Ukukhishwa kwe-angioplasty ne-stent - inhliziyo

I-Angioplasty inqubo yokuvula imithambo yegazi encishisiwe noma evinjiwe ehambisa igazi enhliziyweni. Le mithambo yegazi ibizwa ngokuthi yimithambo yegazi. Umthambo we-coronary stent uyishubhu elincane lensimbi elenza ngaphakathi komthambo we-coronary.

Ubune-angioplasty ngenkathi usesibhedlela. Kungenzeka futhi ukuthi ubeke i-stent. Kokubili lokhu kwenzelwa ukuvula imithambo yenhliziyo enciphile noma evinjiwe, imithambo yegazi eletha igazi enhliziyweni yakho. Kungenzeka ukuthi wahlaselwa yinhliziyo noma i-angina (ubuhlungu besifuba) ngaphambi kwenqubo.

Ungaba nobuhlungu endaweni yakho yokububula, ingalo, noma isihlakala. Lokhu kusuka kupayipi (ithubhu eliguquguqukayo) elifakiwe ukwenza inqubo. Ungase ube nokulimala okuthile nxazonke nangaphansi kwesimbobo.

Ubuhlungu besifuba nokuphefumula okungenzeka ukuthi ubunakho ngaphambi kwenqubo kufanele kube ngcono kakhulu manje.

Ngokuvamile, abantu abane-angioplasty bangahambahamba kungakapheli amahora ayisithupha ngemuva kwenqubo. Ungahle ukwazi ukusukuma futhi uhambe ngaphambi kwesikhathi uma inqubo yenziwa ngesihlakala. Ukutakula ngokuphelele kuthatha isonto noma ngaphansi. Gcina indawo lapho i-catheter efakwe khona yomile amahora angama-24 kuye kwangama-48.

Uma udokotela efaka ipayipi lokufaka ipayipi ngokusebenzisa umgodi wakho:

• Ukuhamba amabanga amafushane endaweni eyisicaba kulungile. Nciphisa izitebhisi ezinyukayo nezikhuphukayo uye cishe izikhathi ezi-2 ngosuku izinsuku ezimbili kuya kwezingu-3 zokuqala.
• Musa ukwenza umsebenzi wegceke, ukushayela, ukugcwala, ukuphatha izinto ezisindayo, noma ukudlala imidlalo okungenani izinsuku ezimbili, noma kuze kube yilapho umhlinzeki wakho wezokunakekelwa kwezempilo ekutshela ukuthi kuphephile.

Uma udokotela ebeka ipayipi le-catheter engalweni noma esihlakaleni:

• Ungaphakamisi noma yini enesisindo esingaphezu kwamakhilogremu ayi-4.5 (4 kilograms) (okuthe ukudlula ilitha lobisi) ngengalo eyayinepayipi.
• Ungenzi noma yikuphi ukusunduza okusindayo, ukudonsa noma ukusonta ngaleyo ngalo.

Okwe-catheter emgodini wakho, ingalo, noma isihlakala:

• Gwema ukwenza ucansi izinsuku ezimbili kuya kwezi-5. Buza umhlinzeki wakho ukuthi kuzolunga nini ukuqala futhi.
• Ungagezi noma ubhukude ngesonto lokuqala. Ungathatha izihlambi, kepha qiniseka ukuthi indawo lapho kufakwe khona ipayipi ayinamanzi emahoreni okuqala angama-24 kuye kwangama-48.
• Kufanele ukwazi ukubuyela emsebenzini ezinsukwini ezimbili kuya kwezi-3 uma ungenzi umsebenzi osindayo.

Uzodinga ukunakekela ukusika kwakho.

• Umhlinzeki wakho uzokutshela ukuthi uzoshintsha kangaki ukugqoka kwakho.
• Uma ukusika kwakho kuphuma noma kuvuvukala, lala phansi bese uyicindezela imizuzu engama-30.

I-Angioplasty ayilaphi imbangela yokuvaleka emithanjeni yakho. Imithambo yakho ingaphinde ibe mincane futhi. Yidla ukudla okunempilo enhliziyweni, uvivinye umzimba, uyeke ukubhema (uma ubhema), futhi wehlise ingcindezi ukusiza ukunciphisa amathuba akho okuba nomthambo ovinjiwe futhi. Umhlinzeki wakho angakunika umuthi wokusiza ukwehlisa i-cholesterol yakho.

Iningi labantu lithatha i-aspirin kanye nomunye umuthi we-antiplatelet njenge-clopidogrel (i-Plavix), i-prasugrel (i-Efient), noma i-ticagrelor (i-Brilinta) ngemuva kwale nqubo. Le mithi ilinciphisa igazi. Zigcina igazi lakho lingakhi amahlule emithanjeni yakho nasentweni. Ukuqina kwegazi kungaholela ekuhlaselweni yinhliziyo. Thatha le mishanguzo njengoba nje umhlinzeki wakho ekutshela. Ungayeki ukuwathatha ngaphandle kokukhuluma nomhlinzeki wakho kuqala.

Kufanele wazi ukuthi uyinakekela kanjani i-angina yakho uma ibuya.

Qiniseka ukuthi unokuqokwa kokulandelana okuhleliwe nodokotela wenhliziyo yakho (udokotela wenhliziyo).

Udokotela wakho angakudlulisela ohlelweni lokuvuselela inhliziyo. Lokhu kuzokusiza ufunde ukuthi ungakukhulisa kanjani kancane ukuzivocavoca umzimba. Uzofunda nokuthi ungayinakekela kanjani i-angina yakho futhi uzinakekele ngemuva kokuhlaselwa yinhliziyo.

