Opaleshoni ya mtsempha wa Carotid - kutulutsa

Mitsempha ya carotid imabweretsa magazi ofunikira kuubongo ndi nkhope yanu. Muli ndi imodzi mwa mitsempha iyi mbali iliyonse ya khosi lanu. Opaleshoni ya mtsempha wa Carotid ndi njira yobwezeretsera magazi moyenera muubongo.

Munali ndi opaleshoni yamitsempha yama carotid kuti mubwezeretse magazi oyenera muubongo wanu. Dokotala wanu adapanga cheka m'khosi mwanu pamitsempha yanu ya carotid. Kunayikidwa chubu kuti magazi aziyenda mozungulira malo omwe munatsekedwa pochita opaleshoni. Dokotala wanu amatsegula mtsempha wanu wa carotid ndikuchotsa mosamala zolembedwamo. Dokotalayo atha kuyika stent (tinthu tating'onoting'ono tating'onoting'ono tating'onoting'ono) m'derali kuti tithandizire kutseguka. Mitsempha yanu idatsekedwa ndi zolumikizira chikhocho chitachotsedwa. Kutsekemera kwa khungu kunatsekedwa ndi tepi ya opaleshoni.

Mukamakuchita opaleshoni, mtima wanu ndi ubongo wanu zimayang'aniridwa mosamala.

Muyenera kuchita zambiri mwazinthu zanu zachilendo mkati mwa masabata atatu kapena anayi. Mutha kukhala ndi khosi pang'ono kwa milungu iwiri.

Mutha kuyamba kuchita zinthu za tsiku ndi tsiku mukangomva kumene. Mungafunike kuthandizidwa pakudya, kusamalira nyumba, ndi kugula koyambirira.

Musayendetse galimoto mpaka cheke chanu chitachira, ndipo mutha kutembenuza mutu wanu osavutikira.

Mutha kukhala ndi dzanzi nsagwada komanso pafupi ndi khutu lanu. Izi zimachokera pa incision. Nthawi zambiri, izi zimatha miyezi 6 mpaka 12.

• Mutha kusamba mukafika kunyumba. Palibe vuto ngati tepi ya opaleshoniyi ikunyowa. MUSAMAKONZE, kulowetsa, kapena kusamba madzi osamba molunjika pa tepi. Tepiyo imadzipukuta ndikudzigwetsa yokha patatha pafupifupi sabata.
• Onetsetsani mosamala tsiku lililonse momwe mungapangire zosintha zilizonse. Musayike mafuta odzola, zonona, kapena mankhwala azitsamba popanda kufunsa wothandizira zaumoyo wanu poyamba ngati zili bwino.
• Mpaka pomwe machiritso achira, MUSAMVALA zingwe zopota kapena zovala zina m'khosi mwanu zomwe zimapukutira ndi chekeni.

Kuchita opaleshoni yamitsempha ya carotid sikuchiza chifukwa chomwe chimatsekera m'mitsempha yanu. Mitsempha yanu imatha kuchepanso. Pofuna kupewa izi:

• Idyani zakudya zopatsa thanzi, kuchita masewera olimbitsa thupi (ngati omwe akukupatsani akukulangizani), siyani kusuta (ngati mumasuta), ndikuchepetsa nkhawa.
• Tengani mankhwala kuti muchepetse cholesterol yanu ngati omwe akukupatsani akukuuzani.
• Ngati mukumwa mankhwala a kuthamanga kwa magazi kapena matenda ashuga, tengani momwe amauzidwira.
• Mutha kulangizidwa kuti mutenge aspirin ndi / kapena mankhwala 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.
• Muli ndi mavuto ndi maso anu, simumatha kulankhula bwino, kapena mumavutika kumvetsetsa zomwe anthu ena akunena.
• Simungasunthire lilime lako pambali pakamwa pako.
• Mumavutika kumeza.
• Mukumva kupweteka pachifuwa, chizungulire, kapena kupuma movutikira komwe sikumatha ndi kupumula.
• Mukutsokomola magazi kapena ntchofu zachikaso kapena zobiriwira.
• Muli ndi kuzizira kapena malungo opitilira 101 ° F (38.3 ° C) kapena malungo omwe samatha mukatenga acetaminophen (Tylenol).
• Kutsegula kwanu kumakhala kofiira kapena kowawa, kapena kutuluka kwachikaso kapena kobiriwira kumachokera pamenepo.
• Miyendo yanu ikutupa.

Carotid endarterectomy - kutulutsa; CEA - kutulutsa; Percutaneous transluminal angioplasty - mtsempha wama carotid - kutulutsa; PTA - carotid mtsempha wamagazi - kutulutsa

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
• Carotid duplex
• Kuchira pambuyo pa sitiroko
• Kuopsa kwa fodya
• Kulimba
• Sitiroko
• Malangizo a momwe mungasiyire kusuta
• Kuukira kwakanthawi kochepa

• Kuyika kwa Angioplasty ndi stent - mtsempha wa carotid - kutulutsa
• Mankhwala osokoneza bongo - P2Y12 inhibitors
• Aspirin ndi matenda amtima
• Cholesterol ndi moyo
• Cholesterol - mankhwala osokoneza bongo
• Kulamulira kuthamanga kwa magazi

• Matenda a Mitsempha ya Carotid