Koj cov ntshav puas zoo li nqaim? Cia peb tham txog Arterial Insufficiency!

Koj puas muaj tej lub sij hawm koj mob koj ob txhais ceg thaum koj taug kev? Los yog koj puas kiv taub hau lossis loog qee qhov chaw? Tsis txhob xav tias cov no tsuas yog tej yam uas koj tsis paub ua ntej xwb. Tej zaum qhov no yog ib qho cim qhia tias cov ntshav ncig hauv koj lub cev tsis muaj zog me ntsis. Hnub no peb yuav tham txog ib qho tseem ceeb sib npaug. Qhov ntawd yog qhov txo qis ntawm cov ntshav ncig hauv cov hlab ntsha, lossis raws li cov kws kho mob hu ua, '(Arterial Insufficiency)'.

Arterial insufficiency yog dab tsi?

Hais yooj yim xwb, qhov no yog thaum cov ntshav ntws los ntawm ib lossis ntau lub hlab ntsha hauv peb lub cev txo qis. Cov hlab ntsha zoo li ib lub raj uas nqa cov ntshav uas muaj oxygen ntau thoob plaws peb lub cev los ntawm lub plawv mus rau txhua lub cev thiab cov nqaij. Yog li, yuav ua li cas yog tias cov raj no raug thaiv lossis nqaim? Thaum ntawd cov ntshav ntws txo qis. Qhov laj thawj tseem ceeb rau qhov no yog kev sib sau ua ke ntawm cov rog hauv cov phab ntsa ntawm cov hlab ntsha, ib qho mob hu ua "Atherosclerosis".

Txhua qhov ntawm peb lub cev xav tau cov ntshav uas muaj oxygen ntau kom ua haujlwm tau zoo. Yog li ntawd, yog tias cov hlab ntsha tsis tuaj yeem xa ntshav mus rau peb lub cev thiab cov nqaij yuav tsis tuaj yeem ua haujlwm tau zoo. Qhov no tuaj yeem ua rau muaj teeb meem loj heev .

Tus mob no (Arterial Insufficiency) tuaj yeem cuam tshuam rau koj hauv ob txoj kev tseem ceeb:

1. Cov hlab ntsha tsis txaus sai sai: Qhov no yog thaum cov ntshav ntws tam sim ntawd txo qis lossis nres tag nrho vim qee qhov laj thawj (feem ntau yog cov ntshav txhaws). Qhov no yog ib qho mob uas xav tau kev kho mob ceev.

2. Cov hlab ntsha tsis txaus mus ntev: Qhov no yog ib qho mob uas cov ntshav ntws maj mam txo qis vim yog ib qho mob uas twb muaj lawm (feem ntau yog cov kab mob atherosclerosis uas tau hais los saum toj no). Raws li lub sijhawm dhau mus, cov tsos mob maj mam zuj zus tuaj, thiab qhov kev pheej hmoo ntawm cov teeb meem ntxiv zuj zus.

Qhov tseem ceeb tshaj plaws yog tias yog tias tus mob no raug kuaj pom thaum ntxov thiab kho kom zoo, qhov kev pheej hmoo ntawm cov teeb meem loj tuaj yeem txo qis heev.

Qhov xwm txheej no cuam tshuam li cas rau peb lub cev?

Cov ntshav ntws tsawg dua hauv cov hlab ntsha ua rau cov ntshav tsis txaus rau ntau qhov ntawm peb lub cev, tshwj xeeb tshaj yog cov kabmob tseem ceeb thiab ceg. Qhov no cuam tshuam rau lub cev li cas nyob ntawm seb cov hlab ntsha twg nqaim lossis raug thaiv .

Xav txog nws li no:

