Coronary moku o ka naau: pehea e hana, waiwai e lilo aku, complications. Coronary moku o ka naau: hōʻike manaʻo

Aia i manawa no hoi e hele, e hoʻonui i ka pukapuka o cardiological-oaio? A. Ke kumu o kēia kaʻina ka mea, a hiki i ka mea i hiki, e lawe mai oaeouee? A me ka manaʻo malama i ka hoʻomanawanuiʻana. He mea oi loa aku hoi ka oiaio, a me ka holo alaʻokoʻa stenting hanaʻino wale na moku. Kēia, ma ka huli, me ka nui loa ho'ēmi i kā ka likelihood o ka naau kaua, a mahope loli irreversible.

Ka nui o PalekanaEND_LINK ana

I ka manawa kūpono o ka hana maikaʻiʻole o ka mea'ōnaehana mānowai koko pathologies i keia la noho hoʻomalu, ka poe e noi mai ana kūlike loa ana a me ka hoʻohana 'ana o na kākoʻo lawelawe. Ma mua o ka piʻiʻana, pono i ke kauka kiko'ī. Ma kekahi, pono i ka mea hoʻomalu i ka nui o atherosclerotic lesions a me ka hou ana o na moku koko, e like me ka pono me ka mea i hiki mai paha ka mea, clot o ka mea nui, a ma ia mea, pehea holomua o ka'ōnaehana eiiet koko lako. Pane i kēia mau nīnau a pau hiki ke loaa ma ka hoʻokō 'ia' ka nui ana manaʻo. Ma keia like keia mea coronary moku o ka naau. Next noonoo mea kūpono ai ka anamanaʻo. Ma kēia 'atikala oe, e aʻo e pili ana i ka mea paipai mua coronagraph na moku o ka naau. Pehea hana koina, complications - a pau o keia, e e kūkā mai lalo no hoi.

Overview

He aha ka coronary moku o ka naau? Pehea hana i ka anamanaʻo? Kēia mau nīnau bother he nui nā mea maʻi. Coronary moku o ka naau o ke ano o ka hoʻokolokolo 'ana o nā arteries, i ua muli ma ka hoʻohana' ana o ka X-kukuna. Kekahi inoa no keia anamanaʻo - Angiography. E hoʻohana i kēia hana no kaʻike, a mau pathologies o ka mea'ōnaehana mānowai koko nenoaiu. Ka mea e like ai o kona hana pono e loli ai i ka pololei o ka hope lapaau. Mai na ipu coronary o ka naau ua hana ma ka outpatient ana, ia mea e pono e mālama '-aaeno. E lawe mai i ke ao hoʻohana kūikawā lako a pan. Kauka e hali ana i ka anamanaʻo no i ka mea kupono aʻo. Coronary moku o ka naau ua hoʻohana 'ia me ka OAXA koe i loko o kaʻike, o ka' inikua-oaio? A ma hope o ke kipa i ka naau surgeon.

exploratory ana manaʻo

Heart surgeon no kukakuka pono i kekahi, i kekahi mau ho'āʻo ma. I ka nui, e pono ai:

• KLA me ka haʻilula a me platelets.
• Biochemical kiko'î o ka naau Muscle.
• Koko clotting.
• Lipidogram. He mea pono e hōʻoia i ka mālama '-kukuluia degere o atherosclerotic kaʻina. Ma keia hihia, he ao o ka lipoprotein a me kiʻekiʻe nuʻa, huina naʻokoko.
• Sugar ma ka mimi a me ke koko.
• Electrolyte koena.
• Ma kekahi keʻena hoʻokolohua, i ka ho omaulia ana o ka degere o ka hiki complications o atherosclerosis.
• Haʻawina o hepatic a me kaʻaʻa puʻuwai kuleana pili i.
• Other ho'āʻo ma, waho aʻeo ka maʻi maʻi a me infectious ano o kōkua iā ia,.

