Koj puas tau muaj mob plawv nres, lossis koj puas tau muab stent ntxig rau hauv, lossis tej zaum phais bypass, thiab koj tus kws kho mob tau sau ntawv kom koj noj ob yam tshuaj tib lub sijhawm? Muaj ntau tus neeg txhawj xeeb me ntsis txog qhov no. Nws yog ib qho ib txwm muaj cov lus nug xws li "Vim li cas kuv thiaj tau txais ob yam tshuaj?" thiab "Qhov no puas yuav ua rau muaj teeb meem?" los rau hauv siab. Yog li, hnub no peb yuav tham txog txoj kev kho mob no, uas yog Dual Antiplatelet Therapy (DAPT).
Hauv lwm lo lus, DAPT yog dab tsi?
DAPT yog kev kho mob ua ke uas siv ob hom tshuaj uas ua rau cov ntshav nyias. Tshwj xeeb, koj yuav tau noj tshuaj aspirin nrog rau lwm yam tshuaj hu ua P2Y12 inhibitor .
Tam sim no saib, thaum peb raug mob qhov twg hauv peb lub cev, qhov ntshav tsis ntws vim tias cov ntshav txhaws thiab qhov txhab kaw. Qhov ntawd yog ib qho zoo. Tab sis, yuav ua li cas yog tias cov ntshav txhaws tsim nyob rau hauv peb cov hlab ntsha yam tsis muaj laj thawj? Xav txog kev sib tsoo ntawm txoj kev, zoo li cov tsheb sib tsoo ua ke, cov ntshav txhaws no tuaj yeem daig hauv peb cov hlab ntsha. Yog tias cov ntshav txhaws zoo li no daig hauv cov hlab ntsha uas mus rau lub plawv, yuav muaj mob plawv nres. Yog tias nws daig hauv cov hlab ntsha uas mus rau lub hlwb, yuav muaj mob stroke.
Yog li ntawd, qhov kev kho mob DAPT no ua yog tiv thaiv cov platelets, cov qe ntshav me me hauv peb cov ntshav, kom tsis txhob lo ua ke thiab txhaws. Ua li no, kev kho mob no tuaj yeem tiv thaiv kev tsim cov ntshav txhaws txaus ntshai (Thrombosis).
Leej twg xav tau kev kho mob DAPT tshaj plaws?
Feem ntau cov kws kho mob sau ntawv kom siv cov tshuaj no tom qab muaj teeb meem kev noj qab haus huv thiab rau cov neeg uas muaj feem yuav muaj teeb meem no dua. Saib daim ntawv hauv qab no.
| Thaum twg xav tau kev kho mob | Ib qho lus piav qhia yooj yim |
|---|---|
| Tom qab muaj mob plawv nres (Myocardial Infarction) | Txhawm rau tiv thaiv cov teeb meem uas tshwm sim los ntawm kev mob plawv lossis ntshav txhaws dua. |
| Tom qab mob stroke lossis TIA ('mini-stroke') | Txhawm rau txo qhov kev pheej hmoo ntawm kev muaj mob stroke dua. TIA yog ib qho mob ib ntus uas cov tsos mob tuaj thiab ploj mus. |
| Tom qab muab stent tso rau hauv lub qhov (stent) | Qhov no yog qhov tseem ceeb kom tiv thaiv cov ntshav txhaws kom tsis txhob tsim nyob rau hauv lub cuab yeej me me zoo li daim ntaub mesh no uas tau muab tso rau kom cov hlab ntsha ntawm lub plawv qhib. |
| Tom qab Angioplasty | Thaum cov hlab ntsha uas raug thaiv raug nthuav dav nrog ib yam dab tsi zoo li lub npas, nws tiv thaiv cov ntshav txhaws kom tsis txhob rov tsim dua ntawm qhov chaw ntawd. |
| Tom Qab Kev Phais Mob Coronary Artery Bypass | Txhawm rau tiv thaiv cov ntshav txhaws kom tsis txhob tsim nyob rau hauv cov hlab ntsha tshiab txuas tom qab phais. |
Cov txiaj ntsig thiab kev pheej hmoo ntawm kev kho mob DAPT yog dab tsi?
Ib yam li kev kho mob twg los xij, qhov no muaj cov txiaj ntsig zoo thiab qee qhov kev pheej hmoo.
Qhov tseem ceeb tshaj plaws yog tus kws kho mob sau ntawv rau koj siv cov tshuaj no vim tias cov txiaj ntsig zoo dua li cov kev pheej hmoo.
- Qhov txiaj ntsig tseem ceeb: Los ntawm kev tiv thaiv cov ntshav txhaws, qhov kev pheej hmoo ntawm kev muaj mob plawv lossis mob hlwb raug txo qis heev . Cov tshuaj no cawm tau txoj sia, tshwj xeeb tshaj yog rau ib tus neeg uas tau muab stent tso rau.
- Kev pheej hmoo tseem ceeb: Vim tias cov tshuaj no tiv thaiv cov ntshav txhaws, muaj kev pheej hmoo ntawm kev los ntshav.
- Cov tsos mob feem ntau yog kev los ntshav hauv txoj hnyuv .
- Txawm tias yog qhov txhab me me lossis qhov txiav me me los kuj tuaj yeem ua rau los ntshav ntau dua li qub.
- Tsis tshua muaj, tej yam mob loj xws li los ntshav hauv lub hlwb tuaj yeem tshwm sim.
