Cia peb kawm txog Aortic Aneurysm, uas yog ib qho pob zoo li lub npas hauv peb lub cev cov hlab ntsha tseem ceeb!

Auj, qee zaum peb tsis qhia txog tej yam tshwm sim, tab sis tej teeb meem loj tuaj yeem tshwm sim hauv lub cev, puas yog? Qhov ntawd yog hom mob uas tshwm sim ntsiag to, tab sis yog tias koj paub txog nws, nws tuaj yeem tswj tau. Aortic Aneurysm yog qhov txaus ntshai me ntsis hnov, tab sis cia peb tham txog nws yooj yim. Tom qab ntawd koj tuaj yeem nkag siab zoo dua txog nws.

Cia peb xub saib seb 'Aorta' no yog dab tsi?

Xav txog seb, cov hlab ntsha loj tshaj plaws hauv peb lub cev yog 'Aorta' . Nws zoo li lub raj xa dej loj uas nqa dej los ntawm peb lub thawv dej mus rau txhua qhov chaw hauv peb lub tsev. Lub aorta no yog lub uas nqa cov ntshav huv, muaj oxygen los ntawm peb lub plawv mus rau tag nrho lub cev. Nws zoo li ib tug pas nrig uas nkhaus mus rau saum toj. Qhov uas nce los ntawm lub plawv hu ua 'Ascending Aorta' , thiab qhov uas nqes mus rau hauv plab hu ua 'Descending Aorta' .

Yog li ntawd, qhov no 'Aortic Aneurysm' yog dab tsi?

Hais yooj yim xwb, qhov 'Aortic Aneurysm' no yog thaum muaj qhov tsis muaj zog hauv phab ntsa ntawm peb cov hlab ntsha tseem ceeb hu ua aorta, thiab lub siab ntawm cov ntshav uas ntws los ntawm nws ua rau thaj chaw ntawd o zoo li lub npas. Nws zoo li cov yeeb nkab dej qub tawg. Qhov o zoo li lub npas yog qhov peb hu ua aneurysm. Qhov no tuaj yeem tshwm sim hauv txhua txoj hlab ntsha, tab sis thaum nws tshwm sim hauv aorta, peb hu nws ua aortic aneurysm.

Puas muaj cov hom aneurysms no?

Yog, muaj ob hom kab mob aortic aneurysms tseem ceeb. Ob hom no raug faib raws li qhov chaw uas lawv tshwm sim:

1. Kab mob plawv hauv plab (AAA): Qhov no yog hom kab mob uas feem ntau pom. Nws tshwm sim hauv qab ntawm peb lub plawv aorta, uas yog qhov uas mus rau lub plab. Xav txog nws zoo li qhov uas nthuav mus rau hauv qab ntawm tus pas nrig.

2. Mob Thoracic Aortic Aneurysm (TAA): Qhov no tshwm sim rau sab saud ntawm lub aorta, uas yog, nyob rau hauv qhov nkhaus 'U' zoo li hauv thaj tsam hauv siab. Qee zaum, rau cov neeg uas muaj kab mob sib txuas xws li Marfan syndrome, TAA no tuaj yeem tshwm sim rau hauv lub ascending aorta, qhov ntawm lub aorta uas mus rau ze tshaj plaws rau lub plawv.

Feem ntau cov hlab ntsha hauv plab (AAA) feem ntau pom ntau dua li cov hlab ntsha hauv lub hauv siab (TAA) . Qhov no tej zaum yog vim tias phab ntsa ntawm lub hlab ntsha hauv peb lub hauv siab tuab dua thiab muaj zog dua li phab ntsa ntawm lub hlab ntsha hauv peb lub plab.

Qhov teeb meem no feem ntau tshwm sim li cas?

Qhov tseeb, cov txiv neej muaj feem yuav mob plab aortic aneurysm (AAA) ntau dua li cov poj niam 4 txog 6 npaug. Nws cuam tshuam rau kwv yees li 1% ntawm cov txiv neej hnub nyoog ntawm 55 thiab 64. Txawm li cas los xij, qhov kev pheej hmoo ntawm kev mob nws nce ntxiv nrog hnub nyoog. Lawv hais tias qhov kev pheej hmoo tuaj yeem nce ntxiv txog li 4% txhua 10 xyoo.

