Kab mob Aortoiliac Occlusive yog dab tsi? Koj puas muaj teeb meem ntshav ntws mus rau koj ob txhais ceg tsawg dua? Cia peb tham txog qhov no!

Koj puas muaj tej lub sij hawm mob ceg thaum koj taug kev? Puas mob ploj mus tom qab sawv ib pliag? Los yog koj puas hnov ​​​​​​mob loog lossis txias hauv koj ob txhais ceg? Cov no yuav yog cov cim qhia tias muaj qee yam loj heev. Hnub no peb yuav tham txog ib qho mob hu ua 'Aortoiliac Occlusive Disease', uas muaj lub npe nyuaj me ntsis, tab sis tuaj yeem cuam tshuam rau ntau tus neeg. Tsis txhob txhawj, cia peb piav qhia qhov no yooj yim.

Kab mob Aortoiliac Occlusive yog dab tsi?

Hais yooj yim xwb, qhov no yog qhov txhaws hauv cov hlab ntsha tseem ceeb uas xa cov ntshav mus rau qhov qis ntawm peb lub cev. Tus mob no yog ib pawg kab mob loj hu ua 'Peripheral Artery Disease (PAD),' uas yog hais txog cov hlab ntsha uas xa cov ntshav mus rau cov ceg.

Kab mob no feem ntau cuam tshuam rau sab qis ntawm lub '(Aorta)', uas yog cov hlab ntsha loj tshaj plaws hauv peb lub cev, thiab cov hlab ntsha hu ua '(Iliac arteries)'. Lub '(Aorta)' yog cov hlab ntsha tseem ceeb uas nqa ntshav los ntawm lub plawv mus rau hauv siab mus rau lub plab. Cov '(Iliac arteries)' yog ob ceg tseem ceeb ntawm '(Aorta)' no uas faib ua ob ze ntawm lub plab thiab nqa ntshav mus rau ob txhais ceg.

Tam sim no, qhov uas tshwm sim hauv tus kab mob no yog tias ib yam dab tsi hu ua '(Plaque)' sib sau ua ke hauv cov hlab ntsha no. '(Plaque)' yog ib yam khoom nplaum uas ua los ntawm cov khoom xws li roj thiab roj cholesterol. Xav txog, qhov no yog ib yam dab tsi zoo li xeb thiab av uas sib sau ua ke hauv cov kav dej hauv peb lub tsev dhau sijhawm.

Muaj ob qho laj thawj vim li cas qhov '(Plaque)' no thiaj txaus ntshai:

• Txo qhov chaw hauv cov hlab ntsha: Thaum cov 'Plaque' no loj hlob tuaj, qhov chaw hauv cov hlab ntsha yuav me dua. Tom qab ntawd cov ntshav ntws yuav raug thaiv, zoo li tsheb sib tsoo.
• Ua rau muaj '(Embolus): Qee zaum ib daim ntawm '(Plaque)' no tuaj yeem tawg thiab mus nrog cov ntshav. Ib daim uas tawg zoo li no hu ua '(Embolus).' Yog tias '(Embolus)' no daig rau hauv ib txoj hlab ntshav me me, cov ntshav ntws los ntawm qhov ntawd yuav nres kiag li.

Qhov no cuam tshuam li cas rau peb lub cev?

Kab mob Aortoiliac Occlusive yog ib yam mob uas cov ntshav ntws hauv Aorta thiab Iliac arteries raug thaiv. Qhov no ua rau muaj ntau yam teeb meem vim tias cov ntshav uas muaj oxygen tsis mus txog cov nqaij ntawm peb lub cev kom raug. Yuav kom nkag siab qhov no, koj yuav tsum paub me ntsis txog cov hlab ntsha no.