Cov kev mob tshwm sim thiab teeb meem nrog lwm cov tshuaj
Cov kev mob tshwm sim uas pom ntau zaus
Qee tus neeg yuav muaj cov tsos mob hauv qab no thaum noj cov tshuaj no:
- Ua pa nyuaj
- Ntshav hauv cov zis (Hematuria)
- Kev mob ntawm lub cev uas tsis paub meej
- Ntshav Qhov Ntswg (Epistaxis)
- Txo cov platelet hauv cov ntshav (Thrombocytopenia)
- Cov pob qhov ntswg
Yog qhov no tseem txuas ntxiv mus, nrog koj tus kws kho mob tham.
Lwm cov tshuaj uas yuav cuam tshuam nrog cov tshuaj no
Yog tias koj noj DAPT, koj yuav tsum ceev faj heev thaum noj lwm yam tshuaj, tshwj xeeb tshaj yog cov no:
- Cov tshuaj Anticoagulants (lwm cov tshuaj uas ua rau cov ntshav nyias):Cov tshuaj xws li Warfarin thiab Apixaban. Yog tias noj cov no ua ke, qhov kev pheej hmoo ntawm kev los ntshav yuav siab dua.
- Cov NSAIDs (tshuaj tua mob): Cov tshuaj xws li Ibuprofen, Diclofenac, thiab Mefenamic Acid uas peb feem ntau noj rau mob taub hau thiab mob lub cev. Cov no ua rau muaj kev pheej hmoo ntawm kev los ntshav hauv plab thaum ua ke nrog DAPT.
- Cov Tshuaj Tiv Thaiv Kev Nyuaj Siab: Qee cov tshuaj siv rau kev nyuaj siab.
- Cov Tshuaj Tiv Thaiv Proton (PPIs): Cov tshuaj zoo li Omeprazole uas peb feem ntau siv rau kev mob plab zom mov.
Yog li ntawd, nws yog ib qho tseem ceeb uas yuav tsum qhia rau koj tus kws kho mob txog txhua yam tshuaj uas koj noj (txawm tias yog tshuaj tua kab mob uas koj yuav los ntawm lub tsev muag tshuaj).
Yuav tsum siv DAPT ntev npaum li cas?
Qhov no tsis zoo ib yam rau txhua tus. Koj tus kws kho mob yuav txiav txim siab seb koj xav tau DAPT ntev npaum li cas. Muaj ntau yam uas cuam tshuam rau qhov no:
- Koj lub hnub nyoog thiab kev noj qab haus huv tag nrho.
- Koj muaj feem yuav los ntshav li cas?
- Muaj feem yuav muaj lwm yam mob plawv lossis mob hlwb.
- Vim li cas thiaj pib DAPT thaum xub thawj (vim yog lub stent? vim yog mob plawv nres?).
Txawm hais tias qee tus neeg yuav xav tau kev kho mob no rau ib hlis lossis ob hlis, ntau tus neeg yuav xav tau nws rau ib xyoos lossis ntau dua . Koj tus kws kho mob yuav pom zoo kom koj noj aspirin tsuas yog rau koj lub neej xwb, txawm tias tom qab tso tseg DAPT lawm los xij.
Thaum twg yuav tsum nrhiav kev pab kho mob tam sim ntawd
Vim tias ib tug neeg uas noj DAPT muaj feem yuav los ntshav, koj yuav tsum ceev faj txog cov tsos mob hauv qab no. Yog tias koj muaj ib qho ntawm cov no, mus ntsib kws kho mob tam sim ntawd lossis mus rau Chav Kho Mob Thaum Muaj Xwm Ceev (ETU) ntawm lub tsev kho mob ze tshaj plaws.
| Cov Cim Ceeb Toom | |
|---|---|
| Ntsws nrog ntshav | Ntws ntshav liab los yog zis xim av uas zoo li cov kas fes av. |
| Kev hloov pauv ntawm lub rooj zaum | Zoo li cov quav dub, los yog muaj ntshav nyob hauv cov quav. |
| Mob taub hau loj heev tam sim ntawd | Mob taub hau tam sim ntawd, tsis tuaj yeem ua tau zoo li lwm yam uas kuv tau ntsib dua. |
| Lwm yam nta | Mob plab heev, mob hauv siab, tsis nco qab, kiv taub hau heev, thiab tsis meej pem. |
Cov Lus Qhia Txog Kev Coj Mus Tsev
- DAPT yog ib txoj kev kho mob cawm txoj sia uas muab cov tshuaj aspirin thiab lwm yam tshuaj los tiv thaiv kev mob plawv thiab mob hlwb.
- Tsis txhob tsum noj cov tshuaj no yam tsis tau koj tus kws kho mob qhia rau txhua yam laj thawj . Yog koj tsis noj txawm tias ib hnub xwb los kuj yuav ua rau koj cov ntshav txhaws ntau ntxiv.
- Qhov kev pheej hmoo tseem ceeb ntawm kev kho mob no yog los ntshav, yog li ntawd yuav tsum ceev faj txog cov cim ceeb toom (quav dub, ntuav ntshav).
- Txawm koj mus ntsib kws kho hniav lossis lwm tus kws kho mob los xij, qhia rau lawv ua ntej tias koj tab tom noj DAPT.
- Tej zaum koj yuav tsum tsis txhob noj cov tshuaj no ib ntus ua ntej koj phais lossis rho hniav tawm, tab sis qhov no tsuas yog yuav tsum ua raws li koj tus kws kho mob plawv qhia xwb.
💬 Comments (0)
Tsis muaj lus teb tau muab tso tawm. Ntxiv koj cov lus tawm ntawm no thawj zaug.
Ntxiv koj cov lus