Malire a zotumphukira zimadutsa - mwendo - kutulutsa

Mitsempha yam'mbali yodutsa opaleshoni imachitidwa kuti ipititsenso magazi mozungulira mtsempha wotsekedwa mwendo. Munachitidwa opaleshoni imeneyi chifukwa mafuta m'mitsempha mwanu anali kutseka magazi. Izi zidadzetsa zowawa komanso kulemera mwendo wanu zomwe zimapangitsa kuyenda kukhala kovuta. Nkhaniyi ikufotokoza momwe mungadzisamalirire mutachoka kuchipatala.

Munali ndi zotumphukira zopyola mitsempha kuti mubwezeretsenso magazi mozungulira mtsempha wotsekedwa m'miyendo mwanu.

Dokotala wanu adadula (malo) pamalo omwe mitsempha idatsekedwa. Izi zikhoza kukhala mwendo wanu kapena kubuula kwanu, kapena kumunsi kwa mimba yanu. Zingwe zimayikidwa pamtsempha kumapeto kwenikweni kwa gawo lotsekeka. Thubhu yapadera yotchedwa kumezanitsidwa idalumikizidwa mumtsempha kuti ikalowetse gawo lotsekeka.

Mwina mwakhala m'chipinda cha odwala mwakayakaya (ICU) kwa masiku 1 mpaka 3 mutachitidwa opaleshoni. Pambuyo pake, mumakhala mchipinda chanthawi zonse.

Kutsegula kwanu kungakhale kowawa masiku angapo. Muyenera kupita patali tsopano osafunikira kupumula. Kuchira kwathunthu kuchitidwa opaleshoni kumatha kutenga milungu 6 mpaka 8.

Yendani mtunda waufupi katatu kapena kanayi patsiku. Onjezani pang'onopang'ono momwe mumayendera nthawi iliyonse.

Mukamapuma, khalani ndi mwendo wokwera pamwamba pa mtima wanu kuti muteteze mwendo:

• Gona ndi kuyika mtsamiro pansi pa mwendo wanu.
• OSAKHALA oposa 1 ora panthawi yomwe mumabwera koyamba kunyumba. Ngati mungathe, kwezani mapazi ndi miyendo yanu mutakhala pansi. Apatseni mpando wina kapena chopondapo.

Mudzakhala ndi kutupa kwamiyendo mutayenda kapena kukhala. Ngati muli ndi zotupa zambiri, mumatha kuyenda kwambiri kapena kukhala pansi, kapena kudya mchere wambiri pazakudya zanu.

Mukakwera masitepe, gwiritsani ntchito mwendo wanu wabwino mukamakwera. Gwiritsani ntchito mwendo wanu womwe unachitidwa opaleshoni koyamba mukamatsika. Pumulani mutatenga njira zingapo.

Wothandizira zaumoyo wanu adzakuuzani nthawi yomwe mungayendetse galimoto. Mutha kutenga maulendo ang'onoang'ono ngati wokwera, koma yesetsani kukhala pampando wakumbuyo ndi mwendo wanu womwe opaleshoni idakwera pampando.

Ngati zakudya zanu zachotsedwa, mwina mudzakhala ndi Steri-Strips (tinthu tating'onoting'ono ta tepi) panthawi yanu yonse. Valani zovala zotayirira zomwe sizikukutsutsani.

Mutha kusamba kapena kuyamwa pang'ono, dokotala wanu atanena kuti mungathe. MUSAMAMENETSE, kusisita, kapena kusamba shawa molunjika pa iwo. Ngati muli ndi Steri-Strips, amadzipukuta ndikudziyenda okha patatha sabata.

MUSAMAKONZEKE mu bafa losambira, kabati yotentha, kapena dziwe losambira. Funsani omwe akukuthandizani kuti mudzayambirenso kuchita izi.

Wothandizira anu azikuwuzani kuti musinthe kangati (bandeji) komanso nthawi yomwe mungasiye. Sungani bala lanu. Ngati kudula kwanu kumapita ku kubuula kwanu, sungani chopukutira chouma pamwamba pake kuti chikhale chouma.

