Ingabe uzizwa ubuhlungu noma izinhlungu emilenzeni yakho, ikakhulukazi endaweni yesisu, uma uhamba? Ingabe lobu buhlungu buyanda uma uhamba kancane futhi buyancipha uma umi ndawonye? Uma unalezi zimpawu, ungase uthinteke nalesi simo. Ungakhathazeki, lesi yisimo esithinta abantu abaningi. Namuhla, ake sixoxe ngokuthi yini ebangela lokhu kanye nendlela yokwelapha yesimanje ebizwa ngokuthi i-Atherectomy.
Kuyini i-PAD? Kungani imithambo yegazi ivaleka?
Kalula nje, i-PAD imele i- Peripheral Artery Disease . NgesiSinhala, iwukuvinjelwa kwemithambo yegazi (imithambo yegazi) ethwala igazi iye ezithweni ezikude njengezitho zomzimba wethu. Cabanga ukuthi ngokuhamba kwesikhathi, izinto ezifana nokugqwala nokungcola zibhajwa epayipini lamanzi. Ngendlela efanayo, "i-plaque" ingafakwa ngaphakathi kwemithambo yegazi yethu. Le plaque iwungqimba olwakhiwe ukuqongelela kwezinto ezifana ne-cholesterol, amafutha, ne-calcium. Kwezokwelapha, sikubiza lokhu ngokuthi (i-Atherosclerosis) .
Njengoba umthambo wegazi uncipha kancane kancane ngenxa yalokhu kuvimbeka, inani legazi elidlula kuwo liyancipha. Uma uzivocavoca noma uhamba, imisipha emilenzeni yakho idinga igazi elengeziwe, okusho umoya-mpilo owengeziwe. Kodwa ngenxa yokuthi imithambo ivinjiwe, ayitholi inani legazi eliyidingayo. Yilapho-ke kufika khona ubuhlungu nokungakhululeki.
Iyini indlela yokwelapha ebizwa ngokuthi i-atherectomy?
Ukuhlinzwa kwe-atherectomy kuyindlela ekhethekile yokwelapha esusa noma ehlanza i-plaque eqongeleleke ngaphakathi komthambo wegazi ovalekile. Lokhu akuyona indlela enkulu yokuhlinzwa. Kuhilela ukufaka ipayipi elincane kakhulu (i-catheter) ngemithambo yegazi yakho bese uyiqondisa ekuvalekeni. Ekupheleni kwaleli payipi kukhona i-blade encane kakhulu, ebukhali noma idivayisi ekhipha ukukhanya kwe-laser.
Ukuze kube sobala, lokhu kufana nokufaka ucingo ngaphakathi kwepayipi elivalekile bese ukhipha ukungcola okungaphakathi.
Le divayisi isika futhi ikhuhle i-plaque eqinile. Ngezinye izikhathi, lokhu kwelashwa kungase kuhilele i-balloon angioplasty ukuvula umthambo noma i-stent ukuze ivimbele ukuthi ungaphinde uvaleke. Udokotela wakho uzokuchazela lokhu ngokuningiliziwe.
Zingaki izinhlobo ze-atherectomy ezikhona?
Yebo, odokotela basebenzisa amasu ahlukene okususa i-atherectomy kuye ngohlobo nendawo lapho kuvimbeke khona emthanjeni wegazi. Kunezinhlobo eziningana eziyinhloko.
| Uhlobo lwe-atherectomy | Kalula nje, kwenzekani |
|---|---|
| Ukuhlinzwa kwe-Excisional Atherectomy | Ungqimba oluphuzi lususwa ngokulusika ohlangothini olulodwa ngensingo ebukhali. |
| Ukususwa kwe-Laser kwe-Atherectomy | Imisebe ye-laser isetshenziselwa ukuncibilikisa, ukuhwamukisa, nokubhubhisa ungqimba oluphuzi. |
| Ukuhlinzwa kwe-Orbital Atherectomy | Ingqimba ephuzi ikhuhlwa ngedivayisi ejikelezayo ngokushesha, efana nephepha lokusanta. |
| Ukuhlinzwa kwe-Rotational Atherectomy | Idivayisi enamabala amaningi amancane ijikeleziswa ibe yindilinga ukuze ichoboze futhi isuse ungqimba oluphuzi. |
Yini okufanele ngiyenze ngaphambi kwalokhu kwelashwa?
Ngaphambi kokuba wenze lokhu kwelashwa, udokotela wakho uzoyala ukuhlolwa okuningana ukuze abone ukuthi imithambo yakho yegazi ivimbeke kangakanani.
- I-Angiography: Ukuhlolwa lapho kufakwa khona idayi ekhethekile emithanjeni bese kuthathwa i-X-ray ukuze kudalwe imephu yemithambo.
- I-Vascular Ultrasound: Iskeni esisebenzisa amaza omsindo ukubheka ukugeleza kwegazi ngaphakathi kwemithambo yegazi nokuthola ukuvaleka.
Ngosuku olungaphambi kokwelashwa kwakho, uzothola imiyalelo ekhethekile.
- Sekuyisikhathi sokuyeka ukudla nokuphuza.
