Puas tau muaj ib tug kws kho mob hais kom koj ua "vascular ultrasound" lossis "vascular mapping"? Tej zaum koj tau phais bypass lossis tab tom ntxuav lub raum vim koj lub raum tsis ua haujlwm. Txawm hais tias lub npe yuav zoo li nyuaj me ntsis, qhov tseeb nws yog ib qho kev kuaj yooj yim heev, tsis mob. Yog hais kom meej, nws yog "daim ntawv qhia" uas qhia meej txog cov hlab ntsha hauv koj lub cev. Yog li cia peb tham txog nws kom meej.
Hais yooj yim xwb, Arterial thiab Venous Mapping yog dab tsi?
Qhov no feem ntau hu ua 'Vein Mapping'. Qhov no yog kev ntsuas ultrasound. Tej zaum koj yuav tau pom cov ntawv qhia txog kev ntsuas ntawm ib tug niam uas yuav cev xeeb tub, thiab qhov ntawd yog tib yam thev naus laus zis siv ntawm no. Qhov kev kuaj no thaij duab ntawm koj cov hlab ntsha thiab cov leeg ntshav .
Hais yooj yim xwb:
- Cov hlab ntsha loj yog cov hlab ntsha loj uas nqa cov ntshav huv los ntawm lub plawv mus rau lwm qhov ntawm lub cev.
- Cov leeg ntshav yog cov hlab ntsha uas nqa cov ntshav tsis huv rov qab mus rau lub plawv los ntawm ntau qhov chaw ntawm lub cev.
Yog li qhov kev kuaj no ua yog tsim ib "daim ntawv qhia" ntawm cov hlab ntsha thiab cov leeg ntshav hauv koj txhais caj npab lossis ceg, suav nrog kev noj qab haus huv ntawm cov hlab ntsha thiab cov leeg ntshav, qhov ceev ntawm lawv cov ntshav ntws, seb lawv puas raug thaiv qhov twg, thiab lawv loj npaum li cas. Daim ntawv qhia no tseem ceeb heev rau cov kws kho mob, zoo li phau ntawv qhia kev.
Vim li cas peb thiaj yuav tsum ua qhov kev xeem zoo li no?
Qhov kev kuaj no yog ua rau ob qho laj thawj tseem ceeb. Ib qho yog los npaj ua ntej rau qee qhov kev phais , thiab qhov thib ob yog los kuaj xyuas qee yam kab mob kom raug .
Cia peb pom meej meej tias cov cib fim no yog dab tsi.
| Lub sijhawm | Vim li cas qhov kev xeem thiaj li tseem ceeb? |
|---|---|
| Ua ntej phais mob plawv bypass | Thaum cov hlab ntsha hauv lub plawv raug thaiv los ntawm cov rog, yuav tsum tsim ib txoj kev tshiab (bypass) los hla nws. Qhov no yog ua los ntawm kev coj ib txoj hlab ntsha noj qab haus huv los ntawm lwm qhov ntawm lub cev (feem ntau yog ceg) thiab hloov nws. Yog li ua ntej qhov kev phais mob no, daim ntawv qhia no yog qhov tseem ceeb kom nrhiav tau cov hlab ntsha zoo tshaj plaws, muaj zog tshaj plaws, thiab noj qab haus huv tshaj plaws los hloov nws mus rau. |
| Ua ntej pib kho mob dialysis (Dialysis) | Yog tias ib tug neeg uas muaj mob raum tsis ua haujlwm kom tau txais kev ntxuav ntshav, yuav tsum tau muab ntshav tawm ntawm lub cev, ntxuav los ntawm lub tshuab, thiab tom qab ntawd rov qab mus rau hauv lub cev. Qhov no xav tau qhov chaw nkag uas muaj ntshav ntws sai. Rau qhov no, cov kws kho mob txuas cov hlab ntsha thiab cov leeg ntshav hauv koj txhais caj npab (lub qhov quav). Yog li qhov kev kuaj no pab tau zoo heev rau kev xaiv cov hlab ntsha thiab cov leeg ntshav zoo tshaj plaws thiab muaj zog tshaj plaws rau nws. |
| Kev Phais Mob Peripheral Vascular Bypass | Ib yam li lub plawv, cov hlab ntsha hauv caj npab thiab ceg tuaj yeem raug thaiv los ntawm cov rog. Qhov no hu ua Kab Mob Peripheral Artery (PAD). Hauv qhov xwm txheej ntawd, kev phais mob bypass raug ua los ntawm kev hla qhov kev thaiv. Qhov kev kuaj no kuj tseem ua los nrhiav cov hlab ntsha noj qab haus huv. |
| Txhawm rau kuaj mob qee yam kab mob | Nws kuj siv los kuaj mob ntau yam kab mob ntawm cov hlab ntsha. Piv txwv li, nws tuaj yeem kuaj xyuas cov mob xws li cov rog hauv cov phab ntsa ntawm cov hlab ntsha (atherosclerosis) thiab cov ntshav txhaws hauv cov hlab ntsha (deep vein thrombosis - DVT). |
Leej twg ua qhov kev xeem no?
