Kodi pali aliyense m'banja mwanu kapena munthu amene mumamudziwa amene anaikidwapo stent chifukwa cha matenda a mtima? Kapena kodi stent yaikidwapo ngati mankhwala a ululu pachifuwa? Izi zakhala zofala kwambiri masiku ano. Pambuyo poyikidwa stent, anthu ambiri nthawi zambiri amamva bwino kwambiri. Komabe, nthawi zina, mtsempha wamagazi womwe unayikidwapo stent ungayambenso kuchepa. Lero, tikambirana za njira yapadera yothandizira yomwe imagwiritsidwa ntchito pazochitika zotere.
Mwachidule, kodi Coronary Brachytherapy ndi chiyani?
Dzinali lingamveke ngati lovuta pang'ono. Koma tiyeni tipitirize kulimvetsa mosavuta. Coronary Brachytherapy ndi chithandizo chapadera cha mitsempha yamagazi yomwe imapereka magazi kumtima (Coronary Arteries). Izi zimagwiritsa ntchito kuwala kuti mitsempha yamtima isachepenso.
Tangoganizani kuti mtsempha wamagazi mumtima mwanu watsekedwa ndi mafuta ochulukirapo. Madokotala amaika stent. Stent ndi chubu chaching'ono chonga maukonde. Chimayikidwa mu mtsempha wamagazi wopapatiza ndikuchikulitsanso, zomwe zimathandiza kuti magazi aziyenda bwino.
Komabe, mwa anthu ena, minofu ya zipsera imayamba kumera mozungulira stent. Monga momwe chipsera chimapangikira tikavulala. Minofu ya zipsera iyi imapangitsa kuti malo omwe stent idayikidwamo achulukenso kukhala ochepa. Mu zamankhwala, timatcha vutoli in-stent restenosis (ISR) . Apa ndi pomwe madokotala amaganizira za Coronary Brachytherapy.
Mu chithandizochi, mlingo wochepa kwambiri, wolamulidwa wa radiation umalunjika kudera lomwe minofu ya chilonda ikupangika kwa mphindi zochepa. Radiation imawononga maselo omwe amapanga minofu ya chilonda. Choncho derali silikuchepanso. Zili ngati kugwiritsa ntchito mankhwala kuti udzu usamerenso.
Chofunika kwambiri ndichakuti chithandizo cha radiation ichi ndi chotetezeka kwambiri. Chimangopita kudera lomwe lakhudzidwalo. Sichivulaza ziwalo zina za thupi.
Ndani akufunikira chithandizo ichi?
Chithandizo cha Coronary Brachytherapy si cha aliyense. Nthawi zambiri chimalimbikitsidwa kwa odwala apadera okha omwe adayikidwapo stent ndipo adapanga reoccurrence (ISR) mkati mwake, ndipo omwe sangayankhe bwino ndi mankhwala ena.
Yang'anani zomwe zili pansipa. Mupeza lingaliro labwino pa izi.
| Nthawi yomwe Coronary Brachytherapy ingakhale yoyenera | |
|---|---|
| Kutsekeka mobwerezabwereza | Ngati stent yatsekedwa kangapo (ISR yobwerezabwereza) ikayikidwa. |
| Kukhala ndi ma stents ambiri | Ngati ma stent angapo ayikidwa mu mtsempha umodzi wamagazi kapena ngati stent yayitali kwambiri yayikidwa. |
| Mavuto ena azaumoyo | Kwa iwo omwe ali ndi matenda omwe amawonjezera chiopsezo cha zovuta kuchokera ku mankhwala ena, monga matenda a shuga. |
| Mitsempha yamagazi yaying'ono | Kwa iwo omwe mitsempha yawo yamagazi mumtima ndi yaying'ono kwambiri komanso yopyapyala. |
Ndani sayenera kulandira chithandizochi?
Komanso, nthawi zina chithandizochi sichili choyenera.
- Ngati stent yatsekedwa koyamba .
- Ngati mudalandirapo chithandizo cha radiation pachifuwa (monga khansa ya m'mawere).
