Koj puas muaj tej lub sij hawm koj hnov mob, tingling, lossis tsuas yog xav tias koj ob txhais ceg tsis muaj zog thaum koj taug kev? Koj ob txhais ceg puas pib mob tom qab taug kev ib ntus, thiab qhov mob ploj mus tom qab koj sawv ntsug ib pliag? Yog li ntawd ib qho ntawm cov laj thawj tseem ceeb rau qhov no yuav yog vim cov leeg ntshav uas nqa ntshav mus rau koj ob txhais ceg tau txhaws nrog cov rog. Peb hu qhov mob no ua Kab Mob Peripheral Artery, lossis luv luv PAD . Yog li hnub no peb tab tom tham txog txoj kev kho mob tshwj xeeb thiab siab heev uas ntxuav cov leeg ntshav uas txhaws thiab rov qab ua kom cov ntshav ntws. Nws hu ua Atherectomy.
Hais yooj yim xwb, Atherectomy yog dab tsi?
Ib yam li cov kav dej hauv peb lub tsev raug txhaws nrog av thiab xeb dhau sijhawm, cov rog xws li cov roj cholesterol kuj tuaj yeem sib sau ua ke hauv peb lub cev cov hlab ntsha dhau sijhawm. Peb hu cov txheej rog no uas tsim 'plaque' . Cov txheej plaque no maj mam tuab thiab txo qhov chaw hauv cov hlab ntsha. Yog xav kom meej, nws ua rau cov hlab ntsha nqaim. Hauv kev kho mob, peb hu cov txheej txheem no Atherosclerosis . Yog li PAD yog qhov mob ntawm Atherosclerosis uas ua rau cov hlab ntsha hauv ceg, tshwj xeeb tshaj yog ceg, raug thaiv.
Kev phais mob Atherectomy yog ib txoj kev phais uas muab ib lub raj me me (catheter) ntxig rau hauv cov hlab ntsha uas raug txhaws thiab, siv ib rab riam me me lossis lub teeb laser ntawm qhov kawg ntawm lub raj, cov plaque uas khov lawm raug txiav thiab khawb tawm. Nws zoo li ntxuav ib daim av me me uas daig hauv ib lub yeeb nkab nrog ib lub cuab yeej tshwj xeeb.
Tom qab ua qhov no tiav lawm, qhov txhaws hauv cov hlab ntsha raug tshem tawm, thiab cov ntshav tuaj yeem ntws tau yooj yim. Qee zaum, tom qab tshem cov rog no tawm, cov kws kho mob yuav ua angioplasty kom cov hlab ntsha qhib, los ntawm kev ntxig lub balloon lossis stent .
Cov hom kev kho mob atherectomy tseem ceeb yog dab tsi?
Muaj ntau hom kev kho mob atherectomy tseem ceeb, nyob ntawm seb lub cuab yeej siv los tshem cov plaque no li cas. Koj tus kws kho mob yuav xaiv txoj kev uas haum rau koj tshaj plaws raws li cov yam ntxwv xws li hom kev thaiv hauv koj cov hlab ntsha thiab qhov xwm txheej ntawm cov plaque.
| Lub Npe ntawm txoj kev kho mob (Hom Atherectomy) | Nws Ua Haujlwm Li Cas |
|---|---|
| Kev phais tshem cov leeg nqaij tawm | Qhov no suav nrog kev txiav thiab tshem cov txheej plaque tawm mus rau ib sab nrog cov cuab yeej zoo. |
| Kev kho mob laser ablation | Raws li lub npe qhia, qhov no siv lub teeb laser muaj zog heev los yaj, ua pa, thiab tshem tawm cov txheej plaque. |
| Kev phais mob orbital | Qhov no zoo li siv ntawv xuab zeb los tshem xeb. Ib lub cuab yeej uas muaj lub taub hau pob zeb diamond uas tig ceev heev yog siv los khawb thiab ua kom cov txheej plaque tawg. |
| Kev phais mob Atherectomy | Hauv qhov no, ib lub cuab yeej uas muaj ntau lub hniav me me uas tig ntawm qhov ceev ceev yog siv los txiav, tsoo, thiab tshem tawm cov txheej plaque. |
Kuv yuav tsum ua li cas ua ntej qhov kev kho mob no?
Ua ntej koj tus kws kho mob txiav txim siab ua qhov kev kho mob no, nws yuav xaj ntau qhov kev kuaj kom pom tias koj cov leeg ntshav raug thaiv ntau npaum li cas thiab lawv nyob qhov twg.
