I-angioplasty kunye nokubekwa ngokuqinileyo-imithambo yendlela-yokukhutshwa

I-Angioplasty yinkqubo yokuvula imithambo yegazi emxinwa okanye evaliweyo ehambisa igazi kwimilenze yakho. Iidipozithi ezinamafutha zinokwakha ngaphakathi kwimithambo kwaye zivimbe ukuhamba kwegazi. I-stent yityhubhu encinci yentsimbi egcina umthambo uvulekile. I-Angioplasty kunye nokubekwa kwe-stent ziindlela ezimbini zokuvula imithambo yegazi evaliweyo.

Unenkqubo ebisetyenziselwa ukusebenzisa i-catheter yebhaluni ukuvula isitya esincinci (i-angioplasty) esibonelela ngegazi kwiingalo okanye emilenzeni. Usenokuba ubeke i-stent.

Ukwenza inkqubo:

• Ugqirha wakho ufake i-catheter (ityhubhu eguquguqukayo) kumthambo wakho ovaliweyo ngokunqunyulwa kwindawo yakho.
• IX-reyi yayisetyenziselwa ukukhokela i-catheter ukuya kwindawo yokuvalelwa.
• Ugqirha emva koko wadlulisa ucingo ngokusebenzisa i-catheter ukuya ekuvaleni kwaye i-catheter yebhaluni yatyhalwa ngaphezulu kwayo.
• Ibhaluni ekupheleni kwecatheter yaqhushumba. Oku kwavula inqanawa ebhlokiweyo kwaye kwabuyiselwa ukuhamba kwegazi okufanelekileyo kwindawo echaphazelekayo.
• I-stent ihlala ibekwa kwindawo yokuthintela inqanawa ekuvaleni kwakhona.

Ukunqunyulwa kwe-groin yakho kunokuba buhlungu kangangeentsuku ezininzi. Kuya kufuneka ukwazi ukuhamba kude ngoku ngaphandle kokufuna ukuphumla, kodwa kuya kufuneka uthathe lula ekuqaleni. Kungathatha iiveki ezi-6 ukuya kwezi-8 ukubuyela kwimeko yesiqhelo. Umlenze wakho kwicala lenkqubo unokudumba iintsuku ezimbalwa okanye iiveki. Oku kuya kuphucula njengoko ukuhamba kwegazi kwilungu kuya kwesiqhelo.

Uya kudinga ukwandisa umsebenzi wakho kancinci ngelixa ukubanjwa kuphilisa.

• Ukuhamba imigama emifutshane kwindawo ethe tyaba kulungile. Zama ukuhamba kancinci kathathu okanye kayi-4 ngemini. Yandisa kancinci indlela ohamba ngayo ixesha ngalinye.
• Nciphisa unyuka usihla ngezinyuko ukuya kumaxesha ama-2 ngosuku kwiintsuku ezimbini zokuqala ukuya kwezintathu.
• Musa ukwenza umsebenzi weyadi, ukuqhuba, okanye ukudlala imidlalo ubuncinci iintsuku ezi-2, okanye inani leentsuku umboneleli wakho wezempilo akuxelela ukuba ulinde.

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.
• Ukuba ukopha okanye ukudumba akuyeki okanye kusiba mandundu, tsalela umnikezeli wakho umnxeba kwaye ubuyele esibhedlele okanye kungenjalo uye kwelona gumbi likufutshane likaxakeka okanye fowunela u-911 okanye inombolo yongxamiseko yendawo.

Xa uphumle, zama ukugcina imilenze yakho iphakame ngaphezu kwenqanaba lentliziyo yakho. Beka imiqamelo okanye iingubo phantsi kwemilenze yakho ukuze uzinyuse.

