Mtsinga yeropa inogona kuvharika zvakare mushure mekunge stent yaiswa here? (In-Stent Restenosis)

Iwe kana mumwe munhu waunoziva akaisa stent mutsinga yemoyo here? Mushure mekurapwa kwakadaro, tinowanzo funga kuti ikozvino dambudziko rapera zvachose, kuti tsinga yemoyo haizodzoki zvakare. Zvisinei, dzimwe nguva, kuvharika kudiki kana kutetepa kunogona kuitika zvakare panzvimbo imwecheteyo pakaiswa stent, ndiko kuti, muchikamu chimwe chete chetsinga yakarapwa. Ndizvo zvinonzi navanachiremba 'In-Stent Restenosis'. Kunyangwe zita racho ringanzwika serakaoma, zviri nyore chaizvo. Ngatitaurei nezveizvi zvakadzama, muchiSinhala chamunogona kunzwisisa.

Kutanga, ngatinzwisisei mashoko aya, handiti?

Tisati tataura nezve 'in-stent restenosis', ngatinzwisisei mamwe mazwi. Zvadaro zvichava pachena kwamuri.

Chii chinonzi 'Stenosis'?

Zvichitaurwa zviri nyore, 'stenosis' ipfupi kana kuti kutetepa kwetsinga yeropa mumuviri wedu. Fungidzira kuti nekufamba kwenguva, tsvina nengura zvinoungana mukati mepombi yemvura, zvichivhara kuyerera kwemvura.

Saka, chii chinonzi chirwere chemwoyo (CAD)?

Mwoyo wedu unodawo ropa kuti rishande. Mitsipa mikuru inoupa inonzi mitsipa yemoyo. CAD inguva apo mafuta anoungana mukati meimwe kana kupfuura yemitsipa yemoyo, zvichiita kuti mitsipa itete. Izvi zvinonziwo atherosclerosis. Vamwe vanhu vanotiwo "kuoma kwemitsipa." Kuungana kwemafuta uku kunoitika zvishoma nezvishoma, uye kungasaratidze zviratidzo pakutanga. Asi kana kukasarapwa, kunogona kutungamira kuzvirwere zvakakomba zvakaita sekurwadziwa kwemoyo uye kutadza kushanda kwemoyo.

Chii chinonzi 'Angioplasty' uye 'Stent'?

Imwe yenzira huru dzekurapa dzinoshandiswa navanachiremba kuvhura tsinga dzemwoyo dzakavharika nekuda kweCAD inonzi angioplasty. Dzimwe nguva inonziwo percutaneous coronary intervention (PCI). Muizvi, chubhu yakatetepa (catheter) inopinzwa nepaburi diki paganda ichipinda mutsinga yakavharika. Mudziyo mudiki wakaita sebharumu uri kumagumo kwechubhu unofuridzwa, zvichiita kuti tsinga yakavharika iwedzere. Zvadaro, kuti tsinga isaputsika zvakare uye kuti ropa rirambe richiyerera zvakanaka, chubhu diki yemesh - ndizvo zvinoreva stent - inoiswa mukati metsinga yakafara. Zvadaro, ropa rinoyerera zvakanaka zvakare.

Zvakanaka, zvino chii chinonzi 'In-Stent Restenosis'?

Iye zvino wava kunzwisisa kuti sei uye sei stent inoiswa. Mushure mekunge stent yaiswa uye ropa radzoserwa mutsinga yemoyo, dzimwe nguva tsinga inotanga kutetepa zvakare ipapo chaipo pakaiswa stent, ndiko kuti, mukati me stent. Ndosaka tichiidana kuti 'In-Stent Restenosis'. 'Re' zvinoreva "zvakare", uye 'stenosis' zvinoreva "kutetepa". Saka, izvi zvinoreva "kutetepa zvakare mukati me stent".

Dambudziko iri rakajairika zvakadii?

Zvino ungave uchishamisika kana izvi zvakasiyana kune wese munhu anowana stents.Kwete, izvi hazviitiki kune wese munhu ane stent. Zvisinei, muchidimbu, munhu mumwe chete pavanhu vana vane stent ane mukana wekuva nechirwere ichi chinonzi `In-Stent Restenosis`. Izvi zvinowanzoitika mukati memwedzi mitatu kusvika mitanhatu mushure mekunge stent yaiswa.