Peb lub '(Aorta)' zoo li txoj kev loj hauv nroog. Los ntawm txoj kev loj no, ntau txoj kev sab coj cov ntshav mus rau ntau qhov ntawm lub cev. Piv txwv li, '(Cov hlab ntsha hauv lub raum)', uas muab cov ntshav rau peb lub raum, faib tawm ntawm '(Aorta).' Qhov kev faib no yog qhov txwv siab tshaj plaws uas '(Aortoiliac Occlusive Disease)' tuaj yeem pib. Cov kws kho mob hu qhov ntawm '(Aorta)' hauv qab '(Cov hlab ntsha hauv lub raum)' no, mus txog rau ntawm lub puj ntaws, '(Infrarenal aorta)'.

Tam sim no, ntawm lub hauv paus ntawm lub pob txha taub hau, qhov 'Aorta' no faib ua ob , zoo li 'Y' tig rau sab saud . Cov no yog ob lub hlab ntsha hu ua sab xis thiab sab laug '(Common iliac artery)'. Cov ceg no faib ntxiv thiab muab ntshav rau cov qhov hauv qab no ntawm peb lub cev:

• Thaj chaw ntawm lub pob tw
• Ceg thiab taw
• Thaj tsam ntawm lub duav
• Cov ntu ntawm lub cev txiv neej thiab poj niam yug me nyuam
• Cov kabmob ntawm lub plab mog (piv txwv li, zis, siab)

Qhov mob hnyav npaum li cas nyob ntawm seb qhov twg ntawm 'Y' no raug thaiv thiab nws raug thaiv hnyav npaum li cas. Qee zaum, yog tias tsuas yog ib qho me me raug thaiv, tej zaum yuav tsis muaj cov tsos mob loj. Qhov no yog vim tias cov ntshav tuaj yeem mus ncig qee qhov los ntawm lwm cov leeg me me. Tab sis yog tias nws raug thaiv ntau heev, cov tsos mob yuav hnyav dua thiab muaj feem yuav muaj teeb meem ntau dua.

Leej twg yuav muaj tus kab mob no tshaj?

Kwv yees li ntawm 6 lab tus tib neeg uas muaj hnub nyoog tshaj 40 xyoo hauv Tebchaws Meskas xwb muaj tus kab mob no. Qhov kev pheej hmoo ntawm kev mob no yuav nce ntxiv thaum lawv laus zuj zus. Piv txwv li, kwv yees li 5% ntawm cov neeg uas muaj hnub nyoog 50 xyoo muaj tus kab mob no, tab sis ntau tshaj 20% ntawm cov neeg uas muaj hnub nyoog 80 xyoo yuav muaj tus kab mob no. Tsis tas li ntawd, tus kab mob no feem ntau tshwm sim rau cov txiv neej thiab cov neeg dub.

Qhov no puas yuav ua rau muaj kev phom sij rau lub neej?

Yog, yog tias tsis kho kom zoo, Aortoiliac Occlusive Disease tuaj yeem ua rau muaj teeb meem loj heev, qee zaum ua rau tuag taus. Cov no yog cov teeb meem tseem ceeb uas tuaj yeem tshwm sim:

• Kev Txiav Tes: Qhov no txhais tau tias txiav thiab tshem tawm ib feem ntawm lub cev, xws li ib ceg. Qhov no tshwm sim vim tias cov nqaij tuag thaum cov ntshav tsis txaus.
• `(Plawv nres)` (Plawv nres): Mob plawv nres.
• `(Lub plawv tsis ua haujlwm)` (Lub plawv tsis ua haujlwm): Lub plawv tsis ua haujlwm.
• `(Gangrene): Kev tuag thiab lwj ntawm cov ntaub so ntswg.

Yog li ntawd, nws yog ib qho tseem ceeb heev uas yuav tsum tau them sai sai rau cov tsos mob no.

Cov tsos mob yog dab tsi?

