Ngaba kukho umntu kusapho lwakho okanye umntu omaziyo okhe wafakwa i-stent ngenxa yokuhlaselwa yintliziyo? Okanye ngaba i-stent ikhe yafakwa njengonyango lweentlungu zesifuba? Oku kuye kwaxhaphaka kakhulu kule mihla. Emva kokuba i-stent ifakiwe, uninzi lwabantu luhlala luziva lungcono kakhulu. Nangona kunjalo, ngamanye amaxesha, umthambo apho i-stent ibekwe khona unokuqala ukuncipha kwakhona. Namhlanje, siza kuthetha ngendlela ekhethekileyo yonyango esetyenziswa kwiimeko ezinjalo.
Ngamafutshane, yintoni iCoronary Brachytherapy?
Eli gama lisenokuvakala liyinkimbinkimbi kancinci. Kodwa masiligcine lilula. I-Coronary Brachytherapy lunyango olukhethekileyo lwemithambo yegazi ehambisa igazi entliziyweni (Coronary Arteries). Oku kusebenzisa imitha yokukhanya ukuthintela imithambo yegazi ukuba ingaphindi inciphe.
Khawuthelekelele ukuba umthambo wegazi entliziyweni yakho uvalwe yi-cholesterol deposits. Oogqirha bafaka i-stent. I-stent yityhubhu encinci efana ne-mesh. Ifakwa kumthambo wegazi oncitshisiweyo kwaye iwuvule kwakhona, ivumela igazi ukuba lihambe ngokukhululekileyo.
Nangona kunjalo, kwabanye abantu, izicubu zesilonda ziqala ukukhula zijikeleze i-stent. Kanye njengokuba isilonda senzeka xa sinomonzakalo. Esi silonda sibangela ukuba indawo apho i-stent yayibekwe khona ivuleke ibe ncinci kwakhona. Kwizonyango, esi sisifo sibizwa ngokuba yi-in-stent restenosis (ISR) . Kulapho oogqirha bacinga khona nge-Coronary Brachytherapy.
Kolu nyango, idosi encinci kakhulu, elawulwayo yemitha ijoliswe kwindawo apho izicubu zesilonda zenzeka khona imizuzu embalwa. Imitha itshabalalisa iiseli ezenza izicubu zesilonda. Ngoko ke indawo ayiphinde inciphe. Kufana nokusebenzisa amayeza ukuthintela ukhula ukuba lungakhuli kwakhona.
Eyona nto ibalulekileyo kukuba olu nyango lwemitha lukhuselekile kakhulu. Lujoliswe kuphela kwindawo echaphazelekayo. Alunakwenzakalisi naliphi na elinye ilungu lomzimba.
Ngubani ofuna olu nyango?
I-Coronary Brachytherapy ayilonyango lomntu wonke. Ihlala icetyiswa kuphela kwizigulana ezikhethekileyo ezikhe zafakwa i-stent ngaphambili kwaye zakha i-reoccurrence (ISR) ngaphakathi kuyo, kwaye ezingenakukwazi ukusabela kakuhle kwezinye iindlela zonyango.
Jonga ulwazi olungezantsi. Uza kufumana umbono olungileyo ngale nto.
| Xa i-Coronary Brachytherapy inokuba yinto efanelekileyo | |
|---|---|
| Ukuvaleka okuphindaphindiweyo | Ukuba i-stent ivalekile ngaphezu kwesihlandlo esinye (i-ISR ephindaphindayo) emva kokuba ifakiwe. |
| Ukuba nee-stents ezininzi | Ukuba kufakwa ii-stent ezininzi kwimithambo yegazi efanayo okanye ukuba kufakwa i-stent ende kakhulu. |
| Ezinye iingxaki zempilo | Kwabo baneengxaki zempilo ezandisa umngcipheko weengxaki ezivela kwezinye iindlela zonyango, ezifana nesifo seswekile. |
| Imithambo yegazi emincinci | Kwabo banemithambo yegazi emincinci kakhulu kwaye ibhityile entliziyweni. |
Ngubani ongafanele afumane olu nyango?
