Koj puas tau muaj ib txoj hlab ntsha uas tau muab tso rau hauv koj lub plawv vim yog cov hlab ntsha txhaws? Muaj coob tus neeg tau txais kev pab tom qab muaj ib txoj hlab ntsha. Tab sis qee zaum, cov hlab ntsha pib nqaim dua qhov chaw uas tau muab tso rau hauv. Nws zoo li tus kab mob qub rov qab los. Hnub no, peb yuav tham txog ib txoj kev kho mob tshwj xeeb uas txawv me ntsis uas siv rau hauv cov xwm txheej zoo li no.
Hais yooj yim xwb, Coronary Brachytherapy yog dab tsi?
Txawm hais tias qhov no yog lub npe nyuaj me ntsis los, zaj dab neeg yooj yim heev. Coronary brachytherapy yog kev kho mob tshwj xeeb uas muab rau cov hlab ntsha ntawm lub plawv.
Xav txog cov hlab ntsha uas muab ntshav mus rau lub plawv zoo li ib lub raj. Thaum cov plaque sib sau ua ke hauv cov raj no thiab nqaim, peb hu qhov no ua kab mob coronary artery (CAD). Ua kev kho rau qhov no, cov kws kho mob ntxig ib lub stent, ib lub raj me me, rau hauv cov hlab ntsha kom nws dav dua.
Tiamsis rau qee tus neeg, cov nqaij caws pliav pib tsim nyob ib puag ncig lub stent. Ib yam li cov nqaij caws pliav tsim thaum peb raug mob. Cov nqaij caws pliav no ua rau cov hlab ntsha uas nthuav dav maj mam nqaim thiab rov raug thaiv dua. Hauv kev kho mob, peb hu qhov no ua in-stent restenosis (ISR) .
Ib yam li ntawd, kev siv tshuaj brachytherapy los kho cov hlab ntsha hauv lub plawv (coronary) yog siv los tiv thaiv cov nqaij caws pliav kom tsis txhob tshwm sim nyob ib puag ncig lub stent thiab ua rau cov hlab ntsha nqaim dua. Qhov no suav nrog kev xa cov tshuaj hluav taws xob me me, hauv txoj kev tswj hwm zoo, mus rau thaj chaw nqaim, rhuav tshem cov hlwb uas tsim cov nqaij caws pliav.
Leej twg xav tau kev kho mob no tiag?
Qhov no tsis yog kev kho mob rau txhua tus. Cov kws kho mob tsuas yog pom zoo rau ob peb qho xwm txheej tshwj xeeb xwb. Yog tias koj tau muab stent tso rau hauv thiab nws raug thaiv dua (ISR), kev kho mob no yuav yog qhov zoo rau koj.
Saib daim ntawv teev lus hauv qab no kom pom tias qhov no zoo tshaj plaws rau leej twg.
| Cov neeg uas tsim nyog rau brachytherapy | |
|---|---|
| Kev txhaws ntawm cov hlab ntsha uas rov tshwm sim dua (Recurring ISR) | Yog tias qhov chaw uas tau muab stent tso rau ntau zaus nqaim zuj zus. |
| Ntau lub stents lossis cov stents ntev | Yog tias koj muaj ntau lub stent hauv koj cov hlab ntsha hauv lub plawv lossis yog tias koj muaj lub stent ntev heev. |
| Lwm yam kab mob xws li ntshav qab zib | Rau cov neeg uas muaj kev pheej hmoo ntau ntxiv ntawm cov teeb meem thaum lub sijhawm kho mob lwm yam (piv txwv li phais bypass) vim yog lwm yam mob xws li ntshav qab zib. |
| Cov hlab ntsha me me | Rau cov neeg uas cov hlab ntsha hauv lub plawv me dhau rau lwm yam kev kho mob. |
Puas muaj cov neeg uas yuav tsum tsis txhob tau txais kev kho mob no?
