Uqhaqho kwimithambo stenting kunye carotid imithambo

Stenting kwemithambo yenhliziyo kunye angioplasty - a, umsebenzi mihla phantse atraumatic ukuba yenzelwa phezu iimpahla zentliziyo, utshintsho atherosclerotic. Olu ngenelelo ngoncedo amiselweyo ajoliswe eliqhelekileyo umthamo flow igazi ngokubuyisela patency wegazi. Stenting imithambo yenhliziyo iquka ukuqaliswa kwenkqubo lungiswa zophendlo lwezifo isitya cylinder esimbaxa olukhethekileyo kunye stent. Oku kubangela ukwanda kwe-mafutha, yaye perfusion eqhelekileyo ijwabu kwentliziyo.

stenting Uqhaqho ifuna ukulungiswa. Ukuze sifeze angiography coronary ngenxa apho Ugqirha intliziyo phambi utyando ukuze nazi ukuba babandakanyeke iimpahla kwinkqubo lwezidumbu, kufuneka kangakanani ukuba abeke stent apho indawo kufuneka abekwe. Ethelekiswa coronary yokumilisela kwimithambo esa ngexesha inkqubo ayidingi ngokusika ebuhlanti ubambo, angafunekiyo kunye ixesha elide postoperative. stenting Uqhaqho kuba ikhuseleke kakhulu.

Ekulweni nesifo sentliziyo , le ndlela iphumelela kakhulu. stenting Uqhaqho ufumana ncomo elungileyo kakhulu. Nangona kunjalo, ukhetho kotyando usekho kunye ugqirha okunyangayo. Kuphela nako ukuphichotha iitekisi ngokwaneleyo, ngokusekelwe kwi imeko ethile, zonke i "nobubi".

Hayi kudala baqala ukuphuhlisa stenting carotid. Le ndlela iye yaba okunye okuhle usebenzela izitshanguba of yamafutha lobuchopho. A ixesha elide kakhulu wahlala indlela yokhetho endarterectomy ngotyando (nangona trauma yalo phezulu, ukuyilwa ngokutsha stenosis kunye umngcipheko ukwanda mvanje), kuba xa usebenzisa carotid stenting udla kuphuhliswa embolization distal kunye stroke kobuchopho. Kuphela emva kokuba ukuqaliswa kwisenzo microfilters endovascular ukuba ifakelwe ngexesha utyando distal ukuba licuthe angaphosi nantoni na ngaphezu ubungakanani egazi, indlela eliphezulu kwaba stenting. Le ndlela unyango ngenxa yamafutha iye ibe ekhuselekileyo nesebenzayo kakhulu.

E langoku inani isigaba stenting ezincinane carotid lingaphaya kakhulu inani endarterectomies yotyando. Izifundo ezininzi zophando zibonise ukuba stenting ngokubonakalayo izehlo zolwaphulo- stroke kobuchopho kunye nokufa. Le nkqubo amaninzi eyenziwa phantsi Ukubulawa yasekuhlaleni. Ngexesha lo msebenzi, isigulane udityaniswe nezixhobo ezizodwa ukuba ababeki iimpawu ezibalulekileyo. Ugqirha ngokuqhelekileyo enxibelelana isigulana enika imiyalelo athile compress ibhola okanye into yokudlala ukwenza ulawulo nokusebenza kwengqondo. Ngokubanzi, angioplasty lwenziwa phambi stenting, ngexesha apho ngokusebenzisa umthambo catheter peripheral kunye ibhaluni kwi kwincam. Le catheter ifakiwe endaweni isithintelo, ngoko ke ibhaluni le olunyuswe, ukwandisa le mithambo kwemithambo. Ngeli manipulation isigulane angacingi intlungu, njengokuba kwi intima beempahla akukho kwalapho. Emva koko lo distal site ukucwangcisa lokucoca ekunqandeni Embolism. Emva koko, lo stent kunye catheter eyahlukileyo. Ekupheleni ukusebenza icebo lokucoca ukuba ezisusiweyo kwaye stent uhleli kwemithambo carotid.

Carotid Umthambo stenting - oku asiyiyo indawo kuphela apho ungenelelo peripheral endovascular yenziwa. Ngophuhliso ngenxa yamafutha kwi kwezinye iisayithi (umz, sezintso kwimithambo sisilonda esidumbileyoesingaphakathi okanye imithambo kwisiphelo) basibiza ilungelelaniswe ubuchule endovascular.