Koj puas muaj ntshav siab thiab? Tej zaum koj yuav noj ntau hom tshuaj los tswj koj cov ntshav siab. Tab sis yog tias koj tseem muaj teeb meem tswj koj cov ntshav siab, qhov ua rau muaj tej zaum yog vim cov hlab ntsha uas muab ntshav mus rau koj lub raum txhaws. Yog li hnub no, cia peb tham txog kev kho mob hu ua 'Renal Artery Stenting' uas siv rau hauv cov xwm txheej zoo li no. Tsis txhob ntshai thaum koj hnov qhov no, cia peb nkag siab txhua yam txog nws yooj yim.
Kev Siv Stent Raum Raum Yog Dab Tsi?
Hais yooj yim xwb, cov hlab ntsha tseem ceeb uas nqa ntshav mus rau ob lub raum hauv peb lub cev hu ua 'cov hlab ntsha hauv lub raum'. Ib yam li ob lub kav dej tseem ceeb uas nqa dej mus rau lub vaj. Qee zaum, tej yam xws li rog sib sau ua ke hauv cov hlab ntsha no (qhov mob no hu ua '(Atherosclerosis)') thiab txoj kev hla hauv cov leeg ntshav yuav nqaim. Peb hu qhov no tias 'cov hlab ntsha hauv lub raum stenosis'.
Xav txog ib yam dab tsi zoo li ib lub yeeb nkab dej uas xeb txhaws. Ces txoj kev dej kuj nqaim zuj zus, puas yog? Ib yam li ntawd, txoj kev mus rau lub raum kuj raug txhaws.
Kev Siv Txoj Hlab Ntshav Raum (Renalin Artery Stenting ) yog ib txoj kev kho mob uas siv los qhib lossis qhib cov hlab ntshav uas raug txhaws. Hauv qhov no, yuav muab ib lub raj hlau me me zoo li daim ntaub me me (stent) ntxig rau hauv qhov chaw uas raug txhaws, qhib cov hlab ntshav. Tom qab ntawd, cov ntshav pib ntws zoo mus rau lub raum dua.
Thaum cov hlab ntsha hauv lub raum raug thaiv, muaj dab tsi tshwm sim tiag?
Raws li koj paub, ib qho ntawm peb lub raum lub luag haujlwm tseem ceeb yog lim cov ntshav thiab tshem tawm cov ntsev thiab cov kua dej tsis tsim nyog ntawm lub cev ua zis. Thaum cov ntshav ntws mus rau lub raum txo qis, lawv ua tsis tau txoj haujlwm no kom zoo. Tom qab ntawd, cov kua dej pib sib sau ua ke hauv lub cev.
Tsis yog li ntawd xwb, tab sis muaj lwm yam tseem ceeb tshwm sim. Thaum lub raum 'hnov' tias muaj ntshav tsawg dua los rau nws, nws xav tias cov ntshav siab hauv lub cev tag nrho tau txo qis. Yog li, txhawm rau kom cov ntshav siab ntxiv, lub raum tso tawm cov tshuaj hormone tshwj xeeb hu ua '(renin)'. Cov tshuaj hormone no ua rau cov hlab ntsha hauv lub cev nruj. Tab sis qhov tseeb tshwm sim yog tias cov ntshav siab hauv lub cev yuav nyob rau theem siab heev thaum ntawd.
Ntshav siab uas tshwm sim los ntawm kev thaiv cov leeg ntawm lub raum li no hu ua Renal Hypertension . Qhov no nyuaj rau tswj dua li ntshav siab ib txwm muaj, thiab dhau sijhawm nws kuj tuaj yeem ua rau lub raum puas tsuaj.
Leej twg xav tau stent?
