Koj puas tau hnov lo lus 'aneurysm'? Tej zaum koj tus kws kho mob tau hais txog nws, lossis tej zaum ib tug neeg hauv koj tsev neeg muaj tus mob no. Txawm hais tias nws yuav zoo li ntshai me ntsis, nws yog ib qho tseem ceeb kom paub txog nws. Hnub no, peb yuav tham txog kev phais qhib rau aneurysm, uas yog, 'kev phais qhib ib txwm muaj'.
Kev phais mob aneurysm yog dab tsi?
Hais yooj yim xwb, kev phais mob aneurysm yog kev kho mob rau aneurysm hauv aorta, uas yog cov hlab ntsha tseem ceeb hauv peb lub cev. Lub aorta zoo li cov kav dej tseem ceeb hauv peb lub cev. Thaum ib phab ntsa ntawm nws tsis muaj zog thiab loj zoo li lub npas, peb hu nws ua "Aortic Aneurysm". Qhov no txaus ntshai heev, vim tias qhov loj tuaj yeem tawg (rupture) lossis rhuav (dissection). Yog tias qhov ntawd tshwm sim, nws tuaj yeem ua rau tuag taus.
Yog li ntawd, hauv kev phais mob no, tus kws phais yuav tshem tawm qhov uas puas lawm thiab o ntawm lub aorta thiab hloov nws nrog cov qauv zoo li lub raj ua los ntawm cov nqaij cuav. Peb hu qhov no ua graft. Qhov graft no ua haujlwm zoo li cov hlab ntsha tshiab, cia cov ntshav ntws tau zoo thiab tsis muaj kev thaiv.
Qhov no yog ib qho kev phais loj heev. Tus kws phais yuav tsum tau txiav ib qho loj hauv koj lub hauv siab lossis lub plab kom nkag mus rau hauv qhov aneurysm. Yog tias nws nyob hauv koj lub hauv siab, peb hu nws tias '(thoracic aortic aneurysm)', thiab yog tias nws nyob qis dua me ntsis hauv koj lub plab, peb hu nws tias '(abdominal aortic aneurysm)'.
Qhov kev phais no cawm tau txoj sia. Txawm hais tias muaj qee qhov kev pheej hmoo los xij, cov txiaj ntsig ntau dua li lawv. Koj tus kws kho mob yuav tham txog kev kho mob zoo tshaj plaws rau koj nrog koj.
Leej twg xav tau qhov kev phais no tiag?
Qhov kev phais mob no yuav tsum muaj ob ntu tseem ceeb. Ib qho yog thaum muaj xwm txheej ceev, thiab lwm qhov yog npaj thiab ua ua ntej muaj kev pheej hmoo tshwm sim.
1. Thaum muaj xwm txheej ceev (yog tias cov hlab ntsha tawg lossis tawg)
Qhov no yog qhov xwm txheej txaus ntshai tshaj plaws. Yog tias lub aneurysm tawg, nws yog qhov xwm txheej tuag taus. Yog tias koj tam sim ntawd pom cov tsos mob hauv qab no, koj yuav tsum mus rau chav kho mob ceev (ETU) ntawm tsev kho mob tam sim ntawd .
| Cov tsos mob uas yuav tshwm sim thaum muaj xwm txheej ceev | |
|---|---|
| Mob sai sai, tsis tuaj yeem ua tau, mob kua muag hauv siab lossis nraub qaum. | Mob tam sim ntawd, mob hnyav rau hauv plab, nraub qaum, lossis ob txhais ceg. |
| Tawv nqaij nplaum thiab tawm hws. | Kiv taub hau thiab tsaus muag. |
| Lub plawv dhia ceev heev. | Xeev siab thiab ntuav. |
| Ua pa nyuaj. | |
2. Ua ntej muaj kev pheej hmoo tshwm sim (raws li kev phais mob uas tau npaj tseg)
Yog koj tus kws kho mob pom tias koj muaj aneurysm, nws yuav saib xyuas nws tsis tu ncua. Yog tias muaj ib qho ntawm cov hauv qab no tshwm sim, qhov kev pheej hmoo ntawm aneurysm tawg yuav siab dua. Hauv cov xwm txheej zoo li no, koj tus kws kho mob yuav txiav txim siab ua phais.