Kwakhona, kukho amaxesha apho olu nyango lungafanelekanga.
- Ukuba i-stent ivaliwe okokuqala .
- Ukuba sele ufumene unyango lwe-radiation kwindawo yesifuba (umz. umhlaza webele).
- Ukuvaleka akubangelwa zizicwili zesilonda, kodwa yingxaki yebhaluni esetyenzisiweyo ngexesha le-angioplasty.
Ingaba le yindlela yonyango kuphela xa i-stent iphinda inciphe?
Hayi. Olu lolona nyango lungasetyenziswa rhoqo. Xa i-stent ivalekile kwakhona, ebizwa ngokuba yi-in-stent restenosis (ISR), oogqirha badla ngokuzama ezinye iindlela zonyango kuqala.
- Ukubeka esinye i-stent: Esinye i-stent sifakwa ngaphakathi kwe-stent evalekileyo.
- I-Balloon Angioplasty: Ibhaluni isetyenziselwa ukwandisa indawo encitshisiweyo. Ngamanye amaxesha ibhaluni ekhethekileyo (ibhaluni yokusika) isetyenziselwa ukusika izicubu ezingafunekiyo.
- Utyando lweCoronary Artery Bypass: Ukuba ukuvaleka kukhulu, ungathunyelwa kutyando lwe-bypass.
- Amayeza: Amayeza anjenge-aspirin okuthintela ukuqhekeka kwegazi kunye nee-statins zokunciphisa i-cholesterol ayamiselwa.
Kukho iintlobo ezintsha ze-stents eziphumayo kule mihla.Ezi zibizwa ngokuba zii-stent ezisusa iziyobisi. Ezi zikhupha iyeza kancinci kancinci, ukuthintela ukwakheka kwezicubu ezibomvu. Ngoko ke ngoku uninzi lwee-stent zabantu alunakwenzeka ukuba zivaleke kwakhona. Yiyo loo nto i-Coronary Brachytherapy ingasasetyenziswa njengesiqhelo.
Indlela olusebenza ngayo unyango - inyathelo ngenyathelo
Olu asilotyando olukhulu. Olu nyango lwenziwa liqela le-Interventional Cardiologist kunye ne-Radiation Oncologist. Lonke olu nyango luthatha malunga nemizuzu eli-10. Nangona kunjalo, kuya kufuneka uhlale esibhedlele iiyure ezimbalwa.
Ngaphambi konyango
Ugqirha wakho angenza i -ultrasound scan ngaphakathi kwemithambo yegazi ukuze abone ngokucacileyo ngaphakathi kwemithambo yegazi yentliziyo yakho. Oku kunokunceda ekuqinisekiseni ukuba unyango kufuneka lube phi kwaye lude kangakanani.
Ngexesha lonyango
Le yindlela elula kakhulu. Awuyi kuva ntlungu ingako.
| Amanyathelo | Kwenzekani? |
|---|---|
| 1. Ukuthomalalisa | Awuyi kulala ngokupheleleyo. Uza kunikwa amayeza okukunceda uphumle kwaye uzive ungenazintlungu. Abanye abantu banokunikwa ne-anesthesia eqhelekileyo. |
| 2. Ukufakwa kwe-catheter (Ukusika) | Ityhubhu encinci kakhulu (i-catheter) idluliselwa ngemithambo yegazi engalweni okanye emlenzeni ukuya kumthambo ovalekileyo entliziyweni phantsi kwesikhokelo se-X-ray. |
| 3. I-Angioplasty yeBhaluni | Ibhaluni encinci ifakwa kwindawo encitshisiweyo ize ivuthelwe umoya ukuze yandise indawo ukuze isasazwe ngemitha. |
| 4. Ukukhanya kwemitha | Ngoku, ngaloo mbhobho mncinci, umthombo wemitha olawulwa ngokuchanekileyo uthunyelwa kwindawo apho kukho izicubu zesilonda. Uhlala apho imizuzu embalwa kuphela. Ngeli xesha, iiseli ezenza isilonda ziyatshatyalaliswa. |
| 5. Ukuvalwa | Umthombo wemitha kunye ne-catheter ziyasuswa, kwaye kubekwa iplasta encinci phezu kwendawo yokufaka ukuze ivalwe. |
Emva konyango
Uninzi lwabantu lunokubuyela ekhaya ngaloo mini inye. Ungacelwa ukuba ulale esibhedlele ubusuku bonke. Emva kokuba ubuyele ekhaya, kufuneka uphumle kwaye ungazibhokoxi iintsuku ezimbalwa. Kufuneka uthathe amayeza ugqirha wakho awakunika wona ukuthintela ukuqhekeka kwegazi.
