Ngaba uziva iintlungu okanye iintlungu emilenzeni yakho, ingakumbi kwindawo engaphakathi, xa uhamba? Ngaba ezi ntlungu ziyanda xa uhamba kancinci kwaye ziyancipha xa ume ngxi? Ukuba unale mpawu, ungachaphazeleka nayile meko. Ungakhathazeki, le yimeko echaphazela abantu abaninzi. Namhlanje, masithethe ngento ebangela oku kunye nendlela yonyango yanamhlanje ebizwa ngokuba yi-Atherectomy.
Yintoni i-PAD? Kutheni imithambo yegazi ivalekile?
Ngamafutshane, i-PAD imele i -Peripheral Artery Disease . NgesiSinhala, kukuvalwa kwemithambo yegazi (imithambo yegazi) ethwala igazi ukuya kwizitho ezikude ezifana namalungu omzimba wethu. Khawuthelekelele ukuba ngokuhamba kwexesha, izinto ezifana nomhlwa kunye nothuli ziyanamathela kumbhobho wamanzi. Ngendlela efanayo, "i-plaque" inokufakwa ngaphakathi kwimithambo yegazi yethu. Le plaque yimaleko eyenziwe kukuqokelelana kwezinto ezifana ne-cholesterol, amafutha, kunye ne-calcium. Kwizonyango, sibiza oku ngokuthi (i-Atherosclerosis) .
Njengoko umthambo wegazi uncipha kancinci kancinci ngenxa yokuvaleka, inani legazi elidlula kuwo liyancipha. Xa uzilolonga okanye uhamba, izihlunu ezisemilenzeni yakho zifuna igazi elingakumbi, oko kuthetha ioksijini engaphezulu. Kodwa ngenxa yokuba imithambo ivalekile, ayifumani gazi lifunekayo. Kulapho ke kuvela khona intlungu kunye nokungakhululeki.
Yintoni unyango olubizwa ngokuba yi-atherectomy?
I-atherectomy lunyango olukhethekileyo olususa okanye olucoca i-plaque eqokelelene ngaphakathi kwemithambo yegazi evalekileyo. Olu asilotyando olukhulu. Lubandakanya ukufaka ityhubhu encinci kakhulu (i-catheter) kwenye yemithambo yegazi yakho uze uyikhokelele ekuvalekeni kwayo. Ekupheleni kwale tyhubhu kukho i-blade encinci kakhulu, ebukhali okanye isixhobo esikhupha ukukhanya kwe-laser.
Ukuze kube yinyani, oku kufana nokufaka ucingo ngaphakathi kombhobho ovalekileyo uze ukhuphe uthuli olungaphakathi.
Esi sixhobo sisika size sikrwele i-plaque eqinileyo. Ngamanye amaxesha, olu nyango lunokubandakanya i-balloon angioplasty ukuvula ngakumbi umthambo okanye i-stent ukuthintela ukuba ungavaleki kwakhona. Ugqirha wakho uza kukuchazela oku ngokweenkcukacha.
Zingaphi iintlobo ze-atherectomy ezikhoyo?
Ewe, oogqirha basebenzisa iindlela ezahlukeneyo zotyando lwe-atherectomy ngokuxhomekeke kuhlobo kunye nendawo yokuvaleka kwemithambo yegazi. Kukho iintlobo ezininzi eziphambili.
| Uhlobo lwe-atherectomy | Kalula nje, kwenzeka ntoni |
|---|---|
| Utyando lwe-Excisional Atherectomy | Umaleko otyheli ususwa ngokuwusika kwicala elinye ngencakuba ebukhali. |
| Ukususwa kweLaser kwi-Atherectomy | Imisebe yelaser isetyenziselwa ukunyibilikisa, ukufutha, nokutshabalalisa umaleko otyheli. |
| Utyando lwe-Orbital Atherectomy | Umaleko otyheli ukhuhlwa ngesixhobo esijikelezayo ngokukhawuleza, esifana nesandpaper. |
| I-Rotational Atherectomy | Isixhobo esineencakuba ezininzi ezincinci sijikeleziswa kwisangqa ukuze sityumze kwaye sisuse umaleko otyheli. |
Ndingenza ntoni ngaphambi kolu nyango?
Ngaphambi kokuba wenze olu nyango, ugqirha wakho uya kuyalela iimvavanyo ezininzi ukuze abone ukuba imithambo yakho yegazi ivalekile kangakanani na.
- I-Angiography: Uvavanyo apho kufakwa idayi ekhethekileyo kwimithambo yegazi kwaye kuthathwa i-X-ray ukwenza imephu yemithambo yegazi.
- I-Vascular Ultrasound: Iskeni esebenzisa amaza esandi ukujonga ukuhamba kwegazi ngaphakathi kwimithambo yegazi kunye nokufumanisa ukuvaleka.
Ngosuku olungaphambi konyango lwakho, uza kufumana imiyalelo ekhethekileyo.
- Lifikile ixesha lokuyeka ukutya nokusela.
