Koj puas tau xav tias ob lub hlab ntsha tseem ceeb uas nqa cov ntshav mus rau koj lub hlwb nyob rau ob sab ntawm koj lub caj dab? Yog lawm, cov no yog cov hlab ntsha carotid. Yog tias, dhau sijhawm, cov khoom xws li rog sib sau ua ke hauv cov hlab ntsha no thiab raug thaiv, cov ntshav ntws mus rau lub hlwb tuaj yeem raug cuam tshuam, ua rau muaj mob hnyav xws li mob stroke. Yog li, hnub no peb yuav tham txog kev kuaj mob yooj yim heev, tsis mob, thiab tsis muaj kev pheej hmoo uas yuav pab koj txiav txim siab qhov xwm txheej tseeb ntawm cov hlab ntsha no.
Lub tshuab ultrasound ntawm lub carotid yog dab tsi?
Hais yooj yim xwb, qhov no zoo li kev kuaj ultrasound uas ib leej niam uas tab tom yuav yug me nyuam muaj. Tab sis qhov no yog ua rau ob sab ntawm koj lub caj dab es tsis yog koj lub plab. Qhov kev kuaj no tsis siv hluav taws xob. Hloov chaw
, nws siv cov suab nrov siab los tsim ib daim duab ntawm sab hauv ntawm koj cov hlab ntsha carotid uas tau tso tawm rau ntawm lub vijtsam computer. Muaj lwm txoj kev tshwj xeeb hu ua
Doppler ultrasound . Nws tuaj yeem pom tseeb tias cov ntshav txav mus los ntawm koj cov hlab ntsha sai npaum li cas thiab zoo npaum li cas. Nws zoo li saib dej ntws los ntawm cov yeeb nkab.
Vim li cas koj thiaj xav ua qhov scan zoo li no?
Koj tus kws kho mob yuav kom koj ua qhov kev kuaj no los xyuas seb puas muaj cov ntshav txhaws lossis cov plaque uas nyob hauv koj cov hlab ntsha carotid. Cov plaque no yuav maj mam ua rau cov hlab ntsha nqaim thiab thaum kawg thaiv nws tag nrho. Qhov no ua rau koj muaj feem yuav mob stroke ntau ntxiv. Koj tus kws kho mob yuav pom zoo kom ua qhov kev kuaj no rau cov xwm txheej hauv qab no:
| Vim li cas rau qhov kev luam theej duab | Ib qho lus piav qhia yooj yim |
|---|
| Muaj ntshav siab los yog roj cholesterol ntau | Ob qho tib si ntawm cov mob no yog qhov ua rau muaj roj ntau hauv cov phab ntsa ntawm cov hlab ntsha. |
| Muaj mob stroke lossis TIA yav dhau los | Qhov no tuaj yeem pab txiav txim seb qhov ua rau muaj mob stroke yav dhau los, mob stroke loj lossis me, lossis mob stroke transient ischemic (TIA). |
| Muaj mob ntshav qab zib | Kab mob ntshav qab zib ua rau cov hlab ntsha puas tsuaj thiab ua rau muaj kev pheej hmoo ntawm kev nqaim cov hlab ntsha. |
| Muaj keeb kwm tsev neeg muaj kab mob plawv lossis mob stroke | Qhov kev pheej hmoo kuj tseem yuav nce ntxiv vim yog kev cuam tshuam ntawm caj ces. |
| Hnov ib lub suab txawv txawv (bruit) thaum muab lub stethoscope tso rau saum cov hlab ntsha carotid | Thaum cov hlab ntsha nqaim, koj yuav hnov lub suab "shhh ..." thaum cov ntshav ntws los ntawm nws. Qhov no yog ib qho cim qhia tias muaj kev txhaws. |
| Ua Ntej Kev Phais Mob Coronary Artery Bypass | Ua ntej phais mob, nws yog ib qho tseem ceeb kom paub txog cov hlab ntsha uas muab ntshav rau lub hlwb. |
| Tau txais kev kho mob ua ntej rau qhov nqaim ntawm cov hlab ntsha | Qhov no yog qhov tsim nyog los saib seb kev kho mob puas ua tiav thiab puas muaj kev rov qab los dua. |
Kuv yuav npaj li cas ua ntej kev luam theej duab?
