Koj tus kws kho mob puas tau hais rau koj tias koj yuav tsum tau kuaj angiogram? Tej zaum koj yuav ntshai thiab ntxhov siab me ntsis thaum koj hnov lub npe no. "Qhov no yog dab tsi? Puas yog phais loj? Puas yuav mob?" Tej zaum yuav muaj ntau lo lus nug los rau hauv siab. Tab sis qhov no tsis yog ib yam dab tsi uas yuav tsum ntshai. Hnub no, peb yuav tham txog qhov no yooj yim heev, hauv txoj kev uas koj nkag siab tau.
Angiogram yog dab tsi tiag?
Hais yooj yim xwb, daim duab angiogram yog daim duab X-ray tshwj xeeb ntawm koj cov hlab ntsha ( arteries ) . Ib yam li saib cov tsheb tsav ntawm txoj kev, nws tso cai rau cov kws kho mob pom tias cov ntshav ntws li cas hauv koj lub cev. Qhov tseem ceeb, nws tuaj yeem pab txiav txim siab seb cov hlab ntsha puas raug thaiv, nqaim, lossis muaj lwm yam teeb meem.
Xav txog qhov no zoo li kev kuaj xyuas seb puas muaj 'kev sib tsoo' qhov twg hauv cov hlab ntsha tseem ceeb (cov hlab ntsha) uas nqa ntshav mus rau koj lub plawv, lub hlwb, thiab ob txhais ceg. Qhov kev kuaj no tuaj yeem pab koj tus kws kho mob kuaj mob thiab npaj kev kho mob rau cov mob xws li:
- Kab mob plawv (Coronary artery disease): Qhov no yog kev txhaws lossis nqaim ntawm cov hlab ntsha uas muab ntshav mus rau lub plawv.
- Kab mob ntawm cov hlab ntsha sab nraud: Kev txhaws hauv cov hlab ntsha uas nqa ntshav, tshwj xeeb tshaj yog rau ob txhais ceg.
- Cov ntshav txhaws: Cov ntshav txhaws tsim nyob rau hauv cov hlab ntsha.
- Aneurysm: Kev qaug zog ntawm phab ntsa ntawm cov hlab ntsha, ua rau nws o zoo li lub npas.
Koj npaj li cas rau angiogram?
Koj muaj me ntsis kev npaj ua ntej qhov kev xeem no. Nws yog ib qho tseem ceeb heev uas yuav tsum ua raws li cov no kom meej.
| Cov kauj ruam npaj | Kev piav qhia thiab tej yam yuav tsum nco ntsoov |
|---|---|
| Tham nrog kws kho mob txog tshuaj | Qhia rau koj tus kws kho mob txog txhua yam tshuaj uas koj noj, tshwj xeeb yog cov tshuaj ua kom ntshav nyias (piv txwv li, clopidogrel, warfarin ). Koj tus kws kho mob yuav qhia koj tias koj yuav tsum tsis txhob noj pes tsawg hnub ua ntej qhov kev kuaj mob. Tsis txhob tsum tsis txhob noj tshuaj yam tsis tau nug koj tus kws kho mob ua ntej. |
| Yog koj muaj mob ntshav qab zib | Yog koj muaj ntshav qab zib, nug koj tus kws kho mob seb yuav siv insulin lossis tshuaj kho ntshav qab zib li cas. |
| Kev yoo mov | Tsis txhob noj lossis haus dab tsi tom qab ib tag hmo hmo ua ntej hnub kuaj. Thaum sawv ntxov ntawm hnub kuaj, koj tsuas yog yuav raug tso cai haus dej xwb. Nug txog qhov ntawd kom zoo zoo. |
| Nyob rau hnub ntawm qhov kev xeem | - Tso koj cov khoom muaj nqis, xws li cov hniav nyiaj hniav kub thiab nyiaj, tseg hauv tsev. - Npaj ua ntej kom muaj ib tug neeg coj koj rov qab mus tsev. - Nqa ib daim ntawv teev cov tshuaj uas koj noj thiab ib daim ntawv qhia txog tej yam koj ua xua. |
Muaj dab tsi tshwm sim thaum lub sijhawm angiogram?
