Koj lub plawv puas raug thaiv? (Bifurcation Blockage) Cia peb tham txog qhov no!

Niaj hnub no peb yuav tham txog ib yam dab tsi uas tseem ceeb rau ntau tus neeg, tab sis tej zaum lawv tsis paub txog nws. Koj puas muaj tej lub sij hawm koj hnov ​​​​​​mob hauv siab, ua pa nyuaj? Los yog koj puas tau hnov ​​​​​​koj tus phooj ywg tham txog kab mob plawv? Thaum lub sij hawm zoo li no, ib qho ntawm cov teeb meem uas peb hnov ​​​​​​txog yog qhov teeb meem ntsig txog cov hlab ntsha ntawm lub plawv hu ua 'Bifurcation Blockage'. Hais yooj yim, qhov no yog qhov txhaws uas tshwm sim ntawm qhov chaw uas ib ceg ntawm cov hlab ntsha uas xa cov ntshav mus rau lub plawv ceg. Cia peb saib qhov no kom meej me ntsis, puas yog?

Qhov 'Bifurcation Blockage' no yog dab tsi?

Zoo, tam sim no cia peb saib seb qhov 'Bifurcation Blockage' no yog dab tsi. Xav txog, peb lub siab zoo li lub twj tso dej. Yuav kom lub twj tso dej no ua haujlwm tau, nws xav tau cov ntshav tas li. Cov ntshav ntawd raug nqa mus rau cov leeg nqaij plawv los ntawm lub cev tshwj xeeb ntawm cov hlab ntsha hu ua Coronary Arteries . Cov hlab ntsha tseem ceeb no faib ua cov ceg me me ntawm qee qhov chaw, ib yam li cov ceg ntawm tsob ntoo loj uas ceg tawm. Lossis, koj tuaj yeem xav txog nws zoo li kev sib tshuam uas txoj kev faib ua ob.

Qhov chaw uas cov hlab ntsha loj faib ua ib ceg me dua hu ua 'bifurcation' . Yog li, yog tias qhov kev faib no, kom meej meej, yog nyob rau ntawm qhov chaw zoo li qhov sib tshuam 'Y', thiab muaj kev thaiv tshwm sim hauv cov hlab ntsha vim muaj roj ntau ntau (peb hu qhov no ua 'plaque' ), ces qhov ntawd hu ua 'bifurcation blockage' . Qhov 'plaque' no yog qhov tso ua los ntawm cov roj cholesterol, rog, thiab calcium. Cov kws kho mob kuj hu cov hlab ntsha me dua no ua 'side-branch vessels' . Cov roj uas tso ua rau qhov kev thaiv no kuj hu ua 'bifurcation lesions' . Koj puas nkag siab? Nws zoo li kev sib tsoo tsheb ntawm qhov sib tshuam ntawm txoj kev.

Puas muaj cov hom kev thaiv no?

Yog, qhov kev thaiv no kuj muaj ntau hom sib txawv. Uas yog, cov kws kho mob txiav txim siab qhov hnyav ntawm qhov no nyob ntawm seb cov leeg ntshav raug thaiv ntau npaum li cas. Thaum cov leeg ntshav nqaim, peb kuj hu nws tias 'Stenosis' hauv cov lus kho mob. Muaj ob hom 'Bifurcation Blockage':

• Kev txhaws yooj yim: Qhov no tshwm sim thaum tsawg dua 70% ntawm txoj kab uas hla sab hauv ntawm cov leeg ntshav raug thaiv. Qhov no txhais tau tias cov ntshav ntws tseem raug txwv me ntsis, tab sis tej zaum yuav muaj qee qhov kev thaiv.
• Kev txhaws ntawm cov hlab ntsha uas nyuaj heev: Qhov no yog qhov uas qhov teeb meem loj dua me ntsis. Ntau tshaj 70% ntawm cov hlab ntsha, lossis ntau tshaj peb feem plaub ntawm sab hauv ntawm cov hlab ntsha, tuaj yeem raug txhaws. Qee zaum yuav muaj ntau tshaj ib qho kev txhaws ntawm ntau qhov chaw. Lossis cov ntshav txhaws yuav raug txhaws, lossis tej zaum yuav muaj cov calcium deposits (peb hu qhov no 'calcification').(hais) Phab ntsa ntawm cov hlab ntsha yuav tawv thiab tsis yooj ywm. Lwm yam yog, qee zaum qhov kev thaiv no tuaj yeem nyob rau hauv qhov chaw uas cov hlab ntsha me me raug rub ntawm lub kaum ntse ntse heev (ntau dua 70 degrees). Thaum qhov ntawd tshwm sim, nws nyuaj me ntsis rau kev kho mob, vim nws nyuaj rau kho nrog cov khoom siv kho mob.

