Utyando lweCarotid-ukukhutshwa

Umthambo we-carotid uzisa igazi elifunekayo kwingqondo yakho nasebusweni. Unenye yezi mithambo kwicala ngalinye lentamo yakho. Utyando lweCarotid yinkqubo yokubuyisela ukuhamba kwegazi okufanelekileyo kwingqondo.

Utyando lwe-carotid umthambo wokubuyisela ukuhamba kwegazi okufanelekileyo kwingqondo yakho. Ugqirha wakho wenza usike (usike) entanyeni yakho ngaphezulu komthambo wakho we-carotid. Kwabekwa ityhubhu ukuze igazi lijikeleze kwindawo evaliweyo ngexesha lotyando. Ugqirha wakho uvule imithambo yakho ye-carotid kwaye wasusa ngononophelo ipleyiti ngaphakathi kuyo. Ugqirha usenokuba ubeke i-stent (ityhubhu encinci yocingo) kule ndawo ukunceda ukugcina umthambo uvulekile. Umthambo wakho wavalwa ngemithungo emva kokuba la litye lisuswe. Ukucandwa kwesikhumba kwavalwa ngeteyiphu yotyando.

Ngexesha lotyando, intliziyo yakho kunye nomsebenzi wobuchopho waqwalaselwa ngokusondeleyo.

Kuya kufuneka ukwazi ukwenza uninzi lwemisebenzi yakho yesiqhelo kwiiveki ezi-3 ukuya kwezi-4. Unokuba nentamo encinci yentamo malunga neeveki ezi-2.

Ungaqala ukwenza imisebenzi yemihla ngemihla ngokukhawuleza ukuba uziva. Unokufuna uncedo ngokutya, ukukhathalela indlu, kunye nokuthenga kwasekuqaleni.

SUKUQHUBA de ube uphilisiwe umthambo, kwaye unokuyijika intloko ngaphandle kokuphazamiseka.

Unokuba nobuthathaka emhlathini wakho nakufutshane nendlebe yakho. Oku kuvela kwi-incision. Uninzi lwexesha, oku kuya kuhamba kwiinyanga ezi-6 ukuya kwezi-12.

• Ungahlamba xa ufika ekhaya. Kulungile ukuba itheyiphu yotyando kwisicatshulwa sakho iba manzi. MUSA ukucwina, ukhuhle, okanye amanzi eshawa abethe ngqo kwiteyiphu. Iteyiphu iya kujika kwaye iwele yodwa emva kweveki.
• Jonga ngononophelo kwisicatshulwa sakho yonke imihla ngalo naluphi na utshintsho. MUSA ukubeka into yokuthambisa, cream, okanye amayeza esintu kuyo ngaphandle kokubuza umboneleli wakho wezempilo kuqala ukuba kulungile.
• Kuze kube yimeko yokuphilisa, UNGANXIBI ngee-turtlenecks okanye ezinye iimpahla ezijikeleze intamo yakho ezikhuhla incision.

Ukuba utyando lwe-carotid alunyangi unobangela wokuvaleka kwimithambo yakho. Imithambo yakho isenokuphinda ibe mxinwa kwakhona. Ukuthintela oku:

• Yitya ukutya okusempilweni, umthambo (ukuba umboneleli wakho ukucebisa), yeka ukutshaya (ukuba uyatshaya), kwaye unciphise uxinzelelo lwakho.
• Thatha amayeza ukunceda ukunciphisa i-cholesterol yakho ukuba umboneleli wakho umisela oko.
• Ukuba uthatha amayeza onyanga uxinzelelo lwegazi okanye iswekile, thatha ngendlela oxelelwe ukuba uwathathe ngayo.
• Unokuyalelwa ukuba uthathe i-aspirin kunye / okanye iyeza elibizwa ngokuba yi-clopidogrel (Plavix), okanye elinye iyeza xa ugoduka. La mayeza agcina igazi lakho ekubeni lenze amahlwili kwimithambo yakho nakwi-stent. SUKUYEKE ukuzithatha ungakhange uthethe nomboneleli wakho kuqala.

