Kev Kho Mob EVAR ntawm Apollo Tsev Kho Mob, Lucknow

Vim li cas cov neeg mob thiaj xaiv Apollo Tsev Kho Mob, Lucknow rau EVAR

• Apollo Group txoj kev vam meej txij li xyoo 1983: Apollo Tsev Kho Mob tau ua tus thawj coj hauv kev kho mob ntiag tug hauv Is Nrias teb thiab niaj hnub no ua haujlwm ntau dua 70 lub tsev kho mob, nrog rau kev pabcuam plawv thiab cov hlab ntsha ntawm nws cov kev tshwj xeeb siab tshaj plaws hauv tebchaws.
• Pab pawg neeg mob vascular thiab endovascular tshwj xeeb: Kev ua haujlwm ntawm Aortic ntawm Apollo Lucknow yog ua los ntawm pab pawg neeg ua ke ntawm cov kws phais mob hlab ntsha, cov kws phais mob plawv, cov kws kho mob hluav taws xob thiab cov kws kho mob plawv, yog li cov rooj plaub stent-graft yog npaj ua ke es tsis yog los ntawm ib tus neeg ua haujlwm.
• Cath-lab thiab hybrid imaging muaj peev xwm: EVAR raug ua nyob rau hauv kev taw qhia fluoroscopic siab nrog kev rho tawm digital angiography, thiab kev npaj ua tiav ntawm ntau-slice CT angiography nrog 3D centreline reconstruction - tus qauv ntsuas pom zoo rau stent-graft sizing.
• Kev saib xyuas tag nrho ntawm aorta: Kev siv EVAR hauv qab lub raum, kev teeb tsa ceg ntawm lub raum thiab lub pob tw hauv qab, kev kho cov hlab ntsha hauv lub hauv siab (TEVAR), thiab kev phais qhib thaum lub cev tsis haum rau kev siv stent graft. Tsis yog txhua lub hlab ntsha hauv lub raum haum rau EVAR, thiab pab neeg yuav hais li ntawd.
• Kev pab txhawb nqa kev kho mob tseem ceeb: Kev saib xyuas mob hnyav 24 teev hauv ib hnub, 7 hnub hauv ib asthiv, kev nkag mus rau hauv lub txhab ntshav, kev txhawb nqa kev ntxuav ntshav thiab kev pab them nqi kho mob nephrology thiab cardiology hauv tsev kho mob - qhov tseem ceeb vim tias feem ntau cov neeg mob aneurysm yog cov neeg laus dua thiab muaj kab mob plawv, raum lossis ntsws.
• Kev teb sai sai rau lub plawv aorta: Cov kev pab cuam thaum muaj xwm txheej ceev 24 teev hauv ib hnub, 7 hnub hauv ib asthiv rau cov hlab ntsha aneurysm uas xav tias tawg lossis muaj tsos mob, qhov twg lub sijhawm rau kev thaij duab thiab lub sijhawm mus rau chav kho mob txiav txim siab qhov ciaj sia.
• Cov kev pab cuam uas tau tsim los ntawm pawg neeg mob: kev kho mob ua ntej thiab kev kho mob kom zoo tshaj plaws rau cov neeg mob laus thiab cov neeg mob uas tsis muaj zog, kev soj ntsuam duab tas mus li tom qab EVAR, thiab kev xa mus rau cov neeg mob hluas uas muaj teeb meem ntawm cov nqaij sib txuas lossis cov hlab ntsha uas kis tau kab mob (mycotic) uas xav tau kev npaj sib txawv.
• Lub rooj sib tham txog kev pov hwm thiab TPA nyob rau ntawm qhov chaw los ua qhov kev tso cai ua ntej tsis siv nyiaj ntsuab rau kev npaj nkag mus thiab kev ceeb toom thaum muaj xwm txheej ceev rau kev tawg.

Txheej txheem cej luam

Kev Kho Mob Endovascular Aneurysm (EVAR) yog ib txoj kev phais mob uas tsis tshua muaj kev cuam tshuam uas tsim los kho cov kab mob plab aortic aneurysms (AAAs). Ntawm Apollo Tsev Kho Mob Lucknow, peb txaus siab rau peb lub koob npe nrov rau kev ua tau zoo hauv kev phais mob vascular, siv cov thev naus laus zis tam sim no thiab cov txheej txheem siab heev los ua haujlwm rau qhov zoo tshaj plaws rau peb cov neeg mob. Peb pab neeg kws phais neeg txawj thiab cov kws kho mob tau mob siab rau kev muab kev saib xyuas tus kheej, ua rau Apollo Tsev Kho Mob Lucknow yog qhov kev xaiv zoo rau txoj kev kho mob EVAR hauv cheeb tsam. Nrog rau kev tsom mus rau kev ntseeg siab thiab kev txaus siab ntawm tus neeg mob, peb cog lus tias yuav coj koj mus rau txhua kauj ruam ntawm koj txoj kev kho mob.