• Yog tias cov hlab ntsha hauv koj lub caj dab (carotid lossis vertebral arteries) nqaim zuj zus, piv txwv li hauv ib qho mob hu ua carotid artery disease, nws cuam tshuam rau koj lub hlwb .
• Ib qho teeb meem nrog lub aorta , xws li lub plab aortic aneurysm, tuaj yeem cuam tshuam rau koj lub hauv siab, nraub qaum, thiab plab .
• Yog tias muaj kev thaiv hauv cov hlab ntsha hauv lub plawv uas muab ntshav mus rau lub plawv , ib yam mob hu ua kab mob ntawm cov hlab ntsha hauv lub plawv (coronary artery disease), nws cuam tshuam ncaj qha rau koj lub plawv .
• Yog tias muaj teeb meem nrog cov hlab ntsha uas xa cov ntshav mus rau txoj hnyuv me ("Superior mesenteric artery") , ib qho mob zoo li "Mesenteric artery stenosis", nws tuaj yeem cuam tshuam rau kev ua haujlwm ntawm koj txoj hnyuv me .
• Yog tias muaj teeb meem nrog cov hlab ntsha uas muab ntshav mus rau lub raum (cov hlab ntsha hauv lub raum) , ib yam mob hu ua kab mob ntawm cov hlab ntsha hauv lub raum, nws yuav cuam tshuam rau koj lub raum .
• Kev txhaws hauv cov hlab ntsha hauv koj ob txhais ceg , xws li kab mob peripheral artery (PAD), tuaj yeem cuam tshuam rau koj ob txhais ceg thiab ko taw .
• Ib yam mob hu ua pulmonary embolism, uas yog cov ntshav txhaws uas thaiv cov hlab ntsha hauv koj lub ntsws , tuaj yeem cuam tshuam rau koj lub ntsws .

Tab sis nws tseem ceeb heev uas yuav tsum nco ntsoov tias cov ntshav ntws tsawg dua los ntawm cov hlab ntsha yeej cuam tshuam rau txhua qhov ntawm lub cev tsis ncaj qha. Tej zaum koj yuav pom cov tsos mob hauv qhov ntawm lub cev ze tshaj plaws rau cov hlab ntsha uas raug thaiv tshaj plaws. Txawm li cas los xij, tib yam uas ua rau cov hlab ntsha nqaim (xws li atherosclerosis) kuj tuaj yeem tshwm sim hauv cov hlab ntsha lwm qhov hauv lub cev. Piv txwv li, yog tias koj muaj cov ntshav ntws tsawg dua vim yog atherosclerosis hauv cov hlab ntsha hauv koj ceg, koj muaj kev pheej hmoo rau tib yam hauv koj lub plawv.

Txhua feem ntawm peb lub cev xav tau oxygen kom muaj sia nyob. Yog tias ib lub cev lossis cov nqaij ntshiv poob oxygen tam sim ntawd, lub cev ntawd tuaj yeem ua haujlwm tsis tau hauv ob peb teev, yog tias muaj 'Acute arterial insufficiency'. Qhov no tuaj yeem ua rau muaj xwm txheej ceev uas ua rau tuag taus los ntawm kev txo cov ntshav ntws hauv cov hlab ntsha:

• Mob ceg tsis ua haujlwm zoo: Kev thaiv cov ntshav ntws mus rau caj npab , ceg, lossis taw.
• Mob plawv nres: Kev thaiv cov ntshav ntws mus rau lub plawv.
• Pulmonary embolism: Kev thaiv cov ntshav ntws mus rau lub ntsws.
• Mob stroke: Kev thaiv cov ntshav ntws mus rau lub hlwb.

Tus mob no tuaj yeem ua rau tuag taus yog tias tsis kho kom zoo, yog vim li cas nws thiaj li tseem ceeb heev uas yuav tsum paub txog nws cov tsos mob thiab tham nrog koj tus kws kho mob txog koj cov kev pheej hmoo.

Qhov txawv ntawm kev poob ntshav hauv cov hlab ntsha thiab kev poob ntshav hauv cov hlab ntsha yog dab tsi?

Ob qho no yog cov teeb meem ntsig txog kev ncig ntshav, tab sis muaj qhov sib txawv me ntsis.

Kev tsis txaus ntshav hauv cov hlab ntsha yog ib qho teeb meem nrog kev ntws ntshav hauv cov hlab ntsha. Kev tsis txaus ntshav hauv cov hlab ntsha yog ib qho teeb meem nrog kev ntws ntshav hauv cov leeg ntshav (cov hlab ntsha uas nqa cov ntshav tsis huv rov qab mus rau lub plawv).

Hais yooj yim xwb:

• Cov hlab ntsha yog cov uas nqa cov ntshav huv, muaj oxygen ntau los ntawm lub plawv thoob plaws lub cev.
• Cov hlab ntsha yog cov uas coj cov ntshav uas tsis muaj oxygen txaus, cov ntshav tsis huv rov qab mus rau lub plawv.

