Koj puas mob koj ob txhais ceg thiab, tshwj xeeb tshaj yog thaum koj taug kev luv luv xwb? Puas mob ploj mus thaum koj nres ib pliag thiab rov qab taug kev dua? Los yog koj sawv thaum hmo ntuj nrog mob koj ob txhais ceg? Tej zaum cov no tsis yog lwm yam mob ceg xwb. Qhov laj thawj tom qab qhov no tej zaum yuav yog kev txhaws ntawm cov hlab ntsha tseem ceeb uas muab ntshav rau koj ob txhais ceg. Hnub no, peb yuav tham txog Peripheral Artery Bypass, ib qho kev phais loj uas tau ua rau qhov no.
Hauv lwm lo lus, Peripheral Artery Bypass yog dab tsi?
Qhov no yog ib qho kev phais. Qhov kev phais no suav nrog kev tsim ib txoj kev tshiab rau cov ntshav ntws mus hla ib txoj hlab ntsha uas raug thaiv lossis nqaim hauv koj ceg (lossis qee zaum koj txhais caj npab).
Xav txog qhov no. Muaj kev sib tsoo loj heev ntawm txoj kev uas koj ib txwm mus, thiab txoj kev raug thaiv tag nrho. Tam sim no koj mus tsis tau ntxiv lawm. Cov neeg ua txoj kev ua li cas? Lawv ua ib txoj kev hla txoj kev tshiab kom tsis txhob muaj tsheb coob. Qhov kev phais no yog li ntawd.
Cov roj cholesterol thiab lwm cov rog sib sau ua ke hauv cov hlab ntsha ntawm peb lub cev, tsim ib txheej "fatty layer." Hauv kev kho mob, qhov no hu ua plaque . Raws li lub sijhawm dhau mus, cov txheej rog no loj hlob thiab thaiv cov hlab ntsha. Peb hu qhov mob no ua Peripheral Artery Disease (PAD) . Thaum cov ntshav ntws no raug thaiv, cov nqaij hauv koj ob txhais ceg tsis tau txais cov pa oxygen thiab cov as-ham uas lawv xav tau. Thaum ntawd tus kws kho mob tsim ib txoj kev ntws ntshav tshiab (ib txoj kev graft) los ntawm kev txuas cov hlab ntsha saum toj thiab hauv qab qhov kev thaiv.
Leej twg xav tau kev phais bypass tiag tiag?
Qhov kev phais no tsis yog rau txhua tus. Koj tus kws kho mob yuav sim tswj koj tus mob ua ntej los ntawm kev siv tshuaj thiab kev hloov pauv hauv lub neej (xws li tso kev haus luam yeeb thiab kev tawm dag zog). Txawm li cas los xij, kev phais tsuas yog xav txog yog tias tsis muaj ib qho ntawm cov no ua haujlwm tau zoo thiab yog tias ib feem loj ntawm koj cov hlab ntsha raug thaiv hnyav.
Yog koj muaj cov tsos mob hauv qab no, koj tus kws kho mob yuav pom zoo kom phais qhov no.
| Cov tsos mob | Piav qhia yooj yim |
|---|---|
| Mob ceg thaum taug kev lossis thaum hmo ntuj | Thaum kuv taug kev luv luv, kuv hnov mob zoo li kuv cov plaub hau raug rub. Nws ploj mus thaum kuv nres. Thaum kuv mus pw tsaug zog hmo ntuj, kuv ob txhais ceg mob, yog li kuv txoj kev pw tsaug zog raug cuam tshuam. |
| Cov qhov txhab ceg uas tsis kho tau | Txawm tias yog qhov txhab me me ntawm ceg, tshwj xeeb tshaj yog ntawm cov ntiv taw lossis pob taws, yuav siv sijhawm ntev los kho. Qhov no tshwm sim vim yog cov ntshav tsis ncig zoo. |
| Kev tuag ntawm cov nqaij (Gangrene) | Thaum cov ntshav ntws tsis txav kiag li, daim tawv nqaij thiab cov nqaij ntawm thaj chaw ntawd yuav pib tuag. Daim tawv nqaij yuav dub thiab koj tsis hnov dua li. Qhov no yog ib qho mob txaus ntshai heev. |
Qhov tseem ceeb tshaj plaws yog qhov kev phais no yog ua rau cov neeg uas muaj kab mob Peripheral Artery Disease (PAD) uas mob heev. Qhov no txhais tau tias yog koj tab tom phais no, koj tus mob yuav mob hnyav heev. Tab sis tsis txhob txhawj, qhov no yog qhov kev daws teeb meem zoo tshaj plaws rau nws.
