Surgerywa ahụ akwara Carotid - meghee

Surgerywa ahụ akwara na-eme ka a na-agwọ ọrịa akwara carotid.

Okpokoro carotid na-eweta ọbara dị mkpa na ụbụrụ na ihu gị. Have nwere otu akwara ndị a n'akụkụ nke ọ bụla n'olu gị. Ọbara dị n'ọbara a nwere ike ịbụ nke nwere abụba ma ọ bụ kpamkpam igbochi ihe abụba a na-akpọ ihe ncheta. Nke a nwere ike belata ọbara ọbara ụbụrụ gị ma kpatara ọrịa strok.

A na-arụ ọrụ ịwa ahụ na Carotid iji weghachi ọbara kwesịrị ekwesị na ụbụrụ. Enwere usoro abụọ iji gwọọ akwara carotid nke nwere ihe edere na ya. Edemede a lekwasịrị anya na ịwa ahụ a na-akpọ endarterectomy. A na-akpọ usoro nke ọzọ angioplasty na ntinye stent.

N'oge carotid endarterectomy:

• Nata anesthesia izugbe. Are na-ehi ụra na enweghị ihe mgbu. Hospitalsfọdụ ụlọ ọgwụ na-eji ọgwụ mgbochi ọrịa eme ihe. Naanị akụkụ ahụ gị a na-arụ ọrụ ka a gụrụ ọgwụ ka ị ghara inwe ụfụ mgbu. E nyekwara gị ọgwụ ga-enyere gị aka izu ike.
• Dinara n’azụ gị na tebụl na-arụ ọrụ, isi ya tụgharịa n’otu akụkụ. Akụkụ akwara carotid gị kpọchiri akpọchi dị na ihu elu.
• Dọkịta na-awa ahụ na-egbutu (mbepụ) n'olu gị n'elu akwara carotid gị. A na-etinye ọkpọkọ na-agbanwe agbanwe (catheter) n'ime akwara. Ọbara na-agagharị na catheter gburugburu ebe egbochiri n'oge ịwa ahụ.
• A na-emeghe akwara carotid gị. Dọkịta na-awa ahụ na-ewepu ihe e dere ede n'ime akwara.
• Mgbe e wepụsịrị ihe e dere ede, akwara ya na-ejichi ya emechi. Ọbara na-agazi akwara ụbụrụ gị ụbụrụ.
• A ga-enyocha ọrụ obi gị n'oge ịwa ahụ.

Surgerywa ahụ na-ewe ihe dị ka awa 2. Mgbe usoro ahụ gasịrị, dọkịta gị nwere ike ịme ule iji gosi na akwara emeghewo.

A na-eme usoro a ma ọ bụrụ na dọkịta gị achọpụtala warara ma ọ bụ mgbochi na akwara carotid gị. Onye na-ahụ maka ahụike gị ga-eme otu ma ọ bụ karịa nyocha iji hụ ka esi egbochi ikuku carotid.

Wa ahụ iji wepu nsị gị na akụrụngwa carotid nwere ike ime ma ọ bụrụ na eriri afọ ahụ belata karịa 70%.

Ọ bụrụ na ị nwere ọrịa strok ma ọ bụ mmerụ ụbụrụ nwa oge, onye na-eweta gị ga-eleba anya ma ịgwọ akwara mgbochi gị egbochiri gị.

Nhọrọ ọgwụgwọ ndị ọzọ nke onye na-eweta gị ga-atụle gị bụ:

• Enweghị ọgwụgwọ, ọzọ karịa ule iji chọpụta akwara carotid gị kwa afọ.
• Ọgwụ na nri iji belata cholesterol gị.
• Ọgwụ ndị na-eme ka ọbara belata iji belata ihe ize ndụ gị maka ọrịa strok. Fọdụ n’ime ọgwụ ndị a bụ aspirin, clopidogrel (Plavix), dabigatran (Pradaxa), na warfarin (Coumadin).

Carotid angioplasty na stenting nwere ike iji rụọ ọrụ mgbe carotid endarterectomy agaghị adị mma.

Ihe ize ndụ nke ọgwụ nchịkwa bụ:

• Nwee nfụkasị na ọgwụ
• Nsogbu iku ume

Ihe ize ndụ nke ịwa ahụ carotid bụ:

• Ọbara ọbara ma ọ bụ ọbara ọgbụgba na ụbụrụ
• Mbibi ụbụrụ
• Obi nkolopu
• Enwekwu mgbochi nke akwara carotid na oge
• Ọdịdọ
• Ọkụ
• Za dị n'akụkụ ikuku gị (ọkpọkọ ị na-eku ume)
• Ofufe Ọrịa

Onye na-eweta gị ga-eme nyocha ahụ nke ọma wee nye ọtụtụ nnwale ahụike.

Gwa onye na - enye gị ọrụ ọgwụ ị na - a takingụ, ọbụlagodi ọgwụ, mgbakwunye, ma ọ bụ ahịhịa ị zụtara na - enweghị ọgwụ.

