Stenting na tasoshin zuciya

Domin lura da jijiyoyin zuciya da cututtukan zuciya, wanda dogara ne a kan takaita da jijiyoyin zuciya arteries (su ciyar da myocardium), a 1977 balan-balan angioplasty daga wadannan tasoshin da aka yi a karon farko. A mafi yawan lokuta, a cikin hanyar takaita da jijiyoyi ne mai adibas a kan intima na tasoshin, wadda take kaiwa zuwa wani kasa samar da oxygen zuwa cardiomyocytes. Kamar yadda wani sakamako, masu tasowa, angina da tsokar zuciya infarction.

Balan-balan angioplasty m dogara ne a kan gaskiyar cewa ga zuciya ta hanyar da femoral jijiya ciyar da catheter a kan wanda ãƙibar aka located a cuff (balan-balan deflated). Karkashin X-ray iko catheter an ciyar da kai tsaye zuwa shafin na takaita, sa'an nan da balan-balan ne inflated - da jijiya da aka fadada. A Hanyar bada sakamako mai kyau, amma sau da yawa da komowa (jijiya sake ragu, kuma muhimmanci).

Domin mika tasiri na balan-balan angioplasty, likitoci sun ɓullo da wani sabon Hanyar - cardiac jijiyoyin bugun gini stenting. A stent ne wani ƙarfe tubular raga, a irin bakin karfe frame. Ciki da jijiya, shi yana faɗaɗa, ba kyale shi zuwa spasm. Zuciya jijiyoyin bugun gini stenting da aka yi da daban-daban kayan da da daban-daban Properties. Na girma ban sha'awa ne stents cewa mai rufi da polymeric kayan da magani abubuwa (msl, cytotoxic anticancer kwayoyi). Stenting na tasoshin zuciya irin wannan catheters iya rage kudi na samuwar atherosclerotic plaques. Amma yana da daraja tuna cewa ta yin amfani da wadannan stents da kudi na waraka daga cikin ciki ganuwar da arteries rage-rage, wanda shi ne mai factor na thrombosis hadarin.

Stenting na tasoshi da tukwane na zuciya a daidai wannan hanya kamar yadda balan-balan angioplasty. Akwai daya ne kawai bambancin a balan-balan stent ado, rufi harsashi. Lokacin gabatar da wani catheter cikin da jijiyoyin zuciya jijiya daina kai hare hare da aka cire, sa'an nan cika da balan-balan, da stent for straightening inda wani jijiya da aka quntata. Saboda haka, kumbura jijiya bango an karfafa da kuma karfafa daga ciki.

A halin yanzu mataki na zuciya stents - zabi zuwa jijiyoyin zuciya jijiya kewaye grafting. Ya kamata a lura da wani tabbatacce al'amari na stenting: da spasm na jijiyoyin zuciya arteries a lokacin da balan-balan angioplasty iya samar da tsokar zuciya infarction, wanda za a iya kauce masa ta hanyar amfani da wani stent. Stenting na jijiya daga cikin zuciya yanzu - madadin Hanyar jijiyoyin zuciya jijiya kewaye grafting. Bugu da kari, idan a cikin shakka daga cikin aiki da balan-balan angioplasty jijiyoyin zuciya jijiya spazmiruyutsya, yana yiwuwa a ci gaba da tsokar zuciya infarction, kuma stent a cikin wannan halin da ake ciki taimaka wajen kauce wa wannan tsanani wahala. Lokacin da jijiyoyin zuciya jijiya kewaye tiyata da rabi daga cikin marasa lafiya ɓullo da stenosis na shunt. Ya stenting ne mai kyau madadin zuwa maimaita jijiyoyin zuciya kewaye. Har ila yau zuciya da jijiyoyin jini stents - madadin zuwa thrombolysis kuma mafi kyau fasahar domin lura da m tsokar zuciya infarction kai tsaye a cikin ta farko hours na ta ci gaba.

Duk da haka, akwai contraindications ga wannan hanya. Stent jeri ne ba zai yiwu tare da yaxuwa takaita da jijiyoyin zuciya jijiyoyi. Har ila yau, wani babban cikas ne kananan (kasa da 2.8 mm) diamita na quntata jijiya.

Ga masu rigakafin thrombotic events wannan hanya aka yi a kan bango na anticoagulants.

Bayan irin wannan aiki, da mãsu haƙuri ya zauna a cikin asibiti domin 5-7 kwana a kusa da Agogon likita dubawa. Postoperatively ci gaba antiplatelet da anticoagulation far.