Stenting - ntoni na? Stenting kweenqanawa zentliziyo; iindleko

Abantu abaneengxaki iingxaki sentliziyo, kusiba nako ukuva ogqirha nesiphakamiso stenting. Maxa wambi kuba nzima ukuba isigqibo kule nyathelo, ekubeni bona into obuyiyo inkqubo nendlela iya kuchaphazela ubomi elizayo. Kulo mba, abantu bebuza imibuzo: stenting - ntoni na, kutheni kufuneka oko nokuba ingakanani na lo unyango? Ngoko ke, siza kuqwalasela ezi kunye nezinye iinkcukacha ezinxulumene le nkqubo.

Yintoni na ke umsebenzi?

Kuba isiqalo kubalulekile ukuqaphela ukuba olu hlobo kunyango phakathi ndlela inokusetyenziswa ngokukuko ezithile izifo sentliziyo. Ngoko ke, ukuba ugqirha uyacetyiswa ukuba uchithe stenting? Ntoni na kwaye oko kwenziwa njani? Le nkqubo i ungenelelo yotyando. Ukuba isikepe uqweqwe atherosclerotic, kufuneka yandiswe ukuze kuphuculwe patency lokuhamba kwegazi. Kuba ukuba stent ekhethekileyo, oko akuthethi ukuba le mithambo imxinwa isitya achaphazelekayo.

Phambi kokuqala stenting, umntu ucanda angiography coronary ukuchonga indawo umonakalo atherosclerotic kunye nobungakanani nemithambo yenhliziyo iingqameko. Wena ke ukuqhubeka nokusebenza, endiwenziweyo phantsi Ukubulawa yasekuhlaleni. Le nkqubo lingamiselwa stent ngaphezu kwesinye, kodwa eziliqela. konke kuxhomekeke kwinani leenqanawa abachaphazelekayo. Le nkqubo ngokwayo ikhuselekile. Xa ukusebenza, kwi-avareji walidla ilixa ngathi linye. A sokubuyisa ixesha ekuphulukenwe bufutshane kakhulu.

Kwezinye iimeko, le nqanawa eyabelwe stenting?

Izindululo ukuqhuba stenting nemithambo i ugqirha intliziyo ukuba isigulane ngamnye. Ikwenzela le nkqubo ukuze abantu abafunyanwa licuthe le nemithambo yenhliziyo, okubangelwa umonakalo atherosclerotic. Vasodilatation kulo mzekelo, kuba igazi eli ngonyuka lifinyele. Oku, ukucutha ubuninzi mpilo ekufuneka kungena entliziyweni. Yiyo le ukungabikho Uxhokonxwa ukuhlaselwa angina.

cost of operation

Njengoko siye safumanisa, its kwenziwa njani stenting yintoni na yaye kutheni kufuneka oko, umbuzo olandelayo ebalulekileyo - iindleko lo msebenzi. Isixa-mali lokugqibela kuxhomekeke kwizinto ezininzi. Bona baphenjelelwa:

1. uhlobo stent. Yena unako wawutyabeka, kwaye ngaphandle kwayo. Yenza isigqibo ngento ofuna ukufaka stent, ukuba ugqirha, ekubeni okuninzi kuxhomekeke kwimeko inqanawa nenxalenye yomguli ngamnye. Ngokuqhelekileyo, le stent ngaphandle ukutyabeka ibiza kancinane.
2. Inani leenqanawa zizifo.
3. Indawo apho stenting olwenziweyo. Iindleko zotyando kuxhomekeke ekliniki, apho eliphethwe ngayo. Hi xikombiso, le nkqubo iya kwenziwa eJamani kwiziko zentliziyo. Kukho zinikelwe ukongeza kwigumbi nokusebenza ekhululekile ngexesha kwimeko yesiqhelo. Iindleko zonyango kuyohluka euro-5 000 ukuya 14 000. Stenting eMoscow iya kuxabisa malunga ne-100 000 ukuya-200 000 engange. Kodwa nayiphi na imeko, iindleko kuxhomekeke izinto ezimbini zokuqala.

