Mob hlab ntsha loj occlusion yam tsis muaj kev kho mob zoo tuaj yeem ua rau thaj tsam loj ntawm lub paj hlwb infarction. Piv nrog rau cerebral infarction tshwm sim los ntawm cov hlab ntsha me me, lub paj hlwb ischemia yog qhov hnyav, qhov ntau ntawm hypoperfusion yog loj, thiab cov tub ntxhais infarction tau hloov pauv sai. Yog li ntawd, kev kho mob endovascular zoo yog qhov xav tau sai sai rau kev cuam tshuam txog kev rov ua dua tshiab. Kab lus no piav qhia txog qee yam cuam tshuam uas yuav cuam tshuam rau kev kuaj mob ntawm cov neeg mob tom qab stent thrombectomy.
1. Hnub nyoog
Nrog lub hnub nyoog, tus neeg teb rau kev mob stroke thiab kev ntxhov siab maj mam txo, kev kam rau ntawm cov paj hlwb rau ischemia txo, thiab cov tub ntxhais infarction tau hloov pauv sai. Hnub nyoog yuav dhau los ua ib qho tseem ceeb uas tsis tuaj yeem cuam tshuam los cuam tshuam rau kev kwv yees. Nyob rau tib lub sijhawm, hnub nyoog kuj yog ib qho tseem ceeb ntawm kev cuam tshuam rau arteriosclerosis. Nrog lub hnub nyoog, arteriosclerosis maj mam zuj zus, qhov sib thooj vascular elasticity tsis zoo, qhov kev faib ua feem ntawm vascular distortion siab, qhov nyuaj ntawm kev phais yog nce, lub sij hawm ntawm kev phais recanalization yog ncua ntev, thiab vascular phab ntsa yog yooj yim puas thaum lub sij hawm thrombectomy, ua rau muaj kev cuam tshuam ntawm kev phais. muaj kev pheej hmoo los ntshav ntau ntxiv, thiab cov kab mob sib kis tsis zoo.
2. Granulocytes
Inflammatory teb yog koom nrog ntau theem ntawm atherosclerosis tsim. Kev ua kom cov lus teb inflammatory tom qab mob ischemic stroke tau pom tias muaj feem cuam tshuam nrog kev puas hlwb tom qab ischemic stroke. Neutrophils yog ib daim ntawv tshwj xeeb ntawm cov qe ntshav dawb thiab tau pom tias muaj kev cuam tshuam rau cov ntaub so ntswg puas hlwb tom qab mob stroke. Nyob rau hauv cov theem thaum ntxov ntawm inflammatory teb, muaj ib tug sib sau ua ke ntawm neutrophils nyob rau hauv lub ischemic cheeb tsam ntawm lub paj hlwb cov ntaub so ntswg, uas yuav ua rau cov ntshav-hlwb barrier kev puas tsuaj los ntawm kev tso cov inflammatory mediators. Cov kev tshawb fawb tau pom tias qhov kev cia siab tsis zoo yog cuam tshuam nrog cov qib siab ntawm neutrophil suav.
3. NIHSS tau qhab nia ntawm kev nkag
NIHSS cov qhab nia yog siv los ntsuas kev ua haujlwm ntawm kev mob stroke, txiav txim siab qhov tsis txaus ntawm lub paj hlwb, thiab ua ntej txiav txim siab qhov hnyav ntawm cerebral infarction. Nyob rau tib lub sijhawm, nws tseem ceeb heev rau kev ntsuam xyuas ntawm qhov kev tshwm sim ntawm cerebral infarction. Qhov qhab nia siab dua, qhov pom tseeb ntau dua qhov tsis txaus ntawm neurological thiab qhov hnyav ntawm lub hlwb ischemia. Nws kuj tseem qhia ncaj qha tias qhov sib thooj ntawm thaj chaw infarction yuav loj dua, thaum qhov qhab nia NIHSS qis qhia tau hais tias qhov tsis txaus ntawm cov paj hlwb tsis pom tseeb, lub paj hlwb ischemia kuj me me, thiab thaj chaw infarction yuav me dua, qhia tias qhov tshwm sim ntawm qhov zoo. prognosis ntau dua.
4. Tus naj npawb ntawm thrombectomy
Kev nce tus naj npawb ntawm thrombectomy tuaj yeem yog qhov cuam tshuam rau qhov tsis zoo. Ntau qhov chaw ntawm cov cuab yeej thrombectomy tuaj yeem ua rau cov hlab ntsha intima, ua rau muaj kev pheej hmoo ntawm intracranial hemorrhage thiab reperfusion raug mob, thiab cov neeg kho tshuab ntshav-hlwb barrier rupture yuav txwv qhov zoo ntawm cov neeg mob. Intima kev puas tsuaj tuaj yeem ua rau muaj qhov txawv txav ntawm platelet aggregation thiab lub zos restenosis thiab occlusion, cuam tshuam rau vascular recanalization.
Hauv cov ntsiab lus, hnub nyoog, granulocytes, nkag NIHSS qhab nia, thiab tus naj npawb ntawm thrombectomy yog txhua yam ua tau uas cuam tshuam rau qhov kev mob tshwm sim ntawm stent thrombectomy ntawm cov hlab ntsha loj hauv lub hlab ntsha loj occlusion, tab sis lawv tsis yog qhov cuam tshuam nkaus xwb. Tej zaum yuav muaj lwm yam cuam tshuam, uas yuav tsum tau kawm thiab xaus lus los ntawm cov kws tshawb fawb.