Angioplasty thiab stent tso kawm - lub siab
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. Lub stent yog feem ntau tso rau thaum lub sijhawm lossis tom qab angioplasty. Nws pab tiv thaiv cov leeg ntawm kev kaw ib zaug ntxiv. Ib qho tshuaj-eluting stent muaj tshuaj nyob rau hauv nws uas pab tiv thaiv cov leeg ntawm kev kaw hauv lub sijhawm ntev.
Ua ntej cov txheej txheem angioplasty pib, koj yuav tau txais qee yam tshuaj kho mob. Koj tseem yuav muab cov tshuaj uas ua kom koj nyob kaj siab, thiab tshuaj ntshav ntxiv tiv thaiv kom ntshav txhaws.
Koj yuav tau pw ntawm lub rooj padded. Koj tus kws kho mob yuav muab ntxig txoj leeg (catheter) hloov mus rau leeg leeg. Qee zaum catheter yuav muab tso rau hauv koj sab caj npab lossis dab teg, lossis ntawm koj sab ceg (puab tais) thaj chaw. Koj yuav tsaug zog thaum hauv cov txheej txheem.
Tus kws kho mob yuav siv cov duab xoo hluav taws xob los saib xyuas kom coj tus cwj pwm txuas rau koj lub plawv thiab cov hlab ntsha. Cov kua sib txawv (qee zaus hu ua "zas xim", yuav raug txhaj rau hauv koj lub cev kom qhia txog cov ntshav ntws los ntawm cov hlab ntsha. Qhov no pab tus kws kho mob pom tias muaj kev txhaws hauv cov hlab ntshav uas ua rau koj lub plawv.
Ib txoj kev qhia hlau tau txav mus rau hauv thiab thoob plaws cov kev txwv ntawd. Lub zais pa lub raj mis yog thawb tawm ntawm txoj kev coj xaim thiab mus rau hauv kev thaiv. Cov zais zais pa nyob ntawm qhov kawg yog tshuab kom nrov (tshuab). Qhov no qhib cov hlab ntsha thaiv thiab rov qab tsim cov ntshav txaus rau lub plawv.
Ib txoj hlua hlau tsis xeb (stent) tom qab ntawd muab tso rau hauv qhov chaw thaiv ntawd. Lub stent yog tso nrog lub zais pa catheter. Nws nthuav thaum lub pob zais pa. Lub stent tshuav qhov ntawd los pab ua kom cov leeg ntshav qhib.
Lub stent yog yuav luag ib txwm coated nrog tshuaj (hu ua tshuaj-eluting stent). Qhov hom stent no tuaj yeem txo qis dua txoj hmoo ntawm txoj hlab ntshav rov qab rau yav tom ntej.
Cov hlab ntsha tuaj yeem ua rau nqaim lossis thaiv los ntawm kev tso nyiaj hu ua cov quav hniav. Cov quav hniav yog tsim los ntawm cov roj thiab cov roj cholesterol uas ua lub cev rau sab hauv phab ntsa. Tus mob no yog hu ua cov hlab ntsha tawv (atherosclerosis).
Angioplasty yuav siv los kho:
- Qhov txhaws hauv cov hlab ntshav leeg thaum lub sijhawm lossis tom qab lub plawv nres
- Thaiv lossis nqaim ntawm ib lossis ntau cov hlab ntshav hlab ntsha uas tuaj yeem ua rau lub plawv tsis zoo (lub plawv tsis ua haujlwm)
- Cov nqaim uas txo cov ntshav ntws thiab ua rau lub hauv siab mob siab heev (angina) uas cov tshuaj tsis tswj hwm
Tsis yog txhua qhov txhaws tuaj yeem kho nrog angioplasty. Qee tus neeg uas muaj ntau yam kev tiv thaiv lossis blockages nyob hauv qee qhov chaw yuav xav tau phais mob txhaws.
Angioplasty muaj kev nyab xeeb feem ntau, tab sis nug koj tus kws kho mob txog cov teeb meem tshwm sim. Kev phom sij ntawm angioplasty thiab stent qhov kev tso kawm yog:
- Ua xua rau cov tshuaj uas siv hauv cov tshuaj-eluting stent, cov khoom stent (tsawg tsawg), lossis xoo hluav taws xob xoo hluav taws xob
- Los ntshav lossis los ntshav rau ntawm thaj chaw uas tus catheter tau tso ntxiv
- Cov ntshav txhaws
- Clogging ntawm sab hauv ntawm lub stent (hauv-stent restenosis). Qhov no tuaj yeem tsim kev tuag taus.
