Iyini i-Coronary Calcium Scan? Inhloso, Amazinga/Inqubo & Imiphumela

I-coronary calcium scan iyisivivinyo senhliziyo esisheshayo, esingabuhlungu esithatha izithombe zemithambo yenhliziyo yakho ukuze ihlole ukwakheka kwe-calcium. Le scan ekhethekile ye-CT ingabona izimpawu zakuqala zesifo senhliziyo ngaphambi kokuba uzwe noma yiziphi izimpawu, ikunikeza wena nodokotela wakho ulwazi olubalulekile mayelana nempilo yenhliziyo yakho.

Cabanga ngayo njengesithombe sohlobo lwamapayipi enhliziyo yakho. I-scan ibheka amadiphozi e-calcium emithanjeni yakho ye-coronary, okuyimithambo yegazi enikeza umoya-mpilo emisipha yenhliziyo yakho. Lawa maphuzu e-calcium avame ukuvela lapho i-plaque yakheke khona, okwenza lolu vivinyo lube yithuluzi eliwusizo lokuqonda ingozi yakho yezinkinga zenhliziyo ngokuhamba kwesikhathi.

Iyini i-coronary calcium scan?

I-coronary calcium scan isebenzisa ubuchwepheshe be-computed tomography (CT) ukudala izithombe ezinemininingwane yemithambo yegazi yenhliziyo yakho. I-scan ngokukhethekile ibheka amadiphozi e-calcium akheke ezindongeni zemithambo yakho ye-coronary ngokuhamba kwesikhathi.

Lawa madiphozi e-calcium asebenza njengamaki, ekhombisa lapho i-atherosclerosis (ukuqina kwemithambo) kwenzeka khona. Lapho i-plaque yakheka emithanjeni yakho, i-calcium ingaqongelela lapho njengengxenye yempendulo yemvelo yomzimba. Lapho i-calcium eningi ikhona, i-plaque eningi ongase ube nayo.

Uvivinyo lukhiqiza amaphuzu e-calcium, okuyinombolo ekhombisa ukuthi ingakanani i-calcium esemithanjeni yakho ye-coronary. Lawa maphuzu asiza udokotela wakho ukuthi ahlulele ingozi yakho yokuba nesifo senhliziyo noma ukuthuthukisa ezinye izinkinga zenhliziyo esikhathini esizayo.

Kungani kwenziwa i-coronary calcium scan?

Odokotela batusa ama-coronary calcium scans ikakhulukazi ukuhlola ingozi yesifo senhliziyo kubantu abangenawo izimpawu okwamanje. Lolu vivinyo lusiza ikakhulukazi abantu abasengozini ephakathi nendawo yesifo senhliziyo, lapho imiphumela ingaqondisa khona izinqumo ezibalulekile mayelana nokuvimbela nokwelashwa.

Udkt wakho angase asikisele ukuthi wenze lolu hlobo lokuskena uma unezinto eziyingozi njengomfutho wegazi ophezulu, i-cholesterol ephezulu, isifo sikashukela, noma umlando womndeni wesifo senhliziyo. Ukuskena kungasiza ukuthola ukuthi ngabe udinga ukwelashwa okunamandla ukuvimbela izinkinga zenhliziyo, njengokuqala imithi yokwehlisa i-cholesterol noma ukwenza izinguquko endleleni yokuphila.

Lolu hlobo lokuhlola futhi lunenzuzo enkulu uma ezinye izindlela zokuhlola ubungozi zinikeza imiphumela engacacile. Kwesinye isikhathi ama-calculator endabuko obungozi akubeka endaweni engacacile lapho kunzima khona ukunquma ngendlela engcono yokwelapha. Ukuskena kwe-calcium kungahlinzeka ngolwazi olwengeziwe oludingekayo ukwenza izinqumo ezicacile mayelana nokunakekelwa kwakho.

