Angioplasty da stent jeri - carotid jijiya

Ana kiran jijiyoyin da ke kawo jini a kwakwalwarka da fuskarka carotid arteries. Kuna da jijiyar kasusuwa a kowane gefen wuyanku.

Zubar da jini a cikin wannan jijiyar na iya zama wani ɓangare ko kuma an toshe ta da abu mai ƙanshi da ake kira plaque. Wani ɓangaren toshewa ana kiransa yanayin kaiton jijiya (ƙuntatawa). Toshewa a cikin jijiyarka na carotid zai iya rage samar da jini ga kwakwalwarka. Wasu lokuta wani ɓangaren almara na iya fasawa tare da toshe wata jijiya. Shanyewar jiki na iya faruwa idan kwakwalwarka ba ta samun isasshen jini.

Za'a iya amfani da hanyoyi guda biyu don magance jijiyoyin carotid wanda aka rage ko aka toshe shi. Wadannan su ne:

• Yin aikin tiyata don cire tarin allo (endarterectomy)
• Carotid angioplasty tare da sanya wuri

Carotid angioplasty da stenting (CAS) ana yin ta ta amfani da karamin tiyata.

• Likitan likitan ku zai yi muku tiyata a duwawarku bayan ya yi amfani da wasu magunguna masu sa numfashi. Za a kuma ba ku magani don ku shakata.
• Likitan likita ya sanya catheter (bututu mai sassauƙa) ta hanyar yankewar cikin jijiyar. An motsa shi a hankali har zuwa wuyanku zuwa toshewa a cikin jijiyar karotid. Ana amfani da hotuna masu daukar hoto (fluoroscopy) don ganin jijiyoyin da kuma jagorantar catheter din zuwa dai-dai matsayin.
• Na gaba, likitan likita zai motsa waya ta cikin catheter zuwa toshewar. Wani catheter tare da ƙaramar balanbalan a ƙarshen za'a tura shi akan wannan waya kuma zuwa cikin toshewar. Sannan ana kumbura balan-balan.
• Balloon yana matsawa a cikin bangon cikin jijiyarka. Wannan yana buɗe jijiyar kuma yana ba da ƙarin jini ya kwarara zuwa kwakwalwarka. Hakanan za'a iya sanya stent (bututun raga na waya) a cikin yankin da aka toshe. An saka sitaci a lokaci guda da catheter na balan-balan. Yana faɗaɗa tare da balan-balan. An bar sito a wurin don taimakawa buɗe jijiya.
• Likitan likitan sai ya cire balan-balan din.

Tiyatar Carotid (endarterectomy) tsohuwar hanya ce mai tasiri don magance ƙuntataccen ko toshe jijiyoyin jini. Wannan aikin yana da aminci sosai.

CAS ta haɓaka azaman mai kyau madadin aikin tiyata, lokacin da ƙwararrun masu aiki suka yi shi.Wasu dalilai na iya fifita stent, kamar:

• Mutumin ba shi da lafiya sosai don ba shi da maganin ƙwaƙwalwar ciki.
• Wurin matsewa a cikin jijiyar kahoto yana sa tiyata ta yi wuya.
• An yi wa mutumin tiyata ko kuma maganin ƙwanƙwasa a baya.
• Mutumin ya sha iska a wuya.

Rashin haɗarin cututtukan zuciya da sanyawa mai ƙarfi, wanda ya dogara da dalilai irin su shekaru, sune:

• Maganin rashin lafiyan fenti
• Jinin jini ko zubar jini a wurin aikin tiyata
• Lalacewar kwakwalwa
• Clogging na cikin bakin stent (in-stent restenosis)
• Ciwon zuciya
• Rashin koda (mafi haɗari ga mutanen da suka riga suna da matsalolin koda)
• Blockarin toshewar jijiyar carotid akan lokaci
• Kwace (wannan ba safai ba)
• Buguwa

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

Koyaushe gaya wa mai ba ka irin magungunan da kake sha, gami da ƙwayoyi, kari, ko ganye da ka saya ba tare da takardar sayan magani ba.

