Angioplasty and stent mayikidwe - mtima

Angioplasty ndi njira yotsegulira mitsempha yamagazi yopapatiza kapena yotseka yomwe imapereka magazi pamtima. Mitsempha yamagazi imeneyi imatchedwa mitsempha yamtendere.

Mitsempha yamitsempha yamtambo ndi chubu chaching'ono, chachitsulo chomwe chimakulira mkati mwa mtsempha wamagazi. Nthawi zambiri stent imayikidwa nthawi kapena atangotha ​​angioplasty. Zimathandiza kuti mitsempha isatsekenso. Chida chogwiritsa ntchito mankhwala osokoneza bongo chimakhala ndi mankhwala omwe amathandiza kuti mitsempha isatseke nthawi yayitali.

Njira ya angioplasty isanayambe, mudzalandira mankhwala opweteka. Muthanso kupatsidwa mankhwala omwe amakupumulitsani, komanso mankhwala ochepetsa magazi kuti magazi asapangike.

Mudzagona pa tebulo lokutidwa. Dokotala wanu amaika chubu chosinthika (catheter) mumtsempha. Nthawi zina catheter idzaikidwa m'manja kapena m'manja, kapena m'dera lanu lakumtunda. Mudzakhala ogalamuka panthawiyi.

Dokotala adzagwiritsa ntchito zithunzi za x-ray kuti awongolere catheter mosamala mumtima mwanu ndi m'mitsempha. Kusiyanitsa kwamadzimadzi (komwe nthawi zina kumatchedwa "utoto," kumalowetsedwa mthupi lanu kuti muwonetse kuthamanga kwa magazi kudzera mumitsempha. Izi zimathandiza adotolo kuwona zotchinga zilizonse m'mitsempha yamagazi zomwe zimaloza kumtima kwanu.

Chingwe chowongolera chimasunthira mkati ndikudutsa chodukacho. Catheter ya baluni imakankhidwa pamwamba pa waya wowongolera ndikutchinga. Buluni kumapeto imaphulitsidwa (kukhuta). Izi zimatsegula chotengera choletsedwacho ndikubwezeretsanso magazi oyenera kumtima.

Thumba lama waya (stent) limatha kuyikidwa m'dera lotseka ili. Stent imayikidwa limodzi ndi catheter ya baluni. Ikukulira pamene buluni yadzaza. Chotupacho chimatsalira pamenepo kuti chithandizire kutseguka.

Stent nthawi zambiri imakhala yokutidwa ndi mankhwala (otchedwa mankhwala osokoneza bongo). Mtundu woterewu ungachepetse mwayi wamitsempha yotsekedwa mtsogolo.

Mitsempha imatha kuchepetsedwa kapena kutsekedwa ndi ma depositi otchedwa plaque. Chikwangwani chimapangidwa ndi mafuta ndi cholesterol yomwe imakhazikika mkati mwa makoma amitsempha. Matendawa amatchedwa kuuma kwa mitsempha (atherosclerosis).

Angioplasty itha kugwiritsidwa ntchito pochiza:

• Kutsekeka pamitsempha yam'mimba panthawi yamatenda a mtima kapena pambuyo pake
• Kutsekedwa kapena kuchepa kwa mitsempha imodzi kapena ingapo yomwe imatha kubweretsa vuto la mtima (kulephera kwa mtima)
• Kupindika komwe kumachepetsa kutuluka kwa magazi ndikupangitsa kupweteka pachifuwa kosalekeza (angina) komwe mankhwala sawongolera

Sikuti kutseka kulikonse kumatha kuchiritsidwa ndi angioplasty. Anthu ena omwe ali ndi zotchinga zingapo m'malo ena angafunike kuchitidwa opaleshoni yamtsogolo.

