Angioplasty na stent - ntinye carotid

A na-akpọ akwara ọbara nke na-eweta ọbara na ụbụrụ gị na ihu gị akwara akwara. Have nwere akwara carotid n'akụkụ n'akụkụ olu gị.

Ọbara a na-agba ọbara na akwara a nwere ike ịghọ ihe nwere oke abụba ma ọ bụ mechie ya kpamkpam site na ihe abụba a na-akpọ ihe ncheta. A na-akpọ mkpọchi akụkụ (carotid artery stenosis (warara). Mgbochi imechi na akwara carotid gị nwere ike belata ọbara ọbara na ụbụrụ gị. Mgbe ụfọdụ akụkụ nke ihe e dere ede nwere ike gbajie ma mechie akwara ọzọ. Ọrịa strok nwere ike ime ma ọ bụrụ na ụbụrụ gị erughị ọbara zuru ezu.

Enwere ike iji usoro abụọ iji mesoo akwara carotid nke dị warara ma ọ bụ gbochie. Ndị a bụ:

• Gerywa Ahụ iji wepu ihe e dere ede (endarterectomy)
• Carotid angioplasty na ntinye aka

Carotid angioplasty na stenting (CAS) na-eme site na iji obere ịwa ahụ ịkpụ.

• Dọkịta na-awa gị ga-awa onye ịwa ahụ n’akwara gị mgbe ị gwọchara ụfọdụ ọgwụ na-agwụ ike. A ga-enye gi ogwu iji zuru ike gi.
• Dọkịta na-awa ahụ na-etinye catheter (tube na-agbanwe agbanwe) site na ebe a gbanye ya n'ime akwara. Ejiri nlezianya kpalie ruo n'olu gị na mkpọchi na akwara carotid gị. A na-eji ihe eserese x-ray (fluoroscopy) eme ihe iji hụ akwara ma duzie catheter ahụ n'ọnọdụ ziri ezi.
• Ọzọ, dọkịta na-awa ahụ ga-ebugharị waya site na catheter na mkpọchi. Ọzọ catheter na a nnọọ obere balloon na njedebe ga-kewapụrụ a waya na n'ime mkpọchi. Mgbe ahụ balloon na-ebu.
• Na balloon presses megide n'ime mgbidi gị akwara. Nke a mepeere akwara ma mee ka ọbara baa na ụbụrụ gị. Enwekwara ike itinye stent (eriri ntupu waya) na mpaghara akpọchiri. A na-etinye stent n'otu oge ahụ dị ka catheter balloon. Ọ na-agbasa na balloon. A na-ahapụ stent n'otu ebe iji nyere aka meghee akwara.
• Dọkịta na-awa ahụ wee wepu balloon ahụ.

Surgerywa ahụ nke Carotid (endarterectomy) bụ ụzọ ochie na ụzọ dị mma iji gwọọ akwara warara ma ọ bụ nke egbochiri. Usoro a dị oke nchekwa.

CAS amalitela dị ka ezigbo ihe ọzọ maka ịwa ahụ, mgbe ndị ọrụ nwere ahụmahụ mere ya. Ihe ụfọdụ nwere ike ịkwado nkwụsị, dị ka:

• Onye ahụ na-arịa ọrịa nke ukwuu ịnwe ọgwụgwọ akwara carotid.
• Ọnọdụ nke warara na akwara carotid na-eme ka ịwa ahụ sie ike.
• Onye ahụ ejirila olu ma ọ bụ ịwa ahụ carotid n'oge gara aga.
• Onye ahụ nwere ụzarị ọkụ na olu.

Ihe ize ndụ nke carotid angioplasty na nkwụsị, nke dabere na ihe ndị dị ka afọ, bụ:

• Nfụkasị mmeghachi omume dai
• Ọbara ọbara ma ọ bụ ọbara ọgbụgba na saịtị nke ịwa ahụ
• Mbibi ụbụrụ
• Clogging nke n'ime stent (na-stent restenosis)
• Obi nkolopu
• Akụrụ odida (elu n'ihe ize ndụ na ndị mmadụ na-ama nwere nsogbu akụrụ)
• Enwekwu mgbochi nke akwara carotid na oge
• Ọdịdọ (nke a adịkarịghị)
• Ọkụ

Onye nlekọta ahụike gị ga-eme nyocha anụ ahụ ma mee ọtụtụ nyocha ahụike.