Muaj dab tsi tshwm sim ua ntej phais?
Koj tus kws phais mob hlab ntsha yuav xaj ntau qhov kev kuaj mob kom paub meej koj qhov mob ua ntej phais.
- ECG (Electrocardiogram): Xyuas seb lub plawv ua haujlwm li cas.
- Kev Ntsuas Ultrasound: Txhawm rau nrhiav seb cov ntshav ntws li cas hauv cov hlab ntsha thiab qhov twg muaj kev thaiv.
- Kev Kuaj Ntshav: Xyuas seb puas muaj tej yam xws li ntshav qab zib thiab cov roj cholesterol.
- Kev Ntsuas Kev Nyuaj Siab: Saib seb koj lub plawv teb li cas thaum koj tawm dag zog.
Nrog rau cov kev kuaj no, muaj ib yam tseem ceeb uas koj yuav tsum ua. Yog tias koj haus luam yeeb, tsum haus luam yeeb tam sim ntawd. Qhov no yuav pab koj txo qhov kev pheej hmoo ntawm cov teeb meem tom qab phais.
Ua ntej hnub phais, koj tus kws kho mob yuav muab cov lus qhia no rau koj:
- Tej zaum yuav tsum tsis txhob siv tshuaj ib ntus (tshwj xeeb yog cov uas tiv thaiv kom cov ntshav tsis txhob khov).
- Lawv hais tias kom tsis txhob noj lossis haus dab tsi tom qab ib tag hmo hmo ua ntej phais.
Muaj dab tsi tshwm sim thaum lub sijhawm phais?
Vim qhov no yog ib qho kev phais loj, tus kws kho mob siv tshuaj loog yuav muab koj pw tsaug zog tag nrho kom koj tsis hnov mob. Tom qab ntawd tus kws phais yuav ua raws li cov kauj ruam no:
1. Kev Txiav: Ob qhov kev txiav uas ntev li 4-8 ntiv tes raug ua rau saum thiab hauv qab cov hlab ntsha uas raug txhaws.
2. Siv ib txoj hlab ntsha rau txoj kev bypass (Graft):Txoj kev phais mob tshiab yuav tsum tau siv cov leeg ntshav. Qhov no feem ntau yog cov leeg ntshav noj qab haus huv los ntawm koj txhais ceg. Los yog siv cov yas lossis ntaub graft. Yog tias koj siv koj cov leeg ntshav, koj yuav tsum tau ua lwm qhov me me kom tau txais nws.
3. Tsim ib txoj kev tshiab: Cov hlab ntsha raug xaws rau ntawm cov hlab ntsha loj, nrog ib sab saum toj ntawm qhov txhaws thiab lwm sab hauv qab ntawm qhov txhaws. Cov ntshav tam sim no tuaj yeem hla qhov txhaws thiab ntws mus rau hauv txoj kev tshiab no.
4. Kaw cov qhov txiav: Thaum kawg, cov qhov txiav raug kaw nrog cov xov lossis cov ntsia hlau.
Tag nrho cov txheej txheem yuav siv sijhawm txij li ob mus rau rau teev, nyob ntawm qhov ntev ntawm cov hlab ntsha uas raug thaiv thiab qhov nyuaj ntawm kev phais.
Yuav tsum tau tos dab tsi tom qab phais?
Tom qab phais tas, koj yuav raug xa mus rau chav kho mob, qhov chaw uas cov neeg ua haujlwm kho mob yuav saib xyuas koj tas li rau:
- Koj lub plawv dhia, ntshav siab, kub, thiab ua pa raug kuaj xyuas tas li.
- Lawv ib txwm xyuas seb ceg uas tau phais puas muaj ntshav ncig zoo.
- Cov tshuaj tua mob raug muab los tswj qhov mob.
Thaum koj tawm hauv tsev kho mob mus tsev, tus kws kho mob yuav sau ntau yam tshuaj rau koj kom koj noj ntxiv mus.
- Statins: Tswj cov roj cholesterol.
- Aspirin los yog Clopidogrel: Tiv thaiv cov ntshav txhaws.
