I-Bioresorbable Vascular Scaffold-IiNkqubo, Ulungiselelo, Iindleko, kunye noBuyiselo

I-Bioresorbable Vascular Scaffold (BVS) sisixhobo sonyango esitsha esisetyenziselwa unyango lwe-coronary artery disease. Ngokungafaniyo nentsimbi yesiko yesinyithi, ehlala ngokusisigxina emzimbeni, i-scaffolds ye-bioresorbable yenzelwe ukubonelela ngenkxaso yethutyana kwi-artery ngelixa ivumela ukuba iphile ngokwemvelo. Ngokuhamba kwexesha, ezi scaffolds zinyibilika ngokuthe ngcembe kwaye zifunxwa ngumzimba, zishiya ngasemva umthambo obuyiselweyo ngaphandle kwayo nayiphi na into esisigxina yangaphandle.

Inkqubo ibandakanya ukufakwa kwe-scaffold kwi-artery emxinwa okanye evaliweyo, ngokuqhelekileyo ngokusebenzisa ubuchule obuncinci obubizwa ngokuba yi-percutaneous coronary intervention (PCI). Ngethuba le nkqubo, i-catheter ikhokelwa ngemithambo yegazi ukuya kwindawo yokuvala. Xa sele isendaweni, i-scaffold iyakhula ukuze ibambe umthambo ovulekileyo, ukuvumela igazi ukuba lihambe ngokukhululekileyo. Injongo ephambili ye-BVS kukunyanga iimeko ezifana ne-atherosclerosis, apho i-plaque buildup iyancipha i-artery, ekhokelela ekunciphiseni ukuhamba kwegazi kunye neengxaki zentliziyo.

I-scaffolds ye-Bioresorbable inenzuzo ngokukhethekileyo kwizigulane ezinokufuna ungenelelo lwexesha elizayo, njengoko ubume bexeshana babo buvumela ukhetho olongezelelweyo lonyango phantsi komgca. Bakwacingelwa ukuba banciphise umngcipheko we-stent thrombosis kade, ingxaki enkulu ehambelana ne-stents esisigxina, apho ihlwili legazi lenza kwi-stent ixesha elide emva kwenkqubo yokuqala.

Kutheni le nto i-Bioresorbable Vascular scaffold yenziwe?

Inkqubo ye-Bioresorbable Vascular Scaffold idla ngokucetyiswa kwizigulane ezineempawu ze-coronary artery disease. Iimpawu eziqhelekileyo ziquka intlungu yesifuba (angina), ukuphefumula okufutshane, ukukhathala, kwaye kwezinye iimeko, ukuhlaselwa yintliziyo. Ezi mpawu zivela xa isihlunu sentliziyo singafumani igazi elaneleyo elineoksijini eninzi ngenxa yemithambo emxinwa okanye evalekile.

Isigqibo sokwenza inkqubo ye-BVS isoloko isekelwe kubunzima bemeko yesigulane, njengoko kuchongwe ngovavanyo lokuxilonga olufana ne-angiography, ebonisa imithambo yegazi, okanye iimvavanyo zoxinzelelo ezivavanya umsebenzi wentliziyo. Ukuba ezi mvavanyo zityhila imiqobo ebalulekileyo enokukhokelela kwiingxaki ezinzulu, i-BVS inokucetyiswa ukuba ibuyisele ukuhamba kwegazi kunye nokunciphisa iimpawu.

Ukongeza kwizigulane ezineempawu, i-BVS inokuphinda iboniswe kwabo banesifo esizinzile se-coronary artery abasengozini yeziganeko zentliziyo ezizayo. Injongo kukuphucula umgangatho wobomi kunye nokunciphisa amathuba okuba nemiba yentliziyo enzima kakhulu phantsi komgca.

Iimpawu zeBioresorbable Vascular Scaffold

Iimeko ezininzi zeklinikhi kunye neziphumo zokuxilonga zinokwenza isigulana sibe ngumviwa we-Bioresorbable Vascular Scaffold. Ezi ziquka:

• Isifo se-Coronary Artery esibalulekileyo: Izigulane ezinemibhobho ephakathi ukuya kwezibi kakhulu kwi-coronary arteries enye okanye ngaphezulu ngabaviwa abaphambili kule nkqubo. Iqondo lokuvaleka ngokuqhelekileyo livavanywa ngezifundo zomfanekiso.
• Iimpawu ze-Angina: Abantu abafumana iintlungu zesifuba eziphindaphindiweyo okanye ukungonwabi okuthintela imisebenzi yabo yemihla ngemihla banokucetyiswa ukuba i-BVS ithomalalise ezi mpawu.
• I-Acute Coronary Syndrome: Izigulane eziye zafumana isifo senhliziyo okanye i-angina engazinzanga zingadinga ukungenelela ngokukhawuleza ukubuyisela ukuhamba kwegazi kunye nokukhusela umonakalo ongakumbi kwimisipha yenhliziyo.
• Ukungaphumeleli kweStent yangaphambili: Kwiimeko apho i-stent yendabuko ingaphumeleli okanye apho kukho umngcipheko we-restenosis (ukunciphisa kwakhona umthambo), i-scaffold ye-bioresorbable inokuthathwa njengenye indlela.
• Izigulana eziselula: Abantu abancinci okanye abo baphila ixesha elide banokuzuza kwi-BVS ngenxa yobume bayo bexeshana, ukuvumela ukhetho lonyango lwexesha elizayo ngaphandle kweengxaki ezinxulumene nama-stents asisigxina.
• seswekile: Izigulana ezinesifo seswekile zihlala zine-coronary artery ezintsonkothileyo kwaye zinokuba semngciphekweni omkhulu weengxaki. I-BVS inokubonelela ngokhetho olukhuselekileyo kwezi zigulana.
• Izilonda ezintsonkothileyo: Iindidi ezithile zokuvaleka kwemithambo, ezifana nezo zibekwe kwi-bifurcations (apho i-artery yahlukana khona) okanye ezo zinde kwaye zisasazekile, zinokuphathwa ngcono nge-bioresorbable scaffold.

