ʻO Peripheral Artery Angioplasty a me Stent kau

Anter

• No ke aha e hana ai i kahi Angioplasty Peripheral a me Stent
• Nā Pilikia o ke Kaʻina Hana
• Pehea e hoʻomākaukau ai no ke kaʻina hana
• Pehea e hana ai i ke kaʻina hana
• Ke hana nei i ka ʻokiʻoki
• Ke huli nei i ka blockage
• Ke kau nei i ka Stent
• Ke pani nei i ka ʻokiʻoki
• Ma hope o ke Kaʻina Hana
• Outlook a me Kāohi

He aha ka Angioplasty a me ka Stent?

ʻO Angioplasty me ke kau stent kahi hana invasive minimally i hoʻohana ʻia e wehe i nā aʻa kuiki a i ʻole nā ​​poloka. Hoʻohana ʻia kēia kaʻina hana i nā ʻāpana like ʻole o kou kino, kaukaʻi ʻia i ka wahi o ke aʻa i hoʻopili ʻia. Pono kahi wī liʻiliʻi.

ʻO Angioplasty kahi hana olakino kahi e hoʻohana ai kāu kauka lāʻau i kahi balloon liʻiliʻi e hoʻonui i ke aʻa. ʻO kahi stent kahi pahu mesh liʻiliʻi i hoʻokomo ʻia i loko o kāu aʻa a waiho ma laila e pale iā ia mai ka pani ʻana. Koi paha kāu kauka i ka lawe ʻana i ka aspirin a i ʻole nā ​​lāʻau antiplatelet, e like me clopidogrel (Plavix), i mea e pale ʻole ai i ka hoʻopili ʻana i ka stent, a i ʻole kauoha paha lākou i nā lāʻau e kōkua i ka hoʻohaʻahaʻa ʻana i kāu kolesterol.

No ke aha e hana ai i kahi Angioplasty Peripheral a me Stent

Ke kiʻekiʻe ke kiʻekiʻe o kāu pae kolesterol, hiki i kahi mea momona i ʻike ʻia ke plake ke hoʻopili i nā paia o kāu mau aʻa. Kapa ʻia kēia ʻo atherosclerosis. E like me ka hōʻiliʻili o ka plaque ma loko o kāu mau aʻa, hiki i kou mau aʻa ke hāiki. Hoʻoiho kēia i ke ākea i hiki i ke kahe o ke koko.

Hiki i ka plaque ke hōʻiliʻili i nā wahi āpau o kou kino, me nā aʻa o kou mau lima a me kou mau wāwae. ʻO kēia mau aʻa a me nā aʻa ʻē aʻe i mamao loa aku mai kou puʻuwai i ʻike ʻia me nā aʻa ākea.

ʻO ka Angioplasty a me ka stent hoʻonohonoho he mau koho lapaʻau no ka maʻi ākea ākea (PAD). Pili kēia ʻano maʻamau i ka hoʻopili ʻana o nā aʻa i kou mau lālā.

ʻO nā ʻōuli o PAD me:

• kahi anuanu i kou mau wāwae
• hoʻololi ke kala i kou mau wāwae
• numbness i kou mau wāwae
• cramping i kou mau wāwae ma hope o ka hana
• erectile hana i nā kāne
• ʻeha i hoʻomaha ʻia me ka neʻe
• ʻeha ma kou manamana wāwae

Inā kōkua ʻole ka lāʻau a me nā lāʻau ʻē aʻe i kāu PAD, hiki i kāu kauka ke koho no ka angioplasty a me ka stent kau. Hoʻohana ʻia ia ma ke ʻano he hanana hoʻopilikia inā loaʻa ʻoe i ka puʻuwai puʻuwai a i ʻole hahau.

Nā Pilikia o ke Kaʻina Hana

ʻO nā kaʻina hana ʻokiʻoki e hāpai i nā pilikia. ʻO nā pilikia e pili ana i ka angioplasty a me nā stent:

• nā hopena āpau i ka lāʻau a me ka kala
• nā pilikia hanu
• kahe ana ke koko
• huʻi koko
• maʻi maʻi
• hōʻino kīhāpai
• hoʻopiʻi hou ʻana i kou aʻa, a i ʻole restenosis
• haki o kou aʻa

Liʻiliʻi nā pilikia e pili ana i ka angioplasty, akā hiki ke koʻikoʻi. E kōkua kāu kauka iā ʻoe e loiloi i nā pono a me nā pilikia o ke kaʻina hana. I kekahi mau hihia, hiki i kāu kauka ke kuhikuhi i nā lāʻau anticlotting, e like me ka aspirin, a i hoʻokahi makahiki ma hope o kāu kaʻina hana.

