Carotid stenosis ndi yopapatiza mitsempha yamkati ya carotid, mitsempha ikuluikulu yomwe imakhala ndi khosi yomwe imapereka gawo lalikulu kwambiri mwa magazi ku ubongo.
Zizindikiro, Zomwe Zimayambitsa ndi Kuzindikira Matenda a Carotid Stenosis
Matenda a karotid stenosis angayambitse kuthamanga kwa magazi kumadera ena a ubongo, kuwonetsa ngati kugunda kwasitima kapena kusokonezeka kwa ischemic (TIAs). Komabe, anthu ambiri omwe ali ndi carotid stenosis sakhala ndi zizindikiro zosavuta kapena zochitika, ndipo akhoza kukhala pangozi ya kukhala ndi matenda odzidzimutsa popanda chenjezo.
Chifukwa chofala cha carotid stenosis ndi atherosclerosis, yomwe ndi kuuma kwa mitsempha. Kuthamanga kwa magazi ndi cholesterol kwambiri kumathandizira kuti atherosclerosis, ngakhale kuti anthu ena ali ovuta kwambiri ku matendawa kuposa ena.
Kuthira kwa mitsempha ya carotid kumapezeka mwa njira zingapo, ndipo malo abwino kwambiri ndi duplex ya duplex ultrasound.
Kodi Mukufunikira Chithandizo cha Carotid Stenosis?
Ngati muli ndi mitsempha ya m'mphepete mwa carotid stenosis (50-69% yowonjezera mitsempha ya carotid) muyenera kuonetsetsa kuti mukutsatira mwatsatanetsatane ndi dokotala wanu kuti muwone ngati mungafunikire kuchipatala nthawi ina. chisankho chokhudza ngati mukufunikira chithandizo chamankhwala kapena opaleshoni ndi chovuta ndipo chimadalira zinthu zingapo, kuphatikizapo mkhalidwe wa mitsempha ndi thanzi lanu lonse.
Njira zamakono zochiritsira za carotid stenosis
Carotid Endarterectomy
Iyi ndiyo njira yomwe dokotala amachititsa opaleshoni ya atherosclerotic yomwe imayambitsa mitsempha yambiri ya carotid ndipo imateteza kuti magazi aziyenda bwino kudzera mu mitsempha ya mkati mwa carotid.
Kafukufuku wambiri amatsimikizira kuti iyi ndi njira yabwino kwambiri yothandizira matenda a carotid stenosis.
Zovuta Zowopsa za Carotid Endarterectomy
Monga opaleshoni zambiri, endarterectomy ya carotid imakhala ndi chiopsezo chochepa chakumwazika ndi matenda. Chifukwa opaleshoniyi imachitidwa mkati mwa zitsulo zomwe zimabweretsa magazi ku ubongo, palinso kachilombo kochepa kokhala ndi sitiroko.
Palinso chiopsezo chokhala ndi matenda a mtima panthawi ya opaleshoniyo kapena pambuyo pake. Zowopsazi zingakhale zowonjezereka kwa anthu ena omwe ali ndi matenda a mtima apamwamba kapena matenda ena akuluakulu, moteronso sikuti aliyense ali woyenera kuti akhale ndi carotid endarterectomy.
Zowopsya zambiri za opaleshoniyo ndizochepa, makamaka ngati dokotala wa opaleshoni ali ndi vuto la opaleshoni imeneyi.
Mankhwala Opatsa Pakati pa Carotid Stenosis: Njira ziwiri
Mwa njira iyi, waya wochuluka wotchedwa catheter angiography umalowetsedwa m'modzi mwa mitsempha yambiri yamagazi m'thupi ndipo pang'onopang'ono amayenda mitsuko yambiri ya magazi mpaka njira yamakono yomwe imapezeka poti stenosis, kapena kupopetsa. Pomwepo, dera lomwe lili lochepetseka lingathe kupitsidwanso kudzera mwa angioplasty kapena kupopera.
