Otsogolera coronary atherectomy (DCA)

Zamkati

• Chidule

Chidule

DCA, kapena kolonial coronary atherectomy ndi njira yocheperako yochotsera kutsekeka kuchokera pamitsempha yama coronary kuti magazi aziyenda bwino mpaka mumtima ndikuchepetsa ululu.

Choyamba, mankhwala ochititsa dzanzi am'derali amasiya malo obowoka. Kenako adotolo amayika singano mumtsempha wachikazi, mtsempha womwe umatsikira mwendo. Dokotala amalowetsa waya wowongolera kudzera mu singanoyo kenako ndikuchotsa singanoyo. Amalowetsa m'malo mwake poyambitsa, chida chamachubu chokhala ndi madoko awiri omwe amagwiritsidwa ntchito kuyika zida zosinthika monga catheter mumtsuko wamagazi. Woyambitsa akangokhala, woyang'anira woyambirira amasinthidwa ndi waya wabwino kwambiri. Chingwe chatsopanochi chimagwiritsidwa ntchito kuyika catheter yodziwitsa matenda, chubu lalitali losinthika, mumtsempha ndikulitsogolera kumtima. Kenako dotoloyo amachotsa waya wachiwiri uja.

Catheter atatsegula imodzi mwa mitsempha yoyambira, adotolo amabaya utoto ndikutenga X-ray. Ngati ikuwonetsa kutsekeka kochiritsika, adokotala amagwiritsa ntchito waya wina wowongolera kuti achotse catheter yoyamba ndikuikapo catheter yowongolera. Kenako waya yomwe idagwiritsidwa ntchito pochita izi imachotsedwa ndikuikapo waya wabwino kwambiri womwe wapita patsogolo.

Catheter ina yopangidwira kudula zilonda ndiyotsogola pamalopo. Baluni yotsika pang'ono yolumikizidwa pafupi ndi wodula, imakhuta, ndikuwonetsa zotupa kwa wodula.

Choyendetsa chayatsa chimatsegulidwa, ndikupangitsa wodula kuti azungulire. Dokotala amapititsa chiwongolero pagalimoto yomwe imayendetsa wodulayo. Zidutswa zomwe adadula zimasungidwa mgawo la catheter lotchedwa mphuno mpaka atachotsedwa kumapeto kwa njirayi.

Kusinthasintha catheter kwinaku ikufufuma ndikutulutsa buluni kumapangitsa kuti kutsekeke kwa kolowera mbali iliyonse, zomwe zimapangitsa kuti mayunifolomu achotsedwe. Stent itha kuperekedwanso. Chimenechi ndi chimango cholumikizira mkati mwa mtsempha wamagazi kuti chotengera chiwoneke.

Pambuyo pochita izi, adotolo amabaya utoto ndikutenga X-ray kuti aone ngati pali kusintha kwa mitsempha. Kenako catheter imachotsedwa ndipo njira yatha.

• Angioplasty