Ingaba une-artery evalekileyo entanyeni yakho? Masifunde nge-Carotid Artery Stenting, ethintela i-stroke.

Ngaba ugqirha wakho ukuxelele ukuba umthambo wegazi omkhulu entanyeni yakho uvalekile kwaye usemngciphekweni wokuba nestroke? Kuqhelekile ukuba uzive usoyika kancinci xa usiva into efana nale. Kodwa ungakhathazeki. Namhlanje, amayeza aphucuke kakhulu. Kukho unyango olusebenzayo kakhulu lokunyanga ukuvaleka okunjalo kunye nokunciphisa umngcipheko westroke. Namhlanje sithetha ngonyango olusebenzayo kakhulu nolunganzima kangako: ukubekwa kwe-stent ye-carotid.

Ngamafutshane, yintoni i-carotid stenting?

Kulungile, masiqale ngokuyichaza ngokulula. Sinemithambo yegazi emibini ephambili kumacala omabini entamo yethu enika igazi engqondweni yethu, ebusweni nasentanyeni. Le yileyo siyibiza ngokuba yiCarotid Arteries . Ngokuhamba kwexesha, izinto ezinje ngamafutha kunye ne-cholesterol ezivela ekutyeni esikutyayo ziqala ukwakheka eludongeni lwale mithambo. Le siyibiza ngokuba yi -'plaque' . Ifana nomhlwa oqokelelana ngaphakathi kombhobho wamanzi.

Le plaque iyaqokelelana ize inciphise indlela engaphakathi kwimithambo yegazi, ngamanye amaxesha iyivale ngokupheleleyo. Le meko ibizwa ngokuba yi -carotid artery stenosis . Xa oku kusenzeka, ukuhamba kwegazi ukuya ebuchotsheni kuyancipha, nto leyo ebangela ukuba kubekho isifo sohlangothi.

Ngoko ke, i-carotid stenting lunyango oluvula kwakhona umthambo ovalekileyo. Apha, ugqirha ufaka i- stent , ityhubhu encinci yesinyithi efana ne-mesh, kwindawo evalekileyo aze ayifudumeze ngaphakathi. Umthambo ovalekileyo uyakhula kwakhona, ubuyisele ukuhamba kwegazi. Le stent ifakwa ngokusisigxina ngaphakathi komthambo. Ifana nesixhobo esithintela udonga oluza kudilika, inceda umthambo ukuba uyeke ukuncipha kwakhona.

Ngubani ofuna olu nyango?

Ugqirha udla ngokucebisa olu nyango emva kokuhlola umthambo wakho we-carotid ukuze abone ukuba awuvalwanga. Oku kunokubandakanya iimvavanyo ezifana ne -carotid ultrasound , i-CT scan , okanye i-MRI . Olu nyango ludla ngokufuneka xa:

• Kwabo baye babonakalisa iimpawu ze-ministroke okanye i-stroke kwaye imithambo yabo ivalekile ngaphezu kwama-50%.
• Kwabo bangenazo iimpawu kodwa umthambo wabo uvalekile ngaphezu kwama-70%.

Ugqirha wakho uya kugqiba ukuba olu nyango lufanelekile na kwimeko yakho, okanye ukuba utyando olwahlukileyo (iCarotid Endarterectomy) lufanelekile na.

Ukulungiselela nokwenza unyango

Ugqirha wakho uza kukuqalisa ukusebenzisa amayeza okunciphisa igazi kwiintsuku ezimbalwa ngaphambi kwenkqubo yakho, njenge -aspirin kunye ne-clopidogrel .

Lwenziwa njani unyango?

Oku kwenziwa ngugqirha oqeqeshiweyo ofumene uqeqesho olukhethekileyo ngale njongo. Uza kunikwa amayeza okuthintela iintlungu ngexesha lonyango. Kukho iindlela ezininzi eziphambili zokufaka i-stent.

Ugqirha wakho uza kugqiba ukuba yeyiphi indlela efanelekileyo kuwe. Lonke olu nyango luthatha malunga neyure okanye ezimbini. Nangona kunjalo, kuya kufuneka uhlale esibhedlele usuku olunye, njengoko kuza kuthatha iiyure ezininzi ukulungiselela nokujonga emva koko.

Kwenzeka ntoni emva konyango?

