Angioplasty thiab stent - lub siab - tso tawm

Angioplasty yog ib txoj kev los qhib kev nqaim lossis thaiv cov hlab ntshav uas xa ntshav mus rau lub plawv. Cov hlab ntsha no hu ua txoj hlab ntsha ntawm txoj hlab ntshav. Ib txoj hlab ntshav leeg txoj hlab ntsha yog txoj hlab ntshav me me, uas nthuav tawm sab hauv txoj hlab ntshav.

Koj tau mob caj pas thaum koj nyob hauv tsev kho mob. Tej zaum koj kuj tseem muaj lub stent tso. Ob qho no tau ua tiav los qhib qhov nqaim lossis txhaws ntshav hlab ntsha, cov hlab ntshav uas xa ntshav rau koj lub plawv. Tej zaum koj tau muaj lub plawv nres lossis mob caj dab (mob hauv siab) ua ntej qhov txheej txheem.

Tej zaum koj yuav muaj mob mob hauv koj lub puab tais, caj npab, lossis dab teg. Qhov no yog los ntawm txoj raj yas (txoj raj dej khov) uas tau muab tso kom ua cov txheej txheem. Koj kuj tseem yuav muaj qee qhov nqaij doog nyob ib puag ncig thiab qis hauv qhov phais.

Kev mob hauv siab thiab txog siav uas koj yuav tsum tau muaj ua ntej cov txheej txheem yuav tsum zoo dua tam sim no.

Feem ntau, cov neeg uas mob angioplasty tuaj yeem taug kev ncig thaj tsam li ntawm 6 teev tom qab kev kho mob. Koj tuaj yeem muaj peev xwm sawv thiab taug kev ua ntej dua yog tias tus txheej txheem tau ua los ntawm dab teg. Kev ua tiav tag yuav siv sijhawm ib lub lim tiam lossis luv dua. Khaws thaj chaw uas cov raj yas txuas tau qhuav rau 24 rau 48 teev.

Yog tias tus kws kho mob tso txoj raj tso rau hauv koj lub puab tais:

• Taug kev nrug deb ntawm daim tiaj tiaj yog qhov lawv xav tau. Txwv tsis pub nce thiab nqis ntaiv ib puag ncig 2 zaug hauv ib hnub rau thawj 2 mus rau 3 hnub.
• Tsis txhob ua cov hauj lwm mev, tsav tsheb, zaum, nqa khoom hnyav, lossis ncaws kis las yam tsawg 2 hnub, lossis txog thaum koj tus kws kho mob hais rau koj tias nws nyab xeeb.

Yog tias tus kws kho mob tso cov raj yas rau hauv koj sab caj npab lossis dab teg:

• Tsis txhob nqa ib qho hnyav dua 10 phaus (4.5 phaus) (me dua ib nkas loos mis nyuj) nrog txhais caj npab uas muaj txoj raj.
• Tsis txhob ua ib qho hnyav thawb, rub tawm los sis sib zog ntawm caj npab ntawd.

Txog txoj raj rau ntawm koj lub puab tais, caj npab, los yog dab teg:

• Zam kev ua plees ua yi rau 2 txog 5 hnub. Nug koj tus kws khomob thaum nws yuav rov qab pib dua.
• Tsis txhob da dej los yog ua luam dej hauv thawj lub lis piam. Koj tuaj yeem siv sijhawm da dej, tab sis nco ntsoov thaj chaw uas tus kav raj dej ntxig tsis tau ntub rau thawj 24 txog 48 teev.
• Koj yuav tsum rov qab ua haujlwm li 2 mus rau 3 hnub yog tias koj tsis ua haujlwm hnyav.

Koj yuav tsum tau saib xyuas koj qhov phais.

• Koj tus kws kho mob yuav qhia koj kom tuab npaum li cas los hloov koj cev khaub ncaws.
• Yog tias koj qhov phais mob los ntshav lossis o o tuaj, pw thiab nias nws qhov siab kom ntev li 30 feeb.

