Haɗarin toshewar jijiyoyin jini a wuya da kuma bugun jini: Koyi game da maganin TCAR (Transcarotid Artery Revascularization)

Wataƙila kun ji likita yana cewa, "Babban jijiyoyin jini a wuyanku sun toshe, kuma wannan yana ƙara haɗarin kamuwa da bugun jini." Abu ne na al'ada ga kowa ya ji ɗan tsoro idan ya ji wani abu makamancin haka. Amma kada ku damu, domin kimiyyar likitanci ta ci gaba kuma yanzu akwai hanyoyi masu tasiri don magance irin waɗannan yanayi. A yau muna magana ne game da TCAR, wata hanyar magani ta zamani kuma mai aminci wacce ake amfani da ita don rage haɗarin bugun jini.

Menene TCAR? Bari mu fahimce shi a taƙaice.

TCAR (Transcarotid Artery Revascularization) magani ne na musamman wanda ke gyara toshewar babban jijiyoyin jini a wuyanka wanda ake kira Carotid Artery . Ka yi tunanin wani abu makamancin haka ya faru a nan, kamar toshewar magudanar ruwa a gidanka. A cikin waɗannan jijiyoyin jini, abubuwa kamar kitse da cholesterol suna taruwa kuma suna samar da wani Layer. Muna kiran wannan 'Plaque' .

Wannan Layer na plaque yana rage jijiyoyin jini a hankali. Abu mafi haɗari shine idan wani ɓangare na wannan plaque ya fashe ya toshe jijiyoyin jini a cikin kwakwalwa, ko kuma idan wannan toshewar ta dakatar da kwararar jini gaba ɗaya, bugun jini na iya faruwa.

Don haka domin hana wannan haɗarin, likitoci suna magance waɗannan toshewar don cire su. Akwai manyan hanyoyi guda uku don wannan:

1. Gyaran Jijiyoyin Carotid (CEA): Wannan tiyata ce ta gargajiya. Likitan yana yin yanke a wuya, yana buɗe jijiyar jini, sannan yana goge plaque ɗin da hannu.

2. Maganin Carotid Angioplasty da Stenting (CAS): Wannan ya ƙunshi wucewar siririn bututu ta cikin jijiyoyin jini, yawanci a cikin maƙogwaro ko hannu, zuwa yankin da aka toshe a wuya, da kuma amfani da wani abu kamar balan-balan don faɗaɗa toshewar. Sannan, ana saka na'urar kamar raga, da ake kira stent, don hana jijiyoyin sake yin ƙunci.

3. Maganin TCAR: Wannan ya ɗan yi kama da hanyar CAS, amma hanya ce ta zamani kuma mafi aminci. A nan, ana saka stent ta ƙaramin yankewa a wuya, maimakon ta cikin maƙogwaro. Za mu yi magana game da fasalulluka na musamman na wannan daga baya.

Waye ne maganin TCAR ya dace musamman da shi?

An fara gabatar da TCAR ga marasa lafiya waɗanda ke cikin haɗarin kamuwa da matsaloli daga tiyatar gargajiya ta buɗe (CEA). Abubuwan da ka iya ƙara wannan haɗarin sun haɗa da:

• Tsufa.
• Kasancewar cututtukan zuciya ko cututtukan huhu.
• Samun tabo a wuya daga tiyatar wuya ko maganin radiation da aka yi a baya.
• Idan toshewar tana cikin mawuyacin hali a yi mata aiki, kamar a ƙarƙashin ƙashin muƙamuƙi.

Amma yanzu ana amfani da wannan hanyar cikin nasara ga marasa lafiya da ke da matakan haɗari na yau da kullun.

Yaya kake shiri kafin a yi maka tiyata?

Idan ka yanke shawarar yin maganin TCAR, likitanka zai fara yin odar gwaje-gwaje da dama.

• Gwaje-gwajen jini
• Duban dan tayi na jijiyoyin carotid a wuya
• Na'urar daukar hoton CT na musamman (CT Angiogram) wacce ke duba jijiyoyin jini a wuya da kwakwalwa

Bugu da ƙari, za a iya fara shan magunguna da dama don shirya maka tiyata. Waɗannan na iya haɗawa da magungunan rage cholesterol kamar statins da magungunan rage jini kamar aspirin.

