Angioplasty uye stent - moyo - kubuda
Angioplasty inzira yekuvhura yakatetepa kana yakavharika tsinga dzeropa dzinopa ropa kumoyo. Iyi tsinga dzeropa dzinodaidzwa kuti tsinga dzekonona. A coronary arteri stent idiki, simbi mesh chubhu inowedzera mukati mecoronary artery.
Iwe wanga uine angioplasty iwe pawanga uri muchipatara. Iwe unogona kunge wakaiswawo stent yakaiswa. Zvese izvi zvakaitirwa kuvhura yakatetepa kana yakavharika tsinga dzekoronari, tsinga dzeropa dzinopa ropa kumoyo wako. Iwe unogona kunge wakarwara nemoyo kana angina (kurwadziwa pachipfuva) usati waitwa.
Iwe unogona kunge uine marwadzo munzvimbo yako yekugomera, ruoko, kana ruoko. Izvi zvinobva kune catheter (inoshanduka chubhu) iyo yakaiswa kuti iite maitiro. Iwe unogona zvakare kuve nekupwanya kwakatenderedza uye pazasi peiyo incision.
Iko kurwadziwa kwepfupa uye kupfupika kwemweya wekufema waungangodaro wakave nawo usati maitiro acho ave nani zvakanyanya izvozvi.
Kazhinji, vanhu vane angioplasty vanogona kufamba-famba mukati memaawa matanhatu mushure mekuita. Iwe unogona kukwanisa kusimuka uye kufamba pakutanga kana maitiro acho akaitwa kuburikidza neruoko. Kunyatsogadzirisa kunotora vhiki kana pasi. Chengetedza nzvimbo iyo iyo catheter yakaiswa yakaoma kwemaawa makumi maviri nemana kusvika makumi mana.
Kana chiremba akaisa catheter mukati kuburikidza nekugomera kwako:
- Kufamba madaro mafupi pane yakati sandara pane zvakanaka. Ganhurira kukwira nekudzika masitepisi kusvika kunokwana kaviri pazuva pazuva kwekutanga mazuva maviri kusvika matatu.
- Usaite yadhi yebasa, kutyaira, squat, kutakura zvinhu zvinorema, kana kutamba mitambo kweanenge mazuva maviri, kana kusvika mupi wako wezvehutano akakuudza kuti zvakachengeteka.
Kana chiremba akaisa catheter muruoko rwako kana ruoko:
- Usasimudze chero chinhu chinorema kudarika mapaundi gumi (4.5 kilograms) (zvishoma kudarika galoni remukaka) neruoko rwaive nekateti.
- Usaite chero rinorema kusunda, kudhonza kana kumonyorora neruoko irworwo.
Kune catheter mune yako groin, ruoko, kana ruoko:
- Dzivisa kuita zvepabonde kwemazuva maviri kusvika mashanu. Kumbira mupiki wako pazvinenge zvakanaka kuti utange futi.
- Usageze kana kushambira kwevhiki yekutanga. Unogona kutora mashawa, asi ita shuwa kuti nzvimbo yakaiswa catheter haina kunyorova kwemaawa 24 kusvika 48 ekutanga.
- Iwe unofanirwa kukwanisa kudzokera kubasa mumazuva maviri kusvika matatu kana usingaite basa rinorema.
Iwe unozofanirwa kutarisira yako incision.
- Wako mupi anokuudza iwe kangani kuti uchinje kupfeka kwako.
- Kana yako incision ichibuda ropa kana kuzvimba, rara pasi woisa kumanikidza pairi kwemaminitsi makumi matatu.
Angioplasty hairape chikonzero chekuvharika mutsinga dzako. Tsinga dzako dzinogona kutetepa zvakare. Idya kudya kunovaka-moyo, kurovedza muviri, rega kuputa (kana uchisvuta), uye kudzikisira kushushikana kuti ubatsire kudzikisa mikana yako yekuve neyeri yakavharika zvakare. Mupi wako anogona kukupa mushonga kuti ubatsire kudzikisa cholesterol yako.
Vanhu vazhinji vanotora asipurini pamwe chete nemumwe mushonga weantiplatelet senge clopidogrel (Plavix), prasugrel (Efient), kana ticagrelor (Brilinta) mushure meiyi nzira. Mishonga iyi inoonda ropa. Ivo vanochengetedza ropa rako kubva pakuumba kuumbana mune yako arter uye stent. Ropa rakavhara rinogona kutungamira pakurwara kwemoyo. Tora mishonga chaizvo sekutaurwa kwauri kuitwa nemupi wako. Usarega kuvatora usati wataura nemupi wako kutanga.