Qhov kev kuaj no yog ua los ntawm tus kws kho mob ultrasound uas tau kawm tshwj xeeb hauv kev luam theej duab ultrasound. Nws yog tus uas thaij cov duab tsim nyog. Tom qab ntawd, tus kws kho mob vascular yuav tshuaj xyuas cov duab thiab npaj koj daim ntawv qhia, uas raug xa mus rau koj tus kws kho mob.
Qhov kev xeem no ua haujlwm li cas?
Nws yooj yim heev. Lub tshuab ultrasound xa cov suab nrov siab uas peb tsis hnov los ntawm cov nqaij ntawm lub cev. Cov suab nrov tawm ntawm lub cev thiab rov qab los (echoes). Lub tshuab khaws cov suab nrov uas cuam tshuam thiab hloov lawv mus ua cov duab ntawm lub vijtsam computer.
Kev kos duab ntawm cov hlab ntsha suav nrog kev xa cov suab no mus rau thaj chaw uas koj cov hlab ntsha nyob. Cov suab no tawm ntawm cov qe ntshav liab uas mus rau hauv cov hlab ntsha thiab rov qab los.Lub tshuab ntsuas qhov nrawm ntawm cov ntshav ntws raws li qhov ceev ntawm cov ntshav ntws thiab tsim cov duab meej ntawm cov hlab ntsha ntawm lub vijtsam. Nws tuaj yeem pom txhua yam los ntawm qhov loj ntawm cov hlab ntsha, lawv cov duab, thiab qhov ceev ntawm cov ntshav ntws.
Kuv puas yuav tsum npaj dab tsi ua ntej qhov kev xeem?
Tsis yog, tsis tas yuav npaj tshwj xeeb. Koj tuaj yeem noj thiab haus dej li qub.
Tiam sis muaj ob peb yam uas yuav tsum nco ntsoov:
- Koj yuav tsum tau hnav ib lub tsho tshaj sab hauv tsev kho mob ua ntej qhov kev kuaj mob.
- Koj yuav tsum tau tshem tawm tag nrho cov hniav nyiaj hniav kub uas koj hnav, yog li nws yog qhov zoo tshaj plaws kom tso nws tseg hauv tsev yog tias ua tau.
- Qhov kev kuaj no feem ntau yog ua nyob rau hauv ib lub chaw kuaj duab tshwj xeeb ntawm tsev kho mob lossis chaw kho mob.
Feem ntau, tag nrho qhov kev xeem no tuaj yeem siv sijhawm ntawm 30 thiab 90 feeb .
Muaj dab tsi tshwm sim thaum lub sijhawm xeem?
Cia peb saib seb muaj dab tsi tshwm sim ib kauj ruam zuj zus rau lub sijhawm no.
1. Ua ntej, koj yuav raug yuam kom pw rau ntawm lub rooj kuaj mob.
2. Tom qab ntawd, tus kws kho mob yuav muab cov tshuaj pleev uas yaj tau hauv dej rau ntawm daim tawv nqaij ntawm thaj chaw uas koj tab tom kuaj (caj npab lossis ceg). Cov tshuaj pleev no yuav tsis ua rau daim tawv nqaij puas tsuaj thiab yuav tsis ua rau cov khaub ncaws puas.
