Angioplasty ndi stent - mtima - kutulutsa

Angioplasty ndi njira yotsegulira mitsempha yamagazi yopapatiza kapena yotseka yomwe imapereka magazi pamtima. Mitsempha yamagazi imeneyi imatchedwa mitsempha yamtendere. Mitsempha yamitsempha yamtambo ndi chubu chaching'ono, chachitsulo chomwe chimakulira mkati mwa mtsempha wamagazi.

Munali ndi angioplasty pamene munali m'chipatala. Mwinanso mutha kuyikapo stent. Zonsezi adazichita kuti atsegule mitsempha yochepetsetsa kapena yotseka, mitsempha yamagazi yomwe imapatsa magazi pamtima wanu. Mwinanso mudadwala matenda amtima kapena angina (kupweteka pachifuwa) musanachitike.

Mutha kukhala ndi ululu m'dera lanu lobowa, mkono, kapena dzanja. Izi zimachokera ku catheter (chubu chosinthika) chomwe chidayikidwa kuti chichitike. Mwinanso mutha kuvulazidwa mozungulira komanso pansi pamung'onong'ono.

Kupweteka pachifuwa ndi kupuma movutikira komwe mwina mudali nako musanachite izi kuyenera kukhala kwabwino tsopano.

Mwambiri, anthu omwe ali ndi angioplasty amatha kuyenda mozungulira patadutsa maola 6 chitachitika izi. Mutha kukhala kuti mutha kuyimirira ndikuyenda koyambirira ngati njirayi idachitika kudzera pa dzanja. Kuchira kwathunthu kumatenga sabata kapena kuchepera. Sungani malo omwe catheter adayikapo owuma kwa maola 24 mpaka 48.

Ngati adokotala ayika catheter kudzera mu kubuula kwanu:

• Kuyenda mitunda yaying'ono pamalo athyathyathya kulibwino. Chepetsani masitepe oyenda kukwera ndi kutsika mpaka kawiri patsiku masiku awiri kapena atatu oyambilira.
• Osamagwira ntchito pabwalo, kuyendetsa galimoto, kunyamula, kunyamula zinthu zolemetsa, kapena kusewera masewera osachepera masiku awiri, kapena mpaka wokuthandizani akakuwuzani kuti zili bwino.

Ngati adotolo ayika catheter m'manja mwanu kapena padzanja:

• Osakweza chilichonse cholemera kuposa mapaundi 10 (4.5 kilograms) (pang'ono kuposa galoni la mkaka) ndi mkono womwe unali ndi catheter.
• Osachita kukankhira kwina kulikonse, kukoka kapena kupotoza ndi mkonowo.

Catheter mu kubuula kwanu, mkono, kapena dzanja:

• Pewani kugonana kwa masiku awiri kapena asanu. Funsani omwe amakupatsani mwayi kuti ziyambirenso.
• Osasamba kapena kusambira sabata yoyamba. Mutha kutenga madzi osamba, koma onetsetsani kuti dera lomwe catheter adayikapo silimanyowa kwa maola 24 mpaka 48 oyamba.
• Muyenera kubwerera kuntchito masiku awiri kapena atatu ngati simugwira ntchito yolemetsa.

Muyenera kusamalira mawonekedwe anu.

• Wothandizira anu azikuwuzani kuti musinthe kangati mavalidwe anu.
• Ng'ombe yanu ikayamba kutuluka kapena ikufufuma, gonani pansi ndikuyikakamiza kwa mphindi 30.

Angioplasty sikuchiza chifukwa cha kutsekeka kwamitsempha yanu. Mitsempha yanu imatha kuchepanso. Idyani chakudya chopatsa thanzi, kuchita masewera olimbitsa thupi, kusiya kusuta (ngati mumasuta), ndikuchepetsa nkhawa kuti muchepetse mwayi wokhala ndi mtsempha wotsekedwa. Wopereka wanu atha kukupatsani mankhwala kuti muchepetse cholesterol.

Anthu ambiri amatenga aspirin pamodzi ndi mankhwala ena opatsirana m'matumbo monga clopidogrel (Plavix), prasugrel (Efient), kapena ticagrelor (Brilinta) pambuyo pa njirayi. Mankhwalawa ndi ochepa magazi. Amaletsa magazi anu kuti asapangike m'mitsempha ndi kununkhira kwanu. Magazi amatsogolera ku matenda a mtima. Tengani mankhwala ndendende monga omwe akukupatsani akukuuzani. Osasiya kuwatenga osalankhula ndi omwe akukuthandizani kaye.

Muyenera kudziwa momwe mungasamalire angina yanu ikabwerera.

Onetsetsani kuti muli ndi nthawi yotsatira yomwe mungakonzekere ndi dokotala wanu wamtima (cardiologist).

Dokotala wanu akhoza kukutumizirani ku pulogalamu yokonzanso mtima. Izi zikuthandizani kuphunzira momwe mungakulitsire pang'onopang'ono masewera olimbitsa thupi. Muphunziranso momwe mungasamalire angina yanu ndikudzisamalira mukadwala matenda amtima.

