Angioplasty uye stent kuiswa - carotid arteri - kubuda

Iwe wanga uine angioplasty yakaitwa iwe pawanga uri muchipatara. Iwe unogona kunge wakambovewo ne stent (kadiki waya mesh chubhu) yakaiswa munzvimbo yakavharidzirwa kuti igare yakavhurika. Zvese izvi zvakaitirwa kuvhura tsinga yakamanikana kana yakavharika inopa ropa kuuropi hwako.

Mutapi wako wezvehutano akaisa catheter (inoshanduka chubhu) mune tsinga kuburikidza necision (yakatemwa) mune yako kugomera kana ruoko rwako.

Wako mupi akashandisa live x-rays kunyatso tungamira iyo catheter kusvika kunzvimbo yekuvharika mune yako carotid arteri.

Ipapo mupiki wako akapfuudza waya yekufambisa kuburikidza necatheter kusvika pakuvhara. Bhatani catheter rakasundidzirwa pamusoro petambo yemutungamiriri uye mukati mekuvhara. Bhaluni diki riri kumagumo rakafemerwa. Izvi zvakavhura tsinga yakavharika.

Iwe unofanirwa kukwanisa kuita yakawanda yezviitiko zvako zvakajairwa mukati memazuva mashoma, asi itore nyore.

Kana mupi wako akaisa iyo catheter mukati meako groin:

• Kufamba madaro mafupi pane yakati sandara nzvimbo zvakanaka. Deredza kukwira nekudzika masitepisi kusvika kanenge ka2 pazuva kwekutanga mazuva maviri kusvika matatu.
• Usaite basa repayadhi, kutyaira, kana kutamba mitambo kweanenge mazuva maviri, kana kwemazuva mazhinji ayo chiremba anokuudza kuti umirire.

Iwe unozofanirwa kutarisira yako incision.

• Mupiki wako anokuudza iwe kangani kuti uchinje kupfeka kwako (bhandeji).
• Iwe unofanirwa kutarisira kuti iyo incision saiti haina kutapukirwa. Kana iwe uine kurwadziwa kana zvimwe zviratidzo zvehutachiona, danaidza chiremba wako.
• Kana yako incision ichibuda ropa kana kuzvimba, rara pasi woisa kumanikidza pairi kwemaminitsi makumi matatu. Kana kubuda ropa kana kuzvimba kusingamiri kana kuwedzera kuipa, dana chiremba wako uye dzokera kuchipatara. Kana, enda kukamuri yepedyo ye emergency, kana kufonera 911 kana iyo yemuno emergency emergency nhamba ipapo. Kana kubuda ropa kana kuzvimba kwakanyanya kunyangwe maminetsi makumi matatu asati apfuura, fonera 911 kana nhamba yemunharaunda yekukurumidza ipapo. Usanonoka.

Kuva necarotid arteri kuvhiya hakurape chikonzero chekuvharika mutsinga dzako. Tsinga dzako dzinogona kutetepa zvakare. Kuderedza mikana yako yezvino kuitika:

• Idya zvekudya zvine hutano, kurovedza muviri (kana mupi wako achikupangira), rega kuputa (kana uchisvuta), uye uderedze kusagadzikana kwako. Usanwa doro zvakanyanya.
• Tora mushonga kuti ubatsire kudzikisa cholesterol yako kana mupi wako akaraira.
• Kana uri kutora mishonga yeropa kana chirwere cheshuga, tora nenzira yawakaudzwa kuinwa.
• Anokupa anogona kukukumbira kuti utore maasprini uye / kana mumwe mushonga unonzi clopidogrel (Plavix), kana mumwe mushonga, paunoenda kumba. Iyi mishonga inochengetedza ropa rako kuti risaumbike mutsinga dzako uye mune stent. Usarega kuvatora usati wataura nemupi wako kutanga.

Fonera wako mupi wezvehutano kana:

• Iwe une musoro, unovhiringidzika, kana kuva nechiveve kana kushaya simba mune chero chikamu chemuviri wako.
• Une matambudziko nekuona kwako kana haugone kutaura zvakajairika.
• Kune kubuda ropa pacatheter yekuisa saiti isingamire kana kumanikidzwa kuchishandiswa.
• Kune kuzvimba panzvimbo yekateti.
• Gumbo kana ruoko rwako pazasi pakaiswa catheter zvinoshandura ruvara kana kutonhorera kubata, kucheneruka, kana kuti chiveve.
• Iyo diki incision kubva kune yako catheter inova yakatsvuka kana inorwadza, kana yero kana girini kubuda kuri kubuda kubva pairi.
• Makumbo ako ari kuzvimba.
• Iwe une kurwadziwa kwepachipfuva kana kufema kwekufema kusingaendi nekuzorora.
• Une dzungu, kufenda, kana kuti wakaneta zvakanyanya.
• Uri kukosora ropa kana yero kana girini mamota.
• Iwe une kutonhora kana fivha inopfuura 101 ° F (38.3 ° C).

Carotid angioplasty uye stenting - kubuda; CAS - kubuda; Angioplasty ye carotid arteri - kubuda

• Atherosclerosis yemukati carotid tsinga

Brott TG, Halperin JL, Abbara S, uye al. 2011 ASA / ACCF / AHA / AANN / AANS / ACR / ASNR / CNS / SAIP / SCAI / SIR / SNIS / SVM / SVS nongedzo pane manejimendi evarwere vane extracranial carotid uye vertebral arteri chirwere: Executive pfupiso: mushumo weAmerican Koreji yeCardiology Foundation / American Heart Association Task Force pane Maitiro Ekudzidzira, uye American Stroke Association, American Association yeNeuroscience Nurses, American Association of Neurological Surgeons, American College yeRadiology, American Society yeNeuroradiology, Congress yeNeurological Surgeons, Sosaiti yeAtherosclerosis Kufananidza uye Kudzivirira, Sosaiti yeCardiovascular Angiography uye Kupindira, Sosaiti yeInternet Radiology, Sosaiti yeNeuroInterventional Surgery, Sosaiti yeVascular Medicine, uye Sosaiti yeVascular Surgery. J Ndiri Coll Cardiol. 2011; 57 (8): 1002-1044. PMID: 21288680 www.ncbi.nlm.nih.gov/pubmed/21288680.

Cheng CC, Cheema F, Fankhauser G, Silva MB. Peripheral arterial chirwere. Mu: Townsend CM Jr, Beauchamp RD, Evers BM, Mattox KL, eds. Sabiston Chinyorwa Chekuvhiya. 20th ed. Philadelphia, PA: Elsevier; 2017: chits. 62.

Kinlay S, Bhatt DL. Kurapa kweiyo noncoronary obstructive vascular chirwere. 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: chitsuwa 66.

• Carotid tsinga chirwere
• Carotid tsinga yekuvhiya - yakavhurika
• Kupora mushure mekurohwa
• Ngozi dzefodya
• Wakasimba
• Kurohwa
• Matipi ekusiya kusvuta
• Yechinguva ischemic kurwisa

• Antiplatelet zvinodhaka - P2Y12 inhibitors
• Aspirin uye chirwere chemwoyo
• Carotid arteri kuvhiya - kubuda
• Cholesterol uye mararamiro
• Cholesterol - kurapwa kwemishonga
• Kudzora kukwira kweropa rako

• Carotid Artery Zvirwere