Muaj ob txoj hlab ntsha tseem ceeb uas nqa cov ntshav mus rau peb lub hlwb ntawm ob sab ntawm peb lub caj dab. Xav txog seb yuav muaj dab tsi tshwm sim yog tias cov hlab ntsha no raug txhaws nrog cov quav hniav, lossis theej, cov quav hniav. Nws zoo li xeb tsim hauv cov yeeb nkab dej. Tom qab ntawd cov ntshav mus rau lub hlwb yuav txo qis. Qhov no yog qhov ua rau muaj kev mob stroke txaus ntshai. Yog li, hnub no peb yuav tham txog kev phais tshwj xeeb uas tau ua los tshem tawm hom kev txhaws no.
Hauv lwm lo lus, carotid endarterectomy yog dab tsi?
Qhov no yog ib lub npe ntev thiab txawv txawv, tab sis nws lub ntsiab lus yooj yim heev. Qhov no yog kev phais. Kev phais no suav nrog kev phais tshem tawm cov rog thiab cov roj cholesterol uas tau tsim hauv cov hlab ntsha carotid hauv koj lub caj dab. Peb muaj ob lub hlab ntsha carotid ntawm sab laug thiab sab xis ntawm peb lub caj dab. Ob lub no muab ntshav rau peb lub hlwb, caj dab, thiab lub ntsej muag. Kev phais no tuaj yeem ua rau sab laug lossis sab xis, nyob ntawm sab uas raug thaiv.
Cov kws kho mob tshem tawm cov rog no kom rov qab tau cov ntshav mus rau lub hlwb. Qhov no yog vim tias cov rog no tuaj yeem ua rau cov ntshav ntws qeeb, lossis qee zaum nres nws tag nrho. Yog tias koj lub hlwb tsis tau txais ntshav txaus, koj yuav muaj feem ntau dua rau mob stroke.
Qhov tseem ceeb tshaj plaws yog tias mob stroke yog ib qho xwm txheej ceev hauv kev kho mob. Yog tias cov tsos mob ntawm mob stroke tshwm sim, coj tus neeg mob mus rau Chav Kho Mob Thaum Muaj Xwm Ceev (ETU) sai li sai tau, hauv peb teev, yog qhov tseem ceeb heev los cawm txoj sia.
Qhov kev phais no yog rau leej twg?
Koj tus kws kho mob yuav kuaj koj, saib koj keeb kwm kev mob nkeeg, thiab cov txiaj ntsig ntawm kev kuaj mob kom paub seb puas tsim nyog phais mob no. Feem ntau yuav pom zoo kom phais mob no rau cov xwm txheej hauv qab no. Cia peb saib qhov no hauv daim ntawv teev lus kom pab koj nkag siab meej dua.
| Thaum twg yuav pom zoo kom phais mob | Piav qhia yooj yim xwb |
|---|---|
| Kab mob Carotid Artery | Yog tias kev kuaj ultrasound pom tias ntau dua ib nrab (50%) ntawm cov hlab ntsha hauv koj lub caj dab raug thaiv los ntawm cov rog tso rau hauv. |
| Cov ntshav ntws mus rau lub hlwb tsis zoo | Cov kev kuaj mob tau lees paub tias cov ntshav ntws mus rau lub hlwb tau txo qis ntau vim yog qhov kev thaiv no. |
| Muaj mob stroke me me los yog mob stroke ua ntej (TIA) | Yog tias koj twb muaj mob stroke me me los yog mob transient ischemic attack (TIA) vim yog kev thaiv cov hlab ntsha. |
| Mob hnyav heev uas tsis muaj tsos mob | Txawm tias koj tsis hnov cov tsos mob dab tsi los xij, yog tias cov duab scan qhia tias cov hlab ntsha raug thaiv hnyav heev, nws zoo li tshem tawm lub foob pob ua ntej nws txog lub sijhawm. |
Koj npaj li cas ua ntej phais?
Muaj ob peb yam koj yuav tsum ua thiab npaj ua ntej qhov kev phais mob no.
- Kev kuaj tshwj xeeb: Koj tus kws kho mob yuav xaj cov kev ntsuas tshwj xeeb, xws li cerebral angiogram, CT angiography, lossis MR angiography, kom tau txais daim duab meej heev ntawm koj cov hlab ntsha carotid thiab lub hlwb.
- Qhia rau koj tus kws kho mob txog txhua yam tshuaj uas koj noj (xws li cov vitamins, tshuaj ntsuab, thiab cov tshuaj ntxiv). Tej zaum yuav tsum tau tsum tsis txhob noj qee yam tshuaj ib ntus ua ntej phais. Txawm li cas los xij, feem ntau cov tshuaj xws li aspirin raug sau tseg kom noj thaum phais.
- Tso kev haus luam yeeb: Yog tias koj yog ib tug neeg haus luam yeeb, koj yuav tsum tso ua ntej phais mob . Kev haus luam yeeb ua rau muaj kev pheej hmoo ntawm cov ntshav txhaws thiab ua rau qeeb txoj kev kho mob.
