Mob catheterization: nws yog dab tsi, nws yuav ua li cas thiab muaj kev pheej hmoo

Zoo Siab

• Dab tsi yog nws rau
• Yuav ua li cas mob catheterization
• Dab tsi yuav tsum tau saib xyuas
• Muaj peev xwm txaus ntshai ntawm catheterization

Txoj hlab plawv tsis zoo yog txheej txheem uas tuaj yeem siv los kuaj mob lossis kho mob plawv, uas muaj cov qhia tawm ntawm cov raj xa dej, uas yog lub raj xa hluav taws xob tsis yooj yim, hauv cov leeg ntawm caj npab, lossis ceg, txog lub siab. Mob catheterization mob kuj tseem muaj npe hu ua coronary angiography.

Cov txheej txheem no tuaj yeem qhia tau ob qho tib si rau kev kuaj mob qee qhov teeb meem mob plawv, nrog rau kev kho mob infarction lossis angina, vim nws kuaj sab hauv cov hlab ntsha thiab lub siab, tuaj yeem kuaj tau thiab tshem tawm cov khoom sib ntxiv ntawm cov rog rog. lossis mob txhab rau hauv cov cheeb tsam no.

Yuav ua li cas mob catheterization

Dab tsi yog nws rau

Mob catheterization pab kuaj mob thiab / lossis kho ntau yam mob plawv, ntawm cov hauv qab no tuaj yeem qhia:

• Txheeb xyuas seb puas muaj cov hlab ntshav liab, uas xa cov leeg mob hauv plawv, txhaws lossis tsis;
• Lim cov hlab ntsha thiab qhov qub vim yog cov txuam nrog cov rog quav;
• Kuaj xyuas yog tias muaj qhov txhab tshwm hauv cov qhov qub thiab cov leeg plawv;
• Kuaj xyuas cov kev hloov hauv lub cev ntawm lub cev ntawm lub siab tsis lees paub los ntawm lwm yam kev ntsuam xyuas;
• Qhia txhua yam, yog tias muaj, ib qho kev qhia tsis tseeb ntawm cov menyuam mos thiab menyuam.

Kev mob plawv rau lub cev tuaj yeem ua nrog rau lwm cov txuj ci xws li mob hlab hlwb angioplasty, ib qho txheej txheem siv los ua kom tsis muaj zog ntawm cov hlab ntsha lub cev thiab tuaj yeem ua nrog qhov kev cog lus stent (metallic prosthesis) lossis tsuas yog siv lub npas pob, uas muaj qhov siab hnyav, thawb tawm. cov phiaj, qhib lub vase. Xav paub ntau ntxiv txog kev ua haujlwm angioplasty.

Nws kuj tseem tuaj yeem ua tau nrog kev sib luag ntawm cov nplais pob pa pervaneous, siv los kho kab mob xws li mob plawv xws li mob ntsws, mob ntsws aortic stenosis thiab mitral stenosis. Thiab, kawm paub ntau ntxiv txog kev ntsuas seb yuav ua li cas valvuloplasty ua.

Yuav ua li cas mob catheterization

Txoj hlab ntsws tsis ua hauj lwm yog ua los ntawm ntxig txoj raj yas lossis kuaj ntshav. Cov kauj ruam yog kauj ruam:

1. Hauv tshuaj loog hauv zos;
2. Ua qhov qhib me me rau cov raj yas kom nkag mus rau ntawm daim tawv nqaij puab tais lossis caj npab ntawm lub dab teg los yog lauj tshib;
3. Tso kev tawm txoj raj raj rau hauv cov leeg (feem ntau, radial, femoral los yog ceg tawv) uas yuav tau coj los ntawm tus kws kho mob tshwj xeeb, mus txog hauv lub siab;
4. Qhov chaw ntawm qhov chaw nkag ntawm txoj cai thiab sab laug txoj hlab ntshav txhaws;
5. Kev txhaj tshuaj ntawm iodine-based tshuaj (qhov tsis zoo sib xws) uas tso cai rau kev pom ntawm cov hlab ntsha thiab lawv cov ntsiab lus uas cuam tshuam los ntawm kev xoo hluav taws xob;
6. Zoo ib yam tshuaj txhaj rau sab laug ventricle, ua kom pom kev ntawm lub plawv ntsaws.