Hauv cov lus yooj yim, es tsis txhob qhib lub plab, tus kws phais muab ib lub stent hlau uas muaj ntaub npog rau hauv cov hlab ntsha hauv qhov chaw mos thiab muab tso rau hauv lub aorta. Lub stent no tsim ib txoj kab tshiab rau cov ntshav sab hauv, yog li ntawd qhov siab raug tshem tawm ntawm phab ntsa aneurysm uas tsis muaj zog thiab qhov kev pheej hmoo ntawm kev tawg poob qis heev.

Vim li cas EVAR Txheej Txheem thiaj li tsim nyog

Ib qho hlab ntsha hauv plab hu ua aortic aneurysm yog ib qho uas cov hlab ntsha loj tshaj plaws hauv lub cev loj hlob lossis nthuav dav, uas tuaj yeem ua rau muaj teeb meem loj heev yog tias tsis kho. Txoj kev kho mob EVAR yog qhov tsim nyog los tiv thaiv kom tsis txhob muaj qhov tawg ntawm cov hlab ntsha hauv plab, uas tuaj yeem ua rau los ntshav sab hauv loj heev thiab ua rau tuag taus.

Cov txiaj ntsig ntawm cov txheej txheem EVAR muaj xws li:

• Txoj kev kho mob tsawg kawg nkaus: Tsis zoo li kev phais qhib ib txwm muaj, EVAR yuav siv cov qhov me me ntawm qhov chaw mos lossis cov koob txhaj tshuaj, ua rau mob tsawg dua thiab rov zoo sai dua.
• Txo qhov kev pheej hmoo ntawm cov teeb meem thaum ntxov: Qhov xwm txheej ntawm txoj kev phais mob uas tsis tas phais ntau feem ntau ua rau muaj teeb meem tsawg dua thaum ntxov dua li kev phais qhib.
• Nyob hauv tsev kho mob luv dua: Cov neeg mob feem ntau yuav nyob hauv tsev kho mob luv dua, ua rau lawv rov qab mus ua tej yam niaj hnub tau sai dua.
• Txhim kho lub neej zoo: Los ntawm kev kho mob aneurysm kom zoo, EVAR tuaj yeem txo qhov kev ntxhov siab thiab kev txwv ntawm kev ua neej nrog aneurysm uas tsis tau kho.

Ntawm Apollo Tsev Kho Mob Lucknow, peb nkag siab txog qhov tseem ceeb ntawm kev cuam tshuam raws sijhawm thiab lub luag haujlwm nws ua si hauv kev ua tiav cov txiaj ntsig zoo dua rau peb cov neeg mob.

Kev pheej hmoo ntawm kev ncua

Kev ncua sijhawm ua EVAR thaum kho tau lawm ces yuav muaj teeb meem loj heev. Thaum cov hlab ntsha hauv plab loj zuj zus, qhov kev pheej hmoo ntawm kev tawg yuav nce ntxiv. Cov hlab ntsha hauv plab uas tawg lawm yuav ua rau:

• Kev los ntshav sab hauv hnyav heev: Qhov no tuaj yeem ua rau poob siab thiab xav tau kev pab thaum muaj xwm txheej ceev tam sim ntawd.
• Kev pheej hmoo tuag ntau ntxiv: Kev tuag ntawm cov hlab ntsha tawg yog siab heev, thiab feem coob ntawm cov neeg mob tsis muaj sia nyob ntev txaus mus txog tsev kho mob.
• Cov teeb meem los ntawm lwm yam teeb meem kev noj qab haus huv: Kev ncua kev kho mob tuaj yeem ua rau mob plawv, mob raum lossis mob ntsws hnyav zuj zus, ua rau kev phais tom qab muaj kev pheej hmoo ntau dua.

Ntawm Apollo Tsev Kho Mob Lucknow, peb hais txog qhov ceev ntawm kev kho mob raws sijhawm. Peb pab neeg muaj los soj ntsuam koj thiab qhia seb kev kho, lossis kev saib xyuas txuas ntxiv, puas yog qhov kev xaiv zoo dua rau koj.

Cov txiaj ntsig ntawm EVAR txheej txheem

Kev ua cov txheej txheem EVAR ntawm Apollo Tsev Kho Mob Lucknow muaj ntau yam txiaj ntsig, suav nrog:

• Lub sijhawm rov zoo luv dua: Cov neeg mob feem ntau zoo sai dua li tom qab kho qhib, rov qab mus ua ub ua no li qub sai dua.
• Tsawg dua qhov mob thiab tsis xis nyob: Feem ntau qhov chaw nkag me dua txhais tau tias mob tsawg dua tom qab phais.
• Kev pheej hmoo tsawg dua ntawm kev kis kab mob ntawm qhov txhab: Cov qhov txiav me me txo qhov kev pheej hmoo ntawm qhov txhab ntev hauv plab.
• Kev tiv thaiv ruaj khov nrog kev ua raws li nram no: Yog tias xaiv cov neeg mob kom raug thiab saib xyuas cov duab tas mus li, EVAR muab kev tiv thaiv zoo rau cov neeg mob feem ntau kom tsis txhob tawg mus ntev. Qee tus neeg mob xav tau kev kho mob ntxiv, feem ntau yog me me, endovascular top-up ntau xyoo.

