Koj puas muaj tej lub sij hawm koj mob hnyav heev rau koj ob txhais ceg, tshwj xeeb tshaj yog rau koj ob txhais ceg thiab koj lub pob tw, thaum koj taug kev? Koj puas yuav tsum nres vim qhov mob no thaum koj taug kev deb me ntsis? Los yog txawm tias cov qhov txhab me me ntawm koj ob txhais ceg puas siv sij hawm ntev kom zoo, koj ob txhais ceg puas txias thaum kov, thiab puas muaj xim hloov pauv? Qhov laj thawj tseem ceeb rau cov no tuaj yeem yog kev txhaws ntawm cov hlab ntsha (arteries) uas nqa ntshav mus rau koj ob txhais ceg. Yog li, thaum qhov mob no hnyav zuj zus, ib qho ntawm cov kev kho mob tseem ceeb thiab zoo tshaj plaws uas cov kws kho mob pom zoo yog phais bypass. Cia peb tham txog qhov no hnub no.
Kev Phais Mob Vascular Bypass yog dab tsi?
Qhov no yooj yim heev. Xav txog tias txoj kev loj hauv nroog raug kaw tag nrho rau kev kho. Ces cov tsheb tsis tuaj yeem hla dhau, puas yog? Yog li cov tub ceev xwm ua li cas? Lawv hla txoj kev ntawd thiab tsim ib txoj kev tshiab, txoj kev hla, rau cov tsheb mus txog lawv qhov chaw.
Qhov no yog qhov tshwm sim hauv peb lub cev thaum lub sijhawm phais mob bypass. Thaum cov hlab ntsha loj uas nqa ntshav mus rau koj ceg raug thaiv los ntawm cov khoom xws li cov roj cholesterol ua rau nws thaiv cov ntshav ntws tag, tus kws phais yuav tsim txoj hauv kev tshiab rau cov ntshav ntws ncig cov hlab ntsha uas raug thaiv.
Ib qho 'graft' yog siv los tsim txoj kev tshiab no. Qhov graft no tuaj yeem yog cov leeg ntshav los ntawm lwm qhov ntawm koj lub cev (feem ntau los ntawm koj ceg). Los yog nws tuaj yeem yog cov khoom siv hluavtaws ua tshwj xeeb. Lub hom phiaj tseem ceeb ntawm kev phais mob no yog los kho cov ntshav kom zoo rau koj ceg, ua kom cov nqaij mos muaj sia nyob, thiab cawm koj ntawm kev pheej hmoo loj ntawm kev txiav ceg yav tom ntej.
Leej twg xav tau kev phais mob no?
Feem ntau qhov kev phais no yog qhov yuav tsum tau ua rau cov neeg uas muaj cov hlab ntsha loj heev uas muab ntshav mus rau lawv ob txhais ceg. Mob no hu ua 'Peripheral Artery Disease (PAD).' Thaum mob 'PAD' no hnyav zuj zus, cov ntshav mus rau ob txhais ceg yuav txo qis heev uas cov nqaij hauv ob txhais ceg pib tuag. Qhov no hu ua 'Critical Limb Ischemia'.
Yog hais yooj yim xwb, yog tsis muaj ntshav mus rau ceg, ceg nws tus kheej yuav muaj kev phom sij. Kev phais mob bypass no feem ntau yog siv los cawm cov ceg ntawm cov neeg mob uas muaj mob hnyav heev.
Cov hom kev phais mob bypass tseem ceeb yog dab tsi?
Muaj ntau hom kev phais no. Lawv raug hu ua raws li cov hlab ntsha uas qhov kev bypass pib thiab cov hlab ntsha uas cov ntshav raug hloov mus rau lwm txoj kev. Koj tuaj yeem tau txais lub tswv yim zoo txog qhov no los ntawm lub rooj hauv qab no.
| Lub Npe ntawm qhov phais (Hom Kev Bypass) | Qhov uas tab tom tshwm sim tsuas yog |
|---|---|
| Kev phais plawv bypass | Pib ntawm cov hlab ntsha loj (Aorta) hauv plab, nws faib ua ob zoo li tus 'Y' tig rau hauv qab thiab txuas rau cov hlab ntsha loj (Femoral arteries) hauv ob sab ceg. |
| Kev phais mob femoral-popliteal bypass | Nws pib ntawm cov hlab ntsha femoral hauv lub puab tais thiab txuas mus rau cov hlab ntsha popliteal saum toj lossis hauv qab lub hauv caug. |
| Kev phais mob femoral-tibial bypass | Nws pib ntawm cov hlab ntsha femoral hauv lub puab tais thiab txuas mus rau cov hlab ntsha tibial hauv qab lub hauv caug. |
Kev ntsuam xyuas ua ntej phais
Yog, tau kawg. Koj tus kws kho mob yuav ua ntau yam kev kuaj ua ntej npaj koj txoj kev phais. Cov kev kuaj tseem ceeb yog:
- Qhov ntsuas ntawm pob luj taws thiab pob taws: Qhov no ntsuas qhov ntshav siab hauv koj txhais caj npab thiab pob luj taws thiab piv ob qho tib si. Qhov no tuaj yeem muab lub tswv yim rau koj txog qhov ntshav ntws mus rau koj ob txhais ceg tau txo qis npaum li cas.
- Kev Siv Ultrasound Rau Cov Hlwb (Doppler Scan): Qhov no yog kev ntsuas uas tsis mob thiab tuaj yeem saib cov ntshav ntws hauv cov leeg thiab tej yam uas thaiv.
