Wakamboiswa stent yekurwadziwa kwemoyo here? Ungave wakanzwa zororo guru mushure mekuita izvozvo. Zvinhu zvakaita sekurwadziwa muchipfuva uye kushaya mweya zvapera, uye ungave wakanzwa sekunge wava nehupenyu hutsva. Asi, ko kana, mushure mechinguva, mumwedzi mishoma, chirwere ichocho chekare chikatanga kumukazve? Ko kana chipfuva chako chikatanga kurwadza zvakare? Ko kana uchinetseka kufema? Vanhu vazhinji vanonetseka panguva ino. Vanoshamisika kuti, "Sei izvi zvichiitika kunyangwe stent yakaiswa?" Mhinduro yemubvunzo iwoyo ndiyo mamiriro atiri kutaura nezvawo nhasi, anonzi 'In-Stent Restenosis'.
Zvichitaurwa zviri nyore, chii chinonzi In-Stent Restenosis?
Kuti tinzwisise izvi, ngatitangei kubva pakutanga.
Zvichitaurwa zviri nyore, 'Stenosis' zvinoreva kuti chimwe chinhu chakaita setsinga dzedu dzeropa chinovharika kana kutetepa. Kana tsinga dzemwoyo dzinopa ropa kumoyo dzichivharika nekuda kwemafuta akawanda (tinodaidza kuti Atherosclerosis ) tinodzidaidza kuti Coronary Artery Disease (CAD) . Angioplasty mushonga unoshandiswa navanachiremba kuvhura tsinga iyi yeropa yakavharika zvakare.
Muizvi, bharumu diki rinoiswa munzvimbo yakavharika uye rinofefeterwa kuti tsinga yeropa ikure. Zvadaro, kudzivirira nzvimbo yakakurisa kuti isaputsika uye ivhare zvakare, chubhu diki yakaita semesh (iyi ndiyo yatinodaidza kuti stent ) inoiswa mukati metsinga. Izvi zvinoita kuti ropa ritangezve kufamba.
Zvakanaka, ikozvino wanzwisisa. 'Restenosis' izwi rinoumbwa nemashoko ekuti 're' (zvakare) uye 'stenosis' (kuvharika). Zvinoreva, kuvharikazve . Saka, In-Stent Restenosis inguva apo tsinga yeropa payakanga yakaiswa stent inovharika zvakare, ipapo chaipo pakanga paine stent. Kunyange zvazvo izvi zvichinetsa zvikuru, zvakakosha kuziva kuti nei izvi zvichiitika.
Sei tsinga ichivharika zvakare mushure mekunge stent yaiswa?
Izvi hazvisi nekuda kwedambudziko restent. Aya ndiwo maitiro emuviri wedu. Fungidzira kana uine kukuvara pamuviri wako, vanga rinoumbwa parinopora, handiti? Ndizvo zviri kuitika pano.
Stent chinhu chinobva kunze kwemuviri wedu. Saka muviri unoibata se 'ronda' woedza kurirapa. Munguva iyi, jira idzva remasero rinokura pamusoro pestent. Izvi zvakajairika. Iri jira idzva remasero rinoita chikamu chestent chemadziro etsinga dzeropa, zvichiita kuti ropa rifambe zvakanaka.
Zvisinei, vamwe vanhu vanonzwa izvi zvakanyanya . Zvadaro masero anoumbwa pamusoro pestent, anonzi mavanga, anokora kupfuura zvaitarisirwa . Kungofanana nehonye inokura mukati mepombi yemvura yovhara gomba riri mupombi, nyama iyi yakakora inotetepa zvakare. Ndiyo yatinodaidza kuti In-Stent Restenosis.
Chinonyanya kukosha ndechekuti, chirwere ichi chinowanzoitika mwedzi mitatu kusvika mitanhatu mushure mekunge stent yaiswa.Panguva ino. Mushure megore rimwe kana maviri, mikana yekuti izvi zviitike inenge mishoma kwazvo.
Ndiani ari panjodzi huru yechirwere ichi?
