Angioplasty ndi stent mayikidwe - zotumphukira mitsempha

Angioplasty ndi njira yotsegulira mitsempha yamagazi yopapatiza kapena yotseka yomwe imapatsa magazi kumapazi anu. Mafuta amadzipangira m'mitsempha ndikuletsa magazi.

Stent ndi chubu chaching'ono chachitsulo chomwe chimatsegulira mtsempha wamagazi.

Kukhazikitsidwa kwa Angioplasty ndi stent ndi njira ziwiri zotsegulira mitsempha yotumphukira yotsekedwa.

Angioplasty imagwiritsa ntchito "buluni" yachipatala kuti ikule mitsempha yotsekedwa. Baluniyo imasindikiza kukhoma lamkati lamitsempha kuti litsegule malowo ndikusintha magazi. Chitsulo chachitsulo nthawi zambiri chimayikidwa pakhoma lamtsempha kuti mitsempha isamachepetsenso.

Pofuna kutseka chotchinga mwendo wanu, angioplasty itha kuchitidwa motere:

• Msempha, mtsempha wamagazi waukulu womwe umachokera mumtima mwanu
• Mitsempha m'chiuno mwanu kapena m'chiuno
• Mitsempha mu ntchafu yako
• Mitsempha kumbuyo kwa bondo lanu
• Mitsempha pamunsi mwako

Asanachitike:

• Mupatsidwa mankhwala okuthandizani kupumula. Mudzakhala ogalamuka, koma ogona.
• Muthanso kupatsidwa mankhwala ochepetsa magazi kuti magazi asapangike.
• Mudzagona chafufumimba pa tebulo lokhala ndi zokutira. Dokotala wanu amalowetsa mankhwala osokoneza bongo m'dera lomwe angalandire, kuti musamve kuwawa. Izi zimatchedwa dzanzi dzanzi.

Dokotala wanu adzaika singano ting'onoting'ono mumitsempha yamagazi mkati mwanu.Tingwe tating'onoting'ono titha kulowa kudzera mu singano iyi.

• Dokotala wanu azitha kuwona mtsempha wanu wokhala ndi zithunzi za x-ray. Dayi idzalowetsedwa m'thupi lanu kuti muwonetse magazi akuyenda mumitsempha yanu. Utoto umapangitsa kuti kuzikhala kosavuta kuwona malo otsekedwa.
• Dokotala wanu amatsogolera chubu chochepa kwambiri chotchedwa catheter kudzera mumitsempha yanu kupita kumalo otsekedwa.
• Kenako, dokotalayo azidutsa waya wowongolera kudzera mu catheter kupita pachimake.
• Dokotalayo amakankha kateti ina yokhala ndi kabaluni kakang'ono kwambiri kumapeto kwa waya wowongolera ndikulowa m'malo otsekedwa.
• Baluniyo imadzazidwa ndimadzimadzi osiyana kuti akole buluni. Izi zimatsegula chotengera choletsedwacho ndikubwezeretsanso magazi mumtima mwanu.

Stent itha kuperekedwanso mdera lotsekedwa. Stent imayikidwa nthawi yomweyo ndi catheter ya baluni. Imakula pamene buluni iphulitsidwa. Chotupacho chimatsalira m'malo chothandizira kuti mitsempha ikhale yotseguka. Baluni ndi mawaya onse amachotsedwa.

Zizindikiro za mtsempha wotsekedwa wotsekemera ndi kupweteka, kupweteka, kapena kulemera mwendo wanu womwe umayamba kapena kukulirakulira mukamayenda.

Simungafunikire njirayi ngati mutha kuchita zambiri zatsiku ndi tsiku. Wothandizira zaumoyo wanu atha kukupemphani kuti muyese mankhwala ndi zina.

Zifukwa zochitidwa opaleshoniyi ndi izi:

• Muli ndi zizindikiro zomwe zimakulepheretsani kuchita ntchito za tsiku ndi tsiku. Zizindikiro zanu sizikhala bwino ndi chithandizo chamankhwala china.
• Muli ndi zilonda pakhungu kapena mabala pa mwendo omwe samachira.
• Muli ndi matenda kapena chilonda chamiyendo.
• Mukumva kupweteka mwendo chifukwa cha mitsempha yocheperako, ngakhale mutapuma.

Musanakhale ndi angioplasty, mudzayesedwa mwapadera kuti muwone kuchuluka kwa kutsekeka m'mitsempha yanu.

