Kua āraia tō uaua ngakau? He māmā noa iho ngā kōrero katoa mō te stent!

Kua rongo koe i tētahi "stent" e whakanohoia ana? Kua rongo pea koe i tētahi o ō whānau, o ō hoa rānei e whakauru ana i tētahi. He maha ngā wā ka puta te kupu "stent" ina he raruraru ngākau. Nā, he aha te "stent"? He aha i whakanohoia ai ēnei mea? Me kōrero taipitopito tātou mō tēnei i tēnei rā, āe?

He aha te stent?

I te whakarapopototanga, he ngongo iti rawa te stent, he rite ki te mata. He rite ki te mata kua pōkaihia. Koinei te mea ka taea e tō tākuta te whakauru ki roto i tētahi o ō uaua toto, kia tuwhera tonu ai. Whakaarohia he puranga paraka , he cholesterol rānei kei roto i te uaua toto, e aukati ana i te rere o te toto. Ka tangohia tuatahitia e te tākuta te paraka, ka whakawātea i te ara. Kātahi ka whakauruhia te stent kia kore ai e aukatia anō te uaua toto. He rite ki tētahi mea ka whakauruhia hei whakahaere i te waka. Ka āwhina i te rere o te toto kia ngāwari ake .

Ko te tikanga, ka whakanohoia tēnei stent ki roto i tō uaua toto (kei te wātea ētahi momo rewa ināianei, engari ko ngā mea pumau te mea tino noa). He mea hanga ki te konganuku te nuinga. Heoi, ko ētahi momo stent motuhake he mea hanga ki ētahi atu rauemi. Ko te stent coronary, e whakanohoia ana ki roto i ngā uaua toto o te ngākau, ka taea te roa mai i te 8 ki te 48 mirimita, tata ki te 2 inihi rānei. Ka taea te whānui tata ki te 2 ki te 5 mirimita. He rite te rahi ki te pito pene hou, ki te ūkui pene hou rānei. Heoi, ko ngā stent e whakanohoia ana ki ētahi atu wāhi ka taea te nui ake.

Kei hea te stent e whakanohoia ana?

He tokomaha te hunga e whakaaro ana ko ngā stent ka whakamahia anake ki ngā oko toto o te ngākau. Engari ehara tēnā i te mea pono. Haunga ngā oko toto, ka whakamahia anō hoki e ngā tākuta ngā stent hei pupuri i ngā mea pēnei i ngā ara manawa , ngā awa toto , me ngā ureter kei aukati. Engari ko ngā stent ka whakanohoia ki roto i ngā ara manawa ka whakamahia hei otinga rangitahi tae noa ki te wā e taea ai te mahi pokanga nui.

He aha ngā momo stent kei reira?

He rerekē ngā momo stent. Me titiro tātou ki ētahi o ngā momo matua.

Stent Whakarewa Tahanga

He mea hanga ēnei ki ngā konganuku anake, hei tauira ko te `(nickel-titanium alloy)`, ko te `(stainless steel)` ko te `(cobalt-chromium)` rānei. He hangarau tawhito ēnei kua roa e whakamahia ana. Ka whakaurua ēnei ki roto i ngā uaua o tō ngākau (ngā uaua coronary) me ngā uaua rānei i tō kaki (ngā uaua carotid).

Stent Whakapūtanga-Rongoā

Koinei te momo tino rongonui e whakamahia ana i ēnei rā. He rongoā motuhake kei roto i te konganuku o tēnei stent. Ka ārai tēnei rongoā i te whaiti anō o te uaua kei reira te stent e whakanohoia ana. Arā, ka ārai i te hanganga koretake o te kiko whara i roto i te stent.Ka aukatihia te hanganga e tēnei rongoā i roto i ngā marama tuatahi. Mā tēnei ka noho tuwhera tonu te uaua.

Stent pirau-koiora

He hangarau hou tēnei. He iti tonu te whakamahinga. I muri i te whakaurunga o tēnei momo stent ki roto i te uaua toto, ka memeha i roto i te tinana i roto i ētahi marama . Ko te tikanga, kāore koe e hiahia ki te pupuri tonu i tētahi wahi whakarewa ki roto i tō tinana.

