Percutaneous Coronary Intervention (PCI) ntawm Apollo Tsev Kho Mob, Lucknow

Vim li cas cov neeg mob xaiv Apollo Tsev Kho Mob Lucknow rau PCI

• Apollo Group txoj kev vam meej txij li xyoo 1983: Apollo Tsev Kho Mob tau tsim tsa kev saib xyuas lub plawv ntiag tug hauv Is Nrias teb thiab pawg neeg tau ua tiav ntau dua ib lab ntawm cov txheej txheem kev cuam tshuam plawv thoob plaws nws lub network, muab rau cov neeg mob Lucknow nkag mus rau cov txheej txheem kho dua plaub xyoo caum.
• Pab pawg neeg tshwj xeeb hauv kev kho mob plawv: Ib chav kho mob plawv uas muaj ntau tus tswv cuab ntawm Apollo Tsev Kho Mob Lucknow, txhawb nqa los ntawm kev siv tshuaj loog plawv, CTVS thaub qab, kev saib xyuas mob hnyav thiab kev thaij duab plawv, yog li ntawd ib rooj plaub tuaj yeem hloov mus rau kev phais bypass yog tias lub cev xav tau. Tus naj npawb tseeb ntawm cov kws pab tswv yim ua haujlwm thiab lawv cov ntim rooj plaub tuaj yeem paub tseeb nrog lub rooj kho mob plawv.
• Xyoo caum ntawm kev paub ua ke: Cov pab pawg neeg ua haujlwm pabcuam tau coj ntau xyoo ntawm kev paub txog catheter-lab, suav nrog radial (dab teg) route angioplasty, bifurcation lesions, chronic total occlusions thiab primary PCI rau kev mob plawv nres.
• Chaw kuaj mob cath 24 teev hauv ib hnub, 7 hnub hauv ib asthiv thiab txoj kev kho mob thaum muaj xwm txheej ceev: Kev teb xwm txheej ceev thiab kev teb xwm txheej ceev ntawm lub plawv 24 teev, uas yog qhov tseem ceeb tshaj plaws hauv ST-elevation myocardial infarction qhov twg txhua feeb ntawm kev ncua sij hawm ua rau cov leeg nqaij plawv raug mob.
• Cov thev naus laus zis niaj hnub no ntawm cath-lab: Kev siv tshuab digital flat-panel angiography, cov stent uas muab tshuaj rau hauv cov hlab ntsha, kev txiav txim siab raws li kev coj ua ntawm lub cev (FFR/iFR qhov twg qhia), kev thaij duab hauv cov hlab ntsha (IVUS/OCT qhov twg qhia), cov cuab yeej rotablation thiab IVL-hom calcium modification, thiab kev txhawb nqa pacing/haemodynamic ib ntus. Kev muaj cov thev naus laus zis tshwj xeeb rau ib hnub twg yuav tsum tau lees paub thaum lub sijhawm teem caij.
• Cov kev pab cuam uas tsim los rau tus neeg mob, tsis yog rau cov hlab ntsha xwb: Kev kho mob plawv uas muaj cov qauv zoo, cov chaw kho mob ntshav qab zib thiab cov roj lipid, kev noj zaub mov uas tau hloov kho rau cov zaub mov tsis noj nqaij thiab cov zaub mov tsis noj nqaij hauv North Indian, kev qhia kom tso luam yeeb, thiab cov kev sib cais rau cov neeg laus, cov tub ntxhais hluas uas muaj kab mob plawv ua ntej lub sijhawm, thiab cov neeg uas rov qab mus ua si lossis ua si nawv.
• Cov mob menyuam yaus thiab cov menyuam yug los: Kev kho mob plawv tsis tshua muaj rau cov menyuam yaus; Apollo cov kev pabcuam kho mob plawv rau menyuam yaus hais txog cov kab mob plawv txij thaum yug los thiab cov kab mob plawv uas muaj cov qauv, thiab cov menyuam yaus uas xav tau kev ua haujlwm raws li catheter raug soj ntsuam los ntawm kev kho mob plawv rau menyuam yaus es tsis yog cov txheej txheem PCI rau cov neeg laus.
• Kev pov hwm thiab kev txhawb nqa TPA hauv tsev: Kev sib koom tes tsis siv nyiaj ntsuab nrog feem ntau cov tuam txhab pov hwm loj, CGHS/ECHS/PSU pawg neeg yog tias siv tau, thiab lub rooj pov hwm uas ua cov ntaub ntawv ua ntej kev tso cai? xyuas kom meej koj daim ntawv pov hwm tshwj xeeb lub rooj sib tham ua ntej nkag mus.