- Kev kuaj mob angiography: Qhov no suav nrog kev txhaj tshuaj tshwj xeeb rau hauv koj cov hlab ntsha thiab thaij duab X-ray ntawm cov ntshav ntws los ntawm lawv. Qhov no ua rau koj pom tseeb tias muaj kev thaiv dab tsi.
- Kev Siv Ultrasound Rau Cov Hlwb: Qhov no zoo li kev ntsuas ib txwm muaj. Nws siv cov suab nthwv dej los ntsuas qhov ceev ntawm cov ntshav ntws hauv cov leeg thiab nrhiav pom cov khoom thaiv.
Raws li cov txiaj ntsig ntawm cov kev kuaj no, koj tus kws kho mob yuav txiav txim siab seb koj puas tsim nyog rau Atherectomy. Tus kws kho mob mam li muab cov lus qhia meej rau koj txog yuav ua li cas npaj rau kev kho mob.
- Khoom Noj thiab Dej Haus: Tej zaum koj yuav raug hais kom tsis txhob noj mov lossis haus dej li ob peb teev ua ntej kev kho mob.
- Cov Tshuaj: Nws yog ib qho tseem ceeb uas yuav tsum qhia rau koj tus kws kho mob txog lwm yam tshuaj uas koj noj, tshwj xeeb yog cov tshuaj ua kom cov ntshav nyias (anticoagulants) lossis aspirin. Tej zaum koj yuav raug hais kom tsum tsis txhob noj lawv li ob peb hnub.
Thaum koj mus rau tsev kho mob hnub koj kho mob, koj yuav tau txais ib lub tsho tsev kho mob thiab ib lub raj nyias nyias yuav raug ntxig rau hauv cov leeg ntshav hauv koj txhais caj npab kom muab tshuaj loog rau koj. Tsis txhob txhawj, tag nrho cov no yog ua kom koj tsis hnov mob lossis mob.
Kev kho mob ua haujlwm li cas?
Zoo, tam sim no cia peb saib seb qhov kev kho mob no ua tiav li cas. Qhov no tsis yog kev phais loj, yog li nws tsis ua qhov phais loj hauv koj lub cev.
1. Ua ntej, koj yuav tau txais tshuaj loog thiab tshuaj loog kom koj xav tias qaug zog me ntsis. Yog li koj yuav tsis hnov mob, tab sis koj yuav nco qab.
2. Tom qab ntawd, tus kws kho mob yuav ua ib qho kev txiav me me rau hauv koj daim tawv nqaij kom ntxig ib lub raj nyias nyias (catheter) rau hauv ib qho ntawm koj cov leeg ntshav (feem ntau yog nyob rau hauv koj lub qhov ncauj lossis dab teg).
3. Tom ntej no, lub raj yuav raug coj mus rau hauv cov hlab ntsha, raws li kev coj ntawm X-ray, thiab xa mus rau qhov chaw uas cov quav hniav tau sib sau ua ke thiab raug thaiv.
4. Thaum kawg, lub cuab yeej tshwj xeeb (hniav, laser, lossis lub hau tig) ntawm qhov kawg ntawm lub raj raug qhib, cov txheej plaque raug txiav, khawb tawm, thiab cov khoom raug tshem tawm los ntawm lub raj.
Qhov no yuav tsum tau ua ob peb zaug kom txog thaum cov ntshav rov qab los tag nrho. Tag nrho cov txheej txheem feem ntau siv sijhawm li ob teev.
Tom qab kho mob tas lawm, muaj dab tsi tshwm sim?
Tom qab kev kho mob tiav lawm, koj yuav tsum tau pw hauv txaj ob peb teev (feem ntau yog 4-6 teev) kom tsis txhob los ntshav ntawm qhov chaw ntxig catheter. Thaum lub sijhawm no, cov kws tu mob yuav kuaj xyuas koj cov ntshav siab, lub plawv dhia, thiab lub plawv dhia tsis tu ncua.
Feem ntau, qhov no yog ua raws li kev kho mob sab nraud, txhais tau tias koj tuaj yeem mus tsev tib hmo ntawd. Txawm li cas los xij, qee zaum, nyob ntawm koj tus mob, koj yuav tsum nyob hauv tsev kho mob ib hnub.
Feem ntau koj tuaj yeem rov qab mus ua koj tej dej num li qub tau li ntawm ob peb hnub. Txawm li cas los xij, vim tias txhua tus neeg lub sijhawm rov zoo sib txawv, nws yog qhov zoo tshaj plaws los nug koj tus kws kho mob txog lub sijhawm zoo tshaj plaws los rov qab ua koj tej dej num.