Tsis tas li ntawd xwb, vim tias ntau tus neeg uas muaj teeb meem ntawm cov leeg ntshav ntawm ceg kuj muaj teeb meem nrog lawv cov leeg ntshav ntawm lub plawv, cov kws kho mob kuj yuav kuaj xyuas koj lub plawv ua ntej phais. Qhov no tseem ceeb heev rau koj txoj kev nyab xeeb.
Yuav ua li cas phais thiab tej yam txaus ntshai
Qhov kev phais mob no yuav ua nyob rau hauv chav phais mob hauv tsev kho mob. Ua ntej, koj yuav tau txais tshuaj loog dav dav (tshuaj loog). Yog li koj yuav tsis hnov dab tsi thaum lub sijhawm phais mob. Tom qab ntawd, tus kws phais mob yuav txiav ntau qhov (incisions) rau ntawm daim tawv nqaij kom mus txog cov leeg ntshav uas tsim nyog. Tom qab ntawd, yuav muab cov pob txha uas tsim nyog, hla cov leeg ntshav uas raug thaiv, thiab tsim ib txoj kev tshiab nrog cov xov zoo heev. Feem ntau, qhov kev phais mob no yuav siv sijhawm li ob mus rau rau teev.
Ib yam li lwm yam kev phais mob, muaj qee qhov kev pheej hmoo, tshwj xeeb tshaj yog rau cov neeg uas muaj mob xws li ntshav qab zib, kab mob plawv, lossis kab mob raum.
| Tej zaum yuav muaj kev pheej hmoo/teeb meem |
|---|
| Kev ua tsis tiav ntawm kev phais hloov pauv - Qhov no txhais tau tias cov ntshav ntws los ntawm kev phais hloov pauv raug txo qis lossis raug thaiv dua. |
| Los ntshav ntawm cov qhov txiav. |
| Kev kis kab mob ntawm qhov txhab lossis cov pob txha. |
| Kev puas tsuaj rau cov hlab ntsha, loog, lossis tsis muaj zog hauv ceg. |
| Mob plawv. |
| Mob ntsws o. |
Tom qab phais tas, muaj dab tsi tshwm sim?
Tom qab phais tas, koj yuav tsum tau nyob hauv tsev kho mob ob peb hnub. Koj yuav tau txais cov tshuaj anticoagulants kom tiv thaiv cov ntshav txhaws kom tsis txhob tsim nyob rau hauv qhov graft tshiab.
Qhov tseem ceeb tshaj plaws yog koj tus kws kho mob yuav hais kom koj sawv ntawm txaj thiab pib taug kev me ntsis. Qhov no tseem ceeb heev kom koj cov ntshav ncig mus los thiab pab koj rov zoo sai. Tej zaum ib txhia neeg kuj xav tau kev kho lub cev. Maj mam, koj yuav rov qab mus ua koj tej dej num li qub tau.
Nco ntsoov ib qho tseem ceeb. Qhov kev phais no yuav tsis kho koj tus kab mob PAD tag nrho. Nws tsuas yog yuav tswj cov tsos mob thiab cawm koj ceg xwb. Raws li lub sijhawm dhau mus, cov pob txha no tuaj yeem raug thaiv dua. Kev ua tsis tiav ntawm pob txha yog qhov tshwm sim ntau rau cov neeg uas haus luam yeeb. Yog li ntawd, qhov kev phais zoo nyob ntawm koj txoj kev ua neej.
Thaum twg koj yuav tsum hu rau koj tus kws kho mob tam sim ntawd?
Thaum koj mus tsev tom qab phais tas, ceev faj txog cov tsos mob hauv qab no. Yog tias koj muaj ib qho ntawm cov no, qhia rau koj tus kws kho mob lossis lub tsev kho mob uas koj tau txais kev kho mob tam sim ntawd.
| Cov cim ceeb toom uas yuav tsum tau saib xyuas | |
|---|---|
| Yog tias tus ceg uas raug phais muaj cov tsos mob no: | |
| - Mob tshiab los yog mob hnyav | - Ob txhais ceg txias, dawb, los yog xiav |
| - Tsis muaj zog los yog tsis hnov dab tsi li | - Kev mob ntawm cov ceg |
| Yog tias muaj lwm cov tsos mob ntawm cov teeb meem: | |
| - 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 |
Cov Lus Qhia Txog Kev Coj Mus Tsev
- Kev phais mob vascular bypass yog ib qho kev phais uas hla cov hlab ntsha uas raug thaiv thiab tsim ib txoj kev tshiab rau cov ntshav ntws.
- Lub hom phiaj tseem ceeb ntawm qhov no yog los kho cov ntshav ntws mus rau ceg thiab txuag nws ntawm kev pheej hmoo ntawm kev txiav ceg.
- Yuav kom phais tau zoo thiab thiab kom lub pob txha txuas tau mus ntev, nws yog ib qho tseem ceeb heev uas yuav tsum tsis txhob haus luam yeeb kiag li thiab tswj cov kab mob xws li ntshav qab zib thiab ntshav siab kom zoo.
- Txawm tias tom qab phais lawm los xij, nws tseem ceeb heev uas yuav tsum sib cuag nrog koj tus kws kho mob tsis tu ncua thiab mus kuaj mob tsis tu ncua.
- Yog koj pom qhov mob tshiab, loog, tsis muaj xim, lossis qhov txhab ntawm koj ceg zuj zus tuaj, tsis txhob tsis quav ntsej thiab qhia rau koj tus kws kho mob tam sim ntawd.
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