Ingabe ukhona emndenini wakho noma othile omaziyo oke wafakwa i-stent ngenxa yokuhlaselwa yinhliziyo? Noma ingabe i-stent ike yafakwa njengendlela yokwelapha ubuhlungu besifuba? Lokhu sekuvamile kakhulu kulezi zinsuku. Ngemva kokufakwa kwe-stent, abantu abaningi bavame ukuzizwa bengcono kakhulu. Kodwa-ke, ngezinye izikhathi, umthambo lapho kwafakwa khona i-stent ungaqala ukuncipha futhi. Namuhla, sizokhuluma ngendlela yokwelapha ekhethekile esetshenziswa ezimweni ezinjalo.
Kalula nje, kuyini i-Coronary Brachytherapy?
Leli gama lingase lizwakale liyinkimbinkimbi kancane. Kodwa ake sikwenze kube lula. I-Coronary Brachytherapy iyindlela ekhethekile yokwelapha imithambo yegazi ehambisa igazi enhliziyweni (Coronary Arteries). Lokhu kusebenzisa imisebe ukuvimbela imithambo yegazi ukuthi ingaphinde inciphe.
Cabanga ukuthi umthambo wegazi enhliziyweni yakho uvalwe yizinqwaba ze-cholesterol. Odokotela bafaka i-stent. I-stent iyipayipi elincane elifana ne-mesh. Lifakwa emthambo wegazi oncishisiwe bese liphinde liwuvule, okuvumela igazi ukuthi ligeleze ngokukhululeka.
Kodwa-ke, kwabanye abantu, izicubu zesibazi ziqala ukukhula zizungeze i-stent. Njengoba nje isibazi sakheka lapho sinokulimala. Lesi sibazi sibangela ukuthi indawo lapho i-stent yayibekwe khona ivuleke futhi ibe mncane futhi. Kwezokwelapha, lesi simo sibizwa ngokuthi i-in-stent restenosis (ISR) . Yilapho odokotela becabangela khona i-Coronary Brachytherapy.
Kulokhu kwelashwa, umthamo omncane kakhulu, olawulwayo wemisebe uqondiswa endaweni lapho izicubu zesibazi zakheka khona imizuzu embalwa. Imisebe ibhubhisa amangqamuzana akha izicubu zesibazi. Ngakho indawo ayiphinde inciphe. Kufana nokusebenzisa umuthi ukuvimbela ukhula ukuthi lungakhuli futhi.
Into ebaluleke kakhulu ukuthi lokhu kwelashwa ngemisebe kuphephile kakhulu. Kuqondiswe endaweni ethintekile kuphela. Akulimazi noma iyiphi enye ingxenye yomzimba.
Ubani odinga lokhu kwelashwa?
I-Coronary Brachytherapy akuyona indlela yokwelapha wonke umuntu. Ngokuvamile inconywa kuphela ezigulini ezikhethekile ezike zafakwa i-stent ngaphambilini futhi zaba nokuphindaphinda (ISR) ngaphakathi kwayo, futhi okungenzeka ukuthi ezinye izindlela zokwelapha azisebenzi kahle kangako kuzo.
Bheka ulwazi olungezansi. Uzothola umbono omuhle ngalokhu.
| Lapho i-Coronary Brachytherapy ingafaneleka khona | |
|---|---|
| Ukuvinjelwa okuphindaphindiwe | Uma i-stent ivinjwa izikhathi ezingaphezu kwesisodwa (i-ISR ephindaphindayo) ngemva kokufakwa kwayo. |
| Ukuba nama-stents amaningi | Uma kufakwa ama-stent amaningi emthanjeni wegazi ofanayo noma uma kufakwa i-stent ende kakhulu. |
| Ezinye izinkinga zempilo | Kulabo abanezimo zezokwelapha ezandisa ingozi yezinkinga ezivela kwezinye izindlela zokwelapha, njengesifo sikashukela. |
| Imithambo yegazi emincane | Kulabo abanemithambo yegazi enhliziyweni emincane kakhulu futhi emincane. |
Ubani okungafanele athole lolu hlobo lokwelashwa?
Futhi, kunezikhathi lapho lokhu kwelashwa kungafaneleki.
