Koj cov hlab ntsha hauv lub plawv puas raug thaiv? Txhua yam hais txog lub stent, yooj yim heev!

Koj puas tau hnov ​​txog qhov "stent" raug muab tso rau? Tej zaum koj twb tau hnov ​​txog ib tug ntawm koj tsev neeg lossis cov phooj ywg muaj ib qho. Feem ntau, lo lus stent tshwm sim thaum muaj teeb meem plawv. Yog li, stent yog dab tsi? Vim li cas cov khoom no thiaj raug muab tso rau? Cia peb tham txog qhov no kom meej hnub no, puas tau?

Lub stent yog dab tsi?

Hais yooj yim xwb, lub stent yog ib lub raj me me, zoo li daim ntaub mesh. Nws zoo li ib daim ntaub mesh uas dov ua ke. Qhov no yog yam uas koj tus kws kho mob tuaj yeem muab tso rau hauv ib qho ntawm koj cov hlab ntsha, lossis cov hlab ntsha, thiab ua kom nws qhib. Xav txog tias cov hlab ntsha muaj cov plaque , lossis cholesterol, uas thaiv kev ntws ntawm cov ntshav. Tus kws kho mob yuav tshem tawm cov plaque ua ntej thiab tshem txoj kev. Tom qab ntawd lawv yuav muab lub stent tso rau hauv qhov chaw kom cov hlab ntsha tsis txhob txhaws dua. Nws zoo li ib yam dab tsi uas koj muab tso rau hauv los tswj kev sib tsoo tsheb. Nws pab cov ntshav ntws tau yooj yim dua .

Feem ntau cov stent no muab tso rau hauv koj cov hlab ntsha tas mus li (qee hom uas yaj tau tam sim no muaj, tab sis cov uas nyob mus ib txhis yog cov uas feem ntau pom). Lawv feem ntau yog ua los ntawm hlau. Txawm li cas los xij, qee hom stent tshwj xeeb yog ua los ntawm lwm yam khoom siv. Lub coronary stent, uas muab tso rau hauv cov hlab ntsha ntawm lub plawv, tuaj yeem ntev li ntawm 8 txog 48 millimeters, lossis li 2 nti. Nws tuaj yeem ntev li ntawm 2 txog 5 millimeters. Qhov ntawd yog li qhov loj ntawm lub taub hau crayon tshiab lossis qhov loj ntawm lub roj hmab tshiab. Txawm li cas los xij, cov stents muab tso rau hauv lwm qhov chaw tuaj yeem loj dua.

Lub stent muab tso rau qhov twg?

Muaj coob tus neeg xav tias cov stents tsuas yog siv rau hauv cov hlab ntsha ntawm lub plawv xwb. Tab sis qhov ntawd tsis yog qhov tseeb. Ntxiv rau cov hlab ntsha, cov kws kho mob kuj siv cov stents los tiv thaiv cov khoom xws li txoj hlab pa , cov kav dej kua tsib , thiab cov ureters kom tsis txhob raug thaiv. Tab sis cov stents uas muab tso rau hauv txoj hlab pa feem ntau yog siv los ua kev daws teeb meem ib ntus kom txog thaum phais loj tuaj yeem ua tiav.

Muaj hom stents twg?

Muaj ntau hom stents sib txawv. Cia peb saib ob peb hom tseem ceeb.

Hlau Stent Liab Qab

Cov no tsuas yog ua los ntawm cov hlau xwb, piv txwv li `(nickel-titanium alloy)`, `(stainless steel)` lossis `(cobalt-chromium)`. Cov no yog ib qho thev naus laus zis qub uas tau siv ntev lawm. Lawv raug ntxig rau hauv cov hlab ntsha ntawm koj lub plawv (coronary arteries) lossis cov hlab ntsha hauv koj lub caj dab (carotid arteries).

Cov Stent Uas Tshem Tawm Tshuaj

Qhov no yog hom uas siv ntau tshaj plaws niaj hnub no. Cov hlau ntawm lub stent no muaj cov tshuaj tshwj xeeb uas siv rau nws. Cov tshuaj no tiv thaiv cov hlab ntsha uas lub stent muab tso rau kom tsis txhob nqaim dua. Uas yog, nws tiv thaiv kev tsim cov nqaij caws pliav tsis tsim nyog hauv lub stent.Cov tshuaj no yuav tiv thaiv qhov kev tsim cov ntshav hauv ob peb lub hlis thawj zaug. Qhov no ua rau cov hlab ntsha qhib.

Cov Stent uas lwj tau

Qhov no yog ib txoj kev siv tshuab tshiab. Nws tseem siv tau tsawg heev. Tom qab hom stent no raug muab tso rau hauv cov hlab ntsha, nws yuav yaj hauv lub cev hauv ob peb lub hlis . Qhov no txhais tau tias koj tsis tas yuav khaws ib daim hlau hauv koj lub cev mus tas li.