- Cov lus qhia los ntawm pab pawg kho mob: Pab pawg kho mob yuav muab cov lus qhia meej rau koj txog yam yuav tsum noj thiab haus hnub ua ntej phais, lub sijhawm twg yuav tsum tuaj rau tsev kho mob, thiab lwm yam. Ua raws li txhua yam raws nraim.
Yuav ua li cas thiaj phais tau?
Qhov kev phais no ua nyob rau hauv chav phais mob hauv tsev kho mob thiab feem ntau siv sijhawm li ib teev lossis ob teev.
Ua ntej phais pib, koj yuav tau txais tshuaj loog. Muaj ob txoj hauv kev los ua qhov no. Ib qho yog tshuaj loog dav dav, uas ua rau koj tsaug zog tag nrho.Qhov thib ob yog tshuaj loog hauv zos , uas tsuas yog ua rau thaj chaw ntawm koj lub caj dab uas phais mob thaum koj tseem tsaug zog. Yog tias koj tau txais tshuaj loog hauv zos, koj kuj tseem yuav tau txais tshuaj los pab koj so.
Tus kws phais ua qhov kev phais no li no:
1. Ua ntej, lawv nrhiav qhov chaw tseeb ntawm cov hlab ntsha uas raug thaiv thiab ua ib qho kev phais me me li 4 ntiv tes ntev hauv caj dab.
2. Tom ntej no, lawv yuav xyuas seb lawv puas xav tau kom cov ntshav ntws mus rau lub hlwb thaum lub sijhawm phais. Yog tias tsim nyog, yuav muab ib lub raj me me (shunt) ntxig rau ib ntus kom cov ntshav hla qhov chaw uas raug thaiv thiab ntws mus rau lub hlwb.
3. Tom qab ntawd, yuav muab ib qho kev phais raws qhov uas cov hlab ntsha raug thaiv thiab cov rog (plaque) sab hauv yuav raug tshem tawm kom zoo.
4. Tom qab tshem cov rog tawm lawm, cov hlab ntsha yuav raug xaws rov qab ua ke. Feem ntau, yuav muab ib daim ntaub uas ua los ntawm cov khoom tshwj xeeb los ua kom cov hlab ntsha dav me ntsis kom tiv thaiv nws kom tsis txhob txhaws dua.
5. Thaum kawg, lub raj xa dej ib ntus uas tau muab tso rau hauv raug tshem tawm thiab cov ntshav ntws rov qab mus rau qhov qub.
Cov txiaj ntsig thiab kev pheej hmoo ntawm kev phais mob no yog dab tsi?
Qhov zoo tshaj plaws ntawm kev phais mob no yog tias nws txo qhov kev pheej hmoo ntawm kev muaj mob stroke yav tom ntej. Thaum ua los ntawm tus kws phais mob uas muaj kev paub dhau los, qhov kev pheej hmoo yog tsawg heev.
Txawm li cas los xij, zoo li lwm yam kev phais mob, muaj feem me me ntawm qee qhov teeb meem.
| Tej Yam Yuav Ua Rau Muaj Teeb Meem |
|---|
| - Los ntshav |
| - Kev kis kab mob |
| - Cov ntshav txhaws |
| - Kev puas tsuaj rau cov hlab ntsha |
| - Muaj mob stroke los yog mob plawv nres |
| - Kev rov ua dua ntawm cov hlab ntsha yav tom ntej |
Qhov kev pheej hmoo no yuav txawv ntawm ib tus neeg mus rau ib tus neeg. Muaj ntau yam uas yuav cuam tshuam rau nws:
- Qhov uas cov hlab ntsha raug thaiv.
- Koj puas tau muaj mob stroke ua ntej lawm?
- Txawm koj muaj lwm yam kab mob xws li ntshav qab zib, kab mob plawv, lossis kab mob raum.
- Koj muaj hnub nyoog (qhov kev pheej hmoo yuav nce me ntsis thaum koj laus zuj zus).
Tom qab phais tas, yuav muaj dab tsi tshwm sim thiab yuav siv sijhawm ntev npaum li cas thiaj rov zoo?
Koj yuav tsum tau nyob hauv tsev kho mob li ib hnub tom qab phais. Qhov no yog los saib xyuas koj tus mob. Koj yuav muaj peev xwm noj thiab haus dej li qub hauv ob peb teev tom qab phais. Tej zaum koj yuav muaj ib lub raj me me (qhov dej ntws) tso rau hauv koj lub caj dab kom ntws cov kua dej ntawm qhov phais. Qhov no feem ntau raug tshem tawm hauv ib hnub.
Tej zaum yuav mob caj dab li ob lub lis piam. Koj siv tau cov tshuaj tua kab mob ib txwm rau qhov ntawd.
