Angioplasty me te taakaha - ngakau - tuku

Ko te Angioplasty he tikanga hei whakatuwhera i nga toto toto ka aukati ranei e tuku ana te toto ki te ngakau. Ko enei toto ka kiia ko nga uaua o te mate mate. Ko te taatai ​​arai koronariari he ngongo ngongo maitai iti nei e toro haere ana i roto i te wheua kawa.

I hengi koe i te wa i te hohipera koe. Akene he taunga ano kua tohua e koe. Ko enei e rua i mahia hei whakatuwhera i nga ara o te koronaoro ranei, nga toto e tuku toto ana ki to ngakau. I pa pea koe ki te mate pukupuku, ki te angina (mamae o te uma) i mua o te mahinga.

Ka mamae pea koe i to waahi kokiri, i to ringaringa, i to ringa ranei. Ko tenei mai i te pouaka (ngongo ngawari) i whakauruhia hei mahi i nga tikanga. Akene he maru ano koe a huri noa i te muru.

Ko te mamae o te uma me te manawa o te manawa i mua i a koe i mua atu o te tikanga me tino pai ake inaianei.

I te nuinga, ko nga taangata he angioplasty ka taea te hikoi i roto i nga haora 6 i muri o te tikanga. Ka taea pea e koe te ara ake me te hikoi i mua atu mena ka whakahaerea te tikanga i roto i te ringa. Ko te whakaoranga katoa he wiki neke atu ranei te iti iho. Kia maroke te rohe i whakauruhia ai te catheter mo te 24 ki te 48 haora.

Mena ka whakauruhia e te taakuta te katote ki roto i to riu:

• Ko te hikoi ki tawhiti noa i runga i te papa papatahi he pai. Whakawhāitihia te piki me te heke o te pikitanga kia 2 wa i te ra mo nga ra tuatahi 2 ki te 3.
• Kaua e mahi i te iari, taraiwa, taraiwa, kawe i nga taonga taumaha, takaro ranei i nga hakinakina mo te 2 ra neke atu ranei, kia tae ra ano ki te korero a to kaiwhakarato hauora ki a koe kua haumaru.

Mena ka waiho e te taakuta te kohinga ki to ringa, to ringaringa ranei:

• Kaua e hapai i tetahi mea taumaha atu i te 10 pauna (4.5 kirokaramu) (he iti ake i te galona miraka) me te ringaringa i a ia te pouaka.
• Kaua e mahi i te taumaha taumaha, te kukume, te huri ranei i taua ringa.

Mo te catheter i to tua, i to ringa, i to ringa ranei:

• A ape i te mahi taangata mo te 2 ki te 5 ra. Patai ki to kaiwhakarato ka pai ana kia tiimata ano koe.
• Kaua e kaukau, kaukau ranei mo te wiki tuatahi. Ka mau pea koe ki te ua, engari kia mahara ki te rohe i whakauruhia ai te catheter kia kaua e maku mo te 24 ki te 48 haora tuatahi.
• Me hoki koe ki te mahi i roto i te 2 ki te 3 ra ki te kore koe e mahi i nga mahi taumaha.

Me tiaki e koe to marore.

• Ma te kaiwhakarato e whakaatu ki a koe e hia nga wa hei huri i ou kakahu.
• Mena ka maringi te weronga o koe, ka pupuhi ranei, ka takoto, ka peke mo te 30 meneti.

Kaore te Angioplasty i te whakaora i te take o te aukatinga i roto i o taakaro. Ka whaiti ano pea o uaua. Kainga te kai hauora hauora-ngakau, whakakori tinana, kati te momi hikareti (mena ka paowa koe), ka whakaheke i te awangawanga hei awhina i to tupono ki te whai i te kopae aukati. Ka hoatu pea e to kaiwhakawhiwhi ki a koe te rongoa hei awhina i te heke o to cholesterol.

Ko te nuinga o te iwi ka mau ki te ahipirini me tetahi atu rongoa antiplatelet penei i te clopidogrel (Plavix), prasugrel (Efient), te ticagrelor (Brilinta) ranei i muri i tenei tikanga. Ko enei rongoa he whakaheke toto. Ka tiakina e raatau to toto kia kore e puta mai i roto i o uaua me to taera. Ko te whakaheke toto ka mate te ngakau. Meinga nga rongoa kia rite ki ta te kaiwhakarato i korero ai ki a koe. Kaua e mutu te tango i a raatau me te kore e korero ki to kaiwhakarato i te tuatahi.

