Ngaba ukhe wafakelwa i-stent ngenxa yesifo sentliziyo? Usenokuba uzive ukhululekile emva kokwenza njalo. Izinto ezifana neentlungu zesifuba kunye nokuphefumla kancinci ziphelile, kwaye usenokuba uzive ngathi uphile ubomi obutsha. Kodwa, kuthekani ukuba, emva kwexesha elithile, kwiinyanga ezimbalwa, eso sifo sidala siqala ukuphinda sivele? Kuthekani ukuba isifuba sakho siqala ukubuhlungu kwakhona? Kuthekani ukuba unengxaki yokuphefumla? Abantu abaninzi bayaxhalaba ngeli xesha. Bayazibuza, "Kutheni oku kusenzeka nangona i-stent ifakiwe?" Impendulo yalo mbuzo yimeko esithetha ngayo namhlanje, ebizwa ngokuba yi-'In-Stent Restenosis'.
Ngamafutshane, yintoni i-In-Stent Restenosis?
Ukuze sikuqonde oku, masiqale kwasekuqaleni.
Ngamafutshane, 'iStenosis' ithetha ukuba into efana nemithambo yegazi yethu iyavalwa okanye inciphe. Xa imithambo yegazi ehambisa igazi entliziyweni ivalwa ngenxa yamafutha amaninzi (esiyibiza ngokuba yiAtherosclerosis ) siyibiza ngokuba yiCoronary Artery Disease (CAD) . I-Angioplasty lunyango olusetyenziswa ngoogqirha ukuvula kwakhona le mithambo yegazi ivalekileyo.
Kule nto, kufakwa ibhaluni encinci kwindawo evalekileyo ize ivuthelwe ukuze kwandiswe umthambo wegazi. Emva koko, ukuze kuthintelwe ukuba indawo ebanzi ingawi kwaye ivaleke kwakhona, kufakwa ityhubhu encinci efana ne-mesh (oku sikubiza ngokuba yi-stent ) ngaphakathi komthambo. Oku kuvumela ukuba ukuhamba kwegazi kuqalise kwakhona.
Kulungile, ngoku uyaqonda. Igama elithi 'Restenosis' ligama elenziwe ngamagama athi 're' (kwakhona) kunye nelithi 'stenosis' (ukuvaleka). Lithetha, ukuvala kwakhona . Ngoko ke, i-In-Stent Restenosis kuxa umthambo wegazi apho i-stent yayibekwe khona uvaleka kwakhona, kanye apho i-stent yayikhona. Nangona oku kuyacaphukisa kakhulu, kubaluleke kakhulu ukwazi ukuba kutheni oku kusenzeka.
Kutheni umthambo uphinda uvaleke emva kokufakwa kwe-stent?
Oku akubangelwa yingxaki ye-stent. Le yindlela umzimba wethu osabela ngayo. Khawuthelekelele xa unesilonda emzimbeni wakho, kuvela isilonda njengoko siphola, akunjalo? Yiloo nto eyenzekayo apha.
I-stent yinto evela ngaphandle komzimba wethu. Ngoko ke umzimba uyiphatha 'njengenxeba' kwaye uzama ukuyiphilisa. Ngexesha lale nkqubo, umaleko omtsha weeseli ukhula phezu kwe-stent. Oku kuqhelekile. Olu maleko mtsha weeseli lwenza inxalenye ye-stent yodonga lwemithambo yegazi, ilungisa ukuhamba kwegazi.
Nangona kunjalo, imizimba yabanye abantu isabela ngokugqithisileyo koku. Emva koko umaleko weeseli ozakheka phezu kwe-stent, ebizwa ngokuba yi-scar tissue, uba mkhulu kakhulu kunokuba bekulindelwe . Njengomgquba okhula ngaphakathi kombhobho wamanzi kwaye uvale umngxuma kumbhobho, olu qweqwe luphinda lunciphise indlela yegazi. Yiloo nto siyibiza ngokuba yi-In-Stent Restenosis.
Eyona nto ibalulekileyo kukuba, le meko idla ngokuvela kwiinyanga ezi-3 ukuya kwezi-6 emva kokuba i-stent ifakiwe.Okwangoku. Emva konyaka okanye emibini, amathuba okuba oku kwenzeke aphantsi kakhulu.
Ngubani osengozini enkulu yokuba nale meko?
