Hoʻokomo ʻia ka Angioplasty a me stent - nā aʻa ākea - hoʻokuʻu

ʻO Angioplasty kahi hana e wehe ai i nā kīʻaha koko ākea a i ʻole nā ​​poloka e hāʻawi i ke koko i kou mau wāwae. Hiki i nā waihona momona ke kūkulu i loko o nā aʻa a ālai i ke kahe o ke koko. ʻO kahi stent kahi pahu liʻiliʻi, hao hao e hāmama ai ke aʻa. ʻO ka Angioplasty a me ka stent kau i ʻelua ala e wehe i nā aʻa ākea ākea.

Loaʻa iā ʻoe nā kaʻina hana i hoʻohana ai i kahi catheter balloon e wehe i kahi ipu liʻiliʻi (angioplasty) e hāʻawi i ke koko i nā lima a i ʻole nā ​​wāwae (ke ākea ākea). Loaʻa paha iā ʻoe kahi stent kau.

E hana i ke kaʻina hana:

• Ua hoʻokomo kāu kauka i kahi catheter (Tube Tube) i loko o kou aʻa i ālai ʻia ma o kahi ʻoki o kāu aʻa.
• Hoʻohana ʻia nā kukuna X e alakaʻi i ka catheter a i kahi o ka paʻa.
• A laila kaola ke kauka i ka uea i loko o ka catheter a hiki i ka wahi paʻa a kīkiʻi ʻia kahi pōpō lōlō ma luna ona.
• ʻO ka pāluna i ka hopena o ka catheter i puhi ʻia. Ua wehe kēia i ka moku i ālai ʻia a hoʻihoʻi hou i ke kahe o ke koko i kahi i hoʻopilikia ʻia.
• Hoʻokomo pinepine ʻia kahi stent ma ka pūnaewele e pale i ka pani hou ʻana o ka moku.

ʻEhaʻeha paha ke ʻoki o kou ʻūlū no kekahi mau lā. Hiki iā ʻoe ke hele wāwae i kēia manawa me ka ʻole o ka hoʻomaha, akā e hoʻomāmā ʻoe i ka wā mua. He 6 a 8 mau pule paha ke ola hou ʻana. Pehu paha kou wāwae ma ka ʻaoʻao o ke kaʻina hana no kekahi mau lā a i ʻole mau pule. E hoʻomaikaʻi kēia i ke kahe o ke kahe i ka lālā a lilo i mea maʻamau.

Pono ʻoe e hoʻonui i kāu hana i ka wā e hoʻōla ai ka ʻoki.

• Ke hele nei i kahi mamao ma kahi pālahalaha ka OK. E hoʻāʻo e hele wāwae iki 3 a i ʻole 4 manawa i ka lā. E hoʻonui mālie i kou hele wāwae i kēlā me kēia manawa.
• Ka palena i ka piʻi a i lalo o nā alapiʻi ma kahi o 2 mau manawa i ka lā no nā 2 a 3 mau lā mua.
• Mai hana i ka hana i ka pā, hoʻokele, a pāʻani paha i nā haʻuki no 2 mau lā, a i ʻole no nā lā o kāu luna mālama ola e ʻōlelo ai iā ʻoe e kali.

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.
• Inā kū ʻole ke kahe a me ka pehu a ʻino paha, e kāhea i kāu mea lawelawe a hoʻi i ka haukapila a i ʻole e hele i kahi lumi pilikia kokoke a e kāhea paha iā 911 a i ʻole ka helu pilikia kūloko.

Ke hoʻomaha ʻoe, e hoʻāʻo e hāpai i kou mau wāwae i luna o ka pae o kou puʻuwai. E kau i nā uluna a i nā kapa moe paha ma lalo o kou mau wāwae e hāpai iā lākou.

