Wakambonzwa mumwe munhu achiti, "Ropa rakagwamba" here? Izvi zvinogona kuva nengozi zvikuru. Funga nezvetsinga dzeropa dziri mumuviri wedu senzira yemapombi. Kana ganda rakagwamba, rinonzi thrombus, rikaita uye rikabatwa chero kupi zvako mumapombi aya, ropa rinoyerera nepakati pawo rinomira zvachose. Kana izvi zvikaitika mutsinga huru inopa ropa kuuropi, moyo, kana ruoko kana gumbo, nhengo iyoyo inogona kukuvara, zvichida kutoisa upenyu panjodzi. Munjodzi yakadaro, tichataura nezvekurapa kwakakosha kunogona kuponesa hupenyu nhasi.
Zvichitaurwa zviri nyore, chii chinonzi Thrombectomy?
Kubviswa kweropa mutsinga (thrombectomy) inzira yekubvisa ropa rakagwamba mukati meimwe yetsinga dzedu dzeropa (tsinga kana tsinga) kuburikidza nekuvhiyiwa kana imwe nzira yakasarudzika yakafanana nayo. Zvakafanana nekubvisa tsvina yakabatirira mupombi yemvura worega mvura ichiyerera zvakare.
Magwamba eropa aya anogona kuumbwa munzvimbo dzakawanda mumiviri yedu. Anowanzo kuwanikwa mumakumbo, mumaoko, muura, muuropi, mumapapu, nemumwoyo. Dzimwe nguva magwamba eropa aya anofanira kubviswa nekukurumidza, mukati memaawa mashoma. Zvikasadaro, anogona kukonzera kukuvara kwechigarire kunhengo yakakanganiswa kana kutoisa upenyu panjodzi.
Ndiani anoda kurapwa uku?
Kazhinji, kana ropa rakagwamba, pane mishonga inopihwa kuti inyungudike. Tinoidaidza kuti anticoagulants (mishonga inodzikisa ropa) uye thrombolytics (mishonga inonyungudutsa ropa rakagwamba). Asi dzimwe nguva, mishonga iyi yoga haigone kubvisa gwamba, kana kuti pane dzimwe nguva apo mishonga isingawanikwe. Ndipo apo vanachiremba vanosarudza kuita Thrombectomy.
Kurapa uku kunonyanya kudiwa kune:
- Kana paine njodzi yekukuvadzwa kwehupenyu .
- Kana paine njodzi yekuti ropa riite thrombus ribve panzvimbo yaro yekutanga rofamba nemuropa kuti rigare kune imwe nzvimbo mumuviri (semuenzaniso, mumapapu) ('embolus').
- Kana paine njodzi yekukuvara zvachose kunhengo kana nyama inoenderana nayo.
Nzira iyi yakakosha zvikuru kuti ropa ridzokere kuuropi kana pamoyo nekukurumidza, kunyanya mumamiriro ezvinhu enjodzi akadai sestroke nechirwere chemwoyo.
Muzviitiko zvipi apo thrombectomy isingaitwe?
Kurapa uku hakuitwi paropa rega rega rakagwamba. Dzimwe nguva, pane zvikonzero zvinoita kuti izvi zvisaitwe kana kuti zvisaitwe. Ngationei kuti ndezvipi.
