Wakamboiswa stent mumoyo mako nekuda kwetsinga yakavharika here? Vanhu vazhinji vanowana zororo mushure mekuiisa. Asi dzimwe nguva, tsinga inotanga kutetepa zvakare panzvimbo chaipo pakaiswa stent. Zvinoita sekunge chirwere chekare chadzoka. Nhasi, tichataura nezvenzira yakasiyana zvishoma yekurapa inoshandiswa muzviitiko zvakadaro.
Zvichitaurwa zviri nyore, chii chinonzi Coronary Brachytherapy?
Kunyange zvazvo iri zita rakaoma kunzwisisa, nyaya yacho iri nyore. Coronary brachytherapy kurapwa kwakakosha kunoitirwa kuropa nemwaranzi kutsinga dzemwoyo.
Funga nezvetsinga dzinoendesa ropa kumoyo sechubhu. Kana plaque yaungana mukati memachubhu aya yoita diki, tinodana chirwere checoronary artery (CAD). Sekurapa izvi, vanachiremba vanoisa stent, chubhu diki ine mesh, mutsinga kuti iwedzere zvakare.
Asi mune vamwe vanhu, mavanga anotanga kuumbwa akapoteredza stent. Sezvinoita vanga rinoumbwa patinokuvara. Mavanga aya anoita kuti tsinga yakatambanudzwa itete zvishoma nezvishoma yovharika zvakare. Mukurapa, tinodana izvi kuti in-stent restenosis (ISR) .
Saizvozvowo, coronary brachytherapy inoshandiswa kudzivirira mavanga kuti asaumbwe akakomberedza stent uye zvichiita kuti tsinga itete zvakare. Izvi zvinosanganisira kutungamira radiation diki, nenzira inodzorwa zvakanyanya, kunzvimbo yakamanikana, ichiparadza masero ari kuumba mavanga.
Ndiani anoda kurapwa uku?
Iyi haisi nzira yekurapa munhu wese. Vanachiremba vanongokurudzira kuti ishandiswe mune dzimwe nguva. Kana wakamboiswa stent uye ikavharika zvakare (ISR), kurapwa uku kungave kwakakunakira.
Ona tafura iri pazasi kuti uone kuti ndiani anonyatsokodzera izvi.
| Vanhu vangave vakakodzera kurapwa ne brachytherapy | |
|---|---|
| Kuvharika kwestent inodzokororwa (ISR inodzokororwa) | Kana nzvimbo yakaiswa stent ikaramba ichitetepa. |
| Ma stenti akawanda kana ma stenti marefu | Kana uine ma stent akawanda mutsinga dzemwoyo kana kuti une stent yakareba kwazvo. |
| Zvimwe zvirwere zvakaita sechirwere cheshuga | Kune avo vari panjodzi yakakura yekusangana nematambudziko panguva yekurapwa kumwe (semuenzaniso kuvhiyiwa kwe bypass) nekuda kwezvimwe zvirwere zvakaita sechirwere cheshuga. |
| Mitsipa midiki yeropa | Kune avo vane mitsipa yeropa yemwoyo midiki zvakanyanya kuti vasakwanise kurapwa nedzimwe nzira. |
Pane vanhu vasingafaniri kurapwa nenzira iyi here?
Ehe, izvi hazvina kukodzera munhu wese. Semuenzaniso, kana wakamborapwa nemwaranzi yekenza yemazamu kana imwe kenza muchipfuva, kurapwa uku hakuwanzoitwa. Uyewo, kana stent yakavharwa kwete nekuda kwemavanga, asi nekuda kwedambudziko nebharumu rakashandiswa kuisa stent, kurapwa uku hakudiwi. Chiremba wemwoyo wako ndiye achasarudza zvakanakisisa nezveizvi.
Kushanda kwekurapa - nhanho nenhanho
Uku hakusi kuvhiyiwa kukuru. Tinoti inzira isinganyanyi kukuvadza muviri. Hauzonzwi kurwadziwa zvakanyanya. Maitiro ese anowanzo tora maminetsi gumi, asi uchafanira kugara muchipatara kwemaawa mashoma.
| Matanho | Chii chiri kuitika? |
|---|---|
| 1. Kugadzirira | Chiremba asati arapwa, achaita scan, senge ultrasound yemukati meropa, kuti aone kuti tsinga yacho yakamanikana papi. |
| 2. Anesthesia | Hauzove usina chaunoziva zvachose. Uchapiwa mushonga wekukutadzisa hope uye kunzwa hope. Uchave wava kuziva, asi hapana chauchanzwa. |
| 3. Kuisa katheta | Chubhu yakatetepa kwazvo (catheter) inopinzwa netsinga huru muruoko kana gumbo, uye nerubatsiro rweX-rays, inotungamirwa kutsinga yakatetepa iri mumoyo. |
| 4. Kukudza bharumu | Bharuni diki rinofuridzirwa mukati metsinga, zvichiita kuti pave nenzvimbo yekurapa nemwaranzi panzvimbo yakamanikana. Izvi zvinonzi baruni angioplasty. |
| 5. Kupa mwaranzi | Tevere, kuburikidza necatheter iyoyo, mwaranzi inodzorwa zvakanaka inoendeswa kunzvimbo yakamanikana kwemaminitsi mashoma. Mwaranzi iyi inoparadza masero anoumba mavanga. Haikanganisi dzimwe nzvimbo. |
| 6. Kupedzisa | Chishandiso chemwaranzi necatheter zvinobviswa nokungwarira. |
Ndezvipi zvakanakira uye njodzi dzekurapa uku?
