Revascularization yog txheej txheej txheej txheem phais mob txhawm rau kho cov ntshav ncig. Cov ntshav khiav tsis zoo, ib nrab lossis tag nrho, tuaj yeem yog qhov tshwm sim ntawm coronary syndrome.

Revascularization suav nrog ntau txoj kev siv los kho tus mob coronary. Cov no yog cov txheej txheem phais uas yog los kho cov ntshav ncig. Kev hloov ntawm cov ntshav ncig tuaj yeem yog ib feem lossis tag nrho. Revascularization tau pab txhawb rau xyoo tas los no los txhim kho lub neej zoo thiab lub neej ntev ntawm cov neeg mob uas muaj kab mob plawv. Muaj ntau hom kab mob coronary syndrome uas tuaj yeem siv cov tshuaj revascularization.

Tus mob coronary syndrome

Mob plawv mob plawv yog tshwm sim los ntawm ib nrab lossis tag nrho cov hlab ntsha. Qhov kev cuam tshuam no yog vim muaj cov plaques ntawm atheroma, uas yog ib qho ntawm cov khoom sib txawv xws li rog, ntshav, cov ntaub so ntswg lossis cov txiv qaub deposits, ntawm ib feem ntawm cov phab ntsa sab hauv ntawm cov hlab ntsha. Atheroma plaques feem ntau yog qhov tshwm sim ntawm cov roj (cholesterol) phem, ntshav qab zib, haus luam yeeb, kub siab lossis rog. Qee zaum ib daim ntawm cov quav hniav tawg, ua rau cov ntshav txhaws, thaiv cov hlab ntsha. Acute coronary syndrome encompasses ob yam xwm txheej mob plawv:

• Angina, los yog angina pectoris, yog ib feem ntawm cov hlab ntsha. Cov tsos mob tseem ceeb yog mob nyob rau hauv lub sternum, zoo li ib tug nruj, ib tug vise nyob rau hauv lub hauv siab. Angina tuaj yeem tshwm sim thaum so lossis tshwm sim los ntawm kev tawm dag zog lossis kev xav, thiab ploj mus thaum so. Nws yog ib qho tseem ceeb kom hu rau 15 nyob rau hauv ob qho tib si;
• Myocardial infarction, lossis mob plawv, yog tag nrho cov hlab ntsha. Lub myocardium yog lub plawv cov leeg ua lub luag haujlwm rau kev cog lus. Lub plawv nres yog zoo li lub vise nyob rau hauv lub hauv siab thiab yuav tsum tau kho sai sai.

Chronic coronary syndrome

Chronic coronary syndrome yog kab mob plawv. Nws yuav yog qhov ruaj khov angina pectoris xav tau txawm tias muaj kev soj ntsuam nrog rau kev kho mob ntawm cov tsos mob thiab kev tiv thaiv kom tsis txhob muaj lwm qhov kev tawm tsam. Xyoo 2017, nws cuam tshuam txog 1,5 lab tus tib neeg hauv Fab Kis.

Nyob rau hauv cov ntaub ntawv ntawm ib tug mob coronary syndrome, cov kws kho mob yuav urgently ua revascularization nyob rau hauv thiaj li yuav kho cov ntshav ncig kom ntau li ntau tau nyob rau hauv ib feem los yog tag nrho cov hlab ntsha.

Nyob rau hauv cov ntaub ntawv ntawm tus mob chronic coronary syndrome, revascularization yog ua yog tias qhov kev xav tau txiaj ntsig tshaj qhov kev pheej hmoo rau tus neeg mob. Nws tuaj yeem ua tau rau ob lub hom phiaj:

• txo lossis ploj ntawm cov tsos mob ntawm angina;
• txo qhov kev pheej hmoo ntawm kev mob plawv loj xws li infarction lossis lub plawv tsis ua haujlwm.

Revascularization tuaj yeem ua tau los ntawm ob txoj hauv kev: coronary bypass phais lossis angioplasty.

Coronary bypass phais

Coronary bypass phais yuav tsim ib qho bypass hauv cov ntshav khiav kom lub plawv muaj ntshav txaus. Rau qhov no, cov hlab ntsha lossis cov hlab ntsha yog cog rau ntawm qhov chaw thaiv kom tso cov ntshav ncig kom hla qhov teeb meem. Cov hlab ntsha lossis cov hlab ntsha feem ntau yog muab los ntawm tus neeg mob. Cov ntu obstructed kuj tuaj yeem hla nrog vascular prosthesis.

Angioplasty

Angioplasty suav nrog kev qhia ntawm lub catheter lossis me me sojntsuam mus rau hauv cov hlab ntsha hauv lub dab teg lossis puab puab. Qhov kev sojntsuam tom qab ntawd ua rau nws muaj peev xwm qhia tau lub zais pa me me uas yuav tau nce siab ntawm theem ntawm qhov thaiv. Lub zais pa ua kom lub cheeb ntawm cov hlab ntsha thiab dislodges cov hlab ntsha. Qhov no maneuver restores ntshav ncig thaum lub zais pa tawm. Feem ntau, angioplasty yog nrog los ntawm qhov chaw ntawm stent. Qhov no yog lub caij nplooj ntoos hlav me me uas tau muab tso rau hauv cov hlab ntsha kom nws qhib.

Nyob rau hauv cov ntaub ntawv ntawm angina los yog angina pectoris, revascularization yuav tsum tau ua nyob rau hauv 6 mus rau 8 teev tom qab qhov kev cuam tshuam nyob rau hauv thiaj li yuav zam tau tso tawm toxins nyob rau hauv cov nqe lus nug thiab kom tsis txhob muaj kev cuam tshuam rau cov poj huab tais.

Cov ntshav ncig rov zoo li qub raws li qhov ua tau, nrog lub sijhawm luv lossis ntev dua nyob ntawm qhov hnyav ntawm qhov cuam tshuam. Kev kho yog muab tso rau hauv qhov chaw kom txo tau cov tsos mob thiab tiv thaiv qhov pib ntawm lwm qhov kev tawm tsam los yog ua rau cov kab mob plawv. Nyob rau hauv txhua rooj plaub, kev saib xyuas tsis tu ncua los ntawm kws kho plawv kuj raug pom zoo.

Txhawm rau txwv txoj kev pheej hmoo ntawm kev cuam tshuam tshiab, nws yog ib qho tseem ceeb uas yuav tsum tswj cov kev pheej hmoo ntau li ntau tau:

• txiav luam yeeb;
• tswj ntshav qab zib;
• tswj cov roj (cholesterol) phem;
• balanced arterial hypertension.

Cov teebmeem tsis zoo ntawm revascularization yog nyob ntawm cov txheej txheem siv, nrog rau qhov xwm txheej ntawm kev kho mob los ntawm tus kws kho plawv. Yog tias koj ntsib ib qho tsos mob lossis lwm yam, qhov tseem ceeb tshaj plaws yog tham nrog kws kho mob.