Thaum koj taug kev, koj puas hnov mob lossis mob hauv koj ob txhais ceg, tshwj xeeb tshaj yog nyob rau hauv thaj chaw ntawm lub duav? Qhov mob no puas nce ntxiv thaum koj taug kev mus deb me ntsis thiab txo qis thaum koj sawv ntsug? Yog tias koj muaj cov tsos mob no, koj kuj yuav raug cuam tshuam los ntawm qhov mob no. Tsis txhob txhawj, qhov no yog ib qho mob uas cuam tshuam rau ntau tus neeg. Niaj hnub no, cia peb tham txog dab tsi ua rau qhov no thiab txoj kev kho mob niaj hnub hu ua Atherectomy.
PAD yog dab tsi? Vim li cas cov leeg ntshav thiaj txhaws?
Hais yooj yim xwb, PAD txhais tau tias Kab Mob Peripheral Artery . Hauv Sinhala, nws yog kev thaiv cov hlab ntsha (arteries) uas nqa ntshav mus rau cov kabmob deb xws li cov ceg ntawm peb lub cev. Xav txog tias dhau sijhawm, cov khoom xws li xeb thiab av qias neeg yuav daig hauv cov yeeb nkab dej. Ib yam li ntawd, "plaque" tuaj yeem tso rau hauv peb cov hlab ntsha. Cov plaque no yog ib txheej uas tsim los ntawm kev sib sau ua ke ntawm cov khoom xws li cholesterol, rog, thiab calcium. Hauv kev kho mob, peb hu qhov no (Atherosclerosis) .
Thaum cov hlab ntsha maj mam nqaim vim qhov kev thaiv no, cov ntshav uas hla dhau nws yuav txo qis. Thaum koj tawm dag zog lossis taug kev, cov leeg nqaij hauv koj ob txhais ceg xav tau ntshav ntau dua, uas txhais tau tias muaj oxygen ntau dua. Tab sis vim tias cov hlab ntsha raug thaiv, lawv tsis tau txais cov ntshav ntau npaum li lawv xav tau. Thaum ntawd qhov mob thiab loog tuaj.
Kev kho mob hu ua atherectomy yog dab tsi?
Kev phais mob Atherectomy yog ib txoj kev kho mob tshwj xeeb uas tshem tawm lossis ntxuav cov plaque uas tau tsim hauv cov hlab ntsha uas raug thaiv. Qhov no tsis yog kev phais loj. Nws suav nrog kev ntxig ib lub raj nyias nyias (catheter) los ntawm ib qho ntawm koj cov hlab ntsha thiab coj nws mus rau qhov kev thaiv. Thaum kawg ntawm lub raj no yog ib rab riam nyias nyias, ntse lossis ib lub cuab yeej uas tso tawm lub teeb laser.
Yuav kom meej meej, qhov no zoo li muab ib txoj hlau tso rau hauv ib lub yeeb nkab uas txhaws thiab khawb cov av sab hauv tawm.
Cov cuab yeej no txiav thiab khawb cov plaque uas tawv lawm. Qee zaum, kev kho mob no yuav muaj kev phais balloon angioplasty kom qhib cov hlab ntsha ntxiv lossis siv stent los tiv thaiv nws kom tsis txhob kaw dua. Koj tus kws kho mob yuav piav qhia qhov no rau koj kom meej.
Muaj pes tsawg hom atherectomy?
Yog, cov kws kho mob siv ntau txoj kev phais atherectomy nyob ntawm seb qhov xwm txheej thiab qhov chaw ntawm qhov txhaws hauv cov hlab ntsha. Muaj ntau hom tseem ceeb.
| Hom Atherectomy | Hais yooj yim xwb, qhov uas yuav tshwm sim |
|---|---|
| Kev phais tshem cov leeg nqaij tawm | Cov txheej daj raug tshem tawm los ntawm kev txiav nws mus rau ib sab nrog rab riam ntse. |
| Kev kho mob laser ablation | Cov teeb laser siv los yaj, ua pa, thiab rhuav tshem cov txheej daj. |
| Kev phais mob orbital | Cov txheej daj raug khawb tawm nrog lub cuab yeej tig sai, zoo ib yam li ntawv xuab zeb. |
| Kev phais mob Atherectomy | Ib lub cuab yeej uas muaj ntau cov hniav me me raug tig ua ib lub voj voog kom tsoo thiab tshem tawm cov txheej daj. |
Kuv yuav tsum ua li cas ua ntej qhov kev kho mob no?
Ua ntej koj yuav kho qhov teeb meem no, koj tus kws kho mob yuav xaj ntau qhov kev kuaj kom pom tseeb tias koj cov hlab ntsha raug thaiv npaum li cas.
- Angiography: Ib qho kev kuaj uas txhaj tshuaj tshwj xeeb rau hauv cov leeg ntshav thiab thaij duab X-ray los tsim daim duab qhia ntawm cov leeg ntshav.
- Kev Siv Ultrasound Los Saib Cov Ntshav Hauv Cov Hlab Ntshav: Kev siv lub suab los saib cov ntshav ntws hauv cov hlab ntshav thiab nrhiav cov khoom thaiv.
Ib hnub ua ntej koj txoj kev kho mob, koj yuav tau txais qee cov lus qhia tshwj xeeb.
