Mawallafi: Virginia Floyd
Ranar Halitta: 10 Agusta 2021
Sabuntawa: 18 Yuni 2024
Anonim
Angioplasty da stent jeri - zuciya - Magani
Angioplasty da stent jeri - zuciya - Magani

Angioplasty hanya ce don buɗe kunkuntar ko toshe hanyoyin jini waɗanda ke ba da jini ga zuciya. Wadannan hanyoyin jini ana kiransu jijiyoyin jijiyoyin jini.

Maganin jijiyoyin jijiyoyin jikin mutum karamin bututu ne mai hade da karfe wanda yake fadada cikin jijiyoyin jijiyoyin jiki. Sau da yawa ana sanya sitati yayin ko bayan angioplasty. Yana taimakawa hana jijiyoyin sake rufewa. Magungunan shan ƙwayoyi suna da magani a saka a ciki wanda ke taimakawa hana jijiyoyin rufewa cikin dogon lokaci.

Kafin aikin angioplasty ya fara, zaku sami magunguna na ciwo. Hakanan za'a iya baka magani wanda zai kwantar maka da hankali, da kuma magungunan rage jini don hana rikidewar jini yin.

Za ku kwanta akan tebur da aka shaƙa. Likitanka zai saka wani bututu mai sassauci (catheter) a cikin jijiya. Wani lokaci za a sanya catheter a hannun ka ko kuma a wuyan hannu, ko kuma a yankin ka na sama (makwancin gwaiwa). Za ku kasance a farke yayin aikin.

Dikita zai yi amfani da hotunan x-ray kai tsaye don jagorantar catheter har cikin zuciyar ku da jijiyoyin jini. Bambancin ruwa (wani lokacin ana kiransa "rini," za'a shigar dashi cikin jikinka don haskaka gudan jini ta jijiyoyin jini.Wannan yana taimaka wa likitan ganin duk wani toshewar jijiyoyin jini da zai kai ga zuciyarka.


Ana motsa wayar jagora zuwa da ƙetare toshewar. An tura catheter na balan-balan akan wayar jagorar zuwa cikin toshewar. An busa balan-balan ɗin a ƙare (kumbura). Wannan yana buɗe jirgin da aka toshe kuma ya dawo da yawo mai kyau zuwa zuciya.

Hakanan za'a iya sanya bututun raga na waya (stent) a cikin wannan yankin da aka toshe. An saka sitaci tare da catheter na balan-balan. Yana faɗaɗa lokacin da aka kumbura balan-balan. An bar sito a can don taimakawa buɗe jijiya.

Kusan kusan ana saka murfin tare da magani (wanda ake kira starfafa ƙwayoyi). Irin wannan zanin na iya rage damar jijiyar ta rufe nan gaba.

Arteries na iya zama kunkuntar ko toshe ta hanyar ajiya da ake kira plaque. Shafin yana kunshe da kitse da cholesterol wanda ke ginawa a cikin bangon jijiyoyin jini. Wannan yanayin shi ake kira hardening of arteries (atherosclerosis).


Ana iya amfani da angioplasty don magance:

  • Toshewa a jijiyoyin jini yayin ko bayan bugun zuciya
  • Toshewa ko taƙaita jijiyoyin jijiyoyin jini guda ɗaya wanda zai iya haifar da mummunan aiki na zuciya (gazawar zuciya)
  • Narididdigar da ke rage gudan jini da haifar da ciwan kirji (angina) wanda magunguna basa sarrafawa

Ba kowane shinge bane za'a iya magance shi tare da angioplasty. Wasu mutanen da ke da toshewa da yawa ko toshewa a wasu wurare na iya buƙatar tiyatar kewayewar zuciya.

Angioplasty yana da lafiya, amma ka tambayi likitanka game da yiwuwar rikitarwa. Hadarin angioplasty da sanya wuri mai kyau sune:

  • Maganin rashin lafia ga maganin da aka yi amfani da shi a cikin magungunan ƙwayoyi, kayan abu (mai matukar wuya), ko fenti x-ray
  • Zuban jini ko daskarewa a wurin da aka saka catheter din
  • Rage jini
  • Clogging na cikin bakin stent (in-stent restenosis). Wannan na iya zama barazanar rai.
  • Lalacewa ga bawul din zuciya ko jijiyoyin jini
  • Ciwon zuciya
  • Rashin koda (mafi haɗari ga mutanen da suka riga suna da matsalolin koda)
  • Bugun zuciya ba daidai ba (arrhythmias)
  • Bugun jini (wannan ba safai ba)

Angioplasty ana yin shi sau da yawa lokacin da kuka je asibiti ko dakin gaggawa don ciwon kirji, ko kuma bayan bugun zuciya. Idan an shigar da ku asibiti don angioplasty:


  • Faɗa wa mai kula da lafiyar ku irin magungunan da kuke sha, har ma da ƙwayoyi ko ganye da kuka saya ba tare da takardar sayan magani ba.
  • Sau da yawa za a tambaye ku kada ku sha ko ku ci wani abu har tsawon awanni 6 zuwa 8 kafin gwajin.
  • Theauki magungunan da mai bayarwa ya gaya muku ku sha da ɗan ƙaramin shan ruwa.
  • Faɗa wa mai ba ku sabis idan kuna rashin lafiyan cin abincin teku, kuna da mummunan aiki game da bambancin abu ko iodine a baya, kuna shan Viagra, ko kuma kuna ciki.

