Ntshai kev phais hloov cov hauv paus hniav Aortic? Cia peb tham txog nws yooj yim! (Kev hloov cov hauv paus hniav Aortic)

Tus kws kho mob puas tau qhia koj tias cov hlab ntsha tseem ceeb uas nqa cov ntshav los ntawm koj lub plawv mus rau koj lub cev tag nrho tau qaug zog thiab muaj qhov o ntawm lub hauv paus? Los yog nws puas tau qhia koj tias koj yuav tsum tau phais? Nws yog ib qho ib txwm muaj uas yuav ntshai me ntsis thaum koj hnov ​​​​​​ib yam dab tsi zoo li ntawd. Tab sis qhov no yog ib qho kev phais tseem ceeb heev uas tuaj yeem cawm koj txoj sia. Hnub no, peb yuav tham txog qhov kev phais hloov Aortic Root no yog dab tsi, nws ua li cas, thiab txhua yam koj xav paub txog nws.

Hais yooj yim xwb, Aortic Root Replacement yog dab tsi?

Cov hlab ntsha loj tshaj plaws thiab tseem ceeb tshaj plaws hauv lub cev, lub aorta, txuas nrog peb lub plawv. Thawj feem ntawm lub aorta no uas nws txuas nrog lub plawv hu ua aortic cag. Qee zaum phab ntsa ntawm qhov no yuav tsis muaj zog thiab pib bulge zoo li lub npas. Qhov no hu ua aneurysm.

Yog li ntawd, kev phais mob 'Aortic Root Replacement' suav nrog kev tshem tawm cov hauv paus ntawm aorta uas tsis muaj zog thiab o thiab hloov nws nrog ib txoj hlab ntsha cuav (graft). Qhov no tuaj yeem tiv thaiv cov mob txaus ntshai uas kuv tau hais thiab cawm koj txoj sia.

Cov hom phais mob no yog dab tsi?

Muaj ob txoj kev tseem ceeb rau kev ua qhov kev phais no. Koj tus kws kho mob yuav xaiv txoj kev uas zoo tshaj plaws rau koj raws li koj tus mob.

Cov ntu ntawm kev phais VSRR

Kev phais VSRR tseem muab faib ua ob txoj kev: Yacoub thiab David txoj kev.

• Kev kho mob Yacoub: Qhov no suav nrog kev kho dua tshiab ntawm lub plawv aortic. Qhov no haum dua rau cov neeg laus uas tau tsim aneurysm vim yog cov laj thawj tsis yog caj ces.
• Kev kho mob David: Qhov no suav nrog kev rov cog dua lub plawv aortic valve. Qhov no nyuaj dua li kev kho mob Yacoub me ntsis, tab sis nws siv ntau dua. Nws yog qhov tshwj xeeb tshaj yog rau cov tub ntxhais hluas uas muaj cov kab mob caj ces xws li 'Marfan syndrome'.

Leej twg xav tau kev phais mob no thiab thaum twg?

Cov neeg uas muaj cov hauv paus aortic o thiab muaj feem yuav tawg lossis ntuag yuav tsum tau phais mob no. Qee zaum qhov mob no tshwm sim vim muaj kev hloov pauv uas tshwm sim nrog hnub nyoog. Tsis tas li ntawd, cov kab mob caj ces xws li Marfan syndrome thiab Loeys-Dietz syndrome tuaj yeem ua rau muaj qhov aneurysm txaus ntshai no thaum lawv tseem hluas.

Feem ntau pom zoo kom phais raws li qhov loj ntawm lub aneurysm thiab lwm yam kev pheej hmoo.

• Yog tias tsis muaj lwm yam kab mob caj ces lossis cov yam ua rau muaj kev pheej hmoo, qhov txoj kab uas hla ntawm aneurysm tshaj 5.5 centimeters .
• Yog tias koj muaj Marfan syndrome, qhov txoj kab uas hla loj dua 5.0 centimeters .
• Yog tias koj muaj Marfan syndrome, uas yog koj tsev neeg muaj keeb kwm mob aneurysm no, tab tom npaj yuav cev xeeb tub, lossis yog tias aneurysm loj hlob sai dua 3 millimeters hauv ib xyoos, tej zaum yuav pom zoo kom phais txawm tias nws muaj txoj kab uas hla 4.5 centimeters los xij.
• Yog tias koj muaj lub qhov valve bicuspid aortic (tsuas yog ob lub cusps) thiab lwm yam kev pheej hmoo, xws li ntshav siab, kev phais yuav raug pom zoo ntawm txoj kab uas hla ntawm 5.0 centimeters .

Koj npaj li cas ua ntej phais?

Vim qhov no yog ib qho kev phais loj, nws yuav tsum tau npaj kom zoo. Koj tus kws kho mob yuav kuaj koj kom zoo thiab xaj ntau yam kev kuaj mob uas tsim nyog.