Abu mafi mahimmanci shine likita zai shawarce ka kada ka ci ko ka sha komai bayan tsakar dare a daren da ya gabaci tiyatar. Yana da matukar muhimmanci ka bi waɗannan umarnin daidai.

Yaya ake yin tiyatar TCAR?

Wannan hanya ce mai ban mamaki da ci gaba a fannin fasaha. Ga abin da ke faruwa a ɗakin tiyata a cikin sauƙi:

1. Maganin sa barci: Ana yin hakan ne ta hanyar sa ka yi barci gaba ɗaya (Sashin jijiyoyi na gaba ɗaya) ko kuma ta hanyar sanya ka ji rauni kawai a yankin da ke kusa da wuyanka (Sashin jijiyoyi na gida).

2. Tsarin tace jini: Na gaba, ana saka siririn bututu a cikin jijiyar da ke cikin kugu (jiyar femoral). Sannan ana amfani da wannan don mayar da jinin da aka tsaftace zuwa jikinka.

3. Yanke wuya: Ana yin ƙaramin yankan, tsawonsa ya kai inci ɗaya, a wuya, a saman ƙashin wuya, a gefen toshewar.

4. Juya yadda jini ke gudana: Yanzu abu mafi mahimmanci yana faruwa. Ana saka wani bututu a cikin jijiyar carotid ta wannan ƙaramin yanke, kuma wannan bututun yana haɗuwa da bututun da ke cikin maƙogwaro ta hanyar matattara ta musamman. Sannan, kwararar jinin da ke cikin jijiyar carotid na ɗan lokaci yana juyawa daga alkiblar kwakwalwa, zuwa wata hanyar!

5. Tsaro: Wannan yana nufin cewa ko da wani ɓawon plaque ya fashe yayin aikin, ba za su tafi kwakwalwa ba. Madadin haka, ana tace jinin, yana kama duk tarkace, kuma jini mai tsabta ne kawai ake mayar da shi cikin jiki ta hanyar jijiyar da ke cikin maƙogwaro. Wannan shine babban ma'aunin aminci wanda ke hana haɗarin bugun jini.

6. Sanya stent: Yanzu likita yana amfani da siririn waya don ya ratsa toshewar, ya faɗaɗa shi da balan-balan, sannan ya saka stent mai kama da ƙarfe. Wannan yana tabbatar da cewa jijiyoyin jini suna buɗewa.

7. Kammalawa: Sannan a cire dukkan bututun, sannan a dinka ƙananan ramuka a cikin jijiyar da wuya. Duk aikin zai ɗauki kimanin awa ɗaya da rabi.

Murmurewa da kulawa ta dogon lokaci

Bayan tiyatar TCAR, za ku zauna a asibiti na tsawon kwana ɗaya. A wannan lokacin, ma'aikatan lafiya za su ci gaba da sa ido kan yanayin lafiyarku. Tunda wannan tiyata ce mai ƙarancin tasiri, ba ta ɗaukar lokaci mai tsawo ba kafin raunukan su warke.

Bayan ka koma gida, ya kamata ka guji ɗaukar kaya mai nauyi na tsawon mako guda. Yi magana da likitanka game da lokacin da za ka iya komawa aiki. Haka kuma yana da mahimmanci a riƙa duba raunin wuyanka akai-akai don tabbatar da cewa yana warkewa sosai kuma don ganin alamun kamuwa da cuta.

Yaushe za a kira likita

Idan kana da ɗaya daga cikin waɗannan alamun da ke nuna cewa rauninka ya kamu da cuta, kira likitanka nan da nan:

• Zazzaɓi
• Jin sanyi da rawa
• Ja a kusa da raunin
• Fitar ruwa kamar ruwa daga raunin

Bayan an sanya stent, kana da babban nauyi na kiyaye jijiyoyin jininka daga toshewa. Domin yin haka, dole ne ka yi waɗannan abubuwa:

• Ka daina shan taba gaba ɗaya.
• Motsa jiki akai-akai.
• Ku ci abinci mai kyau wanda ba shi da kitse mai yawa.
• A sha maganin da likitanka ya rubuta don rage yawan cholesterol da kuma yawan zubar jini a kan lokaci.