Koj puas muaj ib qho kev hloov me me zoo li no hauv koj lub siab? Cia peb tham txog (Atrial Septal Aneurysm)!

Qee zaum peb nyob nrog kev hloov pauv me me hauv peb lub cev yam tsis paub txog, puas yog? Qee zaum cov no raug tshawb pom los ntawm txoj hmoo thaum tus kws kho mob ua ib yam dab tsi zoo li 'scan' rau lwm yam. Yog lawm, qhov 'Atrial Septal Aneurysm' no yog ib qho mob plawv me me uas feem ntau tsis qhia cov tsos mob loj. Yog li cia peb tham txog qhov no kom ntxaws me ntsis hnub no, puas yog?

"Atrial Septal Aneurysm" yog dab tsi? Hais yooj yim xwb...

Hais yooj yim xwb, qhov no yog ib qho mob txawv txav uas muaj txij thaum yug los . Phab ntsa uas cais ob lub chav sab saud ntawm peb lub plawv, lub atria (tseem hu ua atria), muaj ib hom nqaij ntxiv nyob hauv. Yog hais kom meej, ib feem ntawm phab ntsa ntawd tsis muaj zog thiab nthuav tawm. Qee zaum cov kws kho mob tuaj yeem pom qhov no thaum lub sijhawm echocardiogram, kev luam theej duab ntawm lub plawv. Cov kws kho mob kuj hu qhov no ua interatrial septal aneurysm.

Feem ntau cov neeg muaj atrial septal aneurysm, tab sis nws tsis cuam tshuam rau cov ntshav ntws los ntawm lub plawv thiab tsis xav tau kev kho mob tshwj xeeb. Txawm hais tias tsis muaj cov ntaub ntawv tseeb txog pes tsawg tus neeg muaj tus mob no, nws tau hais tias tsis tshua muaj .

Puas muaj cov hom no?

Yog, muaj tsib hom tseem ceeb ntawm 'Atrial Septal Aneurysm'. Cov no raug faib ua pawg raws li sab twg ntawm lub plawv uas cov nqaij ntxiv, lossis protrusion, tawm ntau dua. Xav txog nws, sab xis ntawm lub plawv, sab laug, lossis ob sab.

• Hom 1R: Hauv qhov no, qhov protrusion yog mus rau koj sab xis atrium.
• Hom 2L: Nov qhov protrusion yog mus rau sab laug atrium.
• Hom 3RL: Qhov protrusion feem ntau yog nyob rau sab xis atrium, tab sis kuj muaj me me ntawm sab laug atrium.
• Hom 4LR: Hauv qhov no, qhov protrusion feem ntau yog nyob rau sab laug atrium, nrog me ntsis ntawm sab xis atrium thiab.
• Hom 5: Ntawm no qhov protrusion yuav luag zoo ib yam hauv ob qho tib si sab xis thiab sab laug atrium.

Txawm hais tias qhov kev faib tawm no tseem ceeb rau cov kws kho mob, nws tsis yog ib yam dab tsi uas koj yuav tsum txhawj txog. Qhov tseem ceeb yog nws cuam tshuam li cas rau koj.

Cov tsos mob ntawm 'Atrial Septal Aneurysm' yog dab tsi?

Qhov xov xwm zoo yog tias feem ntau cov neeg uas muaj atrial septal aneurysm tsis muaj tsos mob dab tsi . Koj tus kws kho mob yuav pom nws los ntawm txoj hmoo thaum koj muaj echocardiogram rau lwm qhov laj thawj.

Txawm li cas los xij, qhov mob no qee zaum tuaj yeem nrog lwm yam mob plawv, xws li lub plawv dhia tsis xwm yeem (arrhythmias), cov ntshav txhaws, lossis patent foramen ovales (PFOs). Yog tias qhov no tshwm sim, koj yuav muaj cov tsos mob xws li:

• Mob hauv siab los yog tsis xis nyob.
• Hnov qhov kev hloov pauv ntawm qhov ceev lossis lub suab ntawm koj lub plawv dhia, hu ua 'palpitations'.
• Kiv taub hau.

