Umda we-peripheral artery-umlenze-ukukhutshwa

Utyando lwe-peripheral lwe-bypass lwenziwa ukuze kwenziwe kwakhona ukuhanjiswa kwegazi kujikeleze umthambo ovaliweyo emlenzeni. Uye wenza olu tyando kuba iidipozithi ezinamafutha kwimithambo yakho bezivimba ukuhamba kwegazi. Oku kubangele iimpawu zentlungu kunye nobunzima emlenzeni wakho okwenza ukuhamba kunzima. Eli nqaku likuxelela ngendlela yokuzikhathalela emva kokuphuma esibhedlele.

Ubunemithambo yegazi ehamba ngotyando lokuhambisa kwakhona igazi ngokujikeleza umthambo ovaliweyo komnye wemilenze yakho.

Ugqirha wakho wasika (wasika) ngaphezulu kwendawo apho umthambo wawuthintelwe khona. Oku kungenzeka ukuba bekusemlenzeni wakho okanye ekuthini, okanye emazantsi esisu sakho. Izibophelelo zabekwa ngaphezulu komthambo kwicala ngalinye lecandelo elivaliweyo. Umbhobho okhethekileyo obizwa ngokuba yi-graft wawuthungwa emthanjeni ukuze ungene endaweni yenxalenye evaliweyo.

Usenokuhlala kwigumbi labagula kakhulu (ICU) kangangeentsuku eziyi-1 ukuya kwezi-3 emva kotyando. Emva koko, uye wahlala kwigumbi lesibhedlele eliqhelekileyo.

Ukuqhekeka kwakho kunokuba buhlungu kangangeentsuku ezininzi. Kuya kufuneka ukwazi ukuhamba kude ngoku ngaphandle kokufuna ukuphumla. Ukuchacha ngokupheleleyo kuqhaqho kungathatha iiveki ezi-6 ukuya kwezi-8.

Hamba imigama emifutshane izihlandlo ezi-3 ukuya kwezi-4 ngosuku. Yandisa kancinci indlela ohamba ngayo ixesha ngalinye.

Xa uphumla, gcina umlenze wakho uphakanyisiwe ngaphezulu kwenqanaba lentliziyo yakho ukuthintela ukudumba komlenze:

• Lala phantsi ubeke umqamelo phantsi kwenxalenye esezantsi yomlenze wakho.
• SUKUHLALA ngaphezulu kweyure e-1 ngexesha ufika ekhaya. Ukuba unako, phakamisa iinyawo zakho kunye nemilenze xa uhleli. Baphumle kwesinye isitulo okanye isitulo.

Uya kuba nokudumba okungaphezulu komlenze emva kokuhamba okanye ukuhlala. Ukuba unokudumba okuninzi, unokuba uhamba kakhulu okanye uhleli, okanye utya ityuwa eninzi ekutyeni kwakho.

Xa unyuka izinyuko, sebenzisa umlenze wakho wokuqala kuqala xa unyuka. Sebenzisa umlenze wakho otyandwe kuqala xa usihla. Phumla emva kokuthatha amanyathelo aliqela.

Umboneleli wakho wezempilo uya kukuxelela xa uqhuba. Unokuthatha uhambo olufutshane njengomkhweli, kodwa zama ukuhlala kwisitulo esingasemva nomlenze wakho otyandelwe phezulu esihlalweni.

Ukuba ukutya okutyisiweyo kususiwe, uya kuba ne-Steri-Strips (iziqwenga ezincinci zetape) kuyo yonke into oyicokisileyo. Nxiba impahla ekhululekileyo engazichukumisiyo xa usikwe.

Ungahlamba okanye ufumane ubumanzi obumanzi, nje ukuba ugqirha wakho uthi unako. MUSA ukucwina, ukhuhle, okanye ishawa ibethe ngqo kubo. Ukuba unayo i-Steri-Strips, baya kuguqa baze bawe ngokwabo emva kweveki.

MUSA ukuntywila ebhafini yokuhlambela, ebhafini eshushu, okanye echibini lokuqubha. Buza umboneleli wakho xa unokuqala ukwenza le misebenzi kwakhona.