Iintlobo ze-Bioresorbable Vascular Scaffold

Ngelixa kukho iindlela ezahlukeneyo zoyilo kunye nezixhobo ezisetyenziswa kwi-scaffolds ezinokubakho, zihlala ziwela kwiindidi ezimbini eziphambili ngokusekwe kubume bazo:

• I-Scaffolds esekwe kwiPolymer: Ezi zenziwa kwiipolymers ezinokuthi zinyibilike ngokuthe ngcembe emzimbeni. Banikezela ngenkxaso yesakhiwo kwi-artery ngelixa bevumela ukuphulukiswa kwe-endothelial. Imizekelo ibandakanya i-Absorb scaffold, eyayiyenye ye-scaffolds yokuqala ye-bioresorbable esetyenziswa kwiklinikhi.
• I-Scaffolds esekwe ngesinyithi: Olunye uyilo olutsha lubandakanya iintsimbi ezinokuphinda zisebenze, njenge-magnesium. Ezi scaffolds zinika amandla entsimbi ngelixa zisafunxwa ngumzimba ngokuhamba kwexesha.

Uhlobo ngalunye luneseti yalo yeenzuzo kunye nezinto ezinokuthi zibe khona, kwaye ukhetho lwe-scaffold luhlala luxhomekeke kwimeko ethile yeklinikhi kunye neemfuno zesigulana ngasinye. Njengoko uphando luqhubeka, uyilo olutsha kunye nezixhobo ziyaphuhliswa ukomeleza ukusebenza kunye nokhuseleko lwe-bioresorbable vascular scaffolds.

Ekugqibeleni, inkqubo ye-Bioresorbable Vascular Scaffold ibonisa ukuqhubela phambili okubalulekileyo kunyango lwe-coronary artery disease. Ngokubonelela ngenkxaso yesikhashana kwi-artery, ivumela ukuphulukiswa kwendalo ngelixa unciphisa iingxaki zexesha elide ezinxulumene ne-stents zendabuko. Njengayo nayiphi na inkqubo yonyango, kubalulekile ukuba izigulana zixoxe ngokhetho lwazo kunye nomboneleli wabo wezempilo ukuze bamisele eyona ndlela ilungileyo yokwenza imeko yabo ethile.

Ukuchasana kwe-Bioresorbable Vascular Scaffold

Ngelixa i-bioresorbable vascular scaffolds (BVS) ibonelela ngezisombululo ezintsha zokunyanga isifo se-coronary artery, iimeko ezithile zinokwenza isigulane singafaneleki kule nkqubo. Ukuqonda ezi contraindications kubalulekile ekuqinisekiseni ukhuseleko lwesigulane kunye neziphumo ezilungileyo.

