Kukonza kwa aortic aneurysm - endovascular - kutulutsa

Kukonzekera kwam'mimba m'mimba mwa aortic aneurysm (AAA) ndi opaleshoni yokonza malo okulitsidwa mu aorta yanu. Izi zimatchedwa aneurysm. Aorta ndi mtsempha wamagazi waukulu womwe umanyamula magazi kupita nawo kumimba, m'chiuno, ndi miyendo.

Munali ndi kukonza kwa opareshoni ya minyewa yamitsempha yam'mitsempha yamitsempha yayikulu yomwe imanyamula magazi kupita nawo kumtunda (aorta).

Kuchita izi:

• Dokotala wanu adadula pang'ono (pafupi) ndi kubuula kwanu kuti mupeze mitsempha yanu yachikazi.
• Thubhu yayikulu idalowetsedwa mumtsempha kuti zida zina zitha kulowetsedwa.
• Chombocho chingakhale chitapangidwa mu kubuula kwina komanso mkono.
• Dokotala wanu adalowetsa stent ndi chopangidwa ndi anthu (chopangira) kudzera mu cheke cha mtsempha.
• Ma X-ray adagwiritsidwa ntchito kutsogolera stent ndikulowetsa mu aorta yanu pomwe panali aneurysm.
• Kuphatikizika ndi stent zinatsegulidwa ndikumangirira pamakoma a aorta.

Kudulidwa kwanu kungakhale kowawa kwa masiku angapo. Muyenera kupita patali tsopano osafunikira kupumula. Koma muyenera kuzipeputsa poyamba. Zitha kutenga milungu 6 mpaka 8 kuti ziyambenso. Mutha kukhala osasangalala m'mimba mwanu masiku angapo. Muthanso kukhala ndi njala. Izi zikhala bwino sabata yamawa. Mutha kudzimbidwa kapena kutsegula m'mimba kwakanthawi kochepa.

Muyenera kuwonjezera zochitika zanu pang'onopang'ono pang'onopang'ono.

• Kuyenda mitunda yaying'ono pamalo athyathyathya kulibwino. Yesetsani kuyenda pang'ono, katatu kapena kanayi patsiku. Onjezani pang'onopang'ono momwe mumayendera nthawi iliyonse.
• Chepetsani masitepe oyenda kukwera ndi kutsika mpaka maulendo awiri patsiku kwa masiku awiri kapena atatu oyamba mutadutsa.
• Osamagwira ntchito pabwalo, kuyendetsa galimoto, kapena kusewera masewera osachepera masiku awiri, kapena masiku angapo omwe wothandizira zaumoyo wanu akukuuzani kuti mudikire.
• Osakweza chilichonse cholemera kuposa mapaundi 10 (4.5 kg) kwa milungu iwiri chitachitika izi.

• Wothandizira anu azikuwuzani kuti musinthe kangati mavalidwe anu.
• Ng'ombe yanu ikayamba kutuluka kapena ikufufuma, mugone pansi ndikuyikakamiza kwa mphindi 30, ndipo itanani omwe akukuthandizani.

Mukamapuma, yesetsani kukweza miyendo yanu pamwamba pamtima wanu. Ikani mapilo kapena zofunda pansi pa miyendo yanu kuti muwakweze.

Funsani omwe akukuthandizani za x-ray zomwe muyenera kutsatira kuti muwone ngati chomera chanu chatsopano chili bwino. Kuyesedwa pafupipafupi kuti muwonetsetse kuti mtengowo ukugwira ntchito bwino ndi gawo lofunikira kwambiri pakusamalira kwanu.

Wothandizira anu akhoza kukupemphani kuti mutenge aspirin kapena mankhwala ena otchedwa clopidogrel (Plavix) mukamapita kunyumba. Mankhwalawa ndi othandizira ma antiplateletelet. Amaletsa magazi othandiza magazi kuundana m'magazi anu kuti asagundane ndikupanga kuundana m'mitsempha mwanu. Osasiya kuwatenga osalankhula ndi omwe akukuthandizani kaye.

