Koj puas tau muaj mob hauv siab heev tam sim ntawd? Puas yog nws yog Acute Aortic Syndrome? Cia peb tham txog nws!

Koj puas tau xav tias yuav ua li cas yog tias koj mob hauv siab heev? Qee zaum nws yuav yog roj, lossis nws yuav yog mob plawv nres. Txawm li cas los xij, hnub no peb yuav tham txog ib qho xwm txheej ceev uas txaus ntshai ib yam nkaus, tab sis txawv me ntsis. Qhov no hu ua Acute Aortic Syndrome. Txawm hais tias lub npe yuav zoo li nyuaj me ntsis, cia peb nkag siab yooj yim.

Acute Aortic Syndrome yog dab tsi tiag?

Hais yooj yim xwb, qhov no yog lub npe siv rau ntau yam teeb meem thaum muaj xwm txheej ceev uas tshwm sim hauv cov hlab ntsha loj tshaj plaws hauv peb lub cev, lub aorta . Xav txog nws zoo li lub twj tso dej. Lub twj tso kua mis no faib cov ntshav thoob plaws lub cev los ntawm cov yeeb nkab tseem ceeb. Cov yeeb nkab tseem ceeb ntawd yog qhov peb hu ua aorta. Nws khiav hla lub hauv siab thiab hla lub plab. Yog li, "Acute Aortic Syndrome" yog ib qho teeb meem loj uas tshwm sim hauv lub hauv siab ntawm lub aorta no, "Thoracic Aorta" lossis "Abdominal Aorta".

Qhov tseem ceeb tshaj plaws yog tias cov mob no yog qhov ceev heev thiab tuaj yeem ua rau tuag taus . Hauv ntau qhov xwm txheej, yuav tsum tau phais. Yog li ntawd, nws yog ib qho tseem ceeb heev uas yuav tsum paub txog qhov no.

Cov kab mob no muaj hom kab mob dab tsi tseem ceeb?

Muaj peb hom mob plawv loj (Acute Aortic Syndrome). Cia peb saib seb lawv yog dab tsi.

1. Kev Poob Ntshav Aorta Sai: Qhov no yog qhov loj tshaj plaws thiab feem ntau tshwm sim . Qhov tshwm sim ntawm no yog tias muaj ib qho kua muag me me tsim rau sab hauv ntawm phab ntsa ntawm aorta, ua rau cov ntshav ntws los ntawm nws ntawm cov txheej ntawm phab ntsa. Xav txog nws zoo li cov yeeb nkab dej uas muaj ob txheej, thiab yog tias ib txheej tawg, dej tuaj yeem ntws los ntawm ob txheej ntxiv. Qhov no tuaj yeem ua rau aorta tsis muaj zog thiab ua rau nws tawg.

2. Mob ntshav hauv lub plawv: Qhov no yog thaum ib txoj hlab ntsha me me hauv phab ntsa ntawm lub aorta tawg thiab qee cov ntshav sib sau ua ke hauv phab ntsa ntawm cov hlab ntsha. Ib yam li thaum peb muaj cov ntshav txhaws hauv peb lub cev, nws yuav daig. Qhov no qee zaum tuaj yeem hloov mus ua Aortic Dissection.

3. Kab mob Atherosclerotic Ulcer uas nkag mus rau hauv cov hlab ntsha: Qhov no yog ib qho mob uas tshwm sim hauv phab ntsa ntawm lub aorta. Qhov mob no feem ntau tshwm sim rau cov neeg uas muaj cov rog hauv cov hlab ntsha (atherosclerosis). Qhov mob no tuaj yeem tob thiab ua rau phab ntsa ntawm cov hlab ntsha qaug zog.

Tag nrho peb yam no muaj feem cuam tshuam rau ib leeg thiab tuaj yeem hloov pauv ntawm ib qho mus rau lwm qhov. Yog li ntawd, nws yog ib qho tseem ceeb uas yuav tsum nrhiav kev kho mob sai sai rau ib qho ntawm cov mob no.

Koj puas muaj cov tsos mob no? Mus saib seb...

Cov tsos mob tseem ceeb thiab feem ntau ntawm '(Acute Aortic Syndrome)' yog mob hauv siab sai sai, tsis tuaj yeem ua tau, thiab mob hnyav heev . Muaj ntau tus neeg piav qhia nws tias yog mob tapped, mob kua muag. Qhov mob no yuav kis mus rau nraub qaum, mus rau lub plab, lossis txawm tias mus rau lub caj dab thiab thaj tsam lub puab tsaig.

