Koj puas hnov mob heev lossis tingling hauv koj ob txhais ceg thaum koj taug kev luv luv? Puas yog nws ploj mus tom qab koj nres thiab so ib pliag, thiab tom qab ntawd qhov mob rov tshwm sim thaum koj pib taug kev dua? Qhov no yog ib qho teeb meem uas ntau tus neeg muaj. Qhov ua rau qhov no tuaj yeem yog kev txhaws hauv cov hlab ntsha tseem ceeb uas nqa cov ntshav ntau oxygen mus rau koj ob txhais ceg. Niaj hnub no, peb tab tom tham txog kev phais mob loj heev uas ua rau muaj qhov xwm txheej zoo li no.
Aortobifemoral Bypass yog dab tsi?
Hais yooj yim xwb, qhov no yog ib qho kev phais uas cov kws phais ua rau koj lub plab (plab). Ib yam li thaum txoj kev raug thaiv, ib txoj kev tshiab raug tsim, hu ua txoj kev 'bypass', qhov kev phais no tsim ib txoj kev tshiab los hla cov hlab ntsha (arteries) uas raug thaiv lossis nqaim hauv koj lub cev. Qhov no tso cai rau cov ntshav ntws mus rau koj ob txhais ceg kom zoo dua.
Hauv txoj kev kho mob no, tus kws phais yuav muab ib txoj hlab ntshav cuav, hu ua graft, tso rau hauv koj lub plab thiab txuas nws rau txoj hlab ntshav uas raug thaiv. Txoj hlab ntshav cuav no feem ntau yog ua los ntawm cov khoom siv zoo li polyester. Lo lus "aortobifemoral" nws tus kheej qhia txog qhov no.
- "Aorto" yog cov hlab ntsha loj tshaj plaws hauv peb lub cev, uas yog aorta . Nws pib ntawm lub plawv thiab khiav los ntawm lub hauv siab mus rau lub plab.
- "Femoral" txhais tau hais tias cov hlab ntsha hauv koj ob txhais ceg . Cov no pib hauv thaj tsam ntawm lub puab tsaig thiab khiav mus rau tom qab ntawm lub hauv caug.
- "Bi" txhais tau tias "ob." Qhov ntawd txhais tau tias cov hlab ntsha cuav no txuas rau ob lub hlab ntsha femoral hauv koj ob txhais ceg.
Xav txog qhov kev sib txuas no, "(Graft)," zoo li tus "Y" tig rau sab saud. Ib sab saud ntawm nws txuas rau lub aorta hauv lub plab, thiab ob ceg ntawm "Y" txuas rau cov hlab ntsha femoral hauv ob txhais ceg.
Qhov kev phais no ua rau mob dab tsi?
Qhov kev phais no feem ntau yog ua los kho ib yam mob hu ua kab mob aortoiliac occlusive disease . Qhov no yog thaum cov rog thiab lwm yam khoom (xws li plaque) sib sau ua ke rau ntawm phab ntsa sab hauv ntawm cov hlab ntsha loj hauv koj lub plab thiab lub duav raws sijhawm. Peb hu qhov no tias '(Plaque)'. Qhov kev sib sau ua ke no tshwm sim hauv cov hauv qab no:
- Lub plawv aorta: Qhov no yog ib feem ntawm lub plawv aorta uas mus rau hauv plab.
- Cov hlab ntsha Iliac: Cov no yog cov hlab ntsha uas tawm ntawm lub aorta ntawm lub ntaws (umbilicus) thiab mus rau ob txhais ceg.
Thaum cov hlab ntsha nqaim lossis raug thaiv tag los ntawm cov kua dej no, koj lub cev qis, tshwj xeeb tshaj yog koj ob txhais ceg, taw, thiab cov kabmob hauv lub plab, yuav tsis tau txais cov ntshav uas muaj oxygen ntau uas lawv xav tau. Qhov no tuaj yeem ua rau muaj teeb meem loj heev.
Txawm hais tias qhov kev phais mob no tsis tuaj yeem kho tau tus kab mob tag nrho los xij, nws tuaj yeem kho cov ntshav kom rov qab zoo rau ob txhais ceg, tswj cov tsos mob, thiab txo qhov kev pheej hmoo ntawm cov teeb meem loj heev.
| Cov teeb meem vim yog cov ntshav ntws tsawg dua |
|---|
| Mob ceg thaum taug kev (Intermittent claudication) |
| Mob hnyav heev rau ntawm ob txhais ceg txawm tias thaum so |
| Kev tuag ntawm cov nqaij hauv ceg (Gangrene) |
| Kev txiav tes txiav taw |
Qhov no puas yog ib qho kev phais loj heev? Puas muaj lwm txoj kev xaiv?
