Ho buuoa ka methapo ea Carotid - ho tsoa

Mothapo oa carotid o tlisa mali a hlokahalang bokong le sefahlehong sa hau. U na le e 'ngoe ea methapo ena ka lehlakoreng le leng la molala oa hau. Ho buuoa ka methapo ea Carotid ke mokhoa oa ho khutlisa phallo e nepahetseng ea mali bokong.

U bile le opereishene ea methapo ea carotid ho khutlisetsa phallo e nepahetseng ea mali bokong ba hau. Ngaka ea hau e buoang e entse lesela (molomong) molaleng oa hau holim'a methapo ea hau ea carotid. Ho ile ha tšeloa tube hore mali a phalle sebakeng se thibetsoeng nakong ea ts'ebetso ea hau. Ngaka ea hao e buoang e ile ea bula methapo ea hao ea carotid 'me ea tlosa lejoe ka hloko ka har'a eona. Ngaka e buoang e kanna eaba e behile stent (e nyane terata e khubelu) sebakeng sena ho thusa ho boloka mothapo o bulehile. Mothapo oa hau o ile oa koaloa ka lithupa ka mor'a hore lejoe leo le tlosoe. Letlalo la letlalo le ne le koetsoe ka theipi ea ho buoa.

Nakong ea opereishene ea hau, pelo ea hau le ts'ebetso ea boko li ile tsa beoa leihlo haufi-ufi.

O lokela ho etsa boholo ba mesebetsi ea hau e tloaelehileng nakong ea libeke tse 3 ho isa ho tse 4. U ka ba le bohloko ba molala hanyane ka libeke tse ka bang 2.

U ka qala ho etsa mesebetsi ea letsatsi le letsatsi kapele kamoo u ka khonang. U kanna oa hloka thuso ka lijo, ho hlokomela ntlo le ho ea mabenkeleng qalong.

SE KE UA khanna ho fihlela mokato oa hau o folile, 'me u ka sotha hlooho u sa khathale.

U kanna oa ba le bohatsu mohlahareng le haufi le tsebe ea tsebe. Sena se tsoa ho sehiloeng. Boholo ba nako, sena se fela ka likhoeli tse 6 ho isa ho tse 12.

• U ka hlapa ha u fihla hae. Ho lokile haeba theipi ea ho buoa e kentsoeng metsi e koloba. U SE KE ua inela, hlatsoa kapa ua hlapa metsi a shaoara ka kotloloho theiping. Tepe e tla ikhula ebe e oa ka bo eona kamora hoo e ka bang beke.
• Sheba ka hloko ts'ebetso ea hau letsatsi le leng le le leng bakeng sa liphetoho life kapa life. U SE KE ua beha setlolo, tranelate kapa litlama tsa litlama ho eona ntle le ho botsa mofani oa tlhokomelo ea bophelo pele hore na ho lokile.
• Ho fihlela setopo se fola, U SE KE UA apara li-turtlenecks kapa liaparo tse ling molaleng oa hau tse itšilafatsang khahlanong le ho chesoa.

Ho etsa opereishene ea methapo ea carotid ha ho phekole sesosa sa ho koaleha ha methapo ea hau. Mothapo oa hau oa methapo o ka ba moqotetsane hape. Ho thibela sena:

• Ja lijo tse phetseng hantle, ikoetlise (haeba mofani oa hau au eletsa), khaotsa ho tsuba (haeba u tsuba), 'me u fokotse khatello ea maikutlo.
• Nka meriana ho thusa ho theola k'holeseterole ea hau haeba mofani oa hau au fa eona.
• Haeba u noa meriana ea khatello e phahameng ea mali kapa lefu la tsoekere, e nke ka tsela eo u laetsoeng hore u e noe ka eona.
• U kanna oa laeloa ho noa aspirin le / kapa moriana o bitsoang clopidogrel (Plavix), kapa moriana o mong ha u khutlela hae. Meriana ena e boloka mali a hau hore a se ke a etsa methapo methapong ea hau le ka har'a stent. U SE KE UA emisa ho li nka ntle le ho bua le mofani oa hau pele.

