網誌文章搜尋建議

給多發性硬化症MS病友和親友的建議:
如要搜尋站內相關文章可多利用
"搜尋此網誌的文章內容"的功能,這樣就可以快速的找到你想要得資訊而不需要從第一篇開始看了.
有關CCSVI(靜脈血管窄化及手術的資訊)可在相關連結以及相關MS blog內

推薦頻道:Gimmy a break

2010年5月15日 星期六

波蘭有關CCSVI手術的報導

以下為波蘭醫師Dr. Marian Simka and Dr. Jacek Kostecki有關CCSVI手術的影片

有沒有人可以翻譯的? 都是波蘭文(還是俄文?)....
不過可以看見手術的過程,或許對醫師和病人都有幫助
一定要看完,手術的過程會穿插在影片中。
如果可以做進一步翻譯的話,就會對此一手術完全的瞭解!!

CCSVI-1 這個影片當中感覺上氣球 (balloon catheter)似乎是由病人的腹部以下的部份進入,不知道是由那一條靜脈?

以下為病友Greta所提供的翻譯,非常感謝他!!
Video 1:
Why does MS occur?
- because blood going to the brain can not flow away from the brain which then causes the buildup of iron. Eventually inflammation occurs and this leads to MS
因為血液滯留在腦部而推積了"鐵" 最後就造成中樞神經系統發炎而導致MS的產生!
The surgery for the patients in this video cost about 12,000zl because they needed some additional tests to be performed. On average the operation should cost about 9,000zl. This cost is fully paid by the patient.

In the interview with the doctor, the doctor mentions that the operation is not easy but it is not the most difficult procedure in vascular surgery. Basically what they do is put in a stent into the internal jugular vein. 醫師提到此手術並不容易,但並不是靜脈手術中最困難的。基本上他們把支架放到頸靜脈中。
Then a question of why has such an operation not been done before was asked. The answer that the doctor gave was that no one before looked at the vein to be the problem until recently.
They also mentioned that in the procedure that they were doing that the problem was with the valve(靜脈瓣膜) in the vein which caused venous stasis. This usually is the problem with the lower extremities(下肢靜脈也有窄化的問題).


CCSVI-2 內部有對於手術中所使用的氣球和支架(stent)等 balloon catheter有詳細的說明


以下為病友Greta所提供的翻譯,非常感謝她!!
Video 2:
During the procedure the patient is fully conscious and is able to watch the procedure on the screen.

So far it's only been a couple of months of post-op observation but they see that the overall state of the patient improves. However it is still hard to say what the long term effects will be.目前手術後的並人在數個月之內都有進步。

Question: Is there a chance of total remission of the disease after the procedure?
是否有可能完全消除所有的症狀?
Answer: patients from the states who had the operation performed in the early phase of the disease had almost complete remission of symptoms. When the operation is done in the late phase, total remission can't be expected but the patient does get better.
症狀要完全消除很難說,但是病人會覺得好很多!

In Italy they did only balloon angioplasty but in 50% of the patients there was a restenosis of the vein this is why it is better to use the stent. The stent itself is very elastic and flexible.
波蘭醫師提到在義大利的研究只用氣球,但是手術後有50%的病人的靜脈會再度窄化。所以他們使用支架。
Patient then mentions that for 2 months after the procedure he has to take heparin.

病人提到手術2個月之後會服用heparin此一藥物

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8 則留言:

  1. 全世界统一的手术方法都是从大腿根部(医学上称为腹股沟)的静脉进入,因为这个部位最方便。

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  2. 嗯 之前聽學醫的朋友說動脈擴張術也多從此處進入,後來我查了一下人體靜脈分佈圖大致瞭解為何都從這裡進入了,因為次處的血管壁截面機最大,而且為主要靜脈,方向直上頸部,沒有彎曲或任何分岔的地方。看來也是這裡最沒有風險!^^ 謝謝曉昌!

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  3. 曉昌,你有準備進行手術的打算嗎?

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  4. 靜脈氣球擴張術和動脈氣球擴張術,在技術會有很大的差異嗎?
    在台灣是否已經有這種設備和技術了呢?這樣就不必老遠的跑到波蘭去做手術了.....

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  5. 靜脈氣球擴張術和動脈氣球擴張術,在技術不會有很大的差異。

    在台灣已經有動脈氣球擴張術的經驗和設備,只是還沒有針對頸靜脈擴張的經驗。

    目前台北榮總醫院已經開始評估,因為我是第一個經過MRV 確認頸靜脈有窄化甚至接近阻塞的情形。

    我仍然在等待台北榮總的回音。
    Jimmy

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  6. 曉昌,你會去哪兒做呢?

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  7. 当然,最好是在美国,因为从经济,技术,方便性,以及手术后复查等等各方面来考虑都是比较适宜。但是,美国病人很多,医疗当局相当保守,等待时间可能会很长。如果实在不行,也可考虑去其他国家手术,但是费用会高许多,而且有潜在的弊端。

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