Leej twg muaj feem yuav muaj qhov teeb meem no tshaj? (Cov Yam Uas Ua Rau Muaj Kev Pheej Hmoo)

Koj tsev neeg cov noob caj noob ces thiab koj txoj kev ua neej txhua yam tuaj yeem ua lub luag haujlwm hauv kev loj hlob ntawm qhov aortic aneurysm no. Qhov mob no feem ntau pom muaj nyob rau hauv:

• Ntawm cov neeg haus luam yeeb .
• Ntawm cov neeg hnub nyoog tshaj 65 xyoo .
• Ntawm cov txiv neej .
• Yog tias ib tug neeg hauv koj tsev neeg tau muaj aortic aneurysm ua ntej.
• Mob ntshav siab (hypertension), uas yog, rau cov neeg uas muaj ntshav siab .

Xav txog nws, yog tias muaj ib qho ntawm cov no siv rau koj, puas yuav zoo rau koj txhawj me ntsis txog qhov no?

Dab tsi ua rau qhov no?

Feem ntau nws nyuaj rau txiav txim siab qhov ua rau muaj aortic aneurysm. Txawm li cas los xij, muaj ntau yam uas xav tias ua rau muaj:

• Kab mob Atherosclerosis: Qhov no yog qhov uas cov rog sib sau ua ke hauv cov hlab ntsha, ua rau lawv nqaim. Nws zoo li xeb tsim nyob rau hauv cov kav dej.
• Kev o ntawm cov hlab ntsha.
• Cov mob caj ces: Cov kab mob uas cuam tshuam rau cov nqaij sib txuas, xws li Marfan syndrome thiab Ehlers-Danlos syndrome .
• Kev raug mob rau lub aorta: Zoo li los ntawm qee qhov xwm txheej.
• Qee qhov kev kis kab mob: Piv txwv li, nws tuaj yeem tshwm sim los ntawm tus kab mob sib kis los ntawm kev sib deev xws li syphilis .

Cov tsos mob ntawm qhov no yog dab tsi?

Nov yog qhov tseem ceeb. Muaj coob tus neeg tsis paub tias lawv muaj aortic aneurysm. Qhov no yog vim tias tej zaum yuav tsis muaj tsos mob kom txog thaum nws tawg.

Txawm li cas los xij, yog tias aneurysm tawg, nws yog ib qho mob hnyav uas xav tau kev kho mob ceev. Yog tias koj lossis ib tus neeg uas koj nrog muaj cov tsos mob uas qhia tias aneurysm tau tawg, koj yuav tsum mus rau tsev kho mob tam sim ntawd.

Cov tsos mob ntawm lub aneurysm tawg tuaj yeem tshwm sim sai sai:

• Kiv taub hau los yog lub taub hau me me.
• Lub plawv dhia ceev ceev.
• Mob hauv siab hnyav heev, mob plab, lossis mob nraub qaum.

Yog pom muaj ib qho aortic aneurysm ua ntej nws tawg, nws muaj lub sijhawm zoo tshaj plaws los kho. Thaum lub aneurysm loj hlob tuaj, koj yuav pom cov tsos mob zoo li no:

• Ua pa nyuaj los yog ua pa luv luv.
• Txawm tias noj me ntsis lawm los kuj tseem xav tias puv npo.
• Hnov mob qhov twg muaj aneurysm (qhov no yuav yog nyob rau hauv caj dab, nraub qaum, hauv siab, lossis plab).
• Hnov mob los yog nyuaj thaum nqos.
• Tes, caj dab, lossis lub ntsej muag o.

Qhov no ua rau muaj teeb meem dab tsi?

Yog tias lub aortic aneurysm tawg, nws tuaj yeem ua rau los ntshav sab hauv. Nyob ntawm seb lub aneurysm nyob qhov twg, qhov kev tawg no tuaj yeem ua rau mob hnyav heev, txawm tias ua rau tuag taus. Txawm li cas los xij, nrog kev kho mob sai, feem ntau cov neeg tuaj yeem rov zoo los ntawm lub aneurysm tawg.

