Ukuqina: Kungani Kusetshenziswa Futhi Kusetshenziswa Kanjani

-Delile

• Kungani ngidinga i-stent?
• Ngisilungiselela kanjani istent?
• I-stent yenziwa kanjani?
• Yiziphi izinkinga ezihambisana nokufaka i-stent?
• Kwenzekani ngemuva kokufakwa kwe-stent?

Yini i-stent?

I-stent yishubhu elincane udokotela wakho angalifaka ephaseji elivinjelwe ukuligcina livulekile. I-stent ibuyisa ukugeleza kwegazi noma olunye uketshezi, kuya ngokuthi lubekwe kuphi.

Ama-stents enziwe ngensimbi noma ngepulasitiki. Ubuciko be-stent bangama-stents amakhulu asetshenziselwa imithambo emikhulu. Kungenzeka zenziwe ngendwangu ekhethekile. Ama-stents nawo angafakwa ngemithi ukusiza ukugcina umthambo ovinjiwe ekuvaleni.

Kungani ngidinga i-stent?

Ama-stents ngokuvamile adingeka lapho i-plaque ivimba isitsha segazi. Uqwembe lwenziwa nge-cholesterol nezinye izinto ezinamathela ezindongeni zomkhumbi.

Ungadinga i-stent ngesikhathi senqubo ephuthumayo. Inqubo yezimo eziphuthumayo ivame kakhulu uma umthambo wenhliziyo obizwa nge-coronary artery uvinjelwe. Udokotela wakho uzoqala ukubeka ipayipi emthanjeni we-coronary ovinjiwe. Lokhu kuzobavumela ukuthi benze ibhaluni angioplasty ukuvula ukuvimba. Bazobe sebebeka i-stent emthanjeni ukugcina umkhumbi uvulekile.

Ama-stents angasiza futhi ukuvimbela ama-aneurysms ekuqhekekeni kobuchopho bakho, i-aorta, noma eminye imithambo yegazi.

Ngaphandle kwemithambo yegazi, ama-stents angavula noma iyiphi yalezi zindlela ezilandelayo:

• ama-bile ducts, okuyizibhubhu ezithwala inyongo ziye noma zivela ezithweni zokugaya ukudla
• i-bronchi, okuyindlela encane yomoya emaphashini
• ama-ureters, okuyizibhubhu ezithwala umchamo kusuka ezinso uye esinyeni

La mashubhu angavinjwa noma onakaliswe njengoba nje nemithambo yegazi ingenza.

Ngisilungiselela kanjani istent?

Ukulungiselela i-stent kuya ngohlobo lwe-stent elisetshenziswayo. Nge-stent efakwe esitsheni segazi, uzovame ukulungiselela ngokuthatha lezi zinyathelo:

• Tshela udokotela wakho nganoma iziphi izidakamizwa, amakhambi, noma izithako ozithathayo.
• Ungathathi noma imiphi imithi eyenza kube nzima ngegazi lakho ukuminyana, njenge-aspirin, i-clopidogrel, ibuprofen, ne-naproxen.
• Landela imiyalo kadokotela wakho nganoma imuphi omunye umuthi okufanele uyeke ukuwudla.
• Yeka ukubhema uma ubhema.
• Yazisa udokotela wakho nganoma yikuphi ukugula, kufaka phakathi umkhuhlane ovamile noma umkhuhlane.
• Ungaphuzi amanzi noma olunye uketshezi ngobusuku obandulela ukuhlinzwa kwakho.
• Thatha noma imiphi imishanguzo udokotela wakho akunika yona.
• Fika esibhedlela unesikhathi esiningi sokulungiselela ukuhlinzwa.
• Landela noma imiphi eminye imiyalelo udokotela wakho akunikeza yona.

Uzothola umuthi oyindikimba esizeni sokusikwa. Uzothola nemithi efakwa emthanjeni (IV) ukukusiza uphumule ngesikhathi senqubo.

I-stent yenziwa kanjani?

