Dzimwe nguva unonzwa kurwadziwa muchipfuva chako, kuda kurutsa here ? Kana kuti unonetseka here kufema paunenge uchikwira masitepisi? Izvi zvinogona kuva zviratidzo zvidiki zvekuti mitsipa yeropa (tsinga) dziri mumoyo medu dzakavharika zvishoma. Kunyangwe vanhu vazhinji vachitya "chirwere chemwoyo", nekuda kwekufambira mberi kwemishonga nhasi, kune nzira dzekubvisa kuvharika kwakadaro pasina kuvhiyiwa kukuru. Ndosaka tiri kutaura nezvenzira yekurapa yakakosha kwazvo, yemazuva ano nhasi.
Chii chinonzi PCI? Zvichitaurwa zviri nyore...
PCI, iyo inomiririra Percutaneous Coronary Intervention , inzira iri nyore yekurapa inoshandiswa kubvisa kuvharika kwetsinga dzemwoyo dzinopa ropa kumoyo. Ungave wakambonzwa nezvayo se "angioplasty." Ndiro zita rekare rayo.
Fungidzira kana pombi yemvura mumba medu ikavharika nevhu, mvura yoyerera zvishoma nezvishoma, handiti? Ndizvo zvinoita kuti zvinhu zvakaita semafuta necholesterol zviunganidzwe mutsinga dzemwoyo yedu, zvichivharira kufamba kweropa. Mukurapa kwePCI, mudziyo mudiki wakaita sebharumu unoiswa mutsinga yakavharika, wofuridzirwa, uye tsinga yacho inovhurwazve.
Kazhinji, chubhu diki yemesh, inonzi stent, inoiswa zvachose mutsinga kuti isavharwe zvakare. Mazhinji ema stents anoshandiswa nhasi imhando yakakosha inoburitsa mushonga zvishoma nezvishoma kuderedza njodzi yekuti tsinga ivharwe zvakare. Aya anonzi ma drug-eluting stents .
Ndiani anoda kurapwa uku?
Kana mafuta nemafuta zvakakora zvikaungana mutsinga dzeropa dzemwoyo wako, tinozviti atherosclerosis . Tinozviti mafuta aya plaque . Dambudziko iri rinotadzisa ropa kupinda mumoyo wako. Apa ndipo paungasangana nezviratidzo zvakaita se:
- Kurwadziwa kwechipfuva kana kuomarara (angina)
- Kuoma kufema
Chinonyanya kukosha ndechekuti PCI inoitirwawo nekukurumidza senzira yekuponesa hupenyu hwemunhu akamborwara nemoyo, sezvo ichigona kuvhura tsinga yakavharika nekukurumidza uye kuderedza kukuvara kwemoyo.
Kurapwa kwePCI kunoitwa sei? Ngationei nhanho nhanho
Kurapa uku kunoitwa nachiremba wemwoyo. Uchapihwa mushonga wekukubatsira kuti unzwe hope uye kudzikama panguva iyi. Saka hauzonzwi kurwadziwa, asi uchava nepfungwa dzakapinza. Ngatitsanangurei mashandiro anoita izvi.
| Matanho | Chii chiri kuitika? |
|---|---|
| 1. Kuwana mukana wekupinda | Chiremba anoboora buri diki kwazvo paruoko rwako kana pamusoro pechidya chako obva aisa chubhu diki (sheath) nepariri mutsinga yeropa. |
| 2. Kutumira katheta | Kuburikidza nechubhu iyoyo, chubhu yakapfava, inonzi catheter, inopfuudzwa kutsinga yeropa yakavharika iri mumoyo. |
| 3. Kuonekwa kwekuvharika kwemidziyo | Rudzi rwakakosha rwedhayi (dhayi rekuenzanisa) runoiswa jekiseni, uye tekinoroji yeX-ray inoshandiswa kuona mifananidzo iri mukati metsinga. Sezvinongoita bhaisikopo. Ipapo unogona kuona chaipo panowanikwa dhayi. |
| 4. Kuvhura tsinga | Nekuputira bharumu diki riri pamucheto wecatheter, mafuta ari muchikamu chemuviri anodzvanywa pamadziro etsinga, zvichivhura nzira yekuyerera kweropa. |
| 5. Kuisa stent | Kuti tsinga isatetepe zvakare, kana zvichidikanwa, stent inoiswa panzvimbo iyoyo. |
| 6. Kupedzisa | Catheter inobviswa uye nzvimbo yekuisa inovharwa nebhandeji rekudzvanya kana kuti masitichi madiki. |
Maitiro ese aya anogona kutora pakati pemaminitsi makumi matatu kusvika maawa maviri, zvichienderana nekuti tsinga dzako dzakavharika zvakadii.
