Ukulungiswa kwe-aortic aneurysm-endovascular-discharge

Ukulungiswa kwesisu esiswini se-aortic aneurysm (AAA) lutyando lokulungisa indawo ebanzi kwi-aorta yakho. Oku kubizwa ngokuba yi-aneurysm. I-aorta ngumthambo omkhulu ophethe igazi ulibeke esiswini sakho, kwiintsimbi kunye nasemilenzeni.

Ubunokulungiswa kotyando lwe-aortic ye-endovascular ye-aneurysm (indawo ebanzi) yomthambo omkhulu ohambisa igazi uye kumzimba wakho ongezantsi (aorta).

Ukwenza inkqubo:

• Ugqirha wakho wenze ukusikwa okuncinci (ukusika) kufutshane nomqala wakho ukufumana umthambo wakho wobufazi.
• Umbhobho omkhulu wawufakwa emthanjeni ukuze kufakwe ezinye izixhobo.
• Isicatshulwa sinokuthi senziwe kolunye ugcino kunye nengalo.
• Ugqirha wakho ufake i-stent kunye neyenziwe ngumntu (eyenziweyo) ngokuqhoboshela kumthambo.
• I-ray-ray yayisetyenziselwa ukukhokela i-stent kunye ne-graft kwi-aorta yakho apho kukho i-aneurysm.
• Ubume kunye nokuqina kwavulwa kwaye kwaqhotyoshelwa kwiindonga ze-aorta.

Ukunqunyulwa kwe-groin yakho kunokuba buhlungu kangangeentsuku ezininzi. Kuya kufuneka ukwazi ukuhamba kude ngoku ngaphandle kokufuna ukuphumla. Kodwa kuya kufuneka uthathe lula ekuqaleni. Kungathabatha iiveki ezi-6 ukuya kwezi-8 ukubuyela kwimeko yesiqhelo. Unokuziva ungonwabanga esiswini sakho iintsuku ezimbalwa. Unokuphulukana nokutya. Oku kuya kuba ngcono kule veki izayo. Unokuba nokuqunjelwa okanye urhudo ixesha elifutshane.

Uya kudinga ukwandisa umsebenzi wakho kancinci ngelixa ukubanjwa kuphilisa.

• Ukuhamba imigama emifutshane kwindawo ethe tyaba kulungile. Zama ukuhamba kancinci, kathathu okanye kane ngemini. Yandisa kancinci indlela ohamba ngayo ixesha ngalinye.
• Nciphisa unyuka usihla ngezinyuko ukuya kumaxesha ama-2 ngosuku kwiintsuku zokuqala ezi-2 ukuya kwezi-3 emva kwenkqubo.
• Musa ukwenza umsebenzi weyadi, ukuqhuba, okanye ukudlala imidlalo ubuncinci iintsuku ezi-2, okanye inani leentsuku umboneleli wakho wezempilo akuxelela ukuba ulinde.
• Musa ukuphakamisa nantoni na enobunzima obungaphezu kweekhilogram ezili-10 (4.5 kg) kwiiveki ezi-2 emva kwenkqubo.

• Umboneleli wakho uya kukuxelela ukuba uyitshintsha kangaphi indlela onxiba ngayo.
• Ukuba usiko lwakho lusopha okanye ludumba, lala phantsi ubeke uxinzelelo kuyo kangangemizuzu engama-30, kwaye ubize umnikezeli wakho.

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

Buza umboneleli wakho malunga nokulandelwa kwe-x-reyi kuya kufuneka ujonge ukuba ngaba ufakelo lwakho olutsha lulungile na. Ukuvavanywa rhoqo ukuze uqiniseke ukuba i-graft yakho isebenza kakuhle yinxalenye ebaluleke kakhulu yokhathalelo lwakho.

Umboneleli wakho angakucela ukuba uthathe i-aspirin okanye elinye iyeza elibizwa ngokuba yi-clopidogrel (Plavix) xa ugoduka. La mayeza yi-antiplatelet agents. Bavimbela iiplatelets egazini lakho ekuhlanganeni kunye nokwenza amahlwili kwimithambo yakho okanye istent. Sukuyeka ukuzithatha ungakhange uthethe nomboneleli wakho kuqala.

