A karkashin irin wannan aiki kamar yadda ake cike da ƙwayoyin katako, a cikin ilimin zuciya ya yarda da fahimtar karuwancin suturar zuciya. Bukatar wannan tsoma baki don samuwa ne don dalilai daban-daban. Bari mu bincika tsari a cikin cikakken bayani, da magudi da kansa, za mu ambaci shaida a gare ta, za mu lissafa abubuwan da suka faru wadanda ba a yi aiki ba.
Indications ga stenting na zuciya tasoshin
Sugar kanta shine irin kwarangwal da aka yi da karfe. Shigar da shi cikin jiragen ruwa wanda ma'auni bai dace da ka'idar da ake bukata ba. Dalilin gurgunta su ne kwakwalwa (tarawar jikin jikin jiki wanda aka haɗe zuwa bango na ciki). Yayin da suke ƙarawa, jinin jini a cikin suturar zuciya na zuciya yana damuwa. A sakamakon haka, ƙaddamar da oxygen da kayan abinci da ke samar da kwayar halitta ta rage, wanda take kaiwa ga angina pectoris. Hanyoyi na gaba daya don nada wani aiki na aiki shine:
- Rashin zuciya na tsoka - ƙananan ƙwayar cuta, rugujewa daga cikin tasoshin zuciya wanda ya rage sakamakon lalacewar, ya sake mayar da jini ga ɓangaren ɓangaren jikin.
- Masihu maras kyau . Tare da irin wannan cin zarafi na aiki, waɗannan lokuta idan akwai hemodynamic (cin zarafin jini) da kuma rashin lafiyar lantarki (cin zarafin ƙwayoyin tsohuwar ƙwayoyin tsohuwar ƙwayoyin cuta) suna ƙarƙashin tiyata.
- Ischemic cututtukan zuciya . Da wannan cututtukan, aiki na stenting ƙwayoyin katako yana daidaita da kuma sake yaduwar jini.
Tsomawa daga tasoshin zuciya - contraindications
Cikakken maganganu don yayata zuciya, bazai wanzu ba. Amma kafin yin yanke shawara game da aikin tiyata, likita ya gudanar da cikakken bincike, ya ƙayyade kasancewar matakai na yau da kullum cikin jiki. A wannan yanayin, yin amfani da tsoma baki ba ya kokarin aiwatarwa da:
- m da kuma na kullum renal rashin cin nasara;
- zubar da jini gastrointestinal;
- Jihar Filali;
- ci gaba da kamuwa da cuta;
- hawan jini na yau da kullum;
- anaphylactic dauki ga gwamnatin da bambanci matsakaici;
- cin zarafin matakai na jini clotting.
Ta yaya zartar zuciya ta zuciya take faruwa?
A cikin kanta, aikin "stenting" yana nufin kadan m. Yan likitoci ba sa yin haɗari. Samun dama yana cikin ɗayan manyan batuttuka. Sau da yawa, likitoci suna amfani da labarun ƙwararrakin mata a cikin wannan karama. A wurin da ake nufi, an sanya wani shinge, ta hanyar da an saka bututu na musamman, wanda shine nau'i na maida don gabatar da wasu kayan. Sun kira shi mai gabatarwa. Yana kaiwa ga wani kullun da ya dace, wanda aka kawo kai tsaye zuwa wurin lalacewa.
Tuni a kan catheter zuwa yankin da ake bukata, an shigar da tsutsa, wanda ke kewaye da ƙarar walƙiya a cikin takarda. Bayan likita ya tabbata cewa mai yiwuwa yana cikin sashi mai kyau, an nuna shi da bambanci, abin da yake bayyane akan rayukan X-ray. A sakamakon haka, ana tura suturta kai tsaye zuwa yankin gine-gine. A karkashin matsin lamba, an tilasta shi a cikin ganuwar layin, inda ya zauna don rayuwa. Akwai canji a cikin lumen, wanda ya sake mayar da jini hemodynamics, sannu-sannu rage nauyi a kan zuciya tsoka. Anyi yunkuri na tasoshin zuciya. Marasa lafiyar lafiya sun fi lafiyar jiki, ƙananan hare hare.
Pain bayan shawo
Bayan an yi kwaskwarima na suturar zuciya, mai haƙuri ya kasance a asibiti na wani lokaci. Na farko 3-5 days za a iya rubuta malovyrazhennye, m sha'awa a cikin yankin fashewa. Doctors ƙuntata motsi na mai haƙuri, wanda ya dace da kwanciya, dakatar da ci gaba da zub da jini daga tasirin da aka ɗora. Kimanin mako guda bayan da ake cike da ƙwaƙwalwar tukunyar jirgi a yayin da ake kashewa, an yarda su bar asibitin.
Rarraba bayan damuwa na tasoshin zuciya
Tare da cancantar likita na likita, yana da shekaru da yawa na kwarewa, an rage girman sakamakon tiyata. Amma a wasu lokuta bayan tsigewa za a iya gyarawa:
- blockage na maganin huta ga m intervention;
- cin zarafin amincin jirgi a lokacin hanya;
- kafa wani hematoma a wurin fashewa;
- ci gaban jini;
- wani rashin lafiyan rashin karuwa don bambanta.
Ya kamata a lura cewa akwai matsalolin damuwa da rashin lafiya, a gaban abin da yiwuwar rikitarwa ya ƙaru. Wadannan sune:
- cutar koda;
- ciwon sukari mellitus;
- rushewar tsarin hawan jini.
