Zonse Zokhudza Kuchotsa Matenda a Atherectomy kwa PAD

Kodi nthawi zina mumamva kupweteka, kunjenjemera, kapena kungomva ngati miyendo yanu yachita dzanzi mukamayenda? Kodi miyendo yanu imayamba kupweteka mukayenda mtunda waufupi, ndipo ululuwo umachepa mukangoyima kwa kanthawi? Chifukwa chimodzi chachikulu cha izi chingakhale chakuti mitsempha yomwe imanyamula magazi kupita ku miyendo yanu yadzaza ndi mafuta. Tikutcha vutoli Peripheral Artery Disease, kapena PAD mwachidule. Chifukwa chake lero tikulankhula za njira yapadera komanso yapamwamba kwambiri yochizira yomwe imayeretsa mitsempha yotsekeka iyi ndikubwezeretsa kuyenda kwa magazi. Imatchedwa Atherectomy.

Mwachidule, kodi opaleshoni ya Atherectomy ndi chiyani?

Monga momwe chitoliro cha madzi m'nyumba mwathu chimatsekeredwa ndi dothi ndi dzimbiri pakapita nthawi, zinthu zamafuta monga cholesterol zimathanso kusonkhana m'mitsempha ya thupi lathu pakapita nthawi. Timatcha izi kuti mafuta omwe amasonkhanitsa 'plaque' . Chitolirochi cha plaque chimakhuthala pang'onopang'ono ndikuchepetsa malo mkati mwa mtsempha. Kunena zoona, chimachepetsa mtsempha. Mu zamankhwala, timatcha izi Atherosclerosis . Chifukwa chake PAD ndi vuto la Atherosclerosis lomwe limapangitsa kuti mitsempha ya miyendo, makamaka miyendo, itseke.

Kuchotsa ndulu ndi njira yomwe chubu chopyapyala kwambiri (catheter) chimayikidwa mu mtsempha wotsekeka ndipo, pogwiritsa ntchito tsamba laling'ono kapena laser beam kumapeto kwa chubucho, plaque yolimba imadulidwa ndikuchotsedwa. Zili ngati kutsuka dothi laling'ono lomwe lakhala mkati mwa chitoliro ndi chida chapadera.

Pambuyo poti izi zachitika, kutsekeka kwa mtsempha wamagazi kumachotsedwa, ndipo magazi amatha kuyenda momasuka. Nthawi zina, atachotsa mafuta awa, madokotala amatha kuchita angioplasty kuti mtsemphawo ukhale wotseguka, kaya poika baluni kapena stent .

Kodi mitundu ikuluikulu ya chithandizo cha atherectomy ndi iti?

Pali mitundu ingapo yayikulu ya chithandizo cha atherectomy, kutengera chipangizo chomwe chimagwiritsidwa ntchito kuchotsa plaque layer iyi. Dokotala wanu adzasankha njira yoyenera kwambiri kwa inu kutengera zinthu monga mtundu wa kutsekeka kwa mtsempha wanu wamagazi ndi mtundu wa plaque layer.

Kodi ndiyenera kuchita chiyani ndisanalandire chithandizochi?

Dokotala wanu asanasankhe kuchita chithandizochi, adzayitanitsa mayeso angapo kuti aone kuchuluka kwa mitsempha yanu yotsekeka komanso komwe ili.

• Angiography: Izi zimaphatikizapo kubaya utoto wapadera m'mitsempha yanu yamagazi ndikujambula zithunzi za X-ray za magazi omwe akuyenda kudzera m'mitsemphayo. Izi zimakupatsani mwayi wowona bwino zomwe zatsekeka.
• Kuyeza magazi m'mitsempha: Izi zili ngati kusanthula kwanthawi zonse. Kumagwiritsa ntchito mafunde a phokoso kuti kuyeze liwiro la kuyenda kwa magazi m'mitsempha ndikupeza kutsekeka.

Kutengera ndi zotsatira za mayesowa, dokotala wanu adzasankha ngati ndinu woyenera opaleshoni ya Atherectomy. Kenako dokotalayo adzakupatsani malangizo omveka bwino a momwe mungakonzekerere chithandizocho.