Kev kuaj mob tsis ua rau mob. Feem ntau qhov tuaj yeem tshwm sim yog tias tus neeg mob hnov ​​qee yam tsis xis nyob hauv kev tom ntawm qhov tshuaj loog thiab qhov nthwv dej dhau ntawm lub hauv siab thaum lub ntsej muag sib zog.

Lub sijhawm sijhawm ntawm kev tshuaj xyuas txawv raws li nws yooj yim npaum li cas rau catheterize lub hom phiaj, ua feem ntau ntev dua rau cov neeg mob uas twb tau phais myocardial revascularization phais. Feem ntau, qhov kev kuaj mob tsis siv sijhawm ntau dua 30 feeb, ua qhov yuav tsum tau nyob ntawm ob peb teev thiab, yog tias tsis muaj teeb meem, koj tuaj yeem mus tsev, yog tias koj tsuas tau ua tus kav dej txhawm uas tsis muaj lwm txoj kev cuam tshuam.

Dab tsi yuav tsum tau saib xyuas

Feem ntau, rau kev teem caij catheterization, nws yog qhov yuav tsum tau ceev nrawm rau 4 teev ua ntej kev kuaj mob, thiab sim so. Ntxiv rau, tsuas yog cov tshuaj uas kws kho mob kho mob yuav tsum tau siv, zam kev kho qhov tsis raug, suav nrog kev kho hauv tsev thiab teas. Tshawb xyuas seb dab tsi yog qhov kev kho mob tseem ceeb uas yuav tsum tau ua ua ntej thiab tom qab phais mob.

Feem ntau, kev rov zoo los ntawm cov txheej txheem yog nrawm, thiab thaum tsis muaj lwm yam kev tiv thaiv uas tiv thaiv nws, tus neeg mob tau tawm hauv tsev kho mob hnub tom qab nrog kev pom zoo kom tsis txhob ua kom tawm dag zog lossis nqa nyhav dhau 10 kg hauv thawj 2 lub lis piam tom qab cov txheej txheem.

Muaj peev xwm txaus ntshai ntawm catheterization

Txawm hais tias nws yog ib qho tseem ceeb thiab feem ntau muaj kev nyab xeeb, tus txheej txheem no tuaj yeem coj qee qhov kev phom sij, xws li:

• Los ntshav thiab mob ntawm cov raj txuas catheter;
• Kev puas tsuaj txog hlab ntsha;
• Kev ua xua rau qhov sib piv uas siv;
• Lub plawv dhia tsis xwm yeem lossis lub plawv dhia tsis xwm yeem, uas yuav ploj mus nws tus kheej, tab sis yuav xav tau kev kho mob yog tias mob ntxiv mus;
• Cov ntshav txhaws uas tuaj yeem ua rau mob stroke lossis lub plawv nres;
• Ua rau hauv cov ntshav siab;
• Kev nce ntshav hauv lub hnab uas nyob ib puag ncig lub plawv, uas tuaj yeem tiv thaiv lub siab ntawm kev ntaus lub cev.

Qhov txaus ntshai yog qhov tsawg tshaj plaws thaum kev kuaj mob tau teem sijhawm, dhau mus, nws yog feem ntau ua rau hauv cov tsev kho mob ntsig txog lub plawv zoo, muaj cov kws kho plawv thiab cov kws phais plawv, los ntawm sus lossis ntiag tug.

Cov kev pheej hmoo no tuaj yeem tshwm sim, tshwj xeeb tshaj yog rau cov neeg mob ntshav qab zib, mob raum thiab cov neeg laus dua 75 xyoo, lossis cov neeg mob hnyav thiab mob hnyav nrog myocardial infarction.