Stenting - kuyini? Stenting imithambo wenhliziyo: izindleko

Abantu abaphethwe izinkinga zenhliziyo, ziya ngokuya akwazi ukuzizwela odokotela isiphakamiso stenting. Ngezinye izikhathi kunzima ukunquma lesi sinyathelo, njengoba singasebenzi abazise ukuthi iyini le nqubo futhi nokuthi sizokuthinta kanjani ukuphila esikhathini esizayo. Kule ndaba, abantu bebuza lemibuzo: stenting - kuyini, kungani idingeka futhi kungakanani lokhu kwelashwa? Ngakho-ke, sicabanga ngalezi kanye neminye imininingwane ephathelene inqubo.

Kuyini ukusebenza?

Okokuqala-ke Kuyaphawuleka ukuthi lolu hlobo kwelashwa phakathi izindlela eziphumelelayo kakhulu ezithile izifo zenhliziyo nemithambo yegazi. Ngakho kuthiwani uma udokotela, seliveze ukuthi ukuchitha stenting? Yini-ke futhi itholakala kanjani okwenzile? Le nqubo kuyinto kokungenela kuhlinzwa. Uma umkhumbi has qwembe atherosclerotic, kufanele wanda kakhulu yokuthuthukisa patency of ukugeleza kwegazi. Ukuze ukuthi stent ekhethekile, okuyinto akuvumeli inesikhala ewumngcingo bomkhumbi ethintekile.

Ngaphambi kokuqala stenting, umuntu egcina angiography yenhliziyo ukukhomba indawo zingcwecwe atherosclerotic kanye nendlela ayisesemikhulu nemithambo yegazi yenhliziyo. Ungabese uqhubekele ukusebenza, okuyinto kwenziwa ngaphansi izinzwa wendawo. Inqubo lingasethwa ezingaphezu kweyodwa stent, kodwa abaningana. Konke kuncike inani lemikhumbi ethintekile. Inqubo ngokwaso iphephile. Ngo ukusebenza, ngokwesilinganiso kudliwe ihora elilodwa. Kwabe sekuqala inkathi yokutakula imfushane kakhulu.

Kwezinye izimo, lo mkhumbi babelwe stenting?

Izincomo zokuqhuba stenting semithambo kukhona udokotela ohlinza inhliziyo isiguli ngayinye. Kungaba zinganikela lokhu inqubo abantu ababetholakala ukuvaleka we nemithambo yegazi yenhliziyo, kubangelwa zingcwecwe atherosclerotic. Vasodilatation kuleli cala, ngoba ukugeleza kwegazi abahlukene encishisiwe. Lokhu, kunciphisa inani le-mpilo kumelwe iyangena inhliziyo. Kuyinto lokhu kuntuleka kuphakamisa ukuhlaselwa angina.

izindleko ukusebenza

Njengoba sithole, indlela ukuthi kwenziwe stenting ukuthi kahle kahle futhi kungani idingeka, umbuzo olandelayo obalulekile - kuyinto izindleko lo msebenzi. Inani lokugcina kuxhomeke ezicini eziningi. Athonywa:

1. stent hlobo. Singathembela camera, futhi ngaphandle kwalo. Nquma ukuthi yini ofuna ukufaka stent, kufanele udokotela, njengoba eziningi kuncike isimo umkhumbi ezinye isiguli ngabanye. Ngokwemvelo, lokhu kusho stent ngaphandle enamathela kuyinto engabizi.
2. Inani lemikhumbi onesifo.
3. Indawo lapho stenting wenziwa. Izindleko zokuhlinza incike umtholampilo, lapho kucatshangwa. Ngokwesibonelo, inqubo kungenziwa eJalimane maphakathi nezenhliziyo. Kukhona ahlinzekwa ngaphezu ukhululekile ukusebenza ekamelweni ngesikhathi ukuvuselelwa. Izindleko zokwelashwa ziyahlukahluka kusuka 5 000 kuya ku-14 000-euro. Stenting eMoscow izobiza mayelana 100 000 ruble 200 000. Kodwa noma kunjalo, izindleko kuncike ezicini ezimbili zokuqala.

