Kodi mitsempha yamagazi yopita ku ubongo wanu yatsekedwa? Tiyeni tikambirane za Carotid Artery Stenting

Kodi mudamvapo za sitiroko? Ndi vuto lalikulu lomwe limawopseza anthu ambiri ndipo lingasinthe miyoyo yawo. Chifukwa chachikulu cha sitiroko iyi ndi kutsekeka kwa mitsempha yayikulu yamagazi yomwe imanyamula mpweya ndi michere ku ubongo wathu. Ili ngati chitoliro chachikulu chotsekeka chomwe chimanyamula madzi kupita kumunda. Lero tikambirana za njira yofunika kwambiri yothandizira yomwe imatsegulanso mitsempha yamagazi yotsekeka iyi, kulola kuti magazi aziyenda bwino muubongo, komanso kuchepetsa chiopsezo cha sitiroko.

Mwachidule, kodi Carotid Artery Stenting ndi chiyani?

Tangoganizani kuti tili ndi "mitsempha" iwiri ikuluikulu mbali zonse ziwiri za khosi lathu yomwe imapereka magazi ku ubongo wathu, nkhope, ndi khosi. Izi ndi zomwe madokotala amati Mitsempha ya Carotid . Pakapita nthawi, mafuta ochulukirapo, makamaka cholesterol (yomwe madokotala amaitcha `plaque`), amayamba kusonkhana pamakoma a mitsempha yamagazi iyi. Zili ngati dzimbiri lomwe limasonkhana mkati mwa chitoliro chamadzi. Pang'onopang'ono, malo ochulukirapowa amasonkhana ndipo mitsempha yamagazi imachepa, nthawi zina imatseka kwathunthu. Vutoli limatchedwa Carotid Artery Stenosis .

Apa ndi pomwe chubu chaching'ono kwambiri, chonga maukonde chimalowetsedwa m'malo otsekedwa ndipo mtsempha wamagazi wopapatiza umakulitsidwanso. Umu ndi momwe timatcha stent ya mtsempha wa carotid .

Chithandizochi chimachitidwa ndi akatswiri ophunzitsidwa bwino, monga Dokotala wa Mtima, Dokotala wa Mitsempha, kapena Dokotala wa Mitsempha ya Endovascular.

Ndani kwenikweni amene akufunikira chithandizochi?

Dokotala wanu asanakulangizeni chithandizochi, nthawi zambiri amachita ultrasound scan, CT scan, kapena MRI scan ya mitsempha yamagazi ya khosi lanu kuti aone kuchuluka kwa kutsekeka kwake. Chithandizochi nthawi zambiri chimafunika kwa anthu omwe:

• Anthu omwe asonyeza zizindikiro za sitiroko kapena ministroke ndipo mitsempha yawo ya carotid yatsimikizika kuti yatsekedwa ndi ma scan oposa 50% .
• Kwa iwo omwe alibe zizindikiro, koma omwe mitsempha yawo ya carotid imatsekedwa ndi oposa 70% pa scan.

Kodi ndiyenera kukonzekera bwanji ndisanalandire chithandizo?

Ngakhale kuti opaleshoniyi si yaikulu ngati opaleshoni, imafuna kukonzekera pang'ono. Dokotala wanu mwina anganene izi:

• Mankhwala Oletsa Kutsekeka kwa Magazi: Mungapemphedwe kuti muyambe kumwa aspirin ndi mankhwala ena ofanana nawo (monga Clopidogrel, Ticagrelor) masiku atatu kapena asanu musanayambe kumwa mankhwala. Ndikofunikira kumwa mankhwala awa monga momwe dokotala wanu wanenera, monga momwe mwalangizidwira. Kulephera kutero kungayambitse kuchedwa kwa chithandizo chanu.
• Chakudya ndi Zakumwa: Mudzapemphedwa kusala kudya kwa maola angapo musanalandire chithandizo. Dokotala wanu adzakupatsaninso malangizo enieni pankhaniyi.

Kodi chimachitika ndi chiyani panthawi ya chithandizo?

Pali njira ziwiri zazikulu zoikira stent mu mtsempha wamagazi womwe uli pakhosi panu. Dokotala wanu adzasankha njira yoyenera kwa inu.

Pa nthawi ya chithandizochi, mudzapatsidwa mankhwala monga heparin kuti magazi asaundane. Nthawi zambiri njira yonseyi imatenga ola limodzi kapena awiri. Komabe, muyenera kukhala m'chipatala kwa tsiku limodzi, kuphatikizapo nthawi yokonzekera komanso kuyang'aniridwa pambuyo pake.

Kodi chimachitika ndi chiyani mukalandira chithandizo?

