Ukunyango okukhawuleza emva kokuphazamiseka kubandakanya ukucinga ngomfanekiso
Inkcazo ye-radiology ye-diagnostic kukuba yintsimi yeyeza elisebenzisa iteknoloji ye-imaging ukubona izakhiwo ezisemzimbeni. Iingcali zee- Radiologists ngabagqirha bezobugqirha abaneengcali kwi-radiology.
I-radiology ye-Diagnostic isetyenziselwa ukucacisa imbangela yeempawu, ukujonga indlela umzimba uphendula ngayo unyango isigulane esithobela imeko yonyango, kunye neskrini sezifo ezahlukeneyo ezifana nomhlaza nesifo senhliziyo.
I-radiology ye-Diagnostic isetyenziselwa izigulane ezine- stroke . Unyango lwe-stroke luya kuxhomekeka kuhlobo lokubetha kwesigulane esine-stroke okanye isifo esibuhlungu .
Ukwelashwa ngokukhawuleza emva kokuphazamiseka kunokusindisa ubomi kunye nokunciphisa umonakalo we-stroke ngokubuyisela ukuhamba kwegazi emva kokuphazamiseka kwe-ischemic okanye ukulawula ukuphuma kwegazi kunye nokunciphisa uxinzelelo kwingqondo emva kwesifo esiyingozi.
Iiprotoksi zokujonga izigulane ziyahlukahluka kuxhomekeke kwisixa sexesha elidlulileyo ukususela ekuqaleni kokubetha. Ukuba isigulane sifika kwisibhedlele zingakapheli iiyure ezintathu zokubethelwa kwesantya, ziza kufakwa kwi- CT engabonakaliyo ukuze zikhangele ukubola kwegazi ukuze zichonge uhlobo lwenyango olufunekayo isiguli. Ukuba akukho ukubola, izigulane ezininzi zinokuphathwa nge- thrombolysis . Emva kweeyure zokuqala ezintathu, ukhetho lwezokwelapha luhluke kwaye ukucinga kuyinkimbinkimbi.
Ukuvavanya ukuba isigulane siye sabhekana nesifo esibuhlungu okanye isifo esibuhlungu, i-computed tomography (CT) okanye i-imagery magnetic resonance ( MRI ) yentloko isenziwa.
- I-CT scan yekhanda
I-CT scan iyinkqubo yezobuchwepheshe zezixhobo ezikhethekileyo ze-X-ray kunye neikhomputha ukuvelisa imifanekiso emininzi yengqondo. Ukuphucula ukucinga, umxholo ochasayo unokusetyenziswa ukuphucula ukukhangela kunye nokunceda ekufumaneni i-stroke. Ukuba kukho ukuhamba kwegazi, ukucutha kwe-CT (CTP) kungenziwa ngexesha elifanayo.
- I-MRI yentloko
I-MRI isebenzisa intsimi yamagnetic ukuvelisa imifanekiso yemitya ye-cerebral, eyaziwa ngokuba ngu-MR angiography (MRA). Imifanekiso yokuhamba kwegazi ingafumaneka nge-perfusion kaM MR (MRP).
Ezinye iimvavanyo zingenziwa, emva kokuvavanya kweengqondo, ukuqhubeka ukuchonga uhlobo, indawo kunye nesibango sokubetha. Ziye zisetyenziselwa ukulawula ezinye izifo. Ukongeza kwiimvavanyo zegazi, ezi mvavanyo ziquka:
- I-Electrocardiogram ( ECG okanye i-EKG )
I-electrocardiogram iqhutyelwa ukujonga umsebenzi wombane wenhliziyo. Iyakwazi kwakhona ukuba iimeko zentliziyo ziyimbangela yesifo. - Carotid ultrasound
Eyaziwa nangokuthi i-Doppler ultrasound, amagagasi omsindo aphezulu asebenzisa ukutshintshela okanye ukucinywa kweetriyari ze-carotid ezisecaleni ngalinye entanyeni. Iimitha ze-carotid ziphethe igazi ukusuka entliziyweni ukuya kwingqondo. - I-Cerebral Angiography
I-cerebral angiography eyenziwa ukwenzela ukujonga imida enkulu yegazi kwingqondo. Kuya kunceda ukufumanisa okanye ukuqinisekisa ukungabikho okungaqhelekanga, okufana ne-clot yegazi okanye imiraro emincinci. - Electroencephalogram ( EEG )
Iimvavanyo ze-EEG iimpembelelo zombane zeengqondo kwaye zirekhoda iimvakalelo zombane ezinxulumene nokuva, umbono, kunye neemvakalelo zomzimba.
Olunye uvavanyo lokuhlola oluya kwenziwa luquka ukugqitywa kwe - lumbar (okanye umpompo womthambo ) ukuqokelela iisampula zomlambo ojikeleze ingqondo kunye nomgca womgca.