Koj puas muaj kev loog thiab mob hauv koj txhais caj npab? Qhov no puas yog Arterial Thoracic Outlet Syndrome?

Koj puas tau muaj kev xav tias loog lossis mob txawv txawv hauv koj txhais caj npab, lossis muaj kev xav txias hauv koj txhais tes? Los yog koj puas tau pom tias koj txhais caj npab hloov xim lossis siv sijhawm ntev los kho tom qab raug txiav? Tsis txhob xav tias cov no yog tej yam ib txwm muaj. Qhov no yuav yog ib qho tsos mob ntawm tus mob hu ua '(Arterial Thoracic Outlet Syndrome)'. Cia peb tham txog qhov no kom meej thiab yooj yim hnub no.

Qhov '(Arterial Thoracic Outlet Syndrome)' no yog dab tsi? Cia peb nkag siab yooj yim heev, puas yog?

Hais yooj yim xwb, '(Arterial Thoracic Outlet Syndrome)' yog thaum ib qho ntawm peb cov hlab ntsha tseem ceeb (arteries) raug nias rau hauv qhov chaw ntawm peb lub caj dab thiab pob txha caj dab (peb hu qhov no '(Clavicle)'), uas yog, nyob rau hauv thaj chaw hu ua '(Thoracic Outlet)'. Koj paub, cov hlab ntsha yog cov channel uas nqa cov ntshav los ntawm peb lub plawv mus rau tag nrho lub cev. Yog li, rau ib tus neeg uas muaj qhov mob '(ATOS)' no, ib txoj hlab ntsha raug nias rau hauv qhov chaw no hu ua '(Thoracic Outlet).'

Xav txog nws zoo li cov yeeb nkab dej uas raug txhaws, uas ua rau cov dej ntws tsawg dua. Thaum cov hlab ntsha raug txhaws zoo li no, nws tuaj yeem thaiv cov ntshav ntws. Yog tias tsis kho kom zoo, nws tuaj yeem ua rau muaj teeb meem kev noj qab haus huv loj heev. Rau qee tus neeg, qhov kev txhaws no tuaj yeem ua rau phab ntsa ntawm cov hlab ntsha tsis muaj zog thiab o zoo li lub npas. Peb hu nws ua "Aneurysm". Yog li ntawd, yog tias koj muaj cov tsos mob no, nws yog ib qho tseem ceeb heev uas yuav tsum mus ntsib kws kho mob thiab mus kuaj mob.

Leej twg yuav muaj feem mob "Arterial Thoracic Outlet Syndrome" ntau dua?

Ib yam li txhua hom mob Thoracic Outlet Syndrome, nws feem ntau tshwm sim rau cov poj niam hnub nyoog ntawm 20 thiab 50. Feem ntau, hom kev nias ntawm cov hlab ntsha no tshwm sim vim tias muaj ib tug tav ntxiv (hu ua tav caj dab) nyob hauv caj dab, lossis vim tias ib tug tav nyob rau hauv qhov chaw tsis raug. Tus tav ntxiv no feem ntau nyob saum peb tus tav thawj zaug.

Qhov no ua rau muaj teeb meem dab tsi? Vim li cas qhov no thiaj txaus ntshai?

Qhov tseeb, `(Arterial Thoracic Outlet Syndrome)` yog hom `(Thoracic Outlet Syndrome)` uas txaus ntshai tshaj plaws . Yog tias tsis kho kom zoo, `(ATOS)` no tuaj yeem ua rau cov ntshav txhaws txaus ntshai hauv koj cov hlab ntsha. Cov ntshav txhaws no tuaj yeem thaiv cov ntshav ntws mus rau koj txhais tes thiab tes. Txawm hais tias tsis tshua muaj, cov ntshav txhaws no kuj tuaj yeem mus rau lub hlwb thiab ua rau muaj mob xws li `(Stroke)`.

Yog li ntawd, yog tias koj xav tias koj muaj cov tsos mob ntawm Thoracic Outlet Syndrome, nws yog ib qho tseem ceeb kom nrhiav kev kho mob sai li sai tau.

Kab mob "Arterial Thoracic Outlet Syndrome" no feem ntau tshwm sim li cas?

Yog hais qhov tseeb, txhua hom mob Thoracic Outlet Syndrome yeej tsis tshua muaj. Tsis muaj cov ntaub ntawv qhia tias muaj pes tsawg tus neeg mob. Txawm li cas los xij, hom hu ua Arterial TOS yog hom uas tsis tshua muaj. Hom no pom muaj tsawg dua ib ntawm 100 tus neeg mob uas muaj mob Thoracic Outlet Syndrome.

Cov ua rau muaj "Arterial Thoracic Outlet Syndrome" yog dab tsi?