Munhu wese anogona kuwana kurapwa uku here?
Kwete. Iwe nachiremba wako muchafanira kusarudza pamwe chete kuti ndeipi mishonga yakakunakirai. Kana muchida PCI, mishonga chete, kana kuvhiyiwa kukuru (Coronary Artery Bypass Graft - CABG) zvinoenderana nezvinhu zvakati wandei. Semuenzaniso, huwandu hwetsinga dzakavharika, kuti mwoyo wenyu uri kushanda zvakanaka sei, uye kana muine zvimwe zvirwere.
Mabhenefiti, njodzi, uye nguva yekupora
Kufanana nechero nzira yekurapa, iyi ine zvayakanakira uye njodzi diki.
Zvakanakira zvikuru ndeizvi:
- Kudzorerwa kweropa rinoyerera mumoyo.
- Zviratidzo zvakaita sekurwadziwa pachipfuva uye kushaya mweya zvinonyangarika.
- Hazvina kuoma sekuvhiyiwa kwe bypass uye nguva pfupi yekupora.
Njodzi dzingangoitika:
- Kubuda ropa kana hutachiona panzvimbo inopinzwa catheter.
- Kuumbwa kweropa mukati me stent (zvinodzikisa ropa zvinopihwa kudzivirira izvi).
- Tsinga imwe chete iyoyo inovharika zvakare (asi njodzi iyi iri pasi pe5% nekuda kwestent inobvisa mushonga).
- Kashoma, sitiroko inoitika.
Unogona kutangazve mabasa ako enguva dzose mukati mevhiki imwe chete mushure mePCI. Zvisinei, ungangoda kurega kuita zvinhu zvakaita sekusimudza zvinhu zvinorema kwenguva yakati. Chinhu chakakosha ndechekutora mishonga inodzikisa ropa (semuenzaniso, clopidogrel, ticagrelor) iyo chiremba wako anokuraira kwenguva yese yemushonga, pasina kupotsa kana zuva rimwe chete.
Chenjerera zviratidzo izvi! Enda kuna chiremba nekukasika!
Kana ukaona chimwe chezviratidzo zvinotevera mushure mekurapwa nePCI, fonera chiremba wako nekukasika kana kuenda kuchipatara chiri pedyo neEmergency Department (ETU).
- Kubuda ropa, mvura yakaita semapundu, kana kuzvimba kubva panzvimbo inopinzwa catheter.
- Kurwadziwa kwechipfuva (angina) kunoitika zvakare.
- Fivha kana kutonhora.
- Kuveveve kana kutonhorera kwakanyanya paruoko kana pagumbo pakaiswa catheter.
- Dzungu kana kupera simba (syncope) .
- Kunetseka zvakanyanya kufema.
Mharidzo Yekuenda Nayo Kumba
- PCI inzira yemazuva ano, yakachengeteka, uye inoshanda zvikuru yekurapa inoshandiswa kuvhura tsinga dzeropa dzakavharika mumoyo.
- Izvi zvinobatsira zvikuru mukuponesa hupenyu kana munhu akabatwa nechirwere chemwoyo kamwe kamwe.
- Kunyange zvazvo kupora kuchikurumidza mushure mekurapwa, zvakakosha kutora mishonga yakanyorerwa nachiremba, kunyanya mishonga inobvisa ropa rakawanda, kwenguva yese.
- Kuti tsinga dzeropa dzisadzokorore kuvharika, zvakakosha zvikuru kuva netsika dzakanaka dzemararamiro dzakadai sekurega kusvuta, kudya chikafu chine hutano, uye kurovedza muviri.
- Kana muine mibvunzo nezveutano hwemwoyo wenyu, taurai pachena nachiremba wemwoyo wenyu moita sarudzo dzakakodzera.
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