Thaum cov kab hauv cov hlab ntshav puas lawm, cov ntshav yuav tsim cov ntshav khov - pab pawg platelets ua ke txhawm rau txhawm rau txhaws hauv cov hlab ntsha phab ntsa, thiab lub cev tso tshuaj rau kom ua kom cov ntshav khov. Feem ntau, qhov no yog cov lus teb kom noj qab haus huv uas tiv thaiv kev tso ntshav ntau dhau thaum lub cev kho nws tus kheej thiab rov kho cov kev ua haujlwm ntawm lub cev ua haujlwm ib txwm muaj, thiab cov hlab ntshav tawg zoo ib yam sai li sai tau thaum raug mob. Qee zaum, txawm li cas los xij, cov ntshav khov tsis yaj, lossis cov ntshav khov tshwm sim thaum nws tsis xav tau. Hauv cov xwm txheej no, cov hlab ntshav tuaj yeem cuam tshuam ib feem lossis tag nrho cov ntshav ntws, ua rau muaj kev phom sij rau lub neej.
Cov kauj ruam
Txoj Kev 1 ntawm 5: Paub txog Cov tsos mob ntawm cov ntshav txhaws
Kauj Ruam 1. Paub tias txhaws hauv plab tuaj yeem ua rau mob hnyav thiab teeb meem ntawm txoj hnyuv
Cov tsos mob ntawm cov ntshav khov sib txawv nyob ntawm qhov chaw khov hauv lub cev. Yog tias cov hlab ntsha cuam tshuam yog lub luag haujlwm muab ntshav hauv cov quav, cov tsos mob feem ntau suav nrog ntse, mob plab heev. Ntxiv rau, koj yuav pom cov tsos mob hauv qab no:
- Ntuav. Cov ntshav hauv plab ua rau lub plab tsis zoo, thiab lub cev teb los ntawm ntuav.
- Raws plab. Tsis muaj ntshav txaus hloov pauv txoj haujlwm ntawm lub plab zom mov thiab feem ntau ua rau raws plab.
- Cov quav ntshav. Ib qho kev khaus khaus rau cov kab mob hauv lub plab zom mov tuaj yeem ua rau los ntshav. Yog li koj tuaj yeem pom ntshav hauv koj lub plab.
Kauj Ruam 2. Nkag siab tias qhov txhaws hauv txhais ceg tuaj yeem tsim qhov mob, o, thiab lwm yam tsos mob sib txawv
Kev tsim cov ntshav khov hauv caj npab lossis txhais ceg tuaj yeem thaiv cov ntshav ntws rov los rau hauv plawv. Nws yuav ua rau cov hlab ntshav txhav ib yam. Koj tuaj yeem pom qhov mob sai sai, tshwm sim los ntawm kev tsis muaj oxygen vim tsis muaj ntshav txaus. Ntxiv rau, koj yuav muaj cov tsos mob hauv qab no:
- O. Thaum cov hlab ntsha raug thaiv, nws yuav ua rau cov kua dej nyob ruaj khov thiab ua rau thaj tsam khov.
- Kev ua siab mos siab muag. Ntxiv rau (lossis hloov pauv) qhov mob hnyav, koj yuav muaj qhov tsis xis nyob lossis mob siab rau hauv thaj chaw. Qhov no tshwm sim vim qhov mob hauv thaj chaw.
- Discoloration. Cov hlab ntshav txhaws cov ntshav xa mus rau thaj chaw, yog li daim tawv nqaij ntawm koj txhais caj npab lossis txhais ceg yuav dhau los ua xim liab lossis xim liab.
- Kev nkag siab ntawm kev sov siab. Thaum mob tshwm sim, lub cev nce ntshav ntws mus rau thaj chaw puas. Cov ntshav nqa lub cev sov los ntawm lub hauv paus ntawm lub cev, ua rau muaj kev sov siab hauv thaj chaw cuam tshuam.
