Koj puas xav tias ua tsis taus pa lossis ua pa nrov nrov thaum koj siv zog, nce ntaiv, lossis ua tej haujlwm niaj hnub? Qee zaum qhov ua rau qhov no tuaj yeem yog cov ntshav txhaws qub uas tau nyob hauv koj lub ntsws ntev heev. Feem ntau, txawm tias koj sim tswj qhov mob no nrog tshuaj, yog tias qhov ntawd tsis ua haujlwm, cov kws kho mob xa koj mus rau kev phais tshwj xeeb uas tuaj yeem cawm koj txoj sia. Hnub no peb tab tom tham txog qhov kev phais mob nyuaj, tab sis tseem ceeb heev, PTE.
Qhov kev phais PTE no yog dab tsi?
Hais yooj yim xwb, PTE yog ib lo lus luv rau Pulmonary Thromboendarterectomy . Qhov no yog ib txoj kev phais uas tshem tawm cov ntshav txhaws qub thiab cov nqaij caws pliav uas tau daig hauv cov hlab ntsha tseem ceeb (cov hlab ntsha hauv lub ntsws) hauv koj lub ntsws. Qhov no yog ib txoj kev phais nyuaj me ntsis uas xav tau kev paub tshwj xeeb. Tab sis nws tuaj yeem kho tau qee tus neeg mob.
Kev phais PTE kho cov mob twg?
Qhov kev phais no feem ntau yog ua los kho tus mob hu ua CTEPH (Chronic Thromboembolic Pulmonary Hypertension) . Tej zaum koj yuav xav tias, 'Lub npe ntawd ntev heev,' puas yog? Cia peb ua kom yooj yim xwb.
Xav txog seb, ib tug neeg muaj cov ntshav txhaws hauv lawv lub ntsws. Peb hu nws tias "Pulmonary Embolism (PE)". Feem ntau, cov ntshav txhaws no yaj thaum lawv muab cov tshuaj thinning ntshav. Tab sis tsis tshua muaj, rau qee tus neeg, cov ntshav txhaws no tsis yaj tag, tab sis lo rau ntawm phab ntsa ntawm cov hlab ntsha hauv lub ntsws, thiab dhau sijhawm, hloov mus ua cov nqaij caws pliav.
Thaum cov ntshav txhaws thiab cov nqaij caws pliav qub thaiv cov hlab ntsha hauv lub ntsws, cov ntshav siab hauv cov hlab ntsha ntawd yuav siab dhau. Qhov ntawd yog qhov peb hu ua CTEPH.
Qhov no ua rau sab xis ntawm lub plawv yuav tsum ua haujlwm hnyav dua los thawb cov ntshav mus rau lub ntsws. Raws li lub sijhawm dhau mus, qhov no tuaj yeem ua rau muaj cov mob hnyav xws li lub plawv tsis ua haujlwm thiab lub ntsws puas tsuaj. Tsuas yog kev kho mob uas tuaj yeem kho CTEPH yog phais PTE.
Leej twg xav tau qhov kev phais no? Txhua tus puas ua tau?
Yog koj muaj CTEPH, ntau yam yuav txiav txim siab seb koj puas tuaj yeem phais PTE.
| Kev Xav Txog | Kev piav qhia |
|---|---|
| Qhov hnyav ntawm cov tsos mob | Koj cov tsos mob hnyav npaum li cas, xws li ua tsis taus pa thiab ua pa nrov nrov. |
| Qhov chaw ntawm cov ntshav txhaws | Qhov tseeb tias cov ntshav txhaws thiab cov nqaij caws pliav nyob rau hauv qhov chaw uas lawv tuaj yeem raug tshem tawm kom muaj kev nyab xeeb los ntawm kev phais. |
| Koj txoj kev noj qab haus huv tag nrho | Koj lub hnub nyoog, lub plawv thiab lub ntsws ua haujlwm li cas, thiab seb koj puas muaj lwm yam mob nkeeg kuj tseem ceeb. |
Tsis yog txhua tus neeg mob CTEPH tsim nyog rau qhov kev phais no. Kwv yees li ntawm 40% ntawm cov neeg mob tsis tsim nyog rau qhov kev phais no. Qhov laj thawj rau qhov no yog vim nws yog ib qho kev phais nyuaj heev.
Vim li cas qhov kev phais mob thiaj nyuaj ua luaj?
Xav txog tias thaum lub sijhawm phais mob, koj lub plawv thiab lub ntsws raug muab tso rau ntawm lub tshuab cardiopulmonary bypass los pab ua qee yam haujlwm. Tom qab ntawd, kom tus kws phais pom sab hauv koj lub ntsws, koj lub cev kub yuav qis dua 18 degrees Celsius (65°F), thiab koj cov ntshav ncig yuav nres ib pliag. Qhov no hu ua 'kev nres ntshav tob tob .' Tsis txhob txhawj, cov txheej txheem no tso cai rau tus kws phais tshem tawm cov ntshav txhaws thiab cov nqaij caws pliav kom huv si thaum tiv thaiv koj lub hlwb ntawm kev puas tsuaj.
Yuav npaj li cas rau kev phais?
