Dzimwe nguva unonzwa kurwadziwa, kukwenya, kana kungonzwa kusanzwa zvakanaka mumakumbo ako paunofamba here? Makumbo ako anotanga kurwadza here mushure mekufamba chinhambwe chipfupi, uye kurwadziwa kunodzikira mushure mekumira kwenguva yakati? Chimwe chezvikonzero zvikuru zveizvi chingave chekuti mitsipa inotakura ropa kumakumbo ako yavharika nemafuta. Tinodaidza chirwere ichi kuti Peripheral Artery Disease, kana kuti PAD muchidimbu. Saka nhasi tiri kutaura nezvenzira yakakosha uye yepamusoro-soro yekurapa inochenesa mitsipa iyi yakavharika uye inodzoreredza kufamba kweropa. Inonzi Atherectomy.
Zvichitaurwa zviri nyore, chii chinonzi Atherectomy?
Sezvinoita pombi yemvura mumba medu inovharika nevhu nekufamba kwenguva, zvinhu zvine mafuta zvakaita secholesterol zvinogonawo kuungana mutsinga dzemuviri wedu nekufamba kwenguva. Tinoti iyi layer yemafuta inounganidza 'plaque' . Layer iyi yeplaque inokora zvishoma nezvishoma uye inoderedza nzvimbo iri mukati metsinga. Kutaura chokwadi, inotetepa tsinga. Mukurapa, tinoidaidza iyi nzira Atherosclerosis . Saka PAD chirwere cheAtherosclerosis chinoita kuti mitsinga iri mumakumbo, kunyanya makumbo, ivharike.
Kubviswa kwetsvina (atherectomy) inzira inopinzwa chubhu yakatetepa (catheter) mutsinga yakavharika, uye, uchishandisa banga diki kana laser beam pamucheto wechubhu, plaque yakaoma inochekwa yobviswa. Zvakafanana nekuchenesa tsvina diki yakanamatira mupombi uchishandisa chishandiso chakakosha.
Kana izvi zvaitwa, kuvharika kwetsinga kunobviswa, uye ropa rinogona kuyerera zvakasununguka. Dzimwe nguva, mushure mekubvisa mafuta aya, vanachiremba vanogona kuita angioplasty kuti tsinga irambe yakavhurika, kungave nekuisa bharumu kana stent .
Ndedzipi mhando huru dzekurapa kwe atherectomy?
Kune mhando dzakasiyana-siyana dzekurapa kwe atherectomy, zvichienderana nemudziyo unoshandiswa kubvisa plaque layer iyi. Chiremba wako achasarudza nzira yakakunakira zvichienderana nezvinhu zvakaita serudzi rwekuvharika kwetsinga yako yeropa uye rudzi rweplaque layer.
| Zita renzira yekurapa (Rudzi rweAtherectomy) | Mashandiro Azvo |
|---|---|
| Kuvhiyiwa kweAtherectomy Kusingawanzoitiki | Izvi zvinosanganisira kucheka nekubvisa plaque iri parutivi nechinhu chine blade diki. |
| Kubviswa kweLaser Atherectomy | Sezvinoratidzwa nezita racho, izvi zvinoshandisa danda relaser rine simba guru kunyungudutsa, kupfavisa, uye kubvisa plaque layer. |
| Kuvhiyiwa kweOrbital Atherectomy | Izvi zvakafanana nekubvisa ngura nesandpaper. Mudziyo une muromo wedhaimani unotenderera nekumhanya kwakanyanya unoshandiswa kukwesha nekupwanya plaque layer. |
| Kuvhiyiwa kweRotational Atherectomy | Muchiitiko ichi, mudziyo une zvidimbu zvidiki zvakawanda zvinotenderera nekumhanya kwakanyanya unoshandiswa kucheka, kupwanya, uye kubvisa plaque layer. |
Chii chandinofanira kuita ndisati ndarapwa?
Chiremba wako asati asarudza kuita kurapwa uku, acharaira bvunzo dzinoverengeka kuti aone kuti tsinga dzako dzakavharika zvakadii uye kuti dziri kupi chaizvo.
- Angiography: Izvi zvinosanganisira kuisa dhayi chaiyo mutsinga dzeropa uye kutora mifananidzo yeX-ray yeropa richiyerera nepakati padzo. Izvi zvinokubatsira kuona zvakajeka chero chipi zvacho chakavharika.
- Kuongororwa kwetsinga dzeropa: Izvi zvakafanana nekuongororwa nguva dzose. Kunoshandisa mafungu eruzha kuyera kumhanya kweropa mutsinga uye kuona kuvharika kwaro.
Zvichibva pamhedzisiro yebvunzo idzi, chiremba wako ndiye achasarudza kana wakakodzera kuvhiyiwa kweAtherectomy. Chiremba achakupa mirairo yakajeka yekuti ungagadzirira sei kurapwa.
- Chikafu Nezvinwiwa: Ungakumbirwa kuti urege kudya kana kunwa kwemaawa mashoma usati warapwa.
- Mishonga: Zvakakosha kuudza chiremba wako nezvemimwe mishonga yauri kutora, kunyanya mishonga inobvisa ropa (anticoagulants) kana aspirin. Unogona kukumbirwa kuti urege kuishandisa kwemazuva mashoma.
Paunoenda kuchipatara pazuva raunorapwa, uchapihwa gown rekuchipatara uye chubhu diki ichaiswa mutsinga iri muruoko rwako kuti ikupe anesthesia. Usazvidya moyo, zvese izvi zvinoitirwa kuti usanzwa kusagadzikana kana kurwadziwa.
Kurapa kunoshanda sei?
Zvakanaka, ngationei kuti kurapwa uku kunoitwa sei chaizvo. Uku hakusi kuvhiyiwa kukuru, saka hakukuvadzi muviri wako zvakanyanya.