Raws li tau hais ua ntej lawm, muaj coob tus neeg uas muaj ATOS, lawv yug los muaj ib tug tav ntxiv (Cervical Rib) saum lub pob txha caj dab (Clavicle). Cov hlab ntsha ntawm peb txhais caj npab thiab pob txha caj dab, hu ua Subclavian Artery, nqa cov ntshav mus rau peb txhais caj npab, tes, caj dab, thiab taub hau. Vim yog qhov ntxiv ntawm Cervical Rib, cov hlab ntsha Subclavian no tuaj yeem raug nias, thaiv cov ntshav ntws, thiab cov ntshav txhaws tuaj yeem tsim. Cov ntshav txhaws no qee zaum tuaj yeem tawg thiab mus rau hauv caj npab, thaiv cov ntshav ntws.

Lwm yam laj thawj kuj tseem yuav cuam tshuam rau qhov no:

• Kev Rog Phem: Thaum lub cev hnyav nce ntxiv, muaj kev nyuaj siab ntxiv rau cov pob qij txha.
• Kev Raug Mob Lub Cev: Kev raug mob xws li cov uas tshwm sim los ntawm kev sib tsoo tsheb.
• Kev Sawv Cev Tsis Zoo: Tej yam xws li zaum tib qho chaw ntev ntev, khoov rau pem hauv ntej thaum ua haujlwm, thiab lwm yam.
• Cev xeeb tub (`(Cev xeeb tub)`).
• Kev Txav Rov Ua Dua: Piv txwv li, co lub pob ntaus pob tesniv, pov pob softball lossis baseball, lossis tsa cov thawv hnyav hla koj lub taub hau.

Cov tsos mob ntawm tus kab mob '(Arterial Thoracic Outlet Syndrome)' yog dab tsi? Yuav kuaj mob li cas?

Cov tsos mob ntawm tus mob no feem ntau tuaj yeem cuam tshuam rau koj cov ntiv tes, xib teg, lossis tag nrho tes. Cov tsos mob feem ntau yog qhov tingling lossis loog hauv ib txhais tes. Cov tsos mob no yuav hnyav dua thaum koj ua ib yam dab tsi nrog koj txhais tes thiab yuav zoo dua thaum koj so koj txhais tes. Cov neeg uas muaj ATOS feem ntau tsis hnov ​​​​​​mob hauv caj dab lossis xub pwg nyom.

Vim tias ATOS tuaj yeem txo koj cov ntshav ntws, koj yuav pom tej yam zoo li no ntawm koj cov ntiv tes, tes, lossis caj npab:

• Kev txias.
• Kev hnov ​​​​​​mob loog lossis tingling.
• Mob (`(Mob)`).
• Xim daj ntseg.
• Cov qhov txhab kho qeeb qeeb.

Xav txog seb, Nilanthi Akka ua haujlwm ntawm lub khoos phis tawj txij thaum sawv ntxov mus txog hmo ntuj. Nws pib hnov ​​​​​​mob txawv txawv hauv nws sab tes xis nrog rau qhov mob me ntsis. Qee zaum nws txhais tes txias. Nws xav tias nws yog vim qaug zog. Tab sis yog tias cov tsos mob no nce me ntsis, nws yuav yog '(ATOS)'.

Cov kws kho mob kuaj mob no li cas (Arterial Thoracic Outlet Syndrome)?

Yog koj muaj cov tsos mob ntawm "Arterial Thoracic Outlet Syndrome", koj tus kws kho mob yuav xub kuaj koj lub caj dab thiab xub pwg ua ntej. Lawv yuav hais kom koj ua qee yam kev txav mus los kom paub meej tias koj cov pob qij txha "Range of Motion" nyob qhov twg.

Tus kws kho mob kuj tseem yuav ntsuas koj cov ntshav siab thiab nug koj txog koj cov tsos mob. Yog tias lawv xav tias muaj ATOS, lawv yuav ua qee qhov kev kuaj ntxiv los xyuas koj qhov Thoracic Outlet.

Yuav ua li cas thiaj kuaj tau qhov no?

Qhov no yog qhov xwm txheej nrog "Arterial Thoracic Outlet"Xaiv qhov '(Kev Ntsuas Duab)', uas yog cov kev kuaj uas saib sab hauv koj lub cev. Cov kev kuaj no yuav ua tau los saib koj cov hlab ntsha, cov ntshav ntws, thiab cov qauv sab hauv:

• Kev ntsuas ultrasound: Qhov no siv cov suab nthwv dej los saib sab hauv lub cev, tshwj xeeb tshaj yog kom pom tias cov ntshav ntws li cas. Qhov no feem ntau yog thawj qhov kev kuaj mob uas siv los kuaj mob no.
• Arteriogram: Muab ib lub raj me me, nyias nyias (catheter) thiab ib yam kua tshwj xeeb (contrast dye) ntxig rau hauv koj cov hlab ntsha, thiab thaij duab X-ray.
• CT scan: Ib qho series ntawm X-rays raug coj ua ke los tsim cov duab ntxaws ntxaws.
• Kev luam theej duab MRI (`(MRI)`): Siv cov nthwv dej xov tooj cua thiab cov teb sib nqus los thaij cov duab ntxaws ntxaws.
• X-ray (`(X-ray)`): Cov duab raug thaij los ntawm kev siv cov tshuaj hluav taws xob ntau.

