Pane mumwe munhu mumhuri mako kana mumwe munhu waunoziva akamboisirwa stent nekuda kwechirwere chemwoyo here? Kana kuti stent yakaiswa senzira yekurapa marwadzo echipfuva here? Izvi zvave zvakajairika mazuva ano. Mushure mekunge stent yaiswa, vanhu vazhinji vanowanzonzwa zviri nani. Zvisinei, dzimwe nguva, tsinga yeropa yakaiswa stent inogona kutanga kutetepa zvakare. Nhasi, tichataura nezvenzira yekurapa yakakosha inoshandiswa muzviitiko zvakadaro.
Zvichitaurwa zviri nyore, chii chinonzi Coronary Brachytherapy?
Zita iri ringanzwika serakaoma. Asi ngatirambei takariverenga. Coronary Brachytherapy inzira yakakosha yekurapa mitsipa yeropa inoendesa ropa kumoyo (Coronary Arteries). Izvi zvinoshandisa mwaranzi kudzivirira mitsipa yemoyo kuti isatete zvakare.
Fungidzira kuti tsinga yeropa iri mumoyo mako yavharwa nemafuta echolesterol. Vanachiremba vanoisa stent. Stent ichubhu diki yakaita semesh. Inopinzwa mutsinga yeropa yakamanikana yoiwedzera zvakare, zvichiita kuti ropa rifambe zvakasununguka.
Zvisinei, mune vamwe vanhu, mavanga anotanga kukura akapoteredza stent. Sekunge vanga rinoumbwa kana takuvara. Mavanga aya anoita kuti nzvimbo yakaiswa stent ikure zvakare kuti ive diki. Mukurapa, tinodana chirwere ichi kuti in-stent restenosis (ISR) . Ndipo vanachiremba pavanofunga nezve Coronary Brachytherapy.
Mukurapa uku, mwaranzi diki kwazvo, inodzorwa inonangidzirwa panzvimbo ine mavanga kwemaminitsi mashoma. Mwaranzi iyi inoparadza masero anoumba mavanga. Saka nzvimbo yacho haidzokeri zvakare. Zvakafanana nekushandisa mushonga wekudzivirira sora kuti risamere zvakare.
Chinhu chakakosha ndechekuti kurapwa nemwaranzi uku kwakachengeteka zvikuru. Kunongoitirwa panzvimbo yakakanganiswa chete. Hakukuvadzi chero imwe nhengo yemuviri.
Ndiani anoda kurapwa uku?
Kurapa kweCoronary Brachytherapy hakusi kwemunhu wese. Kunowanzo kurudzirwa chete kune varwere vakamboiswa stent uye vakave nekudzoka kwechirwere (ISR) mukati mayo, uye vasingazokwanisi kupindura zvakanaka kune mamwe marapirwo.
Tarisa ruzivo rwuri pazasi. Uchawana pfungwa yakanaka nezveizvi.
| Kana Coronary Brachytherapy ingave yakakodzera | |
|---|---|
| Kuvharika kunowanzoitika | Kana stent ikavharika kanopfuura kamwe chete (ISR inodzokororwa) mushure mekunge yaiswa. |
| Kuva nema stents akawanda | Kana ma stent akawanda akaiswa mutsinga imwe chete yeropa kana kana stent yakareba kwazvo yakaiswa. |
| Mamwe matambudziko ehutano | Kune avo vane zvirwere zvinowedzera njodzi yematambudziko kubva kune mamwe marapirwo, akadai sechirwere cheshuga. |
| Mitsipa midiki yeropa | Kune avo vane mitsipa yeropa mumoyo yavo midiki uye yakatetepa. |
Ndiani asingafaniri kurapwa uku?
Uyewo, pane dzimwe nguva apo kurapwa uku kusina kukodzera.
- Kana stent yavharika kekutanga .
- Kana wakamborapwa nemwaranzi panzvimbo yechipfuva (semuenzaniso kenza yemazamu).
- Kuvharika kwacho hakukonzerwi nemavanga, asi nedambudziko rebharumu rinoshandiswa panguva ye angioplasty.
Ndiyo nzira chete yekurapa kana stent ikadzikira zvakare?
Kwete. Uku kurapa kusingawanzo shandiswa zvakanyanya. Kana stent ikavharika zvakare, inonzi in-stent restenosis (ISR), vanachiremba vanowanzo tanga vaedza dzimwe nzira dzekurapa.
- Kuisa imwe stent: Imwe stent inoiswa mukati me stent yakavharika.
- Bharuni Angioplasty: Bharuni rinoshandiswa kuwedzera nzvimbo yakamanikana. Dzimwe nguva bharuni rakakosha (bharuni rekucheka) rinoshandiswa kucheka nyama yakawandisa.
- Kuvhiyiwa kweCoronary Artery Bypass: Kana kuvharika kwakanyanya, unogona kutumirwa kunovhiyiwa bypass.
- Mishonga: Mishonga yakaita seaspirin yekudzivirira kuumbwa kweropa uye statins yekuderedza cholesterol inonyorerwa.
Kune mhando itsva dzema stents dziri kubuda mazuva ano.Idzi dzinonzi drug-eluting stents. Idzi dzinoburitsa mushonga zvishoma nezvishoma, kudzivirira kuumbwa kwemavanga. Saka ikozvino ma stents evanhu vazhinji haawanzo vharika zvakare. Ndosaka Coronary Brachytherapy isisashandiswe zvakanyanya.
Kushanda kwekurapa - nhanho nenhanho
Uku hakusi kuvhiyiwa kukuru. Kurapa uku kunoitwa nechikwata cheInterventional Cardiologist neRadiation Oncologist. Maitiro ese anotora maminetsi gumi. Zvisinei, uchafanira kugara muchipatara kwemaawa mashoma.