Kia mohio koe ki te tiaki i to angina mena ka hoki mai ana.

Kia mahara he wa whai muri i te whakaritenga me to taakuta ngakau (taatai).

Ka tono pea to taakuta ki a koe ki te kaupapa whakaora ngakau. Ma tenei ka awhina koe ki te ako me pehea te whakanui haere i to korikori. Ka ako hoki koe ki te tiaki i to angina me te tiaki i a koe ano i muri i te mate o te ngakau.

Karangahia to taakuta mena:

• Kei te maringi te toto i te waahi whakauru katote kaore e mutu ka pa ana koe ki te pehanga.
• He pupuhi kei te papa whakarau.
• Ko to waewae, to ringa ranei i raro i te wahi i whakauruhia ai te catheter ka rereke te tae, ka hauhaa ki te pa atu, ki te koretake ranei.
• Ko te kiri iti mo to kateti ka whero ka mamae ranei, ka kowhai ranei te kaakaariki ka rere mai i reira.
• He mamae o te uma, he manawa poto ranei e kore e riro ma te okiokinga.
• He koretake to pini - he puhoi (iti iho i te 60 nga pao), he tere rawa ranei (neke atu i te 100 ki te 120 nga paati) i te meneti.
• He memenge koe, hemo, he tino ngenge ranei koe.
• Kei te mare koe i te toto, i te huu kowhai, i te puku ranei.
• He raru kei a koe ki te tango i o rongoa ngakau.
• He raru koe, he kirika ranei neke atu i te 101 ° F (38.3 ° C).

Nga haumanu e whakangaro tarukino ana - ka tukuna; PCI - tuku; Te wawaotanga o te coronary porowhita - tuku; Angioplasty Poihau - te tuku; Angioplasty coronary - tukuna; Angioplasty aria coronary - tukuna; Angioplasty Cardiac - te tuku; PTCA - tuku; Angioplasty coronary transluminal porowhita - whakahekenga; Roha te manawa o te manawa - puta; Angina angioplasty - te tuku; Angioplasty whakaeke ngakau - te tuku; Angioplasty CAD - te tuku

• Te koretake o te whekau

Amsterdam EA, Wenger NK, Brindis RG, et al. 2014 AHA / ACC aratohu mo te whakahaerenga o nga tuuroro me te kore-ST-whakapiki i te mate kino: he purongo mo te American College of Cardiology / American Heart Association Task Force mo nga whakaritenga mahi. J Am Coll Cardiol. 2014; 64 (24): e139-e228. PMID: 25260718 pubmed.ncbi.nlm.nih.gov/25260718/.

Fihn SD, Blankenship JC, Alexander KP, Bittl JA, et al. 2014 ACC / AHA / AATS / PCNA / SCAI / STS arotahi whakahoutanga o te aratohu mo te taatari me te whakahaere i nga turoro e mau ana te mate ngakau ischemic pumau: he purongo mo te American College of Cardiology / American Heart Association Force Force mo nga Aratohu Mahi, me te American Association for Thoracic Surgery, Preventive Cardiovascular Nurses Association, Society for Cardiovascular Angiography me nga mahi wawaotanga, me te Society of Thoracic Surgeons. J Thorac Cardiovasc Surg. 2015; 149 (3): e5-e23. PMID: 25827388 pubmed.ncbi.nlm.nih.gov/25827388/.

Mehran R, Dangas GD. Angiography coronary me te whakaahua atahanga. I roto i: Zipes DP, Libby P, Bonow RO, Mann DL, Tomaselli GF, Braunwald E, eds. He Mate Ngakau a Braunwald: He Pukapuka Kupu mo te Mate Cardiovascular. 11th ed. Philadelphia, PA: Elsevier; 2019: chap 20.

O'Gara PT, Kushner FG, Ascheim DD, et al. 2013 ACCF / AHA aratohu mo te whakahaere i te ST-teitei myocardial infarction: whakarapopototanga whakahaere: he purongo mo te American College of Cardiology Foundation / American Heart Association Task Force mo nga whakaritenga mahi. Porohita. 2013; 127 (4): 529-555. PMID: 23247303 pubmed.ncbi.nlm.nih.gov/23247303/.

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