Qhov no yog qhov zoo tshaj plaws.
Tsis tas yuav npaj tshwj xeeb rau qhov kev luam theej no. Koj tsis tas yuav tsum tsis txhob noj lossis noj tshuaj dab tsi li (tab sis nrog koj tus kws kho mob tham kom paub tseeb). Tab sis nws yooj yim dua yog tias koj nco ntsoov ob peb yam:
- Hnav khaub ncaws xoob, xis nyob nrog lub caj dab dav. Yog tias koj hnav khaub ncaws nruj uas npog koj lub caj dab, tej zaum koj yuav tsum hnav lub tsho hauv tsev kho mob.
- Tsis txhob hnav cov hlua caj dab loj lossis cov pob ntseg loj. Cov no yuav cuam tshuam rau kev luam theej duab .
Muaj dab tsi tshwm sim thaum lub sijhawm luam theej duab? Nws yooj yim heev!
Feem ntau qhov kev kuaj mob yuav siv sijhawm li
30 txog 45 feeb . Xav txog koj tus kheej pw ntsiag to ntawm lub txaj hauv chav kuaj mob. 1.
Siv cov gel: Ua ntej, tus kws kho mob yuav siv cov gel pob tshab rau ntawm ob sab ntawm koj lub caj dab. Nws yuav zoo li sov me ntsis. Cov gel no pab cov suab nthwv dej hla koj daim tawv nqaij thiab mus rau hauv koj cov hlab ntsha. 2.
Kev Ntsuas: Tom qab ntawd, nws yuav muab ib lub cuab yeej me me, tuav tes (transducer) rau ntawm koj lub caj dab thiab txav nws rov qab thiab tawm. Lub cuab yeej no xa cov suab nthwv dej thiab khaws cov nthwv dej rov qab los. Cov ntaub ntawv no ces hloov mus ua duab los ntawm lub khoos phis tawj. 3.
Nyob ntsiag to: Rau qhov zoo tshaj plaws, nws yog ib qho tseem ceeb kom nyob ntsiag to li sai tau thaum lub sijhawm ntsuas. 4.
Puas yuav muaj suab dab tsi? Tsis muaj suab thaum lub sijhawm ultrasound ib txwm muaj. Tab sis thaum lub sijhawm Doppler, uas saib cov ntshav ntws, koj yuav hnov lub suab "s…s…s…" rhythmic. Ntawd yog lub suab ntawm cov ntshav ntws hauv koj cov hlab ntsha. Tsis muaj dab tsi yuav txhawj txog. Thaum qhov kev ntsuas tiav lawm, koj yuav tau txais ib daim phuam so kom so cov gel. Ces koj mam li mus tsev tau li qub. Tsis tas yuav so tshwj xeeb.
Puas muaj kev pheej hmoo hauv qhov no?
Qhov kev kuaj no tsis muaj kev pheej hmoo . Tsis muaj mob. Tsis muaj kev siv hluav taws xob . Tej zaum koj yuav hnov me ntsis kev nyem thaum lub cuab yeej raug nias rau ntawm koj lub caj dab, tab sis tsis muaj mob kiag li. Yog li ntawd, tsis txhob ntshai qhov no.
Daim ntawv qhia hais li cas? Cia peb nkag siab txog cov txiaj ntsig
Daim ntawv qhia uas koj tus kws kho mob tau txais feem ntau yuav qhia rau koj paub tias koj cov hlab ntsha carotid raug thaiv ntau npaum li cas. Nws yog qhia ua feem pua.
- Qhov Tshwm Sim Ib Txwm: Qhov no txhais tau tias koj cov hlab ntsha tsis nqaim lossis thaiv, thiab cov ntshav ntws zoo. Qhov no yog xov xwm zoo!
- Qhov Tshwm Sim Txawv Txawv: Qhov no txhais tau tias muaj qee qhov kev txhaws hauv ib lossis ob qho ntawm koj cov hlab ntsha. Cov rog no hu ua atherosclerosis . Qhov mob no ua rau muaj kev pheej hmoo ntawm kev mob stroke.
