Atherosclerosis chirwere chinowanzovhiringidza chinokonzerwa nekudzivirirwa zvishoma nezvishoma mumidziyo yeropa uye zvinotungamirira mukuputsa kwekupararira kweropa mumatumbu ezvikamu zvakasiyana-siyana. Kusvika iye zvino, nzira dzakanakisisa dzekurapa chirwere ichi mapurogiramu emishonga, iyo iyo yakavimbika kupfuura yose inonyanya kushandiswa yemidziyo yeropa.
Chii chinokanganisa mishonga?
Kushungurudza kunopindira kunopindira kunopindira kupindira kunotarirwa kudzorera chimiro chechimiro chemaswere ane hutachiona. Kuvhiya kunoitwa mune imwe nzvimbo yakagadzirirwa pasi pechirongwa che X-ray, nekunyora nguva dzose kwechirwere chemurwere. Kushungurudza kunoitwa pasi peaneshesia.
Chinokosha chekupindira kwekuvhiya ndizvo zvinotevera. Chimwe chivharo chemadziro echombo chakakanganiswa chinoitwa, apo catheter chaiyo ine bhaluni iri pamagumo emudziyo inowanikwa. Panzvimbo iyo ropa rinoputika, ibhoti iyi inokonzerwa (nekuisa jira rinokosha mukati maro), kuwedzera masvingo emasera. Kuti kuchengetedza lumen yakakurumbira yemudziyo, chivakwa chakakosha chinoshandiswa-chinonzi stent. Iyo stent inoumbwa nesimbi uye inoshumira semhando yemasaga, iyo inodzivisa kupfuurira kupfurikidza kwemudziyo. Zvichienderana nehurefu hwechikamu chakareruka, tsamba dzakawanda dzinogona kuiswa pamudziyo mumwechete panguva imwe chete.
Zviratidzo zvekunhuwa kwemitsipa yeropa
Kushungurudza kunogona kuitwa pamidziyo yenzvimbo dzakasiyana-siyana:
- Kushungurudza midziyo yeropa yemwoyo (coronary arteries) - munyaya iyi, kushanda kunoratidzwa apo angina inowanikwa kana kukanganisa kukuru kwemyocardial infarction mushure mekuschemic heart disease.
- Kutsiva kwemidziyo yemiganhu yakadzika (makumbo) - kukundwa neatrosclerotic nzira yemidziyo yemakumbo inopisa nekugadzirisa njodzi, pakati payo - chigunun'una uye cheputi. Basa racho rinoratidzwa nokuda kwekuchinja, kuputsika kwemakumbo kunoshanda.
- Imwe midziyo inotyisa inotyisa (stenosis ye carotid arteries iri pamutsipa) inokurudzirwa nekunyorera zvakanyanya (60%) yemavhiramu ekubvumira, micro stroke uye stroke.
- Kushungurudza kwemishonga yeminyo (maitiro emarara) - kushanda kunoratidzwa muhupo hwe atherosclerotic plaques mumidziyo yeupfumi mumusana wekusimudzirwa kwechirwere chinokonzera kukanganisa uye kuwedzera kwehutano hwepfungwa.
Kupindirana kwemashoko ekusimudzira mitsipa yeropa
Kuitwa kwekuisa stents mumidziyo hakugone kuitwa mumatambudziko anotevera:
- zviduku zviduku zveyo mudziyo - mazuva ano teknolojia inobvumira kupisa kwemasayeri ane chidimbu che-2.5 -3 mm;
- iyo yakawanda kwazvo nzvimbo yekuchera dhidhi (disusive stenosis yemudziyo);
- kunetseka kupera simba;
- rakanyanya renal kusakwana;
- kuora ropa ;
- kunyoresa iodine (iodine inoshandiswa mu-X-ray kusiyana kwemishonga).
Matambudziko pashure pemidziyo yemiti
Sezvimwe nekupindira kwokuvhiya, mushure mekuiswa kwe stents mumidziyo, zvimwe zvinetso zvinogona kuitika, ndezvi:
- kukanganisa kumadziro emadziro;
- kubuda ropa;
- kusvibiswa kwemudziyo;
- kuumbwa kwehematomas munzvimbo dzinoputika;
- kushaya njodzi basa;
- thrombosis, kudzokorora stenosis.
Kugadziriswa mushure mekusimudzira kwemidziyo yemwoyo
Panguva yekuvandudza mushure mekusimudzira kwemidziyo ye coronary, inowanzoitwa kakawanda, varwere vanofanira kutevedzera zvinotevera zvinotevera:
- Kurara kwakasimba kunorara mushure mekuvhiyiwa.
- Kudziviswa kwemuviri wekuita mushure mekudzurwa, kusabviswa kwekugeza kushambidza kana kushamba.
- Kuramba kutyaira.
- Kuteerera nekudya kwakanaka.
- Kugara kwenguva refu kwezvakatemerwa mishonga.