I-Angioplasty kunye ne-stent-heart-discharge

I-Angioplasty yinkqubo yokuvula imithambo yegazi emxinwa okanye evaliweyo ehambisa igazi entliziyweni. Le mijelo yegazi ibizwa ngokuba yimithambo yegazi. Umthambo we-coronary stent yityhubhu encinci, yentsimbi eyanda ngaphakathi kumthambo wecoronary.

Ubune-angioplasty xa usesibhedlele. Usenokuba ubeke i-stent. Zombini ezi zinto zenzelwa ukuvula imithambo yegazi emxinwa okanye evaliweyo, imithambo yegazi ebonelela ngegazi entliziyweni yakho. Unokuba unesifo sentliziyo okanye i-angina (iintlungu zesifuba) ngaphambi kwenkqubo.

Unokuba nentlungu kwindawo yakho yokugcoba, ingalo, okanye isandla. Oku kuvela kwi-catheter (ityhubhu eguqukayo) efakelwe ukwenza inkqubo. Unokuba nokugruzuka ujikeleze nangaphantsi kwesithambiso.

Intlungu yesifuba kunye nokuphefumla okufutshane obukade unakho ngaphambi kokuba inkqubo ibengcono ngoku.

Ngokubanzi, abantu abane-angioplasty banokuhamba malunga neeyure ezingama-6 emva kwenkqubo. Unokwazi ukuphakama kwaye uhambe kwangoko ukuba inkqubo ibiyenziwa ngesihlahla. Ukubuyiselwa ngokupheleleyo kuthatha iveki okanye ngaphantsi. Gcina indawo apho i-catheter yafakwa khona yomile iiyure ezingama-24 ukuya kuma-48.

Ukuba ugqirha ubeke i-catheter ngaphakathi kwe-groin yakho:

• Ukuhamba imigama emifutshane kwindawo ethe tyaba kulungile. Nciphisa unyuka usihla ngezinyuko ukuya kumaxesha ama-2 ngosuku kwiintsuku ezimbini zokuqala ukuya kwezintathu.
• Musa ukwenza umsebenzi weyadi, ukuqhuba, ukugcwala, ukuphatha izinto ezinzima, okanye ukudlala imidlalo ubuncinci iintsuku ezi-2, okanye de umboneleli wakho wezempilo akuxelele ukuba kukhuselekile.

Ukuba ugqirha ubeke i-catheter engalweni okanye esihlahleni:

• Sukuphakamisa nantoni na enobunzima obungaphezu kweekhilogram ezili-10 (4.5 kilograms) (intwana encinci kunegaloni yobisi) ngengalo eyayine-catheter.
• Sukwenza nakuphi na ukutyhala okunzima, ukutsala okanye ukujija ngengalo leyo.

Yikhahlahlitha engubeni yakho, ingalo, okanye isihlahla:

• Gwema isenzo sesondo kwiintsuku ezi-2 ukuya kwezi-5. Buza umboneleli wakho xa kuya kulunga ukuqala kwakhona.
• Musa ukuhlamba okanye ukuqubha kwiveki yokuqala. Ungathatha iishawa, kodwa qiniseka ukuba indawo apho kufakwe khona i-catheter ayimanzi kwiiyure zokuqala ezingama-24 ukuya kuma-48.
• Kuya kufuneka ubuyele emsebenzini kwiintsuku ezi-2 ukuya kwezi-3 ukuba awenzi msebenzi unzima.

Uya kudinga ukukhathalela ukusikwa kwakho.

• Umboneleli wakho uya kukuxelela ukuba uyitshintsha kangaphi indlela onxiba ngayo.
• Ukuba ukusika kwakho kuyopha okanye kudumba, lala phantsi uze ubeke uxinzelelo kuyo kangangemizuzu engama-30.