Pono e like me ka hopena o kēia mau haʻawina lako e:

• Fluoroscopy. Kēia like 'aʻole wale e Loiloi i ka ano o ka akemāmā'aʻaʻa, akā, no hoi, e hoakaka i ka contours a me ka nui ana o ka naau.
• ECG. Electrocardiographic ninaninau iʻano eaaaony hōʻike ana i ka pono no ka kuka, i ka hopena o kaʻoki ka pāpana, hiki ke Muscle olona, he mea he overload i loko o kekahi mau oihana, scarring ma hope o ka naau hoouka. Eia hou, i ka ECG hōʻike paakiki ischemia me kēia poʻeʻilihune prognosis.
• Ultrasound o ka naau. Ultrasound pili ana i ke kiʻi, a visually na hana o kekahi mau oihana o ka naau, e hana i kiwikā ma waena o ka atria a me ventricles, me ka ipu nui. E ho ohana i ultrasound hōʻike hypertrophy (ai hanaʻia naʻe i loko o ka pā) o ke kino nāʻiʻo.

A pau o ka mea ma luna haʻawina ke me ka nui loa emi ke kali ana manawa i nā hualoaʻa ma hope o ke kūkā pū me ka hoʻomalu cardiology waena.

Coronagraph na moku o ka naau: he hōʻike no ke kaʻina hana, nāʻikepili

Kēia hana o ka noiʻi ua pono ai ma ka hihia o ka 'ae' ana o ke ahonui e wae maiʻoki kino, a AIM - e kōkua i ka hoʻomanawanui ka kulana. Paipai loiloi no ka poe i manao e hana stenting a holo alaʻokoʻaʻoki kino. Coronary moku apono 'kauka e hooholo i ke ano o keʻoki kino ua pono.

He aha ka loiloi?

Coronary moku o ka naau, ke kumukuai o ka i loli aʻe i loko o Rusia, lawe mai,ʻaʻole wale nō i loko o hana kūikawā-oaio? A. I ka nui kūlanakauhale i loko o ka anamanaʻo hiki ke lolouila ma multidisciplinary nā keʻena lāʻau lapaʻau. E like me ka rula, keia hookolokolo ana ua? Oaony. Mua he puncture. Nō kāu, i ka paena mea he femoral artery i loko o ka groin. Ma ka mea, i loko o ka naʻau o ke ea catheter i hoʻolaunaʻia ma. Ke Tube Ua lawelawe iho la no ka Akä naÿe hope paha. Mahalo i kona alo i loko o ka hoʻomalu angiography, pū i hiki i-pale kiʻi, ike he aha ana lā i loko o ka hoomanawanui i loko o nā ipu coronary. Ma ke ao, ke kahuna lapaau loiloi i ka moku'āina o ka mea ulana pukapuka, e hoʻoholo i ke kapu ioauoa. Coronary moku o ka naau e leie aku oe i ka loa makaikai i nā mea a pau mau mea. Hoʻoholo 'ana i ka noiʻi hilinaʻi nui ma luna o ka hana a me ka makahiki paha o ke akamai. Ma ka hopena, ma pehea e ponoʻole hoʻopaʻa haʻawina, e mālama 'e, ka mea hilinaʻi nui ole wale ma ka laulā o ka iapaau ana, akā, pinepine i ka hoʻomanawanui ka ola.

hahau ana manaʻo

Iloko o ke kaʻina hana, kūloko anesthesia ua hoʻohana 'ia. Femoral ole ulnar artery hou i ke kui kele ma manoanoa. Koho i ka maikaʻi loa paena hoʻomalu. E like me ka rula, ke kuka nei lakou i wahi me ka hoʻohana 'ana o kekahi mau anesthesia. Coronary moku o ka naau (hōʻike manaʻo Most nā mea maʻi eʻae i kēia 'ike) - ano laulā, he painless iaoia o ka noiʻi. Kekahi e hoomanawanui i hoike discomfort wale nō i loko o ka wahi o ka hookomo ana o ke kuikele. Ma ka lumen paipai i ka lōʻihi a me ka lahilahi catheter. Ua Ua iiaeaaony like kokoke i na ipu naau. No ka catheter ana kiaʻi hoʻomalu ma luna o ke kanaka hoʻoponopono pale. Ma hope o ka Tube ua kukuluia ma ka makemake kulana, he Akä naÿe hope paha ua lawelawe. I kulike ai me ka olelo i ma ke akamai kiʻi i loko o kekahi nā wānana waiwai. Ma hope o ana o ka haawi catheter pauku kokoke nakaka a kūikawā lole wili.

