Koj puas tau muaj ib zaug koj xav tias koj kiv taub hau, xav tias ib sab ntawm koj lub cev tsis muaj zog, lossis hais lus tsis tau zoo? Tej zaum cov no yog cov cim qhia tias koj muaj mob stroke me me. Thaum qhov no tshwm sim, qhov tseem ceeb tshaj plaws uas cov kws kho mob yuav saib yog seb puas muaj kev thaiv ntawm cov hlab ntsha tseem ceeb hauv koj lub caj dab uas nqa cov ntshav mus rau koj lub hlwb. Qhov ntawd yog qhov peb yuav tham txog hnub no.
Carotid Angiography yog dab tsi?
Hais yooj yim xwb, kev kuaj mob carotid angiogram, lossis angiogram, yog ib qho kev kuaj tshwj xeeb uas saib seb cov ntshav ntws li cas hauv ob lub hlab ntsha tseem ceeb ntawm ob sab ntawm koj lub caj dab (uas peb hu ua cov hlab ntsha carotid). Xav txog ob lub hlab ntsha no ua ob lub hlab ntsha tseem ceeb uas nqa cov ntshav ntawm koj lub plawv mus rau koj lub hlwb. Qhov kev kuaj no yog ua los saib seb puas muaj kev thaiv lossis nqaim hauv ib qho ntawm cov hlab ntsha no.
Qhov no suav nrog kev thaij duab siv X-rays. Tab sis txawm tias muaj X-ray yooj yim, cov hlab ntsha no tsis pom tseeb. Yog li ntawd, ib qho kua tshwj xeeb, ib hom xim hu ua "contrast dye", raug txhaj rau hauv lub cev. Cov xim no ua rau cov hlab ntsha zoo li dawb ntawm X-ray. Ib yam li thaum koj tsav tsheb ntawm txoj kev tsaus ntuj nrog koj lub teeb taub hau qhib, koj tuaj yeem pom txoj kev meej.
Vim li cas koj thiaj yuav tsum ua qhov kev xeem no?
Qhov laj thawj tseem ceeb rau kev ua qhov kev kuaj no yog tias muaj kev xav tias muaj kab mob Carotid Artery Disease . Qhov tshwm sim hauv qhov no yog tias dhau sijhawm, cov khoom xws li cov roj cholesterol sib sau ua ke hauv cov hlab ntsha no, ua rau cov phab ntsa hlab ntsha tuab thiab ua rau cov ntshav ntws nqaim. Ib yam li dhau sijhawm, xeb sib sau ua ke hauv cov kav dej hauv peb lub tsev thiab txhaws cov dej ntws. Hauv kev kho mob, peb hu qhov no '(Atherosclerosis)'.
Muaj ntau yam laj thawj tseem ceeb uas ua rau koj tus kws kho mob xa koj mus rau qhov kev kuaj no:
- Yog koj tus kws kho mob xav tias koj muaj cov tsos mob ntawm tus kab mob carotid artery.
- Yog tias koj tau muaj mob stroke me me ua ntej lawm, lossis qhov uas hu ua "Transient Ischemic Attack - TIA".
- Yog tias koj tau muaj mob stroke loj ua ntej.
Qhov tseem ceeb tshaj plaws yog tias kev thaiv cov hlab ntsha no tuaj yeem txo cov ntshav uas mus txog lub hlwb. Qhov no ua rau muaj kev pheej hmoo ntawm kev mob stroke ntau ntxiv. Yog li ntawd, nws yog ib qho tseem ceeb heev uas yuav tsum tau kuaj xyuas qhov no thiab txheeb xyuas qhov mob thaum ntxov.
Koj puas yuav ua lwm yam kev ntsuam xyuas ua ntej qhov no?
Yog. Feem ntau, tus kws kho mob tsis xa koj mus rau qhov kev kuaj angiography no tam sim ntawd. Ua ntej ntawd, feem ntau yuav ua qhov kev kuaj ultrasound carotid.Ib qho kev kuaj mob ua tiav lawm. Qhov no yog ib qho kev kuaj mob yooj yim heev, tsis mob, uas siv cov suab nthwv dej. Txawm li cas los xij, qee zaum yog tias cov duab los ntawm qhov kev kuaj mob ultrasound no tsis meej heev, lossis yog tias tus kws kho mob xav paub ntau ntxiv txog qhov xwm txheej ntawm cov hlab ntsha, cov kauj ruam tom ntej yog xa mus rau qhov kev kuaj mob carotid angiography.