Koj tus kws kho mob yuav muab tag nrho cov lus qhia uas koj xav tau ua ntej phais. Feem ntau lawv yuav qhia koj kom ua tib zoo mloog cov no:
- Cov Tshuaj: Koj yuav raug hais kom tsum tsis txhob noj cov tshuaj ua kom cov ntshav nyias (xws li aspirin thiab warfarin) thiab qee cov tshuaj mob (NSAIDs) ob peb hnub ua ntej phais, vim tias cov no tuaj yeem ua rau muaj kev pheej hmoo ntawm kev los ntshav thaum phais.
- Khoom noj thiab dej haus: Koj yuav raug hais kom yoo mov (tsis txhob noj lossis haus dej) ob peb teev ua ntej phais. Nws muaj kev nyab xeeb dua yog tias koj lub plab khoob thaum muab tshuaj loog.
- Haus luam yeeb thiab haus dej cawv: Yog tias koj siv ob qho tib si, nws yog ib qho tseem ceeb heev uas yuav tsum tsis txhob siv tag nrho ua ntej phais mob, vim tias lawv ua rau qeeb txoj kev kho mob thiab ua rau muaj teeb meem ntau ntxiv.
Tom qab phais tas, muaj dab tsi tshwm sim?
Tom qab phais tas, koj yuav raug xa mus rau chav saib xyuas mob hnyav (ICU). Koj yuav nyob ntawd hmo ntawd. Tag kis sawv ntxov, lawv yuav kuaj seb koj puas ua pa tau thiab tom qab ntawd tshem lub tshuab ua pa tawm.
Feem ntau koj yuav nyob hauv tsev kho mob li 7 txog 10 hnub. Thaum lub sijhawm no, koj yuav maj mam pib taug kev. Koj tseem yuav muaj qee qhov kev kuaj mob kom pom tias koj puas xav tau oxygen ua ntej koj mus tsev. Qhov no yog ib qho kev paub zoo ib yam li kev rov zoo los ntawm kev phais plawv qhib.
Cov txiaj ntsig thiab kev pheej hmoo yog dab tsi?
Ib yam li lwm yam kev phais mob, PTE muaj ob qho txiaj ntsig thiab kev pheej hmoo.
| Cov txiaj ntsig | Kev Pheej Hmoo |
|---|---|
| Muaj peev xwm rov zoo tag nrho los ntawm CTEPH. | Qhov kev pheej hmoo ntawm kev tuag thaum lub sijhawm phais (tam sim no qhov no qis li 1%). |
| Kev txhim kho tseem ceeb ntawm kev ua pa thiab kev tawm dag zog. | Kev pheej hmoo ntawm kev mob hlwb (1%-2%). |
| Kev kho mob puas tsuaj rau sab xis ntawm lub plawv. | Qhov ntshav siab hauv lub ntsws (PH) tseem nyob rau qee qib txawm tias tom qab phais lawm los xij. |
| Muaj peev xwm ua neej ntev thiab noj qab nyob zoo tom qab phais. | Cov kua dej sib sau ua ke nyob ib puag ncig lub plawv (pericardial effusion). |
Xwm txheej ceev!
Yog tias koj mob hauv siab sai sai, ua tsis taus pa hnyav, lossis tsaus muag tom qab phais, mus rau Chav Kho Mob Ceev (ETU) ze tshaj plaws tam sim ntawd. Tsis tas li ntawd, yog tias koj muaj cov tsos mob xws li o, liab, kua qaub, lossis kub taub hau ntawm qhov chaw phais, mus ntsib koj tus kws kho mob tam sim ntawd.
Lub sijhawm rov zoo li cas?
Yuav siv sijhawm li 3 lub hlis los kho kom zoo.
- 6 lub lim tiam thawj zaug: Tsis txhob tsav tsheb, mus ua haujlwm, lossis nqa ntau tshaj 4.5 kg (10 lbs).
- Lub Limtiam 7 txog 12: Nqa tau txog li 11 kg (25 lbs).
- Tom qab 12 lub lis piam: Feem ntau tsis muaj kev txwv.
Koj lub peev xwm ua pa thiab kev tawm dag zog yuav maj mam zoo dua txog li 4 xyoos tom qab phais.
Cov Lus Qhia Txog Kev Coj Mus Tsev
- Txawm hais tias PTE yog ib qho kev phais mob nyuaj heev los tshem tawm cov ntshav txhaws qub hauv lub ntsws, nws tuaj yeem kho tau tag nrho cov mob hu ua CTEPH.
- Qhov kev phais no tsis yog rau txhua tus. Koj tus kws kho mob thiab pab pawg kws tshwj xeeb yuav txiav txim siab seb nws puas yog rau koj.
- Txawm hais tias lub sijhawm rov zoo yuav ntev me ntsis los xij, koj lub neej zoo, kev ua pa tau zoo, thiab kev txav mus los yuav zoo dua tom qab phais mob.
- Tom qab phais lawm, koj yuav tsum tau noj tshuaj anticoagulants mus tas koj lub neej kom tiv thaiv cov ntshav txhaws kom tsis txhob rov tsim dua.
- Nws yog ib qho tseem ceeb uas yuav tsum mus ntsib koj tus kws kho mob raws sijhawm thiab mus kuaj mob. Tsis txhob ntshai tham nrog koj tus kws kho mob txog tej yam tsis xis nyob uas koj yuav ntsib.
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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