Koj cov hlab ntsha hauv lub plawv puas raug thaiv? Cia peb kawm txog Angioplasty

"Lub plawv thaiv", "cov hlab ntsha thaiv", "yuav tsum tau phais angioplasty"... Nws yog ib txwm muaj rau txhua tus neeg uas yuav ntshai me ntsis thaum lawv hnov ​​​​​​cov lus zoo li no. Tej zaum koj lossis ib tus neeg hauv koj tsev neeg tau raug qhia txog kev kho mob no los ntawm tus kws kho mob. Yog li koj yuav muaj ntau cov lus nug hauv koj lub siab, xws li qhov no yog dab tsi, nws puas yog kev phais loj, nws puas yuav mob, thiab yuav ua li cas tom qab? Tsis txhob ntshai. Hnub no, peb yuav tham txog angioplasty yog dab tsi, yooj yim heev thiab hauv txoj kev uas koj tuaj yeem nkag siab.

Hauv lwm lo lus, angioplasty yog dab tsi?

Angioplasty tsis zoo li kev phais plawv qhib. Nws yog ib qho kev phais mob uas tsis tas phais ntau thiab ua los ntawm kev phais me me. Yog hais kom meej, nws yog siv los tshem tawm qhov txhaws thiab cia cov ntshav ntws rov qab tau yooj yim yog tias cov hlab ntsha hauv peb lub cev, tshwj xeeb tshaj yog cov hlab ntsha uas muab ntshav rau lub plawv, raug thaiv lossis nqaim los ntawm cov roj cholesterol thiab cov rog (ib yam mob hu ua atherosclerosis) .

Xav txog tias muaj ib qho dej txhaws hauv koj lub tsev. Nws zoo ib yam li kev ntxuav nws thiab ua kom dej ntws dua. Rau qhov no, cov kws kho mob siv lub cuab yeej me me zoo li lub npas. Nrog lub npas, lawv nias cov rog uas txhaws (plaque) rau ntawm phab ntsa ntawm cov hlab ntsha, tsim qhov chaw sab hauv cov hlab ntsha.

Qhov no feem ntau yog kev kho mob uas muaj kev nyab xeeb heev. Piv rau kev phais loj xws li kev phais bypass, qhov kev pheej hmoo thiab lub sijhawm rov zoo yog qis heev. Kev noj qab haus huv ntawm peb lub plawv yog qhov tseem ceeb heev rau kev noj qab haus huv ntawm peb lub cev tag nrho. Yog li, kev kho mob angioplasty no feem ntau yog qhov tsim nyog los tiv thaiv cov mob hnyav xws li mob plawv nres thiab mob stroke uas tuaj yeem tshwm sim vim yog qhov kev thaiv no.

Cov hom thiab cov txheej txheem ntawm angioplasty yog dab tsi?

Cov kws kho mob siv cov npe sib txawv rau qhov no nyob ntawm cov hlab ntsha uas lawv kho. Muaj ob hom tseem ceeb.

• Kev phais plawv (Coronary Artery Angioplasty): Qhov no yog kev phais plawv ua rau cov hlab ntsha tseem ceeb (coronary arteries) uas muab ntshav mus rau lub plawv. Lwm lub npe rau qhov no yog Percutaneous Coronary Intervention (PCI) . Qhov no yog hom kev phais plawv uas nrov tshaj plaws ntawm peb.
• Peripheral Artery Angioplasty: Qhov no yog hais txog kev kho cov hlab ntsha peripheral uas nqa ntshav los ntawm lub plawv mus rau qhov deb ntawm lub cev, xws li caj npab thiab ceg.

Muaj ntau txoj kev sib txawv siv los ua qhov kev kho mob no. Cia peb los saib ze dua.

Thaum twg yuav tsum tau angioplasty?

Muaj ntau qhov xwm txheej uas koj tus kws kho mob yuav pom zoo kom siv txoj kev kho no.