- Kev puas tsuaj rau lub plawv dhia lossis txoj hlab ntshav
- Plawv nres
- Raum lub raum (muaj kev pheej hmoo siab dua rau cov neeg uas twb muaj teeb meem raum)
- Lub plawv dhia tsis xwm yeem (arrhythmias)
- Mob stroke (qhov no tsis tshua muaj)
Angioplasty feem ntau ua thaum koj mus rau hauv tsev kho mob lossis chav kho mob maj nrawm rau mob hauv siab, lossis tom qab lub plawv nres. Yog tias koj mus pw hauv tsev kho mob rau mob angioplasty:
- Qhia rau koj tus kws kho mob saib koj yuav siv cov tshuaj twg, txawm yog cov tshuaj lossis tshuaj ntsuab uas koj yuav yam tsis muaj daim ntawv yuav tshuaj.
- Feem ntau koj yuav tau tsis txhob haus cawv los yog noj dab tsi li ntawm 6 rau 8 teev ua ntej qhov kev kuaj ntawd.
- Siv cov tshuaj uas koj tus kws kho mob hais kom koj nqa nrog lub pas dej me me.
- Qhia koj tus kws kho mob yog tias koj ua xua rau cov nqaij nruab deg, koj tau tawm tsam qhov tsis zoo rau cov khoom sib txawv lossis iodine yav dhau los, koj noj Viagra, lossis koj lossis tej zaum cev xeeb tub.
Qhov nruab nrab nyob hauv tsev kho mob yog 2 hnub lossis tsawg dua. Qee tus neeg yuav tsis tas nyob hauv tsev kho mob thaum hmo ntuj.
Feem ntau, cov neeg uas muaj tus kab mob angioplasty tuaj yeem taug kev ncig hauv ob peb teev tom qab kev ua raws li tus txheej txheem mus thiab qhov chaw tso lub raj xa dej li cas. Kev ua tiav tag yuav siv sijhawm ib lub lim tiam lossis luv dua. Koj yuav tau muab cov ntaub ntawv yuav ua li cas saib xyuas koj tus kheej tom qab angioplasty.
Rau cov neeg feem coob, angioplasty zoo heev txhim kho cov ntshav kev los ntawm cov hlab ntshav ntawm lub plawv thiab lub plawv. Nws tuaj yeem pab koj kom tsis txhob raug mob rau txoj hlab ntshav bypass phais (CABG).
Angioplasty tsis muaj tshuaj kho qhov ua rau ntawm txhaws hauv koj cov hlab ntsha. Koj cov hlab ntsha kuj yuav nqaim dua.
Ua raws li koj cov kev noj zaub mov zoo hauv lub plawv, kev tawm dag zog, txiav kev haus luam yeeb (yog tias koj haus luam yeeb), thiab txo kev ntxhov siab kom txo qis koj txoj kev muaj mob ntshav txhaws lwm yam.Koj tus kws kho mob yuav muab tshuaj los pab txo koj cov roj cholesterol lossis tswj ntshav siab. Ua raws li cov kauj ruam no tuaj yeem pab txo koj txoj kev pheej hmoo ntawm tus mob atherosclerosis.
PCI; Kev cuam tshuam txog cov hlab ntshav tawm; Zais Pa angioplasty; Coronary angioplasty; Cov hlab ntshav hlab ntsha angioplasty; Mob pob txha caj dab (coronary coronary angioplasty); Lub plawv artery dilatation; Angina - tso quav stent; Mob mob vwm - Hlauv qhov muag; Kab mob rau cov hlab ntshav - txoj kev tso ntshav khov tawm; CAD - tso rau stent; Coronary heart disease - mob stent tso; ACS - kev tso kawm stent; Kev mob plawv - mob stent; Myocardial infarction - stent tso kawm; MI - muab tso rau stent; Coronary revascularization - stent muab tso rau
- 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 ST-nce siab mob ntshav siab: cov lus ceeb toom ntawm American College ntawm Cardiology / American Heart Association Task Force ntawm Kev Coj Qhia. J Am Coll CardiolCov. Xyoo 2014; 64 (24): e139-e228. PMID: 25260718 pubmed.ncbi.nlm.nih.gov/25260718/.
Fihn SD, Blankenship JC, Alexander KP, li al. 2014 ACC / AHA / AATS / PCNA / SCAI / STS tsom xyuas kev hloov kho tshiab ntawm cov kev taw qhia rau kev kuaj mob thiab kev tswj hwm cov neeg mob uas muaj lub plawv tsis sib luag ischemic. Kev ncigCov. Xyoo 2014; 130 (19): 1749-1767. PMID: 25070666 pubmed.ncbi.nlm.nih.gov/25070666/.
Mauri L, Bhatt DL. Kev tuaj yeem tiv thaiv txoj hlab ntshav sib txuam. 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 62.
MAY DA, de Lemos JA. Lub plawv ruaj khov ischemic. 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 61.
O'Gara PT, Kushner FG, Ascheim DD, li al. 2013 ACCF / AHA cov lus qhia rau kev tswj hwm ntawm ST-nce myocardial infarction: ib daim ntawv tshaj tawm ntawm American College of Cardiology Foundation / American Heart Association Task Force ntawm Kev Coj Qhia. Kev ncigCov. 2013; 127 (4): 529-555. PMID: 23247303 pubmed.ncbi.nlm.nih.gov/23247303/.