I-Peripheral Artery Angioplasty nokubekwa kwe-Stent

-Delile

• Kungani i-Peripheral Angioplasty kanye neStent Placement Kwenziwa
• Izingozi Zenqubo
• Ungayilungiselela Kanjani Inqubo
• Yenziwa Kanjani Inqubo
• Ukwenza Ukuqhamuka
• Ukuthola Ukuvinjelwa
• Ukubeka i-Stent
• Ukuvala i-Incision
• Ngemuva Kwenqubo
• I-Outlook Nokuvimbela

Kuyini i-Angioplasty neStent Placement?

I-Angioplasty ene-stent placement yinqubo encane yokuhlasela esetshenziselwa ukuvula imithambo emincane noma evinjiwe. Le nqubo isetshenziswa ezingxenyeni ezihlukene zomzimba wakho, kuya ngendawo yomthambo othintekile. Kudinga ukusikwa okuncane kuphela.

I-Angioplasty inqubo yokwelashwa lapho udokotela wakho ohlinzayo esebenzisa ibhaluni elincane ukunweba umthambo. I-stent iyishubhu encane enezikhala efakwe emthanjeni wakho futhi ishiye lapho ukuyivimba ukuthi ingavali. Udokotela wakho angancoma ukuthatha i-aspirin noma i-antiplatelet drug, efana ne-clopidogrel (i-Plavix), ukuvimbela ukuqina kwe-stent, noma bangahle bakunikeze imithi yokusiza ukwehlisa i-cholesterol yakho.

Kungani i-Peripheral Angioplasty kanye neStent Placement Kwenziwa

Lapho amazinga akho e-cholesterol ephezulu, into enamafutha eyaziwa ngokuthi i-plaque inganamathela ezindongeni zemithambo yakho. Lokhu kubizwa ngokuthi i-atherosclerosis. Njengoba uqwembe luqongelela ngaphakathi emithanjeni yakho, imithambo yakho ingancipha. Lokhu kunciphisa isikhala esitholakalayo sokugeleza kwegazi.

I-plaque ingaqongelela noma kuphi emzimbeni wakho, kufaka phakathi imithambo esezingalweni nasemilenzeni yakho. Le mithambo yegazi neminye imithambo ekude nenhliziyo yakho yaziwa njenge-peripheral arteries.

Ukubekwa kwe-Angioplasty nokumiswa okuyisisekelo yizinketho zokwelashwa kwesifo semithambo yegazi (PAD). Lesi simo esivamile sihilela ukuncipha kwemithambo ezithweni zakho.

Izimpawu ze-PAD zifaka:

• umuzwa obandayo emilenzeni yakho
• ukushintsha kombala emilenzeni yakho
• ukuba ndikindiki emilenzeni yakho
• ukucindezela emilenzeni yakho ngemuva kokusebenza
• ukungasebenzi kahle kwe-erectile emadodeni
• ubuhlungu obuthululwayo ngokuhamba
• ubuhlungu ezinzwaneni zakho

Uma umuthi nezinye izindlela zokwelapha zingasizi i-PAD yakho, udokotela wakho angakhetha ukufakwa kwe-angioplasty nokufakwa kwama-stent. Ibuye isetshenziswe njengenqubo ephuthumayo uma uhlaselwa yisifo senhliziyo noma isifo sohlangothi.

Izingozi Zenqubo

Noma iyiphi inqubo yokuhlinzwa inezingozi. Izingozi ezihambisana ne-angioplasty nama-stents zifaka:

• ukusabela okweqile emithini noma kudayi
• izinkinga zokuphefumula
• ukopha
• amahlule egazi
• ukutheleleka
• ukulimala kwezinso
• ukunciphisa kabusha umthambo wakho, noma i-restenosis
• ukudabuka komthambo wakho

Izingozi ezihambisana ne-angioplasty zincane, kepha zingaba zimbi kakhulu. Udokotela wakho uzokusiza ukuthi uhlole izinzuzo nobungozi benqubo. Kwezinye izimo, udokotela wakho angakunikeza imithi yokulwa nokuqothulwa, njenge-aspirin, kuze kube unyaka ngemuva kwenqubo yakho.

Ungayilungiselela Kanjani Inqubo

Kunezindlela eziningana ozodinga ukuzilungiselela inqubo yakho. Kufanele wenze okulandelayo:

• Yazisa udokotela wakho nganoma yikuphi ukungezwani komzimba onakho.
• Tshela udokotela wakho ukuthi yiziphi izidakamizwa, amakhambi, noma izithako ozithathayo.
• Tshela udokotela wakho nganoma yikuphi ukugula onakho, njengomkhuhlane ovamile noma umkhuhlane, noma ezinye izimo esezivele zikhona, njengesifo sikashukela noma isifo sezinso.
• Ungadli noma uphuze noma yini, kufaka phakathi amanzi, ubusuku ngaphambi kokuhlinzwa kwakho.
• Thatha noma imiphi imishanguzo udokotela akunika yona.

Yenziwa Kanjani Inqubo

I-Angioplasty ene-stent placement ithatha ihora elilodwa. Noma kunjalo, inqubo ingathatha isikhathi eside uma ama-stents adinga ukufakwa emithanjeni engaphezu kweyodwa. Uzonikezwa umuthi wokubulala izinzwa wendawo ukusiza ukukhulula umzimba nengqondo yakho. Iningi labantu liphapheme phakathi nale nqubo, kepha abuzwa buhlungu. Kunezinyathelo eziningana kule nqubo:

Ukwenza Ukuqhamuka

I-Angioplasty ene-stent placement iyinqubo encane yokuhlasela eyenziwe ngokusikwa okuncane, imvamisa emgodleni wakho noma enqulwini. Umgomo ukudala ukusikeka okuzonikeza udokotela wakho ukufinyelela emthanjeni ovinjiwe noma omncane obangela izingqinamba zakho zezempilo.

