3 Imibuzo Yokubuza Ugqirha Wakho
Sonke sivile izibango zokuthi i-cardiologists ifaka izigulane ezininzi kwizigulane ezinezonyango zomzimba (CAD) . Yaye inyaniso kukuba oku kwenzeka rhoqo kaninzi kunokuba sifuna ukucinga.
Ngoko ke kufuneka uyenze ntoni xa ugqirha wakho athi ufuna i-stent? Ngaba ungomnye walabo bantu bafuna i-stent - okanye ngaba ugqirha wakho kufuneka akhulume nawe malunga neyeza lonyango endaweni yoko?
Ukuba ugqirha wakho akuxelela ukuba ufuna i-stent, mhlawumbi uya kuzama ukuchaza isizathu. Kodwa umba ungaba nzima, kwaye ugqirha wakho akakwazi ukucaca ngokucacileyo kwingcaciso yakhe. Kwaye unokuba unqabile kakhulu ngeendaba ezifunekayo ukuba ugxininise ngokupheleleyo kwizinto oxelelwa ngazo.
Ngethamsanqa, ukuba ugqirha wakho uthi ufuna i-stent, kukho imibuzo emithathu elula ongayibuza yona okuza kukuxelela oko ufuna ngokwenene ukwazi. Ukuba ubuza le mibuzo emithathu, umele ithuba elingcono lokufumana i-stent kuphela ukuba ufuna ngokwenene.
Umbuzo Wokuqala: Ngaba Ngaba Ndiya Kuhlasela Intliziyo?
Ukuba usemagqabaleni okuqala okuhlaselwa kwintliziyo, ukufakwa kwangoku kwintsimbi kunokumisa umonakalo entliziyweni yakho, kwaye kunokunceda ukunciphisa amathuba okuba ukhubazekile okanye usweleke. Ukuba impendulo yalo mbuzo ngu "ewe," ngoko i-stent yinto efanelekileyo kakhulu.
Akukho mfuneko yokuqhubeka noMbuzo wesiBini.
Umbuzo Webini: Ingaba Anginakho Angina?
I-angina engaqinisekanga , njengento yokuhlasela kwentliziyo, yindlela ye -coronary syndrome (ACS) . Ukufakwa kwangaphambili kwe-stent kunokuzinzisa i- plaque ephukile evelisa ingxamiseko kwaye inokuphucula umphumo wakho.
Ukuba impendulo yalo mbuzo kukuba "ewe," ukubeka i-stent yinto enokuyenza. Akukho mfuneko yokuqhubeka noMbuzo wesiThathu.
Umbuzo Wesithathu: Ngaba Akukho Lonyango Lonyango Ndingalinga Lona?
Ukuba ufika kumbuzo wesithathu, kuthetha ukuba awunayo i-heart attack attack okanye angina engaqinisekanga. Ngamanye amagama, kuthetha ukuba unayo iCAD ezinzile. Ngoko, ubuncinci, ukubeka i-stent ayikho into efuna ukuyenza ngokukhawuleza. Unayo ixesha lokucinga ngalo, kwaye uqwalasele izinto ozikhethayo.
Zizigulane ezine-CAD ezizinzile ezithi, ngokubhekiselele kubungqina beklinikhi obuhle, zifumana amaninzi kakhulu. Kwi-CAD enesigxina, i-stents ibe yinto enhle kakhulu ekunciphiseni i- angina , kodwa ayiyikuthintela ukuhlaselwa kwentliziyo okanye ukunciphisa umngcipheko wokufa kwentliziyo. Ngoko, isizathu esona sizathu esihle sokufaka ama-stents kubantu abane-CAD ezinzileyo kukunciphisa i-angina eqhubekayo xa unyango olunefuthe ngamachiza ehluleka ukwenza njalo.
Indlela Eyona Ngcono kwiCAD esebenzayo
Unyango olungcono kakhulu kubantu abane-CAD ezinzile kukuthatha zonke izinyathelo ezikhoyo ukuzinzisa iiplati kwiimitha ze-coronary - oko kukuthi, ukugcina iiplathi zisuka kwi-rupturing. (Kuphazamiseka kweplate eyenza i-ACS kwindawo yokuqala).
Ukubeka i-stabilizing plaques kudinga ukulawulwa kwe- cholesterol , uxinzelelo lwegazi , kunye nokuvuvukala, ukungabikho ukutshaya , ukuzivocavoca rhoqo, kunye nokwenza u-clotting. Ulwaphulo olunonyango lweziyobisi luya kubandakanya i- aspirin , i- statins , i- blocka blockers , kunye neyeza zonyango lwegazi (xa kuyimfuneko). Ukuba u-angina, ungeze iitrates, i- calcium channel blockers , kunye / okanye i- ranolazine kuya kudla ukulawula iimpawu.
Ukuba i-angina yakho iqhubeka nolu hlobo lonyango olunonyango, ngoko ke, ngeendlela zonke, i-stent yinto ekufuneka iqwalaselwe ngamandla. Kodwa gcinani engqondweni ukuba i-stent isebenzela kuphela i-plaque ethile kwaye abantu abaninzi abane-CAD banamaqela amaninzi.
Ukongezelela koko, ngelixa amaninzi ala mapalathi acingelwa "angabalulekanga" ngamanyathelo omdabu (kuba avelanga ukukhutshwa okukhulu emthonjeni), ngoku kubonakala ukuba uninzi lweziganeko ze-ACS zivela xa enye yale "ipali" ingabonakaliswa ngokukhawuleza.
Oko kuthetha ukuthini ukuba, nokuba ungagqiba ukufumana i-stent yeCAD yakho ezinzile, usasafuna unyango lwezonyango olukhuselekileyo ukukhusela ukuphuka komnye wale "ezinye" iiplati, "ezingabalulekanga", ezo Uninzi lwezinto ze-cardiologists zingachaza okanye zingenamdla.
Isishwankathelo
Ukuba uxelelwa ukuba udinga i-stent, unokukhawuleza ukugqiba ukuba ufuna kangakanani, nokuba kunjalo, ngokubuza imibuzo emithathu elula. Le mibuzo ilula kakhulu ukuba ugqirha wakho uphendule - ngokuqhelekileyo ngo-ewe ewe okanye hayi-ukuba akuyi kuba netyala lokuba ungeke uwathathe kunye nawe.
Kodwa ukuba kuvela ukuba unayo i-CAD enesigxina, kwaye ngoko ke i-stent yinto engxamisekileyo ingeyoxakeka, unetyala epheleleyo ngengxoxo malunga nazo zonke iinketho zakho zokonyango ngaphambi kokuba ucindezeleke kwi-stent.
> Umthombo:
> Fihn SD, Gardin JM, Abrams J, et al. I-ACCF / AHA / ACP / AATS / PCNA / SCAI / STS Isikhokelo soLwazi kunye nokuLawula izigulane ezineSifo seSikimicic Heart Heart: Ingxelo ye-American College of Cardiology Foundation / i-American Heart Association Umsebenzi wamaKhokelo kwiZiCwangciso zokuSebenza, kunye neMelika Ikholeji yamaGqirha, i-American Association ye-Thoracic Surgery, i-Preventive Cardiovascular Association Association, uMbutho we-Cardiovascular Angiography kunye neNongenelelo, kunye noMbutho weeNgcali zeTriracic. Ukuhamba ngo-2012; 126: e354.