Inatsekeratu mtsempha wamagazi stenting ndi carotid mitsempha

Stenting ya mitsempha inatsekeratu ndi angioplasty - masiku pafupifupi atraumatic ntchito zimene amachitidwa pa zotengera za mtima, zimene kusintha atherosclerotic. phukusi umalimbana kubwezeretsa yachibadwa magazi buku mwa kubwezeretsa wolumikizira patency. Stenting mitsempha inatsekeratu ikukhudza oyamba kusinthidwa pathological njira yapadera yamphamvu wolumikizira chotengera ndi stent lapansi. Izi zimapangitsa patsogolo lumen, ndipo perfusion yachibadwa ya minofu mtima.

Inatsekeratu stenting zimafuna kukonzekera. Zofunika kuchita inatsekeratu angiography chifukwa imene mtima dokotala asanachite opareshoni kudziwa mmene yogwirira pathological ziwiya ndondomeko, m'mene mukufunira kuyika stent imene malo ayenera kukhazikitsidwa. Poyerekeza ndi inatsekeratu mtsempha wamagazi kulambalala kumezetsanitsa pa ndondomeko sikutanthauza kudula nthiti, osafunika ndi yaitali postoperative nthawi. Inatsekeratu stenting si owopsa.

Polimbana ndi matenda a mitima , njira imeneyi ndi othandiza kwambiri. Inatsekeratu stenting afika ndemanga zabwino kwambiri. Komabe, kusankha opaleshoni Zatsala ndi dokotala amachitira. iye yekha angathe kuunikira mokwanira, zochokera zochitika zinazake, onse "ubwino ndi kuipa".

Si kale anayamba carotid stenting. Njira wakhala wabwino zina opaleshoni mu zotupa a atherosclerosis ubongo. A nthawi yaitali anakhalabe njira kusankha kwa endarterectomy opaleshoni (ngakhale zoopsa zake mkulu, mapangidwe kukonzanso stenosis ndi chiopsezo cha kuchuluka kwa mochedwa), chifukwa ntchito carotid stenting kawirikawiri anayamba wapotalikira embolization ndi ischemic sitiroko. Pokhapokha oyamba a mwambo wa microfilters endovascular amene anaika pa opaleshoni wapotalikira kuti kuchepetsa ndi musaphonye chilichonse kuposa kukula kwa maselo a magazi, njira mulingo woyenera anali stenting. njira ya chithandizo cha atherosclerosis wakhala otetezeka ndipo kwambiri ogwira.

Pa pano siteji chiwerengero stenting ya mitsempha carotid kwambiri kuposa chiwerengero cha endarterectomies opaleshoni. Kafukufuku wosiyanasiyana wasonyeza kuti stenting kwambiri yafupika mkhalidwe wa sitiroko ischemic ndi imfa. Ndondomeko zambiri anachita pansi mankhwala oletsa ululu pamalopo. Pa opaleshoni, mtima wa chikugwirizana ndi zipangizo zina zapadera kuti oyang'anira zizindikiro kwambiri. Dokotalayo ambiri amalankhula wodwala kupereka malangizo nthawi compress mpira kapena chidole kuti akwanitse kulamulira kugwira ntchito ubongo. Nthawi zambiri, angioplasty imagwiridwa pamaso stenting, imene kupyolera zotumphukira mtsempha wamagazi catheter ndi zibaluni pa nsonga ya. catheter waikidwa mu malo chiletso, ndiye zibaluni ndi mpweya, yowonjezera lumen wa mtsempha wamagazi ndi. Pa mpheto izi wodwala safuna kumva ululu, monga intima ziwiya palibe molekezera mitsempha. Ndiye pamalowo wapotalikira kukhazikitsa fyuluta popewa embolism. Kenako, stent ndi catheter osiyana. Kumapeto kwa ntchito sefa chikutha ndi stent amakhalabe mtsempha wamagazi ndi carotid.

Carotid mtsempha wamagazi stenting - uwu si malo omwe zotumphukira zikunena endovascular zimagwiridwa. Ndi chitukuko cha atherosclerosis pa malo ena (mwachitsanzo, aimpso mtsempha wamagazi chotupa kapena malekezero mitsempha) ndi kale kusintha njira endovascular.