Muaj dab tsi tshwm sim hauv koj cov hlab ntsha? Cia peb kawm txog Intravascular Ultrasound hauv txoj kev yooj yim!

Tam sim no saib seb, cov hlab ntsha hauv peb lub cev zoo li txoj kev. Cov ntshav ncig raws cov kev no, coj txoj sia mus rau txhua qhov ntawm peb lub cev. Txawm li cas los xij, qee zaum cov kev no tuaj yeem muaj teeb meem me me. Qee qhov chaw tuaj yeem raug thaiv lossis nqaim. Yav dhau los, nws nyuaj me ntsis los saib xyuas cov no. Tab sis tam sim no, nrog kev nce qib ntawm kev kho mob, peb muaj cov txheej txheem uas tuaj yeem pom sab hauv cov hlab ntsha no. Ib txoj kev zoo kawg nkaus no hu ua '(Intravascular Ultrasound)'. Cia peb tham txog qhov no hnub no yooj yim, hauv txoj kev uas koj tuaj yeem nkag siab.

Qhov no yog dab tsi tiag (Intravascular Ultrasound)?

Hais yooj yim xwb, qhov '(Intravascular Ultrasound)' no zoo li lub koob yees duab me me uas tuaj yeem ntxig rau hauv peb cov hlab ntsha. Tab sis qhov no siv cov suab nthwv dej, tsis yog lub koob yees duab. Yog lawm, koj hnov ​​​​​​yog lawm! Cov suab nthwv dej yog siv los kom tau txais cov duab meej ntawm cov phab ntsa sab hauv ntawm cov hlab ntsha thiab cov nqaij mos mos nyob ntawd. Xav txog seb nws yuav muaj nqis npaum li cas yog tias muaj peev xwm ntxig ib lub cuab yeej me me thiab pom dab tsi tshwm sim sab hauv tam sim ntawd, yam tsis tas yuav phais loj.

Txoj kev no yog siv tshwj xeeb los kuaj xyuas cov hlab ntsha uas nyob ib puag ncig lub plawv, uas yog cov hlab ntsha ntawm lub plawv . Vim tias cov no yog cov hlab ntsha tseem ceeb uas muab ntshav rau lub plawv. Txawm li cas los xij, qhov no tsis txwv rau lub plawv xwb. Txoj kev no (IVUS) kuj tseem siv tau los kuaj xyuas lwm cov hlab ntsha hauv lub cev.

Nws raug hu ua lwm lub npe, thiab koj tus kws kho mob kuj tseem yuav hu nws ua ib qho ntawm cov no:

• Kev kuaj mob ultrasound hauv lub plawv
• Kev kuaj mob ultrasound ntawm lub plawv
• Kev kuaj mob echocardiography hauv cov hlab ntsha

Txawm lub npe hu li cas los xij, nws ua tib yam - saib sab hauv cov hlab ntsha zoo.

Qhov no (IVUS) ua haujlwm li cas? Nws zoo kawg nkaus, puas yog?

Tam sim no tej zaum koj yuav xav paub, qhov me me no mus rau hauv cov hlab ntsha li cas thiab pom txhua yam no? Qhov no yog ib qho thev naus laus zis yooj yim heev thiab siab heev.

Hauv qhov kev kuaj '(IVUS)' no, cov kws kho mob siv ib lub raj nyias nyias thiab yoog tau . Qhov no hu ua '(catheter).' Ntawm ib kawg ntawm '(catheter)' no muaj ib lub 'ultrasound probe' me me txuas nrog. Nws zoo li lub taub hau ntawm lub tshuab luam theej me me.

Tom qab ntawd, tus kws kho mob yuav ua ib qho kev txiav me me rau hauv koj daim tawv nqaij. Qhov no feem ntau ua rau ntawm qhov chaw mos . Los ntawm qhov ntawd, lub catheter maj mam muab tso rau hauv cov hlab ntsha. Tom qab ntawd nws raug coj mus rau cov hlab ntsha uas koj xav kuaj xyuas.