| Zvikonzero zvekusaita thrombectomy | Tsananguro iri nyore |
|---|---|
| Kuoma kusvika panzvimbo yakagwamba ropa | Mimwe mitsipa yeropa iri munzvimbo dzakadzika uye dzakaoma. Zvakaoma kuisa michina munzvimbo yakadaro. |
| Kuva neganda rakagwamba mutsinga diki yeropa | Midziyo haigone kuiswa mutsinga diki diki. Inogona kukuvara. |
| Inorapika nemishonga | Kana ichigona kudzorwa nemishonga inobvisa ropa rakawanda, hapana njodzi yekuvhiyiwa. |
| Kuva nedambudziko rekugwamba kweropa | Vamwe vanhu vane zvirwere zveropa zvavakaberekwa nazvo, uye kuvhiyiwa kunogona kuva nengozi kwavari. |
| Kubuda ropa muuropi (Intracranial Hemorrhage) | Kana paine kubuda ropa muuropi, kuita oparesheni iyi kunogona kuita kuti mamiriro acho ezvinhu awedzere kuipa. |
| Kukwira kweropa kusingadzoreki | Njodzi dzacho dzakakwira kana uchivhiyiwa neBP yakakwira. |
Ndedzipi nzira huru dzekubvisa ropa rakagwamba?
Kune nzira mbiri huru dzekubvisa thrombectomy. Zvakafanana nekugadzira gomba guru rekugadzira mugwagwa, kana kuchera gomba diki worigadzirisa kubva mukati.
1. Kuvhiyiwa kwakavhurika (Kuvhiyiwa / Kuvhiyiwa Kwechipfuva Kwakavhurika)
Mukuita uku, chiremba anocheka ganda pamusoro petsinga ine ropa rakagwamba, ovhura tsinga zvishoma nezvishoma, oisa mudziyo wakaita sebharumu ('bharumu catheter') oburitsa ropa rakagwamba. Tsinga yacho inosonerwa pamwe chete zvakanaka uye ganda rinovharwa. Iyi ndiyo nzira yechinyakare.
2. Kubviswa kweThrombectomy yePercutaneous / Minimally Invasive
Iyi ndiyo nzira inonyanya kushandiswa uye yepamusoro-soro pari zvino. Hapana kucheka kukuru. Pane kudaro, gomba diki rinogadzirwa mutsinga yeropa muruoko kana gumbo, uye chubhu diki (catheter) inopinzwa nepairi.
Uchishandisa tekinoroji yekufungidzira yakaita seX-rays, chubhu iyi inotungamirwa kunzvimbo yakagwamba ropa. Zvadaro, zvishandiso zvakakosha zvinopfuudzwa nemuchubhu,
- Ropa rinogona kupwanywa kuita zvidimbu zvidiki ronyungudika (macerated).
- Neimwe nzira, ropa rinogwamba rinogona kubviswa, sekushandisa muchina wekuchenesa (Aspiration Thrombectomy).
Nzira iyi inobudirira zvikuru nekuti hapana kukuvara kukuru, saka murwere anogona kupora nekukurumidza.
Ndezvipi zvirwere zvinogona kurapwa nekurapwa uku?
Kurapa uku, kunonzi thrombectomy, kunoshandiswa pakurapa kwakakosha zvikuru.
- Deep Vein Thrombosis (DVT): Kugwamba kweropa, kunyanya mutsinga dzakadzika dzemakumbo.
- Kurohwa: Kugwamba kweropa kunovhara tsinga yeropa inoendesa ropa kuuropi.
- Myocardial Infarction: Kugwamba kweropa mutsinga dzemwoyo dzinopa ropa kumoyo.
- Pulmonary Embolism: Kugwamba kweropa kwakaumbwa kune imwe nzvimbo mumuviri kunobuda uye kunozogara mutsinga mumapapu.
- Kushaya simba kwemuviri: Kurasikirwa neropa kamwe kamwe kuruoko kana gumbo.
- Kuvharika kwetsinga dzeropa dzinoendesa ropa muura (Mesenteric Ischemia) kana itsvo (Renal Artery Occlusion).
Chii chinoitika usati warapwa uye mushure mekurapwa?
Usati warapwa
Dzimwe nguva izvi zvinoitwa senzira yekukurumidzira, saka hapana nguva yekugadzirira. Zvisinei, usati waita thrombectomy yakarongwa, chiremba wako anogona kukukumbira kuti:
- Kuongororwa kwemifananidzo: Kuongororwa kwe ultrasound, MRI, kana CT kunogona kurairwa kuti kuonekwe saizi chaiyo nenzvimbo yeropa rakagwamba.