- Uma i-stent ivinjiwe okokuqala .
- Uma uke wathola ukwelashwa ngemisebe endaweni yesifuba (isib. ngomdlavuza webele).
- Ukuvaleka akubangelwa yizicubu zesilonda, kodwa kubangelwa inkinga ngebhaluni elisetshenziswe ngesikhathi se-angioplasty.
Ingabe lokhu kuphela ukwelashwa uma i-stent incipha futhi?
Cha. Empeleni lokhu kuyindlela yokwelapha engasetshenziswa kakhulu. Lapho i-stent ivinjelwa futhi, ebizwa ngokuthi i-in-stent restenosis (ISR), odokotela bavame ukuzama ezinye izindlela zokwelapha kuqala.
- Ukubeka esinye i-stent: Esinye i-stent sifakwa ngaphakathi kwe-stent evinjiwe.
- I-Balloon Angioplasty: Ibhaluni lisetshenziselwa ukwandisa indawo encishisiwe. Ngezinye izikhathi ibhaluni elikhethekile (ibhaluni lokusika) lisetshenziselwa ukusika izicubu ezisele.
- Ukuhlinzwa Kwe-Coronary Artery Bypass: Uma ukuvaleka kukhulu, ungathunyelwa ukuze uhlinzwe nge-bypass.
- Imithi: Kunikezwa imithi efana ne-aspirin yokuvimbela ukuqhekeka kwegazi kanye nama-statins ukwehlisa i-cholesterol.
Kunezinhlobo ezintsha zama-stents eziphuma kulezi zinsuku.Lezi zibizwa ngokuthi ama-stent asusa izidakamizwa. Lawa akhipha umuthi kancane kancane, ukuvimbela ukwakheka kwezicubu zesilonda. Ngakho-ke manje ama-stent abantu abaningi awasakwazi ukuvinjelwa futhi. Yingakho i-Coronary Brachytherapy ingasasetshenziswa njalo.
Indlela ukwelashwa okusebenza ngayo - isinyathelo ngesinyathelo
Lokhu akuyona indlela enkulu yokuhlinzwa. Lokhu kwelashwa kwenziwa yithimba likadokotela wenhliziyo ojwayelekile kanye nodokotela wezifo zemisebe. Yonke inqubo ithatha cishe imizuzu eyi-10. Kodwa-ke, kuzodingeka uhlale esibhedlela amahora ambalwa.
Ngaphambi kokwelashwa
Udokotela wakho angase enze ukuhlolwa kwe-ultrasound ngaphakathi kwemithambo yegazi ukuze abone ngokucacile ngaphakathi kwemithambo yenhliziyo yakho. Lokhu kungasiza ekunqumeni ukuthi ukwelashwa kufanele kube kuphi nokuthi isikhathi esingakanani.
Ngesikhathi sokwelashwa
Lena inqubo elula kakhulu. Ngeke uzwe ubuhlungu obukhulu.
| Izinyathelo | Kwenzekani? |
|---|---|
| 1. Ukupholisa | Ngeke ulale ngokuphelele. Uzonikezwa umuthi ozokusiza uphumule futhi uzizwe ungenabuhlungu. Abanye abantu bangase banikwe ngisho ne-anesthesia ejwayelekile. |
| 2. Ukufakwa kwe-catheter (Ukusikwa) | Ipayipi elincane kakhulu (i-catheter) lidluliselwa emthanjeni wegazi engalweni noma emlenzeni liye emthanjeni ovalekile enhliziyweni ngaphansi kwesiqondiso se-X-ray. |
| 3. I-Balloon Angioplasty | Ibhaluni elincane lifakwa endaweni encishisiwe bese lifuthwa ukuze kwandiswe indawo ukuze kuhanjiswe imisebe. |
| 4. Imisebe | Manje, ngaleyo tube encane, umthombo wemisebe olawulwa kahle uthunyelwa endaweni lapho kukhona khona izicubu zesibazi. Uhlala lapho imizuzu embalwa kuphela. Phakathi nalesi sikhathi, amaseli akha isibazi ayabhujiswa. |
| 5. Ukuvalwa | Umthombo wemisebe kanye ne-catheter kuyasuswa, bese kubekwa iplasta encane phezu kwendawo yokufaka ukuze ivalwe. |
Ngemva kokwelashwa
Iningi labantu lingaya ekhaya ngalolo suku. Ungase ucelwe ukuba uhlale esibhedlela ubusuku bonke. Ngemva kokubuyela ekhaya, kufanele uphumule futhi ungazikhandleli izinsuku ezimbalwa. Kufanele futhi uthathe imithi udokotela wakho akunika yona ukuvimbela ukuqhekeka kwegazi.