Ukuthola Ukuvinjelwa

Ngaleso siklami, udokotela wakho ohlinzayo uzofaka ishubhu elincanyana, eliguquguqukayo elaziwa ngokuthi ipayipi. Bazobe sebeqondisa i-catheter ngemithambo yakho ekuvalekeni. Ngalesi sinyathelo, udokotela wakho ohlinzayo uyobheka imithambo yakho yegazi esebenzisa i-X-ray ekhethekile ebizwa nge-fluoroscopy. Udokotela wakho angasebenzisa idayi ukukhomba nokuthola ukuvinjelwa kwakho.

Ukubeka i-Stent

Udokotela wakho ohlinzayo uzodlulisa ucingo oluncane nge-catheter. Ipayipi lesibili elixhunywe kubhaluni elincane lizolandela ucingo lwesiqondisi. Lapho ibhaluni selifinyelele emthanjeni wakho ovinjiwe, lizothuthukiswa. Lokhu kuphoqa umthambo wakho ukuba uvule futhi kuvumele ukugeleza kwegazi kubuye.

I-stent izofakwa ngasikhathi sinye nebhaluni, futhi iyanda ngebhaluni. Uma i-stent ivikelekile, udokotela wakho ohlinzayo uzosusa i-catheter futhi aqinisekise ukuthi i-stent isendaweni.

Amanye ama-stents, abizwa ngokuthi ama-stents-eluting stents, aboshwe emithini ekhipha kancane kancane emthanjeni wakho. Lokhu kugcina umthambo wakho ubushelelezi futhi uvulekile, futhi kusiza ukuvimba ukuvimba okuzayo.

Ukuvala i-Incision

Ukulandela ukubekwa kwe-stent, ukusika kwakho kuzovalwa futhi kugqokwe, futhi uzobuyiselwa egumbini lokutakula ukuze ubhekwe. Umhlengikazi uzoqapha umfutho wegazi nokushaya kwenhliziyo yakho. Ukuhamba kwakho kuzokhawulelwa ngalesi sikhathi.

Ama-angioplasties amaningi anendawo ebekiwe adinga ukuvakashelwa ubusuku bonke ukuqinisekisa ukuthi azikho izinkinga, kepha abanye abantu bavunyelwe ukuya emakhaya ngalolo suku olufanayo.

Ngemuva Kwenqubo

Indawo yakho yokusika izoba buhlungu futhi mhlawumbe ilimale izinsuku ezimbalwa kulandela inqubo, futhi ukunyakaza kwakho kuzokhawulelwa. Kodwa-ke, ukuhamba okufishane ezindaweni ezisicaba kuyamukeleka futhi kuyakhuthazwa. Gwema ukwehla ukhuphuke izitebhisi noma ukuhamba amabanga amade ezinsukwini ezimbili kuya kwezintathu zokuqala ngemuva kwenqubo yakho.

Kungadingeka futhi ukuthi ugweme imisebenzi enjengokushayela, ukusebenza kwegceke, noma ezemidlalo. Udokotela wakho uzokwazisa ukuthi ungabuyela nini emisebenzini yakho ejwayelekile. Hlala ulandela noma imiphi imiyalo udokotela noma udokotela ohlinzayo akunika yona ngemuva kokuhlinzwa kwakho.

Ukululama ngokugcwele kule nqubo kungathatha amasonto afinyelela kwayisishiyagalombili.

Ngenkathi isilonda sakho sokusikwa siphola, uzokwaziswa ukuthi ugcine indawo ihlanzekile ukuvikela ukutheleleka okungenzeka futhi ushintshe ukugqoka njalo. Xhumana nodokotela wakho ngokushesha uma ubona lezi zimpawu ezilandelayo kusiza sakho sokusika:

• ukuvuvukala
• ububomvu
• ukukhipha
• ubuhlungu obungavamile
• ukopha okunganqandwa ngebhandishi elincane

Kufanele futhi uxhumane nodokotela wakho ngokushesha uma uqaphela:

• ukuvuvukala emilenzeni yakho
• ubuhlungu besifuba obungapheli
• ukuphefumula okungapheli
• Ukugodola
• umkhuhlane ongaphezu kuka-101 ° F
• isiyezi
• ukuquleka
• ubuthakathaka obukhulu

I-Outlook Nokuvimbela

Ngenkathi i-angioplasty ene-stent placement ikhuluma ngokuvinjelwa komuntu ngamunye, ayilungisi imbangela eyinhloko yokuvinjelwa. Ukuvimbela ukuvinjelwa okuqhubekayo nokunciphisa ubungozi bezinye izimo zezokwelapha, kungadingeka wenze izinguquko ezithile zokuphila, njenge:

• ukudla ukudla okunempilo ngokunciphisa ukudla kwakho okunamafutha agcwele, i-sodium, kanye nokudla okusetshenzisiwe
• ukuzivocavoca njalo
• ukuyeka ukubhema uma ubhema ngoba kwandisa ubungozi bakho be-PAD
• ukulawula ukucindezeleka
• uthatha imishanguzo yokwehlisa i-cholesterol uma kunqunywe udokotela wakho

Udokotela wakho futhi angancoma ukusetshenziswa kwesikhathi eside kwezidakamizwa zokulwa nokuqothulwa, njenge-aspirin, ngemuva kwenqubo yakho. Ungayeki ukuthatha le mithi ngaphandle kokukhuluma nodokotela wakho kuqala.