Xav txog cov hlab ntsha tseem ceeb uas pib hauv nruab nrab ntawm koj lub hauv siab, ntawm lub plawv, thiab nqa cov ntshav thoob plaws koj lub cev. Peb hu qhov no ua aorta. Yog xav kom meej, thawj qhov uas tawm hauv lub plawv hu ua ascending aorta. Qhov no zoo li cov kav dej tseem ceeb ntawm peb lub cev. Qee zaum, ib phab ntsa ntawm cov hlab ntsha no yuav tsis muaj zog thiab pib bulge zoo li lub npas. Hauv kev kho mob, peb hu qhov mob no ua aneurysm. Qhov no tuaj yeem ua rau mob hnyav, vim tias yog tias qhov bulge no loj dhau, nws tuaj yeem tawg. Yog li hnub no peb yuav tham txog yuav ua li cas phais kho qhov bulge hauv ascending aortic aneurysm.
Leej twg xav tau kev phais mob no?
Hais yooj yim xwb, qhov kev phais no yog qhov tsim nyog rau ob qho xwm txheej tseem ceeb.
1. Thaum muaj xwm txheej ceev: Yog tias qhov aneurysm no hauv koj lub aorta tam sim ntawd tawg (ruptures) lossis rhuav nws cov phab ntsa (dissections), nws yog qhov xwm txheej ceev, kev phais cawm txoj sia. Qhov no yog qhov xwm txheej txaus ntshai heev.
2. Ua ib qho kev phais uas tau npaj tseg: Tom qab koj tus kws kho mob pom tias koj muaj aneurysm, nws yuav ntsuas qhov kev pheej hmoo ntawm nws tawg, thiab yog tias qhov kev pheej hmoo siab, nws yuav pom zoo kom phais ua ntej nws tawg. Tus kws kho mob feem ntau yuav saib xyuas qhov loj ntawm aneurysm thiab nws loj hlob sai npaum li cas nrog kev luam theej duab ('CT' lossis 'MRI Lub Plawv') uas feem ntau ua ib lossis ob zaug hauv ib xyoos.
Feem ntau, cov hlab ntsha aneurysm uas loj hlob qeeb lossis me heev yuav tsis tas yuav kho mob ntev. Txawm li cas los xij, yog tias nws loj hlob sai lossis tau mus txog qhov loj txaus ntshai, nws yog qhov zoo tshaj plaws los phais nws ua ntej nws tawg.
Lub sijhawm twg zoo tshaj plaws los phais?
Qhov kev txiav txim siab txog thaum twg yuav tsum phais mob nyob ntawm ntau yam, suav nrog seb koj puas muaj cov tsos mob, qhov loj ntawm lub aneurysm, thiab nws loj hlob sai npaum li cas.
Cov tsos mob uas yuav tsum tau phais mob ceev
Yog koj muaj ib qho ntawm cov tsos mob no, nws txhais tau tias koj lub aneurysm yuav tawg. Mus rau chav kho mob ceev (ETU) ntawm tsev kho mob tam sim ntawd.
| Ceeb Toom! Cov no yog cov cim qhia txog kev phom sij thaum muaj xwm txheej ceev! | |
|---|---|
| Mob hauv siab lossis mob nraub qaum sab saud | Muaj kev mob hnyav zoo li muaj ib yam dab tsi raug rhuav tshem hauv lub cev. |
| Ua pa nyuaj | Hnoos, suab nrov, ua pa luv luv. |
| Lwm yam nta | Kiv taub hau , tsaus muag, tawm hws ntau dhau, xeev siab thiab ntuav, lub plawv dhia ceev. |
Cov xwm txheej ntawm kev phais mob uas tau npaj tseg
Txawm tias koj tsis muaj tsos mob los xij, koj tus kws kho mob yuav pom zoo kom phais mob rau cov xwm txheej hauv qab no:
| Yam uas cuam tshuam rau qhov kev txiav txim siab | Kev piav qhia |
|---|---|
| Qhov loj ntawm lub aneurysm |
|
| Qhov ceev ntawm kev loj hlob |
|
| Lwm yam tseem ceeb | Tej yam xws li koj lub cev loj npaum li cas (ib tug neeg uas muaj lub cev me dua tej zaum yuav tsum tau phais txawm tias nws me dua los xij) thiab seb koj puas tau phais lub plawv lwm yam. |
Kev npaj ua ntej phais mob zoo li cas?
