Niaj hnub no peb yuav tham txog ib txoj hlab ntsha me me tab sis tseem ceeb heev hauv peb lub taub hau, tshwj xeeb tshaj yog nyob rau ntawm thaj tsam ntawm sab plhu, uas peb tsis xav txog ntau yam hauv peb lub neej txhua hnub. Cov kws kho mob hu qhov no ua "Supficial Temporal Artery". Tsis txhob ntshai, txawm tias lub npe suab nyuaj me ntsis los xij. Hais yooj yim, qhov no yog ib txoj kev loj uas muab txoj sia, uas yog, ntshav, rau peb lub ntsej muag thiab taub hau. Nws zoo li ib ceg me me uas nqa dej mus rau ib tsob ntoo.
Vim li cas qhov "Supficial Temporal Artery" no thiaj li tseem ceeb rau peb?
Zoo, tam sim no tej zaum koj yuav xav paub tias, "Dab tsi zoo txog cov hlab ntsha me me no?" Qhov tseem ceeb yog tias qhov '(Supficial Temporal Artery)' no muab ntshav rau daim tawv nqaij ntawm koj lub ntsej muag thiab taub hau . Xav txog seb, kom peb daim tawv nqaij noj qab haus huv, kom cov plaub hau loj hlob, txhua yam no xav tau cov ntshav zoo. Qhov ntawd yog qhov uas qhov no pab tau.
Tsis yog li ntawd xwb, qee zaum cov hlab ntsha no muaj txiaj ntsig zoo rau cov kws kho mob. Xav txog, yog tias muaj teeb meem nrog cov hlab ntsha hauv lub hlwb (`(Aneurysm)`, lossis ib yam dab tsi zoo li `(Middle Cerebral Artery)` lossis `(Internal Carotid Artery)`, uas txo cov ntshav ntws mus rau lub hlwb, ces cov ntshav ntws mus rau lub hlwb txo qis. Hauv cov xwm txheej zoo li no, cov kws kho mob siv `(Superficial Temporal Artery)` no ua lwm txoj hauv kev, uas yog, ua `(Bypass Route)`, thiab cia cov ntshav ntws mus rau lub hlwb . Qhov no zoo li kev siv lwm txoj hauv kev thaum txoj kev raug kaw. Txoj kev no kuj siv rau cov kab mob zoo li `(Moyamoya Disease)`, lossis tom qab `(Stroke)`.
Lwm yam yog tias muaj tej lub sij hawm uas cov hlab ntsha no siv ua ib txoj hlab ntsha rau qee yam '(Endovascular Treatments)', uas yog, kev kho mob ua sab hauv cov hlab ntsha, lossis kev kuaj xws li '(Angiogram).' Yog li, txawm tias nws me me, qhov kev pabcuam uas nws muab yog qhov zoo heev, puas yog?
Qhov '(Supficial Temporal Artery)' no nyob qhov twg hauv peb lub cev?
Nws yooj yim heev rau nrhiav. Cov hlab ntsha sab nraud nyob rau pem hauv ntej ntawm koj lub pob ntseg, nyob saum koj lub puab tsaig, nyob hauv qab koj daim tawv nqaij. Yog hais kom meej, nws pib hauv lub qog parotid, uas nyob hauv qab thiab nyob rau pem hauv ntej ntawm koj lub pob ntseg. Tom qab ntawd nws mus txog ntawm koj lub puab tsaig thiab koj lub pob ntseg. Yog tias koj maj mam kov thaj chaw ntawm koj lub pob ntseg nrog koj cov ntiv tes, koj yuav hnov cov hlab ntsha dhia. Tsis yog txhua tus neeg hnov nws, tab sis qhov ntawd yog qhov ib txwm muaj.
Tej zaum koj kuj xav paub tias cov hlab ntsha no los qhov twg los. Peb muaj ob lub hlab ntsha tseem ceeb ntawm txhua sab ntawm peb lub caj dab, hu ua '(External Carotid Artery)'. Ib qho ntawm cov ceg uas tawm ntawm qhov kawg ntawm '(External Carotid Artery)' yog '(Superficial Temporal Artery)'. Yog li, ib yam li peb muaj '(Carotid Artery)' ntawm sab laug thiab sab xis ntawm peb lub caj dab, peb kuj muaj cov '(Superficial Temporal Artery)' no ntawm txhua sab ntawm peb lub taub hau.
Cov ceg ntawm cov '(Supficial Temporal Artery)' no yog dab tsi?