• Mob Plawv Nres: Kev kho mob no yog muab ua kev kho mob thaum muaj xwm txheej ceev thaum lossis tom qab mob plawv nres. Nws pab txo qhov kev puas tsuaj rau lub plawv. Hauv cov xwm txheej zoo li no, koj yuav raug xa mus rau Chav Kho Mob Thaum Muaj Xwm Ceev (ETU) tam sim ntawd rau kev kho mob no.
• Kab mob plawv (CAD): Qhov no yog ua los txo qhov kev pheej hmoo ntawm kev muaj mob plawv yav tom ntej yog tias koj muaj cov tsos mob xws li mob hauv siab (angina) los ntawm kev nqaim ntawm cov hlab ntsha uas muab ntshav mus rau lub plawv.
• Kab Mob Ntawm Cov Ntshav Qab Zib (PAD): Ib qho mob uas cov hlab ntsha tseem ceeb hauv caj npab, ceg, thiab lub duav nqaim, ua rau mob hauv ob txhais ceg thaum taug kev thiab qeeb qeeb cov qhov txhab kho. Angioplasty kuj tseem siv los kho qhov mob no.
• Kab Mob Carotid Artery: Kev kho mob no yog siv los txo qhov kev pheej hmoo ntawm kev mob stroke, uas tuaj yeem tshwm sim vim yog kev thaiv ntawm cov hlab ntsha carotid hauv caj dab uas muab ntshav rau lub hlwb.
• Kab Mob Raum Ntev: Qee zaum, kev ua haujlwm ntawm lub raum yuav tsis zoo vim yog cov hlab ntsha uas mus rau lub raum txhaws. Kev kho mob no kuj tseem tuaj yeem pab tau rau cov xwm txheej zoo li no.

Koj npaj li cas rau qhov no?

Tsis txhob txhawj, koj tus kws kho mob thiab cov neeg ua haujlwm hauv tsev kho mob yuav muab cov lus qhia meej rau koj txog kev npaj rau qhov no. Feem ntau koj yuav tau txais qee cov lus qhia zoo li no:

• Yuav kom koj tsis txhob noj lossis haus dab tsi li ntawm 8 teev ua ntej kev kho mob (tsis txhob haus dej ntau dhau).
• Yog koj noj qee yam tshuaj, xws li tshuaj anticoagulants, lawv yuav hais kom koj tsum tsis txhob noj li ob peb hnub lossis hloov qhov ntau npaum li cas. Nco ntsoov qhia rau koj tus kws kho mob txog txhua yam tshuaj uas koj noj.
• Lawv yuav nug seb koj puas tau muaj kev tsis haum tshuaj rau ib yam dab tsi yav dhau los (tshwj xeeb tshaj yog rau cov xim sib piv uas siv rau hauv kev kuaj) lossis yog tias koj puas tau muaj teeb meem nrog kev siv tshuaj loog.
• Yog koj cev xeeb tub, koj yuav tsum qhia rau lawv paub.
• Qhov tseem ceeb tshaj plaws: Koj yuav tsis raug tso cai tsav tsheb mus tsev rau hnub uas koj kho mob. Yog li ntawd, npaj kom muaj ib tug neeg tsav tsheb mus tsev ua ntej. Tej zaum koj yuav tsum nyob hauv tsev kho mob ib hnub.

Muaj dab tsi tshwm sim thaum lub sijhawm angioplasty? Cia peb kawm ib kauj ruam zuj zus

Chav uas ua qhov no (Cath Lab) tsis zoo li chav phais mob ib txwm, tab sis yog qhov chaw uas muaj ntau lub tshuab X-ray thiab cov monitors. Cia peb saib ib kauj ruam zuj zus seb muaj dab tsi tshwm sim thaum lub sijhawm kho mob.

