Ukuhlinzwa komthambo weCarotid - kuvulekile

Ukuhlinzwa komthambo weCarotid kuyindlela yokwelapha isifo semithambo ye-carotid.

Umthambo we-carotid uletha igazi elidingekayo ebuchosheni bakho nasebusweni. Unenye yale mithambo ohlangothini ngalunye entanyeni yakho. Ukugeleza kwegazi kulo mthambo kungavimba noma kuvinjwe ngokuphelele izinto ezinamafutha ezibizwa ngokuthi i-plaque. Lokhu kunganciphisa ukunikezwa kwegazi ebuchosheni bakho futhi kubangele isifo sohlangothi.

Ukuhlinzwa komthambo weCarotid kwenziwa ukubuyisela ukugeleza kwegazi okufanele ebuchosheni. Kunezinqubo ezimbili zokwelapha umthambo we-carotid one-plaque buildup kuwo. Lo mbhalo ugxile ekuhlinzeni okubizwa nge-endarterectomy. Enye indlela ibizwa nge-angioplasty ngokubekwa okunamandla.

Ngesikhathi se-carotid endarterectomy:

• Uthola i-anesthesia ejwayelekile. Ulele futhi awunazinhlungu. Ezinye izibhedlela zisebenzisa i-anesthesia yendawo kunalokho. Ingxenye yomzimba wakho okusetshenzwa kuyo kuphela enamazinyo ngomuthi ukuze ungezwa buhlungu. Unikezwa nomuthi ozokusiza uphumule.
• Ulele ngomhlane etafuleni lokusebenza ikhanda lakho liphendukele kolunye uhlangothi. Uhlangothi umthambo wakho ovinjelwe we-carotid ulapha ebusweni.
• Udokotela ohlinzayo usika (ukusika) entanyeni yakho phezu komthambo wakho we-carotid. Ishubhu eliguquguqukayo (ipayipi) lifakwa emthanjeni. Igazi ligeleza nge-catheter ezungeze indawo evinjiwe ngesikhathi sokuhlinzwa.
• Umthambo wakho we-carotid uyavulwa. Udokotela ohlinzayo ususa uqwembe olungaphakathi emthanjeni.
• Ngemuva kokukhishwa koqwembe, umthambo uvalwa ngemithungo. Igazi manje seligeleza emthanjeni liye ebuchosheni bakho.
• Umsebenzi wenhliziyo yakho uzobhekwa eduze ngesikhathi sokuhlinzwa.

Ukuhlinzwa kuthatha cishe amahora amabili. Ngemuva kwenqubo, udokotela wakho angenza isivivinyo ukuqinisekisa ukuthi umthambo uvuliwe.

Le nqubo yenziwa uma udokotela wakho ethole ukuncipha noma ukuvinjelwa emthanjeni wakho we-carotid. Umhlinzeki wakho wezokunakekelwa kwempilo uzobe enze isivivinyo esisodwa noma eziningi ukubona ukuthi umthambo we-carotid uvinjelwe kangakanani.

Ukuhlinzwa ukususa i-buildup emthanjeni wakho we-carotid kungenziwa uma umthambo uncishiswe ngaphezu kwe-70%.

Uma ngabe ushaywe unhlangothi noma ukulimala kobuchopho okwesikhashana, umhlinzeki wakho uzobheka ukuthi ukwelapha umthambo wakho ovinjiwe ngokuhlinzwa kuphephile yini kuwe.

Ezinye izindlela zokwelashwa umhlinzeki wakho azoxoxa ngazo nawe yilezi:

• Akukho ukwelashwa, ngaphandle kokuhlolwa kokuhlola umthambo wakho we-carotid minyaka yonke.
• Imithi nokudla ukwehlisa i-cholesterol yakho.
• Imithi yokuncipha igazi ukunciphisa ingozi yokushaywa unhlangothi. Eminye yale mithi i-aspirin, i-clopidogrel (i-Plavix), i-dabigatran (i-Pradaxa), ne-warfarin (i-Coumadin).