Ngaphezu kwalokho, ukuskena kungakhuthaza izinguquko endleleni yokuphila. Ukubona ubufakazi obuqondile bokwakheka kwe-calcium emithanjeni yakho kungaba yisixwayiso esinamandla esikukhuthaza ukuthi uthathe izinyathelo ezinempilo yenhliziyo njengokuthuthukisa ukudla kwakho, ukuzivocavoca kakhulu, noma ukuyeka ukubhema.

Yini inqubo yokuskena kwe-calcium yomthambo wenhliziyo?

Inqubo yokuskena kwe-calcium yomthambo wenhliziyo iqondile futhi ngokuvamile ithatha imizuzu engaba ngu-15 kusukela ekuqaleni kuze kube sekupheleni. Uzoqala ngokulala etafuleni elishelela lingene kumshini we-CT scanner, obukeka njengomshini omkhulu onjengendandatho.

Ngesikhathi sokuskena, uzodinga ukubamba umoya wakho isikhathi esifushane (ngokuvamile imizuzwana engu-10-20) ngenkathi umshini uthatha izithombe. Uchwepheshe uzokunikeza imiyalelo ecacile mayelana nokuthi uzobamba nini umoya wakho nokuthi ungaphefumula nini futhi ngokujwayelekile. Lokhu kubamba umoya kusiza ukuqinisekisa ukuthi izithombe zicacile futhi ziqondile.

Isikhathi sokuskena sangempela sifushane kakhulu, ngokuvamile sithatha imizuzu embalwa kuphela. Ngeke uzizwe lutho ngesikhathi sokuskena uqobo, yize ungase uzwe imisindo ethile yokuzungeza noma yokuchofoza evela emshinini. Itafula olele kulo lingase lihambe kancane njengoba i-scanner ithatha izithombe evela ezingelini ezahlukene.

Akudingeki dayi ohlukile kulolu vivinyo, okusho ukuthi ngeke uthole imijovo noma udinge ukuphuza uketshezi olukhethekile. Lokhu kwenza inqubo ibe lula futhi kunciphisa ingozi yokusabela komzimba okungase kwenzeke ngezikhathi ezithile ngezinto eziphikisanayo.

Ungalungiselela kanjani ukuskena kwakho kwe-calcium yomthambo wenhliziyo?

Ukulungiselela ukuskena kwe-calcium yomthambo wenhliziyo kulula ngoba kuyisivivinyo esingahlaseli. Ungadla futhi uphuze ngokujwayelekile ngaphambi kokuskena, futhi akudingeki uyeke ukuthatha imithi yakho ejwayelekile ngaphandle uma udokotela wakho ekutshela ngqo ngenye indlela.

Kufanele ugqoke izingubo ezikhululekile, ezixekile ngaphandle kwezinto zensimbi. Gwema amahembe anezinkinobho zensimbi, ama-bra anocingo, ubucwebe, noma yini enezihlobiso zensimbi. Lezi zinto zingaphazamisa ukucabanga futhi zingadinga ukususwa ngaphambi kokuskena.

Uma une-pacemaker, i-defibrillator, noma amanye amadivaysi ezokwelapha afakwe, qiniseka ukuthi utshela udokotela wakho nethimba lokucabanga kusengaphambili. Ngenkathi lawa madivaysi ngokuvamile engavimbeli ukuskena, ithimba lezokwelapha lidinga ukwazi ngabo ukuze liqinisekise ukuphepha kwakho futhi lithole izithombe ezingcono kakhulu.

Kuyasiza ukufika ngemizuzu embalwa ngaphambi kwesikhathi ukuze uqedele noma yimaphi amaphepha adingekayo futhi uzinze. Abasebenzi bazobuyekeza inqubo nawe futhi baphendule noma yimiphi imibuzo ongase ube nayo ngaphambi kokuthi ukuskena kuqale.

Ungawafunda kanjani ukuskena kwakho kwe-calcium yomthambo wenhliziyo?