- Mayelana nokuthatha noma ukuyeka imithi oyithathayo, ikakhulukazi imithi yokunciphisa ukugabha kwegazi .
Kubaluleke kakhulu ukulandela konke lokhu njengoba nje udokotela wakho ekweluleka.
Kwenzekani ngesikhathi sokwelashwa?
Uma uya esibhedlela, uzonikezwa ingubo ekhethekile ozoyigqoka. Ngemuva kwalokho, uzonikezwa umuthi wokukwenza ungabi namizwa ukuze ungezwa ubuhlungu ngesikhathi sokwelashwa. Lokhu kuvame ukwenziwa usaphilile, kodwa ngomuthi wokudambisa umzimba kancane.
1. Udokotela uzovula imbobo encane emthanjeni wegazi esinqeni sakho noma engalweni bese efaka ipayipi elincane (i-catheter) ngalo.
2. Ngemuva kwalokho, ngenkathi ubheka isikrini se-X-ray, ithubhu liqondiswa ngokucophelela endaweni yomthambo ovalekile.
3. Uma usufikile lapho kuvimbeke khona, vula idivayisi (i-blade noma i-laser) ekugcineni kwepayipi bese ukhuhla noma usika ungqimba oluphuzi.
4. Le nqubo ingaphindwa izikhathi eziningana kuze kube yilapho kungekho kuphazamiseka kokugeleza kwegazi.
Ngokuvamile, yonke le nqubo ithatha cishe amahora amabili.
Yini ongayilindela ngemva kokwelashwa?
Ngemva kokwelashwa, kuzodingeka ulale embhedeni amahora amaningana (mhlawumbe cishe amahora ayisithupha) ukuze uvimbele ukuphuma kwegazi endaweni yokufaka i-catheter. Phakathi nalesi sikhathi, abahlengikazi bazobe behlola njalo umfutho wegazi lakho kanye nokushaya kwenhliziyo.
Ezimweni eziningi, lokhu kuyindlela yokwelapha ekuvumela ukuthi uye ekhaya ngalolo suku ngaphandle kokuhlala esibhedlela. Kodwa-ke, abanye abantu kungadingeka bahlale esibhedlela usuku lonke. Kuya ngesimo sakho. Uzokwazi ukuqhubeka nemisebenzi evamile ezinsukwini ezimbalwa. Kodwa-ke, kungcono ukucela iseluleko kudokotela wakho.
Yiziphi izinzuzo zalokhu?
Inzuzo eyinhloko yokususwa kwe-atherectomy ukuthi ingenziwa ngokusikwa okuncane, kunokuba kwenziwe ukuhlinzwa okukhulu . Lokhu kuphumela esikhathini esifushane sokululama, ubuhlungu obuncane, kanye nezibazi ezincane.
Ingabe ikhona imiphumela emibi noma izingozi?
Njenganoma yikuphi ukwelashwa kwezokwelapha, kungase kube nezingozi ezithile.
- Uma uklwebha ungqimba oluphuzi, ingxenye encane yalo ingaphuka bese inamathela komunye umthambo omncane ophambi kwakho.
- Akuvamile kakhulu, idivayisi yokuklwebha ingalimaza udonga lwemithambo, okubangela ukuklwebheka noma imbobo.
Kodwa lokhu akwenzeki kaningi. Odokotela abanolwazi bathatha zonke izinyathelo ezidingekayo ukuze banciphise lezi zingozi.
Ufuna ukuphinde ubonane nodokotela nini?
Uma usuya ekhaya ngemva kokwelashwa, kufanele ushayele udokotela wakho ucingo ngokushesha uma uthola izimpawu ezintsha noma uma ezinye zezimpawu zakho ezikhona ziba zimbi kakhulu. Qaphela kakhulu ngalokhu okulandelayo:
- Ubuhlungu obukhulu embotsheni noma emlenzeni olashwe.
- Ukuvuvukala kwemilenze (i-edema) .
- Ubomvu noma umuzwa wokufudumala endaweni ephathwe ngayo.
- Ukuzizwa ubanda noma ungenamizwa emlenzeni ophathwe.
Uma uzizwa into efana nale, ungayinaki. Funa iseluleko sezokwelapha ngokushesha.
Umlayezo Wokuya Nawe Ekhaya
- I-PAD (i-Peripheral Artery Disease) yisimo lapho imithambo yegazi emalungeni incipha futhi incipha. Lokhu kungabangela ubuhlungu emilenzeni lapho uhamba.
- I-atherectomy iyindlela yesimanje yokwelapha esusa imithambo evalekile kusetshenziswa ipayipi elincane, ngaphandle kokuhlinzwa okukhulu.
- Lokhu kwelashwa ngokuvamile kuphephile futhi isikhathi sokululama sifushane.
- Kubaluleke kakhulu ukulandela ngokuqinile imiyalelo kadokotela ngaphambi nangemva kokwelashwa.
- Uma uhlangabezana nanoma yiziphi izimpawu ezingavamile (ubuhlungu, ukuvuvukala, ukushaqeka) ngemva kokwelashwa, yazisa udokotela wakho ngokushesha.
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