I-Carotid angioplasty ne-stenting kungenzeka isetshenziswe lapho i-carotid endarterectomy ingeke iphephe.

Izingozi ze-anesthesia yilezi:

• Ukungezwani komzimba nemithi
• Izinkinga zokuphefumula

Izingozi zokuhlinzwa kwe-carotid yilezi:

• Amahlule egazi noma opha ebuchosheni
• Ukulimala kobuchopho
• Isifo senhliziyo
• Ukuvinjelwa okwengeziwe komthambo we-carotid ngokuhamba kwesikhathi
• Ukuquleka
• Unhlangothi
• Ukuvuvukala eduze kwendlela yakho yomoya (ithubhu ophefumula ngalo)
• Ukutheleleka

Umhlinzeki wakho uzokwenza ukuhlolwa okuphelele komzimba futhi a-oda izivivinyo eziningi zezokwelapha.

Tshela umhlinzeki wakho ukuthi yimiphi imishanguzo oyiphuzayo, ngisho nemithi, izithasiselo, noma amakhambi owathengile ngaphandle kwemithi kadokotela.

Phakathi namasonto ama-2 ngaphambi kokuhlinzwa kwakho:

• Ezinsukwini ezimbalwa ngaphambi kokuhlinzwa, kungadingeka ukuthi uyeke ukusebenzisa imishanguzo yokunciphisa igazi. Lokhu kufaka phakathi i-aspirin, ibuprofen (Advil, Motrin), clopidogrel (Plavix), naprosyn (Aleve, Naproxen), nezinye izidakamizwa ezifana nalezi.
• Buza umhlinzeki wakho ukuthi imiphi imithi okufanele uyithathe ngosuku lokuhlinzwa kwakho.
• Uma ubhema, udinga ukuyeka. Cela umhlinzeki wakho akusize uyeke.
• Tshela umhlinzeki wakho nganoma yikuphi ukubanda, umkhuhlane, umkhuhlane, ukuphuma kwe-herpes, noma okunye ukugula ongaba nakho ngaphambi kokuhlinzwa kwakho.

Landela imiyalo yokuthi ungakuyeka nini ukudla nokuphuza ngaphambi kokuhlinzwa.

Ngosuku lokuhlinzwa kwakho:

• Thatha noma imiphi imithi umhlinzeki wakho ayinikeziwe ngesiphuzo esincane samanzi.
• Landela imiyalo yokuthi uzofika nini esibhedlela. Qiniseka ukuthi ufika ngesikhathi.

Ungase ube nomsele odonsa entanyeni yakho ongena ekusikeni kwakho. Izokhipha uketshezi olwakha endaweni. Izosuswa kungakapheli usuku.

Ngemuva kokuhlinzwa, umhlinzeki wakho angafuna ukuthi uhlale esibhedlela ubusuku bonke ukuze abahlengikazi bakwazi ukukubheka nganoma yiziphi izimpawu zokopha, ukushaywa unhlangothi, noma ukugeleza kwegazi okungahambi kahle ebuchosheni bakho. Ungahle ukwazi ukuya ekhaya ngalo lolo suku uma ukuhlinzwa kwakho kwenziwa kusenesikhathi futhi wenza kahle.

Landela imiyalo yokuthi ungazinakekela kanjani ekhaya.

Ukuhlinzwa komthambo weCarotid kungasiza ekwehliseni amathuba okuba nesifo sohlangothi. Kepha kuzodingeka wenze izinguquko kwendlela yokuphila ukusiza ukuvimbela ukwakheka kocwecwe, amahlule egazi, nezinye izinkinga emithanjeni yakho ye-carotid ngokuhamba kwesikhathi. Ungadinga ukushintsha indlela odla ngayo bese uqala uhlelo lokuzivocavoca umzimba, uma umhlinzeki wakho ekutshela ukuthi ukuvivinya umzimba kuphephile kuwe. Kubalulekile futhi ukuyeka ukubhema.

