Lokacin da ake kula da atherosclerosis na tasoshin ƙananan ƙananan, ana amfani da magani na ra'ayin mazan jiya tare da taimakon magunguna da tiyata.
Rashin kyakkyawan sakamako ne ta hanyar amfani da magunguna wanda hakan alama ce ta amfani da maganin tiyata.
Ana yin tiyata a cikin ƙarshen lokacin, lokacin da magani ba ya kawo sakamakon da ake so. A matakai na gaba na ci gaba da cutar, nama mai taushi ya mutu kuma tsarin ƙwaƙwalwar ƙwayar cuta ya fara.
Likita na jijiyoyin bugun gini, yayin aiwatar da aikin tiyata, yana ba da warwatse wuraren shafukan nama da ake gudanar da aikin necrotization. Yankunan da aka yiwa aikin tiyata an rufe su da fatar fata.
Yin tiyata don atherosclerosis na ƙananan ƙarshen a matakin ƙarshe na ci gaba na iya taimakawa inganta lafiyar mai haƙuri da ingancin rayuwa.
Akwai hanyoyi da yawa na sa bakin ciki. Mafi na kowa su ne wadannan hanyoyin:
- Kewaya tiyata - aikin ya ƙunshi ƙirƙirar ƙarin hanyar don motsi jini a kusa da wurin lalacewa.
- Balloon angioplasty shine amfani da balan-balan na musamman wanda ke lalata jirgin ruwa a lokacin aikin.
- Stenting na arterial - jeri a cikin jijiya na musamman wanda yake kula da daskararru na jirgin ruwa akai-akai a matakin da ake so.
- Endarterectomy - cire abin da ya lalace na jirgin ruwa tare da tarar atherosclerotic da ke ciki.
- Autodermoplasty wani nau'i ne na aikin tiyata da aka yi amfani dashi don maganin cututtukan trophic, waɗanda suke da wuyar magani tare da magani. Aikin yana taimakawa hana ci gaba ta hanyar ƙwayar cuta ta ƙwaƙwalwa a cikin kyallen ƙananan ƙananan rauni.
- Prosthetics - hanya don maye gurbin jirgin ruwa mai aiki da ruwa ko kayan juyi tare da wani sashi na gado na jijiyoyin bugun gini wanda ya sha wahala sakamakon ci gaban da aka samu na lalata atherosclerosis. Hanyar tiyata tana ba ku damar mayar da kayan jini zuwa yankin da aka lalata.
- Gyaran jiki - hanya don cire wani bangare na kafa na kafa, mai biyo bayan karuwanci.
Zaɓin hanyar shigar da tiyata ya dogara da matsayin lalacewar ƙashin ƙyallen da halayen mutum na jikin mai haƙuri. Zaɓin hanyar magani ne da likitan jijiyoyin bugun daji suke gudanar da aikin jiyya.
Bayan tiyata, mai haƙuri zai buƙaci gudanar da dogon hanyar sakewa da magani don dawo da rayuwar da ta saba.
Lokacin da ake kulawa da atherosclerosis na tasoshin ƙananan ƙananan, likita, lokacin zabar hanyar magani, yana ƙaddara hangen nesa na hanyar da kuma yiwuwar yawan aikin yana taimakawa inganta yanayin mai haƙuri ba tare da yin amfani da ƙarin fasahohin sa baki ba.
Siffofin daban-daban na tiyata
Balloon angioplasty wata dabara ce ta aikin tiyata wanda ya kunshi gabatar da shi cikin gadon jijiyoyin jiki a inda ya kebe wani babban katako tare da balloon na musamman da ke fadada a karshen.
Bayan gabatarwar catheter, balloon ya fara jujjuyawa a ƙarƙashin tasirin matsin lamba, wanda ke haifar da fadada ganuwar jirgin ruwa da kuma dawo da hanyar jigilar jini.
Idan maido da zubar da jini bai gudana ba, ana gabatar da tsari na musamman a cikin yankin lalacewar jirgin ruwa. Babban maƙasudin wannan tsarin shine kiyaye diamita na jirgin a wurin da ya lalace a matakin da aka amince da shi. Fitilar gabatarwa yayin aikin an yi shi ne da kayan aikin gwal na musamman.
