Yin aikin tiyata na Carotid - a buɗe

Yin aikin jijiyoyin jijiyoyin jiki shine hanya don magance cututtukan jijiyoyin jijiyoyin jiki.

Jigon jijiyoyin jiki yana kawo jini da ake buƙata zuwa kwakwalwarka da fuskarka. Kuna da ɗayan waɗannan jijiyoyin a kowane gefen wuyan ku. Zubar da jini a cikin wannan jijiyar na iya zama wani ɓangare ko kuma an katange shi da abu mai ƙanshi da ake kira plaque. Wannan na iya rage samar da jini zuwa kwakwalwarka kuma ya haifar da shanyewar barin jiki.

Ana yin aikin tiyatar jijiyar Carotid don dawo da kwararar jini zuwa kwakwalwa. Akwai hanyoyi guda biyu don magance jijiyoyin carotid wanda ke da tarin alamu a ciki. Wannan labarin yana mai da hankali kan tiyatar da ake kira endarterectomy. Sauran hanyar ana kiranta angioplasty tare da sanya wuri.

A lokacin aikin kwalliyar kwalliya:

• Kuna karɓar maganin rigakafi na gaba ɗaya. Kuna barci kuma ba tare da jin zafi ba. Wasu asibitocin suna amfani da maganin sa barci maimakon. Bangaren jikinka da ake aiki ne kawai ake sanya maka magani ta yadda ba za ka ji zafi ba. An kuma ba ku magani don taimaka muku shakatawa.
• Kuna kwance a bayanku akan teburin aiki tare da juya kanku gefe ɗaya. A gefen murfin karotid ɗinka yana kan fuskoki sama.
• Dikita ya yanke ka a wuyanka akan jijiyarka ta karoid. An saka bututu mai sassauci (catheter) a cikin jijiyar. Jini yana gudana ta cikin catheter a kewayen wurin da aka toshe yayin aikin.
• An bude jijiyarka ta carotid Dikitan ya cire faranti a cikin jijiyar.
• Bayan an cire tambarin, an rufe jijiyar tare da dinki. Jini yanzu yana gudana ta jijiyoyin zuwa kwakwalwar ku.
• Za a sanya ido kan abin da zuciyarka ke yi a yayin tiyata.

Yin aikin yana ɗaukar kimanin awanni 2. Bayan aikin, likitanka na iya yin gwaji don tabbatar da cewa an buɗe jijiyar.

Ana yin wannan aikin idan likitanka ya sami ƙuntatawa ko toshewa a cikin maganin karoid. Mai ba ku kiwon lafiya zai yi gwaje-gwaje ɗaya ko fiye don ganin yadda aka toshe jijiyar carotid.

Za a iya yin aikin tiyata don cire haɗin a cikin jijiyarka ta karodin idan jijiyar ta rage ta fiye da kashi 70%.

Idan ka sami bugun jini ko rauni na wucin gadi na wucin gadi, mai ba ka sabis zai yi la’akari da cewa ko ba ka kula da jijiyar da aka toshe ta hanyar tiyata na da aminci a gare ka.

Sauran zaɓuɓɓukan maganin da mai ba ku sabis zai tattauna tare da ku sune:

• Babu magani, banda gwaje-gwaje don bincika maganin karoid a kowace shekara.
• Magani da abinci don rage ƙwayar cholesterol.
• Magungunan rage jini don rage haɗarin bugun jini. Wasu daga cikin wadannan magunguna sune asfirin, clopidogrel (Plavix), dabigatran (Pradaxa), da warfarin (Coumadin).

Mai yiyuwa a yi amfani da maganin ƙwaƙwalwar ƙwaƙwalwa da zafin ciki lokacin da maganin ƙwaƙwalwar karoid ba zai zama lafiya ba.

Hadarin maganin sa barci shine:

• Maganin rashin lafia ga magunguna
• Matsalar numfashi

Hadarin tiyata na carotid sune:

• Jinin jini ko zubar jini a cikin kwakwalwa
• Lalacewar kwakwalwa
• Ciwon zuciya
• Blockarin toshewar jijiyar carotid akan lokaci
• Kamawa
• Buguwa
• Kusa kusa da hanyar iska (bututun da kuke shaƙa)
• Kamuwa da cuta

Mai ba ku sabis zai yi cikakken gwajin jiki kuma ya ba da umarnin gwaje-gwajen likita da yawa.

Faɗa wa mai ba ka irin magungunan da kake sha, har magunguna, na kari, ko na ganye da ka siya ba tare da takardar sayan magani ba.

A lokacin makonni 2 kafin aikin tiyata:

• 'Yan kwanaki kafin aikin tiyatar, mai yiwuwa ne ku daina shan magunguna masu sa jini. Wadannan sun hada da asfirin, ibuprofen (Advil, Motrin), clopidogrel (Plavix), naprosyn (Aleve, Naproxen), da sauran magunguna kamar wadannan.
• Tambayi mai ba ku maganin da yakamata ku sha a ranar tiyata.
• Idan kun sha taba, kuna buƙatar tsayawa. Tambayi mai ba ku sabis don ya daina.
• Faɗa wa mai ba ka sabis game da duk wani sanyi, mura, zazzaɓi, ɓarkewar ƙwayoyin cuta, ko wata cuta da za ka iya samu kafin aikinka.