Tej zaum ib txhia neeg yuav tsis muaj tsos mob li. Txawm li cas los xij, yog tias lawv muaj tsos mob, tej zaum yuav muaj xws li:

• Kev ua tsis taus zog ntawm lub cev (ED): Cov txiv neej tsis muaj peev xwm ua tau lossis tswj tau lub cev thaum sib deev. Qhov no kuj tuaj yeem cuam tshuam nrog tus kab mob no.
• `(Kev mob pob qij txha tsis tu ncua)` (Kev mob pob qij txha tsis tu ncua): Qhov no yog ib qho tsos mob loj uas ntau tus neeg ntsib. Piv txwv li, thaum ua si nawv, thaum taug kev, muaj mob, nruj, lossis mob hauv pob tw lossis ceg. Nws ploj mus tom qab so ib pliag. Xav txog tias hauv peb lub zos, thaum Txiv ntxawm Somapala mus rau lub khw, tom qab taug kev luv luv, nws nres thiab hais tias, "Ah, kuv ceg!", thiab tom qab ib pliag, nws rov qab mus dua. Qhov ntawd yog ib qho xwm txheej zoo sib xws.
• Mob Thaum So: Mob ob txhais ceg uas ua rau koj sawv thaum hmo ntuj. Qhov mob no tuaj yeem tshwm sim tshwj xeeb tshaj yog thaum koj ob txhais ceg raug tsa siab, vim tias lub ntiajteb txawj nqus ua rau cov ntshav ntws mus rau hauv ob txhais ceg tsawg dua.
• Cov qhov txhab: Cov qhov txhab uas tsis kho tau ntawm daim tawv nqaij, hu ua cov qhov txhab, tuaj yeem pom ntawm ob txhais ceg lossis hauv qab taw.

Yog koj muaj ib qho ntawm cov tsos mob no, koj yuav tsum mus ntsib kws kho mob. Vim tias yog koj paub cov cim ntawm 'Aortoiliac Occlusive Disease' thaum ntxov, nws yuav yooj yim dua rau kev kho.

Koj tus kws kho mob kuj tseem yuav kuaj xyuas seb puas muaj teeb meem nrog cov ntshav ntws hauv lwm qhov ntawm koj lub cev, xws li cov hlab ntsha carotid hauv koj lub caj dab lossis cov hlab ntsha coronary hauv koj lub plawv. Feem ntau, yog tias cov plaque tsim nyob rau hauv ib feem ntawm koj lub cev, nws yuav nyob rau hauv lwm qhov thiab.

Xwm Ceev: Kev Txhaws Ntshav Hauv Cov Ntshav Loj Hlob

Txawm li cas los xij, qee zaum, thaum tus mob hnyav zuj zus, qhov xwm txheej ceev hu ua "Acute arterial occlusion" tuaj yeem tshwm sim. Qhov no txhais tau tias ib feem ntawm koj lub cev, feem ntau yog ceg lossis ko taw, tsis muaj cov ntshav uas muaj oxygen ntau. Qhov no yog qhov xwm txheej ceev kho mob uas xav tau kev kho mob tam sim ntawd! Qhov no hu ua 'rau Ps' thiab muaj ob peb yam tsos mob:

• Mob: Mob heev thiab tsis tuaj yeem ua tau. Qhov no yog thawj qhov koj hnov.
• Xim daj: Daim tawv nqaij ntawm ceg uas raug mob yuav daj heev.
• Lub plawv dhia tsis txaus: Lub plawv dhia hauv thaj chaw ntawd tsis muaj zog heev, lossis tsis hnov ​​​​dua.
• Poikilothermia (txias): Thaum kov, ceg ntawd yuav txias dua li lwm ceg.
• Paresthesia (tsis muaj zog): Zoo li koj ob txhais ceg tsis muaj zog, zoo li cov ntsaum khiav ib ncig, lossis zoo li cov koob thiab koob .
• Kev tuag tes tuag taw: Tus ceg uas raug mob tsis tuaj yeem kov lossis txav tau.

Yog koj muaj cov tsos mob no, hu rau 911 lossis mus rau chav kho mob ceev hauv tsev kho mob ze tshaj plaws tam sim ntawd! Txhua feeb muaj nqis. Qhov ntev ntawm cov ntshav ntws raug thaiv, qhov ntau ntawm cov nqaij raug puas tsuaj. Hauv cov xwm txheej hnyav, kev txiav ceg lossis kev tuag yuav tshwm sim.

