Koj puas paub txog cov hlab ntsha no tom qab lub hauv caug (Popliteal Artery)? Nws cuam tshuam li cas rau cov teeb meem ceg!

Niaj hnub no peb yuav tham txog ib feem ntawm peb ob txhais ceg uas tseem ceeb heev rau lawv txoj kev noj qab haus huv, tab sis ib qho uas peb feem ntau tsis quav ntsej. Nws yog ib txoj hlab ntshav hu ua Popliteal Artery . Tej zaum koj yuav tsis tau hnov ​​​​​​txog nws. Tab sis nws yog qhov tseem ceeb rau kev xa ntshav mus rau koj ob txhais ceg qis, tom qab koj lub hauv caug. Yog li, cia peb saib seb nws yog dab tsi, nws tuaj yeem ua rau muaj teeb meem dab tsi, thiab yuav ua li cas kom nws noj qab haus huv.

Cov hlab ntsha Popliteal yog dab tsi? Lawv nyob qhov twg?

Hais yooj yim xwb, Popliteal Artery yog ib txoj hlab ntshav loj hauv koj ob txhais ceg. Yog hais kom meej, nws yog ib ceg ntawm txoj hlab ntshav loj hauv koj lub duav hu ua Femoral Artery . Nws pib hauv nruab nrab ntawm koj lub duav, tom qab ntawd mus tom qab koj lub hauv caug, thiab nqa cov ntshav mus rau koj ob txhais ceg qis. Koj lossis tus kws kho mob tuaj yeem hnov ​​​​​​lub Popliteal Pulse los ntawm kev muab koj txhais tes tso rau tom qab koj lub hauv caug.

Ob peb ob txhais ceg, uas yog, ceg xis thiab ceg laug, muaj cov hlab ntsha popliteal no.

Cov hlab ntsha no puas yuav faib ntxiv?

Yog, hauv qab lub pob qij txha ntawm lub hauv caug, cov hlab ntsha popliteal faib ua cov ceg me me. Cov ceg tseem ceeb yog cov hlab ntsha anterior tibial thiab lub cev tibioperoneal (qee zaum hu ua lub cev tibiofibular ). Lub cev tibioperoneal yog qhov uas nqa cov ntshav mus rau tom qab ntawm koj lub pob qij txha thiab cov pob txha me me ntawm sab nraud ntawm koj ceg (lub fibula).

Tag nrho cov hlab ntsha me me no tawm los ua li no, thiab thaum kawg lawv los ua ke los muab cov ntshav tag nrho rau koj txhais taw. Xav txog nws zoo li tsob ntoo tawm ntawm cov hauv paus hniav los nqa dej mus rau nplooj.

Qhov tseem ceeb ntawm Popliteal Artery yog dab tsi?

Cov hlab ntsha Popliteal yog ib feem tseem ceeb heev ntawm peb lub cev cov ntshav ncig . Nws poob rau hauv qeb ntawm cov hlab ntsha peripheral . Uas yog, cov hlab ntsha uas nqa cov ntshav tawm ntawm lub plawv mus rau qhov chaw ntawm lub cev uas nyob deb.

Cov hlab ntsha Popliteal feem ntau muab cov ntshav rau:

• Cov pob txha me me nyob tom qab koj ceg ('Fibula').
• Lub qhov tom qab lub pob qij txha thiab lub hauv caug ('Popliteal Fossa').
• Rau cov leeg thiab cov hlab ntsha hauv qab ceg.
• Cov pob txha loj nyob rau sab hauv ntawm ceg ('Tibia').
• Tsis tas li ntawd, rau cov pob luj taws thiab taw.

Yog li koj tuaj yeem pom tias Popliteal Artery tseem ceeb npaum li cas rau kev ua haujlwm zoo ntawm peb ob txhais ceg. Yog tias muaj teeb meem nrog qhov no, cov ntshav ntws mus rau ob txhais ceg tuaj yeem txo qis.

Cov kab mob dab tsi uas cuam tshuam rau cov hlab ntsha no?