Pambuyo poti stent yayikidwa bwino, gulu lachipatala lidzachita izi:

• Kuyezetsa ngati angiogram kumachitika kuti aone ngati stent ndi yayikulu mokwanira komanso ngati magazi akuyenda bwino.
• Ma catheter onse amachotsedwa. Stent imakhalabe pamalo pake kwamuyaya.
• Mudzapatsidwa mankhwala ofunikira kuti muchepetse kusasangalala komwe mukumva.
• Zotsatira za chithandizochi zidzafotokozedwa kwa inu ndi banja lanu.
• Mukapita kunyumba, mudzapatsidwa malangizo a momwe mungamwere mankhwala anu, zomwe mungadye, komanso momwe mungachitire masewera olimbitsa thupi. Makamaka, mudzauzidwa kuti mupitirize kumwa aspirin ndi mankhwala ena ochepetsa magazi.

Kodi ubwino ndi zoopsa za chithandizochi ndi ziti?

Pali ubwino wambiri wogwiritsa ntchito stenting poyerekeza ndi njira yachikhalidwe yochotsera carotid endarterectomy.

Ubwino waukulu

• Palibe chifukwa chochitira opaleshoni yayikulu: Iyi ndi njira yomwe siikhudza thupi kwambiri.
• Kudula pang'ono kapena kusadula: Mu njira zina, pali malo oboola okha.
• Kuchepetsa chiopsezo cha kuwonongeka kwa mitsempha m'khosi.
• Kuchepetsa ululu pambuyo pa chithandizo.

Zoopsa zomwe zingachitike (Zovuta)

Monga momwe zimakhalira ndi chithandizo chilichonse chamankhwala, pali zoopsa zina. Koma izi sizichitika kwa aliyense.

• Kutsika kwa kuthamanga kwa magazi (`Hypotension`) kapena kukwera kwa kuthamanga kwa magazi (`Hypertension`).
• Kugunda pang'onopang'ono kwa mtima (bradycardia).
• Kutuluka magazi kuchokera pamalo pomwe chubucho chinayikidwa.
• Kuundana kwa magazi.
• Matenda a sitiroko: Pali chiopsezo chochepa cha matenda a sitiroko chifukwa cha magazi ochepa omwe amapita ku ubongo panthawi ya chithandizo kapena pambuyo pake.
• Kutuluka magazi mu ubongo.

Chiwopsezochi chingasiyane malinga ndi msinkhu wanu, kaya muli ndi matenda ena, komanso kuchuluka kwa kutsekeka kwa mitsempha yamagazi. Chifukwa chake, lankhulani ndi dokotala wanu za izi ndipo funsani mafunso aliwonse omwe muli nawo.

Kodi muyenera kuchita chiyani kuti mupeze zotsatira zabwino kwambiri?

Vuto lomwe linayambitsa kutsekeka kwa mitsempha yamagazi (atherosclerosis) pambuyo poti stent yaikidwa silidzachiritsidwa kwathunthu. Chifukwa chake, ndikofunikira kwambiri kusintha moyo wanu kuti mupewe mavuto ofanana ndi omwewo mtsogolo.

• Pewani kusuta fodya kotheratu: Sikuti ndudu zokha, bidis, ndi ndudu zina, komanso `vaping` ziyenera kuthetsedwa.
• Imwani mankhwala anu moyenera: Imwani mankhwala omwe dokotala wanu wakupatsani panthawi yoyenera komanso mu mlingo woyenera.
• Khalani ndi kulemera koyenera.
• Kuchita masewera olimbitsa thupi nthawi zonse: Ngakhale kuyenda kwa mphindi 30 patsiku ndikwabwino.
• Tsatirani zakudya zopatsa thanzi la mtima: idyani mafuta ochepa, mchere, ndi shuga, komanso idyani zipatso ndi ndiwo zamasamba zambiri.
• Kulamulira matenda ena:Ngati muli ndi matenda a shuga, kuthamanga kwa magazi, kapena cholesterol, zisungeni bwino (monga, sungani kuthamanga kwa magazi pansi pa 130, cholesterol ya LDL pansi pa 70, ndi HbA1c pansi pa 7).
• Pitani kukayezetsanso: Onetsetsani kuti mwapita kwa dokotala masiku omwe wakuuzani kuti mubwere kudzaona momwe stent ilili.

Kodi nthawi yochira ndi iti ndipo ndiyenera kuyimbira dokotala liti?

Muyenera kupuma pang'ono kwa sabata yoyamba mutabwerera kunyumba.

• Pewani kunyamula zinthu zolemera (zoposa makilogalamu 10).
• Musaviike malo obayira m'madzi (monga kusamba, kusambira) kwa sabata imodzi. Kusamba si vuto.
• Ngati mukukwera masitepe, mukwere pang'onopang'ono.

Zochitika zomwe zimafunika chisamaliro chachangu:

Komanso, ngati malo a chubucho akupitiriza kutuluka magazi, kutupa, kapena kutulutsa mafinya, imbani dokotala nthawi yomweyo.