Koj puas tau hnov txog ib tug neeg hluas, noj qab nyob zoo, thiab ua kis las uas cia li tuag tam sim ntawd vim yog mob plawv? Nws yog ib qho kev tu siab heev. Feem ntau, peb xav tias kab mob plawv yog ib yam dab tsi uas tshwm sim thaum laus. Tab sis qee zaum, qhov ua rau muaj cov xwm txheej tsis txaus ntseeg no yog ib yam mob tsis tshua muaj uas peb tsis paub txog. Hnub no, peb yuav tham txog ib qho mob plawv uas tuaj yeem cuam tshuam rau cov tub ntxhais hluas. Qhov no yog ARVC.
ARVC yog dab tsi tiag?
Hais yooj yim xwb, ARVC yog ib yam kab mob plawv uas tsis tshua muaj neeg paub thiab yog los ntawm noob caj noob ces , uas txhais tau tias nws tuaj yeem kis mus rau ntau tiam neeg. Qhov uas tshwm sim yog cov leeg nqaij hauv peb lub plawv puas lawm.
Xav txog peb lub plawv zoo li lub twj tso kua mis muaj zog uas muaj plaub lub qhov. Qhov no yog qhov uas tso cov ntshav thoob plaws lub cev. Ntawm plaub lub qhov no, ib lub nyob rau sab xis qis hu ua Lub Qhov Ncauj Sab Xis. Hauv ARVC, cov hlwb nqaij plawv noj qab nyob zoo hauv lub qhov ncauj sab xis no tuag thiab hloov los ntawm cov rog thiab cov ntaub so ntswg fibrous (cov ntaub so ntswg caws pliav) .
Zoo li ib lub cib uas poob tawm ntawm ib phab ntsa zoo thiab qhov sib nrug puv nrog av nkos. Muaj dab tsi tshwm sim? Phab ntsa ntawm lub plawv ntawd yuav nyias, tsis muaj zog, thiab ncab. Ces nws tsis tuaj yeem cog lus thiab tso ntshav tau zoo. Qhov no tuaj yeem ua rau muaj tej yam xws li ua tsis taus pa thiab tsaus muag.
Qhov txaus ntshai tshaj yog tias cov rog thiab cov nqaij caws pliav tshiab cuam tshuam rau cov teeb liab hluav taws xob hauv lub plawv. Qhov no ua rau lub plawv dhia tsis xwm yeem. Peb hu qhov no ua arrhythmia . Qhov no yog qhov mob txaus ntshai tshaj plaws hauv tus kab mob no. Vim tias nws tuaj yeem ua rau lub plawv nres tam sim ntawd thiab txawm tias tuag.
Kab mob no kuj hu ua ARVC, Arrhythmogenic Right Ventricular Dysplasia (ARVD). Qee zaum nws kuj hu ua Arrhythmogenic Cardiomyopathy (ACM) vim nws kuj cuam tshuam rau sab laug ventricle.
Cov tsos mob ntawm tus mob no yog dab tsi?
Ib qho teeb meem nrog tus kab mob no yog tias nws tuaj yeem tsis muaj tsos mob thaum ntxov. Cov tsos mob feem ntau pib tshwm sim ua ntej hnub nyoog 40 xyoo, qee zaum txawm tias thaum laus.
Qhov txaus ntshai tshaj plaws yog rau qee tus neeg, thawj thiab tsuas yog cov tsos mob uas qhia rau lawv paub tias lawv muaj tus kab mob no yog kev tuag sai sai ntawm lub plawv.
Yog li ntawd, nws yog ib qho tseem ceeb heev uas yuav tsum paub txog cov tsos mob hauv qab no.
| Cov tsos mob | Ib qho lus piav qhia yooj yim |
|---|---|
| Kev tsis sib xws ntawm lub plawv dhia (Arrhythmias) | Kev hloov pauv tsis zoo ntawm lub plawv dhia. Nws tuaj yeem zoo li lub suab co lossis nias hauv siab. Tshwj xeeb tshaj yog rau cov mob zoo li (Atrial Fibrillation) . |
| Kiv taub hau los yog tsaus muag | Zoo li tsis nco qab vim lub hlwb tsis tau txais ntshav txaus. |
| Kev qaug zog | Txhua lub sijhawm koj lub cev tsis nqus cov ntshav zoo, koj yuav nkees heev. |
| Mob hauv siab | Mob hauv siab vim muaj kev nyem rau ntawm lub plawv. |
| Ua pa nyuaj | Ua tsis taus pa vim tsis muaj ntshav txaus rau lub ntsws. |
| Lub cev o | O ntawm ob txhais ceg, pob luj taws, taw, lossis plab. |
| Lub plawv tsis ua haujlwm | Raws li lub sijhawm dhau mus, lub plawv lub peev xwm nqus dej yuav luag tsis muaj zog kiag li. |
Ua rau thiab kev txais cuab ntawm ARVC
Feem ntau, ARVC yog tshwm sim los ntawm ib qho kev hloov pauv ntawm caj ces . Qhov no yog ib qho yuam kev me me hauv daim phiaj xwm, lossis cov noob caj ces, uas tsim cov cell ntawm peb lub cev. Qhov xwm txheej no tshwm sim thaum muaj qhov yuam kev hauv cov noob caj ces uas cuam tshuam rau cov protein uas pab kom cov leeg nqaij ntawm lub plawv txuas nrog ib leeg.
