ʻOki kino aʻa Carotid - hoʻokuʻu

Lawe ke aʻa carotid i ke koko e pono ai i kou lolo a me kou alo. Loaʻa iā ʻoe kekahi o kēia mau aʻa i kēlā me kēia ʻaoʻao o kou ʻāʻī. ʻO ke ʻoki ʻana o Carotid artery kahi hana e hoʻihoʻi i ke kahe o ke koko kūpono i ka lolo.

Loaʻa iā ʻoe kahi ʻoki aʻa a carotid e hoʻihoʻi i ke kahe o ke koko kūpono i kou lolo. Ua hana kāu mea lapaʻau i kahi ʻokiʻoki (ʻoki) i kou ʻāʻī ma luna o kou aʻa carotid. Hoʻokomo ʻia kahi paipu i wahi e kahe ai ke koko a puni ka wahi i hoʻopaʻa ʻia i kou wā ʻoki. Ua wehe kāu kauka lāʻau i kou aʻa a carotid a hemo maikaʻi i ka pā mai loko mai ona. Ua hoʻokau paha ke kauka lāʻau i kahi stent (kahi kaula uea hei mesh) i kēia wahi e kōkua ai i ka hāmama o ke aʻa. Ua pani ʻia kou aʻa me nā humuhumu ma hope o ka hemo ʻana o ka pahu. Ua pani ʻia ka ʻoki o ka ʻili me ka lipine ʻoki kino.

I kou wā ʻoki, ua nānā pono ʻia kāu hana puʻuwai a me kou lolo.

Hiki iā ʻoe ke hana i kāu hana maʻamau ma waena o 3 a 4 mau pule. ʻE ʻeha iki paha kou ʻāʻī ma kahi o 2 mau pule.

E hoʻomaka paha ʻoe e hana i nā hana o kēlā me kēia lā ke manaʻo ʻoe e pili ana iā ia. Pono paha ʻoe i kōkua me ka ʻai, mālama ʻana i ka hale, a me ke kūʻai ʻana i ka wā mua.

Mai kalaiwa a hiki i ka wā e hoʻōla ʻia ai kāu ʻokiʻoki, a hiki iā ʻoe ke hoʻohuli i kou poʻo me ka ʻole o ke kaumaha.

Hiki paha iā ʻoe kahi numbness ma kou iwi ā a kokoke i kou pepeiao pepeiao. No ka ʻokiʻoki kēia. ʻO ka hapa nui o ka manawa, hele kēia i loko o 6 a 12 mau mahina.

• E ʻauʻau paha ʻoe ke hoʻi mai ʻoe i ka hale. Maikaʻi inā pulu ka lipena ʻoki kino i kāu ʻoki. MAI hoʻohaʻahaʻa, kāwele, a i ʻole e kuʻi pololei ka wai ʻauʻau ma ka lipine. E ʻōwili ka lepe a hāʻule iā ia iho ma hope o hoʻokahi pule.
• E nānā pono i kāu ʻokiʻoki i kēlā me kēia lā no nā loli. MAI hoʻokomo i ka wai lotion, ka waiū, a i ʻole nā ​​lāʻau lapaʻau ma luna o laila me ka noi ʻole ʻana i kāu mea mālama ola inā maikaʻi.
• A hiki i ka wā e hoʻōla ai ka ʻokiʻoki, mai hoʻokomo i nā kuhukukū a i ʻole nā ​​lole ʻē aʻe a puni kou ʻāʻī e ʻānai i ka ʻokiʻoki.

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 pale aku i kēia:

• 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.
• 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 kiʻekiʻe a diabetes paha, e lawe iā lākou i ke ala i haʻi ʻia iā ʻoe e lawe.
• E aʻo ʻia ʻoe e lawe i ka aspirin a me / a i kahi lāʻau 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 pilikia kou me kou maka, ʻaʻole hiki iā ʻoe ke kamaʻilio maʻamau, a i ʻole pilikia paha ʻoe i ka hoʻomaopopo ʻana i ka mea a nā poʻe ʻē aʻe e ʻōlelo nei.
• ʻAʻole hiki iā ʻoe ke hoʻoneʻe i kou alelo i ka ʻaoʻao o kou waha.
• Loaʻa iā ʻoe ka pilikia e ale.
• Loaʻa iā ʻoe ka ʻeha o ka umauma, dizziness, a me ka pōkole o ka hanu e hele ʻole me ka hoʻomaha.
• Ke ʻeha nei ʻoe i ke koko a i ʻole ka melemele melemele a ʻōmaʻomaʻo paha.
• He ʻalalā kou a i ʻole he kuni paha ma luna o 101 ° F (38.3 ° C) a i ʻole kahi kuni e hele ʻole ma hope o kou lawe ʻana i ka acetaminophen (Tylenol).
• E ʻulaʻula a ʻeha paha kāu ʻokiʻoki, a melemele a ʻōmaʻomaʻo paha ke kahe ʻana mai iā ia.
• Pehu kou mau wāwae.

Carotid endarterectomy - hoʻokuʻu; CEA - hoʻokuʻu; Percutanous transluminal angioplasty - carotid artery - hoʻokuʻu; PTA - carotid artery - hoʻokuʻu

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
• Pākuʻi Carotid
• 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

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

• ʻO ka maʻi maʻi Carotid Artery