Opaleshoni yamitsempha ya Carotid - yotseguka

Kuchita opaleshoni yamitsempha ya Carotid ndi njira yothandizira matenda a mtsempha wa carotid.

Mitsempha ya carotid imabweretsa magazi ofunikira kuubongo ndi nkhope yanu. Muli ndi imodzi mwa mitsempha iyi mbali iliyonse ya khosi lanu. Kutuluka kwa magazi m'mitsempha iyi kumatha kutsekedwa pang'ono kapena pang'ono ndi mafuta omwe amatchedwa plaque. Izi zitha kuchepetsa magazi kulowa muubongo wanu ndikupangitsa sitiroko.

Kuchita opaleshoni yamitsempha ya Carotid kumachitika kuti magazi abwerere muubongo moyenera. Pali njira ziwiri zochiritsira mtsempha wama carotid womwe umakhala ndi zolembapo. Nkhaniyi ikufotokoza za opaleshoni yotchedwa endarterectomy. Njira ina amatchedwa angioplasty yokhala ndi stent.

Pa carotid endarterectomy:

• Mumalandira anesthesia wamba. Mukugona ndipo simumva kuwawa. Zipatala zina zimagwiritsa ntchito dzanzi m'deralo m'malo mwake. Chiwalo chokha cha thupi lanu chomwe chimagwiridwa ntchito chimakhala chodzikongoletsa ndi mankhwala kuti musamve kuwawa. Mumapatsidwanso mankhwala okuthandizani kupumula.
• Mumagona chagada pa tebulo logwirira ntchito mutu wanu utatembenuzidwira mbali imodzi. Mbali yomwe mitsempha yanu yotsekedwa ndi carotid ili pankhope.
• Dokotalayo amadula pakhosi panu pamitsempha yama carotid. Chubu chosinthika (catheter) chimayikidwa mumtsempha. Magazi amayenda kudzera mu catheter mozungulira malo otsekedwa panthawi yochita opaleshoni.
• Mitsempha yanu ya carotid yatsegulidwa. Dokotalayo amachotsa chikwangwani mkati mwa mtsempha.
• Chotsalacho chikachotsedwa, mitsempha imatsekedwa ndi ulusi. Magazi tsopano akuyenda kudutsa pamtsempha kupita ku ubongo wanu.
• Zochita zanu zamtima zidzayang'aniridwa mosamala panthawi yochita opareshoni.

Kuchita opaleshoni kumatenga pafupifupi maola awiri. Pambuyo pake, dokotala wanu akhoza kuyesa kuti atsimikizire kuti mitsempha yatsegulidwa.

Njirayi imachitika ngati dokotala wapeza kuti mukuchepa kapena kutsekeka mumitsempha yanu ya carotid. Wothandizira zaumoyo wanu ayesa kamodzi kapena kangapo kuti awone kuchuluka kwa mtsempha wa carotid wotsekedwa.

Opaleshoni yochotsa zomangirira mumtsempha wanu wa carotid zitha kuchitika ngati mtsemphawo muchepetsedwa ndi zoposa 70%.

Ngati mwadwala sitiroko kapena kuvulala kwakanthawi kwakanthawi muubongo, omwe amakupatsirani mwayi adzawona ngati kuchitira opaleshoni mtsempha wanu wotsekedwa ndichabwino kwa inu.

Njira zina zamankhwala zomwe woperekayo azikambirana nanu ndi izi:

• Palibe mankhwala, kupatula kuyesedwa kuti muwone mtsempha wama carotid wanu chaka chilichonse.
• Mankhwala ndi zakudya kuti muchepetse cholesterol yanu.
• Mankhwala ochepetsa magazi kuti achepetse chiopsezo chanu cha sitiroko. Ena mwa mankhwalawa ndi aspirin, clopidogrel (Plavix), dabigatran (Pradaxa), ndi warfarin (Coumadin).

Carotid angioplasty ndi stenting zikuyenera kugwiritsidwa ntchito ngati carotid endarterectomy sikhala yotetezeka.

Zowopsa za anesthesia ndi izi:

• Thupi lawo siligwirizana ndi mankhwala
• Mavuto opumira

Kuopsa kwa opaleshoni ya carotid ndi:

• Kuundana kwa magazi kapena kutuluka magazi muubongo
• Kuwonongeka kwa ubongo
• Matenda amtima
• Kutsekeka kwambiri kwa mtsempha wama carotid pakapita nthawi
• Kugwidwa
• Sitiroko
• Kutupa pafupi ndi mpweya wanu (chubu chomwe mumapuma)
• Matenda

Wothandizira anu amayesa mokwanira ndikuitanitsa mayeso angapo azachipatala.

Uzani wothandizira wanu mankhwala omwe mukumwa, ngakhale mankhwala, zowonjezera, kapena zitsamba zomwe mwagula popanda mankhwala.

Pakati pa masabata awiri musanachite opareshoni:

• Masiku angapo opaleshoniyo isanakwane, mungafunike kusiya kumwa mankhwala ochepetsa magazi. Izi zimaphatikizapo aspirin, ibuprofen (Advil, Motrin), clopidogrel (Plavix), naprosyn (Aleve, Naproxen), ndi mankhwala ena onga awa.
• Funsani omwe akukupatsirani mankhwala omwe muyenera kumwa patsiku la opareshoni yanu.
• Mukasuta, muyenera kusiya. Funsani omwe akukuthandizani kuti akuthandizeni kusiya.
• Uzani wothandizira wanu za chimfine, chimfine, malungo, herpes breakout, kapena matenda ena omwe mungakhale nawo musanachite opareshoni.

