Kodi muli ndi kuthamanga kwa magazi? Mwina mukugwiritsa ntchito mankhwala angapo, koma kodi mukuvutikabe kuwongolera kuthamanga kwa magazi? Pazochitika zotere, chifukwa chake chingakhale kutsekeka kwa mtsempha waukulu wamagazi womwe umanyamula magazi kupita ku impso zanu. Lero, tikambirana za njira yapadera yothandizira milandu yotereyi.
Mwachidule, kodi Renal Artery Stenting ndi chiyani?
Ndi zophweka kwambiri. Mitsempha ikuluikulu yamagazi yomwe imapereka magazi ku impso zanu (timazitcha kuti mitsempha ya impso) nthawi zina imatha kutsekedwa ndi mafuta ambiri. Vutoli limatchedwa `(Renal Artery Stenosis)`. Chifukwa chake `Renal Artery Stenting` ndi njira yomwe imaphatikizapo kuyika chubu chaching'ono chonga mesh (izi zimatchedwa `stent`) mumtsempha wamagazi wotsekedwa, kutsegulanso malo otsekedwa ndikubwezeretsa kuyenda kwa magazi.
Taganizirani izi, impso ndi chiwalo chachikulu chomwe chimayang'anira kuchuluka kwa mchere ndi madzi m'thupi lathu. Zimachita izi mwa kusefa magazi ndikupanga mkodzo. Choncho ngati impso sizilandira kuchuluka kofunikira kwa magazi, sizingathe kugwira ntchito imeneyi bwino. Kenako madzi ndi mchere zimayamba kusonkhana m'thupi.
Impso zimapanganso hormone yotchedwa `(Renin).` Homoni iyi imathandiza thupi kusunga mchere ndi madzi ndikulimbitsa mitsempha yamagazi. Impso ikazindikira kuti kuthamanga kwa magazi komwe kukubwera kwachepa, impso imaganiza kuti kuthamanga kwa magazi m'thupi ndi kochepa. Kenako imatulutsa `(Renin) zambiri. Koma chomwe chimachitika ndichakuti mitsempha yamagazi yatsekedwa ndipo kuyenda kwa magazi kupita ku impso kumachepa, ndipo kuthamanga kwa magazi m'thupi kumatha kukwera panthawiyo. Zonsezi zikachitika, timapanga vuto lotchedwa `(Renal Hypertension)` lomwe limayambitsa kuthamanga kwa magazi. Izi zimatha kuyika kupanikizika kwambiri pamtima ndi ziwalo zina, ndipo pakapita nthawi, zimatha kupangitsa kuti impso zilephere kugwira ntchito .
Chifukwa chiyani ndikofunikira kuyika stent mu mtsempha wamagazi mu impso?
Ngati dokotala wanu apeza kuti muli ndi vuto lalikulu m'mitsempha yamagazi yomwe ikupita ku impso yanu ndipo ikufunika kuchiritsidwa, angakulangizeni kuti muyike stent. Izi zimathandiza kupewa kuwonongeka kwina kwa impso zanu. Koma kumbukirani kuti, si kutsekeka konse kwa mitsempha ya impso komwe kumafunikira stent.
Kawirikawiri pali zochitika zingapo zomwe mungafunikire chithandizo ichi:
- Ngati mitsempha yamagazi yoposa 60% yatsekedwa chifukwa cha mafuta omwe ali mkati mwa mitsempha yamagazi (atherosclerosis), ndipo sizingatheke kuiwongolera ndi mankhwala.
- Ngati mukumwa mankhwala atatu kapena kuposerapo a kuthamanga kwa magazi pa mlingo waukulu koma simungathebe kuwongolera kuthamanga kwa magazi anu.
- Ngati mitsempha yonse iwiri ya magazi yopita ku impso zonse ziwiri yatsekedwa ndi kupitirira 60%.
- Ngati muli ndi impso imodzi yokha, ndipo mtsempha wamagazi womwe umapita kumeneko watsekedwa ndi oposa 60%.
- Ngati mukukumana ndi matenda monga "flash pulmonary edema" komwe mapapu amadzaza mwadzidzidzi ndi madzi.
Chofunika kwambiri ndi chakuti dokotala yekha amene akukufufuzani ndi amene angasankhe ngati mukufunikira chithandizochi kapena ayi. Choncho lankhulani ndi dokotala wanu momasuka za izi.
