Koj puas mob koj ob txhais ceg, tshwj xeeb tshaj yog mob ntawm koj lub duav thaum koj taug kev? Koj puas xav tias koj ob txhais ceg tsis muaj zog tom qab taug kev ib ntus, thiab nws zoo li txo qis thaum koj so? Tej zaum cov hlab ntsha hauv koj ob txhais ceg maj mam raug thaiv. Peb hu qhov mob no ua Kab Mob Peripheral Artery (PAD). Niaj hnub no peb tab tom tham txog kev phais tshwj xeeb uas ua thaum qhov mob no hnyav thiab tsis tuaj yeem tswj tau nrog lwm yam kev kho mob.
Peripheral Artery Bypass yog dab tsi?
Hais yooj yim xwb, nws zoo li ua ib txoj kev hla txoj kev tshiab kom tsis txhob muaj tsheb coob coob ntawm txoj kev. Cov roj cholesterol thiab lwm yam roj ntau ntau yuav sib sau ua ke hauv cov hlab ntsha uas nqa cov ntshav mus rau peb lub cev, tshwj xeeb tshaj yog mus rau peb ob txhais ceg, thiab ua ib daim "plaque." Raws li lub sijhawm dhau mus, daim plaque no yuav sib sau ua ke thiab thaiv cov hlab ntsha. Qhov no ua rau cov nqaij hauv peb ob txhais ceg tsis tau txais cov pa oxygen thiab cov as-ham uas lawv xav tau.
Yog li, hauv kev phais Peripheral Artery Bypass , tus kws phais tsim ib txoj kev tshiab los hla cov hlab ntsha uas raug thaiv. Qhov no suav nrog kev siv cov hlab ntsha noj qab haus huv los ntawm koj lub cev (feem ntau yog cov hlab ntsha los ntawm koj ceg) lossis ib qho graft. Qhov no txuas rau saum toj thiab hauv qab thaj chaw uas raug thaiv, tsim ib txoj kev tshiab rau cov ntshav ntws.
Leej twg xav tau qhov kev phais no tiag?
Qhov kev phais no tsis yog rau txhua tus neeg uas muaj PAD. Koj tus kws kho mob yuav sim ua ntej cov tshuaj, kev hloov pauv hauv lub neej (xws li tso kev haus luam yeeb, kev tawm dag zog, thiab kev noj zaub mov), thiab tej zaum lwm yam kev kho mob uas muaj kev txiav me me (xws li angioplasty lossis stenting).
Feem ntau qhov kev phais no yog pom zoo rau cov neeg uas tsis tau txais txiaj ntsig zoo los ntawm ib qho ntawm cov kev no thiab cov neeg uas tau thaiv ib feem loj ntawm lawv cov hlab ntsha hnyav heev.
Muaj ntau yam tseem ceeb uas yuav tsum xav txog kev phais mob no.
| Cov tsos mob | Qhov no txhais li cas? |
|---|---|
| Mob ceg thaum taug kev lossis thaum hmo ntuj | Qhov mob no tshwm sim thaum cov leeg tsis muaj oxygen vim yog cov ntshav ntws tsawg. Yog tias qhov mob hnyav heev ua rau koj pw tsis tsaug zog hmo ntuj, nws yog ib qho mob hnyav heev. |
| Cov qhov txhab uas tsis kho tau ntawm ob txhais ceg | Vim yog cov ntshav tsis ncig zoo, cov qhov txhab tsis tau txais cov as-ham uas lawv xav tau los kho. Txawm tias qhov khawb me me tuaj yeem hloov mus ua qhov txhab loj. |
| Kev tuag ntawm cov nqaij (Gangrene) | Qhov no yog theem hnyav tshaj plaws. Thaum cov ntshav mus rau ceg yuav luag txiav tag, cov ntiv taw lossis ib feem ntawm ko taw yuav dub thiab pib tuag. Yog tias tsis phais mob rau lub sijhawm no, tej zaum yuav tsum tau txiav ceg. |
Ua ntej koj phais koj yuav tsum ua dab tsi?
Thaum tus kws kho mob txiav txim siab ua qhov kev phais no rau koj, nws yuav ua ntau qhov kev kuaj mob los xyuas koj txoj kev noj qab haus huv.
- Electrocardiogram (EKG): Saib qhov ua haujlwm hluav taws xob ntawm lub plawv.
- Kev Ntsuas Ultrasound: Saib seb cov hlab ntsha puas raug thaiv thiab nws hnyav npaum li cas.
- Kev kuaj ntshav: Xyuas tej yam xws li ntshav qab zib, roj cholesterol, thiab kev ua haujlwm ntawm lub raum.
- Kev ntsuam xyuas kev ntxhov siab: Qhov kev ntsuam xyuas no qee zaum ua los saib seb lub plawv ua haujlwm li cas thaum lub sijhawm ua si.
Qhov tseem ceeb tshaj plaws yog tias yog koj haus luam yeeb, koj yuav tsum tsum tsis txhob haus luam yeeb kiag li ob peb lub lis piam ua ntej koj phais. Kev haus luam yeeb ua rau koj cov hlab ntsha nqaim thiab ua rau muaj teeb meem tom qab phais. Koj tseem yuav tsum tsis txhob noj lossis haus dej tom qab ib tag hmo hmo ua ntej koj phais thiab tsum tsis txhob noj cov tshuaj uas koj tus kws kho mob tau hais kom koj tsum.
Yuav ua li cas thiaj phais tau?
