Tej zaum koj twb tau hnov ib tug kws kho mob hais rau ib tug neeg hauv tsev neeg, phooj ywg, lossis tus neeg koj paub tias, "Lawv yuav tsum tau ua qhov kev phais plawv bypass, thiab lawv yuav rho ib txoj hlab ntsha ntawm koj txhais caj npab lossis ceg." Thaum lub sijhawm zoo li ntawd, nws yog ib qho ib txwm muaj uas yuav ntshai thiab xav paub me ntsis. "Auj, ua li cas rau lub cev ntawd thaum lawv rho ib txoj hlab ntsha ntawm koj txhais caj npab lossis ceg? Nws puas yuav tsis los ntshav? Puas yuav muaj teeb meem tom qab?" Tej zaum koj yuav xav li ntawd, puas yog? Zoo, hnub no kuv yuav teb tag nrho cov lus nug ntawd hauv ib txoj kev yooj yim uas koj tuaj yeem nkag siab.
Hauv lus yooj yim, nws txhais li cas los tshem tawm cov leeg ntshav?
Yuav kom nkag siab qhov no, cia peb xub nkag siab me ntsis txog kev phais plawv bypass, lossis kev kho mob hu ua kev phais plawv bypass, yog dab tsi.
Xav txog tias cov kav dej loj uas coj dej los rau koj lub tsev raug txhaws qhov twg. Tam sim no cov dej ntws qeeb heev, lossis tej zaum tsis ntws kiag li. Koj ua li cas ces? Tsis txhob txiav qhov uas raug txhaws tawm, koj txuas ib daim kav dej tshiab rau sab thiab tom qab ntawm qhov uas raug txhaws thiab tsim ib txoj kev tshiab. Ces cov dej yuav ntws zoo dua.
Kev phais plawv hla dhau yog zoo li no. Thaum cov khoom zoo li cov roj cholesterol sib sau ua ke hauv cov hlab ntsha coronary uas muab ntshav rau peb lub plawv thiab raug thaiv, lub plawv tsis tau txais cov ntshav ntau npaum li nws xav tau. Thaum ntawd cov khoom zoo li angina tshwm sim. Cov kws kho mob ua yog, lawv siv cov hlab ntsha noj qab haus huv (vein) uas tau los ntawm lwm qhov ntawm koj lub cev los tsim ib txoj kev tshiab ncig thiab ncig thaj chaw raug thaiv. Txoj kev tshiab no hu ua graft .
Yog li, qhov 'tshem tawm cov hlab ntsha' no, lossis 'kev sau qoob loo' raws li cov kws kho mob hu ua, hais txog cov txheej txheem ntawm kev coj cov hlab ntsha noj qab haus huv uas xav tau los tsim txoj kev tshiab ntawd los ntawm lwm qhov chaw hauv koj lub cev.
Cov leeg ntshav no feem ntau los qhov twg los?
Muaj ob hom hlab ntsha uas feem ntau siv rau qhov kev phais bypass no.
1. Cov hlab ntsha radial
Qhov no nyob rau ntawm koj sab caj npab, txij ntawm koj lub luj tshib mus rau koj lub dab teg. Koj puas nco qab qhov twg tus kws kho mob yuav hnov koj lub plawv dhia thaum lawv hnov? Qhov ntawd yog qhov uas cov hlab ntsha radial los ntawm. Peb muaj ob lub hlab ntsha tseem ceeb hauv peb txhais tes. Qhov no yog ib qho ntawm lawv.
2. Cov hlab ntsha Saphenous
Qhov no yog cov hlab ntsha ntev tshaj plaws hauv peb lub cev. Nws pib ntawm sab hauv ntawm ko taw, tom qab ntawd mus txog ntawm lub puab tais thiab koom nrog cov hlab ntsha tob hauv lub duav. Lub luag haujlwm ntawm cov hlab ntsha yog nqa cov ntshav uas tsis muaj oxygen rov qab mus rau lub plawv. Vim tias cov hlab ntsha saphenous no nyob hauv qab daim tawv nqaij ntawm ceg, nws yooj yim heev rau kev phais tshem tawm.