Txheej txheem cej luam

Kev Kho Mob Plawv (PCI) yog ib txoj kev kho mob uas tsis tas yuav phais ntau, uas tsim los kho cov hlab ntsha hauv lub plawv uas nqaim lossis raug thaiv, uas tuaj yeem ua rau muaj teeb meem loj xws li mob plawv nres. Ntawm Apollo Tsev Kho Mob Lucknow, peb txaus siab rau peb lub koob npe nrov rau kev ua tau zoo hauv kev kho mob plawv, siv cov thev naus laus zis tshiab thiab cov txheej txheem siab heev los xyuas kom meej tias muaj txiaj ntsig zoo tshaj plaws rau peb cov neeg mob. Peb pab neeg kws kho mob plawv thiab cov kws tshaj lij kev kho mob tau mob siab rau kev muab kev saib xyuas tus kheej, txhawb kev ntseeg siab, thiab xyuas kom meej tias txhua tus neeg mob tau txais kev saib xyuas uas lawv tsim nyog tau txais. Nrog kev cog lus rau kev tsim kho tshiab thiab kev nyab xeeb ntawm tus neeg mob, Apollo Tsev Kho Mob Lucknow tau lees paub tias yog ib qho ntawm cov chaw ua haujlwm rau Kev Kho Mob Plawv (PCI) hauv cheeb tsam.

Vim li cas Percutaneous Coronary Intervention (PCI) yog qhov tsim nyog

Qhov tsim nyog ntawm Percutaneous Coronary Intervention (PCI) tshwm sim los ntawm lub luag haujlwm tseem ceeb uas cov hlab ntsha coronary ua si hauv kev muab cov ntshav mus rau lub plawv cov leeg. Thaum cov hlab ntsha no ua rau cov hlab ntsha nqaim lossis thaiv vim atherosclerosis (cov quav hniav), nws tuaj yeem ua rau mob hauv siab (angina) lossis txawm tias mob plawv. PCI yog qhov tseem ceeb rau kev kho cov ntshav ntws mus rau lub plawv, txo cov tsos mob, thiab tiv thaiv cov teeb meem ntxiv.

Cov txiaj ntsig ntawm PCI muaj ntau heev. Hauv qhov chaw ntawm kev mob plawv nres sai sai nws tuaj yeem txo qhov kev pheej hmoo ntawm kev tuag thiab kev puas tsuaj ntxiv rau cov leeg nqaij ntawm lub plawv; hauv cov kab mob ruaj khov nws feem ntau txhim kho cov tsos mob thiab lub neej zoo. Tsis tas li ntawd, PCI feem ntau nyiam dua li kev phais plawv qhib ib txwm muaj hauv cov qauv tsim nyog vim nws qhov xwm txheej tsawg kawg nkaus, uas feem ntau ua rau lub sijhawm rov zoo luv dua, mob tsawg dua, thiab nyob hauv tsev kho mob tsawg dua. Ntawm Apollo Tsev Kho Mob Lucknow, peb siv cov thev naus laus zis thiab cov txheej txheem niaj hnub los xyuas kom meej tias peb cov neeg mob tau txais kev saib xyuas zoo tshaj plaws thaum lawv cov txheej txheem PCI.

Kev pheej hmoo ntawm kev ncua

Kev ncua Percutaneous Coronary Intervention (PCI) tuaj yeem muaj qhov tshwm sim loj. Ntev npaum li tus neeg mob tos kom tau txais kev kho mob rau cov hlab ntsha uas txhaws lossis nqaim, qhov kev pheej hmoo ntawm kev mob plawv lossis lwm yam mob plawv. Cov tsos mob xws li mob hauv siab, ua tsis taus pa luv, thiab qaug zog tuaj yeem ua rau lub sijhawm zuj zus, ua rau muaj teeb meem kev noj qab haus huv ntau dua.

Kev kho mob raws sijhawm yog qhov tseem ceeb heev. Cov kev tshawb fawb tau qhia tias PCI thaum ntxov hauv cov kab mob plawv mob hnyav txo qhov kev tuag thiab txhim kho cov txiaj ntsig mus sij hawm ntev. Ntawm Apollo Tsev Kho Mob Lucknow, peb nkag siab txog qhov xwm txheej ceev ntawm cov xwm txheej no thiab peb tau npaj los muab kev kho mob sai thiab zoo. Peb pab neeg tau cog lus tias yuav ua kom cov neeg mob tau txais kev kho mob tsim nyog yam tsis muaj kev ncua sijhawm, txo cov kev pheej hmoo cuam tshuam nrog kev ncua PCI.

Cov txiaj ntsig ntawm Percutaneous Coronary Intervention (PCI)

Nyob rau hauv Percutaneous Coronary Intervention (PCI) muaj ntau yam txiaj ntsig rau cov neeg mob uas muaj kab mob plawv. Qee qhov txiaj ntsig tseem ceeb suav nrog:

• Restoration ntawm Ntshav Flow: PCI ua rau cov hlab ntsha uas raug thaiv qhib zoo, rov qab tau cov ntshav ntws mus rau cov leeg plawv thiab txo cov tsos mob xws li mob hauv siab thiab ua tsis taus pa.
• Minimally Invasive: Tsis zoo li kev phais plawv qhib ib txwm muaj, PCI yog ua los ntawm kev tho me me rau ntawm lub dab teg lossis qhov chaw mos, ua rau mob tsawg dua, txo qhov caws pliav, thiab lub sijhawm rov zoo luv dua.
• Rov qab sai: Feem ntau cov neeg mob tuaj yeem rov qab mus ua lawv cov dej num li qub hauv ob peb hnub tom qab cov txheej txheem, ua rau lawv rov qab mus ua neej txhua hnub sai dua.
• Txhim Kho Lub Neej Zoo: Los ntawm kev txo cov tsos mob thiab txhim kho kev ua haujlwm ntawm lub plawv, PCI tuaj yeem txhim kho tus neeg mob lub neej zoo.
• Kev Pheej Hmoo Tsawg Dua ntawm Kev Mob Plawv: Kev kho PCI raws sijhawm hauv cov kab mob plawv mob hnyav txo qhov kev pheej hmoo ntawm cov teeb meem plawv ntxiv, pab txhawb rau cov txiaj ntsig kev noj qab haus huv zoo dua mus sij hawm ntev.

