Ua ālai ʻia kou aʻa coronary? ʻO nā mea āpau e pili ana i ka stent, maʻalahi!

Ua lohe paha ʻoe i ke kau ʻia ʻana o kahi "stent"? Malia paha ua lohe ʻoe i kekahi o kou ʻohana a i ʻole nā ​​hoaaloha e loaʻa ana i hoʻokahi. I ka manawa pinepine, puka mai ka huaʻōlelo stent ke loaʻa kahi pilikia puʻuwai. No laila, he aha ka stent? No ke aha i kau ʻia ai kēia mau mea? E kamaʻilio kākou e pili ana i kēia i kēia lā, ʻae?

He aha ka stent?

I ka ʻōlelo maʻalahi, he ʻōmole liʻiliʻi loa ka stent, e like me ka ʻupena. Ua like ia me kahi ʻāpana ʻupena i ʻōwili ʻia. ʻO kēia ka mea hiki i kāu kauka ke hoʻokomo i loko o kekahi o kou mau aʻa koko, a i ʻole nā ​​​​aʻa koko, a mālama iā ia i waho. E noʻonoʻo he hōʻiliʻili ʻia kahi kīʻaha koko o ka plaque , a i ʻole cholesterol, e ālai ana i ke kahe ʻana o ke koko. E wehe mua ke kauka i ka plaque a hoʻomaʻemaʻe i ke ala. A laila e kau lākou i ka stent i kahi e pale ai i ke kīʻaha mai ka paʻa hou ʻana. Ua like ia me kahi mea āu e hoʻokomo ai e kāohi i kahi kaʻa. Kōkua ia i ke kahe ʻana o ke koko me ka maʻalahi .

Hoʻokomo mau ʻia kēia stent i loko o kou aʻa (loaʻa kekahi mau ʻano hiki ke hoʻoheheʻe ʻia i kēia manawa, akā ʻo nā mea mau loa ka mea maʻamau). Hana pinepine ʻia lākou i ka metala. Eia nō naʻe, hana ʻia kekahi mau ʻano kūikawā o nā stent me nā mea ʻē aʻe. ʻO kahi stent coronary, kahi i kau ʻia i loko o nā aʻa o ka puʻuwai, hiki ke loaʻa i nā wahi āpau mai 8 a 48 millimeters ka lōʻihi, a i ʻole ma kahi o 2 ʻīniha. Hiki ke ma kahi o 2 a 5 millimeters ke anawaena. ʻO ia ka nui o kahi wēlau crayon hou a i ʻole ka nui o kahi mea holoi penikala hou. Eia nō naʻe, hiki i nā stent i kau ʻia ma nā wahi ʻē aʻe ke nui aʻe.

Ma hea kahi e waiho ai ka stent?

Manaʻo ka poʻe he nui ua hoʻohana wale ʻia nā stent i loko o nā kīʻaha koko o ka puʻuwai. Akā, ʻaʻole ia he ʻoiaʻiʻo. Ma waho aʻe o nā kīʻaha koko, hoʻohana pū nā kauka i nā stent e pale aku i nā mea e like me nā ala ea , nā ʻauwai bile , a me nā ureters mai ka paʻa ʻana. Akā, hoʻohana pinepine ʻia nā stent i kau ʻia i loko o nā ala ea ma ke ʻano he hopena manawa pōkole a hiki i ka hana ʻana i ke ʻoki kino nui.

He aha nā ʻano stent i loaʻa?

Aia nā ʻano stent like ʻole. E nānā kākou i kekahi o nā ʻano nui.

Stent Metal ʻōlohelohe

Hana ʻia kēia mau mea me nā metala wale nō, no ka laʻana `(nickel-titanium alloy)`, `(stainless steel)` a i ʻole `(cobalt-chromium)`. He ʻano ʻenehana kahiko kēia i hoʻohana ʻia no ka manawa lōʻihi. Hoʻokomo ʻia lākou i loko o nā aʻa o kou puʻuwai (nā aʻa coronary) a i ʻole nā ​​aʻa i loko o kou ʻāʻī (nā aʻa carotid).