Kauj Ruam 3. Nkag siab tias cov ntshav txhaws tuaj yeem sab hauv lossis sab nraum cov hlab ntshav lossis cov hlab ntsha
Thaum cov ntshav khov nyob hauv cov hlab ntshav nws tuaj yeem ua rau qee qhov lossis tag nrho cov ntshav ntws, lossis ua rau raug tso tawm thiab ua rau muaj teeb meem xws li mob hlab ntsha tawg, mob ntsws ntsws lossis mob plawv. Thaum cov ntshav khov nyob sab nraum cov hlab ntshav nws tseem tuaj yeem ua ib feem lossis tag nrho cov ntshav ntws los ntawm kev tso siab rau cov hlab ntsha nyob ze.
Kauj Ruam 4. Nco ntsoov tias txhaws hauv lub hlwb tuaj yeem ua rau muaj ntau yam tsos mob txaus ntshai
Lub paj hlwb tswj lub cev txoj haujlwm. Yog tias cov ntshav txhaws cuam tshuam cov ntshav ntws mus rau lub hlwb, nws tuaj yeem cuam tshuam rau kev pom, hais lus, thiab yuav luag txhua yam haujlwm hauv lub cev. Qhov no tuaj yeem ua rau mob stroke. Raws li qhov tshwm sim, koj yuav ntsib:
- Tsis pom kev.
- Tsis muaj zog.
- Tuag tes tuag taw.
- Qaug dab peg.
- Hais lus tsis meej.
- Tsis meej pem.
Kauj Ruam 5. Paub txog tias mob hauv siab, ua tsis taus pa, thiab tawm hws tuaj yeem ua rau pom ntshav khov hauv plawv
Thaum cov ntshav txhaws hauv plawv, nws tuaj yeem ua rau lub suab tsis sib xws thiab thaiv cov ntshav ntws. Qhov no ua rau mob hauv siab (uas tuaj yeem nthuav mus rau caj npab, nraub qaum, caj dab lossis puab tsaig), ua tsis taus pa, thiab tawm hws.
Kev txhaws hauv plawv tuaj yeem ua rau muaj teeb meem ua rau tuag taus, xws li plawv nres
Kauj Ruam 6. Paub tias cov ntshav txhaws hauv lub ntsws tuaj yeem ua rau mob hauv siab thiab ntau yam tsos mob
Ib yam li txhaws hauv plawv, txhaws hauv lub ntsws tuaj yeem ua rau mob hnyav, mob hauv siab uas tuaj yeem tawg mus rau caj npab, nraub qaum, caj dab lossis puab tsaig. Ntxiv rau, koj tuaj yeem ntsib:
- Ceev ceev. Lub plawv them nyiaj los ntawm kev ntaus nrawm txhawm rau muab cov ntshav txaus rau lub cev. Vim li ntawd, koj cov mem tes nce.
- Ntshav hnoos. Ib qho hlab ntsha tuaj yeem ua rau koj lub ntsws mob, ua rau los ntshav. Koj tuaj yeem hnoos ntshav.
- Ua tsis taus pa. Ib qho hlab ntsha tuaj yeem thaiv txoj pa ntawm koj lub ntsws, ua rau ua pa nyuaj.
Txoj Kev 2 ntawm 5: Nkag Siab Txog Qhov Ua Rau Ntshav Qab Zib
Kauj Ruam 1. Xav txog qhov txaus ntshai ntawm kev ua tsis tau ntev
Cov ntshav txhaws qee zaum ua rau tsis pom qhov laj thawj, tab sis qee yam xwm txheej thiab xwm txheej ua rau koj muaj kev pheej hmoo. Thawj ntawm cov no yog ua kom lub cev tsis nyob ntev. Yog tias koj nyob saum txaj lossis zaum thiab hla koj txhais ceg rau lub sijhawm ntev, koj tuaj yeem ua rau muaj kev pheej hmoo ntawm cov ntshav txhaws, tshwj xeeb yog hauv koj txhais caj npab thiab txhais ceg.
Kev mus ncig ntev hauv lub dav hlau lossis tsheb tuaj yeem txo qis cov leeg nqaij, ua rau muaj kev pheej hmoo ntawm cov ntshav txhaws ua rau hauv cov leeg
Kauj Ruam 2. Paub txog qhov pheej hmoo pheej hmoo cuam tshuam nrog cev xeeb tub thiab lub sijhawm tom qab yug menyuam
Hauv cov poj niam cev xeeb tub, lub tsev menyuam loj tuaj ua rau cov ntshav ntws rov qab mus rau lub plawv. Qhov no tuaj yeem ua rau muaj kev pheej hmoo ntawm cov ntshav txhaws, tshwj xeeb yog hauv ob txhais ceg lossis hauv plab. Cov poj niam uas tau yug menyuam tsis ntev los no tseem muaj kev pheej hmoo nce ntxiv.
