Koj puas mob koj ob txhais ceg heev, tshwj xeeb tshaj yog thaum koj taug kev luv luv xwb? Puas mob ploj mus thaum koj zaum ib pliag thiab rov qab taug kev dua? Los yog koj puas loog hauv koj ob txhais ceg, txias hauv koj ob txhais ceg, lossis xav tias txawm tias qhov txhab me me los kuj siv sijhawm ntev los kho? Tej zaum cov no yog cov cim qhia tias muaj qee qhov kev thaiv hauv koj lub cev cov hlab ntsha, tshwj xeeb tshaj yog hauv cov hlab ntsha uas nqa ntshav mus rau koj ob txhais ceg. Hnub no, peb yuav tham txog kev daws teeb meem uas hloov pauv lub neej hauv cov xwm txheej zoo li no, kev phais 'bypass'.
Ua ntej, cia peb saib seb kab mob vascular yog dab tsi.
Hais yooj yim xwb, qhov no yog teeb meem nrog cov hlab ntsha hauv peb lub cev. Peb lub cev muaj ib lub network ntawm cov leeg uas nqa ntshav mus rau txhua lub ces kaum. Ib yam li cov kav dej uas coj dej mus rau peb lub tsev. Muaj ob hom leeg. Cov leeg uas nqa cov ntshav huv (nrog cov pa oxygen thiab cov as-ham) los ntawm lub plawv mus rau lwm qhov ntawm lub cev hu ua cov hlab ntsha . Cov leeg uas nqa cov ntshav tsis huv los ntawm lub cev rov qab mus rau lub plawv hu ua cov leeg .
Hauv ib qho mob hu ua 'Vascular Disease', tej yam xws li roj thiab cov roj cholesterol sib sau ua ke hauv cov phab ntsa ntawm cov hlab ntsha no, zoo li xeb sib sau ua ke hauv cov kav dej, thiab cov ntshav ntws maj mam nqaim. Hauv cov lus kho mob, peb hu qhov no tias 'Peripheral Artery Disease' (PAD) . Thaum cov ntshav ntws nqaim zoo li no, cov kabmob uas nyob deb ntawm lub plawv, tshwj xeeb tshaj yog ob txhais ceg, tsis tau txais cov pa oxygen thiab cov as-ham uas lawv xav tau. Yog vim li cas cov tsos mob xws li mob thiab loog tshwm sim thaum taug kev.
Xav txog seb, yuav muaj li cas yog tias muaj ib tug neeg mus tsuj rau ntawm lub yeeb nkab uas ywg dej rau cov ntoo hauv koj lub vaj? Cov dej uas tawm ntawm qhov kawg ntawm lub yeeb nkab yuav txo qis, puas yog? Tib yam li ntawd tshwm sim rau cov hlab ntsha hauv peb ob txhais ceg.
Yog li ntawd, kev phais bypass yog dab tsi?
Zoo, tam sim no koj nkag siab txog qhov kev thaiv cov hlab ntsha yog dab tsi. 'Bypass' txhais tau tias tsim lwm txoj kev rau cov hlab ntsha uas raug thaiv no.
Xav txog seb puas muaj tsheb coob heev ntawm txoj kev Colombo-City, thiab cov tsheb tsis tuaj yeem mus tau. Yog li ntawd, tsoomfwv yuav ua li cas? Lawv tsim ib txoj kev loj tshiab los hla txoj kev ntawd, puas yog? Ib yam li ntawd, tus kws phais siv cov hlab ntsha tshiab lossis ib lub raj cuav los hla cov hlab ntsha uas raug thaiv, tsim ib txoj kev tshiab rau cov ntshav ntws yam tsis muaj kev thaiv.
Peb hu txoj kev tshiab no ua 'graft' . Lo lus 'graft' no yog siv li no:
1. Ib txoj hlab ntsha los ntawm lwm qhov ntawm koj lub cev: Txoj hlab ntsha uas siv ntau tshaj plaws yog txoj hlab ntsha saphenous, uas nyob hauv qab daim tawv nqaij ntawm ceg. Qee zaum, txoj hlab ntsha hauv caj npab kuj siv tau. Qhov no yog qhov kev xaiv zoo tshaj plaws.
