ʻO Angioplasty kahi ala e mālama ai i nā maʻi maʻi coronary. Hana ʻia e unclog i hoʻokahi a ʻoi paha o nā aʻa coronary me ka ʻole o kahi hana. Hele pinepine ʻia kēia angioplasty me ke kau ʻana o kahi stent e pale ai i ke aʻa mai ke ālai hou ʻia. 

Hoʻomaha hou ka coronary angioplasty a i ʻole ka dilation i ke kahe o ke koko i hoʻokahi a i ʻole nā ​​aʻa coronary i ālai ʻia. Ke hōʻemi ʻia hoʻokahi a ʻoi aʻe paha nā aʻa coronary (i ʻike ʻia ʻo stenosis) e ka waiho ʻana o ka momona a i ʻole nā ​​ʻōpala koko (atherosclerosis), ʻaʻole lawa ka lako o ka naʻau a ʻaʻole lawa ka oxygen. ʻO kēia ke kumu o ka ʻeha a me ka manaʻo paʻa o ka umauma: ʻo ia ka angina pectoris. Ke paʻa loa ke aʻa coronary, aia ka pilikia o ka myocardial infarction. Hiki i kahi angioplasty ke "wehe" i nā aʻa coronary, me ka ʻole o ka hana (ʻaʻole like me ke kahakaha by coronary). He hōʻailona o ka cardiology interventional. 

Angioplasty me ka stenting

Hoʻopau ka angioplasty coronary ma ke kau ʻana i stent i 90% o nā hihia. ʻO ka stent kahi prostesis e lawe i ke ʻano o kahi punawai uuku a i ʻole hao hao perforated. Kau ʻia ma ka paia o ke aʻa i ka wā o ka angioplasty. Mālama ia i ke aʻa hāmama. Aia kekahi mau stent ʻeleu i kapa ʻia: hoʻopili ʻia lākou me nā lāʻau e hōʻemi i ka makaʻu o ke ālai hou ma muli o ka stent.

Ke hoʻomākaukau nei no kahi angioplasty 

Hana ʻia kēia hana angioplasty ma hope o ka angiography coronary, kahi hoʻokolokolo e ʻae ai i ka ʻike ʻana i nā aʻa coronary e mālama ʻia. 

Ma mua o ke kaʻina hana, kahi electrocardiogram, kahi hoʻokolohua koʻikoʻi a me nā hoʻokolohua koko e hana ʻia. E haʻi ke kauka iā ʻoe i nā lāʻau e hoʻōki, a ʻo nā mea ʻokiʻoki koko.

Angioplasty i ka hana 

Hoʻi ʻoe i ka haukapila 24 a 48 mau hola ma mua o ka hana, e hoʻokō ai i nā hōʻike āpau. Ma kahi o 5 mau hola ma mua, ʻaʻole ʻae ʻia ʻoe e ʻai a inu. Lawe ʻoe i kahi ʻauʻau betadine. Ma mua o ke kaʻina hana, lawe ʻoe i kahi papa i manaʻo ʻia e hoʻomaha ai iā ʻoe.

Hana ʻia ʻo Angioplasty me a i ʻole stenting ma lalo o ka anesthesia kūloko i loko o kahi lumi cardiology intervenal. Noho ʻoe e ala a noi paha ke kauka iā ʻoe e ālai i kou hanu ʻana a i ʻole kou ʻū i ka wā o ke kaʻina hana e ʻike maikaʻi ai i kou puʻuwai a i ʻole e wikiwiki i kou puʻuwai. 

Hoʻokomo ʻia kahi catheter me kahi balloon inflatable ma kona hopena mai kahi aʻa i ka wāwae a lima paha. 