Kauj Ruam 3. Paub tias lub cev qhuav dej tuaj yeem ua rau txhaws
Koj xav tau dej txaus hauv koj lub cev kom ua kom cov ntshav khiav tau zoo. Yog tias koj lub cev qhuav dej, koj cov ntshav tuaj yeem ua tuab dua, ua kom yooj yim rau cov pob txha tsim.
Kauj Ruam 4. Paub txog qhov txaus ntshai ntawm kev yug menyuam thiab kho cov tshuaj hormones
Estrogen thiab progesterone tuaj yeem ua rau kom muaj ntshav khov ntau ntxiv, ua rau muaj kev pheej hmoo nce ntxiv ntawm cov ntshav txhaws. Hormonal contraception (zoo li cov tshuaj tswj kev yug menyuam) thiab kev kho tshuaj hormone ob qho tib si qhia cov tshuaj no rau hauv lub cev.
Kauj Ruam 5. Nkag siab tias kev siv cov raj ntev mus ntev tuaj yeem ua rau txhaws
Cov raj catheters yog cov cev txawv teb chaws. Thaum ib tus tso rau hauv cov hlab ntshav, nws tuaj yeem cuam tshuam rau koj cov ntshav ncig, ua rau cov ntshav khov.
Kauj Ruam 6. Nco ntsoov tias qee yam kev mob tuaj yeem ua rau txhaws
Qee yam mob tuaj yeem ua rau lub zais zis zais zis, ua rau los ntshav thiab txhim kho cov ntshav, uas tuaj yeem kis tau los ntawm cov zis. Cov xwm txheej no suav nrog:
- Cancer.
- Kab mob siab.
- Mob raum.
Kauj Ruam 7. Xav txog lub luag haujlwm ntawm kev phais tsis ntev los no thiab raug mob
Thaum lub cev raug mob, los ntawm kev raug mob los yog los ntawm txheej txheem phais, ntshav ntau dhau (thiab khov) tuaj yeem tshwm sim. Ib qho ntxiv, lub sijhawm so so uas feem ntau ua raws kev phais thiab raug mob ua rau muaj kev pheej hmoo ntawm kev khov khov.
Kauj Ruam 8. Paub tias rog rog ua rau koj muaj kev pheej hmoo
Cov neeg uas rog dhau lossis rog dhau feem ntau muaj cov roj cholesterol ntau hauv lub cev. Vim li ntawd, cov hlab ntsha nqaim, ua rau muaj cov ntshav txhaws.
Kauj Ruam 9. Paub txog qhov phom sij ntawm kev haus luam yeeb
Kev haus luam yeeb ua rau cov quav hniav nyob hauv cov hlab ntshav, ua rau lawv nqaim thiab ua rau txhaws.
Kauj Ruam 10. Paub txog koj tsev neeg keeb kwm
Yog tias koj muaj keeb kwm ntawm tus kheej lossis tsev neeg ntawm kev mob ntshav khov, koj muaj kev pheej hmoo nce ntxiv ntawm kev tsim ntshav txhaws. Teeb meem tsis khov yuav ua rau cov hlab ntshav nqaim lossis qib ntawm cov tshuaj anticoagulants ntuj yuav qis, hauv ob qho tib si uas ua rau ntshav txhaws.
Txoj Kev 3 ntawm 5: Txheeb Ntshav Ntshav
Kauj Ruam 1. Nrhiav kev kho mob tam sim
Yog tias koj muaj cov tsos mob ntawm cov ntshav khov, mus cuag kws kho mob tam sim ntawd. Cov ntshav khov tuaj yeem ua rau muaj mob hnyav rau lub neej.
