Koj puas muaj ntshav siab? Tej zaum koj siv ntau yam tshuaj, tab sis koj puas tseem muaj teeb meem tswj koj cov ntshav siab? Hauv cov xwm txheej zoo li no, qhov ua rau muaj qhov txhaws ntawm cov hlab ntsha tseem ceeb uas nqa ntshav mus rau koj lub raum. Hnub no, peb yuav tham txog txoj kev kho mob tshwj xeeb rau cov xwm txheej zoo li no.
Hais yooj yim xwb, Renal Artery Stenting yog dab tsi?
Nws yooj yim heev. Cov hlab ntsha tseem ceeb uas muab ntshav rau koj lub raum (peb hu cov no ua cov hlab ntsha hauv lub raum) qee zaum yuav raug thaiv los ntawm cov rog. Qhov mob no hu ua '(Renal Artery Stenosis)'. Yog li 'Renal Artery Stenting' yog ib qho txheej txheem uas cuam tshuam nrog kev ntxig ib lub raj me me zoo li lub mesh (qhov no hu ua 'stent') rau hauv cov hlab ntsha uas raug thaiv, rov qhib qhov chaw raug thaiv thiab rov qab ua kom cov ntshav ntws.
Xav txog nws, lub raum yog lub cev tseem ceeb uas tswj cov ntsev thiab kua dej hauv peb lub cev. Lawv ua qhov no los ntawm kev lim cov ntshav thiab tsim cov zis. Yog li ntawd, yog tias lub raum tsis tau txais cov ntshav txaus, lawv ua tsis tau txoj haujlwm no kom zoo. Tom qab ntawd cov kua dej thiab ntsev pib sib sau ua ke hauv lub cev.
Cov raum kuj tsim ib hom tshuaj hu ua '(Renin).' Cov tshuaj no pab lub cev khaws cov ntsev thiab dej thiab ua kom cov hlab ntsha nruj. Thaum lub raum hnov tias cov ntshav siab los rau nws qis, lub raum xav tias cov ntshav siab hauv lub cev qis tiag tiag. Tom qab ntawd nws tso ntau '(Renin).' Tab sis qhov tseeb tshwm sim yog tias cov hlab ntsha raug thaiv thiab cov ntshav ntws mus rau lub raum raug txo qis, thiab cov ntshav siab hauv lub cev tuaj yeem siab thaum ntawd. Thaum tag nrho cov no los ua ke, peb tsim ib qho mob hu ua '(Renal Hypertension)' uas ua rau cov ntshav siab. Qhov no tuaj yeem muab ntau qhov siab rau lub plawv thiab lwm yam kabmob, thiab dhau sijhawm, nws tuaj yeem ua rau lub raum tsis ua haujlwm .
Vim li cas thiaj li yuav tsum tau muab lub stent tso rau hauv cov hlab ntsha hauv lub raum?
Yog koj tus kws kho mob pom tias koj muaj kev txhaws loj heev hauv cov hlab ntsha uas mus rau koj lub raum thiab nws yuav tsum tau kho, lawv yuav pom zoo kom muab stent tso rau. Qhov no pab tiv thaiv kev puas tsuaj ntxiv rau koj lub raum. Tab sis nco ntsoov, tsis yog txhua qhov kev txhaws hauv cov hlab ntsha ntawm lub raum yuav tsum tau muab stent tso rau.
Feem ntau muaj ntau qhov xwm txheej uas koj yuav xav tau kev kho mob no:
- Yog tias ntau tshaj 60% ntawm cov hlab ntsha raug thaiv vim muaj cov rog hauv cov hlab ntsha (atherosclerosis), thiab nws tsis tuaj yeem tswj tau nrog tshuaj.
- Yog tias koj noj peb lossis ntau dua cov tshuaj kho mob ntshav siab ntawm qhov ntau tshaj plaws thiab tseem tsis tuaj yeem tswj koj cov ntshav siab.
- Yog tias ob lub hlab ntsha uas mus rau ob lub raum raug thaiv ntau dua 60%.
- Yog tias koj tsuas muaj ib lub raum xwb, thiab cov hlab ntsha uas mus rau nws raug thaiv ntau dua 60%.
- Yog koj muaj tej yam mob xws li "flash pulmonary edema" uas ua rau lub ntsws puv dej tam sim ntawd.
Qhov tseem ceeb tshaj plaws yog tias tsuas yog tus kws kho mob uas kuaj koj thiaj li txiav txim siab seb koj puas xav tau kev kho mob no lossis tsis xav tau. Yog li ntawd, tham nrog koj tus kws kho mob txog qhov no.
Ua ntej kev kho mob muaj dab tsi tshwm sim?
