Angioplasty uye stent kuiswa - carotid arteri

Tsinga dzeropa dzinounza ropa kuuropi uye kumeso dzinodaidzwa kuti carotid arteri. Iwe une artery carotid padivi rega remutsipa wako.

Kuyerera kweropa mune tsinga ino kunogona kuve chikamu kana kuvharwa zvachose nezvinhu zvine mafuta zvinonzi plaque. Kuvharirwa zvishoma kunodaidzwa kuti carotid artery stenosis (kudzikira). Kuvharika mune yako carotid arteri kunogona kudzikisa kuwedzerwa kweropa kuuropi yako. Dzimwe nguva chikamu chebepa chinogona kutyoka ndokuvhara imwe tsinga. Kurohwa kunogona kuitika kana uropi hwako hukasawana ropa rakaringana.

Maitiro maviri anogona kushandiswa kurapa carotid artery iyo yakatetepa kana yakavharika. Izvi ndeizvi:

• Kuvhiya kubvisa plaque buildup (endarterectomy)
• Carotid angioplasty ine stent kuiswa

Carotid angioplasty uye stenting (CAS) inoitwa uchishandisa diki yekuvhiya yakatemwa.

• Chiremba wako achavhiya mucheka wako mushure mekushandisa imwe mishonga inopera. Unozopihwawo mushonga wekukuzorodza.
• Chiremba anovhiya anoisa catheter (chubhu inochinja-chinja) kuburikidza nekucheka kuita tsinga. Iyo inonyatso kuendeswa kumusoro kune yako mutsipa kune iyo yekuvharika mune yako carotid arteri. Kufambisa x-ray mifananidzo (fluoroscopy) inoshandiswa kuona arteri uye kutungamira iyo catheter kunzvimbo chaiyo.
• Tevere, chiremba anovhiya anofambisa waya kuburikidza ne catheter kuenda kuvharidzo. Imwe catheter ine chibharumu chidiki kwazvo kumagumo ichasundirwa pamusoro peiyi waya uye ichivhara. Ipapo iro bharumu rakafemerwa.
• Bhaluni rinomanikidza kumadziro emukati etsinga yako. Izvi zvinovhura tsinga uye zvinobvumidza yakawanda ropa kuyerera kuuropi hwako. Iyo stent (tambo mesh chubhu) inogona zvakare kuiswa munzvimbo yakavharika. Iyo stent inoiswa panguva imwechete sebhokisi catheter. Inowedzera nebhaluni. Iyo stent inosara munzvimbo kubatsira kubatsira arteri kuvhura.
• Chiremba anovhiya anobva abvisa chibharumu.

Kuvhiya kweCarotid (endarterectomy) inzira yechinyakare uye inoshanda yekurapa tsinga dzakadzikira kana dzakavharwa. Maitiro aya akachengeteka kwazvo.

CAS yakagadzira seimwe yakanaka nzira yekuvhiya, kana yaitwa nevanoziva vanoita. Zvimwe zvinhu zvinogona kufarira kunhuwa, senge:

• Munhu wacho anorwara zvakanyanya kuti ave necarotid endarterectomy.
• Iyo nzvimbo yekudzikira muiyo carotid arteri inoita kuti kuvhiya kuome.
• Munhu wacho akave nekuvhiyiwa mutsipa kana carotid munguva yakapfuura.
• Munhu anga aine radiation kumutsipa.

Njodzi dze carotid angioplasty uye stent kuiswa, zvinoenderana nezvinhu zvakaita sezera, ndeaya:

• Allergic reaction kune dhayi
• Ropa rinovhara kana kubuda ropa panzvimbo yekuvhiyiwa
• Kukuvara kwehuropi
• Kuvhara kwemukati meiyo stent (in-stent restenosis)
• Kumira kurova kwemoyo
• Itsvo kutadza (yakanyanya njodzi kuvanhu vane matambudziko eitsvo)
• Kuwedzera kuvharika kweiyo carotid artery nekufamba kwenguva
• Kufenda (izvi hazviwanzo)
• Kurohwa

Anokuchengetedza hutano achaita bvunzo dzepanyama uye anoita bvunzo dzekurapa dzinoverengeka.

Nguva dzose udza mupi wako kuti ndeapi mishonga yauri kutora, anosanganisira madhiragi, zvinowedzera, kana mahebhu awakatenga pasina mushonga

Pakati pevhiki mbiri usati waita maitiro:

• Mazuva pamberi pekuvhiyiwa, ungatofanira kumira kutora mishonga inoita kuti zvive zvakaoma kuti ropa rako rigadzike. Izvi zvinosanganisira aspirin, ibuprofen (Advil, Motrin), clopidogrel (Plavix), ticagrelor (Brilinta), prasugrel (Effient) 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.
• Nguva dzose rega mupi wako azive nezve chero kutonhora, dzihwa, kupisa, herpes kuputika, kana chimwe chirwere chaungave uinacho usati wavhiyiwa.

Usamwe chero chinhu pakati pehusiku husiku usati waitwa oparesheni, kusanganisira mvura.

Pazuva rekuvhiyiwa kwako:

• Tora mishonga yawakaudzwa kunwa nekamwe kamvura.
• Unozoudzwa nguva yekuuya kuchipatara.

Mushure mekuvhiyiwa, ungangoda kugara muchipatara husiku hwese kuitira kuti iwe ugone kutariswa chero zviratidzo zvekubuda ropa, sitiroko, kana kushomeka kweropa kuyerera kuuropi hwako.Iwe unogona kukwanisa kuenda kumba zuva rimwe chetero kana maitiro ako akaitwa kutanga kwezuva uye iwe uri kuita mushe. Wako mupi achataura newe nezve maitiro ekuzvichengeta wega kumba.

Carotid arteri angioplasty uye kunhuwa 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.

Carotid angioplasty uye kunhuwa; CAS; Angioplasty - carotid tsinga; Carotid tsinga stenosis - angioplasty

• Angina - kubuda
• Angina - chii chekubvunza chiremba wako
• Angina - kana uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchirwara pachipfuva
• Angioplasty uye stent - moyo - kubuda
• Antiplatelet zvinodhaka - P2Y12 inhibitors
• Aspirin uye chirwere chemwoyo
• Butter, majarini, uye mafuta ekubikisa
• Cholesterol uye mararamiro
• Cholesterol - kurapwa kwemishonga
• Kudzora kukwira kweropa rako
• Mafuta echikafu akatsanangura
• Kurumidza kudya matipi
• Kurwadziwa kwemoyo - kubuda
• Kurwisa kwemoyo - chii chekubvunza chiremba wako
• Chirwere chemwoyo - njodzi zvinhu
• Maitiro ekuverenga zvinyorwa zvekudya
• Kudya kwakaderera-munyu
• Kudya kweMediterranean
• Kuchengeta ronda rekuvhiya - rakavhurika

• Atherosclerosis yemukati carotid tsinga
• Carotid stenosis - X-ray yetsinga chaiyo
• Vanogadzira cholesterol

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Rosenfield K, Matsumura JS, Chaturvedi S, et al. Randomized muedzo we stent maringe nekuvhiyiwa kweasymptomatic carotid stenosis. N Engl J Med. 2016; 374 (11): 1011-1020. PMID: 26886419 pubmed.ncbi.nlm.nih.gov/26886419/.