Njira zogwiritsira ntchito percutanous zili ndi ubwino wambiri pa carotid endarterectomy chifukwa zimakhala zochepa kwambiri, komanso chifukwa zimatha kuchitidwa pansi pa anesthesia. Komabe, kafukufuku wina wasonyeza kuti endaroreticomy ya carotid ndi njira yabwino kwa odwala ambiri. Malo ambiri ochipatala amaonetsetsa kuti odwala omwe ali ndi chiopsezo chachikulu cha imfa kuchokera ku carotid endarterectomy opaleshoni amawachiritsa.
Odwala omwe ayenera kupeza mankhwala opatsirana m'malo mwa opaleshoni ya carotid endarterectomy akuphatikizapo odwala omwe ali ndi matenda a mtima kapena omwe athandizidwa ndi mpweya wa m'khosi panthawi ya chithandizo cha khansa.
Odwala omwe anachitidwa opaleshoni yam'mbuyo amatha kuganiziridwa ngati njira yowonjezera m'malo mwa opaleshoni yotchedwa carotid endarterectomy. Pali njira ziwiri zofunika kwambiri zomwe zimagwiritsidwa ntchito panopa pa carotid stenosis :
- Carotid Angioplasty : Mwa njirayi, catheter ya angiography ili ndi buluni yaing'ono yomwe imagwirizana ndi nsonga yake. Kathetta ikapita patsogolo kumalo amtundu wa carotid pamene stenosis ilipo, buluniyo imalowetsa pang'onopang'ono kuchititsa kuti zigawo zochepa za chotengera ziwonjezere. Kawirikawiri carotid angioplasty imachitidwa pamodzi ndi malo osungirako malo .
- Mphepete mwa karotidi : Mitsempha ya karotidi yowuma kwambiri ndi njira yosakhala yowonongeka yomwe mpweya wolimba (wotchinga wonga wachitsulo) umagwiritsidwa ntchito ngati njira. Mphuno imayikidwa pamwamba pa chikhomo cha atherosclerotic kuti chikhale cholimbitsa ndi kulola kuti magazi aziyenda bwino.
Zovuta Zomwe Zingatheke Zokhudza Mipiritsi Yoperewera Njira zothandizira njira zowonongeka zingathe kuchotsa zigawo zapachika mosayembekezereka ndikupangitsa kuti liwonongeke . Kusokoneza kathetta kungachititse kuti mitsempha iwonongeke ndipo imayambitsa magazi ochuluka. Palinso kachilombo kochepa koyambitsa matenda.
Carotid angioplasty ili ndi chiwopsezo chokwanira kwambiri chodziwikiratu chomwe chafotokozedwa mwa anthu 15 peresenti. Anthu asanu pa anthu 100 alionse akhoza kuthandizidwa ndi kusokonezeka kwa carotid. Madzi amtundu wa karotidi nthawi zina amatha kupanga magazi. Pazochitikazi, matenda otchedwa carotid endarterectomy sangathe kuthetsa vutoli. Kafukufuku wamakono akuchitidwa kuti apange zipangizo ndi njira zomwe zimapewa mavutowa.
Mawu Ochokera
Karotidi mitsempha ya stenosis nthawi zambiri imawoneka ndipo imapezeka mwadzidzidzi. Izi zikutanthauza kuti kawirikawiri zimapezedwa pogwiritsa ntchito mayesero oyesa kuyesa musanayambe kuwononga zotsatira. Sitiroko ndi yofunika kwambiri chifukwa cha carotid artery stenosis.
Ngati mwapezeka kuti muli ndi carotid artery stenosis, nkofunika kuti musanyalanyaze vuto ili. Mungafunike njira zothandizira kuti muchepetse chiopsezo chanu, kapena mungafunike kufufuza mwatsatanetsatane ndi mafupipafupi kuti muwone kuti mukukhala bwino bwanji nthawi.
> Kuwerenga kwina:
> Carotid endarterectomy kwa starotic yapamwamba ya carotid stenosis, Ballotta E, Angelini A, Mazzalai F, Piatto G, Toniato A, Baracchini C, J Vasc Surg. 2014 Jan