Angioplasty yog ib txoj hauv kev los tswj cov kab mob coronary artery. Nws yog ua rau unclog ib los yog ntau tshaj cov hlab ntsha coronary yam tsis muaj kev ua haujlwm. Qhov no angioplasty feem ntau nrog rau qhov chaw ntawm stent los tiv thaiv cov hlab ntsha los ntawm kev thaiv dua. 

Coronary angioplasty lossis dilation rov ua kom cov ntshav ntws mus rau ib lossis ntau dua cov hlab ntsha uas thaiv cov hlab ntsha. Thaum ib los yog ntau tshaj cov hlab ntsha ntawm cov hlab ntsha yog nqaim (lub npe hu ua stenosis) los ntawm cov rog lossis cov ntshav txhaws (atherosclerosis), lub plawv tsis txaus thiab tsis muaj oxygen txaus. Qhov no ua rau mob thiab hnov ​​qhov nruj ntawm lub hauv siab: nws yog angina pectoris. Thaum cov hlab ntsha coronary raug thaiv tag nrho, muaj kev pheej hmoo ntawm myocardial infarction. Kev kho mob angioplasty ua rau nws muaj peev xwm "thaiv" cov hlab plawv, tsis muaj kev ua haujlwm (tsis zoo li kev phais mob hlab plawv). Nws yog ib tug piav tes piav taw ntawm interventional cardiology. 

Angioplasty nrog stenting

Coronary angioplasty tau ua tiav los ntawm kev tso stent hauv 90% ntawm cov neeg mob. Lub stent yog ib qho prosthesis uas siv lub caij nplooj ntoos hlav me me los yog perforated hlau raj. Nws tau muab tso rau ntawm phab ntsa ntawm cov hlab ntsha thaum lub sijhawm angioplasty. Nws ua rau cov hlab ntsha qhib. Muaj cov npe hu ua active stents: lawv tau coated nrog cov tshuaj uas txo cov kev pheej hmoo ntawm cov hlab ntsha tshiab txawm tias cov stent.

Npaj rau angioplasty 

Cov txheej txheem angioplasty no tau ua tom qab lub plawv mob angiography, kev tshuaj xyuas tso cai rau pom kev pom ntawm cov hlab ntsha hauv plawv kom raug kho. 

Ua ntej tus txheej txheem, ib qho electrocardiogram, kuaj kev ntxhov siab thiab kuaj ntshav. Tus kws kho mob yuav qhia koj cov tshuaj twg yuav tsum tso tseg, suav nrog cov ntshav thinners.

Angioplasty hauv kev xyaum 

Koj rov qab mus rau hauv tsev kho mob 24 txog 48 teev ua ntej ua haujlwm, ua txhua yam kev kuaj mob. Kwv yees li 5 teev ua ntej, koj tsis pub noj lossis haus ntxiv lawm. Koj noj Betadine da dej. Ua ntej tus txheej txheem, koj nqa ib ntsiav tshuaj uas yog lub hom phiaj los so koj.

Angioplasty nrog lossis tsis muaj stenting yog ua nyob rau hauv cov tshuaj loog hauv zos hauv chav kho mob plawv. Koj nyob twj ywm thiab tus kws kho mob yuav hais kom koj thaiv koj txoj kev ua pa lossis hnoos thaum lub sijhawm ua haujlwm kom pom koj lub plawv zoo dua lossis ua kom koj lub plawv dhia nrawm dua. 

Lub catheter nrog lub zais pa ntawm nws qhov kawg yog qhia los ntawm cov hlab ntsha hauv ib ceg lossis caj npab. 