• Sambani mkombero wanu ndi sopo tsiku ndi tsiku pamene wothandizira wanu anena kuti mungathe. Yang'anani mosamala zosintha zilizonse. Pewani pang'onopang'ono.
• Osayika mafuta, zonona, kapena mankhwala azitsamba pachilonda chanu osafunsa kaye ngati zili bwino.

Kuchita opaleshoni yolambalala sikuchiza zomwe zimayambitsa kutsekeka kwamitsempha yanu. Mitsempha yanu imatha kuchepanso.

• Idyani chakudya chopatsa thanzi, kuchita masewera olimbitsa thupi, kusiya kusuta (ngati mumasuta), ndikuchepetsa nkhawa. Kuchita izi kudzakuthandizani kuchepetsa mwayi wanu wokhala ndi mtsempha wotsekedwa kachiwiri.
• Wothandizira zaumoyo wanu akhoza kukupatsani mankhwala kuti muchepetse cholesterol.
• Ngati mukumwa mankhwala a kuthamanga kwa magazi kapena matenda ashuga, amwe momwe mukuuzidwira.
• Wothandizira anu akhoza kukupemphani kuti mutenge aspirin kapena mankhwala otchedwa clopidogrel (Plavix) mukamapita kunyumba. Mankhwalawa amateteza magazi anu kuti asapangike m'mitsempha mwanu. Osasiya kuwatenga osalankhula ndi omwe akukuthandizani kaye.

Imbani wothandizira zaumoyo wanu ngati:

• Mwendo wanu womwe umachitidwa opaleshoni umasintha mtundu kapena umakhala wozizira kukhudza, wotuwa, kapena dzanzi
• Muli ndi kupweteka pachifuwa, chizungulire, mavuto amaganiza bwino, kapena kupuma movutikira komwe sikutha mukamapuma
• Mukutsokomola magazi kapena ntchofu zachikaso kapena zobiriwira
• Mukumva kuzizira
• Muli ndi malungo opitilira 101 ° F (38.3 ° C)
• Mimba yanu imapweteka kapena yotupa
• Mphepete mwazomwe mukuchita opaleshoni zikutha
• Pali zizindikilo zatenda mozungulira mkombero monga kufiira, kupweteka, kutentha, kutsuka, kapena kutulutsa kobiriwira
• Bandejiyu wakhathamira ndi magazi
• Miyendo yanu ikutupa

Kulambalala kwa aortobifemoral - kutulutsa; Femoropopliteal - kumaliseche; Zachikazi popliteal - kumaliseche; Kulambalala kwa bortemoral - kutulutsa; Kulambalala Axillo-bifemoral - kumaliseche; Kulambalala kwa Ilio-bifemoral - kutulutsa

MP wa Bonaca, Creager MA. Matenda a mtsempha wamagazi. 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 64.

Fakhry F, Spronk S, van der Laan L, ndi al. Endovascular revascularization ndi kuyang'anira zolimbitsa thupi za zotumphukira mtsempha wamagazi ndi kuphatikizira kwapakatikati: kuyeserera kwamankhwala kosasintha. JAMA. 2015; 314 (18): 1936-1944. PMID: 26547465 www.ncbi.nlm.nih.gov/pubmed/26547465. (Adasankhidwa)

Gerhard-Herman MD, Gornik HL, Barrett C, ndi al. Chitsogozo cha AHA / ACC cha 2016 pakuwongolera odwala omwe ali ndi zotumphukira zam'munsi zam'mimba: chidule chachikulu: lipoti la American College of Cardiology / American Heart Association Task Force on Clinical Practice Guidelines. Kuzungulira. Chizindikiro. 2017; 135: e686-e725. PMID: 27840332 www.ncbi.nlm.nih.gov/pubmed/27840332. (Adasankhidwa)

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.

• Angioplasty ndi stent mayikidwe - zotumphukira mitsempha
• Malire a zotumphukira zimadutsa - mwendo
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• Malangizo a momwe mungasiyire kusuta

• Angioplasty ndi stent mayikidwe - zotumphukira mitsempha - kutulutsa
• Mankhwala osokoneza bongo - P2Y12 inhibitors
• Aspirin ndi matenda amtima
• Cholesterol ndi moyo
• Cholesterol - mankhwala osokoneza bongo
• Kulamulira kuthamanga kwa magazi

• Matenda Owonongeka