2. Ib lub yeeb nkab ua los ntawm cov khoom siv hluavtaws:Yog tias koj lub cev tsis tuaj yeem nkag mus rau cov hlab ntsha, tshwj xeeb tshaj yog tias cov hlab ntsha uas yuav raug hla mus loj heev (piv txwv li, aorta hauv koj lub plab), yuav siv ib lub raj dag zoo li no.
Lub hom phiaj tseem ceeb ntawm kev phais mob no yog los kho cov ntshav kom rov qab mus rau ob txhais ceg, txo qhov mob, kho cov qhov txhab, thiab, qhov xwm txheej phem tshaj plaws, cawm koj ntawm kev pheej hmoo ntawm kev txiav ceg.
Cov hom kev phais mob bypass tseem ceeb yog dab tsi?
Muaj ntau hom kev phais mob bypass. Cov no raug muab npe raws li qhov chaw uas cov hlab ntsha uas raug thaiv thiab cov hlab ntsha tshiab txuas nrog. Cia peb saib qee hom kev phais mob uas feem ntau ua hauv peb lub tebchaws.
| Hom kev phais mob | Hais yooj yim xwb, ua li cas lawm? |
|---|---|
| Aortobifemoral Bypass | Qhov no suav nrog kev tsim ib txoj kev tshiab los ntawm qhov qis ntawm lub aorta hauv plab mus rau ob lub hlab ntsha loj uas nqa ntshav mus rau ob txhais ceg (cov hlab ntsha femoral). Lub duab ntawm cov graft no zoo li tus 'Y' tig rau hauv qab. |
| Kev Hla Txoj Hlab Ntswg Femoral-Popliteal (Fem-Pop) | Qhov no suav nrog kev tso ib txoj kev bypass los ntawm cov hlab ntsha femoral hauv qhov chaw mos mus rau cov hlab ntsha popliteal saum lossis hauv qab lub hauv caug. Qhov no yog kev phais mob feem ntau ua rau cov hlab ntsha hauv ob txhais ceg raug thaiv. |
| Kev Kho Mob Femoral-Tibial Bypass | Hauv qhov no, ib txoj kev tshiab raug tsim los ntawm cov hlab ntsha iliac mus rau cov hlab ntsha tibial, uas nyob deb hauv qab lub hauv caug. Kev phais no yog ua thaum qhov kev thaiv nyob deb hauv qab. |
Yuav tsum tau kuaj dab tsi ua ntej phais?
Yog, tau kawg. Koj tus kws kho mob yuav ua ntau qhov kev kuaj ua ntej npaj phais. Qhov no yuav pab lawv txiav txim siab qhov twg thiab ntau npaum li cas ntawm cov hlab ntsha raug thaiv.
- Cov Ntsuas Pob Qij-Ntiv Tes (ABI):Qhov no yog ib qho kev sim yooj yim heev. Lawv ntsuas koj cov ntshav siab hauv koj ob qho tib si pob luj taws thiab caj npab (brachial) thiab piv ob qho txiaj ntsig. Yog tias qhov siab hauv koj ceg qis dua qhov siab hauv koj caj npab, nws txhais tau tias muaj qee qhov kev thaiv rau cov ntshav ntws mus rau koj ceg.
- Kev Siv Ultrasound Rau Cov Hlwb: Qhov no yog kev ntsuas uas tsis mob, zoo ib yam li qhov ua thaum koj muaj menyuam. Nws tuaj yeem pom tseeb tias cov ntshav txav mus los ntawm cov hlab ntsha li cas, seb puas muaj cov ntshav txhaws, thiab qhov twg lawv raug thaiv.
- Lwm yam kev kuaj mob: Qee zaum koj tus kws kho mob kuj yuav txiav txim siab kuaj xyuas koj lub plawv. Qhov no yog vim tias ntau tus neeg uas muaj teeb meem nrog cov hlab ntsha hauv lawv ob txhais ceg kuj tseem yuav muaj teeb meem nrog cov hlab ntsha hauv lawv lub plawv.
