Koj puas tau hnov ​​txog qhov mob txaus ntshai hu ua Aortic Dissection? Cia peb tham txog nws kom meej!

Koj puas tau xav txog seb muaj kev puas tsuaj dab tsi rau cov hlab ntsha tseem ceeb hauv peb lub cev, uas yog cov kav dej loj tshaj plaws uas nqa ntshav los ntawm lub plawv mus rau tag nrho lub cev? Kev txiav tawm ntawm lub plawv (aortic dissection) yog ib qho mob txaus ntshai uas tuaj yeem ua rau tuag taus. Txawm hais tias qhov no txaus ntshai me ntsis los xij, nws yog ib qho tseem ceeb heev uas yuav tsum paub txog qhov no. Vim tias yog paub thaum ntxov, nws tuaj yeem kho tau.

Aortic Dissection yog dab tsi? Cia peb nkag siab yooj yim.

Hais yooj yim xwb, kev txiav aorta yog kev rhuav (kev rhuav) ntawm phab ntsa ntawm koj lub aorta , lub hlab ntsha tseem ceeb uas nqa cov ntshav oxygen los ntawm koj lub plawv mus rau koj lub cev tag nrho. Xav txog aorta ua cov kav dej tseem ceeb hauv koj lub tsev. Nws khiav los ntawm koj lub hauv siab, los ntawm koj lub plab, thiab mus rau koj ob txhais ceg.

Qhov no yog ib qho mob tsis tshua muaj. Nws tshwm sim zoo li no: Phab ntsa ntawm lub aorta muaj peb txheej. Vim li cas, txheej sab hauv tshaj plaws ntawm phab ntsa no tsis muaj zog, ua rau muaj qhov tawg me me hauv nws. Tom qab ntawd, cov ntshav siab ntws los ntawm qhov tawg, cais txheej sab hauv thiab txheej nruab nrab. Nws zoo li phab ntsa raug rhuav ua ob. Qhov no hu ua kev txiav .

Thaum cov ntshav pib ntws mus rau qhov tsis yog li no, cov ntshav ntws mus rau lwm qhov ntawm lub cev tuaj yeem raug thaiv lossis txo qis. Qee zaum, tag nrho cov aorta tuaj yeem tawg.

Qhov no yog ib qho mob hnyav heev, uas ua rau tuag taus. Yog tias tsis kuaj pom thiab kho sai sai, ces yuav tuag tau. Yog li ntawd, yog tias koj muaj cov tsos mob no, tsis txhob ntshai thiab mus rau chav kho mob ceev tam sim ntawd.

Muaj kev tshaj tawm tias tus mob no tshwm sim ntawm 5 thiab 30 tus neeg ib lab tus tib neeg txhua xyoo.

Cov hom kev phais aortic tseem ceeb yog dab tsi?

Muaj ob hom kev phais aortic tseem ceeb:

1. Stanford Hom A A Aortic Dissection: Qhov no pib ntawm qhov pib ntawm koj lub aorta, qhov ze tshaj plaws rau koj lub plawv. Nws tuaj yeem ua rau tuag taus . Feem ntau nws yuav tsum tau phais mob qhib hauv siab thaum muaj xwm txheej ceev. Qhov no suav nrog kev kho qhov pib ntawm lub aorta uas raug rhuav tshem lossis tshem nws thiab hloov nws nrog ib feem prosthetic. Feem ntau, qhov kev phais txuas ntxiv mus txog rau hauv aorta. Hom A feem ntau tshwm sim ntau dua li hom B.

2. Kev Phais Aortic Hom B ntawm Stanford:Nws pib nyob rau hauv qab ntawm lub aorta, me ntsis ntxiv ntawm lub plawv, tom qab lub aortic arch, nyob rau hauv lub descending aorta. Ib yam li hom A, nws feem ntau tuaj yeem nthuav dav los ntawm lub descending aorta mus rau lub plab aorta. Txawm li cas los xij, nws tsis cuam tshuam rau thawj feem ntawm lub aorta. Nws yuav lossis tsis xav tau kev phais tam sim ntawd. Qhov no nyob ntawm qhov chaw uas qhov kev txiav tawm thiab seb nws puas txiav cov ntshav ntws mus rau koj lwm lub cev.