Kev xaiv Apollo Tsev Kho Mob Lucknow rau koj txoj kev kho mob EVAR txhais tau tias xaiv ib qho chaw uas muab qhov tseem ceeb rau koj txoj kev noj qab haus huv thiab kev nyob zoo thiab ncaj ncees rau koj txog qhov kev kho mob ua tau thiab ua tsis tau.

Kev npaj thiab rov qab

Kev npaj rau txoj kev phais EVAR muaj ob peb kauj ruam tseem ceeb kom ua tiav kev phais mob zoo.

Npaj cov lus qhia

• Kev sab laj: Teem sijhawm sab laj nrog peb cov kws kho mob tshwj xeeb txog cov hlab ntsha kom tham txog koj keeb kwm kev kho mob, xwm txheej kev noj qab haus huv tam sim no thiab txhua yam kev txhawj xeeb.
• Kev kuaj ua ntej phais: Tej zaum koj yuav xav tau kev thaij duab, kuaj ntshav thiab ntsuas lub plawv kom ntsuas koj txoj kev noj qab haus huv tag nrho thiab qhov loj thiab cov duab ntawm lub aneurysm.
• Kev tswj tshuaj: Qhia rau koj tus kws kho mob txog txhua yam tshuaj uas koj noj. Qee yam, xws li qee cov tshuaj uas ua rau cov ntshav nyias lossis cov tshuaj ntshav qab zib, yuav tsum tau hloov kho lossis tsum tsis txhob noj ua ntej ua qhov kev kho mob no.
• Kev hloov kho kev noj haus: Ua raws li cov lus qhia ntawm kev yoo mov thiab kev noj zaub mov uas koj pab neeg saib xyuas kev noj qab haus huv muab.

Cov tswv yim rov qab

• Ua raws li cov lus qhia tom qab phais ntawm cov theem kev ua ub no, kev saib xyuas qhov txhab ntawm qhov chaw mos thiab tshuaj.
• So thiab hydration: Kev so thiab haus dej kom txaus pab txhawb kev rov zoo, tshwj xeeb yog kev rov zoo ntawm lub raum tom qab siv cov xim sib piv.
• Maj mam rov qab mus ua tej yam haujlwm: Rov ua dua ib yam li qub ua ntu zus, tsis txhob tsa khoom hnyav thiab ua si nawv hnyav thaum xub thawj.
• Mus koom cov kev teem caij tom qab: Kev soj ntsuam xyuas duab tas li yog qhov tseem ceeb, tsis yog xaiv tau, tom qab EVAR.

Ntawm Apollo Tsev Kho Mob Lucknow, peb pab neeg muab kev txhawb nqa thoob plaws hauv kev npaj thiab kev rov zoo kom koj hnov ​​​​​​tias muaj kev paub txog txhua kauj ruam.

Cov Lus Qhia Tam Sim No: Thaum Twg Yuav Tsum Tau Kho?

Kev txiav txim siab ntawm Apollo Lucknow ua raws li cov qauv thoob ntiaj teb uas Vascular Society of India (VSI) thiab Indian vascular kev xyaum ua raws li, kos los ntawm European Society for Vascular Surgery (ESVS) 2024 Clinical Practice Guidelines on the Management of Abdominal Aorto-Iliac Artery Aneurysms thiab Society for Vascular Surgery (SVS) 2018 cov lus qhia kev xyaum.

• Kev kho feem ntau yog qhia rau infrarenal AAA ntawm 55 hli lossis ntau dua rau cov txiv neej, thiab tom ib qhov qis dua ntawm kwv yees li 50 mm rau cov poj niam, uas muaj kev tawg ntawm cov kab uas me dua.
• Kev kho kuj raug qhia rau kev loj hlob sai heev (ntau tshaj li ntawm 10 mm hauv ib xyoos) lossis rau ib qho aneurysm uas muaj tsos mob los yog mob me me, tsis hais qhov loj me.
• Hauv qab cov kev txwv no, kev soj ntsuam ultrasound ntawm cov lus qhia uas tau teev tseg yog qhov muaj kev nyab xeeb dua li kev phais. Kev kho cov aneurysms me me thaum ntxov tsis tau pom tias yuav ua rau muaj kev ciaj sia zoo dua.
• Dab tsi tau hloov pauv tsis ntev los no: Qhov hloov tshiab ESVS 2024 muab qhov tseem ceeb dua rau kev kho cov neeg mob tsuas yog raws li cov lus qhia ntawm tus neeg tsim khoom siv stent, ntawm kev txiav txim siab sib koom rau cov neeg mob uas muaj lub neej luv, thiab ntawm kev saib xyuas tom qab EVAR tas mus li vim tias cov teeb meem lig thiab kev kho dua tshiab sib sau ua ke dhau sijhawm. Nws kuj rov hais dua tias rau cov neeg mob uas muaj lub neej ntev, kev kho qhib tseem yog qhov kev xaiv raug cai thiab qee zaum zoo dua.
• Cov lus qhia kuj tseem hais txog kev txo qis kev pheej hmoo kho mob rau txhua tus neeg mob uas muaj aneurysm: tsum haus luam yeeb tag nrho, tswj ntshav siab thiab noj statin ntxiv rau kev kho mob antiplatelet yog tias qhia.

