I-angioplasty kunye nokubekwa ngokufanelekileyo - imithambo yendlela

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.

I-Angioplasty isebenzisa "ibhaluni" yezonyango ukwandisa imithambo ebhlokiweyo. Ibhaluni icinezela eludongeni lwangaphakathi lwe-artery ukuvula isithuba kunye nokuphucula ukuhamba kwegazi. Isinyithi sesinyithi sihlala sibekwa eludongeni lomthambo ukugcina umthambo ungacuphi kwakhona.

Ukunyanga ukuvaleka emlenzeni wakho, i-angioplasty inokwenziwa koku kulandelayo:

• I-Aorta, umthambo ophambili ovela entliziyweni yakho
• Umthambo esinqeni sakho okanye esinqeni
• Umthambo ethangeni lakho
• Umthambo emva kwedolo lakho
• Umthambo kumlenze wakho osezantsi

Ngaphambi kwenkqubo:

• Uya kunikwa iyeza lokukunceda uphumle. Uya kuvuka, kodwa uyozela;
• Unokunikwa iyeza lokucoca igazi ukugcina i-clot yegazi ingenzi.
• Uya kulala phantsi ngomqolo kwitafile esebenzayo. Ugqirha wakho uza kutofa iyeza elingenamandla endaweni leyo eza kunyangwa, ukuze ungeva zintlungu. Oku kubizwa ngokuba yianesthesia yendawo.

Ugqirha wakho oya kuthi emva koko abeke inaliti encinci kwisitya segazi kwi-groin yakho.Ucingo oluncinci oluguquguqukayo luya kufakwa kule naliti.

• Ugqirha wakho uya kuba nakho ukubona umthambo wakho ngemifanekiso ye-x-ray ephilayo. Idayi iya kufakwa emzimbeni wakho ukubonisa ukuhamba kwegazi kwimithambo yakho. Idayi iya kwenza kube lula ukubona indawo evaliweyo.
• Ugqirha wakho uya kukhokela ityhubhu ebhityileyo ebizwa ngokuba yicatheter ngomthambo wakho kwindawo evaliweyo.
• Emva koko, ugqirha wakho wotyando uya kugqitha ucingo olukhokelayo kwi-catheter ukuya ekuvaleni.
• Ugqirha uya kutyhala enye i-catheter ngebhaluni encinci kakhulu ekugqibeleni ngocingo lwesikhokelo nakwindawo evaliweyo.
• Ibhaluni emva koko igcwele ulwelo olwahlukileyo ukuze ibangele ibhaluni. Oku kuvula inqanawa ebhlokiweyo kwaye kubuyisele ukuhamba kwegazi entliziyweni yakho.

I-stent inokufakwa kwakhona kwindawo evaliweyo. I-stent ifakwe ngexesha elifanayo ne-balatheon catheter. Iyanda xa ibhaluni iqhushumbisiwe. I-stent ishiywe endaweni yokunceda ukugcina umthambo uvulekile. Ibhaluni kunye nazo zonke iingcingo ziyasuswa.

Iimpawu zomthambo womda ovaliweyo ziintlungu, ukuba buhlungu, okanye ubunzima emlenzeni wakho oqala okanye oba mandundu xa uhamba.

Usenokungayifuni le nkqubo ukuba usenokwenza uninzi lwemisebenzi yakho yemihla ngemihla. Umboneleli wakho wezempilo unokuzama amayeza kunye nolunye unyango kuqala.

Izizathu zolu tyando zezi:

• Unempawu ezikugcina ekwenzeni imisebenzi yemihla ngemihla. Iimpawu zakho azibi ngcono ngolunye unyango.
• Unezilonda kulusu okanye amanxeba emlenzeni angapholi.
• Unosulelo okanye isilonda esibuhlungu emlenzeni.
• Unentlungu emlenzeni wakho ebangelwa yimithambo emxinwa, nokuba uphumla.

Ngaphambi kokuba ube ne-angioplasty, uya kuba novavanyo olukhethekileyo ukubona ubungakanani bokuvaleka kwimithambo yakho yegazi.

Umngcipheko we-angioplasty kunye nokubekwa kwesitent zezi:

• Ukusabela okungafunekiyo kwichiza elisetyenziswe kwi-stent ekhupha iyeza emzimbeni wakho
• Ukusabela okungahambelaniyo kwidayi ye-x-ray
• Ukopha okanye ukujiya kwendawo apho kwakufakwa khona i-catheter
• Igazi elijiyileyo emilenzeni okanye emiphungeni
• Ukonakala kwisitya segazi
• Ukonakaliswa kwimbilini, enokubangela iintlungu okanye ukuphazamiseka emlenzeni
• Umonakalo kwimithambo yegreyini, enokufuna utyando olukhawulezileyo
• Ukuhlaselwa yintliziyo
• Usulelo kwi-cut cut
• Ukusilela kwezintso (umngcipheko ophezulu kubantu abasele beneengxaki zezintso)
• Ukufakwa gwenxa kwesitent
• Ukubetha (oku kunqabile)
• Ukusilela ukuvula umthambo ochaphazelekayo
• Ukuphulukana nelungu lomzimba

