Koj puas tau xav tias cov hlab ntsha hauv peb lub cev zoo li cov kav dej hauv tsev? Ib yam li lub sijhawm dhau mus, cov av thiab xeb sib sau ua ke hauv cov kav dej thiab thaiv cov dej ntws, cov roj thiab cov rog kuj tuaj yeem sib sau ua ke hauv peb cov hlab ntsha thiab thaiv cov ntshav ntws. Qhov ntawd yog qhov peb hu ua 'Endarterectomy', ib qho kev phais mob los ntxuav cov hlab ntsha uas raug thaiv. Hnub no, peb yuav tham txog qhov no hauv cov lus yooj yim.
Hauv lwm lo lus, Endarterectomy yog dab tsi?
Endarterectomy (hais tias: en-da-te-rek-to-me) yog ib txoj kev phais kom rov qhib cov hlab ntsha uas raug thaiv lossis nqaim. Hauv txoj kev phais no, cov kws kho mob tshem tawm cov plaque , ib txheej rog tuab, calcium, thiab plaque uas tau tsim hauv koj cov hlab ntsha.
Ib yam li kev ntxuav cov av hauv cov kav dej thiab cia cov dej ntws zoo dua, tom qab phais mob no, cov ntshav ncig hauv cov hlab ntsha rov qab zoo li qub. Qhov no txo qhov kev pheej hmoo ntawm cov mob txaus ntshai xws li cov ntshav txhaws thiab mob hlwb .
Feem ntau qhov kev phais no yog ua los kho tus mob hu ua atherosclerosis. Qhov no yog thaum cov plaque sib sau ua ke hauv cov hlab ntsha, ua rau lawv maj mam tawv thiab nqaim. Feem ntau qhov kev phais no yog pom zoo rau cov tsos mob, cov mob hnyav nruab nrab ntawm cov hlab ntsha uas raug thaiv.
Muaj ob yam mob tseem ceeb uas kho tau los ntawm kev phais no:
- Kab Mob Ntawm Cov Ntshav Qab Zib (PAD): Qhov no yog kev sib sau ua ke ntawm cov plaque hauv cov hlab ntsha uas muab ntshav rau koj ob txhais ceg lossis caj npab. Qhov no tuaj yeem ua rau koj ob txhais ceg mob thaum koj taug kev, cov qhov txhab kho qeeb qeeb, thiab qee zaum txawm tias cov nqaij tuag (gangrene).
- Kab Mob Carotid Artery: Qhov no yog ib qho mob hnyav heev. Nws yog tshwm sim los ntawm cov plaque buildup hauv ob lub hlab ntsha loj hauv caj dab uas nqa cov ntshav mus rau lub hlwb. Yog tias tsis kho, nws tuaj yeem ua rau mob stroke lossis transient ischemic attack (TIA).
Muaj cov hom kev phais mob endarterectomy dab tsi?
Hom kev phais mob no txawv nyob ntawm seb cov hlab ntsha hauv koj lub cev raug thaiv qhov twg. Saib daim ntawv hauv qab no kom yooj yim dua rau koj.
| Hom kev phais mob | Kev ntxuav cov hlab ntsha thiab kev piav qhia |
|---|---|
| Kev phais mob carotid endarterectomy | Ntxuav cov leeg ntshav uas nqa ntshav mus rau lub hlwb los ntawm ob sab ntawm lub caj dab. Qhov no yog hom uas feem ntau tshwm sim. |
| Kev phais mob ntawm cov hlab ntsha hauv lub femoral | Ntxuav cov leeg ntshav loj (cov hlab ntsha femoral) uas khiav ntawm thaj tsam puab tais mus rau ob txhais ceg. |
| Kev phais plawv Aorta thiab Iliac Endarterectomy | Ntxuav cov hlab ntsha loj hauv lub plab (plab) thiab thaj chaw pelvic (lub duav). |
| Kev phais plawv sab hauv | Ntxuav cov hlab ntsha hauv lub plawv uas muab ntshav rau lub plawv nws tus kheej. |
| Kev phais plawv sab hauv lub ntsws | Tshem tawm cov ntshav txhaws qub ntawm cov leeg ntshav uas nqa ntshav mus rau lub ntsws. Qhov no feem ntau ua tsis tshua muaj sijhawm. |
Kuv yuav tsum npaj li cas ua ntej phais?