ʻAʻole hoola ʻo Angioplasty i ke kumu o ka paʻa ʻana i kāu aʻa. E hāiki hou paha kou mau aʻa. E hoʻohaʻahaʻa i kou manawa kūpono o kēia hana:

• ʻAi i kahi papaʻai olakino puʻuwai, hoʻoikaika kino, hoʻōki i ka paka (inā puhi ʻoe), a hoʻemi i kou pae pae.
• E lawe i ka lāʻau e kōkua i ka hoʻohaʻahaʻa ʻana i kāu kōkōlō inā kuhikuhi ʻia kāu mea lawelawe.
• Inā ʻoe e lawe i nā lāʻau no ke koko a me ka maʻi kō, lawe iā lākou i ke ala a kāu mea lawelawe i noi ai iā ʻoe e lawe.

Koi paha kāu mea hāʻawi iā ʻoe e lawe i ka aspirin a i ʻole lāʻau ʻē aʻe, i kapa ʻia ʻo clopidogrel (Plavix), ke hoʻi ʻoe i ka home. Mālama kēia mau lāʻau i nā kahe koko mai ka hana ʻana i loko o kāu aʻa a me ka stent. Mai hōʻoki i ka lawe ʻana iā lākou me ke kamaʻilio ʻole ʻole ʻole me kāu mea hāʻawi.

Kāhea i kāu mea hāʻawi inā:

• Aia ka ʻōhū ma ka paepae catheter.
• Aia ke kahe ʻana o ke kahe ma ka pūnaewele hoʻokomo catheter i kū ʻole ke kau ʻia kaomi.
• ʻO kou wāwae i lalo kahi i hoʻokomo ʻia ai ka catheter e hoʻololi ai i ke kala a i ʻole lilo i maʻalili i ka hoʻopā ʻana, pale, a me ka numb.
• ʻO ka ʻokiʻoki liʻiliʻi mai kāu catheter a lilo i ʻulaʻula a ʻeha paha, a i ʻole ka hoʻokuʻu melemele a ʻōmaʻomaʻo paha e kahe ana mai iā ia.
• Kaha nui kou mau wāwae.
• Loaʻa iā ʻoe ka ʻeha o ka umauma a i ʻole ka liʻiliʻi o ka hanu e hele ʻole me ka hoʻomaha.
• 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 ke anuanu a i ʻole he kuni ma luna o 101 ° F (38.3 ° C).
• Hoʻolālā ʻoe i ka nāwaliwali i kou kino, loli ka ʻōlelo, a i ʻole hiki ʻole iā ʻoe ke hele i waho o kahi moe.

Percutanious transluminal angioplasty - peripheral artery - hoʻokuʻu; PTA - ʻaʻa ākea - hoʻokuʻu; Angioplasty - peripheral artery - hoʻokuʻu; Balloon angioplasty - peripheral artery- hoʻokuʻu; PAD - Hoʻokuʻu PTA; Hoʻokuʻu ʻia ʻo PVD - PTA

• ʻO Atherosclerosis o nā wēlau
• Stent arter coronary
• Stent arter coronary

Bonaca MP, Creager MA. Nā maʻi o ke aʻa peripheral. 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 64.

Kinlay S, Bhatt DL. Hoʻomaʻamaʻa i ka maʻi non voronary vascular obstructive maʻi. 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 66.

Keʻokeʻo CJ. Hoʻomaʻo Endovascular o ka maʻi ākea ākea. I: Creager MA, Beckman JA, Loscalzo J, eds. Ka Lapaʻau Vascular: He Hoa no ka Maʻi Puʻuwai ʻo Braunwald. ʻEkolu huaʻōlelo. Piladelapia, PA: Elsevier; 2020: chap 20.

• Hoʻokomo ʻia ka Angioplasty a me stent - nā aʻa ākea
• Pāhoihoi ultrasound
• Holo ke ākea peripheral - wāwae
• ʻO ka maʻi peripheral artery - nā wāwae
• Pilikia o ka paka
• Stent
• Nā ʻōlelo aʻoaʻo pehea e haʻalele ai i ka puhipaka

• Nā lāʻau Antiplatelet - nā mea kūpaka P2Y12
• ʻO ka aspirin a me ka maʻi puʻuwai
• ʻO Cholesterol a me ka nohona
• Cholesterol - lāʻau lapaʻau
• Ke kaohi nei i kou kiʻekiʻe o ke koko
• Holo ke ākea peripheral - wāwae - hoʻokuʻu

• ʻO ka maʻi Arterial Peripheral