N'ime izu 2 tupu ịwa ahụ gị:

• Bọchị ole na ole tupu ịwa ahụ, ọ nwere ike ịdị gị mkpa ịkwụsị ị takingụ ọgwụ ndị na-eme ka ọbara gbasaa. Ndị a gụnyere aspirin, ibuprofen (Advil, Motrin), clopidogrel (Plavix), naprosyn (Aleve, Naproxen), na ọgwụ ndị ọzọ dị ka ndị a.
• Jụọ onye na-enye gị ọrụ ọgwụ ndị ị ka kwesiri ị takeụ n’ụbọchị ịwa ahụ.
• Ọ bụrụ na ị na-a smokeụ sịga, i kwesịrị ịkwụsị. Jụọ onye na-enye gị ọrụ ka ọ kwụsị ịkwụsị.
• Gwa onye na - enye gị ihe gbasara oyi, flu, fever, herpes breakout, ma ọ bụ ọrịa ọ bụla inwere tupu ịwa ahụ.

Soro ntuziaka mgbe ị ga-akwụsị iri nri na ị drinkingụ ihe ọ beforeụ beforeụ tupu ịwa ahụ.

N'ụbọchị ịwa ahụ gị:

• Were ọgwụ ọ bụla onye na-enye gị ọgwụ nyere gị iji obere mmiri.
• Soro ntuziaka mgbe ị ga-erute ụlọ ọgwụ. Jide n'aka na ị bịara n'oge.

May nwere ike ịnweta igbapu n’olu gị nke na-abanye ebe a na-egbu gị. Ọ ga-agbapụta mmiri mmiri nke na-ewu ebe ahụ. A ga-ewepụ ya n'ime otu ụbọchị.

Mgbe ịwachara ahụ, onye na-eweta gị nwere ike chọọ ka ị nọrọ n’ụlọ ọgwụ chi abọọ ka ndị nọọsụ wee lelee gị maka ihe mgbaàmà ọ bụla nke ọbara ọgbụgba, ọrịa strok, ma ọ bụ ọbara na-erughị na ụbụrụ gị. Nwere ike ịla ụlọ otu ụbọchị ma ọ bụrụ na ị rụọ ọrụ gị n'isi ụtụtụ ma ị na-eme nke ọma.

Soro ntuziaka banyere etu esi elekọta onwe gị n'ụlọ.

Surgerywa ahụ nke akwara Carotid nwere ike inye aka belata ohere ị nwere ịrịa ọrịa strok. Ma ọ ga-adị mkpa ka ị gbanwee ndụ gị iji nyere aka igbochi nrụrụ aka, mkpụkọ ọbara, na nsogbu ndị ọzọ na akwara carotid gị karịa oge. Ọ nwere ike ịdị mkpa ka ị gbanwee nri gị wee bido mmemme mmega ahụ, ma ọ bụrụ na onye na - eweta ọrụ gị agwa gị ka mmega ahụ dịrị gị mma. Ọ dịkwa mkpa ịkwụsị ise siga.

Endoterectomy nke Carotid; Surgerywa ahụ CAS; Carotid artery stenosis - ịwa ahụ; Endarterectomy - akwara carotid

• Angioplasty na stent - ọnya carotid - ihapu
• Antiplatelet ọgwụ - P2Y12 inhibitors
• Pụ Ọgwụ Aspirin na ọrịa obi
• Butter, majarin, na mmanụ oriri
• Carotid artery artery - ihapu
• Cholesterol na ndụ
• Cholesterol - ọgwụgwọ ọgwụ
• Rollingchịkwa ọbara mgbali elu gị
• A kọwara abụba ndị na-eri nri
• Ndụmọdụ nri ngwa ngwa
• Otu esi agu aha nri
• Nri Mediterranean
• Ọkụ - ihapu
• Nlekọta ọnya ịwa ahụ - emeghe

• Carotid stenosis - X-ray nke akwara aka ekpe
• Carotid stenosis - X-ray nke akwara aka nri
• Ọkpụkpụ akwara n'ime akwara carotid
• Atherosclerosis nke akwara carotid dị n'ime
• Ihe eji eme ihe
• Carotid ịwa ahụ akwara - usoro

Arnold M, Perler BA. Ọkpụkpụ azụ azụ Carotid. Na: Sidawy AN, Perler BA, eds. Herwa Ahụ nke Vascular Rutherford na ọgwụgwọ Endovascular. Agba nke 9. Philadelphia, PA: Elsevier; 2019: isi 91.

Biller J, Ruland S, Schneck MJ. Ischemic ọrịa cerebrovascular. Na Daroff RB, Jankovic J, Mazziotta JC, Pomeroy SL, eds. Ọkpụkpụ Bradley na Clinical Practice. Nke 7. Philadelphia, PA: Elsevier; 2016: isi 65.

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. Mepụtara na mmekorita ya na American Academy of Neurology and Society of Cardiovascular Computed Tomography. Katidet Cardiovasc Interv. 2013; 81 (1): E76-E123. PMID: 23281092 pubmed.ncbi.nlm.nih.gov/23281092/.

Brott TG, Howard G, Roubin GS, et al. Akwụrụ Nsonaazụ dị ogologo nke nsị na endarterectomy maka carotid-artery stenosis. N Engl J Ahụike. 2016; 374 (11): 1021-1031. PMID: 26890472 pubmed.ncbi.nlm.nih.gov/26890472/.

Holscher CM, Abularrage CJ. Ọkpụkpụ azụ azụ Carotid. Na: Cameron AM, Cameron JL, eds. Usoro ọgwụgwọ nke oge a. Nke 13. Philadelphia, PA: Elsevier; 2020: 928-933.