Angioplasty na stent - obi - nhapu

Angioplasty bụ usoro imepe oghere dị warara ma ọ bụ nke egbochiri na-enye ọbara n’obi. A na-akpọ akwara ọbara a akwara akwara ọbara. Ngwongwo akwara akwara bụ obere, ntupu ígwè nke na-agbasa n'ime akwara obi.

Had nwere ọrịa angioplasty mgbe ị nọ n'ụlọ ọgwụ. May nwekwara ike tinyela stent. E mere ha abụọ ihe iji meghe akwara akwara ma ọ bụ nke gbochiri egbochi, akwara ọbara nke na-ewebata ọbara n’obi gị. Nwere ike ịnwe ọgụ obi ma ọ bụ angina (mgbu obi) tupu usoro ahụ.

Nwere ike ịnwe ihe mgbu na mpaghara ukwu gị, ogwe aka, ma ọ bụ nkwojiaka. Nke a sitere na catheter (tube na-agbanwe agbanwe) etinyere iji mee usoro ahụ. Nwekwara ike inwe ọnya ụfọdụ gburugburu na n'okpuru mbepụ ahụ.

Obi mgbu na mkpụmkpụ nke iku ume ị nwere ike tupu usoro ahụ ga-aka mma ugbu a.

Na mkpokọta, ndị mmadụ nwere angioplasty nwere ike ịgagharị n'ime awa isii mgbe usoro ahụ gachara. Nwere ike ibili ma jee ije na mbụ ma ọ bụrụ na usoro ahụ mere site na nkwojiaka. Mgbake zuru oke na-ewe otu izu ma ọ bụ obere. Debe ebe etinyere catheter a ka ọ bụrụ nke akọrọ ruo awa 24 ruo 48.

Y’oburu na dibia tinye catheter gi n’ime otiti:

• Ije ije dị mkpirikpi na mbara ala dị mma. Machibido ịgbago na ịrị steepụ n’ihe dị ka ugboro abụọ n’ụbọchị maka ụbọchị abụọ na abụọ nke mbụ.
• Emela ọrụ yad, ụgbọala, squat, buru ihe dị arọ, ma ọ bụ kpọọ egwuregwu ma ọ dịkarịa ala ụbọchị 2, ma ọ bụ ruo mgbe onye nlekọta ahụike gị gwara gị na ọ dị mma.

Ọ bụrụ na dọkịta ahụ tinyere catheter ahụ n'aka gị ma ọ bụ nkwojiaka:

• Ewelitela ihe ọ bụla dị arọ karịa kilogram 10 (kilogram 4.5) (ntakịrị ihe karịa galọn mmiri ara ehi) na ogwe aka nke nwere ihe mkpuchi ahụ.
• Emela nnukwu ịkwanye, na-adọta ma ọ bụ na-agbagọ na ogwe aka ahụ.

Maka catheter na ukwu, aka gi ma obu nkwojiaka gi:

• Zere inwe mmekọahụ ruo ụbọchị abụọ ruo ụbọchị ise. Jụọ onye na-enye gị ọrụ mgbe ọ ga-adị mma ịmalite ọzọ.
• Ejila saa ahụ ma ọ bụ igwu mmiri maka izu mbụ. May nwere ike ịsa ahụ, mana gbaa mbọ hụ na mpaghara ebe etinyere catheter anaghị agba mmiri maka awa 24 ruo 48 izizi.
• Kwesịrị ịlaghachi ọrụ na ụbọchị 2 ruo ụbọchị 3 ma ọ bụrụ na ịmeghị nnukwu ọrụ.

Ikwesiri ilekọta mbepụ gị.

• Onye na-enye gị ọrụ ga - agwa gị oge ole ị ga - agbanwe uwe gị.
• Ọ bụrụ na ihe ọgbụgba gị agbaa ọbara ma ọ bụ zaa aza, dinara ala tinye ya mgbali na nkeji iri atọ.

Angioplasty anaghị agwọ ihe kpatara mgbochi na akwara gị. Akụ akwara gị nwere ike ịdị wara wara ọzọ. Rie nri na-edozi ahụ, mmega ahụ, kwụsị ị smokingụ sịga (ma ọ bụrụ na ị na-a smokeụ sịga), ma belata nchekasị iji nyere aka belata ohere ịnweta akwara akpọchiri ọzọ. Onye na-enye gị nwere ike inye gị ọgwụ iji nyere gị aka belata kọlụl gị.

Ọtụtụ ndị mmadụ na-ewere ọgwụ aspirin yana ọgwụ ọzọ na-egbochi ọgwụ mgbochi dịka clopidogrel (Plavix), prasugrel (Efient), ma ọ bụ ticagrelor (Brilinta) mgbe usoro a gasịrị. Ọgwụ ndị a bụ ndị na-eme ka ọbara dị. Ha na - egbochi ọbara gị ka ọ ghara ịkpụkọ na akwara gị. Ọbara ọbara nwere ike ibute nkụchi obi. Were ọgwụ ndị dịka onye na - eweta gị gwara gị. Akwụsịla iwere ha na-ebughị ụzọ kpọọ ndị na-eweta ọrụ gị.

I kwesịrị ịma ka esi elekọta angina gị ma ọ bụrụ na ọ laghachi.

Gbalia ihu na inwere nzochi soro gi na dokinta obi gi (cardiologist).

Dọkịta gị nwere ike zigara gị usoro mmezigharị obi. Nke a ga - enyere gị aka ịmụta otu esi eji nwayọ bulie mmega ahụ gị. Will ga-amụtakwa otu esi elekọta angina gị ma lekọta onwe gị mgbe ọrịa obi gasịrị.