Ob qho ua rau muaj ob yam mob no sib txawv. Qhov ua rau cov ntshav ntws tsis zoo hauv cov hlab ntsha yog cov rog sib sau ua ke hauv cov phab ntsa ntawm cov hlab ntsha (atherosclerosis). Cov ntshav ntws tsis zoo hauv cov hlab ntsha feem ntau yog vim cov hlab ntsha hauv ob txhais ceg puas tsuaj.

Kab mob ntshav tsis txaus tuaj yeem tshwm sim hauv ib txoj hlab ntsha nyob qhov twg hauv lub cev, tab sis ib qho mob hu ua venous insufficiency feem ntau cuam tshuam rau ob txhais ceg.

Ob yam mob no ua rau mob thiab tsis xis nyob rau hauv ob txhais ceg. Yog tias koj ob txhais ceg mob tas li, hnyav, o, lossis nkees, nco ntsoov mus ntsib kws kho mob kom tham txog cov tsos mob no.

Cov tsos mob ntawm qhov no yog dab tsi?

Tej zaum ib txhia neeg yuav tsis muaj tsos mob dab tsi kom txog thaum tus mob hnyav zuj zus lossis muaj xwm txheej ceev tshwm sim. Txawm li cas los xij, ib txhia neeg yuav muaj cov tsos mob xws li:

• Kiv taub hau: Ib qho kev xav tias poob qhov sib npaug.
• Intermittent claudication: Mob ceg uas tshwm sim thaum koj taug kev thiab ploj mus thaum koj so. Qhov no yog thaum koj hnov ​​​​​​mob hauv koj txhais ceg thaum ua qee yam kev ua ub no, tshwj xeeb tshaj yog taug kev, thiab qhov mob ploj mus tom qab so luv luv.
• Mob ko taw lossis ntiv taw: Mob kub hnyiab, mob hauv ko taw lossis ntiv taw, txawm tias thaum so.
• Kev hloov xim thiab cov qauv ntawm daim tawv nqaij: Cov tawv nqaij tawv ntawm ob txhais ceg thiab ko taw, khaus, thiab kev hloov xim ntawm daim tawv nqaij.
• Mob plab: Mob plab uas pib 15-20 feeb tom qab noj mov, kav ntev li ob peb teev, thiab tom qab ntawd ploj mus.
• Cov qhov txhab: Cov qhov txhab uas tsis kho rau ntawm ob txhais ceg thiab taw (tshwj xeeb tshaj yog cov pob luj taws). Cov no yog ib qho cim qhia tias cov ntshav ncig tsis zoo.
• Poob phaus: Poob phaus tam sim ntawd, tsis tau npaj tseg.

Tej zaum koj cov hlab ntsha yuav nqaim lossis thaiv ntau qhov chaw hauv koj lub cev. Piv txwv li, cov neeg uas muaj kab mob peripheral artery disease (PAD) hauv ob txhais ceg yuav muaj kab mob coronary artery disease (CAD). Yog li, tej zaum koj yuav muaj ntau yam tsos mob uas cuam tshuam nrog txhua qhov teeb meem. Yog vim li ntawd nws thiaj li tseem ceeb uas yuav tsum qhia rau koj tus kws kho mob sai li sai tau thaum koj pom txawm tias yog qhov tsos mob me me xwb los xij.

Cov tsos mob ntawm qhov xwm txheej ceev - tsis txhob tsis quav ntsej cov no!

Yog koj muaj ib qho ntawm cov tsos mob hauv qab no, hu rau 911 (1990 hauv Sri Lanka) lossis mus rau tsev kho mob ze tshaj plaws tam sim ntawd. Cov no yuav yog cov cim qhia txog kev kub ntxhov hauv kev kho mob:

• Mob hauv siab los yog nruj.
• Zoo li koj pom kev ob zaug los yog koj tsis pom kev lawm.
• Tsaus muag.
• Kev tuag ntawm cov nqaij ('Gangrene') (tawv nqaij dub, tsw phem).
• Tawv nqaij dawb, hws txias, lossis tawv nqaij xiav.
• Kev nce ntxiv ntawm lub plawv dhia.
• Kev hais lus tsis meej.
• Mob sai sai, mob hnyav rau hauv siab, caj npab, xub pwg, caj dab, lossis lub puab tsaig.
• Ua pa nyuaj sai sai yam tsis muaj laj thawj.
• Mob lossis tsis xis nyob tam sim ntawd rau ntawm xub pwg, caj dab, plab, thiab/lossis nraub qaum yam tsis muaj laj thawj pom tseeb.

