Koj puas tau hnov txog cov hlab ntsha loj tshaj plaws hauv koj lub cev, lub aorta? Xav txog nws zoo li lub raj xa dej tseem ceeb hauv peb lub cev. Nws yog qhov uas coj cov ntshav huv, muaj oxygen los ntawm lub plawv thiab faib nws mus rau txhua lub cev ntawm lub cev. Nws zoo li lub raj loj, nkhaus. Qhov mob txaus ntshai no hu ua Aortic Aneurysm tshwm sim hauv lub aorta no. Yog li cia peb tham txog nws yooj yim hnub no.
Hauv lwm lo lus, aortic aneurysm yog dab tsi?
Xav txog ib lub yeeb nkab dej hauv koj lub vaj. Raws li lub sijhawm dhau mus, ib qho chaw ntawm nws yuav tsis muaj zog thiab nthuav tawm zoo li lub npas nyob rau hauv lub zog ntawm dej. Tib yam tshwm sim rau peb lub aorta. Thaum ib qho chaw ntawm phab ntsa ntawm aorta ua tsis muaj zog rau qee qhov laj thawj, lub siab ntawm cov ntshav los ntawm lub plawv ua rau qhov chaw tsis muaj zog ntawd nthuav tawm zoo li lub npas. Qhov kev nthuav tawm no yog qhov peb hu ua Aortic Aneurysm.
Koj puas paub vim li cas qhov no thiaj txaus ntshai? Qhov o uas zoo li lub npas no maj mam loj zuj zus thiab tuaj yeem tawg tam sim ntawd (rupture). Yog tias qhov ntawd tshwm sim, lub cev pib los ntshav ntau heev. Nws yog ib qho xwm txheej ceev uas txaus ntshai heev rau lub neej.
Muaj ob hom tseem ceeb ntawm aortic aneurysm:
Nyob ntawm seb qhov bulge no tshwm sim nyob rau hauv lub aorta qhov twg, peb muab faib nws ua ob hom loj. Qhov no yooj yim heev rau kev nkag siab.
| Hom aneurysm | Qhov no nyob qhov twg? |
|---|---|
| Mob plawv hauv plab (AAA) | Qhov no yog hom mob uas feem ntau tshwm sim. Nws tshwm sim nyob rau hauv qab ntawm lub aorta, uas yog qhov uas hla dhau lub plab (plab). |
| Kev Mob Aneurysm ntawm Lub Plawv Aortic (TAA) | Hom kab mob no tshwm sim rau ntawm qhov ntawm lub aorta uas hla dhau lub hauv siab. Tshwj xeeb, nyob rau hauv qhov uas khoov mus rau hauv cov duab ntawm tsab ntawv 'U' pib ntawm lub plawv. Cov neeg uas muaj qee yam kab mob uas tau txais los ntawm noob caj noob ces, xws li Marfan syndrome, tuaj yeem tsim hom aneurysm no. |
Ntawm ob hom no, AAA hauv plab yog hom uas pom ntau tshaj plaws. Qhov no tej zaum yog vim tias phab ntsa ntawm cov hlab ntsha hauv plab nyias dua li phab ntsa ntawm cov hlab ntsha hauv lub hauv siab.
Tus mob no puas yog ib qho uas tshwm sim ntau? Leej twg muaj feem yuav muaj feem ntau tshaj?
Feem ntau cov kab mob plawv aortic aneurysms yog ib qho mob uas tsis muaj tsos mob dab tsi li. Cov txiv neej muaj feem yuav mob AAA 4-6 npaug ntau dua li cov poj niam, tshwj xeeb tshaj yog nyob rau hauv plab. Qhov kev pheej hmoo yuav nce ntxiv thaum muaj hnub nyoog.
Koj kuj muaj feem yuav mob aortic aneurysm ntau dua yog tias koj muaj cov hauv qab no:
- Haus luam yeeb: Qhov no yog qhov tseem ceeb thiab feem ntau tswj tau qhov kev pheej hmoo no.
- Muaj hnub nyoog tshaj 65 xyoos: Thaum koj laus zuj zus, lub zog ntawm koj cov phab ntsa hlab ntsha tuaj yeem txo qis.
- Yog koj yog ib tug txiv neej: Tus mob no feem ntau tshwm sim ntawm cov txiv neej.
- Keeb kwm tsev neeg: Yog tias ib tug neeg hauv tsev neeg ze (niam, txiv, kwv tij) tau muaj tus mob no, koj kuj muaj feem yuav muaj tus mob no ntau dua.
- Ntshav Siab (Hypertension): Ntshav siab tuaj yeem ua rau cov phab ntsa ntawm cov hlab ntsha puas tsuaj thiab ua rau lawv qaug zog.
Vim li cas qhov no thiaj tshwm sim? Yog vim li cas?