Cov kws kho mob siv lwm txoj kev faib tawm, hu ua DeBakey classification system . Nws muaj peb hom. Hom thawj (Hom 1) pib hauv ascending aorta thiab nthuav mus txog rau descending aorta. Hom thib ob (Hom 2) pib hauv ascending aorta thiab tsuas yog txwv rau ascending aorta (ob qho tib si zoo ib yam li Stanford hom A). Hom thib peb (Hom 3) pib hauv descending aorta thiab nthuav mus rau hauv qab (qhov no zoo ib yam li hom B).

Cov tsos mob ntawm kev tawg ntawm lub plawv (aorta) yog dab tsi? Koj paub nws li cas?

Tus yam ntxwv tseem ceeb ntawm kev tawg ntawm lub plawv (aorta dissection) yog tias nws tshwm sim sai sai . Nws tuaj yeem tshwm sim txhua lub sijhawm. Nws feem ntau tshwm sim thaum lub sijhawm ua haujlwm tawm dag zog, nrog rau kev nce siab ntawm cov ntshav siab. Txawm li cas los xij, nws kuj tuaj yeem tshwm sim thaum koj pw tsaug zog lossis tsuas yog sawv ntsug. Tsis muaj cov cim ceeb toom uas tuaj ua ntej nws.

Nov yog cov tsos mob uas koj yuav ntsib:

• Mob sai sai, mob hnyav, thiab ntse hauv siab lossis sab nraub qaum. Nws tuaj yeem zoo li raug dua los ntawm sab hauv, raug chob nrog riam, lossis zoo li daim tawv nqaij raug rhuav tawm.
• Mob plab heev.
• Ua pa nyuaj (ua tsis taus pa).
• Tsaus muag los yog kiv taub hau.
• Ntshav siab qis.
• Lub suab plawv tsis zoo (lub suab plawv diastolic lossis lub suab plawv tsis meej).
• Lub plawv dhia ceev ceev, tsis muaj zog.
• Tawm hws ntau dhau.
• Kev tsis meej pem (tsis muaj peev xwm tsom ntsoov).
• Tsis pom kev.
• Cov tsos mob ntawm tus mob stroke muaj xws li qaug zog ntawm ib sab ntawm lub cev thiab nyuaj hais lus.

Yog koj muaj cov tsos mob ntawm kev tawg ntawm cov hlab ntsha aorta zoo li no, tshwj xeeb tshaj yog mob hauv siab hnyav lossis muaj cov cim qhia tias muaj mob stroke, hu rau 911 tam sim ntawd lossis mus rau chav kho mob ceev ze tshaj plaws. Tsis txhob xav tias qhov no yooj yim, txhua ob feeb suav nrog.

Dab tsi yog cov ua rau aortic dissection?

Kev tawg ntawm cov hlab ntsha hauv lub plawv (aorta dissection) tshwm sim thaum cov hlwb hauv phab ntsa ntawm cov hlab ntsha hauv lub plawv maj mam qaug zog. Qhov kev qaug zog no tej zaum yuav tau tshwm sim ntau xyoo, kom txog thaum qhov chaw qaug zog tshaj plaws hauv phab ntsa ntawm lub plawv (aorta) tsis tuaj yeem tiv taus nws lawm. Thaum ntawd ces muaj kev tawg, ua rau muaj kev tawg ntawm cov hlab ntsha hauv lub plawv (aorta dissection).

Cov kws kho mob ntseeg tias feem ntau cov mob aortic dissection yog tshwm sim los ntawm qhov tsis muaj zog hauv phab ntsa aortic (tej zaum yog los ntawm noob caj ces). Hauv lwm cov xwm txheej, qhov siab ntawm cov ntshav siab tas li tuaj yeem ua rau phab ntsa aortic tsis muaj zog, ua rau nws tawg thiab tawg.

Feem ntau qhov kev tawg ntawm lub plawv aorta tshwm sim rau thaj chaw uas phab ntsa aortic nyob hauv qab qhov siab tshaj plaws. Piv txwv li, koj lub plawv aorta nce mus. Kev tawg ntawm lub plawv aorta sab saud yog li ob npaug ntawm cov uas tshwm sim hauv lub plawv aorta qis.

Leej twg muaj feem yuav raug qhov no tshaj? Dab tsi yog cov yam uas ua rau muaj kev pheej hmoo?

