I-angioplasty kunye nokubekwa kwesitent-intliziyo

I-Angioplasty yinkqubo yokuvula imithambo yegazi emxinwa okanye evaliweyo ehambisa igazi entliziyweni. Le mijelo yegazi ibizwa ngokuba yimithambo yegazi.

Umthambo we-coronary stent yityhubhu encinci, yentsimbi eyanda ngaphakathi kumthambo wecoronary. I-stent ihlala ibekwa ngexesha okanye kwangoko emva kwe-angioplasty. Inceda ukuthintela umthambo ekuvaleni kwakhona. I-stent yokunyusa iziyobisi ineyeza elifakwe kuyo elinceda ukuthintela umthambo ekuvaleni ixesha elide.

Phambi kokuba inkqubo ye-angioplasty iqale, uya kufumana iyeza leentlungu. Unokunikwa iyeza elikupholisayo, kunye namayeza okucoca igazi ukukhusela i-clot yegazi ukuba ingenzeki.

Uya kulala etafileni enephedi. Ugqirha wakho uya kufaka ityhubhu eguqukayo (i-catheter) kwimithambo. Ngamanye amaxesha i-catheter iya kubekwa engalweni yakho okanye esihlahleni, okanye kwindawo yakho yomlenze ongaphezulu. Uya kuba uvukile ngexesha lenkqubo.

Ugqirha uya kusebenzisa imifanekiso ye-x-ray ephilayo ukukhokela ngononophelo i-catheter ukuya entliziyweni nakwimithambo. Umahluko kulwelo (ngamanye amaxesha ubizwa ngokuba "yidayi," uyakufakwa emzimbeni wakho ukuqaqambisa ukuhamba kwegazi kwimithambo. Oku kunceda ugqirha abone naziphi na izithintelo kwimithambo yegazi ekhokelela entliziyweni yakho.

Ucingo lwesikhokelo luhanjiselwa ngaphakathi nangaphaya kokuvalwa. I-catheter yebhaluni ityhilwe ngaphezulu kocingo lwesikhokelo kunye nokuvalela. Ibhaluni ekugqibeleni iyaqhushumba (inyuselwe umoya). Oku kuvula inqanawa ebhlokiweyo kwaye kubuyisele ukuhamba kwegazi okufanelekileyo entliziyweni.

Umbhobho wocingo (i-stent) unokufakwa kule ndawo ivaliweyo. I-stent ifakwe kunye nebhaluni ye-catheter. Iyanda xa ibhaluni inyuselwe. I-stent ishiywe apho ukunceda ukugcina umthambo uvulekile.

I-stent ihlala igqunywe sisiyobisi (esibizwa ngokuba sisiyobisi esinciphisa). Olu hlobo lwe-stent lunokwehlisa ithuba lokuvalwa komthambo kwixesha elizayo.

Iirriji zinokucuthwa okanye zivinjwe ziidipozithi ezibizwa ngokuba yi-plaque. Ilitye elenziwe ngamanqatha kunye necholesterol eyakha ngaphakathi kwiindonga zomthambo. Le meko ibizwa ngokuba lukhuni kwemithambo (atherosclerosis).

I-Angioplasty ingasetyenziselwa ukunyanga:

• Ukuvaleka kwimithambo yegazi ngexesha okanye emva kokuhlaselwa sisifo sentliziyo
• Ukuvaleka okanye ukunciphisa enye okanye engaphezulu imithambo yegazi enokubangela ukungasebenzi kakuhle kwentliziyo (ukusilela kwentliziyo)
• Ukuxinana okunciphisa ukuhamba kwegazi kwaye kubangele iintlungu zesifuba ezingapheliyo (angina) ezingalawulwayo ngamayeza

Ayizizo zonke izithintelo ezinokunyangwa nge-angioplasty. Abanye abantu abaneebhloko okanye izithintelo kwiindawo ezithile banokufuna utyando lwe-coronary bypass.