Shayela udokotela wakho uma:

• Kukhona ukopha endaweni yokufaka i-catheter engapheli uma ufaka ingcindezi.
• Kukhona ukuvuvukala esizeni se-catheter.
• Umlenze noma ingalo yakho ngezansi kwalapho kufakwe khona ipayipi kuyashintsha umbala, kuphole lapho uthinta, noma kuba ndikindiki.
• Ukuqhekeka okuncane kwe-catheter yakho kuba bomvu noma kubuhlungu, noma ukukhishwa okuphuzi noma okuluhlaza kuyakhipha kuyo.
• Unobuhlungu besifuba noma ukuphefumula okuncane okungapheli nokuphumula.
• I-pulse yakho izwa ingajwayelekile - ihamba kancane (ishaya ngaphansi kwezingu-60), noma ishesha kakhulu (ngaphezulu kwezingu-100 kuye kwayi-120) ngomzuzu.
• Unesiyezi, uyaquleka, noma ukhathele kakhulu.
• Ukhwehlela igazi noma amafinyila aphuzi noma aluhlaza.
• Unezinkinga zokuthatha noma imuphi umuthi wenhliziyo yakho.
• Unomkhuhlane noma umkhuhlane ongaphezu kuka-101 ° F (38.3 ° C).

Izidakamizwa zokunciphisa izidakamizwa - ukukhipha; I-PCI - ukukhishwa; Ukungenelela kwe-coronary ye-perutution - ukukhipha; I-balloon angioplasty - ukukhishwa; I-Coronary angioplasty - ukukhishwa; I-coronary artery angioplasty - ukukhishwa; I-angioplasty yenhliziyo - ukukhishwa; PTCA - ukukhishwa; I-angioplasty ye-coronary coronary coronary - ukukhishwa; Ukwehla komthambo wenhliziyo - ukukhipha; I-angina angioplasty - ukukhishwa; Isifo senhliziyo i-angioplasty - ukukhishwa; I-CAD angioplasty - ukukhipha

• Umthambo weCoronary stent

I-Amsterdam EA, uWenger NK, uBrindis RG, et al. Umhlahlandlela we-2014 AHA / ACC wokuphathwa kweziguli ezine-non-ST-elevation acute coronary syndromes: umbiko we-American College of Cardiology / American Heart Association Task Force ngemihlahlandlela yokusebenza. UJ Am Coll Cardiol. 2014; 64 (24): e139-e228. I-PMID: 25260718 pubmed.ncbi.nlm.nih.gov/25260718/.

UFihn SD, uBlankenship JC, u-Alexander KP, uBittl JA, et al. Isibuyekezo esigxile ku-2014 ACC / AHA / AATS / PCNA / SCAI / STS somhlahlandlela wokuxilongwa nokuphathwa kweziguli ezinesifo senhliziyo esisimeme: umbiko we-American College of Cardiology / American Heart Association Task Force on Guidelines Practice, kanye ne I-American Association for Thoracic Surgery, I-Preventive Cardiovascular Nurses Association, i-Society for Cardiovascular Angiography kanye nokungenelela, kanye ne-Society of Thoracic Odgeons. J Thorac Cardiovasc Ukuhlinzwa. 2015; 149 (3): e5-e23. I-PMID: 25827388 pubmed.ncbi.nlm.nih.gov/25827388/.

UMehran R, uDangas GD. I-Coronary angiography kanye ne-intravascular imaging. Ku: Zipes DP, Libby P, Bonow RO, Mann DL, Tomaselli GF, Braunwald E, ama-eds. Isifo Senhliziyo SikaBraunwald: Incwadi Yemithi Yezinhliziyo Nemithambo. Umhla ka-11. IPhiladelphia, PA: Elsevier; 2019: isahluko 20.

U-OGara PT, uKushner FG, u-Ascheim DD, et al. Umhlahlandlela we-ACCF / AHA ka-2013 wokuphathwa kwe-ST-elevation myocardial infarction: isifinyezo esiphezulu: umbiko we-American College of Cardiology Foundation / American Heart Association Task Force ngemihlahlandlela yokusebenza. Ukujikeleza. 2013; 127 (4): 529-555. I-PMID: 23247303 pubmed.ncbi.nlm.nih.gov/23247303/.

• Angina
• Ukubekwa kwe-Angioplasty nokuqina - umthambo we-carotid
• Isifo senhliziyo
• Ukuhlinzwa kokudlula kwenhliziyo
• Ukuhlinzwa kokudlula kwenhliziyo - kukuhlasela kancane
• Amazinga aphezulu e-cholesterol egazini
• Umfutho wegazi ophezulu - abantu abadala
• Stent
• Amathiphu wokuthi ungakuyeka kanjani ukubhema
• I-angina engazinzile

• Ama-ACE inhibitors
• I-Angina - ukukhishwa
• U-Angina - ukuthi ubuze ini kudokotela wakho
• I-Angina - lapho unezinhlungu esifubeni
• Ukukhishwa kwe-angioplasty ne-stent - inhliziyo
• Izidakamizwa ze-antiplatelet - P2Y12 inhibitors
• I-Aspirin nesifo senhliziyo
• Ukusebenza ngemuva kokuhlaselwa yisifo senhliziyo
• Ukusebenza lapho unesifo senhliziyo
• Ibhotela, imajarini namafutha okupheka
• I-catheterization yenhliziyo - ukukhishwa
• Cholesterol nendlela yokuphila
• Ukulawula umfutho wegazi ophakeme
• Kuchazwe amafutha ezokudla
• Amathiphu okudla okusheshayo
• Isifo senhliziyo - ukukhipha
• Isifo senhliziyo - okufanele ubuze udokotela wakho
• Isifo senhliziyo - izici eziyingozi
• Uwafunda kanjani amalebula okudla
• Ukudla kwaseMedithera

• I-Angioplasty
• Isifo Se-Coronary Artery