Ngaba unoxinzelelo lwegazi oluphezulu? Mhlawumbi usebenzisa amayeza aliqela, kodwa ngaba usenengxaki yokulawula uxinzelelo lwakho lwegazi? Kwimeko ezinjalo, unobangela usenokuba kukuvaleka komthambo wegazi oyintloko othwala igazi liye kwizintso zakho. Namhlanje, siza kuthetha ngendlela ekhethekileyo yonyango kwiimeko ezinjalo.
Ngamafutshane, yintoni i-Renal Artery Stenting?
Kulula kakhulu. Imithambo yegazi ephambili ehambisa igazi kwizintso zakho (esibiza ngokuba yimithambo yezintso) ngamanye amaxesha inokuvalelwa ngamanqatha. Le meko ibizwa ngokuba yi-`(Renal Artery Stenosis)`. Ngoko ke i-`Renal Artery Stenting` yinkqubo equka ukufaka ityhubhu encinci efana ne-mesh (oku kubizwa ngokuba yi-`stent`) kwimithambo yegazi evalekileyo, ukuvula kwakhona indawo evalekileyo nokubuyisela ukuhamba kwegazi.
Cinga nje, izintso zezona zitho ziphambili ezilawula ubungakanani betyuwa kunye nolwelo emzimbeni wethu. Zenza oku ngokucoca igazi kunye nokuvelisa umchamo. Ngoko ke ukuba izintso azifumani umlinganiselo ofunekayo wegazi, azikwazi ukwenza lo msebenzi ngokufanelekileyo. Emva koko ulwelo kunye netyuwa ziqala ukuqokelelana emzimbeni.
Izintso zikwavelisa ihomoni ebizwa ngokuba yi-`(Renin).` Le homoni inceda umzimba ukuba ugcine ityuwa namanzi kwaye iqinise imithambo yegazi. Xa izintso zibona ukuba uxinzelelo lwegazi oluza kuzo luphantsi, izintso zicinga ukuba uxinzelelo lwegazi emzimbeni luphantsi ngokwenene. Emva koko zikhupha i-`(Renin) engaphezulu. Kodwa okwenzekayo ngokwenene kukuba umthambo wegazi uvaliwe kwaye ukuhamba kwegazi ukuya kwizintso kuyancipha, kwaye uxinzelelo lwegazi emzimbeni lunokuba phezulu ngelo xesha. Xa konke oku kuhlangana, senza imeko ebizwa ngokuba yi-`(Renal Hypertension)` ebangela uxinzelelo lwegazi oluphezulu. Oku kunokubangela uxinzelelo olukhulu entliziyweni nakwamanye amalungu omzimba, kwaye ngokuhamba kwexesha, kunokukhokelela nasekungasebenzini kwezintso .
Kutheni kuyimfuneko ukubeka i-stent kwimithambo yegazi kwizintso?
Ukuba ugqirha wakho ufumanisa ukuba uvalekile kakhulu kwimithambo yegazi ekhokelela kwintso yakho kwaye kufuneka inyangwe, banokucebisa ukuba ufake i-stent. Oku kunceda ukuthintela umonakalo ongakumbi kwizintso zakho. Kodwa khumbula, ayizizo zonke izithintelo kwimithambo yezintso ezifuna i-stent.
Ngokubanzi kukho iimeko ezininzi apho unokufuna olu nyango:
- Ukuba ngaphezulu kwama-60% emithambo yegazi ivalekile ngenxa yokugcwala kwamafutha ngaphakathi kwimithambo yegazi (i-atherosclerosis), kwaye ayinakulawulwa ngamayeza.
- Ukuba uthatha amayeza amathathu okanye ngaphezulu oxinzelelo lwegazi oluphezulu ngedosi eziphezulu kwaye ungakwazi ukulawula uxinzelelo lwakho lwegazi.
- Ukuba zombini imithambo yegazi ekhokelela kwizintso zombini ivalwe ngaphezulu kwama-60%.
- Ukuba unezintso enye kuphela, kwaye umthambo wegazi okhokelela kuyo uvalekile ngaphezu kwama-60%.
- Ukuba ufumana iimeko ezinje nge-"flash pulmonary edema" apho imiphunga izaliswa ngamanzi ngequbuliso.
Eyona nto ibalulekileyo kukuba ngugqirha okuxilongayo kuphela onokugqiba ukuba uyalufuna olu nyango okanye akunjalo. Ngoko ke thetha nogqirha wakho ngokukhululekileyo ngale nto.
