Koj yuav tsum tau pom tias thaum cov kav dej hauv peb lub tsev qub lawm, lawv yuav txhaws nrog av thiab xeb. Ib yam li ntawd, cov hlab ntsha hauv peb lub cev, cov hlab ntsha uas nqa ntshav, tuaj yeem txhaws nrog ntau yam khoom raws sijhawm. Thaum cov hlab ntsha txhaws, cov ntshav ntws yuav raug cuam tshuam. Hauv cov xwm txheej zoo li no, cov txheej txheem los tshem tawm cov khoom txhaws los ntawm kev phais thiab ntxuav cov hlab ntsha tsuas yog hu ua "Endarterectomy" xwb.
Endarterectomy yog dab tsi? Muaj dab tsi tshwm sim tiag?
Hais yooj yim xwb, kev phais endarterectomy yog ib txoj kev phais kom rov qhib cov hlab ntsha uas raug thaiv lossis nqaim. Cov plaque yog ib txheej rog thiab calcium uas tawv, nplaum uas sib sau ua ke hauv peb cov hlab ntsha. Nws zoo li xeb uas tsim rau ntawm cov yeeb nkab dej. Hauv kev phais no, cov kws kho mob qhib cov hlab ntsha thiab khawb cov plaque uas tau sib sau ua ke sab hauv.
Thaum cov plaque raug tshem tawm li no, qhov chaw hauv cov hlab ntsha yuav nce ntxiv. Qhov no ua rau cov ntshav ntws tau zoo dua. Qhov no tuaj yeem txo qhov kev pheej hmoo ntawm cov ntshav txhaws thiab cov mob hnyav xws li mob stroke .
Feem ntau qhov kev phais no yog ua thaum tus mob hu ua atherosclerosis, uas yog kev sib sau ua ke ntawm cov plaque hauv cov hlab ntsha, hnyav zuj zus, tshwj xeeb tshaj yog rau cov neeg uas muaj cov tsos mob.
Cov mob tseem ceeb uas kho nrog kev phais no yog:
- Kab Mob Ntshav Qab Zib (PAD): Qhov no yog thaum cov plaque sib sau ua ke hauv cov hlab ntsha uas nqa ntshav mus rau koj ob txhais ceg lossis caj npab, thaiv lawv. Qhov no tuaj yeem ua rau mob hauv koj ob txhais ceg thaum koj taug kev, cov qhov txhab uas tsis kho, thiab qhov phem tshaj plaws, cov nqaij tuag (gangrene).
- Kab Mob Carotid Artery: Qhov no yog qhov uas cov plaque sib sau ua ke hauv ob lub hlab ntsha loj hauv peb lub caj dab uas nqa cov ntshav mus rau lub hlwb. Yog tias cov hlab ntsha no nqaim zuj zus, cov ntshav ntws mus rau lub hlwb yuav raug txiav tawm, ua rau mob stroke, transient ischemic attack (TIA), lossis tsis pom kev ib ntus.
Muaj cov hom kev phais mob endarterectomy dab tsi?
Muaj ntau hom kev phais mob no nyob ntawm seb ua qhov twg. Yuav kom yooj yim dua rau koj nkag siab, cia peb saib nws li no.
| Hom kev phais mob | Qhov chaw tshem tawm qhov thaiv | Qhov Tseem Ceeb |
|---|---|---|
| Kev phais mob carotid endarterectomy | Cov hlab ntsha uas nqa cov ntshav mus rau lub hlwb los ntawm caj dab. | Ib qho kev phais mob uas feem ntau ua. Txo qhov kev pheej hmoo ntawm kev tuag tes tuag taw. |
| Kev phais plawv Aorta thiab Iliac Endarterectomy | Cov hlab ntsha tseem ceeb hauv lub plab thiab lub duav. | Nws yog ib qho kev phais mob uas feem ntau ua. |
| Kev phais mob ntawm cov hlab ntsha hauv lub femoral | Cov hlab ntsha uas khiav ntawm thaj tsam qhov chaw mos mus rau ob txhais ceg. | Rov qab kho cov ntshav ncig mus rau ob txhais ceg. |
| Kev phais plawv sab hauv | Cov hlab ntsha coronary, uas muab ntshav rau lub plawv. | Feem ntau ua nrog kev phais bypass. |
| Kev phais plawv sab hauv lub ntsws | Cov hlab ntsha ntsws. | Nws yog ib qho kev phais mob uas tsis tshua muaj neeg ua. |
Koj npaj li cas ua ntej phais?
