Une BP yakakwira here? Pamwe uri kushandisa mishonga yakati wandei, asi uchiri kunetseka kudzora BP yako here? Muzviitiko zvakadaro, chikonzero chingave kuvharika kwetsinga huru yeropa inotakura ropa kuenda kuitsvo dzako. Nhasi, tichataura nezvenzira yakakosha yekurapa zvirwere zvakadaro.
Zvichitaurwa zviri nyore, chii chinonzi Renal Artery Stenting?
Zviri nyore kwazvo. Mitsipa mikuru yeropa inopa ropa kuitsvo dzako (tinoti idzi itsvo) dzimwe nguva inogona kuvharwa nemafuta akaunganidzwa. Dambudziko iri rinonzi `(Renal Artery Stenosis)`. Saka `Renal Artery Stenting` inzira inosanganisira kuisa chubhu diki yakaita semesh (iyi inonzi `stent`) mutsinga yeropa yakavharika, kuvhurazve nzvimbo yakavharika uye kudzoreredza kuyerera kweropa.
Funga nezvazvo, itsvo ndidzo nhengo huru inodzora huwandu hwemunyu nemvura mumuviri wedu. Dzinoita izvi nekusefa ropa nekugadzira weti. Saka kana itsvo dzikasawana huwandu hunodiwa hweropa, hadzigoni kuita basa iri nemazvo. Ipapo mvura nemunyu zvinotanga kuungana mumuviri.
Itsvo dzinogadzirawo hormone inonzi `(Renin).` Iyi hormone inobatsira muviri kuchengetedza munyu nemvura uye inosimbisa tsinga dzeropa. Itsvo painonzwa kuti BP iri kuuya kwairi yakaderera, itsvo inofunga kuti BP iri mumuviri yakaderera. Zvadaro inoburitsa `(Renin) yakawanda. Asi chinoitika ndechekuti tsinga yeropa yavharika uye kuyerera kweropa kuenda kuitsvo kwadzikira, uye BP mumuviri inogona kukwira panguva iyoyo. Kana zvese izvi zvikabatana, tinogadzira chirwere chinonzi `(Renal Hypertension)` chinokonzera BP yakakwira. Izvi zvinogona kuisa pressure yakawanda pamoyo nedzimwe nhengo dzemuviri, uye nekufamba kwenguva, zvinogona kutokonzera kutadza kushanda kweitsvo .
Sei zvichikosha kuisa stent mutsinga yeropa muitsvo?
Kana chiremba wako akaona kuti une tsinga yeropa yakavharika zvakanyanya inoenda kuitsvo yako uye inoda kurapwa, vanogona kukurudzira kuisa stent. Izvi zvinobatsira kudzivirira kukuvara kwakanyanya kuitsvo dzako. Asi yeuka, hazvisi zvese zvinovharika mutsinga dzeitsvo zvinoda stent.
Kazhinji pane mamiriro akati wandei aunogona kuda kurapwa uku:
- Kana mitsipa yeropa inopfuura 60% yakavharika nekuda kwemafuta ari mumitsipa yeropa (atherosclerosis), uye isingagone kudzorwa nemishonga.
- Kana uri kutora mishonga mitatu kana kupfuura yeBP yakakwira asi usingakwanise kudzora BP yako.
- Kana tsinga dzese dzeropa dzinoenda kuitsvo dzese dzikavharika neanopfuura 60%.
- Kana uine itsvo imwe chete, uye tsinga yeropa inoenda kwairi yakavharika neanopfuura 60%.
- Kana ukasangana nematambudziko akadai se "flash pulmonary edema" apo mapapu anongoerekana azara nemvura.
Chinhu chinonyanya kukosha ndechekuti chiremba anokuongorora chete ndiye anogona kusarudza kana uchida kurapwa uku kana kuti kwete. Saka taura nachiremba wako pachena nezvazvo.
Chii chinoitika usati warapwa?
Chiremba wako asati aita kurapwa uku, achaongorora hutano hwako uye oita bvunzo dzinoverengeka kuti aone kana uchida stent.
| Zita rebvunzo | Chii chiri kungoitika? |
|---|---|
| Duplex Doppler Ultrasonography | Izvi zvakafanana nekuongororwa nguva dzose. Zvinoshandisa mafungu eruzha kuyera huwandu hwetsinga yeropa yakavharika uye kumhanya kwekufamba kweropa. |
| Computed Tomography Angiogram (CT Angiogram) | MaX-ray anoshandiswa kugadzira mufananidzo weitsvo une mativi matatu (3D). Mvura chaiyo (dhayi yekuenzanisa) inopinzwa kuti ione zvakanaka tsinga dzeropa. |
| Magnetic Resonance Angiogram (MRA) | Zvakafanana neMRI scan. Inoshandisa simba remagineti. Pano zvakare, mvura yakakosha inopinzwa kuti ione mamiriro etsinga dzeropa. |
| Angiogram | Chubhu yakatetepa (catheter) inopinzwa nepaburi kana paruoko yoendeswa kutsinga yeropa inoenda kuitsvo. Zvadaro mvura yakakosha inopinzwa uye kuyerera kweropa kunoongororwa uchishandisa X-rays. Stent inoiswawo nenzira imwecheteyo. |
Unofanira kuudza chiremba wako nezvemishonga yese yauri kutora (kusanganisira mavhitamini nemishonga yemishonga) . Mimwe mishonga, yakaita seaspirin, mishonga inobvisa ropa, uye mishonga inoderedza marwadzo, inogona kuwedzera njodzi yekubuda ropa. Saka,Usarega kutora chero mushonga usina kubvunza chiremba wako.
Tiudzeiwo nezve allergies dzamuinadzo. Izvi zvinosanganisira allergies dzemishonga, zvimwe zvinhu zvekuchenesa (senge iodine), uye zvekudya.
