Ngaba wakha weva ngestroke? Yimeko enzima eyoyikisa abantu abaninzi kwaye inokutshintsha ubomi babo. Ngoko ke isizathu esiphambili sale stroke kukuvaleka kwemithambo yegazi ephambili ethwala ioksijini kunye nezondlo eziya engqondweni yethu. Ifana nombhobho oyintloko ovalekileyo othwala amanzi ukuya egadini. Namhlanje siza kuthetha ngendlela ebaluleke kakhulu yonyango evula kwakhona le mithambo yegazi ivalekileyo, ivumela ukuhamba kwegazi kakuhle ukuya engqondweni, kwaye inciphise umngcipheko westroke.
Ngamafutshane, yintoni iCarotid Artery Stenting?
Khawuthelekelele ukuba sine "imithambo" emibini ephambili kumacala omabini entamo yethu enika igazi ebuchotsheni bethu, ebusweni, nasentanyeni. Le yileyo siyibiza ngokwezonyango ngokuba yiCarotid Arteries . Ekuhambeni kwexesha, iintsalela zamafutha, ingakumbi i-cholesterol (ebizwa ngoogqirha ngokuba yi-'plaque'), ziqala ukwakheka eludongeni lwemithambo yegazi. Kufana nokugqwala okwakheka ngaphakathi kombhobho wamanzi. Kancinci kancinci, ezi ntsalela ziyakhula kwaye umthambo wegazi uyancipha, ngamanye amaxesha uwuvale ngokupheleleyo. Le meko ibizwa ngokuba yiCarotid Artery Stenosis .
Kulapho kufakwa khona ityhubhu yesinyithi encinci kakhulu, efana ne-mesh kwindawo evalekileyo kwaye umthambo wegazi onciphileyo uyandiswa kwakhona. Oku kubizwa ngokuba yi-carotid artery stent .
Le stent ifana nebhulorho eqinileyo. Ifakwa ngokusisigxina ngaphakathi kwimithambo yegazi, kwaye ivulwa ngaphandle kokuncipha kwakhona. Kwiiveki ezimbalwa, udonga lwemithambo yegazi luyaphola lujikeleze le stent, kwaye iba yinxalenye yomzimba.
Olu nyango lwenziwa ziingcali eziqeqeshwe ngokukodwa, ezifana ne-Interventional Cardiologist, i-Vascular Surgeon, okanye i-Endovascular Neurosurgeon.
Ngubani ngokwenene odinga olu nyango?
Ngaphambi kokuba ugqirha wakho akucebise ngolu hlobo lonyango, uhlala esenza i-ultrasound scan, i-CT scan, okanye i-MRI scan yemithambo yegazi yakho entanyeni ukuze abone ukuba ivalekile kangakanani na. Olu nyango ludla ngokufuneka kubantu aba:
- Abo babonakalise iimpawu zestroke okanye i-ministroke kwaye i-carotid artery yabo iqinisekisiwe ukuba ivalwe ngaphezulu kwama-50% zii-scan.
- Kwabo bangenazo iimpawu, kodwa umthambo we-carotid ovalwe ngaphezulu kwama-70% xa beskena.
Ndingazilungiselela njani ngaphambi konyango?
Nangona oku kungengomsebenzi unzima njengotyando, kufuna amalungiselelo athile. Ugqirha wakho usenokuthi oku kulandelayo:
- Iianticoagulants: Ungacelwa ukuba uqale ukuthatha i-aspirin kunye namanye amayeza afanayo (umz., iClopidogrel, iTicagrelor) kwiintsuku ezintathu ukuya kwezintlanu ngaphambi konyango lwakho. Kubalulekile ukuthatha la mayeza kanye njengoko ugqirha wakho ekuxelele, njengoko kumiselwe. Ukungaphumeleli ukwenza njalo kunokubangela ukuba unyango lwakho lulibaziseke.
- Ukutya Neziselo: Uza kucelwa ukuba uzile ukutya iiyure ezimbalwa ngaphambi konyango. Ugqirha wakho uza kukunika imiyalelo ethile malunga noku.
Kwenzeka ntoni ngexesha lonyango?