Yog, qhov no tsis haum rau txhua tus. Piv txwv li, yog tias koj tau muaj kev kho mob hluav taws xob rau mob qog noj ntshav hauv lub mis lossis lwm yam mob qog noj ntshav hauv thaj tsam hauv siab, feem ntau tsis tau ua qhov kev kho mob no. Tsis tas li ntawd, yog tias lub stent raug thaiv tsis yog vim cov nqaij caws pliav, tab sis vim muaj teeb meem nrog lub npas siv los tso lub stent, qhov kev kho mob no tsis tsim nyog. Koj tus kws kho mob plawv yuav txiav txim siab zoo tshaj plaws txog qhov no.
Kev kho mob ua haujlwm li cas - kauj ruam yog kauj ruam
Qhov no tsis yog ib qho kev phais loj. Peb hu nws ua ib qho kev phais mob me me xwb. Koj yuav tsis hnov mob ntau. Feem ntau cov txheej txheem tag nrho yuav siv sijhawm li 10 feeb, tab sis koj yuav tsum nyob hauv tsev kho mob ob peb teev.
| Cov kauj ruam | Muaj dab tsi tshwm sim? |
|---|---|
| 1. Kev Npaj | Ua ntej kev kho mob, tus kws kho mob yuav ua qhov kev ntsuas, xws li kev siv tshuab ultrasound hauv cov hlab ntsha, kom pom tseeb tias cov hlab ntsha nqaim qhov twg. |
| 2. Tshuaj loog | Koj yuav tsis tsis nco qab kiag li. Koj yuav tau txais tshuaj kom koj tsaug zog thiab tsis hnov mob. Koj yuav nco qab, tab sis koj yuav tsis hnov dab tsi. |
| 3. Muab lub catheter ntxig rau hauv | Ib lub raj nyias heev (catheter) raug ntxig los ntawm ib txoj hlab ntshav loj hauv caj npab lossis ceg, thiab nrog kev pab los ntawm X-rays, nws raug coj mus rau txoj hlab ntshav nqaim hauv lub plawv. |
| 4. Ua kom lub npas dav dua | Muaj ib lub npas me me raug tshuab rau hauv cov hlab ntsha, ua rau muaj chaw rau kev kho mob hluav taws xob rau thaj chaw nqaim. Qhov no hu ua balloon angioplasty. |
| 5. Muab kev siv hluav taws xob | Tom ntej no, los ntawm lub catheter ntawd, cov tshuaj tua hluav taws xob uas tswj tau zoo yuav raug xa mus rau thaj chaw nqaim rau ob peb feeb. Cov tshuaj tua hluav taws xob no rhuav tshem cov hlwb uas ua rau cov nqaij caws pliav. Nws tsis cuam tshuam rau lwm thaj chaw. |
| 6. Kev Ua Tiav | Cov khoom siv hluav taws xob thiab lub catheter raug tshem tawm kom zoo zoo. |
Cov txiaj ntsig thiab kev pheej hmoo ntawm kev kho mob no yog dab tsi?
Ib yam li kev kho mob, muaj cov txiaj ntsig thiab cov kev pheej hmoo me.
Cov txiaj ntsig tseem ceeb
- Kev rov qab ua dua ntawm stent occlusion (ISR) tuaj yeem tiv thaiv tau.
- Nws txo qhov muaj feem yuav muaj mob plawv nres yav tom ntej.
- Cov tsos mob xws li mob hauv siab rov tshwm sim (angina), ua pa luv luv (dyspnea), thiab kiv taub hau tuaj yeem raug tshem tawm.
- Nws muaj peev xwm tau txais kev daws teeb meem yam tsis tas yuav phais mob loj.
Tej yam txaus ntshai uas yuav tshwm sim
Cov kev pheej hmoo no tsawg heev. Cov no yog cov kev pheej hmoo uas feem ntau cuam tshuam nrog kev siv catheter rau lub plawv.