Ilungiselela stenting

Ngaphambi kokuqalisa ukusebenza kwenziwe amalungiselelo stenting yimpumelelo. Ukuze uqale nge angiography yenhliziyo wenziwa. Inikeza isithombe ephelele ohlinza inhliziyo isifo semithambo. Kuba sobala ukuthi zilimele, kukhona isibalo zingcwecwe kanye ngazo imithambo. Futhi, uma isiguli co-morbidities, ngaphansi uphenyo.

Ngemva kwamahora ambalwa ngaphambi ukuhlinzwa umuntu eyeka ukudla izidakamizwa futhi (ezithathwe ukulungisa ushukela sikashukela), kusukela stenting wenziwa esiswini esingenalutho. Ukwamukela noma ukwenqaba weminye imilaliso - ngokubona kwe-udokotela. Futhi, ukunwetshwa imithambo yegazi kwaba yimpumelelo ngezinsuku ezintathu is ekunike umuthi ekhethekile okuthiwa "clopidogrel". It ayikuvumeli ukwakha amahlule. Ngezinye izikhathi, udokotela enquma ukuba imnike ngokushesha ngaphambi nje kokuba ahlinzwe, nge okwandisa umthamo. Kodwa le ndlela akuyona efiselekayo ngoba kungaba nzima phezu ingxenye esiswini.

Indlela kokusebenza

Yonke inqubo wenziwa ngaphansi izinzwa wendawo. Ekuqaleni ukusebenza ingabe ukubhoboza Umthambo esikhulu ligijima ingalo noma umlenze. Ukukhetha ukubhoboza indawo incike ohlinzayo futhi isiguli. Kodwa iningi ukufinyelela izitsha yenhliziyo wenhliziyo etholwe ngokusebenzisa umlenze. Wokubhoboza e imbilapho ilula kakhulu futhi kunokwethenjelwa. Okulandelayo, introducer is busuka i Umthambo (a plastic tube encane), siwulimi esangweni lapho nezinye izinsimbi zomculo yethulwe. I introducer ipayipi ligcinwe, okuyinto lifinyelela Umthambo obonakele bawubeka. Kakade ngokusebenzisa ipayipi zilethwe stent. Wafaka ibhaluni deflated. Ukuze aqinisekise stent endaweni efanele hhayi aphanjaniswe, yesimanje imishini-X-ray isetshenziswa. Ngemva kokuhlola ngqo zokulawula indawo ezingeziwe ithuluzi ibhaluni is Ayihaba, le bushelelezi stent, okuyinto ocindezelwe odongeni alimele isitsha uqweqwe. Ngemva kokufaka wonke amathuluzi ezicela. Kuphela stent uhlala isitsha phakade (ezimweni ezingavamile kakhulu, kumele zisuswe). Okwenziwayo inqubo ngokwalo sivame esingaphansi kwehora, kodwa ngezinye izikhathi eside. Okuningi kuxhomeke ekutheni ukufunde isimo izitsha icala.

yezinkinga kungenzeka

Njenganoma iyiphi ukusebenza, kungaba futhi babe yezinkinga zayo phambili. Okuvame kakhulu zihlanganisa:

• Ukuvaleka kwemithambo, okuyinto yayivame ukuhlinzwa.
• Iguliswa into inflates ibhaluni (idigri kobukhulu ihlukile, ngezinye izikhathi siyabhubha isebenze izinso).
• Ukubukeka ukulimaza noma ukopha ngesikhathi indawo lapho wokubhoboza Umthambo senziwa.
• izifo izitsha okusha, umonakalo ethile ngaphakathi kwezindonga zabo.
• I esiyingozi kakhulu inkinga - a thrombosis stent. It engaveza njengoba eminyakeni embalwa kamuva, futhi esifushane. It kuhambisana acute ubuhlungu kuhlasela futhi kudinga impendulo ngokushesha nokwelashwa. Kungenjalo, isilethikusebenza singenzeka.

