Kodi nthawi zina mumamva kupweteka pang'ono pachifuwa panu, nseru ? Kapena mumavutika kupuma mukakwera masitepe? Izi zitha kukhala zizindikiro zazing'ono zosonyeza kuti mitsempha yamagazi (mitsempha) ya mtima wathu yatsekedwa pang'ono. Ngakhale kuti anthu ambiri amaopa "kudwala mtima", chifukwa cha kupita patsogolo kwa zamankhwala masiku ano, pali njira zochotsera kutsekeka kotere popanda opaleshoni yayikulu. Ichi ndichifukwa chake tikulankhula za njira yofunikira kwambiri komanso yamakono yochizira matenda masiku ano.
Kodi PCI ndi chiyani? Mwachidule...
PCI, yomwe imayimira Percutaneous Coronary Intervention , ndi njira yosavuta yochizira yomwe imagwiritsidwa ntchito pochotsa zotsekeka m'mitsempha ya mtima zomwe zimapereka magazi kumtima. Mwina mudamvapo za izi ngati "angioplasty." Ndi dzina lakale kwambiri.
Tangoganizirani ngati chitoliro cha madzi m'nyumba mwathu chatsekedwa ndi dothi, ndipo madziwo akuyenda pang'onopang'ono, sichoncho? Umu ndi momwe zinthu monga mafuta ndi cholesterol zimasungidwira m'mitsempha ya mtima wathu, zomwe zimalepheretsa kuyenda kwa magazi. Pa chithandizo cha PCI, chipangizo chaching'ono kwambiri chonga baluni chimayikidwa mu mtsempha wotsekedwa, ndikudzazidwa, ndipo mtsempha umatsegulidwanso.
Kawirikawiri, chubu chaching'ono chotchedwa stent, chimayikidwa kosatha mumtsempha kuti chisatsekedwenso. Ma stents ambiri omwe amagwiritsidwa ntchito masiku ano ndi a mtundu wapadera womwe umatulutsa pang'onopang'ono mankhwala kuti achepetse chiopsezo cha mtsempha kutsekekanso. Izi zimatchedwa ma stents oletsa kugwiritsa ntchito mankhwala osokoneza bongo .
Ndani kwenikweni amene akufunikira chithandizochi?
Ngati mafuta ndi mafuta ambiri asonkhana m'mitsempha yamagazi ya mtima wanu, madokotala amati atherosclerosis . Timatcha mafuta awa kuti plaque . Matendawa amaletsa magazi kulowa mumtima mwanu. Apa ndi pamene mungakumane ndi zizindikiro monga:
- Kupweteka pachifuwa kapena kufinya (angina)
- Kuvuta kupuma
Chofunika kwambiri, PCI imachitidwanso mwachangu ngati chithandizo chopulumutsa moyo wa munthu amene wakhala ndi vuto la mtima, chifukwa imatha kutsegula mtsempha wotsekeka mwachangu ndikuchepetsa kuwonongeka kwa mtima.
Kodi chithandizo cha PCI chimachitidwa bwanji? Tiyeni tiwone pang'onopang'ono
Chithandizochi chimachitidwa ndi dokotala wa matenda a mtima. Mudzapatsidwa mankhwala oti akupatseni tulo komanso bata panthawiyi. Choncho simudzamva kupweteka kulikonse, koma mudzakhala ozindikira. Tiyeni tifotokoze momwe njirayi imagwirira ntchito.
| Masitepe | Chikuchitika ndi chiyani? |
|---|---|
| 1. Kupeza mwayi wolowa | Dokotala amaboola kabowo kakang'ono kwambiri pachikhatho chanu kapena pa ntchafu yanu ndipo amalowetsa chubu chaching'ono (chophimba) kudzera m'mitsempha yamagazi. |
| 2. Kutumiza katheta | Kudzera mu chubu chimenecho, chubu chopyapyala kwambiri, chotchedwa catheter, chimapita ku mtsempha wotsekeka wa mumtima. |
| 3. Kuzindikira kutsekeka kwa chotsekeka | Mtundu wapadera wa utoto (utoto wosiyana) umabayidwa, ndipo ukadaulo wa X-ray umagwiritsidwa ntchito kuonera zithunzi zamoyo mkati mwa mitsempha. Monga momwe zimakhalira mufilimu. Kenako mutha kuwona komwe chipikacho chili. |
| 4. Kutsegula mtsempha | Mwa kudzaza baluni yaying'ono yomwe ili kumapeto kwa catheter, mafuta omwe ali mkati mwake amakanikizidwa kukhoma la mitsempha, ndikutsegula njira yoti magazi aziyenda. |
| 5. Kuyika stent | Pofuna kuti mtsempha usapapatizenso, ngati pakufunika, stent imayikidwa pamalo amenewo. |
| 6. Kumaliza | Katheta imachotsedwa ndipo malo olowera amatsekedwa ndi bandeji yokakamiza kapena kusoka pang'ono. |
Njira yonseyi nthawi zambiri imatenga pakati pa mphindi 30 ndi maola awiri, kutengera kukula kwa kutsekeka kwa mitsempha yanu.