Vim li cas qhov 'Atrial Septal Aneurysm' no thiaj tshwm sim? Dab tsi yog qhov ua rau?

Cov kws tshawb nrhiav tseem tsis tau paub meej tias yog dab tsi ua rau muaj qhov interatrial septal aneurysm. Ib txhia kws kho mob thiab cov kws tshawb nrhiav ntseeg tias nws yuav yog los ntawm cov noob caj noob ces lossis qhov tsis muaj zog ntawm cov ntaub so ntswg sib txuas hauv peb lub cev. Txawm li cas los xij, qhov no tseem tab tom raug tshawb fawb.

Qhov no puas ua rau muaj lwm yam teeb meem?

Yog tias koj tsuas muaj ib qho atrial septal aneurysm xwb, nws tsis yog teeb meem loj. Txawm li cas los xij, qee zaum qhov mob no tuaj yeem ua rau koj muaj feem yuav muaj lwm yam teeb meem kev noj qab haus huv. Cov no suav nrog:

• Lwm yam teeb meem plawv uas yug los.
• Mob stroke yog ib qho mob uas cov ntshav txhaws mus rau lub hlwb.
• Lub plawv dhia tsis sib xws (arrhythmias).
• Cov ntshav txhaws.
• Ib qho mob hu ua 'Patent foramen ovale (PFO)' (qhov no kuj yog ib lub qhov me me ntawm lub plawv atria).
• Ib qho mob hu ua 'Atrial septal defect (ASD)' (qhov no kuj yog ib lub qhov hauv phab ntsa ntawm atria).

Tseem Ceeb: Cov teeb meem no tsis tshwm sim rau txhua tus, tab sis vim yog qhov kev pheej hmoo no uas cov kws kho mob txhawj xeeb txog nws.

Yuav ua li cas koj thiaj paub tias koj muaj 'Atrial Septal Aneurysm'?

Feem ntau, tus kws kho mob tuaj yeem ua 'echocardiogram' los saib seb qhov no puas yog qhov tseeb. Raws li kuv tau hais ua ntej, yog tias cov nqaij ntxiv tawm ntawm phab ntsa ntawm lub plawv atria ntau dua 10 millimeters (qee tus kws kho mob hais tias 15 millimeters), cov kws kho mob yuav kuaj pom tias nws yog 'Atrial Septal Aneurysm'.

Qee zaum, yog tias koj tus kws kho mob xav kom pom qhov no zoo dua, nws yuav pom zoo kom ua qhov kev soj ntsuam tshwj xeeb hu ua transesophageal echocardiogram (TEE). Qhov no suav nrog kev muab lub cuab yeej me me zoo li lub koob yees duab tso rau hauv koj lub caj pas (cov yeeb nkab noj mov) kom pom tag nrho ntawm phab ntsa ntawm lub atria ntawm koj lub plawv. Qhov no tuaj yeem pab ntes tau atrial septal aneurysm uas tej zaum yuav tsis pom nrog echocardiogram ib txwm muaj (transthoracic echocardiogram - TTE - qhov no ua tiav los ntawm lub hauv siab).

Feem ntau, tib neeg tsis paub tias lawv muaj ib qho interatrial septal aneurysm. Feem ntau nws pom tau los ntawm kev kuaj duab ntawm lub plawv rau lwm yam laj thawj. Cov kev kuaj no suav nrog:

• Ib daim 'CT scan' ntawm lub plawv ('Cardiac computed tomography (CT)').
• Kev luam theej duab MRI ntawm lub plawv (Heart MRI).
• Kev kuaj mob Angiogram.

Yog tias tus kws kho mob kuaj pom tias koj muaj atrial septal aneurysm, lawv yuav kuaj xyuas lwm yam mob plawv uas cuam tshuam nrog nws, vim tias, zoo li kuv tau hais ua ntej, qee tus neeg uas muaj tus mob no kuj tseem yuav muaj lwm yam mob plawv.