Qhov 'bifurcation blockage' no feem ntau tshwm sim li cas?

Tej zaum koj yuav xav paub tias qhov no muaj ntau npaum li cas. Qhov tseeb, kwv yees tias ntawm 15% thiab 20% ntawm txhua tus neeg mob uas muaj kab mob plawv (CAD) uas xav tau kev kho mob, lossis kwv yees li ib ntawm tsib tus neeg, yog los ntawm qhov 'bifurcation blockage' no. Yog li, txawm hais tias nws yuav tsis tshua muaj, nws yog ib qho mob uas tuaj yeem cuam tshuam rau ntau tus neeg.

Dab tsi ua rau qhov no?

Zoo, qhov ua rau muaj qhov kev thaiv no yog dab tsi? Raws li kuv tau hais ua ntej, qhov ua rau qhov no yog kev sib sau ua ke ntawm cov roj thiab cov rog, uas yog, qhov 'plaque' , sab hauv phab ntsa ntawm peb cov hlab ntsha. Nws zoo li cov kav dej qub uas dhau sijhawm xeb thiab sib sau ua ke cov av thiab raug txhaws hauv cov kav dej. Dhau sijhawm, qhov 'plaque' no tsim thiab ua rau txoj kev hla hauv cov hlab ntsha nqaim. Tom qab ntawd cov ntshav uas lub plawv xav tau, uas yog, oxygen thiab cov as-ham, tsis ntws zoo. Qhov 'Bifurcation Blockage' no kuj yog tib pawg ntawm kab mob coronary artery (CAD) .

Leej twg muaj feem yuav mob no ntau dua?

Tam sim no cia peb saib seb leej twg yuav muaj tus mob no ntau dua, lossis cov yam uas ua rau muaj kev pheej hmoo yog dab tsi. Nws yog ib qho tseem ceeb heev uas yuav tsum paub txog cov no, vim tias qee yam peb tuaj yeem tswj tau.

Feem ntau, cov poj niam muaj feem yuav mob CAD thiab Bifurcation Blockage tom qab lub sijhawm tas lawm , uas txhais tau tias lawv tsis muaj hli tas, thiab cov txiv neej muaj feem yuav mob CAD tom qab hnub nyoog 45 xyoos.

Tsis tas li ntawd xwb, muaj ntau yam ua rau muaj kev pheej hmoo ntxiv:

• Kab mob ntshav qab zib: Cov neeg uas muaj kab mob ntshav qab zib feem ntau yuav muaj teeb meem ntawm cov hlab ntsha vim tias kab mob ntshav qab zib tuaj yeem ua rau cov phab ntsa ntawm cov hlab ntsha puas tsuaj.
• Rog dhau los yog rog dhau: Thaum lub cev hnyav nce ntxiv, nws yuav nyuaj rau lub plawv tswj nws thiab nws yuav tsum ua haujlwm hnyav dua.
• Keeb kwm tsev neeg muaj kab mob plawv: Qee zaum qhov no tuaj yeem yog vim muaj kev cuam tshuam los ntawm caj ces.
• Ntshav Siab (Hypertension): Ntshav siab txhais tau tias muaj kev nyem tsis tsim nyog rau ntawm cov leeg ntshav tas li. Qhov no tuaj yeem ua rau cov leeg ntshav puas tsuaj.
• Cov roj cholesterol ntau: Cov roj cholesterol yog qhov ua rau muaj cov plaque , tshwj xeeb tshaj yog cov roj cholesterol "phem" (LDL) ntau.
• Tsis muaj kev tawm dag zog:Thaum lub cev tsis muaj kev tawm dag zog, nws yuav muaj feem ntau yuav khaws cov rog thiab kev noj qab haus huv ntawm lub plawv kuj tsis muaj zog.
• Kev noj zaub mov tsis zoo: Yog tias koj noj cov zaub mov uas muaj roj, qab zib, thiab ntsev ntau, qhov kev pheej hmoo yuav siab heev. Xav txog cov zaub mov tsis zoo uas peb noj, cov zaub mov ceev ceev, cov dej qab zib, thiab cov zaub mov kib ... Yog tias koj tseem noj cov no, teeb meem yuav tshwm sim.
• Haus luam yeeb los yog siv cov khoom luam yeeb: Haus luam yeeb yog ib qho ntawm cov yeeb ncuab loj tshaj plaws rau lub plawv. Cov tshuaj lom neeg hauv luam yeeb ua rau cov hlab ntsha puas tsuaj ncaj qha.

Cov tsos mob ntawm qhov no yog dab tsi?

Vim tias Bifurcation Blockage kuj yog ib hom kab mob ntawm cov hlab ntsha hauv lub plawv (CAD) , cov tsos mob zoo sib xws. Txawm li cas los xij, qee zaum qhov mob no tuaj yeem tshwm sim yam tsis muaj tsos mob. Txawm li cas los xij, cov tsos mob feem ntau yog:

• Kab mob Angina: Qhov no yog qhov mob lossis nruj hauv lub hauv siab, qhov kev xav tias nruj. Ib txhia neeg piav qhia nws zoo li qhov hnyav ntawm lub hauv siab, lossis zoo li lub hauv siab raug nias. Qhov mob no feem ntau hnyav dua thaum lub sijhawm ua si, nce ntaiv, lossis thaum muaj kev nyuaj rau lub plawv.
• Hws txias: Tej zaum koj yuav xav tias txias thiab hws tam sim ntawd, tshwj xeeb tshaj yog mob hauv siab.
• Kiv taub hau los yog xav tias qaug zog: Zoo li koj sawv tsis tau, koj ob lub qhov muag tig xiav.
• Qaug zog thiab tsis muaj zog: Tej zaum koj yuav xav tias qaug zog thiab ua tsis tau dab tsi li. Tej zaum koj yuav pom tias nws nyuaj rau ua tej haujlwm uas yav dhau los yooj yim.
• Lub plawv dhia ceev: Zoo li koj hnov ​​​​​​koj lub plawv dhia, lossis koj lub plawv dhia ceev dua thiab sai dua, zoo li koj lub hauv siab dhia ceev.
• Xeev siab: Zoo li mob, tej zaum ntuav.
• Ua tsis taus pa: Koj xav tias ua tsis taus pa txawm tias tom qab ua me ntsis kev ua ub ua no lawm los xij. Qee zaum, koj yuav ua tsis taus pa txawm tias thaum koj pw tsaug zog los xij.
• Mob xub pwg lossis mob caj npab: Qee zaum qhov mob no tuaj yeem pib hauv siab thiab mus rau hauv caj dab, lub puab tsaig, xub pwg, lossis sab caj npab sab laug.

Tseem Ceeb: Yog tias koj muaj ib lossis ntau yam ntawm cov tsos mob no, tsis txhob xav tias nws yog ib qho mob ntawm lub cev. Mus ntsib kws kho mob tam sim ntawd.

Cov kws kho mob nrhiav tau qhov no li cas?

