Ukubekwa kwe-angioplasty kanye ne-stent - imithambo yegazi

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.

I-Angioplasty isebenzisa "ibhaluni" lezokwelapha ukukhulisa imithambo evinjiwe. Ibhaluni licindezela odongeni lwangaphakathi lomthambo ukuvula isikhala nokwenza ngcono ukugeleza kwegazi. I-stent yensimbi ivame ukufakwa odongeni lomthambo ukugcina umthambo unganciphile futhi.

Ukwelapha ukuvinjelwa emlenzeni wakho, i-angioplasty ingenziwa kulokhu okulandelayo:

• I-aorta, umthambo oyinhloko oqhamuka enhliziyweni yakho
• Umthambo okhalweni lwakho noma okhalweni
• Umthambo ethangeni lakho
• Umthambo ngemuva kwedolo lakho
• Umthambo emlenzeni wakho ongezansi

Ngaphambi kwenqubo:

• Uzonikezwa umuthi ozokusiza uphumule. Uzophaphama, kodwa uyozela.
• Ungaphinde unikezwe umuthi wokunciphisa igazi ukugcina i-clot yegazi ingakhiwa.
• Uzolala ngomhlane etafuleni elisebenzayo eligwedliwe. Udokotela wakho ohlinzayo uzofaka umuthi othile obandayo endaweni ezolashwa, ukuze ungezwa buhlungu. Lokhu kubizwa ngokuthi i-anesthesia yendawo.

Udokotela wakho ohlinzayo uzobe ebeka inaliti encane emthanjeni wegazi emgodini wakho.Kuzofakwa intambo encane eguquguqukayo ngale naliti.

• Udokotela wakho ohlinzayo uzokwazi ukubona umthambo wakho ngezithombe ezibukhoma ze-x-ray. Idayi izofakwa emzimbeni wakho ukukhombisa ukugeleza kwegazi ngemithambo yakho. Idayi izokwenza kube lula ukubona indawo evinjiwe.
• Udokotela wakho ohlinzayo uzoqondisa ishubhu elincane elibizwa ngokuthi i-catheter emthanjeni wakho uye endaweni evinjiwe.
• Okulandelayo, udokotela wakho ohlinzayo uzodlulisa ucingo lomhlahlandlela nge-catheter kuya ekuvinjelweni.
• Udokotela ohlinzayo uzophusha elinye ipayipi elinebhaluni elincane kakhulu ekugcineni phezu kocingo lomhlahlandlela angene endaweni evinjiwe.
• Ibhaluni bese ligcwaliswa ngoketshezi oluhlukile ukuze kufuthwe ibhaluni. Lokhu kuvula umkhumbi ovinjelwe futhi kubuyisele ukugeleza kwegazi enhliziyweni yakho.

I-stent nayo ingafakwa endaweni evinjiwe. I-stent ifakwa ngasikhathi sinye ne-catheter yebhaluni. Iyanweba lapho kuqhunyiswa ibhaluni. I-stent isele endaweni ukusiza ukugcina umthambo uvulekile. Ibhaluni nazo zonke izintambo ziyasuswa.

Izimpawu zomthambo womngcele ovinjiwe ubuhlungu, ubuhlungu, noma isisindo emlenzeni wakho esiqala noma sibe sibi kakhulu uma uhamba.

Ungahle ungadingi le nqubo uma usengakwazi ukwenza imisebenzi yakho yansuku zonke. Umhlinzeki wakho wezokunakekelwa kwempilo kungenzeka ukuthi uzame imithi nezinye izindlela zokwelashwa kuqala.

Izizathu zalokhu kuhlinzwa yilezi:

• Unezimpawu ezikugcina ekwenzeni imisebenzi yansuku zonke. Izimpawu zakho azibi ngcono ngokunye ukwelashwa.
• Unezilonda zesikhumba noma amanxeba emlenzeni angabi ngcono.
• Unesifo noma isibazi emlenzeni.
• Unobuhlungu emlenzeni wakho obangelwa yimithambo emincane, noma ngabe uphumule.

Ngaphambi kokuba ne-angioplasty, uzoba nokuhlolwa okukhethekile ukubona ubukhulu bokuvinjelwa emithanjeni yakho yegazi.

Izingozi ze-angioplasty nokubekwa kwama-stent yilezi:

• Ukusabela okweqile kumuthi osetshenziswe ku-stent okhipha umuthi emzimbeni wakho
• Ukusabela okwe-allergen kudayi ye-x-ray
• Ukopha noma ukujiya endaweni lapho kufakwe khona ipayipi
• Ukuqina kwegazi emilenzeni noma emaphashini
• Ukulimala esitsheni segazi
• Ukulimala kwesibindi, okungadala ubuhlungu noma ukuphazamiseka emlenzeni
• Ukulimala komthambo ku-groin, okungadinga ukuhlinzwa okuphuthumayo
• Isifo senhliziyo
• Ukutheleleka ekusikeni kokuhlinzwa
• Ukwehluleka kwezinso (ingozi enkulu kubantu asebenenkinga yezinso)
• Ukungabeki kahle kwe-stent
• I-Stroke (lokhu akuvamile)
• Ukwehluleka ukuvula umthambo othintekile
• Ukulahlekelwa isitho somzimba