Cov no yog cov qauv dav dav. Koj tus kheej cov lus pom zoo nyob ntawm koj lub cev, kev ua haujlwm ntawm lub raum, lub plawv thiab tus kheej nyiam.

Lub Sijhawm thiab Theem Npaj Ua Ntej Cov Txheej Txheem

Kev npaj EVAR tsis yog kev txiav txim siab tib hnub. Ib txoj kev ib txwm muaj ntawm Apollo Lucknow khiav raws li hauv qab no.

Ib qho aneurysm tawg lossis muaj tsos mob hla dhau tag nrho cov no thiab raug kho raws li qhov xwm txheej ceev.

EVAR piv rau lwm cov kev xaiv txuj ci

Cov Txheej Txheem Ntxiv Qee Zaum Ua Tib Lub Sijhawm

• Iliac artery angioplasty lossis stenting kom tso cai rau lub cev xa khoom hla dhau cov hlab ntsha nqaim lossis cov hlab ntsha calcified.
• Kev txhaws ntawm cov hlab ntsha sab hauv (hypogastric) thaum lub graft yuav tsum tau nthuav mus rau hauv lub external iliac artery.
• Endovascular conduit lossis phais iliac conduit rau cov neeg mob uas muaj cov hlab ntsha me me heev.
• Hom II endoleak embolisation ntawm kev pub cov ceg, qee zaum npaj ntawm cov txheej txheem ntsuas.
• Kev kho mob ntawm cov hlab ntsha hauv lub femoral endarterectomy lossis kev kho thaj chaw yog tias cov hlab ntsha ntawm qhov chaw nkag mus rau hauv qhov chaw mos muaj kab mob hnyav heev.
• Kev kho mob plawv, yog tias xav tau, yuav luag ib txwm ua tiav raws li kev kho mob sib cais, ua ntej cov txheej txheem es tsis yog nyob rau tib lub rooj zaum.

Phase-by-Phase Recovery Timeline

Lub sijhawm tsuas yog qhia xwb. Cov neeg mob laus dua, cov neeg uas muaj kab mob raum lossis kab mob plawv, thiab cov neeg uas tau kho mob nyuaj lossis thaum muaj xwm txheej ceev yuav qeeb zuj zus.

Rov Qab Mus Ua Haujlwm Li Qub, Ua Haujlwm, thiab Ua Si

• Taug kev: txij hnub thawj, nce ntxiv txhua hnub. Kev taug kev yog tib qho kev ua ub ua no zoo tshaj plaws tom qab EVAR.
• Kev nqa: Tsis txhob nqa khoom hnyav tshaj li 5 kg rau 4-6 lub lis piam kom tiv thaiv qhov raug mob lossis qhov txhab ntawm qhov chaw mos. Qhov no suav nrog kev nqa cov xeeb ntxwv, cov thoob dej thiab cov thoob roj.
• Kev ua haujlwm ntawm lub rooj lossis kev saib xyuas: feem ntau yog 2? 4 lub lis piam. Kev ua haujlwm tes lossis kev ua haujlwm hauv thaj teb: feem ntau yog 6? 8 lub lis piam, qee zaum ntev dua.
• Tsav Tsheb: Thaum koj nres tau thaum muaj xwm txheej ceev yam tsis mob qhov chaw mos thiab tsis noj tshuaj loog lawm, feem ntau yog 2-4 lub lis piam. Xyuas seb koj daim ntawv pov hwm tsheb zoo li cas.
• Kev caij tsheb kauj vab ob lub log: ncua sijhawm ntev dua li kev tsav tsheb vim yog kev co thiab kev ntxhov siab ntawm qhov chaw ntawm txoj kev hauv Is Nrias teb.
• Kev sib deev: feem ntau tom qab 3-4 lub lis piam. Muaj ib txhia txiv neej pom tias lawv cov zis hloov pauv tom qab phais plawv; nug koj tus kws phais ncaj qha yog tias qhov no tseem ceeb rau koj.
• Kev ua si nawv: kev ua ub ua no uas tsis tshua muaj kev cuam tshuam (taug kev, ua luam dej thaum cov qhov txhab zoo lawm, caij tsheb kauj vab, yoga yam tsis tau tuav pa) txij li ntawm 6 lub lis piam. Kev cob qhia hnyav, kev sib tw kis las thiab kev tawm dag zog kom nruj yuav tsum tau kev tso cai tshwj xeeb.
• Cov kev coj noj coj ua tshwj xeeb rau Is Nrias teb: kev zaum zawm, zaum ceg ntoo khaub lig rau hauv pem teb thiab siv chav dej Indian ua rau lub duav thiab lub duav nruj. Siv lub rooj zaum Western lossis lub rooj zaum commode rau 3-4 lub lis piam thawj zaug, thiab npaj kom pw hauv pem teb kom tsiv mus rau lub txaj pw uas siab tshaj lub duav yog tias mob sawv ntawm hauv pem teb. Lub rooj zaum ntawm ib sab txaj pw ntawm lub txaj pw hauv pem teb yuav pab tau yog tias tsis muaj lub txaj pw.
• Kev straining: tsis txhob cem quav. Kev siv zog ntau dhau ua rau lub plab hnyav zuj zus; noj tshuaj ua kom quav mos thiab haus dej txaus rau ob peb lub lis piam thawj zaug yeej tsim nyog.