Na-agwa onye na-eweta ọrụ gị oge niile ọgwụ ndị ị na-a ,ụ, gụnyere ọgwụ, mgbakwunye, ma ọ bụ ahịhịa ị zụrụ na-enweghị ọgwụ.

N'ime izu 2 tupu usoro gị:

• Dbọchị tupu ịwa ahụ, ị ​​nwere ike ịkwụsị ị takingụ ọgwụ ndị na-eme ka ọbara gị sie ike nsị. Ndị a gụnyere aspirin, ibuprofen (Advil, Motrin), clopidogrel (Plavix), ticagrelor (Brilinta), prasugrel (Effient) 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.
• Mee ka onye na-eweta ọrụ gị mara mgbe ọ bụla gbasara oyi, flu, fever, herpes breakout, ma ọ bụ ọrịa ọzọ ị nwere ike ịnwe tupu ịwa ahụ.

A NOTụla ihe ọ bụla mgbe etiti abalị abalị tupu ịwa ahụ gị, gụnyere mmiri.

N'ụbọchị ịwa ahụ gị:

• Were ọgwụ ndị a gwara gị were obere mmiri pụọ.
• A ga-agwa gị mgbe ị ga-abata n'ụlọ ọgwụ.

Mgbe ịwachara ahụ, ọ nwere ike ịdị mkpa ka ị nọrọ n'ụlọ ọgwụ chi abọọ ka e wee lelee gị maka ihe mgbaàmà ọ bụla nke ọbara ọgbụgba, ọrịa strok, ma ọ bụ ọbara na-erughị n'ụbụrụ gị.Nwere ike ịla ụlọ otu ụbọchị ma ọ bụrụ na emechara usoro gị n'isi ụtụtụ ma ị na-eme nke ọma. Onye na-enye gị ọrụ ga - agwa gị gbasara etu esi elekọta onwe gị n’ụlọ.

Carotid artery angioplasty na stenting nwere ike inye aka belata ohere gị ịnweta 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. Nwere ike ịgbanwe nri gị wee bido mmemme mmega ahụ ma ọ bụrụ na onye na - eweta gị gwara gị na mmega ahụ ga - adị gị mma.

Carotid angioplasty na stenting; CAS; Angioplasty - akwara carotid; Carotid akwara stenosis - angioplasty

• 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
• Butter, majarin, na mmanụ oriri
• Cholesterol na ndụ
• Cholesterol - ọgwụgwọ ọgwụ
• 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 obere nnu
• Nri Mediterranean
• Nlekọta ọnya ịwa ahụ - emeghe

• Atherosclerosis nke akwara carotid dị n'ime
• Carotid stenosis - X-ray nke akwara aka nri
• Ndị na-emepụta kọlesterol

Aboyans V, Ricco JB, Bartelink MEL, et al. Nhọrọ nke nchịkọta akụkọ - Ntuziaka 2017 ESC maka nyocha na ọgwụgwọ nke ọrịa akwara, na mmekorita ya na European Society for Vascular Surgery (ESVS). Eur J Vasc Endovasc Surg. 2018; 55 (3): 305-368. PMID: 28851596 pubmed.ncbi.nlm.nih.gov/28851596/.

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/.

Hicks CW, Malas MB. Ọrịa Cerebrovaskụla: akwara carotid stenting. Na: Sidawy AN, Perler BA, eds. Herwa Ahụ nke Vascular Rutherford na ọgwụgwọ Endovascular. Agba nke 9. Philadelphia, PA: Elsevier; 2019: isi nke 92.

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.

Rosenfield K, Matsumura JS, Chaturvedi S, et al. Ọnwụnwa ikpe ziri ezi nke ịwa ahụ na ịwa ahụ maka asymptomatic carotid stenosis. N Engl J Ahụike. 2016; 374 (11): 1011-1020. PMID: 26886419 pubmed.ncbi.nlm.nih.gov/26886419/.