Thaum mus txog qhov ntawd lawm, lub tshuab ultrasound hauv lub catheter yuav tso tawm cov suab nrov siab heev. Cov suab nrov no tawm ntawm phab ntsa ntawm cov hlab ntsha thiab rov qab los, zoo li cov suab rov qab los. Cov suab nrov rov qab los raug tshuaj xyuas los ntawm lub computer thiab hloov mus ua cov duab tiag tiag. Xav txog saib ib zaj yeeb yaj kiab 3D hauv cov hlab ntsha! Qhov no tso cai rau cov kws kho mob pom tsis yog sab hauv ntawm cov hlab ntsha xwb, tab sis kuj pom qhov tuab ntawm nws cov phab ntsa thiab seb puas muaj cov av nplaum.

Cov txiaj ntsig ntawm kev kuaj IVUS rau koj yog dab tsi?

Qhov no tsis yog ib qho kev sim xwb. Nws yog ib yam dab tsi uas tuaj yeem ntxiv ntau yam nqi rau koj lub neej. Qhov kev sim "(IVUS)" no yog ib qho kev pab zoo heev, tshwj xeeb tshaj yog tias cov kws kho mob xav tias koj cov hlab ntsha nqaim lossis raug thaiv .

Qhov kev kuaj no tuaj yeem pab tswj qee yam mob uas ua rau tuag taus , xws li:

• Mob plawv nres: Qhov no tshwm sim thaum cov hlab ntsha uas nqa ntshav mus rau lub plawv raug thaiv. IVUS tuaj yeem qhia tau tias qhov kev thaiv hnyav npaum li cas.
• Pulmonary embolism: Ib qho ntshav txhaws hauv cov hlab ntsha ntawm lub ntsws.
• Mob stroke: Tej zaum yuav yog vim muaj teeb meem nrog cov hlab ntsha uas muab ntshav mus rau lub hlwb.

Ntxiv rau qhov ntawd, kev kuaj IVUS kuj pab cov kws kho mob:

• Soj ntsuam seb cov plaque buildup hnyav npaum li cas, uas yog cov rog uas sib sau ua ke hauv cov hlab ntsha. Qhov no yog yam uas cov kws kho mob hu ua atherosclerosis. Nws kuj tseem saib seb cov hlab ntsha yuav raug thaiv npaum li cas.
• Qhov no yuav pab koj txiav txim siab seb koj puas xav tau kev kho mob ntxiv, xws li phais plawv bypass .
• Npaj thiab xa kev kho mob kom raug. Qee zaum, yog tias cov hlab ntsha raug thaiv, yuav tsum tau muab ib lub cuab yeej me me zoo li lub mesh hu ua stent tso rau hauv kom nws qhib. IVUS pab kom ntseeg tau tias lub stent tau muab tso rau qhov raug, nws yuav tsum loj npaum li cas, thiab nws yuav tsum tau muab tso rau qhov twg.

Xav txog seb, qhov no zoo li nrhiav tau ib qho chaw uas muaj teeb meem ntawm txoj kev, paub tseeb tias nws loj npaum li cas, thiab yuav tsum ua li cas txog nws.

Kuv yuav paub li cas tias qhov no (IVUS) puas haum rau kuv?

Tsis yog txhua tus neeg xav tau qhov kev kuaj no. Koj tus kws kho mob yuav txiav txim siab seb koj puas xav tau. Txawm li cas los xij, yog tias koj muaj ib qho ntawm cov tsos mob hauv qab no, lossis muaj feem yuav mob cov mob no, koj tus kws kho mob yuav pom zoo kom kuaj IVUS:

• Aortic aneurysm: Kev qaug zog thiab o ntawm phab ntsa ntawm cov hlab ntsha loj tshaj plaws hauv lub cev.
• Cov ntshav txhaws: Cov ntshav txhaws tsim nyob rau hauv cov hlab ntsha.
• Kab mob ntawm cov hlab ntsha carotid:Cov rog nyob rau hauv cov hlab ntsha tseem ceeb hauv caj dab uas nqa ntshav mus rau lub hlwb.
• Kab mob ntawm cov hlab ntsha hauv lub plawv (Coronary artery): Kev nqaim lossis thaiv cov hlab ntsha uas xa ntshav mus rau lub plawv.
• Kab mob ntshav txhaws tob (DVT): Cov ntshav txhaws hauv cov leeg ntshav tob, tshwj xeeb tshaj yog nyob rau hauv ob txhais ceg.
• Kab mob ntawm cov hlab ntsha ntawm sab caj npab thiab tshwj xeeb tshaj yog cov ceg nqaim.
• Kab mob ntsws stenosis: Kab mob ntsws uas nqa ntshav mus rau lub ntsws nqaim los ntawm yug los lossis tau txais.