• Chakudya ndi Chakumwa: Mungapemphedwe kuti musadye kapena kumwa kwa maola angapo musanalandire chithandizo.
• Mankhwala: Ndikofunikira kuuza dokotala wanu za mankhwala ena aliwonse omwe mukumwa, makamaka mankhwala ochepetsa magazi (anticoagulants) kapena aspirin. Mungapemphedwe kuti musiye kumwa kwa masiku angapo.

Mukapita kuchipatala tsiku lomwe mudzalandire chithandizo, mudzapatsidwa chovala cha kuchipatala ndipo chubu chopyapyala chidzaikidwa mumtsempha womwe uli m'dzanja lanu kuti chikupatseni mankhwala oletsa ululu. Musadandaule, zonsezi zimachitika kuti musamve kupweteka kapena kusasangalala.

Kodi chithandizochi chimagwira ntchito bwanji?

Chabwino, tsopano tiyeni tiwone momwe chithandizochi chimachitikira. Iyi si opaleshoni yayikulu, kotero sipanga ming'alu yayikulu m'thupi lanu.

1. Choyamba, mudzapatsidwa mankhwala ochepetsa ululu ndi mankhwala ochepetsa ululu kuti mumve ngati mwaledzera pang'ono. Choncho simudzamva ululu uliwonse, koma mudzakhala ozindikira.

2. Kenako, dokotala adzakudulani pang'ono pakhungu lanu kuti aike chubu chopyapyala (catheter) mu imodzi mwa mitsempha yanu (nthawi zambiri m'mimba mwanu kapena pachikhatho).

3. Kenako, chubucho chimatsogozedwa mosamala kudzera mu mtsempha, motsogozedwa ndi X-ray, ndikutumizidwa pamalo pomwe plaque yasonkhana ndipo yatsekedwa.

4. Pomaliza, chipangizo chapadera (tsamba, laser, kapena nsonga yozungulira) kumapeto kwa chubu chimayatsidwa, gawo la plaque limadulidwa, kukwezedwa, ndipo zidutswazo zimachotsedwa kudzera mu chubu.

Izi zingafunike kuchitika kangapo mpaka magazi atabwerera m'mbuyo. Nthawi zambiri ntchito yonseyi imatenga pafupifupi maola awiri.

Kodi chimachitika ndi chiyani mukalandira chithandizo?

Mukamaliza bwino chithandizo, muyenera kugona pabedi kwa maola angapo (nthawi zambiri maola 4-6) kuti mupewe kutuluka magazi kuchokera pamalo olowetsera catheter. Panthawiyi, anamwino aziyang'ana kuthamanga kwa magazi, kugunda kwa mtima, ndi kugunda kwa mtima wanu nthawi zonse.

Nthawi zambiri mungabwerere ku zochita zanu zachizolowezi pasanathe masiku angapo. Komabe, popeza nthawi yochira ya aliyense ndi yosiyana, ndi bwino kufunsa dokotala wanu za nthawi yabwino yoyambiranso zochita zanu.

Ubwino ndi zoopsa za chithandizo cha atherectomy

Monga momwe zimakhalira ndi njira ina iliyonse yachipatala, opaleshoni ya atherectomy ili ndi ubwino wake komanso zoopsa zina zazing'ono. Ndikofunikira kudziwa izi.

Kodi ndi liti pamene muyenera kulankhula ndi dokotala?

Mukapita kunyumba mutalandira chithandizo, ndikofunikira kusamala ndi kusintha kulikonse m'thupi lanu. Ngati mukukumana ndi zizindikiro zilizonse zomwe zili pansipa, muyenera kulankhula ndi dokotala wanu nthawi yomweyo .

Kuchotsa mitsempha yamagazi ndi njira yothandiza komanso yotetezeka yochizira matenda a mitsempha ya m'magazi (PAD). Ngati muli ndi zizindikiro izi, musaope kupita kwa dokotala ndikupeza upangiri. Chifukwa cha mankhwala amakono ngati awa, tsopano takwanitsa kuthana ndi matendawa bwino.