• Iintshukumo Zokwalana Nezinto: Izigulane ezine-allergies ezaziwayo kwizinto ezisetyenziswa kwi-scaffolds ze-bioresorbable, ezifana ne-polylactic acid okanye ezinye iipolymers, kufuneka ziphephe olu nyango. Ukwalana kunokukhokelela kwiingxaki ezinzima.
• ISifo esiMandundu se-Coronary Artery: Abantu abanesifo esibanzi se-coronary artery, ngakumbi abo banezithintelo ezininzi okanye izilonda ezinzima, basenokungabi ngabaviwa abafanelekileyo. I-scaffold ayinakuxhasa ngokwaneleyo umthambo kwiimeko ezinjalo.
• I-Acute Myocardial Infarction: Izigulane ezifumana ukuhlaselwa yintliziyo zingafuna ukungenelela ngokukhawuleza kunye ne-stents yendabuko kunokuba i-scaffolds ye-bioresorbable, enokuthi ibonelele ngenkxaso efunekayo ngexesha leziganeko ezinzima.
• Isifo seswekile esingalawulekiyo: Izigulana ezinesifo seswekile ezilawulwa kakubi zinokuba nokuphazamiseka kokuphiliswa kunye nomngcipheko okhulayo weengxaki, zibenza bangabi bafaneleka kakhulu kwi-scaffolds ye-bioresorbable.
• Iziphazamiso Zokopha: Abo baneemeko ezichaphazela ukujiyisa kwegazi okanye abakunyango lwe-anticoagulant banokujamelana neengozi ezongezelelekileyo ngexesha nasemva kwenkqubo.
• Ukukhulelwa: Abasetyhini abakhulelweyo bayacetyiswa ngokubanzi ngokuchasene neenkqubo ezibandakanya i-bioresorbable scaffolds ngenxa yengozi enokubakho kumama kunye nosana olungekazalwa.
• Usulelo: Usulelo olusebenzayo, ngokukodwa kwindawo apho inkqubo iya kwenziwa khona, inokwenza kube nzima ukusetyenziswa kwe-scaffolds ye-bioresorbable kunye nokwandisa umngcipheko weengxaki.
• Ukukhubazeka okumandundu kweZintso: Izigulana ezinokungasebenzi kakuhle kwezintso zisenokungabi ngabagqatswa abafanelekileyo, njengoko ukukwazi kwabo ukusetyenzwa ngamayeza kunye nokuchacha kwinkqubo kunokubekwa esichengeni.
• Imbali yeStent Thrombosis: Imbali yangaphambili ye-stent thrombosis ingabonisa umngcipheko ophezulu weengxaki ezifanayo kunye ne-bioresorbable scaffolds.
• Ukungathobeli: Izigulane ezingenakwenzeka ukuba zihambelane nokunyamekela emva kwenkqubo kunye nokuqeshwa okulandelwayo kunokungabi ngabaviwa abafanelekileyo, njengoko ulawulo olufanelekileyo lubalulekile kwimpumelelo yonyango.

Uzilungiselela njani i-Bioresorbable Vascular scaffold

Ukulungiselela inkqubo ye-scaffold ye-vascular bioresorbable kubalulekile ukuqinisekisa inkqubo egudileyo kunye nesiphumo esiyimpumelelo. Nanga amanyathelo izigulane kufuneka ziwalandele:

• Uthethwano noMboneleli wezeMpilo: Cwangcisa ukubonisana ngokucokisekileyo kunye ne-cardiologist yakho okanye i-cardiologist interventional. Xoxa ngembali yakho yezonyango, amayeza angoku, kunye nayo nayiphi na inkxalabo onokuba nayo.
• UVavanyo Lwenkqubo Yangaphambili: Ugqirha wakho unokucebisa iimvavanyo ezininzi, kubandakanya:
  • I-Electrocardiogram (ECG): Ukuvavanya isigqi sentliziyo kunye nomsebenzi.
  • I-Echocardiogram: Ukuba nombono wezakhiwo zentliziyo kunye nomsebenzi.
  • I-Angiography yeCoronary: Ukuvavanya ubungakanani besifo se-coronary artery kunye nokumisela eyona ndlela yonyango.
• Uphononongo lwamayeza: Yazisa ugqirha wakho malunga nawo onke amayeza owathathayo, kubandakanywa neziyobisi ezithengiweyo kunye nezongezelelo. Kusenokufuneka uyeke amayeza athile, anje ngegazi, kwiintsuku ezimbalwa ngaphambi kokuba kwenziwe inkqubo.
• Ukuguqula indlela yokuphila: Yamkela indlela yokuphila esempilweni ekhokelela kwinkqubo. Oku kuquka:
  • Ukutya ukutya okunesondlo okuneziqhamo, imifuno, ukutya okuziinkozo, kunye neeproteni ezibhityileyo.
  • Ukwenza umthambo rhoqo, njengoko ucetyiswa ngumboneleli wakho wezempilo.
  • Ukuphepha ukutshaya kunye nokunciphisa ukusetyenziswa kotywala.
• Imiyalelo yokuzila ukutya: Unokuyalelwa ukuba uzile ukutya ixesha elithile phambi kwenkqubo, ngokuqhelekileyo ubuncinane kwiiyure ezi-6-8. Oku kukuqinisekisa ukuba isisu sakho asinanto ngexesha lenkqubo.
• Amalungiselelo ezothutho: Ekubeni le nkqubo isenokuquka ukuthomalalisa, lungiselela ukuba ubani akuqhube akugoduse emva koko. Usenokungakwazi ukuqhuba ubuncinane iiyure ezingama-24 emva kwenkqubo.
• Isicwangciso sokuKhathalela emva kweNkqubo: Xoxa ngesicwangciso sokhathalelo lwasemva kwenkqubo kunye nomboneleli wakho wezempilo. Qonda ukubaluleka kokuqeshwa okulandelayo kunye naluphi na utshintsho kwindlela yokuphila onokuthi uyiphumeze.
• Ukulungiselela ngokweemvakalelo: Yinto eqhelekileyo ukuziva uxhalabile ngaphambi kokuba wenze unyango. Cinga ngokuxoxa ngeemvakalelo zakho neqela lakho lezempilo okanye umhlobo omthembileyo okanye ilungu losapho.

I-Bioresorbable Vascular scaffold: Inkqubo yeNyathelo ngeNyathelo

Ukuqonda inkqubo yesinyathelo-nge-nyathelo yokufumana i-scaffold ye-vascular ye-bioresorbable kunokunceda ukunciphisa ixhala kwaye kukulungiselele into onokuyilindela.

