New York, NY (Tariki ya 04 Ugushyingo 2021) Gukoresha tekinike nshya yiswe umubare w’imibare (QFR) kugira ngo umenye neza kandi upime uburemere bw’imitsi iva mu mitsi irashobora gutuma habaho umusaruro ushimishije nyuma yo kwivanga kwa koronari (PCI), nk'uko ubushakashatsi bushya bwakozwe ku bufatanye n’ishami rya Mount Sinai.
Ubu bushakashatsi, nubwa mbere mu gusesengura QFR n’ibyavuye mu mavuriro bifitanye isano, bishobora gutuma QFR ifatwa nk’ikindi cyerekezo cya angiografiya cyangwa insinga z’umuvuduko kugira ngo bapime ubukana bw’inzitizi, cyangwa ibikomere, ku barwayi bafite indwara zifata imitsi.Ibyavuye mu bushakashatsi byatangajwe ku wa kane, tariki ya 4 Ugushyingo, nk'ikigereranyo cy’amavuriro cyatinze mu nama ya Transcatheter Cardiovascular Therapeutics Conference (TCT 2021), kandi icyarimwe cyasohotse muri The Lancet.
Umwanditsi mukuru Gregg W. Stone, MD, Umuyobozi ushinzwe amasomo muri sisitemu y’ubuzima yo ku musozi wa Sinayi akaba na Porofeseri wa kaminuza, agira ati: "Ku nshuro ya mbere dufite ibyemezo by’amavuriro byerekana ko guhitamo ibikomere hakoreshejwe ubu buryo biteza imbere umusaruro w’abarwayi barwaye indwara zifata imitsi y’imitsi ivurwa na stent." Ubuvuzi (Cardiology), hamwe nubuzima bwabaturage na Politiki, mwishuri ryubuvuzi Icahn kumusozi wa Sinayi.Ati: "Mu kwirinda igihe, ingorane, hamwe n’ibindi bikoresho bisabwa kugira ngo bapime ubukana bw’igikomere hakoreshejwe insinga y’umuvuduko, ubu buryo bworoshye bugomba gufasha mu kwagura cyane imikoreshereze y’imiterere y’abarwayi barimo gukurikiranwa n’umutima."
Abarwayi bafite indwara zifata imitsi-plaque yuzuye imbere mu mitsi itera ububabare bwo mu gatuza, guhumeka neza, no gutera umutima - akenshi bahura na PCI, uburyo bwo kubaga aho abahanga mu kuvura indwara z'umutima bakoresha catheteri kugira ngo bashyire stent muri koronari yahagaritswe. imiyoboro yo kugarura amaraso.
Abaganga benshi bashingiye kuri angiografiya (X-imirasire yimitsi yumutima) kugirango bamenye imiyoboro ifite inzitizi zikomeye, kandi bagakoresha iryo suzuma ryerekanwa kugirango bahitemo imiyoboro ivura.Ubu buryo ntabwo butunganye: ibibujijwe bimwe bishobora kugaragara nkibikabije cyangwa bike kurenza uko biri kandi abaganga ntibashobora kumenya neza muri angiogram yonyine ibyo bibuza bigira ingaruka zikomeye kumaraso.Ibisubizo birashobora kunozwa mugihe hatoranijwe ibikomere kuri stent ukoresheje insinga yumuvuduko kugirango umenye ibibuza gutembera kwamaraso.Ariko ubu buryo bwo gupima bufata igihe, bushobora gutera ingorane, kandi busaba amafaranga yinyongera.
Ikoranabuhanga rya QFR rikoresha uburyo bwo kongera imiyoboro ya 3D no gupima umuvuduko wamaraso utanga ibipimo nyabyo byerekana umuvuduko ukabije wumuvuduko ukabije, bigatuma abaganga bafata ibyemezo byiza kubijyanye nimiyoboro yimitsi mugihe cya PCI.
Kugira ngo bige uburyo QFR igira ingaruka ku musaruro w’abarwayi, abashakashatsi bakoze igeragezwa ry’ibigo byinshi, byateganijwe, bihumye amaso abitabiriye 3.825 bitabiriye Ubushinwa barimo PCI hagati ya 25 Ukuboza 2018, na 19 Mutarama 2020. Abarwayi baba barwaye umutima mbere y’amasaha 72, cyangwa yari ifite byibura imiyoboro imwe ya koronari hamwe na blocage imwe cyangwa nyinshi zapimye angiogram yapimye hagati ya 50 na 90 ku ijana.Kimwe cya kabiri cy’abarwayi bakorewe uburyo busanzwe bwa angiografiya bushingiye ku isuzuma ryerekanwa, mu gihe ikindi gice cyakorewe ingamba ziyobowe na QFR.