- Malunga nokuthatha okanye ukuyeka amayeza owasebenzisayo, ingakumbi amayeza okunciphisa igazi .
Kubaluleke kakhulu ukulandela zonke ezi zinto kanye njengoko ugqirha wakho ekucebisa.
Kwenzeka ntoni ngexesha lonyango?
Xa usiya esibhedlele, uza kunikwa ilokhwe ekhethekileyo yokunxiba. Emva koko, uza kunikwa amayeza okukwenza ungabi nantlungu ngexesha lonyango. Oku kwenziwa rhoqo xa usesezingqondweni, kodwa ngomthomalalisi omncinci.
1. Ugqirha uza kuvula umngxuma omncinci kumthambo wegazi emqolo okanye engalweni yakho aze afake umbhobho omncinci (i-catheter) kuwo.
2. Emva koko, ngelixa ujonge isikrini se-X-ray, ityhubhu ikhokelwa ngononophelo kwindawo ekuyo umthambo ovalekileyo.
3. Wakuba ufikelele kwindawo evalekileyo, vula isixhobo (iblade okanye i-laser) esiphelweni setyhubhu uze ukrwele okanye usike umaleko otyheli.
4. Le nkqubo inokuphindwa izihlandlo ezininzi de kungabikho nto iphazamisa ukuhamba kwegazi.
Ngokwesiqhelo, yonke le nkqubo ithatha malunga neeyure ezimbini.
Yintoni onokuyilindela emva konyango?
Emva konyango, kuya kufuneka ulale ebhedini iiyure ezininzi (mhlawumbi malunga neeyure ezi-6) ukuthintela ukopha kwindawo yokufaka i-catheter. Ngeli xesha, abahlengikazi baya kuhlala bejonga uxinzelelo lwegazi kunye nokubetha kwentliziyo yakho.
Kwiimeko ezininzi, olu lunyango olukuvumela ukuba ugoduke ngaloo mini inye ngaphandle kokuhlala esibhedlele. Nangona kunjalo, abanye abantu kusenokufuneka bahlale esibhedlele usuku olunye. Kuxhomekeke kwimeko yakho. Uya kukwazi ukuqhubeka nemisebenzi yakho yesiqhelo kwiintsuku ezimbalwa. Nangona kunjalo, kungcono ukucela ingcebiso kugqirha wakho.
Zithini iingenelo zoku?
Eyona nzuzo iphambili ye-atherectomy kukuba ingenziwa ngomsikelo omncinci, endaweni yotyando olukhulu . Oku kubangela ukuba ixesha lokuchacha lifutshane, iintlungu zinciphe, kwaye amanxeba anciphe.
Ngaba kukho naziphi na iziphumo ebezingalindelekanga okanye iingozi?
Njengakwezinye iindlela zonyango, kusenokubakho iingozi ezithile.
- Xa ukrwela umaleko otyheli, iqhekeza elincinci lawo linokwaphuka lize linamathele komnye umthambo omncinci ophambi kwakho.
- Kunqabile kakhulu ukuba isixhobo sokukrwela singonakalisa udonga lwemithambo, sibangele ukukrweleka okanye umngxuma.
Kodwa ezi zinto azenzeki rhoqo. Oogqirha abanamava bathatha onke amanyathelo afunekayo ukunciphisa ezi ngozi.
Ufuna ukuphinda umbone ugqirha kwakhona nini?
Xa ubuyela ekhaya emva konyango, kufuneka ufowunele ugqirha wakho ngoko nangoko ukuba ufumanisa naziphi na iimpawu ezintsha okanye ukuba naziphi na iimpawu zakho ezikhoyo ziya zisiba mandundu. Lumka ngakumbi ngezi zinto zilandelayo:
- Intlungu ebuhlungu emqolo okanye emlenzeni onyangiweyo.
- Ukudumba kwemilenze (i-Edema) .
- Ububomvu okanye ukuziva ufudumele kwindawo enyangiweyo.
- Ukuziva ubanda okanye ungenamthungo emlenzeni onyangiweyo.
Ukuba uziva into efana nale, musa ukuyityeshela. Funa ingcebiso kagqirha ngoko nangoko.
Umyalezo Wokuya Ekhaya
- I-PAD (iSifo seMithambo yoMzimba) yimeko apho imithambo yegazi emilenzeni incipha ize inciphe. Oku kunokubangela iintlungu emilenzeni xa uhamba.
- I-atherectomy yindlela yonyango yanamhlanje esusa imithambo evalekileyo kusetyenziswa umbhobho omncinci, ngaphandle kotyando olukhulu.
- Olu nyango luhlala lukhuselekile kwaye ixesha lokuchacha lifutshane.
- Kubaluleke kakhulu ukulandela imiyalelo kagqirha ngaphambi nasemva konyango.
- Ukuba ufumana naziphi na iimpawu ezingaqhelekanga (iintlungu, ukudumba, ukukrweleka) emva konyango, yazisa ugqirha wakho ngoko nangoko.
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