Muaj ntau yam uas ua rau koj muaj feem yuav mob aorta dissection. Saib seb cov no puas siv tau rau koj:

• Ntshav siab tas li (ntshav siab): Qhov no yog qhov tseem ceeb tshaj plaws thiab feem ntau ua rau muaj kev pheej hmoo . Ntshav siab ua rau cov nqaij ntawm lub aorta puas tsuaj. Qhov no ua rau cov fibers elastic ploj mus, cov qauv ntawm phab ntsa tawg, thiab phab ntsa tuab.
• Atherosclerosis (cov rog hauv cov hlab ntsha) lossis cov roj cholesterol ntau.
• Kev siv cov khoom luam yeeb (luam yeeb, beedis, thiab lwm yam).
• Aortic aneurysm (qhov o lossis o ntawm phab ntsa ntawm koj lub aorta).
• Kab mob ntawm lub plawv aortic.
• Cov mob plawv uas yug los, xws li lub qhov (bicuspid aortic valve) (lub qhov nrog ob daim nplooj es tsis yog peb daim ib txwm muaj) lossis Turner syndrome .
• Cov teeb meem ntawm cov nqaij sib txuas, xws li Marfan syndrome thiab Ehlers-Danlos syndrome, yog cov teeb meem uas tuaj yeem tau txais los ntawm niam txiv mus rau menyuam yaus.
• Lwm yam mob aorta hauv lub hauv siab uas los ntawm noob caj noob ces, uas feem ntau cuam tshuam rau koj lub aorta.
• Yog tias muaj ib tug neeg hauv koj tsev neeg tau muaj aorta dissection (keeb kwm tsev neeg).
• Aortitis (mob/o ntawm lub aorta).
• Raug mob hnyav rau hauv siab. Piv txwv li, kev sib tsoo tsheb khiav ceev heev, kev poob ntawm qhov siab tshaj 20 feet.
• Ua txiv neej (cov txiv neej muaj feem yuav muaj kev pheej hmoo ntau dua li cov poj niam).
• Muaj hnub nyoog ntawm 40 thiab 70 xyoo. Thaum koj laus zuj zus, qhov yooj ywm ntawm phab ntsa aortic txo qis.
• Muaj ntshav siab thaum cev xeeb tub, tshwj xeeb tshaj yog thaum yug menyuam.
• Tej yam uas ua rau muaj ntshav siab ntev, xws li siv tshuaj yeeb xws li cocaine lossis amphetamines.

Cov mob no tuaj yeem tshwm sim sai sai rau cov neeg uas koom nrog kev nqa lub zog thiab muaj feem yuav muaj aneurysms lossis dissection.

Yog tias koj muaj cov yam ntxwv uas ua rau koj muaj kev pheej hmoo siab no (xws li aneurysm lossis kab mob ntawm cov nqaij sib txuas), nrhiav ib lub chaw kho mob aortic zoo tshaj plaws rau koj txoj kev kho mob. Cov chaw no muaj cov kev kho mob tshiab tshaj plaws. Lawv kuj muab kev kho mob zoo tshaj plaws los ntawm kev coj ua ke ib pab pawg kws kho mob ntau yam (kws kho mob plawv, kws kho mob radiologist, kws kho noob caj noob ces). Cov kev tshawb fawb tau qhia tias cov chaw uas tshwj xeeb hauv kev kho cov kab mob aortic muaj cov txiaj ntsig zoo tshaj plaws rau cov teeb meem nyuaj no.

Cov teeb meem uas yuav tshwm sim ntawm kev phais aortic dissection yog dab tsi?

Kev tawg ntawm lub aorta tuaj yeem ua rau muaj teeb meem loj xws li:

• Mob stroke.
• Kev puas tsuaj rau lub aortic valve.
• Mob plawv.
• Lub plawv tsis ua haujlwm.
• Kev puas tsuaj rau cov kabmob sab hauv xws li lub raum.
• Lub plawv tamponade: Kev sib sau ua ke ntawm cov kua dej ntawm cov leeg nqaij plawv thiab lub hnab ncig lub plawv (pericardium).
• Kev tuag.

Cov kws kho mob kuaj mob aortic dissection li cas? Cov kev kuaj mob yog dab tsi?