Imiphumela yakho yokuskena i-calcium yomthambo wenhliziyo ibikwa njengesikolo se-calcium, esibizwa nangokuthi isikolo se-Agatston. Le nombolo imelela inani le-calcium elitholakala emithanjeni yakho yenhliziyo, ngenombolo ephezulu ekhombisa ukwakheka kwe-calcium okwengeziwe.

Isikolo esingu-zero sisho ukuthi akukho calcium okutholakele emithanjeni yakho yenhliziyo. Lezi yizindaba ezinhle kakhulu futhi zikhomba ingozi ephansi kakhulu yesifo senhliziyo. Abantu abanesikolo se-calcium esingu-zero ngokuvamile banethuba elingaphansi kuka-1% lokuba nesifo senhliziyo eminyakeni eyi-10 ezayo.

Amanani aphakathi kuka-1 no-99 akhombisa ukwakheka kwe-calcium okuncane. Lokhu kuphakamisa ukuthi i-atherosclerosis yasekuqaleni ikhona, kodwa ingozi yakho isezansi uma iqhathaniswa. Udokotela wakho angase ancome izinguquko zokuphila kanye nokuqapha eduze izici eziyingozi zempilo yenhliziyo yakho.

Amanani aphakathi kuka-100 no-299 akhombisa ukwakheka kwe-calcium okuphakathi nendawo. Lokhu kukhombisa ingozi ephakathi nendawo yesifo senhliziyo, futhi udokotela wakho cishe uzoncoma amasu okuvimbela anesihluku esikhulu. Lokhu kungabandakanya ukuqala imithi yokwehlisa i-cholesterol noma ukuqina kwezinguquko zokuphila.

Amanani angama-300 nangaphezulu akhombisa ukwakheka kwe-calcium okukhulu kanye nengozi enkulu yesifo senhliziyo. Abantu abakuleli banga bavame ukudinga ukwelashwa okuphelele kokuvimbela isifo senhliziyo, okuhlanganisa imithi, izinguquko zokuphila, futhi mhlawumbe nezinye izivivinyo zenhliziyo.

Khumbula ukuthi amanani e-calcium kufanele ahlale echazwa ngokuya ngobudala bakho, ubulili, nezinye izici eziyingozi. Udokotela wakho uzocabangela zonke lezi zici ndawonye ukuze akunike ukuhlolwa okunembile kakhulu kwengozi yakho yesifo senhliziyo.

Ungayilungisa kanjani inani lakho le-calcium ye-coronary?

Ngenkathi ungeke ukwazi ukuguqula noma ukususa i-calcium esivele yakheka emithanjeni yakho, ungathatha izinyathelo zokunciphisa ukuqongelela kwe-calcium okuqhubekayo futhi unciphise ingozi yakho yesifo senhliziyo esiphelele. Okubalulekile ukugxila ekuvikeleni ukwakheka kwe-plaque entsha nokuqinisa i-plaque ekhona.

Izinguquko zokuphila zakha isisekelo sokuphatha ukwakheka kwe-calcium ye-coronary. Ukuzivocavoca njalo, ikakhulukazi imisebenzi ye-aerobic efana nokuhamba, ukubhukuda, noma ukuhamba ngebhayisikili, kungasiza ukuthuthukisa impilo yakho yonke yenhliziyo nemithambo yegazi. Hlela okungenani imizuzu eyi-150 yokuzivocavoca okulinganiselwe ngesonto, njengoba kunconywe yimihlahlandlela yezempilo yenhliziyo.

Ukudla kudlala indima enkulu ekunciphiseni ukuqhubeka kwe-plaque. Gxila ekudleni okunempilo enhliziyweni okucebile emifino, izithelo, okusanhlamvu okuphelele, amaprotheni angenamafutha, namafutha anempilo. Nciphisa ukudla okucutshungulwe, i-sodium engadingekile, noshukela owengeziwe. Indlela yokudla yaseMedithera inezinzuzo ezithile empilweni yenhliziyo.