Idan ba'a sami sakamakon da ake so ba, to, likitocin da ke halartar zasu yanke shawara game da amfani da dabarar buɗe ƙira.
A mafi yawan lokuta, balloon angioplasty na iya dawo da zagayarwar jini kuma ya guji yin amfani da tsauraran matakai.
Yin amfani da tsaran maganin mahaifa yana sa ya yiwu, idan akwai wata cuta kamar cutar Lerish, don inganta rayuwar mai haƙuri sosai. Bayan shiga tsakani, yanayin gudanawar jini a cikin tasoshin ƙananan ƙasashe sun inganta sosai.
Jijiyoyin bugun jini na jijiyoyin bugun gini da jijiyoyin jiki da aka yi a kan jijiyoyin jijiyoyin bugun gini wanda ke da jijiyoyin wuya na iya kawar da abin mamaki a gaban rashin jijiyoyin jiki wanda ke faruwa bayan rufewar jijiyar jirgi tare da zubar jini.
Yawancin manyan asibitocin da ke cikin duniyar da ke shiga cikin tiyata na jijiyoyin jini sun fi son hanyar balbal angioplasty.
Mafi sau da yawa, ana amfani da wannan hanyar don dawo da ikon ƙwayar jijiyoyin bugun jini.
An gwada hanyar Balloon angioplasty kusan kwanan nan.
Don balloon angioplasty, ana amfani da sillinda tare da murfin magani a farfajiya.
Magunguna waɗanda suka mamaye bango na balan-balan suna shiga cikin bango na jijiyoyin bugun gini kuma suna hana ci gaba da cutar.
Fa'idodin aikace-aikacen balbal
Yin amfani da aikin tiyata na filastik yana da cikakkun jerin fa'idodi, wanda ke ba da damar amfani dashi don magani a mafi yawan lokuta aikin tiyata.
Ana gudanar da aikin tiyata ba tare da yin manyan wuraren tarko na fata ba.
Don aiwatar da hanyar, ana yin ƙaramin fenti a cikin fata. A cikin ɓangaren, an saita na'ura ta musamman wanda ake aiwatar da shigar da kayan aikin, kazalika da abubuwanda ake buƙata.
Bugu da kari, amfani da balloon angioplasty yana samar da wadata masu zuwa:
- Ba a buƙatar maganin sa barci gaba ɗaya ba; ana yi amfani da maganin tawaya ko na cikin gida;
- Ba a buƙatar kasancewar mai haƙuri na tsawon lokaci ba, mai haƙuri zai iya tashi ya motsa a cikin kwana ɗaya bayan hanyar;
- mafi karancin rikitarwa idan aka kwatanta da tsarin budewa;
- hanya tana ɗaukar ƙaramin lokaci idan aka kwatanta da sauran hanyoyin;
Bugu da ƙari, tare da farfadowa, haɗarin kamuwa da cuta yana da ƙaranci.
Gabatar da balanbaren a cikin jirgi na jirgin ruwa yana hana ci gaban mai kumburi kuma ya dakatar da haɓakar pathoothelium na bangon jijiya.
Sakamakon Gasar Balloon
Ci gaban jini na yau da kullun a cikin jirgin ruwan da yake gudana bayan tiyata filastik akan jijiyoyin an kiyaye su tsawon shekaru biyar a cikin yawancin masu haƙuri.
Bayanan da aka samo yayin lura da marasa lafiya suna ba wa likitan halartar damar yin rajistar alamun farko na maimaita rauni a cikin yanayin kiwon lafiya kuma, idan ya cancanta, aiwatar da gyara.
Don saka idanu kan yanayin kiwon lafiya, ana ba da shawarar mai haƙuri a kalla sau biyu a shekara don yin gwaji na jiki ta amfani da dopplerography duban dan tayi kuma sau ɗaya a shekara don gudanar da bincike ta hanyar ƙididdigar tomography.
Idan mai haƙuri yana cikin kulawa na asibiti da kuma daidaita yanayin lafiyar sa ta hanyar fidda magani mai warkewa, ana kiyaye aikin motsi na cikin tsawon rayuwa.
