Koj cov leeg ntshav caj dab puas raug thaiv? Cia peb kawm txhua yam txog (Carotid Angiography)!

Koj puas tau xav txog tias nws tseem ceeb npaum li cas rau cov ntshav ntws mus rau lub hlwb los ntawm cov hlab ntsha hauv peb lub caj dab? Qee zaum cov hlab ntsha no tuaj yeem raug thaiv. Thaum ntawd peb yuav tham txog kev kuaj tshwj xeeb uas tau ua los saib seb muaj dab tsi tshwm sim hauv cov hlab ntsha tseem ceeb hauv koj lub caj dab. Qhov no hu ua carotid angiography . Tsis txhob txhawj, peb yuav tham txog qhov no yooj yim thiab hauv txoj kev uas koj tuaj yeem nkag siab.

Yog li, carotid angiography yog dab tsi?

Hais yooj yim xwb, kev kuaj mob carotid angiography yog ib qho kev kuaj kom pom tias cov ntshav ntws li cas hauv cov hlab ntsha loj ntawm ob sab ntawm koj lub caj dab hu ua cov hlab ntsha carotid . Cov hlab ntsha no nqa cov ntshav los ntawm peb lub plawv mus rau peb lub taub hau thiab lub hlwb. Xav txog lawv ua cov hlab ntsha tseem ceeb uas coj txoj sia los rau peb lub hlwb.

Qee zaum, cov hlab ntsha no yuav txhaws nrog cov rog, zoo li txhaws hauv cov kav dej. Cov kws kho mob hu qhov no ua Kab Mob Carotid Artery . Qhov ua rau qhov no yog ib yam mob hu ua Atherosclerosis . Hauv cov xwm txheej zoo li no, kev kuaj angiography raug ua kom pom tseeb tias cov hlab ntsha txhaws ntau npaum li cas thiab qhov twg lawv txhaws. Kev kuaj no siv cov duab X-rays thiab cov kua tshwj xeeb hu ua Contrast Dye los thaij duab ntawm cov hlab ntsha. Tom qab ntawd tus kws kho mob tuaj yeem pom meej meej tias muaj dab tsi tshwm sim hauv cov hlab ntsha.

Thaum twg yuav tsum ua angiography ntawm lub carotid?

Muaj ntau qhov xwm txheej uas koj tus kws kho mob lossis tus nais maum yuav hais kom koj ua qhov kev kuaj no:

• Yog tias nws xav tias koj muaj kab mob Carotid Artery .
• Yog tias koj tau muaj mob stroke me me (lossis Transient Ischemic Attack - TIA) . Qhov no yog thaum cov ntshav ntws mus rau lub hlwb raug txo qis ib ntus, ua rau muaj cov tsos mob zoo li mob stroke (piv txwv li qaug zog tam sim ntawd ntawm ib sab ntawm lub cev, nyuaj hais lus) thiab tom qab ntawd zoo dua tom qab lub sijhawm luv luv.
• Yog koj tau muaj mob stroke .

Hauv qhov xwm txheej zoo li no, qhov kev xeem no tseem ceeb heev rau kev txiav txim siab qhov xwm txheej ntawm cov hlab ntsha hauv caj dab.

Koj puas muaj lwm yam kev xeem ua ntej qhov kev xeem no?

Yog, feem ntau yog tias tus kws kho mob xav tias koj muaj cov tsos mob ntawm tus kab mob carotid artery , lawv yuav ua qhov kev kuaj yooj yim, tsis mob hu ua carotid ultrasound . Qhov no tuaj yeem muab lub tswv yim ntxhib ntawm cov hlab ntsha. Txawm li cas los xij, yog tias cov duab ultrasound tsis meej txaus, lossis yog tias tus kws kho mob xav pom cov ntsiab lus ntxiv, ces lawv yuav xaj carotid angiography.

Leej twg ua qhov kev kuaj mob carotid angiography no?

Qhov no ua tiav lawm.Ib tug kws kho mob uas tshwj xeeb hauv kev kho mob uas siv duab los qhia. Ib tug kws kho mob hluav taws xob, kom meej meej. Nws yog tus ua txoj haujlwm nyuaj no kom muaj kev nyab xeeb thiab raug.

