Kodi mtsempha wamagazi m'khosi mwanu watsekedwa? Tiyeni tiphunzire za opaleshoni yoletsa sitiroko (Carotid Endarterectomy)

Tonsefe timaopa mawu oti "stroke," sichoncho? Ndi chinthu choipa kwambiri chomwe chingachitike magazi akamapita ku ubongo mwadzidzidzi. Anthu ambiri amaganiza kuti izi zimachitika chifukwa cha vuto la mtima. Koma kodi mukudziwa kuti kutsekeka kwa mtsempha waukulu wamagazi m'khosi mwanu kungakhalenso chifukwa chachikulu cha sitiroko? Lero, tikambirana za opaleshoni yapadera yomwe imachotsa kutsekeka koteroko ndikubwezeretsa kuyenda kwa magazi mu ubongo.

Mwachidule, kodi Carotid Endarterectomy ndi chiyani?

Tangoganizani kuti mitsempha iwiri ikuluikulu yomwe imapereka magazi ku ubongo wanu imadutsa m'khosi mwanu mbali zonse ziwiri. Mitsempha iyi imatchedwa "Mitsempha ya Carotid." Pakapita nthawi, zinthu monga mafuta osafunikira ndi cholesterol kuchokera muzakudya zomwe timadya zimayamba kusonkhana pamakoma a mitsempha iyi yamagazi. Zili ngati dothi lomwe limasonkhana mkati mwa chitoliro chamadzi. Timatcha izi plaque .

Pamene plaque iyi ikukula, imayamba kutseka mtsempha wamagazi kuchokera mkati. Izi zimachepetsa kuchuluka kwa magazi omwe amapita ku ubongo. Nthawi zina, chidutswa chaching'ono cha plaque iyi chingasweke ndikutseka kwathunthu mtsempha wamagazi waung'ono mu ubongo. Pamenepo ndi pomwe sitiroko imachitika.

Choncho, opaleshoni ya carotid endarterectomy ndi opaleshoni yomwe imatsegula mtsempha wa carotid wotsekedwa, kuchotsa plaque yomwe yalowa mkati, kenako kuyeretsa ndi kusoka mtsempha wamagazi pamodzi. Mwachidule, ndi yokhudza kuyeretsa kuyenda kwa magazi. Izi zitha kuchepetsa kwambiri chiopsezo cha sitiroko.

Ndi nthawi ziti pamene opaleshoni iyi imalimbikitsidwa?

Dokotala wanu sangakulimbikitseni opaleshoniyi nthawi yomweyo. Iye adzapanga chisankho kutengera mayeso anu, mayeso ofunikira, ndi zotsatira zake. Opaleshoni iyi nthawi zambiri ingalimbikitsidwe kwa munthu amene ali ndi matenda awa:

Kodi mumakonzekera bwanji musanachite opaleshoni?

Gulu lanu lachipatala lidzakupatsani malangizo musanachite opaleshoniyi. Izi zingaphatikizepo:

• Mayeso apadera: Mungapemphedwe kuti mupange ma scan apadera monga `(Cerebral Angiogram)`, `(CT Angiography)` kapena `(MR Angiography)` kuti mudziwe zambiri za momwe mitsempha yanu ya carotid imakhalira komanso ubongo wanu.
• Uzani dokotala wanu za mankhwala onse omwe mumamwa: Muyenera kuuza dokotala wanu za chilichonse, osati mankhwala olembedwa ndi dokotala okha, komanso mankhwala ochepetsa ululu, mavitamini, ndi mankhwala achikhalidwe.
• Kuletsa mankhwala ena: Mankhwala ena omwe amaletsa magazi kuundana amalangizidwa kuti asiye masiku angapo opaleshoni isanachitike. Komabe, nthawi zambiri, mankhwala monga aspirin amalangizidwa kuti apitirize. Pezani upangiri womveka bwino pankhaniyi.
• Kusiya kusuta: Ngati ndinu wosuta fodya, muyenera kusiya musanachite opaleshoni. Izi zidzakuthandizani kuchira msanga.

