Ib yam dab tsi zoo li lub npas me me hauv koj lub cev? Cia peb tham txog qhov aneurysm no!

Koj puas tau hnov ​​txog lo lus 'aneurysm'? Tej zaum koj tau hnov ​​txog ib tug phooj ywg lossis ib tug neeg hauv tsev neeg uas muaj ib tug mob no. Los yog tej zaum koj tau hnov ​​ib tug kws kho mob tham txog nws. Txawm hais tias lub npe yuav zoo li txaus ntshai me ntsis, yog tias peb paub meej tias nws yog dab tsi, peb tuaj yeem zam kev ntshai tsis tsim nyog. Yog li, peb puas yuav tham txog nws hnub no?

Aneurysm yog dab tsi tiag?

Hais yooj yim xwb, aneurysm yog ib qho chaw tsis muaj zog hauv phab ntsa ntawm cov hlab ntsha hauv peb lub cev uas nthuav tawm zoo li lub npas. Koj paub, peb cov hlab ntsha yog cov raj loj uas nqa cov ntshav muaj oxygen ntau los ntawm lub plawv mus rau lwm qhov ntawm lub cev. Yog li, yog tias ib qho chaw hauv phab ntsa ntawm cov hlab ntsha no tsis muaj zog, qhov siab uas tsim los ntawm cov ntshav ntws sai ua rau qhov chaw tsis muaj zog ntawd nthuav tawm. Qhov nthuav ntawd yog qhov peb hu ua aneurysm.

Feem ntau, peb tsis hnov ​​​​​​tias peb muaj aneurysm, thiab peb tsis hnov ​​​​​​mob dab tsi. Txawm li cas los xij, yog tias nws tam sim ntawd tawg, nws tuaj yeem ua rau muaj kev phom sij heev, thiab qee zaum txawm tias muaj kev phom sij rau lub neej. Yog li ntawd, nws yog ib qho tseem ceeb heev uas yuav tsum paub txog qhov no.

Puas muaj ntau hom aneurysms sib txawv? Lawv tsim nyob qhov twg?

Yog, qhov aneurysm no tuaj yeem tsim nyob rau hauv txhua txoj hlab ntsha hauv peb lub cev. Qhov ntawd txhais tau tias lawv tuaj yeem tsim nyob rau hauv ntau qhov chaw xws li lub plawv, lub plab (plab), lub hlwb, thiab ob txhais ceg. Hom aneurysm yog txiav txim siab los ntawm qhov chaw uas nws tsim.

Hom aneurysm uas pom ntau tshaj plaws yog aortic aneurysm . Koj puas paub tias aorta yog cov hlab ntsha loj tshaj plaws hauv peb lub cev? Nws yog cov hlab ntsha uas nqa ntshav los ntawm lub plawv mus rau tag nrho lub cev. Aneurysms uas tshwm sim hauv cov hlab ntsha uas tsis yog aorta hu ua peripheral aneurysms.

Cia peb saib ob peb hom tseem ceeb:

• Mob Pob Qij Txha Hauv Plab (AAA): Qhov no yog hom mob uas feem ntau pom. Nws tshwm sim hauv qhov ntawm lub aorta uas khiav mus rau hauv plab.
• Kab Mob Hlwb/Aneurysm Hauv Lub Hlwb: Raws li lub npe qhia, qhov no tshwm sim hauv cov hlab ntsha hauv lub hlwb. Hom kab mob no feem ntau yog aneurysm saccular, tseem hu ua aneurysm berry . Nws zoo li lub hnab me me uas muaj ntshav txuas rau cov hlab ntsha, zoo ib yam li berry.
• Thoracic Aortic Aneurysm: Qhov no me dua li lub plab Aortic Aneurysm. Nws tshwm sim nyob rau sab saud ntawm lub aorta, hauv thaj tsam hauv siab.
• Carotid Aneurysm: Cov no tshwm sim hauv cov hlab ntsha carotid, uas muab ntshav mus rau peb lub hlwb, caj dab, thiab lub ntsej muag. Cov no tsis tshua muaj.
• Popliteal Aneurysm: Qhov no tshwm sim hauv cov hlab ntsha uas khiav tom qab lub hauv caug.
• Mesenteric Artery Aneurysm: Hom aneurysm no tshwm sim hauv cov hlab ntsha uas muab ntshav rau peb cov hnyuv.
• Splenic Artery Aneurysm: Qhov no tshwm sim hauv cov hlab ntsha uas mus rau lub spleen.

