Kuyika kwa Angioplasty ndi stent - mtsempha wa carotid - kutulutsa

Munali ndi angioplasty yomwe mudachita mukakhala mchipatala. Mwinanso munali ndi stent (kachipangizo kakang'ono ka waya) kamene kanayikidwa m'dera lotsekedwa kuti likhale lotseguka. Zonsezi zidachitika kuti atsegule mtsempha wopapatiza kapena wotsekedwa womwe umapereka magazi kuubongo wanu.

Wothandizira zaumoyo wanu adalowetsa catheter (chubu chosinthasintha) mumtsempha kudzera pobowola (kudula) mu kubuula kwanu kapena mkono wanu.

Wopereka wanu amagwiritsa ntchito ma x-ray amoyo kuti awongolere mosamala catheter mpaka kumalo komwe kutsekeka mumitsempha yanu ya carotid.

Kenako omwe amakupatsirani adadutsa waya wowongolera kudzera pa catheter mpaka kutsekeka. Catheter ya baluni idakankhidwa pamwamba pa waya wowongolera ndikutsekera. Buluni yaying'ono kumapeto kwake inali ndi mpweya. Izi zidatsegula mtsempha wotsekedwa.

Muyenera kuti muzitha kuchita zambiri zomwe mumachita masiku ochepa, koma osavutikira.

Ngati wothandizira wanu atayika catheter kudzera mu kubuula kwanu:

• Kuyenda mitunda yaying'ono pamalo athyathyathya ndibwino. Chepetsani masitepe oyenda kukwera ndi kutsika mpaka kawiri patsiku kwa masiku awiri kapena atatu oyamba.
• MUSAMAGWIRITSE ntchito ya pabwalo, kuyendetsa galimoto, kapena kusewera masewera osachepera masiku awiri, kapena kwa masiku angapo omwe dokotala wakuwuzani kuti mudikire.

Muyenera kusamalira mawonekedwe anu.

• Wopereka wanu angakuuzeni kangati kuti musinthe mavalidwe anu (bandeji).
• Muyenera kusamala kuti malo obowolera asatenge kachilomboka. Ngati mukumva kuwawa kapena zizindikiro zina za matenda, itanani dokotala wanu.
• Ng'ombe yanu ikayamba kutuluka kapena ikufufuma, gonani pansi ndikuyikakamiza kwa mphindi 30. Ngati kutuluka magazi kapena kutupa sikuima kapena kukulirakulira, itanani dokotala wanu ndikubwerera kuchipatala. Kapena, pitani kuchipinda chadzidzidzi chapafupi kwambiri, kapena itanani 911 kapena nambala yadzidzidzi yakomweko nthawi yomweyo. Ngati kutuluka magazi kapena kutupa kuli kovuta ngakhale mphindi 30 zisanadutse, imbani 911 kapena nambala yadzidzidzi yakomweko nthawi yomweyo. Musachedwe.

Kuchita opaleshoni yamitsempha ya carotid sikuchiza chifukwa chomwe chimatsekera m'mitsempha yanu. Mitsempha yanu imatha kuchepanso. Kuti muchepetse mwayi wanu wochitika izi:

• Idyani zakudya zopatsa thanzi, kuchita masewera olimbitsa thupi (ngati omwe akukupatsani akukulangizani), siyani kusuta (ngati mumasuta), ndikuchepetsa nkhawa. Musamwe mowa mopitirira muyeso.
• Tengani mankhwala kuti muchepetse cholesterol yanu ngati omwe akukupatsani akukuuzani.
• Ngati mukumwa mankhwala a kuthamanga kwa magazi kapena matenda ashuga, tengani momwe anauzidwira.
• Wothandizira anu akhoza kukupemphani kuti mutenge aspirin ndi / kapena mankhwala ena otchedwa clopidogrel (Plavix), kapena mankhwala ena, mukamapita kunyumba. Mankhwalawa amateteza magazi anu kuti asapangike m'mitsempha komanso mu stent. Osasiya kuwatenga osalankhula ndi omwe akukuthandizani kaye.

