ʻOki kino o Carotid artery - hāmama

ʻO ke ʻoki ʻana o Carotid artery kahi hana e mālama ai i ka maʻi maʻi carotid artery.

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. Hiki i ke kahe o ke kahe i loko o kēia aʻa ke lilo i hapa a i ʻole ālai ʻia e nā mea momona i kapa ʻia he plake. Hiki i kēia ke hōʻemi i ka hāʻawi o ke koko i kou lolo a hana i kahi maʻi maʻi.

Hana ʻia ke ʻoki a Carotid artery e hoʻihoʻi i ke kahe o ke koko kūpono i ka lolo. ʻElua mau kaʻina hana e mālama ai i ke aʻa carotid i loaʻa ka paʻa o ka pā i loko. Kuhi kēia ʻatikala i kahi ʻoki i kapa ʻia ʻo endarterectomy. Kapa ʻia kahi hana ʻē aʻe angioplasty me ka hoʻonohonoho stent.

I ka wā o carotid endarterectomy:

• Loaʻa iā ʻoe ka anesthesia laulā. Hiamoe ʻoe a manu ʻole ka ʻeha. Hoʻohana kekahi mau haukapila i kahi anesthesia kūloko. ʻO ka ʻāpana o kou kino e hana ʻia nei e hoʻopau ʻia me ka lāʻau lapaʻau i ʻole ʻoe e ʻeha. Hāʻawi ʻia ʻoe i ka lāʻau e kōkua i ka hoʻomaha.
• Moe ʻoe i kou kua i ka papa hana me kou poʻo i huli i hoʻokahi ʻaoʻao. Aia ka ʻaoʻao i kou ʻāpana carotid artery ma nā alo i luna.
• Lawe ke kauka iā ʻoe i kahi ʻoki (incision) ma kou ʻāʻī ma luna o kou aʻa carotid. Hoʻokomo ʻia kahi paipu maʻalahi (catheter) i loko o ke aʻa. Kahe ke koko i loko o ka catheter a puni kahi i ālai ʻia i ka wā o ke ʻoki.
• Wehe ʻia kou aʻa carotid. Lawe ke kaukōkō i ka pā i loko o ke aʻa aʻa.
• Ma hope o ka hemo ʻana o ka pahu, pani ʻia ke aʻa me nā humuhumu. Ke kahe nei ke koko i loko o ke aʻa i kou lolo.
• E nānā pono ʻia kāu hana puʻuwai i ka wā o ke ʻoki.

ʻO ke kahakaha ma kahi o 2 mau hola. Ma hope o ke kaʻina hana, hana paha kāu kauka i kahi hōʻike e hōʻoia ai ua wehe ʻia ke aʻa.

Hana ʻia kēia kaʻina hana inā ua loaʻa i kāu kauka ka liʻiliʻi a i ʻole ka paʻa i kāu aʻa carotid. E hana ana kāu mea mālama ola i hoʻokahi a ʻoi paha mau hoʻokolohua e ʻike ai i ka nui o ka paʻa o ke aʻa carotid.

Hiki ke hana i ka ʻokiʻoki e wehe i ke kūkulu ʻia i loko o kāu aʻa carotid inā hoʻopili ʻia ke aʻa e ʻoi aku ma mua o 70%.

Inā ua loaʻa ʻoe i ka maʻi hahau a i ʻole ka ʻeha o ka lolo manawa pōkole, e noʻonoʻo kāu mea lawelawe inā palekana ʻoe i ka mālama ʻana i kou aʻa i ālai ʻia.

ʻO nā koho lapaʻau ʻē aʻe e kūkākūkā ai kāu mea lawelawe me ʻoe:

• ʻAʻohe lāʻau, ʻokoʻa nā hoʻokolohua e nānā i kāu aʻa carotid i kēlā me kēia makahiki.
• ʻO ka lāʻau lapaʻau a me ka papaʻai e hoʻohaʻahaʻa ai i kāu kolesterol.
• ʻO nā lāʻau lapaʻau hōʻemi koko e hoʻohaʻahaʻa ai i kou makaʻi no ka maʻi kō. ʻO kekahi o kēia mau lāʻau he aspirin, clopidogrel (Plavix), dabigatran (Pradaxa), a me warfarin (Coumadin).

E hoʻohana ʻia paha ka angioplasty a me ka stenting ke ʻole palekana ʻo endotectectomy carotid.

Nā pilikia o ka anesthesia:

• Nā hopena āpau i nā lāʻau
• Nā pilikia hanu

ʻO nā pilikia o ke ʻoki carotid ʻo:

• Hoʻopili ke koko a hoʻokahe paha i ka lolo
• Poino lolo
• Maʻi hohola
• ʻO ka nui o ka paʻa o ke aʻa carotid ma kahi o ka manawa
• Ka hopu ʻana i nā maʻi
• Hahau
• ʻO ka pehu kokoke i kāu ala air (ka pahu e hanu ai ʻoe)
• Maʻi kīnā

E hana ana kāu mea hāʻawi i kahi hoʻokolohua kino piha a kauoha i nā hoʻokolohua olakino.

E haʻi i kāu mea hoʻolako i nā lāʻau āu e lawe nei, a me nā lāʻau, nā mea hoʻopili, a i ʻole nā ​​mea kanu āu i kūʻai ai me ka ʻole o ka lāʻau.