Pehea e hoʻomākaukau ai no ke kaʻina hana

Nui a hewahewa nā ʻano āu e pono ai e hoʻomākaukau no kāu kaʻina hana. E hana ʻoe i kēia:

• E hoʻomaopopo i kāu kauka e pili ana i nā maʻi āpau i loaʻa iā ʻoe.
• E haʻi i kāu kauka i nā lāʻau, nā mea kanu, a i ʻole nā ​​mea hoʻopihapiha āu e lawe nei.
• E haʻi aku i kāu kauka e pili ana i nā maʻi āu e loaʻa ai, e like me ke anuanu a me ka maʻi palu maʻamau, a i ʻole nā ​​ʻano ʻano ʻē aʻe e like me ia, e like me ka maʻi diabetes a me nā maʻi puʻupaʻa.
• Mai ʻai a inu paha i kekahi mea, e like me ka wai, i ka pō ma mua o kou ʻoki ʻana.
• E lawe i nā lāʻau a ke kauka i kuhikuhi ai iā ʻoe.

Pehea e hana ai i ke kaʻina hana

Angioplasty me ka stent kau ʻana ma kahi o hoʻokahi hola. Eia naʻe, hiki ke hoʻolōʻihi ʻia ke kaʻina hana inā pono e kau ʻia nā stent i loko o hoʻokahi aʻa aʻa. Hāʻawi ʻia ʻoe i kahi anesthetic kūloko e kōkua i ka hoʻomaha i kou kino a me kou noʻonoʻo. Ala ka hapa nui o ka poʻe i kēia kaʻina hana, akā ʻaʻole lākou e ʻike i kahi ʻeha. Nui a hewahewa nā kaʻina hana:

Ke hana nei i ka ʻokiʻoki

ʻO Angioplasty me ke kau stent kahi hana invasive minimally i hana ʻia ma o kahi incision liʻiliʻi, maʻamau i kāu ʻūlū a i ʻole ʻūhā. ʻO ka pahuhopu ka hana ʻana i kahi ʻokiʻoki e hāʻawi ai i kāu kauka i ke aʻa i hoʻopaʻa ʻia a i ʻole nā ​​ʻāiki e hoʻopiʻi ana i kāu pilikia olakino.

Ke huli nei i ka blockage

Ma o kēlā ʻokiʻoki, e hoʻokomo kāu kauka lā i kahi paipu lahilahi a maʻalahi hoʻi i ʻike ʻia he catheter. A laila e alakaʻi lākou i ka catheter ma o kou mau aʻa i ka paʻa. Ma kēia kaʻina, e ʻike kāu kauka lāʻau i kou mau aʻa e hoʻohana ana i kahi X-ray kūikawā i kapa ʻia he fluoroscopy. Hiki i kāu kauka ke hoʻohana i kahi kala e ʻike ai a loaʻa i kāu wahi paʻa.

Ke kau nei i ka Stent

E hele ana kāu kauka lāʻau i ka uea liʻiliʻi i loko o ka catheter. ʻO ka lua o ka catheter i hoʻopili ʻia i kahi baluna liʻiliʻi e hāhai i ka uea alakaʻi. Ke hōʻea ka pāluna i kou aʻa i ālai ʻia, e hoʻoheheʻe ʻia. Mālama kēia i kou aʻa e wehe a ʻae i ke kahe o ke koko e hoʻi.

Hoʻokomo ʻia ka stent i ka manawa like me ka baluna, a hoʻonui ia me ka baluna. Ke paʻa pono ka stent, e hoʻoneʻe kāu mea kauka i ka catheter a hōʻoia i ka paʻa o ka stent.