3. Tom ntej no, nws yuav siv ib lub cuab yeej me me hu ua transducer thiab muab tso rau saum thaj chaw uas muaj gel thiab txav nws mus los. Lub cuab yeej no xa cov suab nrov thiab khaws cov suab nrov uas rov qab los. Tib lub sijhawm, cov duab ntawm koj cov hlab ntsha raug tsim rau ntawm lub vijtsam computer.
4. Tus kws kho mob yuav tuav lub cuab yeej no rau ntawm daim tawv nqaij kom txog thaum nws muaj tag nrho cov ntaub ntawv uas lawv xav tau.
5. Tseem Ceeb: Yog tias koj yuav ua qhov kev kuaj no ua ntej phais, tus kws kho mob yuav siv cwj mem los cim qee qhov chaw ntawm koj daim tawv nqaij . Cov cim no yog ua los pab tus kws phais nrhiav qhov chaw tseeb ntawm cov hlab ntsha. Tsis txhob ntxuav cov cim no ua ntej phais rau txhua qhov laj thawj . Yog tias cov cim ploj tom qab da dej, tus kws phais yuav muab cwj mem rau koj thiab hais kom koj rov siv dua.
Puas muaj kev pheej hmoo hauv qhov no?
Tsis yog. Qhov no yog qhov zoo tshaj plaws txog qhov kev kuaj no. Kev kos duab ntawm cov leeg ntshav tsis ua rau muaj kev phiv tshuaj.
Qhov no yog ib qho kev kuaj mob uas tsis mob kiag li, tsis muaj kev pheej hmoo, thiab muaj kev nyab xeeb. Yog li ntawd, tsis muaj laj thawj dab tsi yuav tsum ntshai.
Koj lub cev tsis muaj koob txhaj tshuaj, tshuaj zas, tshuaj loog, lossis kev txiav daim tawv nqaij. Tsis muaj kev raug hluav taws xob, zoo li lwm yam kev ntsuas, xws li X-rays.
Kuv yuav tau txais daim ntawv qhia thaum twg?
Tom qab kuaj tas, tus kws kho mob yuav so cov gel ntawm koj daim tawv nqaij. Tom qab ntawd koj tuaj yeem hnav khaub ncaws li qub thiab mus tsev lossis mus ua haujlwm. Tsis tas yuav so.
Tus kws kho mob tshwj xeeb txog cov hlab ntsha yuav tshuaj xyuas koj cov duab scans, npaj ib daim ntawv qhia tiav, thiab xa mus rau koj tus kws kho mob. Feem ntau koj tus kws kho mob yuav tau txais daim ntawv qhia no hauv ob peb hnub. Lub sijhawm tom ntej koj mus ntsib nws, nws yuav piav qhia cov txiaj ntsig rau koj.
Txawm li cas los xij, qee zaum, yog tias muaj xwm txheej ceev thiab txaus ntshai rau lub neej (xws li DVT), tus kws kho mob yuav ua qhov kev kuaj no sai sai. Yog li ntawd, koj yuav paub cov txiaj ntsig tam sim ntawd.
Cov Lus Qhia Txog Kev Coj Mus Tsev
- Kev ntsuas kab mob ntawm cov hlab ntsha thiab cov hlab ntsha hauv cov hlab ntsha (arterial and Venous Mapping) yog ib qho kev ntsuas ultrasound yooj yim, tsis mob uas kuaj xyuas kev noj qab haus huv ntawm koj cov hlab ntsha (arterials thiab venous).
- Qhov no tsim ib daim "daim ntawv qhia" ntawm koj cov hlab ntsha, uas yog ib qho tseem ceeb heev rau cov kws kho mob los npaj kev phais thiab kuaj mob.
- Qhov kev kuaj no yuav tseem ceeb ua ntej pib kho mob dialysis, tshwj xeeb tshaj yog rau kev phais plawv bypass .
- Tsis muaj kev pheej hmoo, kev phiv, lossis kev siv hluav taws xob cuam tshuam rau qhov kev kuaj no, yog li tsis txhob txhawj txog nws.
- Tom qab kuaj tas, tham nrog koj tus kws kho mob txog koj cov txiaj ntsig thiab cov kauj ruam tom ntej. Tsis txhob yig nug cov lus nug uas koj muaj.
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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