Zimbini iindlela eziphambili zokufaka i-stent kwimithambo yegazi entanyeni yakho. Ugqirha wakho uya kugqiba ukuba yeyiphi indlela efanelekileyo kuwe.
| Uhlobo lweNkqubo | Indawo yokufaka i-Stent (Indawo yokufikelela) |
|---|---|
| Indlela yeTransfemoral okanye yeTransradial | Ityhubhu encinci (i-catheter) ifakwa nge-artery emqolo womlenze okanye esihlahleni , kwaye i-stent ikhokelwa ngayo ukuya kwi-jugular vein. |
| Ukuvuselelwa kwemithambo yegazi yeTranscarotid (TCAR) | Ngale ndlela, kwenziwa umngxuma omncinci entanyeni, ngaphezulu nje kwe-collarbone, kwaye i-stent ifakwe ngqo kwi-carotid artery. |
Ngexesha lonyango, uza kunikwa amayeza afana ne-heparin ukuthintela ukujiya kwegazi. Lonke olu nyango ludla ngokuthatha iyure okanye ezimbini. Nangona kunjalo, kuya kufuneka uhlale esibhedlele usuku lonke, kuquka ixesha lokulungiselela kunye nokujonga emva koko.
Kwenzeka ntoni emva konyango?
Emva kokuba i-stent ibekwe ngempumelelo, iqela lezonyango liza kwenza oku kulandelayo:
- Uvavanyo olufana ne-angiogram luyenziwa ukuze kubonwe ukuba i-stent ibanzi ngokwaneleyo na kwaye ukuba ukuhamba kwegazi kulungile na.
- Zonke ii-catheter ziyasuswa. I-stent ihlala ikwindawo yayo ngonaphakade.
- Uza kunikwa amayeza afunekayo ukunciphisa ukungonwabi okuvayo.
- Iziphumo zonyango ziya kucaciswa kuwe nakusapho lwakho.
- Emva kokuba ubuyele ekhaya, uza kunikwa imiyalelo yokuba ungawasela njani amayeza akho, into omawuyitye, kunye nendlela yokuzilolonga. Ngokukodwa, uza kuxelelwa ukuba uqhubeke nokuthatha i-aspirin kunye namanye amayeza okunciphisa igazi.
Kubaluleke kakhulu: Musa ukuyeka ukuthatha amayeza owanikwe ngugqirha wakho, ingakumbi lawo athintela ukuqhekeka kwegazi, nangasiphi na isizathu, ngaphandle kokuthetha naye. La mayeza adla ngokuthathwa ubuncinane inyanga, kwaye rhoqo iinyanga ezi-6 nangaphezulu.
Ziziphi iingenelo kunye neengozi zale ndlela yonyango?
Kukho iingenelo ezininzi zokusebenzisa i-stenting xa kuthelekiswa ne-carotid endarterectomy yendabuko.
Iingenelo eziphambili
- Akukho mfuneko yotyando olukhulu: Le yindlela engenampembelelo ingako emzimbeni.
- Ukusikwa okuncinci okanye ukungasikwa: Kwezinye iindlela, kukho indawo yokubhoboza kuphela.
- Umngcipheko wokonakala kwemithambo-luvo entanyeni uncitshisiwe.
- Ukunciphisa iintlungu emva konyango.
Iingozi ezinokwenzeka (Iingxaki)
Njengakwezinye iindlela zonyango, kukho iingozi ezithile. Kodwa ezi azenzeki kuwo wonke umntu.
- Uxinzelelo lwegazi oluphantsi (`uxinzelelo oluphezulu`) okanye oluphezulu (`uxinzelelo oluphezulu`).
- Isantya sentliziyo esicothayo (iBradycardia).
- Ukopha kwindawo apho ityhubhu yayifakwe khona.
- Ukuqunjelwa kwegazi.
- Istroke: Kukho umngcipheko omncinci westroke ovela kwihlwili legazi elincinci eliya engqondweni ngexesha okanye emva konyango.
- Ukopha igazi engqondweni.
Le ngozi ingahluka ngokuxhomekeke kwiminyaka yakho, nokuba unezinye iimeko zempilo, kunye nobungakanani bokuvaleka kwemithambo yegazi. Ngoko ke, thetha nogqirha wakho ngale nto kwaye ubuze nayiphi na imibuzo onayo.
