Unewo BP yakakwira here? Ungave uchitora mishonga inopfuura imwe chete yekudzora BP yako. Asi kana uchiri kunetseka kudzora BP yako, chikonzero chingave kuvharika kwetsinga dzinoendesa ropa kuitsvo dzako. Saka nhasi, ngatitaure nezvekurapa kunonzi 'Renal Artery Stenting' kunoshandiswa muzviitiko zvakadaro. Usatya kana ukanzwa izvi, ngatinzwisise zvese nezvazvo zviri nyore.
Chii chinonzi Renal Artery Stenting?
Zvichitaurwa zviri nyore, mitsipa mikuru yeropa inotakura ropa kuenda kuitsvo mbiri dziri mumuviri wedu inonzi 'renal arteries'. Kungofanana nemapombi maviri makuru anotakura mvura kuenda kubindu. Dzimwe nguva, zvinhu zvakaita semafuta zvinoungana mukati memitsipa iyi yeropa (chirwere ichi chinonzi `(Atherosclerosis)`) uye nzira iri mukati memitsipa inova diki. Tinoidaidza kuti 'renal artery stenosis'.
Fungidzira chimwe chinhu chakaita sepombi yemvura ichivharwa nengura. Ipapo nzira yemvura inova diki, handiti? Nenzira imwecheteyo, nzira inoenda kuitsvo inovharika.
Kuvhiya kwetsinga dzeitsvo inzira yekurapa inoshandiswa kuvhurazve, kana kuchengetedza yakavhurika, tsinga yeropa yakavharika. Muizvi, chubhu diki yesimbi (stent) inopinzwa munzvimbo yakavharika, ichivhura tsinga. Zvadaro, ropa rinotanga kuyerera zvakanaka kuenda kuitsvo zvakare.
Chii chinoitika kana tsinga dzeitsvo dzavharika?
Sezvamunoziva, rimwe remabasa makuru eitsvo dzedu nderekusefa ropa nekubvisa munyu nezvinoyerera zvisingadiwi mumuviri seweti. Kana huwandu hweropa rinoyerera kuenda kuitsvo hukadzikira, hadzigoni kuita basa iri nemazvo. Zvadaro, mvura inotanga kuungana mumuviri.
Hazvisi izvozvo chete, asi chimwe chinhu chakakosha chinoitika. Itsvo painonzwa kuti ropa harisi kufamba zvakanaka, inofunga kuti BP mumuviri wese yadzikira. Saka, kuti iwedzere BP, itsvo inoburitsa hormone inonzi `(renin)`. Iyi hormone inoita kuti tsinga dzeropa mumuviri dziome. Asi chinoitika ndechekuti BP mumuviri inogona kunge yakakwira zvakanyanya panguva iyoyo.
Kukwira kweropa kunokonzerwa nekuvharika kwetsinga dzeitsvo nenzira iyi kunonzi Renal Hypertension . Izvi zvakaoma kudzora kupfuura kukwira kweropa kwakajairika, uye nekufamba kwenguva zvinogonawo kukuvadza itsvo.
Ndiani anoda stent?
Havasi vese vane tsinga dzeitsvo dzakavharika vanoda stent. Chiremba wako anongokurudzira kurapwa uku mune zvimwe zviitiko zvakakosha.
| Mamiriro | Tsananguro |
|---|---|
| Kukwira kweropa kusingadzoreki | Kana BP yako isingadzoreki kunyangwe watora mishonga mitatu kana kupfuura ine BP yakawanda. |
| Kuvharika kwakanyanya kwetsinga | Kana tsinga dzeitsvo dzinopfuura 60% dzakavharwa uye dzisingakwanise kudzorwa nemishonga. |
| Mvura inozadza mapapu | Kana ukangoerekana wava nechirwere chinonzi "flash pulmonary edema". |
| Dambudziko neitsvo dzese | Kana tsinga dzese dzinoenda kuitsvo dzese dzikavharika neanopfuura 60%. |
Ndedzipi bvunzo dzinoitwa usati washandisa stenting?
Chiremba wako asati asarudza kuisa stent, achaita bvunzo dzinoverengeka kuti aone kuti tsinga yako yeropa yakavharwa zvakadini.
- Duplex Doppler Ultrasonography: Izvi zvakafanana nekuongororwa nguva dzose. Inoshandisa mafungu eruzha kuyera kuti tsinga yeropa yakamanikana sei uye kuti ropa riri kuyerera nekukurumidza zvakadii.
- Computed Tomography Angiogram (CT Angiogram): Izvi zvinosanganisira kubaya dhayi chaiyo mutsinga dzako uye kushandisa CT scanner kutora mufananidzo wetsinga dzine mativi matatu (3D). Izvi zvinokutendera kuti uone zvakajeka kuti tsinga dzakavharika papi.
- Magnetic Resonance Angiogram (MRA): Izvi zvakafanana neMRI scan. Dhayi inobayiwa uye simba remagineti rinoshandiswa kugadzira mifananidzo yakajeka yetsinga dzeropa.