Yog tias koj muaj cov tsos mob no, thaum koj mus ntsib kws kho mob, nws yuav ua ntau qhov kev kuaj mob kom paub tseeb tias qhov no yog 'bifurcation blockage' lossis lwm yam mob plawv. Ib txhia ntawm cov no suav nrog:

• Kev ntsuas lub plawv thiab angiogram:Qhov no suav nrog kev muab ib lub raj me me (catheter) hla cov hlab ntsha hauv koj txhais caj npab lossis ceg mus rau cov hlab ntsha hauv koj lub plawv, txhaj tshuaj tshwj xeeb rau hauv nws, thiab thaij duab X-ray. Qhov no tso cai rau koj pom meej meej seb puas muaj qhov txhaws hauv cov hlab ntsha thiab ntau npaum li cas.
• Kev kuaj mob plawv (Coronary computed tomography angiogram - CCTA): Qhov no yog kev ntsuas CT tshwj xeeb uas siv cov duab peb-seem (3D) los saib seb cov ntshav ntws mus rau lub plawv li cas thiab seb puas muaj kev thaiv hauv cov hlab ntsha.
• Intravascular optical coherence tomography (IVOCT): Qhov no yog ib txoj kev siv tshuab siab heev. Thaum twg muab lub catheter ntxig rau hauv, lwm lub cuab yeej nyias nyias yuav raug hla mus rau hauv thiab cov plaque uas nyob hauv cov hlab ntsha, cov txheej ntawm phab ntsa hlab ntsha, yuav pom tau hauv cov duab meej heev, muaj kev txhais siab.
• Kev kuaj ultrasound hauv cov hlab ntsha (IVUS): Qhov no kuj yog kev kuaj ultrasound uas saib sab hauv cov hlab ntsha. Ib yam li IVOCT, nws tuaj yeem muab kev saib zoo ntawm cov phab ntsa ntawm cov hlab ntsha thiab qhov xwm txheej ntawm 'plaque'.
• Fractional flow reserve (FFR): Qhov no ntsuas qhov sib txawv ntawm lub zog hauv cov hlab ntsha, ntawm ob sab ntawm qhov kev thaiv. Nws tuaj yeem soj ntsuam qhov dav ntawm qhov kev thaiv thiab txiav txim siab seb puas xav tau kev kho mob.

Cov kev kho mob rau qhov no yog dab tsi?

Kev kho mob 'bifurcation blockage' qee zaum yuav nyuaj me ntsis. Vim tias cov hlab ntsha ceg uas kuv hais txog me dua, thiab lub kaum sab xis uas lawv ceg tawm ntawm cov hlab ntsha tseem ceeb kuj raug cuam tshuam. Yog li nws tuaj yeem nyuaj me ntsis rau kev ncav cuag thiab kho dua li cov hlab ntsha tseem ceeb.

Feem ntau cov kws kho mob ua ib qho kev kho mob hu ua angioplasty . Qhov no suav nrog kev nthuav dav cov hlab ntsha uas nqaim. Tom qab ntawd, ib lub raj me me hu ua stent raug ntxig rau hauv cov hlab ntsha kom cov ntshav ntws tsis txhob ua rau nws nqaim dua. Ob qho tib si angioplasty thiab stenting hu ua percutaneous coronary interventions (PCI) .

Hauv lwm lo lus, qhov no yog qhov tshwm sim thaum lub sijhawm angioplasty thiab stent placement:

1. Tus kws kho mob yuav txiav ib qho me me rau ntawm koj daim tawv nqaij, ntawm koj lub dab teg lossis hauv koj lub qhov ncauj, thiab muab ib lub catheter (ib lub raj nyias nyias thiab yoog tau) ntxig rau hauv ib txoj hlab ntshav.

2. Tom qab ntawd, cov catheter no yuav raug coj mus rau qhov chaw uas lub plawv raug thaiv los ntawm cov hlab ntsha kom zoo. Qhov no yuav ua tiav los ntawm kev siv X-ray.

3. Muaj ib lub npas me me nyob rau ntawm qhov kawg ntawm lub catheter. Thaum nws mus txog qhov chaw uas raug thaiv, thaum lub npas raug nthuav tawm, cov plaque uas nyob hauv cov leeg ntshav ntawd yuav lo rau ntawm phab ntsa ntawm cov leeg ntshav, thiab cov leeg ntshav yuav dav dua.

