Umda weArtery Angioplasty kunye nokuBekwa kweStent

Umxholo

• Kutheni le nto iAngioplasty yePeripheral kunye nokuBekwa kweStent kwenziwa
• Umngcipheko weNkqubo
• Ungayilungiselela Njani Inkqubo
• Inkqubo yenziwa njani
• Ukwenza uLuhlu
• Ukufumana ukuValwa
• Ukubeka iStent
• Ukuvala i-Incision
• Emva kwenkqubo
• Imbonakalo noThintelo

Yintoni iAngoploplasty kunye nokuBekwa kweStent?

I-Angioplasty ene-stent placement yinkqubo encinci yokuhlasela esetyenziselwa ukuvula imithambo emxinwa okanye evaliweyo. Le nkqubo isetyenziswa kwiindawo ezahlukeneyo zomzimba wakho, kuxhomekeke kwindawo ekuyo umthambo ochaphazelekayo. Ifuna ukusikwa okuncinci kuphela.

I-Angioplasty yinkqubo yezonyango apho ugqirha wakho osebenzisa ugqirha usebenzisa ibhaluni encinci ukwandisa umthambo. I-stent yityhubhu encinci enemingxunya efakwe kwimithambo yakho kwaye ishiye apho ukuyikhusela ekuvaleni. Ugqirha wakho unokucebisa ukuthatha i-aspirin okanye i-antiplatelet drug, njenge-clopidogrel (i-Plavix), ukunqanda ukubambeka kwi-stent, okanye banokuyalela amayeza ukunceda ukunciphisa i-cholesterol yakho.

Kutheni le nto iAngioplasty yePeripheral kunye nokuBekwa kweStent kwenziwa

Xa amanqanaba akho e-cholesterol ephezulu, into enamafutha eyaziwa njenge-plaque inokuncamathela kwiindonga zemithambo yakho. Oku kubizwa ngokuba yi-atherosclerosis. Njengoko uqweqwe luqokelelana ngaphakathi kwimithambo yakho, imithambo yakho iyacutheka. Oku kunciphisa indawo ekhoyo yokuhamba kwegazi.

Iplaque inokuqokelela naphina emzimbeni wakho, kubandakanya imithambo engalweni nasemilenzeni. Ezi mithambo kunye neminye imithambo ekude nentliziyo yakho yaziwa njengee-aripheral arteries.

I-Angioplasty kunye nokubekwa kwesitent kukhetho kunyango lwe-peripheral artery disease (PAD). Le meko iqhelekileyo ibandakanya ukuhla kwemithambo emilenzeni yakho.

Iimpawu ze-PAD zibandakanya:

• imvakalelo ebandayo emilenzeni yakho
• utshintsho lombala emilenzeni yakho
• Ukuba ndindisholo emilenzeni
• ukuxina kwimilenze yakho emva komsebenzi
• ukungasebenzi kakuhle kwamadoda
• intlungu ekhululwayo ngokuhamba
• ubuhlungu kwiinzwane zakho

Ukuba amayeza kunye nolunye unyango alunakunceda i-PAD yakho, ugqirha wakho unokukhetha i-angioplasty kunye nokubekwa kwesitent. Isetyenziswe njengenkqubo yongxamiseko ukuba unesifo sentliziyo okanye ukubetha.

Umngcipheko weNkqubo

Nayiphi na inkqubo yotyando ineengozi. Umngcipheko onxulumene ne-angioplasty kunye ne-stents kubandakanya:

• negazi lakho okanye idayi
• iingxaki zokuphefumla
• ukopha
• amahlwili egazi
• usulelo
• umonakalo kwizintso
• ukuphinda unciphise umthambo wakho, okanye restenosis
• ukuqhekeka komthambo wakho

Umngcipheko ohambelana ne-angioplasty mncinci, kodwa unokuba mandundu. Ugqirha wakho uya kukunceda uvavanye izibonelelo kunye nobungozi benkqubo. Kwezinye iimeko, ugqirha wakho unokumisela amayeza okulwa i-anticlotting, njenge-aspirin, ukuya kuthi ga kunyaka emva kwenkqubo yakho.

Ungayilungiselela Njani Inkqubo

Kukho iindlela ezininzi oya kuzifuna ukulungiselela inkqubo yakho. Kuya kufuneka wenze oku kulandelayo:

• Yazisa ugqirha wakho malunga naziphi na izinto ezibangela ukwaliwa.
• Xelela ugqirha wakho ukuba zeziphi iziyobisi, amayeza esintu, okanye izongezo ozithathayo.
• Xelela ugqirha wakho nangasiphi na isigulo onaso, njengomkhuhlane oqhelekileyo okanye umkhuhlane, okanye ezinye iimeko esele zikho, ezinjengesifo seswekile okanye isifo sezintso.
• Musa ukutya okanye usele nantoni na, kuquka namanzi, kubusuku obungaphambi kotyando.
• Thatha nawaphi na amayeza amiselweyo ngugqirha wakho.

Inkqubo yenziwa njani

I-Angioplasty ene-stent yokubekwa ihlala ithatha iyure enye. Nangona kunjalo, inkqubo inokuthatha ixesha elide ukuba isenti kufuneka ibekwe ngaphezulu komthambo omnye. Uya kunikwa i-anesthetic yendawo ukunceda ukhulule umzimba wakho kunye nengqondo. Uninzi lwabantu luvukile ngexesha lale nkqubo, kodwa abeva ntlungu. Kukho amanyathelo aliqela kule nkqubo:

Ukwenza uLuhlu

I-Angioplasty ene-stent placement yinkqubo encinci engenayo eyenziwa ngokusikwa okuncinci, ngesiqhelo kwi-groin yakho okanye esinqeni. Injongo kukwenza incision eya kuthi inike ugqirha wakho ukufikelela kwimithambo evaliweyo okanye emxinwa ebangela imiba yezempilo yakho.