Yog koj muaj cov mob no, IVUS tuaj yeem pab tau zoo heev rau kev kuaj mob thiab npaj kev kho mob kom raug.

Qhov txawv ntawm IVUS thiab Angiography yog dab tsi?

Tej zaum koj kuj tau hnov ​​txog kev kuaj mob hu ua "Angiography." Nws kuj thaij duab sab hauv ntawm cov hlab ntsha. Tab sis muaj qee qhov sib txawv ntawm ob qho no.

• Angiography: Qhov no siv cov duab X-rays . Nws tsim cov duab ntxoov ntxoo ob-seem ntawm cov hlab ntsha. Nws zoo li saib sab nraud ntawm cov hlab ntsha thiab tau txais lub tswv yim ntxhib ntawm nws zoo li cas.
• (IVUS): Raws li tau hais ua ntej lawm, qhov no siv cov suab nthwv dej . Qhov no tsim cov duab hla-seem. Ib yam li thaum koj txiav ib lub ncuav mog ua tej daim, koj tuaj yeem pom meej meej cov txheej sab hauv ntawm cov hlab ntsha, qhov tuab ntawm phab ntsa, thiab txoj kev uas cov rog tau tso rau hauv.

Tsuas yog hais tias, thaum angiography muab ib yam dab tsi zoo li "daim ntawv qhia" ntawm cov hlab ntsha, IVUS muab cov ntaub ntawv qhia txog sab hauv ntawm cov hlab ntsha ntawm "daim ntawv qhia" ntawd thiab lawv qhov mob.

Kev kuaj (IVUS) ua li cas?

Txoj kev ua qhov no yuav txawv me ntsis, nyob ntawm seb cov hlab ntsha twg raug kuaj.

• Yog tias koj tab tom kuaj xyuas cov hlab ntsha hauv lub plawv: Qhov kev kuaj IVUS no feem ntau ua ke nrog lwm qhov kev kuaj hu ua cardiac catheterization . Qhov kev kuaj mob plawv no kuaj xyuas tej yam xws li kev ua haujlwm ntawm lub plawv thiab ntshav siab. Yog li, los ntawm kev ua ob qho kev kuaj tib lub sijhawm, cov kws kho mob tuaj yeem tau txais cov ntaub ntawv ntxiv txog kev noj qab haus huv ntawm lub plawv ib zaug.
• Yog tias muaj lwm cov hlab ntsha uas tsis muaj feem cuam tshuam nrog lub plawv raug kuaj xyuas: piv txwv li, txhawm rau kuaj xyuas cov ntshav txhaws hauv cov leeg ntawm ob txhais ceg, lossis txhawm rau kuaj xyuas PAD hauv cov hlab ntsha ntawm ob txhais ceg, qhov kev kuaj IVUS yog ua ib leeg xwb, uas yog, ua ib qho txheej txheem uas sawv cev rau ib leeg.

Leej twg yog tus ua qhov kev kuaj no (IVUS)?

Qhov no tsis yog kev kuaj mob uas ib tug kws kho mob feem ntau ua. Nws yog ua los ntawm cov neeg uas tau txais kev cob qhia tshwj xeeb rau lub hom phiaj no.

• Kws Kho Mob Plawv: Cov no yog cov neeg uas kho cov teeb meem ntsig txog cov hlab ntsha ntawm lub plawv siv cov khoom siv xws li catheters.
• Kws phais mob hlab ntsha: Cov no yog cov neeg uas ua phais thiab lwm yam kev kho mob rau cov kab mob ntsig txog cov hlab ntsha thiab cov leeg ntshav hauv ntau qhov ntawm lub cev.

Nov yog hom kws tshwj xeeb uas yuav ua qhov kev kuaj IVUS rau koj.

