Kodi muli ndi mtsempha wotsekeka pakhosi panu? Tiyeni tiphunzire za Carotid Artery Stenting, yomwe imaletsa sitiroko.

Kodi dokotala wanu wakuuzani kuti mtsempha waukulu wamagazi m'khosi mwanu watsekedwa ndipo muli pachiwopsezo chogwidwa ndi sitiroko? Ndizachilendo kumva mantha pang'ono mukamva chinthu chonga ichi. Koma musadandaule. Masiku ano, mankhwala ndi apamwamba kwambiri. Pali mankhwala othandiza kwambiri ochiritsira kutsekeka kotereku ndikuchepetsa chiopsezo cha sitiroko. Lero tikulankhula za chithandizo chimodzi chothandiza kwambiri komanso chosavuta: kuyika stent ya carotid.

Mwachidule, kodi carotid stent ndi chiyani?

Chabwino, tiyeni tiyambe ndi kufotokoza mwachidule. Tili ndi mitsempha iwiri ikuluikulu yamagazi mbali zonse ziwiri za khosi lathu yomwe imapereka magazi ku ubongo wathu, nkhope, ndi khosi. Izi ndi zomwe timazitcha Carotid Arteries . Pakapita nthawi, zinthu monga mafuta ndi cholesterol kuchokera muzakudya zomwe timadya zimayamba kusonkhana pamakoma a mitsempha iyi. Timatcha izi 'plaque' . Zili ngati dzimbiri lomwe limasonkhana mkati mwa chitoliro chamadzi.

Cholemberachi chimaunjikana ndikuchepetsa njira yolowera mkati mwa mtsempha, nthawi zina chimatseka kwathunthu. Vutoli limatchedwa carotid artery stenosis . Izi zikachitika, magazi opita ku ubongo amachepa, zomwe zimayambitsa sitiroko.

Choncho, kutsekereza mitsempha ya carotid ndi njira yochiritsira yomwe imatsegulanso mtsempha wotsekeka. Apa, dokotala amaika stent , chubu chaching'ono chachitsulo chooneka ngati mesh, m'dera lotsekekalo ndikulitulutsa kuchokera mkati. Mtsempha wotsekekawo umakulanso, ndikubwezeretsa kuyenda kwa magazi. Stent iyi imayikidwa kosatha mkati mwa mtsempha. Ili ngati chogwirizira khoma lomwe latsala pang'ono kugwa, kuthandiza mtsemphawo kuti usiye kutsekekanso.

Ndani akufunikira chithandizo ichi?

Dokotala nthawi zambiri amalangiza chithandizo ichi akatha kufufuza mtsempha wanu wa carotid kuti awone ngati watsekeka. Izi zitha kuphatikizapo mayeso monga carotid ultrasound , CT scan , kapena MRI . Chithandizochi nthawi zambiri chimafunika pa:

• Kwa iwo omwe ali ndi zizindikiro za sitiroko yaying'ono kapena sitiroko ndipo mitsempha yawo yamagazi yatsekedwa ndi kupitirira 50%.
• Kwa iwo omwe alibe zizindikiro koma omwe mitsempha yawo yamagazi yatsekedwa ndi oposa 70%.

Dokotala wanu adzasankha ngati chithandizochi chili choyenera matenda anu, kapena ngati opaleshoni ina (Carotid Endarterectomy) ndi yoyenera.

Kukonzekera ndi kuchita chithandizo

Dokotala wanu mwina angakupatseni mankhwala ochepetsa magazi masiku angapo musanachite opaleshoni yanu, monga aspirin ndi clopidogrel .

Kodi chithandizochi chimachitidwa bwanji?

Izi zimachitika ndi dokotala waluso amene waphunzitsidwa mwapadera pa izi. Mudzapatsidwa mankhwala kuti mupewe kupweteka panthawi ya chithandizo. Pali njira zingapo zazikulu zoikira stent.

Dokotala wanu adzasankha njira yoyenera kwa inu. Njira yonseyi imatenga pafupifupi ola limodzi kapena awiri. Komabe, muyenera kukhala m'chipatala kwa tsiku limodzi, chifukwa zimatenga maola angapo kuti mukonzekere ndikuyang'aniridwa pambuyo pake.