Thaum qhov kev sib txuas no tsis muaj zog, cov hlwb ntawm lub plawv yuav pib sib cais thiab tuag. Qhov no tuaj yeem tshwm sim tshwj xeeb tshaj yog thaum lub sijhawm uas lub plawv ntxhov siab, xws li thaum lub sijhawm ua si nawv.
Kwv yees li ib nrab ntawm cov neeg mob ARVC muaj keeb kwm tsev neeg ntawm tus mob no. Qhov no txhais tau tias muaj keeb kwm caj ces .
Yog li ntawd, yog tias ib tug neeg hauv koj tsev neeg tau kuaj pom tias muaj ARVC, nws yog ib qho tseem ceeb heev uas tus neeg ntawd cov txheeb ze ze (niam txiv, cov kwv tij, cov menyuam, cov xeeb ntxwv, cov txiv ntxawm, cov phauj, cov tub xeeb ntxwv, cov ntxhais xeeb ntxwv) yuav tsum tau mus kuaj mob. Txawm tias tsis muaj tsos mob los xij, txawm tias cov neeg uas tseem hluas yuav tsum mus ntsib kws kho mob thiab tham txog qhov no.
Muaj ob txoj kev tseem ceeb uas ARVC tuaj yeem kis tau los ntawm ntau tiam neeg:
- Autosomal Dominant: Qhov no yog hom uas feem ntau pom. Qhov no txhais tau tias ib tug ntawm cov niam txiv muaj qhov kev hloov pauv ntawm cov noob caj noob ces. Ces lawv tus menyuam muaj 50% feem pua ntawm kev tau txais tus kab mob no. Txawm li cas los xij, cov tsos mob thiab hnub nyoog ntawm kev pib ntawm tus kab mob tuaj yeem sib txawv ntawm cov tswv cuab hauv tsev neeg.
- Autosomal Recessive: Qhov no tsis tshua muaj. Ntawm no, ob leeg niam txiv muaj kev hloov pauv ntawm cov noob caj noob ces, tab sis lawv tsis muaj tsos mob. Lawv tus menyuam muaj 25% feem pua ntawm kev mob. Ib qho mob tshwj xeeb cuam tshuam nrog qhov no yog kab mob Naxos , uas tuaj yeem ua rau daim tawv nqaij tuab ntawm xib teg thiab xib teg ntawm ko taw thiab cov plaub hau tuab, loj hlob.
Yuav kuaj mob li cas?
Tus kws kho mob tuaj yeem kuaj mob ARVC raws li koj cov tsos mob, keeb kwm tsev neeg, thiab ob peb qhov kev kuaj mob. Muaj ntau yam kev kuaj mob tshwj xeeb rau ARVC. Cov kws kho mob saib seb koj puas ua tau raws li cov qauv no.
Cov ntsiab lus tseem ceeb uas cov kws kho mob them sai sai rau:
- Txhawm rau kuaj xyuas seb puas muaj kev ua haujlwm tsis zoo ntawm lub plawv sab xis ( Echocardiogram lossis MRI kev kuaj siv rau qhov no).
- Yuav saib seb puas muaj roj lossis cov nqaij caws pliav tso rau hauv cov leeg nqaij plawv ( MRI tseem ceeb heev rau qhov no).
- Txhawm rau kuaj xyuas seb puas muaj qhov tsis zoo ntawm kev kuaj ECG ( Electrocardiogram - ECG/EKG ).
- Lub plawv dhia tsis sib xws, tshwj xeeb tshaj yog thaum lub sijhawm ua si.
- Seb puas muaj leej twg hauv tsev neeg muaj ARVC.
Raws li cov yam no, tus kws kho mob yuav txiav txim siab seb koj puas "yeej muaj" tus kab mob, "tej zaum" muaj nws, lossis "tej zaum" muaj nws. Lawv kuj tseem yuav xa koj mus kuaj noob caj noob ces yog tias tsim nyog.
Lwm cov kev ntsuam xyuas siv:
- Kev Siv Cardiac Computed Tomography (CT ) scan ntawm lub plawv
- Kev kuaj ECG thaum lub sijhawm ua si ( Kev Ntsuas Kev Nyuaj Siab )
- Kev Kawm Txog Kev Ua Haujlwm Hluav Taws Xob ntawm Lub Plawv ( Kev Ntsuas Hluav Taws Xob )
- Siv ib daim nqaij me me ntawm lub plawv mus kuaj ( Biopsy )
Cov kev kho mob rau ARVC yog dab tsi?
