Wake wafakwa i-stent enhliziyweni yakho ngenxa yokuvaleka komthambo? Abantu abaningi bathola impumuzo ngemva kokuyibeka. Kodwa ngezinye izikhathi, umthambo uqala ukuncipha futhi lapho kwafakwa khona i-stent. Kuzwakala sengathi isifo esidala siyabuya. Namuhla, sizokhuluma ngendlela ehlukile kancane, ekhethekile yokwelapha esetshenziswa ezimweni ezinjalo.
Kalula nje, kuyini i-Coronary Brachytherapy?
Nakuba leli igama liyinkimbinkimbi kancane, indaba ilula kakhulu. I-Coronary brachytherapy iwukwelashwa okukhethekile kwemisebe okunikezwa emithanjeni yenhliziyo.
Cabanga ngemithambo yegazi ehambisa igazi enhliziyweni njengepayipi. Lapho i-plaque inqwabelana ngaphakathi kwala mapayipi futhi incipha, sibiza lesi sifo semithambo yegazi yenhliziyo (CAD). Njengokwelapha lokhu, odokotela bafaka i-stent, ipayipi elincane eline-mesh, emthanjeni wegazi ukuze baphinde bawandise.
Kodwa kwabanye abantu, izicubu zesilonda ziqala ukwakheka zizungeze i-stent. Njengoba nje isilonda sakha lapho sithola ukulimala. Lesi silonda sibangela ukuthi umthambo ovulekile unciphe kancane kancane bese uvaleka futhi. Ngokwezokwelapha, lokhu sikubiza ngokuthi i-in-stent restenosis (ISR) .
Ngokufanayo, i-coronary brachytherapy isetshenziselwa ukuvimbela izicubu zesibazi ukuthi zingakheki eduze kwe-stent futhi kubangele ukuthi umthambo unciphe futhi. Lokhu kuhilela ukuqondisa umthamo omncane kakhulu wemisebe, ngendlela elawulwa kakhulu, endaweni encishisiwe, kubhujiswe amaseli akha izicubu zesibazi.
Ubani ngempela odinga lokhu kwelashwa?
Lokhu akuwona ukwelashwa kwawo wonke umuntu. Odokotela batusa kuphela ezimweni ezimbalwa ezithile. Uma uke wafakwa i-stent futhi yavinjwa futhi (ISR), lokhu kwelashwa kungase kukufanele.
Bheka ithebula elingezansi ukuze ubone ukuthi ubani ofanelekela lokhu.
| Abantu abangase bafanelekele ukwelashwa nge-brachytherapy | |
|---|---|
| Ukuvaleka kwe-stent okuphindaphindayo (i-ISR ephindaphindayo) | Uma indawo lapho i-stent ibekwe khona incipha ngokuphindaphindiwe. |
| Ama-stents amaningi noma ama-stents amade | Uma une-stent eziningi emithanjeni yakho yenhliziyo noma uma une-stent ende kakhulu. |
| Ezinye izifo ezifana nesifo sikashukela | Kulabo abasengozini enkulu yezinkinga ngesikhathi sokwelashwa okunye (isib. ukuhlinzwa kwe-bypass) ngenxa yezinye izimo zezokwelapha ezifana nesifo sikashukela. |
| Imithambo yegazi emincane | Kulabo abanemithambo yegazi yenhliziyo emincane kakhulu ukuba bangaphathwa ngezinye izindlela zokwelapha. |
Ingabe bakhona abantu okungafanele baphathwe ngale ndlela yokwelapha?
Yebo, lokhu akufanele wonke umuntu. Isibonelo, uma uke welashwa ngemisebe yomdlavuza webele noma omunye umdlavuza esifubeni, lokhu kwelashwa akuvamile ukwenziwa. Futhi, uma i-stent ivaliwe hhayi ngenxa yezicubu zesilonda, kodwa ngenxa yenkinga ngebhaluni elisetshenziswe ukubeka i-stent, lokhu kwelashwa akudingekile. Udokotela wakho wenhliziyo uzothatha isinqumo esingcono kakhulu ngalokhu.
Indlela ukwelashwa okusebenza ngayo - isinyathelo ngesinyathelo
Lokhu akuyona inqubo enkulu yokuhlinzwa. Sikubiza ngokuthi inqubo engangenisi kakhulu. Ngeke uzwe ubuhlungu obukhulu. Yonke inqubo ivame ukuthatha imizuzu eyi-10, kodwa kuzodingeka uhlale esibhedlela amahora ambalwa.
| Izinyathelo | Kwenzekani? |
|---|---|
| 1. Ukulungiselela | Ngaphambi kokwelashwa, udokotela uzokwenza ukuhlolwa, njenge-ultrasound yangaphakathi kwemithambo yegazi, ukuze abone kahle ukuthi umthambo uncishisiwe kuphi. |
| 2. Ukubulala izinzwa | Ngeke uquleke ngokuphelele. Uzonikezwa imithi yokukwenza ulale futhi uzizwe ungaphilile. Uzophaphama, kodwa ngeke uzizwe lutho. |
| 3. Ukufaka i-catheter | Ipayipi elincane kakhulu (i-catheter) lifakwa ngomthambo omkhulu engalweni noma emlenzeni, futhi ngosizo lwe-X-ray, liqondiswa emthanjeni omncane enhliziyweni. |
| 4. Ukwandisa ibhaluni | Ibhaluni elincane liyafuthwa ngaphakathi kwemithambo yegazi, okudala isikhala sokwelashwa ngemisebe endaweni encishisiwe. Lokhu kubizwa ngokuthi i-balloon angioplasty. |
| 5. Ukunikeza imisebe | Okulandelayo, ngaleyo catheter, umthamo wemisebe olawulwa kahle uqondiswa endaweni encishisiwe imizuzu embalwa. Lo msebe ubhubhisa amangqamuzana akha izicubu zesibazi. Awuthinti ezinye izindawo. |
| 6. Ukuqeda | Idivayisi yemisebe kanye ne-catheter kususwa ngokucophelela. |
Yiziphi izinzuzo nezingozi zalokhu kwelashwa?
