Carotid stenosis iri kupfupisa kwemukati carotid arteri, iyo miviri mikuru yakawanda mumutsipa iyo inopa chikamu chikuru cheropa kuuropi.
Zviratidzo, Zvinokonzera uye Kuongororwa kweCarotid Stenosis
Carotid artery stenosis inogona kukonzera kuvhara kweropa kuderera kune dzimwe nzvimbo dzouropi, kuratidza semashiro mini kana kurwisa kwenguva refu ischemic (TIAs.) Zvisinei, vanhu vakawanda vane carotid stenosis havaoni nguva dzose kana zviratidzo zvekare, uye vanogona kunge vari pangozi ye ane chirwere chisina kumira pasina kunyeverwa.
Chikonzero chikuru pane carotid stenosis is atherosclerosis, iyo yakaoma yeyeriyuta. Hypertension uye cholesterol yakakwirira inogona kubatsira mukutenda kwe atherosclerosis, kunyange zvazvo vamwe vanhu vari nyore kuita izvi kupfuura vamwe.
Kuwedzereka kwetari yarotid inowanikwa kuburikidza nenzira dzinoverengeka, uye yakanyatsosimbiswa ndeye carotid duplex ultrasound.
Iwe Unoda Kutapwa kweCarotid Stenosis?
Kana iwe uine borderline carotid arteri stenosis (50-69% maitiro emakaroti e-carotid) unofanirwa kuve nechokwadi chekutevera zvakanyanya nachiremba wako kuti uone kana iwe ungada kuve nekupindira mune imwe nguva. sarudzo yekuti kana kwete iwe unoda kurapwa kana kurapwa yakaoma uye inobva pane zvimwe zvinhu, kusanganisira mamiriro eatriyo uye hutano hwako hwose.
Iyo inowanzoshandiswa kurapwa kwe carotid stenosis
Carotid Endarterectomy
Iyi ndiyo nzira iyo chiremba anovhiya kubvisa iyo atherosclerotic plaque inokonzera kuderedza mutsara we carotid uye inodzivirira kutenderera kweropa kunowanikwa kuburikidza nehutachiwana hwemukati yecarotid arteri.
Ongororo dzakawanda dzakatarisa kuti iyi ndiyo nzira yakachengeteka yekurapa zviratidzo zve carotid stenosis.
Zvimwe Zvimwe Zvinetso zveCarotid Endarterectomy
Kufanana nekuvhiya kukuru, carotid endarterectomy ine ngozi shoma yeropa uye utachiona. Nokuti kuvhiyiwa kunoitwa mukati memidziyo inounza ropa muuropi, kunewo kamudiki kacho kacho kurwara.
Panewo mukana wekuve nekurwara kwemoyo panguva kana mushure mekuvhiyiwa. Zvengozi izvi zvinogona kuva zvakakosha kune vamwe vanhu vane chirwere chepfungwa chepamusoro kana zvimwe zvirwere zvikuru, uye naizvozvo havasi vose vakagadziriswa nekarotid endarterectomy.
Zvizhinji zvezviitiko zvekuvhiyiwa zvakaderera, kunyanya kana chiremba chiremba ane ruzivo nerworudzi rwekuvhiya.
Percutaneous Treatments of Carotid Stenosis: Zvimwe Zvinyorwa
Mune nzira iyi yekuita, tambo yakateteka inonzi angiography catheter inowanikwa mune imwe yemidziyo midzi yeropa mumutumbi uye ichifamba zvishoma nezvishoma mumidziyo yakawanda yeropa kusvika munzira yecarotid iyo stenosis, kana kuti kuderedza, iripo. Kamwe apo, nzvimbo yakaderedzwa inogona kuwedzerwa kana nge angioplasty kana kunhuwa.
Maitiro ePercutanous ane zvimwe zvinobatsira pane carotid endarterectomy nokuti haasisina simba, uye nokuti anogona kuitwa pasi peanesthesia yemo. Zvisinei, zvidzidzo zvakawanda zvakaratidza kuti carotid endarterectomy ndiyo nzira yakachengeteka yevarwere vakawanda. Nzvimbo dzakawanda dzezvehutano dzinochengetedza chirongwa chinoparadzaniswa checarotid artery stenosis kune varwere vane ngozi yakawanda yekufa kubva pakucherechedza karotid endarterectomy.
Varwere vanofanirwa kuwana mishonga yakasiyana-siyana pane carotid endarterectomy kuvhiyiwa kunosanganisira varwere vane chirwere chemwoyo kana avo vane remishonga inonzi radiation yemutsipa panguva yekurapa kenza.
Varwere vanga vambovhiyiwa nehuro kare vanogona kufungidzirwa senzira imwecheteyo pane chirongwa chechirotid endarterectomy. Pane zvinhu zviviri zvakakosha zvakasiyana-siyana zvinowanzoitirwa carotid stenosis :
- Carotid Angioplasty : Muchiitiko ichi, catheter ye angiography ine bhaluni rakasvibiswa rakasanganiswa kusvika kumusoro. Kana katheti ikasvika kune imwe nzvimbo yecarotid arteri apo stenosis iripo, ibhoti inononoka kuita kuti zvikamu zviduku zvemuti zviwedzere. Kazhinji carotid angioplasty inoitwa pamwe chete nekugadziriswa kwepamusoro .
- Carotid Kushungurudza : Carotid arteri inokurudzira inzira inenge isina-invasive iyo inonzi stent (metal mesh-like tube) inoshandiswa semugwagwa. Iyo yakagadziriswa yakaiswa pamusoro peatrosclerotic plaque kuitira kuti igadzikane uye inobvumira kuti ropa riri nani riyerere.
Zvimwe Zvinetso Zvokurapa Kwemishonga Inopera Mishonga inogadziriswa inogona kuvhara zvimedu zvezviputi uye ichikonzera kushungurudzika kwemuviri. Catheter kudzvinyirira kunogona kukonzera kupera kwe arteri uye kunokonzera kubuda kwakanyanya. Panewo hutano hutachiona hwehutachiona.
Carotid angioplasty ine yakanyanya kukwirira kwekudzokazve-iyo yakave yakarondedzerwa kusvika kusvika 15 muzana yevanhu. Vanhu vashanu muzana yevanhu vangave vakagadziriswa necarotid dissection. Carotid artery stents dzimwe nguva zvinogona kuita kuti kuve kwekuvhara ropa. Mune zviitiko izvi, carotid endarterectomy haigoneke kugadzirisa kukanganisa. Kutsvakurudza kwakanyanyisa kuri kuitwa iye zvino kuitira kugadzira midziyo uye nzira dzinodzivisa zvinetso izvi.
Shoko Rinobva
Carotid artery stenosis inowanzove yakasvibiswa uye yakawanikwa nenzira inonzwisisika. Izvi zvinoreva kuti inowanzowanikwa zvichienderana nekuongorora kuongorora kusati kwaita kuti zvive nemigumisiro yakaipa. Stroke ndiyo inonyanya kukosha yekarotid arteri stenosis.
Kana wakamboonekwa kuti une carotid arteri stenosis, zvinokosha kuti usateerere dambudziko iri. Iwe unogona kutora nzira yekugadzirisa kuderedza dambudziko rako rekurohwa, kana iwe unogona kuvhara pedyo nekukwirirana ne periodic ultrasound kuti uone kumira kwehupenyu hwako munguva.
> Kuwedzera kuverenga:
> Carotid endarterectomy nokuda kwechirwere chepamusoro-carotid stenosis, Ballotta E, Angelini A, Mazzalai F, Piatto G, Toniato A, Baracchini C, J Vasc Surg. 2014 Jan