Ingabe ngezinye izikhathi uzizwa ubuhlungu obuncane esifubeni sakho, isicanucanu ? Noma ingabe unenkinga yokuphefumula lapho ukhuphuka izitebhisi? Lokhu kungaba izimpawu ezincane zokuthi imithambo yegazi (imithambo yegazi) enhliziyweni yethu ivalekile kancane. Nakuba abantu abaningi besaba "ukuhlaselwa yinhliziyo", ngenxa yentuthuko yezokwelapha namuhla, kunezindlela zokususa ukuvaleka okunjalo ngaphandle kokuhlinzwa okukhulu. Yingakho sikhuluma ngendlela yokwelapha ebaluleke kakhulu, yesimanje namuhla.
Kuyini i-PCI? Kalula nje...
I-PCI, emele i-Percutaneous Coronary Intervention , inqubo yezokwelapha elula esetshenziselwa ukususa ukuvaleka kwemithambo yenhliziyo ehambisa igazi enhliziyweni. Kungenzeka ukuthi uke wezwa ngayo ngokuthi "i-angioplasty." Lelo igama elidala layo.
Cabanga nje uma ipayipi lamanzi endlini yethu livaleka ngothuli, bese amanzi egeleza kancane, akunjalo? Yileyo ndlela izinto ezinjengamafutha ne-cholesterol ezifakwa ngayo emithanjeni yenhliziyo yethu, zivimbele ukugeleza kwegazi. Ekwelashweni kwe-PCI, kufakwa ithuluzi elincane kakhulu elifana nebhaluni emthanjeni ovalekile, livuvuke, bese umthambo uvulwa kabusha.
Ngokuvamile, ithubhu elincane eline-mesh, elibizwa ngokuthi i-stent, lifakwa unomphela emthanjeni ukuze livinjwe futhi. Ama-stents amaningi asetshenziswa namuhla ayindlela ekhethekile ekhipha kancane kancane umuthi ukuze kuncishiswe ingozi yokuthi umthambo uvinjwe futhi. Lawa abizwa ngokuthi ama-stent asebenzisa izidakamizwa .
Ubani ngempela odinga lokhu kwelashwa?
Uma ungqimba olukhulu lwamafutha namafutha luqongelela ngaphakathi kwemithambo yegazi yenhliziyo yakho, ngokwezokwelapha sikubiza ngokuthi i-atherosclerosis . Sibiza lolu ngqimba lwamafutha ngokuthi i-plaque . Lesi simo sivimbela ukugeleza kwegazi enhliziyweni yakho. Yilapho ungase ube nezimpawu ezifana nalezi:
- Ubuhlungu besifuba noma ukuqina (i-angina)
- Ubunzima bokuphefumula
Okubaluleke kakhulu, i-PCI yenziwa ngokuphuthumayo njengendlela yokwelapha esindisa impilo yomuntu oye waba nokuhlaselwa yinhliziyo, njengoba ingavula ngokushesha umthambo ovalekile futhi inciphise umonakalo enhliziyweni.
Kwenziwa kanjani ukwelashwa kwe-PCI? Ake sibone isinyathelo ngesinyathelo
Lokhu kwelashwa kwenziwa udokotela wenhliziyo ohlinzayo. Uzonikezwa imithi yokukwenza ulale futhi uzole phakathi nalesi sikhathi. Ngakho ngeke uzwe ubuhlungu, kodwa uzophaphama. Ake sichaze ukuthi le nqubo isebenza kanjani.
| Izinyathelo | Kwenzekani? |
|---|---|
| 1. Ukuthola ukufinyelela | Udokotela uvula imbobo encane kakhulu esihlakaleni sakho noma ethangeni elingaphezulu bese efaka ipayipi elincane (umgoqo) ngalo emthanjeni wegazi. |
| 2. Ukuthumela i-catheter | Ngalelo payipi, ipayipi elincane nakakhulu, elibizwa ngokuthi i-catheter, lidluliselwa emthanjeni ovalekile enhliziyweni. |
| 3. Ukutholwa kokuvinjelwa | Kufakwa uhlobo olukhethekile lwedayi (idayi engafani) efakwayo, futhi ubuchwepheshe be-X-ray busetshenziswa ukubuka izithombe ezibukhoma ngaphakathi kwemithambo yegazi. Njengefilimu. Ngemuva kwalokho ungabona ngqo ukuthi ibhloko likuphi. |
| 4. Ukuvula umthambo | Ngokufutha ibhaluni elincane elisesiqongweni se-catheter, ungqimba lwamafutha oluvalelekile lucindezelwa odongeni lomthambo, luvula indlela yokugeleza kwegazi. |
| 5. Ukubeka i-stent | Ukuze kuvinjelwe ukuthi umthambo ungaphinde unciphe, uma kudingeka, kufakwa i-stent kuleyo ndawo. |
| 6. Ukuqeda | I-catheter iyasuswa bese indawo yokufaka ivalwa ngebhandeji lokucindezelwa noma izitishi ezincane. |
Le nqubo yonke ingathatha imizuzu engama-30 kuya emahoreni amabili, kuye ngokuthi imithambo yakho ivalekile kangakanani.
