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

Xav txog cov hlab ntsha uas nqa ntshav mus rau koj lub plawv, lub hlwb, thiab ceg zoo li txoj kev. Raws li lub sijhawm dhau mus, cov kev no yuav raug txhaws nrog cov rog xws li cov roj cholesterol , uas tuaj yeem ua rau cov hlab ntsha nqaim los ntawm sab hauv, zoo li txhaws txoj kev. Peb hu qhov no ua atherosclerosis . Thaum cov hlab ntsha raug txhaws zoo li no, cov mob hnyav xws li mob hauv siab , mob plawv nres , thiab mob stroke tshwm sim. Yog li, angioplasty yog ib qho kev kho mob tseem ceeb heev los qhib cov hlab ntsha uas raug txhaws thiab rov qab ua kom cov ntshav ntws .

Angioplasty yog dab tsi tiag?

Hais yooj yim xwb, angioplasty yog ib txoj kev kho mob uas muaj kev ntxig ib lub raj me me ( catheter ) rau hauv cov hlab ntsha uas raug txhaws yam tsis tas phais loj, thiab cia cov ntshav ntws tau yooj yim. Feem ntau qhov no yuav tsum tau tshuab ib lub pob me me rau ntawm qhov kawg ntawm lub raj ntawm qhov chaw uas raug txhaws. Qhov no thawb cov plaque (cov rog) ntawm phab ntsa hlab ntsha kom sib nrug, ua rau cov hlab ntsha qhib dav dua.

Qhov no yog ib qho kev phais mob uas tsis tshua muaj kev cuam tshuam piv rau kev phais loj xws li kev phais bypass. Yog li ntawd, qhov kev pheej hmoo tsawg thiab lub sijhawm rov zoo luv luv. Kev noj qab haus huv ntawm peb lub plawv thiab cov hlab ntsha yog qhov tseem ceeb rau kev noj qab haus huv ntawm peb lub cev tag nrho. Yog li ntawd, kev kho mob no feem ntau yog qhov tsim nyog los tiv thaiv cov teeb meem loj xws li mob plawv nres thiab mob hlwb.

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

Cov kws kho mob siv cov npe sib txawv rau txoj kev kho mob no nyob ntawm seb cov hlab ntsha uas lawv kho yog dab tsi. Muaj ob hom tseem ceeb:

• Kev phais plawv (Coronary Artery Angioplasty): Qhov no yog kev kho mob rau cov hlab ntsha tseem ceeb uas muab ntshav rau lub plawv. Peb hu cov no ua cov hlab ntsha plawv. Lwm lub npe rau kev kho mob no yog `(Percutaneous Coronary Intervention - PCI)`.
• Peripheral Artery Angioplasty: Qhov no yog hais txog kev kho cov hlab ntsha uas nqa ntshav los ntawm lub plawv mus rau qhov deb ntawm lub cev, xws li caj npab thiab ceg.

Muaj ntau txoj kev los ua qhov kev kho mob no:

• Kev phais plawv siv lub raj mis Balloon:Qhov no yog txoj kev siv ntau tshaj plaws. Raws li tau hais ua ntej lawm, cov hlab ntsha yuav nthuav dav los ntawm kev siv lub pob me me los tshuab.
• Kev phais plawv nrog Stenting: Feem ntau, tom qab cov hlab ntsha tau dav dua nrog lub npas, ib lub raj me me (hu ua stent ) raug muab tso rau hauv cov hlab ntsha kom nws qhib tas mus li. Qhov no txo ​​qhov kev pheej hmoo ntawm cov hlab ntsha yuav nqaim dua.
• Excimer Laser Angioplasty: Hloov chaw siv lub npas, siv lub teeb laser los yaj thiab tshem tawm cov rog hauv cov hlab ntsha. Txawm li cas los xij, txoj kev no siv tsawg dua li txoj kev siv lub npas.

Thaum twg yuav tsum tau angioplasty?

