Koj cov hlab ntsha caj dab puas raug thaiv? Cia peb kawm txog kev kho mob stent no (TFCAS)

Tej zaum koj yuav xav paub tias mob stroke loj npaum li cas. Qhov laj thawj tseem ceeb rau qhov no yog vim tias cov hlab ntsha tseem ceeb tshaj plaws (carotid artery) ntawm ob sab ntawm peb lub caj dab uas nqa ntshav mus rau lub hlwb raug thaiv los ntawm cov rog. Nws zoo li xeb tsim hauv cov yeeb nkab dej thiab maj mam txhaws nws. Tab sis tsis txhob txhawj, tam sim no muaj kev kho mob yooj yim thiab siab heev rau qhov no. Qhov ntawd yog qhov peb tab tom tham txog hnub no.

Qhov kev kho mob TFCAS no yog dab tsi?

Hais yooj yim xwb, Transfemoral Carotid Artery Stenting (TFCAS) yog ib txoj kev phais mob uas siv los qhib cov hlab ntsha carotid uas raug thaiv hauv caj dab. Nws yog kev ntxig ib lub raj me me zoo li daim ntaub mesh, hu ua stent, rau hauv cov hlab ntsha uas raug thaiv kom nws dav dua.

Xav txog nws, cov hlab ntsha carotid ntawm ob sab ntawm peb lub caj dab yog ob lub hlab ntsha tseem ceeb uas nqa cov pa oxygen thiab cov as-ham mus rau peb lub hlwb, lub ntsej muag, thiab caj dab. Raws sijhawm, cov roj cholesterol thiab cov rog los ntawm cov khoom noj uas peb noj pib sib sau ua ke hauv phab ntsa ntawm cov hlab ntsha no. Peb hu ua cov plaque no. Cov plaque no ua rau cov phab ntsa ntawm cov hlab ntsha tuab thiab tawv (atherosclerosis). Thaum kawg, cov hlab ntsha yuav nqaim (stenosis). Thaum cov ntshav ntws no raug thaiv, cov ntshav mus rau lub hlwb yuav txo qis, ua rau muaj kev pheej hmoo ntawm kev mob stroke ntau ntxiv.

Hauv kev kho mob TFCAS, ib lub raj tshwj xeeb (catheter) raug ntxig los ntawm ib qho kev txiav me me hauv koj lub puab tsaig lossis caj npab thiab coj mus rau cov hlab ntsha uas raug thaiv hauv koj lub caj dab. Tom qab ntawd ib lub stent raug ntxig los ntawm lub catheter kom rov qhib cov hlab ntsha. Lub stent, zoo li ib lub tsev pheeb suab, pab tiv thaiv cov hlab ntsha kom tsis txhob vau dua. Qhov no rov qab ua kom cov ntshav ntws mus rau lub hlwb, txo qhov kev pheej hmoo ntawm kev mob stroke.

Leej twg xav tau kev kho mob no?

Yog koj tus kws kho mob pom tias koj muaj kab mob carotid artery, tej zaum yuav pom zoo kom kho qhov no. Tej zaum koj yuav tsis muaj tsos mob dab tsi li. Txawm li cas los xij, qee tus neeg yuav muaj cov tsos mob zoo ib yam li mob stroke me me (lossis mob stroke luv luv - TIAs).

Feem ntau muaj ntau txoj kev kho mob rau carotid artery stenosis. Koj tus kws kho mob yuav xaiv txoj kev kho mob uas zoo tshaj plaws rau koj raws li koj tus mob, cov duab ntawm cov hlab ntsha, thiab qhov chaw ntawm qhov stenosis.

Kev kho mob TFCAS zoo tshaj plaws rau leej twg?

Kev kho mob TFCAS yuav zoo dua rau koj dua li kev phais CEA yog tias koj muaj cov yam txaus ntshai no:

• Yog tias cov hlab ntsha raug thaiv rau qhov chaw uas tsis yooj yim mus txog los ntawm kev phais.
• Yog koj muaj lwm yam teeb meem kev noj qab haus huv (mob ua ke) xws li kab mob plawv, kab mob ntsws, lossis rog dhau.
• Yog tias koj muaj cov nqaij caws pliav ntawm koj lub caj dab vim yog kev phais mob yav dhau los lossis kev kho mob hluav taws xob.
• Yog tias koj cov vocal cords tau raug puas tsuaj lawm.