Cov txiaj ntsig thiab kev pheej hmoo ntawm kev kho mob atherectomy
Ib yam li lwm yam kev kho mob, kev phais atherectomy muaj nws cov txiaj ntsig thiab qee qhov kev pheej hmoo me me. Nws yog ib qho tseem ceeb uas yuav tsum paub txog cov no.
| Cov txiaj ntsig | Kev Pheej Hmoo/Teeb Meem |
|---|---|
| Muab kev pab tam sim ntawd los ntawm cov tsos mob PAD (xws li mob ceg). | Thaum koj txiav cov plaque, ib daim me me ntawm nws tuaj yeem tawg thiab daig rau hauv lwm cov hlab ntsha me me nyob rau pem hauv ntej ntawm koj. |
| Qhov no tsis yog kev phais loj. Tsuas yog ua ib lub qhov me me rau ntawm daim tawv nqaij xwb. (Tsis tas phais ntau) | Qee zaum lub cuab yeej no tuaj yeem ua rau cov hlab ntsha puas tsuaj, ua rau muaj qhov. |
| Feem ntau kev kho mob yuav siv sijhawm luv luv, li ob teev. | Tej zaum yuav muaj kev los ntshav lossis kev kis kab mob ntawm qhov chaw uas ntxig lub raj. |
| Koj tuaj yeem rov zoo sai thiab rov qab mus rau lub neej ib txwm. | Muaj qee qhov kev pheej hmoo uas cov quav hniav yuav rov qab tso rau tib qho chaw. |
Tiamsis koj yuav tsum nco ntsoov tias cov kev pheej hmoo no tsis tshua muaj. Cov kws kho mob uas muaj kev paub dhau los zoo heev rau kev tiv thaiv cov xwm txheej no kom tsis txhob tshwm sim thiab tswj hwm lawv yog tias lawv tshwm sim.
Thaum twg koj yuav tsum tau nrog kws kho mob tham?
Thaum koj mus tsev tom qab kho mob tas, nws yog ib qho tseem ceeb uas yuav tsum tau ua tib zoo saib xyuas txhua qhov kev hloov pauv hauv koj lub cev. Yog tias koj muaj ib qho ntawm cov tsos mob hauv qab no, koj yuav tsum nrog koj tus kws kho mob tham tsis pub dhau sijhawm .
| Yog tias koj muaj cov tsos mob no tom qab kho tas, qhia rau koj tus kws kho mob tam sim ntawd. |
|---|
| - Mob hnyav heev, tsis tuaj yeem ua tau rau thaj tsam ntawm qhov chaw kho mob lossis ceg. |
| - Ceg o (Edema) . |
| - Liab los yog sov so hauv thaj chaw kho mob. |
| - Tus ceg uas tau kho mob zoo li txias dua lossis txias dua li lwm tus ceg. |
Kev phais tshem cov hlab ntsha hauv lub plawv (Atherectomy) yog ib txoj kev kho mob zoo thiab muaj kev nyab xeeb heev rau tus kab mob Peripheral Artery Disease (PAD). Yog tias koj muaj cov tsos mob no, tsis txhob ntshai mus ntsib kws kho mob thiab tau txais kev qhia. Ua tsaug rau cov kev kho mob niaj hnub no, peb tau muaj peev xwm daws cov kab mob no tau zoo.
Cov Lus Qhia Txog Kev Coj Mus Tsev
- Kev phais tshem cov hlab ntsha hauv cov hlab ntsha (atherectomy) yog ib txoj kev kho mob yooj yim, tsis tas yuav phais ntau, uas yuav khawb thiab tshem tawm cov rog uas nyob hauv cov hlab ntsha vim yog PAD.
- Vim tias qhov no tsis yog kev phais loj, koj tuaj yeem rov zoo sai thiab rov qab mus rau lub neej ib txwm.
- Ib yam li txhua yam kev kho mob, muaj tej yam txaus ntshai me me, tab sis tsis tshua muaj thiab cov kws kho mob uas muaj kev paub dhau los tuaj yeem tswj tau.
- Yog tias koj hnov mob, o, liab, lossis tingling hauv koj ceg tom qab kho tas, hu rau koj tus kws kho mob tam sim ntawd .
- Koj txoj kev ua neej, xws li kev noj zaub mov thiab kev tawm dag zog, yog qhov tseem ceeb heev rau kev vam meej ntawm kev kho mob no thiab kom tiv thaiv kev rov qab mob dua.
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Tsis muaj lus teb tau muab tso tawm. Ntxiv koj cov lus tawm ntawm no thawj zaug.
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