Ntawm Apollo Tsev Kho Mob Lucknow, peb tau mob siab rau kom ntseeg tau tias peb cov neeg mob tau txais txiaj ntsig zoo los ntawm peb cov kws tshaj lij kev saib xyuas thiab thev naus laus zis.

Kev npaj thiab rov qab

Npaj rau Percutaneous Coronary Intervention (PCI) yog ib kauj ruam tseem ceeb hauv kev ua kom cov txheej txheem ua tiav thiab rov qab zoo. Nov yog qee cov lus qhia tswv yim rau cov neeg mob:

Npaj Cov Lus Qhia

• Kev sab laj: Teem sijhawm sab laj nrog koj tus kws kho mob plawv ntawm Apollo Tsev Kho Mob Lucknow kom tham txog koj keeb kwm kev kho mob, cov tshuaj tam sim no, thiab txhua yam kev txhawj xeeb uas koj muaj.
• Kev xeem ua ntej: Tej zaum koj yuav raug yuam kom ua qee yam kev kuaj mob, xws li kev kuaj ntshav, electrocardiograms (ECGs), lossis kev tshawb fawb duab, los ntsuas koj lub plawv noj qab haus huv.
• Kev Tswj Tshuaj: Ua raws li koj tus kws kho mob cov lus qhia txog cov tshuaj. Tej zaum koj yuav tsum tsum lossis hloov qee cov tshuaj, xws li cov tshuaj ua kom cov ntshav nyias lossis metformin, ua ntej txoj kev kho mob.
• Kev yoo mov: Yuav muaj lus qhia kom koj yoo mov ib ntus ua ntej yuav phais. Ua raws li cov lus qhia no kom tsis txhob muaj teeb meem.
• Kev Thauj Mus Los: Npaj kom muaj ib tug neeg nrog koj mus tsev tom qab ua tiav cov txheej txheem, vim tias koj yuav xav tias qaug zog los ntawm kev siv tshuaj loog.

Cov lus qhia rov qab

• So: Cia koj tus kheej muaj sijhawm so thiab rov zoo tom qab ua tiav cov txheej txheem. Tsis txhob ua tej yam nyuaj heev tsawg kawg yog ib lub lim tiam.
• Kev teem caij tom qab: Mus koom txhua qhov kev teem sijhawm nrog koj tus kws kho mob plawv kom saib xyuas koj txoj kev zoo thiab kev noj qab haus huv ntawm lub plawv.
• Kev ua raws tshuaj: Noj cov tshuaj uas tau sau tseg raws li tau qhia kom pab koj rov zoo thiab tiv thaiv cov teeb meem. Tsis txhob tsum cov tshuaj antiplatelet koj tus kheej.
• Kev Hloov Kev Ua Neej: Xav txog kev hloov pauv txoj kev ua neej kom noj qab haus huv rau lub plawv, xws li kev noj zaub mov kom sib npaug, kev tawm dag zog tsis tu ncua, thiab kev tso tseg haus luam yeeb, los txhim kho koj txoj kev noj qab haus huv ntawm lub plawv thiab cov hlab ntsha.
• Saib xyuas cov tsos mob: Ceev faj txog tej yam tsos mob txawv txawv, xws li mob hauv siab ntxiv lossis ua tsis taus pa, thiab hu rau koj tus kws kho mob yog tias koj muaj kev txhawj xeeb.

Ntawm Apollo Tsev Kho Mob Lucknow, peb pab neeg nyob ntawm no los txhawb koj thoob plaws hauv txoj kev npaj thiab rov qab los, kom ntseeg tau tias koj tau txais kev saib xyuas zoo tshaj plaws.

Cov Lus Qhia Tam Sim No Tom Qab Kev Txiav Txim Siab PCI

Cov kev txiav txim siab txog leej twg xav tau PCI, thaum twg, thiab nrog cov tshuaj twg tom qab ntawd yog raws li cov lus qhia es tsis yog cia rau tus kheej nyiam. Cov qauv uas feem ntau siv hauv kev xyaum Is Nrias teb yog:

• Lub Koom Haum Cardiological Society of India (CSI) Cov Lus Qhia Txog Kev Tswj Xyuas ST-Elevation Myocardial Infarction hauv Is Nrias teb (2017, nrog rau CSI hloov tshiab tom qab thiab cov ntaub ntawv pom zoo los ntawm cov kws tshaj lij): txhawb nqa PCI thawj zaug ua lub tswv yim rov ua kom rov qab zoo dua qhov twg nws tuaj yeem xa tuaj sai, thiab pom zoo rau lub tswv yim pharmaco-invasive - thrombolysis ua ntej, tom qab ntawd hloov mus rau angiography thiab PCI feem ntau hauv 3-24 teev - thaum tus neeg mob mus txog qhov chaw tsis yog PCI ua ntej. Qhov no yog qhov cuam tshuam ncaj qha rau Uttar Pradesh, qhov twg ntau tus neeg mob tau pom thawj zaug hauv tsev kho mob hauv nroog.
• Cov lus qhia pom zoo ntawm Lub Koom Haum Kws Kho Mob ntawm Is Nrias teb (API) thiab CSI txog kev mob ntshav qab zib thiab cov hom phiaj lipid rau cov neeg Is Nrias teb (API 2020 hloov tshiab; CSI/Lipid Association of India consensus, kev kho tshiab tshaj plaws xyoo 2024): faib cov neeg mob tom qab PCI ua qhov muaj kev pheej hmoo siab lossis hnyav heev thiab pom zoo kom txo qis LDL-cholesterol, nrog rau LDL lub hom phiaj qis dua 50 mg / dL rau ntau tus neeg mob tom qab stent - kev hloov pauv ntawm cov hom phiaj ua ntej, xoob dua.
• Xyoo 2023 ESC Cov Lus Qhia rau Kev Tswj Xyuas Cov Kab Mob Acute Coronary Syndromes thiab Xyoo 2021 ACC/AHA/SCAI Cov Lus Qhia rau Kev Kho Mob Coronary Artery Revascularization: tau ua raws li thoob ntiaj teb thiab pom tseeb hauv kev xyaum hauv Is Nrias teb. Cov kev hloov pauv tseem ceeb tsis ntev los no suav nrog kev nyiam siv txoj hauv kev radial (dab teg) ntau dua li txoj kev femoral (groin), kev siv cov duab intravascular rau cov qhov txhab nyuaj, kev kho dua tshiab ntawm cov qhov txhab tseem ceeb uas tsis yog tus ua rau muaj kev mob plawv, thiab kev kho mob ob zaug raws li tus kheej, feem ntau luv dua, raws li kev pheej hmoo ntawm kev los ntshav piv rau kev pheej hmoo ntawm kev txhaws.
• Kab mob plawv ntev ntev: Cov lus qhia tam sim no hais tias nyob rau hauv tus kab mob ruaj khov, kev kho mob zoo tshaj plaws yog lub hauv paus, thiab PCI raug ntxiv rau cov tsos mob uas tseem muaj lossis cov qauv tshwj xeeb uas muaj kev pheej hmoo siab - nws tsis tas yuav tsum tau ua rau txhua qhov nqaim uas pom ntawm angiogram.

Cov lus qhia raug hloov kho tshiab tsis tu ncua thiab cov pov thawj txuas ntxiv mus. Koj tus kws kho mob plawv yuav piav qhia seb cov lus qhia twg siv tau rau koj lub cev, kev ua haujlwm ntawm lub raum, mob ntshav qab zib thiab kev pheej hmoo ntawm kev los ntshav.

Lub Sijhawm ntawm PCI thiab Theem Ua Ntej Txheej Txheem

Rau cov rooj plaub uas tau npaj tseg, cia sijhawm rau kev npaj ua ntej cov txheej txheem: haus dej kom tiv thaiv lub raum, hloov kho cov tshuaj metformin thiab cov tshuaj ua kom cov ntshav nyias, tswj cov ntshav siab heev lossis cov piam thaj uas tsis tswj tau, thiab kho cov kab mob uas tseem muaj sia nyob. Kev xaiv PCI feem ntau raug ncua rau ob peb lub lis piam tom qab kub taub hau tsis ntev los no, mob ntshav dengue, lossis cov ntshav platelet qis.

Cov Kev Xaiv Txuj Ci thiab Lwm Txoj Kev Sib Piv

Cov Txheej Txheem Qee Zaum Ua Hauv Tib Lub Rooj Zaum

• Kev kuaj mob plawv angiography ua raws li ad-hoc PCI tam sim ntawd, yog tias qhov anatomy tsim nyog thiab kev pom zoo npog nws.
• Kev rho cov ntshav txhaws tawm hauv lub plawv nres uas muaj cov ntshav txhaws ntau (siv qee zaus xwb, tsis yog siv tas li).
• Kev ntsuam xyuas FFR/iFR lossis IVUS/OCT ntawm tib lub nkoj lossis lwm lub nkoj.
• Kev ntxig lub tshuab pacemaker ib ntus rau lub plawv dhia qeeb thaum lub sijhawm kho mob plawv sab xis.
• Lub twj tso pa tawm hauv aortic lossis lwm yam kev txhawb nqa haemodynamic hauv cov neeg muaj kev pheej hmoo siab lossis poob siab.
• Kev txiav txim siab PCI ntawm cov hlab ntsha thib ob thaum lub sijhawm nkag mus rau tib qho chaw, ob peb hnub tom qab, es tsis yog ua tiav ib zaug? feem ntau raug xaiv los txwv kev siv tshuaj contrast thiab tiv thaiv lub raum.
• Kev kuaj mob raum lossis peripheral angiography rau cov neeg mob xaiv uas xav tias muaj kab mob sib koom ua ke.
• Kev tshawb nrhiav lub plawv sab xis lossis kev ntsuam xyuas echocardiography uas muaj teeb meem ntawm lub valve lossis siab.

