Carotid artery stenosis - kev saib xyuas tus kheej

Cov hlab ntsha carotid muab cov ntshav tseem ceeb rau lub hlwb. Lawv nyob rau txhua sab ntawm koj lub caj dab. Koj tuaj yeem hnov ​​lawv cov mem tes hauv qab koj lub puab tsaig.

Carotid leeg ntshav hlab ntsha tshwm sim thaum carotid cov hlab ntsha tau nqaim los yog txhaws. Qhov no tuaj yeem ua rau mob stroke.

Txawm hais tias koj tus kws kho mob pom zoo kev phais los thaiv cov hlab ntsha txhaws, cov tshuaj thiab kev ua neej hloov pauv tuaj yeem:

• Tiv thaiv kom muaj kev cuam tshuam ntxiv ntawm cov hlab ntsha tseem ceeb no
• Tiv thaiv kom txhob mob stroke

Hloov qee yam ntawm koj lub cev kev noj haus thiab kev tawm dag zog tuaj yeem pab kho tus mob carotid leeg hlab ntsha. Cov kev hloov ua kom lub cev noj qab haus huv no tseem tuaj yeem pab koj tuav kom lub cev muaj ceeb thawj thiab tswj tau cov ntshav siab thiab cov cholesterol.

• Noj zaub mov zoo, tsis muaj roj.
• Noj cov txiv hmab txiv ntoo thiab zaub kom ntau. Fresh lossis khov yog cov kev xaiv zoo dua li cov kaus poom, uas tej zaum yuav muaj ntsev ntxiv los yog qab zib.
• Xaiv cov khoom muaj muaj txiaj ntsig zoo, xws li cov khob cij tag nrho, nplej zom, mov noj, thiab cov hau tawg.
• Noj cov nqaij rog thiab nqaij qaib tsis muaj nqaij thiab nqaij qaib cov txwv.
• Noj cov ntses ob zaug ib lub lim tiam. Ntses yog qhov zoo rau koj cov hlab ntsha.
• Txiav rov qab rau cov rog, cov roj (cholesterol), thiab ntxiv ntsev thiab suab thaj.

Yuav tsum nquag dua.

• Tham nrog koj tus kws kho mob ua ntej kom paub tseeb tias koj noj qab nyob zoo kom ib ce muaj zog.
• Taug kev yog ib qho yooj yim los ntxiv kev ua si rau koj hnub. Pib li 10 txog 15 feeb nyob rau ib hnub.
• Pib maj mam thiab tsim tawm ntev txog li 150 feeb ntawm kev tawm dag zog hauv lub lim tiam.

Txiav kev haus luam yeeb, yog koj haus luam yeeb. Txiav yuav txo koj txoj kev pheej hmoo ntawm mob stroke. Tham nrog koj tus kws kho mob txog cov kev pab txiav luam yeeb.

Yog tias kev pauv hloov hauv lub neej tsis txo qis koj cov roj (cholesterol) thiab ntshav siab txaus, cov tshuaj noj tau raug.

• Cov tshuaj roj khov pab koj lub siab tsim cov roj (cholesterol) tsawg dua. Qhov no txwv tsis pub cov quav hniav, ntawv sau nyiaj, los ntawm kev txhim tsa hauv cov hlab ntsha hauv carotid.
• Tshuaj ntshav siab so koj cov hlab ntshav, ua rau koj lub plawv dhia qeeb qeeb, thiab pab koj lub cev kom hle cov dej ntxiv. Qhov no pab txo cov ntshav siab.
• Ntshav cov tshuaj, xws li cov tshuaj aspirin los yog clopidogrel, txo txoj kev pheej hmoo ntawm cov ntshav txhaws thiab pab txo koj cov ntshav muaj feem.

Cov tshuaj no tuaj yeem muaj cov kev mob tshwm sim. Yog tias koj pom cov kev mob tshwm sim, nco ntsoov qhia koj tus kws kho mob. Koj tus kws kho mob tuaj yeem hloov qhov ntau lossis cov tshuaj uas koj noj los pab txo cov kev mob tshwm sim. Tsis txhob tsum tsis txhob noj tshuaj los sis noj tsawg dua yam tsis tau tham nrog koj tus kws kho mob ua ntej.

Koj tus kws kho mob yuav xav saib xyuas koj thiab saib seb koj txoj kev kho mob puas ua haujlwm. Ntawm cov kev mus ntsib no, koj tus kws khomob yuav:

• Siv stethoscope kom mloog cov ntshav ntws hauv koj lub caj dab
• Kuaj koj cov ntshav siab
• Kuaj koj cov qib roj cholesterol

Koj tuaj yeem ua cov kev sim ntsuas los saib seb qhov txhaws hauv koj cov hlab ntsha hauv plab puas zuj zus.

Muaj carotid leeg mob ua rau koj muaj kev pheej hmoo mob stroke. Yog koj xav tias koj muaj cov tsos mob hlab ntsha tawg, mus rau chav kho mob ceev lossis hu 911 lossis tus npawb xov tooj xwm ceev hauv ib cheeb tsam. Cov tsos mob ntawm tus mob stroke muaj xws li:

• Qhov muag plooj
• Tsis meej pem
• Poob nco
• Tsis hnov
• Teeb meem hais lus thiab hais lus
• Tsis pom kev
• Kev tsis muaj zog ntawm ib qho ntawm koj lub cev

Nrhiav kev pab kom sai li sai tau thaum muaj cov tsos mob tshwm sim. Thaum koj tau txais kev kho mob sai dua, koj muaj feem yuav rov zoo dua. Nrog mob stroke, txhua thib ob ntawm kev ncua yuav ua rau raug mob rau lub hlwb ntau dua.

Carotid artery disease - kev saib xyuas tus kheej

Biller J, Ruland S, Schneck MJ. Ischemic cerebrovascular tus kab mob. Hauv: Daroff RB, Jankovic J, Mazziotta JC, Pomeroy SL, eds. Bradley's Neurology nyob rau hauv Kev Soj NtsuamCov. 7 tus ed. Philadelphia, PA: Elsevier; 2016: chap 65.

Kubstein LB. Ischemic cerebrovascular tus kab mob. Hauv: Goldman L, Schafer AI, eds. Goldman-Cecil TshuajCov. 26th ed. Philadelphia, PA: Elsevier; 2020: cha 379.

Ricotta JJ, Ricotta JJ. Cerebrovascular disease: kev txiav txim siab txiav txim siab suav nrog kev kho mob nrog. Hauv: Siavy AN, Perler BA, eds. Rutherford's Kev Kho Mob Ntshav Qab Zib thiab Kev Kho Mob EndovascularCov. 9le ed. Philadelphia, PA: Elsevier; 2019: chap 89.

Sooppan R, Lum YW. Kev tswj cov kab mob carotid rov ua dua. Hauv: Cameron AM, Cameron JL, eds. Kev Kho Mob Tam Sim NoCov. 13th ed. Philadelphia, PA: Elsevier; 2020: 933-939.

• Carotid leeg ntshav kab mob