Mlembi: Gregory Harris
Tsiku La Chilengedwe: 14 Epulo 2021
Sinthani Tsiku: 18 Novembala 2024
Anonim
Angioplasty ndi stent mayikidwe - mtsempha wamagazi wa carotid - Mankhwala
Angioplasty ndi stent mayikidwe - mtsempha wamagazi wa carotid - Mankhwala

Mitsempha yamagazi yomwe imabweretsa magazi kuubongo ndi nkhope yanu amatchedwa mitsempha ya carotid. Muli ndi mitsempha ya carotid mbali iliyonse ya khosi lanu.

Kutuluka kwa magazi mumitsempha iyi kumatha kukhala pang'ono kapena kotsekedwa kwathunthu ndi mafuta omwe amatchedwa plaque. Kutsekeka pang'ono kumatchedwa carotid artery stenosis (kuchepa). Kutsekeka mumitsempha yanu ya carotid kumatha kuchepetsa magazi kulowa muubongo wanu. Nthawi zina mbali yolembera imatha kuthyoka ndikuletsa mtsempha wina. Sitiroko imatha kuchitika ngati ubongo wanu sukupeza magazi okwanira.

Njira ziwiri zitha kugwiritsidwa ntchito pochotsa mtsempha wama carotid womwe umachepetsedwa kapena kutsekedwa. Izi ndi:

  • Opaleshoni yochotsa plaque buildup (endarterectomy)
  • Carotid angioplasty yokhala ndimalo osakhazikika

Carotid angioplasty ndi stenting (CAS) imagwiritsidwa ntchito podula pang'ono.

  • Dokotala wanu adzadula opaleshoni m'mimba mwanu mutagwiritsa ntchito mankhwala osokoneza bongo. Muperekanso mankhwala oti musangalatse.
  • Dokotalayo amaika catheter (chubu chosinthasintha) podutsa mumtsempha. Imasunthidwa mosamala mpaka m'khosi mwanu kutseka kwamitsempha yanu ya carotid. Zithunzi zosunthira za x-ray (fluoroscopy) zimagwiritsidwa ntchito kuwona mtsempha wamagazi ndikuwongolera catheter pamalo oyenera.
  • Kenaka, dokotalayo amasuntha waya kudzera mu catheter kupita pachimake. Catheter ina yokhala ndi buluni yaying'ono kwambiri kumapeto kwake idzakankhidwa pamwamba pa waya uwu ndikutsekedwa. Kenako buluniyo imakhuta.
  • Baluniyo imakanikiza kukhoma lamkati lamitsempha yanu. Izi zimatsegula mtsempha wamagazi ndikulola magazi ambiri kuthamangira kuubongo wanu. Chingwe (thumba lamatawaya) chitha kupezekanso mdera lotsekedwa. Stent imayikidwa nthawi yomweyo ndi catheter ya baluni. Ikukulira ndi buluni. Chotupacho chimatsalira m'malo chothandizira kuti mitsempha ikhale yotseguka.
  • Dokotalayo amachotsa buluni.

Opaleshoni ya Carotid (endarterectomy) ndi njira yakale komanso yothandiza yochizira mitsempha yochepetsetsa kapena yotseka. Njirayi ndi yotetezeka kwambiri.


CAS yakhala ngati njira ina yabwino yochitira opareshoni, ikachitika ndi ogwiritsa ntchito odziwa zambiri. Zinthu zina zitha kusangalatsa, monga:

  • Munthuyo wadwala kwambiri kuti asakhale ndi carotid endarterectomy.
  • Malo ocheperako mu mtsempha wa carotid amachititsa kuti opaleshoni ikhale yovuta.
  • Munthuyu anachitidwapo opaleshoni ya khosi kapena carotid m'mbuyomu.
  • Munthuyo wakhala ali ndi radiation kukhosi.

Zowopsa za carotid angioplasty ndi kusungidwa kwa stent, komwe kumadalira pazinthu monga zaka, ndi:

  • Matupi awo sagwirizana ndi utoto
  • Kuundana kwa magazi kapena kutuluka magazi pamalo opareshoni
  • Kuwonongeka kwa ubongo
  • Kudzaza mkati mwa stent (in-stent restenosis)
  • Matenda amtima
  • Kulephera kwa impso (chiopsezo chachikulu mwa anthu omwe ali ndi vuto la impso)
  • Kutsekeka kwambiri kwa mtsempha wama carotid pakapita nthawi
  • Kugwidwa (izi ndizochepa)
  • Sitiroko

Wothandizira zaumoyo wanu adzayeza thupi ndikuchita mayeso angapo azachipatala.

Nthawi zonse muuzeni omwe akukuthandizani mankhwala omwe mukumwa, kuphatikiza mankhwala, zowonjezera, kapena zitsamba zomwe mudagula popanda mankhwala.