Phase-by-Phase Recovery Timeline

Kev rov zoo tom qab PCI thawj zaug rau kev mob plawv loj qeeb dua li tom qab xaiv ib txoj kev kho mob ib zaug xwb, vim tias kev kho mob ntawm cov leeg plawv, tsis yog qhov chaw tho qhov, yog qhov teeb tsa txoj kev.

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

• Taug kev: Feem ntau yog tib hnub lossis hnub tom ntej, qhov kev ncua deb luv luv, nce ntxiv txhua hnub.
• Nce ntaiv: Maj mam li, txij li ob peb hnub thawj zaug, yog tias mob hauv siab lossis ua tsis taus pa tshwm sim, tsum.
• Da dej: Khaws qhov chaw txhaj tshuaj kom qhuav li ntawm 24-48 teev; tom qab ntawd siv daim txhuam cev los yog da dej raws li qhia. Tsis txhob muab dej rau hauv lub thoob dej thaum xub thawj.
• Zaum hla ceg thiab squat: Yooj yim rau cov neeg mob feem ntau uas mob dab teg hauv ob peb hnub. Tom qab nkag mus rau hauv qhov chaw mos, tsis txhob zaum tob tob, zaum ceg sib tshooj ntev ntev thiab siv chav dej Indian li ib lub lim tiam, vim tias kev khoov ntawm lub duav ua rau qhov chaw raug mob hnyav. Lub rooj zaum lossis lub rooj zaum siab yuav pab tau rau thawj lub lim tiam.
• Pw hauv pem teb: Zoo thaum koj sawv thiab nqis tau yam tsis ua rau koj lub caj npab lossis qhov chaw mos nruj. Siv phab ntsa lossis lub rooj zaum los txhawb rau thawj lub lim tiam yog qhov tsim nyog.
• Tsav Tsheb: Feem ntau tsis yog ua ntej ib lub lim tiam rau cov rooj plaub xaiv tau, thiab ntev dua tom qab muaj mob plawv nres. Kev caij tsheb kauj vab ob lub log feem ntau raug ncua ntxiv vim yog qhov kev nyuaj thiab kev co.
• Rooj lossis chaw ua haujlwm: Feem ntau li ntawm 1? 2 lub lis piam tom qab xaiv PCI tsis muaj teeb meem.
• Kev ua haujlwm tes, ua liaj ua teb, thauj khoom: Feem ntau yog 4? 6 lub lis piam lossis ntau dua, thiab tsuas yog tom qab kuaj xyuas xwb.
• Kev sib deev: Feem ntau tsim nyog thaum koj nce tau ob theem ntaiv yam tsis muaj tsos mob; tham nrog koj tus kws kho mob plawv, tshwj xeeb tshaj yog tias koj noj nitrates.
• Kev Ua Si thiab Chaw Ua Si: Ua haujlwm aerobic me me tom qab tshem tawm; kev cob qhia hnyav, kev sib tw kis las thiab kev sib tw tsuas yog tom qab kev sim kev ntxhov siab lossis kev ntsuam xyuas kev kho kom rov zoo. Kev siv cricket, badminton lossis gym feem ntau rov pib dua li ntawm 4-8 lub lis piam.
• Kev mus los ntawm huab cua: Feem ntau tso cai tom qab 1-2 lub lis piam rau kev xaiv PCI tsis muaj teeb meem, tom qab ntawd tom qab muaj mob plawv loj heev - paub meej nrog koj pab neeg kho mob.

Tiv Thaiv Kev Rov Qab Los Thiab Kev Thaiv Dua

Ib lub stent kho ib ntu ntawm ib txoj hlab ntsha. Tus kab mob tseem ceeb tseem yuav txuas ntxiv mus tshwj tsis yog tias tswj tau cov yam txaus ntshai.

• Noj cov tshuaj antiplatelet raws li tau qhia kom tag nrho lub sijhawm uas tau qhia. Kev tsum ntxov yog ib qho ntawm cov ua rau muaj stent thrombosis, uas tuaj yeem ua rau tuag taus.
• Cov tshuaj statins tsis yog xaiv tau tom qab muab stent, txawm tias koj cov roj cholesterol zoo li "ib txwm" los xij. Cov neeg Isdias pom zoo rau cov roj cholesterol LDL tom qab PCI yog cov tshuaj uas ua rau mob hnyav, feem ntau qis dua 50 mg/dL, thiab tej zaum yuav xav tau kev kho mob ua ke.
• Tsum haus luam yeeb tag nrho, suav nrog bidi, hookah, gutkha thiab khaini. Cov luam yeeb uas tsis muaj pa luam yeeb tsis yog ib yam khoom siv hloov pauv uas muaj kev nyab xeeb.
• Cov ntshav siab, HbA1c thiab qhov hnyav uas koj tus kws kho mob teem tseg; Cov tshuaj SGLT2 inhibitors lossis lwm yam tshuaj yuav raug ntxiv rau cov ntshav qab zib nrog rau kab mob plawv.
• Kev hloov kho cov zaub mov kom haum rau cov chav ua noj hauv Is Nrias teb: txo cov khoom noj txom ncauj kib tob, khoom qab zib, hmoov nplej ua kom zoo, vanaspati thiab ghee ntau dhau; nce zaub, dals, cov nplej tag nrho, txiv ntoo kom me me; saib xyuas cov txiv lws suav thiab papads uas muaj ntsev ntau.
• Ua si nruab nrab li 150 feeb hauv ib lub lim tiam thaum twg tau tso cai lawm; txawm tias taug kev ceev ceev txhua hnub los kuj suav tau.
• Mus koom kev kho mob plawv yog tias muaj kev pab? Nws ua rau lub zog rov qab zoo dua thiab txo qis kev rov qab mus pw hauv tsev kho mob dua.
• Qhia txog angina sai li sai tau es tsis txhob tos; kev rov qab stenosis thiab cov qhov txhab tshiab ob qho tib si kho tau thaum pom ntxov.