Ukufumana ukuValwa

Ngaloo nto, ugqirha wakho uya kufaka ityhubhu encinci, eguqukayo eyaziwa njenge-catheter. Baya kuthi emva koko bakhokele i-catheter ngokusebenzisa imithambo yakho ukuya kuthintelo. Ngeli xesha, ugqirha wakho uza kujonga imithambo yakho esebenzisa iX-reyi ekhethekileyo ebizwa ngokuba yifluoroscopy. Ugqirha wakho unokusebenzisa idayi ukufumanisa nokufumana ukuvaleka kwakho.

Ukubeka iStent

Ugqirha wakho uya kugqitha ucingo oluncinci kwi-catheter. I-catheter yesibini encanyathiselwe kwibhaluni encinci iya kulandela ucingo lwesikhokelo. Nje ukuba ibhaluni ifike kwimithambo yakho evaliweyo, iya kufakwa. Oku kunyanzela ukuba umthambo wakho uvule kwaye uvumele ukuhamba kwegazi kubuye.

I-stent iya kufakwa ngexesha elifanayo nebhaluni, kwaye iyanda ngebhaluni. Emva kokuba i-stent ikhuselekile, ugqirha wakho uya kususa i-catheter kwaye aqinisekise ukuba i-stent ikhona.

Amanye ama-stents, abizwa ngokuba zii-stents-eluting stents, agutyungelwe kunyango olukhupha kancinci kumthambo wakho. Oku kugcina umthambo wakho ubusulungekile kwaye uvulekile, kwaye kuyanceda ukuthintela ukubhloka kwixesha elizayo.

Ukuvala i-Incision

Ukulandela ukubekwa kwe-stent, i-incision yakho iya kuvalwa kwaye inxibe, kwaye uya kubuyiselwa kwigumbi lokubuyisela ukuze ujonge. Umongikazi uya kubeka esweni uxinzelelo lwegazi kunye nokubetha kwentliziyo yakho. Ukuhamba kwakho kuya kuncitshiswa ngeli xesha.

Uninzi lwee-angioplasties ezinendawo ebekiweyo zifuna utyelelo ngobusuku bonke ukuqinisekisa ukuba akukho zingxaki, kodwa abanye abantu bavunyelwe ukuba bagoduke kwangolo suku lunye.

Emva kwenkqubo

Indawo yakho yokusikwa iya kuba buhlungu kwaye mhlawumbi ityumke iintsuku ezimbalwa emva kwenkqubo, kwaye intshukumo yakho iya kuncitshiswa. Nangona kunjalo, ukuhamba okufutshane kwimigangatho ethe tyaba kuyamkeleka kwaye kuyakhuthazwa. Kuphephe ukunyuka usihla kwizinyuko okanye uhambe imigama emide kwiintsuku ezimbini ukuya kwezintathu zokuqala emva kwenkqubo yakho.

Kuya kufuneka uphephe imisebenzi efana nokuqhuba, ukusebenza eyadini, okanye imidlalo. Ugqirha wakho uya kukwazisa xa ungabuyela kwimisebenzi yakho yesiqhelo. Ngalo lonke ixesha landela nayiphi na imiyalelo ugqirha okanye ugqirha wotyando akunika yona emva kotyando lwakho.

Ukuchacha ngokupheleleyo kule nkqubo kungathatha iiveki ezisibhozo.

Ngelixa inxeba lakho lokusikwa liphola, uya kucetyiswa ukuba ugcine indawo icocekile ukuthintela usulelo olunokwenzeka kunye nokutshintsha ukunxiba rhoqo. Nxibelelana nogqirha wakho ngokukhawuleza xa ubona ezi mpawu zilandelayo kwindawo yakho yokusika:

• ukudumba
• bomvu
• ukukhupha
• iintlungu ezingaqhelekanga
• ukopha okungenakunqandwa ngebhandeji elincinci

Kuya kufuneka unxibelelane nogqirha wakho kwangoko xa uqaphela:

• ukudumba emilenzeni yakho
• Intlungu yesifuba engasuki
• ukuphefumla okufutshane okungahambiyo
• Ukugodola
• umkhuhlane ongaphezu kwe-101 ° F
• isiyezi
• isiqaqa
• ubuthathaka obukhulu

Imbonakalo noThintelo

Ngelixa i-angioplasty ene-stent placement idilesi yokuvaleka komntu, ayilungisi oyena nobangela wokuvaleka. Ukuthintela ukuvaleka okungaphezulu kunye nokunciphisa umngcipheko kwezinye iimeko zonyango, kuya kufuneka wenze utshintsho oluthile kwindlela yokuphila, enje:

• ukutya ukutya okusempilweni ngokuthintela ukutya kwakho amafutha, isodiyam kunye nokutya okugqityiweyo
• ukuzilolonga rhoqo
• ukuyeka ukutshaya ukuba uyatshaya kuba yonyusa umngcipheko we-PAD
• ukulawula uxinzelelo
• ukuthatha amayeza okunciphisa i-cholesterol ukuba amiselwe ngugqirha wakho

Ugqirha wakho unokucebisa ukuba kusetyenziswe ixesha elide iziyobisi ezichaseneyo, njengeasprini, emva kwenkqubo yakho. Sukuyeka ukuthatha la mayeza ungakhange uthethe nogqirha wakho kuqala.