I-Angioplasty ayinyangi unobangela wokuvaleka kwimithambo yakho. Imithambo yakho isenokuphinda ibe mxinwa kwakhona. Yitya ukutya okusempilweni okunesondlo, umthambo, yeka ukutshaya (ukuba uyatshaya), kwaye unciphise uxinzelelo ukunceda ukunciphisa amathuba akho okuba nomthambo ovaliweyo kwakhona. Umboneleli wakho unokukunika amayeza ukunceda ukunciphisa i-cholesterol yakho.

Uninzi lwabantu luthatha iasprini kunye nelinye iyeza le-antiplatelet elinje nge-clopidogrel (Plavix), prasugrel (Efient), okanye ticagrelor (Brilinta) emva kwale nkqubo. La mayeza ayacoca igazi. Agcina igazi lakho lingenzi amahlwili kwimithambo yakho kunye nesenti. Ihlwili legazi linokukhokelela kwisifo sentliziyo. Thatha amayeza ngokuchanekileyo njengoko umboneleli wakho ekuxelela. Sukuyeka ukuzithatha ungakhange uthethe nomboneleli wakho kuqala.

Kuya kufuneka uyazi ukuba uyikhathalela njani i-angina yakho ukuba iyabuya.

Qiniseka ukuba une-aphoyintimenti elandelayo elungiselelwe ugqirha wakho wentliziyo (ugqirha wentliziyo).

Ugqirha wakho angakuthumela kwinkqubo yokuvuselela intliziyo. Oku kuya kukunceda ufunde ukuba ungawonyusa njani umthambo wakho. Uya kufunda nokuba ungayinyamekela njani i-angina yakho kwaye uzikhathalele emva kokuhlaselwa sisifo sentliziyo.

Biza ugqirha wakho ukuba:

• Kukho ukopha kwindawo yokufaka i-catheter engayeki xa ufaka uxinzelelo.
• Kukho ukudumba kwindawo ye-catheter.
• Umlenze okanye ingalo yakho engezantsi kwalapho kufakwe khona i-catheter itshintsha umbala, iyaphola xa uyichukumisa, okanye iba ndindisholo.
• Ukuqhekeka okuncinci kwe-catheter yakho kubomvu okanye kubuhlungu, okanye ukukhutshwa okuphuzi okanye okuluhlaza kuphuma kuyo.
• Unentlungu esifubeni okanye uphefumla kancinci ongahambi nokuphumla.
• Ukubetha kwakho kuvakala kungaqhelekanga - kucotha kakhulu (ngaphantsi kweebhithi ezingama-60), okanye ngokukhawuleza kakhulu (ngaphezulu kwe-100 ukuya kwi-120 beats) ngomzuzu.
• Unesiyezi, uyafa isiqaqa, okanye udiniwe kakhulu.
• Ukhohlela igazi okanye imifinya emthubi okanye eluhlaza.
• Unengxaki zokuthatha nawaphi na amayeza entliziyo yakho.
• Unobandayo okanye umkhuhlane ngaphezulu kwe-101 ° F (38.3 ° C).

Ukuphelisa iziyobisi-ukukhupha; PCI - ukubhobhoza; Ungenelelo lwe-coronary ye-Percutaneous-discharge; I-balloon angioplasty - ukukhutshwa; I-Coronary angioplasty - ukukhutshwa; Umthambo coronary angioplasty - ukubhobhoza; Angioplasty sentliziyo - ukubhobhoza; I-PTCA - ukukhutshwa; Iimpawu eziguquguqukayo ze-coronary angioplasty - ukukhutshwa; Ukunyuka kwemithambo yentliziyo - ukukhutshwa; I-angina angioplasty - ukukhutshwa; Isifo sentliziyo angioplasty - ukubhobhoza; I-CAD angioplasty - ukukhutshwa

• Umthambo weCoronary stent

IAmsterdam EA, uWenger NK, uBrindis RG, et al. Isikhokelo se-AHA / ACC se-2014 solawulo lwezigulana ezingekho kwi-ST-elevation acon coronary syndromes: ingxelo yeAmerican College of Cardiology / American Heart Association Task Force kwizikhokelo zokusebenza. J NdinguColl Cardiol. Ngo-2014; 64 (24): e139-e228. IINKCUKACHA: 25260718 pubmed.ncbi.nlm.nih.gov/25260718/.

