Qee zaum, cov ntshav txhaws tuaj yeem tsim nyob rau hauv cov leeg ntshav tob ntawm peb lub cev, tshwj xeeb tshaj yog nyob rau hauv ob txhais ceg. Yog tias cov no tawg tawm ntawm qhov ntawd, mus nrog cov ntshav, mus ncig lub plawv, thiab daig hauv cov leeg ntshav hauv lub ntsws, nws tuaj yeem yog qhov xwm txheej txaus ntshai heev uas tuaj yeem ua rau tuag taus. Yog li hnub no peb yuav tham txog ib lub cuab yeej tshwj xeeb, me me uas siv rau cov neeg uas muaj kev pheej hmoo ntawm qhov no thiab cov neeg uas tsis tuaj yeem noj cov tshuaj anticoagulants.
Hauv lwm lo lus, lub Vena Cava Filter no yog dab tsi?
Qhov no yog ib lub cuab yeej hlau me me. Xav txog nws zoo li lub thav duab ntawm lub kaus, lossis ib lub mesh me me. Nws muab tso rau hauv ib txoj hlab ntsha loj hauv peb lub cev. Nws lub luag haujlwm tseem ceeb yog tiv thaiv cov ntshav txhaws uas tsim nyob rau hauv qhov qis ntawm lub cev kom tsis txhob mus nrog cov ntshav thiab mus rau lub ntsws. Nws zoo li lub lim dej uas muab tso rau hauv cov yeeb nkab dej kom tiv thaiv cov av. Nws tso cai rau cov ntshav ntws los ntawm yam tsis muaj kev thaiv, thiab tsuas yog ntes cov ntshav txhaws xwb.
Muaj ob hom lim dej tseem ceeb no:
- Lub Lim Dej Inferior Vena Cava (IVC): Qhov no yog qhov siv ntau tshaj plaws. Lub Inferior Vena Cava yog cov hlab ntsha tseem ceeb uas nqa cov ntshav los ntawm qhov qis ntawm peb lub cev (xws li ob txhais ceg thiab lub plab) mus rau lub plawv. Yog li, lub lim dej no tau muab tso rau hauv cov hlab ntsha no kom tiv thaiv cov ntshav txhaws hauv ob txhais ceg.
- Lub Tshuab Lim Vena Cava Zoo Tshaj (SVC): Qhov no siv tsawg tsawg heev. Nws siv yog tias muaj kev pheej hmoo ntawm cov ntshav txhaws hauv cov leeg uas nqa cov ntshav los ntawm sab saud ntawm lub cev (xws li caj npab, caj dab, lossis taub hau) mus rau lub plawv.
Leej twg xav tau lub lim dej IVC no?
Tus kws kho mob yuav pom zoo kom siv lub lim dej IVC vim muaj ob peb yam tshwj xeeb. Tsis yog txhua tus neeg uas muaj cov ntshav txhaws yuav xav tau ib qho. Tej zaum koj yuav xav txog ib qho yog tias koj muaj ib qho ntawm cov mob hauv qab no:
- Yog tias koj muaj ib qho mob uas cov ntshav txhaws hauv koj cov leeg, hu ua Venous Thromboembolism (VTE) , thiab ...
- Yog tias koj tsis tuaj yeem noj cov tshuaj anticoagulants, nws yuav yog vim koj muaj lwm yam mob uas ua rau koj muaj feem yuav los ntshav, lossis vim koj ua xua rau cov tshuaj.
- Yog tias koj tseem muaj cov ntshav txhaws rov tshwm sim , txawm tias koj noj tshuaj ua kom ntshav nyias.
- Yog tias koj tau muaj ntshav txhaws hauv cov leeg ntshav tob hauv koj ceg lossis tam sim no, piv txwv li Deep Vein Thrombosis (DVT) .
- Yog tias koj tau tsim muaj pulmonary embolism , ntshav txhaws hauv lub ntsws, thiab muaj kev pheej hmoo siab uas nws yuav rov tshwm sim dua.
Qhov tseem ceeb tshaj plaws yog koj tus kws kho mob yuav tsum txiav txim siab tag nrho. Nws yuav kuaj xyuas koj tus mob tag nrho thiab txiav txim siab seb qhov no puas tsim nyog lossis tsis tsim nyog.
| Thaum twg xav tau IVC Filter | Kev piav qhia |
|---|---|
| Qhov laj thawj tseem ceeb | Kab mob Venous thromboembolism (VTE) thiab tsis muaj peev xwm muab cov tshuaj anticoagulants. |
| Lwm yam mob uas ua rau muaj kev pheej hmoo ntxiv | Cov teeb meem ntshav txhaws, cev xeeb tub, so ntev tom qab phais loj lossis raug xwm txheej. |
| Cov hom lim | Hom tas mus li: Rau cov neeg uas tsis tuaj yeem noj cov tshuaj ua kom ntshav nyias mus tas li. Hom uas rov qab tau: Rau cov uas tuaj yeem raug tshem tawm dua tom qab qhov kev pheej hmoo tau dhau mus. |
Qhov kev phais no ua li cas?
Qhov no tsis yog ib qho kev phais loj. Feem ntau nws tuaj yeem ua tiav li ib teev.
Ua ntej phais
Koj tus kws kho mob yuav nug txog koj keeb kwm kev noj qab haus huv. Koj yuav tsum qhia rau lawv txog txhua yam tshuaj uas koj noj. Lawv yuav hais kom koj tsum tsis txhob noj tshuaj aspirin lossis tshuaj ua kom ntshav nyias rau ob peb hnub. Lawv kuj tseem yuav qhia koj kom tsum tsis txhob noj thiab haus dej rau ob peb teev ua ntej phais. Lawv kuj tseem yuav kuaj ntshav, ECG, thiab echocardiogram.