Tu siab kawg li, tsis muaj tshuaj kho tau ARVC. Txawm li cas los xij, muaj ntau yam kev kho mob zoo uas tuaj yeem pab koj tswj koj cov tsos mob, tiv thaiv cov teeb meem txaus ntshai, thiab ua neej nyob li qub. Lub hom phiaj tseem ceeb ntawm koj tus kws kho mob yog tswj lub plawv dhia thiab cov mob plawv.
| Txoj kev kho mob | Muaj dab tsi tshwm sim? |
|---|---|
| Cov tshuaj kho mob | Cov tshuaj xws li tshuaj antiarrhythmic, beta-blockers , thiab anticoagulants raug muab. |
| Kev rho tawm catheter | Yog tias koj lub plawv dhia tsis xwm yeem uas tsis tuaj yeem tswj tau nrog tshuaj, ib qho txheej txheem uas hlawv cov cheeb tsam ntawm lub plawv uas cov teeb liab hluav taws xob tsis zoo tsim tawm. |
| Lub cuab yeej ICD (Lub tshuab ua pa thiab lub tshuab ua kom lub plawv dhia ceev uas muab tso rau hauv lub cev) | Qhov no yog ib qho ntawm cov kev kho mob tseem ceeb tshaj plaws. Rau cov neeg uas muaj feem yuav tuag los ntawm kev plawv nres tam sim ntawd, yuav muaj ib lub cuab yeej me me uas muab tso rau hauv qab daim tawv nqaij ntawm lub hauv siab. Thaum muaj teeb meem plawv dhia tsis zoo, lub cuab yeej no yuav ua rau lub plawv rov qab zoo li qub. |
| Kev Hloov Plawv | Yog tias lwm yam kev kho mob tsis ua haujlwm, ces suav tias yog qhov kawg, tab sis feem ntau cov neeg uas muaj ARVC tsis tas yuav mus deb npaum li no. |
Tej yam yuav tsum xav txog thaum nyob nrog ARVC
Thaum koj raug kuaj pom tias muaj ARVC, koj yuav tsum tau hloov qee yam hauv koj txoj kev ua neej. Cov no tuaj yeem pab txo qhov kev ntxhov siab rau koj lub plawv.
- Txo kev tawm dag zog: Kev tawm dag zog tuaj yeem ua rau ARVC hnyav dua. Yog li ntawd, koj yuav tsum tsis txhob ua kis las sib tw kiag li. Nco ntsoov nrog koj tus kws kho mob tham txog qhov ntau thiab hom kev tawm dag zog uas koj ua tau txhua hnub.
- Kev ua neej noj qab haus huv: Nws yog ib qho tseem ceeb heev uas yuav tsum tsis txhob haus cawv, tsis txhob haus luam yeeb, noj zaub mov zoo, thiab tsis txhob haus dej uas muaj caffeine (kas fes, tshuaj yej).
- Noj koj cov tshuaj raws li tau qhia: Tsis txhob tso tseg noj cov tshuaj uas koj tus kws kho mob tau qhia.
- Kev kuaj mob tsis tu ncua: Koj yuav tsum tau mus ntsib koj tus kws kho mob rau tas koj lub neej. Yog tias koj muaj ICD, koj yuav tsum tau kuaj xyuas nws tsis tu ncua .
Kev nrhiav pom tias koj muaj kab mob plawv tuaj yeem yog ib qho nyuaj heev rau kev daws, tshwj xeeb tshaj yog thaum koj tseem hluas. Yog tias koj yog ib tug neeg ncaws pob, nws tuaj yeem tu siab uas yuav tsum tso tseg qhov ntawd. Tab sis nco ntsoov, koj lub neej muaj nqis ntau dua. Yog tias koj kho thiab ua neej zoo, koj tuaj yeem ua neej zoo.
Cov Lus Qhia Txog Kev Coj Mus Tsev
- ARVC yog ib qho mob tsis tshua muaj, uas yog los ntawm noob caj ces uas feem ntau cuam tshuam rau sab xis ntawm lub plawv.
- Qhov txaus ntshai tshaj plaws txog tus kab mob no yog qhov kev pheej hmoo ntawm kev nres plawv tam sim ntawd thiab tuag yam tsis muaj tsos mob.
- Yog koj muaj cov tsos mob xws li mob hauv siab, kiv taub hau, lossis ua pa nyuaj, mus ntsib kws kho mob tam sim ntawd.
- Yog tias ib tug neeg hauv koj tsev neeg muaj ARVC, koj yuav tsum tau mus kuaj mob.
- Txawm hais tias tus kab mob no tsis tuaj yeem kho tau tag nrho los xij, nws tuaj yeem tswj tau zoo thiab nyob tau zoo nrog cov tshuaj, cov khoom siv ICD, thiab kev hloov pauv hauv lub neej.
- Nws yog ib qho tseem ceeb heev rau cov neeg mob no kom tsis txhob ua kev tawm dag zog hnyav thiab sib tw.
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Tsis muaj lus teb tau muab tso tawm. Ntxiv koj cov lus tawm ntawm no thawj zaug.
Ntxiv koj cov lus