Carotid Angiography ua haujlwm li cas? Nws yooj yim heev!

Cia peb saib seb qhov kev xeem no ua tiav li cas:

1. Ua ntej, tus kws kho mob yuav muab ib lub raj nyias nyias uas hu ua "catheter" ntxig rau hauv cov hlab ntsha hauv koj lub qhov ncauj (lossis qee zaum koj txhais caj npab). Koj yuav tsis hnov ​​mob ntau thaum ntxig qhov no, vim tias thaj chaw ntawd yuav loog.

2. Tom qab ntawd, cov kua tshwj xeeb hu ua "Contrast Dye" raug txhaj rau hauv cov hlab ntsha los ntawm lub raj "Catheter". Cov kua no yog qhov ua rau cov hlab ntsha pom tseeb thaum saib ntawm X-rays "(X-rays).

3. Thaum kawg, cov duab X-ray raug thaij. Cov duab no yog siv los xyuas seb cov hlab ntsha puas txhaws lossis nqaim.

Qee zaum, es tsis txhob siv X-ray, yuav siv CT scan (tseem hu ua CT Carotid Angiography) lossis MRI (tseem hu ua Magnetic Resonance Angiogram - MRA) . Qhov no yog nyob ntawm koj tus kws kho mob lub siab nyiam.

Koj npaj li cas rau qhov kev xeem no?

Muaj ob peb yam uas yuav tsum tau ua ua ntej qhov kev xeem no, thiab nws yog ib qho tseem ceeb heev uas koj yuav tsum ua raws li lawv kom meej.

• Khoom Noj thiab Dej Haus: Koj tus kws kho mob yuav qhia koj tias koj yuav tsum yoo mov pes tsawg teev ua ntej kuaj mob thiab koj yuav tsum noj thiab tsis txhob noj lossis haus dab tsi. Nws yog ib qho tseem ceeb uas yuav tsum ua raws li cov lus qhia no.
• Cov Tshuaj: Koj yuav tsum qhia rau koj tus kws kho mob txog txhua yam tshuaj uas koj noj (tshwj xeeb tshaj yog cov tshuaj uas ua rau cov ntshav nyias xws li aspirin ) thiab txhua yam tshuaj ntsuab uas koj siv. Koj tus kws kho mob yuav qhia koj seb puas yuav tsum noj cov tshuaj no ua ntej kuaj.
• Cov Khoom Muaj Nqis: Tso koj cov khoom muaj nqis xws li cov hniav nyiaj hniav kub, cov nplhaib, thiab cov saw caj dab tseg hauv tsev.
• Yog koj nyob hauv tsev kho mob: Yog koj yuav tsum nyob hauv tsev kho mob ib hmos, nqa tej yam uas koj xav tau kom xis nyob (piv txwv li, ib lub tsho loj, ib khub khau khiab).
• Yog tias koj tab tom muaj kev kho mob sab nraud: Koj yuav tsum npaj kom muaj ib tus neeg tsav tsheb thauj koj mus tsev tom qab kev kuaj mob, vim tias nws yuav nyuaj rau koj tsav tsheb tom qab kev kuaj mob.

Thaum koj tuaj rau qhov kev xeem, koj yuav tsum tau tos dab tsi?

Thaum koj tuaj txog qhov kev xeem,

• Yuav muab ib lub tsho tsev kho mob rau koj hnav.
• Yog koj siv tsom iav lossis cov khoom pab hnov ​​lus, nug tus kws kho mob seb koj puas hnav tau thaum lub sijhawm kuaj.
• Tab sis cov iav sib txuas lusTsis txhob hnav nws thaum lub sijhawm kuaj.

Thaum koj xeem, koj tau txais kev paub zoo li cas?