Fowunela umboneleli wakho wezempilo ukuba:

• Unentloko ebuhlungu, udideke, okanye ube ndindisholo okanye ubuthathaka kulo naliphi na ilungu lomzimba wakho.
• Unengxaki yamehlo akho, awukwazi ukuthetha ngokwesiqhelo, okanye unengxaki yokuqonda ukuba bathini abanye abantu.
• Awunakho ukuhambisa ulwimi lwakho kwicala lomlomo wakho.
• Unengxaki yokuginya.
• Unentlungu esifubeni, isiyezi, okanye ukuphefumla okufutshane okungahambi ngokuphumla.
• Ukhohlela igazi okanye imifinya emthubi okanye eluhlaza.
• Unobanda okanye umkhuhlane ngaphezu kwe-101 ° F (38.3 ° C) okanye umkhuhlane ongapheliyo emva kokuba uthathe i-acetaminophen (iTylenol).
• Ukuqhekeka kwakho kubomvu okanye kubuhlungu, okanye ukuphuma okumthubi okanye okuluhlaza kukhupha kuyo.
• Imilenze yakho idumbile.

I-Carotid endarterectomy - ukukhutshwa; I-CEA - ukukhutshwa; I-Percutaneous angumoplasty transluminal - i-carotid artery - ukukhutshwa; I-PTA-carotid artery-ukukhutshwa

UBrott TG, uHalperin JL, u-Abbara S, et al. Ukuchaneka I-2011 ASA / ACCF / AHA / AANN / AANS / ACR / ASNR / CNS / SAIP / SCAI / SIR / SNIS / SVM / SVS isikhokelo kulawulo lwezigulana ezine-extracranial carotid kunye nesifo se-artebral artery disease: isishwankathelo sesigqeba: ingxelo yaseMelika Ikholeji yeCardiology Foundation / iAmerican Heart Association Task Force kwiZikhokelo zokuziqhelanisa, kunye neAmerican Stroke Association, American Association of Neuroscience Nurses, American Association of Neurological Surgeons, American College of Radiology, American Society of Neuroradiology, Congress of Neurological Surgeons, Society of Atherosclerosis UkuCinga nokuThintela, uMbutho weAriyadiyali yeAngiography kunye nongenelelo, uMbutho woNyango lweeRadiology, uMbutho weUkuhlinzwa ngokuNyanga, uMbutho weyeza leVascular, kunye noMbutho woNyango lweVascular. J NdinguColl Cardiol. Ngo-2011; 57 (8): 1002-1044. IINKCUKACHA: 21288680 www.ncbi.nlm.nih.gov/pubmed/21288680.

UCheng CC, uCheema F, uFankhauser G, uSilva MB. Izifo zesifo semithambo. Ku: Townsend CM Jr, Beauchamp RD, Evers BM, Mattox KL, ii-eds. Incwadi yeSabiston yoNyango. Umhla we-20. IPhiladelphia, PA: Elsevier; Ngo-2017: isahluko 62.

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.

• Isifo semithambo yeCarotid
• Utyando lweCarotid-luvulekile
• Isibini esineCarotid
• Ukuchacha emva kokubethwa
• Iingozi zecuba
• Ukuqina
• Ukubetha
• Iingcebiso malunga nendlela yokuyeka ukutshaya
• Uhlaselo lwexeshana lweschemic

• I-Angioplasty kunye nokubekwa kwindawo entle-umthambo we-carotid-ukukhutshwa
• Iziyobisi Antiplatelet - P2Y12 inhibitors
• I-Aspirin kunye nesifo sentliziyo
• Cholesterol kunye nendlela yokuphila
• Cholesterol - unyango lweziyobisi
• Ukulawula uxinzelelo lwegazi oluphezulu

• Isifo seArtery Carotid