Ingabe wake wafakwa i-stent ngenxa yesifo senhliziyo? Kungenzeka ukuthi uzizwe ukhululekile ngemva kokwenza kanjalo. Izinto ezifana nobuhlungu besifuba kanye nokuphelelwa umoya sekuphelile, futhi kungenzeka ukuthi uzizwe sengathi usunesimo esisha empilweni. Kodwa, kuthiwani uma, ngemva kwesikhashana, ezinyangeni ezimbalwa, leso sifo esidala siqala ukuvela futhi? Kuthiwani uma isifuba sakho siqala ukubuhlungu futhi? Kuthiwani uma unenkinga yokuphefumula? Abantu abaningi bayakhathazeka ngalesi sikhathi. Bayazibuza, "Kungani lokhu kwenzeka yize sekufakwe i-stent?" Impendulo yalowo mbuzo yisimo esikhuluma ngaso namuhla, esibizwa ngokuthi 'In-Stent Restenosis'.
Kalula nje, iyini i-In-Stent Restenosis?
Ukuze siqonde lokhu, ake siqale kusukela ekuqaleni.
Kalula nje, i-'Stenosis' isho ukuthi into efana nemithambo yethu yegazi iyavaleka noma inciphe. Lapho imithambo yenhliziyo ehambisa igazi enhliziyweni ivaleka ngenxa yokugcwala kwamafutha (lokhu sikubiza ngokuthi i -Atherosclerosis ) sikubiza ngokuthi i-Coronary Artery Disease (CAD) . I-Angioplasty iyindlela yokwelapha odokotela abayisebenzisayo ukuvula le mithambo yegazi evalekile futhi.
Kulokhu, kufakwa ibhaluni elincane endaweni evinjiwe bese lifuthwa ukuze kwandiswe umthambo wegazi. Bese kuthi, ukuze kuvinjelwe indawo ebanzi ukuthi ingawi futhi ivaleke, kufakwa ithubhu elincane elifana ne-mesh (lokhu esikubiza ngokuthi i-stent ) ngaphakathi komthambo. Lokhu kuvumela ukugeleza kwegazi ukuthi kuqhubeke.
Kulungile, manje usuyaqonda. Igama elithi 'Restenosis' liyigama elakhiwe ngamagama athi 're' (futhi) kanye nelithi 'stenosis' (ukuvinjwa). Lisho ukuthi, ukuvimba kabusha . Ngakho-ke, i-In-Stent Restenosis yilapho umthambo wegazi lapho i-stent yayibekwe khona uvinjwa futhi, khona kanye lapho i-stent yayikhona. Nakuba lokhu kukhungathekisa kakhulu, kubaluleke kakhulu ukwazi ukuthi kungani lokhu kwenzeka.
Kungani umthambo uvaleka futhi ngemva kokufakwa kwe-stent?
Lokhu akubangelwa inkinga nge-stent. Lena yindlela umzimba wethu osabela ngayo. Cabanga nje uma unenxeba emzimbeni wakho, kuvela isilonda njengoba siphola, akunjalo? Yilokho okwenzekayo lapha.
I-stent yinto evela ngaphandle komzimba wethu. Ngakho umzimba uyiphatha 'njengenxeba' bese uzama ukuyelapha. Phakathi nale nqubo, ungqimba olusha lwamaseli luyakhula phezu kwe-stent. Lokhu kuvamile. Lolu ngqimba olusha lwamaseli lwenza ingxenye ye-stent yodonga lwemithambo yegazi, ilulaze ukuhamba kwegazi.
Kodwa-ke, imizimba yabanye abantu isabela ngokweqile kulokhu. Bese ungqimba lwamaseli akha phezu kwe-stent, olubizwa ngokuthi izicubu zesibazi, luba lukhulu kakhulu kunalokho obekulindelwe . Njengokhula olukhula ngaphakathi kwepayipi lamanzi futhi luvale imbobo epayipini, lesi zicubu esiqinile sinciphisa indlela yegazi futhi. Yilokho esikubiza ngokuthi i-In-Stent Restenosis.
Okubaluleke kakhulu, lesi simo sivame ukwenzeka ezinyangeni ezi-3 kuya kweziyi-6 ngemuva kokufakwa kwe-stent.Okwamanje. Ngemva konyaka noma emibili, amathuba okuba lokhu kwenzeke mancane kakhulu.