ʻO kekahi mau stents, i kapa ʻia nā stent drug-eluting, ua uhi ʻia i ka lāʻau lapaʻau e hoʻokuʻu lohi i kāu aʻa. Mālama kēia i kou aʻa a me ka hāmama, a kōkua ia i ka pale ʻana i nā wahi e hiki mai ana.

Ke pani nei i ka ʻokiʻoki

Ma hope o ke kau stent, e pani ʻia kāu ʻokiʻoki a ʻaʻahu ʻia, a e hoʻihoʻi ʻia ʻoe i kahi lumi hoʻihoʻi no ka nānā ʻana. E mālama kahi kahu hānai i kou kahe koko a me ka helu o ka puʻuwai. E kaupalena ʻia kāu neʻe ʻana i kēia manawa.

ʻO ka hapa nui o nā angioplasties me nā stent e koi ai i kahi kipa pō ʻana e hōʻoia i ka pilikia ʻole, akā ʻae ʻia kekahi poʻe e hoʻi i ka home i ka lā like.

Ma hope o ke Kaʻina Hana

E ʻeha a ʻeha paha kāu pūnaewele incision no kekahi mau lā ma hope o ke kaʻina hana, a e kaupalena ʻia kāu neʻe. Eia nō naʻe, ʻoluʻolu a paipai ʻia nā hele wāwae pōkole ma nā papa pālahalaha. Hōʻalo i ka piʻi a i lalo o ke alapiʻi a i ʻole ke hele lōʻihi i nā lā ʻelua a ʻekolu paha ma hope o kāu kaʻina hana.

Pono paha ʻoe e hōʻalo i nā hana e like me ka hoʻokele, ka hana i ka pā, a me nā haʻuki paha. E haʻi aku kāu kauka iā ʻoe ke hiki iā ʻoe ke hoʻi i kāu mau hana maʻamau. E hāhai mau i nā ʻōlelo aʻo a ke kauka a kauka paha iā ʻoe e hāhai ai i kāu ʻoki.

ʻO ka hoʻihoʻi piha ʻana mai ke kaʻina hana he ʻewalu paha pule.

ʻOiai e hoʻōla ai kou ʻehaʻoki, e aʻo ʻia ʻoe e mālama i ka maʻemaʻe o ka wahi e pale ai i ka maʻi kūpono a hoʻololi pinepine i ka lole. E kāhea koke i kāu kauka inā ʻike ʻoe i nā ʻōuli aʻe ma kāu pūnaewele incision:

• pehu
• ʻulaʻula
• hoʻokuʻu
• ʻeha ʻeha
• hiki ʻole ke kahe ʻia me ke kaola liʻiliʻi

Pono ʻoe e launa koke i kāu kauka inā ʻike ʻoe:

• pehu i kou mau wāwae
• ʻeha o ka umauma ʻaʻole e hele
• pōkole o ka hanu e hele ʻole
• haʻalulu
• he kuni ma luna o 101 ° F
• ʻūpā
• maule ana
• nāwaliwali loa

Outlook a me Kāohi

ʻOiai ka angioplasty me ka stent hoʻonohonoho i kahi blockage o kēlā me kēia, ʻaʻole ia e hoʻoponopono i ke kumu kumu o ka paʻa. I mea e pale hou ai i nā ālai a hoʻoliʻiliʻi i kāu makaʻu i nā ʻano olakino ʻē aʻe, pono paha ʻoe e hana i kekahi mau loli e like me:

• e ʻai nei i ka papaʻai olakino puʻuwai e ka palena ʻana i kāu lawe ʻana i nā momona momona, sodium, a me nā meaʻai i hoʻoponopono ʻia
• ke kiʻi ʻana i ka hoʻoikaika kino maʻamau
• haʻalele i ka puhipaka inā puhi ʻoe no ka mea hoʻonui ia i kou makaʻi o PAD
• hoʻokele koʻikoʻi
• lawe i nā lāʻau hoʻoliʻiliʻi kolesterol inā kuhikuhi ʻia e kāu kauka

Hiki i kāu kauka ke koi aku i ka hoʻohana lōʻihi o nā lāʻau anticlotting, e like me aspirin, ma hope o kāu kaʻina hana. Mai hōʻoki i ka lawe ʻana i kēia mau lāʻau me ke kamaʻilio mua ʻole ʻana me kāu kauka.