Kodi mudayikidwa stent chifukwa cha vuto la mtima? Mwina mudamva bwino mutachita izi. Zinthu monga kupweteka pachifuwa ndi kupuma movutikira zatha, ndipo mwina mudamva ngati mwayamba moyo watsopano. Koma, bwanji ngati, patapita kanthawi, patatha miyezi ingapo, matenda akalewo ayamba kubwereranso? Nanga bwanji ngati pachifuwa panu payamba kupwetekanso? Nanga bwanji ngati mukuvutika kupuma? Anthu ambiri amadandaula panthawiyi. Amadzifunsa kuti, "N'chifukwa chiyani izi zikuchitika ngakhale stent yayikidwa?" Yankho la funsoli ndi vuto lomwe tikukamba lero, lotchedwa 'In-Stent Restenosis'.
Mwachidule, kodi In-Stent Restenosis ndi chiyani?
Kuti timvetse izi, tiyeni tiyambe kuyambira pachiyambi.
Mwachidule, 'Stenosis' imatanthauza kuti chinthu chonga mitsempha yathu yamagazi chimatsekeka kapena kuchepetsedwa. Pamene mitsempha ya mtima yomwe imapereka magazi kumtima yatsekeka chifukwa cha mafuta ambiri (timatcha izi kuti Atherosclerosis ) timatcha Coronary Artery Disease (CAD) . Angioplasty ndi chithandizo chomwe madokotala amagwiritsa ntchito kutsegulanso mitsempha yamagazi yotsekekayi.
Mu izi, baluni yaying'ono imayikidwa pamalo otsekedwa ndipo imadzazidwa kuti ikule mtsempha wamagazi. Kenako, kuti malo okulirawo asagwere ndikutsekanso, chubu chaching'ono chonga maukonde (ichi ndi chomwe timachitcha kuti stent ) chimayikidwa mkati mwa mtsempha. Izi zimathandiza kuti magazi ayambe kuyenda.
Chabwino, tsopano mwamvetsa. 'Restenosis' ndi mawu opangidwa ndi mawu oti 're' (kachiwiri) ndi 'stenosis' (kutseka). Amatanthauza, kutsekanso . Chifukwa chake, In-Stent Restenosis ndi pamene mtsempha wamagazi komwe stent idayikidwako umatsekekanso, pomwe stent inali. Ngakhale izi ndizokhumudwitsa kwambiri, ndikofunikira kudziwa chifukwa chake izi zimachitika.
N’chifukwa chiyani mtsempha umatsekekanso pambuyo poti stent yaikidwa?
Izi sizikuchitika chifukwa cha vuto la stent. Umu ndi momwe thupi lathu limayankhira. Tangoganizirani mukakhala ndi vuto m'thupi lanu, chilonda chimapangika pamene chikuchira, sichoncho? Ndicho chimene chikuchitika apa.
Stent ndi chinthu chomwe chimachokera kunja kwa thupi lathu. Choncho thupi limachitenga ngati 'bala' ndipo limayesetsa kuchichiritsa. Panthawiyi, maselo atsopano amakula pamwamba pa stent. Izi ndi zachilendo. Maselo atsopanowa amapanga gawo la stent la khoma la mitsempha yamagazi, ndikuyeretsa kuyenda kwa magazi.
Komabe, matupi a anthu ena amachitapo kanthu mopitirira muyeso pa izi. Kenako maselo omwe amapangidwa pamwamba pa stent, otchedwa scar tissue, amakhala okhuthala kwambiri kuposa momwe amayembekezera . Monga momwe moss imakulira mkati mwa chitoliro chamadzi ndikutseka dzenje mu chitoliro, minofu yokhuthala iyi imachepetseranso njira ya magazi. Ndicho chomwe timachitcha In-Stent Restenosis.
Chofunika kwambiri, vutoli nthawi zambiri limachitika miyezi itatu mpaka isanu ndi umodzi pambuyo poti stent yaikidwa.Pakadali pano. Pakatha chaka chimodzi kapena ziwiri, mwayi woti izi zichitike ndi wochepa kwambiri.
Ndani amene ali pachiwopsezo chachikulu cha vutoli?
