Tus kws kho mob puas tau muab lub stethoscope tso rau ntawm koj lub caj dab thiab qhia rau koj tias koj hnov ​​​​​​lub suab txawv txawv? Cia peb tham txog qhov no '(Carotid Bruit)'!

Koj puas tau pom ib tug kws kho mob mloog koj lub plawv nrog lub stethoscope ntawm ob sab ntawm koj lub caj dab? Thaum mloog, qee zaum tus kws kho mob tuaj yeem hnov ​​​​​​lub suab "whoosing" los ntawm cov hlab ntsha hauv koj lub caj dab , lossis lub suab zoo li dej ntws los ntawm lawv. Qhov ntawd yog qhov peb hu ua "Carotid Bruit" (hais tias "carotid bruee"). Qhov no tsis yog ib yam dab tsi uas yuav tsum ntshai, tab sis nws yog ib qho tseem ceeb uas yuav tsum paub txog nws.

Lub suab txawv txawv no hu ua '(Carotid Bruit)' yog dab tsi?

Hais yooj yim xwb, '(Carotid Bruit)' yog ib lub suab txawv txawv, uas tshwm sim thaum cov ntshav ntws hauv ib lossis ntau cov hlab ntsha tseem ceeb hauv koj lub caj dab, '(Carotid Artery)'. Xav txog nws, zoo li tus dej ntws ntsiag to tam sim ntawd ntaus pob zeb thiab pib ntws turbulently. Yog li ntawd peb hu ua '(Turbulent Flow)' thaum cov ntshav ntws hauv cov leeg, es tsis txhob ntws du thiab hauv ib txoj kev, tab sis hauv txoj kev tsis sib haum xeeb thiab turbulent . Cov hlab ntsha '(Carotid Artery)' no yog cov uas coj cov pa oxygen thiab cov as-ham uas koj lub hlwb xav tau . Yog li, yog tias muaj teeb meem nrog cov hlab ntsha no, nws tuaj yeem cuam tshuam rau kev ua haujlwm ntawm peb lub hlwb.

Tus kws kho mob yuav hnov ​​lub suab '(Carotid Bruit)' no los ntawm qhov xwm txheej thaum koj raug kuaj los ntawm tus kws kho mob. Kev hnov ​​lub suab no tuaj yeem yog ib qho cim qhia tias koj '(Carotid Artery)' tau nqaim vim muaj cov rog (peb kuj hu qhov no '(Plaque)') . Txawm li cas los xij, qee zaum cov neeg uas muaj '(Carotid Artery)' noj qab haus huv kuj tuaj yeem hnov ​​lub suab no. Tsis tas li ntawd, qee tus neeg yuav tsis hnov ​​lub suab no txawm tias lawv cov hlab ntsha nqaim heev. Yog li ntawd, tus kws kho mob siv lub cim '(Carotid Bruit)' no ua ib daim me me ntawm daim duab loj dua. Ntawd yog, kev hnov ​​lub suab no ib leeg tsis txiav txim siab tias koj muaj mob hnyav, nws tsuas yog kev pab txiav txim siab seb puas xav tau kev kuaj mob ntxiv thiab kev kho mob.

Lub suab '(Carotid Bruit)' zoo li cas?

Lub suab "(Carotid Bruit)" no zoo ib yam li lub suab ntawm tus dej ntws ceev , lub suab zoo li "hush hush". Koj tsis tuaj yeem hnov ​​​​qhov no ntawm koj tus kheej. Koj tsuas tuaj yeem hnov ​​​​​​lub suab no thaum tus kws kho mob maj mam nias nws lub stethoscope (lub cuab yeej uas hnav rau ntawm koj lub hauv siab lossis nraub qaum) rau ntawm ntau qhov ntawm koj lub caj dab thiab mloog. Tus kws kho mob yuav hais kom koj ua pa thiab tuav nws ib pliag. Ntawd yog, mloog kom meej meej rau lub suab ntawm cov ntshav ntws.

Yog tus kws kho mob hnov ​​​​​​lub suab "Carotid Bruit" zoo li no, nws yuav piav qhia rau koj, nws txhais li cas, thiab seb koj puas yuav tsum tau kuaj ntxiv. Yog li, tsis txhob txhawj, puas yog?

Vim li cas cov '(Carotid Artery)' no thiaj ua suab li no? Dab tsi yog cov ua rau?

Qhov ua rau muaj "Carotid Bruit" no yog ib yam mob hu ua "Atherosclerosis" .