Kauj Ruam 2. Muab koj tus kws kho mob sau keeb kwm kev noj qab haus huv
Koj tus kws kho mob yuav tsum nug txog koj cov tsos mob, koj txoj kev ua neej, koj tus kheej keeb kwm kev noj qab haus huv, thiab koj tsev neeg keeb kwm kev noj qab haus huv. Teb cov lus nug no kom ntxaws ntau li ntau tau los ua kom muaj txoj hauv kev kuaj mob sai thiab raug.
Kauj Ruam 3. Kuaj lub cev
Koj tus kws kho mob yuav tsum ua kom tiav lub cev, nrhiav ib qho cim lossis tsos mob uas tuaj yeem taw tes rau cov ntshav txhaws.
Kauj Ruam 4. Ua raws li ib qho kev kuaj sim uas koj tus kws kho mob xaj
Nyob ntawm koj cov tsos mob, koj tus kws kho mob yuav xaj cov ntshav ua haujlwm, nrog rau kev kuaj uas tuaj yeem pab kuaj pom ntshav khov. Ib qho ntxiv, nws lossis nws yuav pom zoo:
- Ultrasound. Siv lub tshuab ultrasound, koj tus kws kho mob tuaj yeem tuaj yeem kuaj pom cov ntshav txhaws hauv cov leeg.
- Venography. Hauv venography, cov xim sib txawv tau txhaj rau hauv cov leeg me me ntawm koj txhais tes lossis ko taw. Siv tshuaj fluoroscopy, tom qab ntawd tus kws kho mob tuaj yeem soj ntsuam txoj hauv kev ntawm cov zas xim, saib seb puas muaj ntshav txhaws.
- Arteriography. Hauv arteriography, cov xim zas yog txhaj ncaj qha rau hauv cov hlab ntshav. Zoo ib yam li venography, arteriography yuav tso cai rau koj tus kws kho mob saib txoj hauv kev ntawm cov zas xim thiab paub tseeb tias muaj cov ntshav khov.
Kauj Ruam 5. Tau txais kev kuaj pom duab lossis ua kom lub qhov tso pa tawm mus txhawm rau txheeb xyuas cov ntshav khov hauv lub ntsws
Yog tias koj tus kws kho mob xav tias ntshav khov hauv koj lub ntsws (tseem hu ua pulmonary embolism), nws lossis nws yuav pom zoo kom kuaj pom thiab/lossis tso pa tawm mus kuaj koj lub ntsws. Kev ntsuas duab kuj tseem tuaj yeem siv pom cov hlab ntshav hauv lub hlwb lossis hauv cov hlab ntsha carotid. Qhov no yuav koom nrog:
- Xoo hluav taws xob hauv siab. Xoo hluav taws xob tsis tuaj yeem pom muaj cov pob txha. Txawm li cas los xij, lawv tuaj yeem nthuav qhia qee yam mob, ua rau muaj ntshav txhaws, uas ua rau mob hauv siab thiab ua tsis taus pa.
- Electrocardiogram (EKG). Ib qho EKG yog qhov ntsuas tsis mob. Nws yooj yim sau koj lub plawv kev ua hluav taws xob, qhia qhov txawv txav cuam tshuam nrog kev mob hauv lub ntsws.
- Computerized tomography (CT) scan. Hauv CT scan, qhov sib txawv zas xim tau txhaj rau hauv cov hlab ntshav, thiab koj lub ntsws lossis lub hlwb raug tshuaj xyuas kom pom cov cim ntshav txhaws.
- Cerebral Angiography. Qhov kev ntsuas no suav nrog lub raj raj, duab xoo hluav taws xob thiab txhaj tshuaj sib piv kom tau cov duab meej ntawm cov hlab ntshav hauv lub hlwb.
- Carotid Ultrasound ntawm lub plawv. Qhov kev sim tsis mob no ua rau cov hlab ntsha carotid nrog lub suab nthwv dej txhawm rau txhawm rau txhaws lossis nqaim, uas tuaj yeem ua rau muaj kev pheej hmoo ntawm mob hlab ntsha tawg.
- Kev tso cua tawm. Kev tso pa tawm yog qhov kev sim tshuaj uas siv tshuaj los txheeb xyuas huab cua nqus mus rau hauv lub ntsws. Qhov no yog tom qab ntawd piv nrog cov ntshav ntws hauv cov hlab ntsha kom pom tias muaj cov kab mob hauv lub ntsws.