Tiv Thaiv Kev Nce Qib Thiab Kev Rov Qab Los

Ib lub stent graft kho qhov aneurysm; nws tsis kho tus kab mob uas ua rau nws. Kev tiv thaiv mus sij hawm ntev nyob ntawm cov hauv qab no.

• Kev haus luam yeeb thiab kev tso tseg tag nrho suav nrog bidi, hookah, gutkha thiab khaini. Qhov no yog qhov hloov pauv tau zoo tshaj plaws rau kev loj hlob ntawm aneurysm thiab rau cov aneurysms tshiab rau lwm qhov.
• Tswj ntshav siab kom lub hom phiaj, nrog rau kev noj tshuaj txhua hnub thiab tsis yog ib ntus.
• Kev kho mob Statin thiab antiplatelet raws li tau hais tseg, rau kev tiv thaiv kab mob plawv.
• Mob ntshav qab zib thiab kev tswj qhov hnyav, thiab kev noj zaub mov tsawg dua uas muaj ntsev, zaub mov kib thiab cov carbohydrate refined.
• Kev soj ntsuam duab tas mus li feem ntau yog CT lossis duplex ultrasound ntawm lub sijhawm teem los ntawm koj pab neeg, kom ntes tau endoleak, graft migration, limb kink lossis kev loj hlob ntawm lub hnab ua ntej nws dhau los ua qhov txaus ntshai.
• Kev tshuaj xyuas cov txheeb ze thawj theem: cov kwv tij neej tsa thiab cov menyuam ntawm cov neeg mob AAA, tshwj xeeb tshaj yog cov txiv neej hnub nyoog tshaj 60 xyoo thiab cov neeg haus luam yeeb, yuav tau txais txiaj ntsig los ntawm kev kuaj mob plab ib zaug xwb. Tham txog qhov no nrog pab neeg.
• Saib xyuas lwm cov hlab ntsha: Cov aneurysms popliteal, iliac thiab thoracic feem ntau pom muaj nyob rau hauv pawg no thiab raug kuaj xyuas thaum lub sijhawm saib xyuas tom qab.

Cov Neeg Laus, Cov Neeg Mob Hluas thiab Cov Menyuam Yaus

• Cov neeg mob laus thiab cov neeg tsis muaj zog: Feem ntau cov neeg mob AAA muaj hnub nyoog tshaj 65 xyoo. EVAR feem ntau yog qhov kev xaiv zoo tshaj plaws ntawm no vim nws zam kev phais plab loj. Txawm li cas los xij, yog tias lub neej ntev dua los ntawm mob qog noj ntshav, kev puas hlwb lossis kev ua haujlwm tsis zoo ntawm lub plawv lossis lub ntsws, cov lus qhia txhawb nqa kev sib tham ncaj ncees txog kev tsis phais kiag li. Qhov ntawd yog qhov kev xaiv raug cai, txhawb nqa los ntawm cov lus qhia.
• Lub raum ua haujlwm: Cov tshuaj zas xim sib txawv thiab kev siv duab X-ray muaj feem cuam tshuam rau cov neeg mob laus uas lub raum ua haujlwm tsis zoo. Cov txheej txheem haus dej, cov txheej txheem txo cov tshuaj sib txawv thiab kev saib xyuas ob chav es tsis txhob rov ua CT dua tuaj yeem siv tau.
• Cov neeg mob hluas dua (hnub nyoog qis dua 60): Kev kho qhib feem ntau raug tham txog tiag tiag, vim nws ruaj khov dua li 25-30 xyoo thiab zam kev thaij duab thiab rov ua dua ntau xyoo.
• Kev sib txuas ntawm cov leeg tsis xis nyob xws li Marfan lossis Ehlers-Danlos syndrome: cov stent grafts uas tau teeb tsa rau hauv cov ntaub so ntswg aortic tsis zoo ua rau tsis paub tseeb, thiab kev kho qhib feem ntau yog qhov nyiam. Kev ntsuam xyuas caj ces thiab kev tshuaj xyuas tsev neeg yog ib feem ntawm kev saib xyuas.
• Cov menyuam yaus thiab cov tub ntxhais hluas: Qhov tseeb tiag uas ua rau AAA puas tsuaj tsis paub meej hauv cov menyuam yaus. Cov menyuam yaus uas muaj cov hlab ntsha hauv lub plawv tsis zoo feem ntau tsis tshua muaj thiab feem ntau yog vim muaj cov kab mob caj ces, mob vasculitis xws li kab mob Takayasu, kev kis kab mob lossis kev raug mob yav dhau los. Cov no xav tau kev npaj kho mob rau menyuam yaus thiab cov noob caj ces, thiab tsis tau kho nrog cov txheej txheem EVAR rau cov neeg laus.
• Cov poj niam: Cov hlab ntsha aortas thiab iliac me dua txhais tau tias muaj tsawg tus poj niam uas haum rau cov khoom siv txheem, thiab kev kho yog qhov pom zoo rau ntawm txoj kab uas hla me dua. Kev ntsuam xyuas tus kheej lub cev yog qhov tseem ceeb.