Sakamakon da aka samu ta amfani da balloon angioplasty ko stenting a cikin jijiyoyin ƙwayar cuta na mace ana kwatanta su da sakamakon da aka samu ta hanyar rufe ɓangaren ƙwaƙwalwar ƙwaƙwalwar ƙwayar ƙwayar ƙwayar cuta ta hanyar jijiyar wucin gadi.
Dangane da ƙididdigar likita, a cikin 80% na marasa lafiya waɗanda ke aiki da tiyata na filastik, iyawar gado na jijiyoyin bugun gini ya kasance aƙalla shekaru uku. Idan mai haƙuri yana yin aiki akai-akai a cikin motsa jiki na warkewa, to lallai buƙatar sake juyawa bai taso ba.
Fiɗa na filastik yana kawar da haɗarin necrotization nama da bayyanar rikitarwa. Wannan hanyar tana hana haɓakar rikice-rikice.
Yin amfani da aikin tiyata na mata mai zurfi
Babban alamomi na aikin aortic-femasin tiyata shine cirewar cikin gado na aorta tare da farawa da kuma yawan rashin aortic.
Bugu da kari, ana amfani da dabarar lokacin da mara lafiya ya bayyana wani shinge na gado na jijiyoyin jini a cikin ɗakin shagon art na ileal, muddin ba zai yiwu a gudanar da aikin tiyata na filastik ba.
Hakanan, ana nuna wannan hanyar don amfani da gano sababbin hanyoyin bangon ciki na ciki.
Aorto-femoral tiyata a halin yanzu hanya ce ta kowa da kuma hanya mai mahimmanci don hana ci gaba da mummunan cututtukan cututtukan ischemic da yanke hannu a cikin ciwon sukari.
Dangane da ƙididdigar likita na yanzu, asarar ƙashin jiki tsakanin marasa lafiya da raunuka na jijiyoyin bugun jini na gabobin kusan kashi 20% ne na duk yanayin da aka yi wa rajista.
Ta hanyar yin sa-in-sa da kyau akan aorta na ciki, hadarin rikice-rikicen da ke haifar da yanke hannu ya rage zuwa 3% na lokuta.
Hanyar Shiga ciki
Ma'anar aikin tiyata don atherosclerosis na jiragen ruwa na ƙananan ƙarshen ya rage zuwa kashin wani ɓangare na aorta da ke sama da yankin da cutar cholesterol ke shafa.
A lokacin aikin, ana yin duri a gefe na ciki da kuma na sama na sashen feminin. Bayan wannan, an zaɓi wani ɓangare na aorta wanda ba a gano adibas din atherosclerotic ba. A wannan rukunin, jirgin ruwan wucin gadi yana daskarewa zuwa aorta. Abubuwan da ake amfani da su a cikin kera jirgin ruwan yana tsaka tsaki ta hanyar halitta kuma baya tsokanar martani. Broughtarshen ƙarshen jigilar wucin gadi ana kawo shi zuwa thearshe mai 'yanci na jijiyoyin ƙwayoyin cuta kuma an yi musu jinƙai.
Shigarwa na iya zama na biyu ko mai gefe ɗaya.
Abun artery kewayewa grafting wani tsari ne mai rikitarwa. Wannan shi ne saboda gaskiyar cewa ganuwar aorta suna da canje-canje masu ƙarfi, wanda zai iya tayar da bayyanar zub da jini yayin aikin.
Maido da samar da jini ita ce hanya daya tilo da za a kula da reshe a cikin mara lafiya da ke fama da matsanancin rauni na lalata atherosclerosis.
Bayan hanya, a lokuta mafi wuya, ci gaban irin wannan rikitarwa kamar yadda ake ƙaddamar da prosthesis mai yiwuwa ne. Me zai iya haifar da bayyanar zub da jini.
Kewaya tiyata da angioplasty sune tsaka-tsakin aikin tiyata; farashin irin wannan magani shine babban adadin, wanda zai iya kaiwa ga irin mawuyacin aikin da kuma fannin aikin tiyata.
Yadda za a kula da atherosclerosis na kafafu zai gaya wa gwani a cikin bidiyo a wannan labarin.