Koj npaj li cas ua ntej phais?

Ua ntej phais mob no, koj tus kws kho mob yuav hais kom koj ua li no:

• Mus kuaj ntshav thiab kuaj lwm yam kev noj qab haus huv.
• Ua ib qho echocardiogram lossis kev sim kev ntxhov siab kom paub tseeb tias lub plawv ua haujlwm li cas.
• Ua ib qho kev kuaj duab xws li 'carotid angiography', 'vascular ultrasound', lossis 'MRA' kom pom tseeb qhov twg cov hlab ntsha raug thaiv.
• Muab ib daim ntawv teev tag nrho cov tshuaj thiab cov tshuaj ntxiv uas koj siv.
• Cov tshuaj xws li aspirin yuav raug sau tseg kom tiv thaiv cov ntshav txhaws.
• Tsis txhob noj mov los yog haus dej (sai) ob peb teev ua ntej phais.

Yuav ua li cas thiaj phais tau? Cov kauj ruam zuj zus

Feem ntau qhov kev phais no siv sijhawm tsawg dua ob teev thiab ua los ntawm pab pawg kws kho mob uas tau kawm tshwj xeeb.

Tom qab phais lawm, muaj dab tsi tshwm sim?

Tom qab phais tas, koj yuav raug saib xyuas hauv chav kho mob rau ob peb teev. Feem ntau koj yuav tsum nyob hauv tsev kho mob ib hmos.

• Yuav muab tshuaj tua kab mob rau koj rau txhua qhov tsis xis nyob uas koj yuav ntsib.
• Koj tus kws kho mob yuav sau ntawv kom koj noj cov tshuaj antiplatelet (piv txwv li, Aspirin, Clopidogrel) rau tas koj lub neej kom tiv thaiv cov ntshav txhaws ntawm qhov chaw ntawm lub stent.

Feem ntau cov neeg tuaj yeem mus tsev tom qab 24 teev. Tej zaum yuav muaj qhov mob, o, thiab mob me ntsis ntawm qhov chaw phais rau ob peb hnub.

Cov txiaj ntsig thiab kev pheej hmoo ntawm kev kho mob no yog dab tsi?

Cov txiaj ntsig

• Txo qhov kev pheej hmoo ntawm kev mob stroke: Thaum cov ntshav ntws mus rau lub hlwb rov qab los, qhov kev pheej hmoo ntawm kev mob stroke kuj raug txo qis heev.
• Qhov phais me me: Tsis muaj qhov phais loj, yog li ntawd muaj qhov mob tsawg dua, muaj kev pheej hmoo ntawm kev kis kab mob, thiab caws pliav.
• Rov zoo sai: Koj tuaj yeem rov ua tej yam li qub hauv ob peb hnub.

Kev Pheej Hmoo

Ib yam li lwm yam kev phais mob, muaj kev pheej hmoo me me, tab sis qhov kev pheej hmoo ntawm cov teeb meem loj yog tsawg dua 3%.

• Rov qab stenosis: Tsis tshua muaj, cov nqaij caws pliav tuaj yeem tsim nyob rau hauv qab lub stent thiab ua rau cov hlab ntsha nqaim dua.
• Mob stroke: Thaum lub sijhawm phais, cov rog tuaj yeem tawg thiab thaiv cov hlab ntsha hauv lub hlwb. Txawm li cas los xij, qhov kev pheej hmoo no raug txo qis heev los ntawm lub lim dej uas peb tau tham ua ntej.
• Mob plawv nres
• Kev los ntshav los yog kev kis kab mob

Thaum twg koj yuav tsum mus ntsib kws kho mob?

Yog tias koj muaj ib qho ntawm cov tsos mob no thaum koj mus tsev tom qab phais , hu rau koj tus kws kho mob tam sim ntawd.

• Yog koj xav tias kub taub hau los yog mob khaub thuas
• Yog tias xeev siab thiab ntuav ploj mus
• Yog tias qhov chaw txiav yog xim liab, o, lossis cov kua daj tawm (cov cim qhia txog kev kis kab mob)