Tus kws kho mob yuav xav tias muaj kev tawg ntawm lub plawv (aortic dissection) raws li koj cov tsos mob. Txawm li cas los xij, lawv yuav tsum txiav txim siab seb koj puas muaj kev tawg ntawm lub plawv (aortic dissection) lossis lwm yam teeb meem kev noj qab haus huv uas muaj cov tsos mob zoo sib xws, xws li mob plawv nres lossis mob hlwb (stroke). Nrog rau kev tawg ntawm lub plawv (aortic dissection), nws yuav nyuaj rau hnov ​​​​​​cov ntshav dhia hauv koj txhais tes thiab ob txhais ceg. Tus kws kho mob kuj tseem yuav pom tias cov ntshav siab hauv ib sab caj npab siab dua lwm sab.

Cov kws kho mob yuav tsum kuaj mob aortic dissection sai sai vim tias koj yuav tsum tau phais mob ceev. Thaum koj pab neeg kho mob kuaj pom tias aortic dissection, pab neeg thauj neeg tshwj xeeb yuav xa koj mus rau qhov chaw uas tswj cov mob nyuaj no.

Cov kev kuaj mob yog dab tsi?

Tus kws kho mob yuav xaj kom kuaj xws li cov no:

• X-ray hauv siab: Qhov no yog kev kuaj sai uas siv me ntsis hluav taws xob los thaij duab ntawm koj lub plawv, lub ntsws, cov hlab ntsha (xws li lub aorta), thiab cov pob txha hauv koj lub hauv siab.
• Kev ntsuas CT: Qhov kev kuaj no pab kom pom tau qhov zoo tshaj plaws ntawm lub aorta sai sai thaum muaj xwm txheej ceev. Nws tuaj yeem pab tus kws kho mob pom seb puas muaj aneurysm lossis dissection. Koj kuj tseem yuav muaj cov kua tshwj xeeb (IV contrast) txhaj rau hauv koj cov leeg ntshav ua ib feem ntawm qhov kev kuaj no.
• Transthoracic echocardiogram (TTE): Qhov no siv cov thev naus laus zis ultrasound los tsim cov duab txav ntawm koj lub plawv valve, lub plawv chambers, thiab qhov pib ntawm koj lub aorta (aortic cag).
• Kev kuaj mob plawv los ntawm txoj hlab pas (TEE):Qhov no tuaj yeem tsim cov duab meej dua thiab ntxaws dua ntawm cov qhov plawv thiab cov chav dua li kev kuaj echocardiogram transthoracic. Nws kuj tseem muab kev pom zoo dua ntawm lub thoracic aorta, cov hlab ntsha hauv koj lub hauv siab. Hauv qhov kev kuaj no, tus kws kho mob ntxig lub cuab yeej ultrasound los ntawm koj lub qhov ncauj mus rau hauv koj lub caj pas. Lub caj pas nyob ncaj qha tom qab koj lub plawv thiab nyob rau pem hauv ntej ntawm lub aorta nqis.
• Kev Ntsuas MRI: Qhov no siv lub hlau nplaum loj thiab cov nthwv dej xov tooj cua los ua cov duab ntxaws ntxaws ntawm cov kabmob thiab cov qauv hauv koj lub cev, suav nrog koj lub aorta. Nws tuaj yeem qhia cov duab txav ntawm cov qhov rooj plawv, cov chav, thiab cov ntshav ntws los ntawm aorta. Txawm li cas los xij, qhov kev xeem no siv sijhawm ntev dua li kev ntsuas CT ib txwm muaj, yog li nws siv tsawg dua thaum muaj xwm txheej ceev.

Yuav kho qhov aortic dissection li cas?

Kev kho mob rau qhov aortic dissection nyob ntawm qhov chaw ntawm qhov rhuav thiab kev phais.

