Angioplasty iyo meelaynta adag - carotid artery - dheecaan

Waxaa lagugu sameeyay angioplasty markii aad ku jirtay isbitaalka. Waxa kale oo laga yaabaa inaad haysatid stent (tuubo yar oo mesh silig ah) oo lagu dhejiyay aagga xiran si uu ufuro. Labadan waxa loo sameeyay si loo furo halbowle cidhiidhi ah ama xidhan oo dhiig siiya maskaxdaada.

Bixiyahaaga daryeelka caafimaadka ayaa kateetar (tubbo jilicsan) galiyay halbowlaha iyadoo la marayo jeexitaan (googoyn) gumaarkaaga ama gacantaada.

Bixiyahaagu wuxuu u adeegsaday raajo toos ah si uu si taxaddar leh ugu hago kateetarka ilaa aagga ay ku xiran tahay xididka xididka dhiigga.

Kadib bixiyahaagu wuxuu mariyey silig hage ah kateetarka ilaa xiritaanka. Kateetarka buufin ayaa lagu riixay siligga hagaha oo la geliyay xannibaadda. Buufintii yarayd ee dhamaadka ayaa la buufiyay. Tani waxay furtay halbowlaha xirmay.

Waa inaad awoodaa inaad sameyso inta badan howlahaaga caadiga ah maalmo gudahood, laakiin si fudud uqaad.

Haddii bixiyahaagu kateetarka geliyo caloosha gudihiisa:

• Ku lugaynta masaafo gaaban dusha sare waa caadi. Xaddid kor u kaca iyo hoos u kaca jaranjarada illaa 2 jeer maalintii 2 ilaa 3 maalmood ee ugu horreeya.
• HA QABAN shaqo yarid, wadid, ama ciyaaro isboorti ugu yaraan 2 maalmood, ama tirada maalmaha dhakhtarkaagu kuu sheego inaad sugto.

Waxaad u baahan doontaa inaad daryeesho meesha lagaa qalay.

• Bixiyahaaga ayaa kuu sheegi doona inta jeer ee la beddelo dharkaaga (faashadda).
• Waxaad u baahan tahay inaad ka taxadarto in goobta lagaa qalay uusan ku dhicin. Haddii aad isku aragto xanuun ama calaamado kale oo infekshin ah, wac takhtarkaaga.
• Haddii meesha lagaa qalay uu dhiig baxo ama bararo, jiifso oo cadaadis saar 30 daqiiqo. Haddii dhiigbaxa ama bararka uusan joogsan ama ka sii darin, wac dhakhtarkaaga oo cusbitaalka ku laabo. Ama, aad qolka gurmadka ee kuugu dhow, ama wac 911 ama nambarka degdegga ee isla markiiba. Haddii dhiigbax ama barar aad u daran yahay xitaa ka hor 30 daqiiqo ka hor, wac 911 ama nambarka degdegga ee deegaanka isla markaaba. HA daahin.

Qalliinka xididdada dhiigga ee carotid ma daaweynayo waxa sababay xannibaadda xididdada dhiigga. Halbowlayaashaadu way cariiri karaan markale. Si loo yareeyo fursadahaaga waxaas oo kale:

• Cun cuntooyin caafimaad leh, jimicsi (haddii adeeg bixiyahaagu kugula taliyo), jooji sigaar cabista (haddii aad sigaar cabto), oo yaree heerka walaacaaga. Ha cabin aalkolo xad-dhaaf ah.
• Qaado dawo kaa caawineysa hoos u dhigida kolestaroolka haddii bixiyahaagu kuu qoro.
• Haddii aad u qaadanaysid dawooyin dhiig kar ama sonkorow, u qaado sida laguu sheegay ee u qaado.
• Bixiyahaaga ayaa laga yaabaa inuu kaa codsado inaad qaadato asbiriin iyo / ama daawo kale oo loo yaqaan clopidogrel (Plavix), ama daawo kale, markaad guriga aado. Daawooyinkani waxay ka ilaalinayaan dhiiggaaga inuu ku sameysmo xinjirowga xididdada dhiigga iyo xabka. HA JOOJIN qaadashada iyaga oo aan marka hore lahadlin bixiyahaaga.

Wac daryeel caafimaad bixiyaha haddii:

• Waxaad isku aragtaa madax xanuun, waad wareersan tahay, ama kabuubyo ama daciifnimo ayaa ku haysa qayb ka mid ah jirkaaga.
• Dhibaato ayaa kaa haysata aragtidaada ama si caadi ah uma hadli kartid.
• Dhiigbax ayaa ka imanaya goobta galinta kateetarka oo aan hakanaynin marka cadaadis la saaro.
• Barar ayaa ka socda goobta kateetarka.
• Lugtaada ama cududdaada ka hooseysa halka la geliyey kateetarka ayaa midab bedalaya ama qabow u ah taabashada, midabka, ama kabuubyada.
• Jeexitaanka yar ee kateetarkaagu wuxuu noqonayaa casaan ama xanuun, ama dheecaan huruud ah ama cagaar ah ayaa ka soo dareeraya.
• Lugahaagu way bararayaan.
• Waxaad leedahay xabad xanuun ama neefsasho oo kugu yaraata oo aan nasasho ku bixin.
• Waxaad leedahay dawakhaad, suuxdin, ama aad ayaad u daalan tahay.
• Waxaad qufacaysaa xabad dhiig ama jaale ama cagaar ah.
• Waxaad leedahay qarqaryo ama qandho ka sarreysa 101 ° F (38.3 ° C).

Carotid angioplasty iyo stenting - dheecaan; CAS - dheecaan; Angioplasty of the carotid artery - dheecaan

• Atherosclerosis ee halbowlaha carotid gudaha

Brott TG, Halperin JL, Abbara S, iyo al. 2011 ASA / ACCF / AHA / AANN / AANS / ACR / ASNR / CNS / SAIP / SCAI / SIR / SNIS / SVM / SVS tilmaamaha ku saabsan maareynta bukaanada qaba cudurada wadnaha iyo lafdhabarta ee ka baxsan: soo koobida fulinta: warbixin Mareykan ah Kuleejka Aasaaska Wadnaha / Ururka Wadnaha ee Wadamada Mareykanka ee Tilmaamaha Tababarka, iyo American Stroke Association, American Association of Neuroscience Nurses, American Association of Neurological Surgeons, American College of Radiology, American Society of Neuroradiology, Congress of Neurological Surgeons, Society of Atherosclerosis Sawirka iyo Ka Hortagga, Bulshada Wadnaha iyo Faragelinta Wadnaha, Bulshada Raajada Dhexgalka, Bulshada Qalliinka NeuroInterventional, Bulshada Daaweynta Vascular, iyo Bulshada Qalliinka Vascular. J Am Coll Cardiol. 2011; 57 (8): 1002-1044. PMID: 21288680 www.ncbi.nlm.nih.gov/pubmed/21288680.

Cheng CC, Cheema F, Fankhauser G, Silva MB. Cudurka wadnaha ee durugsan Gudaha: Townsend CM Jr, Beauchamp RD, Evers BM, Mattox KL, eds. Sabiston Buugga Qalitaanka. 20aad. Philadelphia, PA: Elsevier; 2017: cutubka 62.

Kinlay S, Bhatt DL. Daaweynta cudurada wadnaha ee xanibaada. Gudaha: Zipes DP, Libby P, Bonow RO, Mann, DL, Tomaselli GF, Braunwald E, eds. Cudurka Wadnaha ee Braunwald: Buugga Buugta Daawada Wadnaha iyo Xididdada. 11aad. Philadelphia, PA: Elsevier; 2019: cutubka 66.

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