Txoj kev ua qhov no yooj yim heev. Koj tsis tas txhawj dab tsi li.
1. Tshuaj loog: Ua ntej, koj yuav tau txais tshuaj kom koj so thiab ua kom koj lub siab tus. Qee zaum, koj yuav raug muab tso pw tsaug zog tag nrho. Yog li koj yuav tsis hnov mob dab tsi.
2. Ua kom loog rau thaj chaw ntawd: Ua ntej, tus kws kho mob yuav ua kom daim tawv nqaij ntawm koj lub qhov ncauj lossis dab teg loog kom koj tsis txhob hnov mob.
3. Kev ntxig catheter: Tom ntej no, yuav muab ib lub raj nyias nyias, ntev zoo li lub raj (qhov no hu ua catheter) ntxig rau hauv cov hlab ntsha los ntawm qhov kev txiav. Tej zaum koj yuav hnov me ntsis ntswj thaum ntxig, tab sis nws yuav tsum tsis txhob mob.
4. Kev Txhaj Tshuaj Xim Sib Txawv: Los ntawm lub catheter no, ib qho xim tshwj xeeb raug txhaj rau hauv cov hlab ntsha uas yuav tsum tau kuaj xyuas. Thaum txhaj tshuaj no tiav, koj yuav hnov qhov mob me ntsis lossis xav tias yuav tsum tau tso zis ob peb feeb. Qhov no yog qhov ib txwm muaj, tsis txhob txhawj.
5. Thaij duab X-ray: Tom qab muab lub catheter ntxig rau hauv lub cev lawm, yuav siv lub tshuab X-ray thaij duab. Lub catheter no ua rau tus kws kho mob pom tseeb tias cov ntshav ntws hauv cov hlab ntsha thiab tej yam uas thaiv hauv TV.
Tag nrho cov txheej txheem feem ntau yuav siv sijhawm txij li 15 feeb mus txog ob peb teev, nyob ntawm koj tus mob thiab seb koj puas xav tau kev kho mob ntawm qhov chaw, yog tias tsim nyog.
Yog tias muaj qhov txhaws, koj puas yuav kho nws tam sim ntawd?
Yog, qee zaum lawv ua li ntawd. Yog tias tus kws kho mob pom muaj kev txhaws hauv cov hlab ntsha thaum lub sijhawm angiogram, lawv tuaj yeem kho nws tam sim ntawd.
- Angioplasty: Qhov no suav nrog kev ntxig ib lub npas me me rau hauv cov hlab ntsha uas raug thaiv thiab ua kom nws nthuav dav.
- Kev tso stent: Tom qab angioplasty, ib lub raj me me zoo li mesh (stent) raug muab tso rau hauv cov hlab ntsha dav kom nws tsis txhob raug thaiv dua.
Rau qee qhov kev txhaws hnyav, tus kws kho mob kuj tseem yuav pom zoo kom phais bypass rau ib hnub sib cais.
Tom qab kuaj tas thiab thaum twg kuv mus tsev lawm, kuv yuav tsum ua li cas?
Thaum qhov kev kuaj tiav lawm, yuav muab ib daim ntaub qhwv rau saum qhov chaw ntxig catheter thiab nias li 15 feeb kom tsis txhob los ntshav.
- So: Yog tias lub catheter raug ntxig los ntawm koj ceg, koj yuav raug hais kom pw hauv txaj li 4-6 teev.
- Mus tsev: Koj tuaj yeem mus tsev tib hnub ntawd los yog hnub tom qab. Txawm li cas los xij, vim koj tau txais tshuaj, koj tsis tuaj yeem tsav tsheb . Koj yuav tsum muaj ib tus neeg tsav koj mus tsev.