Ua ntej koj yuav phais qhov no, tus kws kho mob yuav ua ntau qhov kev kuaj kom paub tseeb tias cov hlab ntsha txhaws ntau npaum li cas thiab nyob qhov twg.
- Doppler ultrasound: Ib qho kev ntsuas uas siv cov suab nthwv dej los nrhiav cov ntshav ntws thiab cov khoom thaiv.
- CT angiography: Siv cov duab X-ray tshwj xeeb thiab cov xim sib piv los tsim cov duab peb-seem (3D) ntawm cov hlab ntsha.
- Angiography: Ib qho xim zas raug txhaj ncaj qha rau hauv cov hlab ntsha thiab X-rays siv los thaij duab ntawm cov hlab ntsha.
- MRA (Magnetic Resonance Angiography - MRA):Cov duab ntxaws ntxaws ntawm cov hlab ntsha tau txais los ntawm kev siv cov hlau nplaum thiab cov nthwv dej xov tooj cua.
Tom qab cov kev kuaj no, koj tus kws kho mob yuav muab cov lus qhia rau koj txog kev npaj rau kev phais. Tej zaum yuav muaj lus nug kom koj tsum tsis txhob noj qee yam tshuaj ib ntus, xws li cov tshuaj ua kom ntshav nyias. Tej zaum yuav muaj lus nug kom koj pib noj qee yam tshuaj, xws li aspirin. Koj yuav tsum ua txhua yam no raws nraim li koj tus kws kho mob qhia rau koj.
Koj yuav tsum tau yoo mov (tsis txhob noj lossis haus dab tsi) ob peb teev ua ntej phais. Pab neeg ua haujlwm loog yuav muab cov lus qhia tshwj xeeb rau koj txog qhov no.
Yuav ua li cas thiaj phais tau?
Koj yuav tau txais tshuaj loog kom tsis txhob mob thaum lub sijhawm phais. Feem ntau cov neeg yuav tau txais tshuaj loog dav dav. Qhov no txhais tau tias koj yuav tsaug zog thaum lub sijhawm phais. Txawm li cas los xij, qee zaum, tshwj xeeb tshaj yog hauv kev phais mob xws li carotid endarterectomy, koj yuav tsis tsaug zog thiab tsuas yog thaj chaw ntawd yuav raug loog (tshuaj loog hauv zos) kom yooj yim dua los saib xyuas kev ua haujlwm ntawm lub hlwb.
Nov yog cov kauj ruam zuj zus ntawm yam uas tshwm sim thaum lub sijhawm phais:
1. Kev txiav daim tawv nqaij: Yuav ua ib qho kev txiav me me rau ntawm daim tawv nqaij ncaj qha rau ntawm cov hlab ntsha uas raug txhaws.
2. Tshem tawm cov quav hniav: Cov hlab ntsha raug qhib thiab cov txheej ntawm cov quav hniav uas nyob hauv raug khawb kom zoo zoo.
3. Kaw cov hlab ntsha: Tom qab ntawd, cov hlab ntsha yuav raug xaws kaw. Qee zaum, yuav muaj ib daim me me xaws rau hauv qhov chaw kom tiv thaiv cov hlab ntsha kom tsis txhob nqaim dua. Daim daim no tuaj yeem ua los ntawm cov khoom siv dag lossis tuaj yeem yog ib daim nqaij uas tau los ntawm lwm cov hlab ntsha hauv koj lub cev.
4. Kaw daim tawv nqaij: Thaum kawg, qhov txiav daim tawv nqaij raug kaw nrog cov xov.
Feem ntau kev phais mob Carotid Endarterectomy yuav siv sijhawm li ib teev lossis ob teev. Lub sijhawm rau lwm hom kev phais yuav txawv.
Cov txiaj ntsig thiab tej zaum yuav muaj kev pheej hmoo ntawm kev phais yog dab tsi?
Qhov tseem ceeb tshaj plaws yog tias yog tus kws kho mob pom zoo kom koj phais qhov no, nws txhais tau tias cov txiaj ntsig ntawm kev phais mob ntau dua li qhov kev pheej hmoo ntawm kev tsis phais mob.
Cov txiaj ntsig tseem ceeb:
- Qhov txhaws raug tshem tawm thiab cov hlab ntsha rov qab zoo li qub.