Cov kev kho mob rau qhov no yog dab tsi?

Yog tias koj muaj lub plawv atrial septal aneurysm, tab sis koj tsis muaj lwm yam mob plawv lossis cov yam ua rau muaj ntshav txhaws thiab mob hlwb, tej zaum koj yuav tsis xav tau kev kho mob . Qhov no muaj tseeb rau cov neeg feem coob.

Txawm li cas los xij, rau qee tus neeg, cov kws kho mob yuav sau ntawv kom noj tshuaj. Kev kho mob rau qhov interatrial septal aneurysm yuav suav nrog cov tshuaj ua kom cov ntshav nyias (xws li anticoagulants lossis antiplatelets). Cov tshuaj no yog muab los tiv thaiv cov ntshav txhaws, vim tias qee tus neeg uas muaj tus mob no muaj kev pheej hmoo me ntsis ntawm kev mob ntshav txhaws.

Rau qee tus neeg, tshwj xeeb tshaj yog cov neeg uas muaj lub qhov (patent foramen ovale - PFO) thiab lub qhov (aneurysm), kev phais mob me me hu ua patent foramen ovale (PFO) closure tuaj yeem pab txo qhov kev pheej hmoo ntawm kev mob stroke. Tom qab kev phais mob no, koj yuav tsum tau noj cov tshuaj uas ua rau cov ntshav nyias hu ua antiplatelets rau ob peb lub hlis, lossis txawm tias rau tas koj lub neej (tshwj xeeb tshaj yog tias koj tau muaj mob stroke ua ntej).

Tsis tshua muaj, uas yog, nyob rau hauv cov xwm txheej tsawg heev, qhov 'Atrial Septal Aneurysm' no yuav tsum tau phais tshem tawm.

Qhov "Atrial Septal Aneurysm" loj npaum li cas?

Muaj ib lub atrial septal aneurysm tsis yog tib qho ua rau muaj kev txhawj xeeb xwb . Nws tsis tshua ua rau muaj teeb meem loj rau nws tus kheej. Txawm li cas los xij, yog tias koj muaj lwm yam ua rau muaj mob stroke (xws li ntshav siab, ntshav qab zib, haus luam yeeb, lossis muaj PFO), ces koj yuav tsum txhawj xeeb txog atrial septal aneurysm. Qhov no tuaj yeem ua rau koj muaj feem yuav mob stroke ntxiv.

Peb puas yuav tsum ntshai peb lub neej nrog qhov xwm txheej no?

Feem ntau, lub neej ntev ntawm cov neeg uas muaj 'Atrial Septal Aneurysm' yog tib yam li lwm cov neeg noj qab haus huv . Qhov no txhais tau tias tsis tas yuav txhawj tias qhov no yuav ua rau koj lub neej luv dua. Tsis yog txhua tus neeg qhov xwm txheej zoo ib yam. Koj tus kheej qhov xwm txheej yuav txawv nyob ntawm lwm yam kab mob lossis tej yam kev noj qab haus huv uas koj muaj. Yog li ntawd, nws yog qhov zoo tshaj plaws los tham nrog koj tus kws kho mob txog qhov no.

Koj ua tau dab tsi los saib xyuas koj tus kheej?

Yog koj tus kws kho mob sau ntawv kom siv tshuaj los pab tiv thaiv kom tsis txhob mob stroke (xws li tshuaj ua kom ntshav nyias), nws yog ib qho tseem ceeb heev uas yuav tsum noj raws li tau sau tseg, noj raws li qhov ntau npaum li tau sau tseg, thiab noj rau lub sijhawm uas tau sau tseg . Tsis txhob tsum noj koj cov tshuaj lossis hloov qhov ntau npaum li cas yam tsis tau nrog koj tus kws kho mob tham.

