Ka taea te aukati anō i te uaua o te ngakau i muri i te whakaurunga o te stent? (In-Stent Restenosis)

Kua whakanohoia he stent ki roto i te uaua o te ngākau, ki roto rānei i tētahi atu e mōhiotia ana e koe? Whai muri i tēnei maimoatanga, he maha ngā wā ka whakaaro tātou kua ea katoa te raruraru, ā, kāore e āraia anō te uaua o te ngākau. Heoi, i ētahi wā, ka puta anō he aukati iti, he whaiti rānei i te wāhi kotahi i whakanohoia ai te stent, arā, i te wāhanga kotahi o te uaua i rongoatia. Koinei te mea e kīia ana e ngā tākuta ko te 'In-Stent Restenosis'. Ahakoa he ahua uaua te ingoa, he tino māmā noa iho. Me kōrero taipitopito tātou mō tēnei, i te reo Sinhala ka taea e koe te mārama.

Tuatahi, kia mārama tātou ki ēnei kupu, e tika ana?

I mua i tā tātou kōrero mō te 'in-stent restenosis', me mārama tātou ki ētahi kupu. Kia mārama ake ai ki a koe.

He aha te 'Stenosis'?

Ki te kī māmā noa, ko te 'stenosis' he whakawhāiti, he whakawhāiti rānei i te uaua toto i roto i tō tātou tinana. Whakaarohia i roto i te wā, ka hanga te paru me te waikura i roto i te paipa wai, ka aukati i te rere o te wai.

Nā, he aha te mate pūkahukahu (CAD)?

Me toto hoki te ngākau kia mahi ai. Ko ngā uaua matua e tuku ana i te toto ki roto i te ngākau e kiia ana ko ngā uaua coronary. Ko te CAD te wā e pupū ake ai ngā putunga ngako e kiia nei ko te plaque i roto i tētahi, i ētahi rānei o ngā uaua coronary, ka whakawhāiti i ngā uaua. Ka kiia hoki tēnei ko te atherosclerosis. Ka kiia hoki e ētahi ko te "whakapakaritanga o ngā uaua." Ka puta mārire tēnei pupū ngako, ā, kāore pea e whakaatu i ngā tohu i te tīmatanga. Engari ki te kore e rongoatia, ka arahi pea ki ngā āhuatanga kino pēnei i te mate ngākau me te ngoikore o te ngākau.

He aha te 'Angioplasty' me te 'Stent'?

Ko tētahi o ngā maimoatanga matua e whakamahia ana e ngā tākuta hei whakatuwhera i ngā uaua coronary kua āraihia e te CAD ko te angioplasty. I ētahi wā ka kiia hoki ko te percutaneous coronary intervention (PCI). I roto i tēnei, ka whakauruhia he ngongo angiangi (catheter) mā roto i tētahi kōhao iti i roto i te kiri ki roto i te uaua kua āraihia. Ka pupuhihia he taputapu iti rite ki te poihau i te pito o te ngongo, ka whānui ake te uaua kua āraihia. Kātahi, hei pupuri i te uaua kei hinga anō, kia rere tika ai te toto, ka whakanohoia he ngongo mata iti – koinei te mahi a te stent – ​​ki roto i te uaua kua whānuihia. Kātahi ka rere pai anō te toto.

Āe, he aha te tikanga o tēnei 'In-Stent Restenosis'?

Kua mārama koe inaianei ki te take me te āhua o te whakatakotoranga o te stent. I muri i te whakatakotoranga o te stent, ā, i te hokinga mai o te rere o te toto i roto i te uaua o te ngākau, i ētahi wā ka tīmata anō te uaua ki te whaiti i te wāhi i whakatakotoranga ai te stent, arā, i roto i te stent. Koia mātou i kī ai ko 'In-Stent Restenosis'. Ko te tikanga o 'Re' ko "anō", ā, ko te tikanga o 'stenosis' ko "te whaiti". Nō reira, ko te tikanga o tēnei ko "te whaiti anō i roto i te stent".

He pēhea te noa o tēnei āhuatanga?

Tērā pea kei te whakaaro koe mēnā he rerekē tēnei mea mō te hunga katoa e whiwhi ana i ngā stent.Kāore, kāore tēnei e pā ki te katoa he stent tōna. Heoi, ki te kōrero whānui, tata ki te 1 i roto i te 4 o ngā tāngata he stent tōna, ka pāngia rātou e tēnei āhuatanga e kiia nei ko te 'In-Stent Restenosis'. I te nuinga o te wā ka pā tēnei i roto i ngā marama e toru ki te ono i muri i te whakaurunga o te stent.