Kunyangwe chirwere ichi chichigona kuitika kune chero munhu ane stent, vamwe vanhu vari panjodzi huru. Tarisa uone kana uine zvirwere izvi.
| Chinhu chine njodzi | Tsananguro |
|---|---|
| Chirwere cheshuga | Vanhu vane chirwere cheshuga chisina kudzorwa zvakanaka ndivo vari panjodzi huru. Kuwanda kweshuga muropa kunogona kukonzera kukura kwenyama zvisina kujairika. |
| Chirwere cheItsvo | Njodzi iyi yakakurawo kune vanhu vane chirwere cheitsvo chisingaperi. |
| Cholesterol Yakawanda | Kune avo vanoramba vaine cholesterol yakakwira muropa. |
| Kukwira kweropa (BP) | Kukwira kweropa kusingadzoreki kunewo njodzi. |
| Kusvuta | Kusvuta kunowedzera njodzi nekuti kunokuvadza mitsipa yeropa uye kunokanganisa kupora kwemuviri. |
Zvimwe zvinhu zvishoma...
Pamusoro pezvo, njodzi iyi inogona kuwedzera kana tsinga yeropa yakavharika iri diki kwazvo kana kuti tsinga yacho yakareba kwazvo . Uyewo, kana tsinga yacho yakakurisa nebharumu isina stent (Balloon Angioplasty), njodzi yekuvharikazve yakatokura.
Ndezvipi zviratidzo zveizvi?
Chimwe chezvinetso zvikuru pano ndechekuti vanhu vazhinji vane In-Stent Restenosis havaone zviratidzo . Ungasanzwa chero chinhu kusvika tsinga yeropa yanyatsotetepa. Ndosaka zvichikosha kuti uende kunoongororwa nguva nenguva sezvakarairwa nachiremba wako mushure mekubatwa nestent.
Zvisinei, vamwe vanhu vanowana zviratidzo zvakafanana zvikuru nezviratidzo zvechirwere chemwoyo (CAD) chawaiva nacho usati wava nestent.
- Kurwadziwa kana kusagadzikana pachipfuva (Angina): Kunzwa kubatwa kana kudzvinyirirwa pachipfuva. Izvi zvinogona kutowedzera kana uchirovedza muviri kana kukwira masitepisi.
- Kushaya mweya: Kutadza kufema kunyangwe uchiita basa rakaoma zvishoma.
- Kunzwa kuneta zvisina kujairika: Kunzwa kuneta zvekuti haugone kuita zvinhu zvawaimboita zviri nyore.
- Kurwadziwa kwepafudzi kana ruoko: Kurwadziwa kwechipfuva kunoperekedzwa nekurwadziwa kunobuda pafudzi rekuruboshwe kana ruoko.
- Zviratidzo zvakaita sedzungu, kudikitira, uye kuda kurutsa zvinogonawo kuitika.
Chinonyanya kukosha: Kana ukaona chimwe chezviratidzo izvi zvakare mushure mekubatwa nestent, usakanganwa kuti zvinogona kunge zviri chimwe chinhu . Zivisa chiremba wako nekukasika.
Ndingaziva sei kana izvi zviripo?
Kana ukatiudza nezvezviratidzo zvako, chiremba achakupa bvunzo dzinoverengeka kuti zvisimbiswe.
- Kuedzwa kweKusimba kweKurovedza Muviri (Treadmill Test): Unofanirwa kufamba kana kumhanya uri patreadmill uye ECG inoshandiswa kutarisa mashandiro anoita moyo wako paunenge wakaneta.
- Kugadziriswa kweCatheterization yeMwoyo (Angiogram): Iyi ndiyo bvunzo inonyanya kujeka. Kungofanana nekuisa stent, chubhu diki inopfuudzwa nepatsinga yeropa ichipinda mumoyo, dhayi yakakosha inobayiwa, uye X-ray inotorwa kuti ione kana paine kuvharika mukati me stent.
- Mimwe miedzo: Dzimwe nguva, nzira dzekuskena dzakadai seIntravascular Ultrasound (IVUS) dzinogona kushandiswa kutarisa mukati metsinga yeropa uye kuyera nemazvo huwandu hwekuvhara kwayo.
Inorapwa sei?