Ngakhale kuti vutoli lingachitike kwa aliyense amene ali ndi stent, anthu ena ali pachiwopsezo chachikulu. Yang'anani ngati muli ndi vutoli.
| Choopsa | Kufotokozera |
|---|---|
| Matenda a shuga | Anthu omwe ali ndi matenda a shuga osalamulirika bwino ndi omwe ali pachiwopsezo chachikulu. Kuchuluka kwa shuga m'magazi kungayambitse kukula kwa minofu molakwika. |
| Matenda a Impso | Chiwopsezochi chilinso chachikulu kwa anthu omwe ali ndi matenda a impso osatha. |
| Cholesterol Yambiri | Kwa iwo omwe ali ndi cholesterol yambiri m'magazi. |
| Kuthamanga kwa magazi (BP) | Kuthamanga kwa magazi kosalamulirika nakonso ndi chiopsezo. |
| Kusuta | Kusuta kumawonjezera chiopsezo chifukwa kumawononga mitsempha yamagazi ndikusokoneza njira yochiritsira. |
Zinthu zina zingapo...
Kuphatikiza apo, chiopsezochi chingachuluke ngati mtsempha wamagazi wotsekedwa ndi waung'ono kwambiri kapena ngati kutsekeka ndi kwakutali kwambiri . Komanso, ngati mtsemphawo wakulitsidwa ndi baluni yopanda stent (Balloon Angioplasty), chiopsezo chotsekekanso chimakhala chachikulu kwambiri.
Kodi zizindikiro za izi ndi ziti?
Vuto lalikulu apa ndilakuti anthu ambiri omwe ali ndi In-Stent Restenosis saona zizindikiro zilizonse . Simungamve chilichonse mpaka mtsempha wamagazi utachepa kwambiri. Ichi ndichifukwa chake ndikofunikira kupita kukayezetsa nthawi zonse monga momwe dokotala wanu wanenera mutagwiritsa ntchito stent.
Komabe, anthu ena amakhala ndi zizindikiro zofanana kwambiri ndi zizindikiro za matenda a mitsempha ya mtima (CAD) zomwe munali nazo musanayambe kugwiritsa ntchito stent.
- Kupweteka pachifuwa kapena kusapeza bwino (Angina): Kumva ngati chifuwa chaphwanyika kapena chaphwanyika. Izi zitha kukhala zovuta kwambiri mukamachita masewera olimbitsa thupi kapena kukwera masitepe.
- Kupuma movutikira: Kuvutika kupuma ngakhale mutachita khama pang'ono.
- Kutopa kwambiri: Kutopa kwambiri moti sungathe kuchita zinthu zomwe unkachita mosavuta.
- Kupweteka kwa phewa kapena mkono: Kupweteka pachifuwa komwe kumayenderana ndi ululu womwe umafalikira ku phewa lamanzere kapena mkono.
- Zizindikiro monga chizungulire, thukuta, ndi nseru zingaonekenso.
Chofunika kwambiri: Ngati mukumananso ndi zizindikiro izi mutagwiritsa ntchito stent, musaiwale kuti mwina ndi china chake . Uzani dokotala wanu nthawi yomweyo.
Kodi ndingadziwe bwanji ngati izi zikupezeka?
Mukatiuza za zizindikiro zanu, dokotala adzakupatsani mayeso angapo kuti atsimikizire.
- Mayeso Olimbitsa Thupi (Mayeso Olimbitsa Thupi): Mumapangidwa kuti muyende kapena kuthamanga pa treadmill ndipo ECG imagwiritsidwa ntchito poyang'anira momwe mtima wanu umagwirira ntchito mukapanikizika.
- Kuyeza kwa Catheterization ya Mtima (Angiogram): Iyi ndi njira yodziwikiratu kwambiri. Monga momwe zimakhalira ndi stent, chubu chaching'ono chimadutsa mumtsempha wamagazi kupita mumtima, utoto wapadera umabayidwa, ndipo X-ray imatengedwa kuti ione ngati pali chotseka chilichonse mkati mwa stent.
- Mayeso ena: Nthawi zina, njira zowunikira monga Intravascular Ultrasound (IVUS) zingagwiritsidwe ntchito kuyang'ana mkati mwa mtsempha wamagazi ndikuyesa molondola kuchuluka kwa kutsekeka.
Kodi chimachiritsidwa bwanji?
