Carotid duplex

Carotid duplex ndi mayeso a ultrasound omwe akuwonetsa momwe magazi amayendera bwino kudzera m'mitsempha ya carotid. Mitsempha ya carotid ili m'khosi. Amapereka magazi molunjika ku ubongo.

Ultrasound ndi njira yopanda ululu yomwe imagwiritsa ntchito mafunde omveka kuti apange zithunzi zamkati mwa thupi. Kuyesaku kumachitika mu lab lab kapena ma radiology department.

Kuyesaku kwachitika motere:

• Wagona chagada. Mutu wanu umathandizidwa kuti usayende. Katswiri wopanga ma ultrasound amadzipaka gel osakaniza ndi madzi m'khosi mwanu kuti athandizire kupatsirana kwa mafunde amawu.
• Kenako, katswiri amapita ndi kandodo kotchedwa transducer uku ndi uku kudera lonselo.
• Chipangizocho chimatumiza mafunde am'mitsempha m'khosi mwanu. Mafunde akumenyera pamitsempha yamagazi ndikupanga zithunzi kapena zithunzi zamkati zamitsempha.

Palibe kukonzekera kofunikira.

Mutha kumva kupanikizika pamene transducer ikuyendetsedwa m'khosi mwanu. Kupanikizika sikuyenera kupweteka. Muthanso kumva phokoso la "whooshing". Izi si zachilendo.

Kuyesaku kumayang'ana kuthamanga kwa magazi m'mitsempha ya carotid. Itha kuzindikira:

• Kutseka magazi (thrombosis)
• Kuchepetsa m'mitsempha (stenosis)
• Zina mwazimene zimatseka m'mitsempha ya carotid

Dokotala wanu atha kuyitanitsa mayeso ngati:

• Mudagwidwa ndi sitiroko kapena kudwala kwakanthawi kochepa (TIA)
• Muyenera kuyesa kutsata chifukwa mtsempha wanu wa carotid udapezeka kuti mwachepa m'mbuyomu kapena mudachitidwapo opaleshoni pamtsempha
• Dokotala wanu amamva mawu achilendo otchedwa bruit pamitsempha ya khosi ya carotid. Izi zikhoza kutanthauza kuti mitsempha yafupika.

Zotsatirazi ziziuza dokotala wanu momwe mitsempha yanu ya carotid imakhalira yotseguka kapena yochepetsera. Mwachitsanzo, mitsempha ikhoza kukhala 10% yochepetsedwa, 50% yocheperako, kapena 75% yochepetsedwa.

Zotsatira zabwinobwino zikutanthauza kuti palibe vuto ndi magazi omwe amayenda mumitsempha ya carotid. Mitsempha yake ilibe kutsekeka kulikonse, kuchepa, kapena vuto lina lililonse.

Zotsatira zosazolowereka zikutanthauza kuti mtsempha wamagazi ukhoza kuchepetsedwa, kapena china chake chikusintha magazi m'mitsempha ya carotid. Ichi ndi chizindikiro cha atherosclerosis kapena zinthu zina zotengera magazi.

Kawirikawiri, pamene mitsempha ya mitsempha imakhala yochepetsetsa, imakhala ndi chiopsezo chachikulu cha kupwetekedwa.

Kutengera zotsatira, dokotala angafune kuti:

• Taganizirani za opaleshoni
• Khalani ndi mayeso ena (monga cerebral angiography, CT angiography, ndi magnetic resonance angiography)
• Tsatirani chakudya choyenera komanso moyo wathanzi kuti muteteze mitsempha
• Bwerezaninso mayeso mtsogolomo

Palibe zowopsa pokhala ndi njirayi.

Jambulani - carotid duplex; Carotid ultrasound; Mtsempha wamagazi Carotid; Ultrasound - carotid; Mitsempha ya ultrasound - carotid; Ultrasound - mtima - carotid; Sitiroko - carotid duplex; TIA - carotid duplex; Kuukira kwakanthawi kochepa - carotid duplex

• Opaleshoni ya mtsempha wa Carotid - kutulutsa

• Carotid stenosis - X-ray yamitsempha yamanzere
• Carotid stenosis - X-ray yamitsempha yolondola
• Carotid duplex

Bluth EI, Johnson SI, Troxclair L. Mitsempha yama cell yolumikizidwa. Mu: Rumack CM, Levine D, eds. Kuzindikira Ultrasound. 5th ed. Philadelphia, PA: Elsevier; 2018: mutu 26.

Kaufman JA, Nesbit GM. Mitsempha ya Carotid ndi vertebral. Mu: Kaufman JA, Lee MJ, olemba., Eds. Vascular and Interventional Radiology: Zofunikira. Wachiwiri ed. Philadelphia, PA: Elsevier Saunders; 2014: mutu 5.

Polak JF, Pellerito JS. Zolemba za Carotid: protocol ndi kulingalira kwaukadaulo. Mu: Pellerito JS, Polak JF, olemba., Eds. Kuyamba kwa Vascular Ultrasonography. Wachisanu ndi chiwiri. Philadelphia, PA: Elsevier; 2020: mutu 5.