New York, NY (Nuwamba 04, 2021) Yin amfani da wata sabuwar dabara mai suna Quantitative flow ratio (QFR) don tantance daidai da auna tsananin toshewar jijiya na iya haifar da ingantacciyar sakamako bayan shiga tsakani na jijiyoyin jini (PCI), bisa ga sabon binciken da aka yi tare da haɗin gwiwar jami'an Dutsen Sinai.
Wannan bincike, wanda shine na farko don nazarin QFR da sakamakon da ke tattare da shi, na iya haifar da yaduwar QFR a matsayin madadin angiography ko wayoyi masu matsa lamba don auna tsananin toshewa, ko raunuka, a cikin marasa lafiya da cututtukan zuciya.An sanar da sakamakon binciken ne a ranar Alhamis, 4 ga Nuwamba, a matsayin gwaji na asibiti da aka yi a ƙarshen Transcatheter Cardiovascular Therapeutics Conference (TCT 2021), kuma an buga shi lokaci guda a cikin The Lancet.
"A karo na farko muna da tabbacin asibiti cewa zaɓin raunuka tare da wannan hanya yana inganta sakamako ga marasa lafiya da ke fama da cututtukan zuciya da ke fama da stent," in ji babban marubuci Gregg W. Stone, MD, Daraktan Harkokin Ilimi na Tsarin Kiwon Lafiya na Dutsen Sinai da Farfesa. Magunguna (Cibiyar zuciya), da Lafiyar Jama'a da Manufofin, a Makarantar Magunguna ta Icahn a Dutsen Sinai."Ta hanyar guje wa lokaci, rikice-rikice, da ƙarin albarkatun da ake buƙata don auna tsananin rauni ta amfani da waya mai matsa lamba, wannan dabarar mafi sauƙi ya kamata ta yi aiki sosai don faɗaɗa amfani da ilimin lissafin jiki a cikin marasa lafiya da ke fuskantar hanyoyin catheterization na zuciya."
Marasa lafiya da ke fama da cututtukan jijiyoyin jijiyoyin jini - haɓakar plaque a cikin arteries wanda ke haifar da ciwon ƙirji, ƙarancin numfashi, da bugun zuciya - galibi suna fuskantar PCI, tsarin da ba na tiyata ba wanda likitocin zuciya na zuciya ke amfani da catheter don sanya stent a cikin katange jijiyoyin jini. arteries don mayar da jini.
Yawancin likitocin sun dogara ne akan angiography (X-ray na arteries na jijiyoyin jini) don tantance ko wane arteries ne ke da mafi munin toshewa, kuma su yi amfani da wannan kima na gani don yanke shawarar wacce za a bi da su.Wannan hanyar ba cikakke ba ce: wasu toshewar na iya yi kama da girma ko žasa da tsanani fiye da yadda suke a zahiri kuma likitoci ba za su iya fayyace daidai ba daga angiogram kadai wanda toshewar ke da tasiri sosai akan kwararar jini.Ana iya inganta sakamako idan an zaɓi raunuka zuwa stent ta amfani da waya mai matsa lamba don gano waɗanda ke hana kwararar jini.Amma wannan hanyar aunawa tana ɗaukar lokaci, yana iya haifar da rikitarwa, kuma yana haifar da ƙarin farashi.
Fasahar QFR tana amfani da sake gina jijiya na 3D da auna saurin kwararar jini wanda ke ba da ma'auni daidai na raguwar matsa lamba a cikin toshewa, baiwa likitoci damar yanke shawara mafi kyau game da abin da arteries za su taso yayin PCI.
Don nazarin yadda QFR ke tasiri sakamakon haƙuri, masu bincike sun gudanar da wani cibiya mai yawa, bazuwar, gwajin makanta na mahalarta 3,825 a China da ke fuskantar PCI tsakanin Disamba 25, 2018, da Janairu 19, 2020. Marasa lafiya ko dai sun sami bugun zuciya 72 hours kafin, ko yana da aƙalla arteries guda ɗaya tare da toshe ɗaya ko fiye waɗanda angiogram ɗin ya auna tsakanin kashi 50 zuwa 90 ya rage.Rabin marasa lafiya sun yi amfani da daidaitattun tsarin tsarin angiography bisa ga kima na gani, yayin da sauran rabi suka yi amfani da dabarun jagorancin QFR.
A cikin rukuni na QFR, likitoci sun zaɓi kada su kula da tasoshin 375 waɗanda aka yi niyya don PCI, idan aka kwatanta da 100 a cikin ƙungiyar jagorancin angiography.Fasaha ta haka ta taimaka wajen kawar da adadi mai yawa na stent mara amfani.A cikin ƙungiyar QFR, likitoci kuma sun kula da tasoshin 85 waɗanda ba a yi niyya da asali don PCI ba idan aka kwatanta da 28 a cikin ƙungiyar da ke jagorantar angiography.Ta haka fasahar ta gano wasu raunukan da ba za a yi musu magani ba.
