Ukulungiswa kwe-aortic aneurysm - endovascular - discharge

Ukulungiswa kwe-Endovascular besisu aortic aneurysm (AAA) ukuhlinzwa ukulungisa indawo enwetshiwe ku-aorta yakho. Lokhu kubizwa nge-aneurysm. I-aorta ingumthambo omkhulu othwala igazi ulibhekise esiswini sakho, okhalweni nasemilenzeni.

Ube nokulungiswa kokuhlinzwa kwe-aortic endovascular ye-aneurysm (ingxenye ebanzi) yomthambo omkhulu ohambisa igazi emzimbeni wakho ophansi (aorta).

Ukwenza inqubo:

• Udokotela wakho wenze ukusika okuncane (ukusika) eduze kwesibungu sakho ukuthola umthambo wakho wobufazi.
• Kwakufakwa ishubhu elikhulu emthanjeni ukuze kufakwe ezinye izinsimbi.
• Kungenzeka kusikeziwe kwesinye isisu kanye nasengalweni.
• Udokotela wakho ufake ukufakelwa kwe-stent nokwenziwe ngumuntu ngokusebenzisa imbobo emthanjeni.
• Ama-X-ray asetshenziselwa ukuqondisa i-stent nokuxhunyelelwa ku-aorta yakho lapho kwakukhona i-aneurysm.
• Ukuxhunyelelwa kanye ne-stent kwavulwa kwafakwa ezindongeni ze-aorta.

Ukusikeka emgodini wakho kungaba buhlungu izinsuku ezimbalwa. Kufanele ukwazi ukuhamba udlulele manje ngaphandle kokudinga ukuphumula. Kepha kufanele uthathe kalula ekuqaleni. Kungathatha amasonto ayisithupha kuye kwayisishiyagalombili ukuthi ululame ngokuphelele. Ungazizwa ungakhululekile esiswini sakho izinsuku ezimbalwa. Ungase futhi ulahlekelwe isifiso sokudla. Lokhu kuzoba ngcono ngesonto elizayo. Ungaba nokuqunjelwa noma uhudo isikhashana.

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 izikhathi ezi-2 ngosuku izinsuku ezimbili kuya kwezingu-3 zokuqala ngemuva kwenqubo.
• Musa ukwenza umsebenzi wegceke, ukushayela, noma ukudlala imidlalo okungenani izinsuku ezimbili, noma inani lezinsuku umhlinzeki wakho wokunakekelwa kwezempilo akutshela ukuthi ulinde.
• Ungaphakamisi noma yini esinda ngaphezu kwamakhilogremu ayi-4.5 (4 kg) amasonto ama-2 ngemuva kwenqubo.

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

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

Buza umhlinzeki wakho mayelana nokulandelwa kwe-x-ray kuzodingeka ukuthi ubheke ukuthi ngabe i-graft yakho entsha ilungile yini. Ukuhlolwa njalo ukuze uqiniseke ukuthi ukufakelwa kwegrafu kusebenza kahle kuyingxenye ebaluleke kakhulu yokunakekelwa kwakho.

Umhlinzeki wakho angakucela ukuthi uphuze i-aspirin noma omunye umuthi obizwa nge-clopidogrel (Plavix) lapho uya ekhaya. Le mithi ingama-antiplatelet agents. Zivimbela ama-platelet asegazini lakho ekuhlanganeni ndawonye futhi akhe amahlule emithanjeni yakho noma esitentini. Ungayeki ukuwathatha ngaphandle kokukhuluma nomhlinzeki wakho kuqala.

Ukuhlinzwa kwe-Endovascular akuyilaphi inkinga eyimbangela yemithambo yegazi yakho. Eminye imithambo yegazi ingathinteka ngokuzayo. Ngakho-ke, kubalulekile ukwenza izinguquko kwimpilo yakho futhi uthathe imishanguzo umhlinzeki wakho ayincomayo.

• Yidla ukudla okunempilo enhliziyweni.
• Vivinya umzimba njalo.
• Yeka ukubhema (uma ubhema).