Kauj Ruam 6. Tau txais kev kuaj mob tshwj xeeb
Thaum txhua qhov kev ntsuas tsim nyog tau ua tiav, koj tus kws kho mob yuav tsum tuaj yeem kuaj xyuas koj nrog qee yam hom ntshav khov. Kev kho yuav nyob ntawm, qee qhov, ntawm hom thiab qhov chaw ntawm koj cov hlab ntsha. Hom loj ntawm cov ntshav txhaws muaj xws li:
- Thrombus. Thrombus yog cov ntshav khov uas tsim tawm hauv cov leeg lossis cov hlab ntsha.
- Embolus. Ib qho embolus yog thrombus uas tau txav los ntawm cov ntshav mus rau lwm qhov chaw.
- Cov leeg ntshav sib sib zog nqus (DVT). DVT yog ib qho uas nquag thiab txaus ntshai, feem ntau yog tsim nyob rau hauv cov hlab ntsha loj hauv txhais ceg (txawm tias qee zaum kuj tshwm sim ntawm caj npab, lub plab, lossis lwm qhov hauv lub cev). Nws thaiv cov ntshav ntws thiab ua rau mob thiab o.
Txoj Kev 4 ntawm 5: Kho Mob Ntshav Qab Zib Kho Mob
Kauj Ruam 1. Pib kho tam sim
Cov ntshav txhaws ua rau muaj kev phom sij rau lub neej, yog li ntawv yuav tsum tau kho mob kom sai li sai tau.
Kauj Ruam 2. Noj tshuaj anticoagulants
Cov tshuaj Anticoagulant cuam tshuam cov txheej txheem ntawm kev tsim khov. Muaj ntau hom sib txawv hauv khw, suav nrog:
- Enoxaparin (Lovenox). Enoxaparin yog tshuaj txhaj rau kom cov ntshav sai. Qhov koob tshuaj rau cov neeg laus yog 40 mg txhaj rau hauv thaj tsam rog hauv lub cev, xws li caj npab lossis hauv plab.
- Warfarin (Coumadin). Warfarin yog cov tshuaj anticoagulation, uas ua raws li cov ntshav thinner. Qhov ntau npaum li cas nyob ntawm tus neeg mob tshwj xeeb. Txhawm rau txiav txim siab qhov ntau npaum li cas thiab kev tswj hwm, koj tus kws kho mob tuaj yeem ua qhov kev ntsuas ntshav khov hu ua International Normalized Ratio, lossis INR.
- Heparin. Heparin yog ib hom tshuaj anticoagulant ib txwm siv, muab tso rau hauv cov hlab ntshav txhawm rau tiv thaiv kev loj hlob ntawm cov ntshav txhaws. Cov koob tshuaj nyob ntawm koj qhov xwm txheej tshwj xeeb; koj tus kws kho mob yuav tsum ntsuas ntsuas ntshav los txiav txim qhov ntau npaum li cas.
Kauj Ruam 3. Tham nrog koj tus kws kho mob txog tshuaj thrombolytic
Cov tshuaj Thrombolytic, tseem hu ua "clot busters," yaj cov fibrin strands uas tuav khov ua ke. Kev noj tshuaj sib txawv nyob ntawm koj qhov xwm txheej tshwj xeeb thiab ntawm cov txheej txheem hauv tsev kho mob. Tham nrog koj tus kws kho mob txog qhov ntau npaum li cas rau koj.
Kauj Ruam 4. Xav txog kev phais
Yog tias tshuaj ib leeg tsis tuaj yeem tshem tawm cov ntshav khov, koj yuav tsum tau phais. Muaj ob peb hom kev phais uas yuav siv tau:
- Lub plawv catheterization. Txog cov ntshav txhaws hauv plawv, kev siv lub plawv dhia ua haujlwm txhawm rau nrhiav qhov khov. Lub zais pa tau tso rau kom qhib qhov txhaws, thiab tom qab ntawd tso lub stent tso kom lub nkoj tsim nyog qhib. Lub siab los ntawm lub zais pa thiab lub stent ua rau cov ntshav khov ua tej daim me me, rov ua kom cov ntshav ntws.
