Ọkpụkpụ akwara Carotid bụ otu n'ime ihe kpatara ọrịa strok. Ọ bụrụ na a gwara gị na ị nwere carotid artery stenosis, ọ nwere ike ịbụ na a gwara gị na ị ga-enwe usoro ịme ihe iji belata ihe ize ndụ nke ịrịa ọrịa strok, ma ọ bụ na agwala gị na ọ kacha mma ile anya na ichere.
Kedu ihe ụgbọ ala Carotid?
Akwara na-ebu ọbara oxygen bara ọgaranya na ihe oriri na akụkụ dị iche iche nke ahụ.
Akwara ụrọ carotid nkịtị bụ ụzọ abụọ dị mkpa nke ọbara na-ebu ọbara ruo n'ụbụrụ. E nwere ụrọ akwara carotid abụọ, otu dị n'akụkụ nke ọ bụla n'olu.
Akịrịka carotid nkịtị na aka ekpe bụ nnukwu akụrụngwa nke alaka ọ bụla na-esi n'ime obere akwara, gụnyere eriri carotid dị n'ime, akwara carotid dịpụrụ adịpụ na ụbụrụ cerebral dị n'etiti . Onye ọ bụla n'ime obere akwara ndị a na-enye ọbara na mpaghara ụbụrụ, isi ma ọ bụ ihu.
Kedu ihe bụ Carotid Artery Stenosis?
Stenosis pụtara ịsụgharị. Mgbe otu akwara carotid na-abawanye n'ime, nke a nwere ike imebi ọbara na ụbụrụ. N'ozuzu, nkedo ahụ abụghị naanị ihe dị mma n'ime ime ụlọ. Ihe mgbagwoju anya kpatara site na mwube nke irighiri ihe n'ime akuku carotid. Na mgbakwunye na mbenata ọbara na-erugharị, mpempe akwụkwọ ahụ nwere ike iwepụ ma gbochie obere arịa ọbara n'ime ụbụrụ, na-eme ka ọrịa strok .
Gịnị kpatara Carotid Artery Stenosis?
Atherosclerosis bụ ọrịa arịa ọbara na-egosi na nkwụnye nke abụba na irighiri ihe dị n'akụkụ mgbidi ọbara, na-eduga ná nkedo nke imeghe nke ọbara na-agafe. Atherosclerosis na - akpata ọbara mgbali elu ogologo oge, ọrịa obi na nnukwu cholesterol na abụba .
Ụfọdụ ndị mmadụ na-ebutekwa na atherosclerosis.
Ihe ndị ọzọ nwere ike ime ka ọbara na-erugharị ma na-ebelata site na akwara carotid gụnyere thrombus (clot clot), carotid dissection , arteritis, na fibromuscular displasia .
Kedu ihe bụ ihe ịrịba ama nke Carotid Artery Stenosis?
Ọtụtụ oge, carotid artery stenosis adịghị emepụta ihe mgbaàmà ọ bụla. Dọkịta gị nwere ike ịnụ ụda ụda akwara carotid mgbe ọ na-ege ntị n'ọdụ ụgbọ mmiri dị n'olu gị na stethoscope. Nnwale a, nke a na-akpọ carotid auscultation, bụ otu n'ime ule na-eme kwa ụbọchị nke dọkịta gị na-enyocha n'oge ahụ gị . Mgbe ụfọdụ, carotid stenosis anaghị emepụta ụda dị iche iche nwere ike ịchọta carotid auscultation.
Ọrịa Carotid stenosis nwere ike ime ka ọ bụrụ na ị ga- ebuso ya agha (TIA.) Otu TIA yiri ọrịa strok, ọ gwụla ma ọ ga - eme nke ọma n'enweghị nsogbu ọ bụla na - adịgide adịgide. Mgbaàmà nke TIA gụnyere nsogbu ma ọ bụ adịghị ike nke ihu, ogwe aka ma ọ bụ ụkwụ, nsogbu na-ekwu ma ọ bụ na-agbanwe n'ọhụụ. Ọ bụrụ na ị nwere TIA, nke ahụ bụ ihe ịrịba ama na ị nọ n'ihe ize ndụ nke ọrịa strok. A TIA bụ ihe kachasị ama nke carotid artery stenosis.
Enwere ule maka Carotid Artery Stenosis?
Enwere ule nyocha nke ole na ole nwere ike ịkọwa ebe carotid artery stenosis ma nwee ike ikpebi oke nke stenosis.
Nyocha ndị a na-eme nchọpụta na-agụnye ultrasound carotid, neck MRA, na olu CTA. Eleghị anya ị ga-achọ ịnweta otu n'ime ule nyocha ndị a, ihe ga-esi na ya pụta ga-arụ ọrụ dị ukwuu n'ịchọpụta atụmatụ kacha mma maka ọnọdụ gị.
Kedu ihe ị nwere ike ime gbasara Carotid Artery Stenosis?
Ndị dọkịta na-ewere oké ụdọ akwara carotid, karịsịa mgbe ị nwere mgbaàmà nke TIA.
A pụrụ idozi ya na stetosis Carotid na usoro ịwa ahụ a na-akpọ captid drastartomy. Ụkpụrụ maka ịwa ahụ nke carotid stenosis na-egosi na ndị nwere ụdị mgbaàmà na ndị nwere ọ dịkarịa ala 70% nkedo nke otu akwara carotid dị n'ime ya kwesiri ka ewere ya dị ka ndị na-eme ihe ga-eme ka ọkpụkpụ carotid stenosis.
Usoro a nwere ike ibelata ihe ize ndụ nke strok.
Otú ọ dị, carotid endarterectomy abụghị ezigbo ngwọta maka onye ọ bụla nwere carotid stenosis. Ọ bụrụ na ịnweghị ike ịnagide ịwa ahụ n'ihi ọnọdụ ahụ ike, mgbe ahụ, dọkịta gị nwere ike ikwu na ị ga-agbaso mpaghara stenosis ma ọ bụ nwere ike ịkwado usoro dị iche iji mezie ebe stenosis. Enwere usoro ndị ọzọ ma e wezụga carotid endarterecomy nke nwere ike ịkwado ụfọdụ ndị, otu n'ime usoro ndị a nwere ike bụrụ ihe kacha mma maka gị.
Edited by Heidi Moawad MD
> Isi mmalite:
> Ọgwụgwọ na-egbu oge na-egbu oge iji mee ka ọkpụkpụ carotid artery stenosis na-adịbeghị anya .Vasconcelos V, Cassola N, da Silva EM, Baptista-Silva JC, Cochrane Database Syst Rev. 2016 Sep 9; 9: CD011401.