Qhov aneurysm no feem ntau tshwm sim li cas?

Koj puas paub tias cov hlab ntsha hauv lub hlwb uas tsis tawg muaj li ntawm 2% txog 5% ntawm cov neeg noj qab nyob zoo? Thiab, ntawm cov neeg ntawd, muaj li ntawm 25% muaj ntau tshaj ib lub hlab ntsha. Feem ntau, lawv tshwm sim thaum lawv laus, tab sis lawv kuj tuaj yeem tshwm sim rau cov menyuam yaus. Lawv feem ntau raug kuaj pom thaum muaj hnub nyoog li ntawm 50 xyoo. Tab sis qhov zoo tshaj plaws yog, feem ntau ntawm cov hlab ntsha hauv lub hlwb tsis tawg.

Cov kab mob plawv aortic aneurysms (AAAs) feem ntau tshwm sim thaum muaj hnub nyoog. Tshwj xeeb, cov kab mob plawv aortic aneurysms (AAAs) feem ntau tshwm sim plaub txog rau npaug ntau dua rau cov txiv neej dua li cov poj niam. Tsuas yog 1% ntawm cov txiv neej hnub nyoog 55-64 muaj lawv. Txawm li cas los xij, feem pua ​​​​​​no nce ntxiv 2% txog 4% nrog txhua kaum xyoo.

Leej twg muaj feem yuav mob aneurysm ntau dua?

Muaj ntau hom aneurysms sib txawv uas cuam tshuam rau cov pab pawg neeg sib txawv. Piv txwv li, cov poj niam muaj aneurysms ntau dua li cov txiv neej. Ib yam li ntawd, cov aortic aneurysms kuj muaj ntau dua rau cov txiv neej dua li cov poj niam.

Cov hlab ntsha hauv plab (AAA) feem ntau tshwm sim hauv:

• Rau cov txiv neej.
• Rau cov neeg hnub nyoog tshaj 60 xyoo.
• Rau cov neeg haus luam yeeb. (Qhov no yog ib qho kev pheej hmoo loj heev!)
• Rau cov neeg dawb (tab sis tuaj yeem tshwm sim rau txhua tus neeg ntawm txhua haiv neeg).

Cov tsos mob ntawm aneurysm yog dab tsi?

Feem ntau, ib tug neeg tsis paub tias lawv muaj aneurysm. Nws tuaj yeem loj hlob ntsiag to hauv lub cev. Txawm li cas los xij, yog tias aneurysm tawg, nws yog qhov xwm txheej ceev kho mob! Koj yuav tsum tau txais kev kho mob tam sim ntawd. Yog tias koj lossis ib tus neeg uas koj nrog qhia cov cim ntawm aneurysm tawg, hu rau 911 (1990 Suwaseriya hauv Sri Lanka) tam sim ntawd.

Cov tsos mob ntawm aneurysm tawg tshwm sim sai sai:

• Mob taub hau me ntsis / kiv taub hau.
• Lub plawv dhia ceev ceev.
• Mob taub hau loj heev tam sim ntawd, mob hauv siab, mob plab, lossis mob nraub qaum.
• Tsis nco qab sai sai tom qab mob taub hau hnyav.

Tseem Ceeb: Ib qho aneurysm tawg yog qhov xwm txheej uas yuav ua rau tuag taus, yog li ntawd yog tias koj muaj cov tsos mob no, tsis txhob ncua sijhawm.

Txawm tias yog ib qho aneurysm tsis tawg los, nws qee zaum tuaj yeem ua rau muaj cov tsos mob nyob ntawm qhov chaw uas nws nyob. Koj yuav muaj cov tsos mob ntawm kev poob siab, xws li ntshav siab qis, hws txias, xav tias tsaus muag, thiab lub plawv dhia ceev.

Lwm cov tsos mob yuav muaj xws li:

• Xav tsis meej pem los yog kiv taub hau.
• Nyuaj nqos.
• Qaug zog.
• Mob taub hau (tshwj xeeb tshaj yog thaum muaj aneurysm ntawm lub hlwb).
• Xeev siab los yog ntuav.
• Mob hauv koj lub plab, hauv siab lossis nraub qaum.
• Mob plab ntswj los yog o hauv koj lub caj dab.
• Lub Plawv Ceev.
• Kev Hloov Pauv Pom Kev.