- Catheter-direct thrombolysis. Tus kws kho mob tso ntshav thrombolysis yog txheej txheem phais mob uas lub raj tso ncaj qha rau hauv cov ntshav, tso tshuaj kom yaj nws.
- Thrombectomy. Thrombectomy tsuas yog kev phais tshem tawm cov ntshav khov nws tus kheej. Nws feem ntau ua nrog thrombolysis tsis muaj txiaj ntsig, lossis thaum muaj xwm txheej xwm txheej xav tau kev kho mob tam sim.
Txoj Kev 5 ntawm 5: Ua Kev Noj Haus thiab Hloov Kho Lub Neej
Kauj Ruam 1. Ua haujlwm tsawg kawg 30 txog 45 feeb hauv ib hnub
Cov kev tshawb fawb qhia tias kev siv aerobic niaj hnub tuaj yeem tiv thaiv thiab thim rov qab cov ntshav khov los ntawm kev nce ntshav ntws. Sim taug kev, caij tsheb kauj vab, rowing, khiav, ua luam dej, lossis dhia hlua, yam twg ua rau koj txav mus txhua hnub. Ntsib nrog koj tus kws kho mob txog yam kev tawm dag zog zoo tshaj plaws rau koj.
Kauj Ruam 2. Haus dej ntau
Lub cev qhuav dej ua kom tuab koj cov ntshav thiab tuaj yeem ua rau muaj teeb meem. Nco ntsoov haus dej kom ntau, vim tias nyob twj ywm hauv dej tuaj yeem tiv thaiv kev txhaws los ntawm kev tsim.
Kauj Ruam 3. Noj zaub mov nplua nuj nyob hauv nattokinase
Nattokinase yog ib qho enzyme uas zom cov fibrin, uas tuaj yeem tiv thaiv kev txhaws los ntawm kev tsim thiab yaj cov uas tau pib tsim. Nattokinase muaj nyob hauv natto (cov khoom noj fermented Nyij Pooj ua los ntawm cov taum pauv), fermented taum dub, fermented cws muab tshuaj, thiab tempeh.
Kauj Ruam 4. Ntxiv cov zaub mov nplua nuj hauv rutin
Rutin lub hom phiaj protein disulfide isomerase, ib qho enzyme koom nrog hauv ntshav khov. Nws tau pom hauv cov txiv apples, txiv kab ntxwv, txiv qaub, txiv kab ntxwv qaub (nco ntsoov tias txiv kab ntxwv qaub cuam tshuam nrog qee cov ntshav thinner), txiv qaub, buckwheat, dos, thiab tshuaj yej. Muaj ib qho ntawm cov txiv hmab txiv ntoo no ua khoom qab zib tom qab txhua pluas noj, lossis suav nrog lawv hauv cov pluas noj lawv tus kheej.
Kauj Ruam 5. Tau txais bromelain ntau
Bromelain sib cuam tshuam nrog fibrinogen los pab tshem tawm cov fibrin uas tuav cov ntshav ua ke. Bromelain tsuas yog pom hauv cov pineapples. Yog tias koj muaj kev pheej hmoo nce ntshav nce ntxiv, txiav txim siab suav nrog cov txiv puv luj hauv koj cov khoom qab zib tom qab noj mov ntau li ntau tau.
Kauj Ruam 6. Koom nrog qej rau hauv koj cov zaub mov noj
Qej inhibits zus tau tej cov thromboxane, uas koom nrog hauv cov ntshav txhaws. Nws kuj tseem muaj ajoene thiab adenosine, uas pab tiv thaiv thiab ua kom cov ntshav txhaws.
Dos kuj suav nrog adenosine, yog li koj yuav tsum suav nrog lawv hauv koj cov zaub mov ib yam
Kauj Ruam 7. Tsom ntsoov rau ntses rau koj cov protein noj
Ntau cov protein ntau (tshwj xeeb yog cov nqaij liab thiab cov khoom siv mis) zoo li txhawb kev tsim cov ntshav khov. Sim noj ntses ntau dua. Cov omega-3 fatty acids tuaj yeem txo koj cov roj cholesterol, ua kom koj cov ntshav tsawg, thiab txo qis ntshav khov, txawm hais tias cov pov thawj tam sim no tsis muaj tseeb.
