Carotid tsinga yekuvhiya - yakavhurika

Carotid arteri kuvhiya inzira yekurapa carotid tsinga chirwere.

Iyo carotid arteri inounza inodiwa ropa kuuropi hwako uye kumeso. Iwe une imwe yetsinga idzi padivi rega remutsipa wako. Ropa kuyerera mune ino arteri inogona kuve chikamu kana kuvharirwa zvachose nezvinhu zvine mafuta zvinonzi plaque. Izvi zvinogona kudzikisa kuwedzerwa kweropa kuuropi hwako uye kukonzeresa sitiroko.

Carotid tsinga yekuvhiya inoitwa kudzoreredza chaiyo kuyerera kweropa kuuropi. Pane maviri maitiro ekurapa carotid arteri ine plaque buildup mairi. Ichi chinyorwa chinotarisa pakuvhiya kunonzi endarterectomy. Imwe nzira inonzi angioplasty ine stent kuiswa.

Munguva yecarotid endarterectomy:

• Iwe unogamuchira general anesthesia. Iwe wakarara uye unorwadziwa pasina. Zvimwe zvipatara zvinoshandisa anesthesia yemuno panzvimbo. Chete chikamu chemuviri wako chiri kushandirwa chakabatwa nemushonga kuitira kuti usanzwe kurwadziwa. Unopihwawo mushonga wekukubatsira kuzorora.
• Unorara nemusana pamusoro petafura yekushandisa musoro wako wakatariswa kune rimwe divi. Rutivi rwakavharirwa arteri yeti carotid iri pazviso kumusoro.
• Chiremba anovhiya anoita kucheka (incision) pamutsipa wako pamusoro pearototi yako arteri. Chubhu inochinja (catheter) inoiswa mutsinga. Ropa rinoyerera kuburikidza nekateti yakakomberedza nzvimbo yakavharika panguva yekuvhiyiwa.
• Yako carotid arteri yakavhurwa. Chiremba anovhiya anobvisa danda mukati meyeri.
• Mushure mekubviswa kwedombo, arteri yakavharwa nezvisungo. Ropa ikozvino rinoyerera kuburikidza netsinga kuenda kuuropi yako.
• Basa rako remoyo rinotariswa zvakanyanya panguva yekuvhiyiwa.

Kuvhiya kwacho kunotora anenge maawa maviri. Mushure mekuita kwacho, chiremba wako anogona kuita bvunzo kuti asimbise kuti tsinga yakavhurwa.

Maitiro aya anoitwa kana chiremba wako awana kudzikira kana kuvhara mukati medu carotid arteri. Mutapi wako wezvehutano anenge aita imwe kana yakawanda bvunzo kuti aone kuti tsinga yecarotid yakavharwa zvakadii.

Kuvhiya kubvisa iyo anovaka mune yako carotid arteri kunogona kuitwa kana iyo arteri yakadzvanywa neanopfuura 70%.

Kana iwe uchinge warohwa sitiroko kana kukuvara kwenguva pfupi kwehuropi, mupi wako anozofunga kana kurapa tsinga yako yakavharwa nekuvhiyiwa kwakachengeteka kwauri.

Dzimwe nzira dzekurapa dzauchakurukura newe mupi ndeidzi:

• Hapana kurapwa, kunze kwekuyedzwa kuongorora yako carotid arteri gore rega.
• Mishonga uye chikafu kudzikisa cholesterol yako.
• Ropa-kutapira mishonga kudzikisa njodzi yako yekurohwa. Mimwe yemishonga iyi ndiaspirin, clopidogrel (Plavix), dabigatran (Pradaxa), uye warfarin (Coumadin).

Carotid angioplasty uye stenting ingangoshandiswa apo carotid endarterectomy yaisazove yakachengeteka.

Njodzi dzeanesthesia ndeidzi:

• Allergic reaction kumishonga
• Matambudziko ekufema

Ngozi dzekuvhiya carotid ndidzo:

• Ropa rinovhara kana kubuda ropa muuropi
• Kukuvara kwehuropi
• Kumira kurova kwemoyo
• Kuwedzera kuvharika kweiyo carotid artery nekufamba kwenguva
• Kufenda
• Kurohwa
• Kuzvimba padyo nemhepo yako (iyo chubhu yaunofema kuburikidza nayo)
• Utachiona

Wako mupi achaita bvunzo yakakwana yemuviri uye odha bvunzo dzinoverengeka dzekurapa.

Udza mupiki wako kuti ndeapi mishonga yauri kutora, kunyangwe mishonga, zvinowedzera, kana mahebhu awakatenga pasina mushonga.

Pakati pevhiki mbiri usati wavhiyiwa:

• Mazuva mashoma pamberi pekuvhiyiwa, ungangoda kurega kutora zvinodhaka-kutetepa ropa. Izvi zvinosanganisira aspirin, ibuprofen (Advil, Motrin), clopidogrel (Plavix), naprosyn (Aleve, Naproxen), nemimwe mishonga yakaita seiyi.
• Kumbira mupi wako kuti ndeapi mishonga yaunofanirwa kutora pazuva rekuvhiyiwa kwako.
• Ukasvuta, unofanirwa kumira. Kumbira mupiki wako kuti abatsire kurega.
• Udza mupiki wako nezve chero kutonhora, dzihwa, fivha, herpes kuputika, kana chimwe chirwere chaungave usati waitwa oparesheni.

