I-Carotid stenosis iyanciphisa imitha ye-carotid yangaphakathi, imiraro emibini enkulu entanyeni eyenza inxalenye enkulu yegazi kwi-brain.
Iimpawu, izizathu kunye nokuxilongwa kweCarotid Stenosis
I-Carotid umthambo we-stenosis inokubangela ukukhutshwa kwexeshana kwegazi kwiindawo ezithile zobuchopho, kubonakaliswe njengemivimbo encane okanye ukuhlaselwa kwe-ischemic esingaphantsi kwexesha (i-TIAs). Nangona kunjalo, abaninzi abantu abane-starotic carotid abahlali bephefumlelweyo okanye bahlale besemngciphekweni ukubetha ngokukhawuleza ngaphandle kwesixwayiso.
Isizathu esona siqhelo se-carotid stenosis sisifo se-atherosclerosis, esiyinkimbinkimbi yemibhobho. Uxinzelelo lwe-hypertension kunye ne-cholesterol ephezulu inokuba negalelo kwi-atherosclerosis, nangona abanye abantu banelungelo lokwenza le meko kunabanye.
Ukugqithisa kwe-artery carotid kufumaneka ngeendlela eziliqela, kwaye i-carotid duplex ultrasound iyasungulwa.
Ngaba Ufuna unyango lweCarotid Stenosis?
Ukuba unomda we-carotid artery stenosis (i-50-69% yokutyalwa kwamatriyridi e-carotid) kufuneka uqiniseke ukuba ulandelelene kunye nogqirha wakho ukuze uhlolisise ukuba ngaba ufuna ukufumana unyango lokungenelela ngexesha elithile. isigqibo malunga nokuba ungayidingi unyango okanye unyango oluthile luyinkimbinkimbi kwaye luxhomekeka kwizinto eziliqela, kubandakanywa nemeko yeetriyiti kunye nempilo yakho yonke.
Iindlela eziqhelekileyo unyango lwe-carotid stenosis
I-Carotid Endarterectomy
Le yinkqubo eyenziwa ngugqirha osusa i-plastron atherosclerotic ebangela ukunciphisa umthambo we-carotid kwaye ivimbela ukujikeleza kwegazi ngokuqhelekileyo kwisicerethri esingaphathelene ne-carotid yangaphakathi.
Izifundo ezininzi ziye zazimisela ukuba le yindlela ekhuselekileyo yokunyanga i-carotid stenosis.
Iingxaki zeNgxaki zeCarotid Endarterectomy
Njengamathuba amaninzi okuhlinzwa, i-endaro-ceretide endarterectomy inomngcipheko omncinci wokukhupha kunye nokusuleleka. Ngenxa yokuba utyando lwenziwa ngaphakathi kweenqwelo ezenza igazi kwingqondo, kukho umngcipheko omncinci wesifo.
Kukho umngcipheko wokuba nesifo senhliziyo ngexesha okanye emva kokuhlinzwa. Le mngcipheko ingaba ngakumbi kubantu abathile abanezifo zentliziyo eziphambili okanye ezinye izifo eziphambili, kwaye ngoko ke akusiyo wonke umntu umviwa ogqibeleleyo we-endaro-gade endarterectomy.
Ininzi yemingcipheko yokuhlinzwa iyancipha, ngakumbi ukuba ugqirha unamava kunye nohlobo lotyando.
Ukwelashwa kwangaphandle kweCarotid Stenosis: Iinketho ezimbini
Kulo hlobo lwenkqubo, ucingo oluncitshisiweyo olubizwa ngokuba yi-catheter lwangiography lufakwe kwenye yemithambo yegazi emikhulu emzimbeni kwaye ihamba phambili ngokukhawuleza kwimimandla yegazi emininzi yonke indlela eya kwi-artery carotid apho i-stenosis, okanye ilula. Kanye apho, indawo encinci inokwandiswa ingaba i-angioplasty okanye i-stenting.