Kakahu polyester me te stent whakarewa

He paku nui ake ēnei stent. Ka whakamahia ēnei ki roto i ngā uaua toto nui pērā i te aorta. He mea hanga ēnei ki te papanga polyester me te konganuku.

Stent Silicone

Ka whakamahia ēnei e ngā tākuta hei pupuri i te ara manawa kia tuwhera i roto i ō pukahukahu .

He aha te take e whakamahia ai he stent?

Ko te nuinga o ngā tākuta e whakamahi ana i ngā stent hei aukati i te rere o te toto i te whaiti, i te aukati katoa rānei o te uaua toto. Tērā pea ka hiahiatia he stent mēnā:

• Ki te pāngia koe e te mate ngakau .
• Mena kei a koe te atherosclerosis , ko te tikanga kua hanga ngā putunga ngako ki roto i ngā uaua, ka whakawhāiti i te rere o te toto.
• Mena neke atu i te 70% o tētahi o ō uaua kua tino āraia .

Hei tauira, whakaarohia he paipa wai i roto i tō māra kua purua e te moko me te paru, ka puhoi te rere o te wai, ka mutu rānei. He tautoko iti te stent e whakanohoia ana ki roto i te paipa, kia rere tika ai te wai.

He aha ngā āhuatanga ka rongoatia ki te stent?

Mā te tango i ngā putunga ngako i roto i ngā uaua toto mā te whakauru i tētahi stent, ka taea e ngā uaua toto te mahi tika anō. Ka puta pea ngā putunga ngako i roto i ngā āhuatanga pēnei i:

• Te mate uaua o te taha (PAD)
• Te mate o te uaua carotid.
• Te mate o te uaua whatukuhu.
• Te mate uaua koronari.

Hei tāpiritanga, ka taea hoki e te whakatakotoranga stent te āwhina i te hunga whai mate pēnei i te deep vein thrombosis (DVT) (ka puta pea i ngā waewae, ringa, pelvis rānei) me te aneurysm aortic.

He pēhea te noa o te whakamahi i te stent?

I tētahi whenua pērā i te Hononga o Amerika anake, e kiia ana e 600,000 ngā pokanga stent ngākau e mahia ana i ia tau. Ko te wā tuatahi i whakauruhia ai he stent ki roto i te ngākau tangata i te tau 1986. Mai i taua wā, kua tino piki ake te whakamahinga o ngā stent. Kua noho tēnei hei mahi noa i Sri Lanka.

He aha ngā painga o te whakatakotoranga o te stent?

He maha ngā painga o te whakatakotoranga o te stent:

• He pai te rere o te toto mā roto i te uaua i whakatakotoria ai te stent.
• Ka taea te whakamutu i te whakaeke ngakau me te whakamahi i tētahi maimoatanga e kīia nei ko te angioplasty.
• He aha tāu?Ka whakaitihia ngā tohu pēnei i te poto o te manawa me te mamae o te uma (ina koa i muri i te whakaurunga o te stent ki roto i te uaua o te ngākau).
• Ka taea e ia te ārai i te whaiti anō o tō uaua.
• Tērā pea ka tere ake te ora o te tangata kua tāutahia he stent i tōna tinana i tōna tinana i tōna pokanga bypass uaua coronary (CABG) nā te mea he tikanga iti rawa te whakaekenga o te stent ka mahia mā roto i tētahi tapahi iti noa.

Whakaarohia, ina pāngia koe e te mamae o te uma, ka uaua te manawa, ā, ka haere koe ki te hōhipera, ā, ka mea ngā tākuta kua aukatihia te uaua toto i roto i tō ngākau, me whakauru tonu he stent. E hia te nui o te taputapu whakaora ora o tēnei taputapu iti i taua wā?

He aha ngā mōrearea, ngā raruraru rānei o te whakatakotoranga o te stent?

He onge ngā raruraru kino mai i te whakatakotoranga o te stent, engari ko te hunga he mate manawa, he mate huka, he mate tākihi, he aukati rānei i ngā uaua o mua, he nui ake te mōrearea ki ngā raruraru kino.