Ukulungiselela stenting

Ngaphambi kokuqalisa ukusebenza kwenziwa amalungiselelo stenting ngempumelelo. Okokuqala angiography coronary luyenziwa. Sinika umfanekiso opheleleyo intliziyo ugqirha isifo semithambo. Oku kucaca ukuba yonakele ngayo, kukho inani umonakalo kwaye apho ke imithambo. Kwakhona, ukuba ogulayo co-morbidities, phantsi kophando ngakumbi.

A kwiiyure ezimbalwa phambi kokuba utyando umntu eyeka esidla kunye neziyobisi (athathiweyo ukulungisa le swekile kwi diabetes), ekubeni stenting yenzelwa phezu kwetafise ungatyanga. Ukwamkela okanye ukwaliwa namanye amachiza - ngokokubona kagqirha. Kwakhona, ukuba ukwandiswa imithambo yegazi kube yimpumelelo ngeentsuku ezintathu emiselweyo ichiza eyodwa ebizwa ngokuba "clopidogrel". It akavumi ukwenza egazi. Ngamanye amaxesha ugqirha ugqiba ukuqesha kwangoko phambi kotyando, kunye ukwandisa umthamo. Kodwa le ndlela ayikho enqwenelekayo kuba kunokuba nzima phezu inxalenye esiswini.

Indlela yokuba ukuphunyezwa

Le nkqubo lonke olwenziwa phantsi Ukubulawa yasekuhlaleni. Ekuqaleni ngokusebenza ntoni lihlaba Umthambo enkulu kolona ingalo okanye umlenze. Ukukhetha le ndawo nokugqobhoza ixhomekeke ugqirha kunye nomonde. Kodwa ke inkoliso ukufikelela iimpahla coronary kwentliziyo ifunyenwe ngokusebenzisa umlenze. Zokuhlatywa kwi nasemiphakathweni lulula kakhulu kwaye athembekile. Emva koko, lo introducer yaziswa i umthambo (a ityhubhu iplastiki elincinane), ukuba ukhonza yesango apho ezinye izixhobo ziyafundiswa. Le introducer catheter iqhutyelwa, leyo bafika kwemithambo onakeleyo, walimisa. Kakade ngokusebenzisa catheter uwuhlangule stent. Wabeka ibhaluni elithotyiweyo. Ukuzuza stent endaweni ekunene kwaye hayi ukuba iphutha, kusetyenziswa izixhobo X-ray mihla. Emva kokuhlola ngqo ulawulo indawo ibhaloni sixhobo olunyuswe, ukwenziwa mpuluswa stent, nto leyo licinezelwe eludongeni benqanawa uqweqwe eyonakeleyo. Emva kokufaka zonke izixhobo ezongezelelekileyo. Kuphela stent uhleli isitya ngonaphakade (kwiimeko ezinqabileyo kakhulu, kufuneka lisuswe). inkqubo Transaction ngokwayo idla ngaphantsi kweyure, kodwa ke ngamanye amaxesha elide. Kuxhomekeka imeko iimpahla kunye ityala.

iingxaki kunokwenzeka

Njengazo zonke umsebenzi, lingakwazi babe neengxaki yayo engaphezulu. Avamise kakhulu ziquka:

• Ukuvaleka kwemithambo, leyo ndazi uqhaqho.
• Bagulayo ukuba into leyo igqabhuke ibhaluni (degree of obubungqongo yahlukile, maxa wambi ukuphazamiseka ukusebenza kidney).
• Imbonakalo ukukhubazeka okanye elophayo kwisiza apho okuhlatywa kwemithambo senziwa.
• iimpahla izifo ezintsha, umonakalo ngokukhethekileyo kweendonga zawo.
• Obona bunzima yingozi - a thrombosis stent. Kungabonakala njenge kwiminyaka embalwa kamva, yaye kwixesha elifutshane. Oko kukhatshwa ukuhlaselwa lumngcungcuthekise kwaye ufuna impendulo ekhawulezileyo kunye nonyango. Kungenjalo, iposi engabalulekanga zinokwenzeka.