- Angiogram: Iyi ndiyo nzira yakanyatsojeka. Mukuita izvi, chubhu yakatetepa (catheter) inopinzwa nepatsinga iri mugotsi kana paruoko yoendeswa kutsinga yeitsvo. Zvadaro, dhayi inopinzwa nepairi uye X-ray inotorwa kuti ione kuti ropa riri kuyerera sei. Kupisa simbi kunowanzoitwa panguva yekuyedzwa uku.
Zvakakosha: Usati watanga bvunzo idzi, unofanira kuudza chiremba wako nezvemishonga yese yauri kutora (kunyanya mishonga inobvisa ropa yakaita seaspirin) uye chero allergies yaungave nayo.
Kuvhiyiwa kwe stenting kunoitwa sei?
Uku hakusi kuvhiyiwa kukuru kwepachivande. Haurare. Unopiwa mushonga unonzi `sedation` kuti uzorore uye unzwe hope. Saka haunzwi kurwadziwa uye hauzombozviyeuki mushure mezvo.
Kurapa kwacho kunotevera:
1. Kuchekwa kudiki (mamilimita mashoma) kunogadzirwa paganda remudumbu mako kana ruoko.
2. Kuburikidza nayo, chubhu inochinjika (sheath) inopinzwa mutsinga.
3. Kuburikidza nechubhu iyoyo, imwe chubhu yakatetepa (catheter) inopfuudzwa kutsinga yakavharika iri muitsvo.
4. Zvadaro, bharumu diki riri kumagumo kwechubhu rinofuridzirwa kuti nzvimbo yakavharika ikure.
5. Pakupedzisira, stent yakaita semesh yatataura nezvayo kare inoiswa munzvimbo yakafara. Stent inodzvanya pamadziro etsinga, zvichiita kuti tsinga irambe yakavhurika.
6. Stent inoiswa ipapo zvachose, bharumu nechubhu zvinobviswa, kucheka kunovharwa, uye bhandeji rinoiswa.
Ndezvipi zvakanakira uye njodzi mushure mekurapwa?
Sezvinoita chero kurapwa kupi zvako, kune zvakanakira uye njodzi diki.
| Zvakanakira | Njodzi |
|---|---|
| Nzira iri nyore isina kucheka kukuru. | Kukuvara kana kubuda ropa panzvimbo yakapinzwa chubhu. |
| Kudzorerwa kweropa rinoyerera richienda kuitsvo. | Kukuvara kwetsinga yeropa kana itsvo (zvisingawanzoitiki). |
| Kubatsira kudzora BP. | Kugwamba kweropa. |
| Kudzivirira mashandiro eitsvo. | Kurwara nedhayi. |
Mushure mekurapwa, uchafanira kugara muchipatara kwemaawa mashoma kana kuti husiku hwese. Uchakwanisa kudzokera kumabasa ako emazuva ese mukati memazuva mashoma mushure mekuenda kumba. Uchakwanisa kutangazve mabasa ako emazuva ese mukati mevhiki imwe chete.Chinhu chinonyanya kukosha kutora mushonga unodzikisa ropa (wakaita se'Aspirin', 'Clopidogrel') wawakanyorerwa nachiremba wako kwenguva yakatarwa. Usamborega kutora mushonga usina kubvunza chiremba wako.
Ndinofanira kuona chiremba zvakare rini?
Kunyangwe mushure mekunge stent yaiswa, unofanira kuenda kunoongororwazve sezvinokurudzirwa nachiremba, nekuti dzimwe nguva stent kana imwe nzvimbo inogona kuvharika zvakare.
Kana paine chimwe chezviratidzo zvinotevera, fonera chiremba wako nekukasika:
- Kana ukanzwa fivha.
- Kana uchinetseka kufema.
- Kana paine mapundu paganda.
- Kana nzvimbo yakapinzwa chubhu yakatsvuka, yakazvimba, inorwadza, kana paine ropa kana hurwa huri kubuda kubva ipapo.
- Kana gumbo riri parutivi rwakarapwa rikava rinorwadza, rinotonhora, kana kuti rakachenuruka.
- Kana ukatanga kurwadziwa mudumbu kana padivi rawakarapwa.
- Kana uchinzwa dzungu uye BP yako ichidzikira zvakanyanya.
Stent iyi inhengo yemuviri inogara iripo. Kazhinji hairwadzi. Kunyange zvazvo ichigona kubatsira vanhu vazhinji kudzora BP yavo, ungangoda kutora mishonga yekudzora BP yako. Chiremba wako achasarudza izvi zvichienderana nemamiriro ako ezvinhu.
Mharidzo Yekuenda Nayo Kumba
- Kurapa kwetsinga dzeropa dziri muitsvo nenzira iri nyore, isingakuvadzi tsinga dzeropa dzakavharika zvakanyanya.
- Izvi zvinobatsira kudzora BP yakakwira, iyo inonetsa kudzora, uye inodzivirira itsvo.
- Mushure mekurapwa, zvakakosha zvikuru kutora mishonga inodzikisa ropa yawakanyorerwa nachiremba wako panguva yakatarwa.
- Iva nechokwadi chekuti unoenda kumisangano yekutevera pamazuva akarongwa.
- Kana ukaona zviratidzo zvekunyevera zvakaita sefivha, kurwadziwa kwakanyanya, kana kubuda ropa, zivisa chiremba wako nekukasika.
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