Mob stroke ischemic yog ib qho mob ceev uas yuav tsum tau kho sai thiab zoo. Lub hom phiaj ntawm kev kho mob yog los kho cov ntshav ntws mus rau lub hlwb kom sai li sai tau, txhawm rau tiv thaiv lub hlwb tsis zoo. Ib txoj hauv kev zoo tshaj plaws rau kev mob stroke ischemic ischemic aspiration thrombectomy.
Clot aspiration thrombectomy yog ib txoj kev tawm tsam me me uas cuam tshuam nrog kev tshem tawm cov ntshav txhaws los ntawm lub hlwb siv lub catheter tshwj xeeb, xws li thrombectomy aspiration catheter. Cov txheej txheem yog ua nyob rau hauv lub angiography suite, feem ntau nyob rau hauv lub zos tshuaj loog. Nws cuam tshuam nrog kev tso ib lub catheter los ntawm cov hlab ntsha femoral nyob rau hauv lub puab tsaig thiab nce los ntawm cov hlab ntsha mus rau qhov chaw ntawm cov hlab ntsha hauv lub hlwb.
Thaum lub catheter muab tso rau ntawm cov hlab ntsha, ib tug aspiration catheter ntaus ntawv yog siv los aspirate cov hlab ntsha ntawm lub hlwb. Qee zaum, ib qho stent retriever tuaj yeem siv los tuav cov hlab ntsha thiab tom qab ntawd tshem tawm ua ke nrog lub catheter. Cov txheej txheem yuav siv li ib teev, thiab cov neeg mob feem ntau tsaug zog thiab ceeb toom thaum lub sijhawm ua haujlwm.
Cov kev tshawb fawb tau pom tias cov hlab ntsha aspiration thrombectomy txhim kho cov txiaj ntsig zoo hauv cov neeg mob uas mob stroke ischemic. Cov txheej txheem ua tau zoo tshaj plaws thaum ua tiav li ntawm 6 teev ntawm cov tsos mob tshwm sim, tab sis tuaj yeem ua tau txog 24 teev tom qab cov tsos mob tshwm sim hauv cov neeg mob xaiv. Nws yog qhia rau cov neeg mob uas muaj lub nkoj loj occlusion nyob rau hauv lub anterior ncig, nrog rau cov neeg mob uas tsis yog cov neeg sib tw rau intravenous thrombolysis.
Ib qho ntawm qhov zoo ntawm clot aspiration thrombectomy yog tias nws tuaj yeem ua tau nrog qib siab ntawm qhov raug thiab raug. Lub catheter tuaj yeem raug coj mus rau qhov tseeb qhov chaw ntawm cov hlab ntsha, tso cai rau kev tshem tawm cov hlab ntshav yam tsis muaj kev puas tsuaj rau lub paj hlwb. Qhov no txo qhov kev pheej hmoo ntawm cov teeb meem xws li los ntshav lossis kis kab mob.
Lwm qhov zoo dua ntawm cov hlab ntshav txhaws thrombectomy yog tias nws tuaj yeem ua tau sai, uas yog qhov tseem ceeb hauv kev kho mob stroke ischemic stroke. Lub sij hawm yog qhov tseem ceeb hauv kev mob stroke ischemic, thiab kev kho mob qeeb tuaj yeem ua rau lub hlwb tsis zoo. Clot aspiration thrombectomy tuaj yeem ua tau nyob rau hauv cov sij hawm ntawm cov tsos mob tshwm sim, tso cai rau kom rov qab sai ntawm cov ntshav ntws mus rau lub hlwb.
Tsis tas li ntawd, clot aspiration thrombectomy yog txuam nrog tus nqi siab ntawm kev ua tiav zoo. Recanalization yog hais txog kev rov kho cov ntshav ntws mus rau cov hlab ntsha hauv lub hlwb. Cov kev tshawb fawb tau pom tias cov hlab ntsha aspiration thrombectomy ua tiav cov txiaj ntsig rov qab txog li 90%, uas yog qhov siab dua li qhov ua tiav nrog cov hlab ntsha thrombolysis ib leeg.
Zuag qhia tag nrho, clot aspiration thrombectomy yog ib qho kev kho mob zoo rau mob stroke ischemic uas muaj ntau yam zoo dua lwm txoj kev kho mob. Nws yog minimally invasive, raug, thiab siv tau, thiab tuaj yeem ua tau sai. Nrog rau kev tshawb fawb txuas ntxiv thiab kev tsim kho tshiab, nws muaj peev xwm ua kom cov ntshav txhaws ntshav thrombectomy yuav dhau los ua kev kho mob zoo dua thiab siv dav rau kev mob stroke ischemic.