Ngaphezu koko, kubalulekile ukukhumbula ukuba, ekubeni ukuhamba kwegazi idlula umzimba, iingxaki kungenziwa kwezinye imithambo ukuba akukho ezinxulumene ngqo nokusebenza. Ngaphezu koko, kubalulekile ukuba babambelele kwizidlo kunye neziyobisi unyango, leyo ubeke cardiologist.

imihlobo stenting

Kodwa ukusebenza stenting enokwenziwa nje kuphela kwiinqanawa intliziyo. Ukuba kuyimfuneko, eli unyango lwenziwa kwemithambo kwezintso kunye imithambo yegazi kweqondo asezantsi. Ngoko ke, simele sihlolisise kwezi ntlobo zimbini ze stenting kunye iimeko apho abelwe.

stenting sezintso

Imfuno olu hlobo lotyando inokuba imbonakalo umonakalo atherosclerotic kwi imithambo sezintso. Esi sifo ngokuqhelekileyo ngokuba wegazi renovascular. Kule sifo umonakalo kwenziwa ngomlomo kwemithambo sezintso. Xa efumanise kwezifo ezifana ugqirha icebisa stenting kwezintso, ngokuba unyango unyango nokuba ezikumgangatho ophezulu unakho ukunika iziphumo ezinqwenelekayo. ukungenelela olunjalo kwanonyango nokuthantamisa, ekubeni kunokwenzeka ukuphepha utyando evulekileyo. Lenquba yenzelwa phezu ngokwesiseko stenting kwemithambo yenhliziyo. Kwakhona usebenzisa stents ballonorasshiryaemye. Ngaphambi kokuba ahlinzwe kwenziwa uphando kwezintso usebenzisa izixhobo X-ray nolawulo useluvavanyo arhente umahluko. Kuyimfuneko ukuba ukuchaza ngezifo nokwakheka.

Emva stenting, umntu lokugula iiyure ezimbalwa kwiwadi labagula kakhulu. Emva kweli xesha, koko wathunyelwa kwigumbi rhoqo. Ukuba umsebenzi lwaqhutywa ngesandla, isigulane nivuke uhambe ngayo loo mini. Kwimeko kufakelwe femoral yesigulana stent uphakanyiselwa kude kube ngengomso.

Yamafutha kunye stenting of kweqondo asezantsi

Ukusiwa kwegazi ezinyaweni kunxibelelana imithambo peripheral. Kodwa nabo bangaba umonakalo ebangela ukuhamba kwegazi kakuhle. Kukho iimpawu eziliqela ejikeleza kwi eziphelweni asezantsi ukusilela, kodwa iphambili imbonakalo iintlungu emilenzeni xa behamba. Nokuphumla, i iziva umva. Maxa wambi kuba intlungu enjalo, kodwa amahlaba, buthathaka, okanye indlela esivakalelwa ngayo akuxhomekekanga ngaphandle ubunzima imilenze. Ezi mpawu ukuze processes komhlaba eziphelweni: iinyawo, imilenze, amathanga, amadolo, neempundu. Xa efumanise le ngxaki, ugqirha angase akukhuthaze stenting. Le ndlela kucingelwa ukuba yenye yezona sisebenzayo kwesi sifo. Inkqubo yonke yenzelwa phezu lo mgaqo, kwakunye nangexesha stenting yeempahla coronary kwentliziyo.

Siye kwakhona eminye imiba echaza ukuba ukwenza njani ngaphandle stenting, yintoni na, kwezinye iimeko oko kuyimfuneko yaye yintoni ungaba ezinobuzaza. Kodwa ukuba isigqibo msebenzi, okanye ukulandula oko, kubalulekile ukuba uthethe nabo ugqirha intliziyo onokuchaza ngakumbi iinkcukacha iingenelo neengozi yale nkqubo.