Chii chinoitika panguva yekurapwa?
Izvi hazviwanzoiti kuti unzwe kupenga zvachose. Uchapihwa mushonga wesaline kuburikidza netsinga iri muruoko rwako kuti ugare wakasununguka uye une hope. Saka hauzoyeuki zvakanyanya kurapwa kwacho.
Chiremba achaita kucheka kudiki padumbu rako kana paruoko. Kuburikidza nekucheka ikoko, chubhu isina chinhu (sheath) inopinzwa mutsinga yeropa. Zvadaro, imwe chubhu yakatetepa (catheter) inopfuudzwa nepachubhu iyoyo ichienda kutsinga yeropa yakavharika inoenda kuitsvo.
Kana jira ravharwa, bharumu diki riri kumagumo kwechubhu rinofuridzirwa kuti jira riwedzere kuvharwa kwaro. Zvadaro, stent yesimbi yatakambotaura inoiswa panzvimbo iyoyo yovhurwa. Yobva yadzvanya pamadziro etsinga yeropa, ichibvisa jira ravharwa uye ichivhura nzira yekuti ropa riyerere. Stent iyi chinhu chiri mukati memuviri zvachose.
Kana stent yangoiswa panzvimbo, bharumu rinobviswa mvura uye catheter inobviswa. Kuchekwa kwacho kunozovharwa nekushandisa simba kana kushandisa mudziyo wakakosha, uye bhandeji rinoiswa.
Chii chinoitika mushure mekurapwa?
Mushure mekurapwa, uchafanira kugara muchipatara kwemaawa mashoma, pamwe husiku hwese. Vashandi vezvehutano vachaongorora BP yako, kurwadziwa, uye hutano hwako hwese. Mishonga yako ingangoda kuchinjwa usati waenda kumba. Izvi zvichatsanangurwa kwauri.
Kana zvaonekwa kuti wava kugona kudzokera kumba, uchabuda muchipatara. Zvisinei , uchafanirwa kuva nenhengo yemhuri kana shamwari kuti vauye kuzokutora kumba.
Ndezvipi zvakanakira uye njodzi dzekurapa uku?
Kufanana nechero nzira yekurapa, iyi ine zvayakanakira uye njodzi diki.
| Zvakanakira | Njodzi |
|---|---|
| Kurapa kunoitwa nekucheka kadiki uye hakuna migumisiro yakawanda. | Kukuvara kana kubuda ropa panzvimbo yakapinzwa chubhu. |
| Kuyerera kweropa kuitsvo kwakavandudzika. | Kukuvadzwa kwetsinga yetsvo kana itsvo. |
| Kuwana rubatsiro rwekuderedza BP. | Kugwamba kweropa. |
| Kubatsira kuchengetedza mashandiro eitsvo. | Kusawirirana nechinhu chakakosha chinoshandiswa pakuongorora. |
| Kashoma, itsvo dzinotadza kushanda zvakanaka. |
Zvinotora nguva yakareba sei kuti upore?
Vanhu vazhinji vanonzwa zviri nani mukati memazuva mashoma. Chiremba wako achakupa mazano ekuti unofanira kushanda nesimba sei mumazuva mashoma ekutanga.
Uchafanira kutora mishonga inodzikisa ropa kudzivirira kuungana kweropa kusvika stent yapora. Semuenzaniso, mishonga yakaita se'Aspirin' kana 'Clopidogrel'. Zvichienderana nemamiriro ako ezvinhu, ungangoda kuitora kwemwedzi kana gore. Zvakakosha kutora mishonga iyi sezvakarairwa uye kwete kuimisa usina kubvunza chiremba wako.
Vanhu vazhinji vanogona kudzokera kubasa kana kuita mabasa avo emazuva ese mukati mevhiki. Zvisinei, kana ukaita mabasa anorema, akadai sekusimudza masimbi, zvinogona kutora nguva yakati rebei kuti upore.
Ndinofanira kuona chiremba zvakare rini?
Dzimwe nguva kuvharika kutsva kunogona kuitika kune dzimwe nzvimbo mutsinga yeropa. Saka iva nechokwadi chekuenda kukiriniki pamazuva akarongwa uye kuona chiremba.
Uyewo, kana ukaona chimwe chezviratidzo zvinotevera , fonera chiremba wako nekukasika:
- Kana ukanzwa fivha.
- Kana uchinetseka kufema.
- Kana paine mapundu paganda.
- Kana nzvimbo yakapinzwa chubhu iri tsvuku, yepepuru, nhema, yakazvimba, inorwadza, kana kuti ichibuda ropa.
- Kana gumbo riri papipi richirwadza, richitonhora, rakachenuruka, kana kuti richinzwa serisina simba.
- Kana ukatanga kurwadziwa mudumbu kana padivi rawakarapwa.
- Kana uchinzwa dzungu uye BP yako yakaderera zvakanyanya (hypotension).
Mharidzo Yekuenda Nayo Kumba
- Kurapa neitsvo nenzira yakachengeteka inoshandiswa kuvhura tsinga dzeropa dzakavharika dzinoenda kuitsvo.
- Izvi zvinobatsira kuderedza BP yakanyanya iyo inonetsa kudzora nekudzivirira mashandiro eitsvo.
- Havasi vese vanoda kurapwa uku. Chiremba wako chete ndiye anogona kusarudza kuti unoda here kana kuti kwete.
- Mushure mekurapwa, zvakakosha kushandisa mishonga yakanyorerwa nachiremba, kunyanya mishonga inobvisa ropa rakawanda, sezvakanyorerwa.
- Kana ukaona zviratidzo zvisingawanzoitiki, zivisa chiremba wako nekukasika. Usatya kutaura naye nezvezvinokunetsa.
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