Udokotela wakho angase ancome imithi ukusiza ukuphatha izici zakho eziyingozi. Ama-Statins, anciphisa i-cholesterol, avame ukunqunywa kubantu abanezikolo ze-calcium eziphakeme. Le mithi ingasiza ekuvikeleni ukwakheka kwe-plaque entsha futhi ingasiza ngisho nokuzinzisa i-plaque ekhona.

Eminye imithi ingase idingeke kuye ngesimo sakho esithile. Lokhu kungabandakanya imithi yokwehlisa umfutho wegazi uma une-hypertension, imithi yesifo sikashukela uma unesifo sikashukela, noma i-aspirin ukuvimbela ukujiya kwegazi ezimweni ezithile.

Ukuphatha ingcindezi nokuthola ukulala okwanele nakho kuyizici ezibalulekile. Ingcindezi engapheli nokulala okunganele kungaholela ekuvuvukeni nezinye izinqubo ezithuthukisa isifo senhliziyo. Cabangela amasu okunciphisa ingcindezi afana nokuzindla, ukuzivocavoca kokuphefumula okujulile, noma imisebenzi yokuphumula ejwayelekile.

Yini engcono kakhulu ye-coronary calcium score?

I-coronary calcium score engcono kakhulu ngu-zero, okusho ukuthi akukho okutholakale okutholakale emithanjeni yakho ye-coronary. Lokhu kubonisa ingozi ephansi kakhulu yesifo senhliziyo futhi kusikisela ukuthi imithambo yakho ayinayo i-plaque ebalulekile.

Ukuba ne-calcium score engu-zero kuhlotshaniswa nemiphumela emihle yempilo yenhliziyo. Ucwaningo lubonisa ukuthi abantu abanezikolo ze-calcium eziyi-zero banengozi ephansi kakhulu yokuhlaselwa yinhliziyo noma ezinye izenzakalo zenhliziyo eminyakeni engu-10-15 ezayo, ngokuvamile ngaphansi kuka-1% ngonyaka.

Noma kunjalo, kubalulekile ukuqonda ukuthi amaphuzu e-calcium kufanele ahunyushwe ngokuqondene neminyaka yakho kanye nezinye izici. Abantu abasebancane maningi amathuba okuba namaphuzu ayiziro noma aphansi kakhulu ngenxa yokuthi abanayo isikhathi esiningi sokwakha i-calcium. Njengoba sikhula, ukunqwabelana kwe-calcium kuyanda.

Kubantu abaneminyaka engaphezu kwengama-45-50, ukugcina amaphuzu e-calcium ayiziro kuba yigugu elikhulu. Kusikisela ukuthi naphezu kokuguga, imithambo yakho yegazi ihlale inempilo futhi ingenayo i-atherosclerosis enkulu.

Noma amaphuzu akho engeyona i-zero, amaphuzu aphansi ahlala engcono kunalawo aphezulu. Noma yiziphi izinyathelo ozithathayo zokuvimbela ukunqwabelana kwe-calcium okuqhubekayo nokuphatha izici eziyingozi zesifo senhliziyo kuzozuzisa impilo yakho yesikhathi eside.

Ziyini izici eziyingozi zamaphuzu aphezulu e-calcium coronary?

Izici eziningana zingakhuphula amathuba akho okuba namaphuzu aphezulu e-calcium coronary. Ukuqonda lezi zici eziyingozi kungakusiza kanye nodokotela wakho ukuthi uhlole isimo sakho ngasinye futhi uthuthukise amasu okuvimbela afanele.

Ubudala buyisici esisodwa esiyingozi kakhulu, njengoba ukwakheka kwe-calcium kuvame ukwanda ngokuhamba kwesikhathi. Amadoda ngokuvamile aqala ukuthuthukisa amadiphozi e-calcium ngaphambi kwabesifazane, kodwa ingozi yabesifazane iyanda kakhulu ngemva kokuya esikhathini lapho amazinga e-estrogen ehla.