Kodi chimachitika ndi chiyani mukalandira chithandizo?

Pambuyo pa chithandizo, dokotala adzakujambulani angiogram kuti awone ngati stent ikugwira ntchito bwino komanso ngati magazi abwerera mwakale. Kenako, catheter ndi zipangizo zina zidzachotsedwa ndipo mudzapatsidwa mankhwala ochepetsa ululu ndi malangizo ena omwe mungafune.

Chofunika kwambiri ndichakuti muyenera kupitiriza kumwa mankhwala ochepetsa magazi (monga Aspirin, Clopidogrel) ngakhale mutapita kunyumba. Musasiye kumwa mankhwalawa popanda kulankhula ndi dokotala wanu. Nthawi zambiri mumayenera kumwa mankhwalawa kwa miyezi ingapo.

Nthawi yochira mukabwerera kunyumba

• Musanyamule chilichonse cholemera kuposa makilogalamu 20 (monga chidebe cha madzi) kwa sabata imodzi.
• Musaviike malo odulidwa/obooledwa m'madzi (osasamba, maiwe osambira) kwa sabata imodzi mutalandira chithandizo. Kusambira kuli bwino.
• Samalani pang'ono mukakwera masitepe.
• Pang'onopang'ono phunzirani kuchita zinthu mwachizolowezi mkati mwa sabata imodzi.

Ubwino, zoopsa, ndi kupambana kwa nthawi yayitali kwa chithandizo

Chithandizochi sichimavulaza kwambiri kuposa opaleshoni yachikhalidwe yotseguka, yomwe ili ndi zabwino zingapo. Zofunika kwambiri ndi kudula ming'alu yaying'ono, kuchepetsa chiopsezo cha kuwonongeka kwa mitsempha ya m'khosi, komanso kupweteka kochepa mukalandira chithandizo.

Zoopsa zomwe zingachitike ndi monga kutuluka magazi, kuthamanga kwa magazi pang'ono/kukwera (Hypotension/Hypertension), kugunda kwa mtima pang'onopang'ono (Bradycardia), magazi kuundana, komanso sitiroko nthawi zambiri. Dokotala wanu adzakufotokozerani mwatsatanetsatane zoopsazi.

Chofunika kwambiri ndichakuti chithandizochi sichichiritsa matenda oyamba (atherosclerosis). Chimangochotsa kutsekeka komwe kulipo. Chifukwa chake, ndikofunikira kusintha moyo wanu kuti mitsempha yamagazi isatsekekenso.

• Siyani kusuta fodya ndi kusuta fodya kwathunthu.
• Imwani mankhwala omwe dokotala wakupatsani pa nthawi yake.
• Khalani ndi kulemera koyenera.
• Kuchita masewera olimbitsa thupi nthawi zonse.
• Khalani ndi zakudya zabwino zomwe zili ndi mafuta ochepa, mchere, ndi shuga, komanso zipatso ndi ndiwo zamasamba zambiri.
• Sungani kuthamanga kwa magazi anu, cholesterol (LDL yochepera 70), ndi matenda a shuga (HbA1c yochepera 7) moyenera.
• Pitani kwa dokotala panthawi yomwe mwakonza ndipo mukayezedwe.

Zadzidzidzi! Kodi mungachite chiyani ngati muli ndi zizindikiro izi?

Izi ndizofunikira kwambiri. Ngati mukukumana ndi zizindikiro zotsatirazi, imbani 1990 Ambulance Service nthawi yomweyo kapena pitani ku Emergency Department (ETU) ya chipatala chapafupi.

• Zizindikiro za sitiroko: kugwada mbali imodzi ya nkhope, kuvutika kulankhula kapena kumvetsetsa mawu, kutaya kumverera kapena dzanzi m'dzanja kapena mwendo.
• Ngati pali kutuluka magazi kwambiri kapena kutupa pamalo pomwe stent idayikidwapo (pakhosi, m'dzanja, kapena pakhosi).

Nthawi zina mitsempha yamagazi imatha kucheperachepera chifukwa cha kukula kwa minofu pamalo omwe apatsidwa chithandizo. Tikutcha izi kuti 'restenosis' . Ndicho chifukwa chake ndikofunikira kuchita ultrasound nthawi zonse.