- Kutsekeka kumeneku sikumachitika chifukwa cha zipsera, koma chifukwa cha vuto la baluni yomwe imagwiritsidwa ntchito panthawi ya angioplasty.
Kodi iyi ndiyo njira yokhayo yochiritsira ngati stent yachepanso?
Ayi. Iyi ndi njira yochiritsira yomwe sigwiritsidwa ntchito kawirikawiri. Pamene stent yatsekekanso, yotchedwa in-stent restenosis (ISR), madokotala nthawi zambiri amayesa njira zina kaye.
- Kuyika stent ina: Stent ina imayikidwa mkati mwa stent yotsekedwa.
- Balloon Angioplasty: Balloon imagwiritsidwa ntchito kukulitsa malo opapatiza. Nthawi zina balloon yapadera (yodula balloon) imagwiritsidwa ntchito kudula minofu yochulukirapo.
- Opaleshoni ya Coronary Artery Bypass: Ngati kutsekeka kuli kwakukulu, mutha kutumizidwa ku opaleshoni ya bypass.
- Mankhwala: Mankhwala monga aspirin oletsa magazi kuundana ndi ma statins ochepetsa cholesterol amaperekedwa.
Masiku ano pali mitundu yatsopano ya ma stents.Izi zimatchedwa ma stenti oletsa kugwiritsa ntchito mankhwala osokoneza bongo. Izi zimatulutsa mankhwala pang'onopang'ono, kuti aletse kupanga minofu ya zipsera. Chifukwa chake tsopano ma stenti a anthu ambiri satha kutsekekanso. Ichi ndichifukwa chake Coronary Brachytherapy sigwiritsidwanso ntchito kawirikawiri.
Momwe chithandizochi chimagwirira ntchito - sitepe ndi sitepe
Iyi si opaleshoni yaikulu. Chithandizochi chimachitidwa ndi gulu la Dokotala wa Mtima ndi Dokotala wa Madokotala a Ma radiation. Njira yonseyi imatenga pafupifupi mphindi 10. Komabe, muyenera kukhala m'chipatala kwa maola angapo.
Musanalandire chithandizo
Dokotala wanu angachite scan ya ultrasound ya m'mitsempha kuti aone bwino mkati mwa mitsempha ya mtima wanu. Izi zingathandize kudziwa komwe chithandizocho chiyenera kuchitikira komanso nthawi yomwe chiyenera kutengedwa.
Pa nthawi ya chithandizo
Iyi ndi njira yosavuta kwambiri. Simudzamva kupweteka kwambiri.
| Masitepe | Chikuchitika ndi chiyani? |
|---|---|
| 1. Kupumula | Simudzagona tulo tofa nato. Mudzapatsidwa mankhwala okuthandizani kupumula komanso kumva kupweteka. Anthu ena angapatsidwenso mankhwala oletsa ululu. |
| 2. Kuika catheter (Kudula) | Chubu choonda kwambiri (catheter) chimadutsa m'mitsempha yamagazi yomwe ili m'dzanja kapena mwendo kupita ku mtsempha wotsekeka womwe uli mumtima motsogozedwa ndi X-ray. |
| 3. Balloon Angioplasty | Baluni yaying'ono imayikidwa m'dera lopapatiza ndipo imadzazidwa ndi mpweya kuti ikule malowo kuti aperekedwe ndi ma radiation. |
| 4. Kuwala kwa dzuwa | Tsopano, kudzera mu chubu choonda chimenecho, gwero lowongolera bwino la kuwala limatumizidwa kudera lomwe lili ndi minofu ya chilonda. Limakhala pamenepo kwa mphindi zochepa zokha. Panthawiyi, maselo omwe amapanga chilondacho amawonongeka. |
| 5. Kutseka | Gwero la ma radiation ndi catheter zimachotsedwa, ndipo pulasitala yaying'ono imayikidwa pamwamba pa malo oikira kuti izitseke. |
Pambuyo pa chithandizo
Anthu ambiri amatha kupita kunyumba tsiku lomwelo. Mungapemphedwe kuti mugone m'chipatala usiku wonse. Mukapita kunyumba, muyenera kupuma osachita khama kwa masiku angapo. Muyeneranso kumwa mankhwala omwe dokotala wanu wakupatsani kuti magazi asaundane.