Stent Hoʻokuʻu Lāʻau Lapaʻau

ʻO kēia ke ʻano kaulana loa i hoʻohana ʻia i kēia lā. Loaʻa i ka metala o kēia stent kahi lāʻau lapaʻau kūikawā i hoʻopili ʻia iā ia. Pale kēia lāʻau lapaʻau i ke aʻa kahi i kau ʻia ai ka stent mai ka ʻūmiʻi hou ʻana. ʻO ia hoʻi, pale ia i ka hoʻokumu pono ʻole ʻia ʻana o nā ʻiʻo ʻeha i loko o ka stent.Hoʻōki kēia lāʻau lapaʻau i ke kūkulu ʻia ʻana i loko o nā mahina mua. Mālama kēia i ke aʻa e wehe.

Stent palaho ʻia

He ʻenehana hou kēia. Ke hoʻohana palena ʻia nei nō ia. Ma hope o ke kau ʻia ʻana o kēia ʻano stent i loko o kahi aʻa, e hoʻoheheʻe ʻia ia i loko o ke kino i loko o kekahi mau mahina . ʻO ia hoʻi, ʻaʻole pono ʻoe e mālama mau i kahi ʻāpana metala i loko o kou kino.

ʻO ka lole polyester a me ka stent metala

He mau stent nui iki kēia. Hoʻohana ʻia lākou i loko o nā kīʻaha koko nui e like me ka aorta. Hana ʻia lākou me ka lole polyester a me ka metala.

ʻO ka Stent Silicone

Hoʻohana nā kauka i kēia mau mea e mālama i kahi ala ea i loko o kou mau māmā .

No ke aha e hoʻohana ai i kahi stent?

Hoʻohana nui nā kauka i nā stent e pale i ke kahe koko mai ka ālai ʻia e ka hoʻohaiki ʻana a i ʻole ka ālai piha ʻana o kahi aʻa. Pono paha ʻoe i kahi stent inā:

• Inā loaʻa iā ʻoe kahi hōʻeha puʻuwai .
• Inā loaʻa iā ʻoe ka atherosclerosis , ʻo ia hoʻi, ua hōʻiliʻili ʻia nā waihona momona i loko o nā aʻa, e hoʻohaiki ana i ke kahe o ke koko.
• Inā ʻoi aku ma mua o 70% o kekahi o kou mau aʻa ua ālai nui ʻia .

E noʻonoʻo, no ka laʻana, ua paʻa kahi paipu wai i loko o kāu māla i ka limu a me ka lepo, e hoʻoulu ai i ka wai e kahe mālie a i ʻole e oki loa. ʻO ka stent kahi kākoʻo liʻiliʻi i kau ʻia i loko o ka paipu, e ʻae ana i ka wai e kahe pono hou.

He aha nā kūlana i mālama ʻia me kahi stent?

Ma ka wehe ʻana i nā waihona momona i loko o nā aʻa ma ke kau ʻana i kahi stent, hiki i nā kīʻaha koko ke hana pono hou. Hiki ke loaʻa nā waihona momona i nā kūlana e like me:

• ʻO ka maʻi ʻaʻai peripheral (PAD)
• ʻO ka maʻi o ke aʻa Carotid.
• Ka maʻi o ke aʻa renal.
• Maʻi ʻaʻa coronary.

Eia kekahi, hiki i ke kau ʻana o ka stent ke kōkua i nā poʻe me nā kūlana e like me ka deep vein thrombosis (DVT) (hiki ke hana ma nā wāwae, nā lima, a i ʻole pelvis) a me ka aortic aneurysm.

Pehea ka maʻamau o kahi stent?