Muaj dab tsi tshwm sim rau hnub phais?
Qhov kev phais no ua nyob rau hauv tsev kho mob, hauv chav phais. Koj tsis muaj dab tsi yuav ntshai. Cov kws kho mob thiab cov neeg ua haujlwm tu mob yuav saib xyuas koj zoo.
1. Tshuaj loog: Ua ntej, tus kws kho mob tshuaj loog yuav kuaj koj thiab muab cov tshuaj tsim nyog rau koj kom koj tsaug zog tob thoob plaws hauv kev phais. Qhov no hu ua 'General Anesthesia' .
2. Phais Mob: Tom qab koj tsaug zog lawm, tus kws phais mob yuav txiav ob peb qhov me me rau ntawm koj daim tawv nqaij kom nkag mus rau hauv cov hlab ntsha uas koj tab tom phais. Qhov chaw thiab qhov loj ntawm cov qhov txiav no yuav nyob ntawm hom kev phais mob uas koj tab tom phais.
3. Txuas txoj kev bypass: Tom ntej no, tus kws kho mob yuav siv txoj 'graft' uas koj xaiv (yog koj cov leeg ntshav lossis ib lub raj cuav) thiab txuas nws rau cov leeg ntshav noj qab haus huv saum toj thiab hauv qab qhov txhaws siv cov xov zoo heev.
4. Kaw cov qhov txiav: Tom qab tsim txoj kev tshiab lawm, cov ntshav ntws raug kuaj xyuas thiab cov qhov txiav hauv daim tawv nqaij raug kaw dua nrog cov xov.
Tag nrho cov txheej txheem no feem ntau yuav siv sijhawm li ob mus rau rau teev , nyob ntawm seb qhov nyuaj ntawm kev phais bypass uas koj tab tom ua.
Puas muaj kev pheej hmoo rau qhov kev phais no?
Ib yam li lwm yam kev phais mob, muaj tej yam txaus ntshai thiab tej yam teeb meem uas yuav tshwm sim tau. Txawm li cas los xij, tej yam txaus ntshai no yuav raug txo kom tsawg dua yog tias muaj ib pab neeg kho mob uas muaj kev txawj ntse saib xyuas. Qhov kev pheej hmoo ntawm tej yam teeb meem yog siab dua me ntsis, tshwj xeeb tshaj yog rau cov neeg uas muaj tej yam mob xws li kab mob plawv, kab mob raum, thiab/lossis kab mob ntshav qab zib.
| Cov teeb meem tseem ceeb uas yuav tshwm sim | |
|---|---|
| Kev ua haujlwm tsis zoo ntawm kev txiav cov hlab ntsha bypass | Cov ntshav txhaws tuaj yeem tsim tau sab hauv txoj kev tshiab uas tau tsim thiab rov daig dua. |
| Los ntshav los ntawm cov qhov txiav | Tom qab phais lawm, cov xov yuav los ntshav. |
| Kev kis kab mob | Cov kab mob tuaj yeem nkag mus rau hauv cov qhov txiav lossis cov ceg tshiab uas tau ntxig. |
| Kev puas tsuaj rau cov hlab ntsha | Tej zaum yuav muaj qhov loog lossis qhov tsis muaj zog ntawm ceg. |
| Lwm yam teeb meem | Cov mob xws li mob plawv nres lossis mob ntsws. |
Tom qab phais tas, yuav muaj dab tsi tshwm sim? Lub sijhawm rov zoo li cas?
Tom qab phais tas, koj yuav tsum tau nyob hauv tsev kho mob ob peb hnub. Thaum lub sijhawm no:
- Koj yuav tau txais tshuaj tua kab mob.
- Yuav muab cov tshuaj anticoagulants los tiv thaiv cov ntshav txhaws hauv cov pob txha tshiab.
- Cov neeg ua haujlwm tu mob yuav ntxuav thiab saib xyuas koj cov qhov txhab zoo.
