Pamwe wakambonzwa chiremba achiti, "Tsitsi huru yeropa mumutsipa wako yakavharwa, uye izvi zvinowedzera njodzi yako yekubatwa nesitiroko." Zvakajairika kuti chero munhu anzwe kutya zvishoma paanonzwa chimwe chinhu chakadai. Asi usazvidya mwoyo, nekuti sainzi yezvekurapa yafambira mberi uye ikozvino kune nzira dzinoshanda kwazvo dzekurapa mamiriro akadaro. Nhasi tiri kutaura nezveTCAR, nzira yekurapa yemazuva ano uye yakachengeteka inoshandiswa kuderedza njodzi yekubatwa nesitiroko.
Chii chinonzi TCAR? Ngatinzwisise zviri nyore.
TCAR (Transcarotid Artery Revascularization) mushonga wakakosha unogadzirisa kuvharika kwetsinga huru yeropa mumutsipa wako unonzi Carotid Artery . Fungidzira kuti chimwe chinhu chakafanana chinoitika pano, senge dhiraini rakavharika mumba mako. Mukati metsinga idzi dzeropa, zvinhu zvakaita semafuta necholesterol zvinoungana uye zvinoumba layer. Tinozvidaidza kuti 'Plaque' .
Rutivi urwu rweplaque runodzikisa tsinga yeropa zvishoma nezvishoma. Chinhu chine njodzi zvikuru ndechekuti kana chidimbu cheplaque iyi chikatyoka chovhara tsinga yeropa muuropi, kana kuti kuvharika uku kukamisa kufamba kweropa zvachose, sitiroko inogona kuitika.
Saka kudzivirira njodzi iyi, vanachiremba vanorapa zvivhariso izvi kuti vazvibvise. Pane nzira nhatu huru dzekuita izvi:
1. Kuvhiyiwa kweCarotid Endarterectomy (CEA): Uku kuvhiyiwa kwepachivande kunoitwa nechiremba. Chiremba anocheka mutsipa, ovhura tsinga yeropa, uye obvisa plaque nemaoko.
2. Carotid Angioplasty uye Stenting (CAS): Izvi zvinosanganisira kupinza chubhu yakatetepa nepatsinga yeropa, kazhinji mudumbu kana ruoko, kunzvimbo yakavharika mumutsipa, uye kushandisa chimwe chinhu chakaita sebharumu kuwedzera kuvharika kwacho. Zvadaro, mudziyo wakaita semesh, unonzi stent, unoiswa kudzivirira kuti tsinga isatsvedze zvakare.
3. Kurapa neTCAR: Iyi nzira yakafanana neCAS, asi inzira yemazuva ano uye yakachengeteka. Pano, stent inopinzwa nepaburi diki pamutsipa, kwete nepaburi. Tichataura nezvezvinhu zvakakosha zveizvi gare gare.
Chinangwa chikuru chenzira dzose nhatu ndechekuderedza njodzi yako yekurohwa nesitiroko. Chiremba wako ndiye achasarudza kuti ndeipi nzira yakakunakira zvichienderana nemamiriro ako ehutano, zera, nezvimwe zvinetso zvehutano.
Kurapwa kweTCAR kwakakodzera ani?
TCAR yakatanga kuunzwa kuvarwere vaiva panjodzi huru yekusangana nematambudziko kubva mukuvhiyiwa kwechivanhu (CEA). Zvinhu zvinogona kuwedzera njodzi iyi zvinosanganisira:
- Kukura.
- Kuvapo kwechirwere chemwoyo kana chirwere chemapapu.
- Kuva nemavanga pamutsipa kubva pakuvhiyiwa kwemutsipa kwakamboitwa kana kurapwa nemwaranzi.
- Kana kuvharika kuri panzvimbo yakaoma kuvhiyiwa, senge pasi peshaya.
Asi ikozvino nzira iyi iri kushandiswawo zvinobudirira kune varwere vane njodzi dzakajairika.
Unogadzirira sei usati wavhiyiwa?
Kana ukasarudza kurapwa neTCAR, chiremba wako anotanga akuraira bvunzo dzinoverengeka.
- Kuongororwa kweropa
- Kuongororwa kwetsinga dzemumutsipa ne ultrasound
- Chirongwa cheCT scan (CT Angiogram) chinoongorora mitsipa yeropa mumutsipa nepfungwa
Pamusoro pezvo, unogona kutanga kushandisa mishonga yakasiyana-siyana yekugadzirira kuvhiyiwa. Iyi inogona kusanganisira mishonga inoderedza cholesterol yakaita se statins uye mishonga inoderedza ropa yakaita se aspirin.
Chinhu chinonyanya kukosha ndechekuti chiremba akuudze kuti usadye kana kunwa chero chinhu mushure mehusiku husiku husati hwaitwa oparesheni. Zvakakosha kutevedzera mirairo iyoyo nemazvo.
Kuvhiyiwa kweTCAR kunoitwa sei?
Iyi inzira inoshamisa zvechokwadi uye yekufambira mberi kwetekinoroji. Hezvino zvinoitika muimba yekuvhiyira zviri nyore:
1. Anesthesia: Izvi zvinoitwa nekukurara zvakakwana (General Anesthesia) kana nekuisa chiveve panzvimbo yakatenderedza mutsipa wako chete (Local Anesthesia).