Cov ntaub polyester thiab hlau stent

Cov no yog cov stents loj dua me ntsis. Lawv siv rau hauv cov hlab ntsha loj xws li aorta. Lawv yog ua los ntawm cov ntaub polyester thiab hlau.

Silicone Stent

Cov kws kho mob siv cov no los ua kom txoj hlab pa qhib hauv koj lub ntsws .

Vim li cas ho siv lub stent?

Cov kws kho mob siv cov stent feem ntau los tiv thaiv cov ntshav ntws los ntawm kev nqaim lossis thaiv tag nrho ntawm cov hlab ntsha. Tej zaum koj yuav xav tau stent yog tias:

• Yog koj muaj mob plawv nres .
• Yog tias koj muaj atherosclerosis , uas txhais tau tias cov rog tau tsim hauv cov hlab ntsha, ua rau cov ntshav ntws nqaim.
• Yog tias ntau tshaj 70% ntawm ib qho ntawm koj cov hlab ntsha raug thaiv hnyav heev .

Xav txog, piv txwv li, tias cov kav dej hauv koj lub vaj raug txhaws nrog cov nyom thiab av, ua rau cov dej ntws qeeb lossis nres tag nrho. Lub stent yog ib qho kev txhawb nqa me me uas muab tso rau hauv cov kav dej, cia cov dej ntws rov qab zoo.

Cov mob twg kho tau nrog stent?

Los ntawm kev tshem tawm cov rog uas nyob hauv cov hlab ntsha los ntawm kev ntxig lub stent, cov hlab ntsha tuaj yeem ua haujlwm tau zoo dua. Cov rog uas nyob hauv cov hlab ntsha tuaj yeem tshwm sim hauv cov mob xws li:

• Kab mob ntawm cov hlab ntsha sab nraud (PAD)
• Kab mob ntawm cov hlab ntsha carotid.
• Kab mob ntawm cov hlab ntsha hauv lub raum.
• Kab mob plawv.

Ntxiv rau, kev tso stent kuj tseem tuaj yeem pab cov neeg uas muaj mob xws li cov hlab ntsha tob tob (DVT) (uas tuaj yeem tshwm sim hauv ob txhais ceg, caj npab, lossis lub duav) thiab aortic aneurysm.

Lub stent feem ntau siv li cas?

Tsuas yog nyob rau hauv lub tebchaws zoo li Tebchaws Meskas xwb, lawv hais tias muaj li ntawm 600,000 qhov kev phais plawv stent tau ua txhua xyoo. Thawj zaug uas stent tau muab tso rau hauv lub plawv tib neeg yog xyoo 1986. Txij thaum ntawd los, kev siv stent tau nce ntxiv ntau heev. Qhov no tam sim no tau dhau los ua ib qho kev coj ua hauv Sri Lanka thiab.

Cov txiaj ntsig ntawm kev tso stent yog dab tsi?

Muaj ntau qhov zoo ntawm kev tso stent:

• Cov ntshav ntws zoo los ntawm cov hlab ntsha uas tau muab tso rau hauv lub stent.
• Ua ke nrog kev kho mob hu ua angioplasty, nws tuaj yeem tiv thaiv kev mob plawv.
• Koj muaj dab tsi?Cov tsos mob xws li ua tsis taus pa thiab mob hauv siab tau txo qis (tshwj xeeb tshaj yog tom qab muab stent tso rau hauv cov hlab ntsha hauv lub plawv).
• Nws tuaj yeem tiv thaiv koj cov hlab ntsha kom tsis txhob nqaim dua.
• Ib tug neeg uas muaj lub stent tso rau hauv lub plawv yuav zoo dua sai dua li ib tug neeg uas tau phais mob plawv coronary artery bypass (CABG) vim tias kev tso stent yog ib qho txheej txheem minimally invasive uas ua los ntawm kev phais me me.

Xav txog, thaum koj mob hauv siab, ua pa nyuaj, thiab mus rau tsev kho mob, thiab cov kws kho mob hais tias cov hlab ntsha hauv koj lub plawv raug thaiv thiab koj yuav tsum ntxig lub stent tam sim ntawd. Lub cuab yeej me me no yuav cawm tau neeg txoj sia npaum li cas thaum ntawd?

Cov kev pheej hmoo lossis teeb meem ntawm kev tso stent yog dab tsi?

Cov teeb meem loj los ntawm kev tso stent tsis tshua muaj, tab sis cov neeg uas muaj kab mob plawv, ntshav qab zib, kab mob raum, lossis cov hlab ntsha uas tau txhaws yav dhau los muaj feem yuav muaj teeb meem loj dua.

