Umda we-peripheral artery-umlenze

Ukudlula kwimithambo yegazi ngotyando lokuhambisa kwakhona igazi elijikeleze umthambo ovaliweyo komnye wemilenze yakho. Iidipozithi ezinamafutha zinokwakha ngaphakathi kwimithambo kwaye zivale.

Udrafti lusetyenziselwa ukubuyisela okanye ukugqitha kwinxalenye evaliweyo yomthambo. Ukufakelwa kunokuba yiphubhu yeplastiki, okanye isenokuba ngumthambo wegazi (umthambo) othathwe emzimbeni wakho (ubukhulu becala umlenze ochaseneyo) ngexesha lotyando olunye.

Utyando lwe-peripheral lokugqithisa kungenziwa kwenye okanye engaphezulu kwezi zinto zilandelayo:

• I-aorta (umthambo ophambili ovela entliziyweni yakho)
• Umthambo esinqeni sakho
• Umthambo ethangeni lakho
• Umthambo emva kwedolo lakho
• Umthambo kumlenze wakho osezantsi
• Umthambo ekhwapheni lakho

Ngexesha lotyando lokudlula nawuphi na umthambo:

• Uyakufumana iyeza (iintlungu) ukuze ungaziva zintlungu. Uhlobo lwe-anesthesia olifumanayo luya kuxhomekeka ekubeni uphathwa njani umthambo.
• Ugqirha wakho uza kusika kwinxalenye yomthambo ovalelweyo.
• Emva kokuhambisa ulusu kunye nezicubu ngaphandle kwendlela, ugqirha uya kubeka iiclamps kwisiphelo ngasinye secandelo elivaliweyo lomthambo. Ubume bomhlaba buye bathungwa endaweni.
• Ugqirha uya kuqinisekisa ukuba unegazi eliphumayo kumda wakho. Ke ukusika kwakho kuya kuvalwa. Unokuba ne-x-ray ebizwa ngokuba yi-arteriogram ukuqinisekisa ukuba i-graft iyasebenza.

Ukuba wenza utyando olugqithisileyo ukunyanga i-aorta yakho kunye nomthambo we-iliac okanye i-aorta yakho kunye nomthambo wobufazi (aortobifemoral):

• Uya kuba ne-anesthesia ngokubanzi. Oku kuyakwenza ukuba ungazi nto kwaye ungaziva zintlungu. Okanye, unokuba ne-epidural okanye i-spinal anesthesia endaweni yoko. Ugqirha uzokujova umqolo wakho ngeyeza ukukwenza ube ndindisholo ukusuka esinqeni ukuhla.
• Ugqirha wakho uza kwenza utyando phakathi kwesisu ukufikelela kwi-aorta nakwimithambo ye-iliac.

Ukuba wenza utyando lokuphatha umlenze wakho osezantsi (i-femal popliteal):

• Unokuba ne-anesthesia jikelele. Uya kuba ungazi nto kwaye ungaziva zintlungu. Endaweni yoko unokufumana i-epidural okanye i-anesthesia yomqolo. Ugqirha uzokujova umqolo wakho ngeyeza ukukwenza ube ndindisholo ukusuka esinqeni ukuhla. Abanye abantu bane-anesthesia yendawo kunye neyeza lokubazolisa. I-anesthesia yendawo iyangcungcutheka nje indawo ekusetyenzwa kuyo.
• Ugqirha wakho uya kusika emlenzeni wakho phakathi kwe-groin yakho kunye nedolo. Iya kuba kufutshane nokucinywa komthambo wakho.

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

Kusenokungafuneki ukuba udlule ngotyando ukuba ezi ngxaki zenzeka kuphela xa uhamba kwaye emva koko uyahamba xa uphumla. Awunakudinga olu tyando ukuba usenokwenza uninzi lwemisebenzi yakho yemihla ngemihla. Ugqirha wakho unokuzama amayeza kunye nolunye unyango kuqala.

Izizathu zokuba kwenziwe utyando ngokudlula emlenzeni zezi:

• Unempawu ezikugcina ekwenzeni imisebenzi yakho yemihla ngemihla.
• Iimpawu zakho azibi ngcono ngolunye unyango.
• Unezilonda zolusu (izilonda) okanye amanxeba emlenzeni ongapholiyo.
• Unesifo okanye isifo esibuhlungu emlenzeni wakho.
• Unentlungu emlenzeni wakho kwimithambo yakho emxinwa, nokuba uphumle okanye ebusuku.

Phambi kotyando, ugqirha wakho uya kwenza iimvavanyo ezizodwa ukuze abone ubungakanani bokuthintela.

