Ukucinywa kwentliziyo - ukukhutshwa

I-catheterization yentliziyo ibandakanya ukuhambisa ityhubhu ecekeceke (catheter) kwicala lasekunene okanye lasekhohlo lentliziyo. I-catheter ihlala ifakwa ukusuka kwi-groin okanye engalweni. Eli nqaku lixoxa ngendlela onokuzikhathalela ngayo xa uphuma esibhedlele.

I-catheter yafakwa kwimithambo kwindawo yakho yengalo okanye engalweni. Ke yayikhokelwe ngononophelo yaya entliziyweni yakho. Nje ukuba ifike entliziyweni yakho, i-catheter yafakwa kwimithambo ehambisa igazi entliziyweni yakho. Emva koko kwenziwa idayi eyahlukileyo. Idayi yavumela ugqirha wakho ukuba abone nayiphi na indawo kwimithambo yakho yemithambo yegazi evaliweyo okanye emxinwa.

Ukuba ubunokuvaleka, usenokuba une-angioplasty kunye ne-stent ebekwe entliziyweni yakho ngexesha lenkqubo.

Unokuziva ubuhlungu kwi-groin yakho okanye ingalo apho i-catheter ibekwe khona. Unokuba nokugruzuka ujikeleze nangaphantsi kwesithambiso esenziwe ukufaka i-catheter.

Ngokubanzi, abantu abane-angioplasty banokuhamba malunga neeyure ezingama-6 okanye ngaphantsi kwenkqubo. Ukubuyiselwa ngokupheleleyo kuthatha iveki okanye ngaphantsi. Gcina indawo apho i-catheter yafakwa khona yomile iiyure ezingama-24 ukuya kuma-48. Ukuba i-catheter yafakwa engalweni yakho, ukubuyela kwimeko yesiqhelo kudla ngokukhawuleza.

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

• Ukuhamba imigama emifutshane kwindawo ethe tyaba kulungile. Nciphisa unyuka usihla ezantsi ukuya kuthi ga ngemini kwiintsuku zokuqala ezi-2 ukuya kwezi-3.
• Musa ukwenza umsebenzi weyadi, ukuqhuba, ukuphakamisa izinto ezinzima, okanye ukudlala imidlalo ubuncinci iintsuku ezi-2, okanye de umboneleli wakho wezempilo akuxelele ukuba kulungile.

Ukuba ugqirha ubeke i-catheter engalweni yakho:

• Musa ukuphakamisa nantoni na enzima ngaphezu kweekhilogram ezili-10 (4.5 kilogram). (Oku kungaphezulu kancinci kwilitha yobisi).
• Musa ukwenza ukutyhala okunzima, ukutsala, okanye ukujija.

Kwikhetsheyitha kumphako wakho okanye engalweni:

• Gwema isenzo sesondo kwiintsuku ezi-2 ukuya kwezi-5. Buza ugqirha wakho ukuba kuya kulunga nini ukuqala kwakhona.
• Kuya kufuneka ubuyele emsebenzini kwiintsuku ezi-2 ukuya kwezi-3 ukuba awenzi msebenzi unzima.
• 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.

Uya kudinga ukuba unakekele ukusikwa kwakho.

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

Abantu abaninzi bathatha iasprini, rhoqo ngelinye iyeza elinje ngeclopidogrel (Plavix), prasugrel (Efient), okanye ticagrelor (Brilinta), emva kwale nkqubo. La mayeza anqabile egazini, kwaye agcina igazi lakho ekubeni lenze amahlwili kwimithambo yakho kunye nokuqina. Ihlwili legazi linokukhokelela kwisifo sentliziyo. Thatha amayeza ngokuchanekileyo njengoko umboneleli wakho ekuxelela. Sukuyeka ukuzithatha ungakhange uthethe nomboneleli wakho.

Kuya kufuneka utye ukutya okunesifo sentliziyo, umthambo, kwaye ulandele indlela yokuphila esempilweni. Umboneleli wakho angakudlulisela kwezinye iingcali zempilo ezinokukunceda ufunde malunga nokuzivocavoca kunye nokutya okusempilweni okuya kulingana nendlela ophila ngayo.

Fowunela umnikezeli wakho ukuba:

• Kukho ukopha kwindawo yokufaka i-catheter engayeki xa ufaka uxinzelelo.
• Ingalo yakho okanye umlenze ongezantsi kwalapho kufakwe khona ipayipi itshintsha umbala, upholile xa uchukumisa, okanye ubundindisholo.
• Ukuqhekeka okuncinci kwe-catheter yakho kubomvu okanye kubuhlungu, okanye ukukhutshwa okuphuzi okanye okuluhlaza kuphuma kuyo.
• Unentlungu esifubeni okanye uphefumla kancinci ongahambi nokuphumla.
• Ukubetha kwentliziyo yakho kuvakala kungaqhelekanga - kuyacotha kakhulu (ngaphantsi kwe-60 beats ngomzuzu) okanye ngokukhawuleza okukhulu (ngaphezulu kwe-100 ukuya kwi-120 ibetha 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).

Catheterization - intliziyo - ukukhutshwa; I-catheterization yentliziyo-ukukhutshwa: i-Catheterization-intliziyo; Catheterization yentliziyo; Angina - ukukhutshwa kwe-catheterization yentliziyo; I-CAD-ukukhutshwa kwe-catheterization yentliziyo; Isifo semithambo yegazi-ukukhutshwa kwe-catheterization yentliziyo

IHerrmann J.Icatheterization yentliziyo. 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 19.

UKern MJ, uKirtane AJ. Catheterization kunye ne-angiography. Ku: IGoldman L, iSchafer AI, ii-eds. Amayeza eGoldman-Cecil. Ngomhla wama-26. IPhiladelphia, PA: Elsevier; 2020: isahl 51.

UMauri L, uBhatt DL. Ungenelelo ngoncedo lwe-coronary. 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 62.

• UAngina
• Utyando lwentliziyo ngokudlula
• Utyando lwentliziyo olugqithisileyo- olungenayo intsholongwane
• Amanqanaba aphezulu e-cholesterol egazini
• Ukuqina

• 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
• 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

• Ukuhlaselwa yintliziyo
• Uvavanyo lweMpilo yeNtliziyo