Koj puas tau muaj mob plawv tsis ntev los no? Los yog koj puas tau muaj ib lub stent tso rau hauv cov hlab ntsha hauv koj lub plawv? Tej zaum koj tus kws kho mob yuav tau sau ob hom tshuaj rau koj. Ib qho yuav yog aspirin. Lwm qhov yuav yog ib lub tshuaj uas muaj lub npe txawv. Yog li ntawd, tej zaum koj yuav xav tias, "Vim li cas kuv thiaj tau txais ob hom tshuaj sib txawv rau tib yam mob?" Qhov no yog ib lo lus nug uas ntau tus neeg muaj. Niaj hnub no, peb tab tom tham txog DAPT, lossis Dual Antiplatelet Therapy, uas yog ib qho kev kho mob tseem ceeb, cawm txoj sia rau ntau tus ntawm koj.
DAPT yog dab tsi? Cia peb nkag siab yooj yim.
Yuav kom nkag siab qhov no, peb yuav tsum paub me ntsis txog peb cov ntshav ua ntej. Peb cov ntshav muaj cov qe ntshav liab, cov qe ntshav dawb, thiab lwm cov qe ntshav me me. Cov no hu ua
platelets . Lub luag haujlwm tseem ceeb ntawm
cov platelets no yog kom tsis txhob los ntshav thaum muaj kev raug mob qhov twg hauv peb lub cev, thiab lawv maj nrawm mus rau qhov chaw, lo ua ke, thiab tsim ib lub mesh los tiv thaiv kev los ntshav. Nws zoo li muab ib daim plaster sai sai rau ntawm ib lub yeeb nkab tawg. Qhov no yog qhov peb hu ua
kev txhaws ntshav . Qhov no yog ib qho txheej txheem uas tseem ceeb heev rau kev cawm peb txoj sia. Txawm li cas los xij, qhov teeb meem pib qhov twg qhov kev txhaws ntshav no tsis yog qhov yuav tsum tshwm sim, uas yog, yog tias nws tshwm sim hauv ib qho ntawm peb cov hlab ntsha. Xav txog seb yuav ua li cas yog tias cov ntshav txhaws tsim nyob rau hauv cov hlab ntsha uas nqa cov ntshav mus rau lub plawv? Cov hlab ntsha ntawd raug thaiv, nres cov ntshav ntws mus rau lub plawv thiab ua rau muaj
kev mob plawv (Myocardial Infarction) . Tsis tas li ntawd, yog tias cov ntshav txhaws no mus rau lub hlwb, nws tuaj yeem ua rau
mob stroke . Yog li,
Dual Antiplatelet Therapy (DAPT) yog kev kho mob uas tiv thaiv cov ntshav txhaws txaus ntshai los ntawm kev tsim nyob rau hauv cov hlab ntsha. Hauv qhov no, muaj ob hom tshuaj hu ua
"Antiplatelet" muab ua ke. Antiplatelet yog ib hom tshuaj uas tiv thaiv cov platelets kom tsis txhob lo ua ke, uas txhais tau tias nws tiv thaiv cov ntshav txhaws kom tsis txhob tsim. "Dual" txhais tau tias ob. Yog li, qhov no hu ua Dual Antiplatelet Therapy vim tias muaj ob hom tshuaj muab ua ke.
Leej twg xav tau kev kho mob DAPT no?