Hauv qab no yog qee qhov xwm txheej uas koj yuav xav tau angioplasty. Yog tias koj muaj ib qho ntawm cov mob no, koj tus kws kho mob yuav pom zoo kom kho qhov no.

Koj npaj li cas ua ntej kev kho mob?

Koj tus kws kho mob yuav muab cov lus qhia meej rau koj txog yuav ua li cas npaj rau qhov no. Feem ntau, koj yuav tsum tau ua tib zoo saib xyuas cov no:

• Ua ntej kev kho mob, yuav hais kom koj tsis txhob noj mov lossis haus dej li 8 teev. Haus dej me ntsis los tau.
• Koj yuav tsum qhia rau koj tus kws kho mob txog cov tshuaj uas koj noj, tshwj xeeb yog cov tshuaj anticoagulants . Nws yuav hais kom koj tsum tsis txhob noj lawv li ob peb hnub.
• Nco ntsoov qhia rau koj tus kws kho mob yog tias koj tau ua xua rau cov xim sib txawv lossis cov tshuaj loog uas siv rau hauv cov duab X-ray yav dhau los.
• Koj yuav tsum qhia rau lawv yog tias koj cev xeeb tub .
• Qhov tseem ceeb tshaj plaws yog koj yuav tsis tau tsav tsheb rau hnub kho mob. Yog li ntawd, yog tias koj yuav mus tsev tib hnub ntawd, koj yuav tsum npaj kom muaj ib tug neeg coj koj mus tsev . Tej zaum koj yuav tsum nyob hauv tsev kho mob ib hmos.

Muaj dab tsi tshwm sim thaum lub sijhawm kho mob?

Tsis muaj dab tsi yuav tsum txhawj txog. Cov no yog cov kauj ruam uas feem ntau tshwm sim:

1. Koj yuav tau txais ib lub tsho tsev kho mob rau koj hnav thiab yuav raug yuam kom pw saum ib lub rooj tshwj xeeb.

2. Koj yuav tau txais tshuaj loog los ntawm txoj kab IV uas yuav ua rau koj tsaug zog me ntsis, tab sis koj yuav muaj lub siab txaus los ua raws li cov lus qhia.

3. Thoob plaws hauv kev kho mob, cov tshuab saib xyuas tej yam xws li koj lub plawv dhia thiab cov pa oxygen.

4. Thaj chaw uas muab lub catheter ntxig rau hauv (feem ntau yog qhov chaw mos lossis caj npab) yuav raug siv tshuaj loog kom loog . Yog li koj yuav tsis hnov ​​mob dab tsi. Tej zaum koj yuav hnov ​​me ntsis ntswj.

5. Tus kws kho mob siv ib rab koob txhaj tshuaj rau hauv cov hlab ntsha thiab muab ib lub raj (lub plhaub) ntxig rau hauv nws.

6. Tom qab ntawd, cov hlau thiab catheter raug xa mus rau hauv lub raj no mus rau cov hlab ntsha uas koj xav tau. Lub sijhawm no, lub tshuab X-ray (fluoroscopy) tig ib ncig ntawm koj, pab tus kws kho mob pom txoj kev ntawm lub raj los ntawm txhua sab.

7. Thaum qhov txhaws tau lawm, yuav muab ib yam xim tshwj xeeb (contrast dye) txhaj rau hauv lub raj. Daim duab X-ray yuav qhia meej tias cov ntshav ntws los ntawm cov leeg ntshav. Lub sijhawm no, koj yuav hnov ​​​​​​qhov sov so lossis xav tias koj yuav tsum tso zis ob peb feeb.Koj tuaj yeem tuaj. Qhov ntawd yog qhov ib txwm muaj.

8. Thaum pom qhov chaw tseeb ntawm qhov txhaws lawm, yuav muab ib txoj hlua me me hla mus rau hauv, thiab muab ib lub raj catheter uas muaj ib lub raj tso rau saum toj hla mus rau hauv.