Muaj tej yam tsos mob, tej zaum koj yuav tsis tau hu xov tooj li. Yog li ntawd, yog tias ua tau, khaws ib lub 'cuab yeej ceeb toom kho mob' (xws li ib txoj hlua caj dab) nrog koj txhua lub sijhawm. Tsis tas li ntawd, qhia rau koj tsev neeg thiab cov phooj ywg txog cov tsos mob no. Yog li ntawd lawv thiaj li hu tau 1990 rau koj sai li sai tau thaum lawv pom lawv.

Vim li cas qhov no thiaj tshwm sim? Yog vim li cas?

Ob qho laj thawj tseem ceeb rau kev txo cov ntshav ntws hauv cov hlab ntsha yog:

• Kab mob Atherosclerosis: Cov rog nyob rau hauv cov phab ntsa ntawm cov hlab ntsha (atherosclerosis): Cov rog uas muaj, xws li cov roj cholesterol, sib sau ua ke hauv cov hlab ntsha, ua rau nws nqaim lossis thaiv tag.
• Thrombosis: Ib qho ntshav txhaws tsim nyob rau hauv ib txoj hlab ntsha, thaiv cov ntshav ntws.

Koj kuaj qhov no li cas?

Cov kws kho mob kuaj mob no los ntawm kev nug koj txog koj cov tsos mob, sau koj keeb kwm kev kho mob, thiab kuaj lub cev. Koj tus kws kho mob yuav nug ntau lo lus nug rau koj kom paub ntau li ntau tau txog koj tus mob. Piv txwv li:

• Koj cov tsos mob yog dab tsi?
• Cov tsos mob no tau muaj ntev npaum li cas lawm?
• Koj hnov ​​qhov mob qhov twg?
• Cov tsos mob puas tuaj thiab mus? Yog tias muaj, lawv yuav tshwm sim thaum twg?
• Koj ua tau dab tsi los txo cov tsos mob?

Tus kws kho mob kuj tseem yuav nrog koj tham txog:

• Koj keeb kwm kev kho mob yav dhau los.
• Cov kab mob uas muaj nyob hauv koj tsev neeg (muaj feem cuam tshuam nrog caj ces).
• Lwm yam mob uas koj muaj tam sim no.
• Cov tshuaj uas koj siv.

Thaum lub sijhawm kuaj lub cev, tus kws kho mob yuav ua cov hauv qab no:

• Lawv hais kom koj luag ntxhi kom pom tias ib sab ntawm koj lub ntsej muag puas poob qis.
• Cov ntshav ntws raug kuaj xyuas ntawm ntau qhov chaw ntawm lub cev (xws li lub hauv siab, dab teg, thiab pob luj taws).
• Yuav muab cov ntshav kuaj los xyuas seb puas muaj ntau yam uas cuam tshuam nrog kab mob ntawm cov hlab ntsha.
• Koj ob lub qhov muag thiab qhov muag pom kev yuav raug kuaj xyuas.
• Saib seb puas muaj kev hloov pauv ntawm koj cov xim tawv nqaij lossis cov qauv.
• Tshawb xyuas seb puas muaj qhov txhab ntawm daim tawv nqaij.
• Ntshav siab ntsuas tau ntawm ob sab caj npab.

Qhov kev kuaj mob no tuaj yeem qhia tau ntau yam rau koj tus kws kho mob. Txawm li cas los xij, lawv kuj tseem yuav ua qee qhov kev kuaj tshwj xeeb kom paub ntau ntxiv txog koj cov hlab ntsha.

Kev ntsuam xyuas ntxiv

Nov yog qee qhov kev kuaj mob uas tuaj yeem pab nrhiav pom cov ntshav ntws tsawg hauv cov hlab ntsha hauv ntau qhov ntawm lub cev:

• Cov ntsuas ntsuas ntawm pob luj taws thiab pob taws (ABI): Qhov no piv cov ntshav siab hauv ob txhais ceg nrog cov ntshav siab hauv caj npab. Qhov no tuaj yeem qhia tau tias cov ntshav ntws zoo npaum li cas hauv cov hlab ntsha hauv ob txhais ceg.
• CT Angiogram ('Computed tomography angiogram - CTA'): Thaij cov duab 3D ntawm cov hlab ntsha uas xa ntshav mus rau lub plawv (cov hlab ntsha coronary), caj npab, ceg, lossis txoj hnyuv kom pab nrhiav cov khoom thaiv.
• Echocardiogram (`Echocardiogram - echo`): Siv cov suab nthwv dej los xyuas seb lub plawv ua haujlwm li cas.
• E.C.G. (`Electrocardiogram - ECG/EKG`): Sau cov hluav taws xob ntawm lub plawv. Tuaj yeem nrhiav tau teeb meem nrog cov ntshav ntws thiab lub plawv dhia tsis xwm yeem.
• Kev kaw cov ntshav hauv ob txhais ceg: Ntsuas qhov kev hloov pauv ntawm cov ntshav hauv ob txhais ceg. Tuaj yeem ntes tau qhov txhaws.
• Kev siv ultrasound los thaij duab ntawm koj cov hlab ntsha (xws li cov hlab ntsha hauv koj lub caj dab) kom nrhiav seb puas muaj kev thaiv.

Cov kev kho mob yog dab tsi?

Kev kho mob nyob ntawm seb qhov ua rau mob thiab qhov hnyav ntawm tus mob. Tham nrog koj tus kws kho mob txog kev kho mob zoo tshaj plaws rau koj. Qee txoj kev kho mob suav nrog:

• Atherectomy (phais kom tshem tawm cov plaque ntawm cov hlab ntsha).
• Phais kom tshem tawm cov kev thaiv hauv cov hlab ntsha ntawm lub caj dab ('Carotid endarterectomy').
• Kev phais plawv los ntawm kev phais plawv (Coronary angioplasty).
• Kev phais plawv los ntawm kev phais plawv (CABG).
• Kev hloov pauv hauv lub neej: kev tawm dag zog, kev noj zaub mov zoo.
• Cov Tshuaj: Tswj cov ntshav siab, cov roj cholesterol, thiab cov ntshav qab zib.
• Cov tshuaj uas txo qhov kev pheej hmoo ntawm cov ntshav txhaws (Anticoagulants).
• Cov raj me me ('Stents') siv los ua kom cov hlab ntsha qhib.

Leej twg muaj feem yuav mob no ntau dua? (Cov Yam Uas Ua Rau Mob)

Txhua tus neeg yeej muaj peev xwm mob "Arterial insufficiency". Tiam sis qee tus neeg muaj feem yuav mob ntau dua. Yog tias koj muaj ib qho ntawm cov mob no, koj kuj muaj feem yuav mob ntau dua:

• Lub plawv dhia tsis sib xws ('Atrial fibrillation').
• Kab mob ntshav qab zib ('Diabetes Mellitus').
• Cov roj cholesterol ntau hauv cov ntshav ('Hyperlipidemia').
• Ntshav siab (Hypertension).
• Tsis muaj protein C txaus.
• Tsis muaj protein S txaus.
• Cov mob uas ua rau cov ntshav txhaws sai dhau ('Thrombophilia').
• Cov ntshav txhaws uas muaj feem cuam tshuam nrog mob qog noj ntshav ('Trousseau syndrome').

Lwm yam kev pheej hmoo:

• Muaj hnub nyoog tshaj 60 xyoo.
• Cev xeeb tub.
• Haus luam yeeb thiab siv yeeb.
• Kev siv cov tshuaj tiv thaiv kev xeeb tub uas muaj cov tshuaj estrogen.

Yuav ua li cas thiaj tiv thaiv tau koj tus kheej ntawm qhov no? (Kev tiv thaiv)

Kev hloov pauv txoj kev ua neej yuav pab tau ntau yam hauv kev txo qhov kev pheej hmoo no. Nov yog qee yam koj ua tau:

• Ua si nawv txhua hnub. Sim taug kev tsawg kawg 30 feeb hauv ib hnub, tsib hnub hauv ib lub lim tiam. Nco ntsoov nrog koj tus kws kho mob tham ua ntej pib ua si nawv tshiab.
• Tso tseg kev haus luam yeeb thiab kev siv yeeb nkab kiag li. Qhov no suav nrog kev haus luam yeeb hluav taws xob thiab kev zom yeeb nkab.
• Ua raws li kev noj zaub mov zoo rau lub plawv.
• Txwv koj cov dej cawv. Rau cov txiv neej, tsis pub haus ntau tshaj ob khob ib hnub. Rau cov poj niam, tsis pub haus ntau tshaj ib khob ib hnub.
• Tswj koj qhov hnyav. Nug koj tus kws kho mob seb qhov hnyav noj qab haus huv yog dab tsi rau koj.
• Noj cov tshuaj raws sijhawm.
• Mus kuaj mob tsawg kawg ib xyoos ib zaug.

