Stenting - chii? Stenting pakati midziyo moyo; mutengo

Vanhu zvinetso zvemwoyo, vari kuramba kukwanisa kunzwa kubva vanachiremba panyaya kuti stenting. Dzimwe nguva zvakaoma kuti kusarudza danho iri, sezvo asina kuvazivisa chii nzira uye zvichakanganisa sei upenyu yemberi. Panyaya iyi, vanhu vari kubvunza mibvunzo iyi: stenting - chii, nei chinodiwa uye sei zvakawanda kurapwa ichi? Naizvozvo, isu funga izvi uye zvimwe chokuita nzira.

Chii oparesheni?

Nokuti kutanga zvinokosha kuziva kuti ichi mhando kurapwa ndeimwe nzira dzinoshanda kuti zvimwe zvirwere zvemwoyo. Saka chii kana chiremba inokurudzirwa kuti kupedza stenting? Chii uye sei rinoitwa? nzira Uyu kuvhiya kupindira. Kana mudziyo ane atherosclerotic Dombo, inofanira kuwedzerwa kuvandudza patency ropa kuyerera. Nokuti chaiyo stent, izvo haabvumiri yakamanikana lumen pakati njodzi mudziyo.

Asati atanga stenting, munhu anoenda kuburikidza coronary angiography kuziva nzvimbo atherosclerotic plaques uye zvakadini kuti kujekesa coronary arteries. Unogona mberi nokushanda, rinoitwa pasi zvomunharaunda yokutindivadza. The muitiro unogona kuiswa vanopfuura mumwe stent, asi akawanda. Zvose zvinoenderana nokuwanda ane nhumbi. The nzira pacharo makarwe. In mashandiro Paavhareji ukapisa inenge imwe awa. A kupora nguva ipfupi chaizvo.

Mune zvimwe zviitiko, basa mudziyo stenting?

Zvinotarisirwa kuti kuitisa vascular stenting ndiwo chiremba mwoyo neimwe murwere nomumwe. Inogona kupa nzira iyi vanhu vakanga vaakawana aienda pamusoro coronary arteries, kunokonzerwa atherosclerotic plaques. Vasodilatation uyu nyaya, nokuti ropa riyerere iri chaizvo ipfupi. Izviwo, zvinoderedza okisijeni kuti vanofanira iyerere mumwoyo. Ndicho ichi kushaiwa chinokurwadzai angina kurwiswa.

mutengo kushanda

Sezvo takaona, sei zviri akaita stenting chii chiri uye nei zvichidikanwa, unotevera unokosha mubvunzo - ndiyo mari oparesheni ichi. Kwokupedzisira chitsama inotsamira zvinhu zvakawanda. Ivo vanotungamirirwa:

1. stent mhando. Iye anogona zvemapuranga, uye pasina izvozvo. Sarudza zvaunoda hwokugadza stent, vanofanira chiremba, sezvo mujenya kunoenderana mamiriro ngarava uye vamwe wacho murwere. Sezvinotarisirwa, stent pasina unhani hazvichadhuri.
2. Kuwanda chirwere midziyo.
3. Nzvimbo stenting rinoitwa. Mari wokuvhiya kunoenderana kuchipatara, pazviri ndakaiswa. Somuenzaniso, muitiro unogona kuitwa muGermany cardiology centre. Kune kuuyiswa kunze kwekugadzikana kushanda mukamuri panguva vapore. Mari kurapwa kunogona dzinosiyana 5 000 kusvika 14 000 euros. Stenting muMoscow achaita mari anenge 100 000 kusvika 200 000 rubles. Asi chero zvakadaro, mari inoenderana rokutanga zviviri.

Kugadzirira stenting

Vasati vatanga kushanda kuitwa kugadzirira vabudirire stenting. Chokutanga coronary angiography rinoitwa. Rinopa mufananidzo wakakwana mumwoyo chiremba vascular chirwere. Zvinova pachena sei vari zvakakuvadza, pane dzinoverengeka plaques uye umo ndivo arteries. Uyewo, kana murwere ane co-morbidities, pasi mamwe kuongorora.

A maawa mashoma asati avhiyiwa munhu rinomira vachidya uye zvinodhaka (akatorwa kugadzirisa shuga iri cheshuga), sezvo stenting rinoitwa usina chawadya. Kubvuma kana kuramba mamwe zvinodhaka - panguva chiremba kungwara. Uyewo, kuti pakuwedzera midziyo ropa rakanga rakabudirira mumazuva matatu ari ushandiswe mushonga chaiyo inonzi "clopidogrel". It haabvumiri kuumbika clots. Dzimwe nguva chiremba yasarudza amutarire pakarepo pamberi avhiyiwa, muwanze dose. Asi nzira iyi haisi chinodiwa nokuti zvingava zvakaoma pamusoro chikamu mudumbu.