Paha ma hope o like

Ke hoomanawanui Ua pono moe koena, i haawi mai manaʻo no ka hoʻohāiki 'i ka neʻeʻana mai o ka lala i i ua hoʻohana me ka manaʻo kōkua i loko o ka artery. No kekahi mau lā ma hope o ka hoʻokolokolo 'ua ia e inu i ka nui o ke kinowai, a blandʻai, a kokua i ka hoʻopau i ka Akä naÿe agena ma nā puʻupaʻa. E like me ia he nui hōʻike manaʻo, nā mea maʻi nō kāu ola koke ma hope o coronary moku ana o ka naau i hanaia. Nā hopena ke ia ina ke kahe ana ke koko ma ka puncture paena i ole hoʻi i kāpiliʻia. Ma keia hihia, he mea no ka hooulu ana o ka nani, i pēpē ua hana; e hoomanawanui i ohumu o ka pōniuniu, nawaliwali. Ma keia moku'āina oe pono koke hoʻomaopopo i kou kauka.

Events ma ka Ewa o ke ao

Hoomakaukau ana no na ipu coronary o ka naau ua lawe mai ma ka like ana me kekahi mau rula. Aie i ka mea i ka mea, ua hana i loko o ka haukapila, pono ma hope o ka hoomanawanui a pau koi o ke akamai. Ke kauka hoʻoholo i hiki ke hoʻomau i ka lawe ai ', a me ka mea e ana. Mua coronary moku, e hanaʻia nō ia, ka mea i pono:

• Hōʻole i kaʻai i loko o ke ahiahi, mai iʻai i ka lā o ka hōʻike. Kēia e pale nausea a me ka luaʻi i loko o ke kaʻina.
• Ninini i ka bladder koke ma mua o ka hana.
• Wehe i makaaniani, pūpū i, apo, apo pepeiao. Ma kekahi hihia i ka hoʻomalu i ke noi, e wehe i ka maka aniani, mai ka maka.

Ke kauka e ike e pili ana i nā mea a pau lapaʻau ia, i ke alo o ka allergy paha intolerance i kekahi waiwai.

ʻO wai ka mea i paipai i ka manaʻo?

E hoomanawanui i ka poe i loa nānā i allergy e Akä kalameaʻai, ua i häʻawi mai ai iä coronary moku o ka naau. Complications ma keia hihia e e loa lawa mai i anaphylactic kŰia. Ua UaʻAʻole pono ke hana i kekahi kuka nei lakou i kiekie ae mahana, olelo anaemia (maʻi anaemia), a me ka nele i ke koko clotting. Contraindications e hoʻomaka coronary nā hoemi lehulehu o ka potasiuma, mimikō, ake maʻi, akemāmā a me nā konāhua maʻi, obesity, holomua makahiki.