Momwe opaleshoni imachitikira

Opaleshoni iyi imachitikira kuchipatala. Nthawi zambiri imatenga ola limodzi kapena awiri. Mungapatsidwe mankhwala oletsa ululu (omwe amagoneka) kapena mankhwala oletsa ululu (omwe amangopangitsa kuti malo ozungulira khosi lanu azigwira ntchito). Mudzapatsidwa mankhwala okuthandizani kupumula, ngakhale mutachita dzanzi.

Dokotala wa opaleshoni amatsatira njira izi:

1. Kudula pang'ono kwa mainchesi pafupifupi 1.5 kumapangidwa pakhosi, pomwe mtsempha wamagazi umatsekedwa.

2. Popeza kutuluka magazi muubongo sikungatheke kuimitsidwa panthawi ya opaleshoni, ngati pakufunika, chubu chaching'ono (shunt) chimayikidwa kuti chisinthe magazi kwakanthawi.

3. Kenako, kudula pang'ono kumapangidwa m'mitsempha yamagazi yotsekedwa ndipo plaque yomwe ili mkati imatsukidwa mosamala ndikuchotsedwa.

4. Kenako mtsempha wamagazi umasokedwa pamodzi. Nthawi zambiri, "chigamba" chapadera chimasokedwa pamalo pake kuti malowo akhale otakata komanso osapindikanso.

5. Pomaliza, chubu cha kanthawi kochepa chimachotsedwa ndipo magazi amabwerera mwakale.

Kodi ubwino ndi zoopsa zake ndi ziti?

Monga opaleshoni iliyonse, pali zoopsa zina zomwe zimakhudzidwa, koma ubwino wake nthawi zambiri umaposa zoopsa zake.

Phindu lalikulu: Kutetezedwa ku sitiroko yoopsa mtsogolo.

Zoopsa zomwe zingachitike:

• Kutuluka magazi
• Matenda opatsirana
• Magazi amaundana
• Kuwonongeka kwa mitsempha (kosowa)
• Kukhala ndi sitiroko kapena matenda a mtima (osowa kwambiri)
• Kutsekekanso kwa mtsempha wamagazi mtsogolo

Chiwopsezochi chingasiyane malinga ndi munthu aliyense. Zimadalira zinthu monga msinkhu wanu, kaya muli ndi matenda ena monga matenda a shuga kapena matenda a mtima, komanso kuchuluka kwa kutsekeka kwa mitsempha yamagazi yanu. Dokotala wanu adzakufotokozerani zonsezi.

Pambuyo pa opaleshoni ndi nthawi yochira

Pambuyo pa opaleshoni, mudzasungidwa m'chipatala kwa tsiku limodzi kuti muwonedwe. Pambuyo pa maola angapo, mudzatha kudya ndi kumwa bwino. Chubu chaching'ono (drain) chingaikidwe m'khosi mwanu kuti chitulutse madzi kuchokera pabala. Izi nthawi zambiri zimachotsedwa mkati mwa tsiku limodzi. Mutha kukhala ndi ululu pakhosi kwa milungu iwiri. Mutha kumwa mankhwala ochepetsa ululu nthawi zonse pa izi.

Anthu ambiri amatha kupita kunyumba tsiku lotsatira opaleshoni. Mutha kusamba mukapita kunyumba, koma musakanda bala mwamphamvu. Mutha kubwerera ku zochita zanu zachizolowezi pakatha sabata imodzi kapena ziwiri.

Kusintha kwa moyo ndikofunikira kwambiri!

Ngakhale opaleshoniyo itapambana, muyenerabe kusintha moyo wanu kuti mupewe mtundu uwu wa plaque kuti usapangidwenso.

• Zolowerani zakudya zopatsa thanzi.
• Chitani masewera olimbitsa thupi monga momwe dokotala wanu walangizira.
• Siyani kusuta fodya kotheratu.
• Chepetsani kupsinjika maganizo.
• Imwani mankhwala anu a cholesterol ndi kuthamanga kwa magazi monga momwe mwalangizidwira.

Ngati muli ndi zizindikiro izi, imbani dokotala wanu nthawi yomweyo.

Ngati mukukumana ndi zizindikiro zotsatirazi mutachita opaleshoni yanu, dziwitsani dokotala wanu nthawi yomweyo kapena pitani ku Dipatimenti Yothandizira Zadzidzidzi (ETU) ya chipatala.