Tus kws kho mob txiav txim siab li cas tias yuav siv cov leeg ntshav twg?
Qhov no tsis yog kev txiav txim siab uas yuav tsum tau ua ib hmos. Koj pab neeg kho mob yuav txiav txim siab tom qab koj ua tib zoo saib xyuas koj tus mob thiab xav txog ntau yam. Lawv yuav hais kom koj mus kuaj ntau zaus ua ntej phais.
- Kev suav ntshav tag nrho
- Kev X-ray hauv siab
- Kev kuaj duab xws li CT Scan lossis MRI
- Kev kuaj mob Angiogram - Qhov no yog siv los xyuas seb cov hlab ntsha hauv lub plawv raug thaiv npaum li cas.
Qhov kev txiav txim siab zaum kawg yog ua tom qab xav txog cov txiaj ntsig ntawm cov kev xeem no, nrog rau cov yam ntxwv hauv lub rooj hauv qab no.
| Kev Xav Txog | Kev piav qhia |
|---|---|
| Qhov loj thiab qhov chaw ntawm qhov thaiv | Cov leeg ntshav uas yuav siv nyob ntawm seb cov leeg ntshav hauv lub plawv nyob qhov twg thiab nws raug thaiv npaum li cas. |
| Qhov loj ntawm cov leeg | Xaiv ib txoj hlab ntsha uas loj ib yam li koj lub plawv cov hlab ntsha. |
| Seb puas muaj cov leeg nqaij noj qab haus huv | Nws yog ib qho tseem ceeb uas cov leeg ntshav uas siv rau kev hloov pauv yuav tsum noj qab nyob zoo. Yog tias koj kuj muaj teeb meem nrog cov leeg ntshav hauv koj ob txhais ceg (xws li cov leeg ntshav varicose), cov leeg ntshav ntawd yuav tsis tuaj yeem siv tau. |
| Koj txoj kev noj qab haus huv tag nrho | Tej yam xws li lwm yam mob uas koj muaj (xws li ntshav qab zib) thiab koj lub hnub nyoog kuj cuam tshuam rau qhov kev txiav txim siab no. |
Feem ntau, cov kws kho mob yuav sim muab cov leeg ntshav ntawm koj sab uas tsis yog sab tseem ceeb . Qhov ntawd txhais tau tias, yog tias koj siv tes xis, lawv yuav sim muab cov leeg ntshav radial ntawm koj sab laug.
Muaj dab tsi tshwm sim tiag tiag thaum lub sijhawm phais?
Cov txheej txheem tshem cov leeg ntshav no yuav ua ua ntej koj phais bypass. Koj tau txais tshuaj loog tag nrho (tshuaj loog dav dav) thiab qhov no ua tiav tag nrho. Yog li koj yuav tsis hnov mob dab tsi.
Muaj ob txoj kev tseem ceeb rau kev tshem tawm cov leeg ntshav.
1. Kev Phais Mob Los Ntawm Kev Siv Koob Tshuaj:Qhov no yog txoj kev phais mob uas siv tsawg tshaj plaws. Hauv txoj kev phais mob no, ib lub raj nyias nyias hu ua endoscope raug ntxig los ntawm ib lossis ob qhov kev txiav me me hauv daim tawv nqaij ntawm caj npab lossis ceg. Thaum kawg ntawm lub raj no yog lub koob yees duab, lub teeb, thiab cov cuab yeej siv tau yooj yim rau kev phais mob. Tus kws phais mob, saib ntawm lub monitor, ua tib zoo cais cov leeg ntshav ntawm cov nqaij ib puag ncig thiab tshem nws tawm.