Vim li cas ho ua li no?

Qhov ua rau muaj tus kab mob "Aortoiliac Occlusive Disease" no yog ib yam mob hu ua "(Atherosclerosis) . Hais yooj yim xwb, qhov no txhais tau hais tias cov "Plaque" uas tau hais ua ntej lawm maj mam tsim nyob rau hauv cov hlab ntsha ntawm lub cev. Hauv tus kab mob no, cov "Plaque" ntawd tau tso rau hauv qab ntawm "(Aorta)" thiab "(Iliac arteries" (cov hlab ntsha Iliac).

Sib nrug ntawm qhov ntawd, tej zaum yuav muaj ntau lwm yam tsis tshua muaj:

• Yog tias koj tau txais kev kho mob hluav taws xob rau thaj tsam ntawm lub duav.
• Kev o ntawm cov hlab ntsha, ib yam mob hu ua "vasculitis".

Cov yam ua rau muaj kev pheej hmoo yog dab tsi?

Vim tias leej twg los yeej muaj tau tus kab mob atherosclerosis, leej twg los yeej muaj tau tus kab mob no. Txawm li cas los xij, muaj tej yam uas ua rau muaj kev pheej hmoo ntxiv:

• Kev laus: Qhov kev pheej hmoo nce ntxiv nrog hnub nyoog.
• Keeb kwm tsev neeg: Yog tias muaj leej twg hauv koj tsev neeg muaj kab mob Peripheral Artery Disease (PAD), qhia rau koj tus kws kho mob txog qhov ntawd.
• Haus luam yeeb: Qhov no yog ib qho tseem ceeb uas ua rau muaj kev pheej hmoo! Haus luam yeeb yog ib qho tseem ceeb uas ua rau muaj tus kab mob no, thiab lwm yam kab mob ntawm cov hlab ntsha. Yog tias koj haus luam yeeb, nws yog ib qho tseem ceeb heev uas yuav tsum nrhiav kev pab kom tso tseg.
• Qee yam mob:
• Kab mob ntshav qab zib
• Ntshav siab
• 'Cov roj cholesterol ntau'
• 'Takayasu's arteritis' (qhov no kuj yog ib qho mob tsis tshua muaj uas cuam tshuam rau cov hlab ntsha)

Yuav kuaj mob li cas?

Yog koj muaj ib qho ntawm cov tsos mob no, thawj qhov koj yuav tsum ua yog mus ntsib kws kho mob. Koj tus kws kho mob yuav ua cov hauv qab no los kuaj mob lossis tshem tawm lwm yam ua rau muaj mob:

1. Nug koj cov lus nug:

• Koj cov tsos mob yog dab tsi?
• Txij thaum twg cov no tau muaj los?
• Thaum twg koj xav tias koj muaj tej no ntau tshaj plaws?
• Puas nws txo qis thaum koj ua ib yam dab tsi?
• Cov tsos mob puas zuj zus tuaj?
• Puas muaj leej twg hauv koj tsev neeg muaj hom mob no?
• Koj muaj lwm yam kab mob dab tsi ntxiv?

2. Ua ib qho kev kuaj mob lub cev: Xyuas koj txoj kev noj qab haus huv feem ntau.

3. Ua ntau yam kev sim:

• Cov ntsuas ntawm pob luj taws thiab lub hauv caug (ABI): Qhov no yog ib qho kev sim yooj yim, tsis mob. Cov ntshav siab hauv koj txhais tes thiab ob txhais ceg raug ntsuas thiab piv rau. Qhov no muab ib lub tswv yim ntxhib ntawm seb cov ntshav ntws mus rau koj ob txhais ceg thiab ko taw zoo npaum li cas.
• Kev kuaj ntshav: Cov no tuaj yeem pab koj xyuas cov khoom xws li cov roj cholesterol thiab cov piam thaj, nrog rau koj cov yam ntxwv ua rau muaj kab mob plawv thiab cov hlab ntsha, thiab koj txoj kev noj qab haus huv feem ntau.
• `(Computed tomography angiogram (CTA))`: Qhov no yog ib qho `CT scan` tshwj xeeb. Nws tuaj yeem pom meej meej tej yam xws li qhov twg `(plaque)` nyob hauv cov hlab ntsha thiab lawv raug thaiv npaum li cas.
• Kev siv ultrasound los ntsuas cov hlab ntsha hauv lub cev (hu ua Doppler scan): Qhov no kuj siv cov nthwv dej ultrasound los saib seb cov ntshav ntws li cas hauv cov hlab ntsha thiab seb puas muaj qhov thaiv.

