Iṣẹ abẹ iṣan Carotid - isunjade

Okun carotid mu ẹjẹ ti o nilo wa si ọpọlọ rẹ ati oju. O ni ọkan ninu awọn iṣọn ara wọnyi ni ẹgbẹ kọọkan ti ọrun rẹ. Iṣẹ abẹ iṣọn ara Carotid jẹ ilana lati mu iṣan ẹjẹ to dara pada si ọpọlọ.

O ti ṣiṣẹ abẹ iṣan carotid lati mu iṣan ẹjẹ to dara si ọpọlọ rẹ. Dọkita abẹ rẹ ṣe abẹrẹ (ge) ni ọrùn rẹ lori iṣọn carotid rẹ. A fi tube si aaye fun ẹjẹ lati ṣàn ni ayika agbegbe ti a ti dina lakoko iṣẹ-abẹ rẹ. Dọkita abẹ rẹ ṣii iṣọn ara carotid rẹ ki o farabalẹ yọ okuta iranti lati inu rẹ. Onisegun naa le ti gbe stent kan (tube mesh mesh wire kekere) ni agbegbe yii lati ṣe iranlọwọ lati jẹ ki iṣọn naa ṣii. Okun rẹ ti ni pipade pẹlu awọn aran lẹhin ti a ti yọ okuta iranti. A ti ge abọ awọ pẹlu teepu abẹ.

Lakoko iṣẹ-abẹ rẹ, ọkan rẹ ati iṣẹ ọpọlọ ni a ṣe abojuto pẹkipẹki.

O yẹ ki o ni anfani lati ṣe pupọ julọ awọn iṣẹ ṣiṣe deede rẹ laarin ọsẹ mẹta si mẹrin. O le ni irora ọrun diẹ fun bii ọsẹ meji 2.

O le bẹrẹ ṣiṣe awọn iṣẹ lojoojumọ ni kete ti o ba ni itara. O le nilo iranlọwọ pẹlu ounjẹ, ṣiṣe abojuto ile, ati rira ọja ni akọkọ.

MAA ṢE wakọ titi ti abẹrẹ rẹ yoo fi mu larada, ati pe o le yi ori rẹ laisi idamu.

O le ni numbness diẹ lẹgbẹẹ agbọn rẹ ati nitosi eti eti rẹ. Eyi wa lati lila naa. Ọpọlọpọ igba, eyi n lọ ni oṣu mẹfa si mejila.

• O le wẹ nigbati o ba de ile. O dara ti teepu iṣẹ abẹ lori abẹrẹ rẹ ba tutu. MAA ṢE, fọ, tabi ki o lu omi iwẹ taara lori teepu naa. Teepu naa yoo tẹ soke ki o ṣubu ni tirẹ lẹhin bii ọsẹ kan.
• Ṣọra wo lila rẹ ni gbogbo ọjọ fun eyikeyi awọn ayipada. MAA ṢE fi ipara, ipara, tabi awọn àbínibí ewé si lori laisi beere olupese olupese ilera rẹ lakọkọ ti o ba dara.
• Titi wiwọ naa yoo fi ṣe iwosan, MAA ṢE wọ awọn turtlenecks tabi awọn aṣọ miiran ni ayika ọrùn rẹ ti o ta si iha naa.

Nini iṣẹ abẹ iṣan carotid ko ṣe iwosan idi ti idiwọ ninu awọn iṣọn ara rẹ. Awọn iṣọn ara rẹ le di dín lẹẹkansii. Lati ṣe idiwọ eyi:

• Je awọn ounjẹ ti o ni ilera, adaṣe (ti olupese rẹ ba gba ọ nimọran lati), dawọ siga mimu (ti o ba mu siga), ati dinku ipele aapọn rẹ.
• Gba oogun lati ṣe iranlọwọ lati dinku idaabobo rẹ silẹ ti olupese rẹ ba kọwe rẹ.
• Ti o ba n mu awọn oogun fun titẹ ẹjẹ giga tabi àtọgbẹ, mu wọn bi o ti sọ fun ọ lati mu wọn.
• O le gba itọnisọna lati mu aspirin ati / tabi oogun ti a npe ni clopidogrel (Plavix), tabi oogun miiran nigbati o ba lọ si ile. Awọn oogun wọnyi jẹ ki ẹjẹ rẹ di didi awọn iṣọn-ẹjẹ ninu awọn iṣọn-ara rẹ ati ni itọsi. MAA ṢE dawọ mu wọn laisi sọrọ pẹlu olupese rẹ akọkọ.