Bi umarnin kan lokacin da za a daina ci da sha kafin a yi tiyata.

A ranar tiyata:

• Anyauki kowane magunguna da mai ba ku magani ya rubuta tare da ɗan ƙaramin sifen ruwa.
• Bi umarni kan lokacin isa asibiti. Tabbatar kun isa akan lokaci.

Kuna iya samun magudanar ruwa a cikin wuyanka wanda zai shiga wurin da aka yiwa rauni. Zai fitar da ruwan da ya taru a yankin. Za a cire shi a cikin yini ɗaya.

Bayan tiyata, mai ba ku sabis na iya so ku tsaya a cikin asibitin na dare don ma'aikatan jinya su kula da ku game da alamun jini, bugun jini, ko ƙarancin jini zuwa kwakwalwarku. Kuna iya komawa gida a rana guda idan anyi aikinku da sassafe kuma kuna cikin koshin lafiya.

Bi umarnin kan yadda zaka kula da kanka a gida.

Yin aikin tiyata na jijiyoyin jiki zai iya rage damar samun bugun jini. Amma kuna buƙatar yin canje-canje na rayuwa don taimakawa hana ɓarkewar plaque, toshewar jini, da sauran matsaloli a cikin jijiyoyin ku na karotid akan lokaci. Wataƙila kuna buƙatar canza abincinku ku fara shirin motsa jiki, idan mai ba ku sabis ya gaya muku motsa jiki lafiya gare ku. Yana da mahimmanci a daina shan sigari.

Artaddamarwar ƙwaƙwalwar ƙwaƙwalwa; CAS tiyata; Carotid artery stenosis - tiyata; Endarterectomy - maganin karoid

• Angioplasty da stent jeri - carotid jijiya - fitarwa
• Magungunan Antiplatelet - Masu hanawa P2Y12
• Asfirin da cututtukan zuciya
• Butter, margarine, da man girki
• Yin aikin tiyata na Carotid - fitarwa
• Cholesterol da rayuwa
• Cholesterol - maganin ƙwayoyi
• Kula da hawan jini
• An bayyana kitsen abincin
• Abincin abinci mai sauri
• Yadda ake karanta alamun abinci
• Rum abinci
• Bugun jini - fitarwa
• Kula da rauni na tiyata - a buɗe

• Carotid stenosis - X-ray na jijiyoyin hagu
• Carotid stenosis - X-ray na jijiyar dama
• Hawan jini a cikin jijiyar carotid
• Atherosclerosis na carotid jijiya
• Ginin allo
• Carotid maganin tiyata - jerin

Arnold M, Perler BA. Artaddamarwar ƙwaƙwalwar ƙwaƙwalwa. A cikin: Sidawy AN, Perler BA, eds. Rutherford's Vascular Surgery da Endovascular Far. 9th ed. Philadelphia, PA: Elsevier; 2019: sura 91.

Biller J, Ruland S, Schneck MJ. Ischemic cerebrovascular cuta. A cikin Daroff RB, Jankovic J, Mazziotta JC, Pomeroy SL, eds. Bradley's Neurology a cikin Clinical Practice. 7th ed. Philadelphia, PA: Elsevier; 2016: babi na 65.

Brott TG, Halperin JL, Abbara S, et al. 2011 ASA / ACCF / AHA / AANN / AANS / ACR / ASNR / CNS / SAIP / SCAI / SIR / SNIS / SVM / SVS jagororin kula da marasa lafiya tare da cututtukan karoid da na kashin baya da ke ƙasa: taƙaitaccen bayani: rahoton Ba'amurke Kwalejin Kwalejin Zuciya / Heartungiyar Associationungiyar Heartungiyar Zuciya ta Amurka a kan Sharuɗɗan Aiwatarwa, da Americanungiyar Baƙin Amurka, Americanungiyar ofwararrun swararrun swararrun swararrun ,wararrun ,wararrun Americanwararrun Americanwararrun Americanwararrun ,wararrun Americanwararrun Americanwararrun Americanwararrun Americanwararrun ,wararrun ,wararrun ,wararrun ,wararrun ,wararrun ,wararrun ,wararrun ,wararrun ,wararru ta Amurka Hoto da Rigakafin, Society for Cardiovascular Angiography and Intervention, Society of Interventional Radiology, Society of NeuroInterventional Surgery, Society for Magungunan Magunguna, da Society for Vascular Surgery. Addamar da haɗin gwiwa tare da Cibiyar Nazarin Neurowararrun Americanwararrun Americanwararrun Amurka da Societyungiyar Societywararriyar graphywararriyar Cardwararriyar iowayar Tomography. Catheter Cardiovasc Interv. 2013; 81 (1): E76-E123. PMID: 23281092 pubmed.ncbi.nlm.nih.gov/23281092/.

Brott TG, Howard G, Roubin GS, et al. Sakamakon lokaci mai tsawo na stenting da endarterectomy don maganin carotid-artery stenosis. N Engl J Med. 2016; 374 (11): 1021-1031. PMID: 26890472 pubmed.ncbi.nlm.nih.gov/26890472/.

Holscher CM, Abularrage CJ. Artaddamarwar ƙwaƙwalwar ƙwaƙwalwa. A cikin: Cameron AM, Cameron JL, eds. Far Mashi na Yanzu. 13th ed. Philadelphia, PA: Elsevier; 2020: 928-933.