Kev pab rau koj lub plawv: Kev kho mob plawv yog dab tsi?

Koj puas tau hnov ​​txog lo lus "Interventional Cardiology"? Tej zaum koj tus kws kho mob tau hais txog qhov no, lossis tej zaum koj tab tom kawm txog nws vim koj muaj teeb meem plawv. Txawm li cas los xij, qhov no yog ib qho tseem ceeb heev ntawm kev kho mob. Cia peb tham txog nws luv luv, puas yog?

Kev Kho Mob Plawv Yog Dab Tsi? Yooj yim heev!

Hais yooj yim xwb, kev kho mob plawv yog ib txoj kev kho mob tshwj xeeb uas siv ib lub raj me me , yoog tau hu ua "catheter" los kuaj mob thiab kho cov kab mob plawv thiab cov hlab ntsha . Xav txog nws zoo li ib lub cannula me me uas peb siv thaum peb muab saline rau hauv peb txhais caj npab, tab sis lub "catheter" no yog ib lub raj me dua. Qhov no raug ntxig los ntawm ib qho ntawm koj cov hlab ntsha. Yog li ntawd, tsis tas yuav ua ib qho kev phais loj hauv daim tawv nqaij thiab ua phais. Qhov no yog qhov zoo tshaj plaws ntawm txoj kev no.

Cov kws kho mob hauv daim teb no (peb hu ua cov kws kho mob plawv) pab cov neeg uas muaj kab mob plawv ntawm cov hlab ntsha thiab cov hlab ntsha hauv lub plawv. Lawv kuj kho cov menyuam mos, cov menyuam yaus, thiab cov neeg laus uas muaj teeb meem plawv, xws li cov teeb meem ntawm lub plawv valve lossis kab mob plawv txij thaum yug los, xws li cov teeb meem ntawm lub septal.

Qhov txawv ntawm Interventional Cardiology thiab Cardiothoracic Surgery yog dab tsi?

Txawm hais tias ob qho no muaj feem cuam tshuam nrog lub plawv los xij, muaj qhov sib txawv me ntsis.

Ib tug kws kho mob plawv ua qhov kev kho mob "Minimally Invasive", uas kuv tau hais ua ntej lawm, siv "(Catheter)", yam tsis muaj qhov phais loj, los ntawm qhov me me. Qhov ntawd yog, lawv tsis ua " kev phais plawv qhib" , uas yog kev txiav loj hauv nruab nrab ntawm lub hauv siab ("Sternotomy")

Txawm li cas los xij, tus kws phais plawv thiab lub hauv siab yog ib tus neeg uas ua phais rau cov kabmob hauv siab, xws li lub plawv, lub ntsws, thiab txoj hlab pas. Lawv ua phais plawv qhib. Qee zaum lawv kuj siv ntau qhov txiav me me es tsis txhob siv ib qho txiav loj.

Qhov tseem ceeb tshaj plaws yog, feem ntau, ob tus kws tshwj xeeb no ua haujlwm ua ke los txiav txim siab seb txoj kev kho mob twg zoo tshaj plaws rau koj.

Tus kws kho mob plawv ua dab tsi tshwj xeeb?

Cov kws kho mob no tshwj xeeb hauv kev siv "(catheter)" ntawd los kuaj mob thiab kho cov kab mob ntawm lub plawv thiab cov hlab ntsha. Muaj qee txoj kev siv los nrhiav seb tus kab mob yog dab tsi, thaum lwm txoj kev siv los kho tus kab mob.

Tus kws kho mob plawv yuav kom kuaj dab tsi?

Hauv daim teb no feem ntauNws xyuas seb cov ntshav hauv koj lub cev puas ua haujlwm zoo. Nws nrhiav cov teeb meem uas cuam tshuam rau cov ntshav ntws thiab sim daws lawv. Piv txwv li, nws xyuas cov ntshav ntws thiab lub siab hauv cov hlab ntsha uas muab ntshav rau koj lub plawv ("Coronary Arteries") thiab sab hauv cov chav plawv.