Kpọọ dọkịta gị ma ọ bụrụ:

• A na-agba ọbara na saịtị ntinye catheter nke na-anaghị akwụsị mgbe ị riri nrụgide.
• E nwere ọzịza na saịtị catheter.
• Legkwụ gị ma ọ bụ aka gị dị n’okpuru ebe etinyere catheter a na-agbanwe agba ya, ọ dị mma imetụ aka, ma ọ bụ daa ụda.
• Obere iberibe catheter gị na-acha ọbara ọbara ma ọ bụ na-egbu mgbu, ma ọ bụ na-acha odo odo ma ọ bụ akwụkwọ ndụ akwụkwọ ndụ na-agbapụta na ya.
• I nwere ihe mgbu obi ma ọ bụ ume iku ume nke na-anaghị ezu ike.
• Ọkpụkpụ gị na-eche oge ụfọdụ - dị nwayọ nwayọ (pere mpe karịa 60), ma ọ bụ dị oke ọsọ (ihe karịrị 100 ruo 120 gafere) nkeji.
• Have na-anya isi, na-atụgharị, ma ọ bụ na ike gwụrụ gị.
• Are na-agwakọta ọbara ma ọ bụ odo ma ọ bụ agba agba.
• Nwere nsogbu ị takingụ ọgwụ ọ bụla nke obi gị.
• Have nwere oyi ma ọ bụ ahụ ọkụ karịrị 101 Celsius F (38.3 ° C).

-Ụ ọgwụ ọjọọ - ihapu; PCI - ihapu; Percutaneous akwara ọsọ - ihapu; Balloon angioplasty - agbapụta n'ahụ; Coronary angioplasty - agbapụta n'ahụ; Ọkpụkpụ akwara angioplasty - ihapu; Cardiac angioplasty - ihapu; PTCA - nhapu; Percutaneous transluminal coronary angioplasty - agbapụta n'ahụ; Obi akwara dilatation - ihapu; Angina angioplasty - ihapu; Ọrịa obi angioplasty - nhapu; CAD angioplasty - ihapu

• Akwara akwara stent

Amsterdam EA, Wenger NK, Brindis RG, et al. Ntuziaka 2014 AHA / ACC maka njikwa nke ndị ọrịa nwere ọrịa nkwonkwo akwara na-abụghị nke ST: akụkọ nke American College of Cardiology / American Heart Association Task Force na ụkpụrụ nduzi. J Am Coll Cardiol. Ọrịa. 2014; 64 (24): e139-e228. PMID: 25260718 pubmed.ncbi.nlm.nih.gov/25260718/.

Fihn SD, Blankenship JC, Alexander KP, Bittl JA, et al. Mmekọrịta 2014 ACC / AHA / AATS / PCNA / SCAI / STS lekwasịrị anya melite nke ntuziaka maka nyocha na njikwa nke ndị ọrịa nwere ọrịa obi obi ala: akụkọ nke kọleji American Cardiology / American Heart Association Task Force on Practice Guidelines, na Associationtù Na-ahụ Maka Ọrịa Na-ahụ Maka Ahụhụ nke America, Association nke Nọọsụ Na-egbochi Ọrịa, Society for Cardiovascular Angiography and Intercepts, na Society of Thoracic Surgeons. J Thorac Cardiovasc Surg. 2015; 149 (3): e5-e23. PMID: 25827388 pubmed.ncbi.nlm.nih.gov/25827388/.

Mehran R, Dangas GD. Coronary angiography na intravascular onyonyo. Na: Zipes DP, Libby P, Bonow RO, Mann DL, Tomaselli GF, Braunwald E, eds. Ọrịa Obi Braunwald: Akwụkwọ ọgụgụ nke Ọgwụ Ọrịa Cardiovascular. Nke 11. Philadelphia, PA: Elsevier; 2019: isi 20.

O'Gara PT, Kushner FG, Ascheim DD, et al. Ntuziaka 2013 ACCF / AHA maka njikwa nke infarction myocardial ST: elu: nchịkọta akụkọ: akụkọ nke American College of Cardiology Foundation / American Heart Association Task Force na ụkpụrụ nduzi. Mgbaghari. 2013; 127 (4): 529-555. PMID: 23247303 pubmed.ncbi.nlm.nih.gov/23247303/.

• Angina
• Angioplasty na stent - ntinye carotid
• Obi nkolopu
• Surgerywa ahụ nke obi
• Surgerywa ahụ nke obi - obere mbibi
• Ọbara cholesterol dị elu
• Ọbara mgbali elu - ndị okenye
• Osisi
• Ndụmọdụ banyere otu esi akwụsị ịse anwụrụ
• Anwụghị angina

• Ndị na-egbochi ACE
• Angina - ihapu
• Angina - ihe ị ga-ajụ dọkịta gị
• Angina - mgbe ị nwere ihe mgbu obi
• Angioplasty na stent - obi - nhapu
• Antiplatelet ọgwụ - P2Y12 inhibitors
• Pụ Ọgwụ Aspirin na ọrịa obi
• Na-arụsi ọrụ ike mgbe nkụchi obi gị gasịrị
• Na-arụsi ọrụ ike mgbe ị nwere ọrịa obi
• Butter, majarin, na mmanụ oriri
• Cardiac catheterization - igbapu
• Cholesterol na ndụ
• Rollingchịkwa ọbara mgbali elu gị
• A kọwara abụba ndị na-eri nri
• Ndụmọdụ nri ngwa ngwa
• Mwakpo obi - nhapu
• Ọrịa obi - ihe ị ga-ajụ dọkịta gị
• Ọrịa obi - ihe egwu
• Otu esi agu aha nri
• Nri Mediterranean

• Angioplasty
• Ọrịa akwara ọbara