- Twb txog lub sijhawm uas yuav tsum tsis txhob noj thiab haus lawm.
- Txog kev noj lossis tsum tsis txhob noj cov tshuaj uas koj tab tom noj, tshwj xeeb yog cov tshuaj anticoagulants .
Nws yog ib qho tseem ceeb heev uas yuav tsum ua raws li tag nrho cov no raws li koj tus kws kho mob qhia.
Muaj dab tsi tshwm sim thaum lub sijhawm kho mob?
Thaum koj mus rau tsev kho mob, lawv yuav muab ib lub tsho tshwj xeeb rau koj hnav. Tom qab ntawd, lawv yuav muab tshuaj rau koj kom tsis txhob mob thaum lub sijhawm kho mob. Feem ntau ua qhov no thaum koj tseem nco qab, tab sis siv tshuaj loog me ntsis.
1. Tus kws kho mob yuav ua ib lub qhov me me rau hauv cov hlab ntsha hauv koj lub qhov ncauj lossis koj txhais caj npab thiab muab ib lub raj nyias nyias (catheter) ntxig rau hauv.
2. Tom qab ntawd, thaum saib daim duab X-ray, lub raj yuav raug coj mus rau qhov chaw ntawm cov leeg ntshav uas raug txhaws.
3. Thaum koj mus txog qhov txhaws, qhib lub cuab yeej (hniav lossis laser) ntawm qhov kawg ntawm lub raj thiab khawb lossis txiav cov txheej daj.
4. Cov txheej txheem no tuaj yeem rov ua dua ntau zaus kom txog thaum tsis muaj kev thaiv cov ntshav ntws.
Feem ntau, tag nrho cov txheej txheem no siv sijhawm li ob teev.
Yuav tsum tau tos dab tsi tom qab kho mob?
Tom qab kho mob tas, koj yuav tsum pw tiaj tiaj hauv txaj li ob peb teev (tej zaum li 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 thiab lub plawv dhia tas li.
Feem ntau, qhov no yog kev kho mob uas cia koj mus tsev tib hnub yam tsis tas yuav nyob hauv tsev kho mob. Txawm li cas los xij, qee tus neeg yuav tsum nyob hauv tsev kho mob ib hnub. Nws nyob ntawm koj tus mob. Koj yuav rov qab ua tau tej yam li qub tau ob peb hnub. Txawm li cas los xij, nws yog qhov zoo tshaj plaws los nug koj tus kws kho mob kom tau lus qhia.
Qhov no muaj txiaj ntsig dab tsi?
Qhov zoo tshaj plaws ntawm kev phais atherectomy yog tias nws tuaj yeem ua tiav los ntawm kev phais me me, es tsis txhob phais loj . Qhov no ua rau lub sijhawm rov zoo luv dua, mob tsawg dua, thiab muaj caws pliav tsawg dua.
Puas muaj tej yam tshwm sim los yog tej yam txaus ntshai?
Ib yam li kev kho mob twg los xij, tej zaum yuav muaj qee qhov kev pheej hmoo.
- Thaum lub txheej daj raug khawb, ib daim me me ntawm nws tuaj yeem tawg thiab daig rau hauv lwm txoj leeg me me nyob rau pem hauv ntej.
- Tsis tshua muaj, lub cuab yeej khawb yuav ua rau phab ntsa cov hlab ntsha puas, ua rau khawb lossis ua qhov.
Tiamsis cov no tsis tshua muaj tshwm sim. Cov kws kho mob uas muaj kev paub dhau los ua txhua yam uas tsim nyog los txo cov kev pheej hmoo no.
Koj xav mus ntsib kws kho mob dua thaum twg?
Thaum koj mus tsev tom qab kho mob tas, koj yuav tsum hu rau koj tus kws kho mob tam sim ntawd yog tias koj muaj cov tsos mob tshiab lossis yog tias koj cov tsos mob uas twb muaj lawm zuj zus tuaj. Ceev faj tshwj xeeb txog cov hauv qab no:
- Mob hnyav heev rau ntawm qhov chaw mos lossis ceg uas tau kho lawm.
- Ceg o (Edema) .
- Liab los yog sov so hauv thaj chaw kho mob.
- Hnov txias los yog loog ntawm ceg uas tau kho.
Yog koj xav li no, tsis txhob tso tseg. Nrhiav kev pab kho mob tam sim ntawd.
Cov Lus Qhia Txog Kev Coj Mus Tsev
- PAD (Kab Mob Peripheral Artery) yog ib qho mob uas cov hlab ntsha hauv ob txhais ceg nqaim thiab nqaim. Qhov no tuaj yeem ua rau mob ob txhais ceg thaum taug kev.
- Atherectomy yog ib txoj kev kho mob niaj hnub uas siv ib lub raj nyias nyias los tshem tawm cov hlab ntsha uas raug thaiv, yam tsis tas phais loj.
- Kev kho mob no feem ntau muaj kev nyab xeeb thiab lub sijhawm rov zoo yog luv luv.
- Nws yog ib qho tseem ceeb heev uas yuav tsum ua raws li tus kws kho mob cov lus qhia ua ntej thiab tom qab kev kho mob.
- Yog tias koj muaj cov tsos mob txawv txawv (mob, o, mob nqaij) tom qab kho, qhia rau koj tus kws 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