Ib yam li cov ceg ntoo uas tawm ntawm lub cev ntoo loj, qhov "(Supficial Temporal Artery)" no kuj tawm mus ua cov ceg me dua. Nws muaj ob ceg tseem ceeb:
1. Ceg Pem Hauv Ntej: Qhov no muab ntshav rau cov leeg thiab daim tawv nqaij ntawm koj lub hauv pliaj.
2. Parietal Ceg: Qhov no muab ntshav rau thaj tsam ntawm koj lub taub hau saum koj pob ntseg (Parietal thiab Temporal cheeb tsam). Hais yooj yim, nws zoo li thaum koj muab lub mloog pob ntseg rau, nws zoo li nws nrov.
Ntxiv rau ob ceg tseem ceeb no, muaj ob peb ceg me dua. Lawv yog:
- `(Cov hlab ntsha ntawm lub ntsej muag uas hla mus rau sab nraud)`
- `(Nruab Nrab Temporal Artery)`
- `(Zygomatico-orbital Artery)`
- `(Cov hlab ntsha hauv pob ntseg)`
Qhov no nyuaj me ntsis, tab sis nws txhais li cas yog tias cov ceg me me no muab ntshav rau ntau qhov ntawm lub ntsej muag, thaj tsam ib puag ncig cov pob txha ntsej muag, thiab thaj tsam ib puag ncig pob ntseg.
Cov hlab ntsha no puas zoo ib yam rau txhua tus? Los yog puas muaj qhov sib txawv?
Qhov no kuj yog ib lo lus nug tseem ceeb heev. Tsis yog, tsis yog txhua tus neeg lub "Supficial Temporal Artery" ceg tib yam . Ib yam li peb cov ntiv tes, qhov no kuj tuaj yeem muaj qhov sib txawv me ntsis ntawm ib tus neeg mus rau lwm tus.
- Muaj ib txhia neeg, ib lub "Supficial Temporal Artery" ua rau muaj ob ceg ntawm lub hlwb pem hauv ntej, thiab tsis tshua muaj peb ceg. Cov ceg ntawm lub hlwb parietal kuj zoo li no thiab.
- Tsis tas li ntawd xwb, qhov chaw tseem ceeb uas cov hlab ntsha no faib ua ob yuav txawv ntawm ib tus neeg mus rau ib tus neeg. Rau qee tus, nws faib me ntsis saum lub pob txha puab tsaig, thaum rau lwm tus, nws faib me ntsis hauv qab.
- Lwm yam xav tsis thoob yog tias cov qauv ntawm "Supficial Temporal Artery" ntawm sab laug ntawm koj lub taub hau yuav txawv ntawm qhov ntawm sab xis.
Nws yog ib qho ib txwm muaj cov kev sib txawv ntawm lub cev no. Cov kws kho mob xav txog cov kev sib txawv no thaum ua qee yam xws li phais.
Lub '(Supficial Temporal Artery)' no zoo li cas tiag? Nws tsim los li cas?
Ib yam li lwm cov hlab ntsha, cov hlab ntsha ntawm lub qhov muag sab saud zoo li ib lub raj. Nws muaj peb txheej tseem ceeb:
1. Txheej sab hauv tshaj plaws `(Intima): Qhov no yog ua los ntawm cov leeg nqaij, `(Elastin)` (uas ua rau cov leeg ntshav muaj zog) thiab ib hom cell tshwj xeeb hu ua `(Endothelial Cells)`. Txheej no yog qhov uas kov cov ntshav ncaj qha.
2. Txheej nruab nrab '(Media): Qhov no muaj cov leeg nqaij. Lub txoj kab uas hla ntawm cov hlab ntsha, uas yog, nws qhov dav, nce lossis txo los ntawm kev cog thiab nthuav cov leeg nqaij no. Ua li no, qhov ntau ntawm cov ntshav ntws raug tswj.
3. Txheej sab nraud tshaj plaws `(Adventitia): Txheej no yog qhov chaw uas cov hlab ntsha txuas nrog cov nqaij uas tau txais ntshav los ntawm nws. Ntawd yog, cov hlab ntsha txuas nrog cov khoom nyob ib puag ncig.
Cov txheej peb txheej no ua haujlwm ua ke los ua kom cov hlab ntsha khov kho thiab pab nws ua nws txoj haujlwm thauj cov ntshav hla nws.
Cov kab mob thiab kev tsis zoo twg tuaj yeem cuam tshuam rau qhov '(Supficial Temporal Artery)' no?
Ib yam li lwm yam kab mob hauv lub cev, cov hlab ntsha ntawm lub qhov muag sab saud (Superficial Temporal Artery) kuj muaj ntau yam kab mob thiab kev raug mob. Nov yog qee yam ntawm lawv:
- Aneurysm: Kev qaug zog ntawm phab ntsa ntawm cov hlab ntsha, ua rau nws o zoo li lub npas.
- Pseudoaneurysm: Ib txoj hlab ntsha raug puas tsuaj thiab ntshav sib sau ua ke nyob ib puag ncig nws, ua rau pom qhov zoo li aneurysm.