1. Ukulungiselela kwangaphambili: Ngomhla wenkqubo, uya kufika esibhedlele okanye kwiziko lokugula ngaphandle. Emva kokungena, uya kutshintsha ube yingubo yesibhedlele. Umgca we-intravenous (IV) uya kufakwa engalweni yakho ukuze ulawule amayeza kunye nolwelo.
2. Ukubulawa: Uya kufumana i-sedative ukukunceda uphumle. Kwezinye iimeko, i-anesthesia yendawo ingasetyenziselwa ukunciphisa indawo apho i-catheter iya kufakwa khona.
3. Ukufikelela kuMmandla weGazi: Ugqirha uya kufikelela kwisitya segazi esihlahleni okanye kwi-groin yakho. I-incision encinci iya kwenziwa, kwaye i-catheter (ityhubhu encinci, eguquguqukayo) iya kufakwa kwi-blood vessel.
4. Ukukhokela iCatheter: Ukusebenzisa i-fluoroscopy (uhlobo lweX-reyi yexesha lokwenene), ugqirha uya kukhokela i-catheter ngemithambo yakho yegazi kwindawo yokuvaleka kwi-coronary artery yakho.
5. Ibhaluni Angioplasty: Emva kokuba i-catheter isendaweni, ibhaluni encinci kwincam ye-catheter iya kunyuswa kwindawo yokuvala. Oku kunceda ukuvula umthambo kwaye ulungiselele i-scaffold.
6. Ukusasaza i-Bioresorbable scaffold: Emva kokuba ibhaluni yandise umthambo, i-scaffold ye-bioresorbable iya kuhanjiswa nge-catheter kwaye ibekwe kwindawo yokuvala. I-scaffold iya kwandiswa ukuze ibambe umthambo uvulekile.
7. UVavanyo lwasemva kokusasazwa: Ugqirha uya kuvavanya ukubekwa kwe-scaffold usebenzisa ubuchule bokucinga ukuqinisekisa ukuba ibekwe ngokuchanekileyo kwaye isebenze njengoko kuhloswe ngayo.
8. Ukususa iCatheter: Emva kokuba i-scaffold isendaweni, i-catheter iya kususwa ngononophelo. Uxinzelelo luya kusetyenziswa kwindawo yokufakela ukuthintela ukopha.
9. Ukubuyisela: Uya kuhanjiswa kwindawo yokubuyisela apho abaqeqeshi bezempilo baya kubeka iliso kwiimpawu zakho ezibalulekileyo kunye nemeko yonke. Olu hlolo luhlala iiyure ezimbalwa.
10. Imiyalelo yokukhupha: Emva kokuchacha, uya kufumana imiyalelo malunga nendlela yokunyamekela ekhaya, kubandakanywa namayeza omele uwathathe, iimpawu zeengxaki zokujonga, kunye nokuqeshwa okulandelwayo.

Imingcipheko kunye neengxaki ze-Bioresorbable Vascular Scaffold

Njengayo nayiphi na inkqubo yonyango, ukusetyenziswa kwe-scaffolds ye-vascular bioresorbable ithwala ingozi ethile. Ukuqonda ezi ngozi kunokukunceda wenze izigqibo ezinolwazi malunga nonyango lwakho.

• Imingcipheko eqhelekileyo:
  • Ukuhlamba: Ukopha okuncinci kwindawo yokufaka i-catheter kuqhelekileyo kodwa ngokuqhelekileyo kusombulula ngokukhawuleza.
  • Usulelo: Kukho umngcipheko omncinci wosulelo kwindawo yokufakwa kwe-catheter.
  • Iintshukumo Zokwalana Nezinto: Ezinye izigulana zinokufumana ukuchasana nezinto ezisetyenziswa kwi-scaffold okanye amayeza alawulwa ngexesha lenkqubo.
• Imingcipheko yentliziyo:
  • I-Restenosis: Kukho ithuba lokuba umthambo unokucutheka kwakhona emva kokuba kubekwe isikafula.
  • I-Thrombosis: Umngcipheko onqabileyo kodwa onobungozi kukubunjwa kwehlwili legazi ngaphakathi kwe-scaffold, enokukhokelela ekuhlaselweni kwentliziyo.
• Iingxaki ezinqabileyo:
  • Ukwenzakala kwiVascular: Ukulimala kwimithambo yegazi ngexesha lokufakwa kwe-catheter kunokwenzeka, okukhokelela kwiingxaki ezinokufuna unyango olongezelelweyo.
  • Ukuhlaselwa yintliziyo: Nangona kunqabile, kukho umngcipheko wokuhlaselwa yintliziyo ngexesha okanye kungekudala emva kwenkqubo.
  • Ukubetha: Kwiimeko ezinqabileyo kakhulu, i-stroke ingenzeka ngenxa ye-embolism okanye ezinye iingxaki.
• Imingcipheko yexesha elide:
  • Ukuthotywa kwesikafula: Nangona i-scaffolds ye-bioresorbable yenzelwe ukunyibilika ngexesha, izinga lokuthotywa lingahluka phakathi kwezigulane, ezinokukhokelela kwiingxaki ukuba i-scaffold ayiwuxhasi ngokupheleleyo umthambo ngexesha lenkqubo yokuphilisa.
• Imingcipheko ethile yesigulana: Izinto zomntu ngamnye ezifana nobudala, impilo yonke, kunye nobukho bezinye iimeko zonyango zinokuchaphazela ukubakho kweengxaki.

