Angioplasty uye stent kuiswa - peripheral arteri

Angioplasty inzira yekuvhura yakamanikana kana yakavharika tsinga dzeropa dzinopa ropa kumakumbo ako. Mafuta emari anokwanisa kuvaka mukati medu tsinga uye kuvhara ropa kuyerera.

Iyo stent idiki, simbi mesh chubhu inochengeta tsinga yakavhurika.

Angioplasty uye stent kuiswa inzira mbiri dzekuvhura dzakavharika periya arteri.

Angioplasty inoshandisa "chibharuni" chekurapa kuti iwedzere tsinga dzakavharwa. Bhaluni rinomanikidza kumadziro emukati etsinga kuvhura nzvimbo uye kugadzirisa kuyerera kweropa. Simbi yakasimba inowanzoiswa pamadziro etsinga kuitira kuti tsinga isadzikire zvakare.

Kurapa kuvharika mugumbo rako, angioplasty inogona kuitwa mune zvinotevera:

• Aorta, iyo huru arteri iyo inouya kubva pamoyo wako
• Artery muchiuno chako kana muchiuno
• Artery muchidya chako
• Artery kuseri kwebvi rako
• Tsinga mugumbo rako repazasi

Asati maitiro acho:

• Unozopihwa mushonga wekukubatsira kuzorora. Uchamuka asi ucharara.
• Iwe unogona zvakare kupihwa ropa-kutetepa mushonga kuti uchengetedze ropa riumbwe.
• Iwe ucharara pasi nemusana wako patafura ine tafura yekushandisa. Chiremba wako anozobaya mumwe mushonga unovhiya munzvimbo inozorapwa, kuitira kuti usanzwa kurwadziwa. Izvi zvinodaidzwa kuti anesthesia yemuno.

Muvhiyi wako anozoisa tsono mudiki muropa mukati mekugomera kwako.Tambo diki inochinja inoiswa kuburikidza netsono iyi.

• Chiremba wako anozokwanisa kuona arteri yako nehupenyu x-ray mifananidzo. Dhayi inozopinda jekiseni mumuviri wako kuratidza kuyerera kweropa kuburikidza netsinga dzako. Iyo dhayi ichaita kuti zvive nyore kuona iyo yakavharirwa nzvimbo.
• Chiremba wako anovhiya anotungamira chubhu mutete inonzi catheter kuburikidza neateri yako kunzvimbo yakavharika.
• Tevere, chiremba wako anovhiya achapfuura waya inotungamira kuburikidza ne catheter kuenda kune iyo yekuvhara.
• Chiremba anovhiya achasunda imwe catheter nekabhaluni kadiki kwazvo kumagumo pamusoro petambo yemutungamiriri uye munzvimbo yakavharidzirwa.
• Bhaluni rinozozadzwa nechero kusiyanisa mvura kuti ifutidze chibharumu. Izvi zvinovhura mudziyo wakavharwa uye zvinodzosera kuyerera kweropa kumoyo wako.

Stent inogona zvakare kuiswa munzvimbo yakavharirwa. Iyo stent inoiswa panguva imwechete sebhokisi catheter. Inokura kana bharumu raputiswa. Iyo stent inosara munzvimbo kubatsira kubatsira arteri kuvhura. Bhaluni newaya dzose dzinobva dzabviswa.

Zviratidzo zveakavharika peri arteri marwadzo, kusuruvara, kana kuremerwa mugumbo rako iro rinotanga kana kuwedzera kuipa paunofamba.

Unogona kusada maitiro aya kana uchikwanisa kuita zviitwa zvako zvezuva nezuva. Anokupa hutano anogona kunge achiedza mishonga uye mimwe mishonga kutanga.

Zvikonzero zvekuvhiyiwa ndeizvi:

• Une zviratidzo zvinokutadzisa kuita mabasa ezuva nezuva. Zviratidzo zvako hazviite nani nekumwe kurapwa.
• Une maronda eganda kana maronda pagumbo ayo asinganatswe.
• Une hutachiona kana ronda pagumbo.
• Iwe une marwadzo pagumbo rako anokonzerwa neakatetepa tsinga, kunyangwe iwe paunenge uchizorora.

Usati waita angioplasty, uchave uine bvunzo dzakakosha kuti uone kukura kwekuvharika mumidziyo yako yeropa.

