Ukubekwa kwe-angioplasty nokuma okuqinile - imithambo yegazi - ukukhipha

I-Angioplasty inqubo yokuvula imithambo yegazi encishisiwe noma evinjiwe ehambisa igazi emilenzeni yakho. Ama-fatty deposits angakha ngaphakathi kwemithambo futhi avimbe ukuhamba kwegazi. I-stent yishubhu elincane lensimbi elenza umthambo uvuleke. Ukubekwa kwe-Angioplasty nokumiswa kahle kuyizindlela ezimbili zokuvula imithambo eseceleni evinjiwe.

Ubunenqubo ebisebenzisa ipayipi lamabhaluni ukuvula isitsha esincishisiwe (i-angioplasty) esinikeza igazi ezingalweni noma emilenzeni (umthambo wokuzungeza). Kungenzeka futhi ukuthi ubeke i-stent.

Ukwenza inqubo:

• Udokotela wakho ufake ipayipi (ipayipi eliguquguqukayo) emthanjeni wakho ovinjiwe ngokusika emgodini wakho.
• Ama-X-ray asetshenziselwa ukuqondisa i-catheter iye endaweni lapho kuvinjwe khona.
• Udokotela wabe esedlulisa ucingo oludlula ku-catheter lwaya ekuvalekeni kwabe sekudonswa nge-catheter yebhaluni phezu kwalo.
• Ibhaluni elisekugcineni kwepayipi laqhunyiswa. Lokhu kwavula umkhumbi ovinjiwe futhi kwabuyisela ukugeleza kwegazi okufanele endaweni ethintekile.
• I-stent ivame ukubekwa esizeni ukuvikela umkhumbi ukuthi ungavali futhi.

Ukusikeka emgodini wakho kungaba buhlungu izinsuku ezimbalwa. Kufanele ukwazi ukuhamba ibanga elide manje ngaphandle kokudinga ukuphumula, kepha kufanele ukuthole kulula ekuqaleni. Kungathatha amasonto ayisithupha kuye kwayisishiyagalombili ukuthi ululame ngokuphelele. Umlenze wakho ohlangothini lwenqubo ungahle uvuvukele izinsuku ezimbalwa noma amasonto. Lokhu kuzothuthuka njengoba ukugeleza kwegazi kuya emlenzeni kujwayelekile.

Uzodinga ukukhulisa umsebenzi wakho kancane ngenkathi imbobo isaphola.

• Ukuhamba amabanga amafushane endaweni eyisicaba kulungile. Zama ukuhamba kancane kathathu noma kane ngosuku. Khulisa kancane ukuthi uhamba ibanga elingakanani isikhathi ngasinye.
• Nciphisa izitebhisi ezinyukayo nezikhuphukayo ziye cishe ezikhathini ezi-2 ngosuku izinsuku ezimbili kuya kwezingu-3 zokuqala.
• Musa ukwenza umsebenzi wegceke, ukushayela, noma ukudlala imidlalo okungenani izinsuku ezimbili, noma inani lezinsuku umhlinzeki wakho wokunakekelwa kwezempilo akutshela ukuthi ulinde.

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.
• Uma ukopha noma ukuvuvukala kungayeki noma kubi kakhulu, shayela umhlinzeki wakho bese ubuyela esibhedlela noma kungenjalo uye egumbini lezimo eziphuthumayo eliseduzane noma ushayele ku-911 noma inombolo ephuthumayo yendawo.

Lapho uphumule, zama ukugcina imilenze yakho iphakanyisiwe ngaphezu kwezinga lenhliziyo yakho. Beka imicamelo noma izingubo zokulala ngaphansi kwemilenze yakho ukuziphakamisa.

