Ngokususa i-Buildup ye-Plaque kwiArtery Carotid
Endarterectomy ye-carotid (nge-ROT-id END-ar-ter-EK-to-me), eyaziwa nangokuthi yi-CEA, yinkqubo yophando yokunyanga isifo se-carotid . Isusa i-plaque (i-plak) eyakhelwe kwi-artery carotid. Esi sihloko se-plaque saziwa ngokuba yi-atherosclerosis. Ugqirha lwenziwe kwizigulane ezingaphezu kwama-70 ekhulwini ezikhuselekileyo kwi-artery yazo ukwenzela ukukhusela isifo.
I-Plaque yenziwe ngamanqatha, i-cholesterol, i-calcium kunye nezinye izinto ezifumaneka egazini. Kuhlala kunzima (i- atherosclerosis ) kunye nomncinci (stenosis) ngokukhawuleza kwexesha okanye ukuvimba ukuhamba kwegazi ukuya kwingqondo ebangela ukubetha. Ukuba i-plaque ngaphakathi kwe-artery carotid iyaqhekeka okanye iyaqhaqhaza, iinqununu zeeseli zegazi zingabamba ndawonye ukuze zenze amacandelo egazi. Ukubunjwa kwala macala egazi kungabinqanda ngokukhawuleza okanye kuphephe ngokupheleleyo umthambo we-carotid.
I-stroke iyenzeka xa ukuphuma kwegazi okwi-oksijeni ekhuselekile ukuba ingangeni kwindawo yengqondo. Kukho iintlobo ezimbini ze-stroke; i-hemorrhagic kunye ne-ischemic. Izibetho ezinobungozi zibangelwa ukuphuma kwegazi kwingqondo. Izibetho ze- Iskemik zibangelwa ukukhutshwa kwegazi kwi-artery ekhokelela kwingqondo. Imivimbo yeShekemikhali iyona hlobo oluqhelekileyo lwe-stroke. Ingozi ebalulekileyo yengozi ye-ischemic i-atherosclerosis yamarridi e-carotid.
Iimpawu zeStroke
Iimpawu zokubetha ziquka ezi zilandelayo:
- Ukuphazamiseka ngokukhawuleza, ubuthathaka okanye ukukhubazeka kobuso, ingalo okanye umlenze
- Ukudideka, ingxaki yokuthetha okanye ukuqonda intetho
- Ukungakwazi ukubona kwelinye okanye zombini amehlo
- Iingxaki zihamba, ilahleko yokulinganisela okanye ukulungelelanisa
- Intloko enzima engenakho isizathu
Inkqubo yeCarotid Endarterectomy
Emva kokuba i-anesthetic yendawo okanye jikelele ilawulwa, ugqirha uya kwenza i-incision phambi kwentamo ukuvula umzobo we-carotid, apho uvimba khona, kwaye ususe i-plaque.
Umthamo ubuyilungiswa kunye neziqu okanye i-graft graft, isiqwenga esenziwe ngethambo okanye izinto zokufakelwa. Ngokuxhomekeke kumlinganiselo wokuhlinzwa kunye nempilo yesigulane, izigulana zingashiya ngosuku olufanayo okanye ngosuku emva kwenkqubo.
Izingozi zeCarotid Endarterectomy Inkqubo
Ukongeza kwipesenteji ye-stenosis, izinto ezinobungozi bokuhlinzwa ziquka ezi zilandelayo:
- Ngesini
- Uhlobo lweempawu zesifo
- Isixa sokuvalwa kwinqanaba
- Sikashukela
Iziphumo zeCarotid Endarterectomy
Inkqubo ye-carotid endarterectomy inokunciphisa umngcipheko wokubethelwa kwezigulane ezigulane okanye ezinqatshelwe i-carotid umzobo okanye iimpawu zokubetha okanye ukuhlaselwa kwe-ischemic (TIA). Inokunciphisa umngcipheko wokubethwa kwesibalo kubantu abathintekayo kodwa bengenayo impawu zecroke.
Emva kwenkqubo, izigulane zinokunikezelwa ngamachiza okukhusela ukunqanda. Oku kunceda ukunciphisa i-blood clotting kunye nokunciphisa ingozi yokubetha.
Ukunciphisa Ubungozi beStroke
Amanyathelo angathathwa ukuze aphuculwe ngakumbi amathuba okuba nemivimbo ezayo. Ukugcina ukutya okunempilo, ukulawula uxinzelelo lwegazi , ukunciphisa amazinga e-cholesterol , ukulawula izinga lokushukela kwegazi kunye nokuyeka ukutshaya.