2. Kev Phais Qhib: Hauv txoj kev no, daim tawv nqaij raug txiav ntev qhov twg cov leeg ntshav nyob thiab cov leeg ntshav raug tshem tawm kom pom tseeb. Txoj kev no tau siv yav dhau los, tab sis tam sim no siv tsawg dua vim yog txoj kev endoscopic.
Thaum cov hlab ntsha raug tshem tawm lawm, qhov tseem ceeb ntawm kev phais bypass pib. Tus kws phais txuas ib kawg ntawm cov graft rau koj lub aorta thiab lwm kawg rau cov hlab ntsha uas raug thaiv. Tam sim no koj muaj txoj kev tshiab, noj qab haus huv rau cov ntshav ntws mus rau koj lub plawv.
Lo lus nug tseem ceeb uas koj yuav nug yog, "Yog tias kuv tsis muaj cov leeg ntshav, kuv txhais caj npab lossis ceg puas yuav raug mob?" Tsis yog li. Peb lub cev tau tsim zoo heev.
* Yog tias peb siv Radial Artery ntawm tes: Lwm txoj hlab ntsha tseem ceeb uas muab ntshav rau tes , Ulnar Artery , yuav ua haujlwm ntawm Radial Artery, muab ntshav rau tes thiab caj npab yam tsis muaj qhov tsis txaus.
* Yog tias peb siv cov hlab ntsha saphenous hauv ceg: Lub cev hlab ntsha tob , uas nyob ntxiv rau hauv ceg, yuav ua haujlwm ntawm cov hlab ntsha saphenous thiab nqa cov ntshav ntawm ceg rov qab mus rau lub plawv yam tsis muaj teeb meem.
Cov txiaj ntsig thiab kev pheej hmoo ntawm txoj kev no yog dab tsi?
Ib yam li lwm yam kev kho mob, muaj ntau yam zoo thiab muaj ntau yam txaus ntshai. Cov txiaj ntsig ntawm kev siv txoj kev endoscopic tshwj xeeb yog ntau heev.
| Cov txiaj ntsig thiab kev pheej hmoo | |
|---|---|
| Cov txiaj ntsig (tshwj xeeb tshaj yog nyob rau hauv txoj kev endoscopic) | |
| Rov qab sai sai | Nws tsis mob npaum li phais qhib, yog li ntawd, koj yuav tsum nyob hauv tsev kho mob luv dua. Koj tuaj yeem rov zoo sai dua. |
| Los ntshav tsawg dua | Qhov kev phais me me heev, yog li ntawd, los ntshav thiab mob nqaij tsawg heev. |
| Qhov caws pliav tsawg kawg nkaus | Es tsis txhob muaj ib qho caws pliav loj, tsuas yog muaj ob peb qhov caws pliav me me xwb, yog li ntawd qhov kev pheej hmoo ntawm kev kis kab mob kuj raug txo qis. |
| Kev Pheej Hmoo | |
| Kev kis kab mob | Ib yam li lwm yam kev phais mob, muaj kev pheej hmoo me me ntawm kev kis kab mob hauv cov qhov txiav. |
| Kev ntshav thiab mob nqaij | Tej zaum yuav muaj qee qhov kev mob thiab los ntshav tom qab phais. |
| Cov ntshav txhaws | Tsis tshua muaj, tej zaum yuav muaj kev pheej hmoo ntawm cov ntshav txhaws. |
| Kev puas tsuaj rau cov hlab ntsha | Muaj feem me me uas cov hlab ntsha me me ze ntawm cov leeg ntshav yuav raug puas tsuaj, uas tuaj yeem ua rau loog hauv thaj chaw ntawd. |
Tej yam yuav tsum xav txog thaum lub sijhawm rov zoo tom qab mus tsev
Koj lub hom phiaj tseem ceeb yuav tsum yog kev rov zoo los ntawm kev phais bypass. Tom qab koj tawm hauv tsev kho mob, nws yog ib qho tseem ceeb heev uas yuav tsum ua raws li cov lus qhia uas koj tus kws kho mob thiab cov neeg ua haujlwm saib xyuas neeg mob tau muab .