• Rau hom A aortic dissection (yog tias thawj feem ntawm aorta, ze tshaj plaws rau lub plawv, raug cuam tshuam), koj yuav tsum tau phais tam sim ntawd.
• Hauv hom B aortic dissection, yog tias qhov kev txiav txiav cov ntshav ntws mus rau cov kabmob tseem ceeb thiab cov qhov ntawm lub cev, xws li koj lub raum, txoj hnyuv, ceg, lossis tus txha caj qaum, koj yuav tsum tau phais mob ceev. Yog tias koj qhov CT scan qhia txog cov yam ntxwv muaj kev pheej hmoo siab, koj yuav tsum tau phais sai sai no.
• Hauv cov xwm txheej uas tsis hnyav heev, kev kho mob rau qhov aorta dissection yuav pib nrog cov tshuaj kom qeeb koj lub plawv dhia lossis txo koj cov ntshav siab. Kev phais yuav ua tau tom qab yog tias muaj teeb meem tshwm sim.

Kev Phais Mob thiab Kev Kho Mob Endovascular

Cov kev xaiv phais muaj xws li:

• Kev Hloov Pauv: Tus kws phais yuav tshem qhov puas tsuaj ntawm koj lub aorta thiab hloov nws nrog ib lub raj ua los ntawm cov nqaij cuav (kev hloov pauv). Nyob ntawm seb qhov kev phais loj npaum li cas, lawv kuj tseem yuav tsum kho koj lub aortic valve, aortic cag, lossis koj lub aortic arch thiab cov leeg ntshav uas nqa ntshav mus rau koj lub taub hau thiab caj npab. Qhov no yog kev phais qhib lub plawv thiab yog kev kho mob zoo tshaj plaws rau kev phais mob ceev hom A aortic.
• Kev kho cov stent endovascular-graft:Hauv cov txheej txheem no, tus kws kho mob kho koj lub aorta los ntawm sab hauv. Lawv siv lub stent graft. Qhov no yog ib lub raj yas ua los ntawm cov hlau nrog kev txhawb nqa (zoo li lub scaffold) txuas rau nws. Lub stent ua kom lub aorta tsis muaj zog. Qhov kev kho endovascular no yog qhov kev xaiv zoo tshaj plaws rau qhov nyuaj (ntshav ntws mus rau cov kab mob tseem ceeb raug thaiv, lossis muaj cov yam ntxwv muaj kev pheej hmoo siab ntawm CT scan) hom B dissection. Tus kws kho mob ua qhov no los ntawm kev ua ib qho me me hauv koj cov hlab ntsha femoral hauv koj lub puab tais thiab siv cov hlau thiab catheters.
• Txoj Kev Sib Xyaws: Hauv txoj kev kho mob no, tus kws kho mob siv ob qho kev phais qhib thiab cov txheej txheem endovascular stent-graft los kho lub aorta. Cov txheej txheem no yog siv thaum qhov kev kho mob xav tau nthuav dav mus txog rau ntawm aortic arch, uas muab ntshav rau lub hlwb thiab caj npab. Qhov no tuaj yeem ua tiav ua ib qho txheej txheem xwm txheej ceev rau kev phais hom A. Nws kuj tseem tuaj yeem ua tiav ua ib feem ntawm kev kho ob theem, siv txoj kev bypass los ntawm cov hlab ntsha hauv koj lub caj dab los pab npaj rau kev kho endovascular rau kev phais hom B.

Cov tshuaj kho mob

Tus kws kho mob yuav sau ntawv kom koj noj tshuaj xws li beta-blockers kom txo koj lub plawv dhia thiab ntshav siab. Qee zaum ntawm hom B aortic dissection, cov tshuaj ib leeg xwb yuav siv tau los kho qhov dissection thaum xub thawj. Nyob ntawm seb qhov mob hnyav npaum li cas thiab qhov loj ntawm qhov dissection, kev phais yuav ua tau ntau lub hlis lossis ntau xyoo tom qab.

Puas tiv thaiv tau kev tawg ntawm lub aorta?

Muaj ntau yam uas koj hloov tsis tau uas ua rau koj muaj feem yuav mob plawv tawg. Piv txwv li, qee yam mob plawv uas yug los, cov kab mob ntawm cov nqaij sib txuas, lossis cov yam ntxwv caj ces uas cuam tshuam nrog keeb kwm tsev neeg ntawm kev mob plawv tawg.

