Ukuphazamiseka kokulala, isizungu, ukuncipha kokuzwa nokubukeka okubonakalayo, umbono obonakalayo, ukuphelelwa amandla, nezinye izimpawu ezibhalwe phansi kubhekene ne-pathologies yegazi ekunikezeni ubuchopho. Ukuze kutholakale ukuxilongwa okunembile nokuthuthukisa ukwelashwa okudingekayo, isiguli sinconywa ukuba sithwetshwe ngokuphindwe kabili kwezitsha zekhanda nentamo.
Iyini inqubo yocwaningo?
Ucwaningo lusekelwe kulokhu ikhono lamagagasi e-ultrasound, njengokungenelela emathisini nasezikhungweni, okwakuboniswa ngezindiza ezimbili esibukweni, kuboniswa ngamaseli egazi. Ngenxa yalokhu, kungenzeka ukuhlola isimo somshini ngamunye futhi uhlaziye izinga lokugeleza kwegazi. Ukuhlolwa akuyona into engavamile, ngoba ayibuhlungu, iphephile ngokuphelele, ayikho into ephikisanayo futhi ayifuni iziguli ukuba zilungele ngendlela ekhethekile.
Ukuskena kwe-duplex ye-Ultrasound yezingubo zekhanda nentamo
Leli gama latholakala ngokuhlanganisa ukuhlolwa kwamathambo kanyekanye nokukala kwegazi. Esikhathini sokuqapha, isazi singabona uhlelo lwezemikhumbi, sinqume izindawo zokuqina kwazo kanye nokuba khona kwamacwecwe.
Le nqubo isibe yindlela ejwayelekile yokuxilongwa ekuziphatheni kokuhlolwa kokuvimbela ngenxa yezinzuzo ezinjengokungabikho kokunciphisa, ikhwalithi yezithombe eziphezulu kanye nokungabikho kwezingqinamba. Udokotela uyakwazi ukucabangela ngisho neziqu ezincane kunazo zonke, ezenza ukuskena ithuluzi eliphumelelayo ekuxilongweni kwezifo ezijikelezayo ezenzeka ngokungafani.
Nika ukuskena kwe-duplex ye-ultrasound yezingubo zentanyeni nekhanda ngaphansi kwezimo ezilandelayo:
- isiyezi esivamile;
- ngaphambi kokusebenza emkhakheni wezinhliziyo;
- ukukhubazeka kwememori;
- i-pathology entanyeni, engathinta isimo semithambo yegazi.
Izigaba zabantu ngabanye kudingeka zikhishwe njalo ngenhloso yokuhlolwa okuvamile:
- abesifazane abafinyelela eminyakeni engama-45, amadoda emva kweminyaka engamashumi amane;
- ukuba nezihlobo ezinesifo sikashukela nesifo sofuba;
- wahlukunyezwa;
- ukubhema;
- abanesifo sikashukela;
- abantu abane-cholesterol ngokweqile;
- ukuphulwa kwenhliziyo.
Ukuskena kwe-duplex ukuskena kwezitsha zekhanda nentamo
Umehluko phakathi kwalendlela kanye nalowo okhulunywe ngenhla ukubonisa umbala nesithombe sesithathu. Umbala we-arterium ehlolwayo uncike ekutheni izinga lokugeleza kwegazi kulo.
Ngokuvamile le ndlela isetshenziselwa ukuhlanganiswa ne-duplex. Isidingo sesicelo sakho sinqunywa yizici ezilandelayo:
- uma ukwephulwa kokugeleza kwe-cerebral kutholakala esifundweni sezinhlangothi ezimbili;
- ukubonakala kwe-cerebral ischemia ngezizathu ezingaziwa;
- wembula izimpawu zomshuwalense wegazi;
- izinkomba zokuqapha lapho kuhlola indlela yokwelashwa esetshenzisiwe.
Ukunquma ukuskena kwe-duplex kwezitsha zekhanda nentamo
Ukuqhuba ucwaningo lwemisebe ye-ultrasound kungabonakalisa ukukhubazeka kwezinhlelo ezibucayi nezibungu, zithole ukuthi kukhona khona
- Ukuqina kwesifo sokuqina kwesifo somzimba kubonakala ngokuba khona kwamacwecwe. Ngokuzihlaziya, kungenzeka ukuba ufinyelele isiphetho mayelana namathuba okuthuthukisa ukugqama.
- I-Vasculitis inqunywa ngokusekelwe kwimingcele: i-echogenicity, izinguquko odongeni lobuhle kanye nokuba khona kwesibindi.
- I-arteritis yesikhashana iboniswa ukuqina kwezindonga ze-arteries okunciphisa okufanayo ngoku-echogenicity.
- I-Micro- ne-makoangiapathies zibhekwa ngesifo sikashukela.
- Izitsha ze-vertebral zibhekene nokunciphisa ububanzi kuze kube ngamamitha amabili, okuthiwa i-hypoplasia.