Sib nrug ntawm qhov ntawd, tej zaum yuav muaj ntau lwm yam tsos mob:

• Mob plab: Tshwj xeeb tshaj yog tias qhov plab ntawm lub aorta raug cuam tshuam.
• Mob nraub qaum: Muaj peev xwm mob hauv siab nrog.
• Tsaus muag lossis tsis nco qab: Vim yog cov ntshav ntws mus rau lub hlwb tsawg dua.
• Lub plawv dhia tsis muaj zog lossis tsis muaj zog heev hauv ob txhais ceg lossis taw: Qhov no yog vim muaj kev thaiv cov ntshav ntws mus rau ob txhais ceg.
• Ua pa nyuaj
• Tsis muaj zog
• Tawm hws

Nco ntsoov, yog tias koj muaj ib lossis ntau yam ntawm cov tsos mob no ib zaug, koj yuav tsum mus rau tsev kho mob tam sim ntawd, tsis txhob ncua sijhawm . Qhov no yog xwm txheej ceev!

Vim li cas qhov no thiaj tshwm sim? Yog vim li cas?

Qhov ua rau muaj qhov teeb meem txaus ntshai no yog ntshav siab uas tsis tuaj yeem tswj tau (Hypertension) . Thaum lub siab siab ntau xyoo, cov phab ntsa ntawm peb cov hlab ntsha yuav puas tsuaj thiab tsis muaj zog. Qhov no ua rau muaj kev pheej hmoo ntawm cov kab mob tawg thiab tawg no.

Lwm yam laj thawj tuaj yeem yog:

• Aortic aneurysm: Qhov no yog ib qho bulge zoo li lub npas nyob rau hauv aorta. Qhov bulge no tsis muaj zog thiab tuaj yeem tawg lossis tawg yooj yim.
• Cov Kev Tsis Zoo ntawm Lub Aortic Valve: Qee qhov kev tsis zoo ntawm lub aortic valve hauv lub plawv kuj tseem tuaj yeem ua rau muaj qhov kev pheej hmoo no ntau ntxiv.
• Cov rog nyob hauv cov hlab ntsha (Atherosclerosis): Qhov no ua rau cov hlab ntsha nqaim, tuab, thiab qaug zog.

Leej twg yuav muaj feem yuav muaj qhov no tshaj? (Cov yam tseem ceeb uas ua rau muaj kev pheej hmoo)

Muaj ib txhia neeg yuav muaj tus mob no (Acute Aortic Syndrome) ntau dua li lwm tus. Cia peb saib seb lawv yog leej twg:

• Cov neeg uas twb muaj tus mob "Aortic Aneurysm" lawm.
• Cov neeg uas muaj ib yam mob hu ua aortic coarctation (kev nqaim ntawm lub aorta loj).
• Cov neeg uas muaj kab mob Bicuspid Aortic Valve (qhov teeb meem ntawm lub plawv valve).
• Cov neeg uas muaj tej yam mob caj ces: Piv txwv li, tej yam mob xws li '(Marfan syndrome)', '(Turner syndrome)' lossis '(Ehlers-Danlos syndrome).' Cov no ua rau lub cev cov nqaij sib txuas tsis muaj zog. Vim tias lub aorta yog ua los ntawm cov nqaij no, nws kuj tseem tuaj yeem tsis muaj zog.
• Cov neeg uas muaj ntshav siab: Qhov no yog qhov tseem ceeb tshaj plaws uas ua rau muaj kev pheej hmoo.

Ntxiv rau cov no, muaj ntau lwm yam kev pheej hmoo:

• Hnub nyoog: Qhov kev pheej hmoo no siab dua rau cov neeg hnub nyoog tshaj 60 xyoo.
• Kev siv tshuaj yeeb: Qhov no tuaj yeem tshwm sim tshwj xeeb tshaj yog rau cov neeg uas siv tshuaj yeeb xws li cocaine.
• Kev nqa hnyav hnyav heev: Cov neeg uas nqa hnyav ntau thiab ua cov kev tawm dag zog tiv thaiv qee zaum yuav muaj kev pheej hmoo ntau dua.
• Cev Xeeb Tub: Tsis tshua muaj, qhov mob no kuj tau tshwm sim rau cov niam cev xeeb tub uas tsis muaj lwm yam kev pheej hmoo.
• Txiv neej/Poj niam:Cov txiv neej muaj feem yuav mob no ntau dua.