Cov kws kho mob tsis muab kev kho mob no rau txhua tus. Nws tsuas yog muab rau cov neeg uas muaj feem yuav mob ntshav txhaws hauv lawv cov leeg xwb. Kev kho mob no feem ntau yog sau tseg rau cov xwm txheej hauv qab no:
| Thaum twg xav tau kev kho mob | Piav qhia yooj yim |
|---|
| Tom qab muaj mob plawv nres | Qhov no tseem ceeb heev kom tiv thaiv tau lwm cov ntshav txhaws thiab ua rau muaj mob plawv ntxiv rau ib tus neeg uas tau mob plawv nres. |
| Tom qab mob stroke lossis TIA | Kev kho mob no yog muab los tiv thaiv kom tsis txhob rov qab muaj mob stroke tom qab mob stroke uas tshwm sim los ntawm cov ntshav txhaws hauv cov hlab ntsha hauv lub hlwb. TIA (Transient Ischemic Attack) yog ib qho mob zoo ib yam li mob stroke me me. |
| Tom qab muab stent tso rau hauv lub qhov (stent) | Ib lub stent yog ib lub raj me me uas muab tso rau hauv cov hlab ntsha uas raug thaiv hauv lub plawv kom nws qhib. Muaj kev pheej hmoo siab ntawm cov ntshav txhaws hauv lub stent no. DAPT yog qhov tsim nyog heev los tiv thaiv qhov no. |
| Tom qab Angioplasty | Qhov no suav nrog kev nthuav cov hlab ntsha uas raug txhaws los ntawm kev ua kom ib yam dab tsi zoo li lub npas loj loj. Tseem muaj kev pheej hmoo ntawm cov ntshav txhaws tom qab qhov no. |
| Tom qab phais mob plawv bypass | Txawm tias tom qab phais mob no, uas hla cov hlab ntsha uas raug thaiv hauv lub plawv thiab hloov cov hlab ntsha tshiab, muaj tej lub sijhawm uas kev kho mob no raug muab los tiv thaiv cov ntshav txhaws kom tsis txhob tsim nyob rau hauv cov hlab ntsha tshiab ntawd. |
Cov tshuaj twg muab rau DAPT?
Peb hais tias muaj ob hom tshuaj uas muab ua ke hauv kev kho mob DAPT. Ob hom tshuaj ntawd yog: 1.
Aspirin: Qhov no yog ib hom tshuaj uas ntau tus ntawm nej tau hnov txog. Txawm hais tias nws feem ntau siv rau hauv cov koob tshuaj siab ua tshuaj tua kab mob, nws muab rau hauv cov koob tshuaj qis heev los tiv thaiv cov ntshav txhaws hauv cov neeg mob plawv. 2.
Ib hom tshuaj hauv pawg P2Y12 Inhibitor: Qhov no yog hom tshuaj thib ob. Muaj ntau hom tshuaj uas koom nrog pawg no.
- Clopidogrel
- Prasugrel
- Ticagrelor
Koj tus kws kho mob yuav txiav txim siab seb yuav muab peb yam tshuaj no rau koj thiab muab ntau npaum li cas.Nws nyob ntawm ntau yam, xws li koj tus mob, hnub nyoog, thiab seb koj puas muaj lwm yam mob.
Cov txiaj ntsig thiab kev pheej hmoo ntawm kev kho mob DAPT yog dab tsi?
Ib yam li kev kho mob twg los xij, kev kho mob DAPT muaj cov txiaj ntsig thiab qee qhov kev pheej hmoo. Nws yog ib qho tseem ceeb uas yuav tsum paub txog ob qho tib si.
| Cov txiaj ntsig tseem ceeb | Kev Pheej Hmoo Tseem Ceeb |
|---|
| Txuag txoj sia: Los ntawm kev tiv thaiv cov ntshav txhaws kom tsis txhob tsim nyob rau hauv cov hlab ntsha, qhov kev pheej hmoo ntawm kev mob plawv thiab mob hlwb uas yuav ua rau tuag taus raug txo qis heev. Qhov no yog qhov txiaj ntsig loj tshaj plaws thiab tseem ceeb tshaj plaws ntawm kev kho mob no. | Kev Pheej Hmoo Los Ntshav: Vim tias cov tshuaj no tiv thaiv cov ntshav txhaws los ntawm kev tsim, nws tuaj yeem ncua sijhawm rau thaj chaw uas cov ntshav txhaws feem ntau tshwm sim thiab tsis txhob los ntshav. Qhov no tuaj yeem ua rau muaj kev pheej hmoo ntawm kev los ntshav ntau dua li qub . |
Ntau ntxiv txog qhov kev pheej hmoo ntawm kev los ntshav ...
Tsis txhob ntshai thaum koj hnov tias "muaj feem yuav los ntshav." Qhov no txhais tau txhua yam, txij li tej yam me me mus txog tej yam loj heev.