Imbani wothandizira zaumoyo wanu ngati:

• Mukumva mutu, kusokonezeka, kapena kufooka kapena kufooka m'mbali iliyonse ya thupi lanu.
• Mumakhala ndi vuto la maso kapena simumatha kulankhula bwinobwino.
• Kutuluka magazi pamalo osungira catheter komwe sikumaima mukapanikizika.
• Pali kutupa patsamba la catheter.
• Mwendo wanu kapena mkono wanu m'munsimu momwe catheter adayikidwira umasintha mtundu kapena umakhala ozizira kukhudza, wotumbululuka, kapena dzanzi.
• Kuchepetsa pang'ono kuchokera ku catheter yanu kumakhala kofiira kapena kowawa, kapena kutulutsa kwachikaso kapena kobiriwira kumatulukako.
• Miyendo yanu ikutupa.
• Muli ndi kupweteka pachifuwa kapena kupuma pang'ono komwe sikupita ndikupuma.
• Mukuchita chizungulire, kukomoka, kapena mwatopa kwambiri.
• Mukutsokomola magazi kapena ntchofu zachikaso kapena zobiriwira.
• Muli ndi kuzizira kapena malungo opitilira 101 ° F (38.3 ° C).

Carotid angioplasty ndi stenting - kumaliseche; CAS - kutulutsa; Angioplasty ya carotid mitsempha - kutulutsa

• Matenda a atherosclerosis amkati mwa carotid

Brott TG, Halperin JL, Abbara S, ndi al. 2011 ASA / ACCF / AHA / AANN / AANS / ACR / ASNR / CNS / SAIP / SCAI / SIR / SNIS / SVM / SVS chitsogozo cha kasamalidwe ka odwala omwe ali ndi matenda a mtsempha wamagazi owonjezera pamtundu: chidule chachikulu: lipoti la American College of Cardiology Foundation / American Heart Association Task Force on Practice Guidelines, ndi American Stroke Association, American Association of Neuroscience Nurses, American Association of Neurological Surgeons, American College of Radiology, American Society of Neuroradiology, Congress of Neurological Surgeons, Society of Atherosclerosis Kulingalira ndi Kupewa, Society for Cardiovascular Angiography and Intervention, Society of Interventional Radiology, Society of NeuroInterventional Surgery, Society for Vascular Medicine, ndi Society for Vascular Surgery. J Ndine Coll Cardiol. 2011; 57 (8): 1002-1044. PMID: 21288680 www.ncbi.nlm.nih.gov/pubmed/21288680. (Adasankhidwa)

Cheng CC, Cheema F, Fankhauser G, Silva MB. Matenda a m'mitsempha Mu: Townsend CM Jr, Beauchamp RD, Evers BM, Mattox KL, eds. Sabiston Buku Lopanga Opaleshoni. Wolemba 20th. Philadelphia, PA: Elsevier; 2017: mutu 62.

Kinlay S, Bhatt DL. Chithandizo cha matenda osakanikirana ndi mitsempha. 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 66.

• Matenda a mitsempha ya Carotid
• Opaleshoni yamitsempha ya Carotid - yotseguka
• Kuchira pambuyo pa sitiroko
• Kuopsa kwa fodya
• Kulimba
• Sitiroko
• Malangizo a momwe mungasiyire kusuta
• Kuukira kwakanthawi kochepa

• Mankhwala osokoneza bongo - P2Y12 inhibitors
• Aspirin ndi matenda amtima
• Opaleshoni ya mtsempha wa Carotid - kutulutsa
• Cholesterol ndi moyo
• Cholesterol - mankhwala osokoneza bongo
• Kulamulira kuthamanga kwa magazi

• Matenda a Mitsempha ya Carotid