Hoʻokomo ʻia ka Angioplasty a me stent - nā aʻa ākea

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.

Hoʻohana ka Angioplasty i kahi "balloon" olakino e hoʻonui i nā aʻa i ālai ʻia. Kaomi ka baluna i ka paia o loko o ke aʻa e wehe i ka hakahaka a hoʻomaikaʻi i ke kahe o ke koko. Hoʻokomo pinepine ʻia kahi stent metala ma luna o ka paia artery e mālama i ka aʻa o ka liʻiliʻi hou ʻana.

E mālama i kahi paʻa i kou wāwae, hiki ke hana i ka angioplasty i kēia mau mea:

• ʻO Aorta, ke aʻa nui i hele mai kou puʻuwai
• ʻO ke aʻa i kou pūhaka a i ʻole pelvis
• ʻO ke aʻa i kou ʻūhā
• ʻO ke aʻa ma hope o kou kuli
• ʻO ke aʻa i kou wāwae haʻahaʻa

Ma mua o ke kaʻina hana:

• Hāʻawi ʻia ʻoe i ka lāʻau e kōkua i ka hoʻomaha. E ala ʻoe, akā hiamoe.
• Hāʻawi ʻia iā ʻoe i ka lāʻau hoʻoliʻiliʻi koko e mālama i kahi kōkō ʻana o ke koko.
• E moe ʻoe ma kou kua i kahi papa hana padded. E hoʻokomo kāu kauka lāʻau i nā lāʻau numbing i loko o ka wahi e mālama ʻia, i ʻole ʻoe e ʻeha. Kapa ʻia kēia he anesthesia kūloko.

E hoʻokau kāu kauka lāʻau i kahi kui kele liʻiliʻi i loko o ke kīʻaha koko i loko o kāu ʻūhā.E hoʻokomo ʻia kahi uea maʻalahi maʻalahi e kēia nila.

• Hiki i kāu kauka lāʻau ke ʻike i kou aʻa me nā kiʻi x-ray ola. E hoʻokomo ʻia ka kala i loko o kou kino e hōʻike i ke kahe o ke koko ma o kou mau aʻa. E maʻalahi ke kala e ʻike i ka wahi i ālai ʻia.
• E alakaʻi kāu kaukipoki i kahi puʻupuʻu lahilahi i kapa ʻia he catheter ma o kou aʻa i kahi i ālai ʻia.
• ʻO ka mea aʻe, e hala kāu kauka lāʻau i kahi uea alakaʻi ma o ka catheter i ka paʻa.
• E hoʻokuʻi ke kauka lāʻau i kahi catheter hou me kahi ʻōpala liʻiliʻi loa ma ka hopena ma luna o ka uea alakaʻi a i loko o ka wahi i ālai ʻia.
• Hoʻopiha ʻia ka baluna i ka wai hoʻoliʻiliʻi e hoʻoulu i ka baluna. Wehe kēia i ka moku i hoʻopaʻa ʻia a hoʻihoʻi i ke kahe o ke koko i kou puʻuwai.

Hiki ke kau ʻia kahi stent i ka wahi i ālai ʻia. Hoʻokomo ʻia ka stent i ka manawa like me ka catheter balloon. Hoʻonui ia ke puhi ʻia ka pāluna. Waiho ʻia ka stent i wahi e kōkua ai i ka hāmama o ke aʻa. Lawe ʻia ka baluna a me nā kaula āpau.

ʻO nā ʻōuli o ke ākea ākea ākea i hōʻeha ʻia, ʻeha, a kaumaha paha i kou wāwae e hoʻomaka a hele a maikaʻi paha ke hele ʻoe.

ʻAʻole paha ʻoe e pono i kēia kaʻina hana inā hiki iā ʻoe ke hana i ka hapa nui o kāu mau hana o kēlā me kēia lā. Ua hoʻāʻo paha kāu mea mālama ola e hoʻāʻo mua i nā lāʻau a me nā lāʻau ʻē aʻe.

ʻO nā kumu no kēia ʻoki ʻana:

• Loaʻa iā ʻoe nā hōʻailona e kāohi iā ʻoe mai ka hana ʻana i nā hana o kēlā me kēia lā. ʻAʻole maikaʻi kāu mau hōʻailona me nā lāʻau lapaʻau ʻē aʻe.
• Loaʻa iā ʻoe nā puʻupuʻu ʻili a i ʻole nā ​​ʻeha ma ka ʻūhā e maikaʻi ʻole ai.
• Loaʻa ʻoe i ka maʻi a i ʻole ka gangrene ma ka wāwae.
• He ʻeha kou i kou wāwae i hoʻokumu ʻia e nā aʻa ʻololī, ʻoiai ʻoe ke hoʻomaha nei.

Ma mua o ka loaʻa ʻana o ka angioplasty, e loaʻa iā ʻoe nā hoʻokolohua kūikawā e ʻike ai i ka nui o ka paʻa o kāu kīʻaha koko.