Tsis yog txhua tus neeg uas muaj cov hlab ntsha hauv lub raum uas raug thaiv yuav xav tau stent. Koj tus kws kho mob tsuas yog yuav pom zoo kom kho qhov no rau qee kis tshwj xeeb xwb.
| Mob | Kev piav qhia |
|---|---|
| Ntshav siab tsis tswj tau | Yog tias koj cov ntshav siab tsis raug tswj txawm tias noj peb lossis ntau dua cov tshuaj tiv thaiv ntshav siab. |
| Kev txhaws ntawm cov hlab ntsha loj heev | Yog tias ntau tshaj 60% ntawm cov hlab ntsha hauv lub raum raug thaiv thiab nws tsis tuaj yeem tswj tau nrog tshuaj. |
| Dej ua rau lub ntsws puv nkaus | Yog koj cia li muaj mob hu ua "flash pulmonary edema". |
| Muaj teeb meem nrog ob lub raum | Yog tias ob txoj hlab ntsha uas mus rau ob lub raum raug thaiv ntau dua 60%. |
Ua ntej yuav muab stenting kuaj mob, yuav muaj kev kuaj dab tsi?
Ua ntej txiav txim siab tso stent, koj tus kws kho mob yuav ua ntau qhov kev kuaj xyuas kom paub tseeb tias koj cov hlab ntsha raug thaiv npaum li cas.
- Kev Siv Tshuaj Ultrasound Duplex Doppler: Qhov no zoo li kev ntsuas ib txwm muaj. Nws siv cov suab nthwv dej los ntsuas seb cov hlab ntsha nqaim npaum li cas thiab cov ntshav ntws ceev npaum li cas.
- Kev Siv Computer Tomography Angiogram (CT Angiogram): Qhov no suav nrog kev txhaj tshuaj tshwj xeeb rau hauv koj cov leeg ntshav thiab siv lub tshuab CT scanner los thaij duab peb-seem (3D) ntawm cov leeg ntshav. Qhov no tso cai rau koj pom meej meej qhov twg cov leeg ntshav raug thaiv.
- Magnetic Resonance Angiogram (MRA): Qhov no zoo ib yam li MRI scan. Ib qho zas xim raug txhaj rau hauv thiab ib lub zog sib nqus raug siv los tsim cov duab meej ntawm cov hlab ntsha.
- Angiogram: Qhov no yog txoj kev tseeb tshaj plaws. Hauv qhov no, ib lub raj nyias nyias (catheter) raug ntxig los ntawm cov leeg ntshav hauv qhov chaw mos lossis caj npab thiab coj mus rau cov leeg ntshav hauv lub raum. Tom qab ntawd, ib qho xim raug txhaj los ntawm nws thiab thaij duab X-ray kom pom tias cov ntshav ntws li cas. Feem ntau yog ua stenting thaum lub sijhawm kuaj no.
Tseem Ceeb: Ua ntej cov kev kuaj no, koj yuav tsum qhia rau koj tus kws kho mob txog txhua yam tshuaj uas koj noj (tshwj xeeb tshaj yog cov tshuaj uas ua rau cov ntshav nyias xws li aspirin) thiab txhua yam kev ua xua uas koj muaj.
Yuav ua li cas thiaj ua tau phais stenting?
Qhov no tsis yog phais loj. Koj tsis raug tso kom tsaug zog. Koj raug muab tshuaj hu ua 'sedation' kom koj so thiab tsaug zog. Yog li koj tsis hnov mob thiab koj tsis nco qab txog nws tom qab.
Kev kho mob tsuas yog raws li nram no:
1. Yuav muab ib qho kev phais me me (ob peb millimeters) txiav rau ntawm daim tawv nqaij ntawm koj lub qhov ncauj lossis caj npab.
2. Los ntawm nws, ib lub raj xa dej (sheath) raug ntxig rau hauv cov leeg ntshav.
3. Los ntawm lub raj ntawd, lwm lub raj nyias heev (catheter) raug xa mus rau cov leeg ntshav uas raug txhaws hauv lub raum.
4. Tom qab ntawd, ib lub npas me me ntawm qhov kawg ntawm lub raj raug tshuab kom nthuav qhov chaw uas raug thaiv.
5. Thaum kawg, lub stent zoo li daim ntaub uas peb tau tham txog ua ntej tau muab tso rau hauv thaj chaw dav. Lub stent nias rau ntawm phab ntsa ntawm cov hlab ntsha, ua kom cov hlab ntsha qhib.
