kwegazi kwimithambo ye carotid. Olu luphawu lwe-atherosclerosis okanye ezinye iimeko zemithambo yegazi.

Ngokubanzi, kokukhona umthambo uncipha, kokukhona umngcipheko ophakamileyo wokubetha.

Ngokuxhomekeke kwiziphumo, ugqirha wakho unokufuna ukuba:

• Cinga ngotyando
• Yiba neemvavanyo ezongezelelweyo (ezinje nge-cerebral angiography, i-CT angiography, kunye ne-magnetic resonance angiography)
• Landela ukutya okusempilweni kunye nendlela yokuphila ukunqanda ukuqina kwemithambo
• Phinda uvavanyo kwakhona kwixa elizayo

Akukho bungozi ngokuba nale nkqubo.

Ukuskena - i-carotid duplex; ICarotid ultrasound; Umthambo weCarotid ultrasound; I-Ultrasound - icarotid; I-Vascular ultrasound - i-carotid; I-Ultrasound - vascular - carotid; Stroke - carotid engayi; I-TIA - i-carotid duplex; Uhlaselo lwexeshana lwe-ischemic-carotid duplex

• Utyando lweCarotid-ukukhutshwa

• ICarotid stenosis -I-X-ray yomthambo wasekhohlo
• ICarotid stenosis -I-X-ray yomthambo olungileyo
• Isibini esineCarotid

I-Bluth EI, uJohnson SI, uTroxclair L.Iinqanawa ze-cerebral ze-extracranial. Ku: iRumack CM, uLeviine D, ii-eds. Uxilongo lwe-Ultrasound. Umhla we-5. IPhiladelphia, PA: Elsevier; I-2018: isahluko 26.

IKaufman JA, iNesbit GM. Imithambo yeCarotid kunye ne-vertebral. Ku: Kaufman JA, Lee MJ, ii-eds. I-Vascular kunye neRadiology yokungenelela: Izinto ezifunwayo. Ngomhla wesi-2. IPhiladelphia, PA: Elsevier Saunders; I-2014: isahluko 5.

IPolak JF, iPellerito JS. I-Carotid sonography: umthetho olandelwayo kunye nokuqwalaselwa kobuchwephesha. Ku: Pellerito JS, Polak JF, ii-eds. Intshayelelo kwiVascular Ultrasonography. Umhla wesi-7. IPhiladelphia, PA: Elsevier; 2020: isahl 5.