Ngozi dze angioplasty uye stent kuiswa ndeye:

• Allergic reaction kune mushonga unoshandiswa mune stent inoburitsa mushonga mumuviri wako
• Allergic reaction kune iyo x-ray dhayi
• Kubuda ropa kana kugwamba munzvimbo yakaiswa catheter
• Ropa rakavhara mumakumbo kana mumapapu
• Kukuvadza kumudziyo weropa
• Kukuvadza kune tsinga, izvo zvinogona kukonzera marwadzo kana chiveve mugumbo
• Kukuvadza kune arteri mune iyo groin, iyo ingangoda kuvhiya nekukurumidza
• Kumira kurova kwemoyo
• Utachiona mukucheka kwekuvhiya
• Itsvo kutadza (yakanyanya njodzi kuvanhu vane matambudziko eitsvo)
• Kukanganisa kweiyo stent
• Stroke (izvi hazviwanzo)
• Kukundikana kuvhura tsinga yakabatwa
• Kurasikirwa nemakumbo

Pakati pevhiki mbiri usati wavhiyiwa:

• Udza mupiki wako kuti ndeapi mishonga yauri kutora, kunyangwe zvinodhaka, zvinowedzera, kana mahebhu awakatenga pasina mushonga.
• Udza mupi wako kana iwe uri weergoria kune zvegungwa, kana iwe uine zvakashata maitiro ekusiyanisa zvinhu (dhayi) kana ayodini munguva yakapfuura, kana iwe uri kana uchigona kuve nepamuviri.
• Udza mupiki wako kana iwe uri kutora sildenafil (Viagra), vardenafil (Levitra), kana tadalafil (Cialis).
• Udza mupiki wako kana wanga uchinwa doro rakawanda (zvinopfuura 1 kana zviviri zvinwiwa pazuva).
• Iwe ungangoda kurega kutora zvinodhaka zvinoita kuti zviomere ropa rako kuvhara mavhiki maviri usati wavhiyiwa. Izvi zvinosanganisira aspirin, ibuprofen (Advil, Motrin), clopidogrel (Plavix), Naprosyn (Aleve, Naproxen), nemimwe mishonga yakaita seiyi.
• Bvunza kuti ndeipi mishonga yaunofanira kutora pazuva rekuvhiyiwa kwako.
• Ukasvuta, unofanira kurega. Kumbira mupiki wako kuti akubatsire.
• Nguva dzose rega mupi wako azive nezve chero kutonhora, dzihwa, kupisa, herpes kuputika, kana chimwe chirwere chaungave uinacho usati wavhiyiwa.

Usamwe chero chinhu pakati pehusiku husiku usati waitwa oparesheni, kusanganisira mvura.

Pazuva rekuvhiyiwa kwako:

• Tora mishonga yako iyo mupi wako akakuudza kuti utore nekamwe kadiki kemvura.
• Unozoudzwa nguva yekuuya kuchipatara.

Vanhu vazhinji vanokwanisa kuenda kumba kubva kuchipatara mumazuva maviri kana mashoma. Vamwe vanhu vangatoshaya pekurara. Iwe unofanirwa kukwanisa kufamba-famba mukati memaawa matanhatu kusvika masere mushure mekuita kwacho.

Wako mupi achatsanangura maitiro ekuzvitarisira iwe pachako.

Angioplasty inovandudza arteri ropa kuyerera kwevanhu vazhinji. Mhedzisiro inosiyana, zvichienderana nekuti iko kuvhara kwako kwaive kupi, saizi yeropa rako mudziyo, uye kuti yakawanda sei kuvharika kune mamwe maarteri.

Iwe unogona haudi kuvhurika yekuvhiya yekuvhiya kana iwe uine angioplasty. Kana maitiro acho asingabatsire, chiremba wako anovhiya angangoda kuvhura kuvhiya kuburikidza, kana kutodimurwa.

Percutaneous transluminal angioplasty - periiperi arteri; PTA - peripheral tsinga; Angioplasty - periya arteri; Iliac tsinga - angioplasty; Tsvina yevakadzi - angioplasty; Popliteal tsinga - angioplasty; Tsinga yeTibial - angioplasty; Peroneal tsinga - angioplasty; Peripheral vascular chirwere - angioplasty; PVD - angioplasty; PAD - angioplasty

• Angioplasty uye stent kuiswa - peripheral arteri - kubuda
• Antiplatelet zvinodhaka - P2Y12 inhibitors
• Aspirin uye chirwere chemwoyo
• Cholesterol uye mararamiro
• Cholesterol - kurapwa kwemishonga
• Kudzora kukwira kweropa rako
• Peripheral tsinga inopfuura - gumbo - kubuda

Bonaca MP, Creager MA. Peripheral tsinga hosha. 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 64.

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.

Sosaiti yeVascular Surgery Lower Extremity Guidelines Kunyora Boka; Conte MS, Pomposelli FB, et al. Sosaiti yeVascular Surgery tsika nhungamiro yeatherosclerotic occlusive chirwere chemakona ezasi: manejimendi easymptomatic chirwere uye claudication. J Vasc Kuvhiya. 2015; 61 (3 Suppl): 2S-41S. PMID: 25638515 www.ncbi.nlm.nih.gov/pubmed/25638515.

Nhengo Dare Rekunyora, Gerhard-Herman MD, Gornik HL, et al. 2016 AHA / ACC Nhungamiro pane manejimendi evarwere vane yakadzika yekumucheto peripheral artery chirwere: Executive pfupiso. Vasc Med. 2017; 22 (3): NP1-NP43. PMID: 28494710 www.ncbi.nlm.nih.gov/pubmed/28494710.