Carotid leeg txoj hlab ntshav phais - qhib

Carotid leeg txoj kev phais yog txoj kev los kho tus mob carotid leeg ntshav.

Cov ntshav carotid coj tau cov ntshav uas yuav tsum muaj rau koj lub hlwb thiab lub ntsej muag. Koj muaj ib ntawm cov hlab ntsha ntawm txhua sab ntawm koj lub caj dab. Cov ntshav ntws hauv cov hlab ntsha no tuaj yeem dhau los yog ib nrab lossis lig los ntawm cov khoom siv roj hu ua cov quav hniav. Qhov no tuaj yeem txo cov ntshav xa mus rau koj lub hlwb thiab ua rau mob stroke.

Carotid leeg txoj kev phais yog ua kom rov muaj ntshav txaus rau lub hlwb. Muaj ob txoj kev los mus kho tus mob carotid leeg uas muaj cov quav hniav ua ke hauv nws. Kab lus no hais txog kev phais mob hu ua endarterectomy. Lwm txoj kev hu ua angioplasty nrog kev tso quav stent.

Thaum lub caij cov carotid endarterectomy:

• Koj txais kev tso tshuaj kom tsaug zog. Koj tsaug zog thiab mob dawb. Qee lub tsev kho mob siv cov tshuaj loog hauv zos. Tsuas yog ib feem ntawm koj lub cev ua haujlwm yog suav nrog tshuaj kom koj tsis txhob hnov ​​mob. Koj kuj tau muab tshuaj rau kom koj so.
• Koj pw ntawm koj sab nraum qab ntawm lub rooj ua haujlwm nrog koj lub taub hau tig mus rau ib sab. Sab koj lub carotid hlab leeg nyob ntawm ib sab.
• Tus kws phais mob txiav (txiav phais) ntawm koj lub caj dab hla koj cov carotid leeg. Ib txoj raj xa dej yooj (tso pa tawm) tso rau ntawm leeg. Cov ntshav ntws los ntawm cov raj yas ib puag ncig thaj chaw sib chwv thaum phais mob.
• Koj cov carotid leeg tau qhib. Tus kws phais tshem tawm cov quav hniav sab hauv cov leeg ntshav.
• Tom qab cov quav hniav tawm, cov leeg ntshav tau kaw nrog cov stitches. Tam sim no cov ntshav ntws los ntawm cov leeg rau koj lub hlwb.
• Koj lub plawv kev ua haujlwm yuav raug saib xyuas nruj thaum phais.

Qhov phais yuav siv sijhawm ntev li 2 teev. Tom qab cov txheej txheem, koj tus kws kho mob yuav ua qhov kev sim kom paub tseeb tias cov leeg tau qhib.

Txoj kev ua no yog ua tiav yog tias koj tus kws kho mob tau pom nqaim lossis txhaws hauv koj cov carotid leeg. Koj tus kws kho mob yuav ua ib qho los yog ob qho kev ntsuam xyuas seb cov carotid leeg ntshav txhaws npaum li cas.

Kev phais mob kom tshem tawm qhov kev txhim kho hauv koj cov carotid leeg tuaj yeem ua tau yog tias cov leeg raug nqaim ntau dua 70%.

Yog tias koj tau mob hlab ntsha tawg lossis hlwb raug mob ib ntus, koj tus kws kho mob yuav txiav txim siab saib puas yuav kho koj cov leeg ntshav txhaws nrog kev phais mob zoo rau koj.

Lwm txoj kev kho mob uas koj tus kws kho mob yuav tham nrog koj yog:

• Tsis muaj kev kho mob, dua li kev ntsuam xyuas los kuaj xyuas koj cov carotid artery txhua xyoo.
• Tshuaj thiab khoom noj kom txo qis roj.
• Cov tshuaj ntshav ua ntshav qis dua kom koj txoj kev pheej hmoo ntawm mob hlab ntsha tawg. Qee cov tshuaj no yog tshuaj aspirin, clopidogrel (Plavix), dabigatran (Pradaxa), thiab warfarin (Coumadin).

Carotid angioplasty thiab stenting zoo li yuav siv thaum carotid endarterectomy yuav tsis muaj kev nyab xeeb.

Kev phom sij ntawm cov tshuaj loog yog:

• Kev fab tshuaj rau cov tshuaj
• Cov teeb meem ua pa

Kev phom sij ntawm kev phais carotid yog:

• Cov ntshav txhaws lossis ntshav tawm hauv lub hlwb
• Lub hlwb puas tsuaj
• Plawv nres
• Ntau qhov txhaws ntawm cov carotid leeg thaum lub sijhawm
• Qaug dab peg
• Mob stroke
• Yuav o ze rau koj txoj hlab pa (txoj yas uas koj nqus tawm)
• Kab mob

Koj tus kws khomob yuav kuaj ib ce ntau thiab xaj ntau yam kev kuaj mob.

Qhia rau koj tus kws khomob paub yam tshuaj uas koj siv, txawm yog tshuaj noj, tshuaj ntxiv, lossis tshuaj ntsuab uas koj tau yuav yam tsis muaj daim ntawv xaj yuav tshuaj.

Thaum 2 lub lis piam ua ntej koj phais:

• Ob peb hnub ua ntej qhov kev phais mob, koj yuav tsum tsum tsis txhob noj tshuaj muaj ntshav ntxiv. Cov no suav nrog cov tshuaj aspirin, ibuprofen (Advil, Motrin), clopidogrel (Plavix), naprosyn (Aleve, Naproxen), thiab lwm yam tshuaj zoo li cov no.
• Nug koj tus kws kho mob seb koj yuav tsum noj cov tshuaj hnub twg uas koj phais.
• Yog tias koj haus luam yeeb, koj yuav tsum nres. Nug koj tus kws kho mob kom pab txiav.
• Qhia koj tus kws kho mob txog mob khaub thuas, khaub thuas, kub ib ce, pob hlwv dej, lossis lwm yam mob uas koj yuav muaj ua ntej kev phais mob.