Thaum lub sijhawm kuaj IVUS, muaj dab tsi tshwm sim? Tsis muaj dab tsi yuav tsum txhawj txog!

Tej zaum ib txhia neeg yuav ntshai me ntsis thaum lawv hais txog kev kuaj mob zoo li no. Tiam sis yeej tsis muaj dab tsi yuav ntshai. Cov kws kho mob yuav ua txhua yam uas lawv ua tau kom koj xis nyob. Nov yog qhov uas feem ntau tshwm sim:

1. Koj yuav raug yuam kom pw rau ntawm lub rooj kuaj mob.

2. Ces koj yuav tau txais tshuaj loog kom pab koj so thiab ua kom koj lub siab tus. Qhov no yuav ua rau koj tsaug zog. Tej zaum koj tseem sawv, tab sis koj yuav tsis hnov ​​​​​​mob lossis mob dab tsi.

3. Tom ntej no, daim tawv nqaij nyob ib puag ncig qhov chaw ntxig catheter, uas yog, qhov chaw txiav, yuav tsum tau ntxuav kom huv si.

4. Tom qab ntawd, yuav muab tshuaj loog txhaj rau hauv thaj chaw ntawd kom nws tsis hnov ​​mob. Yog li ntawd koj yuav tsis hnov ​​mob thaum koj txiav lossis muab lub catheter ntxig rau hauv.

5. Tom qab ntawd, tus kws tshwj xeeb yuav ntxig ib lub hnab yas nyias nyias los ntawm qhov kev phais. Qhov no yuav tsim ib txoj kev rau lub catheter IVUS kom yooj yim ntxig rau hauv cov leeg ntshav.

6. Thaum lub catheter nyob rau qhov chaw tseeb uas yuav kuaj xyuas, lub tshuab ultrasound pib thaij duab.

7. Thaum qhov kev kuaj tiav lawm, tus kws kho mob yuav maj mam tshem lub catheter thiab lub sheath.

8. Feem ntau, qhov kev phais me me no tsis tas yuav xaws.

9. Thaum kawg, ib daim ntaub phais mob raug siv rau thaj chaw ntawd kom tiv thaiv kev kis kab mob.

Saib seb, qhov no tsis yog ib qho teeb meem loj li koj xav. Koj so tau.

Kuv yuav tau txais cov txiaj ntsig ntawm kev kuaj (IVUS) sai npaum li cas?

Lwm yam zoo txog qhov no yog tias cov txiaj ntsig tau muaj tam sim ntawd . Tus kws kho mob tuaj yeem pom cov hlab ntsha zoo li cas thaum thaij duab ultrasound.

Txawm li cas los xij, feem ntau tus kws kho mob tsuas yog tham nrog koj txog cov txiaj ntsig tom qab kev kuaj tiav lawm. Tej zaum koj tuaj yeem tham txog qhov no thaum koj nyob hauv chav kho mob, tom qab cov tshuaj loog uas koj tau muab rau koj ploj mus me ntsis.

Tom qab kuaj IVUS tas, yuav siv sijhawm ntev npaum li cas thiaj rov zoo?

Qhov no kuj nyob ntawm seb koj tau kuaj IVUS li cas.

• Yog tias nws yog kev kuaj IVUS uas yog ib qho kev kuaj ib leeg xwb (uas yog, yog tias kuaj cov hlab ntsha uas tsis yog lub plawv), koj yuav muaj peev xwm mus tsev tau tib hnub ntawd .
• Yog tias koj muaj kev kuaj mob ultrasound hauv lub plawv (uas yog, ib qho ua ke nrog kev siv catheterization hauv lub plawv), koj yuav tsum tau nyob hauv tsev kho mob ib hmos ib hmos kom saib xyuas koj tus mob.

Txawm li cas los xij, koj tus kws kho mob yuav piav qhia qhov no rau koj ua ntej.

Cov txiaj ntsig ntawm kev kuaj IVUS yog dab tsi?

Qhov kev kuaj "(IVUS)" no muaj ntau yam txiaj ntsig rau cov neeg mob thiab cov kws kho mob. Qhov zoo tshaj plaws yog tias nws tuaj yeem txheeb xyuas qhov nqaim thiab thaiv cov hlab ntsha ua ntej.