Zvakakosha: Kana uine angioplasty yebharuni usingaisi stenting, njodzi ye restenosis yakanyanya. Vanhu vanosvika vana pagumi vachavharwa tsinga dzavo dzeropa zvakare.

Sei 'in-stent restenosis' ichiitika?

Mubvunzo unonakidza chaizvo. Mushure mekunge stent yaiswa, muviri wedu unoedza "kuiporesa". Kureva kuti, masero matsva ("jira idzva") anokura pamusoro pestent, zvichiita kuti mukati metsinga mutsvina muve zvakanaka zvakare. Izvi zvakanaka, nekuti ipapo ropa rinogona kuyerera zviri nyore pasina kugonya.

Zvisinei, dzimwe nguva, pasi pemasero matsva aya, akakomberedza stent, mavanga mashoma anokura. Kana mavanga aya akawandisa, mukati metsinga yeropa munowedzera kukora, zvichiita kuti ropa riderere zvakare. Ichi ndicho chikonzero chikuru che 'In-Stent Restenosis'.

Yeuka, izvi zvinowanzoitika mukati memwedzi mitatu kusvika mitanhatu yekunhuhwidza. Mushure meizvozvo, njodzi yekuumba mavanga uye kuvhara tsinga ishoma kwazvo.

Ndiani ari panjodzi huru yekubatwa ne'in-stent restenosis'?

Kunyange hazvo munhu wese ane stent yakaiswa yeCAD achigona kuva nechirwere ichi chinonzi `In-Stent Restenosis`, vamwe vanhu vari panjodzi yakakura zvishoma. Ngatitarisei kuti ndivanaani:

• Kune vanhu vane cholesterol yakakwira muropa. (Izvi ndizvo zvinokonzera zvirwere zvakawanda zvemwoyo!)
• Kune avo vane chirwere cheitsvo .
• Kune avo vanosvuta. (Ichi chinhu chaunofanira kurega!)
• Kune avo vane chirwere cheshuga chisina kudzorwa zvakanaka.
• Kune avo vane BP yakakwira isingadzoreki (BP).

Kana uine zvirwere zvakaita seizvi, zvakakosha kutaura nachiremba wako womubatsira kuti azvidzore.

Ndezvipi zviratidzo zve 'in-stent restenosis'?

Kazhinji, vanhu vane `In-Stent Restenosis` havaratidzi zviratidzo zvekunze. Ndosaka zvichikosha kuona chiremba wako nguva nenguva uye kuongororwa zvinodiwa mushure mekuiswa stent.

Zvisinei, vamwe vanhu vanogona kuva nezviratidzo. Kana zvikaitika, zviratidzo zvinowanzofanana nezveCAD yagara iripo. Izvi zvinosanganisira:

• Kunzwa kurwadziwa, kuomarara, kana kusagadzikana muchipfuva. Tinozvidaidza kuti "angina." Kurwadziwa kwechipfuva uku kunogona kuwedzera kana uchiita maekisesaizi, kukwira masitepisi, kana kuneta zvishoma.
• Ziya rinotonhora.
• Kunzwa dzungu, kusuruvara, kana kunzwa kupera simba.
• Kuneta zvakanyanya uye kushaya simba.
• Kunzwa kurova kwemoyo kusingawanzoitiki (`Heart palpitations`).
• Kusvotwa.
• Kushaya mweya wekufema, dzimwe nguva kunyangwe uchifamba chinhambwe chipfupi.
• Kurwadziwa pafudzi kana paruoko (kunyanya ruoko rwekuruboshwe).

Kana uine zviratidzo izvi, unofanira kuona chiremba usingatambisi nguva.

'In-stent restenosis' inoonekwa sei?

Sezvandambotaura, sezvo `In-Stent Restenosis' isingaratidzi zviratidzo nguva dzose, zvakakosha kuti uone chiremba wako nguva dzose mushure mekunge stent yaiswa. Zvadaro, bvunzo dzinodiwa dzinogona kuitwa.