Ua ntej ua qhov kev kho mob no, koj tus kws kho mob yuav kuaj xyuas koj txoj kev noj qab haus huv thiab ua ntau qhov kev kuaj mob kom paub tseeb tias koj puas xav tau stent.
| Lub npe ntawm qhov kev xeem | Muaj dab tsi tshwm sim xwb? |
|---|---|
| Duplex Doppler Ultrasound | Qhov no zoo li kev ntsuas niaj hnub. Nws siv cov suab nthwv dej los ntsuas qhov dav ntawm qhov txhaws hauv cov hlab ntsha thiab qhov ceev ntawm cov ntshav ntws. |
| Kev Siv Computer Tomography Angiogram (CT Angiogram) | Cov duab X-ray siv los tsim ib daim duab peb-seem (3D) ntawm lub raum. Ib qho kua tshwj xeeb (xim sib piv) raug txhaj rau hauv kom pom tseeb cov hlab ntsha. |
| Kev Siv Lub Tshuab Xam Xaj Magnetic Resonance Angiogram (MRA) | Zoo li kev thaij duab MRI. Nws siv lub zog sib nqus. Hauv qhov no, ib yam kua tshwj xeeb raug txhaj rau hauv kom pom tseeb tias cov hlab ntsha zoo li cas. |
| Kev kuaj mob Angiogram | Muab ib lub raj nyias nyias (catheter) ntxig rau hauv qhov chaw mos lossis caj npab thiab coj mus rau cov hlab ntsha uas mus rau lub raum. Tom qab ntawd muab ib qho kua tshwj xeeb txhaj rau hauv thiab saib xyuas cov ntshav ntws los ntawm kev siv X-rays. Lub stent kuj raug muab tso rau hauv txoj kev no ib yam nkaus. |
Koj yuav tsum qhia rau koj tus kws kho mob txog txhua yam tshuaj uas koj noj (xws li cov vitamins thiab cov tshuaj ntsuab) . Qee cov tshuaj, xws li aspirin, cov tshuaj ua kom ntshav nyias, thiab cov tshuaj tua kab mob, tuaj yeem ua rau koj muaj feem yuav los ntshav ntau dua. Yog li ntawd,Tsis txhob tsum noj tshuaj yam tsis tau nug koj tus kws kho mob.
Thiab, qhia rau peb txog tej yam koj ua xua . Qhov no suav nrog kev ua xua rau tshuaj, qee yam tshuaj ntxuav (xws li iodine), thiab cov khoom noj.
Muaj dab tsi tshwm sim thaum lub sijhawm kho mob?
Qhov no feem ntau tsis ua rau koj tsis nco qab kiag li. Koj yuav tau txais cov tshuaj saline los ntawm cov leeg ntshav hauv koj txhais caj npab kom pab koj so thiab tsaug zog. Yog li koj yuav tsis nco qab ntau txog kev kho mob.
Tus kws kho mob yuav ua ib qho kev phais me me hauv koj lub qhov ncauj lossis caj npab. Los ntawm qhov kev phais ntawd, ib lub raj khoob (sheath) raug ntxig rau hauv cov hlab ntsha. Tom qab ntawd, lwm lub raj nyias nyias (catheter) raug xa mus rau cov hlab ntsha uas raug txhaws mus rau lub raum los ntawm lub raj ntawd.
Thaum qhov kev thaiv tau mus txog, ib lub npas me me ntawm qhov kawg ntawm lub raj yuav raug tshuab kom nthuav qhov kev thaiv. Tom qab ntawd, lub hlau mesh stent uas peb tau hais ua ntej yuav raug muab tso rau hauv qhov chaw ntawd thiab qhib. Tom qab ntawd nws nias rau ntawm phab ntsa ntawm cov hlab ntsha, tshem tawm qhov kev thaiv thiab qhib txoj hauv kev rau cov ntshav ntws. Lub stent no yog ib yam dab tsi uas nyob tas mus li hauv lub cev.
Thaum lub stent nyob rau hauv qhov chaw lawm, lub npuas dej yuav raug tshem tawm thiab lub catheter yuav raug tshem tawm. Tom qab ntawd qhov phais yuav raug kaw los ntawm kev siv lub zog lossis siv ib lub cuab yeej tshwj xeeb, thiab muab ib daim ntaub qhwv rau.
Tom qab kho mob tas lawm, muaj dab tsi tshwm sim?
Tom qab kho mob tas, koj yuav tsum tau nyob hauv tsev kho mob ob peb teev, tej zaum yuav ib hmos ib hmos. Cov neeg ua haujlwm kho mob yuav saib xyuas koj cov ntshav siab, qhov mob, thiab kev noj qab haus huv tag nrho. Tej zaum yuav tau hloov koj daim ntawv yuav tshuaj ua ntej koj mus tsev. Qhov no yuav raug piav qhia rau koj.