Drugs bayan stenting na zuciya tasoshin
Da farko, dole ne a ce dukkanin alƙawari ne na likita, wanda ya nuna miyagun ƙwayoyi, mita, sashi da tsawon lokacin amfani da shi. A wannan yanayin, dole ne mace ta bi su. Magunguna bayan shawo kan ƙwaƙwalwar katako suna wajabta kamar haka:
- Lokacin yin amfani da ƙananan sauƙi daga karfe don akalla wata daya, ɗauki Aspirin Cardio da Plavix. Magunguna suna taimakawa wajen jinin jini, ban da samuwar thrombi. An zaɓi likita daga likitoci. Sau da yawa rubuta rubutun Aspirin 300 mg kowace rana da 75 MG na Plavix.
- Idan an yi amfani da suturar maganin ƙwayoyi, za'a iya tsara Ticagrelor maimakon Plavix, 90 MG sau biyu a rana.
Yarda da zuciya - nawa ne bayan aiki?
Babban mahimmancin sha'awa ga marasa lafiya wadanda ke fama da irin wadannan maganganu na damuwa sun damu da yadda suke rayuwa bayan da suka ci gaba. Doctors sun lura cewa hanya kanta tana da tasiri a 80% na lokuta. A wasu yanayi, an lura da tsari na baya, lokacin da jirgin ya yi amfani da shi ya sake kama ta lokaci. Tare da ci gaba da sababbin sababbin abubuwa, wannan abu ne mai mahimmanci. Bugu da ƙari, marasa lafiya sun lura cewa rayuwa bayan da ciwon suturar zuciya na zuciya ya zama mafi alhẽri: ciwo, ɓoyewa ya ɓace. Game da tsawon lokacin, likitoci sun lura cewa irin wannan aiki yana ƙara kimanin shekaru 10.
Rayuwa bayan kullun zuciya
Mutane da yawa marasa lafiya sun lura cewa rayuwa bayan stenting yana cigaba da ingantawa. Rage gajiya, - jiki, tsarin kwakwalwa, ya fi dacewa da nauyin, oxygen tare da jini yana fitowa a cikin buƙatar da aka buƙata zuwa gabobin jiki da kyallen takarda. Amma ya kamata a yi la'akari da cewa marasa lafiya da ke fama da ƙwaƙwalwar ƙwayar katako, ana tilasta su kiyaye wani tsarin, abinci, musamman ma a farkon lokaci. Kayan farfadowa yana taka muhimmiyar rawa a tsarin gyaran gyare-gyare, kasancewa ɓangare na ciki.
Gyaran bayan gyara
A cikin mako guda bayan sukar dajiyar cututtukan zuciya, mai haƙuri yana ƙuntatawa ga aikin jiki. Bugu da ƙari, ana yin watsi da wanka, - kawai an yi amfani da ruwan sha don ɗauka. Kimanin wata biyu likitoci sun ba da shawarar kada su fitar da mota. Sauran lokuta sukan danganta kai tsaye ga kiyaye abincin da ke da kyau, da kaucewa daga abincin naman abinci, abinci mai laushi, abincin da ke cikin cholesterol.
Abinci bayan stenting
An dakatar da cututtuka na asibiti, likitoci sun ba da shawara ga saka idanu akan abincin yau da kullum. Don masu farawa, naman naman nama, kayan ƙayyade-ƙullun, sausages an cire su gaba daya. A wannan yanayin, likitoci sun bada shawara don ƙayyade man shanu, kayan kiwo. Ya kamata a kiyaye abun ciki na carbohydrates a cikin abinci. An haramta su ne:
- confectionery;
- gurasa marar lahani;
- Ƙasaccen abin sha.
Dalili ya kamata ya zama 'ya'yan itatuwa masu sabo, samfurori da suka hada da kayan lambu, kifi. Har ila yau, likitoci sun ba da shawara don ƙara yawan abun da ke cikin samfurori waɗanda ke hana atherosclerosis:
- teku kale;
- dukan hatsi.
- burodi marar fata da bran;
- kwayoyi;
- kaji nama.
Jigilar jiki bayan daji na ƙwayoyin zuciya
Yawan nauyin kayan da aka yi bayan suturar da ake yi akan suturar da aka yi a cikin ƙwayoyin jini an lasafta shi ne. Mai haƙuri ya cika da shawarwari da aka samu da umarnin likita. A wannan yanayin, ana gudanar da horaswa marasa rinjaye (an gudanar da su a gida). A lokuta a cikin likitoci, likitoci sun lura da yawan sauye-sauye na ƙwayar zuciya da matsin lamba. An sanya suturar zuciya ga marasa lafiya a akalla 4-5 zaman aiki na jiki a kowane mako.
Idan ba tare da rikitarwa ba, za a iya ba da ladaran LFK, tafiya tare da hanzari (6-8 km a kowace rana). Idan akwai yanayi da dama don ziyarci wurare na wasanni, ana bada shawara ga likitoci su yi sauri maidawa:
- yin iyo;
- hawa keke;
- jogging.
Game da lokacin da ake sawa baya tare da tsinkayen zuciya, wanda ya kasance watanni 1-1.5, likitoci sun bada shawarar kawar da matsanancin motsa jiki. Kada ka ƙyale ɗaukar kayan nauyi, kimanin kilo 15 ko fiye, don shiga rikici. A hankali kara ƙarfin jiki, marasa lafiya za su iya komawa ayyukan da suka gabata, za su fi dacewa da jarabawar aikin jiki.