Angioplasty nthawi zambiri imakhala yotetezeka, koma funsani dokotala wanu za zovuta zomwe zingachitike. Zowopsa za angioplasty ndikuyika stent ndi:

• Thupi lawo siligwirizana ndi mankhwala omwe amagwiritsidwa ntchito mu stent-eluting stent, stent material (chosowa kwambiri), kapena utoto wa x-ray
• Kutuluka magazi kapena kutseka mdera lomwe kateti idalowetsedwa
• Kuundana kwamagazi
• Kudzaza mkati mwa stent (in-stent restenosis). Izi zitha kupha moyo.
• Kuwonongeka kwa valavu yamtima kapena chotengera magazi
• Matenda amtima
• Kulephera kwa impso (chiopsezo chachikulu mwa anthu omwe ali ndi vuto la impso)
• Kugunda kwamtima kosafunikira (arrhythmias)
• Sitiroko (izi ndizochepa)

Angioplasty nthawi zambiri imachitika mukapita kuchipatala kapena kuchipatala chifukwa cha kupweteka pachifuwa, kapena mutadwala mtima. Ngati mwalandiridwa kuchipatala chifukwa cha angioplasty:

• Uzani wothandizira zaumoyo wanu mankhwala omwe mukumwa, ngakhale mankhwala osokoneza bongo kapena zitsamba zomwe mwagula popanda mankhwala.
• Nthawi zambiri mumafunsidwa kuti musamwe kapena kudya chilichonse kwa maola 6 mpaka 8 mayeso asanayesedwe.
• Tengani mankhwala omwe wothandizirayo adakuwuzani kuti mumwe pang'ono pokha madzi.
• Uzani wothandizira wanu ngati muli ndi vuto la chakudya cham'madzi, simunayanjanepo ndi zinthu zakuthupi kapena ayodini m'mbuyomu, mukumwa Viagra, kapena muli ndi pakati.

Nthawi zambiri kuchipatala kumakhala masiku awiri kapena kucheperapo. Anthu ena mwina safunikira kugona mchipatala.

Mwambiri, anthu omwe ali ndi angioplasty amatha kuyenda mozungulira patangotha ​​maola ochepa kuchokera pomwe njirayo idadalira kutengera momwe njirayo idayendera komanso komwe catheter adayikidwa. Kuchira kwathunthu kumatenga sabata kapena kuchepera. Mudzapatsidwa chidziwitso cha momwe mungadzisamalire mutatha angioplasty.

Kwa anthu ambiri, angioplasty imathandizira kwambiri kuthamanga kwa magazi kudzera mumitsempha yamtima ndi mtima. Zitha kukuthandizani kupeŵa kufunikira kwa opareshoni yamitsempha yamagazi (CABG).

Angioplasty sikuchiza chifukwa cha kutsekeka kwamitsempha yanu. Mitsempha yanu imatha kuchepanso.

Tsatirani zakudya zanu zopatsa thanzi, zolimbitsa thupi, siyani kusuta (ngati mumasuta), ndikuchepetsa nkhawa kuti muchepetse mwayi wokhala ndi mtsempha wina wotsekedwa. Woperekayo akhoza kukupatsani mankhwala kuti muchepetse cholesterol kapena kuchepetsa kuthamanga kwa magazi. Kuchita izi kungakuthandizeni kuchepetsa mwayi wanu wazovuta kuchokera ku atherosclerosis.

PCI; Kulowerera kwamitsempha yamagetsi; Balloon angioplasty; Angioplasty; Mitsempha ya Coronary angioplasty; Zotumphukira zotembenuka zamatenda angioplasty; Mitsempha yotulutsa mtima; Angina - kusungidwa kwamphamvu; Matenda amtundu wa coronary - kusungidwa kwa stent; Mitima matenda - stent mayikidwe; Kuyika kwa CAD - stent; Mitima matenda - stent masungidwe andalama; Kuyika kwa ACS - stent; Matenda amtima - kusungidwa kwamphamvu; Myocardial infarction - kusakhazikika kwamalo; Kukhazikitsidwa kwa MI - stent; Coronary revascularization - kusungidwa kwa stent

• Mitsempha ya Coronary stent

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O'Gara PT, Kushner FG, Ascheim DD, ndi al. Chitsogozo cha 2013 ACCF / AHA pakuwongolera ST-elevation myocardial infarction: lipoti la American College of Cardiology Foundation / American Heart Association Task Force on Practice Guidelines. Kuzungulira. 2013; 127 (4): 529-555. PMID: 23247303 pubed.ncbi.nlm.nih.gov/23247303/.