Peb txhua tus ntshai lo lus "mob stroke," puas yog? Nws yog qhov phem tshaj plaws uas tuaj yeem tshwm sim thaum cov ntshav ntws mus rau lub hlwb nres tam sim ntawd. Muaj ntau tus neeg xav tias qhov no tsuas yog tshwm sim vim muaj teeb meem plawv xwb. Tab sis koj puas paub tias kev txhaws ntawm cov hlab ntsha loj hauv koj lub caj dab kuj tuaj yeem yog qhov ua rau mob stroke loj? Hnub no, peb yuav tham txog kev phais tshwj xeeb uas tshem tawm qhov txhaws thiab rov qab cov ntshav ntws mus rau lub hlwb.
Hauv lwm lo lus, carotid endarterectomy yog dab tsi?
Xav txog tias ob lub hlab ntsha loj uas muab ntshav rau koj lub hlwb khiav mus rau ntawm koj lub caj dab rau ob sab. Cov hlab ntsha no hu ua "Carotid Arteries." Raws li lub sijhawm dhau mus, cov rog thiab cov roj cholesterol uas peb tsis xav tau los ntawm cov khoom noj uas peb noj pib sib sau ua ke rau ntawm phab ntsa ntawm cov hlab ntsha no. Nws zoo li av uas sib sau ua ke hauv cov kav dej. Peb hu cov plaque no.
Thaum cov plaque no loj zuj zus, nws pib thaiv cov hlab ntsha los ntawm sab hauv. Qhov no ua rau cov ntshav ntws mus rau lub hlwb tsawg dua. Qee zaum, ib daim me me ntawm cov plaque no tuaj yeem tawg thiab thaiv cov hlab ntsha me me hauv lub hlwb tag. Thaum ntawd yog lub sijhawm uas muaj mob stroke.
Yog li, carotid endarterectomy yog ib qho kev phais uas qhib cov hlab ntsha carotid uas raug thaiv, tshem tawm cov plaque uas daig sab hauv, thiab tom qab ntawd ntxuav thiab xaws cov hlab ntsha rov qab ua ke. Hais yooj yim, nws yog hais txog kev ntxuav cov ntshav ntws. Qhov no tuaj yeem txo qhov kev pheej hmoo ntawm kev mob stroke.
Hauv cov xwm txheej twg, qhov kev phais no raug pom zoo?
Koj tus kws kho mob yuav tsis pom zoo kom phais tam sim ntawd. Nws yuav txiav txim siab raws li koj qhov kev kuaj mob, cov kev kuaj mob tsim nyog, thiab cov txiaj ntsig. Feem ntau, kev phais no yuav raug pom zoo rau ib tus neeg uas muaj cov mob hauv qab no:
| Mob | Piav qhia yooj yim |
|---|---|
| Ib theem tseem ceeb ntawm kev thaiv | Yog tias kev ntsuas (ultrasound) lees paub tias koj cov hlab ntsha carotid raug thaiv ntau dua 50% los ntawm cov quav hniav. |
| Muaj mob stroke me me (TIA) | Yog tias koj tau muaj Transient Ischemic Attack (TIA) ua ntej lawm, uas yog ib qho cim ceeb toom me me ua ntej muaj mob stroke loj (xws li hais lus tsis meej ob peb feeb, tsis hnov ib sab ntawm lub cev). |
| Muaj mob stroke me me | Yog tias koj twb muaj mob stroke me me vim yog qhov txhaws ntawm cov hlab ntsha no. |
| Kev txhaws loj heev uas tsis muaj tsos mob | Txhawm rau tiv thaiv kom tsis txhob muaj mob stroke yav tom ntej, txawm tias koj tsis muaj tsos mob los xij, yog tias kev luam theej duab qhia tau tias cov hlab ntsha raug thaiv hnyav heev. |
Koj npaj li cas ua ntej phais?
Koj pab neeg kho mob yuav muab cov lus qhia rau koj ua ntej phais mob no. Cov no yuav suav nrog:
- Kev kuaj tshwj xeeb: Tej zaum koj yuav raug hais kom ua cov kev kuaj tshwj xeeb xws li '(Cerebral Angiogram)', '(CT Angiography)' lossis '(MR Angiography)' kom paub ntau ntxiv txog qhov xwm txheej ntawm koj cov hlab ntsha carotid thiab lub hlwb.
