Catheterization Cardiac - hoʻokuʻu

Hoʻopili ka catheterization Cardiac i ka hele ʻana i kahi paipu wīwī lahilahi (catheter) i ka ʻaoʻao ʻākau a hema paha o ka puʻuwai. Hoʻokomo pinepine ʻia ka catheter mai ke aʻa a i ʻole ka lima. Kūkākūkā kēia ʻatikala pehea e mālama ai iā ʻoe iho ke haʻalele ʻoe i ka haukapila.

Hoʻokomo ʻia kahi catheter i loko o ke aʻa o kou aʻa a lima paha. A laila alakaʻi pono ʻia i kou puʻuwai. Aia a hiki i kou puʻuwai, hoʻokomo ʻia ka catheter i loko o nā aʻa e lawe i ke koko i kou puʻuwai. A laila ua injected ka pena kala. Ua ʻae ka kala i kāu kauka e ʻike i nā wahi i loko o nā aʻa o kou coronary i ālai ʻia a i ololi paha.

Inā loaʻa iā ʻoe kahi palaka, loaʻa paha iā ʻoe kahi angioplasty a me kahi stent i kau ʻia i kou puʻuwai i ke kaʻina hana.

Hiki paha iā ʻoe ke ʻeha i loko o kāu ʻūlū a lima paha kahi i waiho ʻia ai ka catheter. Hiki paha iā ʻoe ke ʻeha a puni a ma lalo o ka ʻoki i hana ʻia e hoʻokomo i ka catheter.

Ma ka laulā, hiki i nā poʻe i loaʻa ka angioplasty ke hele wāwae ma waena o 6 mau hola a i ʻole ka liʻiliʻi ma hope o ke kaʻina hana. 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 ʻia ka catheter i kou lima, ʻoi aku ka wikiwiki o ka hoʻōla.

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

• Ke hele nei i kahi mamao ma kahi pālahalaha ka OK. Palena i ka piʻi a i lalo i lalo a i ʻelua mau manawa i ka lā no nā 2 a 3 mau lā.
• Mai hana i ka hana ma ka pā, kalaiwa, hāpai i nā mea kaumaha, a pāʻani i nā haʻuki no 2 mau lā, a i ʻole a haʻi aku kāu kauka olakino ua maikaʻi ʻoe.

Inā hoʻokomo ke kauka i ka catheter i kou lima:

• Mai hāpai i kekahi mea ʻoi aku ka nui ma mua o 10 paona (4.5 kilokilo). (ʻOi iki kēia ma mua o ke galani waiū).
• Mai hana i kekahi hoʻokau kaumaha, ka huki ʻana a i ʻole ka wili ʻana.

No kahi catheter i loko o kou aʻa a lima paha:

• Hōʻalo i ka moekolohe ma 2 a 5 mau lā. E noi i kāu kauka inā maikaʻi ke hoʻomaka hou.
• Hiki iā ʻoe ke hoʻi i ka hana i 2 a 3 mau lā ke hana ʻole ʻoe i ka hana kaumaha.
• Mai ʻauʻau a ʻauʻau paha no 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.

Pono ʻoe e mālama i kāu lūlū.

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

Lawe ka hapa nui o ka poʻe i ka aspirin, me ka lāʻau ʻē aʻe 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, a mālama lākou i kou koko mai ka hana ʻana i nā clots i loko o kou aʻa a me ka 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 ʻana me kāu mea hāʻawi.

Pono ʻoe e ʻai i ka papaʻai olakino puʻuwai, hoʻoikaika kino, a hāhai i kahi nohona olakino. Hiki i kāu mea hāʻawi ke kuhikuhi iā ʻoe i nā loea olakino ʻē aʻe i hiki ke kōkua iā ʻoe e aʻo e pili ana i ka hoʻoikaika kino a me nā meaʻai olakino e kūpono i kou nohona.

Kāhea i kāu mea hāʻawi inā:

• Aia ke kahe ʻana o ke kahe ma ka pūnaewele hoʻokomo catheter i kū ʻole ke kau ʻoe i ke kaomi.
• ʻO kou lima a wāwae paha ma lalo kahi i hoʻokomo ʻia ai ka catheter e hoʻololi ai i ke kala, ʻoluʻolu i ka hoʻopā ʻana, a i ʻole numb.
• 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 ia (ʻoi aku ma mua o 60 kani i hoʻokahi minuke) a wikiwiki paha (ma kahi o 100 a 120 mau kani i ka 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).

Catheterization - puʻuwai - hoʻokuʻu; Hoʻohui puʻuwai puʻuwai - hoʻokuʻu: Catheterization - cardiac; Puʻuwai puʻuwai; Angina - hoʻokuʻu i ka catheterization naʻau; CAD - hoʻokuʻu catheterization puʻuwai; ʻO ka maʻi ahulau coronary - hoʻokuʻu ka catheterization cardiac

ʻO Herrmann J. Cardiac catheterization. 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 19.

Kern MJ, Kirtane AJ. Catheterization a me ka angiography. I: Goldman L, Schafer AI, eds. ʻO ka lāʻau lapaʻau Goldman-Cecil. 26th ed. Piladelapia, PA: Elsevier; 2020: chap 51.

Mauri L, Bhatt DL. Hoʻopili coronary pākēnē. 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 62.

• Angina
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• Stent

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• Angina - hoʻokuʻu
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• Angina - ke loaʻa iā ʻoe ka ʻeha o ka umauma
• Angioplasty a me stent - puʻuwai - hoʻokuʻu
• Nā lāʻau Antiplatelet - nā mea kūpaka P2Y12
• ʻO ka aspirin a me ka maʻi puʻuwai
• Ke hana nei ma hope o ka hōʻeha o kou puʻuwai
• Ke hana nei inā loaʻa ka maʻi puʻuwai
• ʻO ka pata, ka margarine, a me nā aila kuke
• ʻO Cholesterol a me ka nohona
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• Ua wehewehe ʻia nā momona momona
• ʻLelo aʻoaʻo ʻai wikiwiki
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• Ka hōʻeha puʻuwai - he aha e nīnau aku ai i kāu kauka
• Maʻi maʻi puʻuwai - nā mea weliweli
• Pehea e heluhelu ai i nā lepili ʻai
• Papaʻai Mediterranean

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