Ziziphi iingenelo kunye neengozi zale ndlela yonyango?
Njengakwezinye iindlela zonyango, kukho iingenelo kunye neengozi ezincinci.
Eyona nzuzo iphambili kukuba sisisombululo esilungileyo kubantu abaye baba nee-stents ezininzi kwaye bavaleka rhoqo, okanye abangakwaziyo utyando olukhulu ngenxa yezinye iimeko. Olu nyango lunciphisa umngcipheko wokuhlaselwa yintliziyo kunye nokusilela kwentliziyo. Lukwathintela ukuphinda kweempawu ezifana neentlungu zesifuba (i-angina), ukuphefumla okufutshane (ukuphelelwa ngamandla), kunye nesiyezi.
Xa sithetha ngeengozi , ezi ziingozi eziqhelekileyo ezinokwenzeka nakweyiphi na indlela yokufaka i-catheter kwintliziyo.
- Ukungahambi kakuhle kwentliziyo (i-Arrhythmia)
- Amahlwili egazi
- Ukonakala kwemithambo yegazi
- Iintsholongwane
- Intlungu okanye ukopha kwindawo yokufaka i-catheter
Ezi ngozi azixhaphakanga . Ugqirha wakho uza kukwazisa ngazo zonke ezi zinto.
Ufika nini kugqirha
Ukuba ufumana naziphi na kwezi mpawu zilandelayo emva kokuba ubuyele ekhaya emva konyango, kufuneka ufowunele ugqirha wakho ngoko nangoko .
- Ukuba ufumana umkhuhlane ophezulu.
- Ukuba unentlungu eqatha esifubeni sakho, emhlathini, ezingalweni, okanye emagxeni.
- Ukuba unengxaki yokuphefumla.
- Ukuba kukho ubomvu obuphuma kwindawo yokufaka i-catheter, ivumba elibi, okanye ububomvu kunye nokudumba (iimpawu zosulelo).
Emva konyango, ungabuyela kwimisebenzi yakho yesiqhelo kwiintsuku ezimbalwa. Nangona kunjalo, akulunganga ukucinga ukuba yonke into iphelile kuba nje ufumene olu nyango. Ukuze intliziyo yakho ihlale isempilweni, kubalulekile ukulandela indlela yokuphila elungileyo .
- Yitya ukutya okuneoyile encinci, ityuwa encinci, kunye neswekile encinci.
- Yeka ukutshaya ngokupheleleyo.
- Nciphisa ukusetyenziswa kotywala.
- Zilolonge rhoqo njengoko ugqirha wakho eyalele.
Umyalezo Wokuya Ekhaya
- I-Coronary Brachytherapy lunyango olukhethekileyo lwemitha kwabanye abaguli abafumana i-in-stent restenosis emva kokufakwa kwe-stent.
- Oku kuquka ukusebenzisa idosi encinci kakhulu, elawulwayo yemitha ukuze kumiswe ukukhula kweeseli ezibomvu ezibangela ukuvaleka.
- Nangona oku kungasetyenziswa rhoqo ngoku, kunokuba luncedo kakhulu kubantu abaneengxaki eziphindaphindayo, abane-stents ezininzi, okanye ezinye izifo.
- Olu asilotyando olukhulu, kwaye iingozi ziphantsi kakhulu. Ungaphila ngokukhawuleza emva konyango.
- Nokuba emva konyango, kubaluleke kakhulu ukulandela indlela yokuphila esempilweni ukuze ugcine impilo yentliziyo.
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