Zowopsa za angioplasty ndikuyika stent ndi:

• Thupi lanu siligwirizana ndi mankhwala omwe amagwiritsidwa ntchito mu stent yomwe imatulutsa mankhwala m'thupi lanu
• Matupi awo sagwirizana ndi utoto wa x-ray
• Kutuluka magazi kapena kutseka mdera lomwe kateti idalowetsedwa
• Kuundana kwamagazi m'miyendo kapena m'mapapu
• Kuwonongeka kwa chotengera chamagazi
• Kuwonongeka kwa mitsempha, komwe kumatha kubweretsa kupweteka kapena kufooka mwendo
• Kuwonongeka kwa mtsempha wamagazi m'mimba, komwe kungafune kuchitidwa opaleshoni mwachangu
• Matenda amtima
• Infection mu kudula kwa opaleshoni
• Kulephera kwa impso (chiopsezo chachikulu mwa anthu omwe ali ndi vuto la impso)
• Kusintha kwa stent
• Sitiroko (izi ndizochepa)
• Kulephera kutsegula mtsempha wokhudzidwa
• Kutaya nthambi

Pakati pa masabata awiri asanachite opareshoni:

• Uzani wothandizira wanu mankhwala omwe mukumwa, ngakhale mankhwala, zowonjezera, kapena zitsamba zomwe mwagula popanda mankhwala.
• Uzani wothandizira wanu ngati muli ndi vuto la chakudya cham'nyanja, ngati simunayanjanepo ndi zinthu (utoto) kapena ayodini m'mbuyomu, kapena ngati muli ndi pakati.
• Uzani omwe akukuthandizani ngati mukumwa sildenafil (Viagra), vardenafil (Levitra), kapena tadalafil (Cialis).
• Uzani wothandizira wanu ngati mumamwa mowa wambiri (kuposa 1 kapena 2 zakumwa patsiku).
• Mungafunike kusiya kumwa mankhwala omwe amalepheretsa magazi anu kuphimba milungu iwiri musanachite opareshoni. Izi zimaphatikizapo aspirin, ibuprofen (Advil, Motrin), clopidogrel (Plavix), Naprosyn (Aleve, Naproxen), ndi mankhwala ena ngati awa.
• Funsani mankhwala omwe muyenera kumwa patsiku la opareshoni yanu.
• Mukasuta, muyenera kusiya. Funsani omwe akukuthandizani kuti akuthandizeni.
• 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 anu omwe wothandizirayo adakuwuzani kuti mutenge madzi pang'ono.
• Mudzauzidwa nthawi yobwera kuchipatala.

Anthu ambiri amatha kupita kunyumba kuchokera kuchipatala masiku awiri kapena kupitilira apo. Anthu ena sangasowe kuti agone. Muyenera kuyenda mozungulira mkati mwa maola 6 mpaka 8 mutachitika.

Wothandizira anu adzafotokoza momwe mungadzisamalire.

Angioplasty imathandizira kutuluka kwamitsempha yamagazi kwa anthu ambiri. Zotsatira zimasiyanasiyana, kutengera komwe kutsekeka kwanu kunali, kukula kwa chotengera chanu chamagazi, komanso kutsekeka komwe kuli m'mitsempha ina.

Simungafunike opaleshoni yotseguka ngati muli ndi angioplasty. Ngati njirayi singathandize, dokotalayo angafunike kuchita opaleshoni yotsegula, kapena ngakhale kudula.

Perututum transluminal angioplasty - zotumphukira mtsempha wamagazi; PTA - zotumphukira mtsempha wamagazi; Angioplasty - zotumphukira mitsempha; Mtsempha wamagazi - angioplasty; Mitsempha yachikazi - angioplasty; Mitsempha yotchuka - angioplasty; Mitsempha ya Tibial - angioplasty; Mitsempha ya Peroneal - angioplasty; Zotumphukira mtima matenda - angioplasty; PVD - angioplasty; PAD - angioplasty

• 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
• Malire a zotumphukira zimadutsa - mwendo - 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.

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.

Sosaiti ya Opaleshoni ya Mitsempha Yotsika Kwambiri Malangizo Olemba Gulu; Conte MS, Pomposelli FB, ndi al. Malangizo a Society for Vascular Surgery othandizira matenda opatsirana a atherosclerotic omwe amapezeka kumapeto kwenikweni: kasamalidwe ka matenda asymptomatic ndi claudication. J Vasc Opaleshoni. 2015; 61 (3 Suppl): 2S-41S. PMID: 25638515 www.ncbi.nlm.nih.gov/pubmed/25638515. (Adasankhidwa)

Mamembala a Komiti Yolemba, Gerhard-Herman MD, Gornik HL, et al. Malangizo a 2016 AHA / ACC pakuwongolera odwala omwe ali ndi vuto la mitsempha yotsika kwambiri: chidule chachikulu. Vasc Med. Chizindikiro. 2017; 22 (3): NP1-NP43. PMID: 28494710 www.ncbi.nlm.nih.gov/pubmed/28494710. (Adasankhidwa)