Puas yog cov hlab ntsha hauv lub plawv yuav raug thaiv dua tom qab muab stent tso rau hauv? (In-Stent Restenosis)

Koj lossis ib tug neeg uas koj paub puas tau muab lub stent tso rau hauv cov hlab ntsha hauv lub plawv? Tom qab kev kho mob zoo li no, peb feem ntau xav tias tam sim no qhov teeb meem tau daws tag lawm, tias cov hlab ntsha hauv lub plawv yuav tsis raug thaiv dua. Txawm li cas los xij, qee zaum, qhov kev thaiv me me lossis qhov nqaim tuaj yeem tshwm sim dua ntawm tib qho chaw uas tau muab lub stent tso, uas yog, nyob rau tib qho ntawm cov hlab ntsha uas tau kho. Qhov ntawd yog qhov uas cov kws kho mob hu ua 'In-Stent Restenosis'. Txawm hais tias lub npe yuav zoo li nyuaj me ntsis, nws yeej yooj yim heev. Cia peb tham txog qhov no kom meej, hauv Sinhala uas koj tuaj yeem nkag siab.

Ua ntej, cia peb nkag siab cov lus no, puas yog?

Ua ntej peb tham txog 'in-stent restenosis', cia peb nkag siab lub ntsiab lus ntawm ob peb lo lus. Ces nws yuav meej dua rau koj.

'Stenosis' yog dab tsi?

Hais yooj yim xwb, 'stenosis' yog qhov uas cov hlab ntsha hauv peb lub cev nqaim lossis nqaim. Xav txog tias dhau sijhawm, cov av thiab xeb sib sau ua ke hauv cov kav dej, thaiv txoj kev ntws ntawm dej.

Yog li, kab mob plawv (CAD) yog dab tsi?

Peb lub plawv kuj xav tau ntshav kom ua haujlwm tau. Cov hlab ntsha tseem ceeb uas muab nws hu ua cov hlab ntsha hauv lub plawv. CAD yog thaum cov rog hu ua plaque sib sau ua ke hauv ib lossis ntau dua ntawm cov hlab ntsha hauv lub plawv, ua rau cov hlab ntsha nqaim. Qhov no kuj hu ua atherosclerosis. Ib txhia neeg kuj hu nws tias "kev ua kom cov hlab ntsha tawv." Cov rog sib sau ua ke no tshwm sim maj mam, thiab tej zaum yuav tsis muaj tsos mob thaum xub thawj. Tab sis yog tias tsis kho, nws tuaj yeem ua rau muaj mob hnyav xws li mob plawv nres thiab lub plawv tsis ua haujlwm.

'Angioplasty' thiab 'Stent' yog dab tsi?

Ib qho kev kho mob tseem ceeb uas cov kws kho mob siv los qhib cov hlab ntsha hauv lub plawv uas raug thaiv vim yog CAD hu ua angioplasty. Qee zaum nws kuj hu ua percutaneous coronary intervention (PCI). Hauv qhov no, ib lub raj nyias nyias (catheter) raug ntxig los ntawm ib lub qhov me me hauv daim tawv nqaij mus rau hauv cov hlab ntsha uas raug thaiv. Ib lub cuab yeej me me zoo li lub npas nyob rau ntawm qhov kawg ntawm lub raj raug nthuav dav, ua rau cov hlab ntsha uas raug thaiv dav dua. Tom qab ntawd, kom tiv thaiv cov hlab ntsha kom tsis txhob tawg dua thiab kom cov ntshav ntws zoo, ib lub raj me me - qhov ntawd yog qhov stent yog rau - raug muab tso rau hauv cov hlab ntsha uas tau dav. Tom qab ntawd, cov ntshav ntws zoo dua.

Zoo, tam sim no qhov 'In-Stent Restenosis' no yog dab tsi?

Tam sim no koj nkag siab tias vim li cas thiab yuav ua li cas muab lub stent tso rau. Tom qab muab lub stent tso rau thiab cov ntshav ntws rov qab los rau hauv cov hlab ntsha hauv lub plawv, qee zaum cov hlab ntsha pib nqaim dua qhov chaw uas lub stent tau muab tso rau, uas yog, sab hauv lub stent. Yog vim li cas peb thiaj hu nws tias 'In-Stent Restenosis'. 'Re' txhais tau tias "dua", thiab 'stenosis' txhais tau tias "qhib". Yog li, qhov no txhais tau tias "qhib dua sab hauv lub stent".