Bitsa mofani oa tlhokomelo ea bophelo haeba:

• O opeloa ke hlooho, oa ferekana, kapa o ba le bohatsu kapa bofokoli karolong efe kapa efe ea 'mele oa hau.
• U na le bothata ba mahlo a hau, u sitoa ho bua ka mokhoa o tloaelehileng, kapa u na le bothata ba ho utloisisa seo batho ba bang ba se buang.
• U ke ke ua tsamaisa leleme la hao lehlakoreng la molomo oa hau.
• O na le bothata ba ho kwenya.
• U na le bohloko ba sefuba, ho tsekela, kapa phefumoloho e khutšoane e sa tsamaeeng le phomolo.
• U khohlela mali kapa 'mala o mosehla kapa o motala.
• U na le maqhubu kapa feberu e fetang 101 ° F (38.3 ° C) kapa feberu e sa foleng kamora ho nka acetaminophen (Tylenol).
• Moriri oa hau o fetoha o mofubelu kapa o bohloko, kapa ho tsoa ha 'mala o mosehla kapa o motala ho ona.
• Maoto a hao a ruruhile.

Carotid endarterectomy - ho tsoa; CEA - ho tsoa; Percutaneous transluminal angioplasty - mothapo oa carotid - ho tsoa; PTA - methapo ea carotid - ho tsoa

Brott TG, Halperin JL, Abbara S, le al. 2011 ASA / ACCF / AHA / AANN / AANS / ACR / ASNR / CNS / SAIP / SCAI / SIR / SNIS / SVM / SVS tataiso mabapi le taolo ea bakuli ba nang le lefu la methapo ea methapo ea methapo ea methapo: kakaretso ea phethahatso: tlaleho ea Amerika College of Cardiology Foundation / American Heart Association Task Force on Practice Guidelines, le American Stroke Association, American Association of Neuroscience Nurses, American Association of Neurological Surgeons, American College of Radiology, Mokhatlo oa Amerika oa Neuroradiology, Congress of Neurological Surgeons, Society of Atherosclerosis Ho nahanisisa le ho Thibela, Mokhatlo oa Phekolo ea Metsing le Mekhoa ea Metsing, Mokhatlo oa Radiology ea Ts'ebetso, Mokhatlo oa NeuroInterventional Surgery, Mokhatlo oa Vascular Medicine le Mokhatlo oa Phekolo ea Vascular. J Ke Coll Cardiol. 2011; 57 (8): 1002-1044. PMID: 21288680 www.ncbi.nlm.nih.gov/pubmed/21288680.

Cheng CC, Cheema F, Fankhauser G, Silva MB. Pheriferale methapo ea mafu. Ka: Townsend CM Jr, Beauchamp RD, Evers BM, Mattox KL, eds. Buka ea Sabiston ea Ngaka ea ho Buoa. 20th, ed. Philadelphia, PA: Elsevier; 2017: khaolo ea 62.

Kinlay S, Bhatt DL. Kalafo ea lefu la methapo e sa sebetseng e sa sebetseng. Ka: Zipes DP, Libby P, Bonow RO, Mann, DL, Tomaselli GF, Braunwald E, eds. Lefu la pelo la Braunwald: Buka ea bongaka ea meriana ea pelo. 11th ed. Philadelphia, PA: Elsevier; 2019: khaolo ea 66.

• Lefu la methapo ea Carotid
• Ho buuoa ka methapo ea Carotid - ho bulehile
• Carupid duplex
• Ho fola kamora ho otloa ke seterouku
• Likotsi tsa koae
• Bohale
• Leqeba
• Malebela mabapi le ho khaotsa ho tsuba
• Tlhaselo ea nakoana ea ischemic

• Ho beoa ha Angioplasty le stent - mothapo oa carotid - ho tsoa
• Lithethefatsi tsa antiplatelet - P2Y12 inhibitors
• Aspirin le lefu la pelo
• Cholesterol le mokhoa oa bophelo
• Cholesterol - kalafo ea lithethefatsi
• Ho laola khatello ea mali e phahameng

• Maloetse a Carotid Artery