I-Angioplasty ayilaphi imbangela yokuvaleka emithanjeni yakho. Imithambo yakho ingaphinde ibe mincane futhi. Ukwehlisa amathuba akho lokhu okwenzekayo:

• Yidla ukudla okunempilo enhliziyweni, uvivinye umzimba, uyeke ukubhema (uma ubhema), futhi wehlise izinga lokucindezeleka
• Thatha imithi yokusiza ukwehlisa i-cholesterol yakho uma umhlinzeki wakho ekusho.
• Uma uthatha imithi yengcindezi yegazi noma yesifo sikashukela, yithathe ngendlela umhlinzeki wakho akucele ngayo ukuthi uyiphuze.

Umhlinzeki wakho angancoma ukuthi uthathe i-aspirin noma omunye umuthi, obizwa nge-clopidogrel (i-Plavix), lapho uya ekhaya. Le mithi igcina amahlule egazi angangeni emithanjeni yakho nase-stent. Ungayeki ukuwathatha ngaphandle kokukhuluma nomhlinzeki wakho kuqala.

Shayela umhlinzeki wakho uma:

• Kukhona ukuvuvukala esizeni se-catheter.
• Kukhona ukopha endaweni yokufaka i-catheter engapheli lapho kufakwa ingcindezi.
• Umlenze wakho ngezansi kwalapho kufakwa khona ipayipi kuguquka umbala noma uphole lapho uthinta, uphaphatheka noma uba ndikindiki.
• Ukuqhekeka okuncane okuvela ku-catheter yakho kuba bomvu noma kubuhlungu, noma ukukhishwa okuphuzi noma okuluhlaza kuyakhipha kuwo.
• Imilenze yakho ivuvukala ngokweqile.
• Unobuhlungu besifuba noma ukuphefumula okuncane okungapheli nokuphumula.
• Unesiyezi, uyaquleka, noma ukhathele kakhulu.
• Ukhwehlela igazi noma amafinyila aphuzi noma aluhlaza.
• Unomkhuhlane noma umkhuhlane ongaphezu kuka-101 ° F (38.3 ° C).
• Uba nobuthakathaka emzimbeni wakho, ukukhuluma kwakho kungacaci kahle, noma awukwazi ukuphuma embhedeni.

I-angioplasty yokuhumusha okwenzeka ngamakhemikhali - i-peripheral artery - ukukhishwa; I-PTA - i-peripheral artery - ukukhishwa; I-angioplasty - i-peripheral artery - ukukhishwa; I-Balloon angioplasty - i-peripheral artery- ukukhishwa; Ukukhishwa kwe-PAD - PTA; Ukukhishwa kwe-PVD - PTA

• I-atherosclerosis yemikhawulo
• Umthambo weCoronary stent
• Umthambo weCoronary stent

ILungu lePhalamende laseBonaca, uCreager MA. Izifo zemithambo eseceleni. 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 64.

IKinlay S, iBhatt DL. Ukwelashwa kwesifo semithambo esingavaleki kahle. 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 66.

I-CJ emhlophe. Ukwelashwa kwe-Endovascular of peripheral artery disease. Ku: Creager MA, Beckman JA, Loscalzo J, ama-eds. Imithi Ye-Vascular: Umngane Wezifo Zenhliziyo zeBraunwald. 3rd ed. IPhiladelphia, PA: Elsevier; 2020: isahluko 20.

• Ukubekwa kwe-angioplasty kanye ne-stent - imithambo yegazi
• I-duplex ultrasound
• Ukudlula emthanjeni wokudlula - umlenze
• Isifo semithambo eseceleni - imilenze
• Izingozi zikagwayi
• Stent
• Amathiphu wokuthi ungakuyeka kanjani ukubhema

• Izidakamizwa ze-antiplatelet - P2Y12 inhibitors
• I-Aspirin nesifo senhliziyo
• Cholesterol nendlela yokuphila
• I-cholesterol - ukwelashwa kwezidakamizwa
• Ukulawula umfutho wegazi ophakeme
• Ukudlula emthanjeni wokudlula - umlenze - ukukhishwa

• Izifo Ze-Arterial Peripheral