Angioplasty na stenting ya karoti

Carotid angioplasty (kuh-ROT-id AN-jee-o-plas-tee) na stenting ni uburyo bwo gufungura imiyoboro y'amaraso ifunze kugira ngo amaraso agere mu bwonko. Akenshi bikorwa mu kuvura cyangwa gukumira ibicurane. Imikaya ya carotid iherereye ku ruhande rumwe na rumwe rw'ijosi. Ni yo mikaya ikomeye itanga amaraso mu bwonko. Ishobora gufungwa n'amasogwe (plaque) atuma amaraso ajya mu bwonko atemba gake cyangwa agakomwa - indwara izwi nka carotid artery disease - ishobora gutera ibicurane.

Carotid angioplasty na stenting bishobora kuba uburyo bukwiye bwo kuvura umwijima cyangwa gukumira umwijima niba: ufite umuyoboro w'amaraso wa carotid ufite ikibyimba cya 70% cyangwa birenga, cyane cyane niba waragize umwijima cyangwa ibimenyetso by'umwijima, kandi utameze neza ngo ukorerwe ibyo kubaga — urugero, niba ufite indwara ikomeye y'umutima cyangwa umwuka cyangwa wakiriye imirasire yo mu rwego rwo kuvura uburibwe bwo mu ijosi ufite carotid endarterectomy kandi ukaba ufite ikibyimba gishya nyuma y'ubuganga (restenosis) aho ikibyimba (stenosis) kiri kigoye kugeraho hakoreshejwe endarterectomy Mu bihe bimwe bimwe, carotid endarterectomy ishobora kuba amahitamo meza kurusha angioplasty na stenting mu gukuraho ibyiyongereyeho bya fatty (plaque) bifunga umuyoboro w'amaraso. Wowe na muganga wawe muzaganira ku buryo bukwiriye kuri wowe.

Mu bijyanye n'uburyo ubwo aribwo bwose bwo kuvura, ibibazo bishobora kubaho. Dore bimwe mu bibazo bishobora guterwa na carotid angioplasty na stenting: Stroke cyangwa ministroke (transient ischemic attack, cyangwa TIA). Mu gihe cya angioplasty, ibice by'amaraso bishobora kuvamo bishobora gutandukana bikajya mu bwonko bwawe. Uzabona imiti igabanya amaraso mu gihe cy'uburyo kugira ngo ugabanye ibyo bibazo. Stroke ishobora kandi kubaho niba plaque iri mu mubiri wawe itandukanye igihe imiyoboro irimo kunyura mu mitsi y'amaraso. Kugabanuka gushya kw'umubiri wa carotid (restenosis). Inenge ikomeye ya carotid angioplasty ni amahirwe yuko umubiri wawe uzongera kugabanuka mu mezi make nyuma y'uburyo. Ibikoresho byihariye byo mu miti byakozwe kugira ngo bigabanye ibyago bya restenosis. Imiti yandikiwe nyuma y'uburyo kugira ngo igabanye ibyago bya restenosis. Ibice by'amaraso. Ibice by'amaraso bishobora kuvamo mu bikoresho ndetse no mu byumweru cyangwa amezi nyuma ya angioplasty. Ibyo bice bishobora gutera stroke cyangwa urupfu. Ni ngombwa gufata aspirine, clopidogrel (Plavix) n'imiti indi nk'uko byategetswe kugira ngo ugabanye amahirwe yo kuvamo ibice mu gikoresho cyawe. Ukuva amaraso. Ushobora kuva amaraso ahantu mu kibuno cyawe cyangwa mu kuboko aho imiyoboro yashyizwe. Ubusanzwe ibi bishobora gutera urwara, ariko rimwe na rimwe kuva amaraso bikomeye bibaho kandi bishobora gusaba ko umuntu ahabwa amaraso cyangwa kubagwa.

Mbere y'uko ukorerwa angioplasty yateguwe, muganga wawe asuzuma amateka yawe y'ubuzima akakora n'iperereza ku mubiri wawe. Ushobora kandi gukorerwa ibizamini bimwe cyangwa byinshi muri ibi bikurikira: Ultrasound. Icyuma gipima gicya kuri artery ya carotid kugira ngo gikore amashusho akoresheje amasese y'amajwi y'umuyoboro w'amaraso wangirikiye n'umusaruro w'amaraso ujya mu bwonko. Magnetic resonance angiography (MRA) cyangwa computerized tomography angiography (CTA). Ibi bipimo bitanga amashusho arambuye cyane y'imijyana y'amaraso hakoreshejwe amasese ya radiofrequency mu kibuga cya magnétique cyangwa hakoreshejwe X-rays hamwe n'ibintu byongera. Carotid angiography. Muri iki kizamini, ibintu byongera (biboneka kuri X-rays) byinjizwa mu muyoboro w'amaraso kugira ngo turebe kandi tusesengure neza imijyana y'amaraso.

Angioplasty ya karotidi ifatwa nk'uburyo budakoresha igitsina kubera ko budakomeretsa nk'ubuganga. Umubiri wawe ntabwo ucibwa keretse umunwa muto cyane mu mubiri w'amaraso uri mu kibuno cyawe. Abantu benshi ntibakenera anesthésie rusange kandi baguma bari maso mu gihe cy'uburyo. Ariko, bamwe bashobora kutaguma bari maso bitewe n'anesthésie yabo n'ukuntu bumva barushye. Uzabona amazi n'imiti binyuze mu kateteri ya IV kugira ngo ugutuze.