Mob stroke ischemic stroke yog ib qho mob hnyav tshwm sim los ntawm kev txhaws ntawm cov ntshav mus rau lub hlwb. Nyob rau hauv xyoo tas los no, hauv zos ncaj qha thrombectomy tau lees paub tias yog txoj kev kho mob zoo nrog ntau yam zoo. Kab lus no yuav tshawb xyuas seb qhov thrombectomy puas tuaj yeem ua ncaj qha rau hauv ischemic stroke, thiab txheeb xyuas nws cov lus qhia thiab kev ceev faj.
1. Tus mob ischemic stroke yog dab tsi?
Mob stroke ischemic, tseem hu ua cerebral infarction, yog ib qho thaiv ntawm cov hlab ntsha ntawm cov hlab ntsha mus rau lub hlwb vim qee yam, uas cuam tshuam rau lub paj hlwb hauv zos, ua rau hypoxia thiab tuag ntawm paj hlwb. Nws yog ib hom mob stroke thiab ib qho ua rau tuag thiab tsis taus.
2. Dab tsi yog direct thrombectomy technology?
Direct thrombectomy technology yog ib txoj kev kho mob uas ncaj qha tshem tawm emboli los ntawm kev phais endovascular interventional. Nws punctures cov hlab ntsha los ntawm ib tug catheter, nrhiav cov hlab ntsha nyob qhov twg lub embolus nyob, thiab siv stent retrieval los yog cov cuab yeej tshwj xeeb los lob thiab rub tawm cov embolus los kho cov ntshav khiav.
3. Indications rau thrombectomy ncaj qha
Direct thrombectomy yog tsim nyog rau kev kuaj pom tseeb ntawm ischemic stroke tshwm sim los ntawm mob hlab ntsha loj occlusion, xws li cov hlab ntsha loj occlusion, loj thrombosis, thiab lwm yam. Raws li kev tshawb fawb, lub sij hawm qhov rais rau thrombectomy ncaj qha yog nyob rau hauv 6 teev ntawm qhov pib, thiab muaj cov emboli. yuav tsum tau lees paub los ntawm cov kev ntsuam xyuas cuam tshuam.
4. Qhov zoo ntawm thrombectomy ncaj qha
Qhov zoo:
Yuav txo tau cov ntaub so ntswg puas hlwb: mob ischemic stroke tuaj yeem ua rau cov ntaub so ntswg puas hlwb lossis tuag taus, thiab thrombectomy ncaj qha tuaj yeem kho cov ntshav cerebral sai sai thiab txo qhov loj ntawm thaj chaw infarct. Qhov no txo tus neeg mob lub paj hlwb tsis txaus thiab txhim kho kev mob tshwm sim.
2. Kev ua tau zoo siab: Direct thrombectomy tuaj yeem sai thiab ncaj qha tshem tawm cov khoom siv occlusive thiab kho cov ntshav cerebral. Piv nrog rau cov tshuaj thrombolysis, ncaj qha thrombectomy muaj qhov ua tau zoo dua. Qee qhov kev tshawb fawb soj ntsuam tau pom tias qhov kev rov ua dua ntawm qhov ncaj qha thrombectomy tuaj yeem ncav cuag 60% -80%, thaum qhov kev rov ua dua ntawm kev kho thrombolytic feem ntau tsuas yog kwv yees li 30% -50%.
3. Txhim kho lub neej zoo: Kev thrombectomy ncaj qha tuaj yeem kho cov ntshav cerebral sai sai thiab txhim kho tus neeg mob cov tsos mob thiab kev ua haujlwm. Hauv qee qhov kev tshawb fawb, cov neeg mob tom qab thrombectomy ncaj qha tau txhim kho lub neej zoo tom qab tso tawm thiab tsis tshua muaj kev vam khom dua li cov neeg mob ntawm kev kho thrombolytic.
5. Yuav ua li cas direct thrombectomy?
1. Txiav txim siab cov kev qhia: Neuroimaging kev ntsuam xyuas yuav tsum tau kuaj xyuas thromboembolism thiab xyuas kom meej tias nws nyob hauv lub sijhawm pib.
2. Kev npaj rau kev ua haujlwm: Npaj cov catheters, pluggable instruments thiab lwm yam kev khiav hauj lwm cov cuab yeej los xyuas kom meej qhov chaw phais huv si.
3. Puncture positioning: percutaneous puncture, qhia lub catheter mus rau qhov chaw ntawm cov hlab ntsha occluded.
4. Kev tshem tawm cov thrombus: Qhia cov cuab yeej thrombectomy rau hauv lub catheter, nrhiav cov embolus, thiab tom qab ntawd ua haujlwm thrombectomy.
5. Saib xyuas kev rov zoo: Tom qab thrombectomy, ua tib zoo saib xyuas tus neeg mob qhov kev hloov pauv thiab muab kev kho mob tsim nyog.
Direct thrombectomy thev naus laus zis yog ib txoj hauv kev zoo rau kev kho mob stroke ischemic stroke thiab muaj txiaj ntsig zoo rau cov neeg mob uas muaj cov cim tshwj xeeb. Txawm li cas los xij, cov thev naus laus zis no tseem muaj cov kev txwv sib xws, suav nrog lub sijhawm txwv lub qhov rais thiab kev pheej hmoo ua haujlwm cuam tshuam. Yog li ntawd, ua ntej ua thrombectomy ncaj qha, nws yog ib qho tsim nyog yuav tsum ntsuas tus neeg mob qhov xwm txheej thiab tus neeg mob tus kheej, thiab ua qhov kev ntsuam xyuas zoo raws li tus kws kho mob lub tswv yim.