- Kurega kusvuta: Kana uchisvuta, unokurudzirwa kurega usati wavhiyiwa.
- Kuziva Nezvemishonga: Unofanira kuudza chiremba wako nezvemishonga yese yauri kutora (kusanganisira mishonga inoderedza ropa, mishonga inoderedza marwadzo, uye mavitamini). Mimwe mishonga ingangoda kumira usati wavhiyiwa.
Mushure mekurapwa
Mushure mekurapwa, muchaendeswa kunzvimbo yekutarisa uye muchatariswa kusvika mamiriro enyu agadzikana. Vamwe vanhu vanogona kudzokera kumba zuva rimwe chete. Vamwe vangangoda kugara muchipatara kwemazuva mashoma. Izvi zvinoenderana nekuti ropa rakagwamba kupi uye rudzi rwekurapwa kwacho.
Mushure mekudzokera kumba,
- Anopa mazano ekuti ronda ringachengetwa sei rakachena.
- Uchafanira kuramba uchitora mishonga inobvisa ropa kuti ropa risagwambe zvakare.
- Ungaudzwa kuti upfeke masokisi akakosha (compression stockings) emakumbo ako.
Chinhu chinonyanya kukosha ndechekutevedzera mirairo yachiremba wako nemazvo.
Ndezvipi zvakanakira uye njodzi dzacho?
Kufanana nechero nzira yekurapa, iyi ine zvakanakira uye njodzi.
| Mabhenefiti | Njodzi |
|---|---|
| Kukwanisa kuponesa hupenyu. | Kubuda ropa. |
| Kuderedza kukuvara kwenhengo dzemuviri zvachose. | Kukuvadzwa kwetsinga yeropa. |
| Kuderedza kuremara mumamiriro ezvinhu akadai sestroke. | Utachiona hwemaronda. |
| Kubvisa njodzi yekurasikirwa neruoko kana gumbo. | Kudzokorora kweropa rakagwamba. |
| Kurumidza kudzorera kutenderera kweropa. | Magaka eropa anobuda obva agara mumapapu (Pulmonary Embolism). |
Nguva yekutsvaga mazano ekurapa nekukasika
Kana ukaona chimwe chezviratidzo zvinotevera mushure mekurapwa kwako, fonera chiremba wako nekukasika kana kuenda kuEmergency Department (ETU) yechipatara chiri pedyo.
- Kubuda ropa kana kuti urwa hunobuda kubva paronda.
- Kurwadziwa pachipfuva kana kufema zvakaoma.
- Kupindwa nechando .
- Dzungu rakakomba kana kuti musoro wakatetepa.
- Kuvhiringidzika kana kurasikirwa nepfungwa.
- Kurwadziwa kwakanyanya, kuzvimba , kana kusanzwa simba mumaoko kana makumbo.
Usaregeredza zviratidzo izvi. Zvinogona kuva chiratidzo cheimwe dambudziko.
Mharidzo Yekuenda Nayo Kumba
- Kuvhiyiwa kweThrombectomy inzira yekurapa inoponesa hupenyu inobvisa ropa rakagwamba mutsinga yeropa uye inodzorera kufamba kweropa.
- Kune maoparesheni akavhurika pamwe chete nenzira dzepamusoro dzekushandisa catheter dzekuita izvi.
- Inoshandiswa zvakanyanya pazvirwere zvakakomba zvakaita sestroke, heart attack, uye DVT.
- Zvakakosha kushandisa mushonga wawakanyorerwa nachiremba wako sezvawakanyorerwa kudzivirira kuumbwa kweropa mushure mekurapwa.
- Zivisa chiremba wako nekukasika kana paine zviratidzo zvisingawanzoitika mushure mekurapwa.
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