Angioplasty na stent - ọnya carotid - ihapu

Had nwere angioplasty emere mgbe ị nọ n'ụlọ ọgwụ. I nwekwara ike tinye stent (obere waya ntupu ntanye) n'ime ebe akpọchiri iji meghee. Emere ihe abụọ a iji meghee akwara warara ma ọ bụ nke egbochiri egbochi na-enye ọbara na ụbụrụ gị.

Ndị na-ahụ maka ahụike gị tinyere catheter (tube na-agbanwe agbanwe) n'ime akwara akwara site na mbepụ (mbelata) n'akụkụ gị ma ọ bụ aka gị.

Onye na-enye gị ji ụzarị ọkụ dị ndụ wee jiri nlezianya duzie catheter ruo mpaghara mgbochi nke akwara carotid gị.

Mgbe ahụ onye na - eweta gị gafere waya ntuziaka site na catheter gaa na mkpọchi ahụ. A na-agbanye klọọkụ balloon n'elu waya nduzi na mgbochi. Obere balloon dị na nsọtụ ka ebu. Nke a meghere akwara egbochi.

Kwesịrị ịme ọtụtụ ọrụ gị n'ime ụbọchị ole na ole, mana were ya nwayọ.

Ọ bụrụ n ’onye na - eweta gị ga - etinye kateetụ ahụ n’eriri gị:

• Ije ije dị obere na mbara ala dị mma. Machibido ịgbago na ịrị elu steepụ ihe dị ka ugboro abụọ n'ụbọchị maka ụbọchị mbụ ruo ụbọchị abụọ.
• Emela ọrụ yad, ụgbọala, ma ọ bụ na-egwu egwuregwu ma ọ dịkarịa ala ụbọchị 2, ma ọ bụ ụbọchị ole dọkịta gị gwara gị chere.

Ikwesiri ilekọta mbepụ gị.

• Onye na-enye gị ga - agwa gị oge ole ị ga - agbanwe mgbakwasa gị (bandeeji).
• Ikwesiri ilezi anya na ebe ndi ozo adighi oria. Ọ bụrụ na ị nwere ihe mgbu ma ọ bụ ihe ịrịba ama ndị ọzọ nke ibute ọrịa, kpọọ dọkịta gị.
• Ọ bụrụ na ihe ọgbụgba gị agbaa ọbara ma ọ bụ zaa, dinara ala tinye ya mgbali na nkeji iri atọ. Ọ bụrụ na ọbara ọgbụgba ma ọ bụ ọzịza adịghị akwụsị ma ọ bụ ka njọ, kpọọ dọkịta gị wee laghachi ụlọ ọgwụ. Ma ọ bụ, gaa na ụlọ mberede kacha nso, ma ọ bụ kpọọ 911 ma ọ bụ nọmba mberede mpaghara ozugbo. Ọ bụrụ na ọbara ọgbụgba ma ọ bụ ọzịza dị njọ ọbụna tupu 30 nkeji agafee, kpọọ 911 ma ọ bụ nọmba mberede mpaghara ozugbo. Egbula oge.

Surgerynwe ịwa ahụ nke carotid adịghị agwọ ihe kpatara mgbochi na akwara gị. Akụ akwara gị nwere ike ịdị wara wara ọzọ. Iji belata ohere ị nwere ime:

• Rie ezigbo nri, na-emega ahụ (ma ọ bụrụ na onye na-enye gị ndụmọdụ na ya), kwụsị ị smokingụ sịga (ma ọ bụrụ na ị na-ese anwụrụ ọkụ), ma belata nrụgide nrụgide gị. A drinkụla mmanya na-aba n'anya karịa.
• Were ọgwụ iji nyere aka belata kọlestrọl gị ma ọ bụrụ na onye na-eweta gị edepụtara ya.
• Ọ bụrụ na ị na-a medicinesụ ọgwụ maka ọbara mgbali elu ma ọ bụ ọrịa shuga, were ha otu esi agwa gị ka iwere ha.
• Onye na-eweta gị nwere ike ịrịọ gị ka ị were ọgwụ aspirin na / ma ọ bụ ọgwụ ọzọ akpọrọ clopidogrel (Plavix) ma ọ bụ ọgwụ ọzọ mgbe ị lara ụlọ. Ọgwụ ndị a na - egbochi ọbara gị ka ọ ghara ịkpụkọ akwara na akwara gị. Akwụsịla iwere ha n’ebughị ụzọ kparịta ụka banyere ndị na-eweta ọrụ gị.

Kpọọ onye nlekọta ahụike gị ma ọ bụrụ:

• Have nwere isi ọwụwa, gbagwojuo anya, ma ọ bụ nwee ahụ mgbu ma ọ bụ adịghị ike n'akụkụ ọ bụla nke ahụ gị.
• Nwere nsogbu iku anya gị ma ọ bụ na ị nweghị ike ikwu okwu nke ọma.
• E nwere ọbara ọgbụgba na saịtị ntinye catheter nke na-anaghị akwụsị mgbe etinyere ya.
• E nwere ọzịza na saịtị catheter.
• Legkwụ gị ma ọ bụ aka gị dị n’okpuru ebe etinyere catheter a na-agbanwe agba ya ma ọ bụ bụrụ ihe dị mma imetụ aka, acha ncha, ma ọ bụ ụda.
• Obere mbepụ si na 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.
• Legskwụ gị na-aza aza.
• I nwere ihe mgbu obi ma ọ bụ ume iku ume nke na-anaghị ezu ike.
• 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.
• Have nwere oyi ma ọ bụ ahụ ọkụ karịrị 101 Celsius F (38.3 ° C).

Carotid angioplasty na stenting - ihapu; CAS - ihapu; Angioplasty nke akwara carotid - nhapu

• Atherosclerosis nke akwara carotid dị n'ime

Brott TG, Halperin JL, Abbara S, et al. Obi ụtọ 2011 ASA / ACCF / AHA / AANN / AANS / ACR / ASNR / CNS / SAIP / SCAI / SIR / SNIS / SVM / SVS nduzi banyere njikwa nke ndị ọrịa nwere extracranial carotid na vertebral artery ọrịa: nchịkọta nchịkọta: akụkọ nke American College of Cardiology Foundation / American Heart Association Task Force on Practice Guidelines, na American Stroke Association, American Association of Neuroscience Nọọsụ, American Association of Neurological Surgeons, American College of Radiology, American Society of Neuroradiology, Congress of Neurological Surgeons, Society of Atherosclerosis Imaging and Prevention, Society for Cardiovascular Angiography and Intercepts, Society of Interventional Radiology, Society of NeuroInterventional Surgery, Society maka Vascular Medicine, na Society maka Vascular Surwa Ahụ. J Am Coll Cardiol. 2011; 57 (8): 1002-1044. PMID: 21288680 www.ncbi.nlm.nih.gov/pubmed/21288680.

Cheng CC, Cheema F, Fankhauser G, Silva MB. Ọbara ọrịa ọbara. Na: Townsend CM Jr, Beauchamp RD, Evers BM, Mattox KL, eds. Akwụkwọ Sabiston nke gerywa Ahụ. Agba nke 20. Philadelphia, PA: Elsevier; 2017: isi 62.

Kinlay S, Bhatt DL. Ọgwụgwọ ọrịa nke na-egbochi ọrịa akwara. 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 66.

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