Kodi mudayikapo stent mumtima mwanu chifukwa cha mtsempha wotsekeka? Anthu ambiri amapeza mpumulo atatha kuigwiritsa ntchito. Koma nthawi zina, mtsempha umayamba kucheperanso pomwe stent idayikidwa. Zimakhala ngati matenda akale akubweranso. Lero, tikambirana za njira yosiyana pang'ono, yapadera yochiritsira yomwe imagwiritsidwa ntchito pazochitika zotere.
Mwachidule, kodi Coronary Brachytherapy ndi chiyani?
Ngakhale kuti dzinali ndi lovuta pang'ono, nkhaniyi ndi yosavuta. Coronary brachytherapy ndi chithandizo chapadera cha radiation chomwe chimaperekedwa ku mitsempha ya mtima.
Taganizirani za mitsempha yomwe imapereka magazi kumtima ngati chubu. Pamene plaque ikuwunjikana mkati mwa machubu awa ndikuchepa, timatcha matenda a mitsempha ya mtima (CAD). Pofuna kuchiza izi, madokotala amaika stent, chubu chaching'ono cha mesh, mu mitsempha kuti ikulenso.
Koma mwa anthu ena, minofu ya zipsera imayamba kupangika mozungulira stent. Monga momwe chipsera chimapangikira tikavulala. Minofu ya zipsera iyi imapangitsa kuti mitsempha yotambasuka pang'onopang'ono ichepetseke ndikutsekekanso. M'mawu azachipatala, timatcha izi in-stent restenosis (ISR) .
Mofananamo, chithandizo cha mtima chotchedwa coronary brachytherapy chimagwiritsidwa ntchito poletsa minofu ya zipsera kuti isapangike mozungulira stent ndikupangitsa kuti mitsempha yamagazi ipapatizenso. Izi zimaphatikizapo kutsogolera mlingo wochepa kwambiri wa radiation, mwanjira yolamulidwa kwambiri, kudera lopapatiza, kuwononga maselo omwe akupanga minofu ya zipsera.
Ndani kwenikweni amene akufunikira chithandizochi?
Mankhwala awa si a aliyense. Madokotala amangolangiza kuti agwiritsidwe ntchito nthawi zina. Ngati mwaikapo stent ndipo yatsekekanso (ISR), chithandizochi chingakhale choyenera kwa inu.
Onani tebulo ili m'munsimu kuti muwone yemwe ali woyenera kwambiri.
| Anthu omwe angakhale oyenera kugwiritsa ntchito brachytherapy | |
|---|---|
| Kutseka kwa stent kobwerezabwereza (Kutseka kwa ISR kobwerezabwereza) | Ngati malo omwe stent inayikidwapo achepa mobwerezabwereza. |
| Ma stenti angapo kapena ma stenti aatali | Ngati muli ndi ma stent ambiri m'mitsempha yanu ya mtima kapena ngati muli ndi stent yayitali kwambiri. |
| Matenda ena monga matenda a shuga | Kwa iwo omwe ali pachiwopsezo chachikulu cha zovuta panthawi ya chithandizo china (monga opaleshoni ya bypass) chifukwa cha matenda ena monga matenda a shuga. |
| Mitsempha yamagazi yaying'ono | Kwa iwo omwe mitsempha yamagazi ya mtima ndi yaying'ono kwambiri moti sangathe kuchiritsidwa ndi mankhwala ena. |
Kodi pali anthu omwe sayenera kulandira chithandizochi?
Inde, izi sizoyenera aliyense. Mwachitsanzo, ngati mudalandirapo chithandizo cha radiation cha khansa ya m'mawere kapena khansa ina pachifuwa, nthawi zambiri chithandizochi sichimachitika. Komanso, ngati stent yatsekedwa osati chifukwa cha minofu ya zipsera, koma chifukwa cha vuto la baluni yomwe imagwiritsidwa ntchito poyika stent, chithandizochi sichifunika. Dokotala wanu wa mtima adzapanga chisankho chabwino kwambiri pa izi.
Momwe chithandizochi chimagwirira ntchito - sitepe ndi sitepe
Iyi si opaleshoni yaikulu. Timaitcha kuti ndi njira yosapweteka kwambiri. Simudzamva kupweteka kwambiri. Njira yonseyi nthawi zambiri imatenga mphindi 10, koma muyenera kukhala m'chipatala kwa maola angapo.