Yog, qhov no suav tias yog kev phais loj vim tias nws yuav tsum tau phais loj hauv plab.
Tiamsis muaj ib txoj kev xaiv uas tsis tas phais ntau hu ua aortoiliac stenting nrog bifurcation reconstruction (AISBR) . Qhov no suav nrog kev muab ib lub raj me me hu ua stent tso rau hauv cov hlab ntsha uas raug txhaws thiab ua kom nws nthuav dav kom qhib cov hlab ntsha dua. Qee qhov kev tshawb fawb tau qhia tias txoj kev no muaj tsawg dua qhov teeb meem thiab luv dua nyob hauv tsev kho mob.
Koj tus kws kho mob yuav txiav txim siab seb qhov kev phais qhib lossis stenting puas yog qhov zoo rau koj. Txawm hais tias stenting feem ntau yog rau cov neeg uas tsis tuaj yeem zam kev phais loj, nrog rau kev nce qib hauv thev naus laus zis, nws feem ntau siv tam sim no hloov chaw phais qhib. Txawm li cas los xij, qee zaum, yog tias stenting tsis yog qhov kev xaiv zoo rau koj, lossis yog tias stent yav dhau los tsis ua haujlwm, kev phais qhib yuav tsim nyog.
Koj npaj li cas ua ntej phais?
Koj pab neeg kho mob yuav qhia koj txog kev npaj rau kev phais mob. Cov no yog cov yam uas koj yuav tsum tau ua tib zoo saib xyuas.
- Tso tseg haus luam yeeb kiag li: Tso tseg haus luam yeeb tsawg kawg yog 3-4 lub lis piam ua ntej phais mob yuav pab tau koj kom tau txais txiaj ntsig zoo tshaj plaws. Nws yog ib qho tseem ceeb uas yuav tsum tso tseg haus luam yeeb tom qab phais mob kom koj lub plawv thiab cov hlab ntsha noj qab haus huv zoo.
- Tham nrog koj tus kws kho mob txog cov tshuaj: Koj yuav tsum qhia rau koj tus kws kho mob txog cov tshuaj uas koj tab tom noj tam sim no. Nws yuav hais kom koj tsum tsis txhob noj qee cov tshuaj lossis hloov qhov ntau npaum li cas ua ntej phais.
- Kev Yoo Mov: Koj yuav raug qhia kom tsis txhob noj mov lossis haus dej txij thaum ib tag hmo ua ntej phais mob.
- Kev kuaj mob: Koj yuav raug hais kom ua ntau yam kev kuaj ua ntej phais.
- Cov ntsuas ntawm pob luj taws thiab caj npab
- Kev kuaj mob ultrasound ntawm cov hlab ntsha (kev kuaj mob ultrasound ntawm cov hlab ntsha)
- Cov kev ntsuas uas kuaj xyuas kev noj qab haus huv ntawm lub plawv thiab cov hlab ntsha hauv lub plawv.
Muaj dab tsi tshwm sim thaum lub sijhawm phais?
Kev phais yuav siv sijhawm li ntawm 2 txog 6 teev. Cov kauj ruam hauv qab no tshwm sim thaum lub sijhawm ua qhov no.
1. Koj yuav tau txais tshuaj loog kom koj tsaug zog tag nrho.
2. Yuav muab ib qho kev phais loj (laparotomy) ua raws li koj lub plab kom tus kws phais thiaj li ncav cuag tau cov hlab ntsha aorta.
3. Muaj ob qhov txiav rau ob sab qhov ncauj kom mus txog cov hlab ntsha femoral.
4. Cov hlab ntsha cuav uas zoo li tus "Y" uas tau hais ua ntej lawm '(Graft)' raug ntxig rau hauv, sab saud ntawm nws txuas nrog thaj chaw thaiv ntawm lub aorta los ntawm saum toj no, thiab ob qhov qis dua txuas nrog thaj chaw thaiv ntawm ob lub hlab ntsha femoral los ntawm hauv qab no, thiab raug xaws ua ke.
5. Thaum kawg, cov qhov txiav hauv plab thiab qhov chaw mos raug kaw nrog cov xov lossis cov staples.
Tom qab phais tas lawm ces yuav muaj dab tsi tshwm sim thiab thaum twg koj mus tsev?