Phakathi namasonto ama-2 ngaphambi kokuhlinzwa:

• Tshela umhlinzeki wakho ukuthi yimiphi imithi oyisebenzisayo, ngisho nezidakamizwa, izithasiselo, noma amakhambi owathengile ngaphandle kwemithi kadokotela.
• Tshela umhlinzeki wakho uma uxabana nokudla kwasolwandle, uma uke waba nempendulo embi ekuqhathaniseni izinto (udayi) noma iodine esikhathini esedlule, noma uma ukhulelwe noma ukhulelwe.
• Tshela umhlinzeki wakho uma uthatha i-sildenafil (Viagra), i-vardenafil (i-Levitra), noma i-tadalafil (i-Cialis).
• Tshela umhlinzeki wakho uma uphuze utshwala obuningi (ngaphezu kweziphuzo ezi-1 noma ezi-2 ngosuku).
• Kungase kudingeke uyeke ukuthatha izidakamizwa ezenza kube nzima ngegazi lakho ukumboza amasonto ama-2 ngaphambi kokuhlinzwa. Lokhu kufaka phakathi i-aspirin, ibuprofen (Advil, Motrin), clopidogrel (Plavix), Naprosyn (Aleve, Naproxen), kanye neminye imithi efana nale.
• Buza ukuthi imiphi imithi okufanele uyithathe ngosuku lokuhlinzwa kwakho.
• Uma ubhema, kufanele uyeke. Cela usizo kumhlinzeki wakho.
• Ngaso sonke isikhathi vumela umhlinzeki wakho azi nganoma yikuphi ukubanda, umkhuhlane, umkhuhlane, ukuphuma kwe-herpes, noma okunye ukugula ongaba nakho ngaphambi kokuhlinzwa kwakho.

UNGAPHUZI lutho ngemuva kwamabili ebusuku ngaphambi kokuhlinzwa kwakho, kufaka phakathi amanzi.

Ngosuku lokuhlinzwa kwakho:

• Thatha imithi yakho umhlinzeki wakho akutshele ukuthi uyiphuze ngesiphuzo esincane samanzi.
• Uzotshelwa ukuthi ufika nini esibhedlela.

Abantu abaningi bayakwazi ukuya ekhaya besuka esibhedlela ezinsukwini ezimbili noma ngaphansi. Abanye abantu kungenzeka kungadingeki nokuthi bahlale ubusuku bonke. Kufanele ukwazi ukuhambahamba kungakapheli amahora ayisithupha kuya kwayisishiyagalombili ngemuva kwenqubo.

Umhlinzeki wakho uzochaza ukuthi ungazinakekela kanjani.

I-Angioplasty ithuthukisa ukugeleza kwegazi lomthambo kubantu abaningi. Imiphumela izohluka, kuye ngokuthi ukuvinjelwa kwakho kwakukuphi, ubukhulu besitsha sakho segazi, nokuthi ukuvinjelwa okungakanani okukhona kweminye imithambo yegazi.

Ungahle ungadingi ukuhlinzwa okudlula okuvulekile uma une-angioplasty. Uma inqubo ingasizi, udokotela wakho ohlinzayo angadinga ukwenza ukuhlinzwa okuvulekile, noma ngisho nokunqunywa.

I-angioplasty engaguquguquki yokuhumusha - umthambo wokuzungeza; I-PTA - umthambo wokuzungeza; I-angioplasty - imithambo yegazi eseceleni; Umthambo we-Iliac - angioplasty; Umthambo wabesifazane - angioplasty; Umthambo Popliteal - angioplasty; Umthambo we-Tibial - angioplasty; Umthambo we-peroneal - angioplasty; Izifo zemithambo yegazi eseceleni - i-angioplasty; I-PVD - i-angioplasty; I-PAD - angioplasty

• Ukubekwa kwe-angioplasty nokuma okuqinile - imithambo yegazi - ukukhipha
• 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

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-Society for Vascular Surgery I-Lower Extremity Guidelines Guidelines Group YokuBhala; IConte MS, iPomposelli FB, et al. I-Society for Vascular Surgery practice imihlahlandlela yesifo se-atherosclerotic esivela emaphethelweni aphansi: ukuphathwa kwesifo se-asymptomatic kanye ne-claudication. J Vasc Ukuhlinzwa. 2015; 61 (3 Suppl): 2S-41S. I-PMID: 25638515 www.ncbi.nlm.nih.gov/pubmed/25638515.

Amalungu eKomidi Lokubhala, uGerhard-Herman MD, uGornik HL, et al. Umhlahlandlela we-2016 AHA / ACC ekuphathweni kweziguli ezinesifo semithambo yegazi lomkhawulo ongaphansi: isifinyezo esiphezulu. IVasc Med. 2017; 22 (3): NP1-NP43. PMID: 28494710 www.ncbi.nlm.nih.gov/pubmed/28494710.