- Qhia rau koj tus kws kho mob txog txhua yam tshuaj uas koj noj: Koj yuav tsum qhia rau koj tus kws kho mob txog txhua yam, tsis yog tsuas yog cov tshuaj uas kws kho mob sau xwb, tab sis kuj tseem muaj cov tshuaj tua kab mob, cov vitamins, thiab cov tshuaj ib txwm muaj.
- Tsum noj qee yam tshuaj: Qee cov tshuaj uas tiv thaiv cov ntshav txhaws raug qhia kom tsum noj ob peb hnub ua ntej phais. Txawm li cas los xij, feem ntau, cov tshuaj xws li aspirin raug qhia kom txuas ntxiv noj. Nrhiav cov lus qhia tshwj xeeb txog qhov no.
- Tso kev haus luam yeeb: Yog tias koj yog ib tug neeg haus luam yeeb, koj yuav tsum tso ua ntej phais. Nws yuav pab koj zoo sai dua.
Yuav ua li cas thiaj phais tau
Qhov kev phais no ua nyob rau hauv tsev kho mob. Feem ntau nws yuav siv sijhawm li ib teev lossis ob teev. Koj yuav tau txais kev muab tshuaj loog dav dav (muab tso rau hauv koj lub cev) lossis tshuaj loog hauv zos (ua kom tsuas yog loog ntawm thaj chaw ib puag ncig koj lub caj dab). Koj yuav tau txais tshuaj los pab koj so, txawm tias koj loog los xij.
Tus kws phais mob ua raws li cov kauj ruam no:
1. Yuav muab ib qho kev phais me me li ntawm 4 nti rau hauv caj dab, qhov chaw uas cov hlab ntsha raug thaiv.
2. Vim tias kev ntshav mus rau hauv lub hlwb tsis tuaj yeem nres thaum lub sijhawm phais, yog tias tsim nyog, yuav muab ib lub raj me me (shunt) ntxig rau hauv kom tig cov ntshav mus ib ntus.
3. Tom qab ntawd, yuav muab ib qho kev phais me me raws cov hlab ntsha uas raug thaiv thiab cov txheej plaque sab hauv yuav raug ntxuav thiab tshem tawm kom zoo.
4. Tom qab ntawd, cov hlab ntsha yuav raug xaws rov qab ua ke. Feem ntau, yuav muaj ib daim "patch" tshwj xeeb xaws rau hauv qhov chaw kom thaj chaw ntawd dav thiab tsis rov nqaim dua.
5. Thaum kawg, lub raj xa dej ib ntus raug tshem tawm thiab cov ntshav ntws rov qab mus rau qhov qub.
Qhov tseem ceeb tshaj plaws, lub hom phiaj tseem ceeb ntawm kev phais mob no yog kom txo qhov kev pheej hmoo ntawm kev mob stroke. Thaum ua los ntawm pab pawg kws kho mob uas muaj kev paub dhau los, qhov no yog kev phais mob zoo heev.
Cov txiaj ntsig thiab kev pheej hmoo yog dab tsi?
Ib yam li lwm yam kev phais mob, muaj qee qhov kev pheej hmoo, tab sis cov txiaj ntsig ntau dua li cov kev pheej hmoo hauv feem ntau.
Cov txiaj ntsig tseem ceeb: Kev tiv thaiv ntawm kev mob stroke hnyav yav tom ntej.
Tej yam txaus ntshai uas yuav tshwm sim:
- Los ntshav
- Cov kab mob sib kis
- Cov ntshav txhaws
- Kev puas tsuaj rau cov hlab ntsha (tsis tshua muaj)
- Muaj mob stroke lossis mob plawv nres (tsis tshua muaj)
- Kev rov qab txhaws ntawm cov hlab ntsha yav tom ntej
Qhov kev pheej hmoo no yuav txawv ntawm ib tus neeg mus rau ib tus neeg. Nws nyob ntawm seb koj muaj hnub nyoog li cas, seb koj puas muaj lwm yam mob xws li ntshav qab zib lossis kab mob plawv, thiab qhov loj ntawm qhov txhaws hauv koj cov hlab ntsha. Koj tus kws kho mob yuav piav qhia txhua yam no rau koj.