1. Kev Npaj: Koj yuav tau ib lub tsho tshwj xeeb hauv tsev kho mob thiab hais kom koj pw saum txaj. Koj yuav tau muab tshuaj loog los ntawm kev txhaj tshuaj IV (xws li saline ) los pab koj so thiab xav tias koj tsaug zog me ntsis. Tab sis koj yuav tsis tsaug zog tag nrho, thiab koj yuav tsim txaus los mloog qhov kws kho mob hais. Koj yuav raug txuas nrog cov saib xyuas uas yuav ntsuas tej yam xws li koj lub plawv dhia thiab cov pa oxygen.

2. Kev Nkag Mus: Tom ntej no, tus kws kho mob yuav xaiv qhov chaw kom nkag mus rau cov hlab ntsha loj, los ntawm koj lub dab teg lossis qhov chaw mos. Yuav txhaj tshuaj me me (tshuaj loog hauv zos) kom loog qhov chaw ntawd. Yog li koj yuav tsis hnov ​​mob, tab sis koj yuav hnov ​​​​​​me ntsis tingling.

3. Ntxig lub catheter: Tam sim no, ib rab koob me me raug ntxig los ntawm thaj chaw loog, thiab ib lub raj nyias nyias (sheath) raug ntxig rau hauv cov hlab ntsha los ntawm nws. Tom qab ntawd, txawm tias cov xov hlau thiab cov raj nyias nyias hu ua catheters raug xa mus los ntawm lub raj no mus txog rau cov hlab ntsha uas raug txhaws hauv lub plawv.

4.Kev taw qhia txog X-ray: Lub tshuab X-ray loj (hu ua fluoroscopy ) tig ib ncig ntawm koj, pab tus kws kho mob pom txoj kev ntawm catheter ntawm lub vijtsam. Nws zoo li saib GPS.

5. Nrhiav qhov txhaws: Thaum lub catheter nyob rau hauv qhov chaw, ib qho kua tshwj xeeb (contrast dye) yuav raug txhaj rau hauv cov leeg ntshav los ntawm nws. Cov kua no ua rau cov hlab ntshav pom tseeb ntawm X-ray. Lub sijhawm no, koj yuav hnov ​​​​​​me ntsis sov so hauv koj lub cev, lossis koj yuav xav tias koj yuav tsum tso zis. Qhov no yuav ploj mus hauv ob peb feeb. Nws yog los ntawm cov duab no uas tus kws kho mob yuav pom qhov chaw tseeb ntawm qhov txhaws hauv cov leeg ntshav.

6. Qhib cov leeg ntshav: Tam sim no, ib lub catheter nrog lub npas me me raug xa mus rau thaj chaw uas raug thaiv. Thaum nws mus txog qhov chaw raug, lub npas yuav raug nthuav rau ob peb feeb. Cov txheej rog uas raug thaiv ces nias rau ntawm phab ntsa ntawm cov leeg ntshav, tsim ib txoj kev rau cov ntshav ntws. Qhov no yuav tsum tau ua ntau zaus.

7. Kev muab stent tso rau hauv: Tom qab xyuas kom meej tias cov leeg ntshav qhib lawm, tus kws kho mob feem ntau yuav muab stent tso rau hauv qhov qhib. Qhov no yog ib lub raj me me. Nws pab kom cov leeg ntshav uas qhib lawm qhib mus ib txhis, tiv thaiv kom nws tsis txhob nqaim dua.

Thaum ua tiav tag nrho cov no lawm, tus kws kho mob yuav tshem lub catheter tawm, muab ib daim plaster rau saum qhov chaw uas tau ntxig koob, thiab tuav nws rau hauv qhov chaw ib pliag kom tsis txhob los ntshav. Yog tias qhov no tau ua los ntawm qhov chaw mos, koj yuav tsum pw tiaj tiaj rau ntawm lub txaj ob peb teev. Tag nrho cov txheej txheem feem ntau siv sijhawm li 30 feeb txog 2 teev.

Tej yam txaus ntshai ntawm qhov no yog dab tsi?

