Ngokugqithisa kweempawu ze-coronary disease and other manifestations of atherosclerosis, i-artery coronary stenting is justified. Le yinkqubo eqhelekileyo, leyo, kunye nokukhwabanisa, inika umphumo omuhle.
Izibonakaliso zokunyuka kweemithariyali ze-coronary
Emva kokuba oogqirha babenethuba lokuqhuba i-fluoroscopy yeerriji kunye nokuqaliswa kwendawo ehlukileyo, evumela ukuba bahlole iindonga zabo ngaphakathi, izazinzulu zabuza indlela inqubo ingasetyenziselwa ngayo umphumo ophezulu. Xa kukho ii-atherosclerotic plaques kunye nokunciphisa iinqanawa, ziyakwandiswa ngokufanelekileyo ngexesha le-coronary angiography. I-Agioplasty kunye ne-stenting ye-coronary arteries yiyona nxalenye yokugqibela yale nkqubo-i-cathter ekhethekileyo ifakwe ibhaluni ihanjiswa kwisiza sokukhutshwa komkhumbi, esisungulwe ngoncedo lwe-X-ray. Ngoncedo lwe-ejenti eyahlukileyo, ibhaluni igxotha kwaye ifaka i-cholesterol plaques kwiindonga zesitya, ukwandisa i-lumen. Impembelelo yale nyango ayikho ixesha elide. Kodwa ukuba i-agioplasty igqityiwe ngokufaka i-stent esuka kwintsimbi yonyango kunye nokuxhamla okukhethekileyo, isitya siya kugcina ububanzi bayo obuqhelekileyo iminyaka emininzi.
Izibonakaliso zokugaya iindawo ezilandelayo:
- isicic heart disease;
- angina pectoris;
- i-atherosclerosis;
- i-myocardial infarction.
Unyango kunye nokuvuselelwa emva kokugqithiswa kweempahla zecononary
Njengoko kuhamba ngokugqithiseleyo ngaphandle kokuvula isifuba, i-catheter ibhaluni kunye neendandatho zensimbi zingena kwisayithi lokunciphisa umgodi kwingalo, okanye kwindawo engumngcipheko, kunye nemibhobho emikhulu, emva kokusebenza, ukuphuma kwamanzi kummandla wolawulo kufuneka kuncitshiswe. Yilahleko yokulahleka kwegazi eyona nto ibangele iimeko ezinzima emva kokuba inkqubo. Kule nkalo, isigulane sinconywa ukuba singagxininisi ngokupheleleyo indawo yokuqhawula usuku kwaye sibone ukuphumla kokulala kwiveki emva kokusebenza. Ngokuqhelekileyo, ukugquma kwamathambo e-coronary arteries kubangela ukuba iingxaki ezifana nalezi:
- i-infyoction ye-myocardial kwisigaba esibi;
- ukubetha;
- isenzo esichaphazelekayo kwi-ejenti eyahlukileyo;
- ukuphuma kwi-site ye-puncture, kunye ne-aneurysm yombhobho owenziwe ngayo umgca wecatter;
- ukuxubha kwe-stent kwi-tissu kunye nokubuyela kwakhona kwe- atherosclerosis ;
- ukunyuka kwemithambo yegazi, i-thrombosis.
Nangona kunjalo, inani lezigulane ezijongene nalezi ngxaki alizinyanzelwanga - ngaphezulu kwe-2% yazo yonke imisebenzi yabangela imiphumo emibi. Phantse iimeko ezinzima emva kokuba i-coronary stenting inokuthintelwa ngoncedo lwonyango olukhethekileyo kunye nokulungiswa okufanelekileyo.
Isigulane kufuneka sithathe amachiza anciphisa igazi, i-anticoagulants, i-nitrates kunye nezinye iyeza. Ezi ziyobisi zingabizwa ngokuyisiseko:
- I-Aspirin ukuphepha ukuxinwa ngokweqile kunye ne-viscosity yegazi.
- I-Plavix, i-Klopilet, iClopidogrel kunye neziyobisi ezifanayo ezibangela ukutshintsha kwe-vasodilation kunye nokunciphisa i-spasm.
- I-Lovastatin, i-Pravastatin, i-simvastatin, okanye enye imimiselo elawula izinga le-cholesterol egazini. Ngaba unyanzelekile kwizigulane ezineesifo seswekile, ukukhuluphala, eziye zahlaselwa yintliziyo.
- I-Bisoprolol, i-carvaprolol kunye nezinye i-adrenoblockers ukunciphisa amathuba okuhlaselwa kwentliziyo.
- Amachiza akho aqhelekileyo, ulungelelaniso kwinqanaba legazi.
Ubomi emva kokugqithisa kweempawu zeeronari
Emva kokugxotha kuya kufuneka utshintshe indlela yakho yobomi ngokukhawuleza. Okokuqala, inyanga emva kokusebenza, kufuneka uqaphele ukwandiswa kwemisebenzi yomsebenzi kunye nokulawulwa komzimba. Ukuzivocavoca umzimba kunye nokutya okunciphisa
- Ummandla omncinci wanciphisa imitha;
- ukuhlukana kweendonga zemithambo yegazi;
- ukuphefumula okunzulu kunye nokungazinzi;
- ukungabikho komzimba kwi-iodine.
Oku kwenza inkqubo ifumaneke phantse wonke umntu.