Matsakaicin zaman asibiti kwana 2 ne ko ƙasa da hakan. Wasu mutane ba lallai bane su kwana a asibiti.

Gabaɗaya, mutanen da suke da cutar angioplasty suna iya yawo cikin hoursan awanni kaɗan bayan aikin ya danganta da yadda aikin ya gudana da kuma inda aka sanya catheter ɗin. Cikakken dawowa yana ɗaukar sati ɗaya ko ƙasa da hakan. Za'a baka bayani yadda zaka kula da kanka bayan angioplasty.

Ga mafi yawan mutane, angioplasty yana inganta yaduwar jini ta jijiyoyin jijiyoyin jiki da zuciya. Yana iya taimaka maka ka guji buƙatar tiyatar keɓaɓɓiyar jijiya (CABG).

Angioplasty baya warkar da dalilin toshewar jijiyoyin ku. Jijiyoyin ku na iya zama kunkuntar kuma.

Bi tsarin lafiyarka na zuciya, motsa jiki, dakatar da shan taba (idan ka sha taba), kuma rage damuwa don rage damar samun wata hanyar toshewar jiji. Mai ba ka sabis na iya ba da shawarar magani don taimaka ka rage yawan cholesterol ko kula da hawan jini. Theseaukan waɗannan matakan na iya taimaka rage yuwuwar rikitarwa daga atherosclerosis.

PCI; Hanyar shiga cikin jijiyoyin jini; Balaloon angioplasty; Maganin jijiyoyin zuciya; Maganin jijiyoyin zuciya angioplasty; Ciwon jijiyoyin jini na cikin hanji; Zuciyar bugun zuciya; Angina - wuri mai kyau; Ciwon cututtukan jijiyoyin zuciya - sanya wuri; Ciwan jijiyoyin zuciya - sanya wuri; CAD - sanya wuri; Ciwon zuciya na zuciya - sakawa mai kyau; ACS - sakawa mai kyau; Ciwon zuciya - sanya wuri; Cutar infarction na zuciya - matsakaicin wuri; MI - sakawa mai kyau; Asididdigar jijiyoyin zuciya - sanya wuri

  • Maganin jijiyoyin zuciya stent

Amsterdam EA, Wenger NK, Brindis RG, et al. Jagoran 2014 AHA / ACC don kula da marasa lafiya tare da ƙananan cututtukan cututtukan zuciya: rahoto na Kwalejin Kwalejin Zuciya ta Amurka / Heartungiyar Heartungiyar Heartungiyar Zuciya ta Amurka a kan Ka'idodin Aiki. J Am Coll Cardiol. 2014; 64 (24): e139-e228. PMID: 25260718 pubmed.ncbi.nlm.nih.gov/25260718/.

Fihn SD, Blankenship JC, Alexander KP, et al. 2014 ACC / AHA / AATS / PCNA / SCAI / STS sun mai da hankali kan sabunta bayanai game da bincikowa da kula da marasa lafiya masu fama da cututtukan zuciya. Kewaya. 2014; 130 (19): 1749-1767. PMID: 25070666 pubmed.ncbi.nlm.nih.gov/25070666/.

Mauri L, Bhatt DL. Hanyar shiga cikin jijiyoyin jini. A cikin: Zipes DP, Libby P, Bonow RO, Mann DL, Tomaselli GF, Braunwald E, eds. Braunwald na Ciwon Zuciya: Littafin rubutu na Magungunan zuciya da jijiyoyin jini. 11th ed. Philadelphia, PA: Elsevier; 2019: babi na 62.

Morrow DA, de Lemos JA. Ciwon cututtukan zuciya na ischemic. A cikin: Zipes DP, Libby P, Bonow RO, Mann DL, Tomaselli GF, Braunwald E, eds. Braunwald na Ciwon Zuciya: Littafin rubutu na Magungunan zuciya da jijiyoyin jini. 11th ed. Philadelphia, PA: Elsevier; 2019: babi na 61.

O'Gara PT, Kushner FG, Ascheim DD, et al. 2013 ACCF / AHA jagora don gudanar da cutar infarction na ST-elevation: rahoto na Kwalejin Kwalejin Kwakwar Kwalejin Amurka / Heartungiyar Heartungiyar Heartungiyar Zuciya ta Amurka kan Ka'idodin Aiwatarwa. Kewaya. 2013; 127 (4): 529-555. PMID: 23247303 pubmed.ncbi.nlm.nih.gov/23247303/.

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