Emva konyango, ugqirha uza kwenza i-angiogram ukujonga ukuba i-stent isebenza kakuhle na kwaye ukuba ukuhamba kwegazi kubuyele esiqhelweni. Emva koko, i-catheter kunye nezinye izixhobo ziya kususwa kwaye uya kunikwa nayiphi na imithi yokuthomalalisa iintlungu kunye neminye imiyalelo onokuyidinga.

Eyona nto ibalulekileyo kukuba kuya kufuneka uqhubeke nokusela amayeza akho okunciphisa igazi (umz., iAspirin, iClopidogrel) nokuba sele ubuyile ekhaya. Musa ukuyeka ukuwasela la mayeza ngaphandle kokuthetha nogqirha wakho. Kuya kufuneka uwasele kangangeenyanga eziliqela.

Ixesha lokuchacha emva kokubuyela ekhaya

• Musa ukuphakamisa nantoni na enzima ngaphezu kweekhilogram ezingama-20 (njengebhakethi yamanzi) kangangeveki.
• Musa ukuntywilisela indawo enqunyulweyo/ekubhobozweni emanzini (akukho zibhafu, iidama zokudada) kangangeveki emva konyango. Ukudada kulungile.
• Lumka kancinci xa unyuka izinyuko.
• Kancinci kancinci qhelana nesiqhelo sakho kwisithuba seveki.

Iingenelo, iingozi, kunye nempumelelo yexesha elide yonyango

Olu nyango alunazo izithintelo kangako kunotyando oluvulekileyo lwendabuko, oluneengenelo ezininzi. Ezona ziphambili zizikrweqe ezincinci, umngcipheko omncinci wokonakala kwemithambo-luvo entanyeni, kunye neentlungu ezimbalwa emva konyango.

Iingozi ezinokubakho ziquka ukopha, uxinzelelo lwegazi oluphantsi/oluphezulu (iHypotension/iHypertension), ukubetha kwentliziyo okucothayo (iBradycardia), ukuqhekeka kwegazi, kwaye kunqabile kakhulu, isifo sohlangothi. Ugqirha wakho uza kukuchazela ezi ngozi ngokweenkcukacha.

Into ebalulekileyo kukuba olu nyango alunyangi isifo esisisiseko (i-atherosclerosis). Lususa kuphela ukuvaleka okukhoyo. Ke ngoko, kubalulekile ukutshintsha indlela ophila ngayo ukuze uthintele ukuba umthambo ungavaleki kwakhona.

• Yeka ukutshaya nokutshaya umsi ngokupheleleyo.
• Thatha amayeza anikwe ngugqirha ngexesha elifanelekileyo.
• Gcina ubunzima bakho busempilweni.
• Zilolonge rhoqo.
• Zimisele ukutya okunempilo kwentliziyo okuneoyile encinci, ityuwa encinci, neswekile encinci, kunye neziqhamo ezininzi kunye nemifuno emininzi.
• Gcina uxinzelelo lwakho lwegazi, i-cholesterol (i-LDL ingaphantsi kwama-70), kunye nesifo seswekile (i-HbA1c ingaphantsi kwama-7) zilawulwa kakuhle.
• Bona ugqirha ngexesha elibekiweyo uze uhlolwe.

Ingxamiseko! Yintoni omawuyenze ukuba unezi mpawu?

Oku kubaluleke kakhulu. Ukuba ufumana naziphi na kwezi mpawu zilandelayo, fowunela i-1990 Ambulance Service ngoko nangoko ngaphandle kokulibazisa okanye uye kwiSebe leNgxamiseko (ETU) lesibhedlele esikufutshane.

• Iimpawu zestroke: ukugoba kwelinye icala lobuso, ubunzima bokuthetha okanye ukuqonda amagama, ukuphelelwa yimvakalelo okanye ukuba ndindisholo kwengalo okanye umlenze.
• Ukuba kukho ukopha okanye ukudumba okugqithisileyo kwindawo apho i-stent ifakwe khona (ingqumbo, ingalo, okanye intamo).

Ngamanye amaxesha umthambo unokuba mxinwa ngenxa yokukhula kwakhona kwezicubu kwindawo enyangiweyo. Oku sikubiza ngokuba yi -'restenosis' . Yiyo loo nto kubalulekile ukuba kwenziwe ii-ultrasound rhoqo.