Carotid artery stenosis - kudzisamalira
Mitsempha ya carotid imapereka magazi ambiri kuubongo. Amapezeka mbali zonse za khosi lanu. Mutha kumva kutentha kwawo pansi pa nsagwada.
Carotid artery stenosis imachitika pamene mitsempha ya carotid imachepetsedwa kapena kutsekedwa. Izi zitha kubweretsa sitiroko.
Kaya dokotala wanu adalimbikitsa kuchitidwa opaleshoni kuti atseke mitsempha yochepetsetsa, mankhwala ndi kusintha kwa moyo kumatha:
- Pewani kuchepa kwina kwa mitsempha yofunikira iyi
- Pewani sitiroko kuti isachitike
Kusintha zina ndi zina pa kadyedwe kanu ndi zizolowezi zanu zolimbitsa thupi zitha kuthandiza kuchiza matenda a mtsempha wa carotid. Kusintha kwathanzi kumeneku kumathandizanso kuti mukhale wonenepa komanso kuti muchepetse kuthamanga kwa magazi komanso cholesterol.
- Idyani chakudya chopatsa thanzi, chopanda mafuta.
- Idyani zipatso ndi ndiwo zamasamba zambiri. Zatsopano kapena zowuma ndizabwino kuposa zamzitini, zomwe mwina zidawonjezera mchere kapena shuga.
- Sankhani zakudya zamafuta ambiri, monga buledi wambewu zonse, pasitala, chimanga, ndi tchipisi.
- Idyani nyama zowonda ndi nkhuku zopanda khungu ndi Turkey.
- Idyani nsomba kawiri pa sabata. Nsomba ndi yabwino pamitsempha yanu.
- Chepetsani mafuta okhuta, cholesterol, ndikuwonjezera mchere ndi shuga.
Khalani achangu kwambiri.
- Lankhulani ndi wothandizira zaumoyo wanu poyamba kuti mutsimikizire kuti muli ndi thanzi lokwanira kuchita masewera olimbitsa thupi.
- Kuyenda ndi njira yosavuta yowonjezerera zochitika patsiku lanu. Yambani ndi mphindi 10 mpaka 15 patsiku.
- Yambani pang'onopang'ono ndikupanga masewera olimbitsa thupi mpaka mphindi 150 pasabata.
Lekani kusuta, ngati mumasuta. Kusiya kumachepetsa chiopsezo cha sitiroko. Lankhulani ndi omwe amakupatsani za mapulogalamu osuta.
Ngati kusintha kwa moyo wanu sikukuchepetsa cholesterol ndi magazi anu mokwanira, akhoza kukupatsani mankhwala.
- Mankhwala a cholesterol thandizani chiwindi chanu kutulutsa cholesterol yochepa. Izi zimalepheretsa chikwangwani, chosungunuka, kuti zisamangidwe m'mitsempha ya carotid.
- Mankhwala a kuthamanga kwa magazi pumulani mitsempha yanu yamagazi, pangitsani mtima wanu kugunda pang'onopang'ono, ndikuthandizani thupi lanu kuchotsa madzi owonjezera. Izi zimathandiza kuchepetsa kuthamanga kwa magazi.
- Mankhwala ochepetsa magazi, monga aspirin kapena clopidogrel, amachepetsa mwayi wamagazi wopangika ndikuthandizira kuchepetsa chiopsezo cha sitiroko.
Mankhwalawa amatha kukhala ndi zovuta zina. Mukawona zotsatira zoyipa, onetsetsani kuti mwauza dokotala. Dokotala wanu akhoza kusintha mlingo kapena mtundu wa mankhwala omwe mumamwa kuti muchepetse zovuta. Osasiya kumwa mankhwala kapena kumwa mankhwala ochepa osalankhula ndi omwe akukuthandizani kaye.
Wothandizira anu adzafuna kukuyang'anirani ndikuwona momwe chithandizo chanu chikugwirira ntchito. Pa maulendo awa, omwe amakupatsani akhoza:
- Gwiritsani ntchito stethoscope kuti mumvetsere magazi akuyenda m'khosi mwanu
- Onani kuthamanga kwa magazi anu
- Onani kuchuluka kwama cholesterol anu
Mwinanso mungakhale ndi mayesero ojambula kuti muwone ngati zotchinga m'mitsempha yanu ya carotid zikukulirakulira.
Kukhala ndi matenda a mtsempha wa carotid kumayika pachiwopsezo cha sitiroko. Ngati mukuganiza kuti muli ndi matenda a stroke, pitani kuchipinda chadzidzidzi kapena itanani 911 kapena nambala yadzidzidzi yakomweko nthawi yomweyo. Zizindikiro za sitiroko ndi monga:
- Masomphenya olakwika
- Kusokonezeka
- Kutha kukumbukira
- Kutaya chidwi
- Mavuto ndi chilankhulo
- Kutaya masomphenya
- Kufooka mu gawo limodzi la thupi lanu
Pezani chithandizo mwamsanga pamene zizindikiro zayamba. Mukalandira chithandizo msanga, mwayi wanu wochira umakhala wabwino. Ndi sitiroko, kuchedwa kwachiwiri kulikonse kumatha kubweretsa kuvulala kwamaubongo.
Matenda a mitsempha ya Carotid - kudzisamalira
Wopanga J, Ruland S, Schneck MJ. Matenda a Ischemic cerebrovascular. Mu: Daroff RB, Jankovic J, Mazziotta JC, Pomeroy SL, olemba. Neurology ya Bradley mu Kuchita Zachipatala. Wachisanu ndi chiwiri. Philadelphia, PA: Elsevier; 2016: chap 65.
Golide wa LB. Matenda a Ischemic cerebrovascular. Mu: Goldman L, Schafer AI, olemba. Mankhwala a Goldman-Cecil. 26 wa. Philadelphia, PA: Elsevier; 2020: chap 379.
Ricotta JJ, Ricotta JJ. Matenda a m'magazi: kupanga zisankho kuphatikiza chithandizo chamankhwala. Mu: Sidawy AN, Perler BA, olemba. Rutherford Opaleshoni ya Mitsempha ndi Endovascular Therapy. 9th ed. Philadelphia, PA: Elsevier; 2019: chap 89.
Sooppan R, Lum YW. Kuwongolera kwa carotid stenosis. Mu: Cameron AM, Cameron JL, olemba., Eds. Chithandizo Chamakono Cha Opaleshoni. Wolemba 13. Philadelphia, PA: Elsevier; 2020: 933-939.
- Matenda a Mitsempha ya Carotid