Ib qho aortic aneurysm loj tuaj yeem ua rau muaj kev tawg ntawm phab ntsa ntawm cov hlab ntsha (aortic dissection) . Qhov kev tawg no ua rau cov ntshav ntws los ntawm phab ntsa ntawm cov hlab ntsha. Qhov no ua rau cov hlab ntsha nqaim, txo lossis thaiv tag nrho cov ntshav ntws los ntawm lub plawv mus rau lwm qhov ntawm lub cev. Lub siab hauv cov hlab ntsha kuj tuaj yeem nce ntxiv, ua rau aneurysm tawg.

Koj kuaj qhov no li cas?

Vim tias muaj ntau yam aneurysms tshwm sim yam tsis muaj tsos mob, cov kws kho mob tsuas pom lawv thaum lub sijhawm kuaj mob niaj hnub lossis kev luam theej duab rau lwm yam.

Yog tias koj muaj feem yuav mob aortic aneurysm, lossis yog tias koj muaj cov tsos mob ntawm aneurysm, koj tus kws kho mob yuav xaj kom kuaj duab , uas yog cov kev kuaj uas saib sab hauv koj lub cev. Piv txwv ntawm cov no suav nrog:

• Kev luam theej duab CT.
• Kev kuaj mob CT lossis MRI angiography.
• Kev kuaj mob ultrasound.

Yuav kho tus mob aneurysm uas tsis tawg li cas?

Yog koj muaj ib qho aortic aneurysm uas tseem tsis tau tawg, uas yog, ib qho uas tseem tsis tau tawg, koj tus kws kho mob yuav saib xyuas koj ze heev. Koj tus kws kho mob kuj tseem yuav pom zoo kom koj mus kuaj mob tsis tu ncua yog tias koj muaj tej yam uas ua rau koj muaj mob aneurysm.

Lub hom phiaj tseem ceeb ntawm kev kho mob yog tiv thaiv kom cov aneurysm tsis txhob loj hlob thiab ua rau cov hlab ntsha tawg lossis tawg. Rau cov aneurysms me me, tsis tau tawg , koj tus kws kho mob yuav sau ntawv kom tshuaj los txhim kho cov ntshav ntws, txo cov ntshav siab, lossis tswj cov roj cholesterol. Tag nrho cov no tuaj yeem pab qeeb qhov aneurysm loj hlob thiab txo qhov siab ntawm phab ntsa hlab ntsha.

Muaj hom kev phais mob aortic aneurysm twg?

Cov hlab ntsha loj uas muaj feem yuav tawg lossis tawg yuav tsum tau phais . Koj tus kws kho mob yuav siv ib qho ntawm cov txheej txheem phais no:

1. Kho qhov qhib aneurysm: Hauv txoj kev kho mob no, tus kws kho mob yuav txiav qhov aneurysm tawm, tshem tawm qhov tsis muaj zog, thiab hloov nws nrog ib daim raj tshwj xeeb (graft) los kho cov hlab ntsha. Qhov kev phais qhib no yuav tsum tau ua yog tias aneurysm tawg.

2. Kho Mob Aneurysm Hauv Cov Nroj Tsuag (EVAR):Qhov no yog ib txoj kev phais mob uas tsis tas phais ntau. Qhov ntawd txhais tau tias nws ua tiav yam tsis tas phais loj. Hauv txoj kev phais mob no, tus kws kho mob siv ib lub raj nyias nyias (catheter) los coj cov graft mus rau hauv aneurysm thiab ua kom cov hlab ntsha muaj zog lossis kho. Txoj kev phais mob no kuj hu ua thoracic endovascular aneurysm repair (TEVAR) lossis fenestrated endovascular aneurysm repair (FEVAR) .

Koj tuaj yeem cia siab dab tsi tom qab phais?

Nws yuav siv sijhawm ib hlis lossis ntau dua los kho kom rov zoo los ntawm kev phais mob aneurysm. Koj tus kws kho mob yuav txuas ntxiv saib xyuas koj rau kev hloov pauv, kev loj hlob, lossis teeb meem hauv aneurysm. Cov neeg feem coob muaj cov txiaj ntsig zoo tom qab phais.