- Los ntshav me me: Cov pos hniav los ntshav thaum txhuam koj cov hniav, los ntshav ntswg, thiab hloov xiav sai sai tom qab raug mob me me yog qhov tshwm sim ntau.
- Kev Los Ntshav Loj: Txawm hais tias tsis tshua muaj los, kev los ntshav hauv plab lossis txoj hnyuv ( Kev los ntshav hauv plab hnyuv) tuaj yeem tshwm sim. Qhov no tuaj yeem ua rau muaj ntshav hauv cov quav lossis ua rau cov quav dub. Tsis tshua muaj, kev los ntshav hauv lub hlwb tuaj yeem tshwm sim.
Qhov tseem ceeb yog koj tus kws kho mob muab kev kho mob no rau koj vim nws tau soj ntsuam tias qhov kev pheej hmoo ntawm cov ntshav txhaws ntau dua li qhov kev pheej hmoo ntawm kev los ntshav. Yog li ntawd, nws yog ib qho tseem ceeb uas yuav tsum ua raws li koj tus kws kho mob cov lus qhia.
Cov kev mob tshwm sim thiab kev sib cuam tshuam nrog lwm cov tshuaj
Qee cov neeg uas noj DAPT yuav muaj cov kev mob tshwm sim me me.
Tsis tas li ntawd xwb, thaum noj DAPT, koj yuav tsum qhia rau koj tus kws kho mob txog lwm yam tshuaj uas koj noj. Vim tias qee cov tshuaj tuaj yeem cuam tshuam rau qhov ua tau zoo ntawm DAPT. Ceev faj tshwj xeeb nrog cov tshuaj no.
- Lwm cov tshuaj uas ua rau cov ntshav nyias ( Anticoagulants ): Yog tias koj noj cov tshuaj zoo li Warfarin, qhov kev pheej hmoo ntawm kev los ntshav yuav siab dua.
- Cov Tshuaj Tua Kab Mob (NSAIDs): Kev siv cov tshuaj xws li Ibuprofen thiab Diclofenac ntau zaus yuav ua rau muaj kev pheej hmoo ntawm kev los ntshav hauv plab.
- Qee cov tshuaj kho kev nyuaj siab (Antidepressants).
- Cov tshuaj rau mob gastritis (Proton Pump Inhibitors): Cov tshuaj zoo li Omeprazole.
Yog li ntawd, tsis txhob hnov qab
qhia rau koj tus kws kho mob txog txhua yam koj noj, suav nrog cov tshuaj ntsiav, cov vitamins, thiab cov tshuaj ib txwm muaj.
Kuv yuav tsum noj cov tshuaj no ntev npaum li cas?
Qhov no kuj yog ib qho teeb meem rau ntau tus neeg. Lub sijhawm ntev npaum li cas los siv DAPT tsis zoo ib yam rau txhua tus. Nws txawv ntawm ib tus neeg mus rau ib tus neeg.
- Ib txhia neeg muab tau rau lub sijhawm luv luv, zoo li ib hlis lossis ob hlis.
- Muaj coob tus neeg yuav tsum haus dej cawv rau ib xyoos lossis ntau dua.
- Txawm tias tom qab koj tsum tsis txhob siv tshuaj DAPT lawm los, koj tus kws kho mob yuav qhia koj kom noj tshuaj aspirin xwb rau tas koj lub neej.
Lub sijhawm no yog koj tus kws kho mob txiav txim siab. Muaj ntau yam uas cuam tshuam rau nws:
- Vim li cas koj thiaj pib siv DAPT (mob plawv? Vim tias muaj stent tso rau?).
- Koj lub hnub nyoog thiab kev noj qab haus huv tag nrho.
- Koj muaj feem yuav los ntshav ntau npaum li cas?
- Muaj feem yuav muaj lwm yam mob plawv lossis mob hlwb yav tom ntej.
Koj yuav tsum ua li cas los tiv thaiv koj tus kheej thaum noj DAPT?
Koj kuj yuav tsum xav txog koj txoj kev nyab xeeb thaum koj tab tom kho qhov kev kho mob no. Nov yog qee yam yooj yim uas koj ua tau los pab.