Chiremba ndiye achasarudza mushonga wakanakisisa zvichienderana nehukuru hwekuvhara kweganda uye mamiriro ako ezvinhu.
| Nzira yekurapa | Chii chiri kuitwa |
|---|---|
| Mishonga | Ungangoda kuchinja mwero wemishonga yauri kushandisa kana kuwedzera mimwe mishonga mitsva. |
| Dzokorora Angioplasty | Uku ndiko kurapwa kunonyanya kushandiswa. Rimwe bharumu rinopfuudzwa nestent yakavharika kuti riwedzere kukura, uye dzimwe nguva rimwe stent rinoiswa mukati maro. |
| Kuvhiyiwa kwemwoyo (CABG) | Kana kuvharika kwacho kwakanyanya kana kuti paine matambudziko mutsinga dzeropa dzakawanda, unogona kutumirwa kuCoronary Artery Bypass Grafting (CABG). Izvi zvinosanganisira kunzvenga nzvimbo yakavharika wogadzira tsinga itsva uchishandisa tsinga yeropa yakatorwa kubva kune imwe nzvimbo. |
| Kurapa nemwaranzi (Vascular Brachytherapy) | Uku kurapwa kushoma. Pano, huwandu hushoma hwemwaranzi hunopinzwa mu stent kuti ganda rirege kuumbwa. |
Hapana nzira yekudzivirira izvi here?
Aya ndiwo mashoko akanakisa. Ehe, izvi zvinogoneka kudzivirirwa zvakanyanya.
Chikonzero cheizvi imhando itsva yestent inonzi Drug-Eluting Stents (DES) . Idzi hadzisi mesh yesimbi chete. Idzi stent dzine mushonga unodzora kuumbwa kweganda ramavanga ratakataura nezvaro. Mushure mekunge stent yaiswa mumuviri, mushonga uyu unoburitswa zvishoma nezvishoma, uchimisa masero kukura zvisina kufanira.
Zvichienzaniswa nesimbi dzekare dzisina chinhu, njodzi yekuramba dziri mu-stent yakaderera zvikuru kana stent idzi dzinoshandisa mishonga . Kunyangwe muSri Lanka nhasi, rudzi urwu rutsva rwestent ndirwo runonyanya kushandiswa.
Zvisinei, pane zvimwe zvinhu zvaunofanira kuita iwe pachako.
- Tora mushonga wako sezvawakarairwa: Tora mushonga wawakanyorerwa nachiremba wako, kunyanya uya unodzivirira kugwinya kweropa (semuenzaniso, Aspirin, Clopidogrel), sezvawakanyorerwa, pasina kupotsa zuva rimwe chete.
- Chinja mararamiro ako: Kana ukasvuta, rega ipapo ipapo.Dzora cholesterol yako, chirwere cheshuga, uye BP yakakwira. Idya chikafu chine hutano chine mafuta mashoma, munyu, uye shuga shoma, uye michero nemiriwo yakawanda. Edza muviri sezvakarairwa nachiremba wako.
Mharidzo Yekuenda Nayo Kumba
- In-Stent Restenosis inyaya yekudzokororwa kwetsinga yeropa mushure mekunge stent yaiswa nekuda kwekukura kwemavanga. Izvi zvinowanzoitika mukati memwedzi mitatu kusvika mitanhatu yekurapwa.
- Kana ukaona zviratidzo zvakafanana nezvawakaita kare, zvakaita sekurwadziwa muchipfuva kana kushaya mweya , mushure mekunwa stent, usazviregeredza. Enda kuna chiremba wako nekukasika.
- Kazhinji, chirwere ichi chingasakonzera zviratidzo . Saka, zvakakosha kutsvaga rubatsiro rwechiremba panguva yakakodzera, sezvakakurudzirwa nachiremba wako.
- Njodzi yechirwere ichi yadzikira zvakanyanya nekuda kwekushandiswa kweDrug -Eluting Stents (DES) pari zvino.
- Chinhu chinonyanya kukosha chaunogona kuita iwe pachako kutora mishonga yako sezvawakarairwa, kurega kusvuta, uye kuchengetedza mararamiro ane hutano . Zvinhu izvi zvinogona kuchengetedza moyo wako kwenguva refu.
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