Odee: Virginia Floyd
OfbọChị Okike: 10 Ogostu 2021
DatebọChị Mmelite: 18 Onwa Disemba 2024
Anonim
Angioplasty na stent pụrụ isi chọta - obi - ỌGwụ
Angioplasty na stent pụrụ isi chọta - obi - ỌGwụ

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. A na-etinyekarị stent n'oge ma ọ bụ ozugbo angioplasty gasịrị. Ọ na - enyere aka igbochi akwara akwara ọzọ. Otu ọgwụ na-agbanwe ọgwụ nwere ọgwụ na-etinye n'ime ya nke na-enyere aka igbochi akwara akwara na ogologo oge.

Tupu usoro angioplasty amalite, ị ga-enweta ụfọdụ ọgwụ mgbu. Enwere ike inye gị ọgwụ ga-eme gị obi iru ala, nyekwa gị ọgwụ ndị na-ebelata ọbara iji gbochie mkpụkọ ọbara ịmalite.

Ga-edina ala n’elu tebụl e kwere ekwe. Dọkịta gị ga-etinye ọkpọkọ na-agbanwe agbanwe (catheter) n'ime akwara. Oge ụfọdụ a ga-etinye catheter na ogwe aka gị ma ọ bụ nkwojiaka, ma ọ bụ na mpaghara ụkwụ gị (ukwu). Ga-eteta n'oge usoro ahụ.

Dọkịta ahụ ga-eji ihe nkiri x-ray mee ihe iji duzie catheter ahụ n'obi gị na akwara gị. A ga-atụba ọdịiche dị mmiri mmiri (oge ụfọdụ a na-akpọ "dye," n'ime ahụ gị iji mee ka ọbara na-esi na akwara pụta. Nke a na-enyere dọkịta aka ịhụ mgbochi ọ bụla dị na arịa ọbara nke na-eduga gị n'obi.


A na-ebugharị waya ndu ma gafee mkpọchi ahụ. A na-agbanye klọọkụ balloon n'elu waya nduzi na n'ime mkpọchi ahụ. A na-afụ balloon na njedebe (agbatị). Nke a meghere ụgbọ ahụ egbochiri ma weghachite ọbara kwesịrị ekwesị na obi.

Enwere ike itinye eriri ntupu waya (stent) na mpaghara a egbochi. A na-etinye stent ya na catheter balloon. Ọ na-agbasawanye mgbe balloon na-ebuwanye ibu. A na-ahapụ stent ebe ahụ iji nyere aka meghee akwara.

Ihe fọrọ nke nta ka ọ bụrụ na a na-ete ọgwụ ahụ na ọgwụ (nke a na-akpọ ọgwụ na-egbu ọgwụ). Typedị stent a nwere ike ime ka akwara kwụsị kpamkpam n’ọdịnihu.

Akwara nwere ike ibelata ma ọ bụ mechie site na nkwụnye ego a na-akpọ ncheta. Ihe e dere ede nwere abụba na cholesterol na-akụ n’ime mgbidi akwara. Ọnọdụ a ka akpọrọ haringing nke akwara (atherosclerosis).


Enwere ike iji angioplasty gwọọ:

  • Mgbapu n'ime akwara obi n'oge ma ọ bụ mgbe nkụchi obi gasịrị
  • Mgbochi ma ọ bụ ibelata nke akwara obi ma ọ bụ karịa nke nwere ike ibute ọrụ obi na-adịghị mma (nkụda obi)
  • Nkọwa nke na-ebelata ọbara na-akpata mgbu obi na-aga n'ihu (angina) nke ọgwụ anaghị achịkwa

Ọ bụghị ngọngọ ọ bụla nwere ike ịgwọ ọrịa angioplasty. Fọdụ ndị nwere ọtụtụ mgbochi ma ọ bụ mgbochi n'ọtụtụ ebe nwere ike ịchọ ịwa ahụ ịwa ahụ.

