Munyori: Virginia Floyd
Zuva Rekusika: 10 Nyamavhuvhu 2021
Gadziridza Zuva: 18 Chikumi 2024
Anonim
Angioplasty uye stent kuiswa - moyo - Mushonga
Angioplasty uye stent kuiswa - moyo - Mushonga

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. Iyo stent inowanzoiswa panguva kana ipapo pakarepo angioplasty. Inobatsira kudzivirira tsinga kubva pakuvhara zvakare. Iyo inodhaka-inodzinga stent ine mushonga wakadzika mukati mayo iyo inobatsira kudzivirira arteri kubva pakuvhara munguva refu.

Iyo angioplasty isati yatanga, iwe unozogamuchira imwe yekurapa mushonga. Iwe unogona zvakare kupihwa mushonga unokuzorodza iwe, uye neropa-kutetepa mishonga yekudzivirira ropa kuwanda kubva pakuumbwa.

Iwe ucharara pamusoro petafura ine padhedhi. Chiremba wako anoisa inochinja chubhu (catheter) mune tsinga. Dzimwe nguva catheter inozoiswa muruoko rwako kana ruoko, kana mudenga rako repamusoro (kugomera) nzvimbo. Iwe unenge wakamuka panguva yekuita.

Chiremba anoshandisa mhenyu x-ray mifananidzo kunyatso tungamira iyo catheter kumusoro mumoyo mako uye arteri. Musiyano wemvura (dzimwe nguva unonzi "dhayi," inozojowa mumuviri wako kuratidza kubuda kweropa kuburikidza netsinga. Izvi zvinobatsira chiremba kuona chero mabhureki ari mumidziyo yeropa inotungamira kumoyo wako.


Tambo yekufambisa inoendeswa mukati uye kuyambuka iyo yakavharika. Bhatiro catheter inosundirwa pamusoro petambo inotungamira uye mukati mekuvhara. Bhaluni riri kumagumo rakapeputswa (mweya). Izvi zvinovhura mudziyo wakavharika uye zvinodzosera kuyerera kwakakodzera kweropa kumoyo.

Tambo mesh chubhu (stent) inogona kubva yaiswa munzvimbo yakavharidzirwa. Iyo stent inoiswa pamwe nebhaluni catheter. Inokura kana iro bharumu richifemerwa. Iyo stent inosara imomo kubatsira kuti arteri ivhure.

Iyo stent inowanzo kuve yakaputirwa nemushonga (unodanwa unodhaka-eluting stent). Rudzi urwu rwe stent runogona kudzikisa mukana weiyo arteri yekuvhara kumashure kumusoro mune ramangwana.

Tsinga dzinogona kudzikira kana kuvharirwa nemadhipoiti anonzi plaque. Dombo rakagadzirwa nemafuta uye cholesterol inovaka mukati memadziro etsinga. Aya mamiriro anonzi kuomarara kwetsinga (atherosclerosis).


Angioplasty inogona kushandiswa kurapa:

  • Kuvharika mutsinga yemoyo panguva kana mushure mekurwadziwa kwemoyo
  • Kuvharika kana kudzikira kweimwe kana yakawanda coronary artery iyo inogona kutungamira kune yakashata moyo basa (moyo kutadza)
  • Hutsinye hunoderedza kuyerera kweropa uye hunokonzeresa kurwadziwa muchipfuva (angina) isingabatwi nemishonga

Haasi ese mabhureki anogona kurapwa ne angioplasty. Vamwe vanhu vane ma blockages akati wandei kana anovharika mune dzimwe nzvimbo vangangoda kuvhiyiwa kwekota.

Angioplasty inowanzo chengeteka, asi bvunza chiremba wako nezve zvinogona kuitika. Ngozi dze angioplasty uye stent kuiswa ndeye:

  • Allergic reaction kune mushonga unoshandiswa mune zvinodhaka-eluting stent, iyo stent zvinhu (zvisingawanzoitika), kana x-ray dhayi
  • Kubuda ropa kana kugwamba munzvimbo yakaiswa catheter
  • Ropa rakavhara
  • Kuvhara kwemukati meiyo stent (in-stent restenosis). Izvi zvinogona kutyisidzira hupenyu.
  • Kukuvadza kune vharafu yemoyo kana ropa reropa
  • Kumira kurova kwemoyo
  • Itsvo kutadza (yakanyanya njodzi kuvanhu vane matambudziko eitsvo)
  • Kusajairika kurova kwemoyo (arrhythmias)
  • Stroke (izvi hazviwanzo)