Usati warapwa
Chiremba wako anogona kuita ultrasound scan mukati metsinga dzemwoyo kuti aone zviri mukati metsinga dzemwoyo. Izvi zvinogona kubatsira kuona kuti kurapwa kwacho kunofanira kutora nguva yakareba sei uye kupi.
Panguva yekurapwa
Iyi nzira iri nyore kwazvo. Hamuzonzwi kurwadziwa kwakanyanya.
| Matanho | Chii chiri kuitika? |
|---|---|
| 1. Kunyaradza | Hauzonyatsorara. Uchapihwa mushonga unokubatsira kuzorora uye kunzwa usingarwadziwi. Vamwe vanhu vanogona kutopihwa mushonga weanesthesia. |
| 2. Kuiswa kwekatheta (Kuchekwa) | Chubhu yakatetepa kwazvo (catheter) inopfuudzwa nemutsinga yeropa iri muruoko kana gumbo kuenda kutsinga yakavharika iri mumoyo ichitungamirirwa neX-ray. |
| 3. Bharumu Angioplasty | Bharuni diki rinoiswa munzvimbo yakamanikana uye rinofefeterwa kuti nzvimbo yacho ikure kuti itumirwe nemwaranzi. |
| 4. Kupisa nemwaranzi | Zvino, kuburikidza nechubhu iyoyo yakatetepa, tsime remwaranzi rinodzorwa nemazvo rinotumirwa kunzvimbo ine mavanga. Rinongovapo kwemaminitsi mashoma chete. Munguva iyi, masero ari kuumba vanga anoparadzwa. |
| 5. Kuvhara | Chitubu chemwaranzi necatheter zvinobviswa, uye plaster diki inoiswa pamusoro penzvimbo inopinzwa kuti ivharwe. |
Mushure mekurapwa
Vanhu vazhinji vanogona kudzokera kumba zuva rimwe chete. Ungangokumbirwa kuti ugare muchipatara husiku hwese. Kana waenda kumba, unofanira kuzorora uye kusashanda nesimba kwemazuva mashoma. Unofanirawo kunwa mushonga waunopihwa nachiremba wako kudzivirira kuumbwa kweropa.
Ndezvipi zvakanakira uye njodzi dzekurapa uku?
Sekune chero kurapwa kupi zvako, kune zvakanakira uye njodzi diki.
Chinhu chikuru ndechekuti mushonga uyu wakanaka kune vanhu vakambobatwa ne stents dzakawanda uye vakambovharika nguva nenguva, kana kuti vasingakwanisi kuvhiyiwa zvakanyanya nekuda kwezvimwe zvirwere. Kurapa uku kunoderedza njodzi yekurwara nemoyo uye kutadza kushanda zvakanaka kwemoyo. Kunodzivirirawo kudzoka kwezviratidzo zvakaita sekurwadziwa pachipfuva (angina), kushaya mweya (dyspnea), uye dzungu.
Tichitaura nezvenjodzi , idzi ndidzo njodzi dzinowanzoitika kana munhu akabatwa nechirwere chemwoyo.
- Kusarongeka kwekurova kwemoyo (Arrhythmia)
- Kugwamba kweropa
- Kukuvadzwa kwetsinga dzeropa
- Utachiona
- Kurwadziwa kana kubuda ropa panzvimbo inopinzwa catheter
Njodzi idzi hadziwanzowaniki . Chiremba wako achakuudza zvese izvi.
Nguva yekuona chiremba
Kana ukaona chimwe chezviratidzo zvinotevera mushure mekunge waenda kumba mushure mekurapwa, unofanira kufonera chiremba wako nekukasika .
- Kana ukanzwa fivha yakanyanya.
- Kana uine kurwadziwa kwakanyanya muchipfuva chako, shaya, maoko, kana pamafudzi.
- Kana uchinetseka kufema.
- Kana paine hurwa hunobuda panzvimbo inopinzwa catheter, kunhuwa kwakashata, kana kutsvuka nekuzvimba (zviratidzo zvehutachiona).
Mushure mekurapwa, unogona kudzokera kumabasa ako emazuva ese mukati memazuva mashoma. Zvisinei, hazvina kunaka kufunga kuti zvese zvapera nekuti watora kurapwa uku. Kuti mwoyo wako ugare wakagwinya, zvakakosha kuti urambe uine mararamiro akanaka .
- Idya chikafu chisina mafuta akawanda, munyu, uye shuga.
- Rega kusvuta zvachose.
- Deredza kunwa doro.
- Rovedza muviri nguva nenguva sezvakarairwa nachiremba wako.
Mharidzo Yekuenda Nayo Kumba
- Coronary Brachytherapy inzira yakakosha yekurapa nemwaranzi kune vamwe varwere vanotanga kugadzikana kwemukati me stent mushure mekuiswa stent.
- Izvi zvinosanganisira kushandisa mwaranzi diki, inodzorwa kuti imise kukura kwemavanga ari kukonzera kuvharika.
- Kunyangwe izvi zvisingawanzo shandiswa pari zvino, zvinogona kubatsira zvikuru kune vanhu vane matambudziko ekudzivirira ganda, vane ma stents akawanda, kana zvimwe zvirwere.
- Uku hakusi kuvhiyiwa kukuru, uye njodzi dzacho dzakaderera. Unogona kupora nekukurumidza mushure mekurapwa.
- Kunyangwe mushure mekurapwa, zvakakosha zvikuru kutevedzera mararamiro ane hutano kuti urambe uine hutano hwemwoyo.
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