Koj yuav tau npaj rau kev phais mob ob peb lub lis piam ua ntej nws pib.
- Kev kuaj mob: Kev kuaj ntshav los xyuas kev ua haujlwm ntawm lub raum, kev luam theej duab CT lossis MRI los xyuas tag nrho cov hlab ntsha aorta, thiab kev kuaj mob coronary angiography los xyuas lwm cov hlab ntsha hauv lub plawv.
- Tham nrog koj tus kws kho mob: Koj yuav tsum qhia rau koj tus kws kho mob txog txhua yam tshuaj uas koj noj (xws li cov vitamins thiab cov tshuaj ib txwm muaj), nrog rau lwm yam mob uas koj muaj, xws li ntshav siab thiab ntshav qab zib.
- Haus Luam Yeeb: Nws yog ib qho tseem ceeb heev uas yuav tsum tsis txhob haus luam yeeb kiag li tsawg kawg yog ib hlis ua ntej phais.
Tus kws kho mob yuav muab cov lus qhia rau koj, xws li tsis txhob haus dej tom qab ib tag hmo ntawm hnub phais thiab tsuas yog noj cov tshuaj uas tau sau tseg thaum sawv ntxov xwb.
Yuav ua li cas thiaj phais tau?
Qhov no yog phais plawv qhib. Nws ua thaum koj raug tshuaj loog tag (muab tso pw tsaug zog).
1. Kev Txiav: Tus kws phais yuav txiav ib qho ntsug mus rau hauv nruab nrab ntawm koj lub hauv siab.
2. Kev ncig ntshav: Koj yuav txuas nrog lub tshuab plawv-ntsws. Qhov no yuav muab cov ntshav thiab oxygen rau koj lub cev uas nws xav tau thaum lub sijhawm phais.
3. Kho: Qhov uas lub aorta uas tsis muaj zog thiab o tuaj raug tshem tawm thiab hloov nrog ib lub raj (graft) ua los ntawm cov khoom siv hluavtaws. Qhov no ua haujlwm ua cov hlab ntsha tshiab.
4. Kaw: Tom qab lub raj tshiab raug xaws thiab kho, qhov phais hauv siab raug kaw nrog cov xov lossis cov staples.
Feem ntau qhov kev phais no yuav siv sijhawm li peb txog plaub teev, tab sis lub sijhawm yuav txawv nyob ntawm seb yam twg yuav tsum tau kho.
Tom qab phais tas, muaj dab tsi tshwm sim?
Tom qab phais tas, koj yuav raug khaws cia rau hauv chav saib xyuas mob hnyav (ICU) ob peb hnub thiab yuav raug saib xyuas zoo. Tom qab ntawd koj yuav raug xa mus rau chav kho mob ib txwm. Tag nrho cov kev nyob hauv tsev kho mob tuaj yeem kav ntev li ntawm 4 txog 10 hnub.
Koj tuaj yeem cia siab tias yuav muaj cov hauv qab no thaum koj rov zoo:
- Muab tshuaj tua kab mob.
- Ntxig ib lub catheter los tso zis.
- Siv lub tshuab los pab ua pa (thaum ob peb teev thawj zaug).
- Hnav cov thom khwm tshwj xeeb (cov thom khwm nias) kom tiv thaiv cov ntshav txhaws hauv ob txhais ceg.
Cov kev pheej hmoo thiab cov txiaj ntsig yog dab tsi?
Qhov zoo tshaj plaws yog nws tiv thaiv kev tawg, uas tuaj yeem ua rau tuag taus. Tus nqi ua tiav ntawm kev phais mob uas tau npaj tseg yog siab heev (kwv yees li 95%-98%). Qhov no txhais tau tias qhov no yog lub sijhawm zoo tshaj plaws los cawm ib tus neeg txoj sia.