Cov teeb meem uas yuav tshwm sim ntawm aneurysm yog dab tsi?

Yog tias lub aneurysm tawg, nws ua rau los ntshav sab hauv. Nyob ntawm seb nws tshwm sim qhov twg, qhov tawg tuaj yeem ua rau muaj kev phom sij heev thiab txawm tias ua rau tuag taus.

Xav txog seb, yog tias cov ntshav txhaws hauv koj lub caj dab thiab mus rau koj lub hlwb yuav ua li cas? Yog tias cov ntshav txhaws ntawd thaiv cov ntshav mus rau koj lub hlwb, ces yuav muaj mob stroke.

Yog tias lub hlwb aneurysm tawg, nws hu ua subarachnoid hemorrhage. Ib txhia neeg hu hom mob stroke no ua brain bleed. Feem ntau cov neeg muaj "mob taub hau phem tshaj plaws hauv lawv lub neej." Qhov no tuaj yeem ua raws li loog, hais lus tsis tau zoo, thiab lwm yam tsos mob.

Vim li cas cov hlab ntsha aneurysm no thiaj li tsim? Dab tsi yog cov ua rau?

Qee zaum, tib neeg yug los muaj aneurysm. Qhov no txhais tau tias lawv muaj nyob rau thaum yug los. Txawm li cas los xij, lawv tuaj yeem tshwm sim txhua lub sijhawm hauv lub neej. Feem ntau, nws nyuaj rau nrhiav qhov ua rau muaj aneurysm. Txawm li cas los xij, muaj ntau yam ua rau:

• Kab mob Atherosclerosis: Qhov no yog thaum cov rog sib sau ua ke hauv cov phab ntsa ntawm cov hlab ntsha, ua rau lawv nqaim. Qhov no tuaj yeem ua rau cov phab ntsa ntawm cov hlab ntsha qaug zog.
• Keeb kwm tsev neeg ntawm aneurysms: Yog tias koj niam, txiv, lossis cov kwv tij neej tsa tau muaj tus mob no, koj kuj muaj feem yuav mob nws thiab.
• Ntshav Siab: Yog tias ntshav siab tas li, cov phab ntsa ntawm cov hlab ntsha tuaj yeem puas tsuaj thiab tsis muaj zog.
• Muaj kev sib tsoo lossis raug mob rau lub aorta .

Cov kws kho mob kuaj mob aneurysm li cas? (Kev kuaj mob)

Muaj ntau yam aneurysms tshwm sim yam tsis muaj tsos mob. Koj tus kws kho mob yuav pom lawv los ntawm kev ua yuam kev thaum lub sijhawm kuaj xyuas ib txwm lossis lwm yam kev soj ntsuam.

Yog koj muaj cov tsos mob uas qhia tias koj muaj aneurysm, tus kws kho mob yuav ua ntau yam kev kuaj duab. Cov kev kuaj uas tuaj yeem pab nrhiav thiab kuaj mob aneurysm suav nrog:

• Kev Ntsuas CT
• CT lossis MRI Angiography: Qhov no yog siv los thaij duab tshwj xeeb ntawm cov hlab ntsha.
• Kev kuaj mob ultrasound (Ultrasound)

Tus kws kho mob faib ua pawg li cas ntawm aneurysm?

Koj tus kws kho mob yuav faib cov aneurysm raws li nws qhov loj thiab nws tsim li cas. Muaj ntau hom kev faib tawm sib txawv:

• Fusiform aneurysm: Hauv qhov no, cov hlab ntsha tawm ntawm txhua sab.
• Saccular Aneurysm: Qhov no yog thaum tsuas yog ib sab ntawm cov hlab ntsha bulges (zoo ib yam li Berry Aneurysm uas tau hais ua ntej).
• Mycotic Aneurysm: Qhov no tshwm sim thaum phab ntsa ntawm cov hlab ntsha tsis muaj zog tom qab muaj kev kis kab mob (feem ntau yog nyob rau hauv lub plawv valve).
• Pseudoaneurysm lossis Cuav Aneurysm: Hauv qhov no, tsuas yog txheej sab nraud ntawm phab ntsa hlab ntsha thiaj li loj tuaj. Qhov no tuaj yeem tshwm sim tom qab kev puas tsuaj rau txheej sab hauv ntawm cov hlab ntsha (kev txiav).