Iinkqubo zePercutan zineenzuzo ezithile kwi-endarterectomy ye-carotid kuba zingenasiphelo, kwaye ngenxa yokuba zingenziwa phantsi kwe-anesthesia yendawo. Nangona kunjalo, uphando oluninzi lubonise ukuba i-carotid endarterectomy yinkqubo ekhuselekileyo yezigulane ezininzi. Uninzi lwamaziko ogqirha alondoloza unyango olulodwa lwe-carotid artery stenosis kwizigulane ezinomngcipheko omkhulu wokufa kwi-carotid endarterectomy.
Izigulane ezifanele zithole unyango olwenziwa ngandlela-thile kunokuba zenziwe ngonyango lwe-carotid endarterectomy ziquka izigulane ezinezifo zentliziyo eziphambili okanye eziye zenziwa unyango lwe-radiation entanyeni ngexesha lotyando lomhlaza.
Izigulane eziye zanyulwa ngethambo lwangaphambili zingaqwalaselwa kwinkqubo yenkqubo ye-percutaneous esikhundleni se-carotid endarterectomy. Kukho iindlela ezimbini eziphambili zokungenelela okwenziwa okwangoku kwi- carotid stenosis :
- I-Carotid Angioplasty : Kule nkqubo, i-catheter ye-angiography inesibhalane esincinci esincinciweyo esixhomekeke kwisiphakamiso sayo. Emva kokuba i-catheter iqhubekele kwindawo yecyrotidi apho i-stenosis ifumaneka khona, ibhaluni iyancipha ngokukhawuleza kubangela ukuba iindawo ezincinci zesitya zikhule. Ngokuqhelekileyo i-carotid angioplasty iqhutywe kunye nokufakwa kwesigxina .
- I-Carotid Ephazamisayo : I-carotid artery ehambayo yindlela engabonakaliyo eyenziwa yi-stent (ityhuni yentsimbi efana ne-tube). I-stent ifakwe kwi- plaque ye-atherosclerotic ukwenzela ukuzinzisa nokuvumela ukuhamba kwegazi okungcono.
Iingxaki ezinokwenzeka zoPhulo oluPhezulu Iindlela eziqhelekileyo zingaphazamisa ngephutha iziqhekeza zeplate kwaye zenze i- stroke embolic. Ukunyanzelisa i-catheter kunokukhokelela ekugqibeleni komthamo kwaye kubangele ukuphuma kwegazi. Kukho umngcipheko omncinci wokusuleleka.
I-carotid angioplasty inezinga eliphezulu kakhulu lokuphindaphinda kwakhona eliye labikwa kwi-15 pesenti yabantu. Iipesenti ezintlanu zabantu nazo zinokuchaphazeleka ngokuchithwa kwe-carotid. I-carotid artery stents ngamanye amaxesha ingabangela ukubunjwa kwegazi. Kuloo meko, i-endarterectomy ye-carotid ayinakukwazi ukulungisa umonakalo. Uphando olunzulu lwenziwa ngoku ukwenzela ukuvelisa izixhobo kunye nobuchule obukhusela ezi ngxaki.
ILizwi
I-Carotid umthambo we-stenosis udlalwa ngokungaqhelekanga kwaye ufumene ngengozi. Oku kuthetha ukuba kudla ngokufunyanwa ngokusekelwe kwiimvavanyo zokuhlola ngaphambi kokuba kubangele imiphumo emibi. I-Stroke iyona nto ibaluleke kakhulu ngenxa ye-carotid artery stenosis.
Ukuba uye wafumanisa ukuba une-starotic carotid, kubalulekile ukuba ungayihoyi le ngxaki. Unokufuna inkqubo yokungenelela ukunciphisa umngcipheko wecroke, okanye ungadinga ukulandelelana okufutshane kunye ne-ultrasound periodicals ukuhlola ukuzinza kwimeko yakho ngokuhamba kwesikhathi.
> Ukufunda okuqhubekayo:
> I-Carotid endarterectomy ye-carotid stenosis ye-low-grade carotid stenosis, i-Ballotta E, i-Angelini A, i-Mazzalai F, i-Piatto G, i-Toniato A, i-Baracchini C, i-Vasc Surg. 2014 uJan