Koj tus kws kho mob puas tau hais tias cov hlab ntsha tseem ceeb uas nqa cov ntshav oxygen los ntawm koj lub plawv thoob plaws koj lub cev tau qaug zog thiab tsim ib lub pob zoo li lub npas ntawm nws lub hauv paus? Los yog tej zaum lawv tau hais tias koj yuav tsum tau phais rau qhov no? Nws yog ib qho ntuj tsim uas yuav xav tias ntxhov siab thaum koj hnov qhov no, tab sis thov paub tias qhov no yog ib qho txheej txheem tseem ceeb uas tsim los cawm koj txoj sia. Hnub no, peb yuav tham txog qhov tseeb tias Aortic Root Replacement yog dab tsi, nws ua li cas, thiab txhua yam koj xav paub txog cov txheej txheem no ntawm Nirogi Lanka.
Hais yooj yim xwb, kev hloov pauv ntawm Aortic Root yog dab tsi?
Lub aorta yog lub hlab ntsha loj tshaj plaws thiab tseem ceeb tshaj plaws hauv koj lub cev, txuas ncaj qha rau koj lub plawv. Thawj ntu uas lub aorta txuas rau koj lub plawv hu ua "Aortic Root." Qee zaum, phab ntsa ntawm ntu no qaug zog thiab pib bulge zoo li lub balloon. Qhov no yog qhov peb hu ua "Aneurysm."
Qhov kev pheej hmoo tseem ceeb ntawm kev muaj aneurysm yog tias nws tuaj yeem rhuav (dissect) lossis tawg (rupture) txhua lub sijhawm. Yog tias qhov no tshwm sim, nws tuaj yeem ua rau los ntshav sab hauv hnyav, uas yog qhov xwm txheej ceev uas hem txoj sia.
Thaum lub sijhawm hloov cov hauv paus ntawm lub plawv (Aorta), koj tus kws phais yuav tshem tawm qhov uas lub plawv tsis muaj zog thiab loj hlob ntawm lub plawv (aorta) thiab muab ib txoj hlab ntshav cuav los hloov. Txoj kev kho mob no yuav tiv thaiv tau cov teeb meem txaus ntshai no thiab pab tiv thaiv koj txoj sia.
Cov hom phais mob no yog dab tsi?
Muaj ob txoj kev phais mob tseem ceeb. Raws li koj tus mob tshwj xeeb, koj tus kws phais yuav txiav txim siab txoj hauv kev zoo tshaj plaws rau koj txoj kev rov zoo.
| Hom phais | Kev piav qhia |
|---|---|
| Kev Hloov Paug Aortic (ARR) / Kev Kho Mob Bentall | Hauv cov txheej txheem no, cov hauv paus hniav ntawm koj lub aorta uas puas lawm raug hloov nrog rau lub aortic valve siv cov khoom siv hluavtaws thiab lub valve tshiab. Qhov no yog tus qauv kub yog tias koj lub aortic valve xau lossis calcified hnyav. Yog tias siv lub mechanical valve, koj yuav tsum noj tshuaj anticoagulant mus tas li kom tiv thaiv cov ntshav txhaws. |
| Kev Hloov Kho Hauv Paus Uas Tsis Txhob Siv Lub Qhov (VSRR) | Raws li lub npe qhia, cov txheej txheem no tsuas yog hloov qhov tsis muaj zog ntawm cov hlab ntsha thaum tseem khaws koj tus kheej lub plawv dhia aortic kom zoo. Qhov no zoo tagnrho rau cov neeg mob hluas lossis cov neeg uas muaj teeb meem ntawm cov nqaij sib txuas (xws li Marfan syndrome) uas muaj lub plawv dhia zoo. Qhov txiaj ntsig tseem ceeb yog tias koj feem ntau tsis xav tau cov tshuaj thinning ntshav mus tas li. Muaj ob txoj hauv kev tseem ceeb: txoj kev Yacoub thiab txoj kev David. |
Cov hom VSRR
VSRR yog ua tiav los ntawm kev siv ib qho ntawm ob txoj kev tseem ceeb: Yacoub thiab David cov txheej txheem.
- Kev kho mob Yacoub: Qhov no suav nrog kev kho dua tshiab lub hauv paus aortic kom haum rau lub valve qub. Nws feem ntau haum rau cov neeg mob laus lossis cov neeg uas tsis yog los ntawm cov kab mob caj ces.
- David txoj kev kho mob: Qhov no suav nrog kev rov cog lub valve rau hauv ib qho khoom siv hluavtaws. Txawm hais tias nws nyuaj dua, nws siv dav thiab pom zoo rau cov neeg mob hluas uas muaj cov mob caj ces zoo li Marfan syndrome.