Kunezindlela eziningana zokufaka i-stent.

Udokotela wakho uvame ukufaka i-stent esebenzisa inqubo encane yokuhlasela. Bazokwenza imbobo encane futhi basebenzise ipayipi lokuhambisa amathuluzi akhethekile ngemithambo yakho yegazi ukufinyelela endaweni edinga i-stent.Lokhu kuqunjwa kuvame ukuba semgodini noma engalweni. Elinye lalawo mathuluzi lingaba nekhamera ekugcineni ukusiza udokotela wakho aqondise i-stent.

Ngesikhathi senqubo, udokotela wakho angasebenzisa futhi inqubo yokuthwebula ebizwa nge-angiogram ukusiza ukuhola i-stent emkhunjini.

Usebenzisa amathuluzi adingekayo, udokotela wakho uzothola umkhumbi ophukile noma ovinjiwe bese efaka i-stent. Ngemuva kwalokho bazosusa izinsimbi emzimbeni wakho bese bevala imbobo.

Yiziphi izinkinga ezihambisana nokufaka i-stent?

Noma iyiphi inqubo yokuhlinzwa inezingozi. Ukufaka i-stent kungadinga ukufinyelela emithanjeni yenhliziyo noma yobuchopho. Lokhu kuholela engozini eyengeziwe yemiphumela emibi.

Izingozi ezihambisana nokubamba zihlanganisa:

• ukusabela okweqile emithini noma kudayi asetshenziswe kwinqubo
• izinkinga zokuphefumula ngenxa ye-anesthesia noma ukusebenzisa i-stent ku-bronchi
• ukopha
• ukuvinjelwa komthambo
• amahlule egazi
• isifo senhliziyo
• ukutheleleka komkhumbi
• amatshe ezinso ngenxa yokusebenzisa i-stent kuma-ureters
• ukuncipha kabusha komthambo

Imiphumela emibi ejwayelekile ifaka imivimbo nokuquleka.

Zimbalwa izinkinga ezibikiwe ngama-stents, kodwa kunamathuba amancane ukuthi umzimba uzokwenqaba i-stent. Le ngozi kufanele ixoxwe nodokotela wakho. Ama-stents anezakhi zensimbi, kanti abanye abantu bayaliwa noma bayazwela kuzinsimbi. Abakhiqizi bezintambo bancoma ukuthi uma noma ngubani enokuzwela kwensimbi, akufanele athole i-stent. Khuluma nodokotela wakho ukuthola eminye imininingwane.

Uma unenkinga yokopha, kuzodingeka uhlolwe ngudokotela wakho. Ngokuvamile, kufanele uxoxe ngalezi zinkinga nodokotela wakho. Bangakunika imininingwane yakamuva kakhulu ehlobene nokukhathazeka kwakho.

Kaningi kunalokho, izingozi zokungatholi i-stent zidlula izingozi ezihambisana nokuthola eyodwa. Ukuhamba kwegazi okulinganiselwe noma imikhumbi evinjiwe kungadala imiphumela emibi futhi ebulalayo.

Kwenzekani ngemuva kokufakwa kwe-stent?

Ungase uzizwe ukhathazekile esizeni sokusikwa. Amaphilisi ezinhlungu amancane angakuphatha lokhu. Udokotela wakho mhlawumbe uzokunikeza imithi yokulwa ne-anticoagulant ukuvimbela ukuqina.

Udokotela wakho uzokufuna ukuthi uhlale esibhedlela ubusuku bonke. Lokhu kusiza ukuqinisekisa ukuthi azikho izinkinga. Ungahle udinge ukuhlala isikhathi eside kakhulu uma udinga i-stent ngenxa yomcimbi we-coronary, njengokuhlaselwa yinhliziyo noma isifo sohlangothi.

Lapho ubuyela ekhaya, phuza uketshezi oluningi futhi uvimbele ukuvivinya umzimba isikhathi esithile. Qiniseka ukuthi ulandela yonke imiyalelo kadokotela wakho.