Yuav npaj li cas rau qhov kev xeem?
Koj tus kws kho mob lossis cov neeg ua haujlwm hauv tsev kho mob yuav muab cov lus qhia meej rau koj txog kev npaj rau qhov kev kuaj no. Nws yog ib qho tseem ceeb heev uas yuav tsum ua raws li cov lus qhia ntawd kom meej.
| Qhov seem uas yuav tsum tau npaj | Yuav ua li cas thiab piav qhia |
|---|---|
| Khoom noj thiab dej haus | Lawv yuav qhia koj kom tsis txhob noj lossis haus dab tsi li ob peb teev ua ntej koj mus kuaj. Qhov no txhais tau tias koj yuav tsum yoo mov. Ua raws li cov lus qhia ntawd. |
| Cov tshuaj uas koj noj | Nco ntsoov qhia rau koj tus kws kho mob txog cov tshuaj uas koj noj txhua hnub (piv txwv li tshuaj aspirin, tshuaj ntshav qab zib, tshuaj ntshav siab) thiab cov tshuaj Ayurvedic uas koj noj. Tej zaum yuav muaj lus nug kom koj tsum tsis txhob noj qee cov tshuaj ib hnub ua ntej kuaj. |
| Tej yam muaj nqis | Tso koj cov khoom muaj nqis, xws li cov hniav nyiaj hniav kub thiab nyiaj, tseg hauv tsev. Tsis txhob coj cov no mus rau tsev kho mob. |
| Mus thiab los ntawm tsev kho mob | Tej zaum koj yuav tsis muaj peev xwm tsav tsheb tom qab qhov kev xeem, yog li nws yog ib qho tseem ceeb uas koj yuav tsum muaj ib tus neeg tsav koj mus tsev. |
Muaj dab tsi tshwm sim thaum lub sijhawm xeem?
Feem ntau cov txheej txheem no siv sijhawm li ib teev lossis ib teev thiab ib nrab. Koj tsis tas yuav txhawj, txhua yam yog ua los ntawm kev xav txog koj txoj kev nyab xeeb.
Tom qab tuaj txog hauv tsev kho mob
Koj yuav tau ib lub tsho hauv tsev kho mob hnav. Yog tias koj hnav tsom iav lossis cov khoom pab hnov lus, nug tus kws kho mob lossis tus nais maum seb koj puas tuaj yeem hnav lawv thaum lub sijhawm kuaj. Txawm li cas los xij, cov iav sib cuag yuav tsum tau tshem tawm.
Cov txheej txheem sim
Cov lus hauv qab no yuav pab koj nkag siab txog cov txheej txheem no zoo dua.
| Cov kauj ruam | Muaj dab tsi tshwm sim? |
|---|---|
| Tso txoj kab IV | Yuav muab ib lub raj me me (IV catheter) rau hauv cov leeg ntshav hauv koj txhais caj npab. Cov tshuaj thiab cov kua dej uas tsim nyog yuav muab los ntawm qhov no. |
| Muab tshuaj loog | Yuav muab tshuaj loog me me rau koj kom koj so thiab txo koj qhov kev ntxhov siab. Qhov no kuj tseem yuav pab koj tsaug zog. |
| Kev soj ntsuam lub plawv dhia | Cov electrodes raug txuas rau ntawm koj lub hauv siab thiab txuas nrog lub tshuab EKG. Qhov no saib xyuas koj lub plawv ua haujlwm thoob plaws qhov kev kuaj. |
| Muab tshuaj rau qhov tsis hnov lus | Yuav muab tshuaj loog rau hauv thaj chaw uas muab lub catheter ntxig rau hauv, feem ntau yog thaj chaw ntawm lub duav lossis qee zaum yog caj npab. |
| Kev ntxig catheter thiab kev khawb tuag | Tom qab muab tshuaj loog lawm, yuav muab ib lub raj me me (catheter) uas nyias thiab yoog tau rau hauv cov hlab ntsha thiab coj mus rau cov hlab ntsha carotid hauv caj dab. Tom qab ntawd, cov xim zas yuav raug txhaj rau hauv lub raj. Tom qab ntawd yuav thaij cov duab X-ray. |
Qhov no puas mob?