Kodi chimachitika ndi chiyani musanalandire chithandizo?
Dokotala wanu asanachite chithandizochi, adzayang'ana thanzi lanu lonse ndikuchita mayeso angapo kuti adziwe ngati mukufuna kugwiritsa ntchito stent.
| Dzina la mayeso | Kodi n’chiyani chikuchitika? |
|---|---|
| Duplex Doppler Ultrasonography | Izi zili ngati kusanthula pafupipafupi. Kumagwiritsa ntchito mafunde amawu poyesa kuchuluka kwa kutsekeka kwa mtsempha wamagazi komanso liwiro la kuyenda kwa magazi. |
| Angiogram ya Computed Tomography (CT Angiogram) | Ma X-ray amagwiritsidwa ntchito popanga chithunzi cha impso chokhala ndi magawo atatu (3D). Madzi apadera (utoto wosiyana) amabayidwa kuti aone bwino mitsempha yamagazi. |
| Magnetic Resonance Angiogram (MRA) | Zili ngati MRI scan. Imagwiritsa ntchito mphamvu ya maginito. Apanso, madzi apadera amabayidwa kuti aone bwino momwe mitsempha yamagazi ilili. |
| Angiogram | Chubu chopyapyala (catheter) chimalowetsedwa kudzera m'mimba kapena m'dzanja ndikutsogoleredwa ku mtsempha wamagazi wopita ku impso. Kenako amabayidwa madzi apadera ndipo kuyenda kwa magazi kumawunikidwa pogwiritsa ntchito X-ray. Stent imayikidwanso mwanjira yomweyi. |
Muyenera kuuza dokotala wanu za mankhwala onse omwe mukumwa (kuphatikizapo mavitamini ndi mankhwala azitsamba) . Mankhwala ena, monga aspirin, mankhwala ochepetsa magazi, ndi ochepetsa ululu, amatha kuwonjezera chiopsezo chanu chotuluka magazi. Chifukwa chake,Musasiye kumwa mankhwala aliwonse popanda kufunsa dokotala wanu.
Komanso, tiuzeni za ziwengo zilizonse zomwe muli nazo. Izi zikuphatikizapo ziwengo za mankhwala, zinthu zina zotsukira (monga ayodini), ndi zakudya.
Kodi chimachitika ndi chiyani panthawi ya chithandizo?
Izi nthawi zambiri sizimakupangitsani kukomoka kotheratu. Mudzapatsidwa madzi amchere kudzera m'mitsempha yomwe ili m'dzanja lanu kuti akuthandizeni kukhala omasuka komanso ogona. Choncho simudzakumbukira zambiri za chithandizocho.
Dokotala adzakudula pang'ono kwambiri m'mimba mwako kapena m'dzanja lako. Kudzera mu kudulako, chubu chopanda kanthu (sheath) chimalowetsedwa mu mtsempha wamagazi. Kenako, chubu china chopyapyala (catheter) chimadutsa mu chubucho kupita ku mtsempha wamagazi wotsekedwa womwe umapita ku impso.
Akangotseka, kabaluni kakang'ono kumapeto kwa chubu kamadzazidwa kuti kakulitse kutsekako. Kenako, stent yachitsulo yomwe tatchula kale imayikidwa pamalopo ndikutsegulidwa. Kenako imakanikiza khoma la mtsempha wamagazi, kuchotsa kutsekako ndikutsegula njira yoti magazi ayende. Stent iyi ndi chinthu chomwe chimakhala mkati mwa thupi kwamuyaya.
Stent ikangoyikidwa, baluniyo imatuluka madzi ndipo catheter imachotsedwa. Kenako chotupacho chimatsekedwa poika mphamvu kapena kugwiritsa ntchito chipangizo chapadera, ndipo amaikidwa bandeji.
Kodi chimachitika ndi chiyani mukalandira chithandizo?
Mukamaliza kulandira chithandizo, muyenera kukhala m'chipatala kwa maola angapo, mwina usiku wonse. Ogwira ntchito zachipatala adzayang'anira kuthamanga kwa magazi anu, ululu wanu, komanso thanzi lanu lonse. Mankhwala anu angafunike kusinthidwa musanapite kunyumba. Izi zidzafotokozedwa kwa inu.
