Stent

Stent jẹ tube kekere kan ti a gbe sinu ẹya ṣofo ninu ara rẹ. Ẹya yii le jẹ iṣọn ara iṣan, iṣọn ara, tabi ẹya miiran bii tube ti o gbe ito (ureter). Stent naa mu eto naa ṣii.

Nigbati a ba fi stent si ara, ilana naa ni a pe ni diduro. Awọn oriṣi oriṣiriṣi oriṣiriṣi wa. Pupọ julọ jẹ ti ohun elo irin tabi apapo ṣiṣu. Bibẹẹkọ, awọn aṣọ wiwọn jẹ ti aṣọ. Wọn ti lo ni awọn iṣọn-ẹjẹ nla.

Ẹrọ iṣọn-alọ ọkan jẹ kekere, fifẹ ara ẹni, tube apapo irin. O ti wa ni gbe inu iṣọn-ẹjẹ iṣọn-alọ ọkan lẹhin balloon angioplasty. Stent yii ṣe idiwọ iṣọn lati tun-tiipa.

A fi oogun ti a fiwe ara-ẹni ṣe pẹlu oogun kan. Oogun yii ṣe iranlọwọ siwaju idiwọ awọn iṣọn lati tun tii. Bii awọn iṣọn-alọ ọkan iṣọn-alọ ọkan miiran, o fi silẹ patapata ni iṣan.

Ni ọpọlọpọ igba, a lo awọn stent nigbati awọn iṣọn ara ba dín tabi dina.

A nlo iwulo nigbagbogbo lati tọju awọn ipo atẹle ti o jẹ abajade lati dina tabi bajẹ awọn ohun elo ẹjẹ:

• Arun ọkan ati ọkan-ọkan (CHD) (angioplasty ati ipo diduro - ọkan)
• Arun iṣan ti iṣan (angioplasty ati rirọpo stent - awọn iṣọn ara agbeegbe)
• Trombosis iṣọn jijin (DVT)
• Àrùn iṣọn-ẹjẹ kidirin
• Arun inu aortic (atunṣe aarun atẹgun - iṣan ara)
• Arun iṣan ẹjẹ Carotid (iṣẹ abẹ iṣọn ara carotid)

Awọn idi miiran lati lo awọn stents pẹlu:

• Fifi ṣi ureter ti a ti dina tabi bajẹ (awọn ilana ito percutaneous)
• Itọju awọn iṣọn-ẹjẹ, pẹlu awọn iṣọn-aortic aarun
• Nmu bile ti nṣàn ninu awọn iṣan bile ti a dina (biliary stricture)
• Ran ọ lọwọ lati simi ti o ba ni idiwọ ninu awọn ọna atẹgun

Awọn akọle ti o ni ibatan pẹlu:

• Angioplasty ati ipo ifun - okan
• Angioplasty ati ipo ifun - awọn iṣọn ara agbeegbe
• Awọn ilana ito Percutaneous
• Transjugular intrahepatic portosystemic shunt (TIPS)
• Iṣẹ abẹ iṣọn ara Carotid
• Atunṣe aneurysm aortic - iṣan ara
• Iṣan aortic Thoracic

Oogun-eluting stents; Imi-ara tabi awọn stenti ureteral; Awọn iṣọn-alọ ọkan

• Angioplasty ati stent - okan - yosita
• Angioplasty ati ipo diduro - iṣan karotid - yosita
• Angioplasty ati ipo diduro - awọn iṣọn ara agbe - yosita
• Titunṣe aneurysm aortic - endovascular - yosita
• Cardiac catheterization - yosita
• Iṣẹ abẹ iṣan Carotid - isunjade
• Awọn ilana ito Percutaneous - yosita
• Ayika iṣan ita - ẹsẹ - yosita

• Ẹjẹ ọkan ọkan
• Iṣọn-ẹjẹ balloon angioplasty - jara

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Funfun CJ. Atherosclerotic agbeegbe arun inu ọkan. Ni: Goldman L, Schafer AI, awọn eds. Oogun Goldman-Cecil. 26th ed. Philadelphia, PA: Elsevier; 2020: ori 71.