Unonzwa kurwadziwa kana kurwadziwa mumakumbo ako here, kunyanya munzvimbo yehudyu, paunofamba? Kurwadziwa uku kunowedzera here paunofamba zvishoma uye kunoderera paunomira wakamira? Kana uine zviratidzo izvi, unogona kunge uchikanganiswawo nechirwere ichi. Usazvidya moyo, ichi chirwere chinokanganisa vanhu vazhinji. Nhasi, ngatitaurei nezvechinokonzera izvi uye nzira yemazuva ano yekurapa inonzi Atherectomy.
Chii chinonzi PAD? Sei tsinga dzichivharika?
Zvichitaurwa zviri nyore, PAD inomiririra Peripheral Artery Disease . MuchiSinhala, kuvharika kwetsinga dzeropa (tsinga) dzinotakura ropa kuenda kunhengo dziri kure dzakadai senhengo dzemuviri wedu. Fungidzira kuti nekufamba kwenguva, zvinhu zvakaita sengura netsvina zvinonamira mupombi yemvura. Nenzira imwecheteyo, "plaque" inogona kuiswa mukati metsinga dzedu dzeropa. Iyi plaque idanda rinoumbwa nekuunganidzwa kwezvinhu zvakaita secholesterol, mafuta, uye calcium. Mukurapa, tinodana izvi kuti (Atherosclerosis) .
Sezvo tsinga yeropa ichidzikira zvishoma nezvishoma nekuda kwekuvharika uku, huwandu hweropa hunopfuura nepakati payo hunoderera. Paunorovedza muviri kana kufamba, tsandanyama dziri mumakumbo ako dzinoda ropa rakawanda, zvinoreva kuti oxygen yakawanda. Asi nekuda kwekuti tsinga dzakavharwa, hadziwani huwandu hweropa hwadzinoda. Ndipo panouya kurwadziwa nekusanzwa.
Chii chinonzi atherectomy?
Kubviswa kweropa (atherectomy) inzira yakakosha yekurapa inobvisa kana kuchenesa plaque yakaungana mukati metsinga yeropa yakavharika. Uku hakusi kuvhiyiwa kukuru. Kunosanganisira kuisa chubhu yakatetepa (catheter) kuburikidza neimwe yetsinga dzeropa dzako woitungamirira kuvharika. Kumagumo kwechubhu iyi kune banga rakatetepa, rakapinza kana mudziyo unoburitsa chiedza chelaser.
Kutaura chokwadi, izvi zvakafanana nekuisa waya mupombi yakavharika wobvisa tsvina iri mukati.
Mudziyo uyu unocheka nekukwenya plaque yakaoma. Dzimwe nguva, kurapwa uku kunogona kusanganisira bharuni angioplasty kuti ivhure tsinga yeropa kana stent kuti isavhare zvakare. Chiremba wako achakutsanangurira izvi zvakadzama.
Kune mhando ngani dze atherectomy?
Ehe, vanachiremba vanoshandisa nzira dzakasiyana dzekubvisa marwadzo zvichienderana nerudzi uye nzvimbo yakavharika mutsinga yeropa. Kune mhando dzakasiyana-siyana.
| Rudzi rwekuvhiyiwa kweatherectomy | Zvichitaurwa zviri nyore, chii chinoitika |
|---|---|
| Kuvhiyiwa kweAtherectomy Kusingawanzoitiki | Rutivi rweyero runobviswa nekuricheka parutivi nebanga rakapinza. |
| Kubviswa kweLaser Atherectomy | Matanda eLaser anoshandiswa kunyungudutsa, kupfavisa, uye kuparadza rukoko rweyero. |
| Kuvhiyiwa kweOrbital Atherectomy | Rutivi rweyero runokweshwa nechinhu chinotenderera nekukurumidza, chakafanana nesandpaper. |
| Kuvhiyiwa kweRotational Atherectomy | Mudziyo une mapanga madiki akawanda unotenderedzwa mudenderedzwa kuti upwanye uye ubvise rukoko rweyero. |
Chii chandinofanira kuita ndisati ndarapwa?
Usati warapwa nenzira iyi, chiremba wako achakurayira kuti uone kuti tsinga dzeropa dzakavharika zvakadii.
- Angiography: Kuongororwa uko dhayi chaiyo inopinzwa mutsinga uye X-ray inotorwa kugadzira mepu yetsinga.
- Kuongororwa kwetsinga dzeropa: Kuongororwa kwetsinga dzeropa kunoshandisa mafungu eruzha kuti vaone kuyerera kweropa mukati metsinga uye kuti vaone kana paine zvipingamupinyi.
Zuva risati rasvika rekurapwa kwako, uchagamuchira mimwe mirayiridzo yakakosha.
