Revascularization igadziriro yekuvhiya ine chinangwa chekudzorera kutenderera kweropa. Kusafamba zvakanaka kweropa, chikamu kana chakazara, chinogona kuve mhedzisiro yecoronary syndrome.

Revascularization inosanganisira nzira dzinoverengeka dzinoshandiswa kurapa coronary syndrome. Aya maitiro ekuvhiya ane chinangwa chekudzorera kutenderera kweropa. Kuchinja kwekufamba kweropa kunogona kuva chidimbu kana kuzara. Revascularization yakabatsira mumakore achangopfuura kuvandudza hupenyu uye urefu hwehupenyu hwevarwere vane chirwere chemoyo. Kune marudzi akasiyana e coronary syndrome umo revascularization inogona kushandiswa.

Acute coronary syndrome

Acute coronary syndrome inokonzerwa nechikamu kana kuvharika zvachose kwetsinga. Kuvhiringidza uku kunokonzerwa nekuvapo kwemaplaques e atheroma, inova dhipoziti yezvinhu zvakasiyana semafuta, ropa, fibrous tissue kana lime deposits, pane chikamu chemukati memadziro etsinga. Atheroma plaques kazhinji kazhinji mhedzisiro yecholesterol yakaipa, chirwere cheshuga, fodya, hypertension kana kufutisa. Dzimwe nguva chimedu chedombo chinoputika, zvichiita kuti ropa rigwambe, richivhara tsinga. Acute coronary syndrome inosanganisira zviitiko zviviri zvakasiyana zvemoyo:

• Angina, kana angina pectoris, ndiko kuvharika kwechikamu chetsinga. Chiratidzo chikuru marwadzo mu sternum, kufanana nechisimba, vise mubhokisi. Angina inogona kuitika pakuzorora kana kukonzerwa nekurovedza muviri kana manzwiro, uye kuenda kana uchizorora. Zvakakosha kudana 15 mune zvose zviri zviviri;
• Myocardial infarction, kana heart attack, ndiko kuvharika kwakakwana kwetsinga. Iyo myocardium ndiyo tsandanyama yemoyo inokonzera kukokana. Chirwere chemoyo chinonzwika sechitunha muchipfuva uye chinoda kurapwa nekukurumidza.

Chronic coronary syndrome

Chronic coronary syndrome chirwere chemoyo chakagadzikana. Inogona kunge yakagadzikana angina pectoris inoda pasinei nekutevera kunosanganisira kurapwa kwezviratidzo nekudzivirira kudzivirira kumwe kurwiswa. Muna 2017, zvakabata vanhu 1,5 miriyoni muFrance.

Muchiitiko cheacute coronary syndrome, vanachiremba vachakurumidza kuita revascularization kuitira kuti vadzorere kutenderera kweropa zvakanyanya sezvinobvira muchikamu kana chakavharika zvachose artery.

Muchiitiko chechirwere chechirwere chisingaperi, revascularization inoitwa kana rubatsiro runotarisirwa runopfuura ngozi kune murwere. Inogona kuitwa kune zvinangwa zviviri:

• kuderera kana kupera kwezviratidzo zveangina;
• kuderedza njodzi yechiitiko chakakomba chemoyo senge infarction kana kutadza kwemoyo.

Revascularization inogona kuitwa nenzira mbiri: coronary bypass surgery kana angioplasty.

Coronary bypass operation

Kuvhiyiwa kweCoronary bypass kunosanganisira kugadzira nzira yekunzvenga nayo mukuyerera kweropa kupa moyo neropa rakakwana. Nekuda kweizvi, tsinga kana tsinga inoiswa kumusoro kwenzvimbo yakavharika kuitira kuti kutenderera kweropa kupfuure chipingamupinyi. Iyo artery kana tsinga inowanzotorwa kubva kumurwere. Chikamu chakavharidzirwa chinogonawo kupfuudzwa nevascular prosthesis.

Angioplasty

Angioplasty inosanganisira kuiswa kwecatheter kana diki probe mutsinga iri muchanza kana groin. Iyo probe inobva yaita kuti zvikwanise kuunza bharumu diki iro rinozokwiridzirwa pamwero wekuvhara. Bharumu rinowedzera dhayamita yetsinga uye rinobvisa jira. Kufambisa uku kunodzorera kutenderera kweropa kana bharumu rabviswa. Muzviitiko zvakawanda, angioplasty inoperekedzwa nekuiswa kwe stent. Ichi chitubu chidiki chinopinzwa mutsinga kuti irambe yakavhurika.

Muchiitiko cheangina kana angina pectoris, revascularization ichaitwa mukati me6 kusvika maawa 8 mushure mekuvhara kuitira kudzivirira kusunungurwa kwehupfu munzvimbo inobvunzurudzwa uye kudzivisa kukanganisa kunogoneka kune vahosi.

Kutenderera kweropa kunotangazve senguva dzose sezvinobvira, nekunonoka kana kureba kwenguva refu zvichienderana nekuoma kwechivharo. Kurapa kunoitwa kuti kuderedze zviratidzo uye kudzivirira kutanga kweimwe kurwisa kana kuwedzera kwechirwere chemoyo. Muzviitiko zvose, kuongororwa nguva dzose ne cardiologist kunokurudzirwa zvakare.

Kudzikamisa njodzi yekuvharisa kutsva, zvakakosha kudzora njodzi zvakanyanya sezvinobvira:

• kurega kusvuta;
• kudzora chirwere cheshuga;
• kudzora kwecholesterol yakaipa;
• kuenzanisa arterial hypertension.

Izvo zvisingadiwi mhedzisiro ye revascularization zvinoenderana nehunyanzvi hunoshandiswa, pamwe nemhando yekurapa kunoitwa necardiologist. Kana ukaona chiratidzo chimwe kana chimwe, chinhu chinonyanya kukosha ndechekutaura nachiremba.