He mea nui: Ki te whai angioplasty poihau koe, engari kāore he stenting, ka nui ake te mōrearea o te restenosis. Tata ki te 4 i roto i te 10 tāngata ka āraia anō ō rātou uaua.

He aha te take e puta ai te 'in-stent restenosis'?

He pātai tino whakamere tēnei. Whai muri i te whakaurunga o te stent, ka ngana te tinana ki te "whakaora". Arā, ka tupu he paparanga pūtau hou (he "arai hou") ki runga i te stent, ka maeneene anō te roto o te uaua. He mea pai tēnei, nā te mea ka ngāwari ake te rere o te toto me te kore e totoka.

Heoi, i ētahi wā, i raro i tēnei paparanga pūtau hou, huri noa i te stent, ka nui rawa te tupu o te kiko whara . Ina nui rawa te tupu o tēnei kiko whara, ka matotoru te arai o roto o te uaua, ka whakawhāiti anō i te rere o te toto. Koinei te tino take o te 'In-Stent Restenosis'.

Kia maumahara, ka puta tēnei i roto i ngā marama e toru ki te ono i muri i te whakaurunga o te stenting. I muri i tēnā, he tino iti te mōrearea o te hanganga o te kiko whara me te aukati i te uaua.

Ko wai kei te nui ake te mōrearea ki te whakawhanake i te 'in-stent restenosis'?

Ahakoa ka taea e te tangata kua whakanohoia he stent mō te CAD te whakawhanake i tēnei āhuatanga e kiia nei ko te 'In-Stent Restenosis', he nui ake te mōrearea o ētahi tāngata. Me titiro tātou ko wai rātou:

• Mō te hunga he nui te cholesterol i roto i te toto. (Koinei te take e puta ai ngā mate ngakau maha!)
• Mō te hunga e mate ana i te whatukuhu .
• Mō te hunga e momi hikareti ana. (He mea tēnei me mutu rawa atu!)
• Mō te hunga he mate huka kāore i te pai te whakahaere.
• Mō te hunga he toto toto tiketike kāore i te taea te whakahaere (te toto toto tiketike).

Mena kei a koe ēnei āhuatanga, he mea nui kia kōrero koe ki tō tākuta kia taea ai e koe te whakahaere i a rātou.

He aha ngā tohu o te 'in-stent restenosis'?

I te nuinga o te wā, kāore he tohu o waho e whakaatuhia ana e te hunga whai `In-Stent Restenosis`. Koia te mea nui kia toro atu koe ki tō tākuta i ngā wā katoa, kia whai hoki i ngā whakamātautau e tika ana i muri i te whakaurunga o te stent.

Heoi, tera pea ētahi tāngata ka pāngia e ngā tohu. Mēnā ka pāngia, he rite tonu ngā tohu ki ērā o te CAD kua pāngia i mua. Kei roto i ēnei:

• He mamae, he kikī, he koretake rānei i roto i te uma. Ka kiia tēnei he "angina." Ka kino ake pea tēnei mamae o te uma ina whakakorikori tinana koe, ina piki arawhata, ina ngenge paku rānei.
• Te werawera makariri.
• Pōuriuri, māuiui, ngoikore rānei.
• Te ngenge nui me te ngoikore.
• Te rongo i te tere o te manawa rerekē ('Heart palpitations').
• Whakapairuaki.
• Te poto o te manawa, i ētahi wā ahakoa he poto noa te tawhiti e hikoi ana.
• Te mamae i te pakihiwi, i te ringa rānei (ina koa te ringa maui).

Mena kei a koe ēnei tohu, me toro atu koe ki te tākuta, kaua e moumou taima.

Me pēhea te tautuhi i te 'in-stent restenosis'?

E ai ki taku kōrero i mua, nā te mea kāore te 'In-Stent Restenosis' e whakaatu i ngā tohu i ngā wā katoa, he mea nui kia toro atu koe ki tō tākuta i ia wā i muri i te whakatakotoranga o te stent. Kātahi ka taea te whakahaere i ngā whakamātautau e tika ana.