1. Kutanga, uchapihwa mushonga unopedza simba uye mushonga unonyaradza marwadzo kuti unzwe wakadhakwa zvishoma. Saka hauzonzwi kurwadziwa, asi uchanzwa zviri nani.
2. Zvadaro, chiremba achaita kucheka kudiki paganda rako kuti aise chubhu diki (catheter) mune imwe yetsinga dzako (kazhinji muhudyu mako kana paruoko).
3. Tevere, chubhu inotungamirwa nokungwarira nemutsinga, ichitungamirirwa neX-ray, uye inotumirwa kunzvimbo yakaungana plaque uye yakavharika.
4. Pakupedzisira, mudziyo wakakosha (banga, laser, kana muromo unotenderera) uri kumagumo kwechubhu unobatidzwa, plaque layer inochekwa, yokweshwa, uye zvidimbu zvinobviswa nepachubhu.
Izvi zvingada kuitwa kakawanda kusvika ropa radzoka zvakakwana. Maitiro ese anowanzo tora maawa maviri.
Chii chinoitika mushure mekurapwa?
Kana kurapwa kwapera zvakanaka, uchafanira kurara pamubhedha kwemaawa mashoma (kazhinji maawa 4-6) kudzivirira kubuda ropa kubva panzvimbo inopinzwa catheter. Munguva iyi, vanamukoti vanogara vachiongorora BP yako, kurova kwemoyo, uye kurova kwemoyo wako.
Kazhinji, izvi zvinoitwa senzira yekuvhiyiwa kunze kwechipatara, zvichireva kuti unogona kuenda kumba manheru iwayo. Zvisinei, dzimwe nguva, zvichienderana nemamiriro ako ezvinhu, ungangoda kugara muchipatara kwezuva rimwe chete.
Unogona kudzokera kumabasa ako emazuva ese mukati memazuva mashoma. Zvisinei, sezvo nguva yekupora yemunhu wese yakasiyana, zvakanaka kubvunza chiremba wako nezvenguva yakanakisa yekutangazve mabasa ako.
Mabhenefiti nenjodzi dzekurapa atherectomy
Sezvinoitwa mune chero nzira yekurapa, kubviswa kwetsvina yekubvisa kenza (atherectomy) kune zvakunobatsira uye kune dzimwe njodzi diki. Zvakakosha kuziva izvi.
| Zvakanakira | Njodzi/Matambudziko |
|---|---|
| Inopa zororo nekukurumidza kubva kuzviratidzo zvePAD (zvakadai sekurwadziwa kwegumbo). | Kana ukacheka plaque, chidimbu chidiki chayo chinogona kutyoka chonamirwa mune imwe tsinga diki iri pamberi pako. |
| Uku hakusi kuvhiyiwa kukuru. Paganda panongogadzirwa buri diki chete. (Risingakuvadzi zvakanyanya) | Dzimwe nguva mudziyo uyu unogona kukuvadza tsinga yeropa, zvichikonzera buri. |
| Kurapa kunowanzotora nguva pfupi, inenge maawa maviri. | Kubuda ropa kana utachiona zvinogona kuitika panzvimbo yakapinzwa chubhu. |
| Unogona kupora nekukurumidza wodzokera kuhupenyu hwakajairika. | Pane mukana wekuti plaque ichasara zvakare panzvimbo imwe chete. |
Asi unofanira kuyeuka kuti njodzi idzi hadziwanzoitika. Vanachiremba vane ruzivo vane hunyanzvi mukudzivirira mamiriro ezvinhu aya uye kugadzirisa kana zvikaitika.
Unofanira kutaura nachiremba rini?
Paunodzokera kumba mushure mekurapwa, zvakakosha kutarisisa chero shanduko dziri kuitika mumuviri wako. Kana ukaona chimwe chezviratidzo zviri pazasi, unofanira kutaura nachiremba wako nekukurumidza .
| Kana uine zviratidzo izvi mushure mekurapwa, zivisa chiremba wako nekukasika. |
|---|
| - Marwadzo akanyanya, asingatsungiririki munzvimbo yemudumbu kana gumbo rakarapwa. |
| - Kuzvimba kwemakumbo (Edema) . |
| - Kutsvuka kana kunzwa kudziya munzvimbo yakarapwa. |
| - Gumbo rakarapwa rinonzwa kutonhora kana kuti kushoma kupfuura rimwe gumbo. |
Kubviswa kwemasero eropa (atherectomy) inzira inoshanda uye yakachengeteka yekurapa chirwere chePeripheral Artery Disease (PAD). Kana uine zviratidzo izvi, usatya kuona chiremba wowana mazano. Nekuda kwekurapa kwemazuva ano kwakadai, tava kukwanisa kubata nezvirwere izvi zvinobudirira.
Mharidzo Yekuenda Nayo Kumba
- Kubviswa kwemasero eropa (atherectomy) inzira iri nyore, isinganyanyi kukuvadza iyo inobvisa mafuta (plaque) anenge apinda mutsinga dzeropa nekuda kwePAD.
- Sezvo iyi isiri kuvhiyiwa kukuru, unogona kupora nekukurumidza wodzokera kuhupenyu hwakajairika.
- Sezvinoitwa nemishonga yese, kune njodzi diki, asi hadziwanzowaniki uye dzinogona kugadziriswa navanachiremba vane ruzivo.
- Kana ukanzwa kurwadziwa kusingawanzoitiki, kuzvimba, kutsvuka, kana kuvaviwa pagumbo rako mushure mekurapwa, fonera chiremba wako nekukasika .
- Mararamiro ako, akadai sekudya uye kurovedza muviri, akakosha zvikuru pakubudirira kwekurapwa uku uye kudzivirira kudzokera shure.
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