Yintoni omele uyenze ukuze ufumane iziphumo ezilungileyo?
Imeko ebangele ukuvaleka kwemithambo yegazi (atherosclerosis) emva kokuba i-stent ifakiwe ayizukunyangeka ngokupheleleyo. Ke ngoko, kubaluleke kakhulu ukutshintsha indlela ophila ngayo ukuze uthintele iingxaki ezifanayo ukuba zingabikho kwixesha elizayo.
- Kuphephe ukutshaya ngokupheleleyo: Akupheleli nje kuphela kwiicuba, iibidi, neecuba, kodwa kwane-'vaping' kufuneka iyekwe.
- Sela amayeza akho ngokuchanekileyo: Sela amayeza achazwe ngugqirha wakho ngexesha elifanelekileyo nangedosi echanekileyo.
- Gcina ubunzima bakho busempilweni.
- Zilolonge rhoqo: Nokuba uhamba imizuzu engama-30 ngosuku kulungile.
- Landela ukutya okunempilo kwentliziyo: yitya ioyile encinci, ityuwa, neswekile, kwaye yitya iziqhamo nemifuno emininzi.
- Lawula ezinye izifo:Ukuba unesifo seswekile, uxinzelelo lwegazi oluphezulu, okanye i-cholesterol, zigcine zilawulwa kakuhle (umz., gcina uxinzelelo lwegazi lungaphantsi kwe-130, i-LDL cholesterol ingaphantsi kwama-70, kunye ne-HbA1c ingaphantsi kwe-7).
- Yiya kuvavanyo olulandelayo: Qiniseka ukuba uya kugqirha ngeentsuku akuxelela ngazo ukuba uze kujonga imeko ye-stent.
Lithini ixesha lokuchacha kwaye ndifanele ndimtsalele nini ugqirha?
Udinga ukuphumla kancinci kwiveki yokuqala emva kokuba ubuyele ekhaya.
- Kuphephe ukuphakamisa izinto ezinzima (ezingaphezu kwe-10 kg).
- Musa ukuntywilisela indawo yokufaka emanzini (umz., ukuhlamba, ukudada) kangangeveki. Ukuhlamba akuyongxaki.
- Ukuba unyuka izinyuko, zinyuke kancinci kancinci.
Iimeko ezifuna ingqwalaselo ekhawulezileyo:
Ukuba ufumana naziphi na iimpawu zokungakwazi ukuzenzela nto owawunazo ngaphambi konyango (ezifana nokugoba kwelinye icala lobuso bakho, ubunzima bokuthetha, okanye ukulahlekelwa yimvakalelo engalweni okanye emlenzeni), yiya kwiYunithi yoNyango oluNgxamisekileyo (ETU) yesibhedlele ngoko nangoko ngaphandle kokulibazisa.
Kwakhona, ukuba indawo yombhobho iyaqhubeka nokopha, ukudumba, okanye ukuphuma kobovu, tsalela umnxeba ugqirha wakho ngokukhawuleza.
Umyalezo Wokuya Ekhaya
- I-Carotid stenting lunyango olusebenzayo kakhulu lokususa ukuvaleka kwemithambo yegazi entanyeni ehambisa igazi engqondweni kwaye inciphise umngcipheko westroke.
- Oku akunampembelelo ingako emzimbeni njengotyando lwesintu, kodwa kusekho iingozi ezithile.
- Impumelelo yonyango ayixhomekekanga kuphela ekubekweni kwe-stent, kodwa nakwindlela olungisa ngayo indlela ophila ngayo kwaye usele amayeza akho ngokuchanekileyo .
- Kubaluleke kakhulu ukuba uqaphele iimpawu ezilumkisayo zestroke kwaye uthathe amanyathelo ngokukhawuleza xa uqaphela uphawu olunjalo.
- Ukuba unamathandabuzo, uloyiko, okanye imibuzo malunga nolu nyango, thetha ngalo ngokukhululekileyo nogqirha wakho.
💬 Comments (0)
Akukho zimvo zithunyelweyo okwangoku. Faka uluvo lwakho apha okokuqala.
Faka uluvo lwakho