Thaum twg txiav txim siab tias koj mus tsev tau lawm, ces koj yuav raug tso tawm hauv tsev kho mob. Txawm li cas los xij , koj yuav tsum muaj ib tug neeg hauv tsev neeg lossis ib tug phooj ywg tuaj coj koj mus tsev.
Cov txiaj ntsig thiab kev pheej hmoo ntawm kev kho mob no yog dab tsi?
Ib yam li lwm yam kev kho mob, qhov no muaj cov txiaj ntsig thiab cov kev pheej hmoo me.
| Cov txiaj ntsig | Kev Pheej Hmoo |
|---|---|
| Nws yog ib qho kev kho mob uas ua los ntawm kev phais me me thiab muaj cov kev mob tshwm sim tsawg heev. | Mob qhov muag los yog los ntshav qhov twg tau ntxig lub raj. |
| Cov ntshav ntws mus rau lub raum zoo dua. | Kev puas tsuaj rau cov hlab ntsha ntawm lub raum lossis lub raum. |
| Tau txais kev pab kom txo tau cov ntshav siab. | Cov ntshav txhaws. |
| Pab tiv thaiv kev ua haujlwm ntawm lub raum. | Kev ua xua rau cov kua tshwj xeeb uas siv rau kev kuaj mob. |
| Tsis tshua muaj, lub raum tsis ua haujlwm. |
Yuav siv sijhawm ntev npaum li cas thiaj kho tau?
Feem ntau cov neeg yuav zoo dua hauv ob peb hnub. Koj tus kws kho mob yuav qhia koj txog seb koj yuav tsum ua ub ua no li cas rau ob peb hnub thawj zaug.
Koj yuav tsum tau noj cov tshuaj uas ua rau cov ntshav nyias kom tiv thaiv cov ntshav txhaws kom txog thaum lub stent kho tau zoo. Piv txwv li, cov tshuaj xws li 'Aspirin' lossis 'Clopidogrel'. Nyob ntawm koj tus mob, koj yuav tsum tau noj cov no txog li ib hlis lossis ib xyoos. Nws yog ib qho tseem ceeb heev uas yuav tsum noj cov tshuaj no raws li tau sau tseg thiab tsis txhob tsum tsis txhob noj yam tsis tau sab laj nrog koj tus kws kho mob.
Feem ntau cov neeg tuaj yeem rov qab mus ua haujlwm lossis ua lawv tej yam ib txwm ua tau hauv ib lub lim tiam. Txawm li cas los xij, yog tias koj ua tej haujlwm uas siv zog ntau, xws li tsa cov hnyav, nws yuav siv sijhawm ntev me ntsis kom rov zoo.
Kuv yuav tsum mus ntsib kws kho mob dua thaum twg?
Qee zaum tej zaum yuav muaj tej yam tshiab uas thaiv tau rau lwm qhov ntawm cov hlab ntsha. Yog li ntawd, nco ntsoov mus rau lub tsev kho mob raws li hnub teem tseg thiab mus ntsib kws kho mob.
Tsis tas li ntawd, yog tias koj muaj ib qho ntawm cov tsos mob hauv qab no , hu rau koj tus kws kho mob tam sim ntawd:
- Yog koj kub taub hau.
- Yog koj ua pa nyuaj.
- Yog tias muaj pob khaus ntawm daim tawv nqaij.
- Yog tias thaj chaw uas tau ntxig lub raj yog xim liab, ntshav, dub, o, mob, lossis los ntshav.
- Yog tias ceg uas muab lub raj tso rau ntawd mob, txias, daj ntseg, lossis tsis muaj zog.
- Yog koj mob tshiab hauv koj lub plab lossis sab uas tau kho lawm.
- Yog koj kiv taub hau thiab koj cov ntshav siab qis heev (hypotension).
Cov Lus Qhia Txog Kev Coj Mus Tsev
- Kev siv txoj hlab ntsha raum (renal artery stenting) yog ib txoj kev kho mob uas muaj kev nyab xeeb siv los qhib cov hlab ntsha uas txhaws mus rau lub raum.
- Qhov no pab txo cov ntshav siab uas nyuaj rau tswj thiab tiv thaiv kev ua haujlwm ntawm lub raum.
- Tsis yog txhua tus neeg xav tau kev kho mob no. Tsuas yog koj tus kws kho mob thiaj li txiav txim siab seb koj puas xav tau nws los tsis xav tau.
- Tom qab kho mob tas, nws yog ib qho tseem ceeb heev uas yuav tsum siv cov tshuaj uas tus kws kho mob tau sau tseg, tshwj xeeb yog cov tshuaj ua kom ntshav nyias, raws li tau sau tseg.
- Yog koj muaj tej yam tsos mob txawv txawv, qhia rau koj tus kws kho mob tam sim ntawd. Tsis txhob ntshai tham nrog nws txog tej yam koj txhawj xeeb.
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