Kukhazikika: Chifukwa ndi Momwe Amagwiritsidwira Ntchito

Zamkati

• Chifukwa chiyani ndikufunika stent?
• Kodi ndimakonzekera bwanji stent?
• Kodi stent imachitika bwanji?
• Kodi ndizovuta ziti zomwe zimakhudzana ndikukhazikitsa stent?
• Kodi chimachitika ndi chiyani atayika stent?

Kodi stent ndi chiyani?

Stent ndi chubu chaching'ono chomwe dokotala angalowetse munjira yotseka kuti isatseguke. Stent imabwezeretsa magazi kapena madzi ena, kutengera komwe adayikidwako.

Zitsulo zimapangidwa ndi chitsulo kapena pulasitiki. Zomatira zolimba ndizitsulo zazikulu zomwe zimagwiritsidwa ntchito pamitsempha yayikulu. Zitha kupangidwa ndi nsalu yapadera. Zitsulo zimatha kuthiranso mankhwala kuti athandize mitsempha yotsekedwa kutseka.

Chifukwa chiyani ndikufunika stent?

Zokometsera zimafunikira nthawi zambiri chikwangwani chimatseka chotengera chamagazi. Chipilala chimapangidwa ndi cholesterol ndi zinthu zina zomwe zimamangiriridwa pamakoma a chotengera.

Mungafunike stent panthawi yazadzidzidzi. Njira yadzidzidzi imafala kwambiri ngati mtsempha wamagazi wotchedwa coronary artery watsekedwa. Dokotala wanu ayamba kuyika catheter mumitsempha yamitsempha yotseka. Izi ziwathandiza kupanga bulloon angioplasty kuti atsegule kutsekeka. Kenako aika stent mu mtsempha wamagazi kuti chotengera chikhale chotseguka.

Zisindikizo zitha kukhala zothandiza popewa kuti ma hemurysms asaphulike muubongo wanu, aorta, kapena mitsempha ina yamagazi.

Kupatula mitsempha yamagazi, ma stents amatha kutsegula njira izi:

• minyewa ya ndulu, yomwe ndi timachubu tomwe timanyamula bile kupita ndi kuchokera kumimba
• bronchi, yomwe ndi mayendedwe ang'onoang'ono m'mapapu
• ureters, omwe ndi machubu omwe amanyamula mkodzo kuchokera ku impso kupita ku chikhodzodzo

Machubuwa amatha kutsekedwa kapena kuwonongeka ngati mitsempha yamagazi.

Kodi ndimakonzekera bwanji stent?

Kukonzekera stent kumadalira mtundu wa stent yomwe ikugwiritsidwa ntchito. Kwa stent yoyikidwa mumtsuko wamagazi, nthawi zambiri mumakonzekera pochita izi:

• Uzani dokotala wanu za mankhwala aliwonse, zitsamba, kapena zowonjezera zomwe mumamwa.
• Musatenge mankhwala aliwonse omwe amalepheretsa magazi anu kuundana, monga aspirin, clopidogrel, ibuprofen, ndi naproxen.
• Tsatirani malangizo a dokotala za mankhwala ena aliwonse omwe muyenera kusiya.
• Siyani kusuta ngati mumasuta.
• Dziwitsani dokotala za matenda aliwonse, kuphatikizapo chimfine kapena chimfine.
• Musamwe madzi kapena madzi ena aliwonse usiku woti muchitidwe opareshoni.
• Tengani mankhwala aliwonse omwe dokotala akukupatsani.
• Fikani kuchipatala ndi nthawi yokwanira yokonzekera opaleshoni.
• Tsatirani malangizo aliwonse omwe dokotala akukupatsani.

Mudzalandira mankhwala amankhwala oundana pamalo obowolera. Mupezanso mankhwala amitsempha (IV) okuthandizani kupumula panthawiyi.

Kodi stent imachitika bwanji?