I-Angioplasty ngokubanzi ikhuselekile, kodwa buza ugqirha wakho malunga nobunzima obunokwenzeka. Umngcipheko we-angioplasty kunye nokubekwa kwesitent zezi:

• Ukusabela okungafunekiyo kwichiza elisetyenziswa kwistent-eluting stent, i-stent material (enqabile kakhulu), okanye idayi ye-x-ray
• Ukopha okanye ukujiya kwendawo apho kwakufakwa khona i-catheter
• Ihlwili legazi
• Ukuxinana ngaphakathi kwe-stent (in-stent restenosis). Oku kungasongela ubomi.
• Ukonakala kwivelufa yentliziyo okanye umthambo wegazi
• Ukuhlaselwa yintliziyo
• Ukusilela kwezintso (umngcipheko ophezulu kubantu abasele beneengxaki zezintso)
• Ukubetha kwentliziyo ngokungaqhelekanga (arrhythmias)
• Ukubetha (oku kunqabile)

I-Angioplasty ihlala yenziwa xa usiya esibhedlele okanye kwigumbi likaxakeka kwiintlungu zesifuba, okanye emva kokuhlaselwa sisifo sentliziyo. Ukuba ungeniswe esibhedlele nge-angioplasty:

• Xelela umboneleli wakho wezempilo ukuba zeziphi iziyobisi ozithathayo, nokuba ziziyobisi okanye ngamayeza owathengileyo ngaphandle kommiselo.
• Uya kuhlala ucelwa ukuba ungaseli okanye utye nantoni na iiyure ezingama-6 ukuya kwezi-8 ngaphambi kovavanyo.
• Thatha amayeza umboneleli wakho akuxelele ukuba uthathe ngesiphuzo esincinci samanzi.
• Tshela umboneleli wakho ukuba ngaba uxabana nokutya kwaselwandle, uye wasabela gwenxa xa uthelekisa izinto okanye iodine ngaphambili, uthatha iViagra, okanye ukhulelwe.

Ukuhlala esibhedlele okuphakathi ziintsuku ezimbini okanye ngaphantsi. Abanye abantu banokungalali esibhedlele.

Ngokubanzi, abantu abane-angioplasty bayakwazi ukuhamba-hamba ngaphakathi kweeyure ezimbalwa emva kwenkqubo kuxhomekeke kwindlela inkqubo eya ngayo kwaye ibekwe phi i-catheter. Ukubuyiselwa ngokupheleleyo kuthatha iveki okanye ngaphantsi. Uya kunikwa ulwazi malunga nendlela yokuzikhathalela emva kwe-angioplasty.

Kubantu abaninzi, i-angioplasty iphucula kakhulu ukuhamba kwegazi kwimithambo yegazi kunye nentliziyo. Inokukunceda uphephe isidingo sotyando sokudlula kwemithambo yegazi (CABG).

I-Angioplasty ayinyangi unobangela wokuvaleka kwimithambo yakho. Imithambo yakho isenokuphinda ibe mxinwa kwakhona.

Landela ukutya okunesondlo sentliziyo, umthambo, yeka ukutshaya (ukuba uyatshaya), kwaye unciphise uxinzelelo ukunciphisa amathuba akho okuba ube nomnye umthambo ovalelweyo. Ukuthatha la manyathelo kunokunceda ukunciphisa amathuba akho okuba neengxaki kwi-atherosclerosis.

I-PCI; Ungenelelo lwe-coronary yamandla; I-balloon angioplasty; I-Coronary angioplasty; Umthambo weCoronary angioplasty; Iimpawu eziguquguqukayo ze-coronary angioplasty; Ukunyuka kwemithambo yentliziyo; Ukubekwa kwe-angina-stent; Isifo se-coronary syndrome - ukubekwa kwe-stent; Imithambo yegazi yeCoronary -ukubekwa kwesiten; Ukufakwa kwe-CAD-stent; Ukubekwa kwesifo sentliziyo kwiCoronary -ukubeka ubushushu; Ukubekwa kwe-ACS-stent; Ukuhlaselwa yintliziyo-ukubekwa kwindawo ebukhali; I-myocardial infarction-ukubekwa kwesitayile; Ukubekwa kwe-MI-stent; Ukuhlaziywa kwakhona kweCoronary -ukubekwa kwesitent

• Umthambo weCoronary stent

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