Ukubekwa kwe-angioplasty nokuqina - inhliziyo

I-Angioplasty inqubo yokuvula imithambo yegazi encishisiwe noma evinjiwe ehambisa igazi enhliziyweni. Le mithambo yegazi ibizwa ngokuthi yimithambo yegazi.

Umthambo we-coronary stent uyishubhu elincane lensimbi elenza ngaphakathi komthambo we-coronary. I-stent ivame ukufakwa phakathi noma ngokushesha ngemuva kwe-angioplasty. Kuyasiza ukuvimbela umthambo ukuba ungavali futhi. I-stent eluting stent inemithi efakwe kuyo esiza ukuvimbela umthambo ukuba ungavali esikhathini eside.

Ngaphambi kokuba inqubo ye-angioplasty iqale, uzothola umuthi othile wezinhlungu. Ungaphinde unikezwe umuthi okuxegisayo, nemithi yokuncipha kwegazi yokuvikela ukunqamuka kwegazi.

Uzolala etafuleni eligwedwe. Udokotela wakho uzofaka ishubhu eliguquguqukayo (ipayipi) emthanjeni. Kwesinye isikhathi i-catheter izobekwa engalweni noma esihlakaleni, noma endaweni yakho yomlenze ongaphezulu. Uzobe uphapheme ngesikhathi senqubo.

Udokotela uzosebenzisa izithombe ezibukhoma ze-x-ray ukuqondisa ngokucophelela i-catheter iye enhliziyweni yakho nasemithanjeni yegazi. Ukwahlukaniswa kuketshezi (kwesinye isikhathi okubizwa ngokuthi "idayi," kuzofakwa emzimbeni wakho ukugqamisa ukugeleza kwegazi ngemithambo. Lokhu kusiza udokotela ukuthi abone noma yikuphi ukuvimba emithanjeni yegazi okuholela enhliziyweni yakho.

Intambo yomhlahlandlela idluliselwa ngaphakathi nangaphesheya kokuvinjelwa. Ipayipi le-balloon liphushelwa phezu kocingo lomhlahlandlela nokuvinjelwa. Ibhaluni ekugcineni liqhunyisiwe (ligcwele umoya). Lokhu kuvula umkhumbi ovinjiwe futhi kubuyisele ukugeleza kwegazi okufanele enhliziyweni.

Ishubhu elenziwe ngocingo (i-stent) lingabekwa kule ndawo evinjiwe. I-stent ifakwa kanye ne-catheter yebhaluni. Iyakhula lapho ibhaluni seligcwele umoya. I-stent isele lapho ukusiza ukugcina umthambo uvulekile.

I-stent ivame ukugcotshwa umuthi (obizwa ngokuthi i-stent-eluting stent). Lolu hlobo lwe-stent lunganciphisa amathuba okuba umthambo uvalwe ngokuzayo.

Imithambo yegazi ingancishiswa noma ivinjwe ngamadiphozithi abizwa ngokuthi i-plaque. Uqwembe lwakhiwe ngamafutha ne-cholesterol eyakha ngaphakathi kwezindonga zomthambo. Lesi simo sibizwa ukuqina kwemithambo (i-atherosclerosis).

I-Angioplasty ingasetshenziselwa ukwelapha:

• Ukuvinjelwa emthanjeni we-coronary ngesikhathi noma ngemuva kokuhlaselwa yinhliziyo
• Ukuvinjelwa noma ukunciphisa umthambo owodwa noma eminingi ye-coronary engase iholele ekusebenzeni kahle kwenhliziyo (ukwehluleka kwenhliziyo)
• Ukuncipha okunciphisa ukugeleza kwegazi futhi kubangele ubuhlungu besifuba obuqhubekayo (i-angina) imithi engabulawuli

Akuwona wonke amabhlokhi angalashwa nge-angioplasty. Abanye abantu abanamabhulokhi noma amabhlokhi amaningana ezindaweni ezithile bangadinga ukuhlinzwa nge-coronary bypass.

