Kua rongo koe i te kupu ' stent '? Tērā pea kua whiwhi tētahi o tō whānau, tētahi hoa rānei i tētahi, kua kōrerotia rānei e tō tākuta ki a koe. I tēnei rā, ka tirohia e mātou i Nirogi Lanka he aha te tikanga o te stent, he aha i whakamahia ai, me ngā painga me ngā mōrearea e pā ana.
He aha te stent?
He whakarāpopototanga noa iho, he ngongo iti te stent, he rite ki te mata . Ka taea e tō tākuta te whakauru i tēnei ki roto i tētahi oko toto—ki te uaua rānei—kia noho tuwhera tonu. Whakaarohia he rite ki tētahi rori kua āraia: ki te mea kei te āraihia tō uaua e te paraka (he puranga ngako me te cholesterol ), ka mahi te stent hei tūāpapa hei tautoko i te oko toto kia tuwhera, kia rere noa ai te toto, he rite tonu ki te rere pai o te waka i muri i te whakakorenga o tētahi ārai.
Ko te roa o ngā stent he 8 ki te 48 mirimita (tata ki te 2 inihi) ā, he 2 ki te 5 mirimita te whānui—he rite te matotoru ki te pito pene rākau. Heoi, kei reira ngā momo nui ake i runga i te hiahia hauora. He mea hanga te nuinga ki te konganuku, ahakoa he rauemi kē atu e whakamahia ana mō ngā take motuhake. Kia whakauruhia, ka noho tonu te stent ki roto i tō uaua mō ake tonu atu (ahakoa kei reira ngā momo ka taea te rewa, ka matapakihia e tātou i muri mai).
Kei hea te whakanoho i ngā stent?
Ahakoa he tokomaha e whakapono ana ko ngā stent he mea whakamahi noa mō ngā oko toto o te ngākau, ehara i te mea pērā. He maha ngā wā e whakamahia ana ēnei i roto i ngā uaua o te ngākau , engari ka taea hoki te whakamahi hei pupuri i ētahi atu ara kia tuwhera, tae atu ki:
- Te whakatuwhera i ngā ara manawa kua kuiti.
- Te pupuri i ngā awaawa aukume kia tuwhera tonu.
- Te pupuri i te mārama o ngā ureter (ngā ngongo e kawe ana i te mimi).
Kia mōhio koe he wā poto noa iho ngā stent e whakanohoia ana ki roto i ngā ara manawa, e whakamahia ana hei pupuri i te ara kia mārama tae noa ki te wā e mahia ai tētahi pokanga nui.
He aha ngā momo stent?
He maha ngā momo stent e wātea ana:
- Ngā stent whakarewa tahanga: He mea hanga mai i ngā koranu pēnei i te nickel-titanium, te maitai kore waikura, te cobalt-chromium rānei, he hangarau tawhito ēnei e whakamahia ana i roto i ngā uaua coronary me te carotid.
- Ngā stent tango-rongoā: Ka pania ēnei stent hou ki te rongoā ka tukuna mārire hei ārai i te whaiti anō o te uaua mā te whakaiti i te hanganga o te kiko koha i ngā marama tuatahi.
- Ngā stent pirau-koiora: He auahatanga hou e whakamahia ana i ētahi wā; kua hangaia ēnei kia memeha noa ki roto i tō tinana i muri i ētahi marama.
- He papanga polyester me ngā stent whakarewa: E whakamahia ana mō ngā oko toto nui ake, pērā i te aorta.
- Ngā stent silicone:Ko te tikanga he pai ake tēnei ki ngā tākuta mō ngā raruraru e pā ana ki te ara manawa i roto i ngā pukahukahu.
He aha i whakamahia ai ngā stent?
Ka whakamahia e ngā tākuta ngā stent ā-roto hei ārai i te whaiti rawa o te uaua toto, kia ora ai te rere o te toto. Tērā pea ka hiahiatia he stent mēnā:
- Ka pāngia koe e te mate manawa .
- Kei a koe te atherosclerosis (te putunga paraka i roto i ō uaua).
- Kua tino whaiti te uaua (neke atu i te 70%) .
He aha ngā āhuatanga ka taea e te stent te āwhina ki te rongoā?
I muri i te whakakorenga a te tākuta i tētahi aukati, ka āwhina te stent ki te pupuri i te ātete o te oko toto. He mea nui ēnei hei rongoā i ngā āhuatanga pēnei i:
- Te mate o te uaua taha (PAD).
- Te mate o te uaua carotid.
- Te mate o te uaua whatukuhu.
- Te mate uaua koronari.
Hei tāpiritanga, ka whakamahia hoki ngā stent hei āwhina i ngā tūroro e pāngia ana e te Deep Vein Thrombosis (DVT) me te hunga he aneurysm aortic rānei.
He pēhea te auau o te whakatakotoranga o te stent?