Angioplasty inowanzoitwa kana iwe uchienda kuchipatara kana imba yekukurumidzira yekurwadziwa kwepfupa, kana mushure mekurwadziwa kwemoyo. Kana iwe uchigamuchirwa kuchipatara kune angioplasty:


  • Udza mupi wako wezvehutano kuti ndeapi madhiragi auri kutora, kunyangwe madhiragi kana mahebhu awakatenga pasina mushonga
  • Iwe unowanzo bvunzwa kuti usamwe kana kudya chero chinhu kwemaawa matanhatu kusvika masere bvunzo isati yaitwa.
  • Tora mishonga yawakaudzwa nemupi wako kuti utore nekamwe kadiki kemvura.
  • Udza mupi wako kana iwe uri weergoria kune zvegungwa, iwe wakave neyakaipa maitiro ekusiyanisa zvinhu kana ayodini munguva yakapfuura, urikutora Viagra, kana iwe uri kana unokwanisa kuve nepamuviri.

Ivhareji yekugara muchipatara mazuva maviri kana mashoma. Vamwe vanhu vangatoshaya pekurara muchipatara.

Kazhinji, vanhu vane angioplasty vanokwanisa kufamba-famba mukati memaawa mashoma mushure mekuita zvinoenderana nekuti maitiro akafamba sei uye pakaiswa catheter. Kunyatsogadzirisa kunotora vhiki kana pasi. Iwe unozopihwa ruzivo rwekuti ungazvichengete sei iwe mushure meangioplasty.

Kune vanhu vazhinji, angioplasty inovandudza zvakanyanya kuyerera kweropa kuburikidza necoronary arteri uye nemoyo. Izvo zvinogona kukubatsira iwe kudzivisa kudiwa kwecoronary artery bypass surge (CABG).

Angioplasty hairape chikonzero chekuvharika mutsinga dzako. Tsinga dzako dzinogona kutetepa zvakare.

Tevera kudya kunovaka moyo, kurovedza muviri, rega kuputa (kana uchisvuta), uye kudzikisira kushushikana kudzikisa mikana yako yekuve neimwe yakavharika tsinga. Mupi wako anogona kukupa mushonga kuti ubatsire kudzikisa cholesterol yako kana kudzora BP yako. Kutora matanho aya kunogona kubatsira kudzikisa mikana yako yezvinetso kubva kuatherosclerosis.

PCI; Percutaneous coronary kupindira; Balloon angioplasty; Coronary angioplasty; Coronary tsinga angioplasty; Percutaneous transluminal coronary angioplasty; Mutsinga wemwoyo kuwedzera; Angina - kuiswa kwakasimba; Acute coronary syndrome - kuiswa stent; Coronary arteri chirwere - stent kuiswa; CAD - kuiswa kwakasimba; Coronary chirwere chemoyo - kuiswa kwakasimba; ACS - kuiswa kwakadzika; Kurwadziwa kwemoyo - stent kuiswa; Myocardial infarction - stent kuiswa; MI - kuiswa kwakasimba; Coronary revascularization - stent kuiswa

  • Coronary tsinga stent

Amsterdam EA, Wenger NK, Brindis RG, et al. 2014 AHA / ACC nhungamiro yevatungamiriri vevarwere vasina ST-elevation acute coronary syndromes: mushumo weAmerican College yeCardiology / American Heart Association Task Force paMitemo Yekudzidzira. J Ndiri Coll Cardiol. 2014; 64 (24): e139-e228. PMID: 25260718 pubmed.ncbi.nlm.nih.gov/25260718/.

Fihn SD, Blankenship JC, Alexander KP, et al. 2014 ACC / AHA / AATS / PCNA / SCAI / STS yakanangana nekuvandudza kweye gwara rekuongororwa uye manejimendi evarwere vane yakatsiga ischemic moyo chirwere. Kutenderera. 2014; 130 (19): 1749-1767. PMID: 25070666 pubmed.ncbi.nlm.nih.gov/25070666/.

Mauri L, Bhatt DL. Percutaneous coronary kupindira. 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 62.

Mangwana DA, de Lemos JA. Yakasimba ischemic chirwere chemoyo. 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: chits. 61.

O'Gara PT, Kushner FG, Ascheim DD, et al. 2013 ACCF / AHA nhungamiro yevatungamiriri ve ST-elevation myocardial infarction: mushumo weAmerican College yeCardiology Foundation / American Heart Association Task Force pane Maitiro Ekudzidzira. Kutenderera. 2013; 127 (4): 529-555. PMID: 23247303 pubmed.ncbi.nlm.nih.gov/23247303/.

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