Ingabe nawe unomfutho wegazi ophakeme? Ungase uphuze izinhlobo ezingaphezu kweyodwa zemithi yokulawula umfutho wegazi lakho. Kodwa uma usenenkinga yokulawula umfutho wegazi lakho, imbangela ingaba ukuvaleka kwemithambo yegazi ehambisa igazi ezinso zakho. Ngakho-ke namuhla, ake sixoxe ngokwelashwa okubizwa ngokuthi 'i-Renal Artery Stenting' okusetshenziswa ezimweni ezinjalo. Ungesabi uma uzwa lokhu, masiqonde konke ngakho kalula.
Kuyini i-Renal Artery Stenting?
Kalula nje, imithambo yegazi eyinhloko ethwala igazi ezinso ezimbili emzimbeni wethu ibizwa ngokuthi 'imithambo yezinso'. Njengamapayipi amabili amakhulu athwala amanzi aya engadini. Ngezinye izikhathi, izinto ezifana namafutha ziyanqwabelana ngaphakathi kwale mithambo yegazi (lesi simo sibizwa ngokuthi '(I-Atherosclerosis)`) bese indlela engaphakathi kwemithambo iba mncane. Lokhu sikubiza ngokuthi 'i-renal artery stenosis'.
Cabanga ngento efana nepayipi lamanzi livaleka ngokugqwala. Bese umzila wamanzi uncipha, akunjalo? Ngendlela efanayo, indlela eya ezinso iyavaleka.
I-Renal Artery Stenting iyindlela yokwelapha esetshenziselwa ukuvula kabusha, noma ukugcina ivulekile, umthambo wegazi ovalekile. Kulokhu, kufakwa ipayipi lensimbi elincane kakhulu, elifana ne-mesh (i-stent) endaweni evalekile, livule umthambo. Bese igazi liqala ukugeleza kahle liye ezinso futhi.
Kwenzekani ngempela uma imithambo yezinso ivalekile?
Njengoba wazi, omunye wemisebenzi eyinhloko yezinso zethu ukuhlunga igazi nokususa usawoti noketshezi okungadingekile emzimbeni njengomchamo. Lapho inani legazi eligeleza ezinso lehla, azikwazi ukwenza lo msebenzi kahle. Ngemuva kwalokho, uketshezi luqala ukunqwabelana emzimbeni.
Akukhona lokho kuphela, kodwa kwenzeka okunye okubalulekile. Lapho izinso 'zizwa' ukuthi igazi lincane eligeleza kuzo, zicabanga ukuthi umfutho wegazi emzimbeni wonke wehlile. Ngakho-ke, ukuze kwandiswe umfutho wegazi, izinso zikhipha i-hormone ekhethekile ebizwa ngokuthi `(renin)`. Le hormone ibangela ukuthi imithambo yegazi emzimbeni iqine. Kodwa okwenzekayo ngempela ukuthi umfutho wegazi emzimbeni ungase ube sezingeni eliphezulu kakhulu ngaleso sikhathi.
Umfutho wegazi ophezulu obangelwa ukuvaleka kwemithambo yezinso ngale ndlela ubizwa ngokuthi i-Renal Hypertension . Lokhu kunzima kakhulu ukukulawula kunomfutho wegazi ophakeme ojwayelekile, futhi ngokuhamba kwesikhathi kungalimaza nezinso.
Ubani odinga i-stent?
Akuwona wonke umuntu one-renal artery evalekile ozodinga i-stent. Udokotela wakho uzoncoma lokhu kwelashwa ezimweni ezithile ezikhethekile kuphela.
| Isimo | Incazelo |
|---|---|
| Umfutho wegazi ophakeme ongalawuleki | Uma umfutho wegazi wakho ungalawulwa naphezu kokuthatha imithi emithathu noma ngaphezulu yokwehlisa umfutho wegazi ophezulu. |
| Ukuvaleka okukhulu kwemithambo yegazi | Uma imithambo yezinso engaphezu kuka-60% ivalekile futhi ingenakukwazi ukulawulwa ngemithi. |
| Amanzi agcwalisa amaphaphu | Uma uvele ube nesimo esibizwa ngokuthi "i-flash pulmonary edema". |
| Inkinga ngezinso zombili | Uma imithambo yomibili eholela ezinso zombili ivalwe ngaphezu kuka-60%. |
Yiziphi izivivinyo ezenziwayo ngaphambi kokusebenzisa i-stenting?
Ngaphambi kokuba unqume ukufaka i-stent, udokotela wakho uzokwenza izivivinyo eziningana ukuze anqume ukuthi imithambo yakho ivinjiwe kangakanani ngempela.
- I-Duplex Doppler Ultrasonography: Lokhu kufana nokuskena okuvamile. Kusebenzisa amaza omsindo ukukala ukuthi umthambo unciphile kangakanani nokuthi igazi ligeleza ngokushesha kangakanani.
- I-Computed Tomography Angiogram (CT Angiogram): Lokhu kuhilela ukufaka idayi ekhethekile emithanjeni yakho nokusebenzisa i-CT scanner ukuthatha isithombe semithambo esinezinhlangothi ezintathu (3D). Lokhu kukuvumela ukuthi ubone kahle ukuthi imithambo ivinjiwe kuphi.
- I-Magnetic Resonance Angiogram (MRA): Lokhu kufana ne-MRI scan. Kufakwa idayi bese kusetshenziswa insimu yamagnetic ukudala izithombe ezicacile zemithambo yegazi.
- I-Angiogram: Lena yindlela enembe kakhulu. Kulokhu, kufakwa ipayipi elincane kakhulu (i-catheter) ngomthambo osesinqeni noma engalweni bese liqondiswa emthanjeni wezinso. Bese kuthi kufakwe idayi ngawo bese kuthathwa i-X-ray ukuze kubonwe ukuthi igazi ligeleza kanjani. Ukuhlolwa kwe-stenting kuvame ukwenziwa phakathi nalolu vivinyo.
