Kodi mtsempha wa magazi wa mtima watsekedwa kwathunthu? Tiyeni tikambirane za (Chronic Total Occlusion - CTO)!

Kodi mudamvapo za kutsekeka konse kwa mtsempha wamagazi womwe umanyamula magazi kupita kumtima? Nthawi zina izi zimatha kwa miyezi ingapo. Iyi ndi nkhani yomwe timaitcha kuti chronic total occlusion (CTO) mu zamankhwala. Iyi ndi nkhani yofunika kwambiri, koma musadandaule, chifukwa ndikofunikira kudziwa za iyo.

Kodi matenda a Chronic Total Occlusion (CTO) ndi chiyani? Tiyeni timvetse mosavuta.

Mwachidule, `(Chronic Total Occlusion)` kapena `(CTO)` zikutanthauza kuti mitsempha imodzi kapena zingapo za mtima zomwe zimapereka magazi kumtima mwanu zatsekedwa kwathunthu, kapena 100%, kapena. Timawonjezera mawu akuti `(Chronic)` pa izi pamene kutsekedwa kumeneku kwakhala kukuchitika kwa miyezi itatu kapena kuposerapo. Taganizirani ngati chitoliro chamadzi chomwe chatsekedwa kwathunthu ndi china chake. Izi zimaletsa mpweya ndi michere yomwe minofu ya mtima imafuna. Izi zingayambitse zizindikiro monga kupweteka pachifuwa, kupuma movutikira, `(Dyspnea),` komanso nthawi zina ngakhale matenda a mtima. Matendawa akhoza kukhala oopsa kwambiri.

Ndani ali pachiwopsezo chachikulu chotenga matendawa (CTO)?

Ndipotu, vutoli lotchedwa `(Chronic Total Occlusion)` limapezeka kwambiri mwa anthu omwe ali ndi matenda a mitsempha ya m'mitsempha ya mtima (CAD) . Malinga ndi kafukufuku wina, munthu m'modzi mwa atatu aliwonse omwe ali ndi `(CAD)` akhoza kukhala ndi `(CTO)`.

Tsopano, zinthu zomwe zimayambitsa `(CTO)` ndizofanana kwambiri ndi zomwe zimayambitsa `(CAD)`. Ngati ndinu wosuta fodya, kapena ngati muli ndi zinthu zotsatirazi zoopsa, muli ndi mwayi waukulu wopeza `(CTO)`:

• Kunenepa kwambiri (BMI) ndi 30 kapena kuposerapo (kutanthauza kunenepa kwambiri).
• Matenda a shuga (Diabetes Mellitus) .
• Ngati wina m'banjamo ali ndi matenda a mtima (cholowa).
• Kuthamanga kwa magazi (BP) .
• Kuchuluka kwa cholesterol m'magazi (hyperlipidemia) .
• Ngati mudachitapo kale opaleshoni ya mtima kapena mitsempha ya mtima .
• Ngati mukukhala moyo wosachita zinthu zambiri (kutanthauza kusachita masewera olimbitsa thupi).

Taganizirani za amalume athu Sunil. Amasuta ndudu zambiri, ali ndi shuga wambiri, komanso ali ndi kuthamanga kwa magazi. Sachita masewera olimbitsa thupi moyenera. Anthu ngati amenewo ali pachiwopsezo chachikulu cha matendawa otchedwa ``(CTO)''.

(CTO) Kodi vutoli ndi lofala bwanji?

Matendawa, otchedwa ``(CTO)``, amakhala ofala kwambiri ndi ukalamba. Malinga ndi ziwerengero:

• Pafupifupi 37% ya anthu osakwana zaka 65.
• Pafupifupi 40% ya anthu azaka zapakati pa 65 ndi 79.
• Pafupifupi 41% ya anthu azaka zopitilira 85.

Umu ndi momwe zimagwirira ntchito. Komabe, vuto la `(CTO)` lingakhale lofala kwambiri m'dera la anthu kuposa momwe akatswiri amanenera. Chifukwa ena `(CTO)` sasonyeza zizindikiro zilizonse. Chifukwa chake, ena sangadziwe ngakhale kuti ali ndi `(CTO)`. Izi zikutanthauza kuti, popanda kudziwitsidwa ndi dokotala.

Kodi zizindikiro za (Chronic Total Occlusion) ndi ziti?

