Hoʻokomo ʻia ka Angioplasty a me stent - carotid artery - hoʻokuʻu

Ua hana ʻoe i kahi angioplasty ke hele ʻoe i ka haukapila. Loaʻa paha iā ʻoe kahi stent (kahi kaula uea hei mesh) i hoʻokau ʻia i ka wahi i ālai ʻia e wehe ai. Ua hana ʻia kēia mau mea ʻelua e wehe i kahi ākea ākea a i ʻole ālai ʻia e hāʻawi i ke koko i kou lolo.

Ua hoʻokomo kāu mea mālama olakino i kahi catheter (ʻōwili maʻalahi) i loko o ke aʻa ma o kahi ʻoki (ʻoki) i loko o kou aʻa a i kou lima.

Ua hoʻohana kāu mea hoʻolako i nā kukuna x ola e alakaʻi pono i ka catheter a i kahi o ka paʻa i kāu aʻa carotid.

A laila ua hala kāu mea lawelawe i kahi uea alakaʻi ma o ka catheter i ka blockage. Ua pahu ʻia kahi popo balloon ma luna o ka uea alakaʻi a i loko o ka paʻa. Hoʻonui ʻia ka baluna liʻiliʻi i ka hopena. Ua wehe kēia i ke aʻa i ālai ʻia.

Hiki iā ʻoe ke hana i kāu hana maʻamau i loko o kekahi mau lā, akā maʻalahi.

Inā hoʻokomo kāu mea i ka catheter ma o kou ʻūlū.

• Ke hele nei i kahi mamao ma kahi pālahalaha ka mea maikaʻi. 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, kalaiwa, a pāʻani paha i nā haʻuki no 2 mau lā, a i ʻole no nā lā o kāu kauka e haʻi aku 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 ʻaʻahu (bandage).
• Pono ʻoe e mālama i ka maʻi ʻole o ka pūnaewele incision. Inā loaʻa iā ʻoe ka ʻeha a i ʻole nā ​​hōʻailona ʻino ʻē aʻe, e kāhea i kāu kauka.
• Inā hoʻokahe ke kōʻoki a pehu paha ʻoe, moe i lalo a hoʻokau iā ia no 30 mau minuke. Inā kū ʻole ke kahe ʻana a i ʻole ka pehu ʻana, e kāhea i kāu kauka a hoʻi i ka haukapila. A i ʻole, e hele i kahi lumi pilikia kokoke loa, a kāhea paha iā 911 a i ʻole ka helu kūloko kūloko koke. Inā koʻikoʻi ke kahe ʻana a me ka pehu ʻana ma mua o ka hala ʻana o 30 mau minuke, e kāhea koke iā 911 a i ʻole ka helu kūloko kūloko. MAI hoʻolohi.

ʻAʻole mālama ka ʻoki ʻana i ke aʻa carotid 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 nā meaʻai olakino, hoʻoikaika kino (inā ʻōlelo aʻoaʻo kāu mea lawelawe iā ʻoe), hooki i ka puhi ʻana (inā puhi ʻoe), a hoʻēmi i kāu pae o ke koʻikoʻi. Mai inu i ka waiʻona i ka nui.
• 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 i haʻi ʻia iā ʻoe e lawe.
• E noi paha kāu mea lawelawe iā ʻoe e lawe i ka aspirin a me / a i ʻole kahi lāʻau ʻē aʻe i kapa ʻia ʻo clopidogrel (Plavix), a i ʻole kahi lāʻau ʻē aʻe, ke hoʻi ʻoe i ka home. Mālama kēia mau lāʻau i kou koko mai ka hana ʻana i nā clots i loko o kou 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 kahu mālama ola inā:

• He ʻeha kou poʻo, lilo i huikau, a i ʻole numbness a nāwaliwali paha i nā ʻāpana o kou kino.
• He mau pilikia kāu me kou maka a ʻaʻole hiki iā ʻoe ke kamaʻilio maʻamau.
• Aia ke kahe ʻana o ke kahe ma ka pūnaewele hoʻokomo catheter i kū ʻole ke kau ʻia 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 a i ʻole lilo i mea maikaʻi e hoʻopā, pale, a i ʻole 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.
• Pehu 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).

Carotid angioplasty a me stenting - hoʻokuʻu; CAS - hoʻokuʻu; Angioplasty o ke aʻa carotid - hoʻokuʻu

• Atherosclerosis o nā aʻa carotid i loko

Brott TG, Halperin JL, Abbara S, et al. 2011 ASA / ACCF / AHA / AANN / AANS / ACR / ASNR / CNS / SAIP / SCAI / SIR / SNIS / SVM / SVS alakaʻi ma ka mālama ʻana i nā mea maʻi me ka carotid extracranial a me ka maʻi vertebral artery: hōʻuluʻulu mana: kahi hōʻike o ka ʻAmelika. Ke Kulanui o Cardiology Foundation / ʻAmelika Hui Pū ʻIa ʻAmelika Hui Pū ʻIa e pili ana i nā Kumu Hoʻomaʻamaʻa, a me ka American Stroke Association, ʻAmelika Hui Pū ʻIa Neurosains, ʻAmelika ʻAmelika o nā Neurological Surgeons, American College of Radiology, American Society of Neuroradiology, ʻAha Kūkā o Neurological Surgeons, Society of Atherosclerosis ʻO ke kiʻi a me ka pale ʻana, ka ʻahahui no ka Angiography Cardiovascular a me nā hana, Society of Interventional Radiology, Society of NeuroInterventional Surgery, Society for Vascular Medicine, a me Society for Vascular Surgery. ʻO J Am Coll Cardiol. 2011; 57 (8): 1002-1044. PMID: 21288680 www.ncbi.nlm.nih.gov/pubmed/21288680.

Cheng CC, Cheema F, Fankhauser G, Silva MB. Maʻi maʻi ʻaʻano Peripheral. I: Townsend CM Jr, Beauchamp RD, Evers BM, Mattox KL, eds. ʻO Sabiston Textbook of Surgery. 20 ouk. Piladelapia, PA: Elsevier; 2017: chap 62.

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.

• Maʻi maʻi aʻa Carotid
• ʻOki kino o Carotid artery - hāmama
• Loaʻa hou ma hope o ka hahau
• Pilikia o ka paka
• Stent
• Hahau
• Nā ʻōlelo aʻoaʻo pehea e haʻalele ai i ka puhipaka
• Hoʻouka ischemic kuikawa

• Nā lāʻau Antiplatelet - nā mea kūpaka P2Y12
• ʻO ka aspirin a me ka maʻi puʻuwai
• ʻOki kino aʻa Carotid - hoʻokuʻu
• ʻO Cholesterol a me ka nohona
• Cholesterol - lāʻau lapaʻau
• Ke kaohi nei i kou kiʻekiʻe o ke koko

• ʻO ka maʻi maʻi Carotid Artery