Umngcipheko wayo nayiphi na i-anesthesia kunye notyando zezi:

• Ukunyanga kwamayeza kunyango
• Iingxaki zokuphefumla
• Amahlwili egazi emilenzeni anokuhamba aye emiphungeni
• Iingxaki zokuphefumla
• Ukuhlaselwa yintliziyo okanye ukubetha

Iingozi zolu tyando zezi:

• I-Bypass ayisebenzi
• Ukonakala kwimbilini ebangela iintlungu okanye ukuphazamiseka emlenzeni wakho
• Ukonakaliswa kwamalungu akufuphi emzimbeni
• Umonakalo kwisisu ngexesha lotyando lwe-aortic
• Ukopha kakhulu
• Usulelo kwi-cut cut
• Ukwenzakala kwimithambo-luvo ekufuphi
• Iingxaki zesondo ezibangelwe kukonakala kwe-nerve ngexesha lotyando lwe-aortofemoral okanye lwe-aortoiliac
• Ukucanda utyando oluvula phezulu
• Isidingo sotyando lwesibini lokudlula okanye ukunqunyulwa umlenze
• Ukuhlaselwa yintliziyo
• Ukufa

Uya kuba novavanyo lomzimba kunye novavanyo oluninzi lonyango.

• Uninzi lwabantu kufuneka bavavanywe iintliziyo kunye nemiphunga ngaphambi kokuba badlule kwimithambo yendlela.
• Ukuba unesifo seswekile, kuya kufuneka ubone umboneleli wakho wezempilo ukuze asihlole.

Soloko uxelela umboneleli wakho ukuba ngawaphi amayeza owathathayo, nditsho neziyobisi, izongezo, okanye amayeza owathengileyo ngaphandle kommiselo.

Ngexesha leeveki ezi-2 ngaphambi kotyando lwakho:

• Unokucelwa ukuba uyeke ukuthatha iziyobisi ezenza kube nzima kwigazi lakho ukuba lijiye. Oku kubandakanya i-aspirin, ibuprofen (Advil, Motrin), clopidogrel (Plavix), naprosyn (Aleve, Naproxen), kunye nezinye iziyobisi ezifanayo.
• Buza umboneleli wakho ukuba zeziphi iziyobisi omele uzithathe 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 umboneleli wakho akuxelele ukuba uwathabathe ngesiphuzo esincinci samanzi.
• Umboneleli wakho uya kukuxelela ukuba ufike nini esibhedlele.

Kanye emva kotyando, uya kwigumbi lokuchacha, apho abongikazi baya kukujonga ngokusondeleyo. Emva koko uya kuya kwigumbi labagula kakhulu (ICU) okanye kwigumbi lesibhedlele eliqhelekileyo.

• Kuya kufuneka uchithe iintsuku ezi-1 okanye ezi-2 ulele xa utyando lubandakanya umthambo omkhulu esiswini sakho obizwa ngokuba yi-aorta.
• Uninzi lwabantu luhlala esibhedlele kangangeentsuku ezi-4 ukuya kwezi-7.
• Emva kokudlula kwinqanaba lobufazi, uya kuchitha ixesha elincinci okanye ungabikho xesha kwi-ICU.

Xa umboneleli wakho esithi Kulungile, uya kuvunyelwa ukuba uphume ebhedini. Uya konyusa kancinci ukuba ungahamba kangakanani. Xa uhleli esihlalweni, gcina imilenze yakho iphakanyisiwe kwisitulo okanye kwesinye isitulo.

Ukubetha kwentliziyo yakho kuya kujongwa rhoqo emva kotyando lwakho. Ukomelela kokubetha kwakho kuya kubonisa ukuba isebenza njani ngokudlula ngokulula i-grafti yakho. Ngelixa usesibhedlele, xelela umboneleli wakho ngoko nangoko ukuba umlenze otyandiweyo uziva upholile, ujongeka uphaphathekile okanye upinki, uziva ngathi undindisholo, okanye ukuba unayo nayiphi na imiqondiso emitsha.

Uya kufumana amayeza eentlungu ukuba uyawafuna.

Utyando lwe-Bypass luphucula ukuhamba kwegazi kwimithambo yabantu abaninzi. Usenokungabi nazimpawu, naxa uhamba. Ukuba usenempawu, kuya kufuneka ukwazi ukuhamba kude kakhulu ngaphambi kokuba ziqale.

Ukuba uneebhlokhi kwimithambo emininzi, iimpawu zakho zisenokungaphucuki kangako. Ukuxela kubhetele ukuba ezinye iimeko zonyango ezinje ngesifo seswekile zilawulwa kakuhle. Ukuba uyatshaya, kubaluleke kakhulu ukuyeka.

Ukudlula kwi-aortobifemoral; I-femoropopliteal; Abafazi ababhinqileyo; Ukudlula kwi-aorta-bifemoral; Ukudlula kwi-Axillo-bifemoral; Ukudlula kwi-Ilio-bifemoral; Ukudlula kwabasetyhini-kubufazi; Ukudlula emlenzeni kude

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• 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.