Pe olupese ilera rẹ ti:

• O ni orififo, di iruju, tabi ni numbness tabi ailera ni eyikeyi apakan ti ara rẹ.
• O ni awọn iṣoro pẹlu oju rẹ, o ko le sọrọ deede, tabi o ni iṣoro oye ohun ti awọn eniyan miiran n sọ.
• O ko le gbe ahọn rẹ si ẹgbẹ ẹnu rẹ.
• O ni wahala gbigbe.
• O ni irora àyà, dizziness, tabi mimi ti ko lọ pẹlu isinmi.
• O n ṣe iwúkọẹjẹ ẹjẹ tabi awọ ofeefee tabi alawọ.
• O ni otutu tabi iba lori 101 ° F (38.3 ° C) tabi iba ti ko lọ lẹhin ti o mu acetaminophen (Tylenol).
• Aaye rẹ di pupa tabi irora, tabi ofeefee tabi isunjade alawọ n jade lati inu rẹ.
• Awọn ẹsẹ rẹ n wú.

Carotid endarterectomy - yosita; CEA - yosita; Percutaneous transluminal angioplasty - iṣan carotid - yosita; PTA - iṣan carotid - yosita

Brott TG, Halperin JL, Abbara S, et al. 2011 ASA / ACCF / AHA / AANN / AANS / ACR / ASNR / CNS / SAIP / SCAI / SIR / SNIS / SVM / SVS itọnisọna lori iṣakoso ti awọn alaisan pẹlu extracranial carotid ati iṣọn-ẹjẹ iṣọn-ara iṣan: akopọ alaṣẹ: ijabọ ti Amẹrika College of Cardiology Foundation / American Heart Association Task Force on Didaṣe Awọn ilana, ati 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 Aworan ati Idena, Awujọ fun Ẹkọ nipa iṣan ara ati awọn ilowosi, Society of Interventional Radiology, Society of NeuroInterventional Surgery, Society for Vascular Medicine, ati Awujọ fun Isẹgun iṣan. 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. Arun iṣan ara. Ni: Townsend CM Jr, Beauchamp RD, Evers BM, Mattox KL, awọn eds. Iwe-ẹkọ Sabiston ti Isẹ abẹ. 20th ed. Philadelphia, PA: Elsevier; 2017: ori 62.

Kinlay S, Bhatt DL. Itoju ti aiṣedede ti iṣan ti iṣan ti iṣan. Ninu: Zipes DP, Libby P, Bonow RO, Mann, DL, Tomaselli GF, Braunwald E, eds. Arun Okan ti Braunwald: Iwe-kika ti Oogun Ẹkọ inu ọkan ati ẹjẹ. 11th ed. Philadelphia, PA: Elsevier; 2019: ori 66.

• Arun iṣan ẹjẹ Carotid
• Iṣẹ abẹ iṣọn ara Carotid - ṣii
• Ile oloke meji Carotid
• N bọlọwọ lẹhin ọpọlọ
• Awọn eewu taba
• Stent
• Ọpọlọ
• Awọn imọran lori bi o ṣe le dawọ siga
• Ikọlu ischemic kuru

• Angioplasty ati ipo diduro - iṣan karotid - yosita
• Awọn oogun Antiplatelet - Awọn onidena P2Y12
• Aspirin ati aisan okan
• Cholesterol ati igbesi aye
• Cholesterol - itọju oogun
• Ṣiṣakoso titẹ ẹjẹ giga rẹ

• Arun Ẹjẹ Carotid