Ingabe wonke umuntu angayithola le ndlela yokwelashwa?
Cha. Wena nodokotela wakho kuzodingeka ninqume ndawonye ukuthi yikuphi ukwelashwa okungcono kakhulu kuwe. Ukuthi udinga i-PCI, imithi yodwa, noma ukuhlinzwa okukhulu (i-Coronary Artery Bypass Graft - CABG) kuzoncika ezintweni eziningana. Isibonelo, inani lemithambo yegazi evalekile, ukuthi inhliziyo yakho isebenza kahle kangakanani, nokuthi unezinye izimo zezokwelapha.
Izinzuzo, izingozi, kanye nesikhathi sokululama
Njenganoma yiluphi uhlobo lokwelashwa, lolu lunezinzuzo kanye nezingozi ezincane.
Izinzuzo eziyinhloko yilezi:
- Ukubuyiselwa kokugeleza kwegazi enhliziyweni.
- Izimpawu ezifana nobuhlungu besifuba kanye nokuphelelwa umoya ziyanyamalala.
- Akuyona into eyinkimbinkimbi njengokuhlinzwa kwe-bypass kanye nesikhathi esifushane sokululama.
Izingozi ezingaba khona:
- Ukopha noma ukutheleleka endaweni yokufaka i-catheter.
- Kwakha ihlule legazi ngaphakathi kwe-stent (kunikelwa imithi yokunciphisa igazi ukuvimbela lokhu).
- Umthambo ofanayo uvinjelwa futhi (kodwa le ngozi ingaphansi kuka-5% ngenxa ye-stent ebangela izidakamizwa).
- Akuvamile kakhulu ukuthi kube khona isifo sohlangothi.
Ngokuvamile ungaqhubeka nemisebenzi evamile zingakapheli isonto ngemuva kwe-PCI. Kodwa-ke, kungadingeka uyeke ukwenza izinto ezifana nokuphakamisa izinto ezisindayo isikhashana. Into ebaluleke kakhulu ukuthatha imithi yokunciphisa igazi (isib. i-clopidogrel, i-ticagrelor) enikezwa udokotela wakho isikhathi sonke somuthi, ngaphandle kokulahlekelwa usuku olulodwa.
Qaphela lezi zimpawu! Bonana nodokotela ngokushesha!
Uma uhlangabezana nanoma yiziphi izimpawu ezilandelayo ngemva kokwelashwa kwe-PCI, shayela udokotela wakho ngokushesha noma uye eMnyangweni Wezimo Eziphuthumayo (ETU) wesibhedlela esiseduze.
- Ukopha, uketshezi olufana nobovu, noma ukuvuvukala okuvela endaweni yokufaka i-catheter.
- Ubuhlungu besifuba (i-angina) buphinde buvele.
- Umkhuhlane noma ukubanda.
- Ukuba ndikindiki noma ukubanda okukhulu engalweni noma emlenzeni lapho kufakwe khona i-catheter.
- Ukuzumeka noma ukuquleka (i-syncope) .
- Ubunzima obukhulu bokuphefumula.
Umlayezo Wokuya Nawe Ekhaya
- I-PCI iyindlela yokwelapha yesimanje, ephephile, futhi ephumelela kakhulu esetshenziswa ukuvula imithambo yegazi evalekile enhliziyweni.
- Lokhu kuwusizo olukhulu ekusindiseni izimpilo uma kwenzeka ukuhlaselwa yinhliziyo ngokuzumayo.
- Nakuba ukululama kushesha ngemva kokwelashwa, kubalulekile ukuthatha imithi enqunywe udokotela, ikakhulukazi imithi yokunciphisa igazi, isikhathi sonke.
- Ukuze kuvinjelwe ukuvaleka kwemithambo yegazi, kubaluleke kakhulu ukuba nemikhuba emihle yokuphila njengokuyeka ukubhema, ukudla ukudla okunempilo, nokuzivocavoca.
- Uma unemibuzo mayelana nempilo yenhliziyo yakho, khuluma ngokukhululekile nodokotela wakho wenhliziyo bese wenza izinqumo ezifanele.
💬 Comments (0)
Awekho amazwana athunyelwe okwamanje. Faka amazwana akho lapha okokuqala ngqa.
Engeza amazwana akho