- Yasvika nguva yekurega kudya nekunwa.
- Nezvekutora kana kurega mishonga yauri kutora, kunyanya mishonga inorwisa ropa .
Zvakakosha zvikuru kutevedzera zvese izvi sezvakarairwa nachiremba wako.
Chii chinoitika panguva yekurapwa?
Paunoenda kuchipatara, uchapihwa gown rakakosha rekupfeka. Wobva wapihwa mushonga wekukubatsira kuti usanzwe kurwadziwa panguva yekurapwa. Izvi zvinowanzoitwa uchiri kunzwa, asi uchizorora zvishoma.
1. Chiremba achaboora kaburi kadiki mutsinga yeropa mudumbu mako kana paruoko rwako oisa chubhu diki (catheter) nepairi.
2. Zvadaro, paunenge uchitarisa X-ray screen, chubhu yacho inotungamirirwa nokungwarira kunzvimbo ine tsinga yakavharika.
3. Kana wasvika pakavharwa, shandisa mudziyo (banga kana laser) pamucheto wechubhu wokwesha kana kucheka rukoko rweyero.
4. Maitiro aya anogona kudzokororwa kakawanda kusvika pasina chinotadzisa kufamba kweropa.
Kazhinji, maitiro ese aya anotora anenge maawa maviri.
Chii chekutarisira mushure mekurapwa?
Mushure mekurapwa, uchafanira kurara pamubhedha kwemaawa akati wandei (zvichida maawa matanhatu) kudzivirira kubuda ropa kubva panzvimbo inopinzwa catheter. Munguva iyi, vanamukoti vachagara vachiongorora BP yako nekurova kwemoyo.
Kazhinji, iyi inzira yekurapa inokutendera kuti udzokere kumba zuva rimwe chete usingafaniri kugara muchipatara. Zvisinei, vamwe vanhu vangafanira kugara muchipatara kwezuva rimwe chete. Zvinoenderana nemamiriro ako ezvinhu. Uchakwanisa kutangazve mabasa ako emazuva ese mumazuva mashoma. Zvisinei, zvakanaka kubvunza chiremba wako kuti akupe mazano.
Ndezvipi zvakanakira izvi?
Chinhu chikuru chinobatsira pakubvisa mapfupa emudumbu ndechekuti zvinogona kuitwa nekucheka kadiki, pane kuvhiyiwa kukuru . Izvi zvinoita kuti nguva yekupora ipfupike, marwadzo mashoma, uye mavanga mashoma.
Pane migumisiro kana njodzi dziripo here?
Sezvinongoita chero kurapwa kupi zvako, panogona kunge paine njodzi.
- Kana ukakwenya rukoko rweyero, chidimbu chidiki charwo chinogona kutyoka chonamira mune imwe tsinga diki iri pamberi pako.
- Kashoma, mudziyo wekukwenya unogona kukuvadza madziro etsinga, zvichikonzera kukwenya kana buri.
Asi izvi hazviwanzoitika. Vanachiremba vane ruzivo vanotora matanho ese anodiwa kuderedza njodzi idzi.
Unoda kunoona chiremba zvakare riini?
Paunodzokera kumba mushure mekurapwa, unofanira kufonera chiremba wako nekukasika kana ukaona zviratidzo zvitsva kana kana chimwe chezviratidzo zvako chiripo chikawedzera. Ngwarira zvakanyanya nezvezvinotevera:
- Kurwadziwa kwakanyanya muhudyu kana gumbo rakarapwa.
- Kuzvimba kwemakumbo (Edema) .
- Kutsvuka kana kunzwa kudziya munzvimbo yakarapwa.
- Kunzwa kutonhora kana kuti kusanzwa simba mugumbo rakarapwa.
Kana uchinzwa chimwe chinhu chakadai, usazviregeredza. Tsvaga rubatsiro rwechiremba nekukasika.
Mharidzo Yekuenda Nayo Kumba
- PAD (Peripheral Artery Disease) chirwere chinoita kuti tsinga dzeropa dziri mumakumbo dziome uye dziome. Izvi zvinogona kukonzera marwadzo mumakumbo kana uchifamba.
- Kubviswa kweropa (atherectomy) inzira yemazuva ano yekurapa inobvisa tsinga dzakavharika uchishandisa chubhu yakatetepa, pasina kuvhiyiwa kukuru.
- Kurapa uku kwakachengeteka uye nguva yekupora ipfupi.
- Zvakakosha kunyatsotevera mirairo yachiremba usati warapwa uye mushure mekurapwa.
- Kana ukaona zviratidzo zvisingawanzoitiki (kurwadziwa, kuzvimba, mavanga) mushure mekurapwa, zivisa chiremba wako nekukasika.
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