Cov kws kho mob kuaj qhov no li cas? (Kev kuaj mob)

Thaum koj mus rau tsev kho mob nrog cov tsos mob uas tau hais ua ntej, cov kws kho mob yuav ua ob peb qhov kev kuaj sai sai kom pom tias qhov no puas yog "Acute Aortic Syndrome".

Hom kev xeem

• Kev thaij duab CT: Qhov no yog txoj kev zoo tshaj plaws thiab raug tshaj plaws los kuaj mob no (tus qauv kub) . Zoo li thaij duab 3D ntawm sab hauv peb lub cev. Qhov no tuaj yeem pom meej meej cov duab ntawm lub aorta, nws txoj haujlwm, cov ntshav ntws li cas, seb puas muaj qhov tawg, lossis yog tias muaj cov ntshav txhaws.
• X-ray hauv siab: Qhov no tuaj yeem muab lub tswv yim ntxhib ntawm lub plawv thiab cov kabmob ib puag ncig. Qee zaum, yog tias lub aorta loj dua, nws kuj tuaj yeem pom.
• Coronary Angiogram: Qhov no xyuas seb cov hlab ntsha hauv lub plawv uas muab ntshav mus rau lub plawv zoo li cas.
• E.C.G. (Electrocardiogram - EKG): Qhov no kuaj qhov hluav taws xob ntawm lub plawv. Qhov no pab kom paub qhov txawv ntawm kev mob plawv nres thiab kev mob plawv nres.
• Kev kuaj Echocardiogram ntawm lub plawv (Transthoracic Echocardiogram): Qhov no zoo li kev kuaj ultrasound ntawm lub plawv. Nws tuaj yeem saib xyuas qhov xwm txheej ntawm cov chav plawv, cov qhov dej, thiab cov hlab ntsha.

Nrog cov kev kuaj no, cov kws kho mob tuaj yeem paub tseeb tias muaj tus kab mob sai sai.

Yuav kho qhov teeb meem no li cas? Peb puas yuav dim tau?

Txoj kev kho mob nyob ntawm qhov chaw ntawm qhov kev puas tsuaj rau lub aorta.

• Muaj teeb meem nrog lub plawv aorta uas nce mus rau lub plawv, uas yog ib feem ntawm lub plawv aorta uas mus rau lub plawv, yuav tsum tau phais mob ceev . Cov kws phais yuav tshem tawm qhov puas tsuaj ntawm lub plawv aorta thiab hloov nws nrog ib txoj hlab ntshav cuav . Hauv qee kis mob hnyav, lub plawv valve aorta kuj yuav tsum tau hloov.

• Yog tias muaj teeb meem nrog rau ib feem ntawm lub aorta uas mus rau hauv qab thiab txuas rau lwm cov hlab ntsha, lub aorta nqis, qhov no qee zaum tuaj yeem kho nrog tshuaj. Cov tshuaj uas tswj cov ntshav siab, xws li beta-blockers lossis vasodilators, raug muab. Cov tshuaj no ua haujlwm los ntawm kev ua kom lub plawv dhia qeeb, ua kom cov hlab ntsha dav dua, thiab txo qhov siab hauv aorta. Txawm li cas los xij, qee zaum teeb meem nrog rau feem no yuav xav tau kev phais lossis kev tso stent.

Qhov tseem ceeb tshaj plaws yog tias koj tos ntev npaum li cas kom pib kho mob, qhov xwm txheej yuav muaj kev phom sij ntau npaum li ntawd. Yog li ntawd, kev mus rau tsev kho mob thiab pib kho mob sai sai yog qhov tseem ceeb rau kev cawm neeg txoj sia.

Peb ua tau dab tsi kom tsis txhob muaj qhov xwm txheej txaus ntshai no? (Peb yuav ua li cas thiaj txo tau qhov kev pheej hmoo?)

Yuav kom peb dim tau qhov teeb meem phem no, peb yuav tsum saib xyuas peb txoj kev ua neej.