4. Tom qab ntawd yog lub stent.Muab ib lub (saum lub npas lossis cais) ntxig rau hauv cov leeg ntshav, lub npas raug nthuav kom dav, thiab lub stent raug nias rau ntawm phab ntsa ntawm cov leeg ntshav. Tom qab ntawd lub npas raug tshem tawm, cia lub stent nyob hauv qhov chaw sab hauv cov leeg ntshav, tiv thaiv cov leeg ntshav kom tsis txhob nqaim dua.

Tom qab kev kho mob no, koj tus kws kho mob yuav sau ntawv rau koj ib hom tshuaj uas ua rau cov ntshav nyias hu ua 'dual antiplatelet therapy' (xws li aspirin thiab clopidogrel) rau ib lub sijhawm kom tiv thaiv cov ntshav txhaws hauv lub stent. Nws yog ib qho tseem ceeb heev uas yuav tsum noj cov tshuaj no raws nraim li koj tus kws kho mob qhia rau koj, rau tag nrho lub sijhawm.

Cov txheej txheem tshwj xeeb rau 'bifurcation blockage'

Muaj ob hom stents siv los kho tus kab mob plawv (CAD) . Ib hom yog bare metal stent. Lwm hom yog drug- eluting stent. Cov drug-eluting stent no ua haujlwm los txo qhov kev pheej hmoo ntawm cov hlab ntsha rov qab nqaim dua (restenosis).

Muaj ntau txoj kev siv stenting tseem ceeb uas siv los kho cov kev thaiv bifurcation:

• Kev tso stent ib ntus: Hauv qhov no, tus kws kho mob tsuas yog muab stent tso rau hauv cov hlab ntsha tseem ceeb xwb. Cov hlab ntsha ceg ntawm sab tsis tau muab stent tso rau. Txawm li cas los xij, yog tias cov hlab ntsha tseem ceeb raug thaiv, lossis yog tias koj tseem muaj cov tsos mob, stent tuaj yeem muab tso rau hauv cov hlab ntsha ntawd tom qab.
• Cov txheej txheem ob-stent: Hauv cov kev thaiv nyuaj heev, lossis yog tias qhov kev thaiv hauv cov leeg ntshav kuj tseem ceeb, tus kws kho mob yuav muab cov stents tso rau hauv ob qho tib si cov hlab ntsha tseem ceeb thiab cov leeg ntshav me. Muaj ntau txoj hauv kev rau qhov no (piv txwv li, Culotte, T-stenting, Crush).

Cov kev sim tshuaj kho mob tam sim no tab tom ua rau ntawm cov stents tshwj xeeb uas tsim los kom haum rau cov leeg ntshav me me.

Kev kho mob puas tuaj yeem ua rau muaj teeb meem?

Tej zaum yuav muaj teeb meem rau qee tus neeg, tab sis tsis yog txhua tus, uas tau phais angioplasty thiab stenting rau 'Bifurcation Blockage' . Ob qho tseem ceeb yog:

• Kev rov qab nqaim ntawm cov hlab ntsha hauv lub stent: Qhov no yog thaum cov nqaij caws pliav tsim nyob rau ntawm qhov chaw ntawm lub stent, hauv qab lossis sab hauv lub stent, ua rau cov hlab ntsha nqaim dua. Qhov no feem ntau tshwm sim hauv rau txog kaum ob lub hlis ntawm kev muab stent tso rau. Yog tias qhov no tshwm sim, cov hlab ntsha yuav tsum tau nthuav dav dua nrog angioplasty lossis lwm yam kev kho mob. Cov stent uas muab tshuaj pleev tau txo qhov kev pheej hmoo no ntau heev.
• Kev txhaws ntawm cov hlab ntsha (stent thrombosis): Qhov no yog thaum cov ntshav txhaws tsim nyob rau ntawm qhov chaw ntawm lub stent thiab sab hauv cov hlab ntsha. Qhov no hu ua 'Thrombosis'.Qhov no yog ib qho xwm txheej txaus ntshai me ntsis, vim tias cov ntshav txhaws no tuaj yeem thaiv cov hlab ntsha tag thiab ua rau mob plawv nres. Kev noj 'dual antiplatelet therapy' kom raug yuav txo tau qhov kev pheej hmoo no ntau heev.