- Kab mob Temporal Arteritis lossis Giant Cell Arteritis: Qhov no yog ib qho mob o ntawm cov hlab ntsha. Qhov no txhais tau tias cov hlab ntsha yuav o, liab, thiab mob. Qhov no yuav tshwm sim ntau dua thaum muaj hnub nyoog.
- Cov teeb meem los ntawm kev phais yas ntsej muag: Qee zaum, cov hlab ntsha tuaj yeem raug puas tsuaj thaum lub sijhawm phais mob no.
- Kev raug mob rau lub ntsej muag lossis lub taub hau: Cov hlab ntsha no tuaj yeem raug txiav lossis tsoo thaum muaj xwm txheej.
Nws yog ib qho tseem ceeb uas yuav tsum paub txog tej yam zoo li no, kom koj thiaj li nrhiav tau kev pab kho mob sai sai yog tias koj muaj cov tsos mob.
Yog tias cov hlab ntsha puas lawm, peb yuav muaj cov tsos mob li cas?
Xav txog, yog tias muaj teeb meem nrog koj qhov "Supficial Temporal Artery", koj yuav muaj ib lossis ntau yam ntawm cov tsos mob no:
- Mob taub hau: Qhov mob uas qee zaum hnyav heev, tshwj xeeb tshaj yog rau ib lossis ob lub pob ntseg.
- Kiv taub hau: Qhov kev xav tias tej yam tig ib puag ncig koj.
- Ib lub pob mob hauv qab daim tawv nqaij qhov twg cov hlab ntsha nyob: Nws yuav zoo li lub pob uas nyuaj rau tuav hauv tes thiab mob thaum nias.
- Qaug zog: Tsis yog tsuas yog qaug zog xwb, tab sis kuj yog qaug zog ntau dhau uas los yam tsis muaj laj thawj.
- Mob taub hau los yog mob tawv taub hau: Mob los yog mob nqaij nyob ib ncig ntawm pob ntseg los yog tawv taub hau yuav hnov thaum kov los yog txawm tias zuag.
- Teeb meem nrog koj qhov pom kev: Pom kev tsis meej, pom ob sab, thiab lwm yam. Qhov no tuaj yeem tshwm sim ntau dua rau cov mob xws li Temporal Arteritis, yog li ntawd yog tias koj pom muaj kev hloov pauv hauv koj qhov pom kev , koj yuav tsum mus ntsib kws kho mob tam sim ntawd .
- Kev Ntshav: Yog tias cov hlab ntsha raug mob, cov ntshav yuav tawm los.
Tseem Ceeb: Yog tias koj muaj ib qho ntawm cov tsos mob no, tsis txhob tsuas yog tsis quav ntsej lawv vim tias "tej zaum nws tsuas yog ib yam me me xwb." Nws yog qhov zoo tshaj plaws mus ntsib kws kho mob kom tau txais lus qhia.
Yuav ua li cas thiaj kuaj tau qhov kev noj qab haus huv ntawm cov hlab ntsha no?
Yog tias tus kws kho mob xav tias koj muaj teeb meem nrog koj lub "Supficial Temporal Artery", lawv yuav ua ntau yam kev kuaj mob los xyuas kom meej tias muaj mob. Cov kev kuaj mob uas siv ntau tshaj plaws yog:
- Kev kuaj mob ultrasound: Qhov no tuaj yeem saib cov duab ntawm cov hlab ntsha thiab cov ntshav ntws los ntawm nws li cas. Nws yog ib qho kev kuaj mob uas tsis mob thiab yooj yim.
- Kev Ntsuas CT (Kev Ntsuas Tomography - CT Scan):Qhov no ua rau kom tau cov duab ntxaws ntxaws ntawm cov hlab ntsha thiab cov nqaij nyob ib puag ncig.
- Angiogram: Qhov no suav nrog kev txhaj tshuaj tshwj xeeb rau hauv cov hlab ntsha thiab thaij duab X-ray. Qhov no muaj txiaj ntsig zoo rau kev kuaj pom tej yam xws li kev thaiv hauv cov hlab ntsha, xws li aneurysms.
- MRA (Magnetic Resonance Angiogram - MRA): Qhov no zoo ib yam li Angiogram, tab sis siv cov thev naus laus zis MRI.
Ntxiv mus, yog tias xav tias muaj mob xws li Temporal Arteritis, yuav muaj kev kuaj ntshav . Qee zaum, yuav muaj kev kuaj biopsy, uas yuav tsum tau coj ib qho me me ntawm cov hlab ntsha mus kuaj.
Cov kev kho mob rau qhov '(Superficial Temporal Artery)' no yog dab tsi?
Kev kho mob nyob ntawm seb cov hlab ntsha puas tsuaj lossis muaj kab mob npaum li cas. Nov yog ob peb yam piv txwv:
- Yog tias koj muaj ib qho aneurysm: Nyob ntawm nws qhov loj thiab qhov chaw, tej zaum yuav xav tau kev phais .