Pali njira zingapo zoyikira stent.

Dokotala wanu nthawi zambiri amaika stent pogwiritsa ntchito njira yocheperako. Adzapanga katemera kakang'ono ndikugwiritsa ntchito catheter kutsogolera zida zapadera kudzera m'mitsempha yanu yamagazi kuti mufike kumalo omwe amafunikira stent. Kutulutsa uku nthawi zambiri kumakhala mu kubuula kapena mkono. Chimodzi mwazida izi chikhoza kukhala ndi kamera kumapeto kuti muthandizire dokotala kutsogolera stent.

Pomwe mukuchita izi, dokotala wanu amathanso kugwiritsa ntchito njira yojambula yotchedwa angiogram kuti muthandize kuwongolera stent pamchombocho.

Pogwiritsa ntchito zida zofunika, dokotala wanu apeza chotengera chophwanyika kapena chotsekedwa ndikuyika stent. Kenako azichotsa zida m'thupi lanu ndikutseka cheke.

Kodi ndizovuta ziti zomwe zimakhudzana ndikukhazikitsa stent?

Njira iliyonse yochita opaleshoni imakhala ndi zoopsa. Kuyika stent kungafune kufikira mitsempha ya mtima kapena ubongo. Izi zimabweretsa chiopsezo chowonjezeka cha zotsatirapo zoyipa.

Zowopsa zomwe zimakhudzana ndi kubentcha ndi izi:

• zomwe zimachitika chifukwa cha mankhwala kapena utoto womwe umagwiritsidwa ntchito pochita izi
• mavuto a kupuma chifukwa cha anesthesia kapena kugwiritsa ntchito stent mu bronchi
• magazi
• kutsekeka kwa mtsempha wamagazi
• kuundana kwamagazi
• matenda a mtima
• matenda a chotengera
• impso miyala chifukwa chogwiritsa ntchito stent mu ureters
• kuchepetsanso kwa mtsempha wamagazi

Zotsatira zoyipa zimaphatikizapo zikwapu ndi khunyu.

Ndi zovuta zochepa zomwe zanenedwa ndi ma stents, koma pamakhala mwayi wochepa thupi lomwe lingakane stent. Vutoli liyenera kukambirana ndi dokotala wanu. Zitsulo zimakhala ndi zida zachitsulo, ndipo anthu ena amakhala osagwirizana ndi zitsulo. Opanga zolimba amalimbikitsa kuti ngati wina ali ndi chidwi ndi chitsulo, sayenera kulandira stent. Lankhulani ndi dokotala wanu kuti mumve zambiri.

Ngati muli ndi vuto lakukha magazi, muyenera kuyesedwa ndi dokotala wanu. Mwambiri, muyenera kukambirana nkhaniyi ndi dokotala wanu. Amatha kukupatsirani zidziwitso zaposachedwa kwambiri zokhudzana ndi nkhawa zanu.

Nthawi zambiri, kuopsa kosapeza stent kumachuluka kuposa zomwe zimachitika chifukwa chopeza chimodzi. Kutaya magazi pang'ono kapena zotseka zotsekedwa kumatha kubweretsa zovuta zoyipa komanso zowopsa.

Kodi chimachitika ndi chiyani atayika stent?

Mutha kumva kuwawa pamalo obowolera. Omwe atontholetsa ululu atha kuchiza izi. Dokotala wanu angakupatseni mankhwala oletsa antagagant kuti musagundane.

Dokotala wanu akufuna kuti mukhale mchipatala usiku wonse. Izi zimathandizira kuti pasakhale zovuta. Mungafunike kukhala nthawi yayitali ngati mungafune stent chifukwa cha zochitika zamtsogolo, monga matenda amtima kapena sitiroko.

Mukabwerera kunyumba, imwani madzi ambiri ndikuletsa zolimbitsa thupi kwakanthawi. Onetsetsani kuti mukutsatira malangizo onse a dokotala.