Une tsinga yakavharika mumutsipa here? Ngatidzidzei nezve Carotid Artery Stenting, iyo inodzivirira sitiroko.

Chiremba wako akakuudza here kuti tsinga huru yeropa mumutsipa wako yakavharwa uye kuti uri panjodzi yekubatwa nesitiroko? Zvakajairika kuti unzwe kutya zvishoma paunonzwa chimwe chinhu chakadai. Asi usazvidya moyo. Nhasi, mushonga wafambira mberi zvikuru. Kune mishonga inoshanda kwazvo yekurapa kuvharika kwakadaro uye kuderedza njodzi yesitiroko. Nhasi tiri kutaura nezveimwe nzira yekurapa inoshanda uye isina kuoma: kuiswa kwe stent ye carotid.

Zvichitaurwa zviri nyore, chii chinonzi carotid stenting?

Zvakanaka, ngatitangei nekutsanangura zviri nyore. Tine mitsipa miviri mikuru yeropa kumativi ese emutsipa wedu inopa ropa kuuropi hwedu, kumeso, nemutsipa. Idzi ndidzo dzatinodaidza kuti Carotid Arteries . Nekufamba kwenguva, zvinhu zvakaita semafuta necholesterol zvinobva muzvikafu zvatinodya zvinotanga kuungana pamadziro emitsipa iyi. Tinodaidza kuti 'plaque' . Zvakafanana nengura iri kuungana mukati mepombi yemvura.

Iyi plaque inoungana uye inovhara nzira iri mukati metsinga, dzimwe nguva ichiivhara zvachose. Dambudziko iri rinonzi carotid artery stenosis . Kana izvi zvikaitika, kuyerera kweropa kuenda kuuropi kunoderera, izvo zvinonyanya kukonzera sitiroko.

Saka, carotid stenting inzira yekurapa inovhurazve tsinga yakavharika. Pano, chiremba anoisa stent , chubhu diki yesimbi yakaita semesh, munzvimbo yakavharika oiputira kubva mukati. Tsinga yakavharika inozokura zvakare, ichidzorera kuyerera kweropa. Stent iyi inoiswa zvachose mukati metsinga. Yakaita sechishandiso chinotenderedza madziro ari kuda kudonha, zvichibatsira tsinga kuti irege kutetepa zvakare.

Ndiani anoda kurapwa uku?

Chiremba anowanzo kurudzira kurapwa uku mushure mekuongorora tsinga yako yeropa kuti ione kana yakavharika. Izvi zvinogona kusanganisira bvunzo dzakadai se carotid ultrasound , CT scan , kana MRI . Kurapa uku kunowanzo dikanwa pa:

• Kune avo vane zviratidzo zvekurohwa nestroke kana kuti stroke uye vane tsinga dzakavharika neanopfuura 50%.
• Kune avo vasina zviratidzo asi vane tsinga dzakavharika neanopfuura 70%.

Chiremba wako ndiye achasarudza kana kurapwa uku kwakakodzera mamiriro ako ezvinhu, kana kuti kuvhiyiwa kwakasiyana (Carotid Endarterectomy) kwakakodzera.

Kugadzirira uye kuita kurapwa

Chiremba wako angangotanga kukutora mimwe mishonga inobvisa ropa mazuva mashoma usati watanga kuvhiyiwa, yakadai seaspirin neclopidogrel .

Kurapwa kunoitwa sei?

Izvi zvinoitwa nachiremba ane hunyanzvi akadzidziswa basa iri. Uchapihwa mishonga yekudzivirira marwadzo panguva yekurapwa. Kune nzira dzakawanda huru dzekuisa stent.

Chiremba wako ndiye achasarudza kuti ndeipi nzira yakakunakira. Maitiro ese anotora awa imwe chete kana maviri. Zvisinei, uchafanira kugara muchipatara kwezuva rimwe chete, sezvo zvichizotora maawa akati wandei kuti ugadzirire uye uonekwe mushure mezvo.