UFihn SD, uBlankenship JC, uAlexander KP, uBittl JA, et al. Ngo-2014 i-ACC / AHA / AATS / i-PCNA / i-SCAI / i-STS igxile ekuhlaziyweni kwesikhokelo sokuchongwa kunye nolawulo lwezigulana ezinesifo sentliziyo esisigxina: ingxelo yeAmerican College of Cardiology / American Heart Association Task Force kwiZikhokelo zokuSebenza, kunye Umbutho waseMelika woNyango lwe-Thoracic, uMbutho wabahlengikazi abaThintelayo be-Cardiovascular, uMbutho we-Cardiovascular Angiography kunye nongenelelo, kunye noMbutho woNyango lweTroacic. J Thorac Cardiovasc Uqhaqho. Ngo-2015; 149 (3): e5-e23. IINKCUKACHA: 25827388 pubmed.ncbi.nlm.nih.gov/25827388/.

IMehran R, iDangas GD. I-Coronary angiography kunye nengcinga yangaphakathi. Ku: Zipes DP, Libby P, Bonow RO, Mann DL, Tomaselli GF, Braunwald E, ii-eds. Isifo sentliziyo seBraunwald: Incwadi yesifundo seMpilo yeNtliziyo. Ngomhla we-11. IPhiladelphia, PA: Elsevier; I-2019: isahluko 20.

U-OGara PT, uKushner FG, uAscheim DD, et al. Isikhokelo se-ACCF / AHA sika-2013 kulawulo lwe-ST-elevation myocardial infarction: isishwankathelo sesigqeba: ingxelo yeAmerican College of Cardiology Foundation / American Heart Association Task Force kwizikhokelo zokusebenza. Ukujikeleza. Ngo-2013; 127 (4): 529-555. IINKCUKACHA: 23247303 pubmed.ncbi.nlm.nih.gov/23247303/.

• UAngina
• I-angioplasty kunye nokubekwa kwindawo entle-umthambo wecarotid
• Ukuhlaselwa yintliziyo
• Utyando lwentliziyo ngokudlula
• Utyando lwentliziyo olugqithisileyo- olungenayo intsholongwane
• Amanqanaba aphezulu e-cholesterol egazini
• Uxinzelelo lwegazi oluphezulu - abantu abadala
• Ukuqina
• Iingcebiso malunga nendlela yokuyeka ukutshaya
• Angina engazinzanga

• I-ACE inhibitors
• Angina - ukubhobhoza
• UAngina-yintoni oza kuyibuza ugqirha wakho
• UAngina - xa unentlungu esifubeni
• I-Angioplasty kunye ne-stent-heart-discharge
• Iziyobisi Antiplatelet - P2Y12 inhibitors
• I-Aspirin kunye nesifo sentliziyo
• Ukusebenza emva kokuhlaselwa yintliziyo
• Ukusebenza xa unesifo senhliziyo
• Ibhotolo, imajarini neeoli zokupheka
• Ukucinywa kwentliziyo - ukukhutshwa
• Cholesterol kunye nendlela yokuphila
• Ukulawula uxinzelelo lwegazi oluphezulu
• Kuchazwe amafutha ezempilo
• Iingcebiso zokutya okukhawulezayo
• Ukuhlaselwa yintliziyo - ukukhutshwa
• Ukuhlaselwa sisifo sentliziyo- ukubuza ugqirha
• Isifo sentliziyo - umngcipheko
• Ufunda njani iilebheli zokutya
• Ukutya kweMeditera

• I-Angioplasty
• Isifo semithambo yegazi