Atherosclerosis yog tus yeeb ncuab tseem ceeb!

`( Atherosclerosis )` yog ib lo lus kho mob. Hais yooj yim xwb, nws txhais tau hais tias muaj cov rog, uas yog `(Plaque)`, nyob hauv cov hlab ntsha (arteries) hauv koj lub cev, thiab qhov chaw rau cov ntshav ntws hauv cov hlab ntsha ntawd (peb kuj hu nws tias `(Lumen)`) maj mam txo qis. Xav txog tias dhau sijhawm, cov av plua plav sib sau ua ke hauv cov kav dej thiab txhaws cov kav dej, ib yam li cov rog no `(Plaque)` kuj sib sau ua ke hauv peb cov hlab ntsha, txo qhov chaw rau cov ntshav ntws. Qhov `(Plaque)` sib sau ua ke no tuaj yeem ua rau cov ntshav txhaws. Cov ntshav txhaws no tuaj yeem nres cov ntshav ntws qhov twg nws tsim, lossis nws tuaj yeem mus nrog cov ntshav thiab thaiv cov hlab ntsha hauv lwm qhov chaw.

Yog li, thaum cov plaque sib sau ua ke hauv koj lub Carotid Artery thiab ua rau cov hlab ntsha nqaim, peb hu ua Carotid Artery Stenosis . Hnov ​​​​lub suab Carotid Bruit tuaj yeem yog ib qho cim qhia tias koj muaj tus mob no.

Nco ntsoov tias, "(Carotid Artery)" yog qhov uas muab cov ntshav uas muaj oxygen ntau rau peb lub hlwb . Yog li, yog tias cov hlab ntsha no raug txhaws nrog "(Plaque)", koj muaj feem yuav muaj "(Transient Ischemic Attack - TIA)" (peb kuj hu qhov no tias yog kev cuam tshuam cov ntshav mus rau lub hlwb ib ntus, qee tus hu nws tias "mini stroke"), lossis "(Ischemic Stroke)" (kev tuag tes tuag taw los ntawm kev txhaws ntawm cov hlab ntsha uas muab cov ntshav mus rau lub hlwb). Hauv ob qho xwm txheej no, cov ntshav ntws mus rau lub hlwb raug txo qis lossis ploj tag.

Yog vim li ntawd nws thiaj li tseem ceeb kom paub seb koj puas muaj ' (Carotid artery stenosis) ' thiab yog tias muaj, nws hnyav npaum li cas. '(Carotid Bruit)' tsuas yog ib qho cim ceeb toom xwb, nws tsis qhia meej tias koj muaj '(Plaque)' ntau npaum li cas. Yog li ntawd, tus kws kho mob yuav tsis txiav txim siab tias koj muaj '(Carotid Artery Stenosis)' tsuas yog muaj '(Carotid Bruit)' xwb, tab sis yuav siv nws ua thawj kauj ruam los tshawb nrhiav ntxiv.

Puas muaj lwm yam laj thawj?

Txawm hais tias cov quav hniav yog qhov ua rau muaj carotid bruit feem ntau, nws kuj tuaj yeem tshwm sim los ntawm kev hloov pauv hauv cov qauv ntawm cov hlab ntsha. Piv txwv li, cov neeg uas muaj cov mob tsis tshua muaj xws li Fibromuscular Dysplasia (FMD) kuj tseem yuav hnov ​​​​​​lub suab carotid bruit. Koj tus kws kho mob yuav tshuaj xyuas koj keeb kwm kev kho mob kom sim txiav txim siab qhov ua rau koj lub carotid bruit.

Puas muaj '(Carotid Bruit)' loj heev?

Qee zaum "Carotid Bruit" yog ib qho cim qhia txog teeb meem loj heev.Nws tuaj yeem tshwm sim, tab sis nws tsis yog txhua lub sijhawm. Qee zaum nws zoo li lub teeb liab uas hais tias koj yuav muaj '(Carotid Artery Stenosis)'. Yog tias koj '(Stenosis)', lossis qhov nqaim ntawm cov hlab ntsha, hnyav heev, koj yuav xav tau kev kho mob kom txo koj qhov kev pheej hmoo ntawm kev muaj '(TIA)' lossis '(Stroke). Koj tus kws kho mob yuav qhia koj yog tias koj tus mob hnyav thiab yog tias koj xav tau kev kho mob. Yog li ntawd, tsis txhob ntshai thiab mloog zoo rau qhov koj tus kws kho mob hais.

Puas yog "Carotid Bruit" zoo li qub?