UkuBuyisa emva kwe-Bioresorbable Vascular scaffold

Inkqubo yokubuyisela emva kokufumana i-bioresorbable vascular scaffold (BVS) ngokuqhelekileyo ihamba kakuhle, kodwa iyahluka kwisigulane ukuya kwisigulane. Uninzi lwabantu lunokulindela ukuhlala esibhedlele usuku olunye ukuya kwezimbini emva kwenkqubo, kuxhomekeke kwimpilo yabo yonke kunye naziphi na iingxaki ezinokuvela. Ngeli xesha, ababoneleli bezempilo baya kubeka esweni ukusebenza kwentliziyo yakho kwaye baqinisekise ukuba i-scaffold isebenza njengoko bekucetywayo.

Ixesha elilindelekileyo lokuBuyisa kwakhona:

• IVeki yokuqala: Izigulana zinokuziva zingonwabi kancinci, zidumbe, okanye zigruzuke kwindawo yokufaka i-catheter. Ulawulo lweentlungu ngokuqhelekileyo luphathwa ngamayeza angaphezulu kwe-counter. Imisebenzi yokukhanya, njengokuhamba, iyakhuthazwa ukuba ikhuthaze ukujikeleza.
• Iiveki 2-4: Izigulana ezininzi zinokuphinda ziqalise ngokuthe ngcembe ukwenza izinto eziqhelekileyo, kuquka nokubuyela emsebenzini, ukuba nje umsebenzi wazo ungabandakanyi ukuphakamisa izinto ezinzima okanye umthambo onzima. Ukuqeshwa kolandelelo kuya kucwangciswa ukubeka iliso kwimeko yokubuyisela kwakhona ukusebenza ngempumelelo kwesikafula.
• Iinyanga ezi-1-3: Ngeli xesha, uninzi lwezigulana zinokubuyela kwiindlela zabo zokuzilolonga rhoqo, kodwa kubalulekile ukubonisana nomboneleli wakho wezempilo ngaphambi kokuba wenze njalo. Iinkqubo zokuvuselela i-cardiac zingacetyiswa ukunceda izigulane ziphinde zibe namandla kunye nokunyamezela.
• Iinyanga ezi-3-6: I-scaffold ye-bioresorbable iya kuqala ukunyibilika, kwaye izigulane kufuneka ziqaphele ukuphuculwa kwimpilo yazo yonke ye-cardiovascular. Ukuhlolwa rhoqo kuya kuqhubeka ukuqinisekisa ukuba intliziyo isebenza kakuhle.

Iingcebiso zoLondolozo lwasemva:

• Landela imiyalelo kagqirha wakho malunga namayeza, ngakumbi unyango lwe-antiplatelet, ukukhusela amahlwili egazi.
• Gcina ukutya okunesondlo okunentliziyo okutyebileyo kwiziqhamo, imifuno, ukutya okuziinkozo, kunye neeproteni ezibhityileyo.
• Hlala u-hydrated kwaye unciphise ukungena kwetyuwa ukulawula uxinzelelo lwegazi.
• Kuphephe ukutshaya kwaye unciphise ukusetyenziswa kotywala.
• Yenza umthambo olula njengoko ucetyiswa ngumboneleli wakho wezempilo.

Xa Imisebenzi Yesiqhelo Inokuqalisa kwakhona:

Uninzi lwezigulana zinokubuyela kwimisebenzi yazo yesiqhelo yemihla ngemihla kwiiveki ezimbalwa, kodwa imidlalo enempembelelo ephezulu okanye ukuphakamisa okunzima kufuneka kuphetshwe ubuncinci iinyanga ezintathu. Soloko udibana nomboneleli wakho wezempilo ukuze ufumane iingcebiso ezenzelwe wena ngokusekelwe kwinkqubela yakho yokubuyisela.

Izibonelelo zeBioresorbable Vascular Scaffold

I-bioresorbable vascular scaffold ibonelela ngophuculo oluphambili lwezempilo kunye neziphumo zomgangatho wobomi kwizigulana ezinesifo se-coronary artery. Nazi ezinye zezibonelelo eziphambili:

