Kodi mulinso ndi mitsempha yotsekeka m'miyendo yanu? Tiyeni tiphunzire za PAD ndi Atherectomy!

Kodi mumamva kupweteka kapena kupweteka m'miyendo yanu, makamaka m'chiuno, mukamayenda? Kodi ululuwu umawonjezeka mukayenda pang'ono ndikuchepa mukayimirira? Ngati muli ndi zizindikiro izi, mutha kukhudzidwanso ndi vutoli. Musadandaule, vutoli limakhudza anthu ambiri. Lero, tiyeni tikambirane zomwe zimayambitsa izi komanso njira yamakono yochizira matenda yotchedwa Atherectomy.

Kodi PAD ndi chiyani? N’chifukwa chiyani mitsempha imatsekeka?

Mwachidule, PAD imayimira Matenda a Mitsempha ya Peripheral . Mu Chisinhala, ndi kutsekeka kwa mitsempha yamagazi (mitsempha) yomwe imanyamula magazi kupita ku ziwalo zakutali monga ziwalo za thupi lathu. Tangoganizani kuti pakapita nthawi, zinthu monga dzimbiri ndi dothi zimamatira mu chitoliro chamadzi. Mofananamo, "plaque" imatha kuyikidwa mkati mwa mitsempha yathu yamagazi. Plaque iyi ndi gawo lopangidwa ndi kusonkhanitsa zinthu monga cholesterol, mafuta, ndi calcium. Mu zamankhwala, timatcha izi (Atherosclerosis) .

Pamene mtsempha wamagazi ukuchepa pang'onopang'ono chifukwa cha kutsekeka kumeneku, kuchuluka kwa magazi komwe kumadutsa kumachepa. Mukachita masewera olimbitsa thupi kapena kuyenda, minofu ya miyendo yanu imafuna magazi ambiri, zomwe zikutanthauza mpweya wochuluka. Koma chifukwa chakuti mitsempha yatsekeka, silandira kuchuluka kwa magazi komwe imafuna. Pamenepo ndi pamene ululu ndi dzanzi zimabwera.

Kodi chithandizo chotchedwa atherectomy ndi chiyani?

Kuchotsa magazi m'thupi ndi njira yapadera yochotsera kapena kuyeretsa plaque yomwe yakhazikika mkati mwa mtsempha wamagazi wotsekeka. Iyi si opaleshoni yayikulu. Imafuna kulowetsa chubu chopyapyala kwambiri (catheter) kudzera mu imodzi mwa mitsempha yanu yamagazi ndikuyitsogolera ku kutsekeka. Kumapeto kwa chubu ichi pali tsamba lopyapyala kwambiri, lakuthwa kapena chipangizo chomwe chimatulutsa kuwala kwa laser.

Chipangizochi chimadula ndikuchotsa plaque yolimba. Nthawi zina, chithandizochi chingafunike kuchitidwa angioplasty ya baluni kuti mutsegule mitsempha yamagazi kapena stent kuti isatsekenso. Dokotala wanu adzakufotokozerani izi mwatsatanetsatane.

Kodi pali mitundu ingati ya atherectomy?

Inde, madokotala amagwiritsa ntchito njira zosiyanasiyana zochotsera magazi kutengera mtundu ndi malo omwe mitsempha yamagazi yatsekeka. Pali mitundu ingapo yayikulu.

Kodi ndiyenera kuchita chiyani ndisanalandire chithandizochi?

Musanayambe kulandira chithandizochi, dokotala wanu adzakulamulani kuti muyesedwe kangapo kuti aone momwe mitsempha yanu ya magazi yatsekekera.

• Angiography: Kuyesa komwe utoto wapadera umalowetsedwa m'mitsempha ndipo X-ray imatengedwa kuti ipange mapu a mitsempha.
• Kuyeza magazi m'mitsempha: Kuyeza magazi pogwiritsa ntchito mafunde a phokoso kuti aone momwe magazi akuyendera mkati mwa mitsempha ndikupeza zotsekeka.

Tsiku lisanafike chithandizo chanu, mudzalandira malangizo apadera.