Ma hope o ka hoʻopili ʻana o kahi huahana ʻokoʻa, lawe lohi ʻia ka probe i loko o ke aʻa koko coronary i ālai ʻia. A laila hoʻonui ʻia ka baluna, kahi e ʻoki ai i ka plaque atheromatous a wehe i ke aʻa. Kau ʻia ka stent ma ka baluna inā koi ʻia kahi stent e koi ʻia. I ka hoʻoulu ʻana i ka baluna, hiki iā ʻoe ke ʻike i ka ʻeha liʻiliʻi ma kou umauma, lima, a i ʻole ka ʻāwae. Hōʻike ia i ke kauka. Ma hope o ke kau ʻana o ka stent, hoʻoneʻe ʻia ke alakaʻi a hoʻopaʻa ʻia ke ala arterial me kahi kāʻei hoʻopaʻa a i ʻole nā ​​mea pani pani.

ʻO kēia kaʻina hana mai hoʻokahi a ʻelua hola i ka huina.

Hana ʻia kahi angioplasty ke stenosed hoʻokahi a ʻoi paha o nā aʻa coronary, kahi e kumu ai nā ʻōuli e like me ka ʻeha o ka umauma, kahi manaʻo o ka paʻa i ka umauma, ka pōkole o ka hanu ma ka hoʻoikaika ʻana (angina) a i ʻole kahi maʻi coronary syndrome (hōʻeha puʻuwai). myocardium). 

ʻO ka hopena o kahi angioplasty 

Ma hope o ka angioplasty coronary me ka stenting ʻole me ka stenting ʻole, lawe ʻia ʻoe i ka lumi nānā a laila i kou lumi. E moe ʻoe i lalo no kekahi mau hola, me ka ʻole o ka piʻo ʻana i kou lima a i kou wāwae i ka puncture. E hele mai nā limahana olakino e nānā i kou kaomi koko, kou pulse a me ka helehelena o ka puncture pūnaewele mau. Hiki iā ʻoe ke loaʻa i kahi meaʻai māmā a i ʻole kahi papa ʻaina māmā 3 mau hola ma hope o ka angioplasty. Pono pono e inu i nā mea he nui e hāpai i ka hoʻopau ʻana i ka huahana ʻokoʻa i injected. 

Hiki iā ʻoe ke hoʻokuʻu ʻia mai ka haukapila i ka lā ma hope o ka hana ma hope loa, ke ʻole kēia hana i hana ʻia i loko o ka pōʻaiapili o kahi ʻāpana coronary koʻikoʻi (e like me ka infoction myocardial). No nā hola 48 mua, pono ʻoe e hoʻomaha a ʻaʻole hiki iā ʻoe ke hoʻokele a lawe i nā ukana kaumaha. Inā ʻeha ʻoe a i ʻole ke kahe ʻana o ke koko, e kāhea i kāu kauka. Hiki iā ʻoe ke hoʻi i ka hana i ka pule ma hope o ka angioplasty koe wale nō i ka hanana o ka puʻuwai puʻuwai.

Nā hopena o ka angioplasty

ʻO nā hopena o ka angioplasty he maikaʻi loa. Hoʻomaikaʻi ia i ka papa o ka maʻi myocardial i ka wā lōʻihi. 

Loaʻa ka pilikia o ka hoʻi hou ʻana o ka stenosis, re-stenosis: 1 manawa mai ka 4 a i ʻole 5, ʻike hou ʻia ka haʻikiʻi o ke aʻa coronary, maʻamau i nā mahina 6 mua ma hope o ka angioplasty. Hiki ke hana i kahi angioplasty hou. 

ʻO ke ola ma hope o angioplasty 

I ka manawa ma ka home, pono ʻoe e lawe i ka lāʻau antiplatelet therapy mau a hoʻohana i kahi ola olakino, e pale ai i nā aʻa i keakea hou ʻia. A laila aʻoaʻo ʻia e hoʻōki i ka puhipaka, e hoʻomaka hou i kahi hana kino maʻamau, e loaʻa i kahi papaʻai kaulike, e lilo ke kaupaona inā pono a mālama pono i kou koʻikoʻi a me ka hōʻoia ʻana i ka kaohi o ke kiʻekiʻe kiʻekiʻe, diabetes, high kolesterol me kāu kauka.