- Kev tsis sib xws ntawm lub plawv dhia (Arrhythmia)
- Cov ntshav txhaws
- Mob los yog muaj kab mob ntawm qhov chaw ntxig catheter
- Kev puas tsuaj me me rau cov hlab ntsha
Qhov tseem ceeb tshaj plaws, cov hluav taws xob siv rau hauv kev kho mob no muaj kev nyab xeeb heev.Nws raug muab tshuaj rau hauv txoj kev tswj hwm zoo heev, tsuas yog rau thaj chaw tsim nyog xwb, yog li nws tsis ua rau lwm qhov ntawm lub cev puas tsuaj.
Tom qab kho mob tas lawm, yuav muaj dab tsi tshwm sim? Thiab thaum twg kuv yuav tsum mus ntsib kws kho mob?
Feem ntau cov neeg tuaj yeem mus tsev tib hnub uas koj ua qhov kev phais. Tej zaum koj yuav tsum tau nyob hauv tsev kho mob ib hmos. Nws yog ib qho tseem ceeb kom tsis txhob ua ub ua no hnyav rau ob peb hnub tom qab koj mus tsev. Koj tus kws kho mob yuav sau tshuaj kom tiv thaiv cov ntshav txhaws.
Nws yog koj lub luag haujlwm los tswj koj lub plawv kom noj qab haus huv tom qab kev kho mob.
- Noj cov zaub mov uas muaj roj tsawg thiab noj qab nyob zoo.
- Tsum haus luam yeeb kiag li.
- Ua si nawv tsis tu ncua.
- Tswj koj txoj kev haus dej cawv.
Yog tias koj muaj ib qho ntawm cov tsos mob hauv qab no, koj yuav tsum hu rau koj tus kws kho mob tam sim ntawd lossis mus rau chav kho mob ceev (ETU) ze tshaj plaws.
- Yog koj kub taub hau heev.
- Yog tias koj muaj mob hnyav hauv koj lub hauv siab, lub puab tsaig, caj npab, lossis xub pwg nyom .
- Yog koj ua pa nyuaj.
- Yog tias muaj kua qaub tawm ntawm qhov chaw ntxig catheter, yog tias nws tsw phem, lossis yog tias nws o thiab liab.
Txawm hais tias txoj kev kho mob no tsis tau siv dav lawm (vim tias cov hom stents tshiab - cov stents uas muab tshuaj pleev - tau txo qhov kev pheej hmoo ntawm kev rov qab los), nws tuaj yeem yog ib qho kev daws teeb meem zoo thiab muaj txiaj ntsig rau cov neeg mob uas muaj cov mob nyuaj uas tau ntsib kev rov qab los ntawm stent.
Cov Lus Qhia Txog Kev Coj Mus Tsev
- Kev siv hluav taws xob los kho cov hlab ntsha hauv lub plawv (coronary brachytherapy) yog kev kho mob siv hluav taws xob los tiv thaiv cov nqaij caws pliav kom tsis txhob loj hlob nyob ib puag ncig lub stent thiab ua rau cov hlab ntsha nqaim dua (in-stent restenosis).
- Qhov no tsis yog kev kho mob rau txhua tus, tab sis nws yog qhov tshwj xeeb tshaj yog rau cov neeg uas rov qab muaj stent blockages, lwm yam kab mob xws li ntshav qab zib, lossis cov mob plawv nyuaj.
- Qhov no tsis yog ib qho kev phais loj, thiab yuav tsum muaj ib lub raj me me (catheter) nkag mus rau hauv lub plawv thiab xa cov tshuaj tua kab mob uas tswj tau.
- Tus nqi ntawm cov hluav taws xob siv yog me me heev thiab muaj kev nyab xeeb, thiab nws tsis cuam tshuam rau lwm qhov ntawm lub cev.
- Tom qab kho mob tas, nws yog ib qho tseem ceeb heev uas yuav tsum ua raws li lub neej noj qab haus huv rau lub plawv. Yog tias koj muaj cov cim qhia ceeb toom xws li mob hauv siab lossis ua tsis taus pa, nrhiav kev 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