• Ukubuyiselwa koMsebenzi weSikhephe seNdalo: Ngokungafaniyo ne-stents yentsimbi yesintu, i-scaffolds e-bioresorbable iyanyibilika ngokuhamba kwexesha, ivumela umthambo ukuba uphinde usebenze wendalo kunye nokuguquguquka. Oku kunokukhokelela ekuphuculeni ukuhamba kwegazi kunye nokunciphisa umngcipheko weengxaki zexesha elide.
• Ukunciphisa Umngcipheko we-Stent Thrombosis yamva nje: I-BVS inomngcipheko ophantsi we-stent thrombosis kade xa kuthelekiswa ne-stents yensimbi esisigxina. Oku kubalulekile kwizigulana ezinokuba semngciphekweni wamahlwili egazi ajikeleze into yangaphandle emzimbeni.
• Umgangatho woBomi obuphuculweyo: Izigulane zihlala zichaza umgangatho ongcono wobomi emva kwenkqubo, njengoko i-scaffold ye-bioresorbable inokunciphisa iimpawu ze-angina kunye nokuphucula ukunyamezela komthambo. Oku kukhokelela ekusebenzeni komzimba okwandisiweyo kunye nokuphila kakuhle.
• Isidingo esincinci soNyango lwexesha elide lwe-Antiplatelet: Ekubeni i-scaffold yenzelwe ukunyibilika, izigulane zisenokungadingi ukuba zihlale kumayeza e-antiplatelet ixesha elide njengalawo ane-stents ezisisigxina, ukunciphisa ingozi yokopha.
• IiNzuzo zobuhle kunye nezengqondo: Ukungabikho kokufakelwa kwesigxina kunokubonelela ngentuthuzelo yengqondo kwizigulane ezinenkxalabo malunga nokuba nento yangaphandle emzimbeni wabo.

Lilonke, i-bioresorbable vascular scaffold imele inkqubela phambili ebalulekileyo kunyango lwentliziyo, inika izigulana ithuba elithembisayo lokulawula isifo se-coronary artery ngelixa unciphisa umngcipheko wexesha elide.

Lithini ixabiso le-Bioresorbable Vascular scaffold eIndiya?

Ixabiso le-bioresorbable vascular scaffold eIndiya lisuka kwi- ₹1,00,000 ukuya kwi- ₹2,50,000. Izinto ezininzi zinokuchaphazela iindleko zizonke zenkqubo, kubandakanywa:

• UKhetho lwesibhedlele: Izibhedlele ezahlukeneyo zinokuba nezakhiwo zamaxabiso ezohlukeneyo ngokusekelwe kumaziko azo, ubuchule kunye nodumo.
• Indawo: Iindleko zinokwahluka kakhulu phakathi kweendawo zasezidolophini nezisemaphandleni, izibhedlele zeMetropolitan zibiza ngaphezulu.
• Uhlobo lwegumbi: Ukukhethwa kwegumbi (iwadi ngokubanzi, igumbi labucala, okanye igumbi lokulala) kunokuchaphazela iindleko ezipheleleyo zokulaliswa esibhedlele.
• Iingxaki: Ukuba kukho naziphi na iingxaki ezivela ngexesha okanye emva kwenkqubo, unyango olongezelelweyo lunokuba yimfuneko, ukwandisa ixabiso elipheleleyo.

Izibhedlele ze-Apollo zibonelela ngeengenelo ezininzi, kubandakanywa amaziko akumgangatho ophezulu, iingcali zonyango ezinamava, kunye nokhathalelo olubanzi, olunokuphucula amava esigulane ngokubanzi. Ukongeza, ixabiso le-bioresorbable vascular scaffolds eIndiya liphantsi kakhulu kunamazwe aseNtshona, oko kuyenza ibe lukhetho olufikelelekayo kwizigulana ezininzi ezifuna ukhathalelo olukumgangatho ophezulu.

Ukufumana amaxabiso achanekileyo kunye nolwazi olulolwakho, siyakukhuthaza ukuba uqhagamshelane neApollo Hospitals ngokuthe ngqo. Iqela lethu lilapha ukuze likuncede uqonde iindleko kunye nokhetho olukhoyo kuwe.

