Ukukhipha i-Buildup ye-Plaque ku-Carotid Artery
I-endarterectomy ye-carotid (i-ROT-id END-ar-ter-EK-to-me), eyaziwa nangokuthi i-CEA, iyindlela yokwelapha isifo se-carotid . Isusa i-plaque (plak) eyakhelwe emthini we-carotid. Lesi sihloko se-plaque saziwa ngokuthi i-atherosclerosis. Ukuhlinzwa kwenziwa kumaziguli anamaphesenti angaba ngu-70 avaliwe emshini wawo ukuze avimbele ukushaywa yisifo.
I-plaque iqukethe amafutha, i-cholesterol, i-calcium, nezinye izinto ezitholakala egazini. Kujwayele ukuqina ( ukuqina kwe-atherosclerosis ) nokunciphisa (stenosis) ngokuhamba kwesikhathi ukuvimbela noma ukuvimbela ukugeleza kwegazi kuya ebuchosheni obangela isifo. Uma i-plaque ngaphakathi kwe-artery carotid iphahlazeka noma iqhuma, izingcezu zamaseli egazi zingase zijoyine ndawonye ukuze zenze ama-blood clots. Ukwakhiwa kwalawa maqabunga egazi kungavimba ngokugcwele noma ngokugcwele umthambo we-carotid futhi kubangele isifo.
I-stroke iyenzeka lapho ukugeleza kwegazi okwe-oksijeni kuvinjelwe ukuba kungena ebuchosheni. Kunezinhlobo ezimbili ze-stroke; i-hemorrhagic ne-ischemic. Imivimbo egazini ibangelwa ukuphuma kwegazi ebuchosheni. Ukushaywa kwe-Ischemic kubangelwa ukuvinjelwa kokugeleza kwegazi ku-artery eholela ebuchosheni. Ukushaywa kwe-Ischemic yiyona ndlela ejwayelekile kakhulu yokushaywa yisifo. Isici esiyinhloko engozini yokushaya ischemic is atherosclerosis ye-artery carotid.
Izimpawu ze-Stroke
Izimpawu zengozi zihlanganisa lokhu okulandelayo:
- Ubunzima bokungazelelwe, ubuthakathaka noma ukukhubazeka kobuso, ingalo noma umlenze
- Ukudideka, inkathazo yokukhuluma noma ukuqonda inkulumo
- Ukuhluleka ukubona kokukodwa noma kokubili amehlo
- Izinkinga zihamba, ukulahlekelwa ukulinganisela noma ukusebenzisana
- Ikhanda elinzima elingenaso isizathu esizwakalayo
I-Carotid Endarterectomy Inqubo
Ngemuva kokuhlinzekwa kwesidumbu sendawo noma jikelele, udokotela ohlinzayo uzokwenza ukuqhuma phambi kwentamo ukuvula umthambo we-carotid, lapho kuvinjelwa khona, bese ususa i-plaque.
Umshini ubuye walungiswa ngeziqu noma i-patch graft, i-patch eyenziwe nge-vein noma impahla yokufakelwa. Kuye ngesilinganiso sokuhlinzwa kanye nempilo yesiguli, iziguli zingashiya ngosuku olufanayo noma ngosuku ngemuva kwenqubo.
Izingozi ze-Carotid Endarterectomy Inqubo
Ngaphandle kwephesenti ye-stenosis, izici ezingozini zokuhlinzwa zifaka lokhu okulandelayo:
- Ubulili
- Uhlobo lwezimpawu zesifo sohlangothi
- Inani lokuvimbela ohlangothini oluphambene
- Isifo sikashukela
Imiphumela ye-Carotid Endarterectomy
Inqubo ye-carotid endarterectomy inganciphisa ingozi yokushaywa izifo ngalabo abagulayo abanomshini obhekene ne-carotid ovalwe noma ovinjiwe noma izimpawu zesifo sokushaya isisu noma i-Ischemic (TIA) esesikhashana. Kunganciphisa ingozi yokushaywa yisifo kubantu abavinjelwe kodwa bengenayo izimpawu zesifo sohlangothi.
Ngemuva kwenqubo, iziguli zinganikezwa imithi yokuvimbela ukuqeda. Lokhu kusiza ukunciphisa ukweqa kwegazi nokunciphisa ingozi yokushaywa yisifo.
Ukunciphisa Ingozi Yokushaya Isisu
Izinyathelo zingathathwa ukuze zinciphise amathuba okuba nemivimbo ezayo. Ukugcina ukudla okunempilo, ukulawula ukucindezeleka kwegazi , ukunciphisa amazinga e-cholesterol , ukulawula amazinga kashukela egazini nokuyeka ukubhema kuyizinye izinyathelo okufanele zithathe.