Ingaba ugqirha wakho wakhuthaza ukuba ufumane i- cardiac calcium scan ? Unokuzibuza ukuba kuyimfuneko ukuba uneminye yemingcipheko yomzimba kodwa uvavanyo lwexinzelelo olungazange lubonise inkinga yesifo.
Umgaqo-jikelele wolu vavanyo lwezokwelapha kukuba kunengqiqo ukwenza loo nto xa iziphumo zolu vavanyo ziya kuba luncedo ekwenzeni isigqibo malunga nenkathalo yakho.
Kwimeko yakho, ugqirha wakho unokusebenzisa iziphumo ze-scan calcium ukuze anqume ukuba okanye angayinanga yini na unyango lwe-statin. Funda kabanzi nge-scan calcium kunye nendlela esetyenziswa ngayo.
Yintoni iCalcium Scan ikuxelela Ngentliziyo Yakho?
Iskrini se-cardiac calcium i-scan ekhethekileyo ye-CT efumana i-calcium deposits kwiingxube ze-coronary (i-arrium ehambisa igazi kwimisipha yentliziyo). Iipasitidi ze-calcium zenzeka kwimibhobho ngexesha lokubunjwa kwama- atherosclerotic plaques . Ngoko ke, ubukho be-calcium deposits kuthetha ukuba inkqubo yesifo ye- atherosclerosis ikhona.
Isizathu sokuba i-atherosclerotic plaques ibalulekile kukuba le mihlaba ibonakala iphuka. Ukuqhekeka kwe-Plaque kudla ngokuhamba kunye nokuqulunqa kwe-clots yamagazi kwi-artery kwisiza sokuphuka, okukhokelela ekutshatyalaliswa ngokukhawuleza. Esi siganeko kuthiwa yi -acon coronary syndrome (ACS) . I-ACS idla ngokubangela ubuncinane ubunzima obungabonakaliyo , okanye ngaphezulu, i- myocardial infarction (intliziyo yesifo).
Ukuba unayo i-calcium kwimibhobho yakho ye-coronary, sele usenayo i-atherosclerosis, kwaye usengozini ye-ACS.
Score Calcium
I-calcium scan ayitsho nje kuphela ukuba (yewe okanye akukho) unayo i-calcium deposits, kodwa iphinda ilinganise ubukhulu be-calcium deposits kwaye ibonakalise ukuba yeyiphi imitha ye-coronary arteries.
Olu lwazi lushwankathelwe kwinqanaba le- calcium:
- 0: ayikho isifo esichongiweyo
- 1 ukuya ku-99: izifo ezincinane
- 100 ukuya ku-399: izifo ezilinganayo
- 400 okanye ngaphezulu: izifo ezinzima
Ukuphakama kwekhasi le-calcium, i-atherosclerosis ikhona kwiingxube ze-coronary, kwaye iphakamileyo ingozi yokufumana ii-ACS kwiminyaka emininzi elandelayo. Kodwa, ngokubalulekayo, nayiphi na amanqaku aphakamileyo kuneendlela zithetha ukuba inkqubo yesifo se-atherosclerosis isele ikhona, kwaye ubuncinane ubuncinane, isebenza.
Ithini Ngokwenene Imilinganiselo yeCalcium?
Xa i-calcium ye-cardiac i-scans iqala ukuthengiswa kwaye ithengiswa kwiminyaka ye-2000 yokuqala, yayizungezwe ngquzulwano. Ukuphikisana kwakuxhomekeke ngokukodwa kwiimveliso zentengiso eziye zaveliswa ukuba zithengise kodwa zazixhomekeke kwinto yokuba, ngelo xesha, ukusetyenziswa kwezi ziko kwakungaqondwa kakuhle.
Ngelo xesha elidlulileyo, abaninzi bezinqwelo ze-cardiologist babenomdla kwiiplati ze-atherosclerotic ezazinkulu ngokwaneleyo zokubangela ukuphazamiseka okukhulu kwimibhobho ye-coronary. Yaye i-calcium scans ayilunganga ngokukhethekileyo ekufumaneni iiplani ezibangela ukwesaba "ama-50% e-blockages" apho (kucatshangelwa) kufuneka iphathwe ngama- stents . Uvavanyo loxinzelelo lwangokuthathwa emva koko njengesixhobo esilungileyo sokujonga izixhobo ezinjalo "ezibalulekileyo".