2. Sisitimu yekusefa ropa: Tevere, chubhu tete inopinzwa mutsinga iri muhudyu mako (femoral vein). Izvi zvinozoshandiswa kudzorera ropa rakacheneswa mumuviri wako.
3. Kuchekwa kwemutsipa: Kuchekwa kudiki, kwakareba masendimita makumi maviri, kunoitirwa mumutsipa, pamusoro pebhonzo, parutivi rwekuvharika.
4. Kudzosera ropa kumashure: Chinhu chinonyanya kukosha chinoitika. Imwe chubhu inopinzwa mutsinga yeropa kuburikidza nekucheka kudiki ikoko, uye chubhu iyoyo inobatanidzirwa nechubhu iri mudumbu kuburikidza nefirita yakakosha. Zvadaro, kuyerera kweropa mutsinga yeropa yeropa yeropa kunotsauswa kwenguva pfupi kubva kurutivi rweuropi, kuenda kune imwe nzira!
5. Kuchengetedzwa: Izvi zvinoreva kuti kunyangwe zvimedu zveplaque zvikatyoka panguva yekuvhiyiwa, hazvizofambi zvichienda kuuropi. Pane kudaro, ropa rinoseferwa, richibata tsvina yese, uye ropa rakachena chete ndiro rinodzoserwa mumuviri kuburikidza netsinga iri muhudyu. Iyi ndiyo nzira huru yekuchengetedza inodzivirira njodzi yekurohwa nestroke.
6. Kuiswa kweStent: Iye zvino chiremba anoshandisa waya yakatetepa kuti apfuure nepakavharwa, oiwedzera nebharumu, oisa stent yakaita sesimbi. Izvi zvinoita kuti tsinga yeropa irambe yakavhurika.
7. Kupedzisa: Zvadaro machubhu ese anobviswa, uye maburi madiki ari mutsinga yeropa nemutsipa anosonerwa akavharwa. Maitiro ese anotora awa imwe nehafu.
| Mabhenefiti ekurapwa neTCAR | Njodzi dzekurapwa neTCAR |
|---|---|
| Vanga riri pamutsipa diki kwazvo. | Kukuvadzwa kwetsinga ye carotid. |
| Njodzi shoma yekukuvara kwetsinga kupfuura kuvhiyiwa kwepanze (CEA). | Kubuda ropa kana kuzvimba kwakatenderedza nzvimbo yakachekwa. |
| Kuva nesystem yekusefa ropa inoderedza njodzi yekurohwa nestroke panguva yekuvhiyiwa. | Kukuvara kwetsinga (zvishoma). |
| Kukwanisa kupora nekukurumidza. | Kurohwa nehana, kurwara nemoyo kana kufa (zvisingawanzoitiki). |
Kupora uye kutarisirwa kwenguva refu
Mushure mekuvhiyiwa kweTCAR, ucharamba uri muchipatara kwezuva rimwe chete. Munguva iyi, vashandi vezvehutano vachagara vachitarisa mamiriro ako ezvinhu. Sezvo uku kuvhiyiwa kusinganyanyi kupindira mumuviri, hazvitore nguva kuti maronda apore.
Mushure mekunge maenda kumba, munofanira kudzivirira kusimudza zvinhu zvinorema kweinenge vhiki. Taurai nachiremba wenyu nezvekuti mungadzokera kubasa riini. Zvakakoshawo kuti mugare muchiongorora ronda renyu remutsipa kuti muve nechokwadi chekuti riri kupora zvakanaka uye kana paine zviratidzo zvehutachiona.
Nguva yekufonera chiremba
Kana uine chimwe chezviratidzo izvi chinoratidza kuti ronda racho rabatwa nehutachiona, fonera chiremba wako nekukasika:
- Kupindwa nechando
- Kunzwa kutonhorera uye kudedera
- Kutsvuka kwakakomberedza ronda
- Kubuda kwakaita semvura kubva paronda
Mushure mekunge stent yaiswa, une basa guru rekudzivirira tsinga dzeropa kuti dzisavharike zvakare. Kuti uite izvi, unofanirwa kuita zvinotevera:
- Rega kusvuta zvachose.
- Rovedza muviri nguva dzose.
- Idya chikafu chine hutano chine mafuta mashoma akawandisa.
- Tora mushonga wawakanyorerwa nachiremba wako kuti udzore cholesterol uye kuumbwa kweropa panguva yakakodzera.
Mharidzo Yekuenda Nayo Kumba
- TCAR mushonga wakachengeteka, wemazuva ano, usinganyanyi kukuvadza muviri unoshandiswa kuderedza njodzi yekurohwa nestroke kunokonzerwa nekuvharika kwetsinga huru dzeropa mumutsipa.
- Munzira iyi, kuyerera kweropa kuenda kuuropi kunotsauswa kwenguva pfupi panguva yekuvhiyiwa, kwosefetwa, kwozodzorerwa mumuviri, zvichideredza njodzi yekurohwa nesitiroko.
- Zvakanakira zvikuru zveiyi nzira zvichienzaniswa nekuvhiyiwa kwakavhurika (CEA) mavanga madiki, kukuvara kushoma kwetsinga, uye kupora nekukurumidza.
- Zvakakosha kutaura nachiremba wako wosarudza nzira yekurapa yakakunakira.
- Kunyangwe mushure mekuvhiyiwa, zvakakosha kutevedzera mararamiro ane hutano uye kunwa mishonga sezvakarairwa nachiremba.
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