Tom qab txhaj tshuaj ntawm cov khoom sib txawv, qhov kev sojntsuam maj mam coj mus rau hauv cov hlab ntsha uas thaiv cov hlab ntsha. Tom qab ntawd lub zais pa yog inflated, uas crushes atheromatous plaque thiab unclogs cov hlab ntsha. Lub stent yog mounted rau ntawm lub zais pa yog tias yuav tsum tau tso ib lub stent. Thaum ua kom lub zais pa, koj tuaj yeem hnov ​​​​mob nyob rau hauv koj lub hauv siab, caj npab, lossis lub puab tsaig. Qhia rau tus kws kho mob. Tom qab muab tso rau ntawm stent, cov hlau lead raug tshem tawm thiab cov hlab ntsha txoj kev yog compressed nrog ib tug compression bandage los yog kaw forceps.

Cov txheej txheem no kav ib mus rau ob teev nyob rau hauv tag nrho.

Kev kho mob angioplasty tau ua tiav thaum ib lossis ntau qhov hlab ntshav txhaws, uas ua rau muaj cov tsos mob xws li mob hauv siab, hnov ​​qhov nruj ntawm lub hauv siab, ua tsis taus pa ntawm kev ua haujlwm (angina) lossis mob hlab ntsha tawg (mob plawv). myocardium). 

Tom qab angioplasty 

Tom qab coronary angioplasty nrog lossis tsis muaj stenting, koj raug coj mus rau chav saib xyuas thiab tom qab ntawd mus rau koj chav. Koj yuav tsum pw rau ob peb teev, tsis txhob khoov koj txhais caj npab lossis txhais ceg ntawm kev sib tsoo. Cov neeg ua haujlwm kho mob yuav tuaj xyuas koj cov ntshav siab, koj lub plawv dhia thiab cov tsos mob ntawm qhov chaw puncture tsis tu ncua. Koj tuaj yeem noj cov khoom noj txom ncauj lossis noj pluag mov 3 teev tom qab mob angioplasty. Nws yog ib qho tsim nyog yuav tsum haus dej ntau los txhawb kev tshem tawm cov khoom txhaj tshuaj sib txawv. 

Koj tuaj yeem tawm hauv tsev kho mob ib hnub tom qab kev ua haujlwm ntawm qhov kawg, tshwj tsis yog tias qhov haujlwm no tau ua nyob rau hauv cov ntsiab lus ntawm kev mob plawv (xws li myocardial infarction). Thawj 48 teev, koj yuav tsum tau so thiab koj tsis tuaj yeem tsav tsheb lossis nqa cov khoom hnyav. Yog tias koj hnov ​​​​mob lossis los ntshav, hu rau koj tus kws kho mob. Koj tuaj yeem rov qab mus ua haujlwm lub lim tiam tom qab angioplasty tshwj tsis yog thaum muaj mob plawv.

Cov txiaj ntsig ntawm angioplasty

Cov txiaj ntsig ntawm angioplasty feem ntau zoo heev. Nws txhim kho cov kab mob myocardial nyob rau lub sijhawm ntev. 

Muaj kev pheej hmoo ntawm kev rov mob stenosis, rov stenosis: 1 zaug ntawm 4 lossis 5, qhov nqaim ntawm cov hlab ntsha tuaj yeem rov tshwm sim maj mam, feem ntau hauv thawj 6 lub hlis tom qab angioplasty. Tom qab ntawd ib qho angioplasty tshiab tuaj yeem ua tau. 

Lub neej tom qab angioplasty 

Ib zaug hauv tsev, koj yuav tsum noj cov tshuaj antiplatelet tsis tu ncua thiab txais yuav txoj kev noj qab haus huv, tiv thaiv cov hlab ntsha los ntawm kev thaiv dua. Nws yog qhov pom zoo kom tsis txhob haus luam yeeb, rov ua haujlwm lub cev ib txwm muaj, kom muaj kev noj zaub mov zoo, kom poob phaus yog tias tsim nyog thiab tswj hwm koj kev ntxhov siab zoo dua li txhawm rau tswj kev tswj ntshav siab, ntshav qab zib, roj cholesterol nrog koj tus kws kho mob.