Ngokuhlukunyezwa kwezimpawu ze-coronary heart disease kanye nezinye izibonakaliso ze-atherosclerosis, umthambo we-coronary ovelayo ulungile. Lena inqubo evamile, okuyinto, kanye nokuxhuma, okunikeza umphumela omuhle.
Izinkomba zokwehliswa kwemithambo ye-coronary
Ngemuva kokuba odokotela benethuba lokuqhuba i-fluoroscopy ye-arteries ngokusungulwa kwe-medium medium, okuvumela ukuhlola izindonga zabo ngaphakathi, ososayensi babuze ukuthi inqubo ingasetshenziswa kanjani nomphumela omkhulu. Uma kukhona ama-atherosclerotic plaques kanye nokunciphisa izitsha, zinganwetshwa ngesikhathi sokubuka i-coronary angiography. I-Agioplasty ne-stenting ye-coronary arteries yiyona ingxenye yokugcina yale nqubo - i-catheter ehlome ibhaluni ihanjiswa esakhiweni se-constriction yesitsha, esisungulwe ngosizo lwe-X-ray. Ngosizo lwe-ejenti ehlukile, ibhaluni i-inflates neyimpintshe ye-cholesterol plaques ezindongeni zomkhumbi, yokwandisa isibani. Umphumela walokhu ukwelashwa akuyona isikhathi eside. Kodwa uma i-agioplasty igcwaliswa ngokufaka i-stent kusuka ensimbi yezokwelapha ngensizakalo ekhethekile, umkhumbi uzogcina ububanzi bawo obujwayelekile iminyaka eminingi.
Izinkomba zokuthuthumela ziyizici ezilandelayo:
- ischemic isifo senhliziyo;
- angina pectoris;
- i-atherosclerosis;
- i-infarction ye-myocardial.
Ukwelashwa nokuvuselelwa emva kokuthungatha kwemikhumbi ye-coronary
Njengoba i-stenting idlula ngaphandle kokuvula isifuba, i-catheter ene-balloon kanye nendandatho yensimbi ifinyelela esiteshini sokunciphisa emgodini ohlangothini lwezingalo ezinkulu, ngemuva kokusebenza, ukuphuma kwamandla endaweni yokuphatha kufanele kuncishiswe. Ukulahlekelwa kwegazi yiyona imbangela evame kakhulu yenkinga emva kokulandela inqubo. Kule ndaba, isiguli sinconywa ukuba singasebenzi impela indawo yokugubha usuku futhi sibone ukuphumula kombhede isonto emva kokusebenza. Ngokuvamile, ukunyuka kwama-coronary artery kubangela izinkinga ezinjengalezi:
- i-infarction ye-myocardial esigabeni esiphakeme;
- ukushaywa;
- ukusabela okweqile ku-agent ehlukile;
- ukuphuma kwe-site, ukuvuvukala kwesigcawu lapho kusetshenzwa khona u-catheter;
- ukugxila kwe-stent kulezicubu nokuphindaphindiwe kwesifo sokuqina kwesifo somzimba;
- ukutholakala kwemithambo yegazi, i-thrombosis.
Noma kunjalo, inani leziguli ezibhekene nalezi zinkinga alinaki - cishe ngaphezu kwezingu-2% zazo zonke izimo zenze imiphumela emibi. Cishe izinkinga njalo emva kokugulisa i-coronary kungavinjelwa ngosizo lwezokwelapha ezikhethekile nokulungiswa okufanele.
Isiguli kufanele sithathe imithi ehlanza igazi, i-anticoagulants, i-nitrate neminye imithi. Imithi enjalo ingabizwa ngokuthi eyisisekelo:
- I-aspirin ukugwema ukuxuba ngokweqile kanye ne-viscosity yegazi.
- I-Plavix, i-Klopilet, i-Clopidogrel kanye nezidakamizwa ezifanayo ezibangela i-vasodilation ephikisanayo futhi ikhulule isikhala se-spasm.
- Lovastatin, Pravastatin, simvastatin, noma ezinye izitembu ezilawula izinga le-cholesterol egazini. Kunesibopho kulabo abanesifo sikashukela, ukukhuluphala, abaye bahlaselwa yinhliziyo.
- Bisoprolol, carvaprolol nezinye adrenoblockers ukunciphisa amathuba okuhlasela kwenhliziyo.
- Imithi yakho evamile, normalizing izinga lokucindezeleka kwegazi.
Ukuphila emva kokuphefumula kwemithambo ye-coronary
Ngemuva kokucindezela kuzodingeka ushintshe indlela yakho yokuphila ngokushesha. Okokuqala, inyanga emva kokuhlinzwa, udinga ukunakekelwa ukwandiswa kwemisebenzi yomsebenzi nokulawulwa kwesisindo somzimba. Izenzo zokuzivocavoca kanye nokudla okunciphisa
- indawo eningi kakhulu ekunciphiseni imishanguzo;
- ukwehluleka kwezindonga zemithambo yegazi;
- Ukuphefumula okukhulu nokuphefumula;
- i-allergies iodine.
Lokhu kwenza inqubo itholakale cishe wonke umuntu.