- Noj cov tshuaj kom raug: Noj cov tshuaj uas koj tau txais los tiv thaiv cov ntshav txhaws (cov tshuaj anticoagulants) thiab cov tshuaj tua kab mob kom raug lub sijhawm thiab raws li qhov ntau npaum li cas.
- Khaws cov qhov txhab kom huv: Koj yuav raug qhia hauv tsev kho mob txog yuav ua li cas ntxuav thiab kho koj cov qhov txhab. Ua raws li cov lus qhia no.
- Tsis txhob tsa cov khoom hnyav: Tsis txhob tsa cov khoom hnyav kom txog thaum koj tus kws kho mob hais kom koj ua.
- Hnav cov thom khwm tshwj xeeb:Yog tias koj tau muab koj cov hlab ntsha saphenous tshem tawm ntawm koj ceg lawm, koj yuav raug hais kom hnav cov thom khwm tshwj xeeb kom txo qhov o. Koj kuj tseem yuav raug qhia kom tsa koj ceg me ntsis siab.
Thaum twg koj yuav tsum nrhiav kev kho mob tam sim ntawd?
Yog tias koj muaj cov tsos mob ntawm kev mob plawv (xws li mob hauv siab heev, ua pa nyuaj, tawm hws ntau dhau), hu rau lub tsheb thauj neeg mob thaum muaj xwm txheej ceev xws li 1990 tam sim ntawd thiab mus rau tsev kho mob ze tshaj plaws Chav Kho Mob Thaum Muaj Xwm Ceev (ETU).
Ntxiv mus, yog tias muaj ib lossis ntau yam tsos mob hauv qab no tshwm sim, qhia rau koj tus kws kho mob yam tsis muaj kev ncua.
- Mob hauv siab los yog nruj (Angina)
- Sudden overexertion
- Ua pa nyuaj (Dyspnea)
- Cov cim qhia txog kev kis kab mob, xws li cov kua daj tawm ntawm qhov chaw phais thiab kub taub hau
Kev phais mob bypass yog ib qho kev phais mob tseem ceeb heev uas cawm tau txoj sia. Kev rho cov leeg ntshav tawm ntawm koj lub cev yog ib feem tseem ceeb ntawm nws. Nrog rau kev nce qib ntawm thev naus laus zis, cov txheej txheem no tam sim no tuaj yeem ua tau zoo heev, tsis mob heev thiab rov zoo sai. Yog li ntawd, tsis txhob ntshai nws yam tsis tsim nyog. Yog tias koj muaj teeb meem lossis kev tsis ntseeg, tham nrog koj tus kws kho mob txog nws.
Cov Lus Qhia Txog Kev Coj Mus Tsev
- Rau kev phais plawv bypass, kev tau txais cov hlab ntsha (vein) noj qab haus huv los ntawm koj txhais caj npab lossis ceg yog ib qho kev phais mob uas siv ntau thiab tseem ceeb.
- Thaum ib txoj hlab ntsha raug tshem tawm li no, yuav tsis muaj kev cuam tshuam rau cov ntshav ntws mus rau lub cev ntawd. Lwm cov hlab ntsha hauv lub cev yuav ua haujlwm ntawd.
- Txoj kev endoscopic, uas siv dav niaj hnub no, txo qhov mob, caws pliav, thiab lub sijhawm kho.
- Ua raws li cov lus qhia kho mob kom zoo tom qab phais mob yog qhov tseem ceeb rau kev rov zoo sai thiab ua tiav.
- Yog koj mob hauv siab, ua pa nyuaj, lossis muaj cov cim qhia tias qhov txhab kis kab mob, hu rau koj tus kws 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