Tiam sis nco ntsoov, yog tias lub aneurysm tawg, qhov muaj feem yuav cawm koj txoj sia tsawg heev. Yog li ntawd, yog tias koj tus kws kho mob pom zoo kom phais, nws txhais tau tias qhov kev pheej hmoo ntawm kev phais tsawg dua li tsis muaj nws.
Ib yam li lwm yam kev phais loj, muaj tej yam txaus ntshai. Tej yam teeb meem xws li los ntshav ntau dhau, kis kab mob, mob plawv nres, mob hlwb, thiab mob raum tsis ua haujlwm kuj yuav tshwm sim tau. Txawm li cas los xij, pab pawg kws kho mob ua qhov zoo tshaj plaws los txo cov kev pheej hmoo no.
Yuav siv sijhawm ntev npaum li cas thiaj rov zoo?
Feem ntau nws yuav siv sijhawm li ntawm 4 txog 6 lub lis piam kom rov zoo tag nrho. Rau qee tus, nws yuav siv sijhawm txog li ob peb lub hlis. Thaum lub sijhawm no, koj yuav tsum ua raws li qee yam kev txwv.
- Tsis txhob tsav tsheb: Txog thaum koj tus kws kho mob tso cai rau koj (feem ntau yog tsawg kawg yog 1-2 lub lis piam).
- Tsis txhob tsa cov hnyav: Tsis txhob tsa cov hnyav tshaj 5 kg (rau 4-6 lub lis piam).
- Da Dej: Tsis txhob da dej kom txog thaum qhov txhab zoo lawm. Koj tuaj yeem da dej tau.
- Kev Ua Si: Tsis txhob ua si hnyav heev.
Yuav kom txo qhov mob thaum hnoos lossis txham , muab ib lub hauv ncoo tso rau saum qhov txhab thiab nias nws. Tsis tas li ntawd, kev tsis noj mov thiab qaug zog heev yog qhov ib txwm muaj nyob rau ob peb lub lis piam thawj zaug. Tsis txhob txhawj txog nws.
Thaum twg yuav tsum mus ntsib kws kho mob
Yog tias koj muaj ib qho ntawm cov tsos mob hauv qab no thaum koj rov zoo, qhia rau koj tus kws kho mob tam sim ntawd.
| Teeb meem | Cov yam ntxwv uas yuav tsum tau saib xyuas |
|---|---|
| Cov teeb meem ntsig txog qhov txhab | Qhov txhab yuav liab, o, mob, sov, muaj kua ntsuab/daj tawm, thiab cov npoo ntawm qhov txhab tab tom sib cais. |
| Lwm cov tsos mob hnyav | Mob hauv siab los yog ua tsis taus pa txawm tias thaum so, o ntawm ob txhais ceg, tsaus muag, kub taub hau, hnoos nrog ntshav los yog cov hnoos qeev ntsuab/daj, ntshav hauv cov quav. |
Cov Lus Qhia Txog Kev Coj Mus Tsev
- Kab mob hlab ntsha aorta uas nce mus rau saum yog ib qho mob hnyav heev. Kev phais mob uas tau npaj ua ntej nws tawg feem ntau yuav tiv thaiv tau cov teeb meem uas yuav ua rau tuag taus.
- Yog koj muaj cov tsos mob xws li mob hauv siab tam sim ntawd thiab ua pa nyuaj, qhov no yog xwm txheej ceev. Mus rau chav kho mob ceev (ETU) ntawm tsev kho mob tam sim ntawd.
- Yuav siv sijhawm ntev kom rov zoo tom qab phais. Nws yog ib qho tseem ceeb heev uas yuav tsum ua raws li tus kws kho mob cov lus qhia kom meej.
- Tom qab kho zoo lawm, kev noj zaub mov kom lub plawv noj qab nyob zoo, tsis txhob haus luam yeeb, thiab tswj cov mob xws li ntshav qab zib thiab ntshav siab yog qhov tseem ceeb rau kev noj qab haus huv yav tom ntej.
- Yog koj muaj lus nug txog qhov no, tsis txhob ntshai tham nrog koj tus kws kho mob.
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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