Tus mob no feem ntau tshwm sim li cas?

Tam sim no koj yuav xav paub seb qhov no puas txawv rau txhua tus neeg uas tau txais stents.Tsis yog, qhov no tsis tshwm sim rau txhua tus neeg uas muaj stent. Txawm li cas los xij, kwv yees li 1 ntawm 4 tus neeg uas muaj stent muaj qee qhov kev pheej hmoo ntawm kev mob no hu ua 'In-Stent Restenosis'. Qhov no feem ntau tshwm sim hauv peb txog rau lub hlis tom qab muab stent tso rau.

Tseem Ceeb: Yog tias koj muaj lub raj mis balloon angioplasty yam tsis muaj stenting, qhov kev pheej hmoo ntawm kev rov stenosis yuav siab dua. Kwv yees li 4 ntawm 10 tus neeg yuav muaj lawv cov hlab ntsha rov raug thaiv dua.

Vim li cas 'in-stent restenosis' thiaj tshwm sim?

Nws yog ib lo lus nug nthuav heev. Tom qab muab lub stent tso rau hauv, peb lub cev sim "kho" nws. Qhov ntawd yog, ib txheej tshiab ntawm cov hlwb ("ib txheej tshiab") loj hlob hla lub stent, ua rau sab hauv ntawm cov leeg ntshav du dua. Qhov no yog ib qho zoo, vim tias cov ntshav tuaj yeem ntws tau yooj yim dua yam tsis muaj kev txhaws.

Txawm li cas los xij, qee zaum, nyob rau hauv cov txheej tshiab ntawm cov hlwb no, nyob ib puag ncig lub stent, muaj cov nqaij caws pliav ntau dhau . Thaum cov nqaij caws pliav no loj hlob ntau dhau, sab hauv ntawm cov hlab ntsha tuab zuj zus, ua rau cov ntshav ntws nqaim dua. Qhov no yog qhov ua rau muaj 'In-Stent Restenosis'.

Nco ntsoov, qhov no feem ntau tshwm sim li ntawm peb mus rau rau lub hlis tom qab muab stenting. Tom qab ntawd, qhov kev pheej hmoo ntawm cov nqaij caws pliav tsim thiab thaiv cov leeg ntshav yog qis heev.

Leej twg muaj feem yuav mob 'in-stent restenosis' ntau dua?

Txawm hais tias leej twg uas muaj stent tso rau CAD tuaj yeem muaj tus mob no hu ua 'In-Stent Restenosis', qee tus neeg muaj feem yuav mob ntau dua me ntsis. Cia peb saib lawv yog leej twg:

• Rau cov neeg uas muaj roj cholesterol ntau hauv cov ntshav. (Qhov no yog qhov ua rau muaj ntau yam kab mob plawv!)
• Rau cov neeg uas muaj kab mob raum .
• Rau cov neeg haus luam yeeb. (Qhov no yog ib yam dab tsi uas koj yuav tsum tsis txhob ua!)
• Rau cov neeg uas tsis tswj tau tus kab mob ntshav qab zib zoo.
• Rau cov neeg uas tsis tswj tau ntshav siab (hypertension).

Yog tias koj muaj cov mob zoo li no, nws yog ib qho tseem ceeb heev uas yuav tsum nrog koj tus kws kho mob tham thiab tswj lawv.

Cov tsos mob ntawm 'in-stent restenosis' yog dab tsi?

Feem ntau, cov neeg uas muaj 'In-Stent Restenosis' tsis qhia cov tsos mob sab nraud. Yog vim li ntawd nws thiaj li tseem ceeb heev uas yuav tsum mus ntsib koj tus kws kho mob tsis tu ncua thiab ua cov kev kuaj mob tsim nyog tom qab muab stent tso rau.