Kana uine zviratidzo, chiremba wako anogona kukurudzira bvunzo dzakadai sedzinotevera:

• Kuyedzwa kwekumanikidzwa kwekurovedza muviri : Kuyedzwa uku kunoongorora kuti mwoyo wako unopomba sei ropa uye kunotsvaga shanduko muECG yako paunenge uchifamba patreadmill kana kutasva bhasikoro.
• Kuongororwa kwemwoyo ne angiogram : Izvi zvinoitwa stent isati yaiswa. Izvi zvinogona kuitwa zvakare kuti zvionekwe kana paine kuvharika mukati me stent.
• Coronary computed tomography angiogram (CCTA): Izvi zvakafanana neCT scan. Dhayi yakakosha inopinzwa mumoyo kuti igadzire mifananidzo ye3D yetsinga dzemwoyo.
• Kuchengetedzwa kwechikamu chekuyerera kweropa (FFR): Izvi zvinogona kuitwa panguva imwe chete neangiogram. Waya yakakosha inopinzwa mutsinga uye BP inoyerwa kumativi ese ekuvhara kuti vaone kuti kuvhara kwacho kwakanyanya sei.
• Ultrasound yemutsinga (IVUS): Izvi zvinogona kuitwawo panguva imwe chete neangiogram. Chinongedzo chidiki cheultrasound chinopinzwa mutsinga, zvichiita kuti mukati memadziro etsinga nestent zvionekwe zvakajeka.

Ndeipi mishonga yekurapa 'in-stent restenosis'?

Chiremba wako ndiye achasarudza kurapwa kwakakodzera iwe zvichienderana nekuoma kweIn-Stent Restenosis yako, kureva kuti, kuti tsinga yeropa yakatetepa sei, uye hutano hwako hwese. Izvi zvinogona kusanganisira imwe yenzira dzinotevera dzekurapa:

• Mishonga: Kudzora zviratidzo zvakaita se angina inokonzerwa neIn-Stent Restenosis, mushonga wemishonga iripo unogona kuwedzerwa kana kuwedzerwa mishonga mitsva.
• Dzokorora angioplasty: Tsinga yakavharika inowedzerwa zvakare nebharumu, uye dzimwe nguva imwe stent inoiswa. Dzimwe nguva bharumu rakaputirwa nemishonga rinogona kushandiswa.
• Kuvhiyiwa kwemoyo:Izvi zvinonziwo `Coronary artery bypass grafting` kana `CABG`. Uku kuvhiyiwa kukuru. Chaunoita kugadzira nzira itsva yekuti ropa riyerere munzvimbo yakavharika. Kureva kuti, unotora chidimbu chetsinga kubva kune imwe nhengo yemuviri wako (senge gumbo rako, chipfuva) wochibatanidza nenzvimbo yakavharika nekumusana.
• Kurapa neMitsipa yeropa: Uku kurapa kwakasiyana zvishoma. Kufanana nekurapa nemwaranzi kunoshandiswa kuuraya masero egomarara, izvi zvinosanganisira kupa huwandu hushoma hwemwaranzi kwenguva pfupi kustent kudzivirira mavanga kuti asakure zvakare. Izvi zvinonziwo coronary brachytherapy.

Pane nzira dzekudzivirira 'in-stent restenosis' here?

Ehe, mashoko akanaka ndeekuti njodzi ye `In-Stent Restenosis` inogona kuderedzwa. Imwe yenzira huru dzekuita izvi ndeyekushandisa drug-eluting stents (`DES`).

Aya ma "DES" akasiyana ne "bare metal stents" (BMS). Ane "coating" yakatetepa yemushonga paari. Kana stent yaiswa mutsinga, mushonga wacho unoburitswa zvishoma nezvishoma, uchidzora kuumbwa kwemavanga uye kukura kwemasero.

Makore apfuura, kwaitaurwa nezvenjodzi yekugwamba kweropa neaya ma'DES'. Zvisinei, chizvarwa chitsva che stents dzinoshandisa mishonga chakachengeteka uye chinoshanda zvikuru. Pakushandisa aya ma'DES', njodzi ye'In-Stent Restenosis' inodzikira zvakanyanya. Kutaura zvazviri, 'vanhu vashoma pane mumwe pavanhu gumi' vanowana 'In-Stent Restenosis'.

Saka, kana uchizoiswa stent, taura nachiremba wako kuti asarudze kuti ndeipi stent yakakunakira.

Ndeipi tarisiro yemunhu ane 'in-stent restenosis'?

Kana ukatanga kuva nechirwere che'In-Stent Restenosis', ungangove nedambudziko remwoyo rinogona kukonzera njodzi kuhupenyu hwako, senge 'angina isina kugadzikana', 'acute coronary syndrome', uye 'heart attacks'.