Ua ntej phais mob no, tus kws kho mob yuav ua ntau qhov kev kuaj kom paub tseeb tias koj cov hlab ntsha raug thaiv npaum li cas.
- Doppler Ultrasound: Qhov no siv cov suab nthwv dej los saib qhov twg cov hlab ntsha raug thaiv thiab qhov ntau ntawm cov ntshav ntws.
- CT Angiography: Hauv qhov no, cov kua tshwj xeeb (contrast dye) raug txhaj rau hauv cov leeg ntshav hauv koj txhais caj npab, thiab CT scan siv los thaij duab peb-seem (3D) ntawm koj cov hlab ntsha.
- Angiography: Hauv txoj kev kho mob no, ib qho kua tshwj xeeb raug txhaj ncaj qha rau hauv cov hlab ntsha thiab cov duab X-ray raug coj mus.
- Magnetic Resonance Angiography (MRA): Siv cov hlau nplaum thiab cov nthwv dej xov tooj cua los thaij duab ntawm cov hlab ntsha.
Ntxiv mus, 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 (anticoagulants). Qee zaum, tej zaum yuav muaj lus nug kom koj pib noj cov tshuaj xws li aspirin.
Koj yuav tsum tau yoo mov ob peb teev ua ntej phais. Pab neeg kho mob anesthesia yuav qhia koj meej tias yuav ua li cas. Tej zaum koj kuj yuav muaj kev kuaj mob xws li 'Echocardiogram' lossis 'Stress Test' los xyuas seb koj lub plawv noj qab haus huv li cas.
Leej twg thiaj ua tsis tau phais mob no?
Ib txhia neeg uas muaj tej yam mob nkeeg yuav muaj feem yuav phais mob no ntau dua, yog li cov kws kho mob tsis pom zoo kom phais mob no. Piv txwv li:
- Yog koj muaj mob plawv hnyav uas tswj tsis tau (congestive heart failure).
- Yog tias koj nyuam qhuav muaj mob plawv nres.
- Yog koj muaj cov tsos mob ntawm tus kab mob plawv uas kho tsis tau.
- Yog tias koj muaj kab mob ntsws hnyav xws li emphysema lossis COPD.
- Yog tias koj tau txais kev kho mob hluav taws xob rau thaj chaw uas yuav phais ua ntej.
- Yog tias muaj kev kis kab mob hauv thaj chaw ntawd.
Tiamsis tsis txhob txhawj. Txawm tias rau ib tug neeg zoo li no los xij, tus kws kho mob qee zaum yuav sim tshem qhov txhaws los ntawm kev muab stent tso rau hauv cov hlab ntsha, xws li atherectomy.
Yuav ua li cas thiaj phais tau?
Koj yuav raug muab tshuaj loog kom koj thiaj li tsis hnov mob thaum lub sijhawm phais. Feem ntau, koj yuav raug muab tshuaj loog rau koj. Qhov no txhais tau tias koj yuav tsis nco qab lawm. Txawm li cas los xij, qee zaum, tshwj xeeb tshaj yog thaum ntxuav cov hlab ntsha hauv koj lub caj dab (carotid endarterectomy), koj yuav tsis tsaug zog thiab tsuas yog ua kom loog hauv thaj chaw ntawd xwb (tshuaj loog hauv zos) thaum lub sijhawm phais vim tias nws yog qhov tsim nyog los saib xyuas koj lub hlwb ua haujlwm.
Thaum lub sijhawm phais, tus kws kho mob:
1. Ib qho kev phais yog ua los ntawm kev txiav daim tawv nqaij hla cov hlab ntsha uas raug txhaws.
2. Cov hlab ntsha raug qhib thiab txheej txheej ntawm 'plaque' sab hauv raug tshem tawm kom zoo.
3. Cov hlab ntsha raug xaws rov qab ua ke thiab kaw. Qee zaum, txhawm rau tiv thaiv thaj chaw kom tsis txhob nqaim dua, ib daim 'patch' cuav (patch) lossis ib daim hlab ntsha noj qab haus huv uas muab los ntawm lwm qhov ntawm koj lub cev raug siv los nthuav thaj chaw me ntsis.