Feem ntau nws nyuaj rau nrhiav qhov ua rau qhov no, tab sis nws tau pom tias qee yam mob tuaj yeem ua rau nws.
- Kab mob Atherosclerosis: Cov roj cholesterol thiab cov rog sib sau ua ke hauv cov phab ntsa ntawm cov hlab ntsha, ua rau cov hlab ntsha nqaim thiab tawv. Qhov no ua rau cov phab ntsa ntawm cov hlab ntsha qaug zog.
- Kev o ntawm cov hlab ntsha: Qee cov kab mob tuaj yeem ua rau cov phab ntsa ntawm cov hlab ntsha o thiab qaug zog.
- Cov kab mob caj ces: Cov kab mob caj ces uas cuam tshuam rau cov nqaij sib txuas, xws li Marfan syndrome thiab Ehlers-Danlos syndrome, tuaj yeem ua rau cov phab ntsa ntawm cov hlab ntsha tsis muaj zog txij thaum yug los.
- Kev raug mob ntawm cov hlab ntsha aorta: Kev puas tsuaj rau cov hlab ntsha aorta, xws li los ntawm kev sib tsoo loj heev.
- Qee qhov kev kis kab mob: Qee qhov kev kis kab mob ntawm cov kab mob, xws li mob syphilis, kuj tsis tshua muaj ua rau qhov no.
Cov tsos mob ntawm qhov no yog dab tsi? Peb paub li cas?
Qhov no yog qhov txaus ntshai tshaj plaws ntawm tus kab mob no. Muaj coob tus neeg tsis muaj tsos mob. Lawv tsis paub tias lawv muaj tus kab mob no kom txog thaum lub aneurysm tawg. Yog vim li ntawd nws thiaj hu ua "tus neeg tua neeg ntsiag to."
Txawm li cas los xij, qee tus neeg yuav muaj cov tsos mob thaum lub aneurysm maj mam loj hlob. Tsis tas li ntawd, yog tias nws tawg, cov tsos mob yuav tshwm sim sai heev thiab hnyav heev. Cia peb saib ob qho no sib cais.
| Cov tsos mob ntawm Aortic Aneurysm | |
|---|---|
| Cov tsos mob uas yuav tshwm sim thaum lub aneurysm maj mam loj hlob tuaj | |
| |
| Cov tsos mob ntawm lub aneurysm tawg tam sim ntawd - Qhov no yog xwm txheej ceev! | |
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Tseem ceeb heev: Yog tias koj lossis ib tus neeg koj paub muaj cov tsos mob ntawm lub aneurysm tawg, nws yog qhov xwm txheej ceev. Tsis txhob ncua sijhawm thiab mus rau chav kho mob ceev (ETU) ntawm tsev kho mob tam sim ntawd .
Qhov no ua rau muaj teeb meem dab tsi?
Qhov teeb meem loj tshaj plaws thiab txaus ntshai tshaj plaws yog aneurysm tawg, uas tuaj yeem ua rau los ntshav rau hauv lub cev thiab ua rau tuag tau.
Ntxiv mus, lwm yam mob txaus ntshai tuaj yeem tshwm sim. Nws hu ua aortic dissection . Qhov tshwm sim ntawm no yog tias muaj qhov tawg me me tshwm sim hauv txheej sab hauv ntawm phab ntsa ntawm cov hlab ntsha, thiab cov ntshav los ntawm nws thaum muaj kev xau siab ntawm cov txheej ntawm phab ntsa. Qhov no tuaj yeem thaiv cov ntshav ntws hauv cov hlab ntsha, thiab thaum kawg cov hlab ntsha tuaj yeem tawg tag nrho. Qhov no kuj yog ib qho mob uas xav tau kev kho mob ceev.
Tus kws kho mob nrhiav tau qhov no li cas?
Feem ntau, qhov mob no raug pom tsis tau thaum lub sijhawm kuaj mob rau lwm yam mob. Piv txwv li, qhov mob aneurysm hauv plab yuav raug pom tsis tau thaum lub sijhawm kuaj ultrasound rau qhov mob plab.
Yog tias koj muaj cov yam ntxwv uas ua rau muaj kev pheej hmoo lossis cov tsos mob uas tau hais los saum toj no, koj tus kws kho mob yuav xaj qee qhov kev kuaj tshwj xeeb los xyuas seb puas muaj tus mob no.
- Kev kuaj CT
- CT lossis MRI angiography - Qhov no tuaj yeem pom tseeb tias cov ntshav ntws li cas hauv cov hlab ntsha.
- Kev kuaj mob ultrasound (kev kuaj mob ultrasound)
Yog tias pom ua ntej nws tawg ... yuav kho li cas?
Yog pom muaj aneurysm ua ntej nws tawg, muaj ntau txoj hauv kev los tswj nws. Kev kho mob nyob ntawm qhov loj ntawm aneurysm, nws qhov chaw, thiab nws loj sai npaum li cas.