Txawm li cas los xij, ib yam li kev phais mob, muaj qee qhov kev pheej hmoo. Qee qhov teeb meem uas tuaj yeem tshwm sim tom qab phais mob yog:

• Ntshav ntws ncig lub qhov txhab. Qhov no kuj hu ua endoleak .
• Lub yeeb nkab tau raug tsiv ntawm nws qhov chaw.
• Cov ntshav txhaws.
• Kev kis kab mob.

Peb puas tuaj yeem tiv thaiv qhov aortic aneurysm no kom tsis txhob tshwm sim?

Yog, qee yam. Kev muaj ntshav siab, roj cholesterol ntau, lossis siv cov khoom haus luam yeeb ua rau koj muaj feem yuav mob aneurysm. Koj tuaj yeem txo koj qhov kev pheej hmoo los ntawm kev ua neej noj qab haus huv . Qhov ntawd txhais tau tias:

• Noj zaub mov zoo rau lub plawv.
• Ua si nawv tsis tu ncua.
• Tswj kom muaj qhov hnyav noj qab nyob zoo.
• Tsum tsis txhob haus luam yeeb thiab siv cov khoom luam yeeb kiag li.

Saib seb, tej no tsis yog tsuas yog zoo rau cov aneurysms xwb, tab sis kuj zoo rau kev noj qab haus huv ntawm peb lub cev tag nrho, puas yog?

Yuav ua li cas thiaj paub tias tus neeg uas muaj lub plawv aneurysm yuav muaj kev pheej hmoo li cas?

Yog koj saib xyuas thiab kho koj tus mob kom zoo zoo, koj tus kws kho mob yuav pab tau koj tswj tau qhov mob aortic aneurysm. Qhov zoo tshaj plaws yog kom koj pab neeg kho mob nrhiav thiab kho qhov mob aortic aneurysm ua ntej nws tawg, yog tias ua tau.

Yog tias lub aortic aneurysm tawg, koj yuav tsum nrhiav kev kho mob tam sim ntawd. Yog tsis kho sai, lub aortic aneurysm tawg tuaj yeem ua rau tuag taus. Ob qho kev phais qhib thiab kev phais endovascular tuaj yeem kho tau lub aortic aneurysm tawg.

Kuv yuav tsum mus ntsib kws kho mob thaum twg?

Yog koj muaj cov tsos mob no, mus ntsib koj tus kws kho mob tam sim ntawd:

• Tsis nco qab (syncope, fainting los yog dhuav).
• Ntshav siab qis.
• Lub plawv dhia ceev ceev.
• Mob hauv siab, mob plab, lossis mob nraub qaum tam sim ntawd.

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

Koj tuaj yeem nug koj tus kws kho mob cov lus nug zoo li no:

• Kuv puas muaj feem yuav mob aortic aneurysm?
• Kuv yuav paub li cas yog tias kuv muaj aortic aneurysm?
• Kuv ua tau dab tsi los tiv thaiv kom tsis txhob muaj kab mob aortic aneurysm tawg lossis tawg?
• Kuv yuav tsum hloov pauv kuv txoj kev ua neej li cas kom txo tau kuv txoj kev pheej hmoo ntawm aortic aneurysm?

Thaum kawg, cov lus coj mus tsev:

Kev ua cov kauj ruam los txhim kho koj txoj kev noj qab haus huv ntawm lub plawv tuaj yeem pab tiv thaiv kom tsis txhob muaj kab mob aortic aneurysm lossis hnyav zuj zus. Tham nrog koj tus kws kho mob txog kev hloov pauv hauv koj txoj kev ua neej. Yog tias koj muaj feem yuav muaj kab mob aortic aneurysm, nco ntsoov mus kuaj mob tsis tu ncua. Kev kuaj pom thiab kho kab mob aneurysm thaum ntxov tuaj yeem txo qhov kev pheej hmoo ntawm kev tawg lossis lwm yam teeb meem. Nco ntsoov, kev paub txog yog qhov kev tiv thaiv zoo tshaj plaws!

Aortic Aneurysm, Aortic aneurysm, Ntshav hlab ntsha dilation, Kab mob plawv, AAA, TAA, Aota