Te pokanga a Carotid artery - tuwhera

Ko te taahiraa o te taatai ​​o te Carotid he tikanga hei whakaora i te mate o te mate pukupuku carotid.

Ma te hiko o te motuka e kawe te toto e hiahiatia ana ki to roro me to mata. Kei i a koe tetahi o enei uaua i ia taha o to kaki. Ko te rere o te toto i roto i tenei uaua ka aukatihia e tetahi mea momona ranei e kiia nei ko te tohu. Ma tenei ka taea te whakaheke i te toto ki to roro ka mate te whiu.

Ka mahia te pokanga a Carotid artery kia pai ai te rere o te toto ki te roro. E rua nga tikanga hei whakaora i te uaua o te carotid kei kona te kohi papa. Ko tenei tuhinga e pa ana ki te pokanga e kiia nei ko te endarterectomy. Ko tetahi atu tikanga e kiia ana ko te angioplasty me te whakanoho i te stent.

I te wa o te carotid endarterectomy:

• Ka whiwhi koe i te mate rongoa whanui. Kei te moe koe me te mamae kore. Ko etahi o nga hohipera e whakamahi ana i te rongoa haangai rohe Ko te waahanga anake o to tinana e mahia ana ka matehia ki te rongoa kia kore ai koe e mamae. Ka whakawhiwhia hoki ki a koe he rongoa hei awhina i a koe ki te waatea.
• Ka takoto koe i tou tuara i runga i te teepu whakahaere, ka huri to mahunga ki tetahi taha. Ko te taha o to arai motuka karaka kua aukatia kei runga ake.
• Ka tapahia e te taote tipua (werahia) to kaki i runga i to kaokao karotika. Ka whakauruhia he ngongo ngawari (catheter) ki roto ki te kopere. Ka rere te toto i roto i te pouaka huri noa i te rohe aukatia i te waa o te pokanga.
• Kua whakatuwherahia to hiko motuka. Ka tangohia e te kaiakuta te papa i roto i te kopere.
• Whai muri i te tangohanga o te tohu, kua katia te kopere me nga tuitui. Ko te toto ka rere i roto i te uaua ki to roro.
• Ka aroturukihia to mahi ngakau i te wa o te pokanga.

E 2 haora pea te pokanga. I muri i nga tikanga, ka taea e to taakuta te mahi i tetahi whakamatautau ki te whakatuturu kua whakatuwherahia te kopere.

Ka mahia tenei mahinga mena kua kite to taakuta i te kuiti, te aukati ranei o to kaokao karotika. Kua oti i to kaiwhakarato hauora tetahi neke atu ranei o nga whakamatautau kia kite koe i te nui o te aukati carotid i aukatia.

Ka taea te mahi pokanga ki te tango i te hanga i roto i to kaokao motuka mena ka iti ake i te 70% te kopere hiko.

Mena kua whiu koe, kua whara roro roro ranei koe, ka whakaaro to kaiwhakarato mena he pai ki a koe te whakaora i to uaua arai me to pokanga.

Ko etahi atu waahanga maimoatanga ka korerohia e to kaiwhakarato ko:

• Kaore he maimoatanga, tua atu i nga whakamatautau hei tirotiro i to taakaro o te carotid ia tau.
• Te rongoa me te kai hei whakaheke i to cholesterol.
• Nga rongoa whakaheke toto hei whakaiti i to mate mo te mate whiu. Ko etahi o enei rongoa he aspirin, clopidogrel (Plavix), dabigatran (Pradaxa), me warfarin (Coumadin).

Ka whakamahia pea te angioplasty o te Carotid me te kore e haumaru te endarterectomy o te carotid.

Nga morearea o te mate rongoa:

• Nga urupare mate ki nga rongoa
• Nga raru manawa

Ko nga raru o te pokanga carotid ko:

• Te whakaheke toto toto ranei kei roto i te roro
• Pakaru roro
• Te whakaeke ngakau
• He nui atu te aukati i te uaua o te motuka i roto i te roanga o te waa
• Pakihaki
• Pakaru
• Te pupuhi tata ki to ara rererangi (te ngongo e puhia ana e koe)
• Mate

Ka whakamātautau rawa to kaiwhakarato tinana ka whakahau i nga whakamatautau hauora.

Korero atu ki to kaiwhakarato he aha nga rongoa e inu ana koe, tae atu ki nga rongoa, nga taapiri, nga otaota ranei i hokona e koe me te kore he whakahaunga.

I roto i nga wiki e 2 i mua o to pokanga:

• I etahi ra i mua o te pokanga, me mutu pea te tango i nga raau taikaha whakaheke toto. Kei roto i enei ko te aspirin, ibuprofen (Advil, Motrin), clopidogrel (Plavix), naprosyn (Aleve, Naproxen), me etahi atu rongoa penei.
• Patai ki to kaiwhakarato ko tehea nga rongoa me kai e koe i te ra o to pokanga.
• Mena ka paowa koe, me mutu koe. Tonoa to kaiwhakarato kia awhina i a ia ki te whakamutu.
• Korerohia atu ki to kaiwhakarato e pa ana ki tetahi makariri, rewharewha, kirika, whati herpes, me etahi atu mate ranei kei mua i a koe i to pokanga.