- Yog tias koj hnov mob hauv koj lub plab, nraub qaum, hauv siab, qhov chaw mos, lossis sab hauv ntawm koj lub duav.
- Yog tias nws zoo li mob plab.
- Yog koj hnoos, suab nrov, lossis ua pa nyuaj.
- Yog tias qhov aneurysm loj dua 5 centimeters .
- Yog tias qhov aneurysm loj hlob sai (ntau tshaj 1 centimeter hauv ib xyoos).
Koj tus kws kho mob yuav xav txog ntau yam, suav nrog koj txoj kev noj qab haus huv tag nrho, qhov loj ntawm lub aneurysm, thiab nws qhov chaw, kom txiav txim siab zoo tshaj plaws. Piv txwv li, yog tias koj muaj mob zoo li Marfan syndrome, txawm tias lub aneurysm me me tuaj yeem ua rau muaj kev phom sij. Yog li ntawd, tej zaum yuav tsum tau phais sai sai.
Muaj dab tsi tshwm sim ua ntej phais?
Yog tias nws yog kev phais mob uas tau npaj tseg, kev npaj yuav pib ua ntej ntau lub lis piam.
- Kev kuaj mob: Tus kws kho mob yuav kuaj koj thiab ua ntau yam kev kuaj kom pom tias koj lub cev puas npaj txhij rau kev phais.
- Tham txog cov tshuaj: Koj yuav tsum qhia rau koj tus kws kho mob txog txhua yam tshuaj uas koj noj (cov tshuaj uas yuav tsis tas yuav muaj ntawv yuav tshuaj, tshuaj ntsuab, thiab cov vitamins). Tej zaum yuav muaj tej yam tshuaj uas yuav kom koj tsum tsis txhob noj ua ntej phais mob.
- Tswj lwm yam kab mob: Yog tias koj muaj cov kab mob xws li ntshav siab, lawv yuav tsum tau tswj kom zoo ua ntej phais.
- Tso kev haus luam yeeb: Nws yog ib qho tseem ceeb heev uas yuav tsum tso kev haus luam yeeb tag nrho tsawg kawg yog ib hlis ua ntej phais mob.
- Kev Mob: Yog tias koj muaj mob, xws li mob khaub thuas lossis kub taub hau, qhia rau koj tus kws kho mob txog qhov ntawd.
Tus kws kho mob yuav muab qee cov lus qhia tshwj xeeb rau koj, xws li tsis txhob haus dej tom qab ib tag hmo hmo ua ntej phais.
Muaj dab tsi tshwm sim thaum lub sijhawm phais?
Koj yuav tsis hnov dab tsi thaum lub sijhawm phais. Koj yuav raug muab tso pw tsaug zog hauv qab tshuaj loog dav dav. Feem ntau kev phais yuav siv sijhawm li 3-4 teev. Nov yog cov kauj ruam tseem ceeb.
1. Kev Phais: Tus kws phais yuav phais ntev hauv lub hauv siab lossis lub plab kom mus txog qhov aneurysm.
2. Kev Clamping: Cov khoom siv tshwj xeeb kaw cov hlab ntsha saum thiab hauv qab ntawm lub aneurysm ib ntus. Lub sijhawm no, lub tshuab plawv-ntsws yuav raug siv los tso cov ntshav mus rau lwm qhov ntawm lub cev.
3. Kev ntxig cov cag ntoo: Qhov uas o thiab puas lawm raug tshem tawm thiab hloov nrog ib lub raj cuav, hu ua "graft", uas raug xaws thiab kho.
4. Kaw: Thaum kawg, qhov kev txiav raug kaw nrog cov xov lossis cov staples.
Tom qab phais tas, muaj dab tsi tshwm sim?
Tom qab phais tas, koj yuav raug xa mus rau chav saib xyuas mob hnyav (ICU). Koj yuav tsum nyob hauv qab kev saib xyuas ntawm kws kho mob ob peb hnub. Tag nrho cov sijhawm nyob hauv tsev kho mob yuav yog li ntawm 3 txog 10 hnub. Hauv tsev kho mob, koj yuav:
- Ib lub catheter tso zis raug muab tso rau hauv.
- Ib lub raj xa mus rau hauv lub qhov ntswg.
- Cov tshuaj anticoagulants raug muab los tiv thaiv cov ntshav txhaws.
