Angioplasty a me stent - puʻuwai - hoʻokuʻu

ʻO Angioplasty kahi hana e wehe ai i nā kīʻaha koko ākea a i ʻole nā ​​poloka e hāʻawi i ke koko i ka puʻuwai. Kapa ʻia kēia mau kīʻaha koko nā aʻa kolo. ʻO kahi stent artery corentary kahi liʻiliʻi, mesh Tube Tube e hoʻonui i loko o ka arter coronary.

He angioplasty ʻoe i kou wā ma ka haukapila. Loaʻa paha iā ʻoe kahi stent kau. Ua hana ʻia kēia mau mea ʻelua e wehe i nā aniani coronary a i ʻole ālai ʻia, nā kīʻaha koko e hāʻawi i ke koko i kou puʻuwai. Ua loaʻa paha ʻoe i kahi puʻuwai puʻuwai a i ʻole angina (ʻeha o ka umauma) ma mua o ke kaʻina hana.

Loaʻa paha iā ʻoe ka ʻeha ma kou wahi ʻūlū, lima, a lima paha. ʻO kēia mai ka catheter (Tube Tube) i hoʻokomo ʻia e hana i ke kaʻina hana. Hiki paha iā ʻoe ke ʻeha a puni a ma lalo o ka ʻokiʻoki.

ʻO ka ʻeha o ka umauma a me ka hanu liʻiliʻi āu i loaʻa ai ma mua o ka hana e ʻoi aku ka maikaʻi i kēia manawa.

Ma ka laulā, hiki i nā poʻe i loaʻa ka angioplasty ke hele wāwae ma waena o 6 mau hola ma hope o ke kaʻina hana. Hiki paha iā ʻoe ke ala aʻe a hele wāwae ma mua inā hana ʻia ke kaʻina hana ma o ka pulima lima. ʻO ka hoʻōla piha piha i hoʻokahi pule a ʻoi. E mālama i kahi i hoʻokomo ʻia ai ka catheter i maloʻo no 24 a 48 mau hola.

Inā hoʻokomo ke kauka i ka catheter i loko o kāu ʻūlū:

• Ke hele nei i kahi mamao ma kahi pālahalaha ka OK. Ka palena i ka piʻi a i lalo o ke alapiʻi a puni 2 mau manawa i ka lā no nā 2 a 3 mau lā mua.
• Mai hana i ka hana i ka pā, kalaiwa, lele, lawe i nā mea kaumaha, a pāʻani i nā haʻuki no 2 mau lā, a i ʻole a haʻi aku kāu mea mālama ola iā ʻoe palekana.

Inā hoʻokomo ke kauka i ka catheter i kou lima a i kou lima lima:

• Mai hāpai i kekahi mea ʻoi aku ke kaumaha ma mua o 10 paona (4.5 kilokilo) (ʻoi aʻe ma mua o ke galani o ka waiū) me ka lima i loaʻa ka catheter.
• Mai hana i kekahi koʻikoʻi koʻikoʻi, huki a wili paha me kēlā lima.

No kahi catheter i kou pūlima, lima, a lima paha:

• Hōʻalo i ka moekolohe ma 2 a 5 mau lā. E noi i kāu mea nāna e hāʻawi mai inā maikaʻi ia e hoʻomaka hou.
• Mai ʻauʻau a ʻauʻau paha i ka pule mua. Hiki paha iā ʻoe ke lawe i nā ua nui, akā e nānā pono ʻaʻole i pulu ka wahi i hoʻokomo ʻia ai ka catheter no 24 a 48 mau hola mua.
• Hiki iā ʻoe ke hoʻi i ka hana i 2 a 3 mau lā ke hana ʻole ʻoe i ka hana kaumaha.

Pono ʻoe e mālama i kāu ʻokiʻoki.

• E haʻi aku kāu mea hāʻawi iā ʻoe i ka manawa hea e hoʻololi ai i kou kapa.
• Inā hoʻokahe ke kōʻoki a pehu paha i luna, moe i lalo a hoʻokau iā ia no 30 mau minuke.

ʻAʻole hoola ʻo Angioplasty i ke kumu o ka paʻa ʻana i kāu aʻa. E hāiki hou paha kou mau aʻa. ʻAi i kahi papaʻai olakino puʻuwai, hoʻoikaika kino, hoʻōki i ka puhipaka (inā puhi ʻoe), a hoʻemi i ke koʻikoʻi e kōkua i ka hoʻohaʻahaʻa ʻana i kou manawa o ka loaʻa ʻana o ke aʻa paʻa. Hāʻawi paha kāu mea hāʻawi iā ʻoe i ka lāʻau e kōkua i ka hoʻohaʻahaʻa ʻana i kāu kolesterol.

Lawe ka hapa nui o ka poʻe i ka aspirin me kahi lāʻau antiplatelet hou e like me clopidogrel (Plavix), prasugrel (Efient), a i ʻole ticagrelor (Brilinta) ma hope o kēia kaʻina hana. ʻO kēia mau lāʻau lapaʻau he lahilahi ke koko. Mālama lākou i kou koko mai ka hana ʻana i nā clots i loko o kou aʻa a me stent. Hiki i ke kīʻaha koko ke alakaʻi i kahi puʻuwai puʻuwai. E lawe i nā lāʻau e like me kā kāu mea hāʻawi. Mai hōʻoki i ka lawe ʻana iā lākou me ke kamaʻilio ʻole ʻole ʻole me kāu mea hāʻawi.