Nangona le meko inokwenzeka nakubani na one-stent, abanye abantu basengozini enkulu. Jonga ukuba unazo na ezi meko.
| Into enobungozi | Inkcazo |
|---|---|
| Isifo seswekile | Abantu abanesifo seswekile esingalawulekiyo basengozini enkulu. Amanqanaba aphezulu eswekile egazini anokubangela ukukhula okungaqhelekanga kwezicubu. |
| Isifo sezintso | Lo mngcipheko uphezulu nakubantu abanesifo sezintso esinganyangekiyo. |
| I-Cholesterol ephezulu | Kwabo bagcina amanqanaba aphezulu e-cholesterol egazini. |
| Uxinzelelo lwegazi oluphezulu (uxinzelelo lwegazi oluphezulu) | Uxinzelelo lwegazi oluphezulu olungalawulekiyo nalo luyingozi. |
| Ukutshaya | Ukutshaya kwandisa umngcipheko kuba konakalisa imithambo yegazi kwaye kuphazamisa inkqubo yokuphiliswa. |
Ezinye izinto ezimbalwa...
Ukongeza, le ngozi inokwanda ukuba umthambo wegazi ovalekileyo mncinane kakhulu okanye ukuba ukuvaleka kukude kakhulu . Kwakhona, ukuba umthambo ukhuliswe ngebhaluni engenastent (iBalloon Angioplasty), umngcipheko wokuvaleka kwakhona uphezulu nangakumbi.
Zithini iimpawu zoku?
Enye yezona ngxaki zinkulu apha kukuba uninzi lwabantu abane-In-Stent Restenosis abanazo naziphi na iimpawu . Usenokungaziva nto de umthambo unciphe kakhulu. Yiyo loo nto kubalulekile ukuya kuhlolwa rhoqo njengoko ugqirha wakho eyalele emva kokuba une-stent.
Nangona kunjalo, abanye abantu baba neempawu ezifana kakhulu neempawu zesifo semithambo yegazi (CAD) owawunazo ngaphambi kokuba ube ne-stent.
- Intlungu okanye ukungakhululeki esifubeni (i-Angina): Ukuziva uxinezelekile okanye ukuxinana esifubeni. Oku kunokuba kubi ngakumbi xa uzilolonga okanye unyuka izinyuko.
- Ukuphefumla nzima: Ubunzima bokuphefumla nokuba ungazibhokoxa kancinci.
- Ukudinwa okungaqhelekanga: Ukudinwa kangangokuba awukwazi ukwenza izinto obukade uzenza ngokulula.
- Intlungu yegxalaba okanye yengalo: Intlungu yesifuba ehamba nentlungu ephuma egxalabeni okanye engalweni yasekhohlo.
- Iimpawu ezinje ngesiyezi, ukubila, kunye nokucaphuka nazo zinokuvela.
Okubaluleke kakhulu: Ukuba ufumana naziphi na ezi mpawu kwakhona emva kokuba une-stent, ungalibali ukuba isenokuba yinto eyahlukileyo . Yazisa ugqirha wakho ngoko nangoko.
Ndingafumanisa njani ukuba oku kuyafumaneka?
Xa usixelela ngeempawu zakho, ugqirha uza kucebisa iimvavanyo ezininzi ukuqinisekisa oko.
- Uvavanyo loxinzelelo lomzimba (Uvavanyo lweTreadmill): Wenziwa ukuba uhambe okanye ubaleke kwi-treadmill kwaye i-ECG isetyenziselwa ukujonga indlela intliziyo yakho esebenza ngayo xa uxinezelekile.
- I-Cardiac Catheterization (i-Angiogram): Olu lolona vavanyo luqinisekileyo. Njengakwindawo yokufaka i-stent, ityhubhu encinci idluliselwa ngemithambo yegazi iye entliziyweni, kufakwe idayi ekhethekileyo, kwaye kuthathwa i-X-ray ukuze kubonwe ukuba akukho nto ivalelekileyo ngaphakathi kwe-stent.
- Ezinye iimvavanyo: Ngamanye amaxesha, iindlela zokuskena ezifana ne -Intravascular Ultrasound (IVUS) zingasetyenziswa ukujonga ngaphakathi kwemithambo yegazi kunye nokulinganisa ngokuchanekileyo ubungakanani bokuvaleka.
Iphathwa njani?