- Rau cov aneurysm me me (tos ntsoov): Yog tias cov aneurysm me me thiab tsis loj sai, koj tus kws kho mob yuav txiav txim siab saib nws yam tsis tas phais. Koj yuav muaj kev soj ntsuam tsis tu ncua kom pom tias nws puas hloov pauv qhov loj me.
- Cov Tshuaj: Koj tus kws kho mob yuav sau ntawv rau qee cov tshuaj kom txo qhov siab ntawm phab ntsa ntawm cov hlab ntsha thiab tswj qhov nrawm uas cov aneurysm loj hlob.
- Tshuaj tswj ntshav siab.
- Cov tshuaj uas txo cov roj cholesterol hauv cov ntshav.
Thaum twg koj xav tau kev phais?
Yog tias qhov aneurysm loj dua li qhov loj me, loj sai, lossis yog tias tus kws kho mob xav tias nws yuav tawg, yuav pom zoo kom phais. Muaj ob hom kev phais tseem ceeb.
| Hom kev phais mob | Koj ua li cas yooj yim xwb. |
|---|---|
| Kev Kho Mob Qhib Aneurysm | Qhov no yog txoj kev phais mob ib txwm muaj. Hauv txoj kev phais mob no, tus kws phais yuav qhib lub plab lossis hauv siab, tshem tawm qhov uas cov hlab ntsha loj hlob tawm, thiab muab ib lub raj cuav (graft) hloov nws. Txoj kev phais mob no feem ntau kuj ua rau muaj xwm txheej ceev ntawm cov hlab ntsha aneurysm tawg. |
| Kev phais mob me me (Kev Kho Mob Aneurysm Endovascular - EVAR) | Qhov no yog ib txoj kev tshiab. Es tsis txhob ua ib qho kev phais loj, ib lub catheter (ib lub raj nyias nyias) raug ntxig los ntawm ib lub qhov me me hauv qhov chaw mos, thiab ib lub raj yas uas yoog tau raug xa mus rau ntawm nws mus rau aneurysm, qhov chaw uas nws raug ncab thiab phab ntsa ntawm cov hlab ntsha raug txhawb zog. Txoj kev no kuj hu ua (TEVAR) lossis (FEVAR) . |
Peb puas tuaj yeem tiv thaiv qhov no kom tsis txhob tshwm sim?
Txawm hais tias peb tsis tuaj yeem hloov qee yam uas ua rau muaj kev pheej hmoo (xws li hnub nyoog thiab noob caj noob ces), peb tuaj yeem txo qhov kev pheej hmoo ntawm kev muaj tus mob txaus ntshai no los ntawm kev hloov peb txoj kev ua neej.
- Tso tseg haus luam yeeb kiag li: Yog tias koj yog ib tug neeg haus luam yeeb, tso tseg hnub no yog qhov kev txiav txim siab zoo tshaj plaws uas koj ua tau.
- Noj cov zaub mov zoo rau lub plawv: noj roj, ntsev, thiab qab zib tsawg dua, thiab noj zaub, txiv hmab txiv ntoo, thiab zaub ntsuab ntau dua.
- Ua si nawv tsis tu ncua: Ua si nawv yooj yim xws li taug kev tsawg kawg 30 feeb hauv ib hnub.
- Tswj koj qhov hnyav kom noj qab nyob zoo.
- Yog koj muaj ntshav siab los yog roj cholesterol, ua raws li koj tus kws kho mob cov lus qhia.
Cov Lus Qhia Txog Kev Coj Mus Tsev
- Aortic aneurysm yog thaum phab ntsa ntawm peb lub cev cov hlab ntsha tseem ceeb tsis muaj zog thiab o zoo li lub npas.
- Feem ntau, nws tsis qhia cov tsos mob kom txog thaum nws tawg. Yog vim li ntawd nws thiaj li txaus ntshai heev.
- Haus luam yeeb, ntshav siab, hnub nyoog tshaj 65 xyoo, thiab keeb kwm tsev neeg yog cov yam tseem ceeb uas ua rau muaj kev pheej hmoo.
- Yog tias koj mob hauv siab, mob plab lossis mob nraub qaum, kiv taub hau, lossis lwm yam tsos mob, nws yog qhov xwm txheej ceev. Mus rau chav kho mob ceev (ETU) ntawm tsev kho mob tam sim ntawd.
- Kev ua neej noj qab haus huv tuaj yeem txo qhov kev pheej hmoo ntawm kev mob no.
- Yog tias koj nyob hauv pawg neeg muaj kev pheej hmoo, nws yog ib qho tseem ceeb heev uas yuav tsum nrog koj tus kws kho mob tham thiab mus kuaj mob uas tsim nyog.
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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