Angioplasty ndiyo imwe nzira yekurapa coronary artery chirwere. Inoitirwa kusunungura imwe kana anopfuura coronary arteries pasina kuvhiyiwa. Iyi angioplasty inowanzoperekedzwa nekuisa stent kudzivirira tsinga kuti isavharwe zvakare. 

Coronary angioplasty kana dilation inodzorera kuyerera kweropa kune imwe kana kupfuura yakavharika coronary arteries. Kana imwe kana kupfuura tsinga dzemwoyo dzakatetepa (inozivikanwa se stenosis) nekuisa kwemafuta kana kugwamba kweropa (atherosclerosis), moyo unenge usisapihwe zvakakwana uye hauna oxygen yakakwana. Izvi zvinokonzeresa marwadzo uye kunzwa kusimba muchipfuva: is angina pectoris. Kana iyo coronary artery yakavharwa zvachose, pane njodzi yemyocardial infarction. Angioplasty inoita kuti zvikwanise "kuvhura" tsinga dzemoyo, pasina kuvhiyiwa (kusiyana nekuvhiya kwecoronary bypass). Icho chiratidzo chekupindira cardiology. 

Angioplasty ine stenting

Coronary angioplasty inopedzwa nekuisa stent mu90% yemakesi. Iyo stent iprosthesis inotora chimiro chediki chitubu kana perforated metal chubhu. Inoiswa pamadziro etsinga panguva yeangioplasty. Inochengeta tsinga yakavhurika. Kune anonzi anoshanda stents: akaputirwa nemishonga inoderedza njodzi yekuvharwa kwetsinga nyowani kunyangwe stent.

Kugadzirira angioplasty 

Iyi angioplasty maitiro inoitwa mushure me coronary angiography, ongororo inobvumira kuoneswa kweiyo coronary arteries kuti irapwe. 

Pamberi pekuita, electrocardiogram, kuongorora kushushikana uye kuongororwa kweropa kunoitwa. Chiremba achakuudza kuti ndeipi mishonga yekumisa, kusanganisira inoderedza ropa.

Angioplasty mukuita 

Unodzokera kuchipatara maawa 24 kusvika ku48 usati wavhiyiwa, kuti uite bvunzo dzese. Anenge maawa mashanu zvisati zvaitika, hauchabvumirwi kudya kana kunwa. Iwe tora betadine shower. Usati waitwa, iwe unotora piritsi rinoitirwa kukuzorodza iwe.

Angioplasty ine kana isina stenting inoitwa pasi peanesthesia yemunharaunda mune inopindira cardiology mukamuri. Iwe ramba wakamuka uye chiremba anogona kukukumbira kuti uvhare kufema kwako kana kukosora panguva yekuitwa kuti uone moyo wako zvirinani kana kuti kukurumidze kurova kwemwoyo wako. 

Catheter ine bharumu inofefetera kumagumo kwayo inounzwa kubva mutsinga iri mugumbo kana ruoko. 

Mushure mejekiseni rechigadzirwa chakasiyana, probe inounzwa zvishoma nezvishoma mukati yakavharika coronary artery. Bharumu racho rinobva rakwirwa, iro rinopwanya dombo reatheromatous uye rinosunungura tsinga. Stent inoiswa pabharumu kana kuiswa kwe stent kuchidikanwa. Paunenge uchipinza bharumu, unogona kunzwa kurwadziwa kwenguva pfupi muchipfuva chako, ruoko, kana shaya. Zviudze chiremba. Mushure mekuiswa kwe stent, iyo inotungamira inobviswa uye iyo arterial nzira inomanikidzwa ne compression bandage kana kuvhara forceps.

Iyi nzira inotora kubva paawa imwe kusvika maviri pamwe chete.

Angioplasty inoitwa kana imwe kana anopfuura coronary arteries akaiswa stenosed, izvo zvinokonzeresa zviratidzo zvakadai sekurwadziwa kwechipfuva, kunzwa kusimba muchipfuva, kupfupika kwekufema pakusimba (angina) kana acute coronary syndrome (heart attack). myocardium). 

Mhedzisiro yeangioplasty 

Mushure me coronary angioplasty ine kana isina stenting, unoendeswa kukamuri yekutarisa uyezve kukamuri yako. Iwe unofanirwa kurara pasi kwemaawa mashoma, usingakotami ruoko rwako kana gumbo wakananga kune puncture. Vashandi vezvokurapa vachauya kuzotarisa BP yako, kupomba kwako uye kutaridzika kwenzvimbo yepuncture nguva dzose. Iwe unogona kuva nesnack kana kudya kwakareruka maawa matatu mushure meangioplasty. Izvo zvinodiwa kunwa zvakanyanya kukurudzira kubviswa kweiyo injected musiyano chigadzirwa. 

Iwe unogona kubudiswa muchipatara zuva rakatevera mushure mekuvhiyiwa munguva pfupi yapfuura, kunze kwekunge kuvhiyiwa uku kwaitwa mukati meiyo acute coronary episode (yakadai semyocardial infarction). Kwemaawa makumi mana nemasere ekutanga, unofanirwa kuzorora uye haugone kutyaira kana kutakura mitoro inorema. Kana uchinzwa kurwadziwa kana kubuda ropa, taura nachiremba wako. Iwe unogona kudzokera kubasa svondo rinotevera angioplasty kunze kwekunge chiitiko chechirwere chemoyo.

Zvigumisiro zveangioplasty

Mhedzisiro yeangioplasty kazhinji yakanaka kwazvo. Inovandudza nzira yechirwere chemyocardial munguva refu. 

Pane njodzi yekudzokororwa kweiyo stenosis, re-stenosis: 1 nguva kubva pa4 kana 5, kutetepa kwetsinga yemwoyo kunoonekwazve zvishoma nezvishoma, kazhinji mumwedzi mitanhatu yekutanga mushure meangioplasty. A angioplasty itsva inogona kubva yaitwa. 

Hupenyu mushure me angioplasty 

Kana wava kumba, unofanirwa kutora antiplatelet therapy nguva dzose uye kutora mararamiro ane hutano, kudzivirira tsinga kubva pakuvharika zvakare. Saka zvinokurudzirwa kurega kusvuta, kutangazve kuita basa renguva dzose, kuva nekudya kwakakwana, kuderedza uremu kana zvichidiwa uye kugadzirisa zviri nani kushushikana kwako uye kuve nechokwadi chekudzora kweBP, chirwere cheshuga, high cholesterol nachiremba wako.