Nazi izici eziyingozi eziyinhloko ezingaholela kumaphuzu aphezulu e-calcium:

• Umfutho wegazi ophezulu (i-hypertension)
• Amazinga e-cholesterol aphezulu, ikakhulukazi i-LDL (

  Ezinye izinto ezingavamile kodwa ezibalulekile eziyingozi zihlanganisa izimo ezithile zofuzo ezithinta ukukhishwa kwe-cholesterol, njenge-familial hypercholesterolemia. Ngaphezu kwalokho, ukwelashwa ngemisebe yangaphambilini endaweni yesifuba kungakhuphula ingozi yokwakheka kwe-calcium eminyakeni eminingi kamuva.

  Izinto zokuphila zidlala indima enkulu ekunqwabeleni kwe-calcium. Ukudla okunamafutha amaningi okucutshungulwe, i-sodium eyeqile, namafutha agcwele kungaholela ekuthuthukisweni kwe-atherosclerosis kanye nokufakwa kwe-calcium okulandelayo. Ukucindezeleka okungapheli kanye namaphethini okulala angalungile kungase futhi kube nomthelela ezinqubweni zokuvuvukala ezikhuthaza ukwakheka kwe-plaque.

  Ingabe kungcono ukuba ne-calcium score ephezulu noma ephansi ye-coronary?

  Kungcono ngokuqinisekile ukuba ne-calcium score ephansi ye-coronary kuneyodwa ephezulu. Izikolo eziphansi zibonisa ukwakheka okuncane kwe-calcium emithanjeni yakho, okuhumusha ezingozini eziphansi zokuhlaselwa yinhliziyo nezinye izenzakalo zenhliziyo nemithambo yegazi.

  I-calcium score ephansi iphakamisa ukuthi imithambo yakho inempilo futhi ineqhuzu elincane le-atherosclerotic. Lokhu kusho ukuthi ingozi yakho yokuthuthukisa izinkinga zenhliziyo ezingathí sina esikhathini esizayo esiseduze iphansi, ikunikeza isikhathi esiningi sokugcina impilo yenhliziyo yakho ngokukhetha indlela yokuphila nokunakekelwa kokuvimbela.

  Izikolo eziphezulu ze-calcium zibonisa ukwakheka kwe-plaque okukhulu kakhulu kanye nengozi ephezulu yenhliziyo nemithambo yegazi. Nakuba lokhu kungase kuzwakale kukhathaza, kubalulekile ukukhumbula ukuthi ukwazi isikolo sakho kukunikeza ulwazi olubalulekile. Noma ngabe unesikolo esiphezulu, ungenza izinyathelo eziphumelelayo zokunciphisa ingozi yakho futhi uvimbele izinkinga zenhliziyo.

  Abantu abanezilinganiso eziphezulu ze-calcium ngokuvamile bayazuza ekuphathweni kwezokwelapha okujulile. Lokhu kungase kuhlanganise imithi yokwehlisa i-cholesterol, ukulawulwa kwengcindezi yegazi, kanye nezinguquko eziphelele zendlela yokuphila. Ngokwelashwa okufanele, abantu abaningi abanezilinganiso eziphezulu ze-calcium banganciphisa kakhulu ingozi yabo yezenzakalo zenhliziyo zesikhathi esizayo.

  Okhiye ukuthi noma iyiphi i-calcium score, kungakhathaliseki ukuthi iphezulu noma iphansi, inikeza ulwazi oluwusizo kuwe nodokotela wakho. Ama-score aphansi angaba aqinisekisayo futhi akukhuthaze ukuthi ugcine imikhuba enempilo. Ama-score aphezulu, ngenkathi ekhombisa ingozi ephezulu, angaqondisa izinqumo ezibalulekile zokwelashwa ezivikela impilo yenhliziyo yakho.