Ubani osengozini enkulu yalesi simo?
Nakuba lesi simo singavela kunoma ubani one-stent, abanye abantu basengozini enkulu. Hlola ukuthi unalezi zimo.
| Isici sengozi | Incazelo |
|---|---|
| Isifo sikashukela | Abantu abanesifo sikashukela esingalawulwa kahle basengozini enkulu. Amazinga aphezulu kashukela egazini angabangela ukukhula kwezicubu okungavamile. |
| Isifo Sezinso | Le ngozi iphakeme nakubantu abanesifo sezinso esingamahlalakhona. |
| I-Cholesterol Ephezulu | Kulabo abagcina amazinga aphezulu e-cholesterol egazini. |
| Umfutho wegazi ophezulu (i-Hypertension) | Umfutho wegazi ophakeme ongalawuleki nawo uyingozi. |
| Ukubhema | Ukubhema kwandisa ingozi ngoba kulimaza imithambo yegazi futhi kuphazamisa inqubo yokuphulukiswa. |
Ezinye izinto ezimbalwa...
Ngaphezu kwalokho, le ngozi inganda uma umthambo wegazi ovalekile umncane kakhulu noma uma ukuvaleka kukude kakhulu . Futhi, uma umthambo unwetshwa ngebhaluni elingena-stent (i-Balloon Angioplasty), ingozi yokuvaleka kabusha iphakeme nakakhulu.
Ziyini izimpawu zalokhu?
Enye yezinselele ezinkulu lapha ukuthi iningi labantu abane-In-Stent Restenosis ababi nazo izimpawu . Ungase ungezwa lutho kuze kube yilapho umthambo uncipha kakhulu. Yingakho kubalulekile ukuya kohlolwa njalo njengoba kuqondiswe udokotela wakho ngemva kokusebenzisa i-stent.
Kodwa-ke, abanye abantu baba nezimpawu ezifana kakhulu nezimpawu zesifo semithambo yenhliziyo (CAD) owawunazo ngaphambi kokuba ube ne-stent.
- Ubuhlungu noma ukungakhululeki esifubeni (i-Angina): Umuzwa wokuqina noma ukuminyana esifubeni. Lokhu kungaba kubi nakakhulu uma uzivocavoca noma ukhuphuka izitebhisi.
- Ukuphefumula kanzima: Ubunzima bokuphefumula ngisho noma uzikhandla kancane.
- Ukuzizwa ukhathele ngendlela engavamile: Ukuzizwa ukhathele kangangokuthi awukwazi ukwenza izinto obuzenza kalula.
- Ubuhlungu behlombe noma bengalo: Ubuhlungu besifuba obuhambisana nobuhlungu obuphuma ehlombe noma engalweni yesobunxele.
- Izimpawu ezifana nesiyezi, ukujuluka, kanye nesicanucanu nazo zingase zibe khona.
Okubaluleke kakhulu: Uma uphinda ubhekana nanoma yiziphi zalezi zimpawu ngemva kokuba ne-stent, ungakhohlwa ukuthi kungaba yinto ehlukile . Yazisa udokotela wakho ngokushesha.
Ngingathola kanjani ukuthi lokhu kuyatholakala?
Uma usitshela ngezimpawu zakho, udokotela uzosikisela ukuhlolwa okuningana ukuze akuqinisekise.
- Isivivinyo Sokucindezeleka Kokuzivocavoca (Isivivinyo Sokugoba Imisipha): Wenziwa ukuthi uhambe noma ugijime ku-treadmill futhi i-ECG isetshenziselwa ukuqapha ukuthi inhliziyo yakho isebenza kanjani uma ucindezelekile.
- I-Catheterization Yenhliziyo (i-Angiogram): Lolu vivinyo oluqinisekile kakhulu. Njengoba nje kufakwa i-stent, ithubhu elincane lidluliselwa ngemithambo yegazi liye enhliziyweni, kufakwe idayi ekhethekile, bese kuthathwa i-X-ray ukuze kubonakale ukuthi kukhona yini ukuvaleka ngaphakathi kwe-stent.
- Ezinye izivivinyo: Ngezinye izikhathi, amasu okuskena njenge- Intravascular Ultrasound (IVUS) angasetshenziswa ukubheka ngaphakathi kwemithambo yegazi nokulinganisa ngokunembile ubukhulu bokuvinjelwa.