Nzira Implementation

The yose nzira rinoitwa pasi zvomunharaunda yokutindivadza. Pakutanga hwokushanda sei kuboora tsinga guru unomhanya kuburikidza ruoko kana gumbo. Kusarudza munharaunda kuboora anoenderana chiremba uye murwere. Asi akawanda kuwana coronary midziyo mwoyo inotengwa kubudikidza gumbo. Ponji ari muhudyu zvikuru nyore uye hwakavimbika. Zvadaro, introducer kutaurwa kuva tsinga (chiduku mapurasitiki chubhu), rinoshanda se pasuo kuburikidza iyo namajoko nezvevanakomana. The anobudisa mushonga zvishoma nezvishoma introducer wei, iyo kunosvika hunenge tsinga akariita. Nechekare kuburikidza anobudisa mushonga zvishoma nezvishoma akaponesa stent. Akaisa pamusoro deflated chibharuma. Hwokuchengetedza stent panzvimbo chaiyo kwete kuti kukanganisa, ano X-ray midziyo inoshandiswa. Pashure pokutarira chaiwo nzvimbo kudzora mudziyo chibharuma iri inflated, ari stent rimire, iyo rikazvisundira kupinda rusvingo hunenge mudziyo Dombo. Pashure kugadzwa zvose zvokushandisa -bereka. Chete stent anoramba ari mudziyo nokusingaperi (mu zvisingawanzoitiki chaizvo kacho anofanira kubviswa). Kutengeserana kwacho pacharwo kunowanzoitwa zvishoma pane imwe awa, asi dzimwe nguva refu. Zvakawanda zvinoenderana mamiriro midziyo uye nyaya.

zvinogoneka yematambudziko

Kungofanana ose oparesheni, zvinogonawo kuva zvimwe zvayo matambudziko. Rakajairika dzinosanganisira:

• Blockage pamusoro arteries, rakanga pachena kuti kuvhiyiwa.
• Sema kuti venhumbi inflates ari chibharuma (mwero nekuomarara yakasiyana, dzimwe nguva zvakashatirisa kushanda itsvo).
• The pakuonekwa minyato kana ropa panguva nzvimbo tsinga ponji anoitwa.
• New zvirwere midziyo, kunyanya kukuvara kwemasvingo avo.
• The kuomesa kupfuura nengozi - a stent thrombosis. Inogona kuratidza sezvo papera makore mashomanana, uye ari mapfupi izwi. Zvinonzi pamwe kurwadziwa kurwisa uye kunoda akabva angoitei uye kurapwa. Zvikasadaro, myocardial infarction anogona kuitika.

Uyezve, zvinokosha kuziva kuti, sezvo ropa riyerere akapfuura nemumuviri, matambudziko anogona kuitika mune dzimwe arteries dzisina chokuita nokushanda zvakananga. Uyezve, zvinokosha kuramba zvokudya uye zvinodhaka kurapa, iyo akagadza cardiologist.

mhando stenting

Asi stenting mashandiro anogona kuitwa kwete chete pamwoyo midziyo. Kana zvakakodzera, kurapwa iri kuitwa renal arteries nemidziyo ropa ezasi wamativi. Saka zviripo tikanyatsoongorora izvi mhando mbiri stenting uye nyaya iyo tanzi.

renal stenting

Kudiwa ichi mhando wokuvhiya angava chitarisiko atherosclerotic plaques ari renal arteries. chirwere ichi unowanzonzi renovascular neBP. In chirwere ichi plaques kuumbwa panguva pamuromo renal arteries. Pamusoro kuonekwa zvirwere zvakadai chiremba anokurudzira renal stenting, nekuti kunyange yepamusoro wezvokurapa kurapa kurege kupa unodikanwa zvabuda. kupindira kwakadaro zvinyoronyoro kurapa, sezvo zvichiita kuti kudzivisa rakavhurika kuvhiyiwa. The nzira rinoitwa pachishandiswa stenting pamusoro coronary arteries. It anoshandisawo ballonorasshiryaemye stents. Vasati vavhiyiwa rinoitwa tsvakurudzo itsvo uchishandisa X-ray midziyo pamwe risati kwokubatsira musiyano mumiririri. Zvakakosha kutsanangura kuti anatomi zvokurwara.

Mushure stenting, vanorwara munhu maawa mashoma ari yevanorwara zvikuru wadhi. Shure kwenguva ino, akatumirwa nguva kamuri. Kana oparesheni yakaitwa nemaoko, murwere anogona simuka ufambe nomusi iwoyo. Kana ari femoral kupinza pamusoro stent murwere rwakasimudzwa kusvikira mangwana.

Atherosclerosis uye stenting pamusoro ezasi wamativi

Delivery ropa kutsoka anoenderana peripheral arteries. Asi ivowo vanogona kuumba plaques kuti anokonzera ropa riyerere havachanyatsogoni. Pane zviratidzo zvakawanda wokufambisa panzvimbo dzapasi kumigumo kukundikana, asi chikuru ndicho chakaita marwadzo makumbo apo tichifamba. Panguva yokuzorora, ari kunzwa shure. Dzimwe nguva marwadzo akadaro haagoni kuva, asi hazvina dziripowo chinyamunhari chinorwadza, utera, kana kunzwa Kutambudzika makumbo. Zviratidzo izvi zvinogona kuitika mhiri pemvura wamativi: tsoka, makumbo, dzakatendereka, mabvi, magaro. Pamusoro kuonekwa kuti dambudziko iri, chiremba ringavakurudzira stenting. Nzira iri kuonekwa kumwe kubudirira chirwere ichi. The yose nzira rinoitwa pasi ichocho, uyewo panguva stenting pamusoro coronary nhumbi mwoyo.

Isu akaongororwa dzimwe nyaya anotsanangura sei kuti tiite stenting, chii, mune zvimwe zviitiko zvinokosha uye chii chinogona kuva matambudziko. Asi kuti kusarudza zvakadaro kuvhiyiwa, kana vakairamba, zvakakosha kutaura nemwoyo chiremba anogona kutsanangura zvayakanakira nezvayakaipira nzira iyi udzamu.