Njenganoma yikuphi ukwelashwa kwezokwelapha, kunezinzuzo kanye nezingozi ezincane.
Izinzuzo eziyinhloko
- Ukuvaleka kwe-stent okuphindaphindiwe (ISR) kungavinjelwa.
- Kunciphisa amathuba okuba nesifo senhliziyo esikhathini esizayo.
- Izimpawu ezifana nobuhlungu besifuba obuphindaphindayo (i-angina), ukuphelelwa umoya (i-dyspnea), kanye nesiyezi kungaqedwa.
- Kungenzeka ukuthola ikhambi ngaphandle kokuhlinzwa okukhulu kwe-bypass.
Izingozi ezingaba khona
Lezi zingozi ziphansi kakhulu. Lezi yizingozi ezivamile ezihlobene nanoma iyiphi inqubo yokufaka i-catheter yenhliziyo.
- Ukuphazamiseka kwenhliziyo (i-Arrhythmia)
- Amahlule egazi
- Ubuhlungu noma ukutheleleka endaweni yokufaka i-catheter
- Umonakalo omncane emthanjeni wegazi
Okubaluleke kakhulu, imisebe esetshenziswa kulokhu kwelashwa iphephile kakhulu.Inikezwa ngendlela elawulwa kakhulu, endaweni efanele kuphela, ukuze ingalimazi noma iyiphi enye ingxenye yomzimba.
Kwenzekani ngemva kokwelashwa? Futhi kufanele ngimbone nini udokotela?
Iningi labantu lingaya ekhaya ngosuku olufanayo nenqubo. Kungase kudingeke uhlale esibhedlela ubusuku bonke. Kubalulekile ukugwema umsebenzi onzima izinsuku ezimbalwa ngemva kokuba ubuyele ekhaya. Udokotela wakho uzokunikeza imithi yokuvimbela ukuqhekeka kwegazi.
Kungumthwalo wakho ukugcina impilo yenhliziyo yakho ngemva kokwelashwa.
- Yidla ukudla okunempilo nokunamafutha amancane.
- Yeka ukubhema ngokuphelele.
- Vivinya umzimba njalo.
- Lawula ukuphuza kwakho utshwala.
Uma uhlangabezana nanoma yiziphi izimpawu ezilandelayo, kufanele ushayele udokotela wakho ucingo ngokushesha noma uye eMnyangweni Wezimo Eziphuthumayo (ETU) wesibhedlela esiseduze.
- Uma uthola umkhuhlane omkhulu.
- Uma unezinhlungu ezinzima esifubeni sakho, emhlathini, ezingalweni, noma emahlombe .
- Uma unenkinga yokuphefumula.
- Uma kukhona ubomvu obuphuma endaweni yokufaka i-catheter, uma kunuka kabi, noma uma kuvuvukele futhi kubomvu.
Nakuba lokhu kwelashwa kungasasetshenziswa kabanzi (ngoba izinhlobo ezintsha zama-stents - ama-stent angasebenzisi izidakamizwa - ziye zanciphisa kakhulu ingozi yokuphinda kufakwe ama-stent), kungaba yisisombululo esisebenzayo nesiwusizo kakhulu ezigulini ezinezimo eziyinkimbinkimbi ezihlangabezana nokuvaleka kwama-stent okuphindaphindiwe.
Umlayezo Wokuya Nawe Ekhaya
- I-Coronary brachytherapy iwukwelashwa ngemisebe okusetshenziselwa ukuvimbela izicubu zesilonda ukuthi zingakheki zizungeze i-stent bese kubangela ukuthi umthambo wegazi uphinde unciphe (in-stent restenosis).
- Lokhu akuwona ukwelashwa kwawo wonke umuntu, kodwa kufaneleka kakhulu kulabo abanezinkinga zokuvimba kwe-stent eziphindaphindayo, ezinye izifo ezifana nesifo sikashukela, noma izimo zenhliziyo eziyinkimbinkimbi.
- Lokhu akusilo ukuhlinzwa okukhulu, futhi kuhilela ipayipi elincane (i-catheter) eliya enhliziyweni bese liletha umthamo olawulwayo wemisebe.
- Inani lemisebe esetshenziswayo lincane kakhulu futhi liphephile, futhi alithinti ezinye izingxenye zomzimba.
- Kubaluleke kakhulu ukulandela indlela yokuphila enempilo yenhliziyo ngemva kokwelashwa. Funa usizo lwezokwelapha ngokushesha uma uhlangabezana nezimpawu eziyisixwayiso njengobuhlungu besifuba noma ukuphelelwa umoya.
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