Chii chinoitika mushure mekurapwa?

Mushure mekurapwa, chiremba achaita angiogram kuti aone kana stent iri kushanda zvakanaka uye kana kuyerera kweropa kwadzoka pakare. Zvadaro, catheter nezvimwe zvishandiso zvichabviswa uye uchapihwa chero mushonga wekurwadziwa kwemoyo pamwe nemimwe mirairo yaungade.

Chinhu chinonyanya kukosha ndechekuti uchafanira kuramba uchitora mushonga wako wekuderedza ropa (semuenzaniso, Aspirin, Clopidogrel) kunyangwe waenda kumba. Usarega kutora mushonga uyu usina kutaura nachiremba wako. Kazhinji uchafanira kutora mushonga uyu kwemwedzi yakati wandei.

Nguva yekupora mushure mekudzokera kumba

• Usasimudza chinhu chinorema kupfuura mapaundi makumi maviri (senge bhaketi remvura) kwevhiki.
• Usanyudze nzvimbo yakachekwa/yakaboorwa mumvura (hapana yekugezera, kana madziva ekushambira) kwevhiki mushure mekurapwa. Kushambira kwakanaka.
• Chenjerera zvishoma kana uchikwira masitepisi.
• Zvishoma nezvishoma jaira maitiro ako emazuva ese mukati mevhiki.

Mabhenefiti, njodzi, uye kubudirira kwenguva refu kwekurapwa

Kurapa uku hakunyanyi kukuvadza kupfuura kuvhiyiwa kwechinyakare, uko kune zvakanakira zvakawanda. Zvikuru kucheka kudiki, mukana wekuderedza kukuvara kwetsinga dzemutsipa, uye kurwadziwa kushoma mushure mekurapwa.

Njodzi dzingangoitika dzinosanganisira kubuda ropa, BP yakaderera/yakakwira (Hypotension/Hypertension), kurova kwemoyo kunonoka (Bradycardia), kuvharika kweropa, uye kashoma, sitiroko. Chiremba wako achakutsanangurira zvakadzama njodzi idzi.

Chinhu chakakosha ndechekuti kurapwa uku hakurapi chirwere chiripo (atherosclerosis). Kunongobvisa chete kuvharika kuripo. Saka, zvakakosha kuchinja mararamiro ako kudzivirira tsinga kuti isavharike zvakare.

• Rega kusvuta uye kuputa fodya zvachose.
• Tora mushonga wawakanyorerwa nachiremba nenguva.
• Ramba uine huremu hwakanaka.
• Rovedza muviri nguva dzose.
• Ita chikafu chine hutano mumoyo chine mafuta mashoma, munyu, uye shuga shoma, uye michero nemiriwo yakawanda.
• Chengetedza BP yako, cholesterol (LDL iri pasi pe70), uye chirwere cheshuga (HbA1c iri pasi pe7) zvichiongororwa zvakanaka.
• Ona chiremba panguva yakatarwa wobva waongororwa.

Dambudziko! Chii chaunofanira kuita kana uine zviratidzo izvi?

Izvi zvakakosha zvikuru. Kana ukaona chimwe chezviratidzo zvinotevera, fonera 1990 Ambulance Service nekukasika pasina kunonoka kana kuenda kuEmergency Department (ETU) yechipatara chiri pedyo.

• Zviratidzo zvestroke: kurereka kurutivi rumwe rwechiso, kuoma kutaura kana kunzwisisa mazwi, kurasikirwa nemanzwiro kana kusanzwa zvakanaka muruoko kana gumbo.
• Kana paine kubuda ropa kwakanyanya kana kuzvimba panzvimbo yakaisirwa stent (kugomera, ruoko, kana mutsipa).

Dzimwe nguva tsinga dzeropa dzinogona kutetepa nekuda kwekumerazve kwenyama panzvimbo yakarapwa. Izvi tinozvidaidza kuti 'restenosis' . Ndosaka zvichikosha kuti ugare uchiongororwa ultrasound.