Hoʻokomo ʻia ka Angioplasty a me stent - puʻuwai

ʻO Angioplasty kahi hana e wehe ai i nā kīʻaha koko ākea a i ʻole nā ​​poloka e hāʻawi i ke koko i ka puʻuwai. Kapa ʻia kēia mau kīʻaha koko nā aʻa kolo.

ʻO kahi stent artery corentary kahi liʻiliʻi, mesh Tube Tube e hoʻonui i loko o ka arter coronary. Hoʻokomo pinepine ʻia kahi stent i ka manawa a ma hope koke paha o ka angioplasty. Kōkua ia i ka pale ʻana i ke aʻa o ke pani hou ʻana. ʻO kahi stent lāʻau-eluting kahi lāʻau i hoʻopili ʻia i loko e kōkua i ka pale ʻana i ke aʻa mai ka pani ʻana i ka wā lōʻihi.

Ma mua o ka hoʻomaka ʻana o ke kaʻina hana angioplasty, e loaʻa iā ʻoe kekahi lāʻau ʻeha. Hāʻawi ʻia iā ʻoe i ka lāʻau lapaʻau e hoʻomaha ai iā ʻoe, a me nā lāʻau hoʻomāliʻi koko e pale ai i ka hoʻopili ʻana o ke koko.

E moe ʻoe ma luna o kahi pākaukau padded. E hoʻokomo kāu kauka i kahi paipu maʻalahi (catheter) i loko o ke aʻa. I kekahi manawa e hoʻokau ʻia ka catheter i kou lima a i ʻole ka pulima lima, a i ʻole i kou ʻūhā kiʻekiʻe (ʻūhā). E ala ana ʻoe i ke kaʻina hana.

E hoʻohana ke kauka i nā kiʻi x-ray e alakaʻi pono i ka catheter i loko o kou puʻuwai a me nā aʻa. Hoʻokomo ʻia ka wai ʻokoʻa (i kapa ʻia i kekahi manawa he "kala," i loko o kou kino e hoʻomālamalama i ke kahe o ke koko ma o nā aʻa. Kōkua kēia i ke kauka e ʻike i nā ālai i loko o nā kīʻaha koko e alakaʻi i kou puʻuwai.

Hoʻoneʻe ʻia kahi uea alakaʻi i loko a ma o ka āʻaʻa. Hoʻokomo ʻia kahi popo balloon ma luna o ka uea alakaʻi a i loko o ka paʻa. Puhi ʻia ka baluna ma ka hopena (hū). Wehe kēia i ka moku i ālai ʻia a hoʻihoʻi i ke kahe o ke koko kūpono i ka puʻuwai.

A kau uea hei Tube (stent) a laila kau ʻia i kēia wahi i ālai ʻia. Hoʻokomo ʻia ka stent me ka catheter balloon. Hoʻonui ia ke hoʻonui ʻia ka pāluna. Waiho ka stent ma laila e kōkua i ka hāmama o ke aʻa.

ʻAneʻane pani ʻia ke stent me kahi lāʻau (i kapa ʻia he stent drug-eluting). Hiki i kēia ʻano stent ke hoʻohaʻahaʻa i ka manawa o ke aʻa pani pani ʻana i ka wā e hiki mai ana.

Hiki ke hoʻopili a pale ʻia nā aʻa e nā waihona i kapa ʻia he plake. Hana ʻia ka plaque i ka momona a me ka kolesterol e kūkulu ʻia ma loko o nā paia aʻa. Kapa ʻia kēia ʻano paʻakikī o nā aʻa (atherosclerosis).

Hoʻohana ʻia ka Angioplasty e mālama ai:

• ʻO ka paʻa ʻana i ke aʻa coronary i ka manawa a ma hope paha o ka hōʻeha puʻuwai
• Ka poloka a hoʻopili ʻana paha o nā aʻa coronary a i ʻole i alakaʻi ʻia i ka hana puʻuwai maikaʻi ʻole (puʻuwai puʻuwai)
• Nā āpau e hōʻemi ai i ke kahe o ke koko a hana i ka ʻeha o ka umauma hoʻomau (angina) ʻaʻole mālama nā lāʻau

ʻAʻole hiki ke mālama ʻia i kēlā me kēia blockage me ka angioplasty. ʻO kekahi poʻe i nui nā palaka a i ʻole nā ​​palaka i kekahi mau wahi e pono paha i kahi ʻoki by coronary.