- Lawv yuav pom zoo kom hnav thom khwm tshwj xeeb kom tiv thaiv cov ntshav txhaws hauv ob txhais ceg.
- Cov tshuaj tua mob raug muab.
Koj yuav tsum pib taug kev qeeb qeeb thiab rov qab muaj zog dua. Tab sis nco ntsoov, qhov no yog kev phais loj. Yog li koj yuav tsum muab sijhawm rau koj lub cev kom zoo. Npaj kom muaj ib tus neeg tsav tsheb thauj koj mus tsev. Koj tsav tsheb tsis tau kom txog thaum koj tus kws kho mob tso cai rau koj.
Lub sijhawm rov zoo thiab tej yam uas yuav tsum paub txog
Feem ntau nws yuav siv sijhawm 4-6 lub lis piam kom rov zoo tag nrho, txawm hais tias rau qee tus nws tuaj yeem siv sijhawm 2-3 lub hlis.
Cov kev txwv uas yuav tsum tau ua raws li thaum lub sijhawm rov zoo
- Tsis txhob tsav tsheb kom txog thaum koj tus kws kho mob hais kom koj ua.
- Tsis txhob da dej hauv lub dab dej kom txog thaum qhov txhab zoo lawm. Koj tuaj yeem da dej tau.
- Tsis txhob tsa cov khoom hnyav tshaj 4.5 kg (10 lbs).
- Tsis txhob ua exercise hnyav heev ua rau koj ua tsis taus pa.
Kev saib xyuas qhov txhab ntawm qhov txiav
Thaum koj hnoos los yog txham, muab ib lub hauv ncoo tso rau saum qhov phais thiab nias nws cia. Qhov no yuav txo qhov mob thiab tiv thaiv qhov txhab. Khaws qhov txhab kom huv si raws li koj tus kws kho mob qhia koj.
Thaum twg yuav tsum mus ntsib koj tus kws kho mob tam sim ntawd
Ua tib zoo saib xyuas koj lub cev thaum koj rov zoo. Yog tias koj muaj ib qho ntawm cov tsos mob hauv qab no, hu rau koj tus kws kho mob tam sim ntawd.
| Teeb meem qhov txhab | |
|---|---|
| Liab, mob, o, lossis sov so nyob ib puag ncig qhov txhab. | Ntshav los yog kua dej ntshiab tawm ntawm qhov txhab. |
| Cov kua qaub daj los yog ntsuab tawm. | Cov npoo ntawm qhov txhab txav mus los sib nrug. |
| Lwm yam teeb meem loj | |
| Mob nraub qaum lossis mob plab hnyav lossis mob tas li. | Ob txhais ceg o los yog tsis muaj peev xwm txav ob txhais ceg. |
| Mob hauv siab los yog ua tsis taus pa txawm tias thaum so. | Kiv taub hau, tsaus muag, lossis qaug zog heev. |
| Cov kua tawm ntshav nrog cov hnoos qeev, lossis cov hnoos qeev daj/ntsuab. | Hnov txias los yog kub taub hau. |
Cov Lus Qhia Txog Kev Coj Mus Tsev
- Kev phais mob aneurysm yog ib qho kev phais mob tseem ceeb heev, uas cawm tau txoj sia. Nws yog ib qho tseem ceeb kom nkag siab nws kom raug, yam tsis ntshai nws.
- Tsis txhob tsis quav ntsej cov tsos mob xws li mob hauv siab/mob nraub qaum sai sai, tsaus muag, thiab lwm yam. Mus rau chav kho mob ceev (ETU) ntawm tsev kho mob tam sim ntawd.
- Yog tias muaj kev npaj phais mob, ua raws li cov lus qhia ntawm tus kws kho mob ua ntej thiab tom qab phais. Nws yog ib qho tseem ceeb heev uas yuav tsum tsis txhob haus luam yeeb.
- Yuav siv sijhawm los kho kom rov zoo. Lub sijhawm ntawd, ua siab ntev, so, thiab nrhiav kev txhawb nqa los ntawm tsev neeg thiab cov phooj ywg.
- Kev ua neej noj qab haus huv tom qab phais mob, suav nrog kev noj zaub mov zoo, kev tawm dag zog, thiab kev tswj hwm lwm yam kab mob, yog qhov tseem ceeb rau kev rov zoo mus sij hawm ntev.
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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