Feem ntau, kev kuaj mob carotid angiography yuav siv sijhawm li ntawm 60 thiab 90 feeb . Thaum lub sijhawm no, tus kws kho mob thiab pab pawg kho mob yuav:

• Ib lub raj me me hu ua "catheter" raug ntxig rau hauv cov leeg ntshav hauv koj txhais caj npab thiab cov tshuaj thiab cov kua dej tsim nyog raug muab rau koj lub cev los ntawm nws. Qhov no hu ua "IV - Intravenous" .
• Yuav muab tshuaj sedative rau koj kom koj xis nyob thiab ua rau koj tsaug zog me ntsis.
• Cov ntawv me me zoo li daim nplaum (electrodes) raug txuas rau ntawm koj lub hauv siab, thiab kev ua haujlwm hluav taws xob ntawm koj lub plawv raug saib xyuas nrog lub tshuab ECG (Electrocardiogram) thoob plaws qhov kev xeem.
• Qhov chaw mos (lossis caj npab) raug tshuaj loog kom loog . Ces koj yuav tsis hnov ​​mob thaum ntxig lub catheter.
• Tom qab ntawd, ib lub catheter raug ntxig rau hauv lub raj, thiab cov kua tshwj xeeb hu ua "Contrast Dye" raug txhaj rau hauv nws kom pom cov hlab ntsha.

Qhov kev kuaj mob carotid angiography no puas mob?

Qhov kev kuaj no feem ntau tsis mob. Tib yam uas feem ntau cov neeg hnov ​​yog qhov sov me ntsis lossis tingling thaum cov kua tshwj xeeb (Contrast Dye) raug txhaj rau hauv lub cev. Tab sis qhov no ploj mus hauv ob peb feeb xwb.

Txawm li cas los xij, yog tias koj xav tias muaj dab tsi zoo li no thaum lub sijhawm kuaj , koj yuav tsum qhia rau tus kws kho mob lossis tus nais maum tam sim ntawd:

• Mob hauv siab los yog tsis xis nyob.
• Khaus tawv nqaij.
• Zoo li kuv yuav xeev siab.
• Cov tsos mob ntawm kev ua xua hnyav (piv txwv li, xav tias nruj hauv caj pas, ua pa nyuaj) - qhov no hu ua anaphylaxis .
• Txhua qhov muag tsis meej lossis hloov pauv.

Tsis txhob txhawj, pab neeg kho mob tab tom saib xyuas koj, yog li ntawd yog tias muaj qee yam zoo li ntawd tshwm sim, lawv yuav kho nws sai sai.

Thaum qhov kev xeem tas lawm, yuav muaj li cas?

Thaum qhov kev xeem tas lawm,

• Tus kws kho mob ua tib zoo tshem tawm tag nrho cov catheter uas tau ntxig rau hauv.
• Yuav nias thiab muab ib daim ntaub qhwv rau kom tsis txhob los ntshav ntawm qhov chaw uas muab lub raj tso rau.
• Koj lub plawv dhia thiab ntshav siab raug kuaj xyuas.
• Lawv yuav coj koj mus rau ib chav sib cais kom koj so tau ob peb teev. Thaum lub sijhawm no, koj yuav tsum tau pw hauv txaj ib pliag.

Tom qab kuaj tas, koj tus kws kho mob yuav qhia koj kom haus dej thiab kua ntau ntau kom pab cov xim sib piv tawm hauv koj lub cev sai sai. Tej zaum koj kuj yuav tsum tso zis ntau dua li niaj zaus. Ua raws li koj tus kws kho mob cov lus qhia kom zoo txog yuav ua li cas thiab thaum twg sawv thiab pib txav mus los.

Cov txiaj ntsig ntawm kev kuaj mob carotid angiography qhia tau li cas?

Koj tus kws kho mob tuaj yeem kawm tau ntau cov ntaub ntawv tseem ceeb los ntawm cov txiaj ntsig ntawm qhov kev xeem no.

• Puas muaj kev thaiv lossis nqaim ntawm cov hlab ntsha carotid hauv koj lub caj dab?
• Yog koj muaj qhov txhaws zoo li no, nws tuaj yeem pab koj ntsuam xyuas koj qhov kev pheej hmoo ntawm kev muaj mob stroke .
• Raws li cov txiaj ntsig no, cov kws kho mob yuav txiav txim siab seb koj xav tau hom kev kho mob dab tsi mus tom ntej, lossis koj yuav tsum hloov pauv koj txoj kev ua neej li cas .