Yog Koj Xaiv Tsis Ua Qhov Kev Kho Mob

Kev tsis kam kho yog koj txoj cai, thiab rau qee tus neeg mob nws yog qhov kev xaiv tsim nyog. Koj yuav tsum nkag siab txog nws lub ntsiab lus.

• Yuav luag txhua zaus tus aneurysm yuav loj zuj zus, qeeb qeeb thiab ntsiag to, thiab qhov kev pheej hmoo ntawm kev tawg txhua xyoo yuav nce siab thaum lub cheeb hla li ntawm 6 cm.
• Feem ntau qhov tawg yuav mob plab lossis mob nraub qaum thiab vau. Tag nrho cov ciaj sia los ntawm qhov tawg yog qhov tsis zoo, thiab kev kho thaum muaj xwm txheej ceev muaj kev pheej hmoo ntau dua li kev kho uas tau npaj tseg.
• Yog koj tsis kam kho, koj tseem xaiv tau kev tswj hwm kev kho mob zoo tshaj plawskev tswj ntshav siab kom nruj, tso tseg haus luam yeeb tag nrho, kho mob statin thiab antiplatelet, thiab siv ultrasound tsis tu ncua yog tias koj xav saib xyuas tas li.
• Koj hloov siab tau, tab sis lub cev thiab kev noj qab haus huv yuav zuj zus tuaj raws sijhawm, thiab ib rooj plaub uas tsim nyog rau EVAR hnub no yuav xav tau phais qhib tom qab.
• Rau cov neeg mob uas muaj lub neej luv heev, ib daim ntawv qhia kev noj qab haus huv uas muaj kev tswj cov tsos mob thiab kev sab laj nrog tsev neeg yog ib txoj hauv kev zoo thiab muaj kev khuv leej.

Dab Tsi Hloov Tus Nqi ntawm EVAR

Tus nqi EVAR hauv Is Nrias teb feem ntau yog los ntawm cov khoom siv stent graft es tsis yog los ntawm lub sijhawm hauv tsev kho mob. Apollo Tsev Kho Mob Lucknow yuav muab ib daim ntawv sau, kev kwv yees teev rau koj tom qab koj txoj kev npaj CT, vim tias cov khoom siv xav tau tsuas yog paub thaum ntawd xwb. Yog xav paub cov lej tam sim no, thov tham nrog tus neeg txais tos lossis lub rooj pov hwm thiab daim ntawv them nqi.

Kev Pov Hwm thiab Kev Kho Mob Tsis Siv Nyiaj Ntsuab hauv Is Nrias teb

• Txoj Kev Tsis Muaj Nyiaj Ntsuab: rau EVAR uas tau npaj tseg, lub rooj pov hwm ntawm tsev kho mob yuav tsum tau thov kev tso cai ua ntej nrog koj tus neeg pov hwm lossis TPA. Tso cai rau ob peb hnub ua haujlwm; kev pom zoo rau cov khoom siv nyuaj lossis muaj nqis heev tuaj yeem siv sijhawm ntev dua lossis rov qab los nrog kev rau txim ib nrab.
• Txoj kev them rov qab: koj them thiab thov tom qab. Khaws cov ntaub ntawv qhia txog kev tawm hauv tsev kho mob, daim nqi kawg uas tau teev tseg, tag nrho cov ntawv qhia txog kev tshawb nrhiav, daim ntawv nplaum lossis daim ntawv them nqi rau kev hloov stent, thiab cov ntawv txais nyiaj.
• Lub sijhawm tos: Feem ntau cov cai them nqi kho mob hauv Is Nrias teb muaj lub sijhawm tos 30 hnub thawj zaug thiab lub sijhawm tos 2-4 xyoos rau cov mob tshwj xeeb lossis cov mob uas twb muaj lawm. Kev kuaj mob aneurysm ua ntej daim ntawv pov hwm pib yuav raug suav tias yog ua ntej. Tshawb xyuas koj daim ntawv teev sijhawm pov hwm thiab daim ntawv teev cov kev zam tshwj xeeb.
• Kev them nqi raws li kev npaj tseg piv rau kev them nqi thaum muaj xwm txheej: Kab mob aneurysm yog ib yam kab mob, tsis yog ib qho xwm txheej, yog li ntawd feem ntau cov cai lij choj txog kev raug mob ntawm tus kheej tsis them rau nws. Kev raug mob ntawm cov hlab ntsha aorta tom qab muaj xwm txheej ntawm txoj kev yuav raug kho txawv. Kev nkag mus rau hauv tsev kho mob thaum muaj xwm txheej ceev rau kev tawg tseem yuav tsum tau qhia rau tus neeg pov hwm, feem ntau yog hauv 24 teev.
• Cov hau ntawm cov khoom cog thiab cov khoom siv: ntau txoj cai txwv tsis pub them rov qab rau cov hniav cuav lossis siv cov nyiaj txiav tawm sib npaug yog tias koj pawg chav pw tshaj qhov txwv tsim nyog. Vim tias qhov stent graft yog qhov loj tshaj plaws, qhov no cuam tshuam rau koj cov nyiaj uas koj yuav tsum tau them. Paub meej tias koj them rau cov hniav cuav ua ntawv sau ua ntej nkag mus.
• Cov phiaj xwm ntawm tsoomfwv thiab cov tuam txhab lag luam: Kev them nqi raws li Ayushman Bharat PM-JAY, CGHS, ECHS, cov phiaj xwm hauv xeev, kev tsheb ciav hlau lossis PSU vaj huam sib luag sib txawv ntawm cov tuam txhab thiab pob txheej txheem. Nug lub rooj pov hwm seb koj cov phiaj xwm tshwj xeeb puas siv tau ntawm Apollo Tsev Kho Mob Lucknow rau cov txheej txheem no.
• Kev thaij duab tom qab tom qab tawm hauv tsev kho mob feem ntau yog cov nqi kho mob sab nraud thiab tej zaum yuav tsis them. Npaj nyiaj rau nws.