Yog tias cov txiaj ntsig tsis zoo li qub, koj yuav ua li cas tom ntej?
Tsis txhob txhawj. Txawm tias muaj kev txhaws los xij, muaj ntau yam uas ua tau txog nws. Kev kho mob nyob ntawm seb qhov txhaws loj npaum li cas thiab cov tsos mob uas koj muaj. Qhov no yog txiav txim siab los ntawm koj
tus kws kho mob .
Yog tias muaj qhov txhaws uas tsis hnyav heev:
Thaum no, tus kws kho mob yuav tsis mus phais. Nws yuav pom zoo kom hloov nws txoj kev ua neej thiab noj tshuaj.
- Kev hloov pauv hauv lub neej:
- Kev Tswj Xyuas Kev Noj Haus : Txo cov khoom noj uas muaj roj, ntsev, thiab qab zib ntau, thiab noj zaub, txiv hmab txiv ntoo, thiab cov khoom noj uas muaj fiber ntau.
- Kev Ua Si: Ua kom muaj tus cwj pwm ua kev tawm dag zog yooj yim, xws li kev taug kev txhua hnub.
- Tsum haus luam yeeb : Kev haus luam yeeb ua rau cov hlab ntsha puas tsuaj loj heev .
- Cov hom tshuaj:
- Cov tshuaj txo cov roj cholesterol (piv txwv li, statins )
- Cov tshuaj uas tiv thaiv cov ntshav txhaws (piv txwv li Aspirin, Clopidogrel )
- Cov tshuaj kho mob ntshav siab ( Antihypertensive drugs )
Yog tias muaj kev thaiv loj dua:
Yog tias cov hlab ntsha raug thaiv ntau heev, txhais tau tias ntau dua 50% -60%, thiab koj kuj muaj cov tsos mob, koj tus kws kho mob yuav pom zoo ib qho ntawm cov kev kho mob hauv qab no.
- Carotid Endarterectomy: Qhov no yog ib qho kev phais. Ib yam li tshem tawm qhov txhaws ntawm cov yeeb nkab, cov hlab ntsha raug qhib thiab cov rog txheej (plaque) sab hauv raug tshem tawm.
- Angioplasty thiab Stenting: Qhov no suav nrog kev nqus lub pob cua rau hauv cov hlab ntsha nqaim kom nws dav. Tom qab ntawd, ib lub cuab yeej me me zoo li daim ntaub thaiv ( stent ) raug ntxig rau hauv kom nws tsis txhob kaw dua.
Qee zaum, yog tias kev kuaj mob carotid ultrasound tsis tuaj yeem tau txais daim duab tiav (piv txwv li, yog tias ib feem ntawm cov hlab ntsha raug thaiv los ntawm pob txha), koj tus kws kho mob yuav hais kom lwm qhov kev luam theej duab, xws li
CT lossis
Magnetic Resonance Angiography (MRA) .
Cov Lus Qhia Txog Kev Coj Mus Tsev
- Kev kuaj mob carotid ultrasound yog ib qho kev kuaj mob uas muaj kev nyab xeeb thiab tsis mob uas kuaj xyuas qhov xwm txheej ntawm cov hlab ntsha hauv caj dab uas nqa ntshav mus rau lub hlwb.
- Qhov no tuaj yeem pab nrhiav pom cov hlab ntsha uas thaiv thaum ntxov uas tuaj yeem ua rau mob stroke.
- Qhov kev kuaj mob no tsis tas yuav npaj tshwj xeeb, thiab tsis muaj kev pheej hmoo lossis kev phiv.
- Nyob ntawm cov txiaj ntsig ntawm kev kuaj, kev kho mob tuaj yeem suav nrog kev hloov pauv hauv lub neej, tshuaj, lossis, yog tias tsim nyog, phais.
- Nco ntsoov tham txog koj cov txiaj ntsig ntawm kev kuaj mob thiab kev kho mob yav tom ntej nrog koj tus kws kho mob . Lawv yuav muab cov lus qhia zoo tshaj plaws rau koj.
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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