Chabwino, tsopano tiyeni tiwone zizindikiro zomwe mungakumane nazo ngati muli ndi `(CTO)`. Zizindikirozi nthawi zina zimatha kuwonjezeka mukatopa, mukamachita masewera olimbitsa thupi, komanso kuchepa mukapuma. Komabe, anthu ena amatha kukumana ndi zizindikirozi ngakhale akamapuma. Ndikofunikiranso kukumbukira kuti nthawi zina simungakhale ndi zizindikiro konse.

Zizindikiro zazikulu zomwe zingawonekere ndi izi:

• Kupweteka pachifuwa, kupsinjika, kapena kupanikizika , ngati kuti wina akukufinya pachifuwa.
• Kumva chizungulire .
• Kutopa kwambiri . Kumva kutopa ngakhale mutachita chinthu chaching'ono.
• Kugunda kwa mtima kosakhazikika .
• Kusanza .
• Kuthamanga kapena kugunda kwa mtima mofulumira .
• Kuvuta kupuma (Dyspnea) . Mumamva kupuma movutikira ngakhale mutayenda kwa kanthawi kochepa.
• Ululu womwe umachokera paphewa mpaka mkono .

Ngati muli ndi chimodzi mwa zizindikiro izi kapena zingapo, ndi bwino kupita kwa dokotala kuti akakupatseni upangiri, chifukwa izi zitha kukhala zizindikiro za matenda a mtima.

Kodi chifukwa chachikulu cha kupangidwa kwa (CTO) ndi chiyani?

Mwachidule, chifukwa chachikulu cha `(Chronic Total Occlusion)` ndi kuyika kwa mafuta mu imodzi kapena zingapo mwa mitsempha yanu ya mtima. Timatcha izi `plaque` . Chifukwa cha kuyika kwa plaque iyi, makoma a mitsempha ya mtima amachepa pang'onopang'ono ndipo amakhala olimba. Njirayi imatchedwa `(Atherosclerosis)` mu zamankhwala. Pamene vuto la `(Atherosclerosis)` likuchitika mu mitsempha yanu ya mtima, timalitcha Coronary Artery Disease (CAD) . Pakapita nthawi, plaque iyi imasonkhana ndipo pamapeto pake mitsempha ya mtima imatsekedwa kwathunthu (100%). Pamenepo ndi pomwe `(CTO)` imapangidwa.

Kodi madokotala amazindikira bwanji matenda a Chronic Total Occlusion? (Kuzindikira)

Madokotala nthawi zambiri amagwiritsa ntchito mayeso otchedwa coronary angiogram kuti adziwe ngati pali vuto lalikulu la kutsekeka kwa magazi. Izi zimaphatikizapo kubaya utoto wapadera (utoto wosiyana) mu mtsempha wamagazi womwe uli m'dzanja kapena mwendo wanu. Utoto uwu umapangitsa kuti mitsempha yanu yamagazi iwonekere bwino pa X-ray. Dokotala amatha kuwona momwe magazi akuyenderera kudzera m'mitsempha yanu ya mtima komanso ngati pali kutsekeka kulikonse.

Kuphatikiza apo, dokotala angachitenso mayeso ena angapo. Ena mwa mayesowa ndi awa:

• MRI ya mtimaIzi zimakupatsani mwayi wowona kapangidwe ka mtima ndi kayendedwe ka magazi.
• Mayeso a Mtima : Mayesowa amachitika kuti muwone momwe mtima wanu umayankhira mukachita masewera olimbitsa thupi, monga kuthamanga pa treadmill.
• Echocardiogram (Echocardiogram - echo) : Izi zitha kuwunika makoma a mtima, ma valve, ndi momwe magazi amayendera mumtima.
• Electrocardiogram (EKG) : Izi zitha kuwona zizindikiro zamagetsi za mtima ndi kayimbidwe ka mtima.

Dokotala akamaliza mayeso onsewa, amapeza mfundo yeniyeni yokhudza ``(CTO)''.

Kodi dokotala (CTO) amalandira chithandizo chotani?

Pali zolinga ziwiri zazikulu pochiza munthu ndi `(CTO)`. Choyamba ndi kuchepetsa zizindikiro . China ndi kuchepetsa chiopsezo cha chochitika chokhudzana ndi mtima, monga matenda a mtima . Mtundu wa chithandizo chomwe mukufuna chidzadalira momwe zizindikiro zanu zilili zoopsa komanso ngati mukulandira kale chithandizo cha `(CAD)`.