I-Angioplasty ngokuvamile iphephile, kodwa buza udokotela wakho ngezinkinga ezingaba khona. Izingozi ze-angioplasty nokubekwa kwama-stent yilezi:

• Ukungezwani komzimba nomuthi osetshenziswe kusidakwa esisetshenziswa yizidakamizwa, okokusebenza okuyisisekelo (okungajwayelekile), noma kudayi we-x-ray
• Ukopha noma ukujiya endaweni lapho kufakwe khona ipayipi
• Ihluli
• Ukuvaleka ngaphakathi kwe-stent (in-stent restenosis). Lokhu kungasongela impilo.
• Ukulimala kwe-valve yenhliziyo noma isitsha segazi
• Isifo senhliziyo
• Ukwehluleka kwezinso (ingozi enkulu kubantu asebenenkinga yezinso)
• Ukushaya kwenhliziyo okungajwayelekile (arrhythmias)
• I-Stroke (lokhu akuvamile)

I-Angioplasty ivame ukwenziwa lapho uya esibhedlela noma egumbini lezimo eziphuthumayo ngobuhlungu besifuba, noma ngemuva kokuhlaselwa yinhliziyo. Uma ungeniswa esibhedlela nge-angioplasty:

• Tshela umhlinzeki wakho wezempilo ukuthi yiziphi izidakamizwa oziphuzayo, ngisho nezidakamizwa noma amakhambi owathengile ngaphandle kadokotela.
• Imvamisa uzocelwa ukuthi ungaphuzi noma ungadli lutho amahora ayisithupha kuya kwayisishiyagalombili ngaphambi kokuhlolwa.
• Thatha izidakamizwa umhlinzeki wakho akutshele ukuthi uziphuze ngesiphuzo esincane samanzi.
• Tshela umhlinzeki wakho uma unenkinga yokudla kwasolwandle, ube nokusabela okubi uma uqhathanisa izinto noma iodine esikhathini esedlule, uthatha iViagra, noma ukhulelwe noma kungenzeka ukhulelwe.

Isilinganiso sokuhlala esibhedlela izinsuku ezimbili noma ngaphansi. Abanye abantu kungenzeka kungadingeki nokuthi balale esibhedlela.

Ngokuvamile, abantu abane-angioplasty bayakwazi ukuhambahamba emahoreni ambalwa ngemuva kwenqubo kuye ngokuthi inqubo ihambe kanjani nokuthi ibekwe kuphi ipayipi. Ukutakula ngokuphelele kuthatha isonto noma ngaphansi. Uzonikezwa imininingwane yokuthi ungazinakekela kanjani ngemuva kwe-angioplasty.

Kubantu abaningi, i-angioplasty ithuthukisa kakhulu ukugeleza kwegazi ngomthambo we-coronary kanye nenhliziyo. Kungakusiza ukuthi ugweme isidingo se-coronary artery bypass surgery (CABG).

I-Angioplasty ayilaphi imbangela yokuvaleka emithanjeni yakho. Imithambo yakho ingaphinde ibe mincane futhi.

Landela ukudla okunempilo enhliziyweni, ukuzivocavoca umzimba, yeka ukubhema (uma ubhema), futhi wehlise ingcindezi ukunciphisa amathuba akho okuba nomunye umthambo ovinjiwe.Umhlinzeki wakho angakunikeza umuthi ozosiza ukwehlisa i-cholesterol yakho noma ukulawula umfutho wegazi. Ukuthatha lezi zinyathelo kungasiza ekunciphiseni amathuba akho ezinkinga kusuka ku-atherosclerosis.

I-PCI; Ukungenelela kwe-coronary okwenzeka ngamandla; I-balloon angioplasty; Angioplasty Coronary; Umthambo weCoronary angioplasty; I-angioplasty ye-coronary coronary coronary; Ukwehla komthambo wenhliziyo; Ukubekwa kwe-Angina - stent; I-acute coronary syndrome - ukubekwa kwe-stent; Isifo se-Coronary artery - ukubekwa kwe-stent; Ukubekwa kwe-CAD - stent; Isifo senhliziyo seCoronary - ukubekwa kwe-stent; Ukubekwa kwe-ACS - stent; Ukuhlaselwa yinhliziyo - ukubekwa kwe-stent; I-infarction ye-myocardial - ukubekwa kwama-stent; Ukubekwa kwe-MI - stent; I-Coronary revascularization - ukubekwa kwe-stent

• Umthambo weCoronary stent

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UMorrow DA, de Lemos JA. Isifo senhliziyo esisimeme. 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 61.

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