Tom qab phais thiab lub sijhawm rov zoo
Tom qab phais tas, koj yuav raug khaws cia rau hauv tsev kho mob li ib hnub rau kev soj ntsuam. Tom qab ob peb teev, koj yuav muaj peev xwm noj thiab haus tau li qub. Ib lub raj me me (qhov dej ntws) yuav raug muab tso rau hauv koj lub caj dab kom ntws cov kua dej tawm ntawm qhov txhab. Qhov no feem ntau raug tshem tawm hauv ib hnub. Koj yuav muaj mob caj dab li ob lub lis piam. Koj tuaj yeem noj tshuaj tua kab mob rau qhov no.
Feem ntau cov neeg tuaj yeem mus tsev hnub tom qab phais. Koj tuaj yeem da dej tom qab koj mus tsev, tab sis tsis txhob txhuam qhov txhab hnyav dhau. Koj tuaj yeem rov qab mus ua ub ua no li qub hauv ib lossis ob lub lis piam.
Kev hloov pauv hauv lub neej yog qhov tseem ceeb heev!
Txawm tias qhov kev phais mob ua tiav los xij, koj tseem yuav tsum hloov koj txoj kev ua neej kom tiv thaiv cov quav hniav no kom tsis txhob rov tsim dua.
- Xyaum noj zaub mov kom noj qab nyob zoo.
- Ua si nawv raws li koj tus kws kho mob hais.
- Tsum haus luam yeeb kiag li.
- Txo kev ntxhov siab.
- Noj koj cov tshuaj cholesterol thiab cov tshuaj ntshav siab raws li tau qhia.
Yog koj muaj cov tsos mob no, hu rau koj tus kws kho mob tam sim ntawd.
Yog tias koj muaj ib qho ntawm cov tsos mob hauv qab no tom qab koj phais, qhia rau koj tus kws kho mob tam sim ntawd lossis mus rau chav kho mob ceev (ETU) ntawm tsev kho mob.
| Qhov tshwj xeeb uas yuav tsum tau them sai sai rau | Kev piav qhia |
|---|---|
| Cov teeb meem ntsig txog qhov txhab | Qhov txhab liab, o, thiab muaj kua daj los yog ntsuab tawm los. |
| Cov tsos mob ntawm tus mob stroke | Mob taub hau tam sim ntawd, hais lus tsis tau lossis nkag siab tsis tau, kiv taub hau, loog ntawm ib sab ntawm lub cev, muaj teeb meem pom kev. Cov no yog cov xwm txheej ceev heev. |
| Cov tsos mob ntawm kev kis kab mob feem ntau | Kub taub hau, mob khaub thuas thiab tshee hnyo. |
| Lwm cov tsos mob hnyav | Ua pa nyuaj, mob hauv siab, o ntawm ob txhais ceg, nqos nyuaj. |
Cov Lus Qhia Txog Kev Coj Mus Tsev
- Carotid Endarterectomy yog ib qho kev phais mob tseem ceeb heev uas ua los tiv thaiv kev mob stroke yav tom ntej los ntawm cov rog uas thaiv cov hlab ntsha loj hauv caj dab.
- Qhov no tsis yog ib yam uas ua rau txhua tus. Tsuas yog pom zoo kom ua yog tias tsim nyog tiag tiag, tom qab koj tus kws kho mob kuaj xyuas tas.
- Yuav kom phais tau zoo, nws yog ib qho tseem ceeb uas yuav tsum hloov koj txoj kev ua neej kom noj qab nyob zoo kom tiv thaiv qhov mob no kom tsis txhob rov tshwm sim dua.
- Yuav tsum paub txog tej yam txaus ntshai uas yuav tshwm sim tom qab phais. Yog tias koj muaj kev txhawj xeeb, nrhiav kev pab kho mob tam sim ntawd.
- Yog koj muaj lus nug txog qhov no, tsis txhob ntshai tham nrog koj tus kws kho mob thiab daws lawv.
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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