I-angioplasty ye-coronary coronary angioplasty (PTCA)

-Delile

• Ukubuka konke

Ukubuka konke

I-PTCA, noma i-perumaneous transluminal coronary angioplasty, inqubo encane engenayo evula imithambo ye-coronary evinjiwe ukuthuthukisa ukugeleza kwegazi kuya emisipha yenhliziyo.

Okokuqala, i-anesthesia yendawo iyindikindiza indawo yezinhlungu. Ngemuva kwalokho, udokotela ufaka inaliti emthanjeni wesifazane, umthambo wehla ngomlenze. Udokotela ufaka ucingo oluqondisayo ngenaliti, asuse inaliti, bese eyifaka esikhundleni sayo ngesingeniso, ithuluzi elinamachweba amabili okufaka izinto eziguquguqukayo. Ngemuva kwalokho intambo yomhlahlandlela wokuqala ithathelwa indawo yicingo elincanyana. Udokotela udlulisa ithubhu ende ende ecijile ebizwa ngokuthi i-catheter yokuxilonga phezu kocingo olusha, ngesingenisi, nasemthanjeni.Uma isingenile, udokotela uyayiqondisa ku-aorta futhi asuse ucingo lwesiqondisi.

Nge-catheter lapho kuvulwa umthambo we-coronary, udokotela ujova udayi bese ethatha i-X-ray.

Uma ikhombisa ukuvinjelwa okwelaphekayo, udokotela uhlehla i-catheter ayikhiphe nge-catheter eqondisayo, ngaphambi kokukhipha ucingo.

Kufakwa ngisho nentambo ezacile nokuqondiswa ngaphesheya kokuvinjelwa. I-catheter yebhaluni ibese iqondiswa kusayithi lokuvimba. Ibhaluni ligcwele imizuzwana embalwa ukucindezela ukuvinjelwa odongeni lomthambo. Ngemuva kwalokho ihlisiwe. Udokotela angafaka ibhaluni izikhathi ezimbalwa, isikhathi ngasinye ayigcwalise kancane ukunweba le ndima.

Lokhu kungabuye kuphindwe kusayithi ngalinye elivinjiwe noma elincishisiwe.

Udokotela angafaka futhi istafula sensimbi esisikiwe, ngaphakathi komthambo we-coronary ukuyigcina ivulekile.

Lapho ukucindezela sekwenziwe, udayi uyajovwa bese kuthathwa i-X-ray ukuyohlola ushintsho emithanjeni yegazi.

Ngemuva kwalokho i-catheter iyasuswa bese inqubo isiqediwe.

• I-Angioplasty