Yiziphi izinzuzo nezingozi zalokhu kwelashwa?
Njenganoma yikuphi ukwelashwa kwezokwelapha, kunezinzuzo kanye nezingozi ezincane.
Inzuzo enkulu ukuthi iyisisombululo esihle kubantu abaye baba nama-stents amaningi futhi abavalekile njalo, noma abangakwazi ukuhlinzwa okukhulu ngenxa yezinye izimo. Lokhu kwelashwa kunciphisa ingozi yokuhlaselwa yinhliziyo kanye nokwehluleka kwenhliziyo. Kuvimbela nokuphindaphinda kwezimpawu ezifana nobuhlungu besifuba (i-angina), ukuphelelwa umoya (i-dyspnea), kanye nesiyezi.
Uma sikhuluma ngezingozi , lezi yizingozi ezivamile ezingase zenzeke nganoma yikuphi ukufakwa kwe-catheter kwenhliziyo.
- Ukuphazamiseka kwenhliziyo (i-Arrhythmia)
- Amahlule egazi
- Ukulimala kwemithambo yegazi
- Izifo
- Ubuhlungu noma ukuphuma kwegazi endaweni yokufaka i-catheter
Lezi zingozi azivamile . Udokotela wakho uzokwazisa ngazo zonke lezi.
Uzobona nini udokotela
Uma uhlangabezana nanoma yiziphi izimpawu ezilandelayo ngemuva kokuya ekhaya ngemva kokwelashwa, kufanele ushayele udokotela wakho ucingo ngokushesha .
- Uma uthola umkhuhlane omkhulu.
- Uma unezinhlungu ezinzima esifubeni sakho, emhlathini, ezingalweni, noma emahlombe.
- Uma unenkinga yokuphefumula.
- Uma kukhona ubomvu obuphuma endaweni yokufaka i-catheter, iphunga elibi, noma ukubomvu nokuvuvukala (izimpawu zokutheleleka).
Ngemva kokwelashwa, ngokuvamile ungabuyela emisebenzini yakho evamile zingakapheli izinsuku ezimbalwa. Kodwa-ke, akuwona umqondo omuhle ukucabanga ukuthi konke sekuphelile ngoba nje usuthole lokhu kwelashwa. Ukuze ugcine inhliziyo yakho iphilile, kubalulekile ukulandela indlela yokuphila enhle .
- Yidla ukudla okunamafutha amancane, usawoti kanye noshukela.
- Yeka ukubhema ngokuphelele.
- Nciphisa ukusetshenziswa kotshwala.
- Vivinya umzimba njalo njengoba uqondiswe udokotela wakho.
Umlayezo Wokuya Nawe Ekhaya
- I-Coronary Brachytherapy iyindlela ekhethekile yokwelapha ngemisebe kwabanye abaguli abathola i-in-stent restenosis ngemva kokufakwa kwe-stent.
- Lokhu kuhilela ukusebenzisa umthamo omncane kakhulu, olawulwayo wemisebe ukuze kumiswe ukukhula kwamaseli ezibazi abangela ukuvaleka.
- Nakuba lokhu kungasetshenziswa kakhulu manje, kungaba usizo kakhulu kubantu abanokuvinjelwa okuphindaphindiwe, ama-stents amaningi, noma ezinye izimo zezokwelapha.
- Lokhu akuyona indlela enkulu yokuhlinzwa, futhi izingozi ziphansi kakhulu. Ungalulama ngokushesha ngemva kokwelashwa.
- Ngisho nangemva kokwelashwa, kubaluleke kakhulu ukulandela indlela yokuphila enempilo ukuze ulondoloze impilo yenhliziyo.
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