Nā pilikia o ka angioplasty a me ka stent kau ʻana:

• ʻO ka hopena āpau i ka lāʻau i hoʻohana ʻia i kahi stent e hoʻokuʻu i ka lāʻau i kou kino
• ʻO ka hopena āpau i ka kala x-ray
• ʻO ke kahe ʻana a i ʻole ke kāʻei ʻana i ka wahi i hoʻokomo ʻia ai ka catheter
• Hoʻopaʻa koko i nā wāwae a i ʻole nā ​​akemāmā
• Ka hōʻino ʻana i kahi kīʻaha koko
• Hoʻopilikia i ke aʻalolo, kahi e hiki ai ke hōʻeha a i ʻole ka helu ʻana i ka wāwae
• ʻO ka hōʻino i ke aʻa i loko o ke aʻa, e pono ai paha kahi keʻoki wikiwiki
• Maʻi hohola
• ʻO ka maʻi i keʻokiʻoki
• Nā hōʻino kīwī (ʻoi aku ka makaʻu i nā poʻe i loaʻa ka pilikia o ka hakuʻala)
• Kuhi hewa o ka stent
• Hahau (kākaʻikahi kēia)
• ʻAʻole hiki ke wehe i ke aʻa i hoʻopili ʻia
• Lilo o ka lālā

I loko o 2 mau pule ma mua o ke kahakaha ʻana

• E haʻi i kāu mea hoʻolako i nā lāʻau āu e lawe nei, a me nā lāʻau, nā mea hoʻopihapiha, a me nā mea kanu āu i kūʻai ai me ka ʻole o ka lāʻau.
• E haʻi i kāu mea hāʻawi inā maʻi ʻoe i ka iʻa iʻa, inā ua loaʻa iā ʻoe kahi hopena maikaʻi ʻole e hoʻohālikelike i nā mea (dye) a iodine paha i ka wā i hala, a i ʻole he hāpai paha ʻoe.
• E haʻi i kāu mea hāʻawi inā lawe ʻoe i sildenafil (Viagra), vardenafil (Levitra), a i ʻole tadalafil (Cialis).
• E haʻi i kāu mea hāʻawi inā inu ʻoe i ka nui o ka waiʻona (ʻoi aku ma mua o 1 a 2 mau inu i ka lā).
• Pono paha ʻoe e hōʻoki i ka lawe ʻana i nā lāʻau i mea e paʻakikī ai i kou koko ke kāpili i 2 mau pule ma mua o ke kahakaha ʻana. Hoʻopili kēia i ka aspirin, ibuprofen (Advil, Motrin), clopidogrel (Plavix), Naprosyn (Aleve, Naproxen), a me nā lāʻau e like me kēia.
• E nīnau i nā lāʻau āu e lawe ai i ka lā o kou ʻoki ʻana.
• Inā puhi ʻoe, pono ʻoe e hoʻokū. E noi i kāu mea hāʻawi mai i kōkua.
• E hoʻomaopopo mau 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.

Mai inu i kekahi mea ma hope o ke aumoe i ka pō ma mua o kāu ʻoki ʻana, me ka wai.

I ka lā o kou ʻoki kino:

• E lawe i kāu mau lāʻau i haʻi aku ai kāu mea lawelawe iā ʻoe e lawe me kahi wahi wai liʻiliʻi.
• E haʻi ʻia ʻoe i ka wā e hōʻea ai i ka haukapila.

Hiki i nā poʻe he nui ke hoʻi i ka home mai ka haukapila i 2 mau lā a i ʻole emi. ʻAʻole pono kekahi poʻe e noho pō. Hiki iā ʻoe ke hele wāwae ma waena o 6 a 8 mau hola ma hope o ke kaʻina hana.

E wehewehe kāu mea hāʻawi i ka mālama iā ʻoe iho.

Hoʻomaikaʻi ka Angioplasty i ke kahe o ke kahe o ke au no ka hapanui o ka poʻe. E loli ka hopena, ma muli o kahi o kou paʻa ʻana, ka nui o kou kīʻaha koko, a pehea ka nui o ka paʻa o nā aʻa ʻē aʻe.

ʻAʻole paha ʻoe e pono e wehe i ke kīpoki holo ākea inā loaʻa iā ʻoe angioplasty. Inā ʻaʻole kōkua ke kaʻina hana, pono paha i kāu kauka lāʻau e hana i ka ʻoki bypass, a i ʻole ke ʻoki ʻana.

Percutaneous transluminal angioplasty - peripheral artery; PTA - ʻaʻa ākea; Angioplasty - nā aʻa ākea; Iliac artery - angioplasty; ʻO ke aʻa wahine - angioplasty; ʻO ke aniani Popliteal - angioplasty; ʻO ke aʻa Tibial - angioplasty; ʻO ke aʻa Peroneal - angioplasty; Maʻi maʻi ākea peripheral - angioplasty; PVD - angioplasty; PAD - angioplasty

• Hoʻokomo ʻia ka Angioplasty a me stent - nā aʻa ākea - 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
• Holo ke ākea peripheral - wāwae - hoʻokuʻu

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.

Pūʻulu no ka ʻoki ʻana i ke kīpikipiki ʻo Verior Low Extremity Guidelines Group; Conte MS, Pomposelli FB, et al. ʻO nā kaiaulu no nā ʻōkuhi ʻoki lāʻau lapaʻau no ka atherosclerotic occlusive maʻi o nā ʻaoʻao lalo: ka mālama ʻana i ka maʻi asymptomat a me ka claudication. ʻO J Vask Surg. 2015; 61 (3 Hōʻawi): 2S-41S. PMID: 25638515 www.ncbi.nlm.nih.gov/pubmed/25638515.

Nā lālā o ke kōmike kākau, Gerhard-Herman MD, Gornik HL, et al. ʻO 2016 AHA / ACC Alakaʻi e pili ana i ka hoʻokele o nā mea maʻi me ka maʻi o ke aʻa o ke aniani o lalo: hōʻuluʻulu mana. ʻO Vasc Med. 2017; 22 (3): NP1-NP43. PMID: 28494710 www.ncbi.nlm.nih.gov/pubmed/28494710.