Koj yuav raug muab tshuaj loog rau koj (ua rau koj tsis nco qab kiag li) kom koj thiaj li tsis hnov mob thaum lub sijhawm phais. Tom qab ntawd, tus kws phais yuav txiav cov hlab ntsha uas ntev li 4-8 nti saum thiab hauv qab cov hlab ntsha uas raug txhaws. Yog tias siv cov hlab ntsha zoo hauv koj ceg los tsim txoj kev bypass, yuav muaj kev txiav cais rau qhov ntawd thiab.
Tom qab ntawd, cov pob txha yuav raug xaws kom zoo rau cov hlab ntsha noj qab haus huv saum toj thiab hauv qab qhov txhaws. Thaum cov ntshav tshiab tau tsim, qhov phais yuav raug kaw nrog cov xov lossis cov staples. Tag nrho cov txheej txheem yuav siv sijhawm li ob mus rau rau teev, nyob ntawm seb qhov nyuaj ntawm kev phais.
Tom qab phais tas, muaj dab tsi tshwm sim?
Tom qab phais tas, koj yuav tsum nyob hauv tsev kho mob li 2-5 hnub. Lub sijhawm no, cov kws kho mob thiab cov kws tu mob yuav kuaj xyuas koj lub plawv dhia, ntshav siab, thiab kub taub hau tas li. Qhov tseem ceeb tshaj plaws, lawv yuav kuaj xyuas tas li kom paub tseeb tias cov ntshav ntws zoo rau ceg uas phais. Lawv yuav muab tshuaj loog rau koj.
Tom qab koj mus tsev lawm, tus kws kho mob yuav sau ntawv kom koj noj ntau yam tshuaj ntxiv.
- Cov tshuaj statins (tso cov roj cholesterol).
- Cov tshuaj xws li Aspirin los yog Clopidogrel (kom tiv thaiv cov ntshav txhaws hauv cov neeg hloov pauv tshiab).
Nws yog ib qho ib txwm muaj uas yuav tsis xav noj mov, mob lossis loog ntawm qhov chaw phais, qee qhov o ntawm ob txhais ceg, thiab mob nqaij thaum taug kev hauv ob peb lub lis piam thawj zaug tom qab mus tsev. Cov no yuav maj mam txo qis zuj zus. Nws yuav siv sijhawm li 6-8 lub lis piam kom zoo tag nrho.
Cov txiaj ntsig thiab kev pheej hmoo ntawm kev phais mob no yog dab tsi?
Ib yam li txhua qhov kev phais loj, qhov no muaj cov txiaj ntsig zoo thiab qee qhov kev pheej hmoo.
| Cov txiaj ntsig | Kev Pheej Hmoo/Teeb Meem |
|---|---|
| Kev pab txo qhov mob ceg hnyav uas lwm yam kev kho mob tsis tau pab txo. | Cov ntshav txhaws. |
| Cov qhov txhab uas tsis tau kho pib kho. | Kab mob hauv cov qhov txiav. |
| Tshem tawm qhov kev pheej hmoo ntawm kev poob ib ceg vim yog gangrene. | Los ntshav ntau dhau. |
| Cov txiaj ntsig ntev (60% -85% ntawm kev hloov pauv tseem ua haujlwm zoo txawm tias tom qab 5 xyoos). | Kev puas tsuaj rau cov hlab ntsha hauv thaj chaw phais. |
| Zoo dua lub neej thiab kev taug kev. | Muaj kev pheej hmoo me me ntawm kev mob plawv (kwv yees li 3% ntawm kev phais). |
Feem ntau cov neeg tsis muaj teeb meem loj. Txawm li cas los xij, 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 muaj teeb meem ntau dua me ntsis. Qee zaum, txawm tias cov pob txha tshiab uas tau ua tiav tuaj yeem raug thaiv tom qab ntau xyoo. Yog tias qhov ntawd tshwm sim, kev kho mob yuav tsum tau rov ua dua.
Tom qab koj mus tsev lawm, yog tias koj kub taub hau, txias, muaj kua zoo li kua qaub tawm ntawm qhov chaw phais, lossis yog tias muaj kev hloov pauv sai sai ntawm xim, duab, lossis kev xav ntawm koj ceg, mus ntsib koj tus kws kho mob tam sim ntawd lossis mus rau Chav Kho Mob Thaum Muaj Xwm Ceev (ETU) ntawm tsev kho mob yam tsis muaj kev ncua.
Cov Lus Qhia Txog Kev Coj Mus Tsev
- Kev phais mob Peripheral Artery Bypass yog kev phais loj uas ua rau cov neeg uas muaj cov hlab ntsha txhaws hnyav hauv lawv ob txhais ceg uas tsis tau teb rau lwm yam kev kho mob.
- Yog koj haus luam yeeb, nws yog ib qho tseem ceeb uas yuav tsum tso tseg tag nrho ua ntej thiab tom qab phais kom ua tiav qhov txiaj ntsig zoo.
- Noj cov tshuaj uas koj tus kws kho mob sau ntawv kom raws sijhawm. Tsis txhob hnov qab noj koj cov tshuaj ua kom cov ntshav nyias, tshwj xeeb tshaj yog.
- Tsis txhob ncua kev teem caij mus ntsib kws kho mob tom qab phais tas. Koj tus kws kho mob yuav tsum xyuas koj cov ntshav ncig hauv koj ob txhais ceg tas li.
- Yog koj pom koj kub taub hau, muaj kua tawm ntawm qhov phais, lossis muaj kev hloov pauv sai sai hauv koj ceg, nrhiav kev pab 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