Kua āraia ngā oko toto ki tō roro? Me kōrero tātou mō te Carotid Artery Stenting

Kua rongo koe i te mate whiu? He mate kino tēnei e mataku ana te tini tāngata, ā, ka taea te whakarerekē i ō rātou oranga. Nō reira, ko te take matua o tēnei mate whiu ko te aukati i ngā oko toto matua e kawe ana i te hāora me ngā matūkai ki tō tātou roro. He rite ki te paipa matua kua aukatia e kawe ana i te wai ki te māra. I tēnei rā ka kōrero tātou mō tētahi tikanga maimoatanga tino nui e whakatuwhera ana i ēnei oko toto kua aukatia, e tuku ana i te rere pai o te toto ki te roro, ā, e whakaiti ana i te mōrearea o te mate whiu.

He aha te tikanga o te Carotid Artery Stenting?

Whakaarohia kei a tātou ngā "uaua toto" matua e rua i ia taha o tō tātou kaki e tuku toto ana ki tō tātou roro, ki tō tātou mata, me tō tātou kaki. Koinei ngā mea e kiia nei e tātou i roto i te rongoā ko ngā Carotid Artery . I roto i te wā, ka tīmata te hanga o ngā putunga ngako, inā koa ko te cholesterol (e kiia nei e ngā tākuta he 'plaque'), ki runga i ngā pakitara o ēnei uaua toto. He rite ki te waikura e hanga ana i roto i te paipa wai. Ka āta hanga ēnei putunga, ā, ka whaiti te uaua toto, i ētahi wā ka ārai katoa. E kiia ana tēnei mate ko te Carotid Artery Stenosis .

Koinei te wāhi e whakauruhia ai he ngongo whakarewa iti rawa, he rite ki te mata whatu ki roto i te wāhi kua āraia, ā, ka whakawhanuitia anō te oko toto kua whaiti. Koinei te mea e kiia nei e mātou he stent carotid artery .

Ka whakahaerehia tēnei maimoatanga e ngā tohunga motuhake kua whakangungua, pērā i te Kaimātai Matepukupuku, te Taote Pokanga Toto, te Taote Pokanga Niho Endovascular rānei.

Ko wai rā te tangata e hiahia ana ki tēnei maimoatanga?

I mua i te tūtohutanga a tō tākuta i tēnei maimoatanga, ka mahia e rātou he matawai ultrasound, he matawai CT, he matawai MRI rānei o ō uaua toto kaki kia kitea ai te nui o te aukati. He maha ngā wā ka hiahiatia tēnei maimoatanga mō te hunga e:

• Ko te hunga kua whakaatu i ngā tohu o te whiu, te ministroke rānei , ā, kua whakaūtia kua neke atu i te 50% te aukati o ō rātou uaua carotid e ngā matawai.
• Mō te hunga kāore he tohu, engari kua neke atu i te 70% te aukati o ō rātou uaua carotid i runga i ngā matawai.

Me pēhea taku whakarite i mua i te maimoatanga?

Ahakoa ehara tēnei i te mea nui pērā i te pokanga, me whakarite tonu. Tērā pea ka kī atu tō tākuta i ēnei e whai ake nei:

• Ngā rongoā ārai toto totoka: Tērā pea ka tonoa koe kia tīmata te tango i te aspirin me ētahi atu rongoā rite (hei tauira, Clopidogrel, Ticagrelor) e toru ki te rima ngā rā i mua i tō maimoatanga. He mea nui kia tangohia ēnei rongoā kia rite ki tā te tākuta e tohutohu ana, e ai ki te whakahau. Ki te kore e pena, ka whakaroa pea tō maimoatanga.
• Kai me te Inu: Ka tonoa koe kia nohopuku mō ētahi haora i mua i te maimoatanga. Ka hoatu hoki e tō tākuta he tohutohu motuhake mō tēnei.

He aha ngā mea ka tupu i te wā e rongoatia ana?

E rua ngā huarahi matua hei whakauru i te stent ki roto i te uaua toto i tō kaki. Mā tō tākuta e whakatau ko tēhea te tikanga pai rawa atu māu.

I tēnei maimoatanga, ka hoatu he rongoā ki a koe pērā i te heparin hei ārai i te toto totoka. Ko te tikanga ka roa te tukanga katoa i te haora, e rua rānei. Heoi, me noho koe ki te hōhipera mō te rā kotahi, tae atu ki te wā whakarite me te tirotiro i muri mai.

He aha te mea ka tupu i muri i te maimoatanga?