Ngexesha leeveki ezi-2 ngaphambi kotyando:

• Xelela umboneleli wakho ukuba ngawaphi amayeza owathathayo, nditsho neziyobisi, izongezo, okanye amayeza owathengileyo ngaphandle kommiselo.
• Xelela umboneleli wakho ukuba ngaba uxabana nokutya kwaselwandle, ukuba uye wasabela gwenxa xa uthelekisa izinto (idayi) okanye iodine kwixa elidlulileyo, okanye ukuba ukhulelwe okanye ukhulelwe.
• Xelela umboneleli wakho ukuba uthatha i-sildenafil (Viagra), vardenafil (Levitra), okanye tadalafil (Cialis).
• Xelela umboneleli wakho ukuba ubusele utywala kakhulu (ngaphezulu kwe-1 okanye i-2 yeziselo ngosuku).
• Kuya kufuneka uyeke ukuthatha iziyobisi ezenza ukuba kube nzima kwigazi lakho ukubambeka kwiiveki ezi-2 ngaphambi kotyando. Oku kubandakanya iasprini, ibuprofen (Advil, Motrin), clopidogrel (Plavix), Naprosyn (Aleve, Naproxen), kunye namanye amayeza afana nala.
• Buza ukuba ngawaphi amayeza ekufuneka uwathathe ngosuku lotyando lwakho.
• Ukuba uyatshaya, kufuneka uyeke. Cela uncedo kumboneleli wakho.
• Soloko umboneleli wakho ekwazi malunga nokubanda, umkhuhlane, umkhuhlane, ukuphuma kwe-herpes, okanye esinye isigulo onokuba naso ngaphambi kotyando.

Ungaseli nantoni na emva kobusuku phakathi kobusuku ngaphambi kotyando lwakho, kubandakanya amanzi.

Ngomhla wotyando lwakho:

• Thatha amayeza akho umboneleli wakho akuxelele ukuba uwathabathe ngesiphuzo esincinci samanzi.
• Uzakuxelelwa ukuba ufike nini esibhedlele.

Abantu abaninzi bayakwazi ukugoduka esibhedlele ngeentsuku ezimbini okanye ngaphantsi. Abanye abantu kusenokungabi yimfuneko ukuba balale apho. Kuya kufuneka uhambe ujikeleze iiyure ezi-6 ukuya kwezi-8 emva kwenkqubo.

Umboneleli wakho uya kuchaza ukuba ungazikhathalela njani.

I-Angioplasty iphucula ukuhamba kwegazi kwimithambo kubantu abaninzi. Iziphumo ziya kwahluka, kuxhomekeka ekubeni iblokhi yakho yayiphi na, ubungakanani besitya sakho segazi, kunye nokuba kuninzi kangakanani ukuvaleka kweminye imithambo.

Kusenokungafuneki ukuba ugqirha avulekileyo xa une-angioplasty. Ukuba le nkqubo ayincedi, ugqirha wakho wotyando kusenokufuneka enze utyando oluvulekileyo, okanye anyanzeliswe.

I-angiooplasty ye-Percutaneous transluminal - umthambo wendlela; I-PTA - umthambo wecala; I-angioplasty - imithambo yangaphakathi; Umthambo weIliac - angioplasty; Umthambo wabasetyhini - i-angioplasty; Umthambo Popliteal - angioplasty; Umthambo Tibial - angioplasty; Umthambo peroneal - angioplasty; Isifo peripheral semithambo - angioplasty; PVD - angioplasty; I-PAD - i-angioplasty

• I-angioplasty kunye nokubekwa ngokuqinileyo-imithambo yendlela-yokukhutshwa
• 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

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.

Umbutho woNyango lweeVascular Surgery Guidelines Iqela lokuBhala; IConte MS, iPomposelli FB, et al. Umbutho wezikhokelo zoqhaqho lwe-Vascular zoqhaqho lwesifo se-atherosclerotic sesifo seziphelo ezisezantsi: ulawulo lwezifo ezingenasifo kunye nokuchaphazeleka. J uVask. 2015; 61 (3 iSuppl): 2S-41S. IINKCUKACHA: 25638515 www.ncbi.nlm.nih.gov/pubmed/25638515.

Amalungu eKomiti yokuBhala, uGerhard-Herman MD, uGornik HL, et al. Isikhokelo se-AHA / ACC se-2016 kulawulo lwezigulana ezinesifo semithambo esezantsi kwesiphelo: isishwankathelo sesigqeba. IVasc Med. Ngo-2017; 22 (3): NP1-NP43. IINKCUKACHA: 28494710 www.ncbi.nlm.nih.gov/pubmed/28494710.