Txawm li cas los xij, koj tuaj yeem txo qee qhov kev pheej hmoo ntawm koj:

• Tswj koj cov ntshav siab.
• Tsis txhob haus luam yeeb kiag li.
• Tswj koj qhov hnyav kom noj qab nyob zoo.
• Ib txwm hnav txoj siv sia thaum caij tsheb kom tiv thaiv kev raug mob hauv siab thaum muaj xwm txheej.
• Mus kuaj mob tsis tu ncua, thiab mus ntsib kws kho mob yog tias koj pom muaj kev hloov pauv hauv koj txoj kev noj qab haus huv.
• Yog tias ib tug txheeb ze thawj zaug (niam txiv, menyuam, lossis kwv tij neej tsa) tau muaj aortic dissection, thov koj tus kws kho mob kom ntsuas koj qhov kev pheej hmoo ntawm kab mob aorta. Koj tus kws kho mob mam li saib xyuas koj thiab muab kev kho mob tsim nyog rau koj ua ntej muaj teeb meem aorta tshwm sim.

Yog tias koj raug kuaj pom tias muaj aortic aneurysm, mus ntsib kws kho mob uas tshwj xeeb hauv cov kab mob aortic (kws kho mob plawv lossis kws phais plawv). Lawv tuaj yeem soj ntsuam koj qhov kev pheej hmoo thiab, yog tias tsim nyog, saib xyuas koj rau kev phais los kho koj lub aorta.

Yog tias koj muaj aorta dissection, yuav muaj dab tsi tshwm sim?

Kev tawg ntawm cov hlab ntsha hauv lub plawv (aorta dissection) yog ib qho xwm txheej uas yuav ua rau tuag taus. Cov neeg uas muaj kev tawg ntawm cov hlab ntsha hauv lub plawv tam sim ntawd (hom A) muaj feem tuag ntau dua. Kwv yees li 40% ntawm cov neeg uas muaj kev tawg ntawm cov hlab ntsha hauv lub plawv hom A tuag tam sim ntawd, vim yog cov hlab ntsha hauv lub plawv tawg tag thiab los ntshav.

Cov neeg uas dim ntawm qhov xwm txheej ceev feem ntau yuav muaj kev phais mob ntev hauv cov feem ntawm lawv cov hlab ntsha aorta uas tsis tau kho. Qhov no yuav xav tau kev kho mob tom qab.

Nrog kev nce qib ntawm kev kho mob niaj hnub no, qhov kev kwv yees rau theem mob ntev tau zoo dua. Txawm li cas los xij, lub neej ntev tom qab kev phais plawv aorta luv dua li cov pej xeem feem ntau. Txawm li cas los xij, nrog kev kho mob sai thiab kev tswj hwm los ntawm pab pawg neeg aorta uas tau kawm tiav, nws muaj peev xwm ua neej nyob li qub tau ntau xyoo tom qab kev phais plawv aorta.

Kuv yuav saib xyuas kuv tus kheej li cas?

Feem ntau tus kws kho mob yuav sau ntawv kom noj tshuaj kho ntshav siab, xws li beta-blockers, los tswj koj cov ntshav siab thiab lub plawv dhia. Koj yuav tsum noj cov no mus tas koj lub neej . Tej zaum koj yuav xav tau ntau tshaj ib yam tshuaj kho ntshav siab.

Nws tseem ceeb heev kom tsis txhob haus luam yeeb tom qab kev phais plawv aorta.

Kev ua si aerobic xws li kev taug kev, caij tsheb kauj vab, thiab ua luam dej yog qhov zoo. Txawm li cas los xij, qee yam kev ua si, xws li nqa khoom hnyav (ntau dua ib nrab ntawm koj qhov hnyav hauv lub cev), yuav tsum tsis txhob ua. Lawv tuaj yeem ua rau koj cov ntshav siab thiab muab kev nyuaj ntxiv rau ntawm aorta.

Kuv yuav tsum mus ntsib kuv tus kws kho mob thaum twg?

Tom qab koj dim ntawm kev phais plawv aortic - txawm tias koj tsis tau phais - koj yuav tsum mus ntsib kws kho mob tsis tu ncua (feem ntau txhua 3 txog 12 lub hlis) rau kev thaij duab CT lossis MRI. Qhov no tso cai rau cov kws kho mob ntes tau txhua qhov kev hloov pauv thaum ntxov thiab ua raws li qhov ntawd.

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

Nov yog qee cov lus nug uas koj tuaj yeem nug koj tus kws kho mob:

• Kuv muaj hom kev txiav aortic twg?
• Kuv puas yuav tsum tau phais?
• Koj puas xa kuv mus rau ib pawg neeg txhawb nqa rau cov neeg uas tau muaj aorta dissection?

Qhov txawv ntawm aneurysm, rupture, thiab dissection yog dab tsi?

Cov lus no yuav ua rau me ntsis tsis meej pem, yog li cia peb piav qhia meej:

• Aortic aneurysm: Qhov no yog ib qho zoo li lub pob, zoo li lub pob nyob rau hauv ib qho chaw tsis muaj zog hauv phab ntsa ntawm koj lub aorta. Los yog tag nrho ib feem ntawm lub aorta tab tom bulging. Ib qho aortic aneurysm tuaj yeem ua rau aortic tawg lossis aortic dissection.
• Kev tawg ntawm lub plawv aorta: Qhov no yog kev rhuav tag nrho, lossis qhov, hauv phab ntsa ntawm lub plawv aorta, ua rau ntshav ntws los ntawm qhov mus rau thaj chaw ib puag ncig.
• Kev faib tawm ntawm lub plawv aorta:Qhov no yog ib qho kev tawg ntawm txheej sab hauv tshaj plaws ntawm lub aorta. Nws tso cai rau cov ntshav ntws los, cais cov txheej sab hauv thiab nruab nrab ntawm phab ntsa aortic ntxiv. Qhov no feem ntau tuaj yeem nthuav dav mus rau qhov deb ntawm ob qho kev taw qhia ntawm koj lub aorta, thiab kuj tuaj yeem kis mus rau cov hlab ntsha uas ceg tawm ntawm lub aorta.

Kev phais plawv aortic yog ib qho kev paub txaus ntshai thiab ua rau neeg tsis meej pem. Kev dim ntawm qhov no tuaj yeem yog ib lub hnab ntawm kev xav sib xyaw. Koj txoj kev xav yog qhov tseeb, thiab muaj lwm tus uas nkag siab txog koj qhov kev dhau los. Ua koj lub suab, nug cov lus nug txog txhua yam uas tsis meej. Noj koj cov tshuaj ntxiv, ua raws li koj tus kws kho mob cov lus qhia, thiab mus ntsib koj tus kws kho mob txhua lub sijhawm teem tseg.

Nws yog ib qho tseem ceeb heev uas yuav tsum mus rau lub chaw kho mob plawv aortic uas muaj kev paub dhau los hauv kev kho cov kab mob no thiab muaj kev txhawb nqa los ntawm ntau tus kws tshwj xeeb. Cov txiaj ntsig tau los ntawm cov chaw no zoo dua li cov uas kho cov neeg mob me me.

Cov lus tseem ceeb tshaj plaws uas yuav tsum coj mus tsev

Yog li, tej zaum koj twb nkag siab lawm tias Aortic Dissection yog ib qho mob uas tshwm sim sai sai, txaus ntshai heev, thiab ua rau tuag taus. Yog tias koj mob hauv siab, mob nraub qaum, lossis muaj cov tsos mob ntawm tus mob stroke, tsis txhob tsis quav ntsej. Nrhiav kev kho mob tam sim ntawd.

• Lub sijhawm yog lub neej: Kev kuaj mob thaum ntxov thiab kev kho mob tuaj yeem cawm tau ib tug neeg txoj sia.
• Paub txog tej yam uas ua rau muaj kev pheej hmoo: Paub txog tej yam xws li ntshav siab, haus luam yeeb, thiab keeb kwm tsev neeg. Sim tswj lawv.
• Kev kho mob thiab kev saib xyuas kom zoo: Siv cov tshuaj uas koj tus kws kho mob tau sau tseg raws li tau sau tseg. Mus kuaj mob raws sijhawm.
• Kev pab los ntawm cov kws tshaj lij: Yog tias ua tau, nrhiav kev kho mob los ntawm ib lub chaw kho mob tshwj xeeb uas kho cov kab mob no.

Peb vam tias cov ntaub ntawv no yuav pab tau koj. Nyob zoo!

` Kev txiav cov hlab ntsha hauv lub plawv (aorta dissection), cov hlab ntsha hauv lub plawv (aorta), mob hauv siab, kab mob plawv, ntshav siab, phais, kev kho mob thaum muaj xwm ceev