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

• Cov neeg laus: PCI feem ntau ua rau cov neeg uas muaj hnub nyoog xya caum thiab yim caum xyoo. Kev nkag mus rau hauv lub raj xa ntshav, kev txwv tsis pub siv cov tshuaj sib piv kom tiv thaiv lub raum, kev tshuaj xyuas txhua yam tshuaj uas twb muaj lawm, thiab lub sijhawm luv dua ntawm cov tshuaj antiplatelet yog tias muaj kev pheej hmoo ntawm kev los ntshav ntau yog cov kev hloov pauv ib txwm muaj. Kev tsis muaj zog, teeb meem kev nco qab thiab kev pheej hmoo ntawm kev ntog raug txiav txim siab ua ke nrog kev kuaj mob angiogram.
• Cov neeg mob uas muaj kab mob raum lossis ntshav qab zib: Feem ntau xav tau kev haus dej ntxiv, kev sib piv tsawg kawg nkaus, cov txheej txheem ua ntu zus thiab cov cuab yeej hloov kho calcium.
• Cov neeg hluas uas muaj kab mob plawv ua ntej lub sijhawm: Feem ntau pom muaj nyob rau hauv Is Nrias teb, qee zaum thaum xyoo 1930 lossis 1940. Cov neeg mob no xav tau kev tshawb nrhiav txog lipoprotein(a), tsev neeg muaj roj cholesterol ntau dhau, kev haus luam yeeb thiab cov teeb meem homocysteine, ntxiv rau kev kuaj xyuas tsev neeg ntawm cov txheeb ze thawj zaug.
• Cov poj niam: Cov tsos mob yuav tsis zoo li qub, thiab cov hlab ntsha me dua tuaj yeem cuam tshuam rau kev xaiv stent. Yuav tsum tau tham txog kev npaj cev xeeb tub tom qab PCI, vim tias qee cov tshuaj kho mob plawv tsis muaj kev nyab xeeb thaum cev xeeb tub.
• Cov menyuam yaus thiab cov tub ntxhais hluas: Cov menyuam yaus uas muaj teeb meem plawv tsis zoo vim yog atherosclerosis feem ntau tsis tshua muaj. Cov txheej txheem plawv uas siv catheter hauv pawg hnub nyoog no feem ntau yog rau cov mob uas yug los lossis cov teeb meem ntawm lub cev, lossis qee zaum rau cov teeb meem plawv ntawm tus kab mob Kawasaki, thiab cov kws kho mob plawv rau menyuam yaus ua haujlwm nrog kev pom zoo tshwj xeeb rau menyuam yaus, kev siv tshuaj loog thiab kev siv hluav taws xob.

Yog Koj Xaiv Tsis Muaj PCI

Kev tsis kam lees lossis ncua PCI yog qhov kev xaiv raug cai hauv qee qhov xwm txheej thiab qhov txaus ntshai hauv lwm qhov.

• Thaum muaj mob plawv nres tas mus li: Yog tias koj tsis kam rov ua kom cov ntshav rov qab los, ces yuav muaj kev pheej hmoo siab ntawm kev tuag, lub plawv tsis ua haujlwm, kev cuam tshuam ntawm lub plawv dhia thiab kev poob cov leeg nqaij mus tas li. Kev siv tshuaj Thrombolysis yog lwm txoj hauv kev yog tias PCI tsis muaj, tab sis tsis ua dab tsi tsis yog ib qho kev xaiv zoo.
• Hauv cov mob angina ruaj khov: Kev kho mob raws li cov lus qhia xwb yog ib txoj kev tsim nyog rau ntau tus neeg mob. Cov tsos mob yuav nyob ntev lossis txwv tsis pub ua haujlwm, thiab PCI tseem muaj tom qab yog tias cov tshuaj tsis txaus.
• Hauv cov kab mob nyuaj uas pom zoo kom ua CABG: Kev xaiv tsis yog PCI lossis phais feem ntau txhais tau tias lees txais qhov kev pheej hmoo siab dua ntawm cov xwm txheej yav tom ntej; koj tus kws kho mob plawv tuaj yeem piav qhia txog kev cia siab tiag tiag rau koj lub cev tshwj xeeb.
• Txawm koj txiav txim siab li cas los xij, sau cia tom qab sib tham tag nrho, txuas ntxiv noj tshuaj, thiab khaws ib txoj kev npaj meej rau yam yuav ua yog tias mob hauv siab rov qab los.