Koj yuav tsum tau nyob hauv tsev kho mob li ntawm 4 txog 7 hnub. Lub sijhawm no, pab neeg kho mob yuav saib xyuas koj zoo. Tsis tas li ntawd, nws yuav siv sijhawm li 2 txog 3 lub hlis kom rov zoo tag nrho. Txawm li cas los xij, tom qab li 4 txog 6 lub lis piam, koj yuav maj mam rov qab ua koj cov dej num ib txwm.
Ua tib zoo saib xyuas cov no thaum koj mus txog tsev.
- Noj tag nrho cov tshuaj tua kab mob thiab lwm yam tshuaj uas koj tus kws kho mob tau sau tseg raws sijhawm.
- Khaws cov qhov txiav kom huv si thiab saib xyuas lawv raws li tus kws kho mob qhia.
- Ua si nawv raws li koj tus kws kho mob hais. Maj mam nce qhov deb uas koj taug kev yuav pab tau kom koj lub cev zoo. Tab sis tsis txhob ua ntau dhau.
- Nug koj tus kws kho mob txog lub sijhawm zoo tshaj plaws los rov ua tej yam xws li tsav tsheb, mus ua haujlwm, thiab tsa hnyav.
Thaum twg yuav tsum mus ntsib kws kho mob tam sim ntawd thiab mus rau Chav Kho Mob Thaum Muaj Xwm Ceev (ETU)
Nws yog ib qho tseem ceeb heev uas yuav tsum ceev faj yog tias muaj teeb meem tshwm sim thaum lub sijhawm rov zoo.
| Yog koj muaj cov tsos mob no, hu rau koj tus kws kho mob tam sim ntawd. | |
|---|---|
| Ua npaws | Xeev siab thiab ntuav |
| Mob, liab, lossis sov so nyob ib puag ncig cov qhov txiav | Cov kua dej ntws los ntawm cov qhov txiav |
| Liab los yog o ntawm thaj chaw hauv qhov chaw mos lossis ceg | Mob ceg, loog, lossis tsis hnov mob |
| Tawv nqaij txias, dawb, lossis xiav ntawm ob txhais ceg lossis ko taw | Cov qhov txhab ceg uas tsis kho thiab zuj zus tuaj |
Yog tias muaj cov tsos mob ntawm kev mob plawv nres lossis mob hlwb, hu rau lub tsheb thauj neeg mob ceev tam sim ntawd lossis mus rau chav kho mob ceev (ETU) ze tshaj plaws.
Cov tsos mob ntawm kev mob plawv nres:
- Mob hauv siab los yog tsis xis nyob
- Ua pa nyuaj
- Xeev siab, mob plab
- Lub plawv dhia ceev
- Kab mob kiv taub hau (vertigo) los yog tsaus muag
Cov tsos mob ntawm tus mob stroke:
- Kev tsis muaj zog lossis tsis muaj zog ntawm ib sab ntawm lub cev
- Teeb meem hais lus (Aphasia) los yog hais lus tsis meej
- Tsis muaj zog tswj tau cov leeg nqaij ntawm ib sab ntawm lub ntsej muag
- Tsis pom kev lossis hnov lus tam sim ntawd
Cov Lus Qhia Txog Kev Coj Mus Tsev
- Aortobifemoral Bypass yog ib qho kev phais loj, tab sis ua tiav zoo heev, ua thaum cov hlab ntsha tseem ceeb uas nqa ntshav mus rau ob txhais ceg raug thaiv hnyav heev.
- Qhov kev phais no suav nrog kev tsim ib txoj kev tshiab siv cov hlab ntsha cuav uas zoo li tus 'Y' los hla cov hlab ntsha uas raug thaiv.
- Kev npaj xws li tso kev haus luam yeeb ua ntej phais mob tuaj yeem ua rau cov txiaj ntsig zoo dua.
- Yuav siv sijhawm ob peb lub hlis kom rov zoo tag nrho tom qab phais, thiab nws yog ib qho tseem ceeb heev uas yuav tsum ua raws li cov lus qhia kho mob thaum lub sijhawm ntawd.
- Yog koj pom muaj tej yam tsos mob txawv txawv thaum koj rov zoo los, xws li kub taub hau, mob qhov txhab, lossis mob ceg hnyav, qhia rau koj tus kws kho mob tam sim ntawd.
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Tsis muaj lus teb tau muab tso tawm. Ntxiv koj cov lus tawm ntawm no thawj zaug.
Ntxiv koj cov lus