Kodi aliyense angalandire chithandizo ichi?
Ayi. Inu ndi dokotala wanu muyenera kusankha limodzi chithandizo chomwe chili chabwino kwa inu. Kaya mukufuna PCI, mankhwala okha, kapena opaleshoni yayikulu (Coronary Artery Bypass Graft - CABG) zidzadalira zinthu zingapo. Mwachitsanzo, kuchuluka kwa mitsempha yotsekeka, momwe mtima wanu ukugwira ntchito, komanso ngati muli ndi matenda ena.
Ubwino, zoopsa, ndi nthawi yochira
Monga chithandizo chilichonse chamankhwala, ichi chili ndi ubwino ndi zoopsa zazing'ono.
Ubwino waukulu ndi:
- Kubwezeretsa kuyenda kwa magazi mumtima.
- Zizindikiro monga kupweteka pachifuwa ndi kupuma movutikira zimatha.
- Opaleshoni ya bypass ndi yochepa komanso nthawi yochepa yochira.
Zoopsa zomwe zingachitike:
- Kutuluka magazi kapena matenda pamalo oikira catheter.
- Magazi amaundana mkati mwa stent (mankhwala ochepetsa magazi amaperekedwa kuti apewe izi).
- Mtsempha womwewo ukutsekekanso (koma chiopsezochi ndi chochepera 5% chifukwa cha stent yomwe imachokera ku mankhwala).
- Kawirikawiri, sitiroko imachitika.
Nthawi zambiri mukhoza kuyambiranso kuchita zinthu zachizolowezi mkati mwa sabata imodzi mutagwiritsa ntchito PCI. Komabe, mungafunike kusiya kuchita zinthu monga kunyamula zinthu zolemera kwa kanthawi. Chofunika kwambiri ndikumwa mankhwala ochepetsa magazi (monga clopidogrel, ticagrelor) omwe dokotala wanu akukupatsani kwa nthawi yonse ya mankhwalawo, osaphonya tsiku limodzi.
Samalani ndi zizindikiro izi! Pitani kwa dokotala nthawi yomweyo!
Ngati mukukumana ndi zizindikiro zotsatirazi mutalandira chithandizo cha PCI, imbani dokotala wanu nthawi yomweyo kapena pitani ku Dipatimenti Yoona za Zadzidzidzi (ETU) yapafupi.
- Kutuluka magazi, madzi ngati mafinya, kapena kutupa kuchokera pamalo olowetsera catheter.
- Kupweteka pachifuwa (angina) kumachitikanso.
- Malungo kapena kuzizira.
- Kuzizira kwambiri kapena kuzizira kwambiri m'dzanja kapena mwendo kumene katheta inayikidwa.
- Chizungulire kapena kukomoka (syncope) .
- Kuvuta kwambiri kupuma.
Uthenga Wopita Nawo Kunyumba
- PCI ndi njira yamakono, yotetezeka, komanso yothandiza kwambiri yogwiritsira ntchito potsegula mitsempha yamagazi yotsekedwa mumtima.
- Izi zimathandiza kwambiri populumutsa miyoyo ngati munthu wadwala matenda a mtima mwadzidzidzi.
- Ngakhale kuti munthu amachira msanga akalandira chithandizo, ndikofunikira kumwa mankhwala omwe dokotala wamupatsa, makamaka mankhwala ochepetsa magazi, kwa nthawi yonse.
- Pofuna kupewa kutsekeka kwa mitsempha yamagazi, ndikofunikira kwambiri kukhala ndi makhalidwe abwino monga kusiya kusuta fodya, kudya zakudya zabwino, komanso kuchita masewera olimbitsa thupi.
- Ngati muli ndi mafunso okhudza thanzi la mtima wanu, kambiranani momasuka ndi dokotala wanu wa mtima ndipo pangani zisankho zoyenera.
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