Tu siab kawg li, cov hlab ntsha Popliteal kuj tseem tuaj yeem raug cuam tshuam los ntawm ntau yam mob. Cia peb saib seb lawv yog dab tsi:

• Kab Mob Cystic Adventitial: Qhov no yog ib qho mob uas lub cyst tsim nyob rau hauv phab ntsa ntawm cov hlab ntsha popliteal. Qhov no ua rau cov ntshav ntws nqaim thiab txo cov ntshav ntws. Raws li lub sijhawm dhau mus, cov hlab ntsha tuaj yeem nqaim (Popliteal Artery Stenosis). Qhov no feem ntau tshwm sim rau cov txiv neej . Koj yuav hnov ​​​​​​mob hauv ceg qis, tshwj xeeb tshaj yog thaum taug kev lossis ua si. Qhov mob no feem ntau nce ntxiv maj mam. Peb hu cov tsos mob no Intermittent Claudication .

• Kab Mob Aneurysm ntawm cov hlab ntsha Popliteal: Kab mob aneurysm yog ib feem tsis muaj zog ntawm phab ntsa ntawm cov hlab ntsha uas nthuav tawm zoo li lub npas. Qhov no ua rau phab ntsa ntawm cov hlab ntsha tsis muaj zog thiab ua rau nws yuav tawg ntau dua. Yog tias muaj kab mob aneurysm tshwm sim hauv cov hlab ntsha popliteal, cov ntshav txhaws tuaj yeem tsim hauv nws. Yog tias cov ntshav txhaws thaiv tag nrho cov ntshav ntws, ceg qis yuav tsum tau txiav tawm yog tias nws tsis raug lees paub thiab kho raws sijhawm. Kab mob Popliteal Artery Aneurysm yog hom kab mob aneurysm thib ob uas pom ntau tshaj plaws tom qab Kab Mob Aortic Aneurysms. Cov mob no kuj tshwm sim ntau dua rau cov txiv neej.

• Kab mob Popliteal Artery Entrapment Syndrome (PAES): Qhov no yog thaum cov leeg thiab cov leeg hauv thaj tsam ntawm lub hauv caug nias lub hlab ntsha popliteal. Qhov no ua rau mob nqaij thiab mob plab hauv thaj tsam ntawm lub hauv caug thaum lub sijhawm ua si, xws li taug kev. Qhov no kuj hu ua intermittent claudication . Tus mob no, hu ua PAES , feem ntau pom muaj nyob rau hauv cov neeg ncaws pob, tshwj xeeb tshaj yog rau cov txiv neej ncaws pob hnub nyoog qis dua 30 xyoo. Xav txog nws zoo li nias lub yeeb nkab dej thiab ua rau nws tsis ntws.

• Kab Mob Popliteal Artery Atherosclerotic: Qhov no yog qhov uas ntau tus neeg tau hnov ​​​​txog. Nws yog tshwm sim los ntawm cov rog deposits (plaque) thiab cov ntshav clots tsim nyob rau hauv cov hlab ntsha, nqaim thiab thaiv lawv (occlusions). Qhov no tuaj yeem ua rau cov ntshav ntws tsawg dua, gangrene (cov nqaij tuag), thiab muaj kev pheej hmoo ntawm kev txiav tawm. Ib yam li lwm yam kab mob peripheral arterial occlusive , nws yuav tshwm sim ntau dua rau cov neeg haus luam yeeb, cov neeg mob ntshav qab zib, cov neeg hnub nyoog tshaj 65 xyoo, thiab cov neeg uas muaj roj cholesterol ntau.

• Kev Los Ntshav Hauv Cov Ntsws Popliteal: Kev raug mob hnyav rau lub hauv caug, piv txwv liVim muaj ib yam dab tsi zoo li lub hauv caug tawg, cov hlab ntsha popliteal tuaj yeem tawg thiab los ntshav.

• Popliteal Cyst lossis Baker's Cyst: Qhov no yog ib qho mob uas pom ntau heev. Nws tuaj yeem pom yooj yim nrog ultrasound . Qhov no yog ib lub cyst uas muaj kua dej nyob tom qab lub hauv caug. Qhov no tuaj yeem ua rau mob thiab o. Nws kuj tseem tuaj yeem ua rau nws nyuaj rau khoov thiab txav lub hauv caug. Qhov ua rau muaj Baker's Cyst no yog qhov cuam tshuam rau lub hauv caug pob qij txha, txawm tias yog vim mob pob qij txha lossis kev puas tsuaj rau meniscus . Txawm hais tias lub cyst no nyob tom qab lub hauv caug, nws feem ntau tsis cuam tshuam rau kev ua haujlwm ntawm cov hlab ntsha popliteal.

Dab tsi yog cov ua rau thiab cov yam ntxwv uas ua rau muaj kab mob Popliteal Artery Disease?