9. Ces lub npas yuav tshuab rau ob peb feeb . Tej zaum koj yuav tau ua qhov no ob peb zaug.

10. Peb mam li thaij duab X-ray dua ib zaug ntxiv seb cov ntshav ncig tau zoo dua li cas lawm.

11. Feem ntau, ib lub stent, raws li tau hais los saum toj no, raug muab tso rau hauv qhov chaw ntawd . Lub stent no pab kom cov hlab ntsha qhib txawm tias tom qab lub balloon raug tshem tawm lawm los xij.

Thaum kho tiav lawm, tus kws kho mob yuav tshem lub catheter tawm, muab ib daim ntaub qhwv rau ntawm qhov chaw uas ntxig rau hauv, thiab tuav nws rau ib pliag kom tsis txhob los ntshav. Yog tias lub catheter raug ntxig los ntawm qhov chaw mos, koj yuav tsum tau pw hauv txaj ob peb teev.

Puas muaj kev pheej hmoo rau kev kho mob no?

Ib yam li lwm yam kev kho mob, angioplasty muaj qee qhov kev pheej hmoo. Txawm li cas los xij, cov teeb meem loj tsis tshua muaj . Nws yog qhov zoo tshaj plaws kom ua qhov kev kho mob no ntawm lub chaw kho mob uas muaj cov kws kho mob paub dhau los uas ua qhov kev kho mob no ntau zaus.

Tej yam txaus ntshai uas yuav tshwm sim:

• Los ntshav, mob, lossis muaj kab mob ntawm qhov chaw ntxig catheter.
• Kev ua xua rau cov xim lossis tshuaj loog uas siv.
• Kev puas tsuaj rau cov hlab ntsha lossis lub raum.
• Kev tsim cov ntshav txhaws.
• Lub plawv dhia tsis zoo li qub (arrhythmia).
• Yog tias tsis muab stent tso rau, cov hlab ntsha yuav raug thaiv dua.
• Tsis tshua muaj, yuav muaj mob plawv nres lossis mob hlwb.

Cov neeg uas muaj hnub nyoog tshaj 65 xyoos, cov neeg uas muaj kab mob raum, lossis cov neeg uas muaj kev txhaws hauv ntau cov hlab ntsha yuav muaj feem ntau dua me ntsis los ntawm kev muaj teeb meem.

Lub sijhawm rov zoo thiab thaum twg yuav tsum mus ntsib kws kho mob

Koj yuav tsum tau nyob hauv tsev kho mob ob peb teev lossis ib hmos tom qab kev kho mob. Tej zaum koj yuav xav tias nkees me ntsis thaum koj mus tsev. 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 peb hnub. Qhov txhab uas tau ntxig rau hauv lub catheter yuav raug mob me ntsis thiab mob li ib lub lim tiam.

Koj yuav tsum rov qab mus ua haujlwm tau thiab tsav tsheb tau li ib lub lim tiam tom ntej. Txawm li cas los xij, qhov no yuav txawv nyob ntawm seb koj tau txais kev kho mob li cas. Nug koj tus kws kho mob txog qhov ntawd thiab.

Yog koj muaj cov tsos mob no, hu rau koj tus kws kho mob tam sim ntawd:

• Yog tias qhov chaw ntxig catheter los ntshav lossis zoo li muaj kab mob (liab, o, puv nrog kua qaub).
• Yog tias xim ntawm ceg ntawd hloov pauv .
• Yog koj hnov ​​mob hnyav lossis kub heev nyob rau thaj chaw ntawd.
• Yog tias koj mob hauv siab lossis ua pa nyuaj, mus rau chav kho mob ceev (ETU) tam sim ntawd.

Kev phais plawv, kab mob plawv, stent, kev thaiv cov hlab ntsha, mob hauv siab, mob plawv nres, roj cholesterol