Palekana ʻo Angioplasty i kahi palekana, akā e nīnau i kāu kauka e pili ana i nā pilikia e hiki ai. Nā pilikia o ka angioplasty a me ka stent kau ʻana:

• ʻO ka hopena āpau i ka lāʻau i hoʻohana ʻia i loko o kahi stent lāʻau-eluting, ka mea stent (kākaʻikahi loa), a i ʻole ke kala x-ray
• ʻO ke kahe ʻana a i ʻole ke kāʻei ʻana i ka wahi i hoʻokomo ʻia ai ka catheter
• Pūʻulu koko
• Ke kāpae ʻana i ka loko o ka stent (in-stent restenosis). Hiki i kēia ke hoʻoweliweli i ke ola.
• ʻO ka hōʻino i kahi kīʻaha puʻuwai a i ʻole kīʻaha koko
• Maʻi hohola
• Nā hōʻino kīwī (ʻoi aku ka makaʻu i nā poʻe i loaʻa ka pilikia o ka hakuʻala)
• Kuʻi naʻau kaulike (arrhythmia)
• Hahau (kākaʻikahi kēia)

Hana pinepine ʻia ʻo Angioplasty ke hele ʻoe i ka haukapila a i ʻole ke keʻena pilikia no ka ʻeha o ka umauma, a ma hope paha o ka hōʻeha puʻuwai. Inā hoʻokomo ʻia ʻoe i ka haukapila no angioplasty:

• E haʻi i kāu mea mālama ola i nā lāʻau āu e lawe nei, a me nā lāʻau a lāʻau paha āu i kūʻai ai me ka ʻole o ka lāʻau.
• E noi pinepine ʻia ʻoe mai inu a ʻai ʻole i kekahi mea no 6 a 8 mau hola ma mua o ka hoʻāʻo.
• E lawe i nā lāʻau i haʻi aku ai kāu mea lawelawe iā ʻoe e lawe me kahi wai liʻiliʻi.
• E haʻi i kāu mea hāʻawi inā maʻi ʻoe i ka iʻa iʻa, he hopena maikaʻi ʻole kāu i ka hoʻohālikelike ʻana i nā mea a iodine paha i ka wā ma mua, ke lawe nei ʻoe iā Viagra, a i ʻole hāpai paha ʻoe.

ʻO ka maʻamau o ka haukapila he 2 mau lā a ʻoi iki paha. ʻAʻole pono kekahi poʻe e noho pō i ka haukapila.

Ma ka laulā, hiki i nā poʻe i loaʻa ka angioplasty ke hele wāwae i loko o kekahi mau hola ma hope o ke kaʻina hana e pili ana i ka hele ʻana o ke kaʻina hana a me kahi i kau ʻia ai ka catheter. ʻO ka hoʻōla piha piha i hoʻokahi pule a ʻoi. E hāʻawi ʻia ʻoe i ka ʻike pehea e mālama ai iā ʻoe iho ma hope o ka angioplasty.

No ka hapanui o ka poʻe, hoʻomaikaʻi nui ka angioplasty i ke kahe o ke koko ma o ke aʻa a me ka puʻuwai. Hiki iā ia ke kōkua iā ʻoe e hōʻalo i ka pono o ke kīpoki bypass artery coronary (CABG).

ʻAʻole hoola ʻo Angioplasty i ke kumu o ka paʻa ʻana i kāu aʻa. E hāiki hou paha kou mau aʻa.

E hāhai i kāu papaʻai olakino puʻuwai, hoʻoikaika kino, hoʻōki i ka puhipaka (inā puhi ʻoe), a hoʻemi i ke koʻikoʻi e hoʻohaʻahaʻa i kou manawa o ka loaʻa ʻana o ke aʻa ʻē aʻe. Hiki paha i kāu mea hāʻawi ke kuhikuhi i ka lāʻau e kōkua i ka hoʻohaʻahaʻa ʻana i kāu kolesterol a i ʻole kaohi i kou kaomi koko. Lawe i kēia mau ʻanuʻu hiki ke kōkua i ka hōʻemi ʻana i kāu manawa kūpono o nā pilikia mai atherosclerosis.

PCI; Hoʻopili coronary pākēnē; Balloon angioplasty; Coronary angioplasty; Angioplasty artery coronary; Percutanious transluminal coronary angioplasty; Hoʻonui ʻia ke aʻa puʻuwai; Angina - kau stent; Huʻi coronary syndrome - kau stent; Maʻi Coronary artery - kau stent; CAD - kau stent; Maʻi maʻi Coronary - kau stent; ACS - kau stent; Puʻuwai puʻuwai - kau stent; Infarction Myocardial - kau stent; MI - kau stent; Revascularization coronary - kau stent

• Stent arter coronary

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