Iphathwa kanjani?
Udokotela uzonquma ukwelashwa okungcono kakhulu ngokusekelwe ezingeni lokuvaleka kanye nesimo sakho.
| Indlela yokwelapha | Kwenziwani |
|---|---|
| Imithi | Kungadingeka ushintshe umthamo wemithi yakho yamanje noma wengeze imithi emisha. |
| Phinda i-Angioplasty | Lena indlela yokwelapha evame kakhulu. Elinye ibhaluni lidlula kwi-stent evalekile ukuze linwetshwe, futhi ngezinye izikhathi kufakwa elinye i-stent ngaphakathi kwalo. |
| Ukuhlinzwa kwe-Heart bypass (CABG) | Uma ukuvaleka kukhulu noma kunezinkinga ngemithambo yegazi eminingana, ungathunyelwa ohlinzweni lwe-Coronary Artery Bypass Grafting (CABG). Lokhu kuhilela ukudlula indawo evalekile nokudala umthambo omusha usebenzisa umthambo wegazi othathwe kwenye indawo. |
| Ukwelashwa ngemisebe (i-Vascular Brachytherapy) | Lokhu kuyindlela yokwelapha engavamile. Lapha, inani elincane kakhulu lemisebe lifakwa ku-stent ukuze kumiswe ukwakheka kwezicubu zesibazi. |
Ayikho indlela yokuvimbela lokhu?
Nazi izindaba ezinhle kakhulu. Yebo, lokhu manje sekuvinjelwe kakhulu.
Isizathu salokhu uhlobo olusha lwe-stent olubizwa ngokuthi i-Drug-Eluting Stents (DES) . Lokhu akuzona nje i-mesh yensimbi. Lawa ma-stent aqukethe umuthi okhethekile olawula ukwakheka kwaleso sikhumba esikhulume ngaso. Ngemva kokuba i-stent ifakiwe emzimbeni, lo muthi ukhishwa kancane kancane, uvimba amangqamuzana ekukhuleni ngokungadingekile.
Uma kuqhathaniswa nama-stents ensimbi angenalutho amadala, ingozi yokuqina kwe-in-stent iphansi kakhulu uma kusetshenziswa la ma-stents angemichiza . Ngisho naseSri Lanka namuhla, lolu hlobo olusha lwe-stent luvame ukusetshenziswa.
Nokho, kunezinto ezithile okudingeka uzenze wena.
- Thatha imithi yakho njengoba uyalelwe: Thatha imithi oyiyalelwe udokotela wakho, ikakhulukazi leyo evimbela ukujiya kwegazi (isib. i-Aspirin, i-Clopidogrel), njengoba uyalelwe, ngaphandle kokulahlekelwa usuku olulodwa.
- Shintsha indlela yakho yokuphila: Uma ubhema, yeka ngokushesha.. Lawula i-cholesterol yakho, isifo sikashukela, kanye nomfutho wegazi ophakeme. Yidla ukudla okunempilo okunamafutha amancane, usawoti, noshukela, kanye nezithelo nemifino eminingi. Vivinya umzimba njengoba uqondiswe udokotela wakho.
Umlayezo Wokuya Nawe Ekhaya
- I-In-Stent Restenosis ukuncipha kabusha komthambo wegazi ngemva kokufakwa kwe-stent ngenxa yokukhula kwezicubu zesibazi. Lokhu kuvame ukwenzeka zingakapheli izinyanga ezi-3-6 zokwelashwa.
- Uma uhlangabezana nanoma yiziphi izimpawu ezifanayo njengangaphambili, njengobuhlungu besifuba noma ukuphelelwa umoya , ngemva kokuba ne-stent, ungayizibi. Bona udokotela wakho ngokushesha.
- Esikhathini esiningi, lesi simo singase singabangeli zimpawu . Ngakho-ke, kubalulekile ukufuna usizo lwezokwelapha ngesikhathi esifanele, njengoba kunconywe udokotela wakho.
- Ingozi yalesi simo incishiswe kakhulu ngenxa yokusetshenziswa kwamanje kwe -Drug-Eluting Stents (DES) .
- Into ebaluleke kakhulu ongayenza wena ukuphuza imithi yakho njengoba uyalelwe, ugweme ukubhema, futhi ulondoloze indlela yokuphila enempilo . Lezi zinto zingavikela inhliziyo yakho isikhathi eside.
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