Txawm li cas los xij, qee tus neeg yuav muaj cov tsos mob. Yog tias lawv muaj, cov tsos mob feem ntau zoo ib yam li cov CAD uas twb muaj lawm. Cov no suav nrog:

• Muaj ib qho kev mob, nruj, lossis tsis xis nyob hauv lub hauv siab. Peb hu qhov no ua "angina." Qhov mob hauv siab no yuav hnyav zuj zus thaum koj tawm dag zog, nce ntaiv, lossis qaug zog me ntsis.
• Hws txias.
• Kiv taub hau, lightheadedness, los yog xav tias tsaus muag.
• Kev qaug zog thiab tsis muaj zog ntau dhau.
• Hnov lub plawv dhia tsis zoo li qub ('Lub plawv dhia tsis xwm yeem').
• Xeev siab.
• Ua tsis taus pa, qee zaum txawm tias thaum taug kev luv luv xwb los xij.
• Mob xub pwg lossis caj npab (tshwj xeeb tshaj yog sab caj npab sab laug).

Yog koj muaj cov tsos mob no, koj yuav tsum mus ntsib kws kho mob yam tsis tas nkim sijhawm.

Yuav kuaj mob 'in-stent restenosis' li cas?

Zoo li kuv tau hais ua ntej lawm, vim tias 'In-Stent Restenosis' tsis tas li qhia cov tsos mob, nws yog ib qho tseem ceeb uas yuav tsum mus ntsib koj tus kws kho mob tsis tu ncua tom qab muab stent tso rau. Tom qab ntawd, cov kev kuaj mob tsim nyog tuaj yeem ua tau.

Yog koj muaj cov tsos mob, koj tus kws kho mob yuav pom zoo kom kuaj mob zoo li no:

• Kev ntsuam xyuas kev ntxhov siab ntawm kev tawm dag zog : Qhov kev ntsuam xyuas no ntsuas seb koj lub plawv nqus ntshav li cas thiab nrhiav kev hloov pauv hauv koj lub ECG thaum koj taug kev ntawm lub treadmill lossis caij tsheb kauj vab.
• Kev ntsuas lub plawv thiab kev ntsuas angiogram : Qhov no ua ua ntej muab lub stent tso rau. Qhov no tuaj yeem ua dua kom pom tseeb tias puas muaj qhov thaiv sab hauv lub stent.
• Kev kuaj mob plawv los ntawm kev siv computer los ntsuas lub plawv (CCTA): Qhov no zoo ib yam li kev kuaj CT scan. Yuav muab ib yam xim tshwj xeeb txhaj rau hauv lub plawv kom tsim tau cov duab 3D ntawm cov hlab ntsha hauv lub plawv.
• Fractional flow reserve (FFR): Qhov no ua tau tib lub sijhawm nrog rau kev kuaj angiogram. Ib txoj hlua tshwj xeeb raug ntxig rau hauv cov leeg ntshav thiab ntsuas ntshav siab ntawm ob sab ntawm qhov kev txhaws kom pom tias qhov kev txhaws hnyav npaum li cas.
• Kev kuaj mob ultrasound hauv cov hlab ntsha (IVUS): Qhov no kuj ua tau tib lub sijhawm nrog kev kuaj angiogram. Ib qho ultrasound probe me me raug xa mus rau hauv cov hlab ntsha, ua rau sab hauv ntawm phab ntsa hlab ntsha thiab stent pom tseeb heev.

Cov kev kho mob rau 'in-stent restenosis' yog dab tsi?

Koj tus kws kho mob yuav txiav txim siab seb yuav kho qhov twg zoo tshaj plaws rau koj raws li qhov hnyav ntawm koj qhov In-Stent Restenosis, uas yog, qhov nqaim ntawm cov hlab ntsha, thiab koj txoj kev noj qab haus huv tag nrho. Nws yuav suav nrog ib qho ntawm cov kev kho mob hauv qab no:

• Cov Tshuaj: Txhawm rau tswj cov tsos mob xws li angina uas tshwm sim los ntawm In-Stent Restenosis, qhov ntau npaum li cas ntawm cov tshuaj tam sim no yuav raug nce lossis cov tshuaj tshiab yuav raug ntxiv.
• Rov ua angioplasty dua: Cov hlab ntsha uas raug thaiv raug nthuav dav dua nrog lub npas, thiab qee zaum lwm lub stent raug ntxig rau hauv. Qee zaum yuav siv lub npas uas muaj tshuaj pleev.
• Kev phais plawv bypass:Qhov no kuj hu ua 'Coronary artery bypass grafting' lossis 'CABG'. Qhov no yog ib qho kev phais loj me ntsis. Qhov koj ua yog tsim ib txoj kev tshiab rau cov ntshav ntws ncig thaj chaw uas raug thaiv. Ntawd yog, koj muab ib daim hlab ntsha los ntawm lwm qhov ntawm koj lub cev (xws li koj ceg, hauv siab) thiab txuas nws mus rau thaj chaw uas raug thaiv thiab rov qab.
• Kev kho mob hlab ntsha brachytherapy: Qhov no yog kev kho mob txawv me ntsis. Zoo ib yam li kev kho mob hluav taws xob siv los tua cov hlwb qog noj ntshav, qhov no suav nrog kev muab me ntsis hluav taws xob rau lub sijhawm luv luv rau lub stent kom tiv thaiv cov nqaij caws pliav kom tsis txhob loj hlob rov qab. Qhov no kuj hu ua coronary brachytherapy.

Puas muaj txoj hauv kev los tiv thaiv 'in-stent restenosis'?

Yog lawm, qhov xov xwm zoo yog tias qhov kev pheej hmoo ntawm 'In-Stent Restenosis' tuaj yeem txo tau. Ib qho ntawm cov txoj hauv kev tseem ceeb los ua qhov no yog siv cov tshuaj eluting stents ('DES').

Cov 'DES' no txawv ntawm cov hlau bare metal stents (BMS). Lawv muaj ib txheej tshuaj nyias nyias rau ntawm lawv. Thaum lub stent raug ntxig rau hauv cov leeg ntshav, cov tshuaj maj mam tso tawm, tswj kev tsim cov nqaij caws pliav thiab kev loj hlob ntawm cov hlwb.

Xyoo dhau los, muaj kev tham txog qhov kev pheej hmoo ntawm cov ntshav txhaws nrog cov 'DES' no. Txawm li cas los xij, tiam tshiab ntawm cov tshuaj stents muaj kev nyab xeeb heev thiab zoo heev. Thaum siv cov 'DES' no, qhov kev pheej hmoo ntawm 'In-Stent Restenosis' raug txo qis heev. Hais kwv yees, 'Tsawg dua 1 ntawm 10 tus neeg' tsim 'In-Stent Restenosis'.

Yog li ntawd, yog tias koj yuav muaj lub stent tso rau, nrog koj tus kws kho mob tham kom txiav txim siab seb hom stent twg zoo tshaj plaws rau koj.

Yuav ua li cas rau ib tus neeg uas muaj 'in-stent restenosis'?

Yog tias koj muaj tus kab mob 'In-Stent Restenosis', tej zaum koj yuav muaj feem yuav muaj mob plawv uas yuav ua rau tuag taus, xws li 'unstable angina', 'acute coronary syndrome', thiab 'heart attacks'.

Zoo hmoo, cov kev pheej hmoo no tau raug txo qis ntau heev nrog rau kev tshwm sim ntawm cov stents tshiab (tshwj xeeb tshaj yog DES) thiab cov txheej txheem tso stent zoo dua. Tsis tas li ntawd, tam sim no muaj kev kho mob zoo rau In-Stent Restenosis.