A sakamakon haka, marasa lafiya a cikin ƙungiyar QFR suna da ƙananan ciwon zuciya na shekara guda idan aka kwatanta da ƙungiyar angiography-kawai (majiyyata 65 vs. 109 marasa lafiya) da ƙananan damar da ake buƙatar ƙarin PCI (marasa lafiya 38 vs. 59 marasa lafiya) tare da irin wannan tsira.A alamar shekara guda, 5.8 bisa dari na marasa lafiya da aka bi da su tare da hanyar PCI ta QFR sun mutu ko dai sun mutu, suna da ciwon zuciya, ko kuma suna buƙatar sake dawowa (stenting), idan aka kwatanta da 8.8 bisa dari na marasa lafiya da ke jurewa daidaitaccen tsarin angiography na PCI. , raguwar kashi 35 cikin ɗari.Masu binciken sun danganta waɗannan mahimman ci gaban sakamako ga QFR da ke ba likitoci damar zaɓar madaidaicin tasoshin don PCI kuma su guji hanyoyin da ba dole ba.
"Sakamakon wannan babban gwajin makanta na bazuwar yana da ma'ana a asibiti, kuma yayi kama da abin da za a yi tsammani tare da jagorar PCI na tushen waya.Dangane da waɗannan binciken, bin amincewar ƙa'ida zan yi tsammanin QFR za ta sami karbuwa sosai daga likitocin zuciya don inganta sakamako ga majiyyatan su."Inji Dr. Stone.
Tags: Cututtukan Aortic da Tiyata, Zuciya - Ilimin zuciya & tiyata na zuciya, Makarantar Magunguna ta Icahn a Dutsen Sinai, Tsarin Lafiya na Dutsen Sinai, Kula da Mara lafiya, Gregg Stone, MD, FACC, FSCAI, BincikeGame da Tsarin Lafiya na Dutsen Sinai
Tsarin Kiwon Lafiya na Dutsen Sinai yana daya daga cikin manyan tsarin likitanci na ilimi a cikin yankin metro na New York, tare da ma'aikata sama da 43,000 da ke aiki a cikin asibitoci takwas, sama da ayyukan marasa lafiya 400, labs kusan 300, makarantar jinya, da babbar makarantar likitanci da karatun digiri.Dutsen Sinai yana haɓaka kiwon lafiya ga dukan mutane, a ko'ina, ta hanyar ɗaukar ƙalubalen kula da lafiya mafi rikitarwa na zamaninmu - ganowa da amfani da sabbin ilimin kimiyya da ilimi;haɓaka mafi aminci, mafi inganci jiyya;ilmantar da tsararraki na gaba na shugabannin likitoci da masu kirkiro;da kuma tallafawa al'ummomin gida ta hanyar isar da ingantaccen kulawa ga duk masu buƙatarta.
Ta hanyar haɗin kai na asibitocinsa, dakunan gwaje-gwaje, da makarantu, Dutsen Sinai yana ba da cikakkiyar hanyoyin kula da lafiya tun daga haihuwa ta hanyar ilimin geriatrics, yin amfani da sabbin hanyoyin dabarun kamar hankali na wucin gadi da bayanan bayanai yayin kiyaye lafiyar marasa lafiya da buƙatun tunani a tsakiyar duk jiyya.Tsarin Lafiya ya ƙunshi kusan 7,300 na farko da likitocin kulawa na musamman;Cibiyoyin tiyata na haɗin gwiwar haɗin gwiwa 13 a ko'ina cikin gundumomi biyar na New York City, Westchester, Long Island, da Florida;da cibiyoyin kiwon lafiya sama da 30 masu alaƙa.Mu ne akai-akai cikin matsayi ta Labaran Amurka & Mafi kyawun Asibitoci na Duniya, suna karɓar babban matsayi na "Honor Roll", kuma muna da matsayi sosai: Na 1 a Geriatrics da manyan 20 a cikin Ciwon Zuciya/Surgery Zuciya, Ciwon sukari/Endocrinology, Gastroenterology/GI Surgery, Neurology /Likitan Neurosurgery, Orthopedics, Pulmonology/Pulmon Surgery, Gyaran jiki, da Urology.New York Ido da Kunnen Marasa lafiya na Dutsen Sinai yana matsayi na 12 a cikin ilimin ido.Labaran Amurka & Rahoton Duniya na “Mafi kyawun Asibitocin Yara” sun sanya Asibitin Yara na Dutsen Sinai Kravis a cikin mafi kyawun ƙasar a fannonin ilimin yara da yawa.
Lokacin aikawa: Nuwamba-10-2023