Cov txiaj ntsig thiab kev pheej hmoo ntawm kev phais
Ib yam li lwm yam kev phais mob, qhov no muaj cov txiaj ntsig zoo thiab qee qhov kev pheej hmoo.
| Cov txiaj ntsig | Kev Pheej Hmoo/Teeb Meem |
|---|---|
| Mob ceg thiab cov tsos mob uas tsis tau zoo dua nrog lwm yam kev kho mob ploj mus. | Cov ntshav txhaws. |
| Cov qhov txhab ntawm ceg pib kho sai sai. | Kev kis kab mob ntawm cov qhov txhab sutures. |
| Txoj kev pheej hmoo ntawm kev yuav tsum tau txiav ib ceg vim yog cov mob hnyav xws li gangrene raug tshem tawm. | Los ntshav ntau dhau. |
| Cov txiaj ntsig zoo kawg li. Txoj kev bypass tseem ua haujlwm tau zoo hauv 60% -85% ntawm cov neeg mob 5 xyoos tom qab phais. | Kev puas tsuaj rau cov hlab ntsha thaum lub sijhawm phais. |
| Lub neej zoo dua qub heev. | Mob plawv (hauv feem pua me me). |
Nco ntsoov tias, feem ntau cov neeg tsis muaj teeb meem loj, tab sis cov neeg uas muaj hnub nyoog tshaj 70 xyoo thiab cov neeg uas muaj lwm yam mob (xws li ntshav qab zib lossis kab mob raum) muaj feem yuav mob hnyav dua me ntsis.
Tej yam yuav tsum xav txog thaum lub sijhawm rov zoo thiab tom qab rov qab los tsev
Nws yuav siv sijhawm li 6 txog 8 lub lis piam kom rov zoo tag nrho. Txawm li cas los xij, koj yuav tsum maj mam rov qab mus ua koj cov dej num li qub hauv ob peb lub lis piam. Feem ntau koj yuav raug tso tawm hauv tsev kho mob hauv 2-5 hnub.
Cov no feem ntau tuaj yeem tshwm sim tom qab koj mus txog tsev, tsis txhob ntshai:
- Txo kev ntshaw noj mov.
- Hnov mob los yog tingling nyob ib ncig ntawm cov qhov txiav.
- Ceg o me ntsis lawm.
- Hnov mob cov leeg nqaij thaum taug kev.
Thaum twg 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 rov qab los tsev, qhia rau koj tus kws kho mob tam sim ntawd lossis mus rau chav kho mob ceev (ETU) ntawm tsev kho mob.
- Yog koj kub taub hau heev los yog koj txias tshee hnyo.
- Yog tias muaj kua dej zoo li kua qaub tawm ntawm cov xov, lawv yuav liab, o, thiab mob heev.
- Yog tias xim ntawm ceg hloov pauv (hloov mus ua daj ntseg los yog xiav), yog tias ceg txias heev, lossis yog tias qhov tingling ntxiv zuj zus.
Tom qab phais tas, tus kws kho mob yuav muab hnub rau koj rov qab los saib xyuas koj tus mob. Nco ntsoov mus koom cov chaw kho mob no. Nyob ntawd, tus kws kho mob yuav ua qhov kev ntsuas ultrasound kom pom tias koj txoj kev bypass puas ua haujlwm zoo.
Cov Lus Qhia Txog Kev Coj Mus Tsev
- Kev phais mob Peripheral Artery Bypass yog kev kho mob zoo heev rau cov neeg uas muaj cov hlab ntsha txhaws hnyav hauv lawv ob txhais ceg.
- Feem ntau pom zoo kom phais mob no rau cov neeg uas cov tsos mob tsis tau tswj hwm los ntawm kev siv tshuaj thiab kev hloov pauv hauv lub neej.
- Yog koj haus luam yeeb, ua ntej thiab tom qab phaisNws yog ib qho tseem ceeb heev uas yuav tsum tso tseg kev haus luam yeeb kiag li. Nws yuav pab tau koj txoj kev kho mob zoo heev.
- Tom qab phais lawm, noj cov tshuaj uas koj tus kws kho mob sau kom raug thiab raws sijhawm. Khaws cov xov kom huv.
- Nco ntsoov mus rau lub tsev kho mob rau hnub uas tus kws kho mob hais kom koj rov qab los. Ua li ntawd, koj tus mob yuav raug saib xyuas tas li.
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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