Cov kev kho mob yog dab tsi?

Kev kho mob nyob ntawm seb koj tus mob hnyav npaum li cas. Qee zaum kev hloov pauv hauv koj lub neej thiab kev siv tshuaj tuaj yeem pab tswj tus mob thiab ua kom tus mob qeeb zuj zus. Koj tus kws kho mob yuav pom zoo cov hauv qab no:

• Tshuaj tiv thaiv ntshav siab .
• Cov tshuaj antiplatelet, xws li aspirin los yog clopidogrel, yog cov tshuaj uas txo qhov kev pheej hmoo ntawm cov ntshav txhaws .
• Kev Hloov Kho Kev Noj Haus: Kev ua raws li kev noj zaub mov zoo, xws li kev noj zaub mov Mediterranean lossis kev noj zaub mov DASH, tuaj yeem pab tswj cov yam txaus ntshai xws li ntshav qab zib thiab roj cholesterol.
• Kev Ua Si: Kev ua si tsis tu ncua raws li koj tus kws kho mob hais tuaj yeem txo ntau yam kev pheej hmoo thiab txhim kho cov ntshav ntws mus rau koj ob txhais ceg.
• Cov tshuaj tshwj xeeb (piv txwv li, Cilostazol) rau kev mob ceg uas tshwm sim thaum taug kev ('Intermittent claudication').
• Cov tshuaj txo cov roj cholesterol ('Statins').
• Yuav tsum tso kev haus luam yeeb thiab siv cov khoom luam yeeb kiag li .

Yog tias cov no tswj tsis tau tus kab mob, tej zaum koj yuav xav tau cov yam xws li:

• Kev phais plawv hla dhau: Muaj ib txoj kev tshiab los hla dhau cov hlab ntsha uas raug thaiv. Qhov no zoo ib yam li kev phais plawv hla dhau cov hlab ntsha hauv lub plawv. Qhov chaw uas raug thaiv thiab qhov chaw uas txoj kev phais plawv pib thiab xaus yuav txawv nyob ntawm koj tus mob.
• `(Kev muab Stent tso rau hauv): Muab ib lub me me zoo li lub mesh `(Stent)` tso rau hauv cov hlab ntsha uas raug thaiv kom nws dav dua. Qhov no ua rau cov ntshav ntws zoo dua. Cov kws kho mob siv tau cov txheej txheem `(Endovascular)`, uas txhais tau tias muab lub `(Stent)` no ntxig rau hauv ib lub qhov me me yam tsis tas yuav phais loj.

Txhua txoj kev kho mob muaj nws qhov zoo thiab qhov tsis zoo, yog li nws yog qhov zoo tshaj plaws los tham txog txhua yam no nrog koj tus kws kho mob thiab txiav txim siab seb txoj kev kho mob twg zoo tshaj plaws rau koj.

Puas tiv thaiv tau tus kab mob no?

Tej zaum yuav tsis muaj peev xwm tiv thaiv nws tag nrho, tab sis muaj ntau yam uas peb ua tau los txo qhov kev pheej hmoo:

• Tsum haus luam yeeb thiab txhua yam khoom luam yeeb.
• Noj cov zaub mov zoo rau lub plawv uas tsis muaj roj ntau, roj cholesterol, ntsev, thiab qab zib.
• Ua si nawv tsis tu ncua raws li koj tus kws kho mob hais.
• Tswj koj cov ntshav siab, cov ntshav qab zib, thiab cov roj cholesterol.
• Noj cov tshuaj uas tus kws kho mob tau sau tseg raws sijhawm.
• Mus kuaj mob tsawg kawg ib xyoos ib zaug.