Nov yog qee qhov kev pheej hmoo uas yuav muaj tau:

• Yuav muaj ntshav txhaws hauv lub stent. Qhov no tuaj yeem tshwm sim, tshwj xeeb tshaj yog tias koj tsis txhob noj tshuaj uas tiv thaiv lub stent lawm.
• Kev ua xua rau lub stent nws tus kheej lossis cov tshuaj siv rau nws.
• Los ntshav ntawm qhov chaw uas tus kws kho mob siv los nkag mus rau hauv cov hlab ntsha.
• Kev kis kab mob.
• Ib qho kua muag sab hauv cov hlab ntsha.
• Arrhythmia (lub plawv dhia tsis sib xws).
• Los ntshav ntawm lub stent lossis txav mus los ntawm nws qhov chaw.
• Lub ntsws tawg/tawg '(Pneumothorax)'.
• Tom qab ntawd cov hlab ntsha rov nqaim dua (Restenosis).
• Mob plawv nres lossis lub plawv nres.
• Ib yam mob zoo li mob stroke.

Tej yam no yuav ua rau koj ntshai me ntsis thaum hnov. Tiam sis nco ntsoov tias, tej yam no tsis tshua muaj. Koj tus kws kho mob yuav qhia koj txog txhua yam no.

Kuv puas yuav tsum tau noj tshuaj tom qab muab stent tso rau?

Yog, tau kawg. Koj tus kws kho mob yuav sau ntawv rau koj noj cov tshuaj antiplatelet . Cov tshuaj no ua haujlwm los ntawm kev tiv thaiv cov platelets, uas yog cov qe ntshav, kom tsis txhob sib sau ua ke ntawm lub stent thiab ua rau cov ntshav txhaws. Yog tias cov ntshav txhaws zoo li no tshwm sim, nws tuaj yeem thaiv cov hlab ntsha dua.

Koj yuav tsum tau noj tshuaj xws li aspirin rau tas koj lub neej, thiab lwm yam tshuaj rau ib xyoos lossis ntau dua. Qhov no hu ua dual antiplatelet therapy (DAPT) vim nws siv ob hom tshuaj.

Cov kws tshawb nrhiav tseem tab tom nrhiav seb koj yuav tsum noj cov tshuaj no ntev npaum li cas. Thaum sau cov tshuaj no, cov kws kho mob xav txog ntau yam, xws li koj lub hnub nyoog, poj niam txiv neej, kev ua neej, lwm yam mob, thiab hom stent uas koj muaj.

Qhov tseem ceeb tshaj plaws yog, tsis txhob tsum noj cov tshuaj no rau txhua qhov laj thawj tshwj tsis yog koj tus kws kho mob hais kom koj ua. Kev tsum nws tuaj yeem ua rau muaj teeb meem loj.

Tej zaum koj yuav xav tias txawv me ntsis txog qhov muaj ib yam dab tsi uas tsim los ntawm tib neeg hauv koj lub cev. Tab sis cov kws kho mob tau siv cov stent tau ntau xyoo, thiab cov tuam txhab uas ua lawv yeej ib txwm txhim kho lawv tas li. Yog tias koj kawm paub ntau ntxiv txog lawv thiab nug koj tus kws kho mob cov lus nug, koj tuaj yeem pab txo koj qhov kev ntshai txog kev muaj stent.

Thaum kawg, tej yam uas yuav tsum nco ntsoov

Lub stent yog ib lub cuab yeej me me, tab sis muaj zog heev uas pab kom cov channel uas raug thaiv qhib, tsis yog hauv lub plawv xwb, tab sis kuj nyob rau lwm qhov ntawm lub cev.

• Nws txhim kho cov ntshav ncig, txo cov tsos mob, thiab qee zaum txawm tias cawm tau txoj sia.
• Muaj ntau hom stents sib txawv, thiab koj tus kws kho mob yuav xaiv hom uas zoo tshaj plaws rau koj.
• Txawm hais tias muaj qee qhov kev pheej hmoo los xij, lawv tsis tshua muaj. Cov txiaj ntsig ntau dua li lawv.
• Tom qab muab lub stent tso rau hauv, nws yog ib qho tseem ceeb heev uas yuav tsum noj cov tshuaj uas koj tus kws kho mob sau ntawv kom raug thiab ntev li ntev tau raws li nws qhia rau koj.

Yog li, kuv vam tias koj tam sim no nkag siab zoo dua txog lub stent. Yog tias koj muaj lus nug, tsis txhob yig nug koj tus kws kho mob. Nyob kom noj qab nyob zoo!

` Stent, mob plawv nres, cov hlab ntsha txhaws, angioplasty, cholesterol, cov hlab ntsha, kev noj qab haus huv ntawm lub plawv