| Masitepe | Chikuchitika ndi chiyani? |
|---|---|
| 1. Kukonzekera | Dokotala asanalandire chithandizo, adzajambula chithunzi cha ultrasound m'mitsempha yamagazi, kuti aone komwe mtsempha wachepa. |
| 2. Mankhwala oletsa ululu | Simudzakhala osadziwa kalikonse. Mudzapatsidwa mankhwala oti akupangitseni kugona ndi kuchita dzanzi. Mudzakhala ozindikira, koma simudzamva chilichonse. |
| 3. Kuyika katheta | Chubu choonda kwambiri (catheter) chimalowetsedwa kudzera mu mtsempha waukulu m'dzanja kapena mwendo, ndipo mothandizidwa ndi X-ray, chimatsogozedwa ku mtsempha wopapatiza wa mumtima. |
| 4. Kukulitsa buluni | Baluni yaying'ono imadzazidwa mkati mwa mtsempha wamagazi, zomwe zimapangitsa kuti pakhale malo oti chithandizo cha radiation chiperekedwe pamalo opapatiza. Izi zimatchedwa baluni angioplasty. |
| 5. Kupereka kuwala | Kenako, kudzera mu catheter imeneyo, mlingo woyendetsedwa bwino wa radiation umapita kudera lopapatiza kwa mphindi zochepa. Radiation iyi imawononga maselo omwe amapanga minofu ya zipsera. Siimakhudza madera ena. |
| 6. Kumaliza | Chipangizo choyezera ndi katheta zimachotsedwa mosamala. |
Kodi ubwino ndi zoopsa za chithandizochi ndi ziti?
Monga momwe zimakhalira ndi chithandizo chilichonse chamankhwala, pali ubwino ndi zoopsa zazing'ono.
Ubwino waukulu
- Kutseka kwa stent komwe kumachitika nthawi zambiri (ISR) kungapewedwe.
- Zimachepetsa mwayi wokhala ndi matenda a mtima mtsogolo.
- Zizindikiro monga kupweteka pachifuwa mobwerezabwereza (angina), kupuma movutikira (dyspnea), ndi chizungulire zimatha kuthetsedwa.
- N'zotheka kupeza yankho popanda kuchitidwa opaleshoni yayikulu ya bypass.
Zoopsa zomwe zingachitike
Zoopsa zimenezi n’zochepa kwambiri. Izi ndi zoopsa zomwe zimachitika nthawi zambiri mukamagwiritsa ntchito njira iliyonse yoperekera chithandizo cha mtima (cardiac catheterization).
- Kusakhazikika kwa kugunda kwa mtima (Arrhythmia)
- Magazi amaundana
- Ululu kapena matenda pamalo oikira catheter
- Kuwonongeka pang'ono kwa mtsempha wamagazi
Chofunika kwambiri, kuwala komwe kumagwiritsidwa ntchito pochiza matendawa ndi kotetezeka kwambiri.Imaperekedwa molamulidwa bwino, pamalo oyenera okha, kotero kuti siivulaza gawo lina lililonse la thupi.
Kodi chimachitika ndi chiyani ndikalandira chithandizo? Ndipo ndiyenera kupita kwa dokotala liti?
Anthu ambiri amatha kupita kunyumba tsiku lomwelo lomwe opaleshoniyo yachitika. Mungafunike kukhala m'chipatala usiku wonse. Ndikofunikira kupewa kuchita zinthu zolimbitsa thupi kwa masiku angapo mutapita kunyumba. Dokotala wanu adzakupatsani mankhwala oletsa magazi kuundana.
Ndi udindo wanu kusunga thanzi la mtima wanu mutalandira chithandizo.
- Idyani zakudya zopanda mafuta ambiri komanso zopatsa thanzi.
- Siyani kusuta fodya kotheratu.
- Kuchita masewera olimbitsa thupi nthawi zonse.
- Muzisamala kumwa mowa.
Ngati mukukumana ndi zizindikiro zotsatirazi, muyenera kuyimbira foni dokotala wanu nthawi yomweyo kapena kupita ku Dipatimenti Yodzidzimutsa (ETU) ya chipatala chapafupi nanu.
- 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, ngati akununkha moyipa, kapena ngati akutupa komanso ofiira.
Ngakhale kuti mankhwalawa sagwiritsidwanso ntchito kwambiri (chifukwa mitundu yatsopano ya ma stents - ma stents osagwiritsa ntchito mankhwala - achepetsa kwambiri chiopsezo chobwereranso), akhoza kukhala yankho lothandiza komanso lothandiza kwa odwala omwe ali ndi matenda ovuta omwe amakumana ndi kutsekeka kwa stent mobwerezabwereza.
Uthenga Wopita Nawo Kunyumba
- Coronary brachytherapy ndi chithandizo cha radiation chomwe chimagwiritsidwa ntchito poletsa minofu ya zipsera kuti isapangike mozungulira stent ndikupangitsa kuti mtsempha wamagazi ukhale wopapatiza kachiwiri (in-stent restenosis).
- Iyi si njira yothandizira aliyense, koma ndi yoyenera makamaka kwa iwo omwe ali ndi vuto lobwerezabwereza la stent blockage, matenda ena monga matenda a shuga, kapena matenda ovuta a mtima.
- Iyi si opaleshoni yaikulu, ndipo chubu chaching'ono (catheter) chimayikidwa mumtima kuti chipereke mlingo wolamulidwa wa kuwala.
- Kuchuluka kwa kuwala komwe kumagwiritsidwa ntchito ndi kochepa kwambiri komanso kotetezeka, ndipo sikukhudza ziwalo zina za thupi.
- Ndikofunikira kwambiri kutsatira moyo wathanzi wa mtima mutalandira chithandizo. Pitani kuchipatala mwachangu ngati mukukumana ndi zizindikiro monga kupweteka pachifuwa kapena kupuma movutikira.
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