2024 Tus sau: Elizabeth Oswald | [email protected]. Kawg hloov kho: 2024-01-13 00:07
Cov Lus Qhia: Qhov kev pheej hmoo ntawm mob hlab ntsha tawg vim qhov tshwm sim ntawm kev mus los hauv huab cua yog qhov tsawg, txawm tias nyob hauv pawg neeg mob uas muaj kev pheej hmoo siab rau mob stroke yav tom ntej vim muaj qhov tsis zoo ntawm hemodynamic. Cov neeg mob uas muaj cov tsos mob carotid occlusion yuav tsum tsis txhob poob siab los ntawm kev mus los ntawm huab cua.
Nws yuav siv sijhawm ntev npaum li cas thiaj kho tau los ntawm carotid endarterectomy?
Tej zaum koj yuav rov qab mus ua haujlwm lossis koj cov haujlwm ib txwm ua hauv 1 txog 2 lub lis piam. Daim ntawv saib xyuas no muab tswv yim dav dav rau koj txog ntev npaum li cas nws yuav siv sij hawm rau koj kom rov zoo. Tab sis txhua tus neeg rov qab los ntawm qhov sib txawv. Ua raws li cov kauj ruam hauv qab no kom zoo dua sai li sai tau.
Kuv tuaj yeem pom dab tsi tom qab carotid endarterectomy?
Thaum hu 911
- qaug zog, tingling, lossis tsis hnov tsw ntawm ib sab ntawm koj lub ntsej muag lossis lub cev.
- Kev pom ob lub zeem muag lossis teeb meem pom hauv ib lossis ob lub qhov muag.
- Sudden teeb meem hais lus lossis hais lus slurred.
- Sudden, mob taub hau.
Yuav ua li cas ciaj sia rau kev phais carotid artery?
Kev ciaj sia tom qab CEA rau asymptomatic stenosis yog 78.2% tom qab 5 thiab 45.5% tom qab 10 xyoo. Kev phais plawv yav dhau los (OR, 1.8; 1.1 txog 3.0), kab mob plawv (OR, 1.7; 1.0 txog 2.8), ntshav qab zib mellitus (OR, 2.3; 1.3 txog 4.1), thiab hnub nyoog (OR, 1.5; 1.1 txog 2.1 rau 10 xyoo) yog cov kwv yees ntawm kev txo qis 5-xyoo ciaj sia.
Puas 50 thaiv hauv cov hlab ntsha carotid phem?
Carotid hlab ntshakab mob (asymptomatic lossis symptomatic) nyob rau hauv uas qhov nqaim ntawm cov hlab ntsha carotid yog tsawg dua 50 feem pua yog feem ntau kho mob. Cov kab mob asymptomatic uas muaj tsawg dua 70 feem pua ntawm qhov nqaim kuj tuaj yeem kho kho mob, nyob ntawm tus kheej qhov xwm txheej.
Pom zoo:
Kuv puas tuaj yeem tso kuv tus dev tsis tuaj yeem?
Nco ntsoov tshem koj tus dev lub dab tshos, tshwj xeeb tshaj yog tias koj muaj cov cim rau ntawm nws, kom paub tseeb tias tsis muaj dab tsi tuaj yeem ntes tau ntawm lub crate. … Txawm li cas los xij, tsuas yog peb tus dev xwb, uas peb tso siab tau tag nrho.
Kuv puas tuaj yeem rov qab tawm tom qab ua qhov kev thov?
Thaum koj kos npe rau daim ntawv cog lus yuav khoom vaj tsev, koj raug cai ua raws li cov lus cog tseg, thiab koj yuav muab tus neeg muag khoom tso nyiaj ua ntej hu ua cov nyiaj khwv tau los. … Tab sis muaj qhov xwm txheej nyob rau hauv qhov chaw ua rau thim rov qab los ntawm qhov kev lees paub zoo raws li txoj cai thaum ua kom koj tau txais koj cov nyiaj khwv tau los ntau dua.
Kuv puas tuaj yeem da dej kuv tus dev tom qab mating?
Nws tsis yog zoo kawg nkaus da dej rau tus dev hauv tshav kub, nws tuaj yeem muaj txiaj ntsig zoo rau lawv. Thaum tus dev nyob hauv tshav kub, nws zoo li lawv yuav los ntshav me ntsis ntawm lawv qhov chaw mos. Kev da dej tus dev tuaj yeem pab tshem tawm cov kab mob ntshav, qee yam tseem ceeb rau cov dev nrog lub tsho dawb.
Kuv puas tuaj yeem rov qab kuv lub tsheb yog tias kuv tsis nyiam?
Yog koj tsis nyiam lub tsheb, koj tuaj yeem pauv nws rau ib qho koj nyiam lossis tau txais nyiaj rov qab. Tsis tas li ntawd xwb, qee lub chaw muag khoom muaj kev pauv pauv uas koj muaj tsawg hnub los pauv tsheb. Kuv puas tuaj yeem rov qab tsheb yog tias kuv tsis txaus siab?
Kuv puas tuaj yeem xeeb tom qab kuv xav?
Tej zaum koj yuav tau xeeb tub ua ntej lossis tom qab tshaj qhov koj xav tias kojtau ua (uas tuaj yeem tshwm sim yog tias koj lub voj voog tsis zoo lossis yog tias koj nco qab koj lub caij cev khaub ncaws zaum kawg tsis raug). Koj tus kws kho mob yuav xav rov ua ultrasound kom paub tseeb tias koj lub cev xeeb tub yog qhov tsim nyog.