He nui ake te whakamahinga o te stent i tō whakaaro. Hei tauira, i te United States anake, tata ki te 600,000 ngā tikanga stent coronary e mahia ana i ia tau. Mai i te whakaurunga o te stent ngākau angitu tuatahi i te tau 1986, kua noho te tikanga hei tikanga whakaora ora paerewa i roto i te rongoā hou. Mena kei te pāngia koe e te mamae o te uma, e ngā tohu rānei o te mate ngākau, tēnā whakapā atu ki te hōhipera tata ki a koe, whakapā atu rānei ki te 911/ratonga ohorere tonu.
He aha ngā painga o te whai stent?
He maha ngā painga matua o te whiwhi i tētahi stent. Anei ngā mea me mōhio koe:
- Ka tino whakapai ake i te rere o te toto i roto i te uaua e pāngia ana.
- Ina mahia tahitia me te angioplasty, ka āwhina i te ārai i te mate ngakau .
- Ka whakaitihia pai ō tohumate, pērā i te poto o te manawa me te mamae o te uma (angina) , inā koa ka whakanohoia he stent ki roto i te uaua o te ngakau.
- Ka āwhina i te aukati i te whaiti anō o te uaua.
- Ki te whakatauritea ki te hunga e whiwhi ana i te Coronary Artery Bypass Grafting (CABG), he tere ake te ora o ngā tūroro e whiwhi ana i te stent. Nā te mea he iti noa te whakaekenga o te stent, ā, he iti noa te tapahi e hiahiatia ana.
He aha ngā mōrearea, ngā raruraru rānei o te whakauru i te stent?
Pērā i ngā tikanga hauora katoa, tera pea ētahi mōrearea, ahakoa he tino onge ngā raruraru nui . Tērā pea ka paku teitei ake te mōrearea mēnā kei a koe ngā mate o mua pērā i te mate huka, te mate tākihi, te hītori rānei o te aukati nui o te uaua.
Ko ngā mōrearea pea ko:
- Te hanganga o te toto totoka i roto i te stent, ina koa ka mutu wawe te tango i te rongoā ārai-totoka kua tohua.
- He mate pāwera ki te rauemi stent, ki te paninga rānei.
- Te toto e rere ana i te wāhi i werohia ai te catheter.
- Te mate urutā .
- Te pakaru, te haehae rānei o te arai o te uaua.
- Arrhythmia (te pā o te ngakau kāore i te tika).
- Te hekenga, te turuturu rānei o te stent (he onge).
- Pneumothorax (pūkahukahu kua hinga).
- Te restenosis , te wāhi ka whaiti anō te uaua i roto i te wā.
- Te whakaeke ngakau, te hopukanga ngakau rānei .
- Te whiu .
He mea nui: Ahakoa kei reira ēnei mōrearea, ka tūtohu tō tākuta ngakau kia whakamahia he stent nā te mea he nui ake ngā painga haumanu i ēnei raruraru pea. He mea maori te tūpato, engari ko te mōhio te huarahi pai ki te noho rite.
Me tango rongoā ahau i muri i te whakaurunga o te stent?
Āe, tino tika . Ka tohua e tō tākuta ngā rongoā antiplatelet . Ka ārai ēnei rongoā i te piri o ngā pereti toto i roto i tō toto ki te stent, he mea nui tēnei hei ārai i te toto e pupuhi ana, hei pupuri hoki i te uaua kia tuwhera. Tērā pea ka tohutohuhia koe kia tango i ngā rongoā pēnei i te aspirin mō te wā roa , ā, he maha ngā wā ka tangohia he rongoā tuarua mō te tau neke atu rānei. E mōhiotia ana tēnei ko te Dual Antiplatelet Therapy (DAPT) .
Ko te roa o tēnei rongoā ka whakaritea ki a koe anō i runga i tō tau, i tō ira tangata, i tō momo noho, i tō hauora whānui, me te momo stent motuhake e whakamahia ana. Kaua rawa e mutu te tango i tō rongoā ki te kore koe e kīia mārama e tō tākuta. He mea nui tēnei mō tō haumaru.
He panui mai i Nirogi Lanka
He mea noa te manukanuka mō te whakaurunga o tētahi taputapu hauora ki roto i tō tinana. Kia whakamarietia koe i te mōhio kua maha ngā tau e whakamahi angitu ana ngā tākuta ngakau i ngā stent, ā, kei te whanake tonu te hangarau kia pai ake ai te haumaru me ngā putanga.
Mā te ako atu mō te tikanga me te pātai atu ki tō tākuta i ngā pātai katoa ka taea e koe te whakamama i ō āwangawanga. Ko te taahiraa nui rawa atu mō tō hauora mō te wā roa ko te piri ki ngā tohutohu a tō tākuta, inā koa mō ō rongoā. Mā tēnei ka āwhina i a koe kia ora pai, kia ora hauora hoki.