Pakati pa masabata awiri musanachite izi:

  • Masiku angapo opaleshoniyo isanakwane, mwina mungafunike kusiya kumwa mankhwala omwe amalepheretsa magazi anu kuphimba. Izi zimaphatikizapo aspirin, ibuprofen (Advil, Motrin), clopidogrel (Plavix), ticagrelor (Brilinta), prasugrel (Effient) naprosyn (Aleve, Naproxen), ndi mankhwala ena onga awa.
  • Funsani omwe akukupatsirani mankhwala omwe muyenera kumwa patsiku la opareshoni yanu.
  • Mukasuta, muyenera kusiya. Funsani omwe akukuthandizani kuti akuthandizeni kusiya.
  • Nthawi zonse muziwuza omwe akukuthandizani za chimfine, chimfine, malungo, herpes breakout, kapena matenda ena omwe mungakhale nawo musanachite opareshoni.

Musamwe chilichonse pakati pausiku usiku usanachitike opaleshoni yanu, kuphatikizapo madzi.

Patsiku la opareshoni yanu:

  • Tengani mankhwala omwe mwauzidwa kuti mumwe ndikumwa madzi pang'ono.
  • Mudzauzidwa nthawi yobwera kuchipatala.

Pambuyo pa opareshoni, mungafunike kugona mchipatala usiku wonse kuti muzitha kuwonedwa ngati pali zizindikiro zilizonse zokhala ndi magazi, matenda opha ziwalo, kapena kusayenda bwino kwa magazi kubongo yanu.Mutha kupita kunyumba tsiku lomwelo ngati njira yanu yachitika molawirira ndipo mukuchita bwino. Omwe akukuthandizani azilankhula nanu zamomwe mungadzisamalire kunyumba.


Mitsempha ya Carotid angioplasty ndi stenting ingathandize kuchepetsa mwayi wanu wokhala ndi stroke. Koma muyenera kusintha moyo wanu kuti muteteze zolengeza, magazi kuundana, ndi mavuto ena mumitsempha yanu ya carotid pakapita nthawi. Mungafunike kusintha zakudya zanu ndikuyamba pulogalamu yochita masewera olimbitsa thupi ngati omwe akukupatsani akukuuzani kuti kuchita masewera olimbitsa thupi ndikwabwino kwa inu.

Carotid angioplasty ndi kununkhira; CAS; Angioplasty - carotid mtsempha wamagazi; Carotid artery stenosis - angioplasty

  • Angina - kumaliseche
  • Angina - zomwe mungafunse dokotala wanu
  • Angina - mukakhala ndi ululu pachifuwa
  • Angioplasty ndi stent - mtima - kutulutsa
  • Mankhwala osokoneza bongo - P2Y12 inhibitors
  • Aspirin ndi matenda amtima
  • Batala, majarini, ndi mafuta ophikira
  • Cholesterol ndi moyo
  • Cholesterol - mankhwala osokoneza bongo
  • Kulamulira kuthamanga kwa magazi
  • Mafuta azakudya anafotokoza
  • Malangizo achangu
  • Matenda a mtima - kutulutsa
  • Matenda a mtima - zomwe mungafunse dokotala wanu
  • Matenda a mtima - zoopsa
  • Momwe mungawerenge zolemba za chakudya
  • Zakudya zamcherecherere
  • Zakudya zaku Mediterranean
  • Chisamaliro cha bala la opaleshoni - chotseguka
  • Matenda a atherosclerosis amkati mwa carotid
  • Carotid stenosis - X-ray yamitsempha yolondola
  • Opanga cholesterol

Aboyans V, Ricco JB, Bartelink MEL, et al. Kusankha kwa Mkonzi - malangizo a ESC a 2017 pakuzindikira ndi kuchiza matenda am'mitsempha, mogwirizana ndi European Society for Vascular Surgery (ESVS). Eur J Vasc Endovasc Opaleshoni. 2018; 55 (3): 305-368. (Adasankhidwa) PMID: 28851596 adatulutsidwa.ncbi.nlm.nih.gov/28851596/.

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. Yopangidwa mogwirizana ndi American Academy of Neurology and Society of Cardiovascular Computed Tomography. Catheter Cardiovasc Nthawi. 2013; 81 (1): E76-E123. PMID: 23281092 adatuluka.ncbi.nlm.nih.gov/23281092/.

Brott TG, Howard G, Roubin GS, ndi al. Zotsatira zakanthawi yayitali zotsutsana ndi endarterectomy ya carotid-artery stenosis. N Engl J Med. 2016; 374 (11): 1021-1031. (Adasankhidwa) PMID: 26890472 pubed.ncbi.nlm.nih.gov/26890472/.

Hick CW, Malas MB. Matenda opatsirana: mitsempha ya carotid. Mu: Sidawy AN, Perler BA, olemba. Rutherford Opaleshoni ya Mitsempha ndi Endovascular Therapy. 9th ed. Philadelphia, PA: Elsevier; 2019: chap 92.

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.

Rosenfield K, Matsumura JS, Chaturvedi S, ndi al. Kuyesedwa kosasintha kwa ma stent poyerekeza ndi opaleshoni ya asymptomatic carotid stenosis. N Engl J Med. 2016; 374 (11): 1011-1020. (Adasankhidwa) PMID: 26886419 pubed.ncbi.nlm.nih.gov/26886419/.

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