Npaj Koj Txoj Kev Nkag Mus Kawm thiab Yuav Nqa Dab Tsi

• Daim npav ID muaj duab thiab pov thawj chaw nyob rau tus neeg mob thiab tus neeg saib xyuas tseem ceeb, daim npav pov hwm lossis daim qauv ntawm daim ntawv pov hwm, tsab ntawv pom zoo rau TPA thiab cov ntawv ntawm tus tswv ntiav lossis cov ntawv ntawm txoj haujlwm.
• Txhua daim ntawv qhia txog CT scans thiab ultrasound yav dhau los ntawm CD lossis hauv daim ntawv zaj duab xis thawj, cov ntsiab lus tso tawm ua ntej, ECG thiab cov ntawv qhia echo.
• Ib daim ntawv teev cov tshuaj uas siv tam sim no nrog rau cov koob tshuaj, suav nrog Ayurvedic, homeopathic thiab cov tshuaj ntxiv uas yuav tsis tas yuav muaj ntawv yuav tshuaj. Qee cov tshuaj ntsuab cuam tshuam rau kev los ntshav.
• Khaub ncaws xoob xoob xis nyob, tsho qhib pem hauv ntej lossis kurtas, khau khiab tsis plam, cov khoom siv da dej, thiab ib daim phuam qhwv caj dab lossis daim pam rau chav kho mob uas muaj cua txias.
• Cov tsom iav, cov khoom pab hnov ​​lus, lub thawv rau cov hniav cuav, tus pas nrig taug kev lossis tus walker yog tias siv.
• Xov tooj ntawm tes nrog lub charger thiab txoj hlua ntev, thiab daim ntawv teev cov xov tooj ntawm tsev neeg.
• Npaj ib tug neeg saib xyuas thaum nyob hauv tsev kho mob thiab, qhov zoo tshaj plaws, teem caij ob lossis peb tus neeg hauv tsev neeg rau ob lub lis piam thawj zaug nyob hauv tsev. Hauv cov tsev neeg sib koom, txiav txim siab ua ntej leej twg yuav saib xyuas cov tshuaj, leej twg yuav saib xyuas cov qhov txhab thiab leej twg yuav nrog tus neeg mob mus saib xyuas, yog li cov lus qhia yuav tsis ploj ntawm txhua tus neeg.
• Nyob hauv tsev ua ntej yuav tawm hauv tsev kho mob: hloov mus pw rau ntawm ib lub txaj es tsis txhob siv lub txaj pw hauv pem teb, khaws ib lub rooj zaum hauv chav dej lossis chav dej sab hnub poob, tshem cov ntaub pua plag xoob thiab cov chaw tsaus ntuj, thiab khaws ib lub rooj zaum hauv chav dej.
• Tsis txhob tsum lossis rov pib siv cov tshuaj thinning ntshav ntawm koj tus kheej. Ua raws li cov lus qhia sau tseg thaum tawm hauv tsev kho mob xwb.

Cov Cim Ceeb Toom Uas Yuav Tsum Tau Tshuaj Xyuas Tam Sim Ntawd

Mus rau chav kho mob ceev, lossis hu rau tsev kho mob tam sim ntawd, yog tias koj muaj ib qho ntawm cov hauv qab no tom qab EVAR:

• Mob plab hnyav heev tam sim ntawd, mob sab nraub qaum, lossis mob nrog rau kev tsaus muag, tawm hws, lossis vau.
• Qhov o ntawm qhov chaw mos uas nthuav dav, dhia ceev, tawv lossis mob heev, lossis los ntshav tshiab los ntawm qhov chaw raug puncture.
• Mob ceg lossis ko taw txias, dawb paug, loog lossis mob, lossis tsis muaj peev xwm txav ko taw tshiab.
• Kub taub hau tshaj 38°C thiab kav ntev tshaj ob peb hnub, mob khaub thuas, lossis muaj kua paug lossis cov kua tawm ntawm qhov txhab ntawm qhov chaw mos.
• Tso zis me me xwb, los yog tso zis tsaus nti, dhau 12-24 teev.
• Mob plab tshiab hnyav nrog rau raws plab los ntshav, uas tuaj yeem qhia tias cov ntshav tsis txaus hauv cov hnyuv.
• Muaj qhov tsis muaj zog tshiab, loog loog lossis nyuaj tso zis tom qab lub thoracic stent graft.
• Ua tsis taus pa thaum so, mob hauv siab, lossis lub plawv dhia ceev.