- Nyob hauv tsev: Tsis txhob tsa lossis khoov cov khoom hnyav rau ob hnub tom qab koj mus tsev. Zoo tshaj yog muaj ib tug neeg nrog koj nyob hmo thawj.
- Haus dej: Haus dej ntau kom ntxuav cov xim pleev rau koj lub cev sai sai.
- Cov Neeg Mob Ntshav Qab Zib: Yog tias koj noj tshuaj 'Metformin' rau ntshav qab zib, tus kws kho mob yuav qhia koj kom tsis txhob noj nws li 48 teev tom qab kuaj.
Puas muaj tej yam txaus ntshai hauv qhov no?
Kev kuaj mob angiogram yog ib txoj kev kho mob uas tsis muaj kev pheej hmoo ntau . Tej yam teeb meem tshwm sim tsawg dua 1% ntawm cov neeg mob. Txawm li cas los xij, ib yam li lwm txoj kev kho mob, muaj qee qhov kev pheej hmoo me me.
| Tej yam teeb meem uas yuav tshwm sim | Kev piav qhia |
|---|---|
| Cov qhov txhab | Qhov no yog ib qho tshwm sim ntau zaus thiab yuav daws tau nws tus kheej hauv 1-3 lub lis piam. |
| Kev los ntshav/kev kis kab mob | Tej zaum yuav muaj qee qhov los ntshav me me lossis muaj kab mob ntawm qhov chaw ntxig catheter. |
| Kev ua xua rau cov xim | Tsis tshua muaj neeg yuav ua xua rau hom xim no. |
| Cov nyhuv rau ntawm lub raum | Tsis tshua muaj, cov xim no tuaj yeem cuam tshuam rau lub raum, tshwj xeeb tshaj yog rau cov neeg uas muaj kab mob raum uas twb muaj lawm. |
| Lwm yam kev pheej hmoo loj | Qhov kev pheej hmoo ntawm kev muaj mob plawv nres lossis mob hlwb (stroke) yog qis heev. |
Yog koj muaj cov tsos mob no, hu rau koj tus kws kho mob tam sim ntawd.
Tom qab koj rov qab los tsev, yog tias koj muaj ib qho ntawm cov tsos mob hauv qab no, tsis txhob ncua sijhawm thiab hu rau koj tus kws kho mob lossis mus rau chav kho mob ceev (ETU) ze tshaj plaws.
- Yog tias muaj ntshav los ntawm qhov chaw ntxig catheter.
- Yog tias thaj chaw ntawd o, mob, lossis zoo li pob .
- Yog tias koj hnov mob tingling, tsis muaj zog, lossis sov heev ntawm caj npab lossis ceg qhov chaw uas tau ntxig lub catheter.
- Yog koj kub taub hau .
- Yog koj pom tias nws nyuaj rau hais lus lossis luag nyav .
- Yog koj muaj mob uas tsis ploj mus txawm tias tom qab noj tshuaj lawm los xij.
Cov Lus Qhia Txog Kev Coj Mus Tsev
- Ib daim angiogram yog ib qho kev kuaj X-ray tshwj xeeb , uas tsis muaj kev pheej hmoo ntau uas kuaj xyuas seb koj cov hlab ntsha zoo li cas.
- Qhov no tsis yog phais loj. Koj yuav tsis hnov mob ntau.
- Ua raws li tus kws kho mob cov lus qhia ua tib zoo ua ntej qhov kev kuaj mob, tshwj xeeb tshaj yog hais txog kev noj tshuaj thiab kev yoo mov.
- Nws yog ib qho tseem ceeb heev uas yuav tsum tau so kom zoo thiab haus dej ntau tom qab kuaj tas.
- Yog tias muaj cov tsos mob txaus ntshai tshwm sim, nrhiav kev pab kho mob sai li sai tau.
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