Ma kahi ʻāina e like me ʻAmelika Hui Pū ʻIa wale nō, ua ʻōlelo ʻia he 600,000 mau ʻoki stent puʻuwai e hana ʻia ana i kēlā me kēia makahiki. ʻO ka manawa mua i kau ʻia ai kahi stent i loko o ka puʻuwai kanaka ma 1986. Mai ia manawa, ua piʻi nui ka hoʻohana ʻana i nā stent. Ua lilo kēia i mea maʻamau ma Sri Lanka.

He aha nā pōmaikaʻi o ke kau ʻana i ka stent?

Aia kekahi mau pono o ke kau ʻana i kahi stent:

• He maikaʻi ke kahe ʻana o ke koko ma o ke aʻa kahi i kau ʻia ai ka stent.
• I ka hui pū ʻana me kahi lāʻau i kapa ʻia ʻo angioplasty, hiki iā ia ke hoʻōki i ka hāʻule ʻana o ka puʻuwai.
• He aha kāu?Ua hoʻemi ʻia nā hōʻailona e like me ka pōkole o ka hanu a me ka ʻeha o ka umauma (ʻoi aku hoʻi ma hope o ke kau ʻia ʻana o kahi stent i loko o kahi aʻa i loko o ka puʻuwai).
• Hiki iā ia ke pale i ka ʻūmi hou ʻana o kou aʻa.
• ʻOi aku ka wikiwiki o ke ola ʻana o ke kanaka i kau ʻia ka stent ma mua o ka mea i hana ʻia i ke ʻoki ʻana i ke aʻa coronary artery (CABG) no ka mea, he hana invasive iki ka hoʻokomo ʻana o ka stent i hana ʻia ma kahi ʻoki liʻiliʻi.

E noʻonoʻo, i ka wā e ʻeha koke ai kou umauma, paʻakikī ka hanu ʻana, a hele i ka haukapila, a ʻōlelo mai nā kauka ua paʻa kahi kīʻaha koko i loko o kou puʻuwai a pono ʻoe e hoʻokomo koke i kahi stent. Pehea ka nui o kahi mea hoʻōla ola o kēia mea liʻiliʻi i kēlā manawa?

He aha nā pilikia a i ʻole nā ​​​​pilikia o ke kau ʻana o ka stent?

He mea kākaʻikahi nā pilikia koʻikoʻi mai ke kau ʻana o ka stent, akā ʻo ka poʻe me ka maʻi puʻuwai, ka maʻi diabetes mellitus, ka maʻi puʻupaʻa, a i ʻole nā ​​​​​​mea i pāpā ʻia ai ke aʻa ma mua, ʻoi aku ka nui o ka pilikia o nā pilikia koʻikoʻi.

Eia kekahi o nā pilikia e hiki mai ana:

• Hoʻokumu ʻia kahi ʻūpā koko i loko o ka stent. Hiki ke hana ʻia kēia, ʻoiai inā ʻoe e hoʻōki koke i ka lawe ʻana i ka lāʻau lapaʻau e pale ana i ka stent.
• He hopena maʻi i ka stent ponoʻī a i ʻole ka lāʻau lapaʻau i hoʻopili ʻia iā ia.
• Ke kahe ʻana o ke koko mai kahi i komo ai ke kauka i loko o ke aʻa.
• He maʻi.
• He haehae i loko o ke aʻa.
• Arrhythmia (puʻuwai naʻau kūpono ʻole).
• Ke kahe ʻana o ke koko mai ka stent a i ʻole ka neʻe ʻana mai kona wahi.
• Hiolo/pahū ka māmā `(Pneumothorax)`.
• A laila e ʻūmi hou ana ke aʻa (Restenosis).
• Ka hōʻeha puʻuwai a i ʻole ka hopu ʻana o ka puʻuwai.
• He ʻano maʻi e like me ka hahau ʻana.

Hiki ke hopohopo iki kēia mau mea ke lohe. Akā e hoʻomanaʻo, he mea kakaikahi loa kēia mau mea. E hoʻomaopopo kāu kauka iā ʻoe e pili ana i kēia mau mea āpau.