Anei ētahi o ngā mōrearea ka pā mai:

• Tērā pea ka puta he toto totoka i roto i te stent. Tērā pea ka tupu tēnei, ina koa mēnā ka mutu ohorere koe i te tango i te rongoā e tiaki ana i te stent.
• He mate pāwera ki te stent tonu, ki te rongoā rānei i pania ki reira.
• Te toto e puta mai ana i te wāhi i tomo ai te tākuta ki roto i te uaua toto.
• He mate urutā.
• He haehae i roto i te uaua.
• Arrhythmia (te pā o te ngakau kāore i te tika).
• Te toto mai i te stent, te nekehanga rānei mai i tōna wāhi.
• Te hinga/te pahūtanga o te pūkahukahu `(Pneumothorax)`.
• Kātahi ka whaiti anō te uaua toto (Restenosis).
• He whakaeke ngakau, he hopukanga ngakau rānei.
• He āhua rite ki te whiu.

He mea whakamataku pea ēnei mea ki te whakarongo. Engari kia maumahara, he tino onge ēnei mea. Mā tō tākuta koe e whakamōhio atu mō ēnei mea katoa.

Me tango rongoā ahau i muri i te whakaurunga o te stent?

Āe, tino tika. Ka tohua e tō tākuta he rongoā antiplatelet ki a koe. Ko te mahi a ēnei rongoā mā te aukati i ngā platelets, arā, ngā pūtau toto, kei piri tahi ki runga i te stent me te hanga i te toto totoka. Mēnā ka puta he toto totoka pēnei, ka ārai anō pea i te uaua totoka.

Me tango e koe tētahi rongoā pēnei i te aspirin mō te toenga o tō oranga, me tētahi atu rongoā mō te tau, neke atu rānei. Ka kiia tēnei ko te dual antiplatelet therapy (DAPT) nā te mea e rua ngā momo rongoā e whakamahia ana.

Kei te rangahau tonu ngā kairangahau i te roa o te wā e tika ana kia tangohia tēnei rongoā. Ina tohua tēnei rongoā, ka whakaarohia e ngā tākuta he maha ngā āhuatanga, pērā i tō tau, tō ira tangata, tō momo noho, ētahi atu āhuatanga hauora, me te momo stent kei a koe.

Ko te mea nui, kaua e mutu te tango i tēnei rongoā mō tētahi take ki te kore koe e tohutohuhia e tō tākuta. Mēnā ka mutu, ka pā mai pea ngā raruraru nui.

Tērā pea ka āhua rerekē koe mō te mea he mea hanga horihori kei roto i tō tinana. Engari kua roa ngā tākuta e whakamahi ana i ngā stent, ā, kei te whakapai tonu ngā kamupene e hanga ana i aua stent. Ki te ako koe i ētahi atu kōrero mō rātou, me te pātai atu ki tō tākuta, ka taea e koe te āwhina i te whakamama i ō mataku mō te whai stent.

Hei whakamutunga, ngā mea hei maumahara

He taputapu iti te stent, engari he tino kaha, e āwhina ana ki te pupuri i ngā awa kua āraia kia tuwhera, ehara i te mea i roto i te ngākau anake, engari i ētahi atu wāhanga o te tinana anō hoki.

• Ka whakapai ake i te rere o te toto, ka whakaiti i ngā tohu, ā, i ētahi wā ka whakaora i ngā oranga.
• He rerekē ngā momo stent, ā, mā tō tākuta e whiriwhiri te momo e pai ana ki a koe.
• Ahakoa ētahi mōrearea, he tino onge. He nui ake ngā painga.
• I muri i te whakaurunga o te stent, he mea tino nui kia tangohia e koe te rongoā e tohua ana e tō tākuta kia rite ki te roa e tohutohu ana ia ki a koe.

Nō reira, ko tāku tumanako kua mārama ake koe ki te stent. Mena he pātai āu, kaua e mangere ki te pātai ki tō tākuta. Kia ora tonu koe!

` Te tātā, te mate manawa, te aukati i ngā oko toto, te angioplasty, te cholesterol, ngā uaua toto, te hauora o te manawa