Yog koj muaj tej yam uas ua rau koj muaj tus kab mob no los yog atherosclerosis, nrog koj tus kws kho mob tham. Thaum koj pib tswj koj tej yam uas ua rau koj muaj tus kab mob sai npaum li cas, koj yuav muaj feem ntau dua los tiv thaiv cov teeb meem loj tom qab.

Yog tias kuv muaj tus kab mob no, yuav ua li cas?

Yuav kom paub tseeb txog koj tus mob, koj yuav tsum nrog koj tus kws kho mob tham. Kev kho mob xws li "Phais Mob Hlwb" thiab "Stent placement" feem ntau ua tau zoo thiab cov txiaj ntsig yuav kav ntev. Koj tus kws kho mob yuav qhia koj ntxiv txog yam koj yuav tsum tau xav txog los ntawm koj txoj kev npaj kho mob.

Kuv yuav saib xyuas kuv tus kheej li cas?

Nws yog ib qho tseem ceeb uas yuav tsum ua raws li koj tus kws kho mob cov lus qhia txog kev hloov pauv hauv lub neej thiab cov tshuaj raws nraim. Nws tseem ceeb heev uas yuav tsum ua haujlwm nrog koj tus kws kho mob hauv koj txoj kev kho mob. Qhov ntawd txhais tau tias:

• Nug koj tus kws kho mob kom paub meej ntxiv txog koj tus mob thiab nkag siab zoo.
• Yog tias muaj dab tsi koj tsis nkag siab, nug cov lus nug. Tsis txhob ntshai, tus kws kho mob yeej npaj txhij los pab koj.
• Nrhiav seb koj ua tau dab tsi los tiv thaiv kom tus kab mob tsis txhob loj zuj zus tuaj.
• Kawm seb cov tsos mob yog dab tsi thiab yuav ua li cas yog tias lawv tshwm sim.
• Paub txog cov kev xaiv kho mob.
• Nug koj tus kws kho mob txog cov peev txheej thiab cov pab pawg txhawb nqa uas tuaj yeem pab koj. Cov no yuav pab koj ntsib lwm tus neeg uas muaj tib yam teeb meem li koj thiab qhia koj tej kev paub dhau los.

Kuv yuav tsum mus ntsib kws kho mob thaum twg?

Mus kuaj mob tsawg kawg ib xyoos ib zaug. Nco ntsoov mus rau qhov teem sijhawm rov qab uas koj tus kws kho mob tau teem rau koj. Koj tus kws kho mob yuav qhia koj tias yuav tsum tuaj kuaj ntau npaum li cas thiab koj yuav tsum kuaj dab tsi.

Tsis tas li ntawd, yog tias koj muaj cov tsos mob tshiab lossis yog tias koj cov tsos mob uas twb muaj lawm hloov pauv, hu rau koj tus kws kho mob tam sim ntawd.

Nco ntsoov ua ib qho kev xaus lus luv luv

Kab mob Aortoiliac Occlusive yog ib hom kab mob ntawm cov hlab ntsha peripheral. Nws tuaj yeem cuam tshuam rau koj lub neej zoo thiab tuaj yeem ua rau muaj teeb meem loj heev. Tab sis qhov xov xwm zoo yog tias koj tuaj yeem ua ib yam dab tsi txhua hnub los txo koj qhov kev pheej hmoo thiab tswj kev nce qib ntawm tus kab mob. Tham nrog koj tus kws kho mob txog yuav ua li cas tswj koj tus mob thiab yuav xav li cas yav tom ntej. Koj tsis nyob ib leeg, thiab tsis txhob ntshai thov kev pab.

Kab Mob Aortoiliac Occlusive, Kab Mob Peripheral Artery, PAD, Kev Thaiv Ntshav, Mob Ceg, Atherosclerosis, Plaque, Embolus, Intermittent Claudication, Stent, Bypass phais