Muaj ntau yam ua rau muaj kev pheej hmoo uas tuaj yeem ua rau muaj cov kab mob ntsig txog cov hlab ntsha popliteal no. Lawv yog:

• Muaj kab mob ntawm cov hlab ntsha hauv lub plawv .
• Kab mob ntshav qab zib (Diabetes Mellitus).
• Ntshav siab.
• Cov roj cholesterol ntau.
• Ua txiv neej (qee yam mob feem ntau tshwm sim rau cov txiv neej).
• Kev rog dhau.
• Haus luam yeeb los yog siv cov khoom luam yeeb.

Yog tias muaj tej yam no tiag, ces zoo dua kom ceev faj me ntsis, puas yog?

Cov tsos mob yog dab tsi? Peb yuav paub lawv li cas?

Feem ntau ntawm cov kab mob popliteal artery, cov tsos mob tseem ceeb yog mob lossis hnyav rau ntawm ob txhais ceg, tshwj xeeb tshaj yog thaum taug kev lossis ua lwm yam kev tawm dag zog . Qhov mob, mob plab, thiab hnyav no ploj mus thaum so. Cov kws kho mob hu qhov mob no ua intermittent claudication .

Tsis tas li ntawd xwb, koj kuj tseem yuav muaj cov tsos mob xws li:

• O (edema) hauv qab ceg.
• Cov qhov txhab uas tsis kho rau ntawm ko taw (Foot Ulcers).
• Mob hauv caug, tom qab lub hauv caug (Popliteal Fossa) lossis hauv ko taw.
• Mob loog los yog txias rau ob txhais ceg.
• Kev hloov xim ntawm daim tawv nqaij ntawm ceg.

Yog koj muaj tej yam zoo li no, zoo tshaj mus ntsib kws kho mob sai li sai tau.

Yuav kuaj tus kab mob no li cas? Cov kws kho mob ua cov kev kuaj mob dab tsi?

Thaum koj mus ntsib kws kho mob, nws yuav nug koj txog koj cov tsos mob thiab kuaj koj. Tsis tas li ntawd, cov kev kuaj hauv qab no yuav raug ua los txiav txim siab seb koj puas muaj tej yam mob ntsig txog cov hlab ntsha popliteal:

• Kev Ntsuas Qhov Ncua Plawv (PVR): Qhov no siv lub ntsuas ntshav siab thiab lub cuab yeej hu ua Doppler kom tau txais lub tswv yim ntawm qhov ntau ntawm cov ntshav ntws mus rau koj ob txhais ceg.Tus nqi Ankle-Brachial Index (ABI) raug suav.
• Kev Siv Ultrasound Rau Cov Hlwb: Qhov no tuaj yeem saib seb cov ntshav ntws li cas hauv koj ob txhais ceg. Nws zoo ib yam li kev ntsuas uas tau ua rau cov niam cev xeeb tub, tab sis qhov no yog tshwj xeeb rau cov hlab ntsha.
• Angiogram: Muaj ntau hom ntawm qhov no. Piv txwv li, koj tuaj yeem muaj Magnetic Resonance Angiogram (MRA) lossis CT Angiogram (CTA) . Qhov no kuaj xyuas cov cheeb tsam uas cov ntshav ntws tsis zoo hauv koj ob txhais ceg.
• Kev Siv Catheter Angiography: Qhov no yog ib qho kev kuaj uas nyuaj me ntsis. Nws yog ua los ntawm kev ntxig ib lub catheter rau hauv lub cev. Feem ntau nws yog ua tom qab ua lwm yam kev kuaj thiab xav tau cov ntaub ntawv ntxiv.

Cov kev kho mob rau cov kab mob no yog dab tsi?

Kev kho mob rau kab mob popliteal artery sib txawv nyob ntawm seb tus mob yog dab tsi. Cov kev kho mob tseem ceeb suav nrog:

• Cov Tshuaj: Cov tshuaj yuav muab tau los txo cov ntshav siab, txo cov roj cholesterol, thiab tiv thaiv cov ntshav txhaws.
• Catheter Angioplasty thiab Stenting: Qhov no suav nrog kev ua kom cov hlab ntsha uas raug thaiv los ntawm lub pob uas zoo li lub npas thiab tom qab ntawd ntxig lub stent ( lub cuab yeej zoo li lub mesh) kom nws tsis txhob raug thaiv dua.
• Kev Txuas Hniav: Tsim ib txoj kev tshiab rau cov ntshav ntws los ntawm kev txuas hniav ntawm cov hlab ntsha uas raug thaiv thiab txuas ib daim hlab ntsha tshiab (ib qho 'hloov hniav'). Nws zoo li taug txoj kev sib txawv thaum txoj kev raug thaiv.
• Kev Phais Mob: Qee zaum, yuav tsum tau phais mob kom tshem tawm cov cysts uas tau hais los saum toj no, lossis kom tso cov leeg lossis cov leeg uas nias rau ntawm cov hlab ntsha popliteal.