Tsatirani malangizo pa nthawi yomwe muyenera kusiya kudya ndi kumwa musanachite opaleshoni.

Patsiku la opareshoni yanu:

• Tengani mankhwala aliwonse omwe amakupatsani ndikumwa pang'ono madzi.
• Tsatirani malangizo pa nthawi yobwera kuchipatala. Onetsetsani kuti mwafika nthawi.

Mutha kukhala ndi pakhosi pakhosi lanu lomwe limapangidwira. Idzatulutsa madzi omwe amakula mderalo. Idzachotsedwa pasanathe tsiku limodzi.

Pambuyo pa opareshoni, omwe amakupatsani mwayi angafune kuti mukhale mchipatala usiku wonse kuti anamwino azitha kukuwonani ngati muli ndi magazi, kupwetekedwa mtima, kapena kusayenda bwino kwa magazi kubongo yanu. Mutha kupita kunyumba tsiku lomwelo ngati opareshoni yanu yachitika m'mawa kwambiri ndipo mukuchita bwino.

Tsatirani malangizo amomwe mungadzisamalire kunyumba.

Kuchita opaleshoni yamitsempha ya Carotid kungathandize kuchepetsa mwayi wanu wokhala ndi stroke. Koma muyenera kusintha moyo wanu kuti muteteze zolengeza, magazi kuundana, ndi mavuto ena mumitsempha yanu ya carotid pakapita nthawi. Mungafunike kusintha zakudya zanu ndikuyamba pulogalamu yochita masewera olimbitsa thupi, ngati omwe akukupatsani akukuuzani kuti kuchita masewera olimbitsa thupi ndikwabwino kwa inu. Ndikofunikanso kusiya kusuta.

Carotid endarterectomy; Opaleshoni ya CAS; Carotid mtsempha wamagazi stenosis - opaleshoni; Endarterectomy - mtsempha wamagazi wa carotid

• Kuyika kwa Angioplasty ndi stent - mtsempha wa carotid - kutulutsa
• Mankhwala osokoneza bongo - P2Y12 inhibitors
• Aspirin ndi matenda amtima
• Batala, majarini, ndi mafuta ophikira
• Opaleshoni ya mtsempha wa Carotid - kutulutsa
• Cholesterol ndi moyo
• Cholesterol - mankhwala osokoneza bongo
• Kulamulira kuthamanga kwa magazi
• Mafuta azakudya anafotokoza
• Malangizo achangu
• Momwe mungawerenge zolemba za chakudya
• Zakudya zaku Mediterranean
• Sitiroko - kumaliseche
• Chisamaliro cha bala la opaleshoni - chotseguka

• Carotid stenosis - X-ray yamitsempha yamanzere
• Carotid stenosis - X-ray yamitsempha yolondola
• Mitsempha yamkati yamitsempha yamkati ya carotid
• Matenda a atherosclerosis amkati mwa carotid
• Kumanga zolembera zamagetsi
• Opaleshoni yamitsempha ya Carotid - mndandanda

Arnold M, Perler BA. Carotid endarterectomy. Mu: Sidawy AN, Perler BA, olemba. Rutherford Opaleshoni ya Mitsempha ndi Endovascular Therapy. 9th ed. Philadelphia, PA: Elsevier; 2019: chap 91.

Wopanga J, Ruland S, Schneck MJ. Matenda a Ischemic cerebrovascular. Mu Daroff RB, Jankovic J, Mazziotta JC, Pomeroy SL, olemba. Neurology ya Bradley mu Kuchita Zachipatala. Wachisanu ndi chiwiri. Philadelphia, PA: Elsevier; 2016: chap 65.

Brott TG, Halperin JL, Abbara S, ndi al. 2011 ASA / ACCF / AHA / AANN / AANS / ACR / ASNR / CNS / SAIP / SCAI / SIR / SNIS / SVM / SVS chitsogozo cha kasamalidwe ka odwala omwe ali ndi matenda a mtsempha wamagazi owonjezera pamtundu: chidule chachikulu: lipoti la American College of Cardiology Foundation / American Heart Association Task Force on Practice Guidelines, ndi American Stroke Association, American Association of Neuroscience Nurses, American Association of Neurological Surgeons, American College of Radiology, American Society of Neuroradiology, Congress of Neurological Surgeons, Society of Atherosclerosis Kulingalira ndi Kupewa, Society for Cardiovascular Angiography and Intervention, Society of Interventional Radiology, Society of NeuroInterventional Surgery, Society for Vascular Medicine, ndi Society for Vascular Surgery. Yopangidwa mogwirizana ndi American Academy of Neurology and Society of Cardiovascular Computed Tomography. Catheter Cardiovasc Nthawi. 2013; 81 (1): E76-E123. PMID: 23281092 adatuluka.ncbi.nlm.nih.gov/23281092/.

Brott TG, Howard G, Roubin GS, ndi al. Zotsatira zakanthawi yayitali zotsutsana ndi endarterectomy ya carotid-artery stenosis. N Engl J Med. 2016; 374 (11): 1021-1031. (Adasankhidwa) PMID: 26890472 pubed.ncbi.nlm.nih.gov/26890472/.

Holscher CM, Abularrage CJ. Carotid endarterectomy. Mu: Cameron AM, Cameron JL, olemba., Eds. Chithandizo Chamakono Cha Opaleshoni. Wolemba 13. Philadelphia, PA: Elsevier; 2020: 928-933.