Ukubekwa kwe-Angioplasty kanye ne-stent - umthambo we-carotid - ukukhishwa

Ubune-angioplasty eyenziwe ngenkathi usesibhedlela. Kungenzeka ukuthi ube ne-stent (ithubhu elincane locingo) elibekwe endaweni evinjiwe ukuyigcina ivulekile. Kokubili lokhu kwenzelwa ukuvula umthambo omncane noma ovinjiwe onikeza igazi ebuchosheni bakho.

Umhlinzeki wakho wezokunakekelwa kwempilo ufake ipayipi (ithubhu eliguquguqukayo) emthanjeni ngokusebenzisa imbobo (ukusika) emgodleni wakho noma engalweni.

Umhlinzeki wakho usebenzise ama-x-ray aphilayo ukuqondisa ngokucophelela i-catheter iye endaweni yokuvaleka emthanjeni wakho we-carotid.

Ngemuva kwalokho umhlinzeki wakho udlulise ucingo lomhlahlandlela nge-catheter kuya ekuvinjelweni. Ipayipi le-balloon laliqhutshelwa phezu kocingo lomhlahlandlela nokuvinjelwa. Ibhaluni elincane ekugcineni lagcwala umoya. Lokhu kwavula umthambo ovinjiwe.

Kufanele ukwazi ukwenza iningi lemisebenzi yakho ejwayelekile ezinsukwini ezimbalwa, kepha yehlisa umoya.

Uma umhlinzeki wakho efaka i-catheter ngaphakathi kwe-groin yakho:

• Ukuhamba amabanga amafushane endaweni eyisicaba kulungile. Nciphisa izitebhisi ezinyukayo nezikhuphukayo ziye cishe ezikhathini ezi-2 ngosuku izinsuku ezimbili kuya kwezingu-3 zokuqala.
• UNGENZI umsebenzi wegceke, ushayele, noma udlale imidlalo okungenani izinsuku ezimbili, noma inani lezinsuku udokotela akutshela ukuthi ulinde.

Uzodinga ukunakekela ukusika kwakho.

• Umhlinzeki wakho uzokutshela ukuthi uzishintsha kangaki izingubo zakho (ibhandeshi).
• Udinga ukunakekela ukuthi indawo yokusika ingatheleleki. Uma unezinhlungu noma ezinye izimpawu zokutheleleka, shayela udokotela wakho.
• Uma ukusika kwakho kuphuma noma kuvuvukala, lala phansi bese uyicindezela imizuzu engama-30. Uma ukopha noma ukuvuvukala kunganqamuki noma kuba kubi kakhulu, shayela udokotela wakho bese ubuyela esibhedlela. Noma, iya egumbini lezimo eziphuthumayo eliseduzane, noma ushayele ku-911 noma inombolo ephuthumayo yendawo ngokushesha. Uma ukopha noma ukuvuvukala kunzima ngisho nangaphambi kokuba kudlule imizuzu engama-30, shayela ku-911 noma inombolo ephuthumayo yendawo ngokushesha. UNGALIBALI.

Ukuhlinzwa ngemithambo ye-carotid akulaphe imbangela yokuvaleka emithanjeni yakho. Imithambo yakho ingaphinde ibe mincane futhi. Ukwehlisa amathuba akho lokhu okwenzekayo:

• Yidla ukudla okunempilo, uvivinye umzimba (uma umhlinzeki ekucebisa), yeka ukubhema (uma ubhema), futhi wehlise izinga lokucindezeleka. Ungaphuzi utshwala ngokweqile.
• Thatha imithi yokusiza ukwehlisa i-cholesterol yakho uma umhlinzeki wakho ekusho.
• Uma uthatha imithi yengcindezi yegazi noma yesifo sikashukela, yisebenzise ngendlela otshelwe ngayo ukuthi uyiphuze.
• Umhlinzeki wakho angakucela ukuthi uthathe i-aspirin kanye / noma omunye umuthi obizwa nge-clopidogrel (i-Plavix), noma omunye umuthi, lapho uya ekhaya. Le mithi igcina igazi lakho lingakhi amahlule emithanjeni yakho nasententeni. Ungayeki ukuwathatha ngaphandle kokukhuluma nomhlinzeki wakho kuqala.

Shayela umhlinzeki wakho wezempilo uma:

• Unekhanda, uyadideka, noma ube ndikindiki noma ube buthakathaka kunoma iyiphi ingxenye yomzimba wakho.
• Unezinkinga ngokubona kwakho noma awukwazi ukukhuluma ngokujwayelekile.
• Kukhona ukopha endaweni yokufaka i-catheter engapheli lapho kufakwa ingcindezi.
• Kukhona ukuvuvukala esizeni se-catheter.
• Umlenze noma ingalo yakho ngezansi kwalapho kufakwe khona ipayipi kuyashintsha umbala noma kuphole 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 iyavuvukala.
• 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).

Ukukhishwa kwe-carotid ne-stenting - ukukhishwa; I-CAS - ukukhishwa; I-angioplasty yomthambo we-carotid - ukukhishwa

• I-atherosclerosis yomthambo wangaphakathi we-carotid

UBrott TG, uHalperin JL, u-Abbara S, et al. 2011 ASA / ACCF / AHA / AANN / AANS / ACR / ASNR / CNS / SAIP / SCAI / SIR / SNIS / SVM / SVS umhlahlandlela wokuphathwa kweziguli ezine-extracranial carotid ne-vertebral artery disease: isifinyezo esiphezulu: umbiko waseMelika I-College of Cardiology Foundation / American Heart Association Task Force on Guidelines Practice, kanye neAmerican Stroke Association, American Association of Neuroscience Nurses, American Association of Neurological Surgeons, American College of Radiology, American Society of Neuroradiology, Congress of Neurological Surgeons, Society of Atherosclerosis Ukufanekisa Nokuvimbela, I-Society for Cardiovascular Angiography and Interventions, Society of Interventional Radiology, Society of NeuroInterventional Surgery, Society for Vascular Medicine, kanye ne Society for Vascular Surgery. UJ Am Coll Cardiol. 2011; 57 (8): 1002-1044. I-PMID: 21288680 www.ncbi.nlm.nih.gov/pubmed/21288680.

UCheng CC, Cheema F, Fankhauser G, Silva MB. Isifo semithambo yegazi. Ku: Townsend CM Jr, Beauchamp RD, Evers BM, Mattox KL, eds. ISabiston Incwadi Yokuhlinzwa. Umhla ka-20. IPhiladelphia, PA: Elsevier; 2017: isahluko 62.

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.

• Isifo semithambo yeCarotid
• Ukuhlinzwa komthambo weCarotid - kuvulekile
• Ukululama ngemuva kokushaywa unhlangothi
• Izingozi zikagwayi
• Stent
• Unhlangothi
• Amathiphu wokuthi ungakuyeka kanjani ukubhema
• Ukuhlaselwa kweschemic kwesikhashana

• Izidakamizwa ze-antiplatelet - P2Y12 inhibitors
• I-Aspirin nesifo senhliziyo
• Ukuhlinzwa komthambo weCarotid - ukukhipha
• Cholesterol nendlela yokuphila
• I-cholesterol - ukwelashwa kwezidakamizwa
• Ukulawula umfutho wegazi ophakeme

• Isifo Semithambo YeCarotid