Angioplasty-wanda ake kira "angioplasty na coronary transcutaneous cututtuka," ko PTCA-yana da hanyar maganin ƙwaƙwalwar ƙwayar cuta, wadda ta fi dacewa don kawar da jigilar jini a cikin arteries, yawanci a cikin suturar jini .
Angioplasty yana aiki ne ta hanyar ƙwallon karamin motsa jiki a cikin ɗigon maganin a kan shafin yanar gizo mai siffar atherosclerotic , ta kwantar da takarda da kuma rage tsigurran ƙwayar cuta.
A kusan kowane akwati angioplasty yana tare da shigar da wani sutura .
Ta yaya Angioplasty An Yi
Don yin angioplasty, likita yana amfani da wani catheter (mai tsawo, mai zurfi, m tube) wanda yana da alamar karewa da aka haɗe shi. An cire kullun a fadin takarda da ke samar da haɗuwa, kuma ana samun rawanin motsi a ƙarƙashin matsa lamba. Hadawa na balloon yana ɗaukar takarda a kan bango na maganin. Lokacin da aka kulle balloon kuma an cire shi, adadi yana cigaba da raguwa, saboda haka an cire ginin.
Yayinda angioplasty aka fara aiki ne kawai, a yau an sanya wani sutura a duk lokacin da angioplasty ke aiki akan maganin jini. Wani sutura shi ne "ma'auni" wanda ke taimakawa wajen tallafawa murfin maganin a shafin yanar gizo na angioplasty, don ci gaba da kwantar da takarda. An sanya sutura ta rushe a kan balloon kafin a saka shi.
Sa'an nan kuma, lokacin da aka fadi balloon, an kunshi nau'in plaque kuma an cigaba da tsutsa a lokaci guda. Lokacin da aka kulle balloon kuma an cire shi, an bar tsutsa a wurin, yana taimakawa wajen ci gaba da kwantar da takarda da kuma maganin.
Lokacin da yake da amfani
Angioplasty yana da tasiri sosai wajen rage alamomin bayyanar angina .
Don haka babban dalilin yin angioplasty a cikin maganin jini shine a bi da angina wanda ya kasance ci gaba duk da kokarin da ake yi a likita. Duk da yake yana iya zama abin ban mamaki ga mutane da yawa, angioplasty (ko da lokacin da aka sanya wani sutsi) ba a nuna cewa ya fi tasiri fiye da maganin likita ba don rage hadarin ƙananan cututtuka (ciwon zuciya), ko don inganta rayuwar. Saboda haka ainihin dalilin yin angioplasty shine don taimakawa angina wanda ya ci gaba duk da yunkurin magance shi da lafiya.
Dalili na biyu angioplasty (da stenting) ana amfani dashi a cikin magance cututtukan cututtuka na jijiyoyin zuciya shine a cikin mutanen da ke fama da ciwo na jijiyoyin jini (ACS). A ACS, wani rikici mai rikitarwa na maganin jijiyoyin zuciya ya faru ne saboda wani gunki ya rushe kuma yatsan ya kafa a cikin maganin. Lokacin da ACS ke faruwa, ƙwaƙwalwar zuciya zai iya yiwuwa sai dai idan an buɗe maganin. A lokacin ACS, shaidar da ake samuwa ta nuna cewa angioplasty da stenting zai iya taimakawa wajen bunkasa cikakkiyar sakamakon zuciya.
Harsoyin jijiyoyin jini ba kawai jigilar jini ne wanda ake amfani da angioplasty don magance matsalolin atherosclerotic na katsewa ba. Har ila yau, ana amfani da angioplasty zuwa jigilar carotid (wanda ke ba da kwakwalwa), da kuma bayanan da aka samu (wanda ya samar da kodan) da kuma jigon kafa.
Matsaloli
Mafi yawan matsalolin da ke biyo bayan angioplasty kadai shi ne restenosis - samuwar sabon rikici a kan shafin na plaque plaque. Saukewa abu ne mai sauƙi wanda ya haifar da sabon ci gaban nama-mai yiwuwa a sakamakon matsalar da aka samu a cikin bangon jirgi ta hanyar angioplasty kanta. Abinda ya faru da restenosis an rage ta sosai ta hanyar amfani da kwayoyi, musamman magungunan miyagun ƙwayoyi (DES), waɗanda aka shafe su da magani wanda zai hana ci gaban nama, don haka rage ragewa.
Kafin kwanakin stents, marigayi ƙaddamarwa ya faru a cikin kusan kashi 30 cikin dari na marasa lafiya wanda ke da wariyar iska.
Yin amfani da ƙananan ƙarfe na ƙarfe ya rage wannan haɗari zuwa kasa da 15%, kuma ƙwayoyin maganin ƙwayoyi suna rage shi har ƙasa da 10%.
Matsalar da ba ta da mawuyaci, amma abu mafi banƙyama, shi ne thrombosis (jinin jini) a shafin yanar gizo na angioplasty / stenting. Sakamakon yaduwar kwayar cutar shine kwatsam kuma sau da yawa abin da ya faru, wanda yawanci ya haifar da ƙyamawar ƙwayar cutar. Thrombosis ne mafi yawan gani ba da daɗewa ba bayan da angioplasty hanya (wato, a cikin kwanaki zuwa makonni). Duk da haka, idan an saka wani sutsi a lokacin angioplasty (wanda yake kusan ko wane hali a yau), ƙananan halayen thrombosis na cigaba da da yawa watanni zuwa shekaru da yawa bayan hanya. Rashin haɗarin thrombosis yana rage yawanci ta hanyar amfani da kwayoyi masu amfani da kwayoyi- wanda, duk da haka, yana kawo hadari.
Sauran matsalolin da zasu iya faruwa a lokacin angioplasty sun hada da lalacewa ga kwayar da ake ba da ita ta hanyar jinin jini (ciki har da ciwon zuciya, lalacewar koda ko bugun jini), cututtukan zuciya, ko zub da jini.
Kara karantawa game da dukkanin maganin zafin jiki na cututtukan cututtuka .
> Sources:
> Masana / Task Force, Windecker S, Kolh P, et al. 2014 ESC / EACTS Sharuɗɗa game da Revascularization na Maganar: Ƙungiyar Ƙungiyar Ƙungiyar Harkokin Kasuwanci ta Ƙungiyar Turai (ESC) da Ƙungiyar Turai ta Cardio-Thoracic Surgery (EACTS) EAPCI). Eur Heart J 2014; 35: 2541.
> Sanya SD, Blankenship JC, Alexander KP, et al. 2014 ACC / AHA / AATS / PCNA / SCAI / STS Gidawar Ɗaukakawar Jagoran Bayanai don Tattaunawa da Gudanarwa na marasa lafiya tare da Stable Ischemic Heart Heart: Rahoton Cibiyar Kasuwancin Kasuwancin Amirka / Ƙungiyar Ƙungiyar Ƙungiyar Ƙungiyar Amirka ta Ƙungiyar Harkokin Kasuwanci, da Ƙungiyar {asar Amirka don Harkokin Turawa, Cibiyar Nazarin Nursoshin Tafiyar Lafiya, Cibiyar Nazarin Harkokin Ciwon Lafiyar Hoto da Tsarin Harkokin Cutar, da Cibiyar Nazarin Yanke Thoracic. J Am Coll Cardiol 2014; 64: 1929.