- Noj koj cov tshuaj raws sijhawm: Noj koj cov tshuaj raws nraim li koj tus kws kho mob hais kom koj ua, tsis txhob hla ib hnub twg . Yog tias koj tsis nco qab noj ib zaug, nws yuav ua rau cov ntshav txhaws. Tsis txhob tsum noj koj cov tshuaj yam tsis tau nug koj tus kws kho mob.
- Hnav daim npav ID kho mob:Yog tias ua tau, ib txwm nqa ib txoj hlua tes lossis daim npav uas sau tias koj tab tom noj DAPT. Thaum muaj xwm txheej ceev, qhov no yuav pab cov neeg uas kho koj paub tias koj tab tom noj cov tshuaj uas ua rau cov ntshav nyias.
- Qhia rau koj cov kws kho mob tag nrho: Txawm tias koj yuav mus ntsib kws kho hniav lossis muaj lwm yam kev phais mob los xij, koj yuav tsum qhia rau lawv tias koj tab tom noj DAPT, vim qee qhov kev phais mob yuav tsum tau kom koj tsum tsis txhob noj cov tshuaj no ib ntus.
Cov tsos mob dab tsi uas yuav tsum tau kho mob tam sim ntawd?
Yog tias koj muaj cov tsos mob no, nws yuav yog ib qho cim qhia tias koj los ntshav hnyav. Yog li ntawd, tsis txhob ncua sijhawm thiab
hu rau koj tus kws kho mob tam sim ntawd lossis
mus rau Chav Kho Mob Ceev (ETU) ze tshaj plaws. Cov tsos mob ntawm kev los ntshav uas xav tau kev saib xyuas sai
| ⚫ | Cov quav dub los yog ntshav. |
| 🤮 | Ntws ntshav (zoo li cov av kas fes lossis xim liab/xim av). |
| 🤕 | Mob taub hau hnyav heev, tam sim ntawd |
| 😵 | Kiv taub hau , zoo li koj yuav tsis nco qab. |
| 😖 | Mob plab heev. |
| ❓ | Kev tsis meej pem . |
| 😮💨 | Ua pa nyuaj los yog mob hauv siab. |
Thiab, yog tias koj xav tias koj tau noj tshuaj ntau dhau, hu rau koj tus kws kho mob tam sim ntawd. Txwv tsis pub,Koj tuaj yeem hu rau
Lub Chaw Qhia Txog Tshuaj Lom Hauv Tebchaws ntawm Tsev Kho Mob Colombo National kom tau txais lus qhia.
Cov Lus Qhia Txog Kev Coj Mus Tsev
- DAPT yog kev sib xyaw ua ke ntawm ob hom tshuaj uas tiv thaiv cov ntshav txhaws. Qhov no yog kev kho mob cawm txoj sia uas tiv thaiv koj ntawm cov mob hnyav xws li mob plawv nres thiab mob hlwb.
- Qhov kev pheej hmoo tseem ceeb ntawm kev kho mob no yog los ntshav ntau ntxiv, yog li txawm tias raug mob me me kuj tuaj yeem siv sijhawm ntev dua los nres los ntshav.
- Noj cov tshuaj raws li koj tus kws kho mob tau hais, tsis txhob hla ib hnub twg. Tsis txhob tsum noj cov tshuaj rau txhua yam laj thawj yam tsis tau sab laj nrog koj tus kws kho mob.
- Qhia rau koj tus kws kho mob txog lwm yam tshuaj uas koj noj. Tsis tas li ntawd, qhia rau koj tus kws kho mob yog tias koj yuav mus ntsib kws kho hniav lossis muaj lwm yam kev phais.
- Yog koj muaj cov quav dub, ntuav ntshav, lossis mob taub hau hnyav, mus rau chav kho mob ceev (ETU) ntawm tsev kho mob tam sim ntawd.
DAPT, Kev Kho Mob Dual Antiplatelet, ntshav txhaws, mob plawv nres, mob hlwb, stent, aspirin, clopidogrel, Clopidogrel, kab mob plawv, tshuaj ua kom ntshav nyias
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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