Yuav siv sijhawm ntev npaum li cas thiaj paub cov txiaj ntsig?

Cov duab thaij thaum lub sijhawm kuaj mob yuav raug kuaj los ntawm tus kws kho mob hluav taws xob . Nws siv cov duab no los nrhiav seb tus kab mob yog dab tsi thiab npaj ib daim ntawv qhia txog nws. Tom qab ntawd daim ntawv qhia yuav raug xa mus rau tus kws kho mob uas kho koj. Thaum koj tus kws kho mob tau txais daim ntawv qhia, nws yuav hu rau koj thiab piav qhia txog cov txiaj ntsig thiab yuav ua li cas tom ntej.

Thaum twg kuv yuav tsum hu rau kws kho mob tom qab kuaj tas?

Tom qab koj mus tsev tom qab kuaj tas, hu rau koj tus kws kho mob tam sim ntawd yog tias koj muaj ib qho ntawm cov hauv qab no:

• Yog tias koj muaj cov tsos mob ntawm kev ua xua rau cov xim sib piv (piv txwv li, tawv nqaij liab, o, khaus, ua pa nyuaj).
• Yog tias koj tsis xis nyob , yog tias koj kub taub hau.
• Yog tias thaj chaw uas lub raj tau ntxig rau hauv nws o, liab, lossis mob, lossis yog tias muaj kev los ntshav tas li ntawm qhov ntawd.

Tej yam zoo li no feem ntau tsis tshwm sim, tab sis yog tias lawv tshwm sim, nws yog qhov zoo tshaj plaws los qhia rau tus kws kho mob sai li sai tau.

Cov kws kho mob kho cov kab mob Carotid Artery li cas?

Yog tias carotid angiography pom tias cov hlab ntsha hauv koj lub caj dab raug thaiv lossis nqaim, koj tus kws kho mob yuav qhia cov kev kho mob hauv qab no:

• Carotid Endarterectomy: Qhov no yog ib txoj kev phais uas qhib cov hlab ntsha uas raug thaiv thiab tshem tawm cov rog hauv.
• Carotid Stenting: Qhov no suav nrog kev muab ib lub cuab yeej me me zoo li lub mesh (Stent) tso rau hauv cov hlab ntsha uas raug thaiv kom nthuav cov hlab ntsha. Qhov no kuj ua tiav los ntawm kev siv catheter, zoo ib yam li angiography.
• Tshuaj: Tej zaum yuav muaj tshuaj xws li cov tshuaj ua kom cov ntshav nyias thiab cov tshuaj txo cov roj cholesterol.

Ntxiv rau qhov ntawd, tus kws kho mob kuj qhia koj kom hloov pauv koj txoj kev ua neej, xws li tso kev haus luam yeeb, noj zaub mov zoo, thiab tawm dag zog.

Thaum kawg, nco ntsoov (Cov Lus Coj Mus Tsev)

Zoo, yog li kuv vam tias koj tam sim no muaj lub tswv yim zoo txog qhov kev xeem hu ua Carotid Angiography uas peb tau tham txog hnub no.

Qhov no yog ua los txiav txim seb puas muaj kev thaiv lossis nqaim hauv cov hlab ntsha tseem ceeb hauv koj lub caj dab.Vim yog muaj cov kev thaiv zoo li no ua rau muaj cov mob txaus ntshai xws li mob stroke.

Tsis txhob ntshai xav txog qhov kev kuaj no. Nws yog ua los pab koj, kom nkag siab txog koj tus mob kom meej, thiab kom pib kho sai li sai tau yog tias tsim nyog. Yog tias koj muaj lus nug ntxiv txog qhov no, tsis txhob ntshai nug koj tus kws kho mob. Nws yuav piav qhia txhua yam rau koj kom meej ntxiv. Nyob kom noj qab nyob zoo!

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