Itanani dokotala wanu ngati:

• Kutuluka magazi pamalo osungira catheter sikumatha mukamapanikizika.
• Pali kutupa patsamba la catheter.
• Mwendo wanu kapena mkono wanu m'munsimu momwe catheter adayikidwira umasintha mtundu, umakhala wozizira kukhudza, kapena watha dzanzi.
• Kuchepetsa pang'ono kwa catheter yanu kumakhala kofiira kapena kowawa, kapena kutulutsa kwachikaso kapena kobiriwira kumatulukako.
• Muli ndi kupweteka pachifuwa kapena kupuma pang'ono komwe sikupita ndikupuma.
• Kutentha kwanu kumamveka kosasunthika - kumachedwetsa (kosakwana kumenyera 60), kapena mwachangu kwambiri (kupitirira 100 mpaka 120 kumenya) mphindi.
• Mukuchita chizungulire, kukomoka, kapena mwatopa kwambiri.
• Mukutsokomola magazi kapena ntchofu zachikaso kapena zobiriwira.
• Muli ndi zovuta zakumwa mankhwala aliwonse amtima wanu.
• Muli ndi kuzizira kapena malungo opitilira 101 ° F (38.3 ° C).

Mankhwala osokoneza bongo - kutulutsa; PCI - kumaliseche; Mchitidwe wothandizira mwachangu - kutulutsa; Balloon angioplasty - kumaliseche; Coronary angioplasty - kumaliseche; Mitsempha ya Coronary angioplasty - kumaliseche; Mtima angioplasty - kumaliseche; PTCA - kutulutsa; Percutaneous transluminal coronary angioplasty - kutulutsa; Mitsempha yotulutsa mtima - kutulutsa; Angina angioplasty - kumaliseche; Matenda a mtima angioplasty - kumaliseche; CAD angioplasty - kumaliseche

• Mitsempha ya Coronary stent

Amsterdam EA, Wenger NK, Brindis RG, ndi al. Chitsogozo cha AHA / ACC cha 2014 pakuwongolera odwala omwe alibe ST-elevation acute coronary syndromes: lipoti la American College of Cardiology / American Heart Association Task Force pamayendedwe othandizira. J Ndine Coll Cardiol. 2014; 64 (24): e139-e228. PMID: 25260718 pubed.ncbi.nlm.nih.gov/25260718/.

Fihn SD, Blankenship JC, Alexander KP, Bittl JA, ndi al. Chidziwitso cha 2014 ACC / AHA / AATS / PCNA / SCAI / STS chitsogozo chazidziwitso zakuwunika ndi kuwunika kwa odwala omwe ali ndi matenda osakhazikika amtima: lipoti la American College of Cardiology / American Heart Association Task Force on Practice Guidelines, ndi American Association for Thoracic Surgery, Preventive Cardiovascular Nurses Association, Society for Cardiovascular Angiography and Intervention, ndi Society of Thoracic Surgeons. J Thorac Cardiovasc Opaleshoni. 2015; 149 (3): e5-e23. PMID: 25827388 pubed.ncbi.nlm.nih.gov/25827388/.

Mehran R, Dangas GD. Coronary angiography ndi kulingalira kwamkati. Mu: Zipes DP, Libby P, Bonow RO, Mann DL, Tomaselli GF, Braunwald E, olemba. Matenda a Mtima a Braunwald: Buku Lophunzitsira la Mankhwala Amtima. 11th ed. Philadelphia, PA: Elsevier; 2019: chap 20.

O'Gara PT, Kushner FG, Ascheim DD, ndi al. Chitsogozo cha 2013 ACCF / AHA pakuwongolera ST-elevation myocardial infarction: chidule chachikulu: lipoti la American College of Cardiology Foundation / American Heart Association Task Force pamayendedwe othandizira. Kuzungulira. 2013; 127 (4): 529-555. PMID: 23247303 pubed.ncbi.nlm.nih.gov/23247303/.

• Angina
• Angioplasty ndi stent mayikidwe - mtsempha wamagazi wa carotid
• Matenda amtima
• Opaleshoni ya mtima
• Opaleshoni ya mtima - yowopsa pang'ono
• Kuchuluka kwa cholesterol m'magazi
• Kuthamanga kwa magazi - akuluakulu
• Kulimba
• Malangizo a momwe mungasiyire kusuta
• Angina wosakhazikika

• Zoletsa za ACE
• Angina - kumaliseche
• Angina - zomwe mungafunse dokotala wanu
• Angina - mukakhala ndi ululu pachifuwa
• Angioplasty ndi stent - mtima - kutulutsa
• Mankhwala osokoneza bongo - P2Y12 inhibitors
• Aspirin ndi matenda amtima
• Kukhala wachangu mutadwala matenda amtima
• Kukhala achangu mukakhala ndi matenda amtima
• Batala, majarini, ndi mafuta ophikira
• Catheterization yamtima - kutulutsa
• Cholesterol ndi moyo
• Kulamulira kuthamanga kwa magazi
• Mafuta azakudya anafotokoza
• Malangizo achangu
• Matenda a mtima - kutulutsa
• Matenda a mtima - zomwe mungafunse dokotala wanu
• Matenda a mtima - zoopsa
• Momwe mungawerenge zolemba za chakudya
• Zakudya zaku Mediterranean

• Angioplasty
• Matenda a Coronary Artery