A lokacin makonni 2 kafin aikinka:

• Kwanaki kafin aikin tiyata, mai yiwuwa ka daina shan magungunan da ke wahalar da jininka don daskarewa. Wadannan sun hada da aspirin, ibuprofen (Advil, Motrin), clopidogrel (Plavix), ticagrelor (Brilinta), prasugrel (Effient) 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.
• Koyaushe bari mai ba da sabis ya san game da duk wani sanyi, mura, zazzaɓi, ɓarkewar ƙwayoyin cuta, ko wata cuta da za ka iya samu kafin aikinka.

KADA KA sha komai bayan tsakar dare daren aikin da kake yi, har da ruwa.

A ranar tiyata:

• Theauki magungunan da aka ce ku sha tare da ɗan shan ruwa kaɗan.
• Za a gaya muku lokacin da za ku isa asibiti.

Bayan aikin tiyata, kuna iya buƙatar ku kwana a cikin dare don a kula da ku da alamun jini, bugun jini, ko ƙarancin jini zuwa kwakwalwarku. Kuna iya samun damar komawa gida rana guda idan aka yi aikinku da sassafe kuma kuna cikin koshin lafiya. Mai ba ku sabis zai yi magana da ku game da yadda za ku kula da kanku a gida.

Carotid artery angioplasty da stenting na iya taimakawa rage damarka na 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.

Carotid angioplasty da stenting; CAS; Angioplasty - carotid jijiya; Carotid jijiya stenosis - angioplasty

• Angina - fitarwa
• Angina - abin da za a tambayi likitanka
• Angina - lokacin da kake da ciwon kirji
• Angioplasty da mai ƙarfi - zuciya - fitarwa
• Magungunan Antiplatelet - Masu hanawa P2Y12
• Asfirin da cututtukan zuciya
• Butter, margarine, da man girki
• Cholesterol da rayuwa
• Cholesterol - maganin ƙwayoyi
• Kula da hawan jini
• An bayyana kitsen abincin
• Abincin abinci mai sauri
• Ciwon zuciya - fitarwa
• Ciwon zuciya - abin da za a tambayi likita
• Ciwon zuciya - abubuwan haɗari
• Yadda ake karanta alamun abinci
• Cincin gishiri mara nauyi
• Rum abinci
• Kula da rauni na tiyata - a buɗe

• Atherosclerosis na carotid jijiya
• Carotid stenosis - X-ray na jijiyar dama
• Masu samar da cholesterol

Aboyans V, Ricco JB, Bartelink MEL, et al. Zaɓin Edita - Sharuɗɗan ESC na 2017 game da ganewar asali da maganin cututtukan jijiyoyin jiki, tare da haɗin gwiwar Europeanungiyar Turai don Yin Magungunan Magunguna (ESVS). Eur J Vasc Endovasc Surg. 2018; 55 (3): 305-368. PMID: 28851596 pubmed.ncbi.nlm.nih.gov/28851596/.

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/.

Hicks CW, Malas MB. Cerebrovascular cuta: carotid jijiyoyin stenting. A cikin: Sidawy AN, Perler BA, eds. Rutherford's Vascular Surgery da Endovascular Far. 9th ed. Philadelphia, PA: Elsevier; 2019: babi na 92.

Kinlay S, Bhatt DL. Jiyya na cututtukan zuciya da ke hana yaduwar jijiyoyin jiki. A cikin: Zipes DP, Libby P, Bonow RO, Mann DL, Tomaselli GF, Braunwald E, eds. Braunwald na Ciwon Zuciya: Littafin rubutu na Magungunan zuciya da jijiyoyin jini. 11th ed. Philadelphia, PA: Elsevier; 2019: sura 66.

Rosenfield K, Matsumura JS, Chaturvedi S, et al. Gwajin gwaji na rashin ƙarfi tare da tiyata don cututtukan carotid stenosis. N Engl J Med. 2016; 374 (11): 1011-1020. PMID: 26886419 pubmed.ncbi.nlm.nih.gov/26886419/.