Okubalulekile: Ngaphambi kwalokhu kuhlolwa, kufanele utshele udokotela wakho ngayo yonke imithi oyithathayo (ikakhulukazi imithi yokunciphisa igazi efana ne-aspirin) kanye nanoma yikuphi ukungezwani komzimba ongase ube nakho.
Kwenziwa kanjani ukuhlinzwa kwe-stenting?
Lokhu akuyona indlela enkulu yokuhlinzwa evulekile. Awulaliswa. Unikwa umuthi obizwa ngokuthi 'i-sedation' ukuze uphumule futhi ulale. Ngakho awuzizwa ubuhlungu futhi awukhumbuli lutho ngabo ngemva kwalokho.
Ukwelashwa kumane nje kungokulandelayo:
1. Kwenziwa ukusikwa okuncane kakhulu (amamilimitha ambalwa) esikhumbeni sembobo noma ingalo yakho.
2. Ngalo, kufakwa ipayipi eliguquguqukayo (umgoqo) emthanjeni.
3. Ngaleyo tube, elinye ipayipi elincane kakhulu (i-catheter) lidluliselwa emthanjeni ovalekile osezinso.
4. Bese kuthi ibhaluni elincane ekugcineni kwepayipi lifuthwe ukuze kwandiswe indawo evinjiwe.
5. Ekugcineni, i-stent efana ne-mesh esikhulume ngayo ekuqaleni ibekwa endaweni ebanzi. I-stent icindezela odongeni lomthambo, igcine umthambo uvulekile.
6. I-stent ibekwa lapho unomphela, ibhaluni kanye nepayipi kuyasuswa, i-incision iyavalwa, bese kufakwa ibhandishi.
Yiziphi izinzuzo nezingozi ngemva kokwelashwa?
Njenganoma yikuphi ukwelashwa kwezokwelapha, kunezinzuzo kanye nezingozi ezincane.
| Izinzuzo | Izingozi |
|---|---|
| Indlela elula ngaphandle kokusikwa okukhulu. | Ukuphuka noma ukuphuma kwegazi lapho ipayipi lifakwe khona. |
| Ukubuyiselwa kokugeleza kwegazi ezinso. | Ukulimala kwemithambo yegazi noma kwezinso (okungavamile kakhulu). |
| Kusiza ukulawula umfutho wegazi. | Amahlule egazi. |
| Ukuvikela ukusebenza kwezinso. | Ukungezwani komzimba nodayi. |
Ngemva kokwelashwa, kuzodingeka uhlale esibhedlela amahora ambalwa noma mhlawumbe ubusuku bonke. Uzokwazi ukubuyela emisebenzini evamile zingakapheli izinsuku ezimbalwa ngemva kokubuyela ekhaya. Uzokwazi ukuqhubeka nemisebenzi yakho evamile cishe ngesonto.Into ebaluleke kakhulu ukuthatha umuthi onciphisa igazi (njenge-'Aspirin', 'Clopidogrel') onikezwe udokotela wakho ngesikhathi esifanele. Ungalokothi uyeke ukuthatha umuthi ngaphandle kokubuza udokotela wakho.
Kufanele ngiphinde ngimbone nini udokotela?
Ngisho nangemva kokufakwa kwe-stent, kufanele nakanjani uye kolunye uhlolo njengoba udokotela encoma, ngoba ngezinye izikhathi i-stent noma enye indawo ingavimbeka futhi.
Uma kuvela noma yiziphi izimpawu ezilandelayo, shayela udokotela wakho ngokushesha:
- Uma uthola umkhuhlane.
- Uma unenkinga yokuphefumula.
- Uma kuvela ukuqubuka kwesikhumba.
- Uma indawo lapho ipayipi lifakwe khona ibomvu, ivuvukile, ibuhlungu, noma uma kukhona igazi noma ubomvu obuphuma lapho.
- Uma umlenze ohlangothini oluphathwe kahle uba buhlungu, ubanda, noma uphaphathekile.
- Uma uzwa ubuhlungu obusha esiswini sakho noma ohlangothini oluphathwe kahle.
- Uma uzizwa unesizungu futhi umfutho wegazi wakho wehla kakhulu.
I-stent iyingxenye yomzimba ehlala njalo. Ngokuvamile ayibuhlungu. Nakuba ingasiza abantu abaningi ukulawula umfutho wegazi wabo ophakeme, kungase kudingeke ukuthi uphuze imithi yokulawula umfutho wegazi wakho. Udokotela wakho uzonquma lokhu ngokusekelwe esimweni sakho.
Umlayezo Wokuya Nawe Ekhaya
- I-Renal Artery Stenting iyindlela elula yokwelapha engangenisi uketshezi oluningi oluvimba imithambo yegazi eholela ezinso.
- Lokhu kusiza ukulawula umfutho wegazi ophakeme, okunzima ukuwulawula, futhi kuvikela izinso.
- Ngemva kokwelashwa, kubaluleke kakhulu ukuthatha imithi yokunciphisa igazi enikezwe udokotela wakho ngesikhathi esibekiwe.
- Qiniseka ukuthi uyaya emihlanganweni yokulandelela ngezinsuku ezihleliwe.
- Uma uzwa izimpawu eziyisixwayiso ezifana nomkhuhlane, ubuhlungu obukhulu, noma ukopha, yazisa udokotela wakho ngokushesha.
💬 Comments (0)
Awekho amazwana athunyelwe okwamanje. Faka amazwana akho lapha okokuqala ngqa.
Engeza amazwana akho