Mu itsinda riyobowe na QFR, abaganga bahisemo kutavura amato 375 yari agenewe PCI, ugereranije na 100 mu itsinda riyobowe na angiography.Tekinoroji rero yafashije gukuraho umubare munini wa stent idakenewe.Mu itsinda rya QFR, abaganga banavuzaga imiyoboro 85 itagenewe PCI ugereranije na 28 mu itsinda riyobowe na angiography.Ikoranabuhanga rero ryagaragaje ibikomere byinshi bibangamira bitari kuvurwa ukundi.
Kubera iyo mpamvu, abarwayi bo mu itsinda rya QFR bari bafite igipimo cy’umwaka umwe cy’indwara z’umutima ugereranije n’itsinda ryonyine rya angiografiya (abarwayi 65 n’abarwayi 109) kandi amahirwe make yo gukenera PCI yiyongera (abarwayi 38 n’abarwayi 59) hamwe kubaho.Ku mwaka umwe, 5.8 ku ijana by'abarwayi bavuwe na PCI bayobowe na QFR bapfuye, barwaye umutima, cyangwa bakeneye gusubiramo revascularization (stenting), ugereranije na 8.8 ku ijana by'abarwayi bafite uburyo busanzwe bwa PCI buyobowe na PCI. kugabanuka kwa 35 ku ijana.Abashakashatsi bavuze ko iri terambere ryagaragaye mu bisubizo biterwa na QFR yemerera abaganga guhitamo imiyoboro ikwiye ya PCI kandi bakirinda inzira zidakenewe.
Ati: "Ibisubizo bivuye muri iri geragezwa rinini rihumye amaso byateganijwe bifite ireme mu buvuzi, kandi bisa n'ibyari byitezwe hamwe n'ubuyobozi bwa PCI bwifashishije insinga.Nkurikije ibyavuye mu bushakashatsi, nyuma yo kwemezwa n’amabwiriza nateganya ko QFR izakirwa n’abashakashatsi b’indwara z'umutima kugira ngo barusheho kunoza umusaruro w'abarwayi babo. ”nk'uko byatangajwe na Dr. Stone.
EtiqueIbyerekeranye na sisitemu yubuzima yo ku musozi Sinayi
Sisitemu yubuzima ya Mount Sinai nimwe muri sisitemu nini yubuvuzi nini mu karere ka metero ya New York, ifite abakozi barenga 43.000 bakorera mu bitaro umunani, ibikorwa by’ubuvuzi birenga 400, laboratoire zigera kuri 300, ishuri ry’abaforomo, n’ishuri rikuru ry’ubuvuzi kandi impamyabumenyi.Umusozi wa Sinayi uteza imbere ubuzima bwabantu bose, ahantu hose, mugukemura ibibazo bikomeye byubuzima byigihe cyacu - kuvumbura no gushyira mubikorwa ubumenyi bushya bwubumenyi nubumenyi;guteza imbere imiti itekanye, ikora neza;kwigisha igisekuru kizaza cyabayobozi mubuvuzi nudushya;no gutera inkunga abaturage baho batanga ubuvuzi bufite ireme kubantu bose babukeneye.
Binyuze mu guhuza ibitaro byayo, laboratoire, n’ishuri, Umusozi wa Sinayi utanga ibisubizo by’ubuvuzi byuzuye kuva ukivuka binyuze mu gihe cy’ibihe, hifashishijwe uburyo bushya nk’ubwenge bw’ubukorikori na informatika mu gihe ibyo abarwayi bakeneye ubuvuzi n’amarangamutima bibera mu buvuzi bwose.Sisitemu yubuzima ikubiyemo abaganga bagera ku 7.300;Ibigo 13 by’ubuvuzi by’ubuvuzi by’ubuvuzi mu turere dutanu two mu mujyi wa New York, Westchester, Long Island, na Floride;n'ibigo nderabuzima birenga 30 bishamikiye kuri.Twakomeje gushyirwa ku rutonde n’ibitaro byiza by’Amerika byo muri Amerika & World Report, duhabwa umwanya wa “Honor Roll”, kandi turi ku mwanya wa mbere: No 1 muri Geriatrics na 20 ba mbere muri Cardiology / Kubaga umutima, Diabete / Endocrinology, Gastroenterology / GI Surgery, Neurology / Neuroshirurgie, ortopedie, Pulmonology / Kubaga ibihaha, gusubiza mu buzima busanzwe, na Urology.New York Eye and Ear Infirmary of Mount Sinayi iri ku mwanya wa 12 muri Ophthalmology.Ikinyamakuru cyo muri Amerika News & World Report “Ibitaro byiza by’abana” bishyira ku bitaro by’abana ba Mount Sinai Kravis mu bihugu by’indashyikirwa mu gihugu mu bumenyi butandukanye bw’abana.
Igihe cyo kohereza: Ugushyingo-10-2023