Angioplasty tsis muaj tshuaj kho qhov ua rau ntawm txhaws hauv koj cov hlab ntsha. Koj cov hlab ntsha kuj yuav nqaim dua. Noj zaub mov zoo kom lub plawv muaj zog, ua kom tawm dag zog, txiav kev haus luam yeeb (yog tias koj haus luam yeeb), thiab txo qhov kev ntxhov siab kom pab txo koj txoj hauv kev rov ua mob txhaws dua. Koj tus kws khomob yuav muab cov tshuaj los pab txo koj cov roj (cholesterol).

Cov neeg feem ntau siv tshuaj aspirin ua ke nrog lwm cov tshuaj tiv thaiv kab mob xws li clopidogrel (Plavix), prasugrel (Efient), lossis ticagrelor (Brilinta) tom qab cov txheej txheem no. Cov tshuaj no yog tshuaj tua ntshav. Lawv ua kom koj cov ntshav tawm ntawm cov ntshav khov hauv koj cov hlab ntsha thiab stent. Ib feem ntshav txhaws tuaj yeem ua rau lub plawv nres. Noj cov tshuaj raws nraim li koj tus kws kho mob hais rau koj. Tsis txhob tsum tseg tsis noj lawv yam tsis tham nrog koj tus kws kho mob ua ntej.

Koj yuav tsum paub txog kev saib xyuas koj lub siab puas siab ntsws yog tias nws rov qab los.

Nco ntsoov tias koj teem sijhawm mus ntsib nrog koj tus kws kho mob plawv (kws kho plawv).

Koj tus kws kho mob tuaj yeem xa koj mus rau cov phiaj xwm kho mob rov mob plawv. Qhov no yuav pab koj paub yuav ua li cas maj mam ua kom koj ib ce muaj zog. Koj tseem yuav kawm paub txog kev saib xyuas koj cov angina thiab saib xyuas koj tus kheej tom qab koj lub plawv nres.

Hu rau koj tus kws kho mob yog hais tias:

• Muaj ntshav tawm ntawm cov catheter qhov chaw zoo tsis nres thaum koj thov siab.
• Muaj o ntawm lub vev xaib catheter.
• Koj txhais ceg lossis sab caj npab hauv qab qhov uas tus kav raj tso rau qhov hloov pauv xim, txias zuj zus mus kov, lossis ua rau loog.
• Qhov phais me me rau koj txoj raj yas ua xim liab los yog mob, los yog xim daj los yog xim ntsuab yog xuav dej los ntawm nws.
• Koj muaj mob hauv siab lossis ua tsis taus pa uas ua tsis tau nrog kev so.
• Koj cov mem tes xav tsis meej - qeeb heev (tsawg dua 60 rab), lossis ceev heev (tshaj 100 txog 120 neeg ntaus) ib feeb.
• Koj kiv tob hau, tsaus muag, lossis koj sab heev.
• Koj hnoos tau ntshav lossis daj lossis ntsuab ntsuab.
• Koj muaj teeb meem noj ib yam ntawm koj cov tshuaj kho plawv.
• Koj ua daus no lossis ua npaws kub tshaj 101 ° F (38.3 ° C).

Tshuaj-eluting stents - paug; PCI - kev tso tawm; Kev cuam tshuam txog cov hlab ntshav tawm - kev tso tawm; Zais pa angioplasty - tawm; Coronary angioplasty - paug; Coronary artery angioplasty - muaj paug; Mob angioplasty - paug; PTCA - kev tso tawm; Percutaneous transluminal mob hlab ntsha angioplasty - paug; Lub plawv artery dilatation - tawm; Angina angioplasty - muaj paug; Lub plawv nres angioplasty - tawm; CAD angioplasty - muaj paug

• Txoj hlab ntshav leeg txoj hlab ntshav

Amsterdam EA, Wenger NK, Brindis RG, li al. Xyoo 2014 AHA / ACC cov txheej txheem rau kev tswj hwm cov neeg mob uas tsis yog-qib mob siab mob siab rau cov leeg ntshav nce siab: cov lus tshaj tawm ntawm American College of Cardiology / American Heart Association Task Force ntawm cov lus qhia xyaum. J Am Coll CardiolCov. Xyoo 2014; 64 (24): e139-e228. PMID: 25260718 pubmed.ncbi.nlm.nih.gov/25260718/.