Angioplasty na-adịkarị mma, mana jụọ dọkịta gị banyere nsogbu ndị nwere ike ime. Ize ndụ nke angioplasty na stent pụrụ isi chọta bụ:

  • Ọrịa na-arịa ị usedụ ọgwụ eji eme ọgwụ ọgwụ, ihe na-adịghị ike (nke dị obere), ma ọ bụ dye x
  • Ọbara ọgbụgba ma ọ bụ ịkpụkọ na mpaghara ebe etinyere catheter
  • Ọbara ọbara
  • Clogging nke n'ime stent (na-stent restenosis). Nke a nwere ike igbu mmadụ.
  • Mmebi na valvụ obi ma ọ bụ arịa ọbara
  • Obi nkolopu
  • Akụrụ odida (elu n'ihe ize ndụ na ndị mmadụ na-ama nwere nsogbu akụrụ)
  • Oge ufodu obi (arrhythmias)
  • MKpọnwụ (nke a adịkarịghị)

A na-arụkarị angioplasty mgbe ị gara ụlọ ọgwụ ma ọ bụ ụlọ mberede maka mgbu obi, ma ọ bụ mgbe nkụchi obi gasịrị. Ọ bụrụ na a kpọgara gị n'ụlọ ọgwụ maka angioplasty:


  • Gwa onye na-ahụ maka ahụike gị ọgwụ ndị ị na-a evenụ, ọbụlagodi ọgwụ ma ọ bụ ahịhịa ị zụtara na-enweghị ndenye ọgwụ.
  • A ga-ajụkarị gị ka ị ghara ị drinkụ ma ọ bụ rie ihe ọ bụla maka awa 6 ruo 8 tupu ule ahụ.
  • Were ọgwụ ndị onye na-enye gị gwara gị ka ị were obere mmiri ara.
  • Gwa onye na - enye gị ọrụ ma ọ bụrụ na nri anụ ahụ na - anabata gị, ị nwere mmeghachi omume ọjọọ na ihe dị iche ma ọ bụ ayodiin n'oge gara aga, ị na-ewere Viagra, ma ọ bụ na ị dị ma ọ bụ nwee afọ ime.

Ogologo oge ịnọ n'ụlọ ọgwụ bụ ụbọchị 2 ma ọ bụ obere. Fọdụ ndị agaghịdị ebili n’ụlọ ọgwụ.

N'ozuzu, ndị mmadụ nwere ọrịa angioplasty nwere ike ịgagharị n'ime awa ole na ole mgbe usoro ahụ dabere na otu usoro si gaa na ebe etinyere catheter ahụ. Mgbake zuru oke na-ewe otu izu ma ọ bụ obere. A ga-enye gị ozi otu esi elekọta onwe gị mgbe angioplasty gasịrị.

Maka ọtụtụ ndị mmadụ, angioplasty na-eme ka ọbara na-aga nke ọma site na akwara obi na obi. Ọ nwere ike inyere gị aka izere mkpa ịwa ahụ akwara akwara (CABG).

Angioplasty anaghị agwọ ihe kpatara mgbochi na akwara gị. Akụ akwara gị nwere ike ịdị wara wara ọzọ.

Soro nri obi gị dị mma, mmega ahụ, kwụsị ị smokingụ sịga (ma ọ bụrụ na ị na-ese anwụrụ ọkụ), ma belata nchekasị iji belata ohere ịnweta akwara ọzọ egbochiri gị. Stepsme ihe ndị a nwere ike inye aka belata ohere gị nke nsogbu sitere na atherosclerosis.

PCI; Mgbawa nke akwara; Balloon angioplasty; Ọkpụkpụ akwara; Ọkpụkpụ akwara angioplasty; Percutaneous transluminal akwara obi angioplasty; Mgbasa obi obi; Angina - stent pụrụ isi chọta; Nnukwu ọrịa ọrịa obi - ebe obibi; Ọrịa akwara ọbara - ọnyịnya stent; CAD - ntinye ego; Ọrịa obi na - arịa ọrịa obi - ntinye ọnụ; ACS - ntinye onu ogugu; Mwakpo obi - ntinye di; Myocardial infarction - ntinye ọnụ; MI - ntinye onu ogugu; Mkpụrụ obi revascularization - ntinye ọnụ

  • 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 ST: akụkọ nke American College of Cardiology / American Heart Association Task Force on Practice Guidelines. J Am Coll Cardiol. Ọrịa. 2014; 64 (24): e139-e228. PMID: 25260718 pubmed.ncbi.nlm.nih.gov/25260718/.

Fihn SD, Blankenship JC, Alexander KP, et al. Ọgwụgwọ 2014 ACC / AHA / AATS / PCNA / SCAI / STS lekwasịrị anya melite nke ntuziaka maka nyocha na njikwa nke ndị ọrịa nwere ọrịa obi na-adịghị mma. Mgbaghari. 2014; 130 (19): 1749-1767. PMID: 25070666 pubmed.ncbi.nlm.nih.gov/25070666/.

Mauri L, Bhatt DL. Percutaneous akwara ọsọ enyemaka. 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 62.

Morrow DA, de Lemos JA. Ọrịa obi obi. 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 61.

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

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