Tsis yog. Feem ntau qhov kev kuaj no tsis yog qhov mob. Koj yuav tsis hnov mob vim tias lub catheter loog. Txawm li cas los xij,Thaum cov xim pleev raug txhaj rau hauv lub cev, koj yuav hnov qhov sov me ntsis lossis qhov khaus khaus. Qhov no yog qhov ib txwm muaj. Qhov sov yuav ploj mus hauv ob peb feeb.
Txawm li cas los xij, yog tias koj muaj ib qho ntawm cov tsos mob hauv qab no thaum lub sijhawm kuaj, koj yuav tsum qhia rau tus kws kho mob lossis tus nais maum tam sim ntawd:
- Mob hauv siab los yog tsis xis nyob
- Ib qho tawv nqaij tawm pob los yog khaus khaus
- Xav tias xeev siab.
- Xav tias koj lub caj pas raug nqaim
- Txhua qhov kev hloov pauv lossis qhov muag tsis pom kev
Tom qab kuaj tas lawm, yuav muaj dab tsi tshwm sim?
Thaum kuaj tiav lawm, tus kws kho mob yuav tshem lub catheter thiab muab ib daim ntaub qhwv kom tsis txhob los ntshav. Tom qab ntawd, koj lub plawv dhia thiab ntshav siab yuav raug kuaj xyuas, thiab koj yuav raug tsiv mus rau ib chav sib cais kom so ob peb teev.
Koj yuav tsum haus dej ntau thaum lub sijhawm no. Qhov no yog vim tias cov xim uas txhaj rau hauv koj lub cev yuav tsum tau yaug tawm sai sai los ntawm koj cov zis. Yog li ntawd, tsis txhob txhawj yog tias koj xav tau tso zis ntxiv me ntsis, nws yog ib qho ib txwm muaj.
Cov txiaj ntsig qhia li cas thiab lawv yuav muaj thaum twg?
Cov duab X-ray uas tau los ntawm qhov kev kuaj no tuaj yeem qhia meej meej seb puas muaj kev thaiv lossis nqaim hauv koj cov hlab ntsha carotid.
Cov duab no raug kuaj los ntawm ib tug kws tshwj xeeb, ib tug kws kho mob xoo hluav taws xob, thiab ib daim ntawv qhia tau npaj tiav. Daim ntawv qhia no raug xa mus rau koj tus kws kho mob. Tus kws kho mob mam li tham nrog koj thiab piav qhia txog cov txiaj ntsig thiab, yog tias tsim nyog, cov kauj ruam tom ntej yuav ua.
Cov Lus Qhia Txog Kev Coj Mus Tsev
- Kev kuaj mob carotid angiography yog ib qho kev kuaj X-ray tshwj xeeb uas kuaj xyuas seb puas muaj kev thaiv hauv cov hlab ntsha tseem ceeb hauv koj lub caj dab uas xa cov ntshav mus rau koj lub hlwb.
- Qhov kev kuaj no tseem ceeb heev rau kev kuaj pom thaum ntxov ntawm kev nqaim lossis kev thaiv hauv cov hlab ntsha uas tuaj yeem ua rau mob stroke.
- Cov txheej txheem no feem ntau tsis mob, tab sis nws yog ib qho tseem ceeb uas yuav tsum ua raws li cov lus qhia ntawm tus kws kho mob ua ntej thiab tom qab qhov kev kuaj mob.
- Yog tias koj muaj cov tsos mob txawv txawv (piv txwv li, kev ua xua, mob hnyav ntawm qhov chaw ntxig catheter) tom qab kuaj, qhia rau koj tus kws kho mob tam sim ntawd.
- Ib txwm tham nrog koj tus kws kho mob txog koj cov txiaj ntsig kuaj thiab kev kho mob yav tom ntej.
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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