Qee qhov kev ntsuam xyuas uas tau ua rau qhov no yog:

• Kev thaij duab CT ntawm cov hlab ntsha ntawm lub plawv (computed tomography (CT) ntawm Coronary Arteries).
• Ib daim echocardiogram (kev kuaj echo ua hauv lub plawv).
• MRI ntawm lub plawv.
• X-ray hauv siab .

Kev Kho Mob Plawv Yog Dab Tsi?

Qhov no yog ib txoj kev kho lub plawv siv tsuas yog '(Catheter)' xwb, yam tsis txiav daim tawv nqaij lossis phais. Piv txwv li, yog tias hloov lub plawv valve lossis kho lub plawv valve siv '(Catheter)', nws yog kev kho lub plawv uas siv tshuaj kho.

Tus kws kho mob plawv ua cov kev kho mob dab tsi?

Muaj ntau yam kev kho mob uas cov kws kho mob no ua. Tej zaum koj twb tau hnov ​​txog qee yam ntawm lawv lawm.

• Kev ntxig catheter rau hauv lub plawv: Kev kuaj lub plawv los ntawm kev ntxig ib lub catheter rau hauv.
• Kev kuaj mob Angiogram ('Angiogram' - 'Peripheral' lossis 'Coronary'): Ib qho kua tshwj xeeb raug txhaj rau hauv cov hlab ntsha thiab thaij duab X-rays kom paub qhov twg cov hlab ntsha txhaws.
• Angioplasty: Rov qhib cov hlab ntsha uas raug thaiv los ntawm kev siv lub cuab yeej me me zoo li lub npas los ua kom nws puv.
• Kev phais plawv (Coronary Atherectomy): Tshem tawm cov rog uas nyob hauv cov hlab ntsha .
• Kev ntsuas Fractional Flow Reserve (FFR): Kev ntsuas seb cov ntshav ntws ntau npaum li cas raug thaiv vim muaj kev thaiv hauv cov hlab ntsha.
• Kev Siv Ultrasound Hauv Cov Hlab Ntshav (Intravascular Ultrasound - IVUS): Ib txoj kev kho mob uas siv ib lub cuab yeej ultrasound me me ntxig rau hauv cov hlab ntsha.
• Optical Coherence Tomography (OCT): Ib txoj kev uas siv lub teeb los pom sab hauv cov hlab ntsha kom meej heev.
• Kev Tso Stent: Ib lub raj me me uas muab tso rau hauv cov hlab ntsha uas raug thaiv uas tau qhib los ntawm kev phais angioplasty kom nws tsis txhob raug thaiv dua. Qhov no feem ntau yog ua los ntawm hlau.
• Kev Hloov thiab Kho Lub Plawv Valve: Qhov no tam sim no kuj tuaj yeem ua tiav nrog catheter.
• Kev Kaw Lub Atrial Appendage Sab laug.
• Kaw lub qhov hauv phab ntsa ntawm lub atria ('Atrial Septal Defect Closure').
• Kev Tshem Tawm Cawv Septal.
• Patent Foramen Ovale Kaw.
• Kev Kho Mob Raum: Kev kho mob uas tsom mus rau cov hlab ntsha mus rau lub raum kom txo cov ntshav siab.
• Thrombolysis: Yaj cov ntshav txhaws.

Cov kev kho mob dab tsi uas cov kws kho mob plawv feem ntau ua?

Cov txheej txheem feem ntau uas cov kws kho mob no ua yog angioplasty thiab stent tso rau hauv cov hlab ntsha ntawm lub plawv. Qhov no suav nrog kev siv catheter los nrhiav qhov txhaws hauv cov hlab ntsha hauv lub plawv. Tom qab ntawd, nrog ib lub cuab yeej me me zoo li lub npas, qhov txhaws (piv txwv li, cov plaque tsim los ntawm cov roj cholesterol) raug nias rau ntawm phab ntsa ntawm cov hlab ntsha, tsim ib txoj hauv kev rau cov ntshav ntws. Tom qab ntawd, yog tias tsim nyog, ib lub raj mesh hu ua stent raug tso rau ntawd kom tiv thaiv txoj hauv kev kom tsis txhob kaw dua. Qhov no yog kev kho mob cawm txoj sia rau ib tus neeg uas tau muaj mob plawv nres.