Cov Yam Uas Cuam Tshuam Rau Tus Nqi ntawm PCI

Peb tsis tshaj tawm cov lej ruaj khov rau ntawm nplooj ntawv no vim tias qhov kev kwv yees zaum kawg nyob ntawm koj qhov xwm txheej kho mob. Kev kwv yees sau ua ke thiab teev cov npe yog npaj los ntawm lub chaw kho mob plawv thiab chaw them nqi ua ntej kev phais mob uas tau npaj tseg.

Nug lub rooj sau nqi tshwj xeeb txog hom stent thiab ntau npaum li cas siv, cov nqi ICU, cov khoom siv thiab tshuaj, kom qhov kev kwv yees sib xws nrog daim nqi kawg li sai tau.

Kev Pov Hwm, Kev Kho Mob Tsis Siv Nyiaj Ntsuab thiab Cov Txheej Txheem TPA hauv Is Nrias teb

• Tsis siv nyiaj ntsuab piv rau kev them rov qab: Yog tias koj lub tuam txhab pov hwm lossis TPA raug xaiv los ntawm cov neeg ua haujlwm, lub chaw pov hwm yuav tsum thov kev tso cai ua ntej. Cov rooj plaub xaiv feem ntau yuav tsum tau 2-5 hnub ua haujlwm kom tau txais kev pom zoo; PCI xwm txheej ceev yuav ua ntej, nrog rau kev tso cai nrhiav ua ke, feem ntau tawm tsam qhov tso nyiaj thawj zaug.
• Cov ntaub ntawv yuav tsum nqa: Daim ntawv pov hwm lossis daim npav e-card, daim npav ID uas muaj duab los ntawm tsoomfwv, cov tshuaj thiab cov ntawv qhia yav dhau los, tsab ntawv ntawm tus tswv ntiav haujlwm lossis PSU rau kev them nqi rau lub tuam txhab, thiab cov ntaub ntawv xa mus lossis cov ntaub ntawv tsim nyog rau CGHS, ECHS, Ayushman Bharat lossis cov phiaj xwm hauv xeev yog tias siv tau.
• Lub sijhawm tos: Feem ntau cov cai tswjfwm kev noj qab haus huv muag khoom yuav tsum tos txog li 30 hnub rau kev mob, thiab 2-4 xyoos rau cov mob uas twb muaj lawm xws li tus kab mob plawv uas tau kuaj pom tias muaj mob ntshav qab zib lossis ntshav siab. Qhov no yog ib qho laj thawj uas ua rau muaj kev thov tsis txaus lossis tsis raug, yog li xyuas koj daim ntawv teev sijhawm ua ntej npaj PCI xaiv.
• Kev them nqi sib tsoo piv rau kev npaj them nqi: Feem ntau kev raug mob los ntawm qhov xwm txheej raug them txij hnub thawj zaug, tab sis kab mob plawv raug kho raws li kev mob nkeeg, yog li cov lus cog tseg tos siv tau txawm tias qhov xwm txheej zoo li sai sai los xij.
• Cov kev txwv me thiab kev them ua ke: Kev txwv tus nqi xauj chav, kev rho tawm raws li qhov sib piv, kev them nqi rau cov neeg laus thiab kev txwv tsis pub them raws li kab mob yuav ua rau muaj qhov sib npaug uas yuav tsum tau them. Kev xaiv chav nyob siab dua koj pawg tsim nyog yuav txo qhov feem pua ​​uas yuav tsum tau them thoob plaws hauv daim nqi.
• Cov khoom siv thiab cov khoom cog rau hauv lub cev: Muaj qee txoj cai txwv lossis tsis suav nrog qee yam khoom siv. Cov stents raug txwv los ntawm NPPA, tab sis nug seb cov khoom twg tsis them raws li koj txoj kev npaj.
• Cov kauj ruam ua tau: Ua ntej koj nkag mus rau hauv tsev kho mob, nrog koj tus lej pov hwm hauv tes tham nrog Apollo Hospitals Lucknow/TPA. Cov npe ntawm cov neeg ua haujlwm, cov nqi thiab cov khoom siv hauv pob khoom hloov pauv, yog li paub meej thaum lub sijhawm teem caij es tsis txhob cia siab rau cov ntaub ntawv qub.