Yog koj muaj mob CAD, koj yuav tsum ua raws li koj tus kws kho mob cov lus qhia kom tiv thaiv In-Stent Restenosis thiab tiv thaiv koj lub plawv feem ntau. Qhov ntawd txhais tau tias:

• Txo koj cov ntsev noj thiab noj cov tshuaj uas koj tus kws kho mob tau sau tseg (tshwj xeeb yog cov tshuaj rau ntshav siab, roj cholesterol, thiab ntshav txhaws) raws nraim thiab raws sijhawm.
• Txwv koj txoj kev haus dej cawv. Yog tias koj quav dej cawv, nrhiav kev pab kom kov yeej nws.
• Kev noj zaub mov zoo rau lub plawvNoj cov khoom noj uas "zoo rau lub plawv." Noj roj, qab zib, thiab hmoov tsawg dua, thiab noj zaub, txiv hmab txiv ntoo, thiab cov khoom noj uas muaj fiber ntau.
• Paub txog cov roj uas koj noj. Txo koj cov zaub mov uas muaj roj saturated thiab trans fats ntau (zaub mov ceev ceev, zaub mov kib, zaub mov ntim) kom ntau li ntau tau.
• Tswj koj lub cev kom muaj qhov hnyav zoo. Ua si txhua hnub.
• Yog koj muaj ntshav qab zib, tswj nws kom zoo.
• Yog koj haus luam yeeb, sim tso tseg hnub no. Muaj ntau txoj hauv kev los nrhiav kev pab.

Kuv yuav tsum hu rau kws kho mob thaum twg?

Yog koj xav tias koj muaj mob plawv nres (cov tsos mob xws li mob hauv siab heev, ua tsis taus pa, tawm hws), hu rau 1990 Suwaseriya Ambulance Service tam sim ntawd.

Yog tias koj tau muaj stent tso ua ntej thiab cov tsos mob no rov tshwm sim, mus ntsib koj tus kws kho mob plawv tam sim ntawd:

• Mob hauv siab (angina), nruj, mob siab, mob caj npab lossis xub pwg.
• Hws txias.
• Ua pa nyuaj, ua pa nrov nrov.
• nkees heev los yog tsis muaj zog yam tsis muaj laj thawj.

Kuv yuav tsum nug kuv tus kws kho mob li cas?

Thaum koj mus ntsib kws kho mob, koj tuaj yeem nug cov lus nug zoo li no kom nkag siab meej txog koj tus mob:

• Vim li cas kuv thiaj li muaj qhov 'restenosis' no? Kuv muaj tej yam uas ua rau kuv muaj feem yuav muaj mob dab tsi?
• Kuv puas rov qab mob dua? Kuv yuav tsum ua li cas thiaj li tiv thaiv tau?
• Kuv yuav tsum ua neej li cas thiaj li tiv thaiv tau kuv lub siab?
• Kuv yuav tsum saib xyuas cov cim qhia txog teeb meem twg?
• Kev kho mob zoo tshaj plaws rau kuv yog dab tsi?

Thaum kawg, yuav tsum nco ntsoov li cas (Cov Lus Coj Mus Tsev)

Zoo, yog li qhov tseem ceeb tshaj plaws uas koj yuav tsum nco ntsoov los ntawm qhov peb tau tham txog yog qhov no. Angioplasty thiab stenting yog ob qho kev kho mob tseem ceeb tshaj plaws thiab cawm txoj sia rau kab mob plawv. Cov kev kho mob no txhim kho cov ntshav ntws mus rau koj lub plawv, txo cov tsos mob ntawm CAD, thiab txhim kho koj lub neej zoo.

Txawm li cas los xij, yog tias cov tsos mob xws li qaug zog, mob hauv siab, thiab ua tsis taus pa rov tshwm sim tom qab muab stent tso rau, nws yuav yog ib qho cim ntawm 'In-Stent Restenosis .' Yog tias qhov ntawd tshwm sim, tsis txhob ntshai lossis ncua sijhawm, tab sis mus ntsib koj tus kws kho mob kom tau txais lus qhia.

Zoo hmoo, cov stent tshiab uas muaj kev nyab xeeb dua thiab muaj kev nyab xeeb dua uas muaj niaj hnub no tau txo qhov kev pheej hmoo ntawm kev mob In-Stent Restenosis. Kuj tseem muaj kev kho mob zoo rau qhov no. Nws yog qhov zoo tshaj plaws los tham nrog koj tus kws kho mob txog hom stent thiab kev kho mob twg yog qhov zoo rau koj. Saib xyuas koj lub plawv!

` Stents, in-stent restenosis, kab mob plawv, angioplasty, kab mob coronary artery, kab mob coronary artery, mob plawv nres