Mena kei a koe ngā tohu, ka tūtohu pea tō tākuta i ngā whakamātautau penei:

• Whakamātautau ahotea whakakori tinana : Ka ine tēnei whakamātautau i te pupuhi toto o tō ngākau, ā, ka rapu i ngā huringa o tō ECG i a koe e hikoi ana i runga i te mīhini oma, e eke pahikara ana rānei.
• Te whakaurunga o te catheterization ngākau me te angiogram : Ka mahia tēnei i mua i te whakatakotoranga o te stent. Ka taea te mahi anō i tēnei kia kitea ai mēnā he aukati kei roto i te stent.
• Angiogram tomography rorohiko coronary (CCTA): He rite tēnei ki te matawai CT. Ka werohia he tae motuhake ki roto i te ngākau hei hanga whakaahua 3D o ngā uaua o te ngākau.
• Te rahui rere haurua (FFR): Ka taea tēnei te mahi i te wā kotahi me te angiogram. Ka whakaurua he waea motuhake ki roto i te uaua, ā, ka inehia te toto toto i ngā taha e rua o te aukati hei tirotiro i te kaha o te aukati.
• Te tirotiro oro-ā-roto (IVUS): Ka taea hoki tēnei te mahi i te wā kotahi me te angiogram. Ka tukuna he pūwero iti ki roto i te uaua, kia kitea mārama ai te taha o roto o te pakitara uaua me te stent.

He aha ngā maimoatanga mō te 'in-stent restenosis'?

Mā tō tākuta e whakatau te maimoatanga tino tika māu i runga i te kaha o tō In-Stent Restenosis, arā, te whaiti o te uaua toto, me tō hauora whānui. Tērā pea ka uru atu tētahi o ēnei maimoatanga:

• Ngā Rongoā: Hei whakahaere i ngā tohu pēnei i te angina i puta mai i te In-Stent Restenosis, ka taea te whakanui ake i te horopeta o ngā rongoā o nāianei, ka taea rānei te tāpiri i ngā rongoā hou.
• Te angioplasty anō: Ka whakawhanuitia anō te uaua kua purua ki te poihau, ā, i ētahi wā ka whakauruhia he stent anō. I ētahi wā ka whakamahia pea he poihau kua pania ki te rongoā.
• Te pokanga arai ngākau:Ka kiia hoki tēnei ko te 'Coronary artery bypass grafting', ko te 'CABG' rānei. He pokanga nui tēnei. Ko tāu mahi he waihanga i tētahi ara hou mō te rere o te toto huri noa i te wāhi kua āraia. Arā, ka tangohia e koe tētahi wahi o te uaua mai i tētahi atu wāhanga o tō tinana (pērā i tō waewae, i tō uma) ka hono atu ki te wāhi kua āraia me te tuara.
• Te rongoā ārai toto: He momo rerekē tēnei maimoatanga. He rite ki te rongoā irahiko e whakamahia ana hei patu i ngā pūtau matepukupuku, ko te tuku i tētahi iti o te irahiko mō tētahi wā poto ki te stent hei aukati i te tipu anō o te kiko whara. Ka kiia hoki tēnei ko te rongoā ārai toto.

He huarahi hei ārai i te 'in-stent restenosis'?

Āe, ko te rongo pai ko te taea te whakaiti i te mōrearea o te 'In-Stent Restenosis'. Ko tētahi o ngā huarahi matua ki te mahi i tēnei ko te whakamahi i ngā stent eluting drug (`DES`).

He rerekē ēnei `DES` i ngā stent whakarewa tahanga (BMS). He paninga rongoā angiangi kei runga. Kia whakauruhia te stent ki roto i te uaua, ka tukuna mārire te rongoā, ka whakahaere i te hanganga o te kiko whara me te tipu o ngā pūtau.

I ngā tau kua pahure ake nei, i kōrerohia te mōrearea o te toto totoka me ēnei 'DES'. Heoi, he tino haumaru, he tino whai hua hoki te whakatupuranga hou o ngā stent e tangohia ana e te rongoā. Ina whakamahia ēnei 'DES', ka tino heke te mōrearea o te 'In-Stent Restenosis'. I te nuinga o te wā, 'Neke atu i te 1 i roto i te 10 tāngata' ka pāngia e te 'In-Stent Restenosis'.

Nō reira, ki te mea ka tāpirihia he stent ki a koe, kōrero ki tō tākuta kia whakatauhia ai te momo stent e pai ana mōu.

He aha te tirohanga mō te tangata e pāngia ana e te 'in-stent restenosis'?

Ki te pāngia koe e te 'In-Stent Restenosis', tera pea ka nui ake te tūponotanga ka pāngia koe e ngā mate ngakau e morearea ana ki te ora, pērā i te 'unstable angina', te 'acute coronary syndrome', me ngā 'heart attacks'.

