Ngaba wakha wafakwa i-stent entliziyweni yakho ngenxa ye-artery evalekileyo? Abantu abaninzi bafumana isiqabu emva kokuba benayo. Kodwa ngamanye amaxesha, i-artery iqala ukuncipha kwakhona kanye apho i-stent yayifakwe khona. Kuvakala ngathi isifo esidala siyabuya. Namhlanje, siza kuthetha ngendlela eyahlukileyo kancinci, ekhethekileyo yonyango esetyenziswa kwiimeko ezinjalo.
Ngamafutshane, yintoni iCoronary Brachytherapy?
Nangona eli ligama elintsonkothileyo, ibali lilula kakhulu. I-Coronary brachytherapy lunyango olukhethekileyo lwemitha olunikwa imithambo yentliziyo.
Cinga ngemithambo yegazi ehambisa igazi entliziyweni njengetyhubhu. Xa i-plaque iqokelelana ngaphakathi kwezi tyhubhu kwaye incipha, sibiza esi sifo semithambo yegazi yentliziyo (CAD). Njengonyango loku, oogqirha bafaka i-stent, ityhubhu encinci ye-mesh, kwi-artery ukuze baphinde bayivule.
Kodwa kwabanye abantu, izicubu zesilonda ziqala ukwakheka zijikeleze i-stent. Kanye njengokuba isilonda senzeka xa sifumana ukwenzakala. Esi silonda sibangela ukuba umthambo ovulekileyo unciphe kancinci kancinci uze uvaleke kwakhona. Ngokwezonyango, sibiza oku ngokuba yi-in-stent restenosis (ISR) .
Ngokufanayo, i-coronary brachytherapy isetyenziselwa ukuthintela izicubu zesilonda ukuba zingakheki zijikeleze i-stent kwaye ibangele ukuba umthambo unciphe kwakhona. Oku kuquka ukukhokela idosi encinci kakhulu yemitha, ngendlela elawulwayo kakhulu, kwindawo encitshisiweyo, ukutshabalalisa iiseli ezenza izicubu zesilonda.
Ngubani ngokwenene odinga olu nyango?
Olu unyango alufanele wonke umntu. Oogqirha bacebisa ukuba lusetyenziswe kwiimeko ezithile ezimbalwa. Ukuba ukhe wafakelwa i-stent yaza yavalwa kwakhona (ISR), olu nyango lunokuba lufanelekile kuwe.
Jonga itheyibhile engezantsi ukuze ubone ukuba ngubani ofanelekileyo.
| Abantu abanokuba bafanelekile kwi-brachytherapy | |
|---|---|
| Ukuvaleka kwe-stent ephindaphindayo (i-ISR ephindaphindayo) | Ukuba indawo apho i-stent ibekwe khona iyancipha ngokuphindaphindiweyo. |
| Iistenti ezininzi okanye iistenti ezinde | Ukuba une-stent ezininzi kwimithambo yakho yentliziyo okanye ukuba une-stent ende kakhulu. |
| Ezinye izifo ezifana nesifo seswekile | Kwabo basengozini enkulu yokufumana iingxaki ngexesha lonyango oluthile (umz. utyando lwe-bypass) ngenxa yezinye iimeko zonyango ezifana nesifo seswekile. |
| Imithambo yegazi emincinci | Kwabo banemithambo yegazi yentliziyo emincinci kakhulu ukuba ingasetyenziselwa ezinye iindlela zonyango. |
Ngaba kukho abantu abangafanele banikwe olu nyango?
Ewe, oku akufanelekanga kuwo wonke umntu. Umzekelo, ukuba sele ukhe wanyangwa ngemitha yomhlaza webele okanye omnye umhlaza esifubeni, olu nyango alusoloko lwenziwa. Kwakhona, ukuba i-stent ivaliwe kungengenxa yesikhumba esinamabala, kodwa ngenxa yengxaki yebhaluni esetyenzisiweyo ukubeka i-stent, olu nyango alufuneki. Ugqirha wakho wentliziyo uza kwenza isigqibo esifanelekileyo malunga noku.
Indlela olusebenza ngayo unyango - inyathelo ngenyathelo
Olu asilotyando olukhulu. Silubiza ngokuba yinkqubo engaphantsi kakhulu. Awuyi kuva iintlungu ezininzi. Lonke olu tyando ludla ngokuthatha malunga nemizuzu eli-10, kodwa kuya kufuneka uhlale esibhedlele iiyure ezimbalwa.
| Amanyathelo | Kwenzekani? |
|---|---|
| 1. Ukulungiselela | Ngaphambi konyango, ugqirha uza kwenza iskeni, njenge-ultrasound yangaphakathi kwemithambo yegazi, ukuze abone ngqo apho umthambo unciphile khona. |
| 2. I-Anesthesia | Awuyi kuba ungekho zingqondweni ngokupheleleyo. Uza kunikwa amayeza okukwenza ulale kwaye ungabi nangqondo. Uza kuba ukho zingqondweni, kodwa awuyi kuva nto. |
| 3. Ukufaka i-catheter | Ityhubhu encinci kakhulu (i-catheter) ifakwa ngomthambo omkhulu engalweni okanye emlenzeni, kwaye ngoncedo lwe-X-ray, ikhokelwa kumthambo onciphileyo entliziyweni. |
| 4. Ukwandisa ibhaluni | Ibhaluni encinci ifuthwa ngaphakathi kumthambo, nto leyo edala indawo yonyango lwemitha oluza kunikezelwa kwindawo enciphileyo. Oku kubizwa ngokuba yi-balloon angioplasty. |
| 5. Ukunika imitha | Okulandelayo, ngaloo catheter, idosi yemitha elawulwa kakuhle ithunyelwa kwindawo encitshisiweyo imizuzu embalwa. Le mitha itshabalalisa iiseli ezenza izicubu ezibomvu. Ayichaphazeli ezinye iindawo. |
| 6. Ukugqiba | Isixhobo sokukhanya kunye ne-catheter zisuswa ngononophelo. |
Ziziphi iingenelo kunye neengozi zale ndlela yonyango?