- Yog tias nws yog "Pseudoaneurysm": Qee zaum nws tuaj yeem kho tau los ntawm kev txhaj tshuaj "Thrombin Injection" (tshuaj uas ua rau cov ntshav nyias).
- Mob hlab ntsha Temporal Arteritis: Qhov no feem ntau yog kho nrog tshuaj , tshwj xeeb yog tshuaj steroids. Cov no yuav tsum noj raws nraim li koj tus kws kho mob hais.
- Yog tias cov hlab ntsha raug puas tsuaj hauv qhov xwm txheej: Nyob ntawm qhov puas tsuaj , tej zaum yuav xav tau phais mob los kho cov hlab ntsha (Kev kho phais mob) .
Yog li ntawd, nws yog tus kws kho mob uas kuaj koj thiab txiav txim siab seb txoj kev kho mob twg yog qhov zoo rau koj.
Peb yuav tsum ua li cas thiaj li ua kom lub 'Supficial Temporal Artery' no noj qab nyob zoo?
Tam sim no yog qhov tseem ceeb. Muaj ntau yam uas peb ua tau los ua kom lub cev me me tab sis tseem ceeb heev no hauv peb lub cev noj qab nyob zoo. Qhov tseeb, tib yam uas koj paub tias zoo rau koj lub plawv thiab lwm cov hlab ntsha kuj zoo rau qhov '(Supficial Temporal Artery)' no.
- Noj zaub mov kom sib npaug: Noj ntau yam txiv hmab txiv ntoo, zaub, taum pauv, thiab cov nplej tag nrho hauv koj cov zaub mov. Txo cov khoom noj uas muaj roj, qab zib, thiab ntsev ntau li ntau tau.
- Ua si nawv tsis tu ncua: Ua ib yam dab tsi xws li taug kev, khiav, lossis ua luam dej tsawg kawg 30 feeb hauv ib hnub. Qhov no yuav ua rau cov ntshav ncig zoo dua.
- Tsis txhob haus luam yeeb kiag li: Kev haus luam yeeb ua rau cov hlab ntsha puas tsuaj heev.
- Txwv kev haus dej cawv: Nyob deb ntawm cov cawv ntau li ntau tau.
- Txo kev noj ntsev: Ceev faj txog qhov ntau ntsev uas koj ntxiv rau hauv koj cov zaub mov. Ntshav ntau dhau tuaj yeem ua rau cov ntshav siab ntxiv.
Peb feem ntau tsis xav txog lub cev me me no uas ua haujlwm tas li. Tab sis lawv yog cov uas coj cov pa oxygen thiab cov as-ham mus rau txhua lub cell hauv peb lub cev. Yog li, los ntawm kev ua neej noj qab haus huv rau lub plawv, koj tuaj yeem ua kom cov hlab ntsha no noj qab haus huv thiab.
Thaum kawg, yuav tsum nco ntsoov li cas (Cov Lus Coj Mus Tsev)
Yog li, tej zaum koj tam sim no nkag siab lawm tias '(Supficial Temporal Artery)' yog ib txoj hlab ntsha me me tab sis tseem ceeb heev uas muab ntshav rau peb lub ntsej muag thiab pob txha taub hau.
- Cov hlab ntsha no kuj tseem tuaj yeem tsim ntau yam kab mob thiab kev tsis zoo.
- Yog koj muaj cov tsos mob xws li mob taub hau, mob pob ntseg, lossis pom kev tsis meej, tsis txhob tsis quav ntsej lawv.
- Kev ua neej noj qab haus huv tuaj yeem ua rau tag nrho cov kab mob plawv, suav nrog cov hlab ntsha no, noj qab nyob zoo.
- Yog koj muaj lus nug lossis teeb meem dab tsi, tsis txhob ntshai mus ntsib kws kho mob thiab nrhiav kev pab tswv yim. Kev kuaj mob tsis tu ncua kuj pab tau kom paub txog cov kab mob uas yuav tshwm sim thaum ntxov.
Kev saib xyuas koj txoj kev noj qab haus huv yog qhov tseem ceeb tshaj plaws. Yog li cia peb xav me ntsis txog cov hlab ntsha me me no thiab sim ua kom nws noj qab nyob zoo, puas yog?
Cov hlab ntsha sab saud ntawm lub cev, cov hlab ntsha, cov ntshav uas muab los ntawm lub cev, lub taub hau, lub ntsej muag, kev noj qab haus huv, cov tsos mob











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Tsis muaj lus teb tau muab tso tawm. Ntxiv koj cov lus tawm ntawm no thawj zaug.
Ntxiv koj cov lus