Tevedzera rairo pamusoro penguva yekurega kudya uye kunwa usati wavhiyiwa.

Pazuva rekuvhiyiwa kwako:

• Tora chero mishonga yaunorayirwa nekapepa kadiki kemvura.
• Tevedzera rairo kuti unosvika rinhi kuchipatara. Iva nechokwadi chekusvika nenguva.

Iwe unogona kunge uine drain mumutsipa wako inopinda mune yako incision. Ichadurura mvura inovaka munzvimbo iyi. Ichabviswa mukati mezuva.

Mushure mekuvhiyiwa, mupi wako angangoda kuti ugare muchipatara husiku hwese kuitira kuti vanamukoti vakwanise kukutarisa chero zviratidzo zvekubuda ropa, sitiroko, kana kutadza kweropa kuyerera kuuropi hwako. Iwe unogona kukwanisa kuenda kumba zuva rimwe chetero kana oparesheni yako yaitwa mangwanani ezuva uye iwe uri kuita mushe.

Tevedza rairo yekuti ungazvichengete sei kumba.

Kuvhiyiwa tsinga kweCarotid kunogona kubatsira kudzikisa mukana wako wekurohwa nesitiroko. Asi iwe unozofanirwa kuita shanduko yemararamiro kuti ubatsire kudzivirira mabara kuvaka, kuwanda kweropa, uye mamwe matambudziko mune ako carotid arteri nekufamba kwenguva. Ungangoda kushandura chikafu chako uye wotanga chirongwa chekurovedza muviri, kana mupi wako akakuudza kuti kurovedza muviri kwakachengeteka kwauri. Zvakakoshawo kurega kusvuta.

Carotid endarterectomy; Kuvhiya kweCAS; Carotid tsinga stenosis - kuvhiya; Endarterectomy - carotid tsinga

• Angioplasty uye stent kuiswa - carotid arteri - kubuda
• Antiplatelet zvinodhaka - P2Y12 inhibitors
• Aspirin uye chirwere chemwoyo
• Butter, majarini, uye mafuta ekubikisa
• Carotid arteri kuvhiya - kubuda
• Cholesterol uye mararamiro
• Cholesterol - kurapwa kwemishonga
• Kudzora kukwira kweropa rako
• Mafuta echikafu akatsanangura
• Kurumidza kudya matipi
• Maitiro ekuverenga zvinyorwa zvekudya
• Kudya kweMediterranean
• Stroke - kubuda
• Kuchengeta ronda rekuvhiya - rakavhurika

• Carotid stenosis - X-ray yetsinga yekuruboshwe
• Carotid stenosis - X-ray yetsinga chaiyo
• Arterial misodzi mune yemukati carotid arteri
• Atherosclerosis yemukati carotid tsinga
• Arterial plaque kuvaka-kumusoro
• Carotid artery kuvhiya - akateedzana

Arnold M, Perler BA. Carotid endarterectomy. Mune: Sidawy AN, Perler BA, eds. Rutherford Kuvhiya kweVascular uye Endovascular Therapy. 9th ed. Philadelphia, PA: Elsevier; 2019: chits. 91.

Biller J, Ruland S, Schneck MJ. Ischemic cerebrovascular chirwere. MuDaroff RB, Jankovic J, Mazziotta JC, Pomeroy SL, eds. Bradley's Neurology muClinical Dzidzira. 7th ed. Philadelphia, PA: Elsevier; 2016: chits 65.

Brott TG, Halperin JL, Abbara S, uye al. 2011 ASA / ACCF / AHA / AANN / AANS / ACR / ASNR / CNS / SAIP / SCAI / SIR / SNIS / SVM / SVS nongedzo pane manejimendi evarwere vane extracranial carotid uye vertebral arteri chirwere: Executive pfupiso: mushumo weAmerican Koreji yeCardiology Foundation / American Heart Association Task Force pane Maitiro Ekudzidzira, uye American Stroke Association, American Association yeNeuroscience Nurses, American Association of Neurological Surgeons, American College yeRadiology, American Society yeNeuroradiology, Congress yeNeurological Surgeons, Sosaiti yeAtherosclerosis Kufananidza uye Kudzivirira, Sosaiti yeCardiovascular Angiography uye Kupindira, Sosaiti yeInternet Radiology, Sosaiti yeNeuroInterventional Surgery, Sosaiti yeVascular Medicine, uye Sosaiti yeVascular Surgery. Yakagadziridzwa mukubatana pamwe neAmerican Academy yeNeurology uye Sosaiti yeCardiovascular Computed Tomography. Catheter Cardiovasc Interv. 2013; 81 (1): E76-E123. PMID: 23281092 pubmed.ncbi.nlm.nih.gov/23281092/.

Brott TG, Howard G, Roubin GS, et al. Yakareba-mhedzisiro mhedzisiro yekukanganisa maringe ne endarterectomy ye carotid-arteri stenosis. N Engl J Med. 2016; 374 (11): 1021-1031. PMID: 26890472 pubmed.ncbi.nlm.nih.gov/26890472/.

Holscher CM, Abularrage CJ. Carotid endarterectomy. Mune: Cameron AM, Cameron JL, eds. Parizvino Kuvhiya Therapy. 13 ed. Philadelphia, PA: Elsevier; 2020: 928-933.