Kia oti te whakatakotoranga o te stent, ka mahia e te tīma hauora ngā mahi e whai ake nei:

• Ka whakahaerehia he whakamātautau pēnei i te angiogram hei tirotiro mēnā he whānui te stent, ā, mēnā he pai te rere o te toto.
• Ka tangohia ngā katitere katoa. Ka noho tonu te stent ki tōna tūranga tūturu.
• Ka hoatu ki a koe te rongoā e tika ana hei whakaiti i te mamae e pā ana ki a koe.
• Ka whakamāramahia ngā hua o te maimoatanga ki a koe me tō whānau.
• I muri i tō hokinga ki te kāinga, ka hoatu he tohutohu ki a koe mō te tango i tō rongoā, ngā kai hei kai, me te whakakori tinana. Ina koa, ka kīia atu ki a koe kia haere tonu te tango i te aspirin me ētahi atu rongoā whakaiti toto.

He aha ngā painga me ngā mōrearea o tēnei maimoatanga?

He maha ngā painga o te tānga stenting ki te whakataurite ki te carotid endarterectomy tuku iho.

Ngā painga matua

• Kāore e hiahiatia he pokanga nui: He tikanga tēnei kāore e nui te pānga ki te tinana.
• He tapahi iti, he tapahi kore rānei: I ētahi tikanga, he wāhi poka anake.
• Ka whakaitihia te mōrearea o te kino ki ngā io o te kaki.
• He whakaiti i te mamae i muri i te maimoatanga.

Ngā tūponotanga pea (Ngā raruraru)

Pērā i ngā maimoatanga hauora katoa, he tūponotanga kei reira. Engari kāore ēnei e pā ki te katoa.

• Te toto toto kua heke ('Hypotension') te toto toto kua piki rānei ('Hypertension').
• Te puhoi o te manawa (Bradycardia).
• Te toto e puta mai ana i te wāhi i werohia ai te ngongo.
• Te toto totoka.
• Whiu: He iti noa te mōrearea o te whiu mai i te toto toto iti e haere ana ki te roro i te wā e rongoatia ana, i muri rānei i te maimoatanga.
• Te toto e rere ana ki roto i te roro.

Ka rerekē pea tēnei mōrearea i runga i tō tau, mēnā he mate hauora kē atu āu, me te whānuitanga o te aukati i roto i te uaua toto. Nō reira, kia tuwhera ki tō tākuta mō tēnei mea, me te pātai atu i ō pātai.

Me aha koe kia whiwhi ai i ngā hua pai rawa atu?

Kāore e tino ora te āhua i aukati ai ngā oko toto (atherosclerosis) i muri i te whakatakotoranga o te stent. Nō reira, he mea tino nui kia whakarerekētia tō momo noho hei ārai i ngā raruraru ōrite kei puta anō i te heke mai.

• Kaua e tino kai hikareti: Ehara i te mea ko ngā hikareti, ngā bidi me ngā hikā anake, engari me mutu te whakamahi i te 'vaping'.
• Tangohia tika ō rongoā: Tangohia ngā rongoā i tohua e tō tākuta i te wā tika, me te horopeta tika.
• Kia mau tonu te taumaha hauora.
• Whakakorikori tinana i ngā wā katoa: He pai tonu te hikoi mō te 30 meneti i te rā.
• Whāia he kai hauora mō te ngākau: whakaitihia te hinu, te tote, me te huka, engari me nui ake ngā hua me ngā huawhenua.
• Whakahaere i ētahi atu mate:Mena he mate huka tōu, he toto toto tiketike, he cholesterol rānei, kia pai te whakahaere i aua taumata (hei tauira, kia iti iho te toto toto i te 130, kia iti iho te cholesterol LDL i te 70, me te HbA1c i te 7).
• Me haere ki ngā tirotiro ā-muri: Kia mahara ki te haere ki te tākuta i ngā rā e kī atu ai ia kia haere mai koe ki te tirotiro i te āhua o te stent.

He aha te wā whakaora, ā, āhea me waea atu ahau ki te tākuta?

Me okioki koe mō te wiki tuatahi i muri i te hokinga ki te kāinga.

• Kaua e hiki i ngā mea taumaha (neke atu i te 10 kg).
• Kaua e rumakina te wāhi i kuhua ai te ngongo ki roto i te wai mō te wiki (hei tauira, te kaukau, te kauhoe rānei). Kāore he raruraru o te kaukau.
• Ki te piki koe i ngā arawhata, me āta piki ake.

Ngā āhuatanga e hiahia ana kia aro wawe atu:

Waihoki, ki te haere tonu te toto i te wāhi o te ngongo, te pupuhi, te maringi rānei o te pūkahukahu, waea atu ki tō tākuta tonu atu.