4. Thaum kawg, qhov txiav ntawm daim tawv nqaij raug kaw thiab xaws.
Cov txiaj ntsig, kev pheej hmoo, thiab lub sijhawm rov zoo
Qhov txiaj ntsig tseem ceeb ntawm kev phais mob no yog tias nws qhib cov hlab ntsha uas raug txhaws thiab rov qab ua kom cov ntshav ntws tau zoo. Qhov no txo qhov mob ceg, cov qhov txhab uas tsis kho, thiab tshwj xeeb tshaj yog qhov kev pheej hmoo ntawm kev mob stroke. Cov txiaj ntsig ntawm kev phais mob no feem ntau kav ntev ntau xyoo.
Ib yam li lwm yam kev phais mob, muaj qee qhov kev pheej hmoo koom nrog, tab sis qhov ua rau cov no tshwm sim tsawg.
- Los ntshav
- Kab mob plawv, xws li mob plawv nres
- Kev kis kab mob
- Kev puas tsuaj rau cov hlab ntsha (feem ntau yog ib ntus xwb)
- Kev ua kom cov leeg ntshav uas tau phais mob nqaim dua
- Mob stroke
Qhov tseem ceeb tshaj plaws yog kom nkag siab tias koj tus kws kho mob pom zoo kom phais qhov no vim tias cov txiaj ntsig ntawm kev phais ntau dua li cov kev pheej hmoo.
Yuav siv sijhawm ntev npaum li cas thiaj kho tau?
Lub sijhawm ntev npaum li cas koj yuav nyob hauv tsev kho mob nyob ntawm hom kev phais mob uas tau ua.
- Kev phais mob carotid (cov hlab ntsha caj dab): li ib hnub.
- Rau kev phais mob ntawm cov leeg ntawm lub femoral (cov leeg ntawm ceg): Kwv yees li ob mus rau plaub hnub.
- Phais plawv (aortic artery): li ib lub lim tiam.
Yuav kom koj tuaj xyuas tom qab phais li plaub lub lis piam. Feem ntau cov neeg tuaj yeem rov qab mus ua haujlwm tau tom qab qhov kev saib xyuas no. Txawm li cas los xij, yog tias koj muaj ib txoj haujlwm uas yuav tsum tau nqa khoom hnyav, nws yuav siv sijhawm ib lossis ob lub hlis rau koj kom rov zoo tag nrho.
Kuv yuav tsum hu rau kws kho mob thaum twg?
Yog tias koj muaj ib qho ntawm cov tsos mob hauv qab no tom qab koj phais, koj yuav tsum hu rau koj tus kws kho mob tam sim ntawd lossis mus rau Chav Kho Mob Thaum Muaj Xwm Ceev (ETU) ntawm koj 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 koj xav tias tsis muaj zog lossis tsis muaj zog ntawm qhov chaw txiav
- Yog tias muaj o, liab, lossis kua dej zoo li kua qaub nyob ib puag ncig qhov txiav
- Kev hloov pauv ntawm kev pom kev, kev hais lus tsis meej, lossis kev poob ntawm ib sab ntawm lub ntsej muag
- Yog tias xeev siab los yog ntuav tshwm sim
Cov Lus Qhia Txog Kev Coj Mus Tsev
- Endarterectomy yog ib txoj kev phais uas tshem tawm cov plaque (cov rog) ntawm sab hauv ntawm cov hlab ntsha thiab ntxuav cov hlab ntsha.
- Qhov kev phais mob no tuaj yeem txo qhov kev pheej hmoo ntawm cov mob hnyav xws li mob hlwb.
- Ua ntej phais mob, yuav muaj ntau yam kev kuaj mob kom paub seb qhov txhaws ntawd loj npaum li cas thiab seb koj lub plawv noj qab haus huv li cas.
- Txawm hais tias qhov no yog ib qho kev phais loj, nws yog ib txoj kev kho mob uas muaj txiaj ntsig zoo thiab kav ntev ntau xyoo.
- Tom qab phais tas, yuav siv sijhawm me ntsis kom rov zoo. Thaum lub sijhawm ntawd, nws yog ib qho tseem ceeb heev uas yuav tsum ua raws li tus kws kho mob cov lus qhia kom meej.
- Yog tias muaj cov tsos mob txaus ntshai tshwm sim tom qab phais, nrhiav kev pab kho mob sai li sai tau.
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Ntxiv koj cov lus