Imibuzo Yokubuza Udokotela Wakho
Sonke sizwile ukuthi izidakamizwa ze-cardiologists zifaka ama- stents amaningi kakhulu kwiziguli ezine- coronary artery disease (CAD) . Futhi iqiniso liwukuthi lokhu kwenzeka kaningi kunalokho esingathanda ukukucabanga.
Ngakho kufanele wenzeni uma udokotela wakho ethi udinga i-stent? Ungomunye walabo bantu abadinga ngempela i-stent - noma kufanele udokotela wakho akhulume nawe mayelana nokwelapha kwezokwelapha esikhundleni?
Uma udokotela wakho ekutshela ukuthi udinga i-stent, cishe uzozama ukuchaza ukuthi kungani. Kodwa inkinga ingaba yinkimbinkimbi, futhi udokotela wakho angase angacacile ngokuphelele ekuchazeni kwakhe. Futhi ungase ukhunjiswe kakhulu yizindaba ukuthi udinga i-stent ukuze ugxile ngokuphelele kulokho okutshelwa khona.
Ngenhlanhla, uma udokotela wakho ethi udinga i-stent, kunezinkinga ezintathu ezilula ongazibuza ukuthi yini ezokutshela okudingayo ngempela. Uma ubuza le mibuzo emithathu, umela ithuba elingcono kakhulu lokuthola i-stent kuphela uma udinga ngempela.
Umbuzo owodwa: Ingabe Nginokuhlasela Kwezinhliziyo?
Uma usezigaba zokuqala zenhliziyo, ukufakwa ngokushesha kwe-stent kungamisa umonakalo wenhliziyo yakho, futhi kungasiza ukunciphisa amathuba okukhubazeka noma ukufa kwenhliziyo. Uma impendulo yalo mbuzo ingu "yebo," ke i-stent ingumqondo omuhle kakhulu.
Asikho isidingo sokuqhubeka kuMbuzo wesibili.
- Funda mayelana nezibonakaliso zesifo senhliziyo.
- Funda mayelana nokuthi ungaphila kanjani isifo senhliziyo.
Umbuzo Wesibili: Ingabe Nginakho Angina Angenakho?
I-angina engazinzile , njengenhliziyo yangempela yokuhlaselwa kwenhliziyo, ifomu le- acon coronary syndrome (ACS) - ngakho-ke kufanele kubhekwe njengesimo esiphuthumayo sezokwelapha. Ukufakwa kokuqala kwe-stent kungasimisa i- plaque ephukile eveza ukuphuthumayo futhi ingathuthukisa umphumela wakho.
Uma impendulo yalo mbuzo ingu "yebo," ukubeka i-stent cishe kuyinto efanele ukuyenza. Asikho isidingo sokuqhubeka kuMbuzo Wesithathu.
Umbuzo Wesithathu: Awunakho Ukwelapha Kwezokwelapha Engingazama Kokuqala?
Uma ufika kuMbuzo Wesithathu, kusho ukuthi awunayo i-heart attack attack noma angina engaqiniseki. Ngamanye amazwi, kusho ukuthi une-CAD ezinzile. Ngakho-ke, okungenani, ukubeka i-stent akuyona into edinga ukuyenza ngokushesha. Unesikhathi sokucabanga ngakho, futhi ucabangele izinketho zakho.
Ziyiziguli ezine-CAD ezizinzile ezithi, ngokusho kobufakazi obungcono kakhulu obukhona emtholampilo, zithola ama-stents amaningi kakhulu. E-CAD ezinzile, ama-stents enza kahle kakhulu ekukhululeni i- angina , kodwa ayivimbeli ukuhlaselwa kwenhliziyo noma ukunciphisa ingozi yokufa kwenhliziyo. Ngakho-ke, isizathu esihle kuphela sokufaka ama-stents kubantu abane-CAD esinqabile ukukhulula i-angina ephikisayo lapho ukwelashwa okunamandla nemithi ehluleka ukwenza kanjalo.
Indlela Ehle Kunazozonke Ze-Stable CAD
Ukwelashwa okungcono kunazo zonke abantu abane-CAD esitebeleni kuthatha zonke izinyathelo ezitholakalayo zokuzinzisa izikhala emigqumeni ye-coronary - okungukuthi, ukugcina amacwecwe avela ku-rupturing. (Kungukuqhekeka kwe-plaque eyenza i-ACS kuqala).
Ukuqiniswa kwamapulanka kudinga ukulawulwa kwe- cholesterol , ukucindezeleka kwegazi , nokuvuvukala, ukubhema , ukuzivocavoca njalo, nokwenza ukugudluza kancane. Ukwelashwa kwezidakamizwa ezinonya kuzokufaka i- aspirin , izitembu , izivimbela ze- beta , kanye nemithi yegazi (uma kudingekile). Uma une-angina, enezela i-nitrate, i- calcium channel blockers , kanye / noma i- ranolazine ngokuvamile izolawula izimpawu.
Uma u-angina wakho ephikelela naphezu kwaloluhlobo lwezokwelapha ezilukhuni, ngakho-ke, nakanjani, i-stent yinto okufanele ihlolwe ngokujulile. Kodwa khumbula ukuthi i-stent ithinta kuphela i-plaque ethile nokuthi abantu abaningi abane-CAD banezinhlamvu eziningana.
Ngaphezu kwalokho, nakuba iningi lala macwecwe libhekwa "lingabalulekile" ngamanyathelo omdabu (njengoba engenzi ukuvimba okuningi emthonjeni), manje kubonakala sengathi iningi lamacala e-ACS lenzeke uma enye yalezi "plaque ezingenasidingo" iqhuma ngokuzumayo.
Lokhu kusho ukuthini ukuthi, noma ngabe usuqeda ukuthola i-stent ye-CAD yakho ezinzile, usazodinga ukwelashwa okunamandla ukwelashwa ukuvimbela ukuphuka kwesinye salezo "ezinye" izigcawu, "ezingabalulekanga", lezo izazi ze-cardiologists eziningi zingase zibonise inzalo encane noma engekho.
Isifingqo
Uma utshelwe ukuthi udinga i-stent, ungasheshe ubone ukuthi udinga kangakanani, uma kunjalo, ngokubuza imibuzo emithathu elula. Le mibuzo ilula kakhulu udokotela wakho ukuba aphendule - ngokujwayelekile ngebobo elula noma cha - ukuthi ngeke kube nesisulu sokuthi akakwazanga ukuthatha nabo.
Kodwa uma kuvela ukuthi unayo i-CAD ezinzile, ngakho-ke i-stent okungenani ayiyona esiphuthumayo, unecala lokuxoxa ngokugcwele mayelana nezinketho zakho zokwelapha ngaphambi kokuba ucindezeleke ku-stent.
> Umthombo:
> Fihn SD, Gardin JM, Abrams J, et al. Umhlahlandlela we-ACCF / AHA / ACP / AATS / PCNA / SCAI / STS we-Diagnosis and Management of Iziguli ezine-Stable Ischemic Heart Disease: Umbiko we-American College of Cardiology Foundation / i-American Heart Association Task Force on Guidelines Practice, kanye ne-American I-College of Physicians, i-American Association ye-Thoracic Surgery, i-Preventive Cardiovascular Association Association, Society for Cardiovascular Angiography and Interventions, kanye neNhlangano Yezifo Ezihlinzayo Zezintambo. Ukujikeleza ngo-2012; 126: e354.