Kwenzeka ntoni ngaphambi konyango?
Ngaphambi kokuba wenze olu nyango, ugqirha wakho uza kujonga impilo yakho iyonke aze enze iimvavanyo ezininzi ukuze abone ukuba kufuneka na ukuba ne-stent.
| Igama lovavanyo | Kwenzeka ntoni nje? |
|---|---|
| I-Duplex Doppler Ultrasonography | Oku kufana nokuskena rhoqo. Kusebenzisa amaza esandi ukulinganisa ubungakanani bokuvaleka kwemithambo yegazi kunye nesantya sokuhamba kwegazi. |
| I-Computed Tomography Angiogram (CT Angiogram) | Ii-X-reyi zisetyenziselwa ukudala umfanekiso wezintso onemilinganiselo emithathu (3D). Kufakwa ulwelo olukhethekileyo (idayi engafaniyo) ukuze kubonakale kakuhle imithambo yegazi. |
| I-Magnetic Resonance Angiogram (MRA) | Kufana ne-MRI scan. Kusebenzisa amandla emagnethi. Nalapha, kufakwa ulwelo olukhethekileyo ukuze kubonakale ngokucacileyo imeko yemithambo yegazi. |
| I-Angiogram | Kufakwa umbhobho omncinci (i-catheter) nge-groin okanye ingalo uze ukhokelwe kwimithambo yegazi ekhokelela kwizintso. Emva koko kufakwa ulwelo olukhethekileyo kwaye ukuhamba kwegazi kujongwa kusetyenziswa ii-X-ray. I-stent nayo ifakwa ngale ndlela ifanayo. |
Ufanele uxelele ugqirha wakho ngazo zonke amayeza owasebenzisayo (kuquka iivithamini kunye namayeza esintu) . Amanye amayeza, anjenge-aspirin, amayeza okunciphisa igazi, kunye neentlungu, anokunyusa umngcipheko wakho wokopha. Ke ngoko,Musa ukuyeka ukuthatha naliphi na iyeza ngaphandle kokubuza ugqirha wakho.
Kwakhona, sixelele ngazo naziphi na izinto ezibangela ukuba ungabi namdla kwizinto onazo. Oku kuquka izinto ezibangela ukuba ungabi namdla kwizinto ezibangela ukuba ungabi namdla kumayeza, iimveliso ezithile zokucoca (ezifana ne-iodine), kunye nokutya.
Kwenzeka ntoni ngexesha lonyango?
Oku akudli ngokukwenza ungabikho zingqondweni ngokupheleleyo. Uza kunikwa isisombululo se-saline ngomthambo osesandleni sakho ukuze sikuncede uhlale ukhululekile kwaye ulele. Ngoko awuyi kuba nenkumbulo eninzi yonyango.
Ugqirha uza kwenza utyando oluncinci kakhulu emqolo okanye engalweni yakho. Ngaloo tyando, kufakwa umbhobho ongenanto (isingxobo) kumthambo wegazi. Emva koko, omnye umbhobho omncinci (i-catheter) udluliselwa kuloo mbhobho uye kumthambo wegazi ovalekileyo okhokelela kwizintso.
Nje ukuba kufikelele ekuvalekeni, ibhaluni encinci ekupheleni kombhobho iyafuthwa ukuze kwandiswe ukuvaleka. Emva koko, i-stent yentsimbi esikhankanyileyo ngaphambili ifakwa kuloo ndawo ize ivulwe. Emva koko icinezele eludongeni lomthambo wegazi, isuse ukuvaleka kwaye ivule indlela yokuba igazi lihambe. Le stent yinto ehlala ngaphakathi emzimbeni ngokusisigxina.
Nje ukuba i-stent ibekwe endaweni yayo, ibhaluni iyakhutshwa kwaye i-catheter isuswe. Emva koko i-incision ivalwa ngokufaka uxinzelelo okanye kusetyenziswa isixhobo esikhethekileyo, kwaye kufakwa ibhandeji.
Kwenzeka ntoni emva konyango?
Emva konyango, kuya kufuneka uhlale esibhedlele iiyure ezimbalwa, mhlawumbi ubusuku bonke. Abasebenzi bezonyango baya kujonga uxinzelelo lwegazi, iintlungu, kunye nempilo yakho iyonke. Ugqirha wakho unokufuna ukutshintsha amayeza ngaphambi kokuba ugoduke. Oku kuya kucaciswa kuwe.