Yog lawm, hnov ​​​​​​ib lub suab "(Carotid Bruit)" tsis tau txhais hais tias koj muaj "(Carotid Artery Stenosis)". Ib txhia neeg uas muaj "(Carotid Bruit)" tej zaum yuav tsis muaj cov "Plaque" tso rau hauv lawv cov hlab ntsha, thiab lawv tej zaum yuav noj qab nyob zoo. Ib txhia neeg tej zaum yuav muaj kev hloov pauv hauv cov qauv ntawm lawv cov hlab ntsha, uas tej zaum yuav yog ib txwm muaj, lossis nws tej zaum yuav yog vim muaj mob zoo li "(FMD)". Yog vim li ntawd "(Carotid Bruit)" tsuas yog thawj kauj ruam hauv txoj kev kuaj mob thiab kho cov kab mob ntsig txog "(Carotid Artery)".

Yog tus kws kho mob hais tias muaj "Carotid Bruit" ces yuav muaj li cas tom ntej?

Yog koj tus kws kho mob hnov ​​​​​​lub suab "Carotid Bruit", nws yuav yog ib qho cim qhia tias muaj qee yam tsis raug. Tus kws kho mob mam li xaj kom kuaj ntxiv kom paub meej tias koj cov "Carotid Artery" zoo li cas.

Cov kev ntsuam xyuas ntxiv yog dab tsi?

Qhov kev kuaj mob uas feem ntau ua thaum lub sijhawm no yog Carotid Duplex Ultrasound . Qhov no yog kev kuaj mob uas tsis mob, tsis mob. Nws tuaj yeem saib cov ntshav ntws hauv koj lub Carotid Artery, seb cov hlab ntsha puas nqaim, thiab yog tias nqaim, nws nqaim npaum li cas. Nws zoo ib yam li kev kuaj ultrasound rau cov niam cev xeeb tub, tab sis qhov no yog ua rau ntawm caj dab.

Puas muaj tej yam uas ua rau muaj kev pheej hmoo thiab?

Yog, yog tias koj muaj '(Carotid Bruit), thiab tib lub sijhawm muaj ib lossis ntau yam kev pheej hmoo rau '(Carotid Artery Stenosis)', tus kws kho mob yuav xaj kom kuaj xws li '(Carotid Duplex Ultrasound)' uas tau hais ua ntej. Cov yam txaus ntshai no yog:

• Yog tias koj muaj kab mob plawv (coronary artery disease) .
• Yog koj muaj mob ntshav qab zib (Hom 1 lossis Hom 2).
• Yog tias ib tug neeg hauv tsev neeg tau muaj mob stroke ua ntej.
• Yog koj muaj ntshav siab .
• Yog tias koj muaj cov roj cholesterol ntau hauv koj cov ntshav .
• Yog koj laus dua (feem ntau yog hnub nyoog tshaj 65 xyoos, lossis hnub nyoog tshaj 55 xyoos yog tias muaj lwm yam kev pheej hmoo).
• Kab mob Peripheral Artery, ib yam kab mob uas ua rau cov hlab ntsha hauv ob txhais ceg lossis caj npab nqaimYog tias muaj.
• Kev siv luam yeeb thiab luam yeeb .

Yog koj muaj cov yam ntxwv no ntau npaum li cas, ces koj yuav muaj feem yuav mob "Carotid Artery Stenosis" ntau npaum ntawd.

Tsis tas li ntawd xwb, yog tias koj tau teem sijhawm yuav phais plawv xws li "Coronary Artery Bypass Grafting - CABG" , koj tus kws kho mob yuav xav kuaj xyuas koj qhov "Carotid Artery" ua ntej phais. Qhov no yog vim tias yog tias koj muaj "Carotid Artery Stenosis", koj muaj feem yuav mob "Stroke" ntau dua thaum lub sijhawm lossis tom qab phais plawv. Yog tias muaj, koj yuav raug kho ua ntej phais kom txo qhov kev pheej hmoo ntawd.

Yuav kho qhov no li cas?

Tsis yog txhua tus neeg uas muaj '(Carotid Bruit)' yuav xav tau kev kho mob. Txawm li cas los xij, qee tus neeg yuav xav tau kev kho mob kom txo lawv txoj kev pheej hmoo ntawm kev muaj '(TIA)' lossis '(Stroke)'. Lub hom phiaj tseem ceeb ntawm kev kho mob yog los txhim kho cov ntshav ntws los ntawm koj '(Carotid Artery)'.

