Carotid angioplasty and stenting

Carotid angioplasty (kuh-ROT-id AN-jee-o-plas-tee) ne stenting ndidzirapurofadzo dzinokwanisa kuvhura arteries dzakavharwa kudzoreredza kuyerera kweropa kuuropi. Kazhinji dzinowanzoitwa kurapa kana kudzivirira kurova kweropa. Arteries dze carotid dziri kumativi ese emutsipa wako. Idzi ndidzo arteries huru dzinounza ropa kuuropi rwako. Dzinogona kuvharwa nemafuta akawandisa (plaque) anodzikisa kana kudzivirira kuyerera kweropa kuuropi — chirwere chinozivikanwa se carotid artery disease — chinogona kukonzera kurova kweropa.

Carotid angioplasty ne stenting zvinogona kuva kurapwa kwakakodzera kurohwa kana nzira dzekuita kuti kurohwa kusaita kana: Une artery ye carotid ine blockage ye70% kana kupfuura, kunyanya kana wakamboita kurohwa kana kuona zviratidzo zvekurohwa, uye uri munhu asina hutano hwakanaka hwekugona kuvhiyiwa — semuenzaniso, kana uine chirwere chakakomba chemwoyo kana mapapu kana wakamboitwa radiation yekurapa zvironda zvemutsipa Une carotid endarterectomy kare uye uri kuona kuomarara kwitsva mushure mekuvhiyiwa (restenosis) Nzvimbo yekuomarara (stenosis) inonetsa kusvika nayo ne endarterectomy Muzviitiko zvimwe, carotid endarterectomy inogona kunge iri sarudzo iri nani pane angioplasty ne stenting kubvisa kuunganidzwa kwemafuta (plaque) anovhara artery. Iwe nachiremba wako muchakurukura kuti ndechii nzira iri nani kwauri.

Chero mushonga unorapwa, matambudziko angangoitika. Heano mamwe matambudziko anogona kuitika ekugadzirisa carotid angioplasty ne stenting: Kutadza kufema kana kushomeka kwekufamba kwenguva pfupi (transient ischemic attack, kana TIA). Panguva yekugadzirisa angioplasty, ropa rinogona kuumbwa rinogona kuputsika richifamba kuenda kuuropi hwako. Uchapihwa mishonga inorwisa ropa panguva yekurapa kuderedza njodzi iyi. Kutadza kufema kunogonawo kuitika kana plaque iri mumoyo wako ikabviswa kana catheters iri kupfuudzwa nemidziyo yeropa. Kuomarara kwetsva kwe carotid artery (restenosis). Kushaya simba kukuru kwe carotid angioplasty ndechokuti artery yako inogona kuomarara zvakare mukati memwedzi mishomanana mushure mekurapa. Zvigadzirwa zvakakosha zve-drug-coated zvakagadzirwa kuderedza njodzi yekudzoka. Mishonga inorayirwa mushure mekurapa kuderedza njodzi yekudzoka. Ropa rinogwamba. Ropa rinogona kuumbwa mukati me stents kunyangwe mavhiki kana mwedzi mushure me angioplasty. Aya ma clots anogona kukonzera kutadza kufema kana rufu. Zvakakosha kutora aspirin, clopidogrel (Plavix) nemamwe mishonga sezvakarayirwa kuderedza mukana wekuumbwa kwe clots mu stent yako. Kubuda ropa. Unogona kubuda ropa panzvimbo iri muhudyu hwako kana ruoko kwaiswa catheters. Kazhinji izvi zvinogona kukonzera bruise, asi dzimwe nguva kubuda ropa kwakakomba kunoitika uye kunoda kuiswa ropa kana mishonga yekurapa.

Before angioplasty yaurongwa, chiremba wenyu anotarisa nhoroondo yenyu yezvokurapa uye anoita bvunzo yemuviri. Unogonawo kuita bvunzo imwe kana dzakawanda dzinotevera: Ultrasound. Muchina unofamba pamusoro pe carotid artery kuitira kuti uite mifananidzo uchishandisa mafungu ezwi e artery yakamanikwa uye yeropa rinoyerera kuuropi. Magnetic resonance angiography (MRA) kana computerized tomography angiography (CTA). Izvi bvunzo zvinopa mifananidzo yakadzama kwazvo yemitsinga yeropa nekushandisa mafungu e radiofrequency mumunda we magnetic kana nekushandisa X-rays nechinhu chinoratidza. Carotid angiography. Panguva yebvunzo iyi, chinhu chinoratidza (chinoonekwa pa X-rays) chinopinzwa mumutsinga kuti uone zvakanaka uye uongorore mitsinga yeropa.

Carotid angioplasty inofungidzirwa sechirongwa chisingakuvadzi muviri nekuti hachina ngozi kupfuura kuvhiya. Muviri wako hauchatemwi kunze kwekukwenya kuri duku kwazvo mudziya ropa riri muhudyu hwako. Vanhu vazhinji havadi anesthesia yakazara uye vanoramba vakamuka panguva yechirongwa. Zvisinei, vamwe vanhu vangasakwanisa kuramba vakamuka zvichienderana neanesthesia yavo uye kuti vanonzwa vakaneta zvakadii. Uchapihwa mvura nemishonga kuburikidza ne-IV catheter kukubatsira kuzorora.