No ka 'ike hou aku,

Mua o keia hookolokolo ana hoomanawanui ua lawelawe anesthesia a me nā lapaʻauʻia. Ke hoomanawanui Ua kahi ae la i lauoho ma ka lima 'ole i loko o ka groin āpana (ke kaumaha ma muli o ka māhele o ka haawi catheter). Ka wae wahi mea he uuku incision. It E manawa e hookomo i loko o ka Tube, ma i, ma ka mea, e mua i ka catheter. Ke hoʻomalu pono hana na mea a pau pono ai i ka neʻeʻana o nā kumu mua i ole eha. Ma ka pahu o ke hoʻomanawanui, e e haka pono nā uila aʻa lolo. Ka mea, e pono no i ka hooponopono ana o cardiac haʻawina. E like me ka poe i haalele hōʻike manaʻo ma luna o kēia kaʻina hana, i loko o ka papa o ka hoʻopaʻa 'ana i ka hoʻomanawanui' Aʻole e noho i ka moe. Ke kauka i mea kamaʻilio i ka hoomanawanui, hoihoi i loko o kona kulana. Ma kekahi mau kahua, i ke kauka ke noi e hoʻololi i ka oihana o kou mau lima, lawe i ka hanu nui, a noho mālie kou hanu. Iloko o ka hookolokolo ana, lawe mai ke koko, a me ka naau kōmi. Nō kāu, o ka hana mau ana ka hora, akā, i loko o kekahi ana ia i hope hou. I loko o kekahi mau hola ma hope o ka hoʻomanawanui 'aʻole' ae 'ia ala. He mea pono e pale kahe ana ke koko. ʻO ia lā, i ka hoʻomanawanui hiki ke hele aku i ka hale. Ma kekahi mau hihia, ka mea, ua? Aeiiaiaoaony e noho i loko o ka? Aaieou. Me kanaka akamai, e hooholo ka wā e hiki hoʻi i ka ninau ola: lawe i ka ua auanei hou ma mua Lalau ka lapaʻau like i hoakakaia, a no laila, i kekahi mau lā ma hope o ka hōʻike ua i paipai hoʻokō '...

He aha hiki e aku ma hope o ka hōʻike?

E like nānā 'o ka' inikua complications ma hope o coronary angiography mālama i loko o ka hola 2% o nā mea maʻi. hiki mehanaʻaoʻao 'ole e noʻonoʻo me ka ohane, ili poʻe noʻonoʻoʻole, haanou ana o ka maka, a me ka alelo. A pau keia mea he allergic naoh i ka Akä naÿe no nä mea. he mea loa kākaʻikahi he kŰia. Loaʻa i nā complications, hoikeia mai ma ka palapala o ka thrombosis, hematoma, poino a hiki i ka moku. A pau o keia ua eliminated i loko o ka haukapila. Mawaena o na hopena kaumaha ia mea kumukuai 'ana i kumumanaʻo ka hahauʻana a me ka naau hoouka. Eia naʻe, poe akamai i ka mea, i hookuu ole me ka ulu ana o ka huʻi ana 'ana me ka hana haʻawina ma ka alo o ka artery stenosis a me atherosclerotic kaʻina ka hoike ano pili. Mea hōʻike i ka ona hanana ua kākau i loko o kekahi o nā tausani.

Pehea ka nui o E oe uku no ke ana manaʻo?

Ma Rusia, kekahi o ka loa e like me ka lapaʻau 'ana i nā mea hana i hoʻohana ma ka cardiology hana, ka mea, ua manaoia he ipu coronary o ka naau. Kāki o ka noiʻi hilinaʻi nui ma luna o na mea he nui aʻe. Ma ka uku ua 'ole ma o ka iliwai o? Aaieou, makahiki lawelawe akamaiʻike, i ka nui o consumable mea, ke' ano o ka anesthetic, o ka pono no nā lawelawe, lōʻihi o ka noho ma ka haukapila, a no laila, ma luna o. No na kanaka a me MHI kulekele, noiʻi no ka noa. No nā kanaka, i ke kumukuai o ia ma ka laulā o ka 8000-30 000.

ma ka hopena

E like me ka poe akamai, e hana i kekahi kauka ma ka hoailona mua o ka pathology. Ua ua i ka 'eleu aku i ke kauka hiki pinepine loaʻa kaumaha, a ma kekahi mau hihia, irreversible hopena. E noke i hiki ole i ke ao e noʻonoʻo ihola ia palekana. No laila, e emi i ke kamepiula nā mea maʻi e hoolohe mai i na koi ana o kauka.