Imibuzo Ebuzwa Rhoqo malunga neBioresorbable Vascular scaffold

• Loluphi utshintsho lokutya ekufuneka ndilwenzile ngaphambi kokuba ndiqhube inkqubo ye-Bioresorbable Vascular Scaffold?
  Ngaphambi kwenkqubo yakho ye-Bioresorbable Vascular scaffold, kubalulekile ukugcina ukutya okunempilo yentliziyo. Gxininisa ekutyeni iziqhamo, imifuno, ukutya okuziinkozo, kunye neeproteni ezibhityileyo. Kuphephe ukutya okunamafutha aphezulu kunye neswekile eninzi. Ukuhlala u-hydrated nako kubalulekile. Qhagamshelana nomboneleli wakho wezempilo malunga neengcebiso ezilungiselelwe wena zokutya.
• Ngaba abaguli abalupheleyo banokungena ngokukhuselekileyo kwinkqubo ye-Bioresorbable Vascular Scaffold? 
  Ewe, abaguli abalupheleyo banokungena ngokukhuselekileyo kwinkqubo yeBioresorbable Vascular Scaffold. Nangona kunjalo, kubalulekile ukuvavanya impilo yabo yonke kunye nakuphi na ukugula. Uvavanyo olucokisekileyo ngugqirha wentliziyo kwizibhedlele zeApollo lunokunceda ukumisela eyona ndlela ilungileyo kwizigulana ezisele zikhulile.
• Ngaba kukhuselekile ukuba ne-Bioresorbable Vascular scaffold ukuba ndikhulelwe?
  Ukuba ukhulelwe okanye uceba ukukhulelwa, xoxa ngemeko yakho kunye nomboneleli wakho wezempilo. Ngelixa i-Bioresorbable Vascular Scaffold ikhuselekile ngokubanzi, iimeko zomntu ngamnye zinokwahluka, kwaye ugqirha wakho unokubonelela ngeengcebiso ezilungiselelwe.
• Ngaba kukho naziphi na iimeko zabantwana apho i-Bioresorbable Vascular Scaffold isetyenziswa?
  I-Bioresorbable Vascular Scaffolds yenzelwe abantu abadala. Nangona kunjalo, kwiimeko ezithile zesifo senhliziyo sokuzalwa, banokuqwalaselwa kwizigulane zabantwana. Ukubonisana nogqirha wentliziyo yabantwana kwizibhedlele ze-Apollo kubalulekile kukhathalelo lomntu.
• Kufuneka ndenze ntoni ukuba ndinembali yotyando lwentliziyo kwaye ndifuna i-Bioresorbable Vascular Scaffold?
  Ukuba unembali yotyando lwentliziyo, kubalulekile ukwazisa umboneleli wakho wezempilo. Baza kuvavanya imbali yakho yezonyango kwaye babone ukuba i-Bioresorbable Vascular Scaffold ifanelekile kwimeko yakho.
• Ukutyeba kakhulu kuyichaphazela njani inkqubo ye-Bioresorbable Vascular Scaffold?
  Ukukhuluphala kunokunyusa umngcipheko weengxaki ngexesha nangemva kwenkqubo ye-Bioresorbable Vascular Scaffold. Kubalulekile ukuxoxa ngobunzima bakho kunye nayo nayiphi na imiba enxulumene nempilo kunye nomboneleli wakho wezempilo kwi-Apollo Hospitals ukuqinisekisa isicwangciso sonyango esikhuselekileyo nesisebenzayo.
• Ngaba ndingenza inkqubo ye-Bioresorbable Vascular scaffold ukuba ndinesifo seswekile? 
  Ewe, abaguli abanesifo seswekile banokungena kwinkqubo ye-Bioresorbable Vascular Scaffold. Nangona kunjalo, ukulawula amanqanaba eswekile yegazi ngaphambi nangemva kwenkqubo kubalulekile ukuze uchache ngokupheleleyo. Iqela lakho lezempilo kwizibhedlele zeApollo liya kunika isikhokelo ekulawuleni isifo seswekile ngeli xesha.
• Ngawaphi amanyathelo ekufuneka ndiwathathe emva kokufumana i-Bioresorbable Vascular Scaffold?
  Emva kokufumana i-Bioresorbable Vascular Scaffold, landela imiyalelo kagqirha wakho malunga namayeza, ukutya, kunye namanqanaba omsebenzi. Ukuqeshwa rhoqo kokulandelela kubalulekile ukujonga ukuchacha kwakho kwaye uqinisekise ukuba isikafula sisebenza ngokuchanekileyo.
• Kuya kuthatha ixesha elingakanani ukuthatha amayeza emva kwenkqubo ye-Bioresorbable Vascular Scaffold? 
  Izigulana ngokuqhelekileyo kufuneka zithathe amayeza e-antiplatelet ixesha elithile emva kwenkqubo ye-Bioresorbable Vascular Scaffold. Umboneleli wakho wezempilo kwizibhedlele ze-Apollo uya kukunika iingcebiso ezithile ngokusekelwe kwimeko yakho.
• Loluphi utshintsho lwendlela yokuphila ekufuneka ndiyithathele ingqalelo emva kweBioresorbable Vascular Scaffold?
  Emva kwenkqubo ye-Bioresorbable Vascular scaffold, cinga ngokuphila ubomi obusempilweni. Oku kuquka ukwenza umthambo rhoqo, ukutya ngendlela elungeleleneyo, ukugcina ubunzima obusempilweni, nokuphepha ukutshaya. Olu tshintsho lunokuphucula kakhulu impilo yakho ye-cardiovascular.
• Ngaba kukho umngcipheko weengxaki kunye ne-Bioresorbable Vascular Scaffold?