Yuav ua li cas thiaj nyob tau nrog qhov xwm txheej no?

Thaum nyob nrog kev tsis txaus ntawm cov hlab ntsha, nco ntsoov cov no:

• Npaj ib txoj kev tawm dag zog. Tsis yog txhua tus neeg zoo ib yam. Xaiv ib qho kev tawm dag zog uas koj nyiam. Nws tuaj yeem yog txhua yam los ntawm kev seev cev, caij skating, mus rau kev taug kev hauv lub tiaj ua si. Tsis tas li ntawd, nrhiav txoj hauv kev los ntxiv ob peb kauj ruam ntxiv rau koj txoj kev ua neej txhua hnub. Ib txwm nug koj tus kws kho mob seb cov kev tawm dag zog twg muaj kev nyab xeeb rau koj.
• Saib seb puas muaj kev noj zaub mov zoo rau kev noj qab haus huv. Saib seb puas muaj kev noj zaub mov Mediterranean thiab kev noj zaub mov DASH.
• Khaws koj daim tawv nqaij kom huv. Qhov no tseem ceeb heev yog tias koj muaj PAD, mob ntshav qab zib, lossis lwm yam mob hlab ntsha hauv koj lub cev. Ntxuav koj txhais taw thiab ob txhais ceg txhua hnub, thiab siv tshuaj pleev kom noo noo. Xyuas seb daim tawv nqaij puas muaj xim tsis zoo, tawg, lossis mob.
• Tsum haus luam yeeb thiab haus luam yeeb. Nug koj tus kws kho mob kom pab.
• Hnav khau xis nyob. Cov khau yuav tsum txhawb nqa thiab haum zoo.

Thaum kawg, tej yam uas yuav tsum nco ntsoov

Mus ntsib kws kho mob tas li thiab mus ntsib tom qab koj mus ntsib tas li. Koj tus kws kho mob yuav qhia rau koj tias koj yuav tsum rov qab los ntsib ntau zaus npaum li cas.

Tsis tas li ntawd xwb, yog tias koj pom muaj cov tsos mob tshiab lossis kev hloov pauv ntawm koj cov tsos mob, hu rau koj tus kws kho mob tam sim ntawd. Nws kuj tseem yuav pab tau yog tias koj luam tawm daim ntawv teev cov tsos mob thiab khaws cia nrog koj. Nws yooj yim kom tsis nco qab cov tsos mob hauv lub neej txhua hnub, lossis xav tias, "Qhov no yog dab tsi?" Yog li, ceev faj txog cov khoom uas koj yuav tsum tau saib xyuas. Qhia cov ntaub ntawv no rau koj cov neeg koj hlub.

Thaum koj pom tias koj muaj 'Arterial insufficiency', tej zaum koj yuav xav tias, "Kuv yuav kho qhov no li cas?" Qhov ntawd yog thawj qhov peb xav txog thaum peb mob. Tej zaum koj yuav xav tias koj tuaj yeem tig lub sijhawm rov qab thiab ua tej yam txawv. Tab sis qhov no tsis yog lub sijhawm los saib rov qab, tab sis los saib rau pem hauv ntej.

Ua tib zoo xav txog tej yam koj muaj tam sim no. Koj ua tau tej yam dab tsi hloov tam sim ntawd? Tej yam tseem ceeb tshaj plaws yog dab tsi? Nrhiav kev qhia los ntawm koj tus kws kho mob txog kev hloov pauv hauv lub neej thiab kev kho mob. Qhov tseem ceeb tshaj plaws, koj tsis tas yuav mus dhau qhov kev taug kev no ib leeg xwb. Koj tus kws kho mob thiab koj pab neeg saib xyuas kev noj qab haus huv tag nrho nyob ntawm no los pab koj txhim kho koj txoj kev noj qab haus huv ntawm cov hlab ntsha.

Kev txhaws ntawm cov hlab ntsha, txo cov ntshav ntws, kab mob plawv, cov hlab ntsha, kev noj qab haus huv, mob stroke, roj cholesterol