Ungave uchishamisika kuti sitiroko yakakomba zvakadii. Chikonzero chikuru cheizvi ndechekuti tsinga inonyanya kukosha (carotid artery) iri kumativi ese emutsipa wedu inotakura ropa kuenda kuuropi inovharwa nemafuta akaunganidzwa. Zvakafanana nengura inoungana mukati mepombi yemvura yoivhara zvishoma nezvishoma. Asi usazvidya moyo, ikozvino kune nzira dzepamusoro-soro uye dziri nyore dzekurapa izvi. Ndizvo zvatiri kutaura nezvazvo nhasi.
Chii chinonzi kurapwa kweTFCAS uku?
Zvichitaurwa zviri nyore, Transfemoral Carotid Artery Stenting (TFCAS) inzira isinganyanyi kupindira inoshandiswa kuvhurazve tsinga yeropa yakavharika mumutsipa. Izvi zvinosanganisira kuisa chubhu diki yakaita semesh, inonzi stent, mutsinga yakavharika kuti iwedzere zvakare.
Funga nezvazvo, tsinga dzeropa dziri kumativi ese emutsipa wedu ndidzo tsinga mbiri huru dzinotakura okisijeni nezvinovaka muviri kuenda kuuropi hwedu, kumeso, nemutsipa. Nekufamba kwenguva, cholesterol nemafuta anobva muzvikafu zvatinodya zvinotanga kuungana mumadziro etsinga idzi. Tinodaidza kuti plaque. Kuungana kweplaque uku kunoita kuti madziro etsinga akobvu uye ave akaomarara (atherosclerosis). Pakupedzisira, tsinga dzeropa dzinova dzakatetepa (stenosis). Kana kufamba kweropa uku kukavharika, ropa rinoenda kuuropi rinoderera, zvichiwedzera njodzi yekurohwa nestroke.
Mukurapa kweTFCAS, chubhu yakakosha (catheter) inopinzwa kuburikidza nekucheka kudiki mugotsi kana ruoko rwako uye inotungamirwa kutsinga yakavharika iri mumutsipa wako. Stent inopinzwa kuburikidza necatheter kuti ivhurezve tsinga. Stent, sedanda retende, inobatsira kudzivirira tsinga kuti isaputsika zvakare. Izvi zvinodzorera kuyerera kweropa kuenda kuuropi, zvichideredza njodzi yekurohwa nestroke.
Ndiani anoda kurapwa uku?
Kurapa uku kunogona kukurudzirwa kana chiremba wako akaona kuti une chirwere chetsinga dzeropa. Dzimwe nguva ungasava nezviratidzo zvachose. Zvisinei, vamwe vanhu vanogona kuona zviratidzo zvakafanana nekurohwa nesimbi (kana kuti kurwiswa kwesimbi kwenguva pfupi - TIAs).
Kazhinji kune nzira dzakasiyana-siyana dzekurapa carotid artery stenosis. Chiremba wako achasarudza nzira yakakunakira zvichienderana nehutano hwako, chimiro chetsinga, uye nzvimbo ye stenosis.
Chinhu chinonyanya kukosha ndechekukurukura nachiremba wako kuti ndeipi yemishonga iyi yakakunakira.
| Nzira yekurapa | Chii chinongoitika | Hunyanzvi |
|---|---|---|
| TFCAS (nzira yakakurukurwa munyaya ino) | Kuisa stent mutsinga iri mumutsipa uchishandisa chubhu inopinzwa nepaburi kana paruoko. | Hapana kukuvara kukuru. Nguva yekupora ipfupi. |
| Kuvhiyiwa kweCarotid Endarterectomy (CEA) | Kuchekwa kwemutsipa kunoitwa, tsinga yeropa inovhurwa, uye mafuta akaungana ipapo anobviswa. | Kuvhiyiwa kwechivanhu kunoitwa pavanhu vazhinji. |
| Kupisa kweTranscarotid (TCAR) | Kuchekwa kudiki kunogadzirwa pamutsipa pamusoro pebhonzo uye stent inopinzwa zvakananga mutsinga. | Dzimwe ongororo dzakaratidza kuti ine njodzi shoma yekubatwa nestroke pane TFCAS. |
Ndiani anonyanya kukodzera kurapwa neTFCAS?
Kurapwa neTFCAS kunogona kuva nani kwauri pane kuvhiyiwa kweCEA kana uine zvinhu zvinotevera zvine njodzi:
- Kana tsinga yeropa yakavharwa panzvimbo isingasvikwe nyore nekuvhiyiwa.
- Kana uine zvimwe zvinetso zvehutano (zvirwere zvinokonzeresa marwadzo) zvakaita sechirwere chemwoyo, chirwere chemapapu, kana kufuta.
- Kana uine mavanga pamutsipa wako nekuda kwekuvhiyiwa kwawakamboita kana kurapwa nemwaranzi.
- Kana tambo dzenzwi rako dzakakuvara.
Unogadzirira sei usati wavhiyiwa?
Chiremba wako anogona kukukumbira kuti:
- Ongororwa ropa nezvimwe zviedzo zvehutano.
- Ita echocardiogram kana stress test kuti uone mashandiro emoyo.
- Ita bvunzo yekufungidzira yakaita se `carotid angiography`, `vascular ultrasound`, kana `MRA` kuti uone chaipo pakavharwa tsinga.
- Ipa runyoro rwemishonga yese nezvimwe zvinovaka muviri zvaunoshandisa.
