Carotid artery stenosis - ho itlhokomela

Methapo ea carotid e fana ka phepelo e kholo ea mali bokong. Li fumaneha ka lehlakoreng le leng la molala oa hau. U ka utloa pulse ea bona tlasa mohlahare oa hau.

Carotid artery stenosis e etsahala ha methapo ea carotid e fokotseha kapa e koalehe. Sena se ka lebisa ho stroke.

Hore na ngaka ea hau e buelletse ho buuoa ho notlolla methapo e menyenyane, meriana le liphetoho tsa bophelo li ka:

• Thibela ho fokotseha ho eketsehileng ha methapo ena ea bohlokoa
• Thibela stroke hore se se ke sa etsahala

Ho etsa liphetoho tse itseng lijong tsa hau le litloaelong tsa boikoetliso ho ka thusa ho alafa lefu la methapo ea carotid. Liphetoho tsena tse phetseng hantle li ka u thusa ho boloka boima ba 'mele le ho laola khatello e phahameng ea mali le k'holeseterole.

• Ja lijo tse phetseng hantle, tse se nang mafura.
• Ja litholoana le meroho e mengata. Lijo tse ncha kapa tse hoamisitsoeng ke khetho e ntle ho feta makotikoti, e kanna eaba e kentse letsoai kapa tsoekere.
• Khetha lijo tse nang le fiber e ngata, joalo ka bohobe bo nang le lijo-thollo tse felletseng, li-pastas, lijo-thollo le li-crackers.
• Ja nama e se nang mafura le khoho e se nang letlalo le turkey.
• Ja litlhapi habeli ka beke. Litlhapi li molemo bakeng sa methapo ea hau.
• Fokotsa mafura a mangata, k'holeseterole, 'me u kenye letsoai le tsoekere.

E-ba mafolofolo haholoanyane.

• Bua le mofani oa tlhokomelo ea bophelo pele ho etsa bonnete ba hore u phetse hantle ho ikoetlisa.
• Ho tsamaea ke tsela e bonolo ea ho eketsa ts'ebetso ho letsatsi la hau. Qala ka metsotso e 10 ho isa ho e 15 ka letsatsi.
• Qala butle butle 'me u ikoetlise ho fihlela metsotso e 150 ka beke.

Khaotsa ho tsuba, haeba u tsuba. Ho khaotsa ho tsuba ho fokotsa menyetla ea hore u tšoaroe ke stroke. Bua le mofani oa hau ka mananeo a ho tlohela ho tsuba.

Haeba liphetoho tseleng eo u phelang ka eona ha li theole k'holeseterole ea hao le khatello ea mali ka ho lekaneng, ho ka fanoa ka meriana.

• Meriana ea k'holeseterole thusa sebete sa hao ho hlahisa k'holeseterole e fokolang. Sena se thibela letlapa, depositi e tlotsang boka, hore e se ke ea aha methapong ea carotid.
• Meriana ea khatello ea mali khatholla methapo ea hau ea mali, etsa hore pelo ea hau e otle butle, 'me u thuse' mele oa hau ho felisa mokelikeli o eketsehileng. Sena se thusa ho theola khatello e phahameng ea mali.
• Meriana e fokotsang mali, joalo ka aspirin kapa clopidogrel, e fokotsa monyetla oa hore maqeba a mali a thehe le ho thusa ho fokotsa menyetla ea ho tšoaroa ke lefu la pelo.

Meriana ena e ka ba le litla-morao. Haeba u hlokomela litla-morao, etsa bonnete ba hore u bolella ngaka. Ngaka ea hau e ka fetola lethal dose kapa mofuta oa moriana oo u o nkang ho thusa ho fokotsa litla-morao. Le ka mohla u se ke oa emisa ho noa meriana kapa ua noa meriana e fokolang ntle le ho bua le mofani oa hau pele.

Mofani oa hau o tla batla ho u beha leihlo le ho bona hore na kalafo ea hau e sebetsa hantle hakae. Maetong ana, mofani oa hau a ka:

• Sebelisa stethoscope ho mamela phallo ea mali molaleng oa hau
• Lekola khatello ea mali ea hau
• Lekola maemo a k'holeseterole ea hau

U kanna oa ba le liteko tsa ho nka litšoantšo tse entsoeng ho bona hore na lithibelo tsa methapo ea hau ea carotid li ntse li mpefala.

Ho ba le lefu la methapo ea carotid ho u beha kotsing ea ho tšoaroa ke lefu. Haeba u nahana hore u na le matšoao a stroke, ea kamoreng ea maemo a tšohanyetso kapa letsetsa 911 kapa nomoro ea ts'ohanyetso ea lehae hanghang. Matšoao a stroke a kenyelletsa:

• Pono e lerootho
• Pherekano
• Ho lahleheloa ke mohopolo
• Ho lahleheloa ke maikutlo
• Mathata ka puo le puo
• Ho lahleheloa ke pono
• Bofokoli karolong e le 'ngoe ea' mele oa hau

Fumana thuso hang ha matšoao a hlaha. Hang ha o fumana kalafo, o na le monyetla o motle oa ho fola. Ka stroke, motsotsoana o mong le o mong oa ho lieha ho ka baka likotsi tse ngata tsa boko.

Carotid artery disease - ho itlhokomela

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Khauta ea LB. Lefu la Ischemic cerebrovascular. Ka: Goldman L, Schafer AI, li-eds. Phekolo ea Goldman-Cecil. La 26th. Philadelphia, PA: Elsevier; 2020: khaolo ea 379.

Ricotta JJ, Ricotta JJ. Lefu la methapo ea kutlo: ho etsa liqeto ho kenyelletsa le kalafo ea bongaka. Ka: Sidawy AN, Perler BA, bahlophisi. Rutherford's Vasculry and Endovascular Therapy. La 9th. Philadelphia, PA: Elsevier; 2019: khaolo ea 89.

Sooppan R, Lum YW. Tsamaiso ea khafetsa carotid stenosis. Ka: Cameron AM, Cameron JL, bahlophisi. Phekolo ea Hajoale ea Ts'ebetso. 13th ed. Philadelphia, PA: Elsevier; 2020: 933-939.

• Maloetse a Carotid Artery