Kuchita opaleshoni yam'mimba sikuchiza vuto lomwe lili m'mitsempha yanu. Mitsempha ina yamagazi ingakhudzidwe mtsogolo. Chifukwa chake, ndikofunikira kusintha moyo wanu ndikumwa mankhwala omwe wothandizirayo akufuna.

• Idyani chakudya chopatsa thanzi.
• Muzichita masewera olimbitsa thupi nthawi zonse.
• Lekani kusuta (ngati mumasuta).

Tengani mankhwala onse omwe dokotala wakupatsani monga mwauzidwa. Izi zitha kuphatikizira mankhwala ochepetsa cholesterol, kuthana ndi kuthamanga kwa magazi, komanso kuchiza matenda ashuga.

Itanani omwe akukuthandizani ngati:

• Muli ndi ululu m'mimba kapena kumbuyo kwanu komwe sikutha kapena koipa kwambiri.
• 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, umakhala wozizira mpaka kukhudza, wotumbululuka, kapena dzanzi.
• Kuchepetsa pang'ono kwa catheter yanu kumakhala kofiira kapena kupweteka.
• Kutulutsa kwakuda kapena kobiriwira kumatsika kuchokera pachotupa cha catheter yanu.
• Miyendo yanu ikutupa.
• Muli ndi kupweteka pachifuwa kapena kupuma pang'ono komwe sikupita ndikupuma.
• Mukuchita chizungulire kapena kukomoka, kapena mwatopa kwambiri.
• Mukutsokomola magazi, kapena ntchofu zachikaso kapena zobiriwira.
• Muli ndi kuzizira kapena malungo opitilira 101 ° F (38.3 ° C).
• Muli ndi magazi mu mpando wanu.
• Mkodzo wanu umakhala wakuda kapena simumakodza pafupipafupi.
• Simungathe kusuntha miyendo yanu.
• Mimba yanu imayamba kutupa ndipo imapweteka.

AAA kukonza - endovascular - kumaliseche; Kukonza - aortic aneurysm - endovascular - kumaliseche; EVAR - kutulutsa; Kukonzekera kwa endovascular aneurysm - kutulutsa

• Aortic aneurysm

Binster CJ, Sternbergh WC. Njira zothetsera matenda a endovascular aneurysm. Mu: Sidawy AN, Perler BA, olemba. Rutherford Opaleshoni ya Mitsempha ndi Endovascular Therapy. 9th ed. Philadelphia, PA: Elsevier; 2019: mutu 73.

Braverman AC, Schermerhorn M. Matenda a aorta. 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: mutu 63.

Cambria RP, Prushik SG. Kuchiza kwamitsempha yamitsempha yama m'mimba ya aortic. Mu: Cameron AM, Cameron JL, olemba., Eds. Chithandizo Chamakono Cha Opaleshoni. Wolemba 13. Philadelphia, PA: Elsevier; 2020: 905-911.

Tracci MC, Cherry KJ. Mortal. Mu: Townsend CM Jr, Beauchamp RD, Evers BM, Mattox KL, eds. Sabiston Buku Lopanga Opaleshoni. Wolemba 20th. Philadelphia, PA: Elsevier; 2017: mutu 61.

Uberoi R, Hadi M. Aortic alowererapo. Mu: Adam A, Dixon AK, Gillard JH, Schaefer-Prokop CM, olemba. Grainger & Allison's Diagnostic Radiology: Buku Lophunzirira Kujambula Kwazachipatala. Wachisanu ndi chiwiri. Philadelphia, PA: Elsevier; 2021: mutu 79.

• M'mimba mwake aortic aneurysm
• M'mimba mwa CT scan
• Mimba ya m'mimba ya MRI
• Kukonza kwa aortic aneurysm - endovascular
• Angiography ya aortic
• Matenda a m'mimba
• Kuopsa kwa fodya
• Kulimba
• Thoracic aortic aneurysm
• Malangizo a momwe mungasiyire kusuta

• Cholesterol ndi moyo
• Cholesterol - mankhwala osokoneza bongo
• Kulamulira kuthamanga kwa magazi

• Aortic Aneurysm