Ukususela ngeli xesha, abaphandi bezonyango baye bafunda okuninzi malunga nokuphuka kwamatye . Kuvela ukuba amaninzi amatyala e-ACS ayenzeka ngokuphambuka kweentlanzi "ezingabalulekanga" ezingabangela ukukhutshwa okukhulu, kwaye bekungayi kuba ngabaviwa ukuba bathuthumele. Oku kuthetha izinto ezimbini. Okokuqala, ngelixa ukugxininisa okubalulekileyo kunokuthi kunqunyulwe nayiphi na into eyenziwa yizo zithintelo, kaninzi ayinciphisi kakhulu umngcipheko wokuhlaselwa kwentliziyo. Okwesibini, kuvela ukuba umngcipheko wentsholongwane yexesha elide uqukumbele ngokumalunga nalo "umthwalo wecala" (oko kukuthi, inani kunye nobukhulu beentlanzi zaliphi na ubungakanani kwimithambo ye-coronary), ngaphezu kobukho okanye ukungabikho iiplani "ezibalulekileyo".
Ngokuqinisekileyo, elinye igama lomthwalo weplate ngumlinganiselo we-calcium. Enyanisweni, izifundo ngoku zibonise ngokucacileyo ukuba iphakamileyo yekhalsiyamu, iphakamileyo yengozi yomzimba, nokuba ingaba nayiphi na iiplathi ngokwayo ibangela ukukhutshwa okukhulu.
Yintoni Okufanele Yenziwe Ngomfanekiso Obonakalayo Wekhalsikhi?
Ukufingqa, iskrini se-calcium ikuxelela ukuba okanye unayo i-atherosclerosis kwimibhobho ye-coronary, kwaye ukuba kunjalo, ubungakanani be-atherosclerosis. Ukuba umlinganiselo wekhalsiyamu uphezulu kunezero (apho, kwakhona, kuthetha ukuba ubuncinane i-atherosclerosis ikhona), ezinye izazi ze-cardiologists ziya kuqhubeka zinconywa uvavanyo loxinzelelo, oluya kubanceda ukuba bathethe ukuba ngaba nayiphi na iiplathi ebangela ukukhutshwa okukhulu. Kodwa oku, njengoko sibonile, akuyona nto ingundoqo kwakhona.
Ingongoma enkulu kukuba ingaba unayo i-atherosclerotic plaques okanye ayikho. Yaye ukuba wenza-ukuba i-calcium yakho iphezulu kuneyona-kubaluleke kakhulu ukwenza konke onako ukunciphisa umngcipheko, kungekhona nje kuphela ekuphuhliseni iiplathi ezongezelelweyo kodwa kunye nokuqhekeka kweplate.
Ngokucacileyo, ukhetho lokuphila olunceda ukukhusela ukuqhubela phambili kwe-atherosclerosis kuya kuba yinto ebalulekileyo. Ukulawula umthamo, ukufumana umthambo omkhulu, ukungafuni ukutshaya nokulawula uxinzelelo lwegazi kunye nemilinganiselo ye-cholesterol, konke kufuneka kuthathelwe ingqalelo njengemibandela yobomi nokufa kunokuba bekude ngaphambi kokuba wazi ukuba sele unama-atherosclerotic plaques.
Izitatimende nazo ziba luncedo xa iskrini sakho se-calcium siphumelele-nangona iinqwelo zakho ze-cholesterol zingakhange ziphakanyiswe. Oku kungenxa yokuba izitensi zinceda ukuzinzisa iiplathi kunye nokunceda ukukhusela ukuba bachithe. Oku, kwaye kungekhona ukukwazi ukunciphisa i-cholesterol, ngoku kubonakala ngathi yindlela eyintloko eyenziwa yi-statins yokunciphisa ingozi yomzimba. Ukuthatha i-aspirin ye-dose ephantsi imihla ngemihla inokuqwalaselwa ukuba i-calcium scan yakho ifanelekile.
ILizwi
Ukuba ugqirha wakho ukhuthaza i-cardiac calcium scan, kufuneka uqikelele kakhulu ukuba wenze oko. Inokubonelela ngolwazi oluya kunceda ukukhokela unyango lwakho ukunciphisa umngcipheko wesifo esiyingozi senhliziyo.
> Imithombo:
> IGreenland P, i-Alpert JS, i-Beller GA, kunye ne-al.2010 I-ACCF / AHA isikhokelo sokuvavanya ingozi yomzimba kubantu abadala abangabonakaliyo: ingxelo ye-American College of Cardiology Foundation / i-American Heart Association Task Force kwi-Practice Guidelines. J Am Coll Cardiol 2010; 56: e50.
> Neves PO, Andrade J, uMonção H. Coronary umthamo wekhalsium yerteri: isimo samanje. Radiologia Brasileira . 2017; 50 (3): 182-189. i-doi: 10.1590 / 0100-3984.2015.0235.