Tsis tas li ntawd xwb, muaj lwm yam zoo:

• Qib siab ntawm qhov tseeb: Cov duab tau los ntawm qhov no pom tseeb heev. Yog li ntawd, cov teeb meem sab hauv cov hlab ntsha tuaj yeem txheeb xyuas tau meej heev.
• Tsis muaj kev raug hluav taws xob: Vim tias qhov kev kuaj no tsis siv X-rays, tsis tas yuav txhawj txog kev puas tsuaj los ntawm hluav taws xob.
• Cov txiaj ntsig sai thiab kev rov zoo: Cov txiaj ntsig tau txais sai, thiab kev rov zoo tom qab kev xeem tsis siv sijhawm ntev.

Puas muaj kev pheej hmoo rau qhov kev xeem no?

Ib yam li lwm yam kev kho mob, muaj qee qhov kev pheej hmoo me me uas cuam tshuam nrog qhov kev kuaj no (IVUS). Txawm li cas los xij, cov no feem ntau yog me me, thiab cov kev pheej hmoo loj tsis tshua muaj.

• Lub plawv dhia tsis xwm yeem (Arrhythmia): Qhov no feem ntau tshwm sim rau cov neeg mob uas tab tom siv IVUS (Intravascular Ultrasound). Txawm li cas los xij, qhov no feem ntau yog ib ntus xwb.
• Cov ntshav txhaws: Cov ntshav txhaws tuaj yeem tsim tau ntawm qhov chaw ntawm lub catheter lossis sab hauv cov hlab ntsha.
• Kev kis kab mob ntawm qhov chaw txiav: Qhov no yog vim li cas nws thiaj li tseem ceeb kom nws huv si thiab siv daim ntaub qhwv.
• Kev tawg lossis kev puas tsuaj rau cov hlab ntsha: Qhov no kuj tsis tshua muaj. Cov kws kho mob ceev faj heev txog qhov no.

Koj tus kws kho mob yuav tham txog cov kev pheej hmoo no nrog koj ua ntej kuaj. Tej lus nug lossis kev txhawj xeeb uas koj muaj yuav teb tau rau lub sijhawm ntawd.

Yog li ntawd, hauv kev xaus lus, ntawm no yog qee yam uas yuav tsum nco ntsoov (Cov Lus Coj Mus Tsev):

Zoo, yog li tam sim no koj muaj lub tswv yim zoo txog yam peb tau tham txog, Intravascular Ultrasound lossis IVUS. Thaum kawg, nco ntsoov cov ntsiab lus no:

Kev siv tshuab ultrasound hauv cov hlab ntsha (IVUS) yog ib txoj kev siv tshuab siab heev uas siv cov suab nthwv dej los tshuaj xyuas sab hauv ntawm koj cov hlab ntsha kom meej.

Yog koj xav tias koj cov hlab ntsha nqaim lossis raug thaiv, lossis yog koj muaj feem yuav muaj cov kab mob zoo li no, qhov kev kuaj no yuav pab tau koj heev.

Qhov no tso cai rau cov kws kho mob txheeb xyuas qhov teeb meem ntawm koj cov hlab ntsha, txiav txim siab seb lawv loj npaum li cas, thiab npaj kev kho mob zoo tshaj plaws rau koj.

Qhov no kuj tseem tuaj yeem txo qhov kev pheej hmoo ntawm cov teeb meem uas yuav ua rau tuag taus.

Qhov tseem ceeb tshaj plaws yog tham nrog koj tus kws kho mob txog seb qhov kev kuaj no puas yog rau koj.Nws yuav muab cov lus qhia zoo tshaj plaws rau koj raws li koj qhov xwm txheej. Mloog txhua yam yam tsis ntshai lossis ua xyem xyav. Koj txoj kev noj qab haus huv yog qhov tseem ceeb!

kev siv tshuab ultrasound hauv cov hlab ntsha, IVUS, kev siv tshuab thaij duab rau cov hlab ntsha, kab mob ntawm cov hlab ntsha hauv lub plawv, kev siv tshuab catheter, kev noj qab haus huv ntawm lub plawv, kev tsim cov plaque