I-Angioplasty ayinyangi unobangela wokuvaleka kwimithambo yakho. Imithambo yakho isenokuphinda ibe mxinwa kwakhona. Ukunciphisa amathuba akho oku kwenzeka:

• Yitya ukutya okusempilweni ngentliziyo, umthambo, yeka ukutshaya (ukuba uyatshaya), kwaye unciphise uxinzelelo lwakho.
• Thatha amayeza ukunceda ukunciphisa i-cholesterol yakho ukuba umboneleli wakho umisela oko.
• Ukuba uthatha amayeza oxinzelelo lwegazi okanye isifo seswekile, thatha ngendlela umboneleli wakho akucele ukuba uwathathe ngayo.

Umboneleli wakho unokucebisa ukuba uthathe i-aspirin okanye elinye iyeza, elibizwa ngokuba yi-clopidogrel (Plavix), xa ugoduka. La mayeza agcina amahlwili egazi ukuba angaveli kwimithambo yakho nakwisistent. Sukuyeka ukuzithatha ungakhange uthethe nomboneleli wakho kuqala.

Fowunela umnikezeli wakho ukuba:

• Kukho ukudumba kwindawo ye-catheter.
• Kukho ukopha kwindawo yokufaka i-catheter engayeki xa kusetyenziswa uxinzelelo.
• Umlenze wakho ngezantsi apho kufakwe khona i-catheter utshintsha umbala okanye upholile xa uchukumiseka, uphaphathekile, okanye undindisholo.
• Isicatshulwa esincinci esivela kwi-catheter yakho siba bomvu okanye sibe buhlungu, okanye ukuphuma okumthubi okanye okuluhlaza kuphuma kuso.
• Imilenze yakho idumbile kakhulu.
• Unentlungu esifubeni okanye uphefumla kancinci ongahambi nokuphumla.
• Unesiyezi, uyafa isiqaqa, okanye udiniwe kakhulu.
• Ukhohlela igazi okanye imifinya emthubi okanye eluhlaza.
• Unobandayo okanye umkhuhlane ngaphezulu kwe-101 ° F (38.3 ° C).
• Ukhula ube buthathaka emzimbeni wakho, intetho yakho idibene, okanye awukwazi ukuphuma ebhedini.

I-Percutaneous angumoplasty transluminal - umthambo we-peripheral-discharge; PTA - peripheral artery - ukukhutshwa; Angioplasty - peripheral umthambo - ukubhobhoza; Iibhaluni angioplasty - imithambo yegazi- ukukhutshwa Ukukhutshwa kwe-PAD-PTA; Ukukhutshwa kwe-PVD-PTA

• I-atherosclerosis yeziphelo
• Umthambo weCoronary stent
• Umthambo weCoronary stent

ILungu lePalamente leBonaca, iCreager MA. Izifo zemithambo yegazi. 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 64.

I-Kinlay S, iBhatt DL. Unyango lwezifo ze-vascoronary ezithintelayo. 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 66.

I-CJ emhlophe. Unyango lwe-Endovascular yesifo semithambo yegazi. Ku: Creager MA, Beckman JA, Loscalzo J, ii-eds. Unyango lweVascular: Umhlobo kwiBraunwald's Isifo sentliziyo. Ngomhla wesi-3. IPhiladelphia, PA: Elsevier; 2020: isahluko 20.

• I-angioplasty kunye nokubekwa ngokufanelekileyo - imithambo yendlela
• I-duplex ultrasound
• Umda we-peripheral artery-umlenze
• Izifo zemithambo yegazi - imilenze
• Iingozi zecuba
• Ukuqina
• Iingcebiso malunga nendlela yokuyeka ukutshaya

• Iziyobisi Antiplatelet - P2Y12 inhibitors
• I-Aspirin kunye nesifo sentliziyo
• Cholesterol kunye nendlela yokuphila
• Cholesterol - unyango lweziyobisi
• Ukulawula uxinzelelo lwegazi oluphezulu
• Umda we-peripheral artery-umlenze-ukukhutshwa

• Izifo ezijikeleze isifo seAterial