Yog koj muaj kev phais me me lossis phais loj, koj tus kws kho mob yuav coj koj mus ntsib kws kho mob tsis tu ncua . Nco ntsoov mus ntsib cov kev teem sijhawm no. Tej zaum koj kuj yuav tsum tau kuaj duab lossis luam theej duab.

Thaum twg koj yuav tsum mus rau tsev kho mob thaum muaj xwm txheej ceev?

Qhov no tseem ceeb heev. Yog tias koj lossis ib tus neeg uas koj nrog nyob muaj cov tsos mob ntawm tus mob stroke , koj yuav tsum mus rau tsev kho mob tam sim ntawd yam tsis muaj kev ncua . Kev kho mob thaum ntxov tuaj yeem tiv thaiv kev puas tsuaj loj los ntawm tus mob stroke. Nco ntsoov cov cim no:

• Nws nyuaj rau hais lus, cov lus sib xyaws ua ke.
• Ib sab ntawm lub cev (caj npab, ceg, ib sab ntawm lub ntsej muag) cia li xav tias loog, tingling, lossis tsis muaj zog.
• Ua sai sai, kiv taub hau hnyav heev los.
• Pom kev tsis meej tam sim ntawd, lossis pom kev tsis meej hauv ib lossis ob lub qhov muag.
• Ua cia li muaj ib lossis ntau yam ntawm peb txoj kev xav tsis ua haujlwm lawm (piv txwv li, hnov ​​lus, hnia ntxhiab).
• Ua cia li, koj xav tias koj tsis meej pem thiab zoo li koj tsis nco qab koj nyob qhov twg.
• Mob taub hau hnyav heev, tam sim ntawd.

Koj yuav tsum nug koj tus kws kho mob li cas?

Thaum koj pom tias koj muaj 'Atrial Septal Aneurysm', nws yog ib qho ib txwm muaj ntau cov lus nug hauv koj lub siab. Tsis txhob ntshai nug koj tus kws kho mob txog cov no:

• "Kws kho mob, kuv puas xav tau kev kho mob rau qhov 'Atrial Septal Aneurysm' no?"
• Kuv yuav tsum tau mus ntsib kws kho mob dua sai npaum li cas ('kev teem caij ntsib kws kho mob')?
• "Kuv puas muaj lwm yam mob plawv uas cuam tshuam nrog qhov 'Atrial Septal Aneurysm' no?"
• "Vim kuv tus mob tam sim no, tus kws kho mob xav li cas txog kuv txoj kev noj qab haus huv yav tom ntej?"

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

Tej zaum koj yuav xav tsis thoob me ntsis thaum kws kho mob qhia koj tias koj muaj 'Atrial Septal Aneurysm', tshwj xeeb tshaj yog tias koj yeej tsis tau muaj cov tsos mob ua ntej. Txawm li cas los xij, feem ntau, qhov no tsis yog ib yam dab tsi uas yuav tsum txhawj txog . Cov neeg feem coob nyob lub neej ib txwm nrog tus mob no yam tsis muaj teeb meem dab tsi.

Txawm li cas los xij, yog tias koj tus kws kho mob hais tias koj muaj feem yuav mob stroke vim yog qhov aneurysm no, nrog nws tham kom zoo zoo thiab npaj kom meej txog cov kauj ruam uas koj yuav tsum ua los tiv thaiv koj tus kheej. Nws tseem ceeb heev uas yuav tsum tham nrog koj tsev neeg, cov phooj ywg ua haujlwm, thiab lwm tus txog cov cim ceeb toom ntawm mob stroke kom pab txo koj qhov kev ntshai. Kev paub txog cov cim no tuaj yeem pab tau koj lossis ib tus neeg koj paub yav tom ntej. Ib txwm ua raws li koj tus kws kho mob cov lus qhia. Ces koj tuaj yeem noj qab nyob zoo!

` atrial septal aneurysm, kab mob plawv, lub plawv, echocardiogram, echocardiogram, mob stroke, PFO, kev noj qab haus huv ntawm lub plawv