Kodi ubwino ndi zoopsa za chithandizochi ndi ziti?
Monga momwe zimakhalira ndi chithandizo chilichonse chamankhwala, pali ubwino ndi zoopsa zazing'ono.
Ubwino waukulu ndi wakuti ndi njira yabwino yothetsera vutoli kwa anthu omwe adachitidwa opaleshoni yambirimbiri ndipo adatsekeka mobwerezabwereza, kapena omwe sangathe kuchitidwa opaleshoni yayikulu chifukwa cha matenda ena. Chithandizochi chimachepetsa chiopsezo cha matenda a mtima ndi kulephera kwa mtima. Chimathandizanso kupewa kubwereranso kwa zizindikiro monga kupweteka pachifuwa (angina), kupuma movutikira (dyspnea), ndi chizungulire.
Ponena za zoopsa , izi ndi zoopsa zomwe zimachitika kawirikawiri ndi catheterization iliyonse ya mtima.
- Kusakhazikika kwa kugunda kwa mtima (Arrhythmia)
- Magazi amaundana
- Kuwonongeka kwa mitsempha yamagazi
- Matenda
- Ululu kapena kutuluka magazi pamalo oikira catheter
Zoopsa izi sizichitika kawirikawiri . Dokotala wanu adzakuuzani zonsezi.
Nthawi yoti mukaonane ndi dokotala
Ngati mukukumana ndi zizindikiro zotsatirazi mutapita kunyumba mutalandira chithandizo, muyenera kuyimbira dokotala nthawi yomweyo .
- Ngati mukumva kutentha thupi kwambiri.
- Ngati muli ndi ululu waukulu pachifuwa, nsagwada, manja, kapena mapewa.
- Ngati mukuvutika kupuma.
- Ngati pali mafinya akutuluka pamalo oikira catheter, fungo loipa, kapena kufiira ndi kutupa (zizindikiro za matenda).
Mukalandira chithandizo, nthawi zambiri mumatha kubwerera ku zochita zanu zachizolowezi pasanathe masiku angapo. Komabe, si bwino kuganiza kuti zonse zatha chifukwa choti mwalandira chithandizochi. Kuti mtima wanu ukhale wathanzi, ndikofunikira kukhala ndi moyo wabwino .
- Idyani zakudya zokhala ndi mafuta ochepa, mchere, ndi shuga.
- Siyani kusuta fodya kotheratu.
- Chepetsani kumwa mowa.
- Chitani masewera olimbitsa thupi nthawi zonse monga momwe dokotala wanu walangizira.
Uthenga Wopita Nawo Kunyumba
- Coronary Brachytherapy ndi chithandizo chapadera cha radiation kwa odwala ena omwe amadwala in-stent restenosis akangoikidwa stent.
- Izi zimaphatikizapo kugwiritsa ntchito mlingo wochepa kwambiri wa kuwala kuti aletse kukula kwa maselo ofiira omwe amayambitsa kutsekeka kwa khungu.
- Ngakhale izi sizikugwiritsidwa ntchito kawirikawiri masiku ano, zitha kukhala zothandiza kwambiri kwa anthu omwe ali ndi vuto lobwerezabwereza la kutsekeka kwa minyewa, ma stenti angapo, kapena matenda ena.
- Iyi si opaleshoni yaikulu, ndipo zoopsa zake n’zochepa kwambiri. Mutha kuchira msanga mutalandira chithandizo.
- Ngakhale mutalandira chithandizo, ndikofunikira kwambiri kutsatira moyo wathanzi kuti mukhale ndi thanzi labwino la mtima.
💬 Comments (0)
Palibe ndemanga zomwe zatumizidwa pano. Onjezani ndemanga yanu pano koyamba.
Onjezani ndemanga yanu