  Ziyini izinkinga ezingaba khona ze-coronary calcium score ephansi?

  Ukuba ne-coronary calcium score ephansi ngokuvamile akubangeli izinkinga, kodwa kunezinto ezithile ezibalulekile okufanele uzikhumbule. Okukhathaza kakhulu ukuthi i-score ephansi ingase inikeze ukuqinisekiswa okungamanga, okuholela abanye abantu ukuthi bangazinaki ezinye izici ezibalulekile zempilo yenhliziyo.

  I-calcium score enguziro noma ephansi akusho ukuthi ukhululekile ngokuphelele engozini yesifo senhliziyo. Usengaba ne-plaque ethambile emithanjeni yakho engenawo i-calcium okwamanje. Lolu hlobo lwe-plaque ngezinye izikhathi lungaba yingozi ngoba kungenzeka luqhekeke futhi lubangele isifo senhliziyo.

  Abanye abantu abane-calcium score ephansi bangase babe nezinye izinhlobo zezinkinga zenhliziyo ukuthi i-scan ayizitholi. Ngokwesibonelo, ungenza izinkinga zesigqi senhliziyo, izinkinga zama-valve, noma ezinye izimo ezithinta ukusebenza kwenhliziyo kodwa ezingabandakanyi ukwakheka kwe-calcium emithanjeni ye-coronary.

  Enye into okufanele icatshangelwe ukuthi ama-calcium score angashintsha ngokuhamba kwesikhathi. Noma ngabe i-score yakho iphansi manje, ingakhuphuka njengoba ukhula noma uma izici zakho zengozi ziba zimbi. Lokhu kusho ukuthi usadinga ukugcina imikhuba yokuphila enempilo futhi uphathe izimo ezinjengomfutho wegazi ophezulu, isifo sikashukela, ne-cholesterol ephezulu.

  Ngokuvamile, abantu abanezimo zofuzo ezithinta i-cholesterol metabolism bangase bathuthukise izinkinga zenhliziyo naphezu kokuba nama-calcium score aphansi. Lezi zimo zingabangela ukwakheka kwe-plaque okusheshayo okungenzeka kungabonakali njengama-calcium deposits ku-scan.

  Ziyini izinkinga ezingaba khona ze-coronary calcium score ephezulu?

  Izinga eliphezulu le-calcium emithanjeni yenhliziyo libonisa ukwakheka okukhulu kwe-plaque emithanjeni yakho yenhliziyo, okungaholela ezinkingeni eziningi ezingase zibe khona. Okukhathaza kakhulu yingozi eyengeziwe yokuhlaselwa yinhliziyo, njengoba amazinga aphezulu e-calcium ehlobene nesifo esikhulu semithambo yenhliziyo.

  Abantu abanamazinga aphezulu e-calcium banamathuba amakhulu okuba nobuhlungu besifuba (i-angina) ngesikhathi sokuzivocavoca noma ukucindezeleka. Lokhu kwenzeka lapho imithambo enciphileyo ingakwazi ukuhlinzeka ngegazi elanele ukuze kuhlangatshezwane nezidingo zomoya-mpilo wenhliziyo yakho ngesikhathi sokuzikhandla.

  Nazi izinkinga eziyinhloko ezihambisana namazinga aphezulu e-calcium emithanjeni yenhliziyo:

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  • Ingozi eyengeziwe yokuhlaselwa yinhliziyo (i-myocardial infarction)
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  • Ubuhlungu besifuba noma ukungakhululeki (i-angina)
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  • Ukuphefumula kanzima ngesikhathi somsebenzi
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  • Isidingo sezinqubo zenhliziyo njenge-angioplasty noma ukuhlinzwa kwe-bypass
  \n
  • Ukuthuthukiswa kokwehluleka kwenhliziyo ngokuhamba kwesikhathi
  \n
  • Ingozi eyengeziwe yokushaywa unhlangothi
  \n
  • Amathuba aphezulu okufa kwenhliziyo kungazelelwe
  \n

  Ingozi yalezi zinkinga ngokuvamile iyanda ngamazinga aphezulu e-calcium. Abantu abanamazinga angaphezu kwama-300 banengozi enkulu kakhulu kunalabo abanamazinga aphakathi kuka-100-299, nakuba ingozi yomuntu ngamunye ihluka ngokuya ngobudala, ubulili, nezinye izici.