Iwe unofanirwa kuziva maitiro ekuchengeta yako angina kana ikadzoka.
Ita shuwa kuti iwe une yekutevera-musangano musangano wakatarwa nemoyo wako chiremba (cardiologist).
Chiremba wako anogona kukuendesa kuchirongwa chekuvandudza moyo. Izvi zvinokubatsira iwe kudzidza nzira yekuwedzera zvishoma nezvishoma kurovedza muviri. Iwe zvakare uchadzidza maitiro ekuchengeta yako angina uye kuzvitarisira iwe pachako mushure mekurwadziwa kwemoyo.
Fonera chiremba wako kana:
- Kune kubuda ropa pacatheter yekuisa saiti iyo isingamire kana iwe uchizadza kumanikidza.
- Kune kuzvimba panzvimbo yekateti.
- Gumbo rako kana ruoko pazasi pakaiswa catheter kunochinja ruvara, wotonhorera kubata, kana kuti chiveve.
- Iyo incision diki yecatheter yako inova yakatsvuka kana inorwadza, kana yero kana girini kubuda kuri kubuda kubva pairi.
- Iwe une kurwadziwa kwepachipfuva kana kufema kwekufema kusingaendi nekuzorora.
- Kupomba kwako kunonzwa kusinganzwisisike - kunonoka (kushoma kupfuura makumi matanhatu kurova), kana kukurumidza kwazvo (anopfuura zana kusvika zana nemakumi maviri emabhiti) miniti
- Une dzungu, kufenda, kana kuti wakaneta zvakanyanya.
- Uri kukosora ropa kana yero kana girini mamota.
- Une matambudziko ekutora chero emoyo wako mishonga.
- Iwe une kutonhora kana fivha inopfuura 101 ° F (38.3 ° C).
Drug-eluting stents - kuburitsa; PCI - kubuda; Percutaneous coronary kupindira - kubuda; Balloon angioplasty - kubuda; Coronary angioplasty - kubuda; Coronary arteri angioplasty - kubuda; Angioplasty yemoyo - kubuda; PTCA - kuburitsa; Percutaneous transluminal coronary angioplasty - kubuda; Mwoyo tsinga dilatation - buditsa; Angina angioplasty - kubuda; Kurwisa kwemoyo angioplasty - kubuda; CAD angioplasty - kubuda
- Coronary tsinga stent
Amsterdam EA, Wenger NK, Brindis RG, et al. 2014 AHA / ACC nhungamiro yevatungamiriri vevarwere vane isiri-ST-kukwirira kwakanyanya coronary syndromes: mushumo weAmerican College yeCardiology / American Heart Association Task Force pane maitiro enzira. J Ndiri Coll Cardiol. 2014; 64 (24): e139-e228. PMID: 25260718 pubmed.ncbi.nlm.nih.gov/25260718/.
Fihn SD, Blankenship JC, Alexander KP, Bittl JA, et al. 2014 ACC / AHA / AATS / PCNA / SCAI / STS yakanangana nekudzidziswa kweiyo gwara rekuongororwa uye manejimendi evarwere vane yakatsiga ischemic moyo chirwere: mushumo weAmerican College yeCardiology / American Heart Association Task Force pane Dzidzira Maitiro, uye iyo American Association for Thoracic Kuvhiya, Kudzivirira Cardiovascular Nurses Association, Sosaiti yeCardiovascular Angiography uye Kupindira, uye Sosaiti yeTracic Surgeons. J Thorac Cardiovasc Kuvhiya. 2015; 149 (3): e5-e23. PMID: 25827388 pubmed.ncbi.nlm.nih.gov/25827388/.
Mehran R, Dangas GD. Coronary angiography uye intravascular imaging. Mune: Zipes DP, Libby P, Bonow RO, Mann DL, Tomaselli GF, Braunwald E, eds. Chirwere Chemwoyo cheBraunwald: A Chinyorwa cheCardiovascular Medicine. 11th ed. Philadelphia, PA: Elsevier; 2019: chitsiko 20.
O'Gara PT, Kushner FG, Ascheim DD, et al. 2013 ACCF / AHA nhungamiro yevatungamiriri ve ST-elevation myocardial infarction: Executive pfupiso: mushumo weAmerican College yeCardiology Foundation / American Heart Association Task Force pane maitiro enzira. Kutenderera. 2013; 127 (4): 529-555. PMID: 23247303 pubmed.ncbi.nlm.nih.gov/23247303/.
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