Ib yam li lwm yam kev kho mob, muaj tej yam txaus ntshai me me xwb. Tiam sis nco ntsoov tias, tej yam teeb meem loj heev tsis tshua muaj thaum ua li no tas li, nyob rau hauv kev saib xyuas ntawm tus kws kho mob uas muaj kev paub dhau los, thiab nyob hauv tsev kho mob zoo.

Yuav siv sijhawm ntev npaum li cas thiaj rov zoo tom qab kho tas?

Tom qab kho mob tas, koj yuav tsum tau nyob hauv tsev kho mob ob peb teev lossis ib hmos. Tom qab koj mus tsev, koj yuav xav tias nkees me ntsis. So kom txaus thiab haus dej ntau. Koj tus kws kho mob yuav qhia koj kom tsis txhob ua ub ua no hnyav rau ob lossis peb hnub thawj zaug. Thaj chaw uas koob txhaj tshuaj raug ntxig yuav raug mob me ntsis thiab mob li ib lub lim tiam.

Feem ntau koj yuav tsav tsheb tau dua thiab rov ua koj tej dej num li qub li ntawm ib lub lim tiam. Txawm li cas los xij, qhov no yuav txawv nyob ntawm koj tus mob, yog li ntawd nco ntsoov sab laj nrog koj tus kws kho mob thiab ua raws li nws cov lus qhia.

Tom qab koj mus tsev lawm, koj yuav tsum hu rau kws kho mob thaum twg?

Koj yuav raug teem sijhawm mus ntsib kws kho mob tom qab, yog li nco ntsoov mus rau ntawd. Tab sis ua ntej ntawd, yog tias koj muaj ib qho ntawm cov tsos mob hauv qab no, hu rau koj tus kws kho mob tam sim ntawd.

• Yog tias qhov chaw tho qhov txhab los ntshav los yog zoo li muaj kab mob (o, liab, thiab muaj kua qaub tawm).
• Yog tias xim ntawm sab caj npab lossis ceg ntawd hloov pauv.
• Yog koj hnov ​​sov los yog mob hnyav heev rau thaj chaw ntawd.
• Yog koj mob hauv siab los yog ua pa nyuaj .

Qhov no puas yog kev kho mob zoo? Puas mob?

Kev phais plawv (angioplasty) yog ib txoj kev kho mob uas ua tau zoo heev, tab sis nws txoj kev ua tau zoo nyob ntawm ntau yam, suav nrog qhov hnyav ntawm koj cov hlab ntsha txhaws, koj txoj kev noj qab haus huv tag nrho, thiab koj lub hnub nyoog. Koj tus kws kho mob yuav piav qhia rau koj kom meej txog qhov tshwm sim yuav yog raws li koj tus mob tshwj xeeb.

Hais txog qhov mob, koj yuav tsis hnov ​​mob ntau thaum lub sijhawm kho mob no. Tej zaum koj yuav hnov ​​​​​​qee qhov tsis xis nyob me ntsis:

• Cov IV no mob heev thaum muab tso rau hauv.
• Qhov mob me me uas koj hnov ​​thaum txhaj tshuaj loog.
• Tej zaum koj yuav hnov ​​​​​​me ntsis kev nyem lossis tsis xis nyob hauv koj lub hauv siab thaum lub pob hauv koj cov leeg ntshav nce siab.

Koj yuav tsis hnov ​​​​​​lub catheter hla koj cov leeg ntshav. Yog tias koj hnov ​​​​​​mob heev thaum lub sijhawm kho mob, qhia rau koj tus kws kho mob tam sim ntawd.

Nws yog ib qho ib txwm muaj uas koj yuav ntshai thaum lawv hais rau koj tias koj yuav tsum tau ua angioplasty. Tab sis nws yog ib qho kev phais mob uas siv ntau heev, muaj kev nyab xeeb, thiab ua tiav uas tau ua thoob plaws ntiaj teb. Tsis txhob ntshai nug koj tus kws kho mob txog txhua yam uas koj tsis nkag siab lossis tsis paub meej txog. Nws yeej npaj txhij los pab koj.