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

• Tag nrho cov ntawv qhia ua ntej: ECGs, echocardiography, kev kuaj kev ntxhov siab lossis CT angiography, angiogram CD thiab daim ntawv qhia ua ntej, cov ntsiab lus luv luv ntawm kev tawm hauv tsev kho mob.
• Ib daim ntawv teev cov tshuaj uas siv tam sim no, suav nrog Ayurvedic, homeopathic thiab cov tshuaj uas yuav tau ntawm daim ntawv yuav tshuaj - qee yam cuam tshuam rau kev los ntshav.
• Cov kev kuaj ntshav tsis ntev los no yog tias ua sab nraum zoov: haemogram, kev ua haujlwm ntawm lub raum, HbA1c, lipid profile, thyroid.
• Daim npav pov hwm muaj duab, daim npav pov hwm, cov ntaub ntawv pov hwm, thiab nyiaj ntsuab lossis daim npav rau kev tso nyiaj thiab tshuaj.
• Khaub ncaws xoob, qhib pem hauv ntej, khau khiab, khoom siv hauv chav dej, tsom iav, hniav cuav, lub tshuab pab hnov ​​lus, lub roj teeb txawb.
• Ib tug neeg saib xyuas uas tuaj yeem nyob ib hmos thiab nkag siab cov lus qhia txog kev tawm hauv tsev kho mob; hauv cov tsev neeg sib koom ua ke, xaiv ib tus neeg los txais cov xov xwm kho mob kom cov lus qhia tsis sib haum xeeb ntawm cov txheeb ze.
• Tso cov hniav nyiaj hniav kub hnyav thiab cov khoom muaj nqis tseg hauv tsev.
• Yog tias koj muaj mob ntshav qab zib, coj koj lub glucometer thiab sau cov ntaub ntawv ntsuas qab zib tsis ntev los no.
• Npaj kev pab nyob hauv tsev rau ib lub lim tiam: ua noj ua haus, da dej, thiab ib tus neeg mus nqa tshuaj.

Cov Cim Ceeb Toom Uas Yuav Tsum Tau Tshuaj Xyuas Sai

Nrhiav kev kho mob tam sim ntawd? Tsis txhob tos koj qhov kev soj ntsuam raws sijhawm? Yog tias koj ntsib:

• Mob hauv siab, mob siab lossis hnyav zoo ib yam li ua ntej kev phais, tshwj xeeb tshaj yog thaum so lossis kav ntev tshaj ob peb feeb.
• Ua tsis taus pa tam sim ntawd, hws txias, tsaus muag lossis lub plawv dhia ceev.
• Qhov o tuaj sai sai, lub pob me me dhia ceev ceev, lossis tseem los ntshav ntawm qhov chaw puncture ntawm lub dab teg lossis qhov chaw mos.
• Ib txhais tes lossis ceg txias, dawb paug, loog, lossis mob heev rau ntawm sab uas raug tho.
• Kub taub hau nrog rau mob khaub thuas, los yog liab, sov so thiab muaj kua qaub ntawm qhov chaw txhaj tshuaj.
• Ntshav nyob rau hauv cov zis lossis quav, cov quav dub, lossis cov ntshav liab tsis zoo li qub thaum noj cov tshuaj thinner.
• Cov zis tso tawm tsawg dua lossis o ntawm ceg thiab lub ntsej muag tshiab.
• Hais lus tsis meej, ntsej muag poob qis lossis qaug zog ib sab.

Tsis txhob tsum koj cov tshuaj antiplatelet vim yog qhov mob me me xwb? Hu rau koj tus kws kho mob plawv ua ntej.

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 plawv los ntawm thoob plaws nruab nrab thiab sab hnub tuaj Uttar Pradesh thiab dhau mus? suav nrog Kanpur, Unnao, Barabanki, Sitapur, Hardoi, Rae Bareli, Sultanpur, Amethi, Ayodhya, Bahraich, Gonda, Balrampur, Basti, Shravasti, Lakhimpur Kheri, Pratapgarh, Jaunpur, Azamgarh, Gorakhpal, Faizakhabad cheeb tsam thiab cheeb tsam ntawm Farrus Pradesh.

• Yog tias mob hauv siab pib hauv ib lub nroog hauv cheeb tsam: Mus rau qhov chaw ze tshaj plaws nrog ECG tam sim ntawd. Yog tias muaj kev pab thrombolysis nyob ntawd, hloov mus rau angiography hauv 3-24 teev raws li txoj kev kho mob pharmaco-invasive uas tau pom zoo rau cov mob Is Nrias teb. Nqa ECG thiab lub npe thiab koob tshuaj ntawm cov tshuaj clot-buster uas tau muab.
• Hu xov tooj ua ntej: Hu rau lub tsev kho mob cov xov tooj pabcuam thaum mus ncig ua si kom pab pawg neeg mob plawv thiab chav kuaj mob plab thiaj li tau txais kev ceeb toom.
• Kev thauj neeg mob mus rau lub tsheb thauj neeg mob: Siv lub tsheb thauj neeg mob uas muaj lub plawv thiab lub tshuab defibrillator yog tias ua tau, tsis txhob siv lub tsheb ntiag tug, yog tias xav tias muaj mob plawv.
• Rau PCI xaiv tau: Tuaj txog Lucknow ib hnub ua ntej kom ua tiav kev sau npe, kev xeem, cov lus qhia yoo mov thiab kev tso cai ua ntej rau kev pov hwm yam tsis tau maj.
• Nyob twj ywm npaj: Npaj nyiaj rau 3-5 hnub hauv nroog tom qab ua ib qho kev xaiv yooj yim ua ntej kev taug kev ntev, thiab ntev dua tom qab muaj mob plawv nres. Nug lub rooj pem hauv ntej