Percutanious transluminal coronary angioplasty (PTCA)
Anter
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ʻO PTCA, a i ʻole percutaneous transluminal coronary angioplasty, kahi hana hoʻohaʻahaʻa minimally e wehe i nā aʻa o ke kolona e hoʻomaikaʻi i ke kahe o ke koko i ka puʻuwai puʻuwai.
ʻO ka mea mua, kulu kahi anesthesia kūloko i ka wahi ʻūhū. A laila, kau ke kauka i kahi nila i loko o ke aʻa wahine, ke aʻa e kahe ana i ka wāwae. Hoʻokomo ke kauka i kahi uea alakaʻi ma o ka nila, hemo ka nila, a hoʻololi iā ia me kahi mea hoʻolauna, kahi mea kani me ʻelua awa no ka hoʻokomo ʻana i nā hāmeʻa maʻalahi. A laila ua hoʻololi ʻia ka uea alakaʻi alakaʻi e kahi uea lahilahi. Hāʻalo ke kauka i kahi puʻupuʻu loloa lōʻihi i kapa ʻia he catheter diagnostic ma luna o ka uea hou, ma o ka mea hoʻokomo, a i loko o ke aʻa.Ke komo i loko, alakaʻi ke kauka iā ia i ke aorta a hemo i ka uea alakaʻi.
Me ka catheter i ka wehe ʻana o ke aʻa coronary, inject ke kauka i ka waihoʻoluʻu a lawe i kahi X-ray.
Inā hōʻike ia i kahi poloka hiki ke mālama ʻia, kākoʻo ke kauka i ka catheter i waho a pani iā ia me kahi catheter alakaʻi, ma mua o ka hemo ʻana o ka uea.
Hoʻokomo ʻia kahi uea ʻoi lahilahi a alakaʻi ʻia i ka ālai. Alakaʻi ʻia kahi pōpōpōpō i ka paena paʻa. Hoʻonui ʻia ka pāluna no kekahi mau kekona e kaomi ai i ka paʻa i ka paia o ke aʻa. A laila deflated. Hiki paha i ke kauka ke hoʻonui i ka baluna i kekahi mau manawa hou, i kēlā me kēia manawa e hoʻopiha iā ia i kahi mea hou aʻe e hoʻonui i ke ala.
E hana hou paha kēia i kēlā me kēia pūnaewele i pale ʻia a i ʻole kahaiki ʻia.
Hiki i ke kauka ke kau i kahi stent, kahi scaffold metala latticed, ma loko o ke aʻa coronary e wehe.
Ke hoʻopau ʻia ka compression, injected ke kala a lawe ʻia kahi X-ray e nānā i nā loli i nā aʻa.
A laila wehe ʻia ka catheter a pau ke kaʻina hana.
- Angioplasty