Tsis tuaj yeem tiv thaiv cov kev sib tsoo no tau?

Puas muaj tej yam uas peb ua tau los tiv thaiv cov kev thaiv no? Muaj tseeb tiag! Ua raws li cov kauj ruam no los tiv thaiv koj lub plawv tuaj yeem txo koj txoj kev pheej hmoo ntawm tus kab mob coronary artery (CAD) thiab atherosclerosis - ib qho mob uas cov rog sib sau ua ke hauv cov hlab ntsha, ua rau lawv tuab thiab poob lawv qhov elasticity.

• Tswj cov ntshav siab: Nws yog ib qho tseem ceeb kom txo cov ntsev hauv koj cov zaub mov noj, noj koj cov tshuaj raws li koj tus kws kho mob tau sau tseg, thiab kuaj xyuas koj cov ntshav siab tsis tu ncua.
• Txwv kev haus dej cawv: Txo kev haus dej cawv kom ntau li ntau tau. Tsis txhob haus dej cawv txhua hnub. Yog tias koj quav yeeb quav tshuaj, nrhiav kev pab.
• Noj zaub mov zoo rau lub plawv: Qhov no tseem ceeb heev rau kev txo cov roj cholesterol. Tsis txhob noj cov zaub mov uas muaj roj ntau, qab zib ntau, thiab cov khoom noj uas tau ua tiav lawm, thiab noj ntau txiv hmab txiv ntoo, zaub, taum pauv, cov khoom noj uas muaj fiber ntau (xws li mov xim av, oats, thiab lentils), thiab ntses (tshwj xeeb tshaj yog ntses uas muaj omega-3s ntau xws li ntses salmon thiab ntses mackerel) .
• Ceev faj txog koj cov rog: Txo koj cov zaub mov uas muaj cov rog saturated thiab trans ntau (piv txwv li, nqaij liab, nqaij ua tiav, khoom ci, khoom kib tob). Piv txwv li, roj txiv maj phaub tsis zoo rau koj yog tias siv ntau dhau. Siv cov roj noj qab haus huv xws li roj txiv roj thiab roj canola kom tsawg.
• Tswj Kab Mob Ntshav Qab Zib: Yog tias koj muaj kab mob ntshav qab zib, nws yog ib qho tseem ceeb uas yuav tsum tswj nws kom zoo. Kev noj zaub mov, kev tawm dag zog, thiab kev noj tshuaj uas tau sau tseg yog qhov tseem ceeb.
• Tsis txhob haus luam yeeb: Yog tias koj haus luam yeeb, nrhiav kev pab kom tso tseg. Kev nyob ib puag ncig cov neeg haus luam yeeb (kev haus luam yeeb tsis tu ncua) kuj tuaj yeem ua rau muaj kev phom sij.
• Ua kom lub cev muaj zog: Kev tawm dag zog tsawg kawg yog 30 feeb hauv ib hnub, 5 hnub hauv ib lub lim tiam, tuaj yeem pab tswj kom koj lub cev hnyav thiab ua kom koj lub plawv muaj zog. Koj tuaj yeem ua tej yam xws li taug kev, caij tsheb kauj vab, lossis ua luam dej.
• Txo kev ntxhov siab: Sim ua kom koj lub siab so los ntawm kev ua yoga thiab kev xav.

Tus neeg uas muaj 'bifurcation blockage' muaj mob li cas?

Qee qhov kev tshawb fawb qhia tias qhov kev vam meej ntawm kev kho qhov bifurcation blockage nrog angioplasty thiab stenting yog li 40%. Txawm li cas los xij, qhov no tuaj yeem sib txawv ntawm tus neeg mob mus rau tus neeg mob, nyob ntawm qhov xwm txheej ntawm qhov blockage. Qhov no txhais tau tias qee tus neeg tseem yuav muaj cov tsos mob ntawm lub plawv tom qab kev kho mob. Yog li ntawd, nws yog ib qho tseem ceeb heev uas yuav tsum txuas ntxiv tiv thaiv koj lub plawv los ntawm kev noj zaub mov zoo rau lub plawv, poob phaus yog tias tsim nyog, thiab noj koj cov tshuaj uas tau sau tseg. Nws tseem yog ib qho tseem ceeb kom sib cuag nrog koj tus kws kho mob tsis tu ncua thiab ua kom tiav cov kev kuaj mob tsim nyog.