  Abanye abantu abanamazinga aphezulu kakhulu e-calcium bangase bahlangabezane nalokho okubizwa ngokuthi

  Kufanele uxoxe ngemiphumela yakho yokuskena kwe-calcium yomthambo wenhliziyo nodokotela wakho kungakhathaliseki ukuthi uthole ini, ngoba badinga ukuhumusha imiphumela ngokubheka impilo yakho yonke kanye nezinto eziyingozi. Le ngxoxo ibalulekile ekuthuthukiseni uhlelo olufanele lokuvimbela noma lokwelapha.

  Uma uthole i-calcium score enguziro, kufanele ubone udokotela wakho ukuze nixoxe ngokugcina impilo yenhliziyo yakho. Noma ngabe imiphumela yokuskena ihamba kahle, uzodinga ukuqhubeka nokubheka izinto eziyingozi kanye nesiqondiso sokugcina i-score yakho iphansi njengoba ukhula.

  Abantu abane-calcium scores ephakathi kuka-1-99 kufanele bahlele ukuqokwa okulandelayo ukuze baxoxe ngezinguquko zokuphila futhi banqume ukuthi ngabe kudingeka yini okunye ukuhlolwa noma ukwelashwa. Udokotela wakho uzokusiza ukuthi uqonde ukuthi lokhu kwakheka kwe-calcium okuncane kusho ukuthini empilweni yakho yesikhathi eside.

  Labo abane-scores ezingama-100 noma ngaphezulu kufanele babone udokotela wabo ngokushesha ukuze baxoxe ngamasu okuvimbela aqinile. Ama-scores aphezulu avame ukudinga ukuphathwa okuphelele okuhlanganisa imithi, izinguquko zokuphila, futhi mhlawumbe nokuhlolwa okwengeziwe kwenhliziyo.

  Kufanele ufune ukwelashwa ngokushesha uma uba nanoma yiziphi izimpawu ezikhathazayo ngemuva kokuskena kwakho, ikakhulukazi uma une-calcium score ephezulu. Lezi zimpawu zihlanganisa ubuhlungu besifuba, ukuphefumula kanzima, ukukhathala okungavamile, noma ukungakhululeki okungase kusikisela izinkinga zenhliziyo.

  Ngaphezu kwalokho, hlela ukuqokwa okulandelayo njengoba kunconywe udokotela wakho. Abantu abane-calcium scores ephakeme ngokuvamile badinga ukuqapha kaningi futhi bangazuza ekuskeneni okuphindwayo njalo eminyakeni embalwa ukulandelela izinguquko ekwakhekeni kwabo kwe-calcium.

  Imibuzo evame ukubuzwa mayelana nokuskena kwe-calcium yomthambo wenhliziyo

  Q.1 Ingabe ukuhlolwa kwe-calcium yomthambo wenhliziyo kulungile ekutholeni isifo senhliziyo?

  Yebo, ukuskena kwe-calcium ye-coronary kulungele ukuthola izimpawu zakuqala zesifo semithambo ye-coronary ngaphambi kokuthi izimpawu zivele. Lolu vivinyo luwusizo ikakhulukazi ekuhlonzeni abantu abasengozini ephakathi nendawo abangazuza ezinqumweni zokuvimbela ezinamandla.

  Nokho, ukuskena kunemingcele ethile. Kuthola kuphela i-plaque eqinile, hhayi i-plaque ethambile engakabi nawo i-calcium. Ngaphezu kwalokho, lolu vivinyo lubonisa ukuba khona kwe-atherosclerosis kodwa alubonisi ukuthi imithambo yakho inciphe kakhulu noma ivalekile.