- Thaum cov ntshav ncig rov qab mus rau qhov qub, tej yam xws li mob ceg thiab cov qhov txhab uas tsis kho yuav pib zoo.
- Qhov kev pheej hmoo ntawm kev mob stroke raug txo qis heev.
- Feem ntau, cov txiaj ntsig ntawm kev phais mob kav ntev ntau xyoo.
Tej yam txaus ntshai uas yuav tshwm sim:
Ib yam li lwm yam kev phais mob, muaj tej yam txaus ntshai me me uas cuam tshuam nrog.
- Los ntshav
- Teeb meem plawv xws li mob plawv nres
- Cov kab mob sib kis
- Kev puas tsuaj rau cov hlab ntsha (feem ntau yog ib ntus xwb)
- Rov ua kom cov hlab ntsha nqaim dua tom qab phais
- Kev tuag tes tuag taw
Tab sis rau feem ntau ntawm cov neeg, qhov kev pheej hmoo ntawm cov teeb meem loj yog qis heev.
Yuav siv sijhawm ntev npaum li cas thiaj rov zoo tom qab phais?
Lub sijhawm ntev npaum li cas koj yuav nyob hauv tsev kho mob tom qab phais yuav txawv nyob ntawm hom kev phais uas tau ua.
| Hom kev phais mob | Lub sijhawm nruab nrab ntawm kev nyob hauv tsev kho mob |
|---|---|
| Kev phais mob carotid endarterectomy | 1 hnub |
| Kev phais mob ntawm cov hlab ntsha hauv lub femoral | 2-4 hnub |
| Kev phais plawv los yog lub plawv sab hauv (Visceral Endarterectomy) | Kwv yees li ib lub lim tiam |
| Kev phais plawv sab hauv lub ntsws | Kwv yees li 10 hnub |
Tom qab koj mus tsev lawm, nws yog ib qho tseem ceeb heev uas yuav tsum so thiab noj koj cov tshuaj raws li koj tus kws kho mob tau hais. Koj yuav raug hais kom tuaj rau lub tsev kho mob kom mus ntsib kws kho mob ntxiv li ntawm 4 lub lis piam. Tom qab ntawd yuav kuaj xyuas qhov phais. Feem ntau cov neeg feem ntau tuaj yeem rov qab mus ua haujlwm tau tom qab mus ntsib lub tsev kho mob no.
Tiamsis yog koj yog ib tus neeg uas nqa khoom hnyav, koj yuav tsum tau so ib lossis ob hlis kom txog thaum koj zoo tag nrho. Tshwj xeeb tshaj yog tias koj tau phais plab lawm, nws tsis yog lub tswv yim zoo kom nqa ntau tshaj 5 kilos rau ob hlis.
Thaum twg koj yuav tsum hu rau kws kho mob tam sim ntawd?
Yog tias koj muaj ib qho ntawm cov tsos mob hauv qab no tom qab koj phais, qhia rau koj tus 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.
- Mob hauv siab
- Ua pa nyuaj
- Yog koj xav tias kub taub hau los yog mob khaub thuas
- Yog tias muaj o, liab, lossis kua zoo li kua qaub tawm ntawm qhov chaw phais
- Yog tias koj xav tias koj lub cev tsis muaj zog lossis tsis muaj zog
- Yog tias koj pom kev hloov pauv, hais lus tsis meej, lossis poob ntawm ib sab ntawm koj lub ntsej muag
- Xeev siab los yog ntuav
Cov Lus Qhia Txog Kev Coj Mus Tsev
- Endarterectomy yog ib txoj kev phais uas tshem tawm cov rog (plaque) hauv cov hlab ntsha thiab rov qab cov ntshav ntws.
- Qhov kev phais mob no tuaj yeem txo qhov kev pheej hmoo ntawm cov mob hnyav xws li kev tuag tes tuag taw.
- Txawm hais tias qhov no yog ib qho kev phais loj, cov txiaj ntsig zoo heev thaum ua rau tus neeg mob zoo.
- Nws yog ib qho tseem ceeb heev uas yuav tsum ua raws li koj tus kws kho mob cov lus qhia kom meej, ua ntej thiab tom qab phais.
- Yog tias koj muaj tej yam cim qhia tom qab phais lawm, nrhiav kev pab kho mob tam sim ntawd. Yog tias koj muaj kev txhawj xeeb txog koj txoj kev noj qab haus huv, tsis txhob ntshai tham nrog koj tus kws kho mob.
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