Utyando lwe-Endovascular alunyangi ingxaki esezantsi kwimithambo yegazi yakho. Eminye imithambo yegazi inokuchaphazeleka kwixa elizayo. Ke ngoko, kubalulekile ukuba wenze utshintsho kwindlela yokuphila kwaye uthathe amayeza acetyiswayo ngumboneleli wakho.

• Yitya ukutya okusempilweni ngentliziyo.
• Yenza umthambo rhoqo.
• Yeka ukutshaya (ukuba uyatshaya).

Thatha onke amayeza ugqirha wakho amiselweyo njengoko kuyalelwe. Oku kunokubandakanya amayeza ukunciphisa i-cholesterol, ukulawula uxinzelelo lwegazi oluphezulu kunye nokunyanga isifo seswekile.

Fowunela umnikezeli wakho ukuba:

• Unentlungu esiswini sakho okanye ngasemva engahambiyo okanye embi kakhulu.
• Kukho ukopha kwindawo yokufaka i-catheter engayeki xa kusetyenziswa uxinzelelo.
• Kukho ukudumba kwindawo ye-catheter.
• Umlenze okanye ingalo yakho engezantsi kwalapho kufakwe khona i-catheter itshintsha umbala, upholile xa uchukumiseka, uluthuthu, okanye undindisholo.
• Ukuqhekeka okuncinci kwecatheter yakho kuba bomvu okanye kubuhlungu.
• Ukukhutshwa okumthubi okanye okuluhlaza kukhupha amanzi kwi-catheter yakho.
• Imilenze yakho idumbile.
• Unentlungu esifubeni okanye uphefumla kancinci ongahambi nokuphumla.
• Unesiyezi okanye ufe isiqaqa, okanye udiniwe kakhulu.
• Ukhohlela igazi, okanye imifinya emthubi okanye eluhlaza.
• Unobandayo okanye umkhuhlane ngaphezulu kwe-101 ° F (38.3 ° C).
• Unegazi kwisitulo sakho.
• Umchamo wakho uba mnyama ngombala okanye awuchami njengesiqhelo.
• Awunako ukuhambisa imilenze yakho.
• Isisu sakho siqala ukudumba kwaye sibuhlungu.

Ukulungiswa kwe-AAA -ukukhutshwa kwe-endovascular; Ukulungisa - i-aortic aneurysm - i-endovascular - ukukhutshwa; EVAR - ukukhutshwa; Ukulungiswa kwe-endovascular aneurysm - ukukhutshwa

• Aortic aneurysm

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IBraverman AC, iShermerhorn M. Izifo ze-aorta. 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 63.

ICambria RP, iPrushik SG. Unyango lwe-Endovascular ye-aortic aneurysms. Ku: ICameron AM, uCameron JL, ii-eds. Unyango lwangoku lonyango. Umhla we-13. IPhiladelphia, PA: Elsevier; Ngo-2020: 905-911.

UTracci MC, uCherry KJ. I-aorta. Ku: Townsend CM Jr, Beauchamp RD, Evers BM, Mattox KL, ii-eds. Incwadi yeSabiston yoNyango. Umhla we-20. IPhiladelphia, PA: Elsevier; Ngo-2017: isahluko 61.

Uberoi R, Hadi M. Ungenelelo lweAortic. Ku: UAdam A, uDixon AK, uGillard JH, uSchaefer-Prokop CM, ii-eds. I-Grainger kunye ne-Allison's Diagnostic Radiology: Incwadi ebhaliweyo yoNyango lwezoNyango. Umhla wesi-7. IPhiladelphia, PA: Elsevier; 2021: isahl. 79.

• Isisu esine-aortic aneurysm
• Ukuskena kwe-CT esiswini
• Isiskena seMRI esiswini
• Ukulungiswa kwe-aortic aneurysm-endovascular
• I-aortic angiography
• I-atherosclerosis
• Iingozi zecuba
• Ukuqina
• I-aneurysm ye-aortic ye-Thoracic
• Iingcebiso malunga nendlela yokuyeka ukutshaya

• Cholesterol kunye nendlela yokuphila
• Cholesterol - unyango lweziyobisi
• Ukulawula uxinzelelo lwegazi oluphezulu

• I-Aortic Aneurysm