  Q.2 Ingabe i-calcium score ephezulu ye-coronary ibangela ubuhlungu besifuba?

  I-calcium score ephezulu ye-coronary ayibangeli ngqo ubuhlungu besifuba, kodwa ibonisa ukuba khona kokwakheka kwe-plaque okukhulu okungaholela ebuhlungwini besifuba. Ama-calcium deposits ngokwawo awabuhlungu, kodwa abonisa ukuthi imithambo yakho ingase inciphe ngokwanele ukuze ivimbele ukuhamba kwegazi enhliziyweni yakho.

  Lapho imithambo enciphile ingakwazi ukuhlinzeka ngokugeleza kwegazi okwanele ngesikhathi somsebenzi owandisiwe noma ukucindezeleka, ungezwa ubuhlungu besifuba, ingcindezi, noma ukungakhululeki. Lolu hlobo lobuhlungu besifuba, olubizwa ngokuthi i-angina, luwuphawu lwesifo semithambo ye-coronary esibonisa i-calcium score.

  Q.3 Ingabe ukuskena kwe-calcium ye-coronary kungathola ingozi yokuhlaselwa yinhliziyo?

  Yebo, ukuskena kwe-calcium ye-coronary kuyithuluzi eliphumelelayo lokuhlola ingozi yokuhlaselwa yinhliziyo. Ama-calcium scores aphezulu ahlobene nengozi eyandisiwe yokuhlaselwa yinhliziyo eminyakeni elandelayo, okwenza lolu vivinyo lube usizo ekuhlukaniseni ingozi.

  Ukuskena kusiza ukuhlonza abantu abangazuza ekwelashweni kokuvimbela njengemithi yokwehlisa i-cholesterol noma izinguquko ezinamandla zokuphila. Nokho, kubalulekile ukukhumbula ukuthi ingozi yokuhlaselwa yinhliziyo incike ezintweni eziningi, futhi i-calcium score iyingxenye eyodwa nje yendida.

  Q.4 Ngingakuthola kaningi kangakanani ukuskena kwe-calcium ye-coronary?

  Ukuvama kokuskena kwe-calcium yomthambo we-coronary kuncike emiphumeleni yakho yokuqala kanye nezici eziyingozi. Abantu abanamanani e-calcium ayiziro ngokuvamile abadingi ukuskena okuphindwayo iminyaka eminingi, ngokuvamile iminyaka engu-5-10, ngaphandle uma izinga lezici zabo eziyingozi lishintsha kakhulu.

  Labo abanamanani e-calcium aphezulu bangazuza ekuskeneni okuphindwayo njalo eminyakeni engu-3-5 ukuze baqaphe ukuqhubeka. Udokotela wakho uzoncoma isikhathi esifanele esekelwe esimweni sakho esithile, okuhlanganisa iminyaka yakho, izici eziyingozi, kanye nokuphendula ekwelashweni.

  Q.5 Ingabe zikhona izingozi ezivela emisebeni yokuskena kwe-calcium yomthambo we-coronary?

  Ukuskena kwe-calcium yomthambo we-coronary kuhilela inani elincane lokuchayeka emisebeni, kodwa ingozi iphansi kakhulu. Umthamo wemisebe ngokuvamile ulingana nama-X-ray esifuba angu-10-15, okuthathwa njengokuncane ngokwezokwelapha.

  Kubantu abaningi, izinzuzo zokuthola ulwazi olubalulekile mayelana nengozi yabo yesifo senhliziyo zidlula kakhulu ingozi encane yemisebe. Kodwa-ke, abesifazane abakhulelwe kufanele bagweme lo mhlahlo, futhi abantu abaye bahlolwa ama-CT scan amaningi muva nje bangase bafune ukuxoxa ngokuchayeka emisebeni eqongelelwe nodokotela wabo.