Njengakwezinye iindlela zonyango, kukho iingenelo kunye neengozi ezincinci.
Iingenelo eziphambili
- Ukuvaleka kwe-stent ephindaphindayo (ISR) kunokuthintelwa.
- Iyanciphisa amathuba okuba nesifo sentliziyo kwixesha elizayo.
- Iimpawu ezinje ngeentlungu zesifuba eziphindaphindayo (i-angina), ukuphefumla okunzima (ukuphelelwa ngumphefumlo), kunye nesiyezi zinokupheliswa.
- Kunokwenzeka ukufumana isisombululo ngaphandle kokwenza utyando olukhulu lwe-bypass.
Iingozi ezinokubakho
Ezi ngozi ziphantsi kakhulu. Ezi ziingozi eziqhelekileyo ezinxulumene nayo nayiphi na inkqubo yokuxilonga i-cardiac catheterization.
- Ukungahambi kakuhle kwentliziyo (i-Arrhythmia)
- Amahlwili egazi
- Intlungu okanye usulelo kwindawo yokufaka i-catheter
- Umonakalo omncinci kumthambo wegazi
Okubaluleke kakhulu kukuba, imitha esetyenziswa kolu nyango ikhuselekile kakhulu.Inikwa ngendlela elawulwayo kakhulu, kuphela kwindawo efanelekileyo, ukuze ingonakalisa naliphi na elinye ilungu lomzimba.
Kwenzeka ntoni emva konyango? Kwaye kufuneka ndidibane nogqirha nini?
Uninzi lwabantu lunokubuyela ekhaya ngosuku olunye nolu lwenkqubo. Kusenokufuneka uhlale esibhedlele ubusuku bonke. Kubalulekile ukuphepha ukwenza umsebenzi onzima iintsuku ezimbalwa emva kokuba ubuyele ekhaya. Ugqirha wakho uza kukunika amayeza okuthintela ukuqhekeka kwegazi.
Luxanduva lwakho ukugcina impilo yentliziyo yakho emva konyango.
- Yitya ukutya okunempilo nokunamafutha aphantsi.
- Yeka ukutshaya ngokupheleleyo.
- Zilolonge rhoqo.
- Lawula indlela osela ngayo utywala.
Ukuba ufumana naziphi na kwezi mpawu zilandelayo, kufuneka ufowunele ugqirha wakho ngoko nangoko okanye uye kwiSebe leNgxamiseko (i-ETU) lesibhedlele esikufutshane nawe.
- Ukuba ufumana umkhuhlane ophezulu.
- Ukuba unentlungu eqatha esifubeni sakho, emhlathini, ezingalweni, okanye emagxeni .
- Ukuba unengxaki yokuphefumla.
- Ukuba kukho ubomvu obuphuma kwindawo yokufaka i-catheter, ukuba ivumba kakubi, okanye ukuba idumbile kwaye ibomvu.
Nangona olu nyango lungasasetyenziswa kakhulu (kuba iintlobo ezintsha ze-stents - ii-stent ezisebenzisa amayeza - ziye zanciphisa kakhulu umngcipheko wokuphinda zivale), lunokuba sisisombululo esisebenzayo nesixabisekileyo kwizigulane ezineemeko ezinzima ezihlangabezana nokuvaleka kwe-stent okuphindaphindiweyo.
Umyalezo Wokuya Ekhaya
- I-Coronary brachytherapy lunyango lwemitha olusetyenziselwa ukuthintela ukuba izicubu ezibomvu zingakheki zijikeleze i-stent kwaye zibangele ukuba umthambo wegazi uphinde unciphe (in-stent restenosis).
- Olu nyango alufanele wonke umntu, kodwa lufanelekile ngakumbi kwabo baneengxaki eziphindaphindayo zokuvaleka kwe-stent, ezinye izifo ezifana nesifo seswekile, okanye iingxaki zentliziyo ezinzima.
- Olu asilotyando olukhulu, kwaye kufakwa ityhubhu encinci (i-catheter) entliziyweni ukuze kukhutshwe idosi yokukhanya elawulwayo.
- Ubungakanani bemitha esetyenziswayo buncinci kakhulu kwaye bukhuselekile, kwaye abuchaphazeli ezinye iindawo zomzimba.
- Kubaluleke kakhulu ukulandela indlela yokuphila enempilo yentliziyo emva konyango. Funa uncedo lwezonyango ngokukhawuleza ukuba ufumana iimpawu ezilumkisayo ezifana neentlungu zesifuba okanye ukuphefumla okunzima.
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