Sekune chero kurapwa kupi zvako, kune zvakanakira uye njodzi diki.
Zvakanakira zvikuru
- Kuvharika kwestent (ISR) kunogona kudzivirirwa.
- Zvinoderedza mukana wekuva nechirwere chemwoyo mune ramangwana.
- Zviratidzo zvakaita sekurwadziwa kwechipfuva kunoramba kuchiitika (angina), kupererwa nemweya (dyspnea), uye dzungu zvinogona kubviswa.
- Zvinokwanisika kuwana mhinduro pasina kuvhiyiwa zvakanyanya.
Njodzi dzinogona kuitika
Njodzi idzi dzakaderera zvikuru. Idzi njodzi dzinowanzoitika kana paine chero nzira yekurapa chirwere chemwoyo inonzi catheterization.
- Kusarongeka kwekurova kwemoyo (Arrhythmia)
- Kugwamba kweropa
- Marwadzo kana hutachiona panzvimbo inopinzwa catheter
- Kukuvadzwa kudiki kwetsinga yeropa
Chinonyanya kukosha ndechekuti mwaranzi inoshandiswa mukurapa uku yakachengeteka zvikuru.Inopihwa nenzira inodzorwa zvakanyanya, panzvimbo yakakodzera chete, saka haikuvadze chero imwe nhengo yemuviri.
Chii chinoitika mushure mekurapwa? Uye ndinofanira kuona chiremba riini?
Vanhu vazhinji vanogona kudzokera kumba zuva rimwe chete ravanovhiyiwa. Ungangoda kugara muchipatara husiku hwese. Zvakakosha kudzivirira kuita mabasa akaoma kwemazuva mashoma mushure mekunge waenda kumba. Chiremba wako achakupa mishonga yekudzivirira kuvharika kweropa.
Ibasa rako kuchengetedza hutano hwemwoyo wako mushure mekurapwa.
- Idya chikafu chine mafuta mashoma uye chine hutano.
- Rega kusvuta zvachose.
- Rovedza muviri nguva dzose.
- Dzora kunwa kwako doro.
Kana ukaona chimwe chezviratidzo zvinotevera, unofanira kufonera chiremba wako nekukasika kana kuenda kuEmergency Department (ETU) yechipatara chiri pedyo newe.
- Kana ukanzwa fivha yakanyanya.
- Kana uchirwadziwa zvakanyanya muchipfuva, shaya, maoko, kana pamafudzi .
- Kana uchinetseka kufema.
- Kana paine urwa hunobuda panzvimbo inopinzwa catheter, kana paine hwema hwakaipa, kana kuti yakazvimba uye yakatsvuka.
Kunyangwe mushonga uyu usingachashandiswi zvakanyanya (nekuti mhando itsva dzema stents - ma drug-eluting stents - aderedza zvakanyanya njodzi yekudzoserwa), unogona kuva mhinduro inoshanda uye inobatsira kune varwere vane zvirwere zvakaoma vanowana stent yakavharwa kakawanda.
Mharidzo Yekuenda Nayo Kumba
- Coronary brachytherapy kurapwa nemwaranzi kunoshandiswa kudzivirira mavanga kuti asaumbe akakomberedza stent uye zvichiita kuti tsinga yeropa itete zvakare (in-stent restenosis).
- Iyi haisi mishonga yemunhu wese, asi inonyanya kukodzera kune avo vane stent blockages inodzokororwa, zvimwe zvirwere zvakaita sechirwere cheshuga, kana matambudziko emwoyo akaomarara.
- Uku hakusi kuvhiyiwa kukuru, uye chubhu diki (catheter) inopinzwa mumoyo kuti ipe mwero wemwaranzi unodzorwa.
- Huwandu hwemwaranzi hunoshandiswa hushoma uye hwakachengeteka, uye hahukanganisi dzimwe nhengo dzemuviri.
- Zvakakosha zvikuru kutevedzera mararamiro ane hutano hwemwoyo mushure mekurapwa. Tsvaga rubatsiro rwechiremba nekukasika kana ukaona zviratidzo zvekunyevera zvakaita sekurwadziwa muchipfuva kana kushaya mweya.
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