Me whai i nga tohutohu mo te wa ka mutu ai te kai me te inu i mua i te pokanga.

I te ra o to pokanga:

• Tangohia nga rongoa a to kaiwhakarato me te iti o te wai.
• Me whai i nga tohutohu mo te wa ka tae ki te hohipera. Kia mahara kia tae mai i te wa tika.

Akene he kowhao kei roto i to kaki ka uru ki to wahanga. Ka waikeri te wai i te rohe. Ka nekehia atu i roto i te ra.

Whai muri i te pokanga, ka hiahia pea to kaiwhakarato kia noho koe ki te hohipera i te po kia taea ai e nga tapuhi te tirotiro i a koe mo nga tohu whakaheke toto, whiu, rere kino ranei te toto ki to roro. Akene ka taea e koe te hoki ki te kaainga i taua ra mena ka mahi wawe koe i te ra, ka pai to mahi.

Me whai i nga tohutohu mo te tiaki i a koe ano i te kaainga.

Ma te tapahi a Carotid artery koe e awhina ki te whakaheke i to tupono ka pa mai koe ki te whiu. Engari me whakarereke e koe te ahua o te noho hei aarai i te kohi papa, te whakaheke toto, me etahi atu raru i roto i o taakaro motuka i roto i te waa. Akene me whakarereke i to kai me te tiimata i tetahi kaupapa whakangungu, mena ka kii to kaiwhakarato he pai te ahurutanga maau. He mea nui ano kia mutu te momi hikareti.

Endotectomy Carotid; Pokanga CAS; Stenosis kokoto Carotid - pokanga; Endarterectomy - motokoto carotid

• Te whakanoho i te Angioplasty me te stent - te carotid artery - te tuku
• Nga rongoa antiplatelet - kaitautoko P2Y12
• Ahipirini me te mate ngakau
• Te pata, te margarine, me nga hinu tunu
• Te pokanga a Carotid artery - te tuku
• Cholesterol me te noho oranga
• Cholesterol - maimoatanga rongoa
• Te whakahaere i to toto toto toto
• Kua whakamaramahia nga momona kai
• Tohu awhina kai nohopuku
• Me pehea te panui i nga tapanga kai
• Te kai Mediterranean
• Pakaru - tuku
• Tiaki patunga whara - tuwhera

• Stenosis Carotid - X-hihi o te uaua maui
• Stenosis Carotid - X-hihi o te uaua katau
• Haehae Arterial i roto i te uaua o te tinana o roto
• Atherosclerosis o te roto o te carotid
• Hanga-tohu tohu Arterial
• Te pokanga a Carotid artery - raupapa

Arnold M, Perler BA. Endotectomy Carotid. I roto i: Sidawy AN, Perler BA, eds. Rutherford's Vascular Surgery and Endotherapy Therapy. 9th ed. Philadelphia, PA: Elsevier; 2019: chap 91.

Biller J, Ruland S, Schneck MJ. Te mate cerebrovascular ischemic. I roto i a Daroff RB, Jankovic J, Mazziotta JC, Pomeroy SL, eds. Ko te Neurology a Bradley i nga Mahi Haumanu. Ed 7. Philadelphia, PA: Elsevier; 2016: chap 65.

Brott TG, Halperin JL, Abbara S, et al. 2011 ASA / ACCF / AHA / AANN / AANS / ACR / ASNR / CNS / SAIP / SCAI / SIR / SNIS / SVM / SVS aratohu mo te whakahaere i nga tuuroro me te carotid extracranial me te mate vertebral artery: whakarapopototanga a te kaiwhakahaere College of Cardiology Foundation / American Heart Association Task Force mo nga Aratohu Mahi, me te American Stroke Association, American Association of Neuroscience Nurses, American Association of Neurological Surgeons, American College of Radiology, American Society of Neuroradiology, Congress of Neurological Surgeons, Society of Atherosclerosis Whakaahua me te Whakatupato, Te Hapori mo te Angiography Cardiovascular me nga Whakauru, Society of Interventional Radiology, Society of NeuroInterventional Surgery, Society for Vascular Medicine, me te Society for Vascular Surgery. I whakawhanakehia i te taha o te American Academy of Neurology me te Society of Cardiovascular Computed Tomography. Catheter Cardiovasc Interv. 2013; 81 (1): E76-E123. PMID: 23281092 pubmed.ncbi.nlm.nih.gov/23281092/.

Brott TG, Howard G, Roubin GS, et al. Nga hua mo te wa roa mo te stenting versus endarterectomy mo te stenosis carotid-artery. N Engl J Med. 2016; 374 (11): 1021-1031. PMID: 26890472 pubmed.ncbi.nlm.nih.gov/26890472/.

Holscher CM, Abularrage CJ. Endotectomy Carotid. I roto i: Cameron AM, Cameron JL, eds. Te Huringa Haumaru o Naianei. 13th ed. Philadelphia, PA: Elsevier; 2020: 928-933.