Qhov kub taub hau me ntsis nrog kev tsis xis nyob hauv ob peb hnub thawj zaug tom qab EVAR tuaj yeem yog qhov kev tsis haum tom qab cog rau hauv lub cev, tab sis nws tseem yuav tsum tau tshaj tawm thiab soj ntsuam dua li kev xav.

Rau Cov Neeg Mob Uas Mus Los Ntawm Cov Cheeb Tsam Thiab Cov Nroog Nyob Ze

Apollo Tsev Kho Mob Lucknow tau txais cov neeg mob aortic los ntawm thoob plaws nruab nrab thiab sab hnub tuaj Uttar Pradesh thiab cov xeev nyob sib ze? suav nrog Kanpur, Unnao, Barabanki, Sitapur, Hardoi, Rae Bareli, Sultanpur, Amethi, Ayodhya, Basti, Gonda, Bahraich, Balrampur, Shravasti, Lakhimpur Kheri, Pratapgarh, Jaunpur, Azamgarh, Gorakhpur, Varanasi, Prayagrajada, thiab lwm yam. Uttarakhand thiab Nepal.

Cov lus qhia ua tau

• Xa koj cov ntawv qhia ua ntej. Qhia daim duab CT aortogram thiab cov ntaub ntawv qhia ua ntej ua ntej mus ncig kom pab neeg thiaj li paub seb puas siv tau EVAR, kom tsis txhob muaj kev nkim sij hawm mus ncig.
• Npaj ob zaug mus ntsib, tsis yog ib zaug xwb. Thawj zaug mus ntsib kws kho mob kom tau kev sab laj thiab npaj CT, tom qab ntawd zaum ob mus rau kev nkag tom qab npaj cov khoom siv thiab kev pov hwm tau pom zoo.
• Cia ib lub buffer. Kev Siv Nyiaj 5-7 hnub hauv Lucknow nyob ib puag ncig kev nkag mus rau EVAR uas tau npaj tseg, ntev dua yog tias koj muaj teeb meem raum lossis lub plawv.
• Npaj chaw nyob rau ib lossis ob tug neeg ua haujlwm nyob ze tsev kho mob. Nug lub rooj pem hauv ntej kom tau kev qhia txog cov kev xaiv nyob ze.
• Mus tsev kom zoo zoo. Tsis txhob mus ncig teb chaws ntev ntev tsis tu ncua rau 2 lub lis piam thawj zaug; nres txhua teev kom ncab koj lub cev. Feem ntau tso cai caij dav hlau tom qab EVAR thaum koj ruaj khov thiab tau kuaj xyuas lawm, tab sis paub meej nrog koj tus kws phais ua ntej teem caij.
• Npaj kev ua raws li qhov tseeb. Kev saib xyuas mus tas li txhais tau tias yog kev mus ncig ua si tsis tu ncua. Sib tham txog seb qhov kev tshuaj ntsuam twg tuaj yeem ua tau hauv zos thiab tshuaj xyuas deb, thiab qhov twg yuav tsum tau ua ntawm Apollo Lucknow.
• Kev xav tias muaj kev tawg tsis yog ib qho teeb meem rau kev npaj mus ncig. Mus rau tsev kho mob ze tshaj plaws uas muaj CT thiab chaw phais tam sim ntawd; kev hloov pauv tuaj yeem ua raws thaum koj ruaj khov.

Kev Sib Txuas Lus thiab Kev Teem Caij

Thov koj qhia rau lub tsev kho mob paub meej tias muaj neeg pab koj, hnub koj mus ntsib kws kho mob, thiab cov nqi tam sim no, vim tias tej no yuav hloov pauv mus tas li.

Cov Lus Nug

Dab tsi yog qhov txaus ntshai cuam tshuam nrog EVAR txheej txheem?

Txawm hais tias EVAR feem ntau muaj kev nyab xeeb, tab sis tej zaum yuav muaj kev pheej hmoo xws li los ntshav, teeb meem qhov txhab ntawm qhov chaw mos, kev kis kab mob thiab cov teeb meem ntsig txog kev siv tshuaj loog. Kuj tseem muaj kev pheej hmoo ntawm endoleak, qhov twg cov ntshav txuas ntxiv ntws mus rau hauv lub hnab aneurysm, thiab tsis tshua muaj kev hloov pauv ntawm cov hlab ntsha, kev thaiv ceg lossis kev mob raum los ntawm cov xim sib piv. Peb pab neeg ntawm Apollo Tsev Kho Mob Lucknow yuav tham txog cov kev pheej hmoo no ntsig txog koj lub cev tshwj xeeb thaum koj sab laj.

Tus txheej txheem EVAR siv sijhawm ntev npaum li cas?

Feem ntau cov txheej txheem yuav siv sijhawm li 1 txog 3 teev, nyob ntawm seb qhov nyuaj npaum li cas. Cov neeg mob feem ntau nyob hauv tsev kho mob li 1 txog 3 hnub.