I loko o 2 mau pule ma mua o kou ʻoki kino:

• I kekahi mau lā ma mua o ke kahakaha ʻana, pono paha ʻoe e hōʻoki i ka lawe ʻana i nā lāʻau hoʻoliʻiliʻi koko. Hoʻopili kēia i ka aspirin, ibuprofen (Advil, Motrin), clopidogrel (Plavix), naprosyn (Aleve, Naproxen), a me nā lāʻau ʻē aʻe e like me kēia.
• E nīnau i kāu mea hāʻawi i nā lāʻau e pono ai ʻoe e lawe i ka lā o kou ʻoki ʻana.
• Inā puhi ʻoe, pono ʻoe e hoʻokū. E noi i kāu mea nāna e hāʻawi i ke kōkua no ka haʻalele.
• E haʻi aku i kāu mea hoʻolako e pili ana i kekahi anuanu, flu, fever, breakout herpes, a i ʻole nā ​​maʻi ʻē aʻe āu e loaʻa ai ma mua o kāu ʻoki.

E hāhai i nā ʻōkuhi i ka wā e hōʻoki ai i ka ʻai a me ka inu ma mua o ke kaha ʻana

I ka lā o kou ʻoki kino:

• E lawe i nā lāʻau i kuhikuhi ʻia e kāu mea hoʻolako me kahi wai liʻiliʻi.
• E hāhai i nā ʻōkuhi i ka hiki ʻana i ka haukapila. E hōʻea pono i ka manawa.

Loaʻa paha iā ʻoe kahi kahe i kou ʻāʻī e hele i loko o kāu ʻokiʻoki. E hoʻokahe ʻo ia i ka wai e kūkulu ana i kahi. E hoʻoneʻe ʻia i loko o kahi lā.

Ma hope o ke kaha ʻana, makemake paha kāu mea lawelawe iā ʻoe e noho i ka haukapila i ka pō e hiki ai i nā kahu maʻi ke kiaʻi iā ʻoe no nā hōʻailona kahe o ke kahe, ka hahau ʻana, a i ʻole ke kahe koko maikaʻi ʻole i kou lolo. Hiki paha iā ʻoe ke hoʻi i ka home i ka lā like inā hoʻopau ʻia kāu hana i ka lā a ke maikaʻi nei ʻoe.

E hāhai i nā ʻōkuhi pehea e mālama ai iā ʻoe iho ma ka home.

Hiki i ke ʻoki ʻana o ke aʻa ʻo Carotid ke kōkua i ka hoʻohaʻahaʻa ʻana i kou manawa o ka loaʻa ʻana o ka maʻi kō. Akā pono ʻoe e hoʻololi i ke ʻano nohona e kōkua ai i ka pale ʻana i ka plake buildup, ke koko koko, a me nā pilikia ʻē aʻe i loko o nā aʻa o kou carotid ma kahi o ka manawa. Pono paha ʻoe e hoʻololi i kāu papaʻai a hoʻomaka i kahi papahana hoʻoikaika kino, inā haʻi kāu mea hāʻawi iā ʻoe palekana i ka hoʻoikaika kino. He mea nui nō hoʻi e hoʻōki i ka puhipaka.

Endotectomy Carotid; ʻOki kino CAS; Stenosis aʻa Carotid - ke ʻoki kino; Endarterectomy - carotid artery

• 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 ka pata, ka margarine, a me nā aila kuke
• ʻOki kino aʻa Carotid - hoʻokuʻu
• ʻO Cholesterol a me ka nohona
• Cholesterol - lāʻau lapaʻau
• Ke kaohi nei i kou kiʻekiʻe o ke koko
• Ua wehewehe ʻia nā momona momona
• ʻLelo aʻoaʻo ʻai wikiwiki
• Pehea e heluhelu ai i nā lepili ʻai
• Papaʻai Mediterranean
• Hahau - hoʻokuʻu
• Mālama ʻeha ʻeha - wehe

• Carotid stenosis - X-ray o ke aʻa hema
• Carotid stenosis - X-ray o ke aʻa pono
• Haehae Arterial i ke aʻa carotid o loko
• Atherosclerosis o nā aʻa carotid i loko
• Kūkulu kōkō Arterial
• ʻOki kino o Carotid artery - series

ʻO Arnold M, Perler BA. ʻO endotectomy Carotid. I: Sidawy AN, Perler BA, hua. ʻO Rutherford's Vascular Surgery a me Endotherapy Therapy. 9th ed. Piladelapia, PA: Elsevier; 2019: chap 91.

ʻO Biller J, Ruland S, Schneck MJ. ʻO ka maʻi cerebrovascular Ischemic. Ma Daroff RB, Jankovic J, Mazziotta JC, Pomeroy SL, eds. ʻO Bradley's Neurology i ka hana lapaʻau. ʻEpekema 7 Piladelapia, PA: Elsevier; 2016: chap 65.

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. Hoʻomohala ʻia i ka laulima ʻana me ka American Academy of Neurology and Society of Cardiovascular Compute Tomography. ʻO Catheter Cardiovasc Interv. 2013; 81 (1): E76-E123. PMID: 23281092 pubmed.ncbi.nlm.nih.gov/23281092/.

Brott TG, Howard G, Roubin GS, et al. Nā hopena lōʻihi o ka stenting vs. endarterectomy no ka stotosis carotid-artery. N Engl J Med. 2016; 374 (11): 1021-1031. PMID: 26890472 pubmed.ncbi.nlm.nih.gov/26890472/.

Holscher CM, Abularrage CJ. ʻO endotectomy Carotid. I: Cameron AM, Cameron JL, eds. ʻO ke kaʻoki lāʻau lapaʻau o kēia manawa. 13th ed. Piladelapia, PA: Elsevier; 2020: 928-933.