Xa kugqitywe kwelokuba ukulungele ukuya ekhaya, uza kukhululwa esibhedlele. Nangona kunjalo , kuya kufuneka ukuba ilungu losapho okanye umhlobo eze kukuthabatha akuse ekhaya.
Ziziphi iingenelo kunye neengozi zale ndlela yonyango?
Njengalo naluphi na unyango lwezonyango, olu luneengenelo kunye neengozi ezincinci.
| Iingenelo | Iingozi |
|---|---|
| Lunyango oluqhutywa ngokusikwa okuncinci kwaye alunazo iziphumo ebezingalindelekanga ezininzi. | Ukugruzuka okanye ukopha apho ityhubhu ifakiwe khona. |
| Ukuhamba kwegazi okuphuculweyo ukuya kwizintso. | Ukonakala komthambo wezintso okanye kwizintso. |
| Ukufumana uncedo lokunciphisa uxinzelelo lwegazi oluphezulu. | Amahlwili egazi. |
| Ukunceda ekukhuseleni ukusebenza kwezintso. | Ukwaliwa lulwelo olukhethekileyo olusetyenzisiweyo kuvavanyo. |
| Kunqabile kakhulu, ukungasebenzi kakuhle kwezintso. |
Kuthatha ixesha elingakanani ukuphiliswa?
Uninzi lwabantu luziva lungcono kwiintsuku ezimbalwa. Ugqirha wakho uza kukunika iingcebiso malunga nendlela omele usebenze ngayo kwiintsuku zokuqala ezimbalwa.
Kuya kufuneka uthathe amayeza okunciphisa igazi ukuthintela ukuqhekeka kwegazi de i-stent iphole. Umzekelo, amayeza anjenge-'Aspirin' okanye i-'Clopidogrel'. Ngokuxhomekeke kwimeko yakho, unokufuna ukuwathatha ukuya kuthi ga kwinyanga okanye unyaka. Kubaluleke kakhulu ukuwathatha la mayeza njengoko kuyalelwe kwaye ungawayeki ngaphandle kokubonisana nogqirha wakho.
Uninzi lwabantu lunokubuyela emsebenzini okanye kwimisebenzi yabo yesiqhelo kwisithuba seveki. Nangona kunjalo, ukuba wenza umsebenzi onzima ngokomzimba, njengokuphakamisa iintsimbi, kungathatha ixesha elide ukuba uphile.
Ndifanele ndiphinde ndimbone ugqirha kwakhona?
Ngamanye amaxesha ukuvaleka okutsha kunokubakho kwenye indawo kwimithambo yegazi. Ngoko ke qiniseka ukuba uya ekliniki ngemihla emiselweyo kwaye ubone ugqirha.
Kwakhona, ukuba ufumana naziphi na kwezi mpawu zilandelayo , fowunela ugqirha wakho ngoko nangoko:
- Ukuba ufumana umkhuhlane.
- Ukuba unengxaki yokuphefumla.
- Ukuba kuvela irhashalala eluswini.
- Ukuba indawo apho ityhubhu ifakwe khona ibomvu, imfusa, imnyama, idumbile, ibuhlungu, okanye iphuma igazi.
- Ukuba umlenze apho kufakwe khona ityhubhu ubuhlungu, ubanda, uphaphathekile, okanye uzive ubuthathaka.
- Ukuba uqalisa ukuba nentlungu entsha esiswini sakho okanye kwicala elinyangiweyo.
- Ukuba uziva unesizungu kwaye uxinzelelo lwakho lwegazi luphantsi kakhulu (hypotension).
Umyalezo Wokuya Ekhaya
- I-Renal Artery Stenting yindlela yonyango ekhuselekileyo esetyenziselwa ukuvula imithambo yegazi evalekileyo ekhokelela kwizintso.
- Oku kunceda ekunciphiseni uxinzelelo lwegazi oluphezulu olunzima ukulawula nokukhusela ukusebenza kwezintso.
- Ayinguye wonke umntu odinga olu nyango. Ngugqirha wakho kuphela onokugqiba ukuba uyaludinga okanye awuludingi.
- Emva konyango, kubalulekile ukusebenzisa amayeza anikwe ngugqirha, ingakumbi amayeza okunciphisa igazi, kanye njengoko eyalelwe.
- Ukuba ufumana naziphi na iimpawu ezingaqhelekanga, yazisa ugqirha wakho ngoko nangoko. Musa ukoyika ukuthetha naye ngazo naziphi na izinto ezikuxhalabisayo.
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