Thaum lub sijhawm phais
1. Ua ntej, yuav muab cov tshuaj saline (IV) tso rau hauv cov leeg ntawm koj txhais caj npab.
2. Kuv yuav muab tshuaj rau koj kom koj so thiab ua rau koj kiv taub hau me ntsis.
3. Yuav muab tshuaj loog txhaj rau hauv qhov chaw uas yuav muab lub lim dej tso rau (feem ntau yog nyob rau hauv caj dab lossis qhov chaw mos).
4. Tom qab ntawd, yuav ua ib qho kev phais me me, thiab ib lub raj nyias nyias hu ua catheter yuav raug xa mus rau hauv nws raws cov leeg ntshav mus rau qhov chaw ntawm Vena Cava.
5. Tus kws kho mob yuav siv txoj kev siv tshuaj X-ray tshwj xeeb (fluoroscopy) los xyuas seb lub raj puas nyob hauv qhov chaw raug. Nws kuj tseem yuav txhaj tshuaj tshwj xeeb (cov khoom sib piv) kom pom cov leeg ntshav ntau dua.
6. Thaum twg nyob rau qhov chaw raug lawm, lub lim dej yuav raug ntxig los ntawm lub catheter thiab muab tso rau ntawd. Lub lim dej yuav qhib sab hauv thiab txuas rau ntawm phab ntsa ntawm cov leeg ntshav.
7. Thaum ua tiav txoj haujlwm, lub catheter raug tshem tawm thiab qhov phais raug kaw nrog daim ntaub qhwv.
Cov kev pheej hmoo thiab kev saib xyuas tom qab phais yog dab tsi?
Tom qab phais tas, koj yuav tsum tau nyob hauv tsev kho mob ob peb teev. Yog tias koj muaj mob, koj yuav tau txais tshuaj tua kab mob. Feem ntau, koj tuaj yeem mus tsev tib hnub ntawd. Tab sis koj yuav xav tau ib tus neeg coj koj mus tsev.
Txawm hais tias qhov no yog ib qho kev phais mob uas muaj kev nyab xeeb heev los xij, muaj qee qhov kev pheej hmoo uas tshwm sim tsis tshua muaj.
- Kev ua xua rau cov kua tshwj xeeb (contrast) uas tau txhaj tshuaj.
- Los ntshav los yog muaj kab mob ntawm qhov chaw txiav.
- Kev puas tsuaj rau cov hlab ntsha.
- Tsiv tawm ntawm qhov chaw ntxig lim dej thiab mus rau hauv lub plawv lossis lub ntsws.
- Kev tawg ntawm lim .
- Kev txhaws ntawm cov leeg ntshav qhov chaw uas lub lim dej raug tso (IVC thrombosis) .
Cov kev pheej hmoo no tsawg heev, tab sis nws yog ib qho tseem ceeb uas yuav tsum paub txog lawv.
Kev Rov Qab Zoo
Lub lim dej pib ua haujlwm tam sim ntawd tom qab muab tso rau hauv. Tej zaum yuav muaj qee qhov mob thiab tsis xis nyob ntawm qhov chaw txiav rau ob peb hnub. Yog tias nws tau muab tso rau hauv caj dab, koj tuaj yeem rov ua cov haujlwm ib txwm li ntawm 24 teev. Yog tias nws tau muab tso rau hauv qhov chaw mos, tus kws kho mob qhia kom koj tsis txhob ua tej yam xws li nce ntaiv, tsav tsheb, thiab tsa cov hnyav rau li ob hnub.
Yog tias nws yog lub lim dej ib ntus (rov qab tau), nws yog ib qho tseem ceeb heev uas yuav tsum tshem nws tawm sai li sai tau, thaum qhov kev pheej hmoo ntawm kev ntshav txhaws tau txo qis, lossis thaum cov tshuaj ua kom ntshav nyias tuaj yeem pib siv. Vim tias yog tias lub lim dej tso rau hauv lub cev ntev dhau, qhov kev pheej hmoo ntawm cov teeb meem uas peb tau tham ua ntej yuav nce ntxiv.
Cov Lus Qhia Txog Kev Coj Mus Tsev
- Lub Vena Cava Filter yog ib lub cuab yeej me me, zoo li daim ntaub uas tiv thaiv cov ntshav txhaws uas tsim nyob rau hauv qab ntawm lub cev kom tsis txhob mus rau hauv lub ntsws.
- Qhov no feem ntau yog qhov tsim nyog rau cov neeg uas tsis tuaj yeem noj cov tshuaj uas ua rau cov ntshav nyias (anticoagulants).
- Qhov no tsis yog ib qho kev phais loj thiab tuaj yeem ua tiav hauv ib teev los ntawm kev phais me me.
- Muaj ob hom lim dej: Mus tas li thiab Rov qab tau .
- Yog tias nws yog ib lub lim dej ib ntus, nws yog ib qho tseem ceeb heev uas yuav tsum tshem nws tawm sai li sai tau thaum qhov kev pheej hmoo ploj mus, raws li koj tus kws kho mob qhia.
- Yog tias koj muaj cov tsos mob xws li mob hauv siab, los ntshav tas li lossis muaj kua tawm ntawm qhov chaw phais, kub taub hau, lossis loog hauv koj txhais tes lossis taw tom qab phais, mus ntsib 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