Cov kab mob thiab tej yam mob twg siv tau los ntawm kev kho mob plawv?

Txoj kev no kho tau ntau yam kab mob uas cuam tshuam rau lub plawv thiab cov hlab ntsha. Nov yog ob peb yam piv txwv:

• Kab mob plawv
• Kab mob Atherosclerosis
• Mob plawv nres
• Kab mob Carotid Artery (qhov no yog ib txoj hlab ntsha loj hauv caj dab)
• Kab Mob Ntshav Siab
• Hypertrophic Cardiomyopathy (kev ua kom cov leeg plawv tuab zuj zus)
• Coronary Artery Fistula (Kev sib txuas tsis zoo ntawm cov hlab ntsha hauv lub plawv thiab lwm cov hlab ntsha lossis ib feem ntawm lub plawv)
• Kab mob Peripheral Artery (kev thaiv cov hlab ntsha hauv ob txhais ceg)
• Kab Mob Venous (Vein) Ntev
• Kev Mob Aortic Valve Stenosis
• Cov kab mob ntshav txhaws ('Thromboembolic Disease')
• Aneurysm
• Cov qhov hauv phab ntsa ntawm lub atria ('Atrial Septal Defect')
• Cov qhov hauv phab ntsa ntawm cov ventricles ('Ventricular Septal Defect')

Kuv puas xav tau kev xa mus ntsib kws kho mob plawv?

Yog, koj feem ntau yuav xav tau kev xa mus los ntawm lwm tus kws kho mob kom mus ntsib kws kho mob plawv. Qhov no yog vim tias cov kws tshwj xeeb no tau kawm los ua qhov kev kuaj mob lossis kev kho mob tshwj xeeb uas koj xav tau.

Cov kws kho mob plawv no ua haujlwm qhov twg?

Cov kws kho mob plawv ua haujlwm hauv tsev kho mob, chaw kho mob ntiag tug, thiab tsev kawm ntawv kho mob. Ib txhia kuj koom nrog kev tshawb fawb thiab qhia cov tub ntxhais kawm kho mob thaum muab kev kho mob.

Feem ntau, cov kws kho mob no yeej ib txwm hu xov tooj los kho mob thaum muaj xwm txheej ceev, piv txwv li, ib tus neeg uas muaj mob plawv nres.

Kev cob qhia dab tsi yuav tsum muaj rau kev kho mob plawv interventional?

Ua haujlwm hauv daim teb no yuav tsum tau kawm ntau xyoo. Tom qab kawm tiav tsev kawm ntawv kho mob (4 xyoos), cov neeg uas kawm qhov kev tshwj xeeb no yuav tsum kawm tiav peb xyoos hauv kev kho mob sab hauv, tom qab ntawd kawm ntxiv peb xyoos hauv kev kho mob plawv dav dav.

Tom qab ntawd, koj yuav tau txais tsawg kawg yog ib xyoos ntxiv ntawm kev cob qhia tshwj xeeb txog kev kho mob plawv (`Fellowship`) hauv cov txheej txheem siv "Catheter`. Tsuas yog tom qab ntawd koj thiaj li tau txais "Daim Ntawv Pov Thawj" los ntawm pawg thawj coj saib xyuas kev kho mob.

Muaj ib txhia kws kho mob plawv uas yog cov tswv cuab ntawm cov koom haum xws li Society for Cardiovascular Angiography and Interventions (SCAI) lossis yog ib tug tswv cuab tshwj xeeb (ib tug "Fellow"). Ib tug "Fellow" yog ib tug neeg uas tau ua ntau tshaj 1,000 txoj kev kho mob. Qhov no txhais tau tias koj tab tom raug kho los ntawm ib tug neeg uas tau txais kev cob qhia zoo heev.

