Ukuhlinzwa komthambo weCarotid - ukukhipha

Umthambo we-carotid uletha igazi elidingekayo ebuchosheni bakho nasebusweni. Unenye yale mithambo ohlangothini ngalunye entanyeni yakho. Ukuhlinzwa komthambo weCarotid kuyinqubo yokubuyisa ukugeleza kwegazi okufanele ebuchosheni.

Uhlinzwe umthambo we-carotid ukubuyisela ukugeleza kwegazi okufanele ebuchosheni bakho. Udokotela wakho ohlinzayo wenze ukusikeka (ukusika) entanyeni yakho phezu komthambo wakho we-carotid. Kwabekwa ishubhu ukuze igazi ligobhoze endaweni evinjiwe ngesikhathi sokuhlinzwa kwakho. Udokotela wakho ohlinzayo wavula umthambo wakho we-carotid futhi wasusa ngokucophelela uqweqwe ngaphakathi kwalo. Udokotela ohlinzayo kungenzeka ukuthi ubeke i-stent (ithubhu elincane locingo) kule ndawo ukusiza ukugcina umthambo uvulekile. Umthambo wakho wavalwa ngemithungo ngemuva kokuba uqwembe selususiwe. Ukusikwa kwesikhumba kwavalwa nge-tape yokuhlinzwa.

Ngesikhathi sokuhlinzwa kwakho, umsebenzi wakho wenhliziyo nobuchopho waqashwa kakhulu.

Kufanele ukwazi ukwenza iningi lemisebenzi yakho ejwayelekile kungakapheli amasonto amathathu kuya kwamane. Ungaba nokuqaqamba kwentamo okuncane cishe amasonto amabili.

Ungaqala ukwenza imisebenzi yansuku zonke ngokushesha nje lapho uzizwa unakho. Ungahle udinge usizo ngokudla, ukunakekela indlu, nokuthenga ekuqaleni.

UNGAHAMBI kuze kuphole ukusikeka kwakho, futhi ungaguqula ikhanda lakho ngaphandle kokuhlukumezeka.

Ungahle ube nokundindizela emhlathini wakho naseduze kwendlebe yakho. Lokhu kusuka ekusikeni. Isikhathi esiningi, lokhu kuhamba ngezinyanga ezi-6 kuye kweziyi-12.

• Ungageza lapho ufika ekhaya. Kulungile uma itheyiphu yokuhlinza ekusikeni kwakho iba manzi. UNGAKHAMBI, khuhla, noma ushaye amanzi okugeza ngqo kuthephu. Itheyiphu izosonga bese iziwa yodwa ngemuva kwesonto.
• Bheka ngokucophelela ukusika kwakho nsuku zonke nganoma yiziphi izinguquko. UNGABEKI i-lotion, ukhilimu, noma amakhambi kuwo ngaphandle kokubuza umhlinzeki wakho wezempilo kuqala ukuthi ngabe kulungile.
• Kuze kuphole imbobo, UNGAGQOKI izifociya noma ezinye izingubo entanyeni yakho ezigcobayo ekusikeni.

Ukuhlinzwa ngemithambo ye-carotid akulaphe imbangela yokuvaleka emithanjeni yakho. Imithambo yakho ingaphinde ibe mincane futhi. Ukuvimbela lokhu:

• Yidla ukudla okunempilo, uvivinye umzimba (uma umhlinzeki ekucebisa), yeka ukubhema (uma ubhema), futhi wehlise izinga lokucindezeleka.
• Thatha imithi yokusiza ukwehlisa i-cholesterol yakho uma umhlinzeki wakho ekusho.
• Uma uthatha imishanguzo yengcindezi ephezulu yegazi noma yesifo sikashukela, yithathe ngendlela otshelwe ngayo ukuthi uyiphuze.
• Ungayalwa ukuthi uthathe i-aspirin kanye / noma umuthi obizwa ngokuthi yi-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, awukwazi ukukhuluma ngokujwayelekile, noma unenkinga yokuqonda okushiwo abanye abantu.
• Awukwazi ukuhambisa ulimi lwakho eceleni komlomo wakho.
• Unenkinga yokugwinya.
• Unobuhlungu besifuba, isiyezi, noma ukuphefumula okuncane okungapheli nokuphumula.
• Ukhwehlela igazi noma amafinyila aphuzi noma aluhlaza.
• Unomkhuhlane noma umkhuhlane ongaphezu kuka-101 ° F (38.3 ° C) noma umkhuhlane ongapheli ngemuva kokuthatha i-acetaminophen (iTylenol).
• Ukuqhekeka kwakho kuba bomvu noma kubuhlungu, noma ukukhishwa okuphuzi noma okuluhlaza kuyakhipha kuwo.
• Imilenze yakho iyavuvukala.

I-Carotid endarterectomy - ukukhishwa; I-CEA - ukukhishwa; I-angioplasty engaguquguquki yokuhumusha - umthambo we-carotid - ukukhishwa; I-PTA - i-carotid artery - ukukhishwa

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
• I-Carotid duplex
• Ukululama ngemuva kokushaywa unhlangothi
• Izingozi zikagwayi
• Stent
• Unhlangothi
• Amathiphu wokuthi ungakuyeka kanjani ukubhema
• Ukuhlaselwa kweschemic kwesikhashana

• Ukubekwa kwe-Angioplasty kanye ne-stent - umthambo we-carotid - ukukhishwa
• Izidakamizwa ze-antiplatelet - P2Y12 inhibitors
• I-Aspirin nesifo senhliziyo
• Cholesterol nendlela yokuphila
• I-cholesterol - ukwelashwa kwezidakamizwa
• Ukulawula umfutho wegazi ophakeme

• Isifo Semithambo YeCarotid