- Mishonga yakaita seaspirin inogona kunyorerwa kudzivirira kuumbwa kweropa.
- Rega kudya kana kunwa (kutsanya) kwemaawa mashoma usati wavhiyiwa.
Kuvhiyiwa kunoitwa sei? Danho nedanho
Kuvhiyiwa uku kunowanzotora maawa asingasviki maviri uye kunoitwa nechikwata chevanachiremba vakadzidziswa zvine hunyanzvi.
| Matanho | Chii chiri kuitika? |
|---|---|
| 1. Anesthesia | Kazhinji uchanzwa wakarara zvachose. Unogonawo kupiwa mushonga mudiki kuti udzikame paunenge wakamuka. |
| 2. Kuisa katheta | Chubhu yakakosha (catheter) inotungamirwa neburi diki rinogadzirwa mugono kuenda kutsinga yeropa iri mumutsipa nerubatsiro rweX-rays. |
| 3. Kuisa sefa | Sefa diki inoiswa mberi kwekuvhara kuti ibate chero plaque inogona kutyoka panguva iyo tsinga yeropa iri kuwedzeredzwa. Izvi zvinoderedza njodzi yekurohwa nestroke. |
| 4. Kushandisa bharumu | Bharuni diki rinoiswa muvharo robva rafuridzirwa, izvo zvinodzvanya mafuta pamadziro etsinga uye zvinoita kuti tsinga iwedzere kukura. Bharuni rinozobviswa. |
| 5. Kuisa stent | Iye zvino, stent inokura yoga inoiswa munzvimbo yakakura. Izvi zvinobatsira kuti tsinga yeropa irambe yakavhurika. |
| 6. Kupedzisa | Sefa necatheter zvinobviswa, uye buri riri mudumbu rinovharwa nechishandiso chakakosha. |
Chii chinoitika mushure mekuvhiyiwa?
Mushure mekuvhiyiwa, muchatariswa muimba yekupona kwemaawa akati wandei. Kazhinji muchafanira kugara muchipatara kwehusiku hwese.
- Uchapihwa mishonga inoderedza marwadzo chero kupi zvako kwaungasangana nako.
- Chiremba wako achakurayira kuti utore mishonga inorwisa maplatelet (semuenzaniso, Aspirin, Clopidogrel) kweupenyu hwako hwese kudzivirira kuumbwa kweropa panzvimbo ye stent.
Vanhu vazhinji vanogona kudzokera kumba vachibva kuchipatara mushure memaawa makumi maviri nemana. Panogona kunge paine maronda, kuzvimba, uye kurwadziwa kudiki panzvimbo yakachekwa kwemazuva mashoma.
Ndezvipi zvakanakira uye njodzi dzekurapa uku?
Mabhenefiti
- Kuderedzwa kwenjodzi yekurohwa nestroke: Sezvo ropa richiyerera richienda kuuropi, njodzi yekurohwa nestroke inoderera zvakanyanya.
- Kuchekwa kudiki: Hapana kuchekwa kukuru, saka kurwadziwa kushoma, njodzi yehutachiona, uye mavanga.
- Kupora nekukurumidza: Unogona kutangazve mabasa ako emazuva ese mukati memazuva mashoma.
Njodzi
Sekunge kune chero kuvhiyiwa kupi zvako, pane njodzi diki, asi njodzi yematambudziko akakomba isingasviki 3%.
- Restenosis: Kashoma, mavanga anogona kuumbwa pasi pestent uye kutetepa kwetsinga zvakare.
- Kurohwa: Panguva yekuvhiyiwa, zvidimbu zvemafuta zvinogona kutyoka zvovhara tsinga yeropa muuropi. Zvisinei, njodzi iyi inoderedzwa zvakanyanya nesefa yatakakurukura kare.
- Kumira kurova kwemoyo
- Kubuda ropa kana hutachiona
Unofanira kuona chiremba rini?
Kana ukaona chimwe chezviratidzo izvi paunodzokera kumba mushure mekuvhiyiwa , fonera chiremba wako nekukasika.
- Kana uchinzwa fivha kana kuti uine dzihwa
- Kana kuda kurutsa nekurutsa zvikapera
- Kana nzvimbo yakachekwa yakatsvuka, yakazvimba, kana kuti mvura yero ichibuda (zviratidzo zvehutachiona)
Chinonyanya kukosha: Kana ukaona zviratidzo zvestroke, zvakaita sekutaura kusina kunyatsojeka, kushaya simba kune rumwe rutivi rwemuviri, kurembera kwechiso, kana kuchinja kwekuona, enda kuchipatara nekukurumidza pasina kunonoka.
Mharidzo Yekuenda Nayo Kumba
- TFCAS inzira yepamusoro-soro, isinganyanyi kukuvadza inoshandiswa kuvhura tsinga dzakavharika mumutsipa uye kuderedza njodzi yekurohwa nesitiroko.
- Kurapa uku hakuna kukodzera munhu wese. Kurukura nachiremba wako kuti ndeipi nzira yekurapa yakakunakira.
- Zvakakosha zvikuru kuchengetedza mararamiro ane hutano (kudya zvakanaka, kurovedza muviri, uye kurega kuputa) uye kunwa mishonga yako yawakanyorerwa sezvawakanyorerwa mushure mekuvhiyiwa.
- Kuziva zviratidzo zvinonyevera zvinogona kuitika mushure mekuvhiyiwa, uye kunyanya zviratidzo zvestroke, kunogona kubatsira kuponesa hupenyu hwako.
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