6. Muab lub stent tso rau ntawd tas mus li, muab lub npas thiab lub raj tshem tawm, kaw qhov phais, thiab muab ib daim ntaub qhwv rau.
Cov txiaj ntsig thiab kev pheej hmoo tom qab kho mob yog dab tsi?
Ib yam li kev kho mob, muaj ob qho txiaj ntsig thiab kev pheej hmoo me.
| Cov txiaj ntsig | Kev Pheej Hmoo |
|---|---|
| Ua ib txoj kev yooj yim uas tsis muaj qhov txiav loj. | Mob qhov muag los yog los ntshav qhov twg tau ntxig lub raj. |
| Kev kho dua tshiab ntawm cov ntshav ntws mus rau lub raum. | Kev puas tsuaj rau cov hlab ntsha lossis lub raum (tsis tshua muaj). |
| Pab tswj cov ntshav siab. | Cov ntshav txhaws. |
| Tiv thaiv kev ua haujlwm ntawm lub raum. | Kev ua xua rau xim. |
Tom qab kho mob tas, koj yuav tsum tau nyob hauv tsev kho mob ob peb teev lossis tej zaum yuav pw ib hmos. Koj yuav rov qab mus ua tej yam li qub tau li ob peb hnub tom qab koj mus tsev. Koj yuav rov qab ua tej yam li qub tau li ib lub lim tiam.Qhov tseem ceeb tshaj plaws yog noj cov tshuaj uas ua rau cov ntshav nyias (xws li 'Aspirin', 'Clopidogrel') uas koj tus kws kho mob tau sau ntawv kom raws sijhawm. Tsis txhob tsum noj cov tshuaj yam tsis tau nug koj tus kws kho mob.
Kuv yuav tsum mus ntsib kws kho mob dua thaum twg?
Txawm tias tom qab muab lub stent tso rau hauv lawm los, koj yuav tsum mus ntsib kws kho mob raws li tus kws kho mob pom zoo, vim tias qee zaum lub stent lossis lwm qhov chaw tuaj yeem raug thaiv dua.
Yog tias muaj cov tsos mob hauv qab no tshwm sim, 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 lub raj raug ntxig rau ntawd liab, o, mob, lossis yog tias muaj ntshav lossis kua qaub ntws tawm ntawm qhov ntawd.
- Yog tias ceg ntawm sab uas tau kho mob ntawd mob, txias, lossis daj ntseg.
- Yog koj mob tshiab hauv koj lub plab lossis sab uas tau kho lawm.
- Yog koj kiv taub hau thiab koj cov ntshav siab poob qis heev.
Lub stent yog ib feem ntawm lub cev mus tas li. Feem ntau nws tsis mob. Txawm hais tias nws tuaj yeem pab ntau tus neeg tswj lawv cov ntshav siab, koj tseem yuav tsum tau noj tshuaj los tswj koj cov ntshav siab. Koj tus kws kho mob yuav txiav txim siab qhov no raws li koj tus mob.
Cov Lus Qhia Txog Kev Coj Mus Tsev
- Kev Siv Txoj Hlab Ntswg Raum (Renalin Artery Stenting) yog ib txoj kev kho mob yooj yim, tsis tas phais mob rau cov hlab ntsha uas txhaws mus rau lub raum.
- Qhov no pab tswj cov ntshav siab, uas nyuaj rau tswj, thiab tiv thaiv lub raum.
- Tom qab kho mob tas, nws yog ib qho tseem ceeb heev uas yuav tsum noj cov tshuaj uas ua rau cov ntshav nyias raws li koj tus kws kho mob tau sau tseg rau lub sijhawm uas tau teem tseg.
- Nco ntsoov mus koom cov kev sib ntsib tom qab raws li hnub teem tseg.
- Yog koj muaj cov cim qhia ceeb toom xws li kub taub hau, mob heev, lossis los ntshav, qhia 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