Ngaphezu kwalokho, kuyafaneleka ukuthi, kusukela ukugeleza kwegazi sidlula umzimba, ukuxakeka singenzeka kwezinye imithambo ezingenziwanga kuhlobane ngokuqondile ukusebenza. Ngaphezu kwalokho, kubalulekile ukuba anamathele ohlotsheni lokudla kanye izidakamizwa yokwelapha, okuyinto eye yamisa wenhliziyo.

izinhlobonhlobo stenting

Kodwa ukusebenza stenting kungaba kwenziwe hhayi kuphela ezitsheni inhliziyo. Uma kudingeka, lokhu kwelashwa wenziwa imithambo kwezinso kakhulu futhi imithambo yegazi wemikhawulo aphansi. Ngakho kuyakufanelekela sihlolisise kulezi zinhlobo ezimbili stenting futhi amacala e abelwe kuwo.

stenting kwezinso

Isidingo salokhu hlobo lokuhlinza kungenzeka ukubukeka zingcwecwe atherosclerotic e imithambo kwezinso. Lesi sifo ngokuvamile ebizwa ngokuthi umfutho wegazi ophakeme renovascular. Kulesi isifo zingcwecwe kwakhiwa ngomlomo imithambo kwezinso. Phezu ukuthola izifo ezifana udokotela uncoma stenting kwezinso, ngoba ngisho eliphezulu yokwelapha yezokwelapha akumele zinikele imiphumela oyifunayo. kokungenela onjalo yokwelapha mnene, njengoba kungenzeka ukugwema Ukuhlinzwa okukhulu. Inqubo wenziwa ngesisekelo stenting kwemithambo yegazi yenhliziyo. Iphinde isebenzisa stents ballonorasshiryaemye. Ngaphambi kokuba ahlinzwe wenziwa ucwaningo izinso usebenzisa imishini-X-ray kanye abaphathi ngaphambi ejenti ukuze kuvele umehluko. Kuyadingeka ukuchaza zokugula anatomy.

Ngemva stenting, umuntu ogulayo kuyinto amahora ambalwa ukunakekelwa lesigceme olunzulu. Emva kwalesi sikhathi, wathunyelwa ikamelo njalo. Uma ukusebenza kwenziwa ngesandla, isiguli sukuma uhambe ngosuku olufanayo. Endabeni kufakwe femoral isiguli stent iziphakamisile kuze kube ngakusasa.

Isifo sokuqina kwemithambo yegazi kanye stenting ka emikhawulweni aphansi

Ukuthunyelwa igazi ezinyaweni zivumelana imithambo neuropathy. Kodwa futhi ungakheka zingcwecwe ezibangela kahle ukugeleza kwegazi. Kukhona izimpawu eziningana kwegazi emikhawulweni engezansi ukwehluleka, kodwa esiyinhloko Akukhona ukubukeka ubuhlungu emilenzeni bezihambela. Ngezinye lokuphumula, uzizwa emuva. Ngezinye izikhathi ubuhlungu esinjalo singeze sibe, kodwa hhayi ngaphandle amajaqamba, ubuthakathaka, noma umuzwa wobukhulu emilenzeni. Lezi zimpawu zingase zenzeke ngaphesheya kwamanzi wemikhawulo: izinyawo, imilenze, emathangeni, emadolweni, izibunu. Phezu ukuthola le nkinga, udokotela angase atuse ukuba stenting. Le ndlela ubhekwa omunye ephumelela kakhulu lesi sifo. Inqubo ephelele wenziwa ku isimiso esifanayo, kanye ngesikhathi stenting izitsha yenhliziyo zenhliziyo.

Sibuyuyekeze ezinye izinkinga sichaze nendlela yokuzigwema ukuze afeze stenting, ukuthi kuyini, kwezinye izimo kubalulekile nalokho kungaba izinkinga. Kodwa isinqumo ema isihlangane eyohlinzwa ezinjalo, noma bhunkula it, kubalulekile ukukhuluma ohlinza inhliziyo ongachaza ngokucophelela ngobuhle nangobubi bawo lokhu inqubo ngaphezulu ngokuningiliziwe.