Ugqirha uza kugqiba unyango olungcono ngokusekwe kubungakanani bokuvimbeka kunye nemeko yakho.
| Indlela yonyango | Yintoni eyenziwayo |
|---|---|
| Amayeza | Kusenokufuneka utshintshe umthamo wamayeza akho angoku okanye wongeze amayeza amatsha. |
| Phinda i-Angioplasty | Olu lolona nyango luqhelekileyo. Elinye ibhaluni lidlula kwi-stent evalekileyo ukuze linwenwe, kwaye ngamanye amaxesha kufakwa enye i-stent ngaphakathi kuyo. |
| Utyando lwentliziyo oludlulayo (CABG) | Ukuba ukuvaleka kukhulu okanye kukho iingxaki kwimithambo yegazi emininzi, ungathunyelwa kutyando lweCoronary Artery Bypass Grafting (CABG). Oku kuquka ukudlula indawo evalekileyo nokudala umthambo omtsha kusetyenziswa umthambo wegazi othathwe kwenye indawo. |
| Unyango lwemitha (iVascular Brachytherapy) | Olu lunyango olungaqhelekanga. Apha, kufakwa imitha encinci kakhulu kwi-stent ukuze kuthintelwe ukwakheka kwezicubu ezibomvu. |
Ngaba akukho ndlela yokuthintela oku?
Nazi iindaba ezimnandi. Ewe, oku ngoku kunokuthintelwa kakhulu.
Isizathu soku luhlobo olutsha lwe-stent olubizwa ngokuba yi-Drug-Eluting Stents (DES) . Ezi azizo nje i-mesh yesinyithi. Ezi stent ziqulathe iyeza elikhethekileyo elilawula ukwakheka kwezicubu zesilonda esithethe ngazo. Emva kokuba i-stent ifakwe emzimbeni, eli yeza likhutshwa kancinci kancinci, lithintela iiseli ekukhuleni ngokungeyomfuneko.
Xa kuthelekiswa nee-stents zesinyithi ezingenanto ezindala, umngcipheko we-in-stent restenosis uphantsi kakhulu xa kusetyenziswa ezi stents ezithintela amayeza . KwanaseSri Lanka namhlanje, olu hlobo lutsha lwe-stent lusetyenziswa kakhulu.
Nangona kunjalo, kukho izinto ezithile ekufuneka uzenze kwicala lakho.
- Sela amayeza akho njengoko kuyalelwe: Sela amayeza owalelwe ngugqirha wakho, ingakumbi lawo athintela ukujiya kwegazi (umz., i-Aspirin, i-Clopidogrel), kanye njengoko kuyalelwe, ungaphoswa lusuku olunye.
- Tshintsha indlela ophila ngayo: Ukuba uyatshaya, yeka ngoko nangoko.Lawula i-cholesterol yakho, isifo seswekile, kunye noxinzelelo lwegazi oluphezulu. Yitya ukutya okunempilo okuneoyile encinci, ityuwa, neswekile, kunye neziqhamo kunye nemifuno eninzi. Zilolonge njengoko ugqirha wakho eyalele.
Umyalezo Wokuya Ekhaya
- I-In-Stent Restenosis kukuphinda kunciphe umthambo wegazi emva kokuba i-stent ibekwe ngenxa yokukhula kwezicubu ezibomvu. Oku kwenzeka rhoqo kwiinyanga ezi-3-6 emva konyango.
- Ukuba ufumana naziphi na iimpawu ezifanayo nezangaphambili, ezinje ngeentlungu zesifuba okanye ukuphefumla kancinci , emva kokuba une-stent, musa ukuyityeshela. Bona ugqirha wakho ngoko nangoko.
- Ixesha elininzi, le meko isenokungabangeli zimpawu . Ke ngoko, kubalulekile ukufuna unyango ngexesha elifanelekileyo, njengoko kucetyisiwe ngugqirha wakho.
- Umngcipheko wale meko uncitshiswe kakhulu ngenxa yokusetyenziswa kweDrug -Eluting Stents (DES) ngoku.
- Eyona nto ibalulekileyo onokuyenza kukuthatha amayeza akho njengoko uyalelwe, ukuphepha ukutshaya, kunye nokugcina indlela yokuphila esempilweni . Ezi zinto zinokukhusela intliziyo yakho kwixesha elide.
💬 Comments (0)
Akukho zimvo zithunyelweyo okwangoku. Faka uluvo lwakho apha okokuqala.
Faka uluvo lwakho