Thatha yonke imithi udokotela wakho akunikeze njengoba uyalelwe. Lokhu kungafaka imithi yokwehlisa i-cholesterol, ukuphatha umfutho wegazi ophezulu, nokwelapha isifo sikashukela.

Shayela umhlinzeki wakho uma:

• Unobuhlungu esiswini noma emhlane ongapheli noma obubi kakhulu.
• Kukhona ukopha endaweni yokufaka i-catheter engapheli lapho kufakwa ingcindezi.
• Kukhona ukuvuvukala esizeni se-catheter.
• Umlenze noma ingalo yakho engezansi kwalapho kufakwe khona ipayipi iyashintsha umbala, iphole lapho uthinta, iphaphatheka noma iba ndikindiki.
• Ukuqhekeka okuncane kwe-catheter yakho kuba bomvu noma kubuhlungu.
• Ukukhishwa okuphuzi noma okuluhlaza kudonsa kusuka ekuqhekekeni kwe-catheter yakho.
• Imilenze yakho iyavuvukala.
• Unobuhlungu besifuba noma ukuphefumula okuncane okungapheli nokuphumula.
• Unesiyezi noma uyaquleka, noma ukhathele kakhulu.
• Ukhwehlela igazi, noma amafinyila aphuzi noma aluhlaza.
• Unomkhuhlane noma umkhuhlane ongaphezu kuka-101 ° F (38.3 ° C).
• Unegazi esitulweni sakho.
• Umchamo wakho uba mnyama ngombala noma ungachami njengokujwayelekile.
• Awukwazi ukuhambisa imilenze yakho.
• Isisu sakho siqala ukuvuvukala futhi sibuhlungu.

Ukulungiswa kwe-AAA - i-endovascular - discharge; Ukulungisa - i-aortic aneurysm - i-endovascular - ukukhishwa; I-EVAR - ukukhishwa; Ukulungiswa kwe-endovascular aneurysm - ukukhipha

• I-aortic aneurysm

IBinster CJ, iSternbergh WC. Amasu wokulungisa i-endovascular aneurysm. Ku: Sidawy AN, Perler BA, ama-eds. Rutherford’s Vascular Surgery and Endovascular Therapy. Umhlaka 9. IPhiladelphia, PA: Elsevier; 2019: isahluko 73.

IBraverman AC, iShermerhorn M. Izifo ze-aorta. 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 63.

ICambria RP, iPrushik SG. Ukwelashwa kwe-Endovascular kwama-aortic aneurysms esiswini. Ku: UCameron AM, uCameron JL, ama-eds. Ukwelashwa Kwamanje. Umhlaka 13. IPhiladelphia, PA: Elsevier; 2020: 905-911.

UTracci MC, uCherry KJ. I-aorta. Ku: Townsend CM Jr, Beauchamp RD, Evers BM, Mattox KL, eds. ISabiston Incwadi Yokuhlinzwa. Umhla ka-20. IPhiladelphia, PA: Elsevier; I-2017: isahluko 61.

Uberoi R, Hadi M. Ukungenelela kwe-Aortic. Ku: Adam A, Dixon AK, Gillard JH, Schaefer-Prokop CM, ama-eds. I-Grainger & Allison's Diagnostic Radiology: Incwadi Yokufunda Ngezithombe. Umhla wesi-7. IPhiladelphia, PA: Elsevier; 2021: isahluko 79.

• I-aneurysm yesisu esiswini
• Iskena se-CT esiswini
• Ukuskena kwe-MRI yesisu
• Ukulungiswa kwe-aortic aneurysm - endovascular
• I-aortic angiography
• I-atherosclerosis
• Izingozi zikagwayi
• Stent
• I-aneurysm ye-Thoracic aortic
• Amathiphu wokuthi ungakuyeka kanjani ukubhema

• Cholesterol nendlela yokuphila
• I-cholesterol - ukwelashwa kwezidakamizwa
• Ukulawula umfutho wegazi ophakeme

• I-aortic Aneurysm