Koj yuav tau txais dab tsi thaum lub sijhawm teem caij kho mob plawv?

Tshwj tsis yog tias nws yog qhov xwm txheej ceev, tus kws kho mob plawv yuav nrog koj tham txog koj lub plawv lossis cov teeb meem ntawm cov hlab ntsha. Lawv yuav nug koj txog koj cov tsos mob thiab koj tau muaj lawv ntev npaum li cas. Nws yog ib qho tseem ceeb uas yuav tsum nqa daim ntawv teev cov tshuaj uas koj noj (cov tshuaj uas tau sau ntawv yuav, cov tshuaj uas yuav tsis tas yuav muaj ntawv yuav tshuaj, cov vitamins, thiab txawm tias cov tshuaj ntxiv).

Tus kws kho mob yuav mloog koj lub plawv. Nws kuj yuav nug seb koj puas siv cov khoom haus luam yeeb lossis haus cawv. Nws kuj yuav nug seb puas muaj leej twg hauv koj tsev neeg tau muaj kab mob plawv lossis teeb meem ntawm cov hlab ntsha. Nws kuj tseem yuav ua cov kev kuaj yooj yim rau ntawd, xws li kuaj koj cov ntshav siab.

Yog tias koj xav tau kev kuaj mob thiab/lossis kev kho mob, koj yuav tsum teem sijhawm sib cais rau hnub ntawd. Koj tus kws kho mob yuav piav qhia txog kev kho mob uas lawv xav tias yog rau koj, nrog rau cov txiaj ntsig thiab kev pheej hmoo. Lawv kuj tseem yuav qhia koj yuav ua li cas npaj rau kev kho mob. Piv txwv li, koj yuav raug hais kom tsis txhob noj lossis haus rau yim teev ua ntej kev kuaj mob lossis kev kho mob.

Nws yog ib qho ib txwm muaj uas koj yuav ntxhov siab thiab ntxhov siab me ntsis thaum lawv qhia koj tias koj yuav phais plawv. Tab sis nco ntsoov, thaum koj muaj kev kho mob plawv, koj yuav tau txais kev saib xyuas los ntawm ib tus kws tshwj xeeb uas tau kawm tiav zoo. Lawv tuaj yeem sau cov ntaub ntawv uas lawv xav tau los kuaj mob thiab tom qab ntawd kho nws yam tsis tas yuav phais plawv qhib.

Tej yam tseem ceeb tshaj plaws uas yuav tsum nco ntsoov (Cov Lus Qhia Coj Mus Tsev)

Yog li, kev kho mob plawv yog ib qho kev kho mob siab heev thiab yooj yim rau cov neeg mob.

• Tsis txhob txiav qhov loj: Qhov zoo tshaj plaws yog tias ntau yam teeb meem ntawm lub plawv thiab cov hlab ntsha tuaj yeem kho tau los ntawm kev siv tsuas yog ib lub catheter me me xwb, yam tsis tas yuav txiav qhov loj.
• Kev Rov Zoo Sai: Vim tias tsis muaj kev phais loj, kev nyob hauv tsev kho mob luv luv, thiab koj tuaj yeem rov zoo sai thiab rov qab mus rau koj lub neej ib txwm.
• Kev Paub: Kev kho mob no yog ua los ntawm cov kws kho mob uas tau txais kev cob qhia tshwj xeeb rau lub hom phiaj no.
• Tsis txhob ntshai: Yog tias koj tau txais kev kho mob zoo li no, nrog koj tus kws kho mob tham txog nws kom meej thiab nrhiav cov ntsiab lus. Kev paub cov ntaub ntawv raug yuav pab koj zam kev ntshai tsis tsim nyog.

Yog koj muaj teeb meem plawv, tsis txhob hnov ​​qab mus ntsib kws kho mob kom tau lus qhia. Lub siab noj qab nyob zoo txhais tau tias lub neej noj qab nyob zoo!

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