• Tswj kom muaj qhov hnyav noj qab nyob zoo:Tswj koj qhov hnyav kom noj qab nyob zoo rau koj qhov siab, hnub nyoog, thiab poj niam txiv neej.
• Tswj ntshav siab: Qhov no yog qhov tseem ceeb tshaj plaws . Yog tias koj muaj ntshav siab, noj cov tshuaj uas koj tus kws kho mob sau rau raws sijhawm. Xyuas koj cov ntshav siab tsis tu ncua.
• Kev tswj hwm lwm yam mob uas tseem ceeb: Yog tias koj muaj teeb meem xws li ntshav qab zib lossis roj cholesterol, tswj hwm lawv kom zoo raws li koj tus kws kho mob cov lus qhia.
• Tsum haus luam yeeb kiag li: Kev haus luam yeeb ua rau cov hlab ntsha puas tsuaj heev.

Los ntawm kev ua raws li cov kauj ruam yooj yim no, koj tuaj yeem txo qhov kev pheej hmoo ntawm kev muaj mob txaus ntshai xws li "Acute Aortic Syndrome".

Yog qhov no tshwm sim, yuav ua li cas? Yuav siv sijhawm ntev npaum li cas thiaj rov zoo? (Kev kwv yees ntawm tus kab mob)

Mob plawv dhia ceev (Acute Aortic Syndrome) yog ib qho xwm txheej ceev uas ua rau tuag taus. Feem ntau yuav tsum tau phais mob ceev. Koj txoj kev rov zoo nyob ntawm seb koj tau txais kev kho mob sai npaum li cas.

Ob yam mob "(Intramural Hematoma)" thiab "(Penetrating Atherosclerotic Ulcer)" muaj feem yuav ciaj sia ntau dua li "(Acute Aortic Dissection)".

Tom qab kho mob tas, koj yuav tsum tau mus ntsib kws kho mob tas li. Koj yuav tsum tau mus kuaj mob tas li kom paub seb puas muaj ntshav ntws hauv cov hlab ntsha aorta lossis puas muaj cov aneurysm tshiab. Nws tseem ceeb heev uas yuav tsum tswj koj cov ntshav siab kom zoo thoob plaws hauv koj lub neej.

Tsis txhob hnov ​​qab nug koj tus kws kho mob txog tej yam no.

Yog tias koj raug kuaj pom tias muaj, lossis xav tias koj muaj, Acute Aortic Syndrome, koj tuaj yeem nug koj tus kws kho mob cov lus nug no:

• Dab tsi yog qhov ua rau kuv cov tsos mob feem ntau?
• Kuv muaj mob plawv. Kuv muaj feem yuav mob '(Acute Aortic Syndrome)' li cas?
• Cov tsos mob ntawm '(Acute Aortic Syndrome)' uas kuv yuav tsum paub yog dab tsi?
• Cov kev kho mob twg zoo tshaj plaws rau kuv?
• Tom qab kev kho mob tas, kuv yuav tsum ua cov kev kho mob dab tsi?

Hauv kev xaus lus (Cov Lus Qhia Txog Kev Coj Mus Tsev)

Zoo, yog li koj tuaj yeem nco qab qee yam tseem ceeb tshaj plaws los ntawm qhov peb tau tham txog.

Acute Aortic Syndrome yog ib qho mob uas tshwm sim sai sai hauv lub plawv aorta, ua rau muaj kev phom sij rau lub neej.

Cov tsos mob tseem ceeb yog mob hauv siab sai sai thiab hnyav . Qhov mob no kuj tuaj yeem kis mus rau nraub qaum thiab plab.

Ntshav siab yog qhov ua rau muaj qhov no.

Yog koj muaj cov tsos mob no , mus rau tsev kho mob tam sim ntawd. Kev kho mob sai sai tuaj yeem cawm koj txoj sia.

Qhov kev pheej hmoo no tuaj yeem txo tau los ntawm kev ua neej noj qab haus huv thiab tswj cov ntshav siab.

Yog koj muaj lus nug ntxiv txog qhov no, tsis txhob yig nrog koj tus kws kho mob hauv tsev neeg tham. Nyob kom noj qab nyob zoo!

`Mob Aortic Syndrome, Aorta, Mob Hauv Siab, Ntshav Siab, Kab Mob Plawv, Kev Phais Mob Thaum Muaj Xwm Ceev