Pono anei iaʻu e lawe i ka lāʻau lapaʻau ma hope o ke kau ʻana o kahi stent?

ʻAe, ʻoiaʻiʻo nō. E kuhikuhi kāu kauka iā ʻoe i nā lāʻau antiplatelet . Hana kēia mau lāʻau lapaʻau ma ka pale ʻana i nā platelets, ʻo ia hoʻi nā hunaola koko, mai ka hui pū ʻana ma luna o ka stent a me ka hana ʻana i kahi ʻūpā koko. Inā hana ʻia kēlā ʻūpā koko, hiki iā ia ke ālai hou i ke aʻa.

Pono ʻoe e lawe i kahi lāʻau lapaʻau e like me ka aspirin no ke koena o kou ola, a me kekahi lāʻau lapaʻau ʻē aʻe no hoʻokahi makahiki a ʻoi aku paha. Ua kapa ʻia kēia he dual antiplatelet therapy (DAPT) no ka mea hoʻohana ia i ʻelua ʻano lāʻau lapaʻau.

Ke hoʻoholo nei nā kānaka noiʻi i ka lōʻihi o kou lawe ʻana i kēia lāʻau. I ke kau ʻana i kēia lāʻau, noʻonoʻo nā kauka i nā kumu he nui, e like me kou makahiki, ke kāne, ke ʻano o ka nohona, nā kūlana olakino ʻē aʻe, a me ke ʻano o ka stent āu.

ʻO ka mea nui loa, mai ho'ōki i ka lawe ʻana i kēia lāʻau lapaʻau no kekahi kumu ke ʻole kāu kauka e haʻi aku iā ʻoe. ʻO ka hoʻōki ʻana iā ia hiki ke hana i nā pilikia koʻikoʻi.

Manaʻo paha ʻoe he mea ʻē iki ka loaʻa ʻana o kahi mea i hana ʻia i loko o kou kino. Akā, ua hoʻohana nā kauka i nā stent no nā makahiki, a ke hoʻomaikaʻi mau nei nā ʻoihana e hana ana iā lākou. Inā ʻoe e aʻo hou e pili ana iā lākou a nīnau i kāu kauka, hiki iā ʻoe ke kōkua i ka hōʻoluʻolu ʻana i kou mau hopohopo e pili ana i ka loaʻa ʻana o kahi stent.

ʻO ka mea hope loa, nā mea e hoʻomanaʻo ai

He mea liʻiliʻi ka stent, akā ikaika loa e kōkua ai i ka wehe ʻana i nā kahawai i ālai ʻia, ʻaʻole wale ma ka puʻuwai, akā ma nā wahi ʻē aʻe o ke kino.

• Hoʻomaikaʻi ia i ke kahe koko, hoʻēmi i nā hōʻailona, ​​a i kekahi manawa hoʻopakele i nā ola.
• Aia nā ʻano stents like ʻole, a na kāu kauka e koho i ke ʻano e kūpono loa iā ʻoe.
• ʻOiai aia kekahi mau pilikia, he mea kākaʻikahi loa lākou. ʻOi aku ka nui o nā pono ma mua o lākou.
• Ma hope o ke kau ʻia ʻana o kahi stent, he mea nui loa e lawe i ka lāʻau lapaʻau a kāu kauka i kuhikuhi ai me ka pololei a no ka lōʻihi e like me kāna e ʻōlelo ai iā ʻoe.

No laila, ke lana nei koʻu manaʻo ua ʻoi aku kou ʻike i ka stent. Inā he mau nīnau kāu, mai kānalua e nīnau i kāu kauka. E noho olakino!

ʻO ka stent, ka hōʻeha puʻuwai, ka paʻa ʻana o nā kīʻaha koko, ka angioplasty, ka cholesterol, nā aʻa, ke olakino puʻuwai