Kev tswj hwm nrog tshuaj

Feem ntau, tshwj xeeb tshaj yog tias koj cov hlab ntsha carotid tsis nqaim heev, cov tshuaj yog thawj qhov kev kho mob. Nyob ntawm koj tus mob, koj tus kws kho mob yuav pom zoo ib lossis ntau yam tshuaj hauv qab no:

• Tshuaj kho ntshav siab .
• Cov tshuaj uas txo cov roj cholesterol .
• Qee zaum siv cov tshuaj xws li aspirin, uas tiv thaiv cov ntshav txhaws.

Kev hloov pauv hauv lub neej yog qhov tseem ceeb heev!

Kev hloov koj txoj kev ua neej yuav pab tau koj kom tsis txhob muaj cov plaque hauv koj cov hlab ntsha. Nco ntsoov sim ua cov no:

• Tsis txhob haus luam yeeb thiab txhua yam khoom uas muaj luam yeeb kiag li. Luam yeeb ua rau koj cov hlab ntsha tsis zoo. Nws kuj ua rau koj muaj feem ntau ntawm ntau yam kab mob, suav nrog kab mob plawv. Yog tias koj xav tau kev pab tso luam yeeb, nug koj tus kws kho mob, muaj ntau txoj hauv kev ua li ntawd.
• Noj zaub mov kom lub plawv noj qab nyob zoo . Qhov no txhais tau tias noj tsawg cov rog saturated, sodium, thiab qab zib. Hloov cov nqaij liab nrog cov nqaij tsis muaj roj ntau xws li nqaij qaib, nqaij qaib ntxhw, thiab ntses. Noj ntau zaub, txiv hmab txiv ntoo, taum pauv, thiab txiv ntoo qhuav.
• Ua si nawv tsis tu ncua . Tsis txhob pib ua si loj dhau ib zaug. Pib ua me me thiab tsom mus rau kev ua si nawv nruab nrab li 150 feeb hauv ib lub lim tiam. Nws yog ib lub tswv yim zoo los nug koj tus kws kho mob seb qhov twg yog qhov zoo thiab muaj kev nyab xeeb rau koj ua ntej pib ua si nawv tshiab.

Kev phais mob lossis lwm yam kev kho mob

Yog tias koj qhov "Carotid Artery Stenosis" hnyav dua, koj yuav tsum tau phais lossis lwm yam kev kho mob tshwj xeeb. Qee qhov ntawm cov no suav nrog:

• `(Kev phais mob carotid endarterectomy)`Qhov no yog ib qho kev phais. Qhov no suav nrog kev qhib lub '(Carotid Artery)' thiab tshem tawm cov '(Plaque)' uas tau tsim nyob sab hauv.
• `(Carotid Angioplasty thiab Stenting)` : Hauv qhov no, ib lub cuab yeej me me zoo li lub npas yuav raug ntxig rau hauv `(Carotid Artery)` uas nqaim thiab nqus cua kom dav cov hlab ntsha. Tom qab ntawd, ib lub raj me me hu ua `(Stent)` raug muab tso rau hauv cov hlab ntsha kom tiv thaiv nws kom tsis txhob nqaim dua.

Tiam sis nco ntsoov, tsis yog txhua tus neeg uas muaj "Carotid Bruit" muaj ntshav txhaws thiab yuav tsum tau kho. Tham nrog koj tus kws kho mob kom paub meej tias koj qhov "Carotid Bruit" cuam tshuam li cas rau koj.

Thaum kawg, tej yam yuav tsum nco ntsoov (Cov Lus Coj Mus Tsev)

Yog koj tus kws kho mob hais rau koj tias koj muaj "(Carotid Bruit)", tsis txhob ntshai lossis ntshai . Nws tsis tas txhais tau tias koj muaj kev phom sij loj. Nws tsuas yog ib qho cim uas tus kws kho mob siv los kuaj xyuas kev noj qab haus huv ntawm koj cov hlab ntsha.

Yog li, nrog koj tus kws kho mob tham txog qhov no thiab nrhiav paub ntxiv. Tsis tas li ntawd, nrhiav seb koj muaj tej yam ua rau koj cov hlab ntsha atherosclerosis (cov hlab ntsha tawv) thiab koj ua tau dab tsi los txo koj qhov kev pheej hmoo. Kev ua neej noj qab haus huv feem ntau yog txoj hauv kev zoo tshaj plaws los tiv thaiv koj tus kheej ntawm cov mob no. Kev saib xyuas koj txoj kev noj qab haus huv yog nyob rau hauv koj txhais tes!

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