Waimarie, kua tino whakaitihia ēnei mōrearea nā te taenga mai o ngā stent hou (ina koa ko ngā DES) me ngā tikanga whakanoho stent kua whakapaitia. Hei tāpiri, kei reira ngā maimoatanga whai hua mō te In-Stent Restenosis.

Mena he CAD tōu, me whai koe i ngā tohutohu a tō tākuta kia kore ai e pāngia e te In-Stent Restenosis, kia tiakina ai hoki tō ngākau whānui. Ko te tikanga o tēnā:

• Whakaitihia te tote e kainga ana, ā, tangohia ngā rongoā kua tohua e tō tākuta (ina koa ko ērā mō te toto toto tiketike, te cholesterol, me te toto totoka) kia tika, kia tika hoki i te wā tika.
• Whakawhāitihia te inu waipiro. Mena kei te waranga koe ki te waipiro, rapua he awhina hei whakakore i taua mea.
• Kai hauora mō te ngākauKai i tētahi "kai hauora mō te ngākau". Kia iti ake te hinu, te huka, me te paraoa e kainga ana, engari kia nui ake ngā huawhenua, ngā hua rākau, me ngā kai whai kiko i te muka.
• Kia tūpato ki ngā momo ngako e kainga ana e koe. Whakaitihia te kai i ngā kai he nui te ngako kukū me te ngako whakawhiti (kai tere, kai parai, kai kua tākaihia) i ngā wā katoa e taea ana.
• Kia mau ki te taumaha hauora. Whakakorikori tinana i ia rā.
• Ki te mea he mate huka tōu, kia pai te whakahaere.
• Ki te mea he kai paipa koe, ngana ki te whakamutu i tēnei rā tonu. He huarahi hei rapu āwhina.

Āhea ahau me waea atu ki te tākuta?

Ki te whakaaro koe kei te pāngia koe e te mate manawa (ngā tohu pēnei i te mamae nui o te uma, te poto o te manawa, te werawera), waea atu ki te 1990 Suwaseriya Ambulance Service tonu atu.

Mena kua whakauruhia he stent ki roto i tō puku i mua, ā, ka hoki mai anō ēnei tohu, me toro atu ki tō tākuta ngakau tonu:

• Mamae o te uma (angina), te kikī, te pēhanga, te mamae o te ringa, o te pakihiwi rānei.
• Te werawera makariri.
• Te uaua ki te manawa, te wheezing.
• Te ngenge nui rawa, te ngoikore rānei, kāore he take.

He aha taku e pātai atu ai ki taku tākuta?

Ina tūtaki koe ki te tākuta, ka taea e koe te pātai i ēnei pātai kia mārama ai koe ki tō āhua:

• He aha ahau i pāngia ai e tēnei 'restenosis'? He aha ngā āhuatanga mōrearea mōku?
• Ka taea e au te pāngia anō e te restenosis? Me aha ahau hei ārai i tēnei?
• He aha te momo noho me whai ahau hei tiaki i tōku ngākau?
• He aha ngā tohu o ngā raruraru me tirotiro e au?
• He aha te maimoatanga pai rawa atu mōku?

Hei whakamutunga, ngā mea hei maumahara (Karere hei tango ki te kāinga)

Āe, ko te mea nui rawa atu me maumahara koe i roto i tā tātou i kōrero ai ko tēnei. Ko te angioplasty me te stenting e rua o ngā maimoatanga tino nui, tino whakaora ora hoki mō te mate ngakau. Ka whakapai ake ēnei maimoatanga i te rere o te toto ki tō ngakau, ka whakaiti i ngā tohu o te CAD, ā, ka whakapai ake i te kounga o tō oranga.

Heoi, ki te puta anō ngā tohu pēnei i te ngenge, te mamae o te uma, me te poto o te manawa i muri i te whakaurunga o te stent, he tohu pea tēnei mō te 'In-Stent Restenosis '. Ki te tupu tēnā, kaua e mataku, kaua hoki e whakaroa, engari me toro atu ki tō tākuta mō ētahi tohutohu.

Waimarie, nā ngā stent hou, haumaru ake hoki e wātea ana i ēnei rā, kua tino whakaitihia te tūponotanga o te whakawhanake i te In-Stent Restenosis. He pai anō hoki ngā maimoatanga mō tēnei. He pai ake te kōrero ki tō tākuta mō te momo stent me te maimoatanga e tika ana māu. Tiakina tō ngākau!

` Ngā stent, te restenosis i roto i te stent, te mate ngakau, te angioplasty, te mate uaua coronary, te mate uaua coronary, te whakaeke ngakau