Yuav kho tus mob aneurysm li cas?

Yog tus kws kho mob pom tias koj muaj ib lub aneurysm uas tseem tsis tau tawg, lawv yuav saib xyuas koj ze. Lub hom phiaj tseem ceeb ntawm kev kho mob yog tiv thaiv kom lub aneurysm tsis txhob tawg.

Nyob ntawm seb lub aneurysm hom twg, qhov chaw twg, thiab qhov loj npaum li cas, kev kho mob yuav suav nrog tshuaj lossis phais. Tus kws kho mob yuav sau ntawv kom muab tshuaj los txhim kho kev ntws ntshav, txo cov ntshav siab, lossis tswj cov roj cholesterol. Cov kev kho mob no tuaj yeem pab tswj lub aneurysm kom tsis txhob loj dua thiab txo qhov siab ntawm phab ntsa ntawm cov hlab ntsha.

Cov hlab ntsha loj uas muaj feem yuav tawg yuav tsum tau phais. Tsis tas li ntawd, yog tias cov hlab ntsha tawg, yuav tsum tau phais. Muaj ntau hom kev phais:

• Kho Mob Endovascular Aneurysm (EVAR):Hauv kev phais mob endovascular no, tus kws kho mob muab ib lub catheter (ib lub raj nyias nyias) ntxig rau hauv cov hlab ntsha. Los ntawm lub catheter, tus kws phais muab ib daim graft (ib daim raj tshwj xeeb) los txhawb lossis kho cov hlab ntsha. Rau cov hlab ntsha hauv siab, cov txheej txheem no hu ua Thoracic Endovascular Aneurysm Repair (TEVAR). Yog tias siv ib daim graft nrog cov qhov qhib tshwj xeeb, nws hu ua Fenestrated Endovascular Aneurysm Repair (FEVAR).
• Kev Phais Qhib: Qee zaum, tus kws phais yuav ua ib qho kev phais (phais qhib) los ntxig ib qho graft lossis tshem tawm cov aneurysm.
• Kev Coiling Endovascular: Cov txheej txheem no kho cov aneurysms hauv lub hlwb. Tus kws phais muab ntau lub kauj (piv txwv li, platinum wire coils) rau hauv aneurysm los ntawm lub catheter thiab txhaws nws. Qhov no txo ​​cov ntshav ntws mus rau hauv aneurysm thiab txo qhov kev pheej hmoo ntawm nws tawg.
• Kev Txiav Cov Hlab Ntxwm Me Me: Qhov no kuj yog ib hom kev phais qhib rau cov hlab ntsha hauv lub hlwb. Tus kws phais muab ib daim hlau txiav rau ntawm lub hauv paus ntawm cov hlab ntsha kom txiav cov ntshav tsis pub dhau.
• Kev Siv Catheter Embolization: Cov txheej txheem no yog siv los txwv tsis pub los ntshav hauv cov hlab ntsha aneurysm. Tus kws phais muab ib lub catheter ntxig rau hauv cov hlab ntsha uas raug mob thiab siv lub raj los txhaj tshuaj lossis cov tshuaj embolic uas txwv tsis pub los ntshav.

Yuav ua li cas thiaj tiv thaiv tau qhov aneurysm kom tsis txhob loj hlob?

Cov hlab ntsha aneurysm uas tsis tawg yog ib qho uas muaj ntau. Lawv yeej tsis tuaj yeem tiv thaiv tau tas li. Txawm li cas los xij, koj tuaj yeem txo koj qhov kev pheej hmoo ntawm kev mob aneurysm los ntawm kev ua neej noj qab haus huv:

• Noj Zaub Mov Zoo Rau Lub Plawv: Noj roj, ntsev, thiab qab zib tsawg dua, thiab noj zaub thiab txiv hmab txiv ntoo ntau dua. Tej yam xws li zaub ntsuab nplooj, tshuaj ntsuab, thiab ntses tshiab uas muaj nyob hauv peb lub tebchaws yog cov khoom noj zoo heev.
• Ua Si Nquag: Ua ib yam dab tsi xws li taug kev, khiav, lossis ua luam dej tsawg kawg 30 feeb hauv ib hnub.
• Tswj Qhov Hnyav Kom Noj Qab Haus Huv: Tswj qhov hnyav kom haum rau koj qhov siab yog qhov tseem ceeb heev.
• Tsis txhob haus luam yeeb los yog tso tseg haus luam yeeb: Qhov no yog ib qho yuav tsum ua. Kev haus luam yeeb yog ib qho ntawm cov ua rau mob aneurysm loj tshaj plaws.