Fihn SD, Blankenship JC, Alexander KP, Bittl JA, li al. 2014 ACC / AHA / AATS / PCNA / SCAI / STS tau hloov kho cov lus qhia rau kev kuaj mob thiab kev tswj hwm cov neeg mob uas muaj lub plawv mob ischemic ruaj khov: ib tsab ntawv tshaj tawm ntawm Asmeskas College ntawm Cardiology / American Heart Association Task Force ntawm Kev Coj Qhia, thiab Cov Koom Haum Asmeskas rau Thoracic Kev Kho Mob, Kev Tiv Thaiv Kab Mob Hauv Lub Hlwb, Cov Koom Haum Rau Kev Mob Hlwb Plawv thiab Cov Kev Tiv Thaiv, thiab Lub Koom Haum ntawm Thoracic Cov Neeg phais. J Thorac Cardiovasc SurgCov. 2015; 149 (3): e5-e23. PMID: 25827388 pubmed.ncbi.nlm.nih.gov/25827388/.

Mehran R, Dangas GD. Coronary angiography thiab duab kos rau lub plawv. Hauv: Zipes DP, Libby P, Bonow RO, Mann DL, Tomaselli GF, Braunwald E, eds. Braunwald's Plawv Lub Plawv: Phau Ntawv Qhia Txog Cov Tshuaj Mob plawvCov. 11th ed. Philadelphia, PA: Elsevier; 2019: chap 20.

O'Gara PT, Kushner FG, Ascheim DD, li al. 2013 ACCF / AHA cov lus qhia rau kev tswj hwm ntawm ST-nce myocardial infarction: cov lus sau ua tus thawj coj: ib daim ntawv tshaj tawm ntawm American College of Cardiology Foundation / American Heart Association Task Force ntawm kev coj ua qauv qhia. Kev ncigCov. 2013; 127 (4): 529-555. PMID: 23247303 pubmed.ncbi.nlm.nih.gov/23247303/.

• Angina
• Angioplasty thiab stent tso kawm - carotid leeg
• Plawv nres
• Kev phais plawv bypass
• Kev phais mob hauv lub plawv bypass - tsawg tus tus
• Cov ntshav siab hauv cov qib siab
• Ntshav siab - cov neeg laus
• Lub siab
• Cov lus qhia txog yuav ua li cas txiav luam yeeb
• Tsis khov tsis khov

• ACE inhibitors
• Angina - tawm hauv
• Angina - yuav tsum nug koj tus kws kho mob li cas
• Angina - thaum koj mob hauv siab
• Angioplasty thiab stent - lub siab - tso tawm
• Antiplatelet tshuaj - P2Y12 inhibitors
• Cov tshuaj aspirin thiab kab mob plawv
• Nquag nquag tom qab koj lub plawv nres
• Nquag nquag siv thaum koj muaj kab mob plawv
• Butter, margarine, thiab roj ua noj
• Mob catheterization - paug
• Cov roj khov thiab txoj kev ua neej
• Tswj koj cov ntshav siab
• Kev noj haus cov rog piav qhia
• Cov lus qhia zaub mov nrawm
• Plawv nres - tso tawm
• Plawv nres - dab tsi yuav nug koj tus kws kho mob
• Kab mob hauv lub plawv - yam txaus ntshai
• Yuav nyeem daim ntawv zaub mov li cas
• Mediterranean noj

• Angioplasty
• Kab Mob Hlwb Pob