Ua raws li cov lus qhia txog thaum yuav tsum noj thiab haus ua ntej kev phais mob.

Hnub koj phais:

• Noj cov tshuaj uas koj tus kws kho mob sau nrog rau lub pas dej me.
• Ua raws li cov lus qhia txog thaum tuaj txog hauv tsev kho mob. Nco ntsoov tuaj kom ncav sijhawm.

Koj tuaj yeem muaj dej ntws hauv koj lub caj dab uas nkag mus rau hauv koj qhov phais. Nws yuav ua kua cov kua dej uas txhim tsa hauv thaj chaw. Nws yuav raug tshem tawm nyob rau hauv ib hnub.

Tom qab phais mob, koj tus kws kho mob yuav xav kom koj pw hauv tsev kho mob thaum hmo ntuj kom cov kws saib xyuas neeg mob tuaj yeem saib xyuas koj rau txhua qhov kev tshwm sim los ntshav, mob stroke, lossis ntshav khiav tsis zoo mus rau koj lub hlwb. Koj tuaj yeem mus tsev tib hnub yog tias koj qhov haujlwm tau ua tiav thaum sawv ntxov thiab koj tau ua haujlwm zoo.

Ua raws li cov lus qhia saib yuav tu koj tus kheej li cas nyob hauv tsev.

Kev phais mob leeg Carotid leeg yuav pab txo koj txoj hauv kev muaj mob ntshav qab zib. Tab sis koj yuav tsum tau hloov pauv txoj kev ua neej los pab tiv thaiv plaque buildup, ntshav txhaws, thiab lwm yam teeb meem hauv koj cov hlab ntsha carotid hauv lub sijhawm. Koj yuav tau pauv koj kev noj zaub mov kom zoo thiab pib ua ib qho kev tawm dag zog, yog tias koj tus kws kho mob qhia koj kev tawm dag zog kom nyab xeeb rau koj. Nws tseem yog ib qho tseem ceeb kom tsis txhob haus luam yeeb.

Carotid endarterectomy; CAS phais; Carotid leeg leeg stenosis - phais mob; Endarterectomy - carotid leeg

• Angioplasty thiab stent tso kawm - carotid leeg - tso tawm
• Antiplatelet tshuaj - P2Y12 inhibitors
• Cov tshuaj aspirin thiab kab mob plawv
• Butter, margarine, thiab roj ua noj
• Carotid leeg txoj kev phais - kev tshem tawm
• Cov roj khov thiab txoj kev ua neej
• Roj Cholesterol - tshuaj kho mob
• Tswj koj cov ntshav siab
• Kev noj haus cov rog piav qhia
• Cov lus qhia zaub mov nrawm
• Yuav nyeem daim ntawv zaub mov li cas
• Mediterranean noj
• Mob Stroke - tawm
• Kev phais mob kho mob - qhib

• Carotid stenosis - X-ray ntawm sab laug leeg
• Carotid stenosis - X-ray ntawm txoj leeg leeg
• Mob leeg hauv cov leeg carotid leeg
• Atherosclerosis ntawm carotid leeg o
• Arterial quav hniav tsim-up
• Carotid leeg txoj kev phais - series

Arnold M, Perler BA. Carotid endarterectomy. 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 91.

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.

Brott TG, Halperin JL, Abbara S, li al. 2011 ASA / ACCF / AHA / AANN / AANS / ACR / ASNR / CNS / SAIP / SCAI / SIR / SNIS / SVM / SVS cov lus qhia txog kev tswj hwm cov neeg mob nrog mob ntxiv ntawm lub cev thiab lub pob txha caj qaum: cov ntaub ntawv tshaj tawm: tsab ntawv ceeb toom ntawm Asmeskas Lub Tsev Kawm Qib Siab ntawm Cardiology Foundation / American Heart Association Task Force ntawm Kev Coj Ua, thiab American Stroke Association, American Association of Neuroscience Nurses, American Association of Neurological Surgeons, American College of Radiology, American Society of Neuroradiology, Congress ntawm Neurological Surgeons, Society of Atherosclerosis Kev Tshawb Xyuas thiab Tiv Thaiv, Lub Koom Haum Rau Kev Kho Mob Hlawv Mob Hlaus thiab Kev Tiv Thaiv, Lub Koom Haum ntawm Kev Tiv Thaiv Hluav Taws Xob, Lub Zej Zog ntawm NeuroInterventional Kev Kho Mob, Lub Koom Haum rau Vascular Tshuaj, thiab Lub Koom Haum Rau Kev Kho Vascular Tsim nyob rau hauv kev koom tes nrog American Academy ntawm Neurology thiab Society ntawm plawv plawv Computed Tomography. Catheter Cardiovasc IntervCov. 2013; 81 (1): E76-E123. PMID: 23281092 pubmed.ncbi.nlm.nih.gov/23281092/.

Brott TG, Howard G, Roubin GS, li al. Lub sij hawm ntev cov txiaj ntsig ntawm stenting tiv thaiv endarterectomy rau carotid-artery stenosis. N Engl J MedCov. 2016; 374 (11): 1021-1031. PMID: 26890472 pubmed.ncbi.nlm.nih.gov/26890472/.

Holscher CM, Abularrage CJ. Carotid endarterectomy. Hauv: Cameron AM, Cameron JL, eds. Kev Kho Mob Tam Sim NoCov. 13th ed. Philadelphia, PA: Elsevier; 2020: 928-933.