Yuav ua li cas thiaj paub tias tus neeg uas muaj aneurysm yuav muaj kev kwv yees li cas?

Cov hlab ntsha aneurysm tawg yog cov xwm txheej ceev uas txaus ntshai rau lub neej. Yog tias cov hlab ntsha aneurysm tawg hauv lub hlwb, nws tuaj yeem ua rau mob stroke. Nws tuaj yeem ua rau tuag taus yog tias tsis kho tam sim ntawd. Yog tias kho sai sai, qhov tshwm sim tuaj yeem sib txawv. Cov neeg feem coob rov zoo los ntawm kev kho mob thiab lwm yam kev kho mob.

Feem ntau cov kws kho mob tuaj yeem pab cov neeg uas muaj cov hlab ntsha me me uas tsis tau tawg. Koj tus kws kho mob yuav saib xyuas koj tus mob kom zoo. Cov tshuaj lossis phais mob tuaj yeem txo qhov kev pheej hmoo ntawm kev tawg.

Kuv yuav tsum mus ntsib kws kho mob thaum twg?

Yog koj muaj cov tsos mob zoo li no, koj yuav tsum mus ntsib kws kho mob tam sim ntawd:

• Mob taub hau me ntsis.
• Lub Plawv Ceev.
• Mob taub hau loj heev tam sim ntawd, mob hauv siab, mob plab, lossis mob nraub qaum.

Cov tsos mob no tuaj yeem yog ib qho cim ntawm aneurysm tawg, yog li nws yog ib qho tseem ceeb uas yuav tsum nrhiav kev kho mob yam tsis tas nkim sijhawm.

Kuv yuav tsum nug kuv tus kws kho mob li cas?

Yog tias koj xav tias koj muaj aneurysm, lossis yog tias koj twb muaj tus mob lawm, koj tuaj yeem nug koj tus kws kho mob cov lus nug zoo li no:

• Kuv puas muaj feem yuav mob aneurysm?
• Kuv puas yuav tsum tau kuaj duab kom pom qhov aneurysm?
• Kuv yuav ua li cas thiaj tiv thaiv tau kuv tus mob aneurysm kom tsis txhob hnyav zuj zus los yog tawg?
• Kuv yuav ua tau dab tsi los hloov kuv txoj kev ua neej kom txo tau kuv qhov kev pheej hmoo?

Nco ntsoov tias, aneurysm tuaj yeem tshwm sim hauv txhua txoj hlab ntsha hauv peb lub cev. Koj tus kws kho mob tuaj yeem saib xyuas aneurysm thiab kho nws kom txo qhov kev pheej hmoo ntawm nws tawg. Txawm li cas los xij, yog tias aneurysm tawg, nws yog xwm txheej ceev. Koj yuav tsum nrhiav kev pab kho mob tam sim ntawd.

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

Zoo, yog li peb tau tham ntau txog aneurysms hnub no, puas yog? Hais yooj yim, lawv yog ib feem tsis muaj zog ntawm ib qho ntawm peb cov hlab ntsha uas nthuav tawm zoo li lub npas. Feem ntau, koj tsis pom lawv, tab sis lawv tuaj yeem ua rau muaj kev phom sij heev yog tias lawv tawg.

Qhov tseem ceeb tshaj plaws yog kom paub txog koj cov yam uas ua rau muaj kev pheej hmoo. Yog tias koj muaj tej yam xws li haus luam yeeb, ntshav siab, lossis keeb kwm tsev neeg, nws yog ib lub tswv yim zoo kom mus kuaj mob tsis tu ncua.

Yog koj muaj cov tsos mob thaum muaj xwm txheej ceev, xws li mob taub hau hnyav tam sim ntawd, mob hauv siab, lossis tsis nco qab, mus rau tsev kho mob yam tsis ncua sijhawm.

Kev ua neej noj qab nyob zoo, xws li noj zaub mov zoo, tawm dag zog, thiab tsis txhob haus luam yeeb, tuaj yeem txo qhov kev pheej hmoo no. Yog li, saib xyuas koj lub cev thiab. Vim tias kev noj qab haus huv yog qhov tseem ceeb tshaj plaws!