E ʻike ʻoe pehea e mālama ai i kāu angina inā hoʻi ia.

E ʻike pono i kahi manawa e ukali ai i hoʻonohonoho ʻia me kāu kauka puʻuwai (cardiologist).

E kuhikuhi paha kāu kauka iā ʻoe i kahi papahana hoʻoponopono naʻau. E kōkua kēia iā ʻoe e aʻo pehea e hoʻonui mālie ai i kāu hoʻoikaika kino. E aʻo pū ʻoe pehea e mālama ai i kāu angina a mālama iā ʻoe iho ma hope o ka puʻuwai puʻuwai.

Kāhea i kāu kauka inā:

• Aia ke kahe ʻana o ke kahe ma ka pūnaewele hoʻokomo catheter i kū ʻole ke kau ʻoe i ke kaomi.
• Aia ka ʻōhū ma ka paepae catheter.
• ʻO kou wāwae a lima paha ma lalo kahi i hoʻokomo ʻia ai ka catheter e hoʻololi ai i ke kala, lilo i mea maikaʻi e hoʻopā, a i ʻole nū.
• ʻO ka ʻokiʻoki liʻiliʻi no kāu catheter i ʻulaʻula a ʻeha paha, a i ʻole ka waiho ʻana o ka melemele a ʻōmaʻomaʻo paha mai ia mea.
• Loaʻa iā ʻoe ka ʻeha o ka umauma a i ʻole ka liʻiliʻi o ka hanu e hele ʻole me ka hoʻomaha.
• Kuhi ʻole kāu pulse - lohi loa (ʻoi aku ma mua o 60 mau kani), a i ʻole wikiwiki loa (ma kahi o 100 a 120 mau kani) i hoʻokahi minuke.
• Ua luhi ʻoe, maule, a ua luhi paha ʻoe.
• Ke ʻeha nei ʻoe i ke koko a i ʻole ka melemele melemele a ʻōmaʻomaʻo paha.
• Loaʻa iā ʻoe nā pilikia e lawe i kekahi o nā lāʻau o kou puʻuwai.
• Loaʻa iā ʻoe ke anuanu a i ʻole he kuni ma luna o 101 ° F (38.3 ° C).

Nā stent hoʻōla lāʻau - hoʻokuʻu; PCI - hoʻokuʻu; Hoʻopili coronary Percutanious - hoʻokuʻu; Balloon angioplasty - hoʻokuʻu; Coronary angioplasty - hoʻokuʻu; Angioplasty ʻaʻa coronary - hoʻokuʻu; Cardiac angioplasty - hoʻokuʻu; PTCA - hoʻokuʻu; Percutanous transluminal coronary angioplasty - hoʻokuʻu; Hoʻonui ʻia ke aʻa puʻuwai - hoʻokuʻu; Angina angioplasty - hoʻokuʻu; Angioplasty hōʻeha puʻuwai - hoʻokuʻu; CAD angioplasty - hoʻokuʻu

• Stent arter coronary

Amsterdam EA, Wenger NK, Brindis RG, a me al. ʻO 2014 AHA / ACC alakaʻi no ka mālama ʻana i nā mea maʻi me ka ʻole ST-kiʻekiʻe kiʻekiʻe syndromes coronary: kahi hōʻike o ka American College of Cardiology / American Heart Association Task Force e pili ana i nā kulekele hana. ʻO J Am Coll Cardiol. 2014; 64 (24): e139-e228. PMID: 25260718 pubmed.ncbi.nlm.nih.gov/25260718/.

Fihn SD, Blankenship JC, Alexander KP, Bittl JA, et al. 2014 ACC / AHA / AATS / PCNA / SCAI / STS nānā nui i ka papa kuhikuhi no ka ʻike a me ka mālama ʻana i nā mea maʻi me ka maʻi puʻuwai ischemic paʻa: kahi hōʻike o ka American College of Cardiology / American Heart Association Task Force ma nā Kūlana Kūpono, a me ka ʻAmelika Hui Pū ʻIa no ka ʻoki kino Thoracic, ʻAhahui kahu maʻi Cardiovascular Preventive, ʻAhahui no ka Angiography a me nā hana a Cardiovascular, a me ka Society of Thoracic Surgeons. ʻO J Thorac Cardiovasc Surg. 2015; 149 (3): e5-e23. PMID: 25827388 pubmed.ncbi.nlm.nih.gov/25827388/.

Mehran R, Dangas GD. ʻO ka angiography coronary a me ke kiʻi intravaskular. I: Zipes DP, Libby P, Bonow RO, Mann DL, Tomaselli GF, Braunwald E, eds. ʻO ka maʻi puʻuwai ʻo Braunwald: He puke aʻo no ka lāʻau Cardiovascular. 11th hua. Piladelapia, PA: Elsevier; 2019: chap 20.

O'Gara PT, Kushner FG, Ascheim DD, et al. 2013 ACCF / AHA alakaʻi no ka mālama ʻana i ka infarction myocardial ST-kiʻekiʻe: hōʻuluʻulu mana: kahi hōʻike o ka American College of Cardiology Foundation / American Heart Association Task Force e pili ana i nā kulekele hana. Kaapuni. 2013; 127 (4): 529-555. PMID: 23247303 pubmed.ncbi.nlm.nih.gov/23247303/.

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