• Yakwana nthawi yoti tisiye kudya ndi kumwa.
• Za kumwa kapena kusiya mankhwala omwe mukumwa, makamaka mankhwala oletsa magazi kuundana .

Ndikofunikira kwambiri kutsatira zonsezi monga momwe dokotala wanu akulangizira.

Kodi chimachitika ndi chiyani panthawi ya chithandizo?

Mukapita kuchipatala, mudzapatsidwa diresi lapadera loti muvale. Kenako, mudzapatsidwa mankhwala oti musamamve kupweteka kulikonse panthawi ya chithandizo. Izi nthawi zambiri zimachitika mukadali ndi chikumbumtima, koma ndi mankhwala ochepetsa ululu pang'ono.

1. Dokotala adzaboola kabowo kakang'ono mumtsempha wamagazi m'mimba mwanu kapena m'dzanja lanu ndikulowetsa chubu chopyapyala (catheter) kudzera mmenemo.

2. Kenako, poyang'ana chithunzi cha X-ray, chubucho chimatsogozedwa mosamala komwe kuli mtsempha wotsekeka.

3. Mukafika pamalo otsekeka, yatsani chipangizocho (tsamba kapena laser) kumapeto kwa chubucho ndikukanda kapena kudula gawo lachikasu.

4. Njirayi ikhoza kubwerezedwa kangapo mpaka palibe choletsa kuyenda kwa magazi.

Kawirikawiri, njira yonseyi imatenga pafupifupi maola awiri.

Kodi mungayembekezere chiyani mutalandira chithandizo?

Mukamaliza kulandira chithandizo, muyenera kugona pansi pa bedi kwa maola angapo (mwina pafupifupi maola 6) kuti mupewe kutuluka magazi kuchokera pamalo olowetsera catheter. Panthawiyi, anamwino aziyang'ana nthawi zonse kuthamanga kwa magazi ndi kugunda kwa mtima wanu.

Nthawi zambiri, iyi ndi njira yochizira yomwe imakulolani kupita kunyumba tsiku lomwelo popanda kukhala m'chipatala. Komabe, anthu ena angafunike kukhala m'chipatala kwa tsiku limodzi. Zimatengera momwe mulili. Mudzatha kuyambiranso ntchito zanu zachizolowezi patatha masiku ochepa. Komabe, ndi bwino kufunsa dokotala wanu kuti akupatseni upangiri.

Kodi ubwino wa izi ndi wotani?

Ubwino waukulu wa opaleshoni ya atherectomy ndi wakuti ingathe kuchitidwa kudzera mu kudula pang'ono, osati opaleshoni yaikulu . Izi zimapangitsa kuti nthawi yochira ikhale yochepa, ululu ukhale wochepa, komanso zipsera zisakhale zambiri.

Kodi pali zotsatirapo kapena zoopsa zilizonse?

Monga momwe zimakhalira ndi chithandizo chilichonse chamankhwala, pakhoza kukhala zoopsa zina.

• Mukakanda chikasu, chidutswa chaching'ono chake chingasweke ndikukakamira mumtsempha wina waung'ono womwe uli patsogolo panu.
• Kawirikawiri, chipangizo chokokera chingawononge khoma la mtsempha, zomwe zimapangitsa kuti pakhale kukanda kapena dzenje.

Koma izi sizichitika kawirikawiri. Madokotala odziwa bwino ntchito amachita zonse zofunika kuti achepetse zoopsazi.

Kodi mukufuna kukaonananso ndi dokotala liti?

Mukapita kunyumba mutalandira chithandizo, muyenera kuyimbira dokotala nthawi yomweyo ngati mukupeza zizindikiro zatsopano kapena ngati zizindikiro zanu zikuipiraipira. Samalani kwambiri ndi izi:

• Kupweteka kwambiri m'mimba kapena mwendo wochiritsidwa.
• Kutupa kwa miyendo (edema) .
• Kufiira kapena kumva kutentha m'dera lomwe lachiritsidwa.
• Kumva kuzizira kapena dzanzi mwendo womwe wapatsidwa chithandizo.

Ngati mukumva ngati izi, musanyalanyaze. Funsani dokotala nthawi yomweyo.