Umboneleli wakho uya kukuxelela ukuba uyitshintsha kangaphi indlela onxiba ngayo (ibhandeji) kwaye ungayeka nini ukuyisebenzisa. Gcina isilonda sakho somile. Ukuba i-incision yakho iya kwi-groin yakho, gcina iphedi eyomileyo phezu kwayo ukuyigcina yomile.

• Coca incision yakho ngesepha namanzi yonke imihla xa umboneleli wakho esitsho. Jonga ngononophelo kulo naluphi na utshintsho. Yithambise kancinci uyome.
• SUKUBEKA into yokuthambisa, cream, okanye iyeza elenzelwe inxeba ngaphandle kokucela kuqala ukuba kulungile.

Utyando lwe-Bypass alunyangi unobangela wokuvaleka kwimithambo yakho. Imithambo yakho isenokuphinda ibe mxinwa kwakhona.

• Yitya ukutya okusempilweni ngentliziyo, umthambo, yeka ukutshaya (ukuba uyatshaya), kwaye unciphise uxinzelelo. Ukwenza ezi zinto kuya kunceda ukunciphisa amathuba akho okuba nomthambo ovaliweyo kwakhona.
• Umboneleli wakho wokhathalelo lwempilo unokukunika amayeza okunceda ukunciphisa i-cholesterol yakho.
• Ukuba uthatha amayeza oxinzelelo lwegazi oluphezulu okanye isifo seswekile, wasele njengoko uxelelwe ukuba uwathathe.
• Umboneleli wakho angakucela ukuba uthathe i-aspirin okanye iyeza elibizwa ngokuba yi-clopidogrel (Plavix) xa ugoduka. La mayeza agcina igazi lakho lingenzi amahlwili kwimithambo yakho. SUKUYEKE ukuzithatha ungakhange uthethe nomboneleli wakho kuqala.

Fowunela umboneleli wakho wezempilo ukuba:

• Umlenze wakho otyandiweyo utshintsha umbala okanye upholile xa uchukumiseka, uphaphathekile, okanye undindisholo
• Unentlungu esifubeni, isiyezi, iingxaki zokucinga ngokucacileyo, okanye ukuphefumla okufutshane okungahambiyo xa uphumla
• Ukhohlela igazi okanye imifinya emthubi okanye eluhlaza
• Unengqele
• Unomkhuhlane ongaphezu kwe-101 ° F (38.3 ° C)
• Isisu sakho sibuhlungu okanye sidumbile
• Imiphetho yesicwecwe sakho sokuhlinzwa uyashenxa
• Kukho imiqondiso yosulelo ejikeleze ukusikwa njengokubomvu, iintlungu, ukufudumala, ukuphola, okanye ukukhutshwa okuluhlaza
• Ibhandeji limanzi ligazi
• Imilenze yakho idumbile

Ukudlula kwi-aortobifemoral - ukukhutshwa; I-femoropopliteal - ukukhutshwa; Abafazi ababhinqileyo - ukukhutshwa; Ukudlula kwi-aorta-bifemoral - ukukhutshwa; Ukudlula kwi-Axillo-bifemoral - ukukhutshwa; Ukudlula kwi-Ilio-bifemoral-ukukhutshwa

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.

UFakhry F, uSpronk S, van der Laan L, et al. I-Endovascular revascularization kunye nokujongwa kokujongwa kwesifo se-arteripheral kunye ne-claudication yexeshana: ulingo lwezonyango olungenamsebenzi. JAMA. Ngo-2015; 314 (18): 1936-1944. IINKCUKACHA: 26547465 www.ncbi.nlm.nih.gov/pubmed/26547465.

UGerhard-Herman MD, uGornik HL, uBarrett C, okqhubekayo. Isikhokelo se-2016 se-AHA / se-ACC kulawulo lwezigulana ezinesifo semithambo esezantsi kwesiphelo: isishwankathelo sesigqeba: ingxelo yeAmerican College of Cardiology / American Heart Association Task Force kwizikhokelo zeKlinikhi yokuziQhelanisa. Ukujikeleza. Ngo-2017; 135: e686-e725. IINKCUKACHA: 27840332 www.ncbi.nlm.nih.gov/pubmed/27840332.

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-angioplasty kunye nokubekwa ngokufanelekileyo - imithambo yendlela
• Umda we-peripheral artery-umlenze
• Izifo zemithambo yegazi - imilenze
• Iingcebiso malunga nendlela yokuyeka ukutshaya

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