I-Carartid endarterectomy; Ukuhlinzwa kwe-CAS; Carotid artery stenosis - ukuhlinzwa; I-Endarterectomy - umthambo we-carotid

• Ukubekwa kwe-Angioplasty kanye ne-stent - umthambo we-carotid - ukukhishwa
• Izidakamizwa ze-antiplatelet - P2Y12 inhibitors
• I-Aspirin nesifo senhliziyo
• Ibhotela, imajarini namafutha okupheka
• Ukuhlinzwa komthambo weCarotid - ukukhipha
• Cholesterol nendlela yokuphila
• I-cholesterol - ukwelashwa kwezidakamizwa
• Ukulawula umfutho wegazi ophakeme
• Kuchazwe amafutha ezokudla
• Amathiphu okudla okusheshayo
• Uwafunda kanjani amalebula okudla
• Ukudla kwaseMedithera
• Ukushaywa unhlangothi - ukukhishwa
• Ukunakekelwa kwesilonda sokuhlinzwa - kuvulekile

• I-Carotid stenosis - i-X-ray yomthambo wesobunxele
• I-Carotid stenosis - i-X-ray yomthambo ofanele
• Izinyembezi zomzimba emthanjeni wangaphakathi we-carotid
• I-atherosclerosis yomthambo wangaphakathi we-carotid
• Ukwakhiwa kwe-plaque ye-Arterial
• Ukuhlinzwa komthambo weCarotid - uchungechunge

U-Arnold M, uPerler BA. I-Carartid endarterectomy. Ku: Sidawy AN, Perler BA, ama-eds. Rutherford’s Vascular Surgery and Endovascular Therapy. Umhlaka 9. IPhiladelphia, PA: Elsevier; 2019: isahluko 91.

UBiller J, uRuland S, uSchneck MJ. Ischemic isifo se-cerebrovascular. KuDaroff RB, uJankovic J, Mazziotta JC, Pomeroy SL, ama-eds. I-Neurology kaBradley ekwenziweni kwemitholampilo. Umhla wesi-7. IPhiladelphia, PA: Elsevier; 2016: isahluko 65.

UBrott TG, uHalperin JL, u-Abbara S, et al. 2011 ASA / ACCF / AHA / AANN / AANS / ACR / ASNR / CNS / SAIP / SCAI / SIR / SNIS / SVM / SVS umhlahlandlela wokuphathwa kweziguli ezine-extracranial carotid ne-vertebral artery disease: isifinyezo esiphezulu: umbiko waseMelika I-College of Cardiology Foundation / American Heart Association Task Force on Guidelines Practice, kanye neAmerican Stroke Association, American Association of Neuroscience Nurses, American Association of Neurological Surgeons, American College of Radiology, American Society of Neuroradiology, Congress of Neurological Surgeons, Society of Atherosclerosis Ukufanekisa Nokuvimbela, I-Society for Cardiovascular Angiography and Interventions, Society of Interventional Radiology, Society of NeuroInterventional Surgery, Society for Vascular Medicine, kanye ne Society for Vascular Surgery. Ithuthukiswe ngokubambisana ne-American Academy of Neurology kanye ne Society of Cardiovascular Computed Tomography. I-Catheter Cardiovasc Isikhawu. 2013; 81 (1): E76-E123. I-PMID: 23281092 pubmed.ncbi.nlm.nih.gov/23281092/.

UBrott TG, uHoward G, uRoubin GS, et al. Imiphumela yesikhathi eside yokuqothula ne-endarterectomy ye-carotid-artery stenosis. N Engl J Med. 2016; 374 (11): 1021-1031. I-PMID: 26890472 pubmed.ncbi.nlm.nih.gov/26890472/.

IHolscher CM, i-Abularrage CJ. I-Carartid endarterectomy. Ku: UCameron AM, uCameron JL, ama-eds. Ukwelashwa Kwamanje. Umhlaka 13. IPhiladelphia, PA: Elsevier; 2020: 928-933.