• Kev kuaj ntshav: Xyuas seb lub raum ua haujlwm li cas.
• Kev luam theej CT lossis MRI ntawm lub plawv: Tshuaj xyuas txhua qhov ntawm cov aorta.
• Kev kuaj mob plawv (Coronary angiography): Saib cov mob ntawm cov hlab ntsha plawv uas muab ntshav mus rau lub plawv.
• Kev kuaj mob ultrasound duplex: Tshawb xyuas kev noj qab haus huv ntawm cov hlab ntsha hauv caj dab (cov hlab ntsha carotid).

Tsis tas li ntawd, koj yuav tsum nrog koj tus kws kho mob tham txog cov no:

• Txog txhua yam tshuaj uas koj noj: Qhov no suav nrog cov vitamins thiab txawm tias cov tshuaj ntsuab. Tej zaum yuav muaj tej yam tshuaj uas yuav kom koj tsum tsis txhob noj ua ntej phais.
• Txog lwm yam kab mob uas koj muaj: Tej yam xws li ntshav siab yuav tsum tau tswj kom zoo ua ntej phais.
• Yog koj haus luam yeeb: Koj yuav tsum tsum tsis txhob haus luam yeeb kiag li tsawg kawg yog ib hlis ua ntej phais. Nug koj tus kws kho mob kom pab koj nrog qhov no.

Muaj dab tsi tshwm sim thaum lub sijhawm phais thiab tom qab phais?

Thaum lub sijhawm phais mob, koj yuav raug muab tshuaj loog thiab pw tsaug zog tag nrho. Tom qab ntawd koj yuav raug txuas rau lub tshuab plawv-ntsws (cardiopulmonary bypass) . Lub tshuab no yuav ua haujlwm ntawm koj lub plawv thiab ntsws thaum lub sijhawm phais mob.

Tus kws phais yuav txiav ib qho chaw hauv nruab nrab ntawm koj lub hauv siab, nkag mus rau hauv koj lub plawv, tshem tawm qhov tsis muaj zog ntawm cov hlab ntsha, thiab hloov nws nrog ib txoj hlab ntsha tshiab (graft). Cov hlab ntsha coronary uas muab ntshav rau lub plawv ces txuas nrog txoj hlab ntsha tshiab thiab qhov phais yuav raug xaws kaw. Kev phais no feem ntau siv sijhawm li 4 txog 6 teev .

Tom qab phais tas, koj yuav tsum tau nyob hauv chav saib xyuas mob hnyav (ICU) ob peb hnub. Tom qab ntawd koj yuav raug xa mus rau chav kho mob ib txwm. Tag nrho kev nyob hauv tsev kho mob yuav siv sijhawm li ib lub lim tiam. Thaum lub sijhawm no, koj yuav tau txais tshuaj tua kab mob, tshuaj ua kom ntshav nyias, thiab lwm yam kev kho mob tsim nyog.

Yuav siv sijhawm ntev npaum li cas thiaj rov zoo?

Nws yuav siv sijhawm li ntawm 6 txog 12 lub lis piam , lossis tej zaum ob txog peb lub hlis, kom rov zoo tag nrho los ntawm kev phais mob no. Qhov no yog kev phais mob loj, yog li koj yuav tsum muab sijhawm rau koj lub cev kho.

• Rau 6 lub lis piam: Tsis txhob tsav tsheb lossis nqa khoom hnyav.
• Rau ib txoj haujlwm hauv chaw ua haujlwm: Koj yuav tuaj yeem rov qab los li ntawm 6-8 lub lis piam.
• Rau ib txoj haujlwm uas siv zog ntau: Koj yuav tsum tos ntev dua.

Ua raws li koj tus kws kho mob cov lus qhia kom meej thiab koom nrog cov kev pab cuam kho mob plawv yuav pab tau koj kom rov zoo sai.

Thaum twg yuav tsum mus ntsib kws kho mob tam sim ntawd

Tom qab koj rov qab los tsev, yog tias koj muaj ib qho ntawm cov tsos mob hauv qab no , hu rau koj tus kws kho mob tam sim ntawd.

Yuav ua li cas thiaj paub txog qhov xwm txheej ceev?

Yog tias koj muaj aneurysm uas tsis tau kho, cov tsos mob hauv qab no yuav yog ib qho cim qhia tias lub aneurysm tawg lossis tawg. Yog li ntawd , tam sim ntawd mus rau lub tsev kho mob ze tshaj plaws Chav Kho Mob Thaum Muaj Xwm Ceev (ETU) lossis hu rau 1990 lub tsheb thauj neeg mob.

• Mob sai sai hauv siab lossis sab nraub qaum sab saud uas tsis tuaj yeem ua tau (zoo li muaj ib yam dab tsi raug rhuav tawm ntawm sab hauv lub cev).
• Tawm hws thiab xav tias ntub dej.
• Ua pa nyuaj.
• Kiv taub hau los yog tsaus muag.
• Lub plawv dhia ceev ceev.