Qhov tseem ceeb tshaj plaws yog sawv ntawm txaj thiab pib taug kev sai li sai tau. Qhov no yuav nyuaj me ntsis thaum xub thawj, tab sis nws yog ib qho tseem ceeb uas yuav tsum taug kev maj mam, raws li koj tus kws kho mob thiab tus kws kho lub cev qhia. Qhov no yuav ua rau cov ntshav ncig zoo dua thiab pab koj rov zoo sai dua.
Txawm tias koj mus tsev lawm los, koj yuav tsum maj mam rov qab mus ua koj txoj kev ua neej ib txwm. Tej zaum koj yuav tsum tsis txhob tsa cov khoom hnyav thiab ua tej yam nyuaj siab ib ntus.
Qhov kev phais no daws qhov 'kev thauj mus los' hauv koj cov hlab ntsha. Tab sis, tsis txhob hnov qab, qhov ua rau muaj tus kab mob no (Peripheral Artery Disease - PAD) tseem nyob hauv koj lub cev. Qhov no txhais tau tias qhov no yog koj lub sijhawm thib ob.
Yuav kom cov noob caj noob ces noj qab nyob zoo mus ntev, koj yuav tsum hloov koj txoj kev ua neej.
- Yog koj haus luam yeeb, tsum hnub no: Kev haus luam yeeb yog qhov ua rau kev hloov pauv tsis ua haujlwm.
- Tswj ntshav qab zib, ntshav siab, thiab roj cholesterol: Noj cov tshuaj uas koj tus kws kho mob sau rau koj raws sijhawm.
- Noj zaub mov kom zoo: txo cov roj, ntsev, thiab qab zib. Noj zaub, txiv hmab txiv ntoo, thiab zaub ntsuab ntau dua.
- Kev tawm dag zog raws li koj tus kws kho mob hais: Txawm tias kev tawm dag zog yooj yim xws li kev taug kev txhua hnub kuj muaj txiaj ntsig zoo heev.
- Mus rau cov chaw kho mob raws sijhawm: Ntsib nrog koj tus kws phais thiab xyuas qhov mob ntawm cov pob txha tsis tu ncua.
Kuv yuav tsum mus ntsib kws kho mob dua thaum twg?
Yog tias koj muaj ib qho ntawm cov tsos mob hauv qab no tom qab phais, hu rau koj tus kws kho mob tam sim ntawd.
| Yog koj pom qhov kev hloov pauv zoo li no ntawm koj txhais ceg ... | |
|---|---|
| - Mob tsis taus | - Ob txhais ceg txias, dawb, los yog xiav |
| - Tsis muaj zog los yog tsis muaj kev xav | - Yog tias cov qhov txhab ntawm ceg hnyav zuj zus lossis cov qhov txhab tshiab tshwm sim |
| Yog tias muaj lwm yam teeb meem tshwm sim ... | |
| - Ua npaws | - Xeev siab thiab ntuav |
| - Liab thiab sov so nyob ib ncig ntawm cov qhov txiav | - Cov kua dej zoo li kua qaub tawm ntawm cov qhov txhab |
Yog tias koj mob hauv siab tam sim ntawd, ua pa nyuaj, lossis mob ceg sai sai, hnyav nrog rau ob txhais ceg txias thiab dawb, mus rau Chav Kho Mob Xwm Ceev (ETU) ze tshaj plaws tam sim ntawd.
Cov Lus Qhia Txog Kev Coj Mus Tsev
- Kev Phais Vascular Bypass yog ib txoj kev phais uas cawm txoj sia uas hla cov hlab ntsha uas raug thaiv thiab tsim ib txoj kev tshiab rau kev ntws ntshav.
- Qhov no tuaj yeem txo qhov mob ceg thiab cawm koj ntawm kev pheej hmoo ntawm kev raug txiav ceg.
- Yuav kom ua tiav qhov kev phais mob, nws yog ib qho tseem ceeb uas yuav tsum hloov koj txoj kev ua neej tom qab phais mob. Qhov tseem ceeb, koj yuav tsum tso tseg kev haus luam yeeb kiag li.
- Tswj cov ntshav qab zib, ntshav siab, thiab cov roj cholesterol.
- Yog tias koj muaj tej yam tsos mob txawv txawv tom qab phais lawm, tsis txhob ntshai thiab 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