Thaum twg koj yuav tsum mus ntsib kws kho mob?

Yog koj xav li ntawd, kojYog koj muaj mob plawv nres (piv txwv li mob hauv siab heev, ua pa nyuaj, tawm hws, ntuav), hu rau 911 lossis lub tsheb thauj neeg mob ze tshaj plaws (piv txwv li 1990 Suwaseriya) tam sim ntawd. Tsis txhob nkim sijhawm!

Tsis tas li ntawd xwb, mus ntsib kws kho mob yog tias koj muaj cov tsos mob no uas tseem muaj lossis tshwm sim tas li:

• Mob hauv siab (angina) , mob caj npab lossis mob xub pwg.
• Cov hws txias.
• Ua pa nyuaj.
• Qaug zog heev los yog tsis muaj zog yam tsis muaj laj thawj.
• Kiv taub hau los yog xav tias lub plawv dhia ceev ceev.

Kuv yuav tsum nug tus kws kho mob li cas?

Nws yog ib lub tswv yim zoo kom nug cov lus nug no thaum koj mus ntsib koj tus kws kho mob. Qhov no yuav pab koj nkag siab zoo dua txog koj tus mob:

• Dab tsi yog qhov laj thawj vim li cas kuv thiaj tsim qhov 'Bifurcation Blockage' no?
• Kuv puas muaj feem yuav muaj kev thaiv zoo sib xws hauv lwm cov hlab ntsha?
• Yuav pom zoo kom kuv kho qhov kev kho mob twg? Kev phais angioplasty thiab stenting yuav kho qhov kev thaiv no tau zoo npaum li cas?
• Koj pom zoo kom siv hom stent twg? (piv txwv li, stent uas yaj cov tshuaj?)
• Kuv yuav tsum tau muaj pes tsawg lub stents?
• Cov kev pheej hmoo thiab cov txiaj ntsig ntawm kev kho mob yog dab tsi?
• Kuv yuav tsum noj tshuaj ntev npaum li cas tom qab kho tas?
• Kuv yuav tsum hloov dab tsi hauv kuv txoj kev ua neej kom tiv thaiv kuv lub siab?
• Tej yam teeb meem tom qab kho mob yog dab tsi, thiab kuv yuav tsum saib xyuas lawv li cas?

Qhov tseem ceeb tshaj plaws uas peb kawm tau los ntawm qhov no (Cov Lus Coj Mus Tsev)

Kev thaiv ntawm ob sab ntawm lub plawv (bifurcation blockage) yog kev thaiv uas tshwm sim ntawm qhov sib tshuam ntawm cov hlab ntsha hauv lub plawv, thaiv cov ntshav ntws mus rau lub plawv. Txawm hais tias qee zaum nws yuav nyuaj rau kho, muaj cov kev kho mob siab heev xws li angioplasty thiab stenting.

Txawm li cas los xij, qhov tseem ceeb tshaj plaws yog sim tiv thaiv qhov mob no kom tsis txhob tshwm sim thiab, txawm tias kho tau zoo lawm los xij, los tiv thaiv koj lub plawv los ntawm kev hloov pauv koj txoj kev ua neej zoo (kev noj zaub mov zoo, kev tawm dag zog, thiab kev tso kev haus luam yeeb). Yog tias koj muaj cov tsos mob xws li mob hauv siab lossis ua tsis taus pa, nws yog ib qho tseem ceeb uas yuav tsum nrhiav kev kho mob yam tsis txhob tsis quav ntsej lawv. Nco ntsoov tias, koj lub siab yog koj cov khoom muaj nqis tshaj plaws! Nws yog koj lub luag haujlwm los saib xyuas nws.

Kab mob plawv , kev thaiv bifurcation, CAD, angioplasty, stent, mob hauv siab, lub plawv