  Njengayo nayiphi na inkqubo yonyango, kukho imingcipheko ehambelana ne-Bioresorbable Vascular Scaffold, kuquka ukopha, ukusuleleka, okanye ukungaphumeleli kwe-scaffold. Nangona kunjalo, le mingcipheko isezantsi, kwaye iqela lakho lokhathalelo lwempilo kwiZibhedlele ze-Apollo liya kuthatha amanyathelo okuwanciphisa.
• Injani i-Bioresorbable Vascular scaffold xa ithelekiswa nezitenti zemveli?
  I-Bioresorbable Vascular Scaffold iyachithwa ngokuhamba kwexesha, ivumela i-artery ukuba iphinde ibuyele umsebenzi wayo wendalo, ngelixa i-stents yendabuko ihlala ngokusisigxina. Lo mahluko unokukhokelela kwiingxaki ezimbalwa zexesha elide kunye nomgangatho wobomi obungcono kwizigulane.
• Ngaba ndingahamba emva kokufumana i-Bioresorbable Vascular Scaffold?
  Uninzi lwezigulana zinokuhamba emva kwenkqubo ye-Bioresorbable Vascular Scaffold, kodwa kubalulekile ukudibana nomboneleli wakho wezempilo kuqala. Banokukunika isikhokelo xa kukhuselekile ukuhamba kunye nawo nawaphi na amanyathelo okhuseleko ekufuneka uwathathe.
• Ndingenza ntoni ukuba ndiba nentlungu yesifuba emva kwe-Bioresorbable Vascular scaffold?
  Ukuba ufumana ubuhlungu besifuba emva kokufumana i-Bioresorbable Vascular Scaffold, funa unyango ngokukhawuleza. Kubalulekile ukuthintela naziphi na iingxaki kwaye uqinisekise ukuba intliziyo yakho isebenza ngokuchanekileyo.
• Iindleko zeBioresorbable Vascular Scaffold eIndiya zithelekisa namanye amazwe?
  Iindleko ze-Bioresorbable Vascular Scaffold eIndiya ziphantsi kakhulu kunamazwe aseNtshona, okwenza kube yinto efikelelekayo kwizigulane ezininzi. Izibhedlele zeApollo zibonelela ngokhathalelo olukumgangatho ophezulu ngamaxabiso akhuphisanayo, ukuqinisekisa ukuba izigulana zifumana unyango olugqwesileyo ngaphandle koxinzelelo lwemali.
• Luluphi ukhathalelo olufunekayo emva kwenkqubo ye-Bioresorbable Vascular Scaffold?
  Ukunyamekela okulandelwayo kubalulekile emva kwenkqubo ye-Bioresorbable Vascular Scaffold. Izigulana ngokuqhelekileyo ziya kuhlolwa rhoqo ukujonga impilo yentliziyo, ukuvavanya ukusebenza kwesikafula, kunye nokulungelelanisa amayeza njengoko kufuneka. Umboneleli wakho wezempilo kwi-Apollo Hospitals uya kukukhokela kule nkqubo.
• Ngaba ndingaqhubeka nomsebenzi wam wesiqhelo wokuzilolonga emva kwe-Bioresorbable Vascular Scaffold?
  Uninzi lwezigulana zinokuphinda ziqale umthambo olula kwiiveki ezimbalwa emva kwenkqubo ye-Bioresorbable Vascular Scaffold. Nangona kunjalo, kubalulekile ukubonisana nomboneleli wakho wezempilo malunga neengcebiso ezenzelwe umntu ngokusekelwe kwinkqubela yakho yokubuyisela.
• Ziziphi iimpawu zenkqubo ye-Bioresorbable Vascular Scaffold eyimpumelelo? 
  Iimpawu zenkqubo ye-Bioresorbable Vascular Scaffold eyimpumelelo ibandakanya ukuhamba kwegazi okuphuculweyo, ukunciphisa iimpawu ze-angina, kunye nempilo engcono ye-cardiovascular health. Ukuqeshwa okulandelwa rhoqo kuya kunceda ukubeka esweni inkqubela yakho kwaye uqinisekise ukuba isikafula sisebenza ngokuchanekileyo.
• Ndingalulawula njani uxinzelelo emva kwenkqubo ye-Bioresorbable Vascular Scaffold?
  Ukulawula uxinzelelo kubalulekile kwimpilo yentliziyo. Cinga ngokuzibandakanya kwiindlela zokuphumla ezifana neyoga, ukucamngca, okanye imithambo yokuphefumla nzulu. Umsebenzi oqhelekileyo womzimba kunye nokugcina inethiwekhi yenkxaso kunokunceda ukunciphisa amanqanaba oxinzelelo.
• Zeziphi izixhobo ezifumanekayo kwizigulana eziqwalasela i-Bioresorbable Vascular Scaffold?
  Izigulane eziqwalasela i-Bioresorbable Vascular Scaffold zinokufikelela kwizibonelelo ezahlukeneyo kwiZibhedlele ze-Apollo, kubandakanywa izixhobo zemfundo, amaqela enkxaso, kunye nokubonisana nabasebenzi bezempilo abanamava. Ungalibazisi ukufikelela ngolwazi olungakumbi kunye nenkxaso.

isiphelo

I-bioresorbable vascular scaffold imele ukuqhubela phambili okubalulekileyo kunyango lwe-coronary artery disease, enika izigulane ukhetho oluthembisayo lokuphucula impilo yentliziyo. Ngobuchule bayo obukhethekileyo bokunyibilika ngokuhamba kwexesha, ibonelela ngeenzuzo ezininzi, kubandakanya nokunciphisa imingcipheko yexesha elide kunye nokuphuculwa komgangatho wobomi. Ukuba wena okanye othandekayo ucinga ngale nkqubo, kubalulekile ukuthetha nogqirha ukuze uqonde olona khetho lungcono kwiimfuno zakho zempilo. Uhambo lwakho oluya kwimpilo yentliziyo engcono luqala ngezigqibo ezinolwazi kunye nesikhokelo sobuchule.