Percutaneous transluminal coronary angioplasty (PTCA)
Zamkati
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PTCA, kapena angular puluminal coronary angioplasty, ndi njira yokhayo yolowerera yomwe imatsegula mitsempha yotsekemera kuti magazi aziyenda bwino pamitima ya mtima.
Choyamba, mankhwala ochititsa dzanzi am'derali amasiya malo obowoka. Kenako, adotolo amaika singano mumtsempha wachikazi, mtsempha womwe umatsikira mwendo. Dokotala amalowetsa chingwe chowongolera kudzera mu singano, kuchotsa singano, ndikuikapo m'malo mwake, chida chokhala ndi madoko awiri olowetsera zida zosinthika. Kenako waya wowongolera woyamba amasinthidwa ndi waya wocheperako. Dotolo amadutsa chubu chopapatiza chaching'ono chotchedwa catheter yodziwitsa anthu pa waya watsopano, kudzera pamakina oyambira, mpaka mumtsempha.Ikangolowa, adotolo amawatsogolera ku aorta ndikuchotsa waya wowongolera.
Ndi catheter potsegula mtsempha wamagazi, dokotalayo amalowetsa utoto ndikutenga X-ray.
Ngati ikuwonetsa kutsekeka kochiritsika, adotolo amabwezeretsa catheter ndikuyikapo ndi catheter, asanachotse waya.
Chingwe chowonda kwambiri chimalowetsedwa ndikuwongoleredwa potseka. Catheter ya buluni kenako imatsogozedwa kumalo otsekera. Baluniyo imadzaza mpweya kwa masekondi ochepa kuti ikanikizane ndi kutseka kwamitsempha yamitsempha. Kenako yasokonezeka. Dokotala atha kubaluni buluni kangapo konse, nthawi iliyonse akaidzaza pang'ono kuti afutukule ndimeyo.
Izi zitha kubwerezedwa patsamba lililonse lotsekedwa kapena locheperako.
Dotolo amathanso kuyika chikwangwani chachitsulo, cholumikizira, mkati mwa mtsempha wamagazi kuti chikhale chotseguka.
Kupanikizika kukachitika, utoto umabayidwa ndipo X-ray imatengedwa kuti ifufuze zosintha m'mitsempha.
Kenako catheter imachotsedwa ndipo njirayo yatha.
- Angioplasty
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