Dokotala adzasankha chithandizo chabwino kwambiri kutengera kukula kwa kutsekeka kwa chiwalo ndi momwe mulili.
| Njira yochizira | Kodi chikuchitika ndi chiyani? |
|---|---|
| Mankhwala | Mungafunike kusintha mlingo wa mankhwala omwe mukugwiritsa ntchito panopa kapena kuwonjezera mankhwala atsopano. |
| Kubwerezabwereza Angioplasty | Iyi ndi njira yodziwika kwambiri yochizira. Baluni ina imadutsa mu stent yotsekeka kuti ikule, ndipo nthawi zina stent ina imayikidwa mkati mwake. |
| Opaleshoni ya mtima (CABG) | Ngati kutsekeka kwa mitsempha yamagazi kuli kwakukulu kapena pali mavuto ndi mitsempha yambiri yamagazi, mutha kutumizidwa ku opaleshoni ya Coronary Artery Bypass Grafting (CABG). Izi zimaphatikizapo kudutsa malo otsekeka ndikupanga mtsempha watsopano pogwiritsa ntchito mtsempha wamagazi wotengedwa kuchokera kudera lina. |
| Chithandizo cha radiation (Vascular Brachytherapy) | Uwu ndi mankhwala osowa kwambiri. Apa, mphamvu yochepa kwambiri ya radiation imalowetsedwa mu stent kuti ilepheretse kupanga minofu ya chilonda. |
Kodi palibe njira yopewera izi?
Nkhani yabwino kwambiri ndi iyi. Inde, izi zitha kupewedwa kwambiri.
Chifukwa cha izi ndi mtundu watsopano wa stent wotchedwa Drug-Eluting Stents (DES) . Izi si maukonde achitsulo okha. Ma stent awa ali ndi mankhwala apadera omwe amalamulira kupangika kwa minofu ya chilonda yomwe takambirana. Stent ikalowetsedwa m'thupi, mankhwalawa amatulutsidwa pang'onopang'ono, zomwe zimaletsa maselo kukula mosafunikira.
Poyerekeza ndi ma stenti akale opanda zitsulo, chiopsezo cha restenosis mu in-stent chimakhala chochepa kwambiri ngati ma stenti amenewa oletsa mankhwala agwiritsidwa ntchito. Ngakhale ku Sri Lanka masiku ano, mtundu watsopano wa stent uwu umagwiritsidwa ntchito kwambiri.
Komabe, pali zinthu zina zomwe muyenera kuchita.
- Imwani mankhwala anu monga mwalangizidwira: Imwani mankhwala omwe dokotala wanu wakupatsani, makamaka omwe amaletsa magazi kuundana (monga Aspirin, Clopidogrel), monga mwalangizidwira, osaphonya tsiku limodzi.
- Sinthani moyo wanu: Ngati mukusuta fodya, siyani nthawi yomweyo.. Yesetsani kuchepetsa mafuta m'thupi, matenda a shuga, ndi kuthamanga kwa magazi. Idyani zakudya zabwino zokhala ndi mafuta ochepa, mchere, ndi shuga, komanso zipatso ndi ndiwo zamasamba zambiri. Muzichita masewera olimbitsa thupi monga momwe dokotala wanu walangizira.
Uthenga Wopita Nawo Kunyumba
- Kupuma kwa mtsempha wamagazi mkati mwa stent ndi kuchepa kwa mitsempha yamagazi pambuyo poti stent yaikidwa chifukwa cha kukula kwa minofu ya zipsera. Izi nthawi zambiri zimachitika mkati mwa miyezi 3-6 kuchokera pamene chithandizo chachitika.
- Ngati mukukumana ndi zizindikiro zomwezo monga kale, monga kupweteka pachifuwa kapena kupuma movutikira , mutatha kugwiritsa ntchito stent, musanyalanyaze. Pitani kwa dokotala nthawi yomweyo.
- Nthawi zambiri, vutoli silingayambitse zizindikiro zilizonse . Chifukwa chake, ndikofunikira kufunafuna chithandizo chamankhwala panthawi yoyenera, monga momwe dokotala wanu akulangizira.
- Chiwopsezo cha vutoli chachepa kwambiri chifukwa cha kugwiritsa ntchito Drug-Eluting Stents (DES) pakali pano.
- Chinthu chofunika kwambiri chomwe mungachite ndikumwa mankhwala anu monga mwalangizidwira, kupewa kusuta fodya, ndikukhala ndi moyo wathanzi . Zinthu zimenezi zingateteze mtima wanu kwa nthawi yayitali.
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