Dokotala wanu angakulangizeni njira izi:

• Kuchiza kwa Mitsempha ya M'mitsempha (PCI) : Izi nthawi zambiri zimatchedwa angioplasty ndi stenting . Mu njira imeneyi, dokotala wanu amaika chubu chaching'ono, chopanda kanthu (catheter) kudzera m'dzanja lanu kapena pachikhatho chanu mu mtsempha wa mtima womwe uli mumtima mwanu. Kenako, baluni yaying'ono imadzazidwa kudzera mu catheter kuti ikankhire mbali yotsekedwa. Kenako, chubu chaching'ono cha mesh (stent) chimayikidwa mu mtsempha kuti chisachepenso. Izi zimabwezeretsa kuyenda kwa magazi.

• Kupachikidwa kwa Mitsempha ya Mtima (CABG) : Iyi ndi opaleshoni yotsegula mtima. Mu opaleshoniyi, dokotalayo amatenga mtsempha wathanzi kapena mitsempha kuchokera ku mbali ina ya thupi lanu (nthawi zambiri mwendo kapena chifuwa chanu) ndikupanga njira yatsopano (yodutsa) kuzungulira mtsempha wa mtima wotsekedwa. Zili ngati kutenga njira ina pamene msewu watsekedwa.

Kumbukirani, mankhwala onsewa akhoza kuchiza bwino vuto la `(CTO).` Dokotala wanu adzakuthandizani kusankha chithandizo chomwe chili chabwino kwa inu.

Kodi chiyembekezo cha mtsogolo ndi chiyani ndi udindo wa (CTO)?

Matenda a Chronic Total Occlusion ndi vuto lalikulu, koma musadandaule, vutoli lingathe kuthandizidwa bwino ndi chithandizo choyenera.

Kafukufuku wina wasonyeza kuti PCI imatha kuchiza bwino CTO mwa odwala okwana 86% , pomwe kafukufuku wina wasonyeza kuti CABG imatha kuchiza bwino odwala okwana 60% .

Choncho, ndi chithandizo choyenera komanso kusintha kwa moyo wanu, mutha kukhala ndi moyo wathanzi.

Ndi mafunso ati omwe ndiyenera kufunsa dokotala wanga?

Ngati muli ndi `(Chronic Total Occlusion)`, kapena ngati mukuganiza kuti mwina muli ndi vutoli, ndikofunikira kwambiri kufunsa dokotala wanu mafunso monga awa:

• Kodi zizindikiro zoyambirira za `(CTO)` ndi ziti?
• Ndi mayeso otani omwe ndiyenera kuchita kuti ndidziwe ngati ndili ndi `(CTO)`?
• Ndi kusintha kotani kwa moyo komwe ndingachite kuti ndichepetse chiopsezo changa chokhala ndi `(CTO)`? (monga zakudya, masewera olimbitsa thupi)
• Kodi njira zochiritsira `(CTO)` ndi ziti? Ndi iti yomwe ili yabwino kwa ine?
• Kodi mwayi woti CTO ibwererenso pambuyo pa chithandizo ndi wotani? Kodi tingatani kuti tipewe vutoli?

Funsani mafunso awa kuti mumvetse bwino za vuto lanu. Mukatero mutha kuthandizira bwino chithandizo chanu.

Uthenga Wopita Nawo Kunyumba

Chabwino, mwachidule, izi ndi zinthu zofunika kwambiri kukumbukira zokhudza `(Chronic Total Occlusion - CTO)` zomwe tinakambirana.

Kutsekeka kwa mitsempha ya mtima (CTO) ndi vuto lomwe mitsempha ya mtima yomwe imapereka magazi kumtima mwanu yakhala itatsekeka kwathunthu kwa miyezi yoposa itatu. Izi zitha kuchepetsa kuyenda kwa magazi kupita kumtima ndikuyambitsa mavuto akulu, monga matenda a mtima.

Komabe, ndi matenda oyenera komanso chithandizo choyenera, zizindikiro zimatha kulamulidwa ndipo moyo wabwino ukhoza kukhalapo. Percutaneous Coronary Intervention (PCI) ndi Coronary Artery Bypass Graft (CABG) zonse zimagwiritsidwa ntchito pochiza CTO bwino.

Ngati muli ndi kukayikira kapena mafunso okhudza izi, ndi bwino kufunafuna upangiri wa dokotala nthawi yomweyo . Samalani mtima wanu!

Matenda a mtima , mitsempha ya mtima, mitsempha yotsekeka, CTO, matenda a mtima, angioplasty, opaleshoni ya bypass