Cov kev kho mob rau '(Arterial Thoracic Outlet Syndrome)' yog dab tsi?

Qhov mob no, hu ua Arterial Thoracic Outlet Syndrome, feem ntau yuav kho tau los ntawm kev phais. Txawm li cas los xij, ua ntej phais, koj tus kws kho mob yuav sau ntawv kom siv cov tshuaj ua kom cov ntshav nyias, xws li Warfarin (Coumadin®) lossis Heparin (Hep-Lock™). Lawv kuj tseem yuav sim tshem tawm cov ntshav txhaws uas twb muaj lawm los ntawm kev txhaj tshuaj lossis lwm txoj kev.

Thaum lub sijhawm phais mob, tus kws kho mob yuav ua tej yam xws li:

• Ib feem ntawm koj tus tav ntxiv (`(Cervical Rib)`) raug tshem tawm, txo qhov siab.
• Ib daim hlab ntsha noj qab haus huv uas raug coj los ntawm lwm qhov ntawm koj lub cev (Arterial Graft) yog siv los hloov cov hlab ntsha uas puas lawm.
• Ib lub raj mis cuav raug ntxig los hloov cov hlab ntsha uas puas lawm, thiab rov qab muaj ntshav ntws dua.

Peb ua tau dab tsi los txo qhov kev pheej hmoo '(ATOS)' no?

Tsis muaj ib txoj kev twg uas yuav tiv thaiv tau qhov no kom tsis txhob tshwm sim tag nrho, tab sis koj tuaj yeem hloov qee yam kev ua neej kom txo tau koj txoj kev pheej hmoo ntawm kev sib tsoo los ntawm kev sib tsoo tsheb:

• Tswj koj qhov hnyav kom noj qab nyob zoo thiab haum rau koj lub cev, hnub nyoog, thiab poj niam txiv neej.
• Tsis txhob nqa cov hnab hnyav rau ntawm ib sab xub pwg.
• Txwv tsis pub txav mus los saum taub hau ntau zaus.
• Ua kom koj lub xub pwg muaj zog los ntawm kev ua cov kev tawm dag zog hnyav lossis kev tawm dag zog tiv thaiv.
• Ua cov kev ncab rau koj lub caj dab, xub pwg nyom, thiab hauv siab txhua hnub.

Qhov xwm txheej ntawm '(ATOS)' yuav zoo li cas? Peb puas yuav tsum ntshai?

Qhov tseeb, yog tias tsis kho, Arterial Thoracic Outlet Syndrome (ATOS) tuaj yeem ua rau muaj teeb meem loj xws li ntshav txhaws, raug mob ceg, thiab (hauv cov xwm txheej hnyav) poob cov ntiv tes. Txawm li cas los xij, cov xov xwm zoo yog tias koj nrhiav kev kho mob sai dua, koj yuav muaj feem ntau dua. Yog li, yog tias koj muaj cov tsos mob uas qhia tias koj yuav muaj ATOS, mus ntsib kws kho mob tam sim ntawd.

Koj xav paub dab tsi ntxiv los ntawm tus kws kho mob?

Thaum koj ntsib kws kho mob, koj tuaj yeem nug cov lus nug xws li:

• Dab tsi yog qhov ua rau kuv cov tsos mob feem ntau?
• Kuv yuav tsum ua dab tsi los xyuas seb qhov no yog dab tsi?
• Muaj cov kev kho mob twg?
• Cov kev kho mob uas tsis yog phais puas yuav kho tau kuv cov tsos mob?
• Kuv yuav ua tau dab tsi hloov kuv txoj kev ua neej kom txo tau cov tsos mob?

Thaum kawg, yuav tsum nco ntsoov li cas (Cov Lus Coj Mus Tsev)

Kab mob Arterial Thoracic Outlet Syndrome (ATOS) yog ib yam mob uas cuam tshuam rau cov hlab ntsha subclavian hauv lub thoracic outlet. Qhov no yog thaum cov hlab ntsha raug nias thiab cov ntshav txhaws pib tsim. Cov ntshav txhaws no tuaj yeem tawg thiab mus rau ntawm caj npab, ua rau mob thiab loog. Kev kho mob thaum ntxov tuaj yeem txo qhov kev pheej hmoo ntawm cov teeb meem. Yog tias koj muaj cov tsos mob ntawm ATOS, thov mus ntsib kws kho mob tam sim ntawd. Tsis txhob txhawj, qhov mob no tuaj yeem tswj tau nrog kev qhia thiab kev kho mob kom zoo.

` Tshwm sim ntawm lub qhov tso zis hauv lub thoracic, mob ntawm lub qhov tso zis hauv lub arterial thoracic, ATOS, mob caj npab, loog caj npab, ntshav txhaws, tav caj dab, hlab ntsha subclavian