Mukadzapezeka kuti ndinu oyenera kupita kunyumba, mudzatulutsidwa kuchipatala. Komabe , mudzafunika wachibale wanu kapena mnzanu kuti adzakutengereni kunyumba.
Kodi ubwino ndi zoopsa za chithandizochi ndi ziti?
Monga chithandizo chilichonse chamankhwala, ichi chili ndi ubwino ndi zoopsa zazing'ono.
| Ubwino | Zoopsa |
|---|---|
| Ndi chithandizo chomwe chimachitidwa kudzera mu kudula pang'ono ndipo sichikhala ndi zotsatirapo zoyipa zambiri. | Kutupa kapena kutuluka magazi kumene chubucho chinalowetsedwa. |
| Kuyenda bwino kwa magazi kupita ku impso. | Kuwonongeka kwa mtsempha wa impso kapena impso. |
| Kupeza thandizo lochepetsa kuthamanga kwa magazi. | Magazi amaundana. |
| Kuthandiza kuteteza ntchito ya impso. | Kusamvana ndi madzi apadera omwe amagwiritsidwa ntchito poyesa. |
| Kawirikawiri, impso zimalephera kugwira ntchito. |
Zimatenga nthawi yayitali bwanji kuti munthu achire?
Anthu ambiri amamva bwino pakatha masiku ochepa. Dokotala wanu adzakulangizani momwe muyenera kukhalira otanganidwa masiku oyamba.
Muyenera kumwa mankhwala ochepetsa magazi kuti mupewe kuundana kwa magazi mpaka stent itatha. Mwachitsanzo, mankhwala monga `Aspirin` kapena `Clopidogrel`. Kutengera ndi matenda anu, mungafunike kumwa mankhwalawa kwa mwezi umodzi kapena chaka chimodzi. Ndikofunikira kwambiri kumwa mankhwala awa monga momwe mwalangizidwira ndipo osawaletsa popanda kufunsa dokotala wanu.
Anthu ambiri amatha kubwerera kuntchito kapena kuchita zinthu zawo zachizolowezi mkati mwa sabata imodzi. Komabe, ngati muchita ntchito zolimbitsa thupi, monga kunyamula zolemera, zingatenge nthawi yayitali kuti muchiritse.
Ndiyenera kukaonananso ndi dokotala liti?
Nthawi zina kutsekeka kwatsopano kumatha kuchitika kwina kulikonse m'mitsempha yamagazi. Choncho onetsetsani kuti mwapita kuchipatala pa masiku omwe akonzedwa ndikuonana ndi dokotala.
Komanso, ngati mukukumana ndi zizindikiro zotsatirazi , imbani dokotala nthawi yomweyo:
- Ngati mukumva malungo.
- Ngati mukuvutika kupuma.
- Ngati pakhala ziphuphu pakhungu.
- Ngati malo omwe payipiyo inalowetsedwamo ndi ofiira, ofiirira, akuda, otupa, opweteka, kapena otuluka magazi.
- Ngati mwendo umene payipi yalowetsedwamo uli wopweteka, wozizira, wotumbululuka, kapena wofooka.
- Ngati mukumva kupweteka kwatsopano m'mimba mwanu kapena kumbali yomwe mwalandira chithandizo.
- Ngati mukumva chizungulire ndipo kuthamanga kwa magazi anu kuli kotsika kwambiri (hypotension).
Uthenga Wopita Nawo Kunyumba
- Kutsegula mitsempha ya impso ndi njira yotetezeka yochizira yomwe imagwiritsidwa ntchito kutsegula mitsempha yamagazi yotsekeka yomwe imapita ku impso.
- Izi zimathandiza kuchepetsa kuthamanga kwa magazi komwe kumakhala kovuta kulamulira ndikuteteza kugwira ntchito kwa impso.
- Si aliyense amene amafunikira chithandizochi. Dokotala wanu yekha ndi amene angasankhe ngati mukuchifuna kapena ayi.
- Pambuyo pa chithandizo, ndikofunikira kugwiritsa ntchito mankhwala omwe dokotala wakupatsani, makamaka mankhwala ochepetsa magazi, monga momwe walangizidwira.
- Ngati mukuona zizindikiro zachilendo, dziwitsani dokotala wanu nthawi yomweyo. Musaope kumuuza nkhawa iliyonse.
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