Nerombo rakanaka, njodzi idzi dzakadzikira zvikuru nekuuya kwema stent matsva (kunyanya DES) uye nzira dzakavandudzwa dzekuisa stent. Pamusoro pezvo, ikozvino kune nzira dzinoshanda dzekurapa In-Stent Restenosis.

Kana uine chirwere cheCAD, unofanira kutevedzera mirairo yachiremba wako kuti udzivise In-Stent Restenosis uye udzivirire moyo wako wese. Izvi zvinoreva:

• Deredza munyu waunonwa uye tora mishonga yawakanyorerwa nachiremba wako (kunyanya iya yeBP, cholesterol, uye kugwinha kweropa) panguva chaiyo uye panguva chaiyo.
• Deredza kunwa doro. Kana wakapindwa muropa nedoro, tsvaga rubatsiro kuti urege kunwa doro.
• Kudya kwakanaka pamoyoIdya "chikafu chine hutano mumoyo." Idya mafuta mashoma, shuga, neupfu, uye miriwo yakawanda, michero, uye chikafu chine faibha yakawanda.
• Zivai mhando dzemafuta amunodya. Deredzai kudya zvekudya zvine mafuta akawanda akazara uye ane trans (chikafu chinokurumidza, chikafu chakakangwa, chikafu chakaputirwa) zvakanyanya sezvinobvira.
• Ramba uine huremu hwakanaka. Maekisesaizi zuva nezuva.
• Kana uine chirwere cheshuga, chidzore zvakanaka.
• Kana uchisvuta, edza kurega nhasi. Kune nzira dzekuwana rubatsiro.

Ndinofanira kufonera chiremba riini?

Kana uchifunga kuti uri kurwara nemoyo (zviratidzo zvakaita sekurwadziwa kwechipfuva zvakanyanya, kushaya mweya, kudikitira), fonera Suwaseriya Ambulance Service ye1990 nekukasika.

Kana wakamboiswa stent kare uye zviratidzo izvi zvikadzoka, enda kuna chiremba wemwoyo nekukasika:

• Kurwadziwa pachipfuva (angina), kuomarara, kumanikidzwa, kurwadziwa paruoko kana papfudzi.
• Ziya rinotonhora.
• Kutadza kufema zvakanaka, kufemereka.
• Kuneta zvakanyanya kana kushaya simba pasina chikonzero.

Chii chandinofanira kubvunza chiremba wangu?

Paunosangana nachiremba, unogona kubvunza mibvunzo yakaita seiyi kuti unzwisise mamiriro ako ezvinhu zvakajeka:

• Sei ndakawana 'restenosis' iyi? Ndezvipi zvinhu zvinondipa njodzi?
• Ndingawana restenosis zvakare here? Ndingaitei kuti ndidzivise chirwere ichi?
• Ndinofanira kurarama sei kuti ndichengetedze moyo wangu?
• Ndezvipi zviratidzo zvematambudziko andinofanira kutarisa?
• Ndeipi nzira yakanakisisa yekurapa?

Pakupedzisira, zvekurangarira (Mharidzo Yekuenda Kumba)

Zvakanaka, saka chinhu chakakosha chaunofanira kuyeuka kubva pane zvatataura nezvazvo ndechekuti. Angioplasty ne stenting ndiwo maviri emishonga inonyanya kukosha uye inoponesa hupenyu hwechirwere chemwoyo. Mishonga iyi inovandudza kuyerera kweropa kuenda kumoyo wako, inoderedza zviratidzo zveCAD, uye inovandudza hupenyu hwako.

Zvisinei, kana zviratidzo zvakaita sekuneta, kurwadziwa pachipfuva, uye kushaya mweya zvikaonekwazve mushure mekunge stent yaiswa, zvinogona kunge zviri chiratidzo che 'In-Stent Restenosis. ' Kana izvozvo zvikaitika, usavhunduke kana kunonoka, asi nyatsoona chiremba wako kuti akupe mazano.

Nerombo rakanaka, ma stents matsva, akachengeteka emishonga aripo nhasi aderedza zvikuru njodzi yekubatwa neIn-Stent Restenosis. Kunewo mishonga yakanaka yekurapa izvi. Zvakanaka kutaura nachiremba wako nezverudzi rwe stent uye kurapwa kwakakunakira. Chengetedza moyo wako!

Matsinga , in-stent restenosis, chirwere chemwoyo, angioplasty, chirwere chetsinga yemoyo, chirwere chetsinga yemoyo, kurwiswa kwemoyo