Yuav ua li cas kom peb cov hlab ntsha Popliteal noj qab nyob zoo? Cov kev tiv thaiv

"Kev tiv thaiv zoo dua li kev kho mob," lawv hais. Yog li, ntawm no yog qee yam uas koj tuaj yeem ua tau kom tsis yog koj cov hlab ntsha popliteal xwb, tab sis koj tag nrho cov kab mob ncig mus los noj qab haus huv:

• Yog koj haus luam yeeb, tsum tsis txhob haus ntxiv lawm. Kev siv cov khoom luam yeeb los kuj zoo ib yam li ntawd thiab.
• Ua si nawv ntau hnub hauv ib lub lim tiam. Nws kuj zoo rau kev taug kev tsawg kawg 30 feeb hauv ib hnub.
• Noj zaub mov zoo rau lub plawv uas tsis muaj roj cholesterol, rog, thiab ntsev ntau. Noj zaub, txiv hmab txiv ntoo, thiab cov nplej tag nrho ntau ntxiv.
• Tswj koj qhov hnyav kom noj qab nyob zoo.
• Yog koj muaj tej yam mob xws li ntshav qab zib, roj cholesterol ntau, lossis ntshav siab, tswj kom zoo. Noj cov tshuaj uas koj tus kws kho mob sau rau koj raws sijhawm.

Thaum twg koj yuav tsum nrhiav kev pab kho mob? Cov tsos mob twg yuav tsum ua rau koj mus ntsib kws kho mob?

Yog koj muaj ib qho ntawm cov tsos mob no, nco ntsoov mus ntsib kws kho mob kom tau lus qhia:

• Cov qhov txhab uas tsis kho rau ntawm ceg lossis ko taw.
• Yog tias koj mob thaum taug kev, lossis yog tias nws nyuaj rau taug kev lossis txav koj txhais ceg.
• Yog tias koj ob txhais ceg o tsis muaj laj thawj.
• Yog tias muaj kev hloov pauv ntawm qhov kub lossis xim ntawm ceg (piv txwv li, ib ceg zoo li txias dua lwm ceg, lossis zoo li dawb).
• Yog koj mob ceg txawm tias koj so.

Yog koj muaj lus nug txog tej no, tsis txhob tsis quav ntsej lawv. Kev nrhiav kev pab kho mob thaum ntxov yuav pab tau koj tswj tau qhov teeb meem ua ntej nws dhau los ua teeb meem loj dua.

Cov Lus Qhia Txog Kev Coj Mus Tsev

Zoo, yog li tam sim no koj nkag siab zoo txog Popliteal Artery uas peb tau tham txog hnub no. Cov no yog cov hlab ntsha tseem ceeb heev uas khiav ntawm peb lub duav, mus tom qab lub hauv caug, thiab muab ntshav rau cov ceg qis.

Kab mob ntawm cov hlab ntsha popliteal artery tuaj yeem ua rau muaj teeb meem nrog kev ntws ntshav, xws li qhov mob uas tshwm sim thaum koj taug kev thiab txo qis los ntawm kev so. Hauv qee kis mob hnyav, nws tuaj yeem ua rau poob ceg.

Yog li ntawd, nws yog ib qho tseem ceeb heev uas yuav tsum ua raws li kev noj qab haus huv (kev noj zaub mov zoo, kev tawm dag zog, thiab kev tso tseg haus luam yeeb) thiab tswj cov yam uas ua rau muaj kev pheej hmoo . Yog tias koj muaj cov tsos mob, tsis txhob yig mus nrhiav kev pab kho mob. Tom qab ntawd, kev kuaj mob tsim nyog tuaj yeem ua tau thiab kev kho mob tsim nyog tuaj yeem pib.

` Popliteal Artery, Popliteal Artery, Artery tom qab lub hauv caug, Kev ncig ntshav ceg, Mob ceg, Intermittent Claudication, Popliteal Artery Aneurysm