Feem ntau cov neeg yuav rov zoo sai sai. Cov neeg feem coob yuav mus tsev hnub tom qab phais. Tom qab mus tsev:
- Da Dej: Da dej tau. Tab sis tsis txhob txhuam cov kua nplaum phais rau ntawm qhov phais lossis cia dej ntaus ncaj qha rau nws.
- Kev saib xyuas qhov txiav: Tshawb xyuas qhov txiav txhua hnub. Tsis txhob pleev tshuaj pleev rau nws. Tsis txhob hnav khaub ncaws uas txhuam rau ntawm qhov txiav.
- Rov qab mus ua haujlwm: Koj tuaj yeem rov qab ua tej yam li qub tau hauv ib lossis ob lub lis piam.
- Tsav Tsheb: Koj tuaj yeem tsav tsheb dua thaum qhov phais tau zoo lawm thiab tsis muaj mob thaum koj tig koj lub caj dab.
Tsuas yog vim qhov kev phais mob ua tiav tsis tau txhais hais tias koj yuav tsum rov qab mus rau koj cov kev coj ua qub. Koj yuav tsum hloov koj txoj kev ua neej kom tiv thaiv cov ntshav txhaws kom tsis txhob rov qab los.
Koj tus kws kho mob yuav pom zoo kom ua cov no:
- Ua raws li kev noj zaub mov zoo .
- Ua si nawv yog tias tus kws kho mob tso cai.
- Tso kev haus luam yeeb kiag li.
- Txo kev ntxhov siab.
- Noj cov tshuaj txo cov roj cholesterol raws li tau qhia.
Kuv puas yuav tsum mus ntsib kws kho mob dua? Kuv yuav tsum saib xyuas cov tsos mob twg?
Yog, tau kawg li. Koj yuav tsum mus ntsib koj tus kws kho mob ib hlis tom qab phais. Tom qab ntawd txhua rau lub hlis rau ob xyoos, thiab tom qab ntawd ib xyoos ib zaug tom qab ntawd. Qhov no yog ua los saib seb cov hlab ntsha uas tau phais puas tau raug thaiv dua, lossis yog tias muaj teeb meem nrog cov hlab ntsha ntawm sab tod, siv lub tshuab ultrasound.
Tsis tas li ntawd, yog tias koj muaj cov tsos mob hauv qab no, hu rau koj tus kws kho mob tam sim ntawd.
| Ua tib zoo saib xyuas cov yam ntxwv no! |
|---|
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Qhov txawv ntawm qhov kev phais no thiab qhov chaw tso stent yog dab tsi?
Qhov no yog ib qho teeb meem rau ntau tus neeg.
- Carotid Endarterectomy: Qhov no suav nrog kev txiav qhib cov hlab ntsha thiab tshem tawm cov rog txheej sab hauv.
- Stenting: Qhov no suav nrog kev ntxig ib lub pob me me rau hauv cov hlab ntsha kom nthuav qhov chaw uas raug thaiv (qhov no hu ua angioplasty), thiab tom qab ntawd muab ib lub raj hlau (stent) tso rau hauv qhov chaw dav kom tiv thaiv nws kom tsis txhob raug thaiv dua.
Ob txoj kev no ua haujlwm los kho cov ntshav ntws mus rau lub hlwb. Koj tus kws kho mob yuav txiav txim siab seb txoj kev twg zoo tshaj plaws rau koj.
Nws yog ib qho ib txwm rau txhua tus neeg ntshai thaum lawv hnov txog teeb meem nrog cov ntshav ntws mus rau lub hlwb. Txawm li cas los xij, qhov kev phais mob carotid endarterectomy no yog ib txoj hauv kev zoo heev los txhim kho cov ntshav ntws mus rau lub hlwb thiab cawm koj ntawm qhov mob txaus ntshai xws li mob stroke. Yog tias koj muaj lus nug lossis kev tsis ntseeg, tham nrog koj tus kws kho mob thiab piav qhia txhua yam.
Cov Lus Qhia Txog Kev Coj Mus Tsev
- Kev phais mob carotid endarterectomy yog ib qho kev phais uas tshem tawm cov rog (plaque) sab hauv cov hlab ntsha tseem ceeb hauv caj dab, txo qhov kev pheej hmoo ntawm kev mob stroke.
- Txawm hais tias qhov no yog ib qho kev phais loj los xij, feem ntau nws muaj kev nyab xeeb thiab ua tiav zoo thaum ua nyob rau hauv kev saib xyuas ntawm pab pawg kws kho mob uas muaj kev paub dhau los.
- Lub sijhawm rov zoo tom qab phais mob yog sai, tab sis nws yog ib qho tseem ceeb kom ua raws li kev noj qab haus huv kom tiv thaiv kev rov qab muaj ntshav txhaws.
- Yuav tsum paub txog tej yam cim qhia uas yuav tshwm sim tom qab phais. Yog tias koj muaj kev txhawj xeeb dab tsi, hu 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