Leej twg xav tau kev phais mob no thiab thaum twg?
Yog tias cov hauv paus ntawm koj lub aorta loj zuj zus, koj yuav muaj feem yuav tawg lossis tawg, uas ua rau kev phais mob tseem ceeb. Txawm hais tias qhov no tuaj yeem tshwm sim vim yog kev laus, cov mob caj ces xws li Marfan syndrome lossis Loeys-Dietz syndrome tuaj yeem ua rau cov aneurysms txaus ntshai no tshwm sim ntxov dua hauv lub neej.
Cov kev txiav txim siab txog kev phais yog raws li qhov loj ntawm lub aneurysm thiab koj qhov kev pheej hmoo tshwj xeeb:
- Yog tias koj tsis muaj kev pheej hmoo ntawm kev xeeb tub, feem ntau pom zoo kom phais thaum lub cheeb ntawm lub qog nce mus txog 5.5 cm .
- Yog tias koj muaj Marfan syndrome, qhov txwv feem ntau yog 5.0 cm .
- Yog tias koj muaj Marfan syndrome ua ke nrog keeb kwm tsev neeg ntawm aortic dissection, npaj cev xeeb tub, lossis loj hlob sai (ntau tshaj 3 hli hauv ib xyoos), kev phais yuav raug pom zoo ntawm 4.5 cm .
- Yog tias koj muaj lub qhov (bicuspid aortic valve) thiab lwm yam kev pheej hmoo xws li ntshav siab uas tsis tuaj yeem tswj tau, kev kho mob feem ntau yuav raug txiav txim siab ntawm 5.0 cm .
Qhov tseem ceeb tshaj plaws, cov kev txiav txim siab no yog raws li tus kheej xav tau. Koj tus kws phais mob Nirogi Lanka yuav txiav txim siab lub sijhawm zoo tshaj plaws rau koj txoj kev kho mob raws li koj lub hnub nyoog, kev noj qab haus huv tag nrho, thiab keeb kwm kev kho mob.
Yuav Npaj Li Cas Rau Koj Txoj Kev Phais Mob
Vim tias qhov no yog ib qho kev kho mob loj, kev npaj kom zoo yog qhov tseem ceeb heev. Koj pab neeg kho mob yuav ua qhov kev ntsuam xyuas kom meej:
- Kev kuaj ntshav: Txhawm rau soj ntsuam koj lub raum thiab kev ua haujlwm ntawm lub cev tag nrho.
- CT lossis Cardiac MRI: Txhawm rau kom tau txais daim ntawv qhia ntxaws ntxaws ntawm koj tag nrho cov aorta.
- Kev kuaj mob plawv (Coronary angiography): Yuav kom paub tseeb tias cov hlab ntsha uas muab rau koj lub plawv noj qab nyob zoo.
- Duplex ultrasound: Txhawm rau kuaj xyuas kev noj qab haus huv ntawm koj cov hlab ntsha carotid hauv caj dab.
Koj yuav tsum tham nrog koj tus kws kho mob txog cov hauv qab no:
- Txhua yam tshuaj: Qhov no suav nrog cov vitamins, cov tshuaj ntsuab, thiab cov tshuaj uas yuav tsis tas yuav muaj daim ntawv yuav tshuaj, qee yam yuav tsum tau tsum tsis txhob noj ua ntej phais.
- Cov mob uas twb muaj lawm: Cov mob xws li ntshav siab yuav tsum tau tswj hwm nruj me ntsis ua ntej phais.
- Haus Luam Yeeb: Koj yuav tsum tso tseg haus luam yeeb tsawg kawg yog ib hlis ua ntej phais. Thov nug koj pab neeg Nirogi Lanka yog tias koj xav tau kev pab txhawb nqa kom tso tseg.
Thaum lub sijhawm thiab tom qab txheej txheem
Thaum lub sijhawm phais mob, koj yuav raug muab tshuaj loog rau hauv qab. Koj yuav raug txuas rau lub tshuab cardiopulmonary bypass , uas yuav ua haujlwm ntawm koj lub plawv thiab lub ntsws ib ntus, cia tus kws phais mob ua haujlwm rau lub plawv uas ruaj khov thiab tsis txav.
Tus kws phais yuav ua ib qho kev phais hauv koj lub hauv siab, tshem tawm qhov seem ntawm lub plawv uas tsis muaj zog, thiab hloov nws nrog ib txoj hlab ntsha cuav. Cov hlab ntsha hauv lub plawv mam li rov txuas rau ntawm txoj hlab ntsha ua ntej qhov kev phais raug kaw. Feem ntau cov txheej txheem yuav siv sijhawm 4 txog 6 teev .
Tom qab phais mob tas, koj yuav siv sijhawm nyob hauv Chav Saib Xyuas Mob Hnyav (ICU) ua ntej tsiv mus rau chav kho mob dav dav. Feem ntau koj yuav nyob hauv tsev kho mob li ib lub lim tiam, thiab koj yuav raug saib xyuas zoo thiab muab kev tswj qhov mob thiab cov tshuaj tsim nyog rau koj.
Lub Sijhawm Rov Qab Zoo yog dab tsi?
Feem ntau yuav siv sijhawm li 6 txog 12 lub lis piam los kho kom rov zoo tom qab phais mob loj no, thiab qee zaum yuav siv sijhawm ntau lub hlis. Koj lub cev xav tau sijhawm thiab kev ua siab ntev kom kho tau zoo tom qab phais mob nyuaj heev.
- Rau 6 lub lim tiam thawj zaug: Tsis txhob tsav tsheb, tsa khoom hnyav, lossis ua tej yam nyuaj.
- Rau cov hauj lwm hauv rooj: Tej zaum koj yuav rov qab mus ua hauj lwm tau li ntawm 6-8 lub lis piam.
- Rau cov haujlwm uas siv zog ntau: Koj yuav tsum tau tos ntev dua, raws li koj pab neeg saib xyuas kev noj qab haus huv qhia.
Ua raws li koj tus kws kho mob cov lus qhia kom meej thiab koom nrog cov kev pab cuam kho lub plawv yuav pab koj kom rov zoo sai dua thiab du dua.
Thaum Twg Yuav Tsum Nrhiav Kev Kho Mob Tam Sim Ntawd
Tom qab koj rov qab los tsev, yog tias koj pom ib qho ntawm cov tsos mob hauv qab no, hu rau koj tus kws kho mob tam sim ntawd.
| Cov tsos mob uas yuav tsum tau saib xyuas | |
|---|---|
| Kev Txhawj Xeeb Txog Kev Phais Mob: | |
| |
| Lwm Yam Kev Txhawj Xeeb: | |
|
Yuav Ua Li Cas Paub Txog Xwm Ceev
Yog tias koj muaj ib qho aneurysm uas tsis tau kho, cov tsos mob hauv qab no yuav qhia tau tias nws tawg lossis tearing. Yog tias muaj xwm txheej zoo li no, nrhiav kev kho mob ceev nrooj tam sim ntawd los ntawm kev mus rau chav kho mob ceev nrooj ze tshaj plaws lossis hu rau 911 (lossis koj cov kev pabcuam xwm txheej ceev nrooj hauv zos).
- Mob sai sai hauv siab lossis sab nraub qaum sab saud uas tsis tuaj yeem ua tau (feem ntau piav qhia tias yog kev mob kua muag lossis kev mob dua).
- Tawm hws ntau thiab tawv nqaij txias, ntub dej.
- Ua pa nyuaj.
- Kiv taub hau los yog tsaus muag.
- Lub plawv dhia ceev lossis tsis xwm yeem.
Cov Ntsiab Lus Tseem Ceeb (Nirogi Lanka)
- Kev phais hloov cov hauv paus ntawm lub plawv (Aorta) yog ib txoj kev phais uas cawm txoj sia uas ua rau ntawm qhov pib ntawm lub plawv uas tsis muaj zog.
- Muaj ob hom kev phais mob no: ib qho yog hloov lub plawv dhia (ARR) thiab ib qho yog khaws cia (VSRR). Koj tus kws phais yuav txiav txim siab seb txoj kev zoo tshaj plaws rau koj.
- Txawm hais tias kev kho kom zoo tag nrho yuav siv sijhawm ntau lub hlis los xij, qhov ua tiav thiab cov feem pua ntawm kev ciaj sia rau cov txheej txheem no yog siab heev (kwv yees li 98% -99%).
- Ua raws li cov lus qhia kho mob ua ntej thiab tom qab phais mob kom zoo yog qhov tseem ceeb rau kev rov zoo.
- Tsis txhob yig los tham txog tej lus nug lossis kev ntshai nrog koj tus kws kho mob. Txawm hais tias cov txheej txheem no yog ib txwm muaj rau cov kws kho mob, nws yog